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Peacehealth

1115 Se 164th Avenue
Vancouver, WA 98683
EIN: 910939479
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Shmc-Riverbend
3333 Riverbend Drive
Springfield, OR 97477
10 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count347Medicare provider number380102Member of the Council of Teaching HospitalsNOChildren's hospitalNO

PeacehealthDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
9.32%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 3,468,367,093
      Total amount spent on community benefits
      as % of operating expenses
      		$ 323,172,375
      9.32 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 47,905,880
        1.38 %
        Medicaid
        as % of operating expenses
        		$ 261,990,716
        7.55 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 3,303,197
        0.10 %
        Subsidized health services
        as % of operating expenses
        		$ 2,497,280
        0.07 %
        Research
        as % of operating expenses
        		$ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 3,799,550
        0.11 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 3,675,752
        0.11 %
        Community building*
        as % of operating expenses        		$ 9,923
        0.00 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses          		$ 9,923
          0.00 %
          Physical improvements and housing
          as % of community building expenses
          		$ 9,923
          100 %
          Economic development
          as % of community building expenses
          		$ 0
          0 %
          Community support
          as % of community building expenses
          		$ 0
          0 %
          Environmental improvements
          as % of community building expenses
          		$ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          		$ 0
          0 %
          Coalition building
          as % of community building expenses
          		$ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 0
          0 %
          Workforce development
          as % of community building expenses
          		$ 0
          0 %
          Other
          as % of community building expenses
          		$ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses        		$ 76,207,452
        2.20 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses        		$ 30,066,128
        39.45 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available

    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES

    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available

    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
      • 4A (Expenses $ 2492490674 including grants of $ 4519629) (Revenue $ 2693587690)
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.)
      4B (Expenses $ 571042603 including grants of $ 0) (Revenue $ 378478562)
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.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      FACILITY REPORTING GROUP A
PART V, SECTION B, LINE 5: 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.PLEASE REFER TO THE PUBLISHED CHNAS FOR FURTHER DETAILS. THESE REPORTS CAN BE FOUND AT: WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/COMMUNITY-HEALTH/NEEDS-ASSESSMENT
      FACILITY REPORTING GROUP A
PART V, SECTION B, LINE 6A: 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 2019-2021 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.
      FACILITY REPORTING GROUP A
PART V, SECTION B, LINE 6B: REFER TO THE PUBLISHED CHNAS AT: WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/COMMUNITY-HEALTH/NEEDS-ASSESSMENTFOR 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.
      FACILITY REPORTING GROUP A
PART V, SECTION B, LINE 7D: ALL CHNA'S AND CHNA REPORTS ARE AVAILABLE UPON REQUEST.FACILITY REPORTING GROUP A:PART V, SECTION B, LINE 9: ALL PEACEHEALTH HOSPITALS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM APRIL THROUGH JUNE 2020. THESE ASSESSMENTS ARE CONDUCTED EVERY THREE YEARS. PEACEHEALTH COMPLETED THE 2022-2025 CHNA CYCLE IN THE FALL OF 2022.
      FACILITY REPORTING GROUP A
PART V, SECTION B, LINE 11: PLEASE REFER TO THE PUBLISHED CHNAS LOCATED AT:WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/COMMUNITY-HEALTH/NEEDS-ASSESSMENTTHE PUBLISHED CHNAS CONTAIN THE IMPLEMENTATION PLAN(S) COVERING HOW THE PEACEHEALTH MEDICAL CENTERS ARE ADDRESSING THE SIGNIFICANT NEEDS OF THEIR RESPECTIVE COMMUNITIES.
