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PEACEHEALTH: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
PEACEHEALTH (EIN 91-0939479)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-11
IRS object ID
201541319349302289
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-11T15:05:09-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910939479EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEACEHEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPEACBusinessNameControlTxt
Phone3607291000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11115 SE 164TH AVENUEAddressLine1
CityVANCOUVERCity
StateWAState
ZIP Code98683ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN WALSTROMPersonNm
Person TitleSVP CFOPersonTitleTxt
Phone3607291000PhoneNum
Signature2015-05-11SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBETH O'BRIENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11115 SE 164TH AVENUEAddressLine1
CityVANCOUVERCity
StateWAState
ZIP Code98683ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,389,647,201GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PEACEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionWE 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.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee17776TotalEmployeeCnt
Total Volunteers2000TotalVolunteersCnt
Total Gross UBI$45,873,492TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$8,724,828NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,454,937PYContributionsGrantsAmt
CY Contributions Grants$8,399,457CYContributionsGrantsAmt
PY Program Service Revenue$1,765,254,486PYProgramServiceRevenueAmt
CY Program Service Revenue$2,083,955,081CYProgramServiceRevenueAmt
PY Investment Income$66,520,313PYInvestmentIncomeAmt
CY Investment Income$100,226,939CYInvestmentIncomeAmt
PY Other Revenue$60,281,141PYOtherRevenueAmt
CY Other Revenue$57,296,419CYOtherRevenueAmt
PY Total Revenue$1,898,510,877PYTotalRevenueAmt
CY Total Revenue$2,249,877,896CYTotalRevenueAmt
PY Grants And Similar Paid$1,842,740PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,131,464CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,000,445,251PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,241,652,923CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,204,829CYTotalFundraisingExpenseAmt
PY Other Expenses$823,899,874PYOtherExpensesAmt
CY Other Expenses$891,545,158CYOtherExpensesAmt
PY Total Expenses$1,826,187,865PYTotalExpensesAmt
CY Total Expenses$2,135,329,545CYTotalExpensesAmt
PY Revenues Less Expenses$72,323,012PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$114,548,351CYRevenuesLessExpensesAmt
Total Assets BOY$3,058,150,430TotalAssetsBOYAmt
Total Assets EOY$3,466,898,309TotalAssetsEOYAmt
Total Liabilities BOY$1,468,534,450TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,713,511,288TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,589,615,980NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,753,387,021NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,891,886,817ExpenseAmt
Grant$2,131,464GrantAmt
Revenue$2,083,955,081RevenueAmt
DescHOSPITALS, 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. CHARITY CARE AND COMMUNITY BENEFITS:PEACEHEALTH PROVIDES FINANCIAL ASSISTANCE TO PATIENTS UNABLE TO PAY FOR SERVICE. BRIDGE 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. BRIDGE 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 FOR TAX YEAR 2014 WAS $201,994,888.Desc
Total Program Service Expenses$1,891,886,817TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document682IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee17776EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldAKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSPENCER URBAN TAX ACCOUNTANTPersonNm
Phone3607291000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11115 SE 164TH AVENUEAddressLine1
CityVANCOUVERCity
StateWAState
ZIP Code98683ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SR ANDREA NENZEL CSJP
CHAIRMAN40.00Yes (X)Yes (X)$0$0$0
SR ANNE HAYES CSJP
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
RON PRILL
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
DIETER MORICH MD
DIRECTOR2.00Yes (X)$0$0$0
BRETT BRYAN
DIRECTOR2.00Yes (X)$0$0$0
GRETCHEN PIERCE
DIRECTOR2.00Yes (X)$0$0$0
ROLAND TRENOUTH MD
DIRECTOR2.00Yes (X)$0$0$0
LEE KEARNEY
DIRECTOR2.00Yes (X)$0$0$0
SR NORAH CLARKE CSJP
DIRECTOR2.00Yes (X)$0$0$0
ROBERT DE VITA
DIRECTOR2.00Yes (X)$0$0$0
CAROL SHERIDAN
DIRECTOR2.00Yes (X)$0$0$0
SR MARGARET DIMOND CSJP
DIRECTOR2.00Yes (X)$0$0$0
SR KATHLEEN PRUITT CSJP
DIRECTOR2.00Yes (X)$0$0$0
BARNEY SPEIGHT
DIRECTOR2.00Yes (X)$0$0$0
ALAN YORDY
PRESIDENT & CEO40.00Yes (X)$961,223$0$405,519
STUART P HENNESSEY
SENIOR VP40.00Yes (X)$459,819$0$269,811
KEVIN WALSTROM
SENIOR VP40.00$531,732$0$211,409Yes (X)
MARK MCCAMPBELL
SENIOR VP40.00$240,393$0$24,942Yes (X)
PETER ADLER
SENIOR VP40.00$546,406$0$216,672Yes (X)
RYAN BALL
SENIOR VP40.00$172,838$0$17,668Yes (X)
NANCY STEIGER
SENIOR VP40.00$585,469$0$210,405Yes (X)
CAROL AARON
SENIOR VP40.00$491,671$0$179,111Yes (X)
ELAINE SVIGEL DUNDA
SENIOR VP40.00$427,786$0$189,131Yes (X)
HOWARD GRAMAN MD
SENIOR VP40.00$551,636$0$171,541Yes (X)
JOSIAH JOHNSON
SENIOR VP40.00$387,433$0$184,917Yes (X)
JOHN HILL
SENIOR VP40.00$568,199$0$156,970Yes (X)
RAN WHITEHEAD
CEO - PEACEHEALTH LABS40.00$295,517$0$70,965Yes (X)
JOSEPH KORTUM
SENIOR VP40.00$704,372$0$315,573Yes (X)
DENNIS GORY
MD40.00$845,617$0$97,655Yes (X)
ERIC HAUCK
MD40.00$1,216,635$0$93,968Yes (X)
STEPHEN COOK
MD40.00$798,843$0$97,976Yes (X)
DAVID DUKE
MD40.00$817,948$0$96,256Yes (X)
RAMAKOTA REDDY
MD40.00$798,564$0$94,266Yes (X)
JOHN HAUGHOM
SENIOR VP40.00$122,449$0$5,590Yes (X)
TOD CASEY WOODARD
SENIOR VP40.00$142,388$0$106,956Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,666,938TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$3,217,301TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1636IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
NUANCE COMMUNICATIONS INC
ONE WAYSIDE ROADBULINGTONMA01803SOFTWARE IMPLEMENTATION$3,923,244
NURSEFINDERS LLC
524 E LAMAR BLVD SUITE 300ARLINGTONTX76011HEALTH CARE STAFFING SERVICES$3,403,028
