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        <Explanation>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), 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 444,494</Explanation>
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          <City>Bellingham</City>
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          <City>Longview</City>
          <State>WA</State>
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          <State>AK</State>
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          <City>Florence</City>
          <State>OR</State>
          <ZIPCode>97439</ZIPCode>
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          <BusinessNameLine1>Cottage Grove Comm Hospital</BusinessNameLine1>
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          <City>Cottage Grove</City>
          <State>OR</State>
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        <HospitalFacilityName>
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        <HospitalFacilityName>
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        <HospitalFacilityName>
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      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Peace Harbor Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>6</HospitalFacilityNumber>
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      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Cottage Grove Comm Hospital</BusinessNameLine1>
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      <Form990ScheduleHPartVI>
        <Identifier>Schedule H Supplemental Information</Identifier>
        <Explanation>Part 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 mea</Explanation>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>James Douglas MD</NamePerson>
        <BaseCompensationFilingOrg>499664</BaseCompensationFilingOrg>
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        <NontaxableBenefitsFilingOrg>15500</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>673755</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Richard Leone MD</NamePerson>
        <BaseCompensationFilingOrg>507106</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>66000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>21154</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsFilingOrg>14627</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Mark Reis</NamePerson>
        <BaseCompensationFilingOrg>515536</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J Supplemental Information</Identifier>
        <Explanation>Part I, Line 4a - Severance Payments Howard W. Kirz retired due to medical reasons. Mr. Kirz received $418,985 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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>State of Oregon</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>936001787</IssuerEIN>
        <CUSIPNumber>68608JBR1</CUSIPNumber>
        <DateIssued>2004-10-14</DateIssued>
        <IssuePrice>15000000</IssuePrice>
        <DescriptionOfPurpose>Construct Medical Complex</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>WA Healthcare Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>911108929</IssuerEIN>
        <CUSIPNumber>93978EU26</CUSIPNumber>
        <DateIssued>2008-06-26</DateIssued>
        <IssuePrice>80650000</IssuePrice>
        <DescriptionOfPurpose>Refund Prior Bond Issue</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>OR Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>936001787</IssuerEIN>
        <CUSIPNumber>68608JJG7</CUSIPNumber>
        <DateIssued>2008-06-26</DateIssued>
        <IssuePrice>95495000</IssuePrice>
        <DescriptionOfPurpose>Refund Prior Bond Issue</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>OR Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>936001787</IssuerEIN>
        <CUSIPNumber>68608JJH5</CUSIPNumber>
        <DateIssued>2008-06-26</DateIssued>
        <IssuePrice>99175000</IssuePrice>
        <DescriptionOfPurpose>Refund Prior Bond Issue</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>15000000</TotalProceeds>
        <IssuanceCostsFromProceeds>388824</IssuanceCostsFromProceeds>
        <CapitalExpenditures>14611176</CapitalExpenditures>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
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        <IssuanceCostsFromProceeds>385500</IssuanceCostsFromProceeds>
        <CapitalExpenditures>80264500</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <TotalProceeds>95495000</TotalProceeds>
        <IssuanceCostsFromProceeds>461344</IssuanceCostsFromProceeds>
        <CapitalExpenditures>95033656</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>99175000</TotalProceeds>
        <IssuanceCostsFromProceeds>447966</IssuanceCostsFromProceeds>
        <CapitalExpenditures>98727034</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
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        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
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        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
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        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
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        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
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        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
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        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K Supplemental Information</Identifier>
        <Explanation>Part 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>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Supplemental Information for Form 990 and Supporting Schedules</Identifier>
        <Explanation>Form 990, Item B - Amended Return The following portions of the return have been amended: Form 990, Part VII, Compensation of Officers, Directors, Key Employees and Highest Compensated Employees Schedule J, Compensation Information Form 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 &amp; 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 &amp; Approval Process for Officers &amp; 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 525,519,266</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Whatcom Health Information Network</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>625 Cornall Ave</AddressLine1>
          <City>Bellingham</City>
          <State>WA</State>
          <ZIPCode>98225</ZIPCode>
        </AddressUS>
        <EIN>911993455</EIN>
        <PrimaryActivities>Info Network</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <TotalIncome>922729</TotalIncome>
        <EOYAssets>1924713</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Health Ventures</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 10905</AddressLine1>
          <City>Eugene</City>
          <State>OR</State>
          <ZIPCode>97440</ZIPCode>
        </AddressUS>
        <EIN>911350776</EIN>
        <PrimaryActivities>Healthcare JV</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sacred Heart Medical Center Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 10905</AddressLine1>
          <City>Eugene</City>
          <State>OR</State>
          <ZIPCode>97440</ZIPCode>
        </AddressUS>
        <EIN>936026548</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>Peace Harbor Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>400 9th Street</AddressLine1>
          <City>Florence</City>
          <State>OR</State>
          <ZIPCode>97439</ZIPCode>
        </AddressUS>
        <EIN>931084126</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
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          <City>Cottage Grove</City>
          <State>OR</State>
          <ZIPCode>97424</ZIPCode>
        </AddressUS>
        <EIN>930688381</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
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        </DirectControllingEntityName>
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        </NameOfDisregardedEntity>
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          <AddressLine1>800 East Chestnut Street</AddressLine1>
          <City>Bellingham</City>
          <State>WA</State>
          <ZIPCode>98225</ZIPCode>
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        <EIN>943146369</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
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        <PublicCharityStatus>7</PublicCharityStatus>
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        </DirectControllingEntityName>
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          <City>Bellingham</City>
          <State>WA</State>
          <ZIPCode>98225</ZIPCode>
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          <City>Ketchikan</City>
          <State>AK</State>
          <ZIPCode>99901</ZIPCode>
        </AddressUS>
        <EIN>651225184</EIN>
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        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Health Ventures</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>6500000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Health Ventures</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>16618</AmountInvolved>
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</Return>