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PEACEHEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PEACEHEALTH (EIN 91-0939479)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201421359349307322
Schema version
2012v2.1
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)
Timestamp2014-05-15T15:10:53-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910939479EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PEACEHEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPEACNameControl
Phone3607291000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN WALSTROMName
TitleSVP CFOTitle
Phone3607291000Phone
Date Signed2014-05-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALAN YORDYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11115 SE 164TH AVENUEAddressLine1
CityVANCOUVERCity
StateWAState
ZIP Code98683ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2090551281GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PEACEHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionPEACEHEALTH CARRIES ON THE HEALING MISSION OF JESUS CHRIST.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees12633TotalNbrEmployees
Total Nbr Volunteers2100TotalNbrVolunteers
Total Gross UBI47476758TotalGrossUBI
Net Unrelated Business Txbl Income-6284212NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5598430ContributionsGrantsPriorYear
Contributions Grants Current Year6454937ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1557510465ProgramServiceRevenuePriorYear
Program Service Revenue CY1765254486ProgramServiceRevenueCY
Investment Income Prior Year18361940InvestmentIncomePriorYear
Investment Income Current Year66520313InvestmentIncomeCurrentYear
Other Revenue Prior Year53598815OtherRevenuePriorYear
Other Revenue Current Year60281141OtherRevenueCurrentYear
Total Revenue Prior Year1635069650TotalRevenuePriorYear
Total Revenue Current Year1898510877TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1549584GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1842740GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year882224729SalariesEtcPriorYear
Salaries Etc Current Year1000445251SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year724035266OtherExpensePriorYear
Other Expenses Current Year823899874OtherExpensesCurrentYear
Total Expenses Prior Year1607809579TotalExpensesPriorYear
Total Expenses Current Year1826187865TotalExpensesCurrentYear
Revenues Less Expenses Prior Year27260071RevenuesLessExpensesPriorYear
Revenues Less Expenses CY72323012RevenuesLessExpensesCY
Total Assets BOY2564282836TotalAssetsBOY
Total Assets EOY3058150430TotalAssetsEOY
Total Liabilities BOY1095518639TotalLiabilitiesBOY
Total Liabilities EOY1468534450TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1468764197NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1589615980NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPEACEHEALTH CARRIES 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1557476820Expense
Grants1842740Grants
Revenue1765254486Revenue
DescriptionHOSPITALS, 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 FISCAL YEAR 2013 WAS $244,340,619.Description
Total Program Service Expense1557476820TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office1ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961722NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees12633NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN FINLEY TAX MANAGERNamePerson
Telephone Number3607291000TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SR ANDREA NENZEL CSJP
CHAIRMAN40.00XX000
SR ANNE HAYES CSJP
DIRECTOR2.00XX000
RON PRILL
DIRECTOR2.00XX000
DIETER MORICH MD
DIRECTOR2.00X000
GRETCHEN PIERCE
DIRECTOR2.00X000
ROLAND TRENUTH MD
DIRECTOR2.00X000
LEE KEARNEY
DIRECTOR2.00X000
SR NORAH CLARKE CSJP
DIRECTOR2.00X000
ROBERT DE VITA
DIRECTOR2.00X000
JOE GONYEA II
DIRECTOR2.00X000
CAROL SHERIDAN
DIRECTOR2.00X000
SR MARGARET DIMOND CSJP
DIRECTOR2.00X000
SR KATHLEEN PRUITT CSJP
DIRECTOR2.00X000
SR MARGARET JANE KLING CSJP
DIRECTOR2.00X000
ALAN YORDY
PRESIDENT & CEO40.00X10775890356641
STUART P HENNESSEY
SENIOR VP40.00X5129820171578
KEVIN WALSTROM
SENIOR VP40.005654400172804X
JOHN HAUGHOM
SENIOR VP40.00457016020370X
PETER ADLER
SENIOR VP40.004694510186607X
NANCY STEIGER
SENIOR VP40.004631240175381X
CAROL AARON
SENIOR VP40.004272930114860X
ELAINE SVIGEL DUNDA
SENIOR VP40.005114270174567X
HOWARD GRAMAN MD
SENIOR VP40.00639644065717X
JOSIAH JOHNSON
SENIOR VP40.004010900133398X
TOD CASEY WOODARD
SENIOR VP40.002219980115206X
JOHN HILL
SENIOR VP40.00379761015930X
MEL PYNE
CEO - EUGENE/SPRINGFIELD, OR40.00494502023286X
RAN WHITEHEAD
CEO - PEACEHEALTH LABS40.00283707064463X
JOSEPH KORTUM
SENIOR VP40.007963460246159X
DENNIS GORY
PHYSICIAN2.00754932083796X
JOHN F MACGREGOR
PHYSICIAN2.00729405029269X
STEPHEN COOK
PHYSICIAN2.00721509080904X
WILLIAM L LOMBARDI
PHYSICIAN2.00702254054031X
ANDREW T COLETTI
PHYSICIAN2.00699537055920X
FieldValueIRS element (for citing)
Total Reportable Comp From Org11309007TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation2340887TotalOtherCompensation
Number Individuals GT100 K1102NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HURON CONSULTING SERVICES LLC
3005 MOMENTUM PLACECHICAGOIL60689CONSULTING11744125
NURSEFINDERS LLC
524 E LAMAR BLVD SUITE 300ARLINGTONTX76011HEALTH CARE STAFFING SERVICES3074755
ARAMARK MANAGEMENT SERVICES
1101 MARKET STPHILADELPHIAPA19107UNIFORM SERVICE2819830
INPATIENT MANAGEMENT INC
5901-C PEACHTREE DUNWOODY RD SUITEATLANTAGA30328MANAGEMENT SERVICES2427955
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK ROAD AD20PORTLANDOR97201NEONATAL CARE2219863
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations4176344RelatedOrganizations
Government Grants2058987GovernmentGrants
All Other Contributions219606AllOtherContributions
Total Contributions6454937TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUDescription
Business Code621110BusinessCode
Total Revenue Column1765254486TotalRevenueColumn
Related Or Exempt Function Income1765254486RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1765254486TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column60381313TotalRevenueColumn
Exclusion$60,381,313ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real11860539Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real8895404Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2965135Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2965135TotalRevenueColumn
Exclusion$2,965,135ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities175498000Securities
Other13786000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities171883000Securities
Other11262000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3615000Securities
Other2524000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6139000TotalRevenueColumn
Exclusion$6,139,000ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
UNRELATED BUSINESS INC9000994747675847476758
CAFETERIA9000999839248$9,839,248
FieldValueIRS element (for citing)
Total Other Revenue57316006TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1898510877TotalRevenueColumn
Related Or Exempt Function Income1765254486RelatedOrExemptFunctionIncome
Unrelated Business Revenue47476758UnrelatedBusinessRevenue
Exclusion$79,324,696ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1533426Total
Program Services1533426ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total309314Total
Program Services309314ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total12114374Total
Program Services3296281ProgramServices
Management And General8818093ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total794150171Total
Program Services665482608ProgramServices
Management And General128667563ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total56449978Total
Program Services46331068ProgramServices
Management And General10118910ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total78897838Total
Program Services64460616ProgramServices
Management And General14437222ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total58832890Total
Program Services47796082ProgramServices
Management And General11036808ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total38379298Total
Program Services34610956ProgramServices
Management And General3768342ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1885199Total
Management And General1885199ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total591285Total
Management And General591285ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total302817Total
Management And General302817ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total59089195Total
Program Services32596561ProgramServices
Management And General26492634ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2746901Total
Program Services2746901ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8190550Total
Program Services366253ProgramServices
Management And General7824297ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14738646Total
Program Services9825764ProgramServices
Management And General4912882ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total30047378Total
Program Services27285886ProgramServices
Management And General2761492ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total9802209Total
Program Services4028788ProgramServices
Management And General5773421ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total573953Total
Management And General573953ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total40737209Total
Program Services39921631ProgramServices
Management And General815578ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total118632369Total
Program Services110242303ProgramServices
Management And General8390066ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12762344Total
Program Services7325070ProgramServices
Management And General5437274ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MED SUPPLIES & SERVICES35957827435957827400
OTHER OPERATING EXPENSE1062204148121671225003702
OTHER TAX549387715383926410995070
INTEREST RATE SWAPS-35316938-35316938

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1826187865Total
Program Services1557476820ProgramServices
Management And General268711045ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY82020284BOY
EOY70951783EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY296275064BOY
EOY276979091EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY216872859BOY
EOY301784791EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY36835942BOY
EOY12068721EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY26368680BOY
EOY36580883EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10085773BOY
EOY18332493EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2392757291LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1057785468LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY982772607BOY
EOY1334971823EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY366047181BOY
EOY708298644EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY204241242EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY500982900BOY
EOY5426517EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY46021546BOY
EOY88514442EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2564282836BOY
EOY3058150430EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY159068201BOY
EOY269662867EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY209634486BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY667447492BOY
EOY910333829EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY11566123EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY4552985BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY54815475BOY
EOY276971631EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1095518639BOY
EOY1468534450EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1409955560BOY
EOY1533358073EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY47654522BOY
EOY32128656EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11154115BOY
EOY24129251EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1468764197BOY
EOY1589615980EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2564282836BOY
EOY3058150430EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses72323012ReconcilationRevenueExpenses
Reconcilation Other Changes48528771ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$164,000DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB164000TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS0IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance25724507BeginningOfYearBalance
Contributions15739128Contributions
Investment Earnings Or Losses1178809InvestmentEarningsOrLosses
Other Expenditures176156OtherExpenditures
End Of Year Balance42466288EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Contributions26359503Contributions
Investment Earnings Or Losses-301830InvestmentEarningsOrLosses
Other Expenditures333166OtherExpenditures
End Of Year Balance25724507EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis120838211OtherCostOrOtherBasis
Book Value120838211BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1462460435OtherCostOrOtherBasis
Depreciation680908669Depreciation
Book Value781551766BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis781843649OtherCostOrOtherBasis
Depreciation364019501Depreciation
Book Value417824148BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27614996OtherCostOrOtherBasis
Depreciation12857298Depreciation
Book Value14757698BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1334971823TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT PROPERTY1619554C
OTHER RESTRICTED USE ASSETS174096204C
INVESTMENTS IN HEALTHCARE OPERATIONS17852161C
INVESTMENTS IN NON-HEALTHCARE OPERATIONS10673323C
FieldValueIRS element (for citing)
Total Of Book Value Securities204241242TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
OBLIGATIONS UNDER CAPITAL LEASES$27,299,539
INTEREST RATE SWAPS$91,617,000
ACCRUED PENSION LIABILITY$57,620,000
SELF-INSURANCE LIABILITY$51,850,000
OTHER LIABILITIES$48,585,092
FieldValueIRS element (for citing)
Total Of Amounts276971631TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4: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
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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 Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA/CARIBBEANRegion
Number Of Offices1NumberOfOffices
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConducted
Specific Services ProvidedHEALTHCARESpecificServicesProvided
Total Expenditures309314TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent309314SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent309314TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegion
Purpose Of GrantPROGRAM SERVICESPurposeOfGrant
Amount Of Cash Grant309314AmountOfCashGrant
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:Identifier
ExplanationSCHEDULE F, PART I, LINE 2: THIS PROGRAM IS SUBJECT TO THE SAME OVERSIGHT AS THE ORGANIZATION'S DOMESTIC PROGRAMS, INCLUDING MANAGEMENT CONTROL AND OVERSIGHT.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense112998102TotalCommunityBenefitExpense
Net Community Benefit Expense112998102NetCommunityBenefitExpense
Percent Of Total Expense0.06190PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense314406421TotalCommunityBenefitExpense
Direct Offsetting Revenue185001248DirectOffsettingRevenue
Net Community Benefit Expense129405173NetCommunityBenefitExpense
Percent Of Total Expense0.07090PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense427404523TotalCommunityBenefitExpense
Direct Offsetting Revenue185001248DirectOffsettingRevenue
Net Community Benefit Expense242403275NetCommunityBenefitExpense
Percent Of Total Expense0.13280PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense28459TotalCommunityBenefitExpense
Direct Offsetting Revenue1104DirectOffsettingRevenue
Net Community Benefit Expense27355NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense552783TotalCommunityBenefitExpense
Net Community Benefit Expense552783NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1357206TotalCommunityBenefitExpense
Net Community Benefit Expense1357206NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1938448TotalCommunityBenefitExpense
Direct Offsetting Revenue1104DirectOffsettingRevenue
Net Community Benefit Expense1937344NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense429342971TotalCommunityBenefitExpense
Direct Offsetting Revenue185002352DirectOffsettingRevenue
Net Community Benefit Expense244340619NetCommunityBenefitExpense
Percent Of Total Expense0.13380PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$124,150,978BadDebtExpenseAmount
Amount Attributable To13601783AmountAttributableTo
Amount Reimbursed By Medicare382045050AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare423415321CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-41370271MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities9NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (9 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroupCritical Access HospitalCriticalAccessHospital
PH SACRED HEART MED CTR AT RIVERBEND
13333 RIVERBEND DRIVESPRINGFIELDOR97477XXXA
PH SACRED HEART MED CTR UNIV DISTRICT
21255 HILYARD STREETEUGENEOR97401XXXA
PH ST JOSEPH MEDICAL CENTER
32901 SQUALICUM PARKWAYBELLINGHAMWA98225XXXA
PH ST JOHN MEDICAL CENTER
41615 DELAWARE STREETLONGVIEWWA98632XXXA
PH KETCHIKAN MEDICAL CENTER
53100 TONGASS AVENUEKETCHIKANAK99901XXXAX
PH PEACE HARBOR MEDICAL CENTER
6400 9TH STREETFLORENCEOR97439XXXAX
PH COTTAGE GROVE COMMUNITY MED CTR
71515 VILLAGE DRIVECOTTAGE GROVEOR97424XXXAX
PH SOUTHWEST MEDICAL CENTER
8400 NE MOTHER JOSEPH PLVANCOUVERWA98683XXXA
PH PEACE ISLAND MEDICAL CENTER
91117 SPRING STREETFRIDAY HARBORWA97401XXXB

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

CHNA ConductedCHNAConductedCommunity DefinitionCommunityDefinitionCommunity DemographicsCommunityDemographicsExisting ResourcesExistingResourcesHow Data ObtainedHowDataObtainedCommunity Health NeedsCommunityHealthNeedsOther Health IssuesOtherHealthIssuesIdentifying ProcessIdentifyingProcessConsulting ProcessConsultingProcessInformation GapsInformationGapsNeeds Assessment ConductedNeedsAssessmentConductedTake Into AccountTakeIntoAccountOther FacilitiesOtherFacilitiesCHNA Widely AvailableCHNAWidelyAvailableOwn WebsiteOwnWebsiteOn RequestOnRequestAdopt Implement StrategyAdoptImplementStrategyExecute Implement StrategyExecuteImplementStrategyDevelop Community PlanDevelopCommunityPlanInclude Operational PlansIncludeOperationalPlansAdopt BudgetAdoptBudgetAll Needs AddressedAllNeedsAddressedOrganization Incur Excise TaxOrganizationIncurExciseTaxEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
FACILITY REPORTING GROUP - A
1XXXXXXXXX12111XXXXXXX0011200.0000000000001400.0000000000001XXXXX11XXXXXX10XXXX1X00
FACILITY REPORTING GROUP - B
011200.0000000000001400.0000000000001XXXXX11XXXXXX10XXXX1X00

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7: THE COSTING METHOLODOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I, LINE 7 IS A COST TO CHARGE RATIO DETERMINED BY COMPARING TOTAL PATIENT CHARGES TO THE PATIENT CARE EXPENSES (EXCLUSIVE OF NON-OPERATING EXPENSES AND BAD DEBT). THIS RATIO IS THEN APPLIED TO THE TOTAL ACCOUNT, OFFSETTING REVENUE AND ALLOCATING THE REMAINING UNREIMBURSED COST BETWEEN CHARITY AND OTHER PAYERS RELATED TO THE SPECIFIC PATIENT ACCOUNT TO ARRIVE AT THE AMOUNT OF CHARITY CARE REPORTED ON LINE 7.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: 6/30/2013 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 II - COMMUNITY BUILDING ACTIVITIES:THE ORGANIZATION'S ACCOUNTING SYSTEMS ARE NOT CURRENTLY CAPTURING COMMUNITY BUILDING ACTIVITIES AT THIS TIME.
PART III, LINE 8: THE CALCULATION ABOVE IS COMPLETED USING MEDICARE COST REPORT DATA.
PART VI, LINE 2: THE NEEDS ASSESSMENT IS CUSTOMIZED TO THE LOCAL COMMUNITY. TYPICALLY WE ENGAGE COMMITTEES OF STAFF, BOARD MEMBERS AND VOLUNTEERS TO REVIEW AND ACT ON FUNDING REQUESTS FROM COMMUNITY-BASED ORGANIZATIONS. IN MAKING THEIR 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 OUR BOARD COMMITTEES MAKE WISE STRATEGIC INVESTMENT IN PROGRAMS THAT EFFECTIVELY ADDRESS COMMUNITY NEEDS, THIS PROCESS ALSO KEEPS OUR STAFF AND BOARD MEMBERS ATTUNED TO CHANGES IN OUR COMMUNITY. WHEN WE EVALUATE THE COMMUNITY'S DEMAND AND DESIRE FOR A PARTICULAR SERVICE, WE ASSESS A WHOLE HOST OF FACTORS, INCLUDING:-ALTERNATIVE WAYS TO ACCESS CARE-OUR ABILITY TO PROVIDE THE NECESSARY STAFF, EQUIPMENT AND SPACE-THE EFFECT ON THE COMMUNITY AND PATIENTS IF WE DID NOT PROVIDE THECARE-THE COMMUNITY'S BEST INTEREST-RESULTS OF AN ETHICAL DISCERNMENT.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.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. IT 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 HAS AN INNOVATIVE "BRIDGE ASSISTANCE" PROGRAM WHICH PROVIDES 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 NAME "BRIDGE ASSISTANCE" SO THAT PEOPLE USING THIS PROGRAM CAN REFER TO IT WITHOUT ANY DISCOMFORT OR EMBARRASSMENT. QUALIFIED INDIVIDUALS RECEIVE A BRIDGE ASSISTANCE CARD WHICH THEY MAY PRESENT JUST AS ONE WOULD AN INSURANCE CARD. MANY INDEPENDENT PROVIDERS IN THE COMMUNITY NOW ACCEPT PEACEHEALTH'S BRIDGE PROGRAM AS THEIR BENCHMARK FOR PROVIDING PRO BONO SERVICES. THE NAME REFERS TO BRIDGING THE GAP OF FINANCIAL UNCERTAINTY FOR OUR PATIENTS IN NEED. BRIDGE ASSISTANCE PROVIDES MEDICALLY NECESSARY AND PREVENTATIVE SERVICES FOR OUR PATIENTS AT PEACEHEALTH FACILITIES AT A REDUCED COST OR WITHOUT CHARGE WHEN PAYMENT CANNOT BE OBTAINED THROUGH ALL OTHER AVAILABLE FINANCIAL RESOURCES. IT IS SECONDARY TO RESOURCES SUCH AS INSURANCE, THIRD PARTY LIABILITY PAYERS, GOVERNMENT PROGRAMS, OUTSIDE AGENCY PROGRAM, OR PRIVATE MEANS. THE PURPOSE OF THE PROGRAM IS TO HELP MANAGE THE DELICATE BALANCE OF MAINTAINING FINANCIAL HEALTH AND WISE STEWARDSHIP WITH OUR MISSION OF PROVIDING COMMUNITY SERVICES IN ALL OF OUR SERVICE AREAS. IT ENSURES THAT PATIENTS RECEIVE FAIR AND EQUAL FINANCIAL TREATMENT ACROSS PEACEHEALTH. IT WORKS TOGETHER WITH OUR FINANCIAL COUNSELING SERVICES TO HELP PEACEHEALTH IDENTIFY PATIENTS WHO CAN BENEFIT FROM BRIDGE 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 BRIDGE ASSISTANCE PROGRAM. ALLIANCE STAFF WORK WITHTHE MEDICAL CENTER TO FOLLOW UP ON PATIENTS WHO FREQUENT THE EMERGENCYDEPARTMENT FOR CARE AND INFORM THEM OF AVAILABLE RESOURCES, INCLUDINGPOSSIBLE BRIDGE ASSISTANCE. PATIENTS REFERRED FROM COMMUNITY HEALTHCENTERS SEEKING ACCESS TO DONATED SPECIALTY CARE ARE ROUTINELY ENROLLEDIN BRIDGE ASSISTANCE AS PART OF THE PROCESS FOR DETERMINING ELIGIBILITYFOR 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 ATHTTP://WWW.PEACEHEALTH.ORG/SHARED-PAGES/PAGES/_BRIDGEASSISTANCE-DEFAULT.A SPX?FROM=/ABOUT-PEACEHEALTH/BRIDGE- ASSISTANCE-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:-REGISTRATION BOOTH/DESK-CHECK-IN AREAS (LAB, IMAGING, ETC)-WAITING AREAS-EXISTING BROCHURE DISPLAYS-ADMINISTRATION-PATIENT EXAM ROOMS (PROVIDER OFFICES)-PAY STATIONSFOR FACILITY REPORTING GROUP A AND BPART V, LINE 20 - 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 HAE INSURANCE COVERAGE.UPON DETERMINATION THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE A SLIDING DISCOUNT IS APPLIED. THESE DISCOUNTS RANGE FROM 10% - 100%. WHILE THE RATE INSURED INDIVIDUALS ARE ULTIMATELY CHARGED VARIES WITH CONTRACT AND BENEFIT TERMS, WE BELIEVE THAT OUR FAP DISCOUNTS PROVIDE ELIGIBLE INDIVIDUALS WITH BETTER OR SIMILAR DISCOUNTS. WE DO NOT USE GROSS CHARGES WITHOUT DISCOUNTS FOR INDIVIDUALS ELIGIBLE UNDER OUR FAPS.FOR FACILITY REPORTING GROUP A PART V, COMMUNITY HEALTH NEEDS ASSESSMENT, LINE 3 DESCRIPTION DETAILTO 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. FOR FACILITY REPORTING GROUP A PART V, COMMUNITY HEALTH NEEDS ASSESSMENT, LINE 7 EXPLANATION FOR OTHER:WHILE THE PEACEHEALTH MEDICAL CENTERS STRIVE TO ADDRESSS ALL NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, CONSTRAINTS ON RESOURCES AND TIME PREVENT COMPLETELY ADDRESSING ALL COMMUNITY HEALTH NEEDS.
PART VI, LINE 4: PEACEHEALTH OPERATES NINE 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, IT OWNS PEACEHEALTH SOUTHWEST WASHINGTON MEDICAL CENTER (VANCOUVER), PEACEHEALTH ST. JOHN MEDICAL CENTER (LONGVIEW), PEACEHEALTH ST. JOSEPH MEDICAL CENTER (BELLINGHAM), 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. THE AVERAGE HOUSEHOLD SIZE WAS 2.05 AND THE AVERAGE FAMILY SIZE WAS 2.88.
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. PEACEHEALTHS 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.THESE GOALS ARE BECOMING INCREASINGLY IMPORTANT IN THE CHANGING FACE OF HEALTH CARE. OUR BROAD, NEW VISION FOR ACHIEVING POPULATION HEALTH IS CAPTURED IN THE PEACEHEALTH VISTA STRATEGIC PLAN (20132017).THROUGH VISTA, PEACEHEALTH IS MAKING A DELIBERATE SHIFT AWAY FROM FOCUSING ONLY ON ILLNESS AND INDIVIDUAL EPISODES OF CARE. WHILE STILL PROVIDING ACUTE CARE, WE ARE ALSO NOW AIMING OUR ATTENTION AND RESOURCES TOWARD SUPPORTING BEHAVIORS AND INITIATIVES THAT IMPROVE OUTCOMES, PROMOTE WELLNESS BEHAVIORS, AND SUPPORT HEALTH MANAGEMENT FOR ENTIRE COMMUNITIES. THE PRIORITIES WE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR THE PEACEHEALTH HOSPITAL FACILITIES ARE INTEGRAL TO THIS PROCESS.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 RECENTLY CONDUCTED A CHNA FOR EACH PEACEHEALTH HOSPITAL REQUIRED TO PROVIDE ONE (EIGHT TOTAL). 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.WITH THIS CHNA PLAN IN HAND AND GUIDED BY VISTA, 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.
SEE BELOWPART V, LINE 8 FACILITY REPORTING GROUP A
PART V, SECTION B, LINE 11:
PART V, SECTION B, LINE 20D:
PART V, SECTION B, LINE 20D:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LANE COMMUNITY COLLEGE
8000 EAST 30TH AVENUEEUGENEOR97405930546223UNIV375000EDUCATION SUPPORT
SISTERS OF ST JOSEPH OF PEACE
1663 KILLAMEY WAY PO BOX 248BELLEVUEWA98009910567741501(C)(3)222000MISSION SUPPORT
WHATCOM ALLIANCE FOR HEALTHCARE ACCESS
800 EAST CHESTNUT LL STE 2BELLINGHAMWA98225810677295501(C)(3)151542COMMUNITY HEALTH NEEDS
CATHOLIC RELIEF SVC USCCB
228 W LEXINGTON STBALTIMOREMD21201135563422501(C)(3)100000MISSION SUPPORT
LANE COUNTY MEDICAL SOCIETY
990 W 7THEUGENEOR97402930562411501(C)(3)100000COMMUNITY HEALTH NEEDS
THE VOLUNTEERS IN MEDICINE CLINIC
3321 W 11TH AVENUEEUGENEOR97402931276816501(C)(3)85000COMMUNITY HEALTH NEEDS
LANE COUNTY OREGON
125 EAST 8TH AVENUEEUGENEOR97401936002303GOVT71400COMMUNITY HEALTH NEEDS
UNITED WAY OF LANE COUNTY
3171 GATEWAY LOOPSPRINGFIELDOR97477930394142501(C)(3)57500COMMUNITY HEALTH NEEDS
ST LUKES FOUNDATION OF BELLINGHAM
800 E CHESTNUT SUITE 1BBELLINGHAMWA98225911192943501(C)(3)50000COMMUNITY BENEFIT
HIV ALLIANCE
1966 GARDEN AVENUEEUGENEOR97403930963546501(C)(3)41312COMMUNITY HEALTH NEEDS
COUNTY OF WHATCOM
509 GIRARD STREETBELLINGHAMWA98225916001383GOVT40000COMMUNITY BENEFIT
PATHWAYS 2020
1452 HUDSON ST US BANK STE 209LONGVIEWWA9863291195481532100COMMUNITY HEALTH NEEDS
BRIGID COLLINS HOUSE
1231 N GARDEN STREET 200BELLINGHAMWA9822594312195122600COMMUNITY HEALTH NEEDS
UNITED WAY OF WHATCOM COUNTY
1511 CORNWALL AVENUEBELLINGHAMWA98225910570788501(C)(3)22500COMMUNITY BENEFIT
WILLAMETTE COMMUNITY HEALTH SOLUTIONS DBA CASCADE HEALTH SOLUTIONS
2650 SUZANNE WAY SUITE 200EUGENEOR97408930421470501(C)(3)21750COMMUNITY HEALTH NEEDS
WHITE BIRD CLINIC
341 E 12TH AVEEUGENECA97401930585814501(C)(3)20000COMMUNITY HEALTH NEEDS
LIGHTHOUSE MISSION MINISTRIES
910 W HOLLY STREETBELLINGHAMOR98225910659437501(C)(3)15000MISSION SUPPORT
CITY OF EUGENE
99 W 10THEUGENEAL97401936002160GOVT13500COMMUNITY HEALTH NEEDS
COMMUNITY HEALTH PARTNERS
1452 HUDSON ST US BANK STE 208LONGVIEWWA98632912016542501(C)(3)13160COMMUNITY HEALTH NEEDS
MARCH OF DIMES
1050 SANSOME ST 4TH FLOORSAN FRANCISCOWA94111131846366501(C)(3)13000COMMUNITY HEALTH NEEDS
LONGVIEW EARLY EDITION ROTARY FOUNDATION
950 12TH AVE STE 150LONGVIEWWA98632300474480501(C)(3)11500COMMUNITY HEALTH NEEDS
LANE METRO PARTNERSHIP
1401 WILLAMETTE ST 2ND FLOOREUGENEWA97401930883707501(C)(3)10000COMMUNITY HEALTH NEEDS
EUGENE SCHOOL DISTRICT 4J LANE COUNTY
2455 WILLAKENZIE RDEUGENEWA97401936000566GOVT8000EDUCATION SUPPORT
ROMAN CATHOLIC ARCHBISHOP OF BOSTON
66 BROOKS DRIVEBRAINTREEMA02184042106175501(C)(3)8000MISSION SUPPORT
COWLITZ COUNTY
1952 9TH AVENUEKELSOWA98626916001310GOVT7000COMMUNITY HEALTH NEEDS
LOWER COLUMBIA COLLEGE
PO BOX 3010LONGVIEWWA98632910823636UNIV7000EDUCATION SUPPORT
KETCHIKAN GATEWAY BOROUGH
1900 FIRST AVEKETCHIKANAK99901920084626GOVT6562COMMUNITY BENEFIT
IDENTITY CLARK COUNTY
915 BROADWAY SUITE 302VANCOUVERWA986608000COMMUNITY BENEFIT

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: PEACEHEALTH PRE-SCREENS APPLICANTS TO DETERMINE THE NEED OF THE ORGANIZATION RECEIVING THE GRANT. GRANTS AND DONTATIONS ARE THEN DETERMINED AND GIVEN TO THOSE ORGANIZATIONS WHOSE MISSION FALLS IN LINE WITH PROMOTING HEALTHCARE OR THE FURTHERANCE OF 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Payments For Use Of ResidenceXPaymentsForUseOfResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs1CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALAN YORDY
PRESIDENT & CEO915765000161824032594103070001434230000
STUART P HENNESSEY
SENIOR VP40153403928107216701479570236210684560000
KEVIN WALSTROM
SENIOR VP4895410721460375301455750272290738244000
JOHN HAUGHOM
SENIOR VP000045701607410196290477386000
PETER ADLER
SENIOR VP4288300322790834201575790290280656058000
NANCY STEIGER
SENIOR VP459822000330201408450345360638505000
CAROL AARON
SENIOR VP3574520509480188930920240228360542153000
ELAINE SVIGEL DUNDA
SENIOR VP38443705736806962201460660285010685994000
HOWARD GRAMAN MD
SENIOR VP5126480125000019960298350358820705361000
JOSIAH JOHNSON
SENIOR VP34035005025801048201119490214490534488000
TOD CASEY WOODARD
SENIOR VP22199800000850950301110337204000
JOHN HILL
SENIOR VP282046085000012715000159300395691000
MEL PYNE
CEO - EUGENE/SPRINGFIELD, OR0000494502097820135040517788000
RAN WHITEHEAD
CEO - PEACEHEALTH LABS27628900074180370930273700348170000
JOSEPH KORTUM
SENIOR VP690887010327502184021864302751601042505000
DENNIS GORY
PHYSICIAN7502090113046100623800214160838728000
JOHN F MACGREGOR
PHYSICIAN68600003800005405074420218270758674000
STEPHEN COOK
PHYSICIAN7194390101019690574650234390802413000
WILLIAM L LOMBARDI
PHYSICIAN682254020000000322390217920756285000
ANDREW T COLETTI
PHYSICIAN679537020000000295490263710755457000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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. CERTAIN INDIVIDUALS PARTICIPATE IN INCENTIVE COMPENSATION PLANS BASED ON ORGANIZATIONAL OUTCOMES OF QUALITY, SERVICE, CAREGIVER ENGAGEMENT, FINANCIAL PERFORMANCE, REVENUE, AND GROWTH. ANY INCENTIVES PAID ARE INCLUDED IN BONUS COMPENSATION. OTHER REPORTABLE COMPENSATION INCLUDES RELOCATION (MOVING) ALLOWANCES, SEVERANCE, AND OTHER TAXABLE BENEFITS.
PART IIIWE 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.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
STATE OF OREGON
A93600178768608JBR12004-10-1415000000CONSTRUCT MEDICAL COMPLEX100
WA HEALTHCARE FACILITIES AUTHORITY
B91110892993978EU262008-06-2680650000REFUND PRIOR BOND ISSUE000
OR FACILITIES AUTHORITY
C93600178768608JJG72008-06-2695495000REFUND PRIOR BOND ISSUE000
OR FACILITIES AUTHORITY
D93600178768608JJH52008-06-2699175000REFUND PRIOR BOND ISSUE000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A150000003888241461117620060011
B806500003855008026450020081011
C954950004613449503365620081011
D991750004479669872703420081011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A001100.000000.000000.00000010.0100011
B001100.000000.000000.00000010.0100011
C001100.000000.000000.00000010.0100011
D001100.000000.000000.00000010.0100011

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A001000000
B001000000
C001010000
D001010000

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
OR FACILITIES AUTHORITY
A93600178768608JKB62009-10-15100795000REFUND PRIOR BOND ISSUE000
WA HEALTHCARE FACILITIES AUTHORITY
B91110892993978E5T52009-10-1594835000REFUND PRIOR BOND ISSUE000
STATE OF OREGON
C93600178768608JPE52011-08-11150000000REFUND PRIOR BOND ISSUE000
WA HEALTHCARE FACILITIES AUTHORITY
D911108929NONEAVAIL2013-02-2753464898REFUND PRIOR BOND ISSUE000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A10438725045141710393583320081011
B995154434071099910833420081011
C15000000015000000020111011
D534648981011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A001100.000000.000000.00000010.0100011
B001100.000000.000000.00000010.0100011
C001100.000000.000000.00000010.0100011
D001100.000000.000000.00000010.0100011

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A001000000
B001000000
C001010000
D001010000

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOSEPH KORTUM
KEY EMPLOYEE203729CONTRIBUTION TO SPLIT INTEREST TRUST.0
LEONARD KEARNEY
FORMER DIRECTOR1050000CONTRIBUTION TO SPLIT INTEREST TRUST.0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IVIdentifier
Return ReferenceDISCLOSUREReturnReference
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) PEACEHEALTH SOLD $26.7 MILLION OF PROPERTY TO THE TRUSTS; 2) $2.3 MILLION IN RENT PAYMENTS FROM PEACEHEALTH TO THE SPLIT INTEREST TRUSTS; AND 3) SPLIT INTEREST TRUSTS MADE LOAN PAYMENTS OF $3.97 MILLION AND $1.03 MILLION IN INTEREST AS PAYMENT ON DEBT TO PEACEHEALTH. AS OF 06/30/13, THE SPLIT INTEREST TRUSTS HAVE A LIABILITY TO THE DONORS OF APPROXIMATELY $9.5 MILLION.CERTAIN INTERESTED PERSONS AND OTHERS ENGAGED IN TRANSACTIONS WITH THE SPLIT INTEREST TRUSTS. DURING THE CURRENT FISCAL YEAR THESE INDIVIDUALS CONTRIBUTED $1,330,167 TO THE SPLIT INTEREST TRUSTS. THE SPLIT INTEREST TRUSTS PAID IN AGGREGATE TO THESE INDIVIDUALS APPROXIMATELY $49,071. UPON THE DEATH OF THE INDIVIDUAL, AND OR THEIR SUCCESSOR, THEIR OWNERSHIP INTERESTS IN THESE SPLIT INTEREST TRUSTS WILL REVERT BACK TO PEACEHEALTH.OF THE AMOUNTS DISCLOSED ABOVE, THE FOLLOWING INDIVIDUALS HAD TRANSACTIONS ABOVE THE THRESHOLD OF $100,000:* JOSEPH KORTUM $203,729* LEONARD KEARNEY $1,050,000Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 4THE PEACEHEALTH BYLAWS WERE AMMENDED JULY 2, 2012, TO CREATE THE NETWORK BOARD STRUCTURE AND HAVE EACH NETWORK REPRESRENTED ON THE PEACEHEALTH BOARD.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN EMPLOYEE CPA, WITH CONSULTATION AND REVIEW FROM EXTERNAL ADVISORS, AND FURTHER REVIEWED BY THE CFO AND PRESIDENT & CEO PRIOR TO SIGNATURE. THE FORM IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. IN ADDITION, THE EXECUTIVE AND STEWARDSHIP COMMITTEES REVIEW PART OR ALL OF THE RETURN PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CREGULARLY SCHEDULED EDUCATION IS PROVIDED TO EMPLOYEES AND BOARD MEMBERS THROUGHOUT THE YEAR AS TO THE REQUIREMENTS OF THE CONFLICT OF INTEREST POLICY. OFFICERS, KEY EMPLOYEES, EMPLOYED PHYSICIANS, AND ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL WRITTEN CONFLICT OF INTEREST QUESTIONNAIRE. THEIR RESPONSES TO THE QUESTIONNAIRE ARE ANNUALLY REVIEWED BY THE LEGAL DEPARTMENT AND THE ORGANIZATIONAL INTEGRITY DEPARTMENT. THE LEGAL DEPARTMENT REGULARLY REVIEWS THE MINUTES FROM THE BOARD MEETINGS AND THE MINUTES FROM THE MANAGEMENT EXECUTIVE COMMITTEE MEETINGS TO CHECK VOTING RECORDS AGAINST THE DISCLOSED POTENTIAL CONFLICTS OF INTEREST. CHAIRPERSONS AND THEIR SUPPORTIVE MINUTE TAKERS ARE TRAINED IN THE CORRECT PROCEDURE TO FOLLOW WHENEVER A POTENTIAL CONFLICT OF INTEREST ARISES. IN THE EVENT OF A CONFLICT OF INTEREST, RESTRICTIONS ARE IMPOSED AND APPROPRIATE MEASURES ARE TAKEN TO ADDRESS THE IDENTIFIED ISSUE.
FORM 990, PART VI, SECTION B, LINE 15THE INDEPENDENT NATIONAL CONSULTING FIRM OF SULLIVAN AND COTTER IS RETAINED BY THE EXECUTIVE COMMITTEE OF THE PEACEHEALTH BOARD - WHICH ALSO SERVES AS THE COMPENSATION COMMITTEE. ALL COMMITTEE MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICIES AND MUST RECUSE THEMSELVES IN THE EVENT OF A POTENTIAL CONFLICT. SULLIVAN COTTER IS REGULARLY AND CONSISTENTLY UTILIZED TO PREPARE AND ANALYZE COMPENSATION COMPARABILITY DATA FOR OFFICERS, KEY EXECUTIVES AND DISQUALIFIED PERSONS DESCRIBED IN THE INTERMEDIATE SANCTION REGULATIONS. THOSE REPORTS ARE PROVIDED TO THE EXECUTIVE COMMITTEE OF THE PEACEHEALTH BOARD OF DIRECTORS FOR COMPENSATION APPROVALS TO DETERMINE THE FAIR MARKET VALUE OF COMPENSATION FOR THESE INDIVIDUALS, AND THESE APPROVALS ARE DOCUMENTED IN COMMITTEE MINUTES. THE PEACEHEALTH BOARD DOCUMENTS THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THE COMPENSATION DETERMINATION. THERE ARE NO EMPLOYEE MEMBERS OF THE PH BOARD OR ITS EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ARTICLES OF INCORPORATION AND EXTENSIVE FINANCIAL DATA ARE FILED WITH STATE GOVERNMENTS AND BECOME AVAILABLE TO THE PUBLIC. THE BYLAWS AND CONFLICT OF INTEREST POLICY ARE PROVIDED UPON REQUEST. INDEPENDENT FINANCIAL AUDITS OF THE COMPANY'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION LIABILITY 27,963,579. DONATIONS FOR LAND, BUILDINGS AND EQUIPMENT 9,060,884. CHANGE IN INTEREST IN RELATED FOUNDATIONS 11,504,308.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETSFINAL RETURN WAS FILED FOR PEACEHEALTH SOUTHWEST MEDICAL CENTER [EIN: 91-6068143] FOR THE PERIOD ENDED 12/31/2012. THIS ENTITY WAS MERGED INTO PEACEHEALTH EFFECTIVE 1/1/2014. ALL ASSETS AND LIABILITIES OF THE ENTITY WERE INCORPORATED INTO THE PEACEHEALTH FORM 990 FOR THE PERIOD ENDED 6/30/2011 AS PART OF THE AFFILIATION.AFFILIATION WITH PEACEHEALTH SOUTHWEST MEDICAL CENTER:
SCHEDULE K, PART III, LINE 4A DE MINIS AMOUNT OF PRIVATE USE OCCURS. THE PUBLIC MUNICIPAL AUTHORITYS BOND COUNSEL HAS REVIEWED AND APPROVED OF PEACEHEALTHS CONTRACTS AND COMPLIANCE WITH REGARD TO THE PRIVATE BUSINESS USE OF BOND FINANCED PROPERTY.PERCENTAGE OF BOND FINANCED PROPERTY USED IN PRIVATE BUSINESS:
SCHEDULE K, PART III, LINES 8A, 8B AND 8CIN THE ORDINARY COURSE OF BUSINESS, PEACEHEALTH ROUTINELY DISPOSES OF PROPERTY. DISPOSALS ARE GENERALLY DUE TO EQUIPMENT OBSOLESCENCE OR A TRADE IN ON NEW EQUIPMENT. IN A DISPOSAL WHERE CASH PROCEEDS ARE RECEIVED, THE PROCEEDS ARE EITHER: 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.DISPOSITIONS OF BOND-FINANCED PROPERTY:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
WHATCOM HEALTH INFORMATION NETWORK
625 CORNALL AVEBELLINGHAMWA98225911993455INFO NETWORKWA15847712200174PEACEHEALTH
PROPERTY AND BUILDING CO LLC
PO BOX 1600VANCOUVERWA98668911230425PROPERTY MGMTWA5138804SWHS

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HEALTH VENTURES
1115 SE 164TH AVENUEVANCOUVERWA98683911350776PARTICIPATES IN HEALTHCARE JOINT VENTURESWA501(C)(3)LINE 11APEACEHEALTH1
PEACEHEALTH SOUTHWEST MEDICAL CENTER
400 NE MOTHER JOSEPH PLACEVANCOUVERWA98664916068143HEALTHCAREWA501(C)(3)LINE 3SWHS1
SOUTHWEST WASHINGTON HEALTH SYSTEM
1115 SE 164TH AVENUEVANCOUVERWA98683911230425SUPPORT PEACEHEALTH SOUTHWEST MEDICAL CENTERWA501(C)(3)LINE 11B, IIPEACEHEALTH1
PEACEHEALTH SW MEDICAL CENTER FOUNDATION
PO BOX 1600VANCOUVERWA98668911231436FUNDRAISINGWA501(C)(3)LINE 7PEACEHEALTH1
KETCHIKAN MEDICAL CENTER FDN
3100 TONGASS AVENUEKETCHIKANAK99901651225184FUNDRAISINGAK501(C)(3)LINE 7PEACEHEALTH1
COTTAGE GROVE MEDICAL CENTER FDN
1515 VILLAGE DRIVECOTTAGE GROVEOR97424930688381FUNDRAISINGOR501(C)(3)LINE 7PEACEHEALTH1
PEACE HARBOR MEDICAL CENTER FDN
400 NINTH STREETFLORENCEOR97439931084126FUNDRAISINGOR501(C)(3)LINE 7PEACEHEALTH1
SACRED HEART MEDICAL CENTER FDN
PO BOX 10905EUGENEOR97440936026548FUNDRAISINGOR501(C)(3)LINE 7PEACEHEALTH1
ST JOHN MEDICAL CENTER FDN
1615 DELAWARE STREET PO BOX 3002LONGVIEWWA98632911538852FUNDRAISINGWA501(C)(3)LINE 7PEACEHEALTH1
ST JOSEPH MEDICAL CENTER FDN
2901 SQUALICUM PARKWAYBELLINGHAMWA98225721545902FUNDRAISINGWA501(C)(3)LINE 7PEACEHEALTH1

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
COLUMBIA UNITED PROVIDERS
16701 SW MCGILLVRAY BLVD 200VANCOUVERWA98668911624736HEALTH PLANWASWHSC0.920000
SW WA MANAGEMENT SVCS ORG
312 SE STONEMILL DRIVEVANCOUVERWA98684260656148MEDICAL SERVICESWAC1.000000N/A
SW WA MEDICAL GROUP PS
312 SE STONEMILL DRIVEVANCOUVERWA98684260656038MEDICAL SERVICESWAC1.000000N/A
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 Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HEALTH VENTURES
C11700000CASH
HEALTH VENTURES
L35743CASH
PEACEHEALTH SOUTHWEST MEDICAL CENTER
Q4276851CASH
SOUTHWEST WASHINGTON HEALTH SYSTEM
K5138804AT COST
PEACEHEALTH SOUTHWEST MED CNTR FND
P854974AT COST
SOUTHWEST WASHINGTON HEALTH SYSTEM
O100000AT COST
PEACEHEALTH POOLED INCOME FUNDS
R2360538AT COST
PEACEHEALTH POOLED INCOME FUNDS
S1034222AT COST
POOLED INCOME FUND OF PEACEHEALTH #1
H12562059AT COST
WHATCOM REGION POOLED INCOME FUND
G2773172AT COST
LOWER COLUMBIA REGION POOLED INCOME FUND
G1304322AT COST
OREGON REGION POOLED INCOME FUND
G4568023AT COST
SUISLAW REGION POOLED INCOME FUND
G652841AT COST
SOUTHWEST REGION POOLED INCOME FUND
G4913564AT COST

Form990 Schedule R Part VI Form990ScheduleRPartVI (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominate IncomePredominateIncomeDescAll Partners C3 SAllPartnersC3SDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipEINEINShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
ADVANCED MEDICAL IMAGING CTR
16821 SE MCGILLVRAY BLVDVANCOUVERWA98663MEDICAL SERVICESWARELATED1000.50000
SW WA ORTHO AND NEUROSURGICAL
400 NE MOTHER JOSEPH PLACEVANCOUVERWA98663MEDICAL DISCUSSIONSWARELATED1000.50000
RIVERBEND AMBULATORY SURGERY CENTER
3355 RIVERBEND DRIVESPRINGFIELDOR97477MEDICALORRELATED1000.50000205575145116500189771
MT BAKER IMAGING PLLC
2930 SQUALICUM PARKWAY SUITE 101BELLINGHAMWA98225MEDICALWARELATED1000.5000035225209532391713175813
THE OREGON CANCER CENTERS LTD
ONE POST STREET 35TH FLOORSAN FRANCISCOCA94104MEDICALTXRELATED1000.5000075271520828727347991999
OREGON IMAGING CENTERS LLC
1200 HILYARD ST STE 330EUGENEOR97401MEDICALORRELATED1000.5000093105413824391582178135
SW WA REGIONAL SURGERY CNTR LLC
200 NE MOTHER JOSEPH PLACE 200VANCOUVERWA98664MEDICALWARELATED1000.2517091195991013248402624983