HURON CONSULTING SERVICES LLC
3005 MOMENTUM PLACECHICAGOIL60689CONSULTING$3,141,372
ARAMARK MANAGEMENT SERVICES
1101 MARKET STPHILADELPHIAPA19107UNIFORM SERVICE$2,451,139
MCKESSON TECHNOLOGIES INC
5995 WINWARD PARKWAYALPHARETTAGA30005SOFTWARE IMPLEMENTATION$2,432,525
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K178CntrctRcvdGreaterThan100KCnt
Related Organizations$3,923,667RelatedOrganizationsAmt
Government Grants$2,345,226GovernmentGrantsAmt
All Other Contributions$2,130,564AllOtherContributionsAmt
Total Contributions$8,399,457TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REV621110$2,075,675,107$2,075,675,107
OTHER OPERATING REV621110$8,279,974$8,279,974
FieldValueIRS element (for citing)
Total Program Service Revenue$2,083,955,081TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,036,182TotalRevenueColumnAmt
Exclusion$50,036,182ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,849,416RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$5,137,062RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,712,354RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,712,354TotalRevenueColumnAmt
Exclusion$1,712,354ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$182,858,000SecuritiesAmt
Other$1,965,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$134,097,243SecuritiesAmt
Other$535,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$48,760,757SecuritiesAmt
Other$1,430,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,190,757TotalRevenueColumnAmt
Exclusion$50,190,757ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
UNRELATED BUSINESS INC900099$45,873,492$45,873,492
CAFETERIA900099$9,710,573$9,710,573
FieldValueIRS element (for citing)
Other Revenue Total$55,584,065OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,249,877,896TotalRevenueColumnAmt
Related Or Exempt Func Income$2,083,955,081RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$45,873,492UnrelatedBusinessRevenueAmt
Exclusion$111,649,866ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,858,346TotalAmt
Program Services$1,858,346ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$273,118TotalAmt
Program Services$273,118ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$14,884,239TotalAmt
Program Services$12,873,813ProgramServicesAmt
Management And General$2,010,426ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$996,652,292TotalAmt
Program Services$862,033,692ProgramServicesAmt
Management And General$132,940,073ManagementAndGeneralAmt
Fundraising$1,678,527FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$73,183,869TotalAmt
Program Services$63,298,867ProgramServicesAmt
Management And General$9,885,002ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$85,664,030TotalAmt
Program Services$74,093,323ProgramServicesAmt
Management And General$11,241,320ManagementAndGeneralAmt
Fundraising$329,387FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$71,268,493TotalAmt
Program Services$61,642,202ProgramServicesAmt
Management And General$9,508,428ManagementAndGeneralAmt
Fundraising$117,863FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$43,563,981TotalAmt
Program Services$37,679,760ProgramServicesAmt
Management And General$5,845,955ManagementAndGeneralAmt
Fundraising$38,266FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,408,908TotalAmt
Management And General$2,406,563ManagementAndGeneralAmt
Fundraising$2,345FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,160,911TotalAmt
Management And General$1,067,932ManagementAndGeneralAmt
Fundraising$92,979FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$445,208TotalAmt
Management And General$445,208ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$160,626,780TotalAmt
Program Services$138,930,796ProgramServicesAmt
Management And General$21,305,496ManagementAndGeneralAmt
Fundraising$390,488FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,567,995TotalAmt
Program Services$2,565,069ProgramServicesAmt
Fundraising$2,926FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,591,748TotalAmt
Management And General$7,591,748ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$30,122,969TotalAmt
Program Services$26,054,236ProgramServicesAmt
Management And General$4,068,733ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$53,743,872TotalAmt
Program Services$46,484,645ProgramServicesAmt
Management And General$7,257,239ManagementAndGeneralAmt
Fundraising$1,988FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,451,339TotalAmt
Program Services$10,769,527ProgramServicesAmt
Management And General$1,681,812ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$121,861TotalAmt
Management And General$37,716ManagementAndGeneralAmt
Fundraising$84,145FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$31,635,205TotalAmt
Program Services$31,635,205ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$133,396,358TotalAmt
Program Services$115,378,408ProgramServicesAmt
Management And General$17,970,272ManagementAndGeneralAmt
Fundraising$47,678FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$36,716,049TotalAmt
Program Services$34,766,430ProgramServicesAmt
Management And General$1,949,619ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MED SUPPLIES & SERVICES$281,212,261$281,212,261
OTHER TAX$52,856,017$52,393,781$455,736$6,500
OTHER OPERATING EXPENSE$22,065,156$19,084,798$2,568,621$411,737
INTEREST RATE SWAPS$18,858,540$18,858,540

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,135,329,545TotalAmt
Program Services$1,891,886,817ProgramServicesAmt
Management And General$240,237,899ManagementAndGeneralAmt
Fundraising$3,204,829FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$70,951,783BOYAmt
EOY$125,073,770EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$276,979,091BOYAmt
EOY$424,222,414EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$301,784,791BOYAmt
EOY$303,464,012EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$12,068,721BOYAmt
EOY$44,828,232EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$36,580,883BOYAmt
EOY$40,135,099EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,332,493BOYAmt