      FACILITY REPORTING GROUP A
"PART V, SECTION B, LINE 13H: PEACEHEALTH USES THE FEDERAL POVERTY GUIDELINES (FPL) AND CRITERIA THAT ASSESS AN INDIVIDUAL'S ABILITY TO PAY FOR DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE THAT WILL BE PROVIDED. EACH INDIVIDUAL SITUATION IS REVIEWED INDEPENDENTLY WITH ALLOWANCES MADE FOR EXTENUATING CIRCUMSTANCES.FOR ADDITIONAL DESCRIPTION, REFER TO SCHEDULE H, PART VI EXPLANATION FOR PART I, LINE 3C.FACILITY REPORTING GROUP A:PART V, SECTION B, LINE 22D: IRS REQUIREMENTS FOR CHARITABLE HOSPITALS 501(R)LIMITATION ON CHARGES AN ELIGIBLE INDIVIDUAL RECEIVING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE UNDER A PEACEHEALTH'S FINANCIAL ASSISTANCE POLICY (FAP) WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE. TO DETERMINE AMOUNTS GENERALLY BILLED (AGB), THE ""LOOK BACK"" METHOD IS APPLIED FOR MEDICARE FEE-FOR-SERVICE AND PRIVATE INSURER ACCOUNTS.PEACEHEATH HAS A FAP THAT PROVIDES FOR DISCOUNTS TO ELIGIBLE INDIVIDUALS ON A SLIDING SCALE UP TO 400% OF THE FEDERAL POVERTY LEVEL. WHILE THE RATE INSURED INDIVIDUALS ARE ULTIMATELY CHARGED VARIES WITH CONTRACT AND BENEFIT TERMS, WE BELIEVE THAT OUR FAP DISCOUNTS PROVIDE ELIGIBLE INDIVIDUALS WITH BETTER OR SIMILAR DISCOUNTS. OUR MINIMUM UNINSURED FAP REDUCTION IS 70% WITH A MAXIMUM UNINSURED DISCOUNT OF 100%. FOR INSURED ACCOUNTS WE OFFER DISCOUNTS RANGING FROM 70% TO 100% DEPENDING ON FEDERAL POVERTY GUIDELINES. WE DO NOT USE GROSS CHARGES WITHOUT DISCOUNTS FOR INDIVIDUALS ELIGIBLE UNDER OUR FAP."
      PART V, SECTION B, LINES 7A AND 10A:
THE CHNA CAN BE VIEWED AT:WWW.PEACEHEALTH.ORG/ABOUT-PEACEHEALTH/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTTHE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS INCLUDED IN THE CHNA.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 3C:
PEACEHEALTH USES THE FEDERAL POVERTY GUIDELINES (FPL) AS WELL AS THE FOLLOWING CRITERIA FOR DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE THAT WILL BE PROVIDED. EACH INDIVIDUAL SITUATION IS REVIEWED INDEPENDENTLY WITH ALLOWANCES MADE FOR EXTENUATING CIRCUMSTANCES.CONSIDERATION FOR FINANCIAL ASSISTANCE INCLUDES A REVIEW OF:* GROSS HOUSEHOLD INCOME* NUMBER OF PEOPLE IN THE HOME* OTHER EXTENUATING CIRCUMSTANCES. EXAMPLES INCLUDE: THE REMAINING BALANCE TO BE PAID AFTER ALL REDUCTIONS, HOUSEHOLD INCOME, AND MEDICAL STATUS OF PATIENT/FAMILY.
      PART I, LINE 7:
THE COSTING METHOLODOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I LINE 7 IS AS FOLLOWS:COST TO CHARGE RATIOS WERE CALCULATED BY TOTAL BUSINESS UNIT OPERATING EXPENSE DIVIDED BY TOTAL GROSS PATIENT REVENUE. THIS RATIO WAS THEN APPLIED TO THE PATIENT CHARGES BY FINANCIAL CLASS IN THE BUSINESS UNIT TO ESTIMATE COST BY FINANCIAL CLASS. THE COST BY FINANCIAL CLASS WAS THEN OFFSET BY REVENUE, INCLUDING ALLOCATIONS OF REVENUE OUTSIDE OF THE BILLING SYSTEM. THE REVENUE OUTSIDE OF THE BILLING SYSTEM CONSISTS OF PROVIDER TAXES, 3RD PARTY SETTLEMENTS, AND OTHER OFFSETTING REVENUE RECORDED IN THE GENERAL LEDGER. FOR CHARITY CARE, THE COST TO CHARGE RATIO WAS APPLIED TO ALL CHARITY CARE DEDUCTIONS.PART I, LINE 7THE 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.
      PART II, COMMUNITY BUILDING ACTIVITIES:
PEACEHEALTH'S COMMUNITY BUILDING ACTIVITIES ARE AIMED AT THE CAUSES OF HEALTH PROBLEMS, FREQUENTLY REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH IN A LOCAL COMMUNITY, SUCH AS POVERTY, HOMELESSNESS, AND CARE ACCESS. THESE ACTIVITIES PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY'S RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE PEACEHEALTH MEDICAL CENTERS.
      PART III, LINE 2:
REFER TO PART III, LINE 4 EXPLANATION FOR A DESCRIPTION OF THE METHODOLOGY FOR COMPUTING BAD DEBTS.THE AMOUNTS REPORTED REPRESENT THE PATIENT ACCOUNT BALANCES WRITTEN OFF TO BAD DEBT DURING THE YEAR ALONG WITH THE CHANGE IN THE ESTIMATE IN THE BAD DEBT RESERVES ON OUTSTANDING PATIENT ACCOUNTS RECEIVABLE BALANCES LESS ANY RECOVERIES ON PATIENT ACCOUNTS.
