2026-05-06T16:41:57+00:00 2025-06-30 135565207 KPMG LLP 55 Second Street 1400 San Francisco CA 94105 990 2024-07-01 910939479 PeaceHealth PEAC 3607291000 1115 SE 164TH AVENUE VANCOUVER WA 98683 Richard Magnuson EVP CFO Interim 2026-05-06 true true Alison Lakritz P01935980 4159635100 2026-05-06 2024 2025-03-06 01:10:19Z RICHARD MAGNUSON 1115 SE 164TH AVENUE VANCOUVER WA 98683 7277603902 false X WWW.PEACEHEALTH.ORG X 1976 WA WE CARRY ON THE HEALING MISSION OF JESUS CHRIST. 11 11 20135 1631 6867276 0 27004734 91416057 3494005086 3771622276 87908989 142463362 14701843 14437439 3623620652 4019939134 4288622 6905881 0 2123263917 2289415216 0 1440318 1518609759 1699308262 3646162298 3995629359 -22541646 24309775 4755221343 5127966316 2384250555 2671287391 2370970788 2456678925 WE CARRY ON THE HEALING MISSION OF JESUS CHRIST BY PROMOTING PERSONAL AND COMMUNITY HEALTH, RELIEVING PAIN AND SUFFERING, AND TREATING EACH PERSON IN A LOVING AND CARING WAY. false false 2745679797 6905881 3216887640 HOSPITALS: FOUNDED BY THE SISTERS OF ST. JOSEPH OF PEACE, PEACEHEALTH HAS PROVIDED EXCEPTIONAL MEDICINE AND COMPASSIONATE CARE TO NORTHWEST COMMUNITIES FOR MORE THAN A CENTURY. PEACEHEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM WITH HOSPITALS LOCATED IN ALASKA, WASHINGTON AND OREGON. RURAL COMMUNITIES RELY ON THEIR HOSPITALS AS CRITICAL COMPONENTS OF THE COMMUNITIES' ECONOMIC AND SOCIAL FABRIC. THESE HOSPITALS ARE TYPICALLY THE LARGEST OR SECOND LARGEST EMPLOYER IN THE COMMUNITY, AND OFTEN STAND ALONE IN THEIR ABILITY TO OFFER HIGHLY-SKILLED JOBS. (Commentary continued on Schedule O) 669210469 0 554734636 CLINICS AND MEDICAL GROUPS: IN ADDITION TO PROVIDING ACUTE CARE THROUGH A NETWORK OF HOSPITALS SUMMARIZED ON LINE 4A, THE PEACEHEALTH HEALTH CARE SYSTEM ALSO INCLUDES CLINICS AND MEDICAL GROUPS LOCATED IN ALASKA, WASHINGTON AND OREGON. 3414890266 true true false true false false false false false true true true false true true true false true false true true true false false false false true true true false true true false false false false false false false false false false true false false false true true true true false false true 947 0 true 20135 true true true false false false false false false false false false true false X 11 11 false false true false true false false true true false false false true true true true true true true true true true OR X ARTHUR CRAIG SPRINGER II 3607291000 1115 SE 164TH AVENUE VANCOUVER WA 98683 CAROL AARON Board Chair 2.0 2.0 X X 42500 0 0 ANDREA NENZEL CSJP Director 2.0 2.0 X 0 0 0 DAN HOLLINGSHEAD Director 2.0 2.0 X 25000 0 0 DELEESA MEASHINTUBBY Director 2.0 2.0 X 25000 0 0 DONNA J KING Director 2.0 2.0 X 25000 0 0 IONE ADAMS MD Director 2.0 2.0 X 0 0 0 KATHLEEN PRUITT CSJP Director 2.0 2.0 X 25000 0 0 KEVIN MURPHY Director (thru 11/24) 2.0 2.0 X 25000 0 0 LORRAINE ARVIN Director (began 07/24) 2.0 2.0 X 0 0 0 RICK WOLLENBERG Director 2.0 2.0 X 0 0 0 SHEILA LEMIEUX CSJP Director (began 09/24) 2.0 2.0 X 0 0 0 TIM ACKMAN Director 2.0 2.0 X 25000 0 0 DARRIN MONTALVO EVP Chief Fin. Growth Officer/ Treasurer 38.0 3.0 X 1881787 0 376006 ELIZABETH V DUNNE President 40.0 2.0 X 4390540 0 64879 JAMES MCGOVERN Chief Hospital Executive, Oregon 40.0 0 X 817140 0 60754 RON L SAXTON Secretary thru 2/14/25 40.0 2.0 X 253706 0 19591 SARAH COCKERILL ASSISTANT SECRETARY 38.0 2.0 X 267619 0 38690 THOMAS KARNES Secretary/ SVP General Counsel 38.0 4.0 X 713719 0 171270 CHARLES PROSPER Chief Executive Northwest 40.0 2.0 X 1235616 0 316751 DOUGLAS KOEKKOEK Chief Physician and Clinical Executive (thru 11/24) 40.0 0 X 1660221 0 298356 EVE LOGSDON SVP Chief HR Officer 40.0 0 X 841309 0 168279 KIMBERLY SULLIVAN SVP Chief Revenue Officer 40.0 0 X 703221 0 152691 MICHAEL P DWYER EVP Strategy/Community Health 40.0 2.0 X 1272543 0 249965 MICHELLE A JAMES SVP Patient Care Svcs and CNO 40.0 0 X 761318 0 177348 RICHARD DECARLO Chief Operating Officer/EVP 40.0 2.0 X 3316554 0 342805 SARAH NESS EVP CAO 40.0 0 X 1506879 0 305273 STEVEN GLENN EVP Chief Business and Technology Officer (thru 01/25) 40.0 0 X 2278017 0 253114 DAVID DEHAAS MD Surgery 40.0 0 X 1378978 0 28607 MANJUNATH G RAJU MD Cardiology 40.0 0 X 1419716 0 115557 MICHEL BARAKAT MD Cardiology 40.0 0 X 1141847 0 79576 WEN-HUAN S HO MD MD Gastroenterology 40.0 0 X 1302912 0 187238 ZHAO GUANGQUAN MD Oncology 40.0 0 X 1254106 0 123421 SEAN GREGORY Former Chief Executive Columbia (thru 01/24) 0.0 0.0 X 1902238 0 -3029 TODD A STRUMWASSER MD Director (thru 6/24) 2.0 2.0 X 25000 0 0 30517486 0 3527142 4704 true true false QUEST DIAGNOSTICS 1737 AIRPORT WAY SUITE 200 SEATTLE WA 98134 LABORATORY SERVICES 41434191 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 CLINICAL ENGINEERING 30634091 AYA HEALTHCARE INC 5930 CORNERSTONE CT W SUITE 300 SAN DIEGO CA 92121 HEALTHCARE STAFFING 18575263 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 HEALTHCARE STAFFING 9024119 MEDICAL SOLUTIONS LLC 1010 N 102ND ST SUITE 300 OMAHA NE 68114 HEALTHCARE STAFFING 9016347 333 22718166 66738781 1959110 92003 91416057 PATIENT SERVICE REV 621110 3687865721 3687865721 OTHER OPERATING REV 621110 83756555 83331426 425129 0 0 0 0 3771622276 58838997 6442147 52396850 11941032 3525377 8415655 0 8415655 8415655 3337763756 3254139391 83624365 0 83624365 83624365 CAFETERIA 722514 6021784 6021784 0 0 0 0 6021784 4019939134 3771197147 6867276 150458654 X 6771881 6771881 134000 134000 25070444 21428045 3642399 1881045168 1606933176 273151022 960970 109695918 93726324 15931864 37730 136777213 116785627 19851550 140036 136826473 116887561 19868877 70035 4871054 4163355 707699 7030333 6008920 1021413 793200 637017 108282 47901 273000 233337 39663 721608 616768 104840 407402794 348212631 59190163 0 1465082 1251644 212758 680 9617427 8103648 1377481 136298 41118014 35144118 5973896 81940998 70036070 11904928 13838429 11819101 2009044 10284 70520661 60274955 10245706 136463958 116636408 19826185 1365 46447583 39699372 6748211 MED SUPPLIES AND SVCS 619421453 529427822 89993631 OTHER TAX 181917440 155487275 26430165 NON-MEDICAL SUPPLIES 32660776 27915603 4745173 LICENSES 5253767 4469873 759802 24092 37550685 32085735 5454023 10927 3995629359 3414890266 579298775 1440318 47114853 197965890 623422864 898757288 457238780 429727263 0 0 0 0 160427817 171260770 82776988 64517039 47044899 35479242 3653313558 2358797075 1297318996 1294516483 1350711836 1293624263 332518580 379778108 0 38247875 35034883 318397855 327305087 4755221343 5127966316 400344313 430982611 535304 665471 1407717361 1402030807 0 0 0 200000000 575653577 637608502 2384250555 2671287391 X 2170198195 2244489257 200772593 212189668 2370970788 2456678925 4755221343 5127966316 X 24309775 56999184 4399178 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 789080 false false 789080 false Schedule C, Part II-B, Line 1b PEACEHEALTH ENGAGES IN LOBBYING ACTIVITIES THROUGH EMPLOYEES DIRECTLY CONTACTING LEGISLATORS, THEIR STAFF, OR GOVERNMENT OFFICIALS TO ADVOCATE IN SUPPORT OF OR OPPOSITION TO PENDING MEASURES THAT IMPACT PEACEHEALTH HEALTHCARE OPERATIONS AND THE HEALTH AND WELL-BEING OF THE COMMUNITIES PEACEHEALTH SERVES. Schedule C, Part II-B, Line 1g PEACEHEALTH ENGAGES IN LOBBYING ACTIVITIES THROUGH EMPLOYEES, PAID OUTSIDE CONSULTING FIRMS, AND MEMBERSHIP DUES PAID TO STATE AND NATIONAL ASSOCIATIONS. THESE INDIVIDUALS AND ENTITIES DIRECTLY CONTACT LEGISLATORS, THEIR STAFF, OR GOVERNMENT OFFICIALS TO ADVOCATE IN SUPPORT OF OR OPPOSITION TO PENDING MEASURES THAT IMPACT PEACEHEALTH HEALTHCARE OPERATIONS AND THE HEALTH AND WELL-BEING OF THE COMMUNITIES PEACEHEALTH SERVES. 