EOY$16,815,295EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,493,908,788LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,169,560,343LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,334,971,823BOYAmt
EOY$1,324,348,445EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$708,298,644BOYAmt
EOY$1,041,798,780EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$204,241,242BOYAmt
EOY$35,273,249EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,426,517BOYAmt
EOY$35,137,100EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$88,514,442BOYAmt
EOY$75,801,913EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,058,150,430BOYAmt
EOY$3,466,898,309EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$269,662,867BOYAmt
EOY$325,252,039EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$910,333,829BOYAmt
EOY$1,062,668,024EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,566,123BOYAmt
EOY$11,589,540EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$276,971,631BOYAmt
EOY$314,001,685EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,468,534,450BOYAmt
EOY$1,713,511,288EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,533,358,073BOYAmt
EOY$1,695,916,720EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,128,656BOYAmt
EOY$40,303,066EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,129,251BOYAmt
EOY$17,167,235EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,589,615,980BOYAmt
EOY$1,753,387,021EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,058,150,430BOYAmt
EOY$3,466,898,309EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$114,548,351ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$31,074,067NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$18,148,623OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$445,208DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$445,208TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,466,288BeginningYearBalanceAmt
Contributions$175,566ContributionsAmt
Investment Earnings Or Losses$4,020,665InvestmentEarningsOrLossesAmt
Other Expenditures$14,504,243OtherExpendituresAmt
End Year Balance$32,158,276EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,724,507BeginningYearBalanceAmt
Contributions$15,739,128ContributionsAmt
Investment Earnings Or Losses$1,178,809InvestmentEarningsOrLossesAmt
Other Expenditures$176,156OtherExpendituresAmt
End Year Balance$42,466,288EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$26,359,503ContributionsAmt
Investment Earnings Or Losses-$301,830InvestmentEarningsOrLossesAmt
Other Expenditures$333,166OtherExpendituresAmt
End Year Balance$25,724,507EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.16930BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.57700PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.25370TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,253,430OtherCostOrOtherBasisAmt
Book Value$63,253,430BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,462,186,382OtherCostOrOtherBasisAmt
Depreciation$670,076,319DepreciationAmt
Book Value$792,110,063BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$64,824,211OtherCostOrOtherBasisAmt
Depreciation$14,539,844DepreciationAmt
Book Value$50,284,367BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$838,249,986OtherCostOrOtherBasisAmt
Depreciation$484,944,180DepreciationAmt
Book Value$353,305,806BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,394,779OtherCostOrOtherBasisAmt
Book Value$65,394,779BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,324,348,445TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
OBLIGATIONS UNDER CAPITAL LEASES$30,453,132
INTEREST RATE SWAPS$95,460,982
ACCRUED PENSION LIABILITY$58,473,185
SELF-INSURANCE LIABILITY$72,619,070
OTHER LIABILITIES$56,995,316
FieldValueIRS element (for citing)
Total Liability$314,001,685TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE REPORTED ENDOWMENT FUNDS BELONG TO THE PEACEHEALTH 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:PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE THE CORPORATION ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT 109 (FIN 48). FIN 48 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS IN ACCORDANCE WITH FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES. FIN 48 ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED OR CONTINUE TO BE RECOGNIZED UPON ADOPTION. IN ADDITION, FIN 48 PROVIDES GUIDANCE ON ECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. THE ADOPTION OF FIN 48 DID NOT HAVE A SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS OF THE CORPORATION.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA/CARIBBEANRegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConductedTxt
Specific Services ProvidedHEALTHCARESpecificServicesProvidedTxt
Region Total Expenditures$273,118RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$273,118SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$273,118TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Purpose Of GrantPROGRAM SERVICESPurposeOfGrantTxt
Cash Grant$273,118CashGrantAmt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPEACEHEALTH 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,541,245TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,246,111DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,295,134NetCommunityBenefitExpnsAmt
Total Expense0.02400TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$366,633,833TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$227,246,088DirectOffsettingRevenueAmt
Net Community Benefit Expns$139,387,745NetCommunityBenefitExpnsAmt
Total Expense0.06530TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$429,175,078TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$238,492,199DirectOffsettingRevenueAmt
Net Community Benefit Expns$190,682,879NetCommunityBenefitExpnsAmt
Total Expense0.08930TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,524,931TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$756,691DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,768,240NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,349,988TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,002,224DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,347,764NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,358,230TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,302,443DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,787NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$301,625TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$158,870DirectOffsettingRevenueAmt