      PART III, LINE 3:
THE METHODOLOGY USED TO DETERMINE THE AMOUNT ON PART III, LINE 3 IS AS FOLLOWS: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.PART III, LINE 4: 6/30/2022 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.
      PART III, LINE 8:
THE CALCULATION FOR PART III, LINE 8 IS COMPLETED USING MEDICARE COST REPORT DATA.THE MEDICARE AMOUNTS LISTED IN PART III, SECTION B ON LINES 5, 6, AND 7 ARE REPORTED FROM THE MEDICARE COST REPORTS AND DO NOT 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 $610,402,422 AND $691,903,876 RESPECTIVELY. THIS RESULTS IN A TOTAL MEDICARE SHORTFALL OF $81,501,454.
      PART III, LINE 9B:
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.NO ACTIONS CONSTITUTING EXTRAORDINARY COLLECTION ACTIONS ARE UNDERTAKEN PRIOR TO DETERMINING IF AN INDIVIDUAL IS FAP ELIGIBLE. REFER TO THE SCHEDULE H, PART V SECTION ON BILLING AND COLLECTIONS.
      PART VI, LINE 4:
PEACEHEALTH OPERATES TEN HOSPITALS IN THREE STATES. IN ALASKA, PEACEHEALTH RUNS THE KETCHIKAN MEDICAL CENTER IN KETCHIKAN. IN OREGON, PEACEHEALTH OPERATES SACRED HEART MEDICAL CENTER UNIVERSITY DISTRICT (EUGENE), SACRED HEART MEDICAL CENTER AT RIVERBEND (SPRINGFIELD), PEACE HARBOR MEDICAL CENTER (FLORENCE), AND COTTAGE GROVE COMMUNITY MEDICAL CENTER (COTTAGE GROVE). IN WASHINGTON, PEACEHEALTH OPERATES SOUTHWEST WASHINGTON MEDICAL CENTER (VANCOUVER), PEACEHEALTH ST. JOHN MEDICAL CENTER (LONGVIEW), PEACEHEALTH ST. JOSEPH MEDICAL CENTER (BELLINGHAM), PEACEHEALTH UNITED GENERAL MEDICAL CENTER (SEDRO-WOOLLEY), AND PEACEHEALTH PEACE ISLAND MEDICAL CENTER (FRIDAY HARBOR).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 LINETHE 2020 POPULATION OF ALASKA IS APPROXIMATELY 724,357, A 1.95% INCREASE COMPARED TO 2010. 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 LINETHE 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 LINETHE 2020 POPULATION OF LANE COUNTY, OR IS APPROXIMATELY 382,971, A 10.57% INCREASE COMPARED TO 2010. 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 LINETHE 2020 POPULATION OF LANE COUNTY, OR IS APPROXIMATELY 382,971, A 10.57% INCREASE COMPARED TO 2010. 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 LINETHE 2020 POPULATION OF LANE COUNTY, OR IS APPROXIMATELY 382,971, A 10.57% INCREASE COMPARED TO 2010. 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 LINETHE 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 LINETHE 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 LINETHE 2020 POPULATION OF COWLITZ COUNTY, WA IS APPROXIMATELY 114,275, A 11.64% INCREASE COMPARED TO 2010. 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(SEE PART VI, LINE 4 CONTINUED)
      PART VI, LINE 6:
PEACEHEALTH IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM.
      PART VI, LINE 7, REPORTS FILED WITH STATES
AK,OR,WA
      PART VI, LINE 2:
THE COMMUNITY HEALTH NEEDS ASSESSMENT IS CUSTOMIZED TO THE LOCAL COMMUNITY. EACH PEACEHEALTH HOSPITAL CONDUCTS ITS OWN COMMUNITY HEALTH NEEDS ASSESSMENT.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.
