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PEACEHEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PEACEHEALTH (EIN 91-0939479)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349307555
Schema version
2010v3.7
Note
A later return for the same period supersedes this one.
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)
Timestamp2012-05-15T17:01:04-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1801 Second Avenue Suite 900AddressLine1
CitySeattleCity
StateWAState
ZIP Code98104ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910939479EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PeacehealthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPEACNameControl
Phone3607291030Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11115 SE 164th AvenueAddressLine1
CityVancouverCity
StateWAState
ZIP Code98683ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKevin WalterName
TitleSVP and CFOTitle
Date Signed2012-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2069134000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
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 Receipts1699437914GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
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 by promoting personal and community health, releiving pain and suffering, and treating each person in a loving and caring way.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees13413TotalNbrEmployees
Total Nbr Volunteers2000TotalNbrVolunteers
Total Gross UBI38894224TotalGrossUBI
Net Unrelated Business Txbl Income-5735818NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4717732ContributionsGrantsPriorYear
Contributions Grants Current Year4457626ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1393201549ProgramServiceRevenuePriorYear
Program Service Revenue CY1515851811ProgramServiceRevenueCY
Investment Income Prior Year35927373InvestmentIncomePriorYear
Investment Income Current Year69740483InvestmentIncomeCurrentYear
Other Revenue Prior Year43095177OtherRevenuePriorYear
Other Revenue Current Year47681211OtherRevenueCurrentYear
Total Revenue Prior Year1476941831TotalRevenuePriorYear
Total Revenue Current Year1637731131TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1323436GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1319463GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year810284298SalariesEtcPriorYear
Salaries Etc Current Year864291556SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4838778TotalFundrsngExpCurrentYear
Other Expense Prior Year654586106OtherExpensePriorYear
Other Expenses Current Year659918900OtherExpensesCurrentYear
Total Expenses Prior Year1466193840TotalExpensesPriorYear
Total Expenses Current Year1525529919TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10747991RevenuesLessExpensesPriorYear
Revenues Less Expenses CY112201212RevenuesLessExpensesCY
Total Assets BOY1931025273TotalAssetsBOY
Total Assets EOY2591551712TotalAssetsEOY
Total Liabilities BOY1012351681TotalLiabilitiesBOY
Total Liabilities EOY1035157642TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY918673592NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1556394070NetAssetsOrFundBalancesEOY
Mission DescriptionPeacehealth carries on the healing mission of Jesus Christ by promoting the personal and community health, releiving pain and suffering, and treating each person in a loving and caring way.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense805296336Expense
Revenue1199500832Revenue
DescriptionHospitals and clinics (non-critical access) Peacehealth is a not-for-profit health care system with medical centers, critical access hospitals, medical group clinics and laboratories located in Alaska, Washington and Oregon. 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. During the most recent fiscal year (2011), Peacehealth provided patient care to these communities through more than 49,712 inpatient admissions and 444,545 outpatient registrations, and 1 million patient encounters with the medical groups. Peacehealth consistently receives national recognition for innovations in patient-centered care, patient safety, health care technology and cost efficiency.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense336661399Expense
Grants1319463Grants
Revenue183171994Revenue
DescriptionCharity care and community benefits Peacehealth provides partial and full charity care to patients unable to pay for service ($55 million at cost). 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 to uninsured emergency and outpatients prior to admission. Bridge assistance is also available post-care through financial counseling. Other community benefit costs include the means-tested medicaid shortfall ($67 million), subsidized services provided at a financial loss ($26 million), non-healthcare community building activities ($302 thousand) and other services and contributions ($5 million).Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense133510182Expense
Revenue133178985Revenue
DescriptionCritical access hospitals and clinics Peacehealth operates three hospitals that are part of the medicare critical access hospital (CAH) program. 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. During fiscal year 2011, these facilities collectively admitted 64,267 outpatient registrations, and 2,816 inpatient admissions.Description
FieldValueIRS element (for citing)
Total Program Service Expense1275467917TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficetrueForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962511NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees13413NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN FINLEYNamePerson
Telephone Number3607291030TelephoneNumber

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 DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Sr Eleanor Gilmore CS
Director40.0X000
Sr Monica Heeran CSJP
Secretary40.0X000
Sr Anne Hayes CSJP
Director40.0X000
Sr Andrea Nenzel CSJP
Chairman2.0X000
Sr Norah Clarke CSJP
Director2.0X000
Sr Kathleen Pruitt CS
Director40.0X000
Joe Gonyea II
Director2.0X000
Catherine Potts MD
Director2.0X000
Sr Margaret Dimond CSJ
Director2.0X000
Curt Roberts
Director2.0X000
Carol Sheridan
Director2.0X000
Dieter Morich
Vice Chair2.0X000
Roland Trenouth MD
Director2.0X000
Terry Brandon
Treasurer2.0X000
Tom Grove
Director2.0X000
Alan Yordy
President & Ceo40.010094880262767X
Kevin Walstrom
Senior VP, CFO40.06144920123276X
Mel Pyne
CEO-Eugene/Springfield, OR40.0666761043055X
John Haughom
Senior VP40.0565369054875X
Peter Adler
Senior VP40.05133120149698X
Nancy Steiger
Senior VP40.05057250136967X
Carol Aaron
SVP Culture & People40.0477222058610X
Stuart Hennessey
Senior VP40.04704010146340X
Elaine Svigel Dunda
Senior VP40.04547340142955X
Josiah Johnson
CEO - Longview, Wa40.03854440110563X
Richard Kincaid
Senior VP40.0345463047766X
Ran Whitehead
CEO - Florence, OR40.0341546055253X
Jill Hoggard-Green
COO-Eugene/Springfield,OR40.0312420038162X
Erik Hauck MD
Physician40.0902314039531X
Dennis Gory MD
Physician40.0784885046281X
Stephen Cook MD
Physician40.0784187044832X
Ramakota Reddy MD
Physician40.0723870044962X
David Saenger MD
Physician40.0702418038214X
Howard W Kriz
Former Employee0.024945900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10809510TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1584107TotalOtherCompensation
Number Individuals GT100 K1121NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Howard Wright Construction
501 Eastlake Ave E Ste 100SEATTLEWA98109Construction5381081
Deloitte Consulting LLP
925 4th Ave Ste 3300SEATTLEWA98104Consulting4949628
FFF Enterprises
41093 Country Center DriveTEMECULACA92591Vaccine Supplier2929399
Varian Medical Systems
3100 Hansen WayPALO ALTOCA94306Medical Systems2726935
Aramark Management Svs
1101 Market StPHILADELPHIAPA19107Uniform Service1963881
FieldValueIRS element (for citing)
Number Of Contractors GT100 K171NumberOfContractorsGT100K
Related Organizations2530914RelatedOrganizations
Government Grants899099GovernmentGrants
All Other Contributions1027613AllOtherContributions
Total Contributions4457626TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITALS/CLINICS NON-CA62111011414385081141438508
CHARITY CARE AND COMM BEN621110183171994183171994
CRITICAL ACCESS (CA) HOSP621500133178985133178985
OTHER OPERATING REVENUE9000995095885050958850
INCOME FROM PARTNERSHIP90009971034747103474
FieldValueIRS element (for citing)
Total Program Service Revenue1515851811TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column66034107TotalRevenueColumn
Exclusion$66,034,107ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9329964Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real6997473Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2332491Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2332491TotalRevenueColumn
Exclusion$2,332,491ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities50956837Securities
Other1254890Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities47250461Securities
Other7458849Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3706376Securities
Other-6203959Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3706376TotalRevenueColumn
Exclusion$3,706,376ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA9000996454496$6,454,496
LABORATORIES AND OTHER9000993889422438894224
FieldValueIRS element (for citing)
Total Other Revenue45348720TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1637731131TotalRevenueColumn
Related Or Exempt Function Income1515851811RelatedOrExemptFunctionIncome
Unrelated Business Revenue38894224UnrelatedBusinessRevenue
Exclusion$78,527,470ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1319463Total
Program Services1319463ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5186589Total
Program Services274780ProgramServices
Management And General4911809ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total684001357Total
Program Services564367835ProgramServices
Management And General117032288ManagementAndGeneral
Fundraising2601234Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total44220997Total
Program Services36153228ProgramServices
Management And General7913254ManagementAndGeneral
Fundraising154515Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total82247242Total
Program Services66434591ProgramServices
Management And General14909413ManagementAndGeneral
Fundraising903238Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total48635371Total
Program Services39337956ProgramServices
Management And General9091938ManagementAndGeneral
Fundraising205477Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total12733693Total
Program Services11479538ProgramServices
Management And General1254155ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2727652Total
Management And General2700595ManagementAndGeneral
Fundraising27057Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1087606Total
Management And General956658ManagementAndGeneral
Fundraising130948Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total50846892Total
Program Services26948853ProgramServices
Management And General23389570ManagementAndGeneral
Fundraising508469Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2581610Total
Program Services2478346ProgramServices
Fundraising103264Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7523448Total
Program Services376175ProgramServices
Management And General7147273ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10817034Total
Management And General10817034ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total27354608Total
Program Services24821823ProgramServices
Management And General2505926ManagementAndGeneral
Fundraising26859Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total8053635Total
Program Services3258038ProgramServices
Management And General4630581ManagementAndGeneral
Fundraising165016Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total92597Total
Management And General92597ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total35932314Total
Program Services35213668ProgramServices
Management And General718646ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total103188780Total
Program Services94864620ProgramServices
Management And General8311459ManagementAndGeneral
Fundraising12701Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total7858686Total
Program Services4528858ProgramServices
Management And General3329828ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES22316236820084613122316237
BAD DEBT6621350266213502
CLINICAL PURCHASED SERVICES3922256939222569
OTHER TAX3686741936451686415733
OTHER OPERATING EXPENSE18246758154685282778230

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5407729Total
Program Services5407729ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1525529919Total
Program Services1275467917ProgramServices
Management And General245223224ManagementAndGeneral
Fundraising4838778Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY66967863BOY
EOY93057707EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY232841204BOY
EOY243096494EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY169777241BOY
EOY196758485EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY16327453BOY
EOY39335350EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY25083351BOY
EOY25636643EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9760470BOY
EOY11055462EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1803290672LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec779975945LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1049567727BOY
EOY1023314727EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY258293489EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY529951305EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY360699964BOY
EOY171052050EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1931025273BOY
EOY2591551712EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY197269090BOY
EOY170903870EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY124917041EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY671969170BOY
EOY666529370EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY18876487EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY143113421BOY
EOY53930874EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1012351681BOY
EOY1035157642EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY894626180BOY
EOY1497688608EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20610460BOY
EOY47754068EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3436952BOY
EOY10951394EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY918673592BOY
EOY1556394070EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1931025273BOY
EOY2591551712EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses112201212ReconcilationRevenueExpenses
Reconcilation Other Changes525519266ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis75370626OtherCostOrOtherBasis
Book Value75370626BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1253688619OtherCostOrOtherBasis
Depreciation566440762Depreciation
Book Value687247857BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis425428091OtherCostOrOtherBasis
Depreciation192216638Depreciation
Book Value233211453BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis47183782OtherCostOrOtherBasis
Depreciation21318545Depreciation
Book Value25865237BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1021695173TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS60132619
HEALTHCARE OPERATION INVEST.19418592
NON-HEALTHCARE OPS. INVESTMENT15613989
FUNDS HELD BY TRUSTEE75886850
FieldValueIRS element (for citing)
Total Book Value Other Assets171052050TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
SETTLEMENT PAYABLE$4,407,829
OTHER CURRENT LIABILITIES$17,739,054
PAYABLES UNDER SECURITIES LENDING AGREEMENT$23,459,022
OBLIGATIONS UNDER CAPITAL LEASES$8,324,969
FieldValueIRS element (for citing)
Total Of Amounts53930874TotalOfAmounts
Total Revenue1637731131TotalRevenue
Total Expenses1525529919TotalExpenses
Excess Or Deficit For Year112201212ExcessOrDeficitForYear
Net Unrealized GL On Investments38044254NetUnrealizedGLOnInvestments
Other$448,983,197OtherAmount
Total Adjustments487027451TotalAdjustments
Excess Or Deficit Per FS599228663ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2124314088TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments38044254NetUnrealizedGainsInvestments
Other Revenues448983197OtherRevenues
Revenue Not Rptd F990487027451RevenueNotRptdF990
Revenue Subtotal1637286637RevenueSubtotal
Other Revenues Not Included444494OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt444494RevenueNotRptdOnFinStmt
Total Revenue Per Form9901637731131TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1525529919TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1525529919ExpensesSubtotal
Total Expenses Per Form9901525529919TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchedule D Supplemental InformationIdentifier
ExplanationPart 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), on July 1, 2007. 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 derecognition, 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. Part XI, Line 8 - Other Change in Net Assets Change in Value of Interest Rate Swaps 15,864,800 Unrealized FMV Adj. Due to Affiliation with SW 433,118,397 -------------- Total Other Changes in Net Assets 448,983,197 Part XII, Line 2d - Items Not Included on Return, on Financials Change in Value of Interest Rate Swaps 15,864,800 Unrealized FMV Adj. Due to Affiliation with SW 433,118,397 -------------- Total 448,983,197 Part XII, Line 4b - Amounts Included on Return, Not on Financials Book/Tax Partnership Differences 444,494 --------------- Total 444,494Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Number Of Employees2NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedHealthcareSpecificServicesProvided
Total Expenditures288997TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees2SubtotalNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees2TotalNumberOfEmployees
Subtotal Amount Spent288997SubtotalAmountSpent
Total Amount Spent288997TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense55247916TotalCommunityBenefitExpense
Net Community Benefit Expense55247916NetCommunityBenefitExpense
Percent Of Total Expense0.03620PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense249901047TotalCommunityBenefitExpense
Direct Offsetting Revenue183171994DirectOffsettingRevenue
Net Community Benefit Expense66729053NetCommunityBenefitExpense
Percent Of Total Expense0.04370PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense305148963TotalCommunityBenefitExpense
Direct Offsetting Revenue183171994DirectOffsettingRevenue
Net Community Benefit Expense121976969NetCommunityBenefitExpense
Percent Of Total Expense0.07990PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2053536TotalCommunityBenefitExpense
Net Community Benefit Expense2053536NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1210400TotalCommunityBenefitExpense
Net Community Benefit Expense1210400NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense26304877TotalCommunityBenefitExpense
Net Community Benefit Expense26304877NetCommunityBenefitExpense
Percent Of Total Expense0.01720PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1640922TotalCommunityBenefitExpense
Net Community Benefit Expense1640922NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense31209735TotalCommunityBenefitExpense
Net Community Benefit Expense31209735NetCommunityBenefitExpense
Percent Of Total Expense0.02040PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense336358698TotalCommunityBenefitExpense
Direct Offsetting Revenue183171994DirectOffsettingRevenue
Net Community Benefit Expense153186704NetCommunityBenefitExpense
Percent Of Total Expense0.10030PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4300TotalCommunityBuildingExpense
Net Community Building Expense4300NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense72833TotalCommunityBuildingExpense
Net Community Building Expense72833NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense64501TotalCommunityBuildingExpense
Net Community Building Expense64501NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense53676TotalCommunityBuildingExpense
Net Community Building Expense53676NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense88838TotalCommunityBuildingExpense
Net Community Building Expense88838NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense18553TotalCommunityBuildingExpense
Net Community Building Expense18553NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense302701TotalCommunityBuildingExpense
Net Community Building Expense302701NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$31,342,292BadDebtExpenseAmount
Amount Reimbursed By Medicare531760294AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare660124236CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-128363942MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities7NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospital
Sacred Heart Med Ctr Riverbend
13333 Riverbend DriveSpringfieldOR97477XXX
Sacred Heart Med Ctr Univ Dist
23333 Riverbend DriveSpringfieldOR97477XXX
St Joseph Hospital
32901 Squalicum ParkwayBellinghamWA98225XXX
St John Medical Center
41615 Delaware StreetLongviewWA986322367XXX
Ketchikan General Hospital
53100 Tongass AvenueKetchikanAK99901XXXX
Peace Harbor Hospital
6400 9th StreetFlorenceOR97439XXXX
Cottage Grove Comm Hospital
71515 Village DriveCottage GroveOR97424XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)

Hospital Facility NumberHospitalFacilityNumber
Sacred Heart Med Ctr Riverbend
1
Sacred Heart Med Ctr Univ Dist
2
St Joseph Hospital
3
St John Medical Center
4
Ketchikan General Hospital
5
Peace Harbor Hospital
6
Cottage Grove Comm Hospital
7

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierSchedule H Supplemental InformationIdentifier
ExplanationPart I, Line 7 - Costing Metholdology 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 charity care charges to arrive at the amount of charity care reported on Line 7. Part I, Line 7, Column (F) - Bad Debt Excluded The bad debt expense included on Form 990, Part IX, Line 24, Column (A) which is excluded for the calculation of Part I, Line 7, Column (F) of this schedule is $66,213,502. Part III, Section A, Line 2 - Bad debt Expense (At Cost) This was calculated using gross charges applied to bad debt expense ($66,213,499) multiplied by the cost-to-charge ratio(47.3352%). Part III, Line 8 - Medicare Shortfall and Allowable Costs Costing Method To determine the amount reported on Part III, Line 6, Peacehealth allocates overhead costs tracked using the cost reporting package of Peacehealth to each department of Peacehealth and added to the operating costs specifically assigned to that department via Peacehealth's cost reporting package. A cost to charge ratio, specific to each department is then calculated based on the ratio of the cost of operation of each department to each department's charges. This ratio is then applied to the Medicare charges associated with each department to arrive at the Medicare allowable costs. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating medicare patients is a community benefit. The elderly are often an underserved population who experience issues with access to healthcare services. Without tax-exempt hospitals providing Medicare services, other segments of society would bear the burden of providing services for the elderly. Part III, Line 9b - Provisions on Collection Practices for Qualified Patients In cases where medically necessary and preventative services are provided regardless of the pateints ability to pay, Peacehealth makes financial counseling available. By policy, Peacehealth does not turn a patient account into collections without some form of financial counseling occuring. One element of financial counseling includes a "bridge assistance" program. This program allows qualified patients to receive care at reduced cost or without charge when it has been determined that payment for those services cannot be obtained through insurance, outside agencies, or private means. Accounts will be considered for bad debt write-off when the patient has demonstrated an unwillingness to pay according to Peacehealth's payment policy. Telephone calls and written communication will be used to facilitate payment. Accounts will be referred to a collection agency when the patient has not agreed to an acceptable payment plan, does not respond to telephone calls and/or letters, or cannot be located. Unpaid accounts will be sent to a collection agency except for bankruptcies, small balances, and accounts meeting charity criteria. If, at any point during the collection process, a patient provides an application with proof of income supporting a reduction, the charity amount will be credited to the patient account and further collection actions on that portion of the balance will cease. Part VI, Line 2 - Needs Assessment Needs vary by region, so any assessment of needs is customized to the local community. Still, there are some approaches the regions have in common to assure we are truly understanding and meeting the most significant community needs. 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 the care -The community's best interest -Results of an ethical discernment. In Peacehealth Oregon Region: The primary tool for assessing community health is a biennial needs assessment report produced by united way and based on a community survey. The latest study found that paying for medical insurance and paying for doctor/dentist visits were the top two problems reported. Difficulty paying for prescription medications was in the top 10 list of problems. In Peacehealth Lower Columbia Region: Medical staff and hospital leaders participate in a biennial community health research study that exams social determinants of health, highlights key health scores and indicators, and recognizes champions for healthy lifestyles. The community health report card is coordinated by pathways 2020, a nonprofit organization dedicated to improving the quality of life in Cowlitz county through collaborative partnerships, resource mobilization, strategic planning and program development. Peacehealth is an active partner in producing the report card. In Peacehealth Whatcom Region: A primary means of assessing community health needs over the last five years has been through the efforts of the Whatcom coalition for healthy communities. Peacehealth St. Joseph medical center was a co-founder of this organization, along with the county health department and the local united way. With Peacehealth support, the coalition developed a web-based system for reporting and tracking a set of community health indicators which is maintained at whatcomcounts.org. In Peacehealth Southeast Alaska region: A gap in care or services may result when another local provider discontinues a service. Changing times have resulted in the closure of most independent physician offices and the local municipal behavioral health program. When no other provider steps in, Ketchikan general hospital (as the largest health care provider in the region) is typically asked to assume or absorb the delivery of that care or service. Growth of the Peacehealth medical group in primary care and OB/GYN was a direct result of this situation where if we had not stepped in, these services would not be available today. Another key example of this was the decision to take over the management of a satellite rural health clinic in Craig, Alaska, involving a comprehensive assessment and ethical discernment. Additional ways Peacehealth stays in touch with the community: -Patient councils: community members provide input and feedback administrators on the patient experience, issues, concerns and ideas. -Community involvement: hospital staff serves 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 - Patient Education of Eligibility for Assistance: 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 meaExplanation

Schedule I IRS990ScheduleI

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Sisters of St Joseph Peace
1663 Killarney WayBellevueWA98004910567741501(c)(3)280615Mission Support
Whatcom Alliance
800 East Chestnut St Lower LevelBellinghamWA98225810677295501(c)(3)139110Community
Family Care Network PLLC
873 Hinotes Court STE 1LyndenWA9826491175397650000Community
Interfaith Community Health
200 Unity StreetBellinghamWA98225912168190501(c)(3)46250Community
Willamette Family Treatment Service Inc
687 Cheshire AvenueEugeneOR9740293056968445000Community
Volunteers in Medicine Clinic
2260 Marcola RoadSpringfieldOR97477931276816501(c)(3)75000Community
United Way of Lane County
3171 Gateway LoopSpringfieldOR97477930394142501(c)(3)30000Community
University of Washington
1400 NE Campus ParkwaySeattleWA98195916001537University25000Education
Rotary Foundation of Longview
PO Box 1105LongviewWA986327673911079032501(c)(3)10000Community
United Way of Whatcom County
1511 Cornwall AvenueBellinghamWA98225910570788501(c)(3)10000Community
Eugene Education Fund
3411 Willamette AvenueBellinghamWA98225931128220501(c)(3)10000Education
White Bird Clinic
341 East 12th AvenueEugeneOR97405930585814501(c)(3)10000Community
Community Health Partners
PO Box 2853LongviewWA98632912016542501(c)(3)10000Community Health Promotion
Emerald Kidsports
2190 Polk StreetEugeneOR97405930472773501(c)(3)7500Promote Youth Activities
Ketchikan Gateway Borough
2610 4th AvenueKetchikanAK99901920084626Educ. Dist.6500Promote Education
United Way of King County
720 2nd AvenueSeattleWA98104910565555501(c)(3)6007Community Benefit
Columbia Theatre Assoc for the Performing Arts
1231 Vandercook WayLongviewWA98632911186556501(c)(3)7500Performing Arts Promotion
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants15TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrant MonitoringIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
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. Because 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)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base 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
817462018224309783024384401892301272255000
Kevin Walstrom
45666701531140471101061560171200737768000
Mel Pyne
5476170111659074850300280130270709816000
John Haughom
4531620106272059350349280199470620244000
Peter Adler
4115080952730653101273940223040663010000
Nancy Steiger
4022490978040567201170400199270642692000
Carol Aaron
392706075585089310424080162020535832000
Stuart Hennessey
3745360863130955201250100213300616741000
Elaine Svigel Dunda
3636740842880677201230080199470597689000
Josiah Johnson
302941073859086440933290172340496007000
Richard Kincaid
281800062549011140251280226380393229000
Ran Whitehead
257407076261078780347300205230396799000
Jill Hoggard-Green
253920055273032270235090146530350582000
Erik Hauck MD
8990200750025440130800264510941845000
Dennis Gory MD
7367320355630125900335050127760831166000
Stephen Cook MD
7385550355630100690275970172350829019000
Ramakota Reddy MD
683902035644043240230780218840768832000
David Saenger MD
660317035563065380189790192350740632000
Howard W Kriz
000024945900000249459000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchedule J Supplemental InformationIdentifier
ExplanationPart I, Line 4a - Severance Payments Howard W. Kirz retired due to medical reasons. Mr. Kirz received $249,459 of severance payments representing a complete satisfaction of a severance agreement, which was paid in full upon the death of Mr. Kirz. There are no other employees with severance arrangements.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
State of Oregon
93600178768608JBR12004-10-1415000000Construct Medical Complexfalsefalse
WA Healthcare Facilities Authority
91110892993978EU262008-06-2680650000Refund Prior Bond Issuefalsefalse
OR Facilities Authority
93600178768608JJG72008-06-2695495000Refund Prior Bond Issuefalsefalse
OR Facilities Authority
93600178768608JJH52008-06-2699175000Refund Prior Bond Issuefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
15000000388824146111762006falsefalsetruetrue
80650000385500802645002008truefalsetruetrue
95495000461344950336562008truefalsetruetrue
99175000447966987270342008truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruefalsetrue0.000000.000000.00000true
falsefalsetruefalsetrue0.000000.000000.00000true
falsefalsetruefalsetrue0.000000.000000.00000true
falsefalsetruefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsetrue
falsetruefalsefalsefalsetrue
falsetruefalsefalsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSchedule K Supplemental InformationIdentifier
ExplanationPart III, Line 3z - Management or Service Contracts Resulting in Private Business Use of Property All contracts have been reviewed the the Peacehealth board council and meet the safe harbor regulations.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierSupplemental Information for Form 990 and Supporting SchedulesIdentifier
ExplanationForm 990, Part VI, Line 11B - Form 990 Review Process The Form 990 is prepared by a non-employee CPA, with consultation and review from external advisors and futher reviewed by the CFO and President & CEO prior to signature. The signed form is provided to the board of directors prior to filing. Form 990, Part VI, Line 12C - Explanation of Monitoring and Enforcement of Conflicts Regularly 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 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. Form 990, Part VI, Line 15B - Compensation Review & Approval Process for Officers & Key Employees The 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 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 disaplified 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 ensure the fair market value of compensation for these individuals, and these approvals are documented in committee minutes. The compensation meeting took place on September 9, 2010 and the Peacehealth board documented the basis for its determination concurrently with making the compensation determination. Form 990, Part VI, Line 19 - Other Organization Documents Publicly Available The 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 have been made public annually in connection with public bond offerings during the last several years and are also available upon request. Form 990, Part XI, Line 5 - Other Changes in Net Assets or Fund Balances Unreazlied Gains on Investments 38,044,254 Change in Value of Interest Rate Swaps 15,864,800 Unreazlied FMV Adj. Due to Affiliation with SW 433,118,397 Book/Tax Partnership Difference -444,494 Prior Period Adjustment 38,936,309 ------------ Total Other Change in Net Assets 525,519,266Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Whatcom Health Information NetworkBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1625 Cornall AveAddressLine1
CityBellinghamCity
StateWAState
ZIP Code98225ZIPCode
FieldValueIRS element (for citing)
EIN911993455EIN
Primary ActivitiesInfo NetworkPrimaryActivities
Legal Domicile StateWALegalDomicileState
Total Income922729TotalIncome
EOY Assets1924713EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Health Ventures
PO Box 10905EugeneOR97440911350776Healthcare JVWA501(c)(3)11ANA
Sacred Heart Medical Center Foundation
PO Box 10905EugeneOR97440936026548FundraisingOR501(c)(3)7NA
Peace Harbor Foundation
400 9th StreetFlorenceOR97439931084126FundraisingOR501(c)(3)7NA
Cottage Grove Community Hospital Fdn
1515 Village DriveCottage GroveOR97424930688381FundraisingOR501(c)(3)7NA
St Joseph Hospital Foundation
800 East Chestnut StreetBellinghamWA98225943146369FundraisingWA501(c)(3)7NA
Whatcom Hospice Foundation
800 East ChestnutBellinghamWA98225943146369FundraisingWA501(c)(3)7NA
Ketchikan General Hospital Foundation
3100 Tongass AveKetchikanAK99901651225184FundraisingAK501(c)(3)7NA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Health Ventures
c6500000
Health Ventures
k16618