Net Community Benefit Expns$142,755NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,997,516TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,997,463NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,532,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,220,281DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,312,009NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$444,707,368TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$242,712,480DirectOffsettingRevenueAmt
Net Community Benefit Expns$201,994,888NetCommunityBenefitExpnsAmt
Total Expense0.09460TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$105,027,459BadDebtExpenseAmt
Bad Debt Expense Attributable$57,696,551BadDebtExpenseAttributableAmt
Reimbursed By Medicare$468,359,050ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$521,945,517CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$53,586,467MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities10HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (10 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdCritical Access HospitalCriticalAccessHospitalInd
PH SACRED HEART MED CTR AT RIVERBEND
13333 RIVERBEND DRIVESPRINGFIELDOR97477Yes (X)Yes (X)Yes (X)A
PH SACRED HEART MED CTR UNIV DISTRICT
21255 HILYARD STREETEUGENEOR97401Yes (X)Yes (X)Yes (X)A
PH ST JOSEPH MEDICAL CENTER
32901 SQUALICUM PARKWAYBELLINGHAMWA98225Yes (X)Yes (X)Yes (X)A
PH ST JOHN MEDICAL CENTER
41615 DELAWARE STREETLONGVIEWWA98632Yes (X)Yes (X)Yes (X)A
PH KETCHIKAN MEDICAL CENTER
53100 TONGASS AVENUEKETCHIKANAK99901Yes (X)Yes (X)AYes (X)
PH PEACE HARBOR MEDICAL CENTER
6400 9TH STREETFLORENCEOR97439Yes (X)Yes (X)AYes (X)
PH COTTAGE GROVE COMMUNITY MED CTR
71515 VILLAGE DRIVECOTTAGE GROVEOR97424Yes (X)Yes (X)AYes (X)
PH SOUTHWEST MEDICAL CENTER
8400 NE MOTHER JOSEPH PLVANCOUVERWA98683Yes (X)Yes (X)Yes (X)A
PH PEACE ISLAND MEDICAL CENTER
91117 SPRING STREETFRIDAY HARBORWA97401Yes (X)Yes (X)BYes (X)
PH UNITED GENERAL MEDICAL CENTER
104000 HOSPITAL DRIVESEDROWOOLLEYWA98284Yes (X)Yes (X)BYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

CHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Upon RequestRptAvailableUponRequestIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndInclude Operational PlanIncludeOperationalPlanIndAdopt BudgetAdoptBudgetIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndAsset LevelAssetLevelIndMedical IndigencyMedicalIndigencyIndInsurance StatusInsuranceStatusIndState RegulationStateRegulationIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndPosted On WebsitePostedOnWebsiteIndAttached To InvoiceAttachedToInvoiceIndPosted In Emergency RoomPostedInEmergencyRoomIndPosted In Admission OfficePostedInAdmissionOfficeIndProvided On AdmissionProvidedOnAdmissionIndAvailable On RequestAvailableOnRequestIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
FACILITY REPORTING GROUP A
Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)Yes (1)Yes (1)Yes (X)WWW.PEACEHEALTH.ORGYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.000000000000Yes (1)400.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
FACILITY REPORTING GROUP B
0Yes (1)Yes (1)200.000000000000Yes (1)400.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 1FOR FACILITY REPORTING GROUP B: THE HOSPITALS FOR FACILITY REPORTING GROUP B WERE ACQUIRED WITHIN THE LAST TWO TAX YEARS. THE HOSPITALS ARE UNDERGOING A COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2014.
PART V, SECTION B, LINE 3:FOR FACILITY REPORTING GROUP A: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 ASSESSMENT 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.AMONG THE CONSULTED INDIVIDUALS AND GROUPS WERE: PUBLIC HEALTH OFFICIALS OF LOCAL COUNTY PUBLIC HEALTH DISTRICTS, PUBLIC HEALTH EXPERTS OF COMMUNITY GROUPS, LOCAL NON-PROFIT ORGANIZATIONS, AND OTHER COMMUNITY HEALTH EXPERTS.
PART V, SECTION B, LINE 4:FOR FACILITY REPORTING GROUP A: THE CHNA WAS CONDUCTED CONCOMITANTLY WITH THE HOSPITALS LISTED IN FACILITY REPORTING GROUP A IN PART V, SECTION A.
PART V, SECTION B, LINE 7:FOR FACILITY REPORTING GROUP A: WHILE THE PEACEHEALTH MEDICAL CENTERS STRIVE TO ADDRESSS ALL NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, CONSTRAINTS ON RESOURCES AND TIME PREVENT COMPLETE ADDRESSING OF ALL COMMUNITY HEALTH NEEDS.
PART V, SECTION B, LINE 20D:FOR FACILITY REPORTING GROUP A:EXPLANATION OF OTHER METHODS TO DETERMINE AMOUNT BILLED: IRS REQUIREMENTS FOR CHARITABLE HOSPITALS 501(R)LIMITATION ON CHARGESAN ELIGIBLE INDIVIDUAL UNDER A HOSPITAL 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 USING MEDICARE AND INSURED ACCOUNTS. THE LOWEST AGB FOR ANY OF OUR FACILITIES IS 35%.UPON DETERMINATION THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE A SLIDING DISCOUNT IS APPLIED. THERE ARE DIFFERENT DISCOUNTS A SLIDING SCALE DEPENDING ON WHETHER THE PATIENT HAS INSURANCE COVERAGE. FOR PATIENTS WITHOUT INSURANCE, THE DISCOUNTS RANGE FROM 65% TO 100%. FOR PATIENTS WITH INSURANCE THE DISCOUNTS RANGE FROM 20% TO 100%. WHILE THE RATE INSURED PATIENTS ARE ULTIMATELY CHARGED VARIES WITH CONTRACT AND BENEFIT TERMS, WE BELIEVE THAT OUR FAP DISCOUNTS PROVIDE ELIGIBLE INDIVIDUALS WITH BETTER OR SIMILAR DISCOUNTS. WE DO NOT USE GROSS CHARGES WITHOUT DISCOUNTS FOR INDIVIDUALS ELIGIBLE UNDER OUR FAPS.FOR FACILITY REPORTING GROUP B: REFER TO ABOVE EXPLANATION FOR FACILITY REPORTING GROUP A. ALL PEACEHEALTH HOSPITALS HAVE THE SAME FINANCIAL ASSISTANCE POLICIES IN PLACE.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 I, LINE 2WE APPLY THE SAME FINANCIAL ASSISTANCE POLICY TO ALL HOSPITAL FACILITIES. THE BOARD OF DIRECTORS DETERMINED THAT THIS IS EQUITABLE TO EACH OF OUR COMMUNITIES AND CONSISTENT WITH OUR MISSION TO PROMOTE PERSONAL AND COMMUNITY HEALTH. OUR FINANCIAL ASSISTANCE POLICY INCLUDES DISCOUNTS FOR UP TO 400% OF FEDERAL POVERTY GUIDELINES.
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 ORGANIZATION USED DEMOGRAPHIC DATA REGARDING POPULATION POVERTY LEVELS IN EACH FACILITY'S SERVICE AREA TO DETERMINE THE AMOUNT OF BAD DEBT REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:6/30/2014 AUDITED FINANCIAL STATEMENTS - FOOTNOTE (2) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: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 740,000,798 AND 898,548,871 RESPECTIVELY. THIS RESULTS IN A TOTAL MEDICARE SHORTFALL OF 158,548,073.
PART III, LINE 9B: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.
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 HTTP://WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/FINANCIAL-SERVICES/PAGES/FINANCIAL-ASSISTANCE.ASPX-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. AS A LARGE HEALTH SYSTEM, PEACEHEALTH HAS COMPLETED A CHNA FOR EACH PEACEHEALTH HOSPITAL REQUIRED TO PROVIDE ONE.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 7, REPORTS FILED WITH STATESAK,OR,WA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (26 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
SISTERS OF ST JOSEPH OF PEACE
1663 KILLAMEY WAY PO BOX 248BELLEVUEWA98009910567741501(C)(3)$306,600MISSION SUPPORT
WHATCOM ALLIANCE FOR HEALTHCARE ACCESS
800 EAST CHESTNUT LL STE 2BELLINGHAMWA98225810677295501(C)(3)$215,000COMMUNITY HEALTH NEEDS
INTERFAITH COMMUNITY HEALTH CENTER
220 UNITY STREETBELLINGHAMWA98225912168190501(C)(3)$102,000COMMUNITY HEALTH NEEDS
AKEELA INC
360 W BENSON BLVD STE 300ANCHORAGEAK99503920046154$100,000COMMUNITY HEALTH NEEDS$519,800FMVDONATION OF BUILDING IN KETCHIKAN, ALASKA.
FREE CLINIC OF SOUTHWEST WASHINGTON
4100 PLOMONDON STVANCOUVERWA98661911707542501(C)(3)$75,000COMMUNITY HEALTH NEEDS
LANE COMMUNITY COLLEGE
8000 EAST 30TH AVENUEEUGENEOR97405930546223UNIV$72,250EDUCATION SUPPORT
LANE COMMUNITY COLLEGE FOUNDATION
4000 EAST 30TH AVEEUGENEOR97405237113266501(C)(3)$68,750EDUCATION SUPPORT
UNITED WAY OF LANE COUNTY
3171 GATEWAY LOOPSPRINGFIELDOR97477930394142501(C)(3)$48,610COMMUNITY HEALTH NEEDS
WILLAMETTE FAMILY TREATMENT
687 CHESHIRE STREETEUGENEOR97402930569684$45,000COMMUNITY HEALTH NEEDS
PATHWAYS 2020
1452 HUDSON ST US BANK STE 209LONGVIEWWA98632911954815$36,000COMMUNITY HEALTH NEEDS
AMERICAN NATIONAL RED CROSS
2025 E STREET NWWASHINGTONDC20006530196605501(C)(3)$100,398COMMUNITY HEALTH NEEDS
CATHOLIC RELIEF SERVICES USCCB
228 W LEXINGTON STBALTIMOREMD21201135563422501(C)(3)$24,088MISSION SUPPORT
BRIGID COLLINS HOUSE
1231 N GARDEN STREET 200BELLINGHAMWA98225943121951$21,850COMMUNITY HEALTH NEEDS
LIGHTHOUSE MISSION MINISTRIES
910 W HOLLY STREETBELLINGHAMWA98225910659437501(C)(3)$20,000MISSION SUPPORT
THE VOLUNTEERS IN MEDICINE CLINIC
3321 W 11TH AVENUEEUGENEOR97402931276816501(C)(3)$15,000COMMUNITY HEALTH NEEDS
FAIRGROUNDS SITE MANAGEMENT GROUP INC DBA CLARK COUNTY EVENTS CENTER
17402 NE DELFEL ROADRIDGEFIELDWA98642202056224$11,000COMMUNITY BENEFIT
LANE METRO PARTNERSHIP
1401 WILLAMETTE ST 2ND FLOOREUGENEOR97401930883707501(C)(3)$10,000COMMUNITY HEALTH NEEDS
LANE COUNTY SCHOOL DISTRICT 40 AKA CRESWELL SCHOOL DISTRICT
998 WEST A STREETCRESWELLOR97426936000586GOVT$10,000EDUCATION SUPPORT
WHATCOM BUSINESS ALLIANCE
2423 E BAKERVIEW ROADBELLINGHAMWA98226454984520501(C)(3)$10,000COMMUNITY BENEFIT
IDENTITY CLARK COUNTY
915 BROADWAY SUITE 302VANCOUVERWA98660911623724501(C)(3)$8,000COMMUNITY BENEFIT
SILVER STAR SEARCH AND RESCUE
1220 A STREET PO BOX 443WASHOUGALWA98671237381444$7,500COMMUNITY BENEFIT
LOWER COLUMBIA COLLEGE
PO BOX 3010LONGVIEWWA98632910823636UNIV$7,000EDUCATION SUPPORT
LONGVIEW EARLY EDITION ROTARY FOUNDATION
950 12TH AVE STE 150LONGVIEWWA98632300474480501(C)(3)$6,500EDUCATION SUPPORT
EUGENE SCHOOL DISTRICT 4J LANE COUNTY
2455 WILLAKENZIE RDEUGENEOR97401936000566GOVT$6,000EDUCATION SUPPORT
HIV ALLIANCE
1966 GARDEN AVENUEEUGENEOR97403930963546501(C)(3)$6,000COMMUNITY HEALTH NEEDS
BOYS OF SUMMER INC DBA COWLITZ BLACK BEARS
3219 E CAMELBACK ROAD STE 809PHOENIXAZ85018930394142$6,000COMMUNITY BENEFIT
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org26TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPEACEHEALTH 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 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

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Payments For Use Of ResidenceYes (X)PaymentsForUseOfResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALAN YORDY
PRESIDENT & CEO$951,642$0$0$0$9,581$0$375,149$0$30,370$0$1,366,742$0$0$0
STUART P HENNESSEY
SENIOR VP$430,602$0$20,000$0$9,217$0$235,396$0$34,415$0$729,630$0$0$0
KEVIN WALSTROM
SENIOR VP$518,107$0$10,000$0$3,625$0$181,815$0$29,594$0$743,141$0$0$0
MARK MCCAMPBELL
SENIOR VP$217,045$0$10,000$0$13,348$0$4,541$0$20,401$0$265,335$0$0$0
PETER ADLER
SENIOR VP$440,544$0$104,123$0$1,739$0$181,876$0$34,796$0$763,078$0$0$0
RYAN BALL
SENIOR VP$162,838$0$10,000$0$0$0$0$0$17,668$0$190,506$0$0$0
NANCY STEIGER
SENIOR VP$495,706$0$82,092$0$7,671$0$182,570$0$27,835$0$795,874$0$0$0
CAROL AARON
SENIOR VP$415,187$0$66,679$0$9,805$0$156,357$0$22,754$0$670,782$0$0$0
ELAINE SVIGEL DUNDA
SENIOR VP$391,061$0$30,000$0$6,725$0$165,389$0$23,742$0$616,917$0$0$0
HOWARD GRAMAN MD
SENIOR VP$521,477$0$25,000$0$5,159$0$137,147$0$34,394$0$723,177$0$0$0
JOSIAH JOHNSON
SENIOR VP$382,433$0$5,000$0$0$0$151,408$0$33,509$0$572,350$0$0$0
JOHN HILL
SENIOR VP$523,800$0$35,000$0$9,399$0$130,950$0$26,020$0$725,169$0$0$0
RAN WHITEHEAD
CEO - PEACEHEALTH LABS$293,780$0$0$0$1,737$0$37,368$0$33,597$0$366,482$0$0$0
JOSEPH KORTUM
SENIOR VP$698,838$0$0$0$5,534$0$291,718$0$23,855$0$1,019,945$0$0$0
DENNIS GORY
MD$844,785$0$0$0$832$0$69,154$0$28,501$0$943,272$0$0$0
ERIC HAUCK
MD$1,184,171$0$32,464$0$0$0$52,702$0$41,266$0$1,310,603$0$0$0
STEPHEN COOK
MD$798,843$0$0$0$0$0$62,798$0$35,178$0$896,819$0$0$0
DAVID DUKE
MD$710,058$0$107,024$0$866$0$66,178$0$30,078$0$914,204$0$0$0
RAMAKOTA REDDY
MD$798,564$0$0$0$0$0$59,342$0$34,924$0$892,830$0$0$0
JOHN HAUGHOM
SENIOR VP$0$0$0$0$122,449$0$0$0$5,590$0$128,039$0$0$0
TOD CASEY WOODARD
SENIOR VP$142,388$0$0$0$0$0$85,085$0$21,871$0$249,344$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE 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-BTHE 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. PART I, LINES 5B AND 6B: CERTAIN INDIVIDUALS PARTICIPATE IN INCENTIVE COMPENSATION PLANS BASED ON THE CONSOLIDATED PERFORMANCE OF THE ORGANIZATION AND ITS CONTROLLED AFFILIATES FOR THEIR COLLECTIVE OUTCOMES OF QUALITY, SERVICE, CAREGIVER ENGAGEMENT, AND FINANCIAL PERFORMANCE. ANY INCENTIVES PAID ARE INCLUDED IN BONUS COMPENSATION. OTHER REPORTABLE COMPENSATION INCLUDES RELOCATION (MOVING) ALLOWANCES, SEVERANCE, AND OTHER TAXABLE BENEFITS.
ADDITIONAL COMMENTARYWE 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 AN EXECUTIVE 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
STATE OF OREGON
A93600178768608JBR12004-10-14$15,000,000CONSTRUCT MEDICAL COMPLEXYes (1)00
WA HEALTHCARE FACILITIES AUTHORITY
B91110892993978EU262008-06-26$80,650,000REFUND PRIOR BOND ISSUE000
OR FACILITIES AUTHORITY
C93600178768608JJG72008-06-26$95,495,000REFUND PRIOR BOND ISSUE000
OR FACILITIES AUTHORITY
D93600178768608JJH52008-06-26$99,175,000REFUND PRIOR BOND ISSUE000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$15,000,000$388,824$14,611,176200600Yes (1)Yes (1)
B$80,650,000$385,500$80,264,5002008Yes (1)0Yes (1)Yes (1)
C$95,495,000$461,344$95,033,6562008Yes (1)0Yes (1)Yes (1)
D$99,175,000$447,966$98,727,0342008Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.000000.000000.000000Yes (1)0.01000Yes (1)Yes (1)
B00Yes (1)Yes (1)00.000000.000000.000000Yes (1)0.01000Yes (1)Yes (1)
C00Yes (1)Yes (1)00.000000.000000.000000Yes (1)0.01000Yes (1)Yes (1)
D00Yes (1)Yes (1)00.000000.000000.000000Yes (1)0.01000Yes (1)Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B00Yes (1)00000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)
D00Yes (1)0Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART III, LINE 4:PERCENTAGE OF BOND FINANCED PROPERTY USED IN PRIVATE BUSINESS: A DE MINIMIS AMOUNT OF PRIVATE USE OCCURS. THE PUBLIC MUNICIPAL AUTHORITY'S BOND COUNSEL HAS REVIEWED AND APPROVED OF PEACEHEALTH'S CONTRACTS AND COMPLIANCE WITH REGARD TO THE PIVATE BUSINESS USE OF BOND FINANCED PROPERTY.