      PART VI, LINE 3:
PEACEHEALTH HAS A TIME-HONORED TRADITION OF PROVIDING HEALTH CARE SERVICES TO THE SICK AND AFFLICTED REGARDLESS OF ABILITY TO PAY. THIS CONCEPT IS CENTRAL TO OUR MISSION AND IS REINFORCED THROUGH OUR NEW EMPLOYEE ORIENTATION TRAINING AND DEVELOPMENT PROGRAMS, LEADERSHIP MEETINGS, AND SPECIAL PROGRAMS SUCH AS LEADERSHIP IN MINISTRY.PEACEHEALTH DELIVERS COST SAVINGS TO NEEDY PATIENTS VIA OUR FINANCIAL ASSISTANCE POLICY (FAP). 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
      PART VI, LINE 5:
PEACEHEALTH IS AN INTEGRATED, NOT-FOR-PROFIT HEALTH SYSTEM THAT OFFERS A FULL CONTINUUM OF HEALTH AND WELLNESS SERVICES IN THE NORTHWEST. PEACEHEALTH CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY OFFERING A VARIETY OF SERVICES TO ATTEND TO PREVENTATIVE, ACUTE AND CHRONIC HEALTH CARE SERVICES WITHIN THE COMMUNITIES IT SERVES, THE PEACEHEALTH MISSION IS TO CARRY ON THE HEALING MISSION OF JESUS CHRIST BY PROMOTING PERSONAL AND COMMUNITY HEALTH RELIEVING PAIN AND SUFFERING AND TREATING EACH PERSON IN A LOVING AND CARING WAY. OUR VISION IS TO ENSURE THAT EVERY PERSON RECEIVES SAFE, COMPASSIONATE CARE; EVERY TIME, EVERY TOUCH. PEACEHEALTH PROVIDES EXCEPTIONAL MEDICINE, AND ENDEAVORS TO ALWAYS SERVE THE MOST VULNERABLE AMONG US. PEACEHEALTH RECOGNIZES THE NEED FOR INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED TO ACCESS HEALTH CARE AND PEACEHEALTH PROVIDES THOSE SERVICES EQUALLY TO ALL BASED ON THEAFFORDABLE 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.
      PART V, LINE 4 (CONTINUED):
THE 2020 POPULATION OF WHATCOM COUNTY, WA IS APPROXIMATELY 237,347, A 17.76% INCREASE COMPARED TO 2010. THE POPULATION OF BELLINGHAM, WA IS APPROXIMATELY 96,014, AN INCREASE OF 18.70% COMPARED TO 2010. OF THE BELLINGHAM POPULATION:- 78.2% ARE WHITE (78.3% COUNTYWIDE, 67.5% STATEWIDE) 12.5% LIVE BELOW THE FEDERAL POVERTY LINE- 1.6% ARE BLACK (1.3% COUNTYWIDE, 4.4% STATEWIDE) 26.7% LIVE BELOW THE FEDERAL POVERTY LINE- 1.1% ARE AMERICAN INDIANA/ALASKA NATIVE (3.4% COUNTYWIDE, 1.9% STATEWIDE) 24.9% LIVE BELOW THE FEDERAL POVERTY LINE- 5.9% ARE ASIAN (4.8% COUNTYWIDE, 9.6% STATEWIDE) 19.6% LIVE BELOW THE FEDERAL POVERTY LINE- 0.2% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.3% COUNTYWIDE, 0.8% STATEWIDE) 11.1% LIVE BELOW THE FEDERAL POVERTY LINE- 9.2% ARE LATINX (9.8% COUNTYWIDE, 13% STATEWIDE) 19.7% LIVE BELOW THE FEDERAL POVERTY LINE- 4.8% ARE MULTI-RACIAL (4% COUNTYWIDE, 4.9% STATEWIDE) 16.4% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF SKAGIT COUNTY, WA IS APPROXIMATELY 131,945, A 12.83% INCREASE COMPARED TO 2010. THE POPULATION OF SEDRO-WOOLEY, WA IS APPROXIMATELY 12,182, AN INCREASE OF 15.58% COMPARED TO 2010. OF THE SEDRO-WOOLEY POPULATION:- 74.8% ARE WHITE (74.1% COUNTYWIDE, 67.5% STATEWIDE) 9% LIVE BELOW THE FEDERAL POVERTY LINE- 2.1% ARE BLACK (1.1% COUNTYWIDE, 4.4% STATEWIDE) 18.4% LIVE BELOW THE FEDERAL POVERTY LINE- 0.7% ARE AMERICAN INDIANA/ALASKA NATIVE (2.7% COUNTYWIDE, 1.9% STATEWIDE) 24.9% LIVE BELOW THE FEDERAL POVERTY LINE- 1.3% ARE ASIAN (2.3% COUNTYWIDE, 9.6% STATEWIDE) 11.1% LIVE BELOW THE FEDERAL POVERTY LINE- 0.2% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.4% COUNTYWIDE, 0.8% STATEWