PEACEHEALTH: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PEACEHEALTH (EIN 91-0939479)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-03
- IRS object ID
- 201711239349301801
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-03T15:14:03-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1918 EIGHTH AVENUE SUITE 2900 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910939479 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEACEHEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PEAC | BusinessNameControlTxt |
| Phone | 3607291000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 SE 164TH AVENUE | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98683 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIMBERLY A HODGKINSON | PersonNm |
| Person Title | EVP CFO | PersonTitleTxt |
| Phone | 3607291000 | PhoneNum |
| Signature | 2017-05-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUE ROBISON | PreparerPersonNm |
| PTIN | P00560072 | PTIN |
| Phone | 2069134492 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KIMBERLY A HODGKINSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 SE 164TH AVENUE | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98683 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,825,975,761 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PEACEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | WE CARRY ON THE HEALING MISSION OF JESUS CHRIST. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 18966 | TotalEmployeeCnt |
| Total Volunteers | 2000 | TotalVolunteersCnt |
| Total Gross UBI | $42,658,541 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$10,514,049 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,743,245 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,125,658 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,496,127,575 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,459,103,733 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,707,738 | PYInvestmentIncomeAmt |
| CY Investment Income | $50,323,787 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,893,803 | PYOtherRevenueAmt |
| CY Other Revenue | -$26,832,731 | CYOtherRevenueAmt |
| PY Total Revenue | $2,544,472,361 | PYTotalRevenueAmt |
| CY Total Revenue | $2,492,720,447 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,114,114 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,809,640 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,347,021,579 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,430,373,094 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $4,328,005 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,034,841,677 | PYOtherExpensesAmt |
| CY Other Expenses | $1,083,099,869 | CYOtherExpensesAmt |
| PY Total Expenses | $2,383,977,370 | PYTotalExpensesAmt |
| CY Total Expenses | $2,515,282,603 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $160,494,991 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$22,562,156 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,638,442,919 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,550,318,063 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,740,829,232 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,751,354,903 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,897,613,687 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,798,963,160 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE CARRY ON THE HEALING MISSION OF JESUS CHRIST BY PROMOTING PERSONAL AND COMMUNITY HEALTH, RELIEVING PAIN AND SUFFERING, AND TREATING EACH PERSON IN A LOVING AND CARING WAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,199,624,177 | ExpenseAmt |
| Grant | $1,809,640 | GrantAmt |
| Revenue | $2,416,842,964 | RevenueAmt |
| Desc | HOSPITALS, CLINICS, MEDICAL GROUPS, AND LABORATORIES:FOUNDED BY THE SISTERS OF ST. JOSEPH OF PEACE, PEACEHEALTH HAS PROVIDED EXCEPTIONAL MEDICINE AND COMPASSIONATE CARE TO NORTHWEST COMMUNITIES FOR MORE THAN A CENTURY. PEACEHEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM WITH HOSPITALS, CLINICS, MEDICAL GROUP CLINICS AND LABORATORIES LOCATED IN ALASKA, WASHINGTON AND OREGON. RURAL COMMUNITIES RELY ON THEIR HOSPITALS AS CRITICAL COMPONENTS OF THE COMMUNITIES' ECONOMIC AND SOCIAL FABRIC. THESE HOSPITALS ARE TYPICALLY THE LARGEST OR SECOND LARGEST EMPLOYER IN THE COMMUNITY, AND OFTEN STAND ALONE IN THEIR ABILITY TO OFFER HIGHLY-SKILLED JOBS. COMMENTARY CONTINUED ON SCHEDULE O.CHARITY CARE AND COMMUNITY BENEFITS:PEACEHEALTH PROVIDES FINANCIAL ASSISTANCE TO PATIENTS UNABLE TO PAY FOR SERVICE. FINANCIAL ASSISTANCE PATIENTS RECEIVE CARE AT REDUCED COST OR NO CHARGE WHEN IT IS DETERMINED THAT PAYMENT CANNOT BE OBTAINED THROUGH INSURANCE, OUTSIDE AGENCIES, OR PRIVATE MEANS. PEACEHEALTH OFFERS INFORMATION ON AVAILABLE ASSISTANCE PRIOR TO ADMISSION. FINANCIAL ASSISTANCE IS ALSO AVAILABLE POST-CARE THROUGH FINANCIAL COUNSELING. OTHER COMMUNITY BENEFIT COSTS INCLUDE THE UNREIMBURSED COST OF MEDICAID AND GOVERNMENT PROGRAMS, HEALTH EDUCATION, AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES.NET COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING ACTIVITIES FOR TAX YEAR 2015 WAS $248,825,636 AS INDICATED ON THE SCHEDULE H IN PART I, LINE 7K COLUMN (E) AND PART II, LINE 10 COLUMN (E). | Desc |
| Total Program Service Expenses | $2,199,624,177 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | Yes (1) | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2002 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 18966 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFF SEIRER | PersonNm |
| Phone | 3607291000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 SE 164TH AVENUE | AddressLine1Txt |
| City | VANCOUVER | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98683 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| SR ANDREA NENZEL CSJP | |||||||||
| CHAIRMAN | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SR ANNE HAYES CSJP | |||||||||
| SECRETARY | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RON PRILL | |||||||||
| TREASURER | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DIETER MORICH MD | |||||||||
| DIRECTOR | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROLAND TRENOUTH MD | |||||||||
| DIRECTOR | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LEE KEARNEY | |||||||||
| DIRECTOR | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR NORAH CLARKE CSJP | |||||||||
| DIRECTOR | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT DE VITA | |||||||||
| DIRECTOR | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROL SHERIDAN | |||||||||
| DIRECTOR | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR MARGARET DIMOND CSJP | |||||||||
| DIRECTOR | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR KATHLEEN PRUITT CSJP | |||||||||
| DIRECTOR | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICK WOLLENBERG | |||||||||
| DIRECTOR | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ALAN YORDY | |||||||||
| PRESIDENT EMERITUS | 40.00 | 0.00 | Yes (X) | $2,407,312 | $0 | $303,247 | |||
| ELIZABETH DUNNE | |||||||||
| PRESIDENT AND CEO | 40.00 | 0.00 | Yes (X) | $342,467 | $0 | $18,945 | |||
| BETH O'BRIEN | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | 0.00 | Yes (X) | $1,328,414 | $0 | $15,348 | |||
| STUART P HENNESSEY | |||||||||
| SENIOR VP, ASSISTANT SECRETARY | 40.00 | 0.00 | Yes (X) | $710,125 | $0 | $73,702 | |||
| KEVIN WALSTROM | |||||||||
| SENIOR VP | 40.00 | 0.00 | $1,329,841 | $0 | $182,544 | Yes (X) | |||
| MARK MCCAMPBELL | |||||||||
| VP | 40.00 | 0.00 | $284,056 | $0 | $54,801 | Yes (X) | |||
| NANCY STEIGER | |||||||||
| SENIOR VP | 40.00 | 0.00 | $877,228 | $0 | $198,535 | Yes (X) | |||
| MICHAEL METCALF | |||||||||
| CHIEF EXECUTIVE PHMG | 40.00 | 0.00 | $190,083 | $0 | $6,331 | Yes (X) | |||
| RENATO BACIARELLI | |||||||||
| SENIOR VP | 40.00 | 0.00 | $596,837 | $0 | $19,582 | Yes (X) | |||
| VICTORIA KING | |||||||||
| SENIOR VP | 40.00 | 0.00 | $367,268 | $0 | $9,430 | Yes (X) | |||
| CAROL AARON | |||||||||
| SENIOR VP | 40.00 | 0.00 | $632,300 | $0 | $176,492 | Yes (X) | |||
| HOWARD GRAMAN MD | |||||||||
| SENIOR VP | 40.00 | 0.00 | $897,981 | $0 | $53,422 | Yes (X) | |||
| JOSIAH JOHNSON | |||||||||
| SENIOR VP | 40.00 | 0.00 | $1,090,020 | $0 | $165,818 | Yes (X) | |||
| JOHN HILL | |||||||||
| SENIOR VP | 40.00 | 0.00 | $1,047,142 | $0 | $154,564 | Yes (X) | |||
| RAN WHITEHEAD | |||||||||
| CEO - PEACEHEALTH LABS | 40.00 | 0.00 | $408,897 | $0 | $67,442 | Yes (X) | |||
| ANNA KAY DYKES | |||||||||
| SENIOR VP | 40.00 | 0.00 | $356,589 | $0 | $6,457 | Yes (X) | |||
| CYNTHIA FINTER | |||||||||
| SENIOR VP | 40.00 | 0.00 | $581,716 | $0 | $16,478 | Yes (X) | |||
| DALE ZENDER | |||||||||
| CHIEF EXECUTIVE NORTHWEST | 40.00 | 0.00 | $483,395 | $0 | $60,804 | Yes (X) | |||
| DAN HEIN | |||||||||
| SENIOR VP | 40.00 | 0.00 | $430,438 | $0 | $33,074 | Yes (X) | |||
| RAND O'LEARY | |||||||||
| CHIEF EXECUTIVE OREGON | 40.00 | 0.00 | $519,571 | $0 | $13,632 | Yes (X) | |||
| DENNIS GORY | |||||||||
| MD | 40.00 | 0.00 | $930,576 | $0 | $66,106 | Yes (X) | |||
| ERIC HAUCK | |||||||||
| MD | 40.00 | 0.00 | $1,050,242 | $0 | $92,465 | Yes (X) | |||
| JAMES REISS | |||||||||
| MD | 40.00 | 0.00 | $874,752 | $0 | $53,860 | Yes (X) | |||
| DAVID DUKE | |||||||||
| MD | 40.00 | 0.00 | $889,018 | $0 | $81,363 | Yes (X) | |||
| ALLEN GABRIEL | |||||||||
| MD | 40.00 | 0.00 | $1,077,748 | $0 | $80,143 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $19,704,016 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,004,585 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2256 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NURSEFINDERS LLC | |||||
| PO BOX 910738 | DALLAS | TX | 75391 | HEALTHCARE STAFFING | $35,957,237 |
| FTI CONSULTING INC | |||||
| 909 COMMERCE ROAD | ANNAPOLIS | MD | 21401 | CONSULTING | $15,809,608 |
| STAFF CARE INC | |||||
| 12400 HIGH BLUFF DRIVE | SAND DIEGO | CA | 92130 | HEALTHCARE STAFFING | $10,026,347 |
| GREYTHORN TECHNOLGY | |||||
| 40 LAKE BELLEVUE SUITE 100 | BELLEVUE | WA | 98005 | SOFTWARE IMPLEMENTATION | $8,569,275 |
| MCKESSON TECHNOLOGIES INC | |||||
| 5995 WINWARD PARKWAY | ALPHARETTA | GA | 30005 | SOFTWARE IMPLEMENTATION | $6,325,860 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 219 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,599,356 | RelatedOrganizationsAmt |
| Government Grants | $3,414,895 | GovernmentGrantsAmt |
| All Other Contributions | $3,111,407 | AllOtherContributionsAmt |
| Total Contributions | $10,125,658 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REV | 621110 | $2,405,459,871 | $2,364,696,921 | $40,762,950 |
| OTHER OPERATING REV | 621110 | $53,643,862 | $52,146,043 | $1,497,819 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,459,103,733 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,343,443 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $75,687 | UnrelatedBusinessRevenueAmt |