SCHEDULE K, PART III, LINES 8A, 8B, AND 8C:DISPOSITIONS OF BOND-FINANCED PROPERTY: IN THE ORDINARY COURSE OF BUSIENSS, 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: A) REINVESTED IN QUALIFIED ASSETS AT A LOCATION COVERED BY A TEFRA NOTICE (TAX EQUITY AND FISCAL RESPONSIBILITY ACT OF 1982), OR B) BONDS ARE CALLED AND REDEEMED WITH THE PROCEEDS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
OR FACILITIES AUTHORITY
A93600178768608JKB62009-10-15$100,795,000REFUND PRIOR BOND ISSUE000
WA HEALTHCARE FACILITIES AUTHORITY
B91110892993978E5T52009-10-15$94,835,000REFUND PRIOR BOND ISSUE000
STATE OF OREGON
C93600178768608JPE52011-08-11$150,000,000REFUND PRIOR BOND ISSUE000
WA HEALTHCARE FACILITIES AUTHORITY
D911108929NONEAVAIL2013-02-27$53,464,898REFUND PRIOR BOND ISSUE000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$104,387,250$451,417$103,935,8332008Yes (1)0Yes (1)Yes (1)
B$99,515,443$407,109$99,108,3342008Yes (1)0Yes (1)Yes (1)
C$150,000,000$150,000,0002011Yes (1)0Yes (1)Yes (1)
D$53,464,898Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.000000.000000.000000Yes (1)0.01000Yes (1)Yes (1)
B00Yes (1)Yes (1)00.000000.000000.000000Yes (1)0.01000Yes (1)Yes (1)
C00Yes (1)Yes (1)00.000000.000000.000000Yes (1)0.01000Yes (1)Yes (1)
D00Yes (1)Yes (1)00.000000.000000.000000Yes (1)0.01000Yes (1)Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B00Yes (1)00000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)
D00Yes (1)0Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WA HEALTHCARE FACILITIES AUTHORITY
A91110892993978HJM82014-03-18$44,678,262REFUND PRIOR BOND ISSUE000
OR FACILITIES AUTHORITY
B93600178768608JSB82014-03-18$71,088,211REFUND PRIOR BOND ISSUE000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$44,678,262$873,262Yes (1)0Yes (1)Yes (1)
B$71,088,211$1,019,562Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.000000.000000.000000Yes (1)0.01000Yes (1)Yes (1)
B00Yes (1)Yes (1)00.000000.000000.00000Yes (1)Yes (1)0.01000Yes (1)Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEE PART V DISCLOSUREBusinessNameLine1
FieldValueIRS element (for citing)
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationPEACEHEALTH HAS FORMED SEVERAL SPLIT INTEREST TRUSTS. 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 $2.09 MILLION AND $857,000 IN INTEREST AS PAYMENT ON DEBT TO PEACEHEALTH. AS OF 06/30/14, THE SPLIT INTEREST TRUSTS HAVE A LIABILITY TO THE DONORS OF APPROXIMATELY $14.86 MILLION.CERTAIN INTERESTED PERSONS AND OTHERS ENGAGED IN TRANSACTIONS WITH THE SPLIT INTEREST TRUSTS. DURING THE CURRENT FISCAL YEAR THESE INDIVIDUALS CONTRIBUTED $151,832 TO THE SPLIT INTEREST TRUSTS. THE SPLIT INTEREST TRUSTS PAID IN AGGREGATE TO THESE INDIVIDUALS APPROXIMATELY $24,534. UPON THE DEATH OF THE INDIVIDUAL, AND OR THEIR SUCCESSOR, THEIR OWNERSHIP INTERESTS IN THESE SPLIT INTEREST TRUSTS WILL REVERT BACK TO PEACEHEALTH.NO INDIVIDUALS HAD TRANSACTIONS ABOVE THE REPORTING THRESHOLDS DURING FISCAL YEAR 2014.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4PEACEHEALTH ADOPTED AN AMENDMENT TO ITS BYLAWS WHICH MADE PEACEHEALTH NETWORKS (EIN: 91-1230425), FORMERLY KNOWN AS SOUTHWEST WASHIGNTON 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).
FORM 990, PART VI, SECTION A, LINE 6REFER TO THE ABOVE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 4.
FORM 990, PART VI, SECTION A, LINE 7AREFER TO THE ABOVE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 4.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S ACCOUNTING DEPARTMENT PREPARES THE RETURN AND WORKS CLOSELY WITH MANAGEMENT TO PREPARE AND REVIEW THE RETURN. THE CFO AND LEGAL DEPARTMENT REVIEW A DRAFT OF THE FORM 990 AND PROVIDE COMMENTS. THE DRAFT 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 12CPURSUANT 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 15THE 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 EXECUTIVE COMMITTEE OF THE PEACEHEALTH/PEACEHEALTH NETWORKS BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE USES MANY OF THE SAME METHODS OF ANALYSIS FOR KEY EMPLOYEES AND OFFICERS AS THEY DO 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 IN 2014.