59608544 5625012 6053616 387099 70900073 56275241 4585330 5003569 6255596 59608544 55504288 1721108 545347 1495502 56275241 52125596 10331158 -3897780 3054686 55504288 41480654 579275 10381977 316310 52125596 0.1945 0.5553 0.2502 false true true 91921759 91921759 1578747535 1026690225 552057310 177579733 82394367 95185366 1636578457 1249712483 386865974 168486074 168486074 1294516483 Closely-held equity interests Financial derivatives LIMITED PARTNERSHIPS AND OTHER 379778108 F 379778108 PENDING TRADES RECEIVABLE 24978230 INTEREST IN RELATED FOUNDATIONS 218272521 RIGHT OF USE ASSETS 84054336 327305087 Federal Income Taxes OBLIGATIONS UNDER LEASES 332156650 INTEREST RATE SWAPS 40316207 ACCRUED PENSION LIABILITY 128947997 SELF-INSURANCE LIABILITY 42368311 LOC PAYABLE 6458437 CONDITIONAL ARO LIABILITY 23246533 PENDING TRADES PAYABLE 42819400 GIFT ANNUITY PAYABLE 1955333 3RD PARTY PAYABLES 17396568 OTHER LIABILITIES 1943066 637608502 X 4081193267 56999184 0 56999184 4024194083 721608 -3525377 -2803769 4021390314 3999884308 0 0 3999884308 721608 -3525377 -2803769 3997080539 Schedule D, Part V, Line 4 Intended uses of endowment funds THE REPORTED ENDOWMENT FUNDS BELONG TO THE PEACEHEALTH FOUNDATIONS. THE PEACEHEALTH FOUNDATIONS ARE SEPARATELY INCORPORATED AND EACH FOUNDATION FILES A SEPARATE FORM 990. REFER TO THE SCHEDULE R, PART II FOR A LISTING OF THESE RELATED FOUNDATIONS. THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE FOR: 1) THE PURCHASE OF PROPERTY, PLANT, AND EQUIPMENT 2) SUPPORT FOR HOSPICE AND INDIGENT CARE 3) PATIENT CARE AND OTHER OPERATING ACTIVITIES Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PEACEHEALTH AND PEACEHEALTH NETWORKS HAVE RECEIVED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE STATING THAT THEY ARE EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME. IT IS MANAGEMENT'S BELIEF THAT NONE OF ITS ACTIVITIES HAVE PRODUCED MATERIAL UNRELATED BUSINESS INCOME. THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT EXCEEDS A 50% PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATE OCCURS. CERTAIN AFFILIATED ENTITIES INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS MAY BE SUBJECT TO TAXATION. THE TAX EXPENSE AND RELATED PROVISION FOR THESE ENTITIES ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. false Central America and the Caribbean 1 0 Grantmaking 134000 Central America and the Caribbean 0 0 Program Services SELF-INSURANCE 31605776 1 0 0 0 1 0 31739776 0 31739776 Central America and the Caribbean PROGRAM SERVICES 134000 BANK WIRE 1 0 true false false false true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual Schedule F, Part V PART I, LINE 2 PEACEHEALTH SUPPORTS A MEDICAL MISSION PROGRAM IN EL SALVADOR. THIS MISSION USES MEDICAL PROFESSIONALS TO RENDER HEALTHCARE ASSISTANCE TO PEOPLE WITH LIMITED FINANCIAL RESOURCES. THESE ACTIVITIES ARE IN THE PEACEHEALTH BUDGET AND ARE INCLUDED IN THE OPERATING RESULTS OF PEACEHEALTH THE SAME AS OTHER PEACEHEALTH OPERATIONS. THE MISSION PROGRAM IS SUBJECT TO THE SAME MANAGEMENT CONTROL AND OVERSIGHT AS THE ORGANIZATION'S DOMESTIC PROGRAMS. true true X true X 300 true X 77318217 77318217 0.01935 829343962 637958597 191385365 0.04790 0 0.0 0 0 906662179 637958597 268703582 0.06725 6554296 6554296 0.00164 4852562 4852562 0.00121 0 0.0 0 0.0 7965033 7965033 0.00199 0 0 19371891 0 19371891 0.00485 0 0 926034070 637958597 288075473 0.07210 3962 3962 0.00000 0 0.0 0 0.0 32681 32681 0.00001 0 0.0 25480 25480 0.00001 0 0.0 3087 3087 0.00000 0 0.0 0 0 65210 0 65210 0.00002 false 51758603 1639697 574720411 573575819 1144592 X true true 10 1 PH SACRED HEART MED CTR AT RIVERBEND 3333 RIVERBEND DRIVE SPRINGFIELD OR 97477 14-0014 X X X A 2 PH SACRED HEART MED CTR UNIV DISTRICT 1255 HILYARD STREET EUGENE OR 97401 14-0014 X X X A 3 PH SOUTHWEST MEDICAL CENTER 400 NE MOTHER JOSEPH PL VANCOUVER WA 98683 HAC.FS.60435729 X X X A 4 PH ST JOSEPH MEDICAL CENTER 2901 SQUALICUM PARKWAY BELLINGHAM WA 98225 BHA.FS.60873183 X X X A 5 PH ST JOHN MEDICAL CENTER 1615 DELAWARE STREET LONGVIEW WA 98632 BHA.FS.60873182 X X X A 6 PH KETCHIKAN MEDICAL CENTER 3100 TONGASS AVENUE KETCHIKAN AK 99901 X X X X A 7 PH PEACE HARBOR MEDICAL CENTER 400 9TH STREET FLORENCE OR 97439 14-0711 X X X A 8 PH COTTAGE GROVE COMMUNITY MED CTR 1515 VILLAGE DRIVE COTTAGE GROVE OR 97424 40-0223 X X X A 9 PH PEACE ISLAND MEDICAL CENTER 1117 SPRING STREET FRIDAY HARBOR WA 97401 HAC.FS.60316803 X X X A 10 PH UNITED GENERAL MEDICAL CENTER 4000 HOSPITAL DRIVE SEDROWOOLLEY WA 98284 HAC.FS.60417818 X X X A A 10 false false true X X X X X X X X X 22 true true true true X www.peacehealth.org/about-peacehealth/community-health/needs-assessment X true 22 true SEE PART V false true X 300.0 400.0 X X X X true true X X X true X www.peacehealth.org/patient-financial-services/request-financial-assistance X www.peacehealth.org/patient-financial-services/request-financial-assistance X www.peacehealth.org/patient-financial-services/request-financial-assistance X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and are identified through the CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A:. TO OBTAIN CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE PEACEHEALTH MEDICAL CENTERS, THE COMMUNITY HEALTH NEEDS ASSESSMENTS TOOK INTO ACCOUNT INFORMATION FROM: 1) PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. 2) FEDERAL, TRIBAL, REGIONAL, STATE, AND LOCAL HEALTH DEPARTMENTS AND AGENCIES. 3) LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. 4) REVIEW OF AVAILABLE PUBLISHED COMMUNITY HEALTH DATA. 5) MEETINGS WITH COMMUNITY GROUPS AND PUBLIC OFFICIALS; PUBLIC FORUMS, FOCUS GROUPS AND COMMUNITYWIDE HEALTH ASSET SURVEY AND KEY INFORMANT INTERVIEWS. The majority of the organization's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. Surplus funds are applied to areas most in need to fulfill PeaceHealth's mission. PLEASE REFER TO THE PUBLISHED CHNAS FOR FURTHER DETAILS. THESE REPORTS CAN BE FOUND AT: WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/COMMUNITY-HEALTH/NEEDS-ASSESSMENT Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A:. PEACEHEALTH HOSPITALS WORK IN CONCERT TO CONDUCT CHNAS IF THEY SERVE THE SAME COMMUNITY OR AN OVERLAPPING COMMUNITY. PEACEHEALTH HOSPITALS WITHIN A NETWORK (GEOGRAPHIC REGION) ALSO WILL WORK TOGETHER EVEN WHEN THE COMMUNITIES ARE NOT OVERLAPPING. ALL HOSPITALS CONDUCTED INDEPENDENT CHNA'S FOR THE 2022-2025 CYCLE. ALTHOUGH INDEPENDENT, THE OVERALL PEACEHEALTH SYSTEM SHARED ASSESSMENT OUTCOMES FROM ALL LOCATIONS. THE FOLLOWING HOSPITALS CONDUCTED CHNA'S: SACRED HEART MEDICAL CENTER AT RIVERBEND; SACRED HEART MEDICAL CENTER UNIVERSITY DISTRICT; PEACEHEALTH SOUTHWEST MEDICAL CENTER; ST. JOSEPH MEDICAL CENTER; ST. JOHN MEDICAL CENTER; KETCHIKAN MEDICAL CENTER; PEACE HARBOR MEDICAL CENTER; COTTAGE GROVE COMMUNITY MEDICAL CENTER; PEACE ISLAND MEDICAL CENTER; UNITED GENERAL MEDICAL CENTER. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A:. REFER TO THE PUBLISHED CHNAS AT: WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/COMMUNITY-HEALTH/NEEDS-ASSESSMENT FOR DETAILS ABOUT WHAT ORGANIZATIONS PARTICIPATED IN THE CHNAS. THE PEACEHEALTH HOSPITALS' CHNAS WERE UNDERTAKEN CONCURRENT WITH THE PLANNING ACTIVITIES OF COMMUNITY HEALTH ORGANIZATIONS IN THE STATE, REGION AND COUNTY. THE FOLLOWING HOSPITAL FACILITIES AND ORGANIZATIONS COLLABORATED IN THE COMPLETION OF THE CHNAS: SACRED HEART MEDICAL CENTER RIVERBEND, SACRED HEART MEDICAL CENTER UNIVERSITY DISTRICT, COTTAGE GROVE COMMUNITY MEDICAL CENTER AND PEACE HARBOR MEDICAL CENTER COLLABORATED WITH THE OREGON STATE HEALTH IMPROVEMENT PLAN, LIVE HEALTHY LANE (LHL), UNITED WAY OF LANE COUNTY, SIUSLAW VISION, AND BE YOUR BEST. ST. JOSEPH MEDICAL CENTER, PEACE ISLAND MEDICAL CENTER, AND UNITED GENERAL MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, SAN JUAN COUNTY COMMUNITY HEALTH INITIATIVES CONSORTIUM (CHIC), SAN JUAN ISLAND COMMUNITY FOUNDATION'S COMMUNITY NEEDS TASKFORCE, WHATCOM COUNTY HEALTH DEPARTMENT, HEALTHY WHATCOM TEAM, SKAGIT COUNTY POPULATION HEALTH TRUST, AND THE NORTH SOUND ACCOUNTABLE COMMUNITY OF HEALTH (NS-ACH). THE NS-ACH INCLUDES REPRESENTATIVES FROM THE FIVE-COUNTY AREA THAT INCLUDES SAN JUAN ISLAND, SKAGIT, SNOHOMISH AND WHATCOM COUNTIES. KETCHIKAN MEDICAL CENTER COLLABORATED WITH THE STATE OF ALASKA, THE KETCHIKAN WELLNESS COALITION, ALASKA NATIVE TRIBAL HEALTH CONSORTIUM, AND KETCHIKAN INDIAN COMMUNITY. SOUTHWEST MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, CLARK COUNTY PUBLIC HEALTH DEPARTMENT, THE HEALTHY LIVING COLLABORATIVE OF SOUTHWEST WASHINGTON, AND SOUTHWEST WASHINGTON ACCOUNTABLE COMMUNITY OF HEALTH (SWACH). ST. JOHN MEDICAL CENTER COLLABORATED WITH THE WASHINGTON STATE HEALTH IMPROVEMENT PLAN, COWLITZ COUNTY PUBLIC HEALTH DEPARTMENT, CASCADE PACIFIC ACTION ALLIANCE; THE HEALTHY LIVING COLLABORATIVE OF SOUTHWEST WASHINGTON, AND PATHWAYS 2020. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A:. We conducted a thorough review of publicly reported data from national, state, and local sources to assess our community's needs. We convened community stakeholders from multiple sectors to review the data and provide feedback on community-wide needs. Our data collection and analysis were completed in the fall of 2024. PLEASE REFER TO THE PUBLISHED CHNAS LOCATED AT: www.peacehealth.org/about-peacehealth/community-health/needs-assessment THE PUBLISHED CHNAS CONTAIN THE IMPLEMENTATION PLAN(S) COVERING HOW THE PEACEHEALTH MEDICAL CENTERS ARE ADDRESSING THE SIGNIFICANT NEEDS OF THEIR RESPECTIVE COMMUNITIES. 0 Schedule H, Part I, Line 7 THE REPORTED COMMUNITY BENEFIT AMOUNTS DO NOT CAPTURE CERTAIN ADDITIONAL COMMUNITY BENEFIT ACTIVITIES AND CONTRIBUTIONS MADE DIRECTLY BY THE PEACEHEALTH AFFILIATED, SEPARATELY INCORPORATED FOUNDATIONS. PROCESSES ARE STILL UNDERWAY TO ALIGN AND COORDINATE ALL COMMUNITY BENEFIT TRACKING. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I LINE 7 IS AS FOLLOWS: COST TO CHARGE RATIOS WERE CALCULATED BY TOTAL BUSINESS UNIT OPERATING EXPENSE DIVIDED BY TOTAL GROSS PATIENT REVENUE. THIS RATIO WAS THEN APPLIED TO THE PATIENT CHARGES BY FINANCIAL CLASS IN THE BUSINESS UNIT TO ESTIMATE COST BY FINANCIAL CLASS. THE COST BY FINANCIAL CLASS WAS THEN OFFSET BY REVENUE, INCLUDING ALLOCATIONS OF REVENUE OUTSIDE OF THE BILLING SYSTEM. THE REVENUE OUTSIDE OF THE BILLING SYSTEM CONSISTS OF PROVIDER TAXES, 3RD PARTY SETTLEMENTS, AND OTHER OFFSETTING REVENUE RECORDED IN THE GENERAL LEDGER. FOR CHARITY CARE, THE COST TO CHARGE RATIO WAS APPLIED TO ALL CHARITY CARE DEDUCTIONS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount REFER TO PART III, LINE 4 EXPLANATION FOR A DESCRIPTION OF THE METHODOLOGY FOR COMPUTING BAD DEBTS. THE AMOUNTS REPORTED REPRESENT THE PATIENT ACCOUNT BALANCES WRITTEN OFF TO BAD DEBT NET OF ANY DISCOUNTS OR PAYMENTS RECIEVED DURING THE YEAR ALONG WITH THE CHANGE IN THE ESTIMATE IN THE BAD DEBT RESERVES ON OUTSTANDING PATIENT ACCOUNTS RECEIVABLE BALANCES LESS ANY RECOVERIES ON PATIENT ACCOUNTS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology DEMOGRAPHIC DATA REGARDING POPULATION POVERTY LEVELS IN EACH FACILITY'S SERVICE AREA WERE USED TO DETERMINE THE AMOUNT OF BAD DEBT REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 6/30/2025 AUDITED FINANCIAL STATEMENTS - FOOTNOTE (3) REVENUE RECOGNITION (A) NET PATIENT SERVICE REVENUE: PATIENT SERVICE REVENUE RELATES TO CONTRACTS WITH PATIENTS INVOLVING THIRD-PARTY PAYORS WHERE THE CORPORATION HAS AN OBLIGATION TO PERFORM HEALTHCARE SERVICES. THIS REVENUE IS RECORDED AT THE AMOUNT DUE FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS WHEN THE PERFORMANCE OBLIGATIONS ARE SATISFIED. THE CORPORATION BASES THE IMPLICIT PRICE CONCESSIONS ON HISTORICAL COLLECTIBILITY DATA BY PAYOR USING A PORTFOLIO APPROACH TO RECOGNIZE THE DEDUCTIONS NETTED AGAINST REVENUE WHEN IT IS RECOGNIZED. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE CALCULATION FOR PART III, LINE 8 IS COMPLETED USING MEDICARE COST REPORT DATA. THE MEDICARE AMOUNTS LISTED IN PART III, SECTION B ON LINES 5, 6, AND 7 ARE REPORTED FROM THE MEDICARE COST REPORTS AND DO NOT REPRESENT ALL OF THE REVENUES AND COSTS ASSOCIATED WITH PARTICIPATION IN MEDICARE PROGRAMS BY PEACEHEALTH. PART III SECTION B DOES NOT ALLOW FOR A FULL REPORTING OF MEDICARE REVENUES AND COSTS AS THE INSTRUCTIONS TO THE FORM 990 LIMIT MEDICARE REVENUES AND ALLOWABLE COSTS TO THOSE FROM THE MEDICARE COST REPORT. REVENUE AND COSTS FROM MEDICARE PART C PATIENTS, PART B PHYSICIAN SERVICES BILLED BY THE ORGANIZATION, AND CLINICAL LABORATORY SERVICES WERE NOT INCLUDED IN THE MEDICARE COST REPORT. IN ADDITION, HOSPITALS INCUR OTHER COSTS TO PROVIDE CARE THAT MEDICARE DOES NOT ALLOW IN THE COST REPORT. THE TOTAL REVENUES AND COSTS ATTRIBUTABLE TO ALL MEDICARE SERVICES ARE $574,720,411 AND $573,575,819 RESPECTIVELY. THIS RESULTS IN A TOTAL MEDICARE SURPLUS OF $1,144,592. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance FINANCIAL ASSISTANCE PROGRAM INFORMATION IS PRESENT ON PEACEHEALTH STATEMENTS AND BILLINGS. ACCOUNTS ARE NOT ASSIGNED TO COLLECTION AGENCIES PRIOR TO 120 DAYS FROM THE DATE OF FIRST BILLING. FINANCIAL ASSISTANCE APPLICATIONS FOR ACCOUNTS THAT HAVE BEEN ASSIGNED TO A COLLECTION AGENCY MUST BE SUBMITTED WITH PROOF OF INCOME FOR THE DATE(S) OF SERVICE, IF A FINANCIAL ASSISTANCE APPLICATION IS RECEIVED FOR AN ACCOUNT PREVIOUSLY ASSIGNED TO COLLECTION, THE COLLECTION AGENCY IS REQUESTED TO HOLD FURTHER ACTIONS UNTIL THE RESULTS OF THE PENDING FINANCIAL ASSISTANCE REVIEW ARE AVAILABLE. IF THE REVIEW SHOWS THE PATIENT QUALIFIES FOR THE REDUCTION OR ELIMINATION OF THE DEBT, APPROPRIATE ACTIONS ARE TAKEN TO AMEND OR CORRECT PREVIOUS ACTIONS. THE COLLECTION POLICIES INVOLVE THE ISSUANCE OF A BILL ON OR SHORTLY AFTER DISCHARGE OR DEATH OF THE BENEFICIARY TO THE PARTY RESPONSIBLE FOR THE PATIENTS PERSONAL FINANCIAL OBLIGATIONS. THESE POLICIES ALSO INCLUDE OTHER ACTIONS SUCH AS SUBSEQUENT BILLINGS, COLLECTION LETTERS AND TELEPHONE CALLS OR PERSONAL CONTACTS WITH THIS PARTY WHICH CONSTITUTE A GENUINE, RATHER THAN A TOKEN, COLLECTION EFFORT. Schedule H, Part V, Section B, Line 16a FAP website A - PH SACRED HEART MED CTR AT RIVERBEND: Line 16a URL: www.peacehealth.org/patient-financial-services/request-financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - PH SACRED HEART MED CTR AT RIVERBEND: Line 16b URL: www.peacehealth.org/patient-financial-services/request-financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - PH SACRED HEART MED CTR AT RIVERBEND: Line 16c URL: www.peacehealth.org/patient-financial-services/request-financial-assistance; Schedule H, Part VI, Line 2 Needs assessment THE COMMUNITY HEALTH NEEDS ASSESSMENT IS CUSTOMIZED TO THE LOCAL COMMUNITY. EACH PEACEHEALTH HOSPITAL CONDUCTS ITS OWN COMMUNITY HEALTH NEEDS ASSESSMENT. PEACEHEALTH PARTNERS WITH A DIVERSE GROUP OF COMMUNITY ORGANIZATIONS, INCLUDING MEDICAL PROFESSIONALS, OTHER NOT-FOR-PROFIT ORGANIZATIONS, AND STATE AND LOCAL GOVERNMENT AGENCIES TO IDENTIFY AND ASSESS THE SPECIFIC NEEDS OF THE COMMUNITIES IN WHICH IT SERVES. IN ORDER TO DETERMINE AND ACT ON THE HEALTH CARE NEEDS OF THE COMMUNITY PEACEHEALTH HAS ESTABLISHED A COMMITTEE OF STAFF, BOARD MEMBERS AND VOLUNTEERS TO REVIEW AND ACT ON FUNDING REQUESTS FROM COMMUNITY BASED ORGANIZATIONS. IN MAKING THE CASE FOR FUNDING, APPLICANTS MUST THOROUGHLY EXPLAIN THE NEED, THE POPULATION SERVED, THE EFFECTIVENESS OF THEIR PROGRAMS AND THE DESIRED OUTCOME. IN ADDITION TO HELPING BOARD COMMITTEES MAKE WISE STRATEGIC INVESTMENT IN PROGRAMS THAT EFFECTIVELY ADDRESS COMMUNITY NEEDS, THIS PROCESS ALSO KEEPS STAFF AND BOARD MEMBERS ATTUNED TO CHANGES IN THE COMMUNITY. WHEN PEACEHEALTH EVALUATES A COMMUNITY'S NEED FOR A PARTICULAR SERVICE, A HOST OF FACTORS ARE ASSESSED, INCLUDING: -ALTERNATIVE WAYS TO ACCESS CARE -THE ABILITY TO PROVIDE THE NECESSARY STAFF, EQUIPMENT AND SPACE -THE EFFECT ON THE COMMUNITY AND PATIENTS IF PEACEHEALTH DID NOT PROVIDE THE SERVICE -THE COMMUNITY'S BEST INTEREST -THE RESULTS OF AN ETHICAL DISCERNMENT ON THE OVERALL IMPACT TO THE COMMUNITY -ADDITIONAL COMMUNITY RESOURCES OR FUNDS AVAILABLE TO SUPPORT COMMUNITY NEED -OVERALL IMPACT OF ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND BARRIERS TO CARE. ADDITIONAL WAYS PEACEHEALTH STAYS IN TOUCH WITH THE COMMUNITY: - PATIENT COUNCILS: COMMUNITY MEMBERS PROVIDE INPUT AND FEEDBACK ON THE PATIENT EXPERIENCE, ISSUES, CONCERNS AND IDEAS. -COMMUNITY INVOLVEMENT: HOSPITAL STAFF SERVE ON NUMEROUS BOARDS, COMMITTEES AND TASK FORCES THAT ADDRESS COMMUNITY HEALTH PROBLEMS AND PROMOTE COMMUNITY HEALTH. - SPEAKERS BUREAU: HOSPITAL LEADERS AND EXPERTS ARE CALLED UPON TO ADDRESS COMMUNITY GROUPS ON A VARIETY OF HEALTH CARE TOPICS TAKING FEEDBACK, ANSWERING QUESTIONS AND LISTENING TO CONCERNS AND NEEDS. -VOLUNTEERING: HOSPITAL STAFF PARTICIPATE IN SERVICE DAYS, GROUP ACTIVITIES AND ONE ON ONE ACTIVITIES TO DONATE TIME AND EXPERTISE TO LOCAL NONPROFITS ADDRESSING SOCIAL DETERMINANTS OF HEALTH. Schedule H, 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. THIS CONCEPT IS CENTRAL TO OUR MISSION AND IS REINFORCED THROUGH OUR NEW EMPLOYEE ORIENTATION TRAINING AND DEVELOPMENT PROGRAMS, LEADERSHIP MEETINGS, AND SPECIAL PROGRAMS SUCH AS LEADERSHIP IN MINISTRY. PEACEHEALTH DELIVERS COST SAVINGS TO NEEDY PATIENTS VIA OUR FINANCIAL ASSISTANCE POLICY (FAP). THE FAP PROGRAM PROVIDES FREE OR REDUCED-COST CARE TO LOW-INCOME INDIVIDUALS. QUALIFIED INDIVIDUALS RECEIVE A LETTER WHICH THEY MAY PRESENT JUST AS ONE WOULD AN INSURANCE CARD. MANY INDEPENDENT PROVIDERS IN THE COMMUNITY NOW ACCEPT PEACEHEALTH'S FAP PROGRAM AS THEIR BENCHMARK FOR PROVIDING SERVICES AT REDUCED OR NO CHARGE. OUR FAP ASSISTANCE PROVIDES MEDICALLY NECESSARY AND SOME PREVENTATIVE SERVICES AT PEACEHEALTH FACILITIES AT A REDUCED COST OR WITHOUT CHARGE WHEN PAYMENT CANNOT BE OBTAINED THROUGH ALL OTHER AVAILABLE FINANCIAL RESOURCES. THE FAP PROGRAM IS SECONDARY TO ALL OTHER RESOURCES SUCH AS INSURANCE, THIRD PARTY LIABILITY PAYERS, GOVERNMENT PROGRAMS, OUTSIDE AGENCY PROGRAMS, OR PRIVATE MEANS. THE PURPOSE OF THE PROGRAM IS TO HELP MANAGE THE DELICATE BALANCE OF FINANCIAL HEALTH AND WISE STEWARDSHIP WITH OUR MISSION OF PROVIDING COMMUNITY SERVICES IN ALL OF OUR SERVICE AREAS. OUR FAP ENSURES THAT PATIENTS RECEIVE FAIR AND EQUAL FINANCIAL TREATMENT ACROSS PEACEHEALTH, AND IT WORKS TOGETHER WITH OUR FINANCIAL COUNSELING SERVICES TO HELP PEACEHEALTH IDENTIFY PATIENTS WHO CAN BENEFIT FROM FINANCIAL ASSISTANCE. HERE IS AN EXAMPLE OF HOW WE WORK WITH OUR LOCAL COMMUNITIES TO ENROLL PEOPLE IN THE PROGRAM: PEACEHEALTH SACRED HEART MEDICAL CENTER-UNIVERSITY DISTRICT WORKS CLOSELY WITH THE WHITEBIRD CLINIC THE AREA FEDERALLY QUALIFIED HEALTH CENTER (FQHC) TO ENSURE THAT ALL ELIGIBLE PATIENTS SEEKING MEDICAL CARE KNOW ABOUT THE PEACEHEALTH FINANCIAL ASSISTANCE PROGRAM. WHITEBIRD STAFF WORK WITH THE MEDICAL CENTER TO FOLLOW UP ON PATIENTS WHO FREQUENT THE EMERGENCY DEPARTMENT FOR CARE AND INFORM THEM OF AVAILABLE RESOURCES, INCLUDING POSSIBLE FINANCIAL ASSISTANCE. PATIENTS REFERRED FROM COMMUNITY HEALTH CENTERS SEEKING ACCESS TO DONATED SPECIALTY CARE ARE ROUTINELY ENROLLED IN FINANCIAL ASSISTANCE AS PART OF THE PROCESS FOR DETERMINING ELIGIBILITY FOR COMMUNITY-WIDE DONATED CARE. OUR UNIVERSITY DISTRICT HOSPITAL LOCATION IN PARTNERSHIP WITH WHITEBIRD IS PARTICULARLY POISED TO SERVE MINORITY POPULATIONS, THE UNDER-INSURED AND UN-INSURED AND THOSE NOT ACCESSING CARE. COMMUNICATION: ELIGIBLE PATIENTS ARE MADE AWARE OF THIS PROGRAM THROUGH A VARIETY OF COMMUNICATION CHANNELS INCLUDING: -REFERRALS FROM COMMUNITY PARTNERS, INCLUDING NONPROFIT COMMUNITY CLINICS THAT ARE FREE OR LOW-COST - INFORMATION POSTED ON OUR WEB SITE AT WWW.PEACEHEALTH.ORG -SIGNAGE IN OUR WAITING ROOMS* -BROCHURES THROUGHOUT OUR FACILITIES** -FINANCIAL COUNSELING. *AS PART OF OUR BASELINE OUTREACH PLAN, PEACEHEALTH POSTS SIGNS IN THE FOLLOWING AREAS: - REGISTRATION AREAS - RECEPTION AREA - PAY STATIONS **BROCHURES ARE MADE AVAILABLE IN THE FOLLOWING AREAS: -PHYSICIAN OFFICES -COUNTY HEALTH DEPARTMENTS -REGISTRATION BOOTH/DESK -CHECK-IN AREAS (LAB, IMAGING, ETC.) -WAITING AREAS -EXISTING BROCHURE DISPLAYS -ADMINISTRATION -PATIENT EXAM ROOMS (PROVIDER OFFICES) -PAY STATIONS Schedule H, Part VI, Line 4 Community information PEACEHEALTH OPERATES TEN HOSPITALS IN THREE STATES. IN ALASKA, PEACEHEALTH RUNS THE KETCHIKAN MEDICAL CENTER IN KETCHIKAN. IN OREGON, PEACEHEALTH OPERATES SACRED HEART MEDICAL CENTER UNIVERSITY DISTRICT (EUGENE), SACRED HEART MEDICAL CENTER AT RIVERBEND (SPRINGFIELD), PEACE HARBOR MEDICAL CENTER (FLORENCE), AND COTTAGE GROVE COMMUNITY MEDICAL CENTER (COTTAGE GROVE). IN WASHINGTON, PEACEHEALTH OPERATES SOUTHWEST WASHINGTON MEDICAL CENTER (VANCOUVER), PEACEHEALTH ST. JOHN MEDICAL CENTER (LONGVIEW), PEACEHEALTH ST. JOSEPH MEDICAL CENTER (BELLINGHAM), PEACEHEALTH UNITED GENERAL MEDICAL CENTER (SEDRO-WOOLLEY), AND PEACEHEALTH PEACE ISLAND MEDICAL CENTER (FRIDAY HARBOR). THE 2020 POPULATION OF ALASKA IS APPROXIMATELY 724,357, A 1.95% INCREASE COMPARED TO 2010. THE POPULATION OF KETCHIKAN GATEWAY-BOROUGH, AK IS APPROXIMATELY 13,991, AN INCREASE OF 3.08% COMPARED TO 2010. OF THE KETCHIKAN GATEWAY-BOROUGH POPULATION: - 63.9% ARE WHITE (60.2% STATEWIDE) 7% LIVE BELOW THE FEDERAL POVERTY LINE - 3.7% ARE BLACK (3.7% STATEWIDE) 34.6% LIVE BELOW THE FEDERAL POVERTY LINE - 15.6% ARE AMERICAN INDIANA/ALASKA NATIVE (15.6% STATEWIDE) 18.2% LIVE BELOW THE FEDERAL POVERTY LINE - 6.5% ARE ASIAN (6.5% STATEWIDE) 4.9% LIVE BELOW THE FEDERAL POVERTY LINE - 1.4% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1.4% STATEWIDE) 50% LIVE BELOW THE FEDERAL POVERTY LINE - 7.3% ARE LATINX (7.3% STATEWIDE) 9.6% LIVE BELOW THE FEDERAL POVERTY LINE - 7.5% ARE MULTI-RACIAL (7.5% STATEWIDE) 15.3% LIVE BELOW THE FEDERAL POVERTY LINE THE POPULATION OF PRINCE OF WALES-HYDER, AK IS APPROXIMATELY 5,889: - 44.9% ARE WHITE (60.2% STATEWIDE) 15.5% LIVE BELOW THE FEDERAL POVERTY LINE - 0.6% ARE BLACK (3.7% STATEWIDE) 10.3% LIVE BELOW THE FEDERAL POVERTY LINE - 42.6% ARE AMERICAN INDIANA/ALASKA NATIVE (15.6% STATEWIDE) 19.9% LIVE BELOW THE FEDERAL POVERTY LINE - 1.2% ARE ASIAN (6.5% STATEWIDE) 5.5% LIVE BELOW THE FEDERAL POVERTY LINE - 0.4% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1.4% STATEWIDE) 70% LIVE BELOW THE FEDERAL POVERTY LINE - 3.9% ARE LATINX (7.3% STATEWIDE) 13.8% LIVE BELOW THE FEDERAL POVERTY LINE - 8.6% ARE MULTI-RACIAL (7.5% STATEWIDE) 16.2% LIVE BELOW THE FEDERAL POVERTY LINE - 1% ARE MULTI-RACIAL (5% COUNTYWIDE, 4% STATEWIDE) 14% LIVE BELOW THE FEDERAL POVERTY LINE THE 2020 POPULATION OF LANE COUNTY, OR IS APPROXIMATELY 382,971, A 10.57% INCREASE COMPARED TO 2010. THE POPULATION OF EUGENE, OR IS APPROXIMATELY 176,654, AN INCREASE OF 12.98% COMPARED TO 2010. OF THE EUGENE POPULATION: - 78% ARE WHITE (81% COUNTYWIDE, 75% STATEWIDE) 18% LIVE BELOW THE FEDERAL POVERTY LINE - 2% ARE BLACK (1% COUNTYWIDE, 2% STATEWIDE) 28% LIVE BELOW THE FEDERAL POVERTY LINE - 1% ARE AMERICAN INDIANA/ALASKA NATIVE (2% COUNTYWIDE, 2% STATEWIDE) 36% LIVE BELOW THE FEDERAL POVERTY LINE - 5% ARE ASIAN (3% COUNTYWIDE, 5% STATEWIDE) 33% LIVE BELOW THE FEDERAL POVERTY LINE - 1% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1% COUNTYWIDE, 1% STATEWIDE) 28% LIVE BELOW THE FEDERAL POVERTY LINE - 10% ARE LATINX (9% COUNTYWIDE, 13% STATEWIDE) 26% LIVE BELOW THE FEDERAL POVERTY LINE - 6% ARE MULTI-RACIAL (5% COUNTYWIDE, 4% STATEWIDE) 33% LIVE BELOW THE FEDERAL POVERTY LINE THE POPULATION OF SPRINGFIELD, OR IS APPROXIMATELY 64,078, AN INCREASE OF 7.87% COMPARED TO 2010. OF THE SPRINGFIELD POPULATION: - 80% ARE WHITE (81% COUNTYWIDE, 75% STATEWIDE) 20% LIVE BELOW THE FEDERAL POVERTY LINE - 11% ARE BLACK (1% COUNTYWIDE, 2% STATEWIDE) 40% LIVE BELOW THE FEDERAL POVERTY LINE - 6% ARE AMERICAN INDIANA/ALASKA NATIVE (2% COUNTYWIDE, 2% STATEWIDE) 23% LIVE BELOW THE FEDERAL POVERTY LINE - 2% ARE ASIAN (3% COUNTYWIDE, 5% STATEWIDE) 10% LIVE BELOW THE FEDERAL POVERTY LINE - 2% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1% COUNTYWIDE, 1% STATEWIDE) 78% LIVE BELOW THE FEDERAL POVERTY LINE - 1% ARE LATINX (9% COUNTYWIDE, 13% STATEWIDE) 20% LIVE BELOW THE FEDERAL POVERTY LINE THE POPULATION OF FLORENCE, OR IS APPROXIMATELY 9,329, AN INCREASE OF 10.19% COMPARED TO 2010. OF THE FLORENCE POPULATION: - 90% ARE WHITE (81% COUNTYWIDE, 75% STATEWIDE) 14.7% LIVE BELOW THE FEDERAL POVERTY LINE - 0% ARE BLACK (1% COUNTYWIDE, 2% STATEWIDE) 100% LIVE BELOW THE FEDERAL POVERTY LINE - 1.4% ARE AMERICAN INDIANA/ALASKA NATIVE (2% COUNTYWIDE, 2% STATEWIDE) 25.4% LIVE BELOW THE FEDERAL POVERTY LINE - 1.8% ARE ASIAN (3% COUNTYWIDE, 5% STATEWIDE) 9.7% LIVE BELOW THE FEDERAL POVERTY LINE - 0.1% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1% COUNTYWIDE, 1% STATEWIDE) 0% LIVE BELOW THE FEDERAL POVERTY LINE - 4.2% ARE LATINX (9% COUNTYWIDE, 13% STATEWIDE) 24.4% LIVE BELOW THE FEDERAL POVERTY LINE - 2.9% ARE MULTI-RACIAL (5% COUNTYWIDE, 4% STATEWIDE) 39.2% LIVE BELOW THE FEDERAL POVERTY LINE THE POPULATION OF COTTAGE GROVE, OR IS APPROXIMATELY 10,657, AN INCREASE OF 10.02% COMPARED TO 2010. OF THE COTTAGE GROVE POPULATION: - 82% ARE WHITE (81% COUNTYWIDE, 75% STATEWIDE) 17.6% LIVE BELOW THE FEDERAL POVERTY LINE - 1.2% ARE BLACK (1% COUNTYWIDE, 2% STATEWIDE) 10.3% LIVE BELOW THE FEDERAL POVERTY LINE - 0.7% ARE AMERICAN INDIANA/ALASKA NATIVE (2% COUNTYWIDE, 2% STATEWIDE) 26.4% LIVE BELOW THE FEDERAL POVERTY LINE - 0.5% ARE ASIAN (3% COUNTYWIDE, 5% STATEWIDE) 0% LIVE BELOW THE FEDERAL POVERTY LINE - 0% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (1% COUNTYWIDE, 1% STATEWIDE) N/A - 9.6% ARE LATINX (9% COUNTYWIDE, 13% STATEWIDE) 36.8% LIVE BELOW THE FEDERAL POVERTY LINE - 6.8% ARE MULTI-RACIAL (5% COUNTYWIDE, 4% STATEWIDE) 36.3% LIVE BELOW THE FEDERAL POVERTY LINE THE 2020 POPULATION OF CLARK COUNTY, WA IS APPROXIMATELY 501,869, A 17.62% INCREASE COMPARED TO 2010. THE POPULATION OF VANCOUVER, WA IS APPROXIMATELY 187,615, AN INCREASE OF 15.96% COMPARED TO 2010. OF THE VANCOUVER POPULATION: - 71.5% ARE WHITE (77.5% COUNTYWIDE, 67.5% STATEWIDE) 7.9% LIVE BELOW THE FEDERAL POVERTY LINE - 2.3% ARE BLACK (2.4% COUNTYWIDE, 4.4% STATEWIDE) 14.8% LIVE BELOW THE FEDERAL POVERTY LINE - 0.6% ARE AMERICAN INDIANA/ALASKA NATIVE (1.2% COUNTYWIDE, 1.9% STATEWIDE) 11.4% LIVE BELOW THE FEDERAL POVERTY LINE - 5.6% ARE ASIAN (5% COUNTYWIDE, 9.6% STATEWIDE) 11% LIVE BELOW THE FEDERAL POVERTY LINE - 1.5% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.9% COUNTYWIDE, 0.8% STATEWIDE) 19.9% LIVE BELOW THE FEDERAL POVERTY LINE - 13.9% ARE LATINX (10.2% COUNTYWIDE, 13% STATEWIDE) 16.1% LIVE BELOW THE FEDERAL POVERTY LINE - 6.0% ARE MULTI-RACIAL (4.3% COUNTYWIDE, 4.9% STATEWIDE) 12.5% LIVE BELOW THE FEDERAL POVERTY LINE THE 2020 POPULATION OF COWLITZ COUNTY, WA IS APPROXIMATELY 114,275, A 11.64% INCREASE COMPARED TO 2010. THE POPULATION OF LONGVIEW, WA IS APPROXIMATELY 12,685, AN INCREASE OF 6.37% COMPARED TO 2010. OF THE LONGVIEW POPULATION: - 78.7% ARE WHITE (83.2% COUNTYWIDE, 67.5% STATEWIDE) 13% LIVE BELOW THE FEDERAL POVERTY LINE - 1.4% ARE BLACK (1.1% COUNTYWIDE, 4.4% STATEWIDE) 14% LIVE BELOW THE FEDERAL POVERTY LINE - 1.3% ARE AMERICAN INDIANA/ALASKA NATIVE (2.1% COUNTYWIDE, 1.9% STATEWIDE) 40.7% LIVE BELOW THE FEDERAL POVERTY LINE - 1.8% ARE ASIAN (1.6% COUNTYWIDE, 9.6% STATEWIDE) 4.2% LIVE BELOW THE FEDERAL POVERTY LINE - 0.1% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.4% COUNTYWIDE, 0.8% STATEWIDE) 0.5% LIVE BELOW THE FEDERAL POVERTY LINE - 11% ARE LATINX (9.3% COUNTYWIDE, 13% STATEWIDE) 25.8% LIVE BELOW THE FEDERAL POVERTY LINE - 8.1% ARE MULTI-RACIAL (3.7% COUNTYWIDE, 4.9% STATEWIDE) 16.4% LIVE BELOW THE FEDERAL POVERTY LINE THE POPULATION OF KELSO, WA IS APPROXIMATELY 12,685, AN INCREASE OF 6.37% COMPARED TO 2010. OF THE KELSO POPULATION: - 75.4% ARE WHITE (83.2% COUNTYWIDE, 67.5% STATEWIDE) 13% LIVE BELOW THE FEDERAL POVERTY LINE - 1.3% ARE BLACK (1.1% COUNTYWIDE, 4.4% STATEWIDE) 14% LIVE BELOW THE FEDERAL POVERTY LINE - 4.1% ARE AMERICAN INDIANA/ALASKA NATIVE (2.1% COUNTYWIDE, 1.9% STATEWIDE) 40.7% LIVE BELOW THE FEDERAL POVERTY LINE - 1.4% ARE ASIAN (1.6% COUNTYWIDE, 9.6% STATEWIDE) 4.2% LIVE BELOW THE FEDERAL POVERTY LINE - 0% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.4% COUNTYWIDE, 0.8% STATEWIDE) 0.5% LIVE BELOW THE FEDERAL POVERTY LINE - 16.8% ARE LATINX (9.3% COUNTYWIDE, 13% STATEWIDE) 25.8% LIVE BELOW THE FEDERAL POVERTY LINE - 6.2% ARE MULTI-RACIAL (3.7% COUNTYWIDE, 4.9% STATEWIDE) 16.4% LIVE BELOW THE FEDERAL POVERTY LINE Schedule H, Part VI, Line 5 Promotion of community health PEACEHEALTH IS AN INTEGRATED, NOT-FOR-PROFIT HEALTH SYSTEM THAT OFFERS A FULL CONTINUUM OF HEALTH AND WELLNESS SERVICES IN THE NORTHWEST. PEACEHEALTH CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY OFFERING A VARIETY OF SERVICES TO ATTEND TO PREVENTATIVE, ACUTE AND CHRONIC HEALTH CARE SERVICES WITHIN THE COMMUNITIES IT SERVES, THE PEACEHEALTH MISSION IS TO CARRY ON THE HEALING MISSION OF JESUS CHRIST BY PROMOTING PERSONAL AND COMMUNITY HEALTH RELIEVING PAIN AND SUFFERING AND TREATING EACH PERSON IN A LOVING AND CARING WAY. OUR VISION IS TO ENSURE THAT EVERY PERSON RECEIVES SAFE, COMPASSIONATE CARE; EVERY TIME, EVERY TOUCH. PEACEHEALTH PROVIDES EXCEPTIONAL MEDICINE, AND ENDEAVORS TO ALWAYS SERVE THE MOST VULNERABLE AMONG US. PEACEHEALTH RECOGNIZES THE NEED FOR INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED TO ACCESS HEALTH CARE AND PEACEHEALTH PROVIDES THOSE SERVICES EQUALLY TO ALL BASED ON THE AFFORDABLE CARE ACTS CHNA GUIDELINES, EVERY 501(C)3 HOSPITAL MUST CONDUCT ITS OWN UNIQUE CHNA. A CHNA HAS BEEN COMPLETED FOR EACH PEACEHEALTH HOSPITAL. THE COMPLETED CHNAS ALLOW FOR DEEPER UNDERSTANDING OF THE HEALTH NEEDS OF OUR COMMUNITIES. OUR BROAD ANALYSIS OF SECONDARY DATA, COMMUNITY FEEDBACK, AND SYSTEMWIDE PEACEHEALTH INPUT REVEALED A REMARKABLE LEVEL OF COMMONALITY IN THE HEALTH CONCERNS OF OUR VARIOUS COMMUNITIES. EACH HOSPITAL HAS IDENTIFIED PLANS TO ADDRESS PRIORITIZED NEEDS AND CONTINUES TO PURSUE OPPORTUNITIES TO ENHANCE THE OVERALL WELLBEING OF THE COMMUNITY. THESE PLANS ARE OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION PLANS FOR EACH AREA, WERE RELEASED IN WINTER 2019 AND ARE AVAILABLE ONLINE AT HTTPS://WWW.PEACEHEALTH.ORG/COMMUNITY-HEALTH-IMPROVEMENT-PLANS AND WILL BE UPDATED ANNUALLY. PEACEHEALTH HAS THE WHEREWITHAL TO IMPROVE POPULATION HEALTH IN ALL REGIONS SERVED BY PEACEHEALTH MEDICAL FACILITIES. THROUGH SYSTEMWIDE SHARING OF BEST PRACTICES, PEACEHEALTH IS IMPROVING AND SUPPORTING THE POPULATION HEALTH OF OUR COMMUNITIES ACROSS THE NORTHWEST. Schedule H, Part VI, Line 6 Affiliated health care system PEACEHEALTH IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM. Schedule H, Part VI, Line 7 State filing of community benefit report AK, OR, WA false Lane Community College 4000 E 30th Ave Eugene OR 97405 930546223 GOVT 700000 Education Support Opportunity Council 1111 Cornwall Ave Bellingham WA 98225 910787820 501(C)(3) 583474 Community Benefit The 4th Dimension Recovery Ctr 11010 SE Division St Ste 200 Portland OR 97266 462702985 501(C)(3) 425000 Community Benefit St Vincent De Paul PO Box 24608 Eugene OR 97402 930454786 501(C)(3) 401772 Community Benefit Lower Columbia CAP 1526 Commerce Ave Longview WA 98632 910814141 501(C)(3) 355000 Community Benefit Western Lane Ambulance Dist 2625 Highway 101 Florence OR 97439 936010869 GOVT 350000 Community Benefit Everyone Village PO Box 5217 Eugene OR 97405 936010442 501(C)(3) 295000 Housing Assistance Looking Glass Youth And Family 1790 W 11Th Ave Ste 200 Eugene OR 97402 930605174 501(C)(3) 257000 Community Benefit YMCA 2055 Patterson St Eugene OR 97405 930500679 501(C)(3) 200000 Community Benefit Southwest Washington Accountable Community of Health 2404 E Mill Plain Blvd Suite B Vancouver WA 98661 462164971 501(C)(3) 200000 Community Benefit Friday Harbor Food Bank 500 Market St Friday Harbor WA 98250 911197629 501(C)(3) 156000 Community Benefit Whatcom Council on Aging 315 Halleck St Bellingham WA 98226 910784024 501(C)(3) 152500 Community Benefit The Oregon Community Foundation 1221 SW Yamhill St Suite 100 Portland OR 97205 237315673 501(C)(3) 150000 Community Benefit United General District 304 2031 HOSPITAL DR SEDRO WOOLLEY WA 98284 810622393 GOVT 136000 Mission Support Community Action of Skagit County 330 Pacific Place Mt Vernon WA 98273 911140086 501(C)(3) 121000 Community Benefit Meals on Wheels People Inc 7710 SW 31st Ave Portland OR 97219 930584318 501(C)(3) 113615 Community Benefit Lane County Oregon 125 E 8Th Ave Eugene OR 97401 936002303 GOVT 112500 Community Benefit Coalition Strengthen America 800 10th St NW 400 Washington DC 20001 522253225 501(C)(4) 97500 Community Benefit Bellingham Food Bank 1824 Ellis St Bellingham WA 98225 910918619 501(C)(3) 79974 Community Benefit Lifeline Connections PO Box 1678 Vancouver WA 98668 910787084 501(C)(4) 75000 Community Health Needs Direct Medical Transportation Inc 92 Centennial Loop Eugene OR 97401 881447469 C-CORP 72908 Community Health Needs Chuckanut Health Fdtn 1500 Cornwall Suite 201 Bellingham WA 98225 911192943 501(C)(3) 67500 Community Benefit YWCA Bellingham 1026 N Forest St Bellingham WA 98225 910565024 501(C)(3) 60125 Community Benefit Mercy Housing Nw 6930 Martin Luther King Jr S Seattle WA 98118 911546525 501(C)(3) 50000 Housing Assistance Dementia Support Northwest 2950 Newmarket St 210 Bellingham WA 98226 911238368 501(C)(3) 50000 Community Health Needs Choice Regional Health Network 1217 Fourth Ave E Olympia WA 98584 911704039 501(C)(3) 50000 Community Benefit The Foundation WA PO Box 87883 Vancouver WA 98687 920559383 501(C)(3) 50000 Community Benefit Fourth Plain Forward 5107 E 4th Plain Blvd Vancouver WA 98661 822923189 501(C)(3) 50000 Community Benefit The Salvation Army Gateway Corps PO Box 101459 Anchorage AK 99510 941156347 501(C)(3) 50000 Community Benefit Food For Lane County 770 Bailey Hill road Eugene OR 97402 930888347 501(C)(3) 49575 Community Benefit Common Threads Farm 801 W Orchards St Bellingham WA 98225 205163417 501(C)(3) 40000 Education Support Recovery Cafe of Clark County 3312 E Fourth Plain Blvd Vancouver WA 98661 825455265 501(C)(3) 40000 Community Benefit Free Clinic Of SW Washington 4100 Plomondon St Vancouver WA 98661 911707542 501(C)(3) 38000 Community Health Needs Ywca Clark County 3609 Main St Vancouver WA 98663 910569882 501(C)(3) 37500 Community Benefit Lydia Place PO Box 28487 Bellingham WA 98228 943111948 501(C)(3) 35000 Community Benefit Vamos Outdoors Project 4120 Meridian St 160 Bellingham WA 98226 825321659 501(C)(3) 35000 Community Benefit Brigid Collins Family Support 1231 N Garden Street 200 Bellingham WA 98225 943121951 501(C)(3) 30000 Community Benefit Community Health Partners PO Box 2853 Longview WA 98632 912016542 501(C)(3) 30000 Community Benefit Road2Home PO Box 3091 Bellingham WA 98227 843552212 501(C)(3) 30000 Community Benefit Ethnic Support Council 1213 14th Ave Longview WA 98632 911591153 501(C)(3) 30000 Community Benefit Childrens Justice Advocacy Ctr 784 14th Ave Longview WA 98632 454946456 501(C)(3) 30000 Community Benefit Hosea Youth Services 834 Monroe Street Eugene OR 97402 844695431 501(C)(3) 30000 Community Benefit Family Promise of Cowlitz Co 215 Academy Street Kelso WA 98626 814619234 501(C)(3) 27500 Housing Assistance Nami Of Whatcom County PO Box 5571 Bellingham WA 98227 911245978 501(C)(3) 27000 Community Health Needs Emergency Support Shelter 1330 11th Ave Longview WA 98632 911074716 501(C)(3) 27000 Community Benefit Catholic Community Svcs of Western WA 100 23rd Ave S Seattle WA 98144 911585652 501(C)(3) 25000 Community Benefit Latino Leadership NW 17704 NE 110th Ave Battle Ground WA 98604 463764546 501(C)(3) 25000 Community Benefit Brothers to Brothers 424 W Bakerview Rd Bellingham WA 98226 991282080 501(C)(3) 25000 Community Benefit The Resilient Project 5754 Milwaukee Rd Bellingham WA 98226 833950772 501(C)(3) 25000 Mission Support Our Coastal Village Inc PO Box 108 Yachats OR 97498 264584304 501(C)(3) 25000 Community Benefit County Of South Lane Dist 4553 1275 SOUTH RIVER RD COTTAGE GROVE OR 97424 936000589 GOVT 23000 Education Support City Of Craig PO Box 725 Craig AK 99921 926000139 GOVT 20000 Community Benefit Boys and Girls Clubs of Skagit county 3302 Cedardale Rd Ste A100 Mt Vernon WA 98274 911670669 501(C)(3) 20000 Community Benefit Love in Action PO Box 6371 - 1216 Tongass Avenue Ketchikan AK 99901 202913418 501(C)(3) 20000 Community Benefit South Tongass Volunteer Fire 5690 Roosevelt Drive Ketchikan AK 99901 920081996 501(C)(3) 20000 Community Benefit Ketchikan Wellness Coalition 602 Dock St Ste 108 KETCHIKAN AK 99901 270897521 501(C)(3) 18500 Community Benefit Latinos Unidos Y Floreciendo 4004 NE ST STE 107-522 RENTON WA 98607 352892044 501(C)(3) 18000 Community Benefit Clark College 1933 Fort Vancouver Way Vancouver WA 98663 910824167 GOVT 16250 Education Support Bellingham Technical College 3028 Lindbergh Ave Bellingham WA 98225 911526618 GOVT 15000 Education Support United Way Of Whatcom County 1511 Cornwall Ave Bellingham WA 98225 910570788 501(C)(3) 15000 Community Benefit Willamalane Park and Rec Dist 250 S 32nd Street Springfield OR 97478 936002078 GOVT 15000 Community Benefit Residential Youth Care Inc PO Box 7475 KETCHIKAN AK 99901 920146378 501(C)(3) 15000 Community Benefit Southeast Alaska Independent Living 8711 Teal St Ste 300 Juneau AK 99801 920144370 501(C)(3) 15000 Housing Assistance South Valley Athletics PO Box 1565 Cottage Grove OR 97424 930639814 501(C)(3) 15000 Community Benefit Bethany Lutheran Church 2900 Parkview Dr Longview WA 98632 910980798 501(C)(3) 15000 Mission Support University of Southern California University Gardens Ste 205 Los Angeles CA 90089 951642394 501(C)(3) 14000 Education Support San Juan County Economic Development Council PO Box 3053 Friday Harbor WA 98250 412067708 501(C)(3) 14000 Community Benefit Medical UNIV of South Carolina 1 South Park Cir Charleston SC 29407 576028985 501(C)(3) 14000 Education Support Franklin Pierce University 40 University Dr Rindge NH 03461 020263136 501(C)(3) 14000 Education Support Chay Environmental 22721 Mayger Heights Lane Clatskanie OR 97016 472305448 501(C)(3) 12500 Community Benefit Jubilee Womens Center 620 18th Avenue East Seattle WA 98112 911539920 501(C)(3) 12000 Community Benefit Community Sharing Program PO Box 351 COTTAGE GROVE OR 97424 930848793 501(C)(3) 11454 Community Benefit EMS Foundation of Whatcom CO 1375 Chuckanut Crest Dr Bellingham WA 98229 910978243 501(C)(3) 11000 Community Health Needs Boys And Girls Club Of Western 1501 Airplace Road Florence OR 97439 931236854 501(C)(3) 10800 Community Benefit Florence Farmers Market 2006 HWY 101 Spc 215 Florence OR 97439 842021387 501(C)(3) 10500 Community Benefit Grand Canyon University 3300 W Camelback Rd Phoenix AZ 85017 472507725 501(C)(3) 10500 Education Support HIV Alliance 1195 City View St Eugene OR 97402 930963546 501(C)(3) 10000 Community Benefit American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(C)(3) 10000 Community Benefit Eugene Emeralds Baseball Club PO Box 10911 Eugene OR 97440 840718891 LLC 10000 Community Benefit Sisters Of St Joseph Of Peace 1663 Killamey Way PO Box 248 Bellevue WA 98009 910567741 501(C)(3) 10000 Mission Support San Juan Island EMS 1079 Spring Street Friday Harbor WA 98250 911666544 501(C)(3) 10000 Community Benefit Positive Community Kitchen PO Box 11513 Eugene OR 97440 462005159 501(C)(3) 10000 Community Benefit Tri Parrish Food Bank 935 Peterson Road Burlington WA 98233 910871630 501(C)(3) 10000 Community Benefit Skagit DMVSAS PO Box 301 Mount Vernon WA 98273 911092350 501(C)(3) 10000 Community Benefit SAFE San Juans PO Box 1516 Eastsound WA 98245 911212454 501(C)(3) 10000 Community Benefit CCF San Juan Islands LLC 510 W Riverside Ave Ste 500 Spokane WA 99201 991053490 LLC 10000 Community Benefit Refuel Washougal PO Box 141 Washougal WA 98671 831351212 501(C)(3) 10000 Community Benefit Bellingham Central Lions Club 4137 Bennett Drive Bellingham WA 98226 311707651 501(C)(3) 10000 Community Benefit Trustees of Boston University 881 Commonwealth Ave Boston MA 02215 042103547 501(C)(3) 10000 Education Support Whatcom County Med Reserve Co 800 E Chestnut Bellingham WA 98225 993919948 501(C)(3) 10000 Community Health Needs Ketchikan Indian Community 2960 Tongass Ave Ketchikan AK 99901 926002696 GOVT 10000 Community Benefit Friends of the Cottage Grove Public Library Po Box 104 Cottage Grove OR 97424 930762350 501(C)(3) 9230 Community Benefit Family Relief Nursery 720 N 14th St COTTAGE GROVE OR 97424 931133896 C-CORP 9075 Community Benefit Identity Clark County 915 Broadway Suite 302 Vancouver WA 98660 911623724 501(C)(3) 7500 Community Benefit Florence Food Share 2190 Spruce Street Florence OR 97439 931053932 501(C)(3) 7500 Community Benefit Ronald Mcdonald House 2620 N Commercial Ave Portland OR 97227 930806912 501(C)(3) 7000 Community Benefit Western Washington University 516 High St Ms 9004 Bellingham WA 98225 916000562 GOVT 6000 Education Support South Lane Mental Health Services 410 N 9th Street Cottage Grove OR 97424 930966461 501(C)(3) 5768 Community Benefit University Of Alaska 11120 Glacier Highway Juneau AK 99801 926000147 GOVT 5500 Education Support 93 6 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds PEACEHEALTH PRE-SCREENS APPLICANTS TO DETERMINE THE NEED OF THE ORGANIZATION RECEIVING THE GRANT. GRANTS AND DONATIONS ARE THEN DETERMINED AND GIVEN TO THOSE ORGANIZATIONS WHOSE MISSION FALLS IN LINE WITH PROMOTING HEALTHCARE OR THE FURTHERANCE OF A COMMUNITY NEED, SUCH AS HEALTHCARE EDUCATION. SINCE EACH GRANT IS CAREFULLY EXAMINED BEFORE IT IS GIVEN AND THE PURPOSE OF THE GRANT IS KNOWN BEFORE IT IS GIVEN, NO FOLLOW UP IS PERFORMED TO FIND OUT HOW THE GRANT WAS USED. X X X true true X X X X true true false false false false false true false TODD A STRUMWASSER MD Director (thru 6/24) 25000 0 0 0 0 0 0 0 0 0 25000 0 0 0 SARAH COCKERILL ASSISTANT SECRETARY 227963 0 39656 0 0 0 4752 0 33938 0 306309 0 0 0 ELIZABETH V DUNNE President 1813913 0 2541029 0 35598 0 48456 0 16423 0 4455419 0 0 0 THOMAS KARNES Secretary/ SVP General Counsel 507700 0 198865 0 7154 0 135479 0 35791 0 884989 0 0 0 JAMES MCGOVERN Chief Hospital Executive, Oregon 575226 0 233959 0 7955 0 34262 0 26492 0 877894 0 0 0 DARRIN MONTALVO EVP Chief Fin. Growth Officer/ Treasurer 1005995 0 860260 0 15532 0 343603 0 32403 0 2257793 0 0 0 RON L SAXTON Secretary thru 2/14/25 163260 0 88042 0 2404 0 19591 0 0 0 273297 0 0 0 SEAN GREGORY Former Chief Executive Columbia (thru 01/24) 33066 0 1185971 0 683201 0 -5907 0 2878 0 1899209 0 1007263 0 RICHARD DECARLO Chief Operating Officer/EVP 1093015 0 2197936 0 25603 0 316205 0 26600 0 3659359 0 1263263 0 MICHAEL P DWYER EVP Strategy/Community Health 677046 0 578965 0 16532 0 234613 0 15352 0 1522508 0 0 0 STEVEN GLENN EVP Chief Business and Technology Officer (thru 01/25) 814839 0 1443846 0 19332 0 247684 0 5430 0 2531131 0 747050 0 MICHELLE A JAMES SVP Patient Care Svcs and CNO 547316 0 214002 0 0 0 144282 0 33066 0 938666 0 0 0 DOUGLAS KOEKKOEK Chief Physician and Clinical Executive (thru 11/24) 730548 0 862807 0 66866 0 270853 0 27503 0 1958577 0 312682 0 EVE LOGSDON SVP Chief HR Officer 516223 0 325086 0 0 0 143426 0 24853 0 1009588 0 0 0 SARAH NESS EVP CAO 801701 0 685560 0 19618 0 290750 0 14523 0 1812152 0 0 0 CHARLES PROSPER Chief Executive Northwest 722944 0 503937 0 8735 0 278323 0 38428 0 1552367 0 0 0 KIMBERLY SULLIVAN SVP Chief Revenue Officer 497522 0 197719 0 7980 0 134505 0 18186 0 855912 0 0 0 MICHEL BARAKAT MD Cardiology 1141847 0 0 0 0 0 61406 0 18170 0 1221423 0 0 0 DAVID DEHAAS MD Surgery 1305399 0 60000 0 13579 0 3450 0 25157 0 1407585 0 0 0 ZHAO GUANGQUAN MD Oncology 1117420 0 131677 0 5009 0 89850 0 33571 0 1377527 0 131677 0 WEN-HUAN S HO MD MD Gastroenterology 1302912 0 0 0 0 0 145889 0 41349 0 1490150 0 0 0 MANJUNATH G RAJU MD Cardiology 1229504 0 190212 0 0 0 74348 0 41209 0 1535273 0 190212 0 Schedule J, Part I, Line 1a First-class or charter travel THE ORGANIZATION HAS POLICIES REGARDING THE ELIGIBILITY OF EXECUTIVES FOR FIRST CLASS TRAVEL FOR FLIGHTS EXCEEDING SIX HOURS IN DURATION. THESE BENEFITS WERE REPORTED AND TREATED AS TAXABLE INCOME. Schedule J, Part I, Line 1a Travel for companions THE ORGANIZATION HAS POLICIES REGARDING THE ELIGIBILITY OF EXECUTIVES FOR TRAVEL FOR COMPANIONS. THESE BENEFITS WERE REPORTED AND TREATED AS TAXABLE INCOME. Schedule J, Part I, Line 1a Housing allowance or residence for personal use THE ORGANIZATION HAS POLICIES REGARDING THE ELIGIBILITY OF EXECUTIVES FOR HOUSING ALLOWANCES. THESE BENEFITS WERE REPORTED AND TREATED AS TAXABLE INCOME. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2024: DOUGLAS KOEKKOEK: $61,027 SCOTT FOSTER: $396,592 BRIAN SHIPLEY: $40,908 SEAN GREGORY: $683,369 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, CERTAIN PHYSICIANS, AND OTHER HIGHLY COMPENSATED EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN VARIOUS NONQUALIFIED RETIREMENT PLANS. CONTRIBUTIONS TO THESE PLANS AND RELATED INVESTMENT RETURNS ARE DISCLOSED ON SCHEDULE J AS DEFERRED COMPENSATION AND AS BONUS COMPENSATION WHEN PAID TO THE INDIVIDUAL. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2024 (DEFERRED/PAID): RICHARD DECARLO: $269,356/$1,263,263 MICHAEL P. DWYER: $186,157/$0 STEVEN GLENN: $201,624/$747,050 THOMAS KARNES: $104,642/$0 KIMBERLY SULLIVAN: $130,476/$0 MICHELLE JAMES: $140,492/$0 EVE LOGSDON: $139,503/$0 CHARLES PROSPER: $237,309/$0 SEAN GREGORY: ($8,332)/$1,185,971 SARAH NESS: $256,094/$0 DARRIN MONTALVO: $305,497/$0 DOUGLAS KOEKKOEK: $236,353/$549,036 ELIZABETH DUNNE: $0/$431,884 RON SAXTON: $0/$88,042 WEN-HUAN S. HO, M.D.: $111,233/$0 ZHAO GUANQUAN: $41,394/$131,677 Schedule J, Part I, Line 7 Non-fixed payments PeaceHealth offers Long-Term Incentive Pay ("LTIP") to eligible executives based on the achievement of predefined, long-term strategic initiatives to attract, retain, and motivate senior leadership through rewards based on the achievement of PeaceHealth's strategic plan and long-term success, consistent with its mission, values, and tax-exempt status, to encourage teamwork and collaboration through effective senior leadership, and to provide competitive total remuneration and balance both annual and longer-term performance objectives. The system president/CEO will recommend executive employees who are eligible to participate in this plan for each performance period/LTIP plan cycle, as approve by the governance committee of the PeaceHealth board. The performance measures for each Plan Cycle are recommended by the System President/CEO and approved by the Governance Committee. Performance measures are System-wide and will have a specified weighting. The governance committee in its sole discretion reserves the right to approve and/or revise the eligible participants, performance measures, goals, weights, and awards under this Plan for any or all participants, or to modify the funding of the LTIP for extraordinary events or significant achievements. Such changes shall be based on the governance committee's defined limits within its fiduciary and governance responsibilities. These modifications and considerations may be recommended by the President/CEO to the governance committee for its review and approval, and or made by the committee itself. The LTIP will be reviewed annually and modified as needed to ensure that it reflects PeaceHealth's mission, values, and business needs. To accomplish this, the LTIP will be subject to approval by the Governance Committee and must further the achievement of PeaceHealth's mission and charitable purposes, such as improvement in quality, customer satisfactions, access, cost and financial stability. Financial improvement must be accomplished in ways that are consistent with the fulfillment of PeaceHealth's mission and charitable purpose. A WA HEALTHCARE FAC AUTH 911108929 000000000 2013-02-27 53464898 REFUND WHCFA 2008A ISSUED 11/2008 false false false B OR FACILITIES AUTHORITY 936001787 68608JSB8 2014-03-18 71088211 REFUND OFA08A&B '08, HHECFA '98 false false false C OR FACILITIES AUTHORITY 2018 A 936001787 68608JXD8 2018-10-31 45975000 REFUND OFA 2008 A-B false false false D OR FACILITIES AUTHORITY 2018 B 936001787 68608JXF3 2018-10-31 100000000 REFUND OFA 2008 A-B false false false A 53464898 53464898 2013 true false true true B 71088211 1019562 70068649 2014 true false true true C 45975000 45975000 true false true true D 100000000 100000000 true false true true A false false true true false false 0.0001 0 0.0001 false false 0 false true B false false true true false false 0.0001 0 0.0001 false false 0 false true C false false true true false false 0.0001 0 0.0001 false false 0 false true D false false true true false false 0.0001 0 0.0001 false false 0 false true A false false true false true false 0 false false false 0 false false false B false false true false false false 0 false false false 0 false false false C false false true false true false 0 false false false 0 false false false D false false true false true false 0 false false false 0 false false false A true B true C true D true Schedule K, Part III LINES 3A AND 4 PERCENTAGE OF BOND FINANCED PROPERTY USED IN PRIVATE BUSINESS: A DE MINIMIS AMOUNT OF PRIVATE USE OCCURS. Schedule K, Part III LINES 8A, 8B AND 8C: DISPOSITION OF BOND-FINANCED PROPERTY: IN THE ORDINARY COURSE OF BUSINESS, PEACEHEALTH ROUTINELY DISPOSES OF PROPERTY. DISPOSALS ARE GENERALLY DUE TO EQUIPMENT OBSOLESCENCE OR A TRADE IN ON NEW EQUIPMENT. IN A DISPOSAL WHERE CASH PROCEEDS ARE RECEIVED, THE PROCEEDS ARE EITHER: 1) REINVESTED IN QUALIFIED ASSETS AT A LOCATION COVERED BY A TEFRA NOTICE (TAX EQUITY AND FISCAL RESPONSIBILITY ACT OF 1982), OR 2) BONDS ARE CALLED AND REDEEMED WITH THE PROCEEDS. A OR FACILITIES AUTHORITY 2018 C 936001787 000000000 2018-12-03 75000000 REFUND OFA 2011 A false false false A 75000000 75000000 true false true true A false false true true false false 0.0001 0 0.0001 false false 0 false true A false false true false true false 0 false false false 0 false false false A true X EMERGENCY SUPPLIES 15 92003 Other - FMV 0 false false false Form 990, Part III, Line 4a CHARITY CARE AND COMMUNITY BENEFITS: PEACEHEALTH PROVIDES FINANCIAL ASSISTANCE TO PATIENTS UNABLE TO PAY FOR SERVICE. FINANCIAL ASSISTANCE PATIENTS RECEIVE CARE AT REDUCED COST OR NO CHARGE WHEN IT IS DETERMINED THAT PAYMENT CANNOT BE OBTAINED THROUGH INSURANCE, OUTSIDE AGENCIES, OR PRIVATE MEANS. PEACEHEALTH OFFERS INFORMATION ON AVAILABLE ASSISTANCE PRIOR TO ADMISSION, FINANCIAL ASSISTANCE IS ALSO AVAILABLE POST-CARE THROUGH FINANCIAL COUNSELING OTHER COMMUNITY BENEFIT COSTS INCLUDE THE UNREIMBURSED COST OF MEDICAID AND GOVERNMENT PROGRAMS, HEALTH EDUCATION, AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. NET COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING ACTIVITIES FOR TAX YEAR 2024 WAS $288,075,473 AND $65,210 RESPECTIVELY AS INDICATED ON THE SCHEDULE H IN PART I, LINE 7K COLUMN (E) AND PART II, LINE 10 COLUMN (E). Form 990, Part VI, Line 1a Delegate broad authority to a committee The Governance Committee shall be comprised of the Board Chair, the Board Vice Chair, and all of the chairs of each of the other standing committees provided that all members of the Governance Committee shall be PeaceHealth Directors. In addition, the Governance Committee shall also include at least one professed Sister of St. Joseph of Peace as long as one is serving as a PeaceHealth Director. The Board Chair or, in the Board Chair's absence, the Board Vice Chair shall have sole discretion to call meetings of the Governance Committee. The Governance Committee shall have authority to approve the compensation of senior management, approve the compensation plan for, and the compensation of, physician employees, oversight of selection, orientation, development and assessment of Board members, to conduct such urgent business of the corporation as may be necessary between regular meetings of the Board of Directors, and such other matters described in the Charter of the Governance Committee; provided, that it shall keep regular minutes of all meetings and cause them to be included in the corporate records; further provided, that any action taken by the Governance Committee shall be reported to the Board at its next meeting. Notwithstanding the foregoing, the Governance Committee shall not have the authority to: (a) Authorize distributions; (b) Adopt, amend, alter, or repeal these Bylaws; (c) Approve or propose to members action that must be approved by the Member under the Articles or these Bylaws; (d) Elect, appoint, or remove any member of any committee of the Board or any director or officer of the Corporation; (e) Appoint or remove any committees or subcommittees of or advisory to the Board of Directors; (f) Amend the Articles; (g) Adopt a plan of merger with another corporation; (h) Adopt a plan of domestication, for-profit conversion, or entity conversion; (i) Authorize the sale, lease, or exchange of all or substantially all of the property and assets of the Corporation not in the ordinary course of business; (j) Authorize the voluntary dissolution of the Corporation or revoke proceedings therefore; (k) Adopt a plan for the distribution of the assets of the Corporation; (l) Amend, alter, or repeal any resolution of the Board, unless the resolution provides by its terms that it may be amended, altered, or repealed by a committee; (m) Meet in place of regular Board meetings; or (n) Take any action prohibited by RCW 24.03A.575 or any successor provision of the Act. A quorum of the Governance Committee shall be sixty percent (60%) of the committee members. Form 990, Part VI, Line 4 Significant changes to organizational documents The Bylaws were amended during September 2024 to include the following significant changes: - The option for a board vice chair was added - The titles of individuals the president may designate were revised and the sections on the officer designations were revised to give the option for the Board to appoint other individuals other than the PeaceHealth general counsel (secretary) and Chief Financial Officer (treasurer). The Articles of Incorporation were amended during August 2024 to include the following changes: -The corporate affairs of the corporation and its property shall be managed by a Board of Directors. There shall be a minimum of eight (8) and a maximum of twelve (12) Director positions with the exact number fixed by resolution of the board of directors. The election and selection criteria for the members of the board of directors shall be set forth in the Bylaws or determined in the manner described in the Bylaws. Except as otherwise provided herein or in the Bylaws, a quorum for the transaction of business of the board of directors shall be a majority of the directors in office. The Bylaws of the corporation shall be those adopted by the board of directors and may contain any provision for the regulation and management of the corporation not inconsistent with the law or these articles of incorporation. - The term of this corporation shall be perpetual unless sooner dissolved by a 2/3 vote of the board of directors. - These Articles may be only amended by a seventy-five percent (75%) vote of all directors in office provided the amendment shall have either been read at a previous meeting or submitted in writing to the board of directors at least twenty (20) days prior to the meeting. Form 990, Part VI, Line 6 Classes of members or stockholders PEACEHEALTH NETWORKS (EIN: 91-1230425) IS THE SOLE CORPORATE MEMBER OF PEACEHEALTH. PEACEHEALTH NETWORKS IS A 501(C)(3) ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION'S ACCOUNTING DEPARTMENT WORKS CLOSELY WITH THE OUTSIDE ACCOUNTING FIRM IT ENGAGES (KPMG) TO PREPARE AND REVIEW THE RETURN. THE EVP, CFO AND LEGAL DEPARTMENT REVIEW A DRAFT OF THE FORM 990 AND PROVIDE COMMENTS. THE FINAL DRAFT IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. Form 990, Part VI, Line 12c Conflict of interest policy A FORMAL CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO PEACEHEALTH BOARD MEMBERS AND OFFICERS AT LEAST ANNUALLY. RESPONSES ARE REVIEWED BY THE PEACEHEALTH ORGANIZATIONAL INTEGRITY DEPARTMENT AND ANY PERCEIVED OR REAL CONFLICTS OF CONCERN ARE DOCUMENTED IN A MANAGEMENT PLAN AND REVIEWED BY NETWORK AND BOARD LEADERSHIP. BOARD MEMBERS AND OFFICERS ARE OBLIGATED TO BRING ANY CHANGES IN STATUS VIS-A-VIS THE CONFLICT OF INTEREST POLICY TO THE BOARD'S ATTENTION FOR REVIEW AND DISPOSITION BETWEEN SURVEY PERIODS. IF PEACEHEALTH ORGANIZATIONAL INTEGRITY BELIEVES A DISCLOSURE POSES A POTENTIAL OR ACTUAL CONFLICT, IT MUST INDICATE TO THE COVERED PERSON HOW TO DISPOSE OF OR MANAGE THE CONFLICT. PEACEHEALTH ORGANIZATIONAL INTEGRITY INVOLVES LEADERS FROM OTHER DEPARTMENTS AS NEEDED TO REVIEW AND MANAGE DISCLOSED CONFLICTS OF INTEREST. IF PEACEHEALTH HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST OR OTHERWISE VIOLATED THIS POLICY OR REFUSED TO COOPERATE IN AN INVESTIGATION RELATED TO COMPLIANCE WITH THIS POLICY, IT MUST INFORM THE PERSON OF THE BASIS FOR THE BELIEF AND AFFORD AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, PEACEHEALTH DETERMINES A PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT MAY TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION UP TO AND INCLUDING DISSOLUTION OF THE PERSON'S AFFILIATION WITH PEACEHEALTH. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE INDEPENDENT CHAIR OF THE PEACEHEALTH BOARD OF DIRECTORS REVIEWS AND RECOMMENDS, IN PARTNERSHIP WITH REPRESENTATIVES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT RETAINED BY THE BOARD OF DIRECTORS, THE COMPENSATION OF PEACEHEALTH'S PRESIDENT/CHIEF EXECUTIVE OFFICER. THE BOARD OF DIRECTORS HAS ULTIMATE APPROVAL AUTHORITY FOR THE COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER. FURTHERMORE, THE INDEPENDENT COMPENSATION CONSULTANT, WITH SUPPORT FROM MEMBERS OF THE HUMAN RESOURCES DEPARTMENT, DETERMINES COMPARABILITY DATA ACROSS VARIOUS INDUSTRY AND APPLICABLE FOR-PROFIT/NOT-FOR-PROFIT ORGANIZATIONS FOR PERIODICALLY INFORMING THE GOVERNANCE COMMITTEE OF THE BOARD ON THE MARKET COMPETITIVENESS OF THE PAY FOR PEACEHEALTH EXECUTIVES. DISCUSSIONS AND DECISIONS MADE DURING THE COMMITTEE MEETINGS ARE DOCUMENTED IN MEETING MINUTES. THE MOST RECENT COMPENSATION REVIEW WAS COMPLETED IN SEPTEMBER 2024, AND INCLUDED THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, NETWORK CHIEF EXECUTIVES, MEDICAL GROUP CHIEF EXECUTIVE, AND OTHER SENIOR NETWORK ROLES (INCLUDING CFO, COO, CAO). Form 990, Part VI, Line 15b Process to establish compensation of other employees See narrative for line 15a. Form 990, Part VI, Line 19 Required documents available to the public ALL GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. 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