| Exclusion | $46,267,756 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,817,055 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $44,613,658 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$33,796,603 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$33,796,603 | TotalRevenueColumnAmt |
| Exclusion | -$33,796,603 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $292,322,000 | SecuritiesAmt |
| Other | $300,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $288,641,656 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,680,344 | SecuritiesAmt |
| Other | $300,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,980,344 | TotalRevenueColumnAmt |
| Exclusion | $3,980,344 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $6,963,872 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $322,085 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,641,787 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,963,872 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,492,720,447 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,416,842,964 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $42,658,541 | UnrelatedBusinessRevenueAmt |
| Exclusion | $23,093,284 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,464,137 | TotalAmt |
| Program Services | $1,464,137 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,503 | TotalAmt |
| Program Services | $345,503 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,708,605 | TotalAmt |
| Program Services | $18,661,675 | ProgramServicesAmt |
| Management And General | $3,046,930 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,179,147,614 | TotalAmt |
| Program Services | $1,013,647,349 | ProgramServicesAmt |
| Management And General | $163,228,286 | ManagementAndGeneralAmt |
| Fundraising | $2,271,979 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,810,508 | TotalAmt |
| Program Services | $57,433,263 | ProgramServicesAmt |
| Management And General | $9,244,011 | ManagementAndGeneralAmt |
| Fundraising | $133,234 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,550,988 | TotalAmt |
| Program Services | $71,824,118 | ProgramServicesAmt |
| Management And General | $11,434,033 | ManagementAndGeneralAmt |
| Fundraising | $292,837 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,155,379 | TotalAmt |
| Program Services | $68,045,459 | ProgramServicesAmt |
| Management And General | $10,954,287 | ManagementAndGeneralAmt |
| Fundraising | $155,633 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,732,975 | TotalAmt |
| Program Services | $23,840,490 | ProgramServicesAmt |
| Management And General | $3,756,262 | ManagementAndGeneralAmt |
| Fundraising | $136,223 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,047,446 | TotalAmt |
| Management And General | $1,046,649 | ManagementAndGeneralAmt |
| Fundraising | $797 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,969 | TotalAmt |
| Management And General | $487,525 | ManagementAndGeneralAmt |
| Fundraising | $117,444 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,100 | TotalAmt |
| Management And General | $107,100 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,262,730 | TotalAmt |
| Program Services | $113,698,882 | ProgramServicesAmt |
| Management And General | $17,882,229 | ManagementAndGeneralAmt |
| Fundraising | $681,619 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,788,695 | TotalAmt |
| Program Services | $3,770,446 | ProgramServicesAmt |
| Fundraising | $18,249 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,739,296 | TotalAmt |
| Management And General | $7,729,489 | ManagementAndGeneralAmt |
| Fundraising | $9,807 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,440,049 | TotalAmt |
| Program Services | $33,904,408 | ProgramServicesAmt |
| Management And General | $5,402,427 | ManagementAndGeneralAmt |
| Fundraising | $133,214 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,500,105 | TotalAmt |
| Program Services | $25,359,593 | ProgramServicesAmt |
| Management And General | $4,140,369 | ManagementAndGeneralAmt |
| Fundraising | $143 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,449,990 | TotalAmt |
| Program Services | $12,421,849 | ProgramServicesAmt |
| Management And General | $1,916,409 | ManagementAndGeneralAmt |
| Fundraising | $111,732 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,619 | TotalAmt |
| Management And General | $101,756 | ManagementAndGeneralAmt |
| Fundraising | $9,863 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,280,486 | TotalAmt |
| Program Services | $31,280,486 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,947,808 | TotalAmt |
| Program Services | $118,586,026 | ProgramServicesAmt |
| Management And General | $19,352,145 | ManagementAndGeneralAmt |
| Fundraising | $9,637 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,281,977 | TotalAmt |
| Management And General | $29,281,977 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MED SUPPLIES & SERVICES | $343,614,194 | $343,614,194 | |
| BAD DEBT | $86,304,206 | $86,304,206 | |
| OTHER TAX | $85,215,253 | $69,796,962 | $15,418,291 |
| INTEREST RATE SWAPS | $60,912,511 | $60,912,511 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,758,460 | TotalAmt |
| Program Services | $44,712,620 | ProgramServicesAmt |
| Management And General | $6,800,246 | ManagementAndGeneralAmt |
| Fundraising | $245,594 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,515,282,603 | TotalAmt |
| Program Services | $2,199,624,177 | ProgramServicesAmt |
| Management And General | $311,330,421 | ManagementAndGeneralAmt |
| Fundraising | $4,328,005 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,611,199 | BOYAmt |
| EOY | $230,877,737 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,436,853 | BOYAmt |
| EOY | $341,425,697 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $355,531,731 | BOYAmt |
| EOY | $318,624,389 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,617,775 | BOYAmt |
| EOY | $32,258,988 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,242,683 | BOYAmt |
| EOY | $43,824,113 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,555,582 | BOYAmt |
| EOY | $24,723,997 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,749,627,557 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,413,065,178 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,377,753,500 | BOYAmt |
| EOY | $1,336,562,379 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,063,971,693 | BOYAmt |
| EOY | $1,073,790,749 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,338,766 | BOYAmt |
| EOY | $27,742,885 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,836,150 | BOYAmt |
| EOY | $34,564,659 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,546,987 | BOYAmt |
| EOY | $85,922,470 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,638,442,919 | BOYAmt |
| EOY | $3,550,318,063 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,393,742 | BOYAmt |
| EOY | $361,659,882 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700,520,000 | BOYAmt |
| EOY | $688,090,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,140 | BOYAmt |
| EOY | $668,459 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $653,165,350 | BOYAmt |
| EOY | $700,936,562 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,740,829,232 | BOYAmt |
| EOY | $1,751,354,903 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,833,895,375 | BOYAmt |
| EOY | $1,722,865,654 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,506,824 | BOYAmt |
| EOY | $53,963,794 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,211,488 | BOYAmt |
| EOY | $22,133,712 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,897,613,687 | BOYAmt |
| EOY | $1,798,963,160 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,638,442,919 | BOYAmt |
| EOY | $3,550,318,063 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$22,562,156 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$41,912,116 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$34,176,255 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $107,100 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $107,100 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PEACEHEALTH DOES NOT ENGAGE IN ANY LOBBING ACTIVITIES THROUGH ITS EMPLOYEES OR RELATED ORGANIZATIONS. PEACEHEALTH PAYS OUTSIDE CONSULTING FIRMS FOR LOBBYING WORK. THESE FIRMS WORK WITH FEDERAL AND STATE LEGISLATURE ON PENDING OR EXISTING LEGISLATION THAT IMPACTS PEACEHEALTH HOSPITAL OPERATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $35,078,181 | BeginningYearBalanceAmt |
| Contributions | $2,261,986 | ContributionsAmt |
| Investment Earnings Or Losses | -$377,148 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $272,957 | OtherExpendituresAmt |
| End Year Balance | $36,690,062 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $32,158,276 | BeginningYearBalanceAmt |
| Contributions | $1,882,561 | ContributionsAmt |
| Investment Earnings Or Losses | $1,037,344 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $35,078,181 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,466,288 | BeginningYearBalanceAmt |
| Contributions | $175,566 | ContributionsAmt |
| Investment Earnings Or Losses | $4,020,665 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,504,243 | OtherExpendituresAmt |
| End Year Balance | $32,158,276 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,724,507 | BeginningYearBalanceAmt |
| Contributions | $15,739,128 | ContributionsAmt |
| Investment Earnings Or Losses | $1,178,809 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $176,156 | OtherExpendituresAmt |
| End Year Balance | $42,466,288 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $26,359,503 | ContributionsAmt |
| Investment Earnings Or Losses | -$301,830 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $333,166 | OtherExpendituresAmt |
| End Year Balance | $25,724,507 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.24420 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.61270 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.14310 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $72,430,130 | OtherCostOrOtherBasisAmt |
| Book Value | $72,430,130 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,512,610,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $764,253,880 | DepreciationAmt |
| Book Value | $748,356,620 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,159,507 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,401,490 | DepreciationAmt |
| Book Value | $50,758,017 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,056,011,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $632,409,808 | DepreciationAmt |
| Book Value | $423,601,235 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,416,377 | OtherCostOrOtherBasisAmt |
| Book Value | $41,416,377 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,336,562,379 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| OBLIGATIONS UNDER CAPITAL LEASES | $28,133,675 |
| INTEREST RATE SWAPS | $153,927,058 |
| ACCRUED PENSION LIABILITY | $104,570,399 |
| SELF-INSURANCE LIABILITY | $61,868,660 |
| OTHER LIABILITIES | $62,065,342 |
| BONDS AND NOTES PAYABLE LONG TERM | $290,371,428 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $700,936,562 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE REPORTED ENDOWMENT FUNDS BELONG TO THE PEACEHEALTH FOUNDATIONS. THE PEACEHEALTH FOUNDATIONS ARE SEPARATELY INCORPORATED AND EACH FOUNDATION FILES A SEPARATE FORM 990. REFER TO THE SCHEDULE R, PART II FOR A LISTING OF THESE RELATED FOUNDATIONS. THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE FOR: 1) THE PURCHASE OF PROPERTY, PLANT, AND EQUIPMENT 2) SUPPORT FOR HOSPICE AND INDIGENT CARE 3) PATIENT CARE AND OTHER OPERATING ACTIVITIES |
| PART X, LINE 2: | FIN 48 (ASC 740) FOOTNOTE CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTE (2)(V) - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, FEDERAL AND STATE INCOME TAXES THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT EXCEEDS A 50 PERCENT PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATE OCCURS. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA/CARIBBEAN | RegionTxt |
| Offices | 1 | OfficesCnt |
| Employee | 1 | EmployeeCnt |
| Type Of Activities Conducted | PROGRAM SERVICES | TypeOfActivitiesConductedTxt |
| Specific Services Provided | HEALTHCARE TO VULNERABLE POPULATIONS | SpecificServicesProvidedTxt |
| Region Total Expenditures | $345,503 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $345,503 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $345,503 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | RegionTxt |
| Purpose Of Grant | PROGRAM SERVICES | PurposeOfGrantTxt |
| Cash Grant | $345,503 | CashGrantAmt |
| Manner Of Cash Disbursement | BANK TRANSFER | MannerOfCashDisbursementTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PEACEHEALTH OPERATES A MEDICAL MISSION PROGRAM IN EL SALVADOR. THIS MISSION USES PEACEHEALTH MEDICAL PROFESSIONALS TO RENDER HEALTHCARE ASSISTANCE TO PEOPLE WITH LIMITED FINANCIAL RESOURCES. THESE ACTIVITIES ARE IN THE PEACEHEALTH BUDGET AND ARE INCLUDED IN THE OPERATING RESULTS OF PEACEHEALTH THE SAME AS OTHER PEACEHEALTH OPERATIONS. THE MISSION PROGRAM IS SUBJECT TO THE SAME MANAGEMENT CONTROL AND OVERSIGHT AS THE ORGANIZATION'S DOMESTIC PROGRAMS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,000,235 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,000,235 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $511,188,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $284,562,115 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $226,626,296 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $525,188,646 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $284,562,115 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $240,626,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09570 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,670,053 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $187,169 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,482,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,817,379 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,160,473 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,656,906 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,094,814 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,957,374 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $137,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $354,696 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $233,769 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $120,927 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,721,123 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,084 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,713,039 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,658,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,546,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,111,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $536,846,711 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $288,108,984 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $248,737,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09900 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,853 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,853 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,707 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $61,707 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,058 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,058 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,781 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,660 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,909 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $87,909 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $86,304,206 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $33,539,304 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $563,035,214 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $635,415,785 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$72,380,571 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 10 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (10 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|
| PH SACRED HEART MED CTR AT RIVERBEND | |||||||||
| 1 | 3333 RIVERBEND DRIVE | SPRINGFIELD | OR | 97477 | Yes (X) | Yes (X) | Yes (X) | A | |
| PH SACRED HEART MED CTR UNIV DISTRICT | |||||||||
| 2 | 1255 HILYARD STREET | EUGENE | OR | 97401 | Yes (X) | Yes (X) | Yes (X) | A | |
| PH SOUTHWEST MEDICAL CENTER | |||||||||
| 3 | 400 NE MOTHER JOSEPH PL | VANCOUVER | WA | 98683 | Yes (X) | Yes (X) | Yes (X) | A | |
| PH ST JOSEPH MEDICAL CENTER | |||||||||
| 4 | 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | Yes (X) | Yes (X) | Yes (X) | A | |
| PH ST JOHN MEDICAL CENTER | |||||||||
| 5 | 1615 DELAWARE STREET | LONGVIEW | WA | 98632 | Yes (X) | Yes (X) | Yes (X) | A | |
| PH KETCHIKAN MEDICAL CENTER | |||||||||
| 6 | 3100 TONGASS AVENUE | KETCHIKAN | AK | 99901 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| PH PEACE HARBOR MEDICAL CENTER | |||||||||
| 7 | 400 9TH STREET | FLORENCE | OR | 97439 | Yes (X) | Yes (X) | A | Yes (X) | |
| PH COTTAGE GROVE COMMUNITY MED CTR | |||||||||
| 8 | 1515 VILLAGE DRIVE | COTTAGE GROVE | OR | 97424 | Yes (X) | Yes (X) | A | Yes (X) | |
| PH PEACE ISLAND MEDICAL CENTER | |||||||||
| 9 | 1117 SPRING STREET | FRIDAY HARBOR | WA | 97401 | Yes (X) | Yes (X) | A | Yes (X) | |
| PH UNITED GENERAL MEDICAL CENTER | |||||||||
| 10 | 4000 HOSPITAL DRIVE | SEDROWOOLLEY | WA | 98284 | Yes (X) | Yes (X) | A | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.PEACEHEALTH.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.PEACEHEALTH.ORG - IN THE CHNAS | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.PEACEHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.PEACEHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.PEACEHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 9 - HOSPITAL 9 PEACE ISLAND MEDICAL CENTER | PEACE ISLAND MEDICAL CENTER (PIMC) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN CONSECUTIVE YEARS IN ORDER TO BE ALIGNED WITH THE OTHER PEACEHEALTH FACILITIES. THE LATEST IMPLEMENTATION STRATEGY WAS NOT FORMALLY ACCEPTED UNTIL JUST AFTER THE CLOSE OF TAX YEAR 2015. |
| PART V, SECTION B, LINE 5 DESCRIPTION | TO OBTAIN CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE PEACEHEALTH MEDICAL CENTERS, THE COMMUNITY HEALTH NEEDS ASSESSMENTS TOOK INTO ACCOUNT INFORMATION FROM:1) PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.2) FEDERAL, TRIBAL, REGIONAL, STATE, AND LOCAL HEALTH DEPARTMENTS AND AGENCIES.3) LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY.4) REVIEW OF AVAILABLE PUBLISHED COMMUNITY HEALTH DATA.5) MEETINGS WITH COMMUNITY GROUPS AND PUBLIC OFFICIALS; PUBLIC FORUMS, FOCUS GROUPS, AND COMMUNITYWIDE HEALTH ASSET SURVEY AND KEY INFORMANT INTERVIEWS.PLEASE REFER TO THE PUBLISHED CHNAS FOR FURTHER DETAILS. THESE REPORTS CAN BE FOUND AT WWW.PEACEHEALTH.ORG |
| PART V, SECTION B, LINE 6A DESCRIPTION | PEACEHEALTH HOSPITALS WORK IN CONCERT TO CONDUCT CHNAS IF THEY SERVE THE SAME COMMUNITY OR AN OVERLAPPING COMMUNITY. PEACEHEALTH HOSPITALS WITHIN A NETWORK (GEOGRAPHIC REGION) ALSO WILL WORK TOGETHER EVEN WHEN THE COMMUNITIES ARE NOT OVERLAPPING. THE FOLLOWING HOSPITALS CONDUCTED THEIR CHNAS TOGETHER:SACRED HEART MEDICAL CENTER RIVERBEND; SACRED HEART MEDICAL CENTER UNIVERSITY DISTRICT; COTTAGE GROVE COMMUNITY MEDICAL CENTER; PEACE HARBOR MEDICAL CENTER.THE FOLLOWING HOSPITALS CONDUCTED THEIR CHNAS INDEPENDENTLY WHILE COORDINATING WITH NEIGHBORING PEACEHEALTH HOSPITALS: PEACE ISLAND MEDICAL CENTER; ST. JOSEPH MEDICAL CENTER; ST. JOHN MEDICAL CENTER; KETCHIKAN MEDICAL CENTER; SOUTHWEST MEDICAL CENTER; UNITED GENERAL MEDICAL CENTER. |
| PART V, SECTION B, LINE 6B DESCRIPTION | REFER TO THE PUBLISHED CHNAS AT WWW.PEACEHEALTH.ORG FOR DETAILS ABOUT WHAT ORGANIZATIONS PARTICIPATED IN THE CHNAS. THE PEACEHEALTH HOSPITALS' CHNAS WERE UNDERTAKEN CONCURRENT WITH THE PLANNING ACTIVITIES OF COMMUNITY HEALTH ORGANIZATIONS IN THE STATE, REGION AND COUNTY.THE FOLLOWING HOSPITAL FACILITIES AND ORGANIZATIONS COLLABORATED IN THE COMPLETION OF THE CHNAS:SACRED HEART MEDICAL CENTER RIVERBEND, SACRED HEART MEDICAL CENTERUNIVERSITY DISTRICT, COTTAGE GROVE COMMUNITY MEDICAL CENTER, AND PEACEHARBOR MEDICAL CENTER COLLABORATED WITH THE OREGON STATE HEALTH IMPROVEMENT PLAN, AND LIVE HEALTHY LANE (LHL). ST. JOSEPH MEDICAL CENTER, PEACE ISLAND MEDICAL CENTER, AND UNITED GENERAL MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, AND THE NORTH SOUND ACCOUNTABLE COMMUNITY OF HEALTH (NS-ACH). THE NS-ACH INCLUDES REPRESENTATIVES FROM THE FIVE-COUNTY AREA THAT INCLUDES SAN JUAN, ISLAND, SKAGIT, SNOHOMISH AND WHATCOM COUNTIES.ST. JOSEPH MEDICAL CENTER ALSO COLLABORATED WITH THE WHATCOM ALLIANCE FOR HEALTH ADVANCEMENT; PEACE ISLAND MEDICAL CENTER ALSO COLLABORATED WITH SAN JUAN COUNTY OUTSIDE OF THE NS-ACH; UNITED GENERAL MEDICAL CENTER ALSO COLLABORATED WITH SKAGIT COUNTY OUTSIDE OF THE NS-ACH INVOLVEMENT.KETCHIKAN MEDICAL CENTER COLLABORATED WITH THE STATE OF ALASKA AND THE KETCHIKAN WELLNESS COALITION.SOUTHWEST MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, CLARK COUNTY PUBLIC HEALTH DEPARTMENT, SOUTHWEST WASHINGTON REGIONAL HEALTH ALLIANCE, AND THE HEALTHY LIVING COLLABORATIVE OF SOUTHWEST WASHINGTON.ST. JOHN MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, COWLITZ COUNTY PUBLIC HEALTH DEPARTMENT, CASCADE PACIFIC ACTION ALLIANCE, THE HEALTHY LIVING COLLABORATIVE OF SOUTHWEST WASHINGTON, AND PATHWAYS 2020. |
| PART V, SECTION B, LINE 11 DESCRIPTION | PLEASE REFER TO THE PUBLISHED CHNAS LOCATED AT WWW.PEACEHEALTH.ORG. THE PUBLISHED CHNAS CONTAIN THE IMPLEMENTATION PLAN(S) COVERING HOW THE PEACEHEALTH MEDICAL CENTERS ARE ADDRESSING THE SIGNIFICANT NEEDS OF THEIR RESPECTIVE COMMUNITIES. |
| PART V, SECTION B, LINE 13H DESCRIPTION | PEACEHEALTH USES THE FEDERAL POVERTY GUIDELINES (FPL) AND CRITERIA THAT ASSESS AN INDIVIDUAL'S ABILITY TO PAY FOR DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE THAT WILL BE PROVIDED. EACH INDIVIDUAL SITUATION IS REVIEWED INDEPENDENTLY WITH ALLOWANCES MADE FOR EXTENUATING CIRCUMSTANCES.FOR ADDITIONAL DESCRIPTION, REFER TO SCHEDULE H, PART VI EXPLANATION FOR PART I, LINE 3C. |
| PART V, SECTION B, LINE 22D DESCRIPTION | IRS REQUIREMENTS FOR CHARITABLE HOSPITALS - 501(R)LIMITATION ON CHARGESAN ELIGIBLE INDIVIDUAL RECEIVING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE UNDER A HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE. TO DETERMINE AMOUNTS GENERALLY BILLED (AGB), THE "LOOK BACK" METHOD IS APPLIED FOR MEDICARE FEE-FOR-SERVICE AND PRIVATE INSURER ACCOUNTS.PEACEHEATH HOSPITALS HAVE FAPS THAT PROVIDE FOR DISCOUNTS TO ELIGIBLE INDIVIDUALS ON A SLIDING SCALE UP TO 400% OF THE FEDERAL POVERTY LEVEL. WHILE THE RATE INSURED INDIVIDUALS ARE ULTIMATELY CHARGED VARIES WITH CONTRACT AND BENEFIT TERMS, WE BELIEVE THAT OUR FAP DISCOUNTS PROVIDE ELIGIBLE INDIVIDUALS WITH BETTER OR SIMILAR DISCOUNTS. OUR MINIMUM UNINSURED FAP REDUCTION IS 65% WITH A MAXIMUM UNINSURED DISCOUNT OF 100%. FOR INSURED ACCOUNTS WE OFFER DISCOUNTS RANGING FROM 100% TO 10% DEPENDING ON FEDERAL POVERY GUIDELINES. WE DO NOT USE GROSS CHARGES WITHOUT DISCOUNTS FOR INDIVIDUALS ELIGIBLE UNDER OUR FAPS. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | PEACEHEALTH USES THE FEDERAL POVERTY GUIDELINES (FPL) AS WELL AS THE FOLLOWING CRITERIA FOR DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE THAT WILL BE PROVIDED. EACH INDIVIDUAL SITUATION IS REVIEWED INDEPENDENTLY WITH ALLOWANCES MADE FOR EXTENUATING CIRCUMSTANCES. ASSETS ARE NOT CONSIDERED FOR FINANCIAL ASSISTANCE APPLICANTS WHOSE ANNUALIZED GROSS INCOME FALLS BELOW 200 PERCENT OF THE FPL. ASSETS MAY BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE FOR APPLICANTS WHOSE GROSS HOUSEHOLD INCOME IS BETWEEN 201-400 PERCENT OF FPL. CONSIDERATION FOR FINANCIAL ASSISTANCE INCLUDES A REVIEW OF: * GROSS HOUSEHOLD INCOME * NUMBER OF PEOPLE IN THE HOME * SECURABLE ASSETS EXCLUDING PRIMARY RESIDENCE * BANK, BROKERAGE, AND RETIREMENT ACCOUNTS * SPECIAL MEDICAL COSTS * OTHER INDICATORS OF ABILITY TO PAY * OTHER EXTENUATING CIRCUMSTANCES. EXAMPLES INCLUDE: THE REMAINING BALANCE TO BE PAID AFTER ALL REDUCTIONS, HOUSEHOLD INCOME, MEDICAL STATUS OF PATIENT/FAMILY, AND LEVEL/TYPE OF ASSETS.EQUITY IN THE PRIMARY RESIDENCE IS EXCLUDED FROM THE ASSET CALCULATION. IF THE ASSET CONSISTS OF REAL PROPERTY, THE ASSET CONSIDERED IS THE DIFFERENCE BETWEEN THE VALUE OF THE ASSET AND THE AMOUNT OWED AGAINST THE ASSET. A $3,000 ASSET EXEMPTION IS ALLOWED FOR HOUSEHOLDS WITH 1 MEMBER, AND ANADDITIONAL $500 IS ALLOWED FOR EACH ADDITIONAL HOUSEHOLD MEMBER.ASSETS OUTSIDE OF THE EXEMPTIONS LISTED ABOVE MAY BE USED TO DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE PROVIDED TO APPLICANTS WITH HOUSEHOLD INCOME BETWEEN 201-400% OF FPL. |
| PART I, LINE 7: | THE COSTING METHOLODOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I, LINE 7 IS AS FOLLOWS: COST TO CHARGE RATIOS WERE CALCULATED BY TOTAL BUSINESS UNIT OPERATING EXPENSE DIVIDED BY TOTAL GROSS PATIENT REVENUE. THIS RATIO WAS THEN APPLIED TO THE PATIENT CHARGES BY FINANCIAL CLASS IN THE BUSINESS UNIT TO ESTIMATE COST BY FINANCIAL CLASS. THE COST BY FINANCIAL CLASS WAS THEN OFFSET BY REVENUE, INCLUDING ALLOCATIONS OF REVENUE OUTSIDE OF THE BILLING SYSTEM. THE REVENUE OUTSIDE OF THE BILLING SYSTEM CONSISTS OF PROVIDER TAXES, 3RD PARTY SETTLEMENTS, AND OTHER OFFSETTING REVENUE RECORDED IN THE GENERAL LEDGER. FOR CHARITY CARE, THE COST TO CHARGE RATIO WAS APPLIED ALL CHARITY CARE DEDUCTIONS. |
| PART 1, LINE 7 | THE REPORTED COMMUNITY BENEFIT AMOUNTS DO NOT CAPTURE CERTAIN ADDITIONAL COMMUNITY BENEFIT ACTIVITIES AND CONTRIBUTIONS MADE DIRECTLY BY THE PEACEHEALTH AFFILIATED, SEPARATELY INCORPORATED FOUNDATIONS. TO ENSURE THAT FUTURE REPORTING WILL ACCURATELY REFLECT THE SCOPE OF ALL PEACEHEALTH COORDINATED COMMUNITY BENEFIT ACTIVITIES, WE ARE IN THE PROCESS OF REVISING OUR PROCEDURES TO HAVE ALL COMMUNITY BENEFIT EXPENDITURES MADE BY PEACEHEALTH DIRECTLY. |
| PART III, LINE 2: | REFER TO PART III, LINE 4 EXPLANATION FOR A DESCRIPTION OF THE METHODOLOGY FOR COMPUTING BAD DEBTS. THE AMOUNTS REPORTED REPRESENT THE PATIENT ACCOUNT BALANCES WRITTEN OFF TO BAD DEBT DURING THE YEAR ALONG WITH THE CHANGE IN THE ESTIMATE IN THE BAD DEBT RESERVES ON OUTSTANDING PATIENT ACCOUNTS RECEIVABLE BALANCES LESS ANY RECOVERIES ON PATIENT ACCOUNTS. |
| PART III, LINE 3: | THE METHODOLOGY USED TO DETERMINE THE AMOUNT ON PART III, LINE 3 IS AS FOLLOWS:DEMOGRAPHIC DATA REGARDING POPULATION POVERTY LEVELS IN EACH FACILITY'S SERVICE AREA WERE USED TO DETERMINE THE AMOUNT OF BAD DEBT REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| PART II - COMMUNITY BUILDING ACTIVITIES | PEACEHEALTH'S COMMUNITY BUILDING ACTIVITIES ARE AIMED AT THE CAUSES OF HEALTH PROBLEMS IN A LOCAL COMMUNITY, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY'S RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE PEACEHEALTH MEDICAL CENTERS.SOME EXAMPLES OF THESE ACTIVITIES INCLUDE:* THE ST. JOHN MEDICAL CENTER COMMUNITY MINISTRY COORDINATES A YOUTH MENTORSHIP PROGRAM. THIS PROGRAM RECRUITS AT RISK YOUTH FOR JOB TRAINING, JOB SHADOWING, MENTORING, LIFE SKILLS AND PROVIDES SCHOLARSHIPS FOR COLLEGE OR TECHNICAL SCHOOLS.* THE SACRED HEART MEDICAL CENTER AT RIVERBEND COORDINATED 480 VOLUNTEER HOURS TO SUPPORT THE UNITED WAY DAY OF CARING. THE DAY OF CARING IS ORGANIZED TO GATHER COMMUNITY RESOURCES FOR COMPLETING PROJECTS THAT THE LOCAL NONPROFIT AGENCIES LACK THE RESOUCES TO COMPLETE ON THEIR OWN. |
| PART III, LINE 4: | 6/30/2016 AUDITED FINANCIAL STATEMENTS - FOOTNOTE (2) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, SECTION (O) NET PATIENT SERVICE REVENUE:THE CORPORATION PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE CORPORATION ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE CORPORATION. |
| PART III, LINE 8: | THE CALCULATION FOR PART III, LINE 8 IS COMPLETED USING MEDICARE COST REPORT DATA. THE MEDICARE AMOUNTS LISTED IN PART III, SECTION B ON LINES 5, 6, AND 7 ARE REPORTED FROM THE MEDICARE COST REPORTS AND DO NOT DO NOT REPRESENT ALL OF THE REVENUES AND COSTS ASSOCIATED WITH PARTICIPATION IN MEDICARE PROGRAMS BY PEACEHEALTH. PART III SECTION B DOES NOT ALLOW FOR A FULL REPORTING OF MEDICARE REVENUES AND COSTS AS THE INSTRUCTIONS TO THE FORM 990 LIMIT MEDICARE REVENUES AND ALLOWABLE COSTS TO THOSE FROM THE MEDICARE COST REPORT. REVENUE AND COSTS FROM MEDICARE PART C PATIENTS, PART B PHYSICIAN SERVICES BILLED BY THE ORGANIZATION, AND CLINICAL LABORATORY SERVICES WERE NOT INCLUDED IN THE MEDICARE COST REPORT. IN ADDITION, HOSPITALS INCUR OTHER COSTS TO PROVIDE CARE THAT MEDICARE DOES NOT ALLOW IN THE COST REPORT. THE TOTAL REVENUES AND COSTS ATTRIBUTABLE TO ALL MEDICARE SERVICES ARE 896,862,602 AND 1,038,429,079 RESPECTIVELY. THIS RESULTS IN A TOTAL MEDICARE SHORTFALL OF 141,566,477. |
| PART III, LINE 9B: | FINANCIAL ASSISTANCE PROGRAM INFORMATION IS PRESENT ON PEACEHEALTH STATEMENTS AND BILLINGS. ACCOUNTS ARE NOT ASSIGNED TO COLLECTION AGENCIES PRIOR TO 120 DAYS FROM THE DATE OF FIRST BILLING. FINANCIAL ASSISTANCE APPLICATIONS FOR ACCOUNTS THAT HAVE BEEN ASSIGNED TO A COLLECTION AGENCY MUST BE SUBMITTED WITH PROOF OF INCOME FOR THE DATE(S) OF SERVICE. IF A FINANCIAL ASSISTANCE APPLICATION IS RECEIVED FOR AN ACCOUNT PREVIOUSLY ASSIGNED TO COLLECTION, THE COLLECTION AGENCY IS REQUESTED TO HOLD FURTHER ACTIONS UNTIL THE RESULTS OF THE PENDING FINANCIAL ASSISTANCE REVIEW ARE AVAILABLE. IF THE REVIEW SHOWS THE PATIENT QUALIFIES FOR THE REDUCTION OR ELIMINATION OF THE DEBT, APPROPRIATE ACTIONS ARE TAKEN TO AMEND OR CORRECT PREVIOUS ACTIONS.THE COLLECTION POLICIES INVOLVE THE ISSUANCE OF A BILL ON OR SHORTLY AFTER DISCHARGE OR DEATH OF THE BENEFICIARY TO THE PARTY RESPONSIBLE FOR THE PATIENTS PERSONAL FINANCIAL OBLIGATIONS. THESE POLICIES ALSO INCLUDE OTHER ACTIONS SUCH AS SUBSEQUENT BILLINGS, GARNISHMENT OF FUTURE EARNINGS OR WAGES, LIENS ON PATIENT ACCOUNTS, COLLECTION LETTERS AND TELEPHONE CALLS OR PERSONAL CONTACTS WITH THIS PARTY WHICH CONSTITUTE A GENUINE, RATHER THAN A TOKEN, COLLECTION EFFORT. COLLECTION EFFORTS MAY INCLUDE USING OR THREATENING TO USE COURT ACTION TO OBTAIN PAYMENT.NO ACTIONS CONSTITUTING EXTRAORDINARY COLLECTION ACTIONS ARE UNDERTAKEN PRIOR TO DETERMINING IF AN INDIVIDUAL IS FAP ELIGIBLE. REFER TO THE SCHEDULE H, PART V SECTION ON BILLING AND COLLECTIONS. |
| PART VI, LINE 2: | THE COMMUNITY HEALTH NEEDS ASSESSMENT IS CUSTOMIZED TO THE LOCAL COMMUNITY. EACH PEACEHEALTH HOSPITAL CONDUCTS ITS OWN COMMUNITY HEALTH NEEDS ASSESSMENT OR PARTNERS WITH OTHER PEACEHEALTH HOSPITALS TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT.PEACEHEALTH PARTNERS WITH A DIVERSE GROUP OF COMMUNITY ORGANIZATIONS, INCLUDING MEDICAL PROFESSIONALS, OTHER NOT-FOR-PROFIT ORGANIZATIONS, AND STATE AND LOCAL GOVERNMENT AGENCIES TO IDENTIFY AND ASSESS THE SPECIFIC NEEDS OF THE COMMUNITIES IN WHICH IT SERVES.IN ORDER TO DETERMINE AND ACT ON THE HEALTH CARE NEEDS OF THE COMMUNITY PEACEHEALTH WILL ENGAGE COMMITTEES OF STAFF, BOARD MEMBERS AND VOLUNTEERS TO REVIEW AND ACT ON FUNDING REQUESTS FROM COMMUNITY-BASED ORGANIZATIONS. IN MAKING THE CASE FOR FUNDING, APPLICANTS MUST THOROUGHLY EXPLAIN THE NEED, THE POPULATION SERVED, THE EFFECTIVENESS OF THEIR PROGRAMS, AND THE DESIRED OUTCOME. IN ADDITION TO HELPING BOARD COMMITTEES MAKE WISE STRATEGIC INVESTMENT IN PROGRAMS THAT EFFECTIVELY ADDRESS COMMUNITY NEEDS, THIS PROCESS ALSO KEEPS STAFF AND BOARD MEMBERS ATTUNED TO CHANGES IN THE COMMUNITY. WHEN PEACEHEALTH EVALUATES A COMMUNITY'S NEED FOR A PARTICULAR SERVICE, A HOST OF FACTORS ARE ASSESSED, INCLUDING:-ALTERNATIVE WAYS TO ACCESS CARE-THE ABILITY TO PROVIDE THE NECESSARY STAFF, EQUIPMENT AND SPACE-THE EFFECT ON THE COMMUNITY AND PATIENTS IF PEACEHEALTH DID NOT PROVIDE THE SERVICE-THE COMMUNITY'S BEST INTEREST-THE RESULTS OF AN ETHICAL DISCERNMENT ON THE OVERALL IMPACT TO THE COMMUNITY.ADDITIONAL WAYS PEACEHEALTH STAYS IN TOUCH WITH THE COMMUNITY:- PATIENT COUNCILS: COMMUNITY MEMBERS PROVIDE INPUT AND FEEDBACK ON THE PATIENT EXPERIENCE, ISSUES, CONCERNS AND IDEAS.- COMMUNITY INVOLVEMENT: HOSPITAL STAFF SERVE ON NUMEROUS BOARDS, COMMITTEES AND TASK FORCES THAT ADDRESS COMMUNITY HEALTH PROBLEMS AND PROMOTE COMMUNITY HEALTH.- SPEAKERS BUREAU: HOSPITAL LEADERS AND EXPERTS ARE CALLED UPON TO ADDRESS COMMUNITY GROUPS ON A VARIETY OF HEALTH CARE TOPICS, TAKING FEEDBACK, ANSWERING QUESTIONS AND LISTENING TO CONCERNS AND NEEDS. |
| PART VI, LINE 3: | PEACEHEALTH HAS A TIME-HONORED TRADITION OF PROVIDING HEALTH CARE SERVICES TO THE SICK AND AFFLICTED REGARDLESS OF ABILITY TO PAY. THIS CONCEPT IS CENTRAL TO OUR MISSION AND IS REINFORCED THROUGH OUR NEW EMPLOYEE ORIENTATION, TRAINING AND DEVELOPMENT PROGRAMS, LEADERSHIP MEETINGS, AND SPECIAL PROGRAMS SUCH AS LEADERSHIP IN MINISTRY. PEACEHEALTH DELIVERS COST SAVINGS TO NEEDY PATIENTS VIA OUR FINANCIAL ASSISTANCE POLICY (FAP) WHICH CONSISTS OF TWO PARTS: BRIDGE FOR UNINSURED PATIENTS AND PATHWAYS FOR INSURED PATIENTS. THE FAP PROGRAMS PROVIDE FREE OR REDUCED-COST CARE TO LOW-INCOME INDIVIDUALS. IN THE SPIRIT OF OUR CORE VALUE OF "RESPECTING INDIVIDUAL HUMAN DIGNITY AND WORTH," PEACEHEALTH USES THE NAMES "BRIDGE AND PATHWAYS" SO THAT PEOPLE USING THESE PROGRAMS CAN REFER TO THEM WITHOUT DISCOMFORT OR EMBARRASSMENT. QUALIFIED INDIVIDUALS RECEIVE A LETTER WHICH THEY MAY PRESENT JUST AS ONE WOULD AN INSURANCE CARD. MANY INDEPENDENT PROVIDERS IN THE COMMUNITY NOW ACCEPT PEACEHEALTH'S FAP PROGRAMS AS THEIR BENCHMARK FOR PROVIDING SERVICES AT REDUCED OR NO CHARGE. THE NAMES REFER TO BRIDGING THE GAP OF FINANCIAL UNCERTAINTY FOR OUR PATIENTS IN NEED. OUR FAP ASSISTANCE PROVIDES MEDICALLY NECESSARY AND SOME PREVENTATIVE SERVICES AT PEACEHEALTH FACILITIES AT A REDUCED COST OR WITHOUT CHARGE WHEN PAYMENT CANNOT BE OBTAINED THROUGH ALL OTHER AVAILABLE FINANCIAL RESOURCES. THE FAP PROGRAM IS SECONDARY TO ALL OTHER RESOURCES SUCH AS INSURANCE, THIRD PARTY LIABILITY PAYERS, GOVERNMENT PROGRAMS, OUTSIDE AGENCY PROGRAMS, OR PRIVATE MEANS. THE PURPOSE OF THE PROGRAM IS TO HELP MANAGE THE DELICATE BALANCE OF FINANCIAL HEALTH AND WISE STEWARDSHIP WITH OUR MISSION OF PROVIDING COMMUNITY SERVICES IN ALL OF OUR SERVICE AREAS. OUR FAP ENSURES THAT PATIENTS RECEIVE FAIR AND EQUAL FINANCIAL TREATMENT ACROSS PEACEHEALTH, AND IT WORKS TOGETHER WITH OUR FINANCIAL COUNSELING SERVICES TO HELP PEACEHEALTH IDENTIFY PATIENTS WHO CAN BENEFIT FROM BRIDGE OR PATHWAYS ASSISTANCE.HERE IS AN EXAMPLE OF HOW WE WORK WITH OUR LOCAL COMMUNITIES TO ENROLLPEOPLE IN THE PROGRAM: PEACEHEALTH ST. JOSEPH MEDICAL CENTER WORKS CLOSELYWITH THE WHATCOM ALLIANCE AND THE AREA FEDERALLY QUALIFIED HEALTH CENTERS(FQHCS) TO ENSURE THAT ALL ELIGIBLE PATIENTS SEEKING MEDICAL CARE KNOWABOUT THE PEACEHEALTH FINANCIAL ASSISTANCE PROGRAM. ALLIANCE STAFF WORK WITH THE MEDICAL CENTER TO FOLLOW UP ON PATIENTS WHO FREQUENT THE EMERGENCY DEPARTMENT FOR CARE AND INFORM THEM OF AVAILABLE RESOURCES, INCLUDING POSSIBLE BRIDGE OR PATHWAYS ASSISTANCE. PATIENTS REFERRED FROM COMMUNITY HEALTH CENTERS SEEKING ACCESS TO DONATED SPECIALTY CARE ARE ROUTINELY ENROLLED IN FINANCIAL ASSISTANCE AS PART OF THE PROCESS FOR DETERMINING ELIGIBILITY FOR COMMUNITY-WIDE DONATED CARE.COMMUNICATION: ELIGIBLE PATIENTS ARE MADE AWARE OF THIS PROGRAM THROUGH AVARIETY OF COMMUNICATION CHANNELS, INCLUDING:-REFERRALS FROM COMMUNITY PARTNERS, INCLUDING NONPROFIT COMMUNITYCLINICS THAT ARE FREE OR LOW-COST -INFORMATION POSTED ON OUR WEB SITE AT WWW.PEACEHEALTH.ORG-SIGNAGE IN OUR WAITING ROOMS*-BROCHURES THROUGHOUT OUR FACILITIES**-FINANCIAL COUNSELING.*AS PART OF OUR BASELINE OUTREACH PLAN, PEACEHEALTH POSTS SIGNS IN THEFOLLOWING AREAS:-REGISTRATION AREAS-RECEPTION AREA-PAY STATIONS**BROCHURES ARE MADE AVAILABLE IN THE FOLLOWING AREAS:-PHYSICIAN OFFICES-COUNTY HEALTH DEPARTMENTS-REGISTRATION BOOTH/DESK-CHECK-IN AREAS (LAB, IMAGING, ETC.)-WAITING AREAS-EXISTING BROCHURE DISPLAYS-ADMINISTRATION-PATIENT EXAM ROOMS (PROVIDER OFFICES)-PAY STATIONS |
| PART VI, LINE 4: | PEACEHEALTH OPERATES TEN HOSPITALS IN THREE STATES. IN ALASKA, PEACEHEALTH RUNS THE KETCHIKAN MEDICAL CENTER IN KETCHIKAN. IN OREGON, PEACEHEALTH OPERATES SACRED HEART MEDICAL CENTER, UNIVERSITY DISTRICT (EUGENE), SACRED HEART MEDICAL CENTER AT RIVERBEND (SPRINGFIELD), PEACE HARBOR MEDICAL CENTER (FLORENCE), AND COTTAGE GROVE COMMUNITY MEDICAL CENTER (COTTAGE GROVE). IN WASHINGTON, PEACEHEALTH OPERATES SOUTHWEST WASHINGTON MEDICAL CENTER (VANCOUVER), PEACEHEALTH ST. JOHN MEDICAL CENTER (LONGVIEW), PEACEHEALTH ST. JOSEPH MEDICAL CENTER (BELLINGHAM), PEACEHEALTH UNITED GENERAL MEDICAL CENTER (SEDRO-WOOLLEY), AND PEACEHEALTH PEACE ISLAND MEDICAL CENTER (FRIDAY HARBOR).COMMUNITY INFORMATION FOR KETCHIKAN, ALASKA:NEARLY 30% OF THE SERVICE AREAS POPULATION IS AMERICAN INDIAN OR ALASKAN NATIVE WITH 21.5% OF THE MORE POPULOUS KETCHIKAN GATEWAY BOROUGH AND 47.3% OF THE PRINCE OF WALES-HYDER CENSUS AREA BELONGING TO THIS RACE/ETHNICITY GROUP. ALMOST 77% OF KETCHIKAN RESIDENTS ARE WHITE COMPARED TO 57.9% OF PRINCE OF WALES-HYDER AND 73.1% OF ALASKANS OVERALL. ABOUT 10% OF THE POPULATION IS 65 YEARS OF AGE OR OLDER, COMPARED TO 7.7% OF STATE OF ALASKA RESIDENTS AND 13.0% OF UNITED STATES RESIDENTS.COMMUNITY INFORMATION FOR EUGENE, OREGON:THE US CENSUS 2010 PLACED THE POPULATION OF LANE COUNTY AT 351,715 RESIDENTS. EUGENE, HOME TO THE UNIVERSITY OF OREGON, IS THE LARGEST CITY IN THE COUNTY WITH A 2010 POPULATION OF ABOUT 156,000 RESIDENTS, OR NEARLY 45% OF THE COUNTYS POPULATION. THE EUGENE-SPRINGFIELD METRO AREA CONTAINS OVER 60% OF THE COUNTYS POPULATION.OVER 88% OF THE POPULATION IN LANE COUNTY IS WHITE, IN CONTRAST TO OVER 83% IN THE STATE OF OREGON. LANE COUNTY CURRENTLY HAS FEWER RESIDENTS OF HISPANIC ANCESTRY (7.4%) THAN EITHER THE STATE (11.4%) OR THE NATION (16.3%), BUT HISPANICS ARE THE LARGEST AND FASTEST GROWING MINORITY GROUP IN THE COUNTY. SPRINGFIELD HAS A SIGNIFICANTLY HIGHER PERCENTAGE OF HISPANIC RESIDENTS (12.1%) THAN ANY OF THE OTHER CITIES IN LANE COUNTY.THE AGE DEMOGRAPHICS VARY SIGNIFICANTLY BY COMMUNITY. OVERALL, LANE COUNTY HAS A LARGER ELDERLY POPULATION THAN EITHER THE STATE OR NATION (ABOUT 15% VS. 14% AND 13%, RESPECTIVELY). THIS FINDING HAS SIGNIFICANT IMPLICATIONS FOR OVERALL HEALTH, AS WELL AS FOR THE NEED FOR HEALTH CARE SERVICES. SPRINGFIELD, EUGENE AND CRESWELL HAVE MUCH SMALLER ELDERLY POPULATIONS, BARELY OVER 10%. STRIKINGLY, MORE THAN A THIRD OF THE POPULATION OF FLORENCE IS 65 YEARS OF AGE OR OLDER. COMMUNITY INFORMATION FOR SPRINGFIELD, OREGON:REFER TO THE PREVIOUSLY LISTED INFORMATION FOR EUGENE, OREGON AND LANE COUNTY. FOR THE PURPOSE OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE SERVICE AREA FOR PEACEHEALTH SACRED HEART AT RIVERBEND WAS DEFINED AS LANE COUNTY. THIS DEFINITION WAS BASED IN PART ON THE FACT THAT MORE THAN 80% OF PEACEHEALTH SACRED HEARTS INPATIENTS IN 2011 WERE RESIDENTS OF LANE COUNTY. IN ADDITION, SACRED HEART AT RIVERBEND SERVES AS THE REGIONAL REFERRAL HOSPITAL FOR OTHER PROVIDERS IN LANE COUNTY.COMMUNITY INFORMATION FOR FLORENCE, OREGON:PEACE HARBORS SERVICE AREA HAS APPROXIMATELY 28,000 RESIDENTS, MOST OF WHOM RESIDE IN FLORENCE. REEDSPORT, WALDPORT AND YACHATS ARE THE ONLY OTHER COMMUNITIES WITH MORE THAN 1,000 RESIDENTS. OVERALL, THE SERVICE AREA IS RURAL AND OVERWHELMINGLY WHITE, RANGING FROM 98% IN SWISSHOME TO 94% IN GARDINER. THE HISPANIC POPULATION COMPRISES 4% OF THE POPULATION, SIGNIFICANTLY LOWER THAN LANE COUNTY, OF WHICH 7.4% OF THE POPULATION IS OF HISPANIC ANCESTRY. THE MOST STRIKING DEMOGRAPHIC FEATURE OF THE SERVICE AREA IS THE LARGE SENIOR CITIZEN POPULATION. SENIOR CITIZENS COMPRISE OVER 15% OF THE POPULATION OF LANE COUNTY, BUT OVER 31% OF RESIDENTS OF THE SERVICE AREA RESIDENTS ARE 65 OR OLDER. AT LEAST 20% OF THE POPULATION IN EACH COMMUNITY IS AT LEAST 65 YEARS OF AGE, AND IN FLORENCE, FULLY 35% OF RESIDENTS ARE 65 OR OLDER. THIS LARGE ELDERLY POPULATION, ALONG WITH TOURISM, HAS BECOME AN IMPORTANT PART OF THE LOCAL ECONOMY AS THE TIMBER AND FISHING INDUSTRIES HAVE DECLINED.COMMUNITY INFORMATION FOR COTTAGE GROVE, OREGON:COTTAGE GROVE OFFERS PROGRAMS TO THE APPROXIMATELY 40,000 RESIDENTS OF THE SERVICE AREA. THE SERVICE AREA IS PREDOMINANTLY WHITE WITH A GROWING HISPANIC POPULATION.AT THE 2010 CENSUS, 5% OF THE POPULATION WAS OF HISPANIC ORIGIN IN COMPARISON TO OVER 7% OF LANE COUNTY. STRIKINGLY, THE SERVICE AREA HAD A MUCH LARGER SENIOR CITIZEN POPULATION IN COMPARISON TO LANE COUNTY. WITH THE EXCEPTION OF CRESWELL AND DEXTER, THE PERCENT OF THE POPULATION THAT IS 65 OR OLDER IS GREATER THAN THAT OF LANE COUNTY AS A WHOLE. MOST STRIKING IS ELKTON WHERE 27% OF THE POPULATION WAS AT LEAST 65 YEARS OLD.COMMUNITY INFORMATION FOR VANCOUVER, WASHINGTON:WITHIN THE FOUR COUNTY PORTLAND METROPOLITAN AREA, CLARK COUNTY IS THE THIRD MOST POPULOUS COUNTY. THE SERVICE AREA ENCOMPASSES 629 SQUARE MILES AND ITS MULTIPLE LARGE SUBURBAN COMMUNITIES HAVE A TOTAL POPULATION OF OVER 425,000. BETWEEN 2000 AND 2010, THE POPULATION GREW BY OVER 23%. THE LARGEST CITY IN THE COUNTY IS VANCOUVER, WHICH HAS 38% OF THE COUNTYS POPULATION. OTHER LARGER CITIES INCLUDE CAMAS, BATTLE GROUND AND WASHOUGAL. AS WITH MANY PRIMARILY SUBURBAN COMMUNITIES, CLARK COUNTY IS FAST-GROWING AND AFFLUENT; COUNTY HEALTH RANKINGS CURRENTLY RANKS CLARK COUNTY THE EIGHTH HEALTHIEST COUNTY IN THE STATE OF WASHINGTON.AT 7.8% CLARK COUNTY HAS A SMALLER HISPANIC POPULATION THAN THE REST OF THE STATE OF WASHINGTON AND THE SMALLEST HISPANIC POPULATION IN THE PORTLAND METRO AREA. WITHIN CLARK COUNTY, THE CITIES OF VANCOUVER AND WOODLAND HAVE RELATIVELY LARGE HISPANIC POPULATIONS. THE PROPORTION OF ELDERLY POPULATION IN CLARK COUNTY (12.0%) IS SIMILAR TO THE STATE OF WASHINGTON (12.7%) AND VARIES BY LOCALE WITHIN CLARK COUNTY. IT IS THE SECOND LARGEST IN THE PORTLAND REGION, WITH ONLY CLACKAMAS COUNTY HAVING A LARGER ELDERLY POPULATION.COMMUNITY INFORMATION FOR LONGVIEW, WASHINGTON:THE US CENSUS 2010 PLACED THE POPULATION OF COWLITZ COUNTY AT 102,410 RESIDENTS. THE LARGEST POPULATION CENTER IS LONGVIEW, HOME TO NEARLY HALF OF ALL COWLITZ COUNTY RESIDENTS. THIS IS FOLLOWED BY THE GEOGRAPHICALLY ADJACENT CITY OF KELSO, WHICH HAS ABOUT A QUARTER OF THE COUNTYS RESIDENTS. RACIALLY, COWLITZ COUNTY IS PREDOMINANTLY WHITE (92.5% OF RESIDENTS); THE SECOND LARGEST RACIAL GROUP IS NATIVE AMERICAN, AT 3.3% OF THE POPULATION. ETHNICALLY, COWLITZ COUNTY IS LESS THAN 8% HISPANIC, WHICH IS SIGNIFICANTLY LOWER THAN THE STATE AVERAGE OF ALMOST 12%.OVERALL, COWLITZ COUNTY HAS A LARGER POPULATION OF RESIDENTS AGE 65 AND OLDER (15.4%) COMPARED TO EITHER THE STATE (12.3%) OR THE NATION (13.0%). THE PROPORTION OF THE COMMUNITY IN THIS AGE GROUP VARIES SIGNIFICANTLY ACROSS THE COUNTY, RANGING FROM OVER 68% OF RESIDENTS IN RYDERWOOD, TO ONLY 12% OF RESIDENTS IN TOUTLE. COMMUNITY INFORMATION FOR BELLINGHAM, WASHINGTON:WHATCOM COUNTY IS THE 12TH LARGEST IN THE STATE OF WASHINGTON IN TERMS OF AREA AND THE NINTH LARGEST IN TERMS OF POPULATION. ACCORDING TO THE 2010 CENSUS, 201,140 PEOPLE LIVE IN WHATCOM COUNTY. MOST (43%) LIVE IN UNINCORPORATED AREAS, AND 40% (80,885) LIVE IN BELLINGHAM. FROM 2000 TO 2010, WHATCOM COUNTYS POPULATION INCREASED 21%, COMPARED TO THE 14% INCREASE IN POPULATION FOR WASHINGTON STATE AS A WHOLE.THE COUNTYS POPULATION IS GETTING OLDER AS THE MEDIAN AGE GREW FROM 34 IN 2000 TO 36.1 IN 2010. DATA FROM THE CENSUSES THOSE TWO YEARS SHOWS THE PROPORTION OF CHILDREN UNDER 5 YEARS OLD FELL FROM 6.1% IN 2010 TO 5.8% WHILE THE PROPORTION OF ADULTS OVER 65 YEARS OLD INCREASED FROM 11.6% TO 12.8%.COMMUNITY INFORMATION FOR FRIDAY HARBOR, WASHINGTON:FRIDAY HARBOR IS A TOWN IN SAN JUAN COUNTY, WASHINGTON, UNITED STATES. THE POPULATION WAS 2,162 AT 2010 CENSUS. LOCATED ON SAN JUAN ISLAND, FRIDAY HARBOR IS THE MAJOR COMMERCIAL CENTER OF THE SAN JUAN ISLANDS ARCHIPELAGO AND IS THE COUNTY SEAT OF SAN JUAN COUNTY.AS OF THE CENSUS OF 2010, THERE WERE 2,162 PEOPLE, 1,015 HOUSEHOLDS, AND 481 FAMILIES RESIDING IN THE TOWN. THE RACIAL MAKEUP OF THE TOWN WAS 83.1% WHITE, 0.3% AFRICAN AMERICAN, 0.5% NATIVE AMERICAN, 2.0% ASIAN, 0.1% PACIFIC ISLANDER, 10.9% FROM OTHER RACES, AND 3.1% FROM TWO OR MORE RACES. HISPANIC OR LATINO OF ANY RACE WERE 15.9% OF THE POPULATION.THERE WERE 1,015 HOUSEHOLDS OF WHICH 27.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 30.2% WERE MARRIED COUPLES LIVING TOGETHER, 12.0% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, 5.1% HAD A MALE HOUSEHOLDER WITH NO WIFE PRESENT, AND 52.6% WERE NON-FAMILIES. 46.0% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 17.7% HAD SOMEONE LIVING ALONE WHO WAS 65 YEARS OF AGE OR OLDER. COMMUNITY INFORMATION FOR SEDRO-WOOLLEY, WASHINGTON: SEDRO-WOOLLEY IS A CITY IN SKAGIT COUNTY, WASHINGTON, UNITED STATES. THE POPULATION WAS 10,540 AT THE 2010 CENSUS.AS OF THE CENSUS OF 2010, THERE WERE 10,540 PEOPLE, 3,995 HOUSEHOLDS, AND 2,609 FAMILIES RESIDING IN THE CITY. |
| PART VI, LINE 5: | PEACEHEALTH IS AN INTEGRATED, NOT-FOR-PROFIT HEALTH SYSTEM THAT OFFERS A FULL CONTINUUM OF HEALTH AND WELLNESS SERVICES IN THE NORTHWEST. PEACEHEALTH CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY OFFERING A VARIETY OF SERVICES TO ATTEND TO PREVENTATIVE, ACUTE AND CHRONIC HEALTH CARE SERVICES WITHIN THE COMMUNITIES IT SERVES. THE PEACEHEALTH MISSION IS TO CARRY ON THE HEALING MISSION OF JESUS CHRIST BY PROMOTING PERSONAL AND COMMUNITY HEALTH, RELIEVING PAIN AND SUFFERING, AND TREATING EACH PERSON IN A LOVING AND CARING WAY. OUR VISION IS TO ENSURE THAT EVERY PERSON RECEIVES SAFE, COMPASSIONATE CARE; EVERY TIME, EVERY TOUCH. PEACEHEALTH PROVIDES EXCEPTIONAL MEDICINE, AND ENDEAVORS TO ALWAYS SERVE THE MOST VULNERABLE AMONG US. PEACEHEALTH RECOGNIZES THE NEED FOR INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED TO ACCESS HEALTH CARE AND PEACEHEALTH PROVIDES THOSE SERVICES EQUALLY TO ALL.BASED ON THE AFFORDABLE CARE ACTS CHNA GUIDELINES, EVERY 501(C)3 HOSPITAL MUST CONDUCT ITS OWN UNIQUE CHNA. A CHNA HAS BEEN COMPLETED FOR EACH PEACEHEALTH HOSPITAL.THE COMPLETED CHNAS ALLOW FOR DEEPER UNDERSTANDING OF THE HEALTH NEEDS OF OUR COMMUNITIES. OUR BROAD ANALYSIS OF SECONDARY DATA, COMMUNITY FEEDBACK, AND SYSTEMWIDE PEACEHEALTH INPUT REVEALED A REMARKABLE LEVEL OF COMMONALITY IN THE HEALTH CONCERNS OF OUR VARIOUS COMMUNITIES. EACH HOSPITAL HAS IDENTIFIED PLANS TO ADDRESS PRIORITIZED NEEDS AND CONTINUES TO PURSUE OPPORTUNITIES TO ENHANCE THE OVERALL WELLBEING OF THE COMMUNITY.PEACEHEALTH HAS THE WHEREWITHAL TO IMPROVE POPULATION HEALTH IN ALL REGIONS SERVED BY PEACEHEALTH MEDICAL FACILITIES. THROUGH SYSTEMWIDE SHARING OF BEST PRACTICES, PEACEHEALTH IS IMPROVING AND SUPPORTING THE POPULATION HEALTH OF OUR COMMUNITIES ACROSS THE NORTHWEST. |
| PART VI, LINE 6: | PEACEHEALTH IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | AK,OR,WA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| SISTERS OF ST JOSEPH OF PEACE | |||||||
| 1663 KILLAMEY WAY PO BOX 248 | BELLEVUE | WA | 98009 | 910567741 | 501(C)(3) | $402,850 | MISSION SUPPORT |
| UNITY CARE NORTHWEST | |||||||
| 1616 CORNWALL AVE STE 205 | BELLINGHAM | WA | 98225 | 912168190 | 501(C)(3) | $150,000 | COMMUNITY BENEFIT |
| LANE COMMUNITY COLLEGE | |||||||
| 8000 EAST 30TH AVENUE | EUGENE | OR | 97405 | 930546223 | 501(C)(3) | $137,500 | EDUCATION SUPPORT |
| LANE COMMUNITY COLLEGE FOUNDATION | |||||||
| 4000 EAST 30TH AVE | EUGENE | OR | 97405 | 237113266 | 501(C)(3) | $137,500 | EDUCATION SUPPORT |
| WHATCOM ALLIANCE FOR HEALTHCARE ACCESS | |||||||
| 800 EAST CHESTNUT LL STE 2 | BELLINGHAM | WA | 98225 | 810677295 | 501(C)(3) | $100,000 | COMMUNITY HEALTH NEEDS |
| FREE CLINIC OF SOUTHWEST WASHINGTON | |||||||
| 4100 PLOMONDON ST | VANCOUVER | WA | 98661 | 911707542 | 501(C)(3) | $78,000 | COMMUNITY HEALTH NEEDS |
| UNITED WAY OF LANE COUNTY | |||||||
| 3171 GATEWAY LOOP | SPRINGFIELD | OR | 97477 | 930394142 | 501(C)(3) | $55,300 | COMMUNITY HEALTH NEEDS |
| COMMUNITY HEALTH PARTNERS | |||||||
| PO BOX 2853 | LONGVIEW | WA | 98632 | 912016542 | 501(C)(3) | $45,000 | COMMUNITY HEALTH NEEDS |
| MULTNOMAH COUNTY HEALTH DEPT | |||||||
| 501 SE HAWTHORNE BLVD | PORTLAND | OR | 97214 | 936002309 | OREGON STATE | $33,779 | COMMUNITY BENEFIT |
| PATHWAYS 2020 | |||||||
| 1452 HUDSON ST US BANK STE 209 | LONGVIEW | WA | 98632 | 911954815 | 501(C)(3) | $24,000 | COMMUNITY HEALTH NEEDS |
| BRIGID COLLINS HOUSE | |||||||
| 1231 N GARDEN STREET 200 | BELLINGHAM | WA | 98225 | 943121951 | 501(C)(3) | $21,000 | COMMUNITY HEALTH NEEDS |
| THE ALASKA COMMUNITY FOUNDATION | |||||||
| 3201 C ST STE 110 | ANCHORAGE | AK | 99503 | 920155067 | 501(C)(3) | $15,000 | COMMUNITY HEALTH NEEDS |
| SKAGIT COUNTY | |||||||
| PO BOX 518 | MOUNT VERNON | WA | 98273 | 916001361 | WASHINGTON STATE | $15,000 | COMMUNITY BENEFIT |
| SOAPBOX PLAYERS | |||||||
| 1601 BROADWAY | BELLINGHAM | WA | 98225 | 911760979 | 501(C)(3) | $14,484 | COMMUNITY BENEFIT |
| UNITED WAY OF WHATCOM COUNTY | |||||||
| 1511 CORNWALL AVE | BELLINGHAM | WA | 98225 | 910570788 | 501(C)(3) | $14,000 | COMMUNITY BENEFIT |
| THE VOLUNTEERS IN MEDICINE CLINIC | |||||||
| 3321 W 11TH AVENUE | EUGENE | OR | 97402 | 931276816 | 501(C)(3) | $10,000 | COMMUNITY HEALTH NEEDS |
| LOWER COLUMBIA SCHOOL GARDENS | |||||||
| PO BOX 785 | LONGVIEW | WA | 98632 | 464549009 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT |
| FOUNDATION FOR HEALTHY GENERATIONS | |||||||
| 419 3RD AVENUE WEST | SEATTLE | WA | 98119 | 916186093 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT |
| ASSOC OF FUNDRAISING PROFESSIONALS | |||||||
| 2150 N 107TH STREET STE 205 | SEATTLE | WA | 98133 | 472341284 | 501(C)(6) | $10,000 | EDUCATION SUPPORT |
| SW WA REGIONAL HEALTH ALLIANCE | |||||||
| PO BOX 5000 | VANCOUVER | WA | 98668 | 462164971 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT |
| IDENTITY CLARK COUNTY | |||||||
| 915 BROADWAY SUITE 302 | VANCOUVER | WA | 98660 | 911623724 | 501(C)(3) | $8,000 | COMMUNITY BENEFIT |
| SACRED HEART MEDICAL CENTER FDTN | |||||||
| 123 INTERNATIONAL WAY | SPRINGFIELD | OR | 97477 | 936026548 | 501(C)(3) | $7,530 | MISSION SUPPORT |
| LOWER COLUMBIA COLLEGE | |||||||
| PO BOX 3010 | LONGVIEW | WA | 98632 | 910823636 | WASHINGTON STATE | $7,000 | EDUCATION SUPPORT |
| ST JOSEPH MEDICAL CENTER FDTN | |||||||
| 2901 SQUALICUM PKWY | BELLINGHAM | WA | 98225 | 721545902 | 501(C)(3) | $6,000 | MISSION SUPPORT |
| CATHOLIC CHARITIES | |||||||
| 2740 SE POWELL BLVD | PORTLAND | OR | 97202 | 930386801 | 501(C)(3) | $6,000 | MISSION SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 24 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PEACEHEALTH PRE-SCREENS APPLICANTS TO DETERMINE THE NEED OF THE ORGANIZATION RECEIVING THE GRANT. GRANTS AND DONTATIONS ARE THEN DETERMINED AND GIVEN TO THOSE ORGANIZATIONS WHOSE MISSION FALLS IN LINE WITH PROMOTING HEALTHCARE OR THE FURTHERANCE OF OF A COMMUNITY NEED, SUCH AS HEALTHCARE EDUCATION. SINCE EACH GRANT IS CAREFULLY EXAMINED BEFORE IT IS GIVEN AND THE PURPOSE OF THE GRANT IS KNOWN BEFORE IT IS GIVEN, NO FOLLOW UP IS PERFORMED TO FIND OUT HOW THE GRANT WAS USED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Payments For Use Of Residence | Yes (X) | PaymentsForUseOfResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAN YORDY | ||||||||||||||
| PRESIDENT EMERITUS | $616,004 | $0 | $1,310,238 | $0 | $481,070 | $0 | $283,721 | $0 | $19,526 | $0 | $2,710,559 | $0 | $1,020,007 | $0 |
| ELIZABETH DUNNE | ||||||||||||||
| PRESIDENT AND CEO | $176,925 | $0 | $50,000 | $0 | $115,542 | $0 | $17,700 | $0 | $1,245 | $0 | $361,412 | $0 | $0 | $0 |
| BETH O'BRIEN | ||||||||||||||
| CHIEF OPERATING OFFICER | $967,712 | $0 | $318,202 | $0 | $42,500 | $0 | $0 | $0 | $15,348 | $0 | $1,343,762 | $0 | $0 | $0 |
| STUART P HENNESSEY | ||||||||||||||
| SENIOR VP, ASSISTANT SECRETARY | $468,664 | $0 | $229,988 | $0 | $11,473 | $0 | $39,870 | $0 | $33,832 | $0 | $783,827 | $0 | $109,978 | $0 |
| KEVIN WALSTROM | ||||||||||||||
| SENIOR VP | $292,321 | $0 | $692,189 | $0 | $345,331 | $0 | $170,568 | $0 | $11,976 | $0 | $1,512,385 | $0 | $547,791 | $0 |
| MARK MCCAMPBELL | ||||||||||||||
| VP | $254,911 | $0 | $29,145 | $0 | $0 | $0 | $33,423 | $0 | $21,378 | $0 | $338,857 | $0 | $0 | $0 |
| NANCY STEIGER | ||||||||||||||
| SENIOR VP | $627,688 | $0 | $176,589 | $0 | $72,951 | $0 | $173,878 | $0 | $24,657 | $0 | $1,075,763 | $0 | $0 | $0 |
| MICHAEL METCALF | ||||||||||||||
| CHIEF EXECUTIVE PHMG | $161,539 | $0 | $10,000 | $0 | $18,544 | $0 | $0 | $0 | $6,331 | $0 | $196,414 | $0 | $0 | $0 |
| RENATO BACIARELLI | ||||||||||||||
| SENIOR VP | $461,549 | $0 | $55,891 | $0 | $79,397 | $0 | $0 | $0 | $19,582 | $0 | $616,419 | $0 | $0 | $0 |
| VICTORIA KING | ||||||||||||||
| SENIOR VP | $271,953 | $0 | $29,215 | $0 | $66,100 | $0 | $0 | $0 | $9,430 | $0 | $376,698 | $0 | $0 | $0 |
| CAROL AARON | ||||||||||||||
| SENIOR VP | $455,614 | $0 | $127,380 | $0 | $49,306 | $0 | $149,297 | $0 | $27,195 | $0 | $808,792 | $0 | $0 | $0 |
| HOWARD GRAMAN MD | ||||||||||||||
| SENIOR VP | $300,476 | $0 | $278,521 | $0 | $318,984 | $0 | $35,346 | $0 | $18,076 | $0 | $951,403 | $0 | $133,187 | $0 |
| JOSIAH JOHNSON | ||||||||||||||
| SENIOR VP | $229,579 | $0 | $566,888 | $0 | $293,553 | $0 | $152,499 | $0 | $13,319 | $0 | $1,255,838 | $0 | $446,662 | $0 |
| JOHN HILL | ||||||||||||||
| SENIOR VP | $264,096 | $0 | $428,666 | $0 | $354,380 | $0 | $145,016 | $0 | $9,548 | $0 | $1,201,706 | $0 | $282,681 | $0 |
| RAN WHITEHEAD | ||||||||||||||
| CEO - PEACEHEALTH LABS | $318,523 | $0 | $81,562 | $0 | $8,812 | $0 | $37,321 | $0 | $30,121 | $0 | $476,339 | $0 | $0 | $0 |
| ANNA KAY DYKES | ||||||||||||||
| SENIOR VP | $22,936 | $0 | $0 | $0 | $333,653 | $0 | $0 | $0 | $6,457 | $0 | $363,046 | $0 | $0 | $0 |
| CYNTHIA FINTER | ||||||||||||||
| SENIOR VP | $436,548 | $0 | $99,164 | $0 | $46,004 | $0 | $0 | $0 | $16,478 | $0 | $598,194 | $0 | $0 | $0 |
| DALE ZENDER | ||||||||||||||
| CHIEF EXECUTIVE NORTHWEST | $409,011 | $0 | $74,384 | $0 | $0 | $0 | $32,360 | $0 | $28,444 | $0 | $544,199 | $0 | $0 | $0 |
| DAN HEIN | ||||||||||||||
| SENIOR VP | $337,842 | $0 | $74,929 | $0 | $17,667 | $0 | $5,300 | $0 | $27,774 | $0 | $463,512 | $0 | $0 | $0 |
| RAND O'LEARY | ||||||||||||||
| CHIEF EXECUTIVE OREGON | $395,405 | $0 | $94,897 | $0 | $29,269 | $0 | $718 | $0 | $12,914 | $0 | $533,203 | $0 | $0 | $0 |
| DENNIS GORY | ||||||||||||||
| MD | $887,284 | $0 | $28,253 | $0 | $15,039 | $0 | $37,154 | $0 | $28,952 | $0 | $996,682 | $0 | $28,253 | $0 |
| ERIC HAUCK | ||||||||||||||
| MD | $1,028,228 | $0 | $22,014 | $0 | $0 | $0 | $64,203 | $0 | $28,262 | $0 | $1,142,707 | $0 | $0 | $0 |
| JAMES REISS | ||||||||||||||
| MD | $874,752 | $0 | $0 | $0 | $0 | $0 | $18,269 | $0 | $35,591 | $0 | $928,612 | $0 | $0 | $0 |
| DAVID DUKE | ||||||||||||||
| MD | $868,949 | $0 | $15,605 | $0 | $4,464 | $0 | $58,500 | $0 | $22,863 | $0 | $970,381 | $0 | $0 | $0 |
| ALLEN GABRIEL | ||||||||||||||
| MD | $931,560 | $0 | $146,188 | $0 | $0 | $0 | $49,637 | $0 | $30,506 | $0 | $1,157,891 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION HAS POLICIES REGARDING THE ELIGIBILITY OF EXECUTIVES FOR THESE ITEMS. FOR EXAMPLE, TRAVEL FOR COMPANIONS AND HOUSING ALLOWANCES ARE RELATED TO RELOCATION BENEFITS OR FIRST CLASS TRAVEL FOR FLIGHTS EXCEEDING SIX HOURS IN DURATION. |
| PART I, LINES 4A-B | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENTS, CERTAIN PHYSICIANS, AND OTHER HIGHLY COMPENSATED EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN VARIOUS NONQUALIFIED RETIREMENT PLANS. CONTRIBUTIONS TO THESE PLANS AND RELATED INVESTMENT RETURNS ARE DISCLOSED ON SCHEDULE J AS DEFERRED COMPENSATION AND AS BONUS COMPENSATION WHEN PAID TO THE INDIVIDUAL. THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2015. NAME AMOUNT ALAN YORDY 563,737 KEVIN WALSTROM 420,860 HOWARD GRAMAN, M.D. 321,343 JOSIAH JOHNSON 350,410 JOHN HILL 402,432 ANNA KAY DYKES 4,628 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2015. NAME AMOUNT ALAN YORDY 246,061 ELIZABETH DUNNE -300 STUART P. HENNESSEY 2,210 KEVIN WALSTROM 145,483 NANCY STEIGER 136,218 CAROL AARON 111,996 HOWARD GRAMAN, M.D. 2,986 JOSIAH JOHNSON 129,135 JOHN HILL 142,967 RAN WHITEHEAD -339 DENNIS GORY -506 ERIC HAUCK 38,022 JAMES REISS -1,381 DAVID DUKE 26,764 ALLEN GABRIEL 22,577 |
| ADDITIONAL COMMENTARY | WE ARE COMMITTED TO LIVING OUR CORE VALUES OF RESPECT, STEWARDSHIP, COLLABORATION AND SOCIAL JUSTICE. PEACEHEALTH MINISTRIES COMPETE FOR EXECUTIVE TALENT WITH BOTH FOR-PROFIT AND NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS THROUGHOUT THE COUNTRY DUE TO THE COMPLEXITY OF THE JOB. COMPETITIVE COMPENSATION PROGRAMS ARE CRITICAL TO ATTRACT AND RETAIN THE BEST EXECUTIVE TALENT. PEACEHEALTH IS COMMITTED TO COMPENSATION PRACTICES THAT ARE BOTH JUST AND COMPETITIVE. PEACEHEALTH USES A SINGLE PROCESS TO DETERMINE COMPENSATION FOR ALL CAREGIVERS, INCLUDING EXECUTIVES. THIS PROCESS INCLUDES REVIEWING THIRD-PARTY SURVEY DATA TO BENCHMARK SALARIES AGAINST SIMILAR JOBS AT OTHER HEALTH CARE SYSTEMS OF COMPARABLE SIZE AND COMPLEXITY. WE ALSO EVALUATE EXECUTIVE PERFORMANCE ON AN ANNUAL BASIS. THE PEACEHEALTH BOARD HAS A GOVERNANCE COMMITTEE COMPRISED OF DIVERSE INDIVIDUALS WITH MISSION, INDEPENDENT BUSINESS AND HUMAN RESOURCES EXPERTISE. THE COMMITTEE IS CHARGED WITH SETTING EXECUTIVE COMPENSATION, INCLUDING INCENTIVE PAY, BENEFITS AND RELATED POLICIES. IT ESTABLISHES SALARIES FOR PEACEHEALTH EXECUTIVES BASED ON THE MARKET MEDIAN (50TH PERCENTILE). AS PART OF THE TOTAL COMPENSATION PACKAGE, OTHER BENEFITS ARE PROVIDED CONSISTENT WITH THE MEDIAN (MIDDLE) OF THE HEALTH CARE MARKET. BENEFITS ARE DESIGNED TO SUPPORT OUR CULTURE AND VALUES, AND TO ENCOURAGE COMMITMENT AND RETENTION. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WA HEALTHCARE FACILITIES AUTHORITY | ||||||||
| A | 911108929 | 93978EU26 | 2008-06-26 | $80,650,000 | REFUND WHCFA 2005 BONDS ISSUED 10/19/2005 | 0 | 0 | 0 |
| OR FACILITIES AUTHORITY | ||||||||
| B | 936001787 | 68608JJG7 | 2008-06-26 | $95,495,000 | REFINANCE OFA04 B-F ISSUED 10/12/2004 | 0 | 0 | 0 |
| OR FACILITIES AUTHORITY | ||||||||
| C | 936001787 | 68608JJH5 | 2008-06-26 | $99,175,000 | REFINANCE OFA04 B-F ISSUED 10/12/2004 | 0 | 0 | 0 |
| OR FACILITIES AUTHORITY | ||||||||
| D | 936001787 | 68608JKB6 | 2009-10-15 | $105,257,760 | REFUND OFA08A&B 6/26/2008, HHECFA 1998 12/3/1998 | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Credit EnhancementCreditEnhancementAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $80,650,000 | $647,613 | $80,002,387 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $95,495,000 | $566,281 | $94,565,263 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | $24,520,000 | $363,456 |
| C | $99,175,000 | $588,103 | $98,209,436 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | $24,175,000 | $377,461 |
| D | $105,257,760 | $1,321,927 | $103,935,833 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | $14,485,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | Yes (1) | 0.01000 | Yes (1) | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | Yes (1) | 0.01000 | Yes (1) | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | Yes (1) | 0.01000 | Yes (1) | Yes (1) |
| D | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | Yes (1) | 0.01000 | Yes (1) | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART III, LINES 3A AND 4: | PERCENTAGE OF BOND FINANCED PROPERTY USED IN PRIVATE BUSINESS: A DE MINIMIS AMOUNT OF PRIVATE USE OCCURS. THE PUBLIC AUTHORITY'S BOND COUNSEL HAS REVIEWED AND APPROVED OF PEACEHEALTH'S CONTRACTS AND COMPLIANCE WITH REGARD TO THE PRIVATE BUSINESS USE OF BOND FINANCED PROPERTY. THE PUBLIC AUTHORITY'S BOND COUNSEL REVIEWS THESE CONTRACTS AND COMPLIANCE PERIODICALLY. |
| SCHEDULE K, PART III, LINES 8A, 8B, AND 8C: | DISPOSITIONS OF BOND-FINANCED PROPERTY: IN THE ORDINARY COURSE OF BUSINESS, PEACEHEALTH ROUTINELY DISPOSES OF PROPERTY. DISPOSALS ARE GENERALLY DUE TO EQUIPMENT OBSOLESCENCE OR A TRADE IN ON NEW EQUIPMENT. IN A DISPOSAL WHERE CASH PROCEEDS ARE RECEIVED, THE PROCEEDS ARE EITHER: 1) REINVESTED IN QUALIFIED ASSETS AT A LOCATION COVERED BY A TEFRA NOTICE (TAX EQUITY AND FISCAL RESPONSIBILITY ACT OF 1982), OR 2) BONDS ARE CALLED AND REDEEMED WITH THE PROCEEDS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WA HEALTHCARE FACILITIES AUTHORITY | ||||||||
| A | 911108929 | 93978E5T5 | 2009-10-15 | $100,340,553 | REFUND WHCFA 2008B-D ISSUED 6/26/2008 | 0 | 0 | 0 |
| STATE OF OREGON | ||||||||
| B | 936001787 | 68608JPE5 | 2011-08-11 | $150,000,000 | REFUND OFA 2008 C&D ISSUED 6/26/2008 | 0 | 0 | 0 |
| WA HEALTHCARE FACILITIES AUTHORITY | ||||||||
| C | 911108929 | NONEAVAIL | 2013-02-27 | $53,464,898 | REFUND WHCFA 2008A ISSUED 11/6/2008 | 0 | 0 | 0 |
| WA HEALTHCARE FACILITIES AUTHORITY | ||||||||
| D | 911108929 | 93978HJM8 | 2014-03-18 | $44,678,262 | REFUND WHCFA 1999 ISSUED 3/10/1999 | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $22,425,000 | $100,340,553 | $1,232,220 | $99,108,333 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $150,000,000 | $150,000,000 | 2011 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| C | $3,400,000 | $53,464,898 | $53,464,898 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| D | $3,520,000 | $44,678,262 | $873,262 | $43,805,000 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | Yes (1) | 0.01000 | Yes (1) | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | Yes (1) | 0.01000 | Yes (1) | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | Yes (1) | 0.01000 | Yes (1) | Yes (1) |
| D | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00010 | 0.00010 | 0 | Yes (1) | 0.01000 | Yes (1) | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OR FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 936001787 | BondIssuerEIN |
| CUSIP | 68608JSB8 | CUSIPNum |
| Bond Issued | 2014-03-18 | BondIssuedDt |
| Issue Price | $71,088,211 | IssuePriceAmt |
| Purpose | REFUND HHECFA 2001 ISSUED 10/31/2001 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $71,088,211 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,019,562 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $70,068,649 | CapitalExpendituresAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00010 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00010 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | Yes (1) | ChangeInUseBondFinancedPropInd |
| Change In Use Bond Financed Prop | 0.01000 | ChangeInUseBondFinancedPropPct |
| Remedial Action Taken | Yes (1) | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | PEACEHEALTH'S ARTICLES OF INCORPORATION WERE REVISED TO INCLUDE THE FOLLOWING CHANGE: 1) CHANGES TO THE ARTICLES OF INCORPORATION REQUIRE A SEVENTY-FIVE PERCENT (75%) VOTE OF ALL DIRECTORS. PREVIOUSLY, THE ARTICLES COULD BE AMENDED BY A TWO-THIRDS (2/3) MAJORITY VOTE OF ALL DIRECTORS. PEACEHEALTH'S BYLAWS WERE REVISED TO INCLUDE THE FOLLOWING CHANGES: 1) SPECIFIC QUALIFICATION CRITERIA FOR NOMINATION TO THE BOARD OF DIRECTORS WERE REMOVED, AND REPLACED WITH THE GENERAL GUIDANCE OF QUALIFICATIONS APPROVED BY THE CURRENT BOARD OF DIRECTORS. 2) THE TERM LIMITS FOR DIRECTORS WERE REDUCED FROM 12 YEARS TO 9 YEARS. PEACEHEALTH'S ARTICLES OF INCORPORATION AND BYLAWS WERE BOTH REVISED TO INCLUDE THE FOLLOWING CHANGES: 1) SPECIFICATIONS ABOUT THE REQUIRED NUMBER OF BOARD MEMBERS. THE REVISIONS INDICATE A MINIMUM OF 8 AND A MAXIMUM OF 12 DIRECTORS FOR THE BOARD, WITH 4 POSITIONS RESERVED FOR THE SISTERS OF ST. JOSEPH OF PEACE. THE PREVIOUS ARTICLES OF INCORPORATION STATED A MINIMUM OF 13 AND A MAXIMUM OF 16 WITH 5 SUCH POSITIONS RESERVED FOR THE SISTERS. THE PREVIOUS BYLAWS STATED A MINIMUM OF 10 AND A MAXIMUM OF 16 WITH 5 SUCH POSITIONS RESERVED FOR THE SISTERS. 2) THE STATUTORY OFFICERS OF PEACEHEALTH WILL BE THE PRESIDENT, FIRST VICE PRESIDENT, SECRETARY, AND TREASURER, EACH OF WHOM WILL BE ELECTED BY THE BOARD OF DIRECTORS, EXCEPT FOR THE FIRST VICE PRESIDENT, WHO IS APPOINTED BY THE SISTERS OF ST. JOSEPH OF PEACE. ALL OFFICERS (OTHER THAN THE PRESIDENT) WILL BE MEMBERS OF THE BOARD OF DIRECTORS. AS A CLARIFYING POINT, MEMBERS OF THE BOARD OF DIRECTORS ARE NOT EMPLOYEES OF PEACEHEALTH. THE PREVIOUS ARTICLES OF INCORPORATION AND BYLAWS INDICATED THE OFFICERS CONSISTED OF A PRESIDENT, FIRST VICE PRESIDENT, SECRETARY, TREASURER, AND OTHER STATUTORY OFFICERS AND ASSISTANT OFFICERS AS DEEMED NECESSARY BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 6 | PEACEHEALTH ADOPTED AN AMENDMENT TO ITS BYLAWS IN TAX YEAR 2013 WHICH MADE PEACEHEALTH NETWORKS (EIN: 91-1230425), FORMERLY KNOWN AS SOUTHWEST WASHINGTON HEALTH SYSTEM, THE SOLE CORPORATE MEMBER OF PEACEHEALTH. PEACEHEALTH NETWORKS IS A 501(C)(3) ORGANIZATION. WHEN PEACEHEALTH AFFILIATED WITH SOUTHWEST WASHINGTON HEALTH SYSTEM IN JANUARY 2011, PEACEHEALTH BECAME THE SOLE MEMBER OF SOUTHWEST WASHINGTON HEALTH SYSTEM. EFFECTIVE JANUARY 1, 2014, SOUTHWEST WASHINGTON HEALTH SYSTEM AND PEACEHEALTH WERE REORGANIZED SO THAT THE CORPORATE MEMBERSHIP RELATIONSHIP BETWEEN THEM WAS REVERSED FROM WHAT IT HAD BEEN FOR THE THREE PREVIOUS CALENDAR YEARS. EFFECTIVE JANUARY 1, 2014, SOUTHWEST WASHINGTON HEALTH SYSTEM (NOW KNOWN AS PEACEHEALTH NETWORKS) BECAME THE SOLE MEMBER OF PEACEHEALTH. EFFECTIVE FEBURARY 2014, THE NAME OF SOUTHWEST WASHINGTON HEALTH SYSTEM WAS CHANGED TO PEACEHEALTH NETWORKS. PEACEHEALTH NETWORKS (FORMERLY KNOWN AS SOUTHWEST WASHINGTON HEALTH SYSTEM) AMENDED ITS BYLAWS EFFECTIVE NOVEMBER 22, 2013, RESULTING IN HAVING THE CURRENT PEACEHEALTH NETWORKS BOARD COMPOSITION IDENTICAL TO THE PEACEHEALTH BOARD. THE AMENDED BYLAWS DO ALLOW ADDITIONAL MEMBERS BE APPOINTED TO THE PEACEHEALTH NETWORKS BOARD, BUT NONE HAVE BEEN APPOINTED AS OF THIS FILING. PEACEHEALTH NETWORKS CURRENTLY HAS NO OPERATIONS AND HOLDS NO FINANCIAL ASSETS IN ITS OWN NAME (OTHER THAN SHARES OF STOCK IN COLUMBIA UNITED PROVIDERS, A LICENSEE OF THE WASHINGTON STATE OFFICE OF THE INSURANCE COMMISSIONER). EFFECTIVE 1/1/16 COLUMBIA UNITED PROVIDERS SOLD ITS MEDICAID MANAGED CARE ASSETS TO MOLINA HEALTHCARE OF WASHINGTON (EIN: 91-1284790) AND IS IN THE PROCESS OF DISCONTINUING OPERATIONS AS OF THIS FILING. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION'S ACCOUNTING DEPARTMENT PREPARES THE RETURN AND WORKS CLOSELY WITH MANAGEMENT TO PREPARE AND REVIEW THE RETURN. MANAGEMENT AND THE LEGAL DEPARTMENT REVIEW A DRAFT OF THE FORM 990 AND PROVIDE COMMENTS, AS DOES AN OUTSIDE ACCOUNTING FIRM. THE FINAL COPY IS FORWARDED TO THE STEWARDSHIP COMMITTEE AND TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, AIMED AT DETERMINING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL BOARD MEMBERS. BOARD MEMBERS ARE ALSO REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. OFFICERS AND ANY KEY EMPLOYEES OF PEACEHEALTH MUST AGREE TO THE CONFLICT OF INTEREST POLICY AT THE TIME OF THEIR HIRE. THE CONFLICT OF INTEREST POLICY IS DISCUSSED WITH THE EMPLOYEE AT THEIR ANNUAL PERFORMANCE MEETING AND THE EMPLOYEE MUST SELF-DISCLOSE ANY CONFLICTS AT THIS TIME. HOWEVER, DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO CONTINUALLY CONSIDER CONFLICT OF INTEREST PRECEPTS AND SELF-DISCLOSE ANY POTENTIAL CONFLICT AT THE TIME IT ARISES. SHOULD A POTENTIAL CONFLICT OF INTEREST ARISE, THE BOARD MEMBER HAVING A POTENTIAL CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN DISCUSSIONS, USE PERSONAL INFLUENCE OR VOTE ON THE MATTER IN QUESTION. THE CONFLICT OF INTEREST STATEMENTS AND CORRESPONDING POLICIES ARE MONITORED AND DECISIONS ON CONFLICTS ARE MADE BY THE PEACEHEALTH BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PEACEHEALTH BOARD OF DIRECTORS REVIEWS AND DETERMINES COMPENSATION FOR THE CEO. DURING THIS PROCESS THE HUMAN RESOURCES DEPARTMENT WORKS TOGETHER WITH THE BOARD OF DIRECTORS TO DETERMINE COMPARABILITY DATA ACROSS VARIOUS INDUSTRY AND PROFIT/NOT-FOR-PROFIT STATUSES. THE BOARD OF DIRECTORS REVIEWS MARKET DATA, EVALUATES CEO PERFORMANCE AND REVIEWS THE COMPENSATION OF THE CEO. THE BOARD ALSO USES AN INDEPENDENT COMPENSATION CONSULTANT TO HELP DETERMINE EXECUTIVE COMPENSATION. THE REMAINING KEY EMPLOYEES AND OFFICERS' COMPENSATION IS DETERMINED BY THE GOVERNANCE COMMITTEE OF THE PEACEHEALTH BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE USES MANY OF THE SAME METHODS OF ANALYSIS FOR KEY EMPLOYEES AND OFFICERS AS THE BOARD OF DIRECTORS DOES WITH THE CEO DETERMINATION, IN ADDITION TO CONSULTING WITH THE HR DEPARTMENT. DECISIONS ARE MADE DURING A BOARD MEETING AND ARE DOCUMENTED IN THE MINUTES TO THE MEETING. THIS PROCESS WAS LAST UNDERTAKEN DURING TAX YEAR 2015. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PENSION LIABILITY -41,426,392. CHANGE IN INTEREST IN RELATED FOUNDATIONS -8,009,325. NET ASSETS RELEASED FROM RESTRICTION 2,543,930. OTHER CHANGES IN UNRESTRICTED NET ASSETS 336,338. TEMPORARY AND PERMANENT CHANGES IN FUND BALANCES 12,379,194. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH VENTURES | |||||||||||
| 1115 SE 164TH AVENUE | VANCOUVER | WA | 98683 | 911350776 | PARTICIPATES IN HEALTHCARE JOINT VENTURES | WA | 501(C)(3) | LINE 11A, I | PEACEHEALTH | Yes (1) | |
| PEACEHEALTH NETWORKS | |||||||||||
| 1115 SE 164TH AVENUE | VANCOUVER | WA | 98683 | 911230425 | SUPPORT PEACEHEALTH | WA | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| PEACEHEALTH SW MEDICAL CENTER FDN | |||||||||||
| PO BOX 1600 | VANCOUVER | WA | 98668 | 911231436 | FUNDRAISING | WA | 501(C)(3) | LINE 7 | PEACEHEALTH | Yes (1) | |
| KETCHIKAN MEDICAL CENTER FDN | |||||||||||
| 3100 TONGASS AVENUE | KETCHIKAN | AK | 99901 | 651225184 | FUNDRAISING | AK | 501(C)(3) | LINE 7 | PEACEHEALTH | Yes (1) | |
| COTTAGE GROVE MEDICAL CENTER FDN | |||||||||||
| 1515 VILLAGE DRIVE | COTTAGE GROVE | OR | 97424 | 930688381 | FUNDRAISING | OR | 501(C)(3) | LINE 7 | PEACEHEALTH | Yes (1) | |
| PEACE HARBOR MEDICAL CENTER FDN | |||||||||||
| 400 NINTH STREET | FLORENCE | OR | 97439 | 931084126 | FUNDRAISING | OR | 501(C)(3) | LINE 7 | PEACEHEALTH | Yes (1) | |
| SACRED HEART MEDICAL CENTER FDN | |||||||||||
| PO BOX 10905 | EUGENE | OR | 97440 | 936026548 | FUNDRAISING | OR | 501(C)(3) | LINE 7 | PEACEHEALTH | Yes (1) | |
| ST JOHN MEDICAL CENTER FDN | |||||||||||
| 1615 DELAWARE STREET PO BOX 3002 | LONGVIEW | WA | 98632 | 911538852 | FUNDRAISING | WA | 501(C)(3) | LINE 7 | PEACEHEALTH | Yes (1) | |
| ST JOSEPH MEDICAL CENTER FDN | |||||||||||
| 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | 721545902 | FUNDRAISING | WA | 501(C)(3) | LINE 7 | PEACEHEALTH | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERBEND AMBULATORY SURGERY CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3355 RIVERBEND DRIVE | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97477 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205575145 | EIN |
| Primary Activities | MEDICAL | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH VENTURES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $870,218 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,979,358 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.54290 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBIA UNITED PROVIDERS | ||||||||||||
| PO BOX 87400 | VANCOUVER | WA | 98687 | 911624736 | MEDICAID MANAGED CARE | WA | PEACEHEALTH NETWORKS | C | $39,989,338 | 0.92000 | 0 | |
| POOLED INCOME FUND OF PEACEHEALTH #1 | ||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 276030191 | POOLED INCOME FUND | WA | PEACEHEALTH | T | $10,159,155 | 1.00000 | 0 | $634,169 |
| WHATCOM REGION POOLED INCOME FUND | ||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466129451 | POOLED INCOME FUND | WA | PEACEHEALTH | T | $3,585,983 | 1.00000 | 0 | $125,675 |
| LOWER COLUMBIA REGION POOLED INCOME FUND | ||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466157497 | POOLED INCOME FUND | WA | PEACEHEALTH | T | $1,854,177 | 1.00000 | 0 | $61,511 |
| OREGON REGION POOLED INCOME FUND | ||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466180599 | POOLED INCOME FUND | WA | PEACEHEALTH | T | $5,945,622 | 1.00000 | 0 | -$7,642 |
| SUISLAW REGION POOLED INCOME FUND | ||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466221760 | POOLED INCOME FUND | WA | PEACEHEALTH | T | $1,948,513 | 1.00000 | 0 | $50,028 |
| SOUTHWEST REGION POOLED INCOME FUND | ||||||||||||
| 1115 SE 164TH AVE | VANCOUVER | WA | 98683 | 466168710 | POOLED INCOME FUND | WA | PEACEHEALTH | T | $4,994,525 | 1.00000 | 0 | $87,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEALTH VENTURES | ||
| C | $7,900,000 | AT COST |
| HEALTH VENTURES | ||
| L | $29,219 | AT COST |
| PEACEHEALTH POOLED INCOME FUNDS | ||
| R | $2,418,272 | AT COST |
| PEACEHEALTH POOLED INCOME FUNDS | ||
| S | $838,376 | AT COST |
| RELATED FOUNDATIONS | ||
| C | $19,590 | AT COST |
| RELATED FOUNDATIONS | ||
| O | $3,120,404 | AT COST |
| RELATED FOUNDATIONS | ||
| P | $1,929,910 | AT COST |
| RELATED FOUNDATIONS | ||
| N | $229,146 | AT COST |
Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Predominate IncomePredominateIncomeDesc | All Partners C3 SAllPartnersC3SInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MT BAKER IMAGING LLC | |||||||||||||
| 2930 SQUALICUM PARKWAY SUITE 101 | BELLINGHAM | WA | 98225 | 352252095 | MEDICAL | WA | RELATED | Yes (1) | $2,116,205 | $2,287,107 | 0 | 0 | 0.50000 |
| THE OREGON CANCER CENTERS LTD | |||||||||||||
| ONE POST STREET 35TH FLOOR | SAN FRANCISCO | CA | 94104 | 752715208 | MEDICAL | TX | RELATED | Yes (1) | $3,065,789 | $7,883,589 | 0 | 0 | 0.50000 |
| OREGON IMAGING CENTERS LLC | |||||||||||||
| 1200 HILYARD ST STE 330 | EUGENE | OR | 97401 | 931054138 | MEDICAL | OR | RELATED | Yes (1) | $777,624 | $2,903,127 | 0 | 0 | 0.50000 |
| SW WA REGIONAL SURGERY CNTR LLC | |||||||||||||
| 200 NE MOTHER JOSEPH PLACE 200 | VANCOUVER | WA | 98664 | 911959910 | MEDICAL | WA | RELATED | Yes (1) | $1,210,035 | $1,166,471 | 0 | 0 | 0.25170 |
| COLUMBIA INTEGRATED NETWORK LLC | |||||||||||||
| 700 NE 87TH AVENUE | VANCOUVER | WA | 98664 | 463817787 | MEDICAL | WA | RELATED | Yes (1) | $99,305 | $284,253 | 0 | 0 | 0.50000 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE R, PART IV: | COLUMBIA UNITED PROVIDERS FILED FOR DISSOLUTION ON APRIL 22, 2016. |
| SCHEDULE R, PART VI: | COLUMBIA INTEGRATED NETWORK LLC FILED FOR DISSOLUTION ON DECEMBER 17, 2015. |
| SCHEDULE R, PART IV: | SPLIT INTEREST TRUSTS DISCLOSURE PEACEHEALTH HAS FORMED SEVERAL SPLIT INTEREST TRUSTS. THE TRUSTS ARE LISTED AS POOLED INCOME FUNDS ON THE SCHEDULE R, PART IV. THESE ENTITIES ACQUIRED PROPERTY FROM PEACEHEALTH IN SALE LEASE-BACK TRANSACTIONS CREATING A CAPITAL LEASE OBLIGATION. DURING THE YEAR A SERIES OF TRANSACTIONS OCCURRED BETWEEN PEACEHEALTH AND THE SPLIT INTEREST TRUSTS INCLUDING: 1) $2.4 MILLION IN RENT PAYMENTS FROM PEACEHEALTH TO THE SPLIT INTEREST TRUSTS AND 2) SPLIT INTEREST TRUSTS MADE LOAN PAYMENTS OF $98,137 AND $740,240 IN INTEREST AS PAYMENT ON DEBT TO PEACEHEALTH. AS OF 06/30/2016, THE SPLIT INTEREST TRUSTS HAVE A LIABILITY TO THE DONORS OF APPROXIMATELY $14.97 MILLION. CERTAIN INTERESTED PERSONS AND OTHERS ENGAGED IN TRANSACTIONS WITH THE SPLIT INTEREST TRUSTS. DURING THE CURRENT FISCAL YEAR THESE INDIVIDUALS CONTRIBUTED NO MONEY TO THE SPLIT INTEREST TRUSTS. THE SPLIT INTEREST TRUSTS PAID IN AGGREGATE TO THESE INDIVIDUALS $53,413. UPON THE DEATH OF THE INDIVIDUAL, AND OR THEIR SUCCESSOR, THEIR OWNERSHIP INTERESTS IN THESE SPLIT INTEREST TRUSTS WILL REVERT BACK TO PEACEHEALTH. |