FORM 990, PART VI, SECTION C, LINE 19ALL 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 -6,227,218. DONATIONS FOR LAND, BUILDINGS AND EQUIPMENT 7,030,680. CHANGE IN INTEREST IN RELATED FOUNDATIONS 5,895,161. AFFILIATION WITH UNITED GENERAL HOSPITAL 11,450,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WHATCOM HEALTH INFORMATION NETWORKBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 CORNALL AVEAddressLine1
CityBELLINGHAMCity
StateWAState
ZIP Code98225ZIPCode
FieldValueIRS element (for citing)
EIN911993455EIN
Primary ActivitiesINFO NETWORKPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Total Income$1,636,451TotalIncomeAmt
End Of Year Assets$2,410,413EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PEACEHEALTHBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
HEALTH VENTURES
1115 SE 164TH AVENUEVANCOUVERWA98683911350776PARTICIPATES IN HEALTHCARE JOINT VENTURESWA501(C)(3)LINE 11A, IPEACEHEALTHYes (1)
PEACEHEALTH NETWORKS
1115 SE 164TH AVENUEVANCOUVERWA98683911230425SUPPORT PEACEHEALTHWA501(C)(3)LINE 11B, II0N/A
PEACEHEALTH SW MEDICAL CENTER FDN
PO BOX 1600VANCOUVERWA98668911231436FUNDRAISINGWA501(C)(3)LINE 7PEACEHEALTHYes (1)
KETCHIKAN MEDICAL CENTER FDN
3100 TONGASS AVENUEKETCHIKANAK99901651225184FUNDRAISINGAK501(C)(3)LINE 7PEACEHEALTHYes (1)
COTTAGE GROVE MEDICAL CENTER FDN
1515 VILLAGE DRIVECOTTAGE GROVEOR97424930688381FUNDRAISINGOR501(C)(3)LINE 7PEACEHEALTHYes (1)
PEACE HARBOR MEDICAL CENTER FDN
400 NINTH STREETFLORENCEOR97439931084126FUNDRAISINGOR501(C)(3)LINE 7PEACEHEALTHYes (1)
SACRED HEART MEDICAL CENTER FDN
PO BOX 10905EUGENEOR97440936026548FUNDRAISINGOR501(C)(3)LINE 7PEACEHEALTHYes (1)
ST JOHN MEDICAL CENTER FDN
1615 DELAWARE STREET PO BOX 3002LONGVIEWWA98632911538852FUNDRAISINGWA501(C)(3)LINE 7PEACEHEALTHYes (1)
ST JOSEPH MEDICAL CENTER FDN
2901 SQUALICUM PARKWAYBELLINGHAMWA98225721545902FUNDRAISINGWA501(C)(3)LINE 7PEACEHEALTHYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RIVERBEND AMBULATORY SURGERY CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13355 RIVERBEND DRIVEAddressLine1
CitySPRINGFIELDCity
StateORState
ZIP Code97477ZIPCode
FieldValueIRS element (for citing)
EIN205575145EIN
Primary ActivitiesMEDICALPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HEALTH VENTURESBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income-$36,475ShareOfTotalIncomeAmt
Share Of EOY Assets$20,000ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.54050OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
COLUMBIA UNITED PROVIDERS
16701 SW MCGILLVRAY BLVD 200VANCOUVERWA98668911624736PEACEHEALTH NETWORKSWAPEACEHEALTH NETWORKSC0.920000
POOLED INCOME FUND OF PEACEHEALTH #1
1115 SE 164TH AVEVANCOUVERWA98683276030191POOLED INCOME FUNDWAPEACEHEALTHT1.000000
WHATCOM REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466129451POOLED INCOME FUNDWAPEACEHEALTHT1.000000
LOWER COLUMBIA REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466157497POOLED INCOME FUNDWAPEACEHEALTHT1.000000
OREGON REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466180599POOLED INCOME FUNDWAPEACEHEALTHT1.000000
SUISLAW REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466221760POOLED INCOME FUNDWAPEACEHEALTHT1.000000
SOUTHWEST REGION POOLED INCOME FUND
1115 SE 164TH AVEVANCOUVERWA98683466168710POOLED INCOME FUNDWAPEACEHEALTHT1.000000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH VENTURES
C$8,500,000CASH
HEALTH VENTURES
L$28,500CASH
PEACEHEALTH POOLED INCOME FUNDS
R$2,374,564AT COST
PEACEHEALTH POOLED INCOME FUNDS
S$857,509AT COST
RELATED FOUNDATIONS
C$4,499,992CASH
RELATED FOUNDATIONS
O$2,647,085AT COST
RELATED FOUNDATIONS
J$51,221AT COST
RELATED FOUNDATIONS
P$1,235,965AT COST

Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdPredominate IncomePredominateIncomeDescAll Partners C3 SAllPartnersC3SIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MT BAKER IMAGING PLLC
2930 SQUALICUM PARKWAY SUITE 101BELLINGHAMWA98225352252095MEDICALWARELATEDYes (1)$2,093,114$2,524,090000.50000
THE OREGON CANCER CENTERS LTD
ONE POST STREET 35TH FLOORSAN FRANCISCOCA94104752715208MEDICALTXRELATEDYes (1)$2,388,844$3,721,133000.50000
OREGON IMAGING CENTERS LLC
1200 HILYARD ST STE 330EUGENEOR97401931054138MEDICALORRELATEDYes (1)$1,739,934$4,762,505000.50000
SW WA REGIONAL SURGERY CNTR LLC
200 NE MOTHER JOSEPH PLACE 200VANCOUVERWA98664911959910MEDICALWARELATEDYes (1)$1,180,644$2,856,429000.25170
COLUMBIA INTEGRATED NETWORK LLC
700 NE 87TH AVENUEVANCOUVERWA98664463817787MEDICALWARELATEDYes (1)-$38,498$211,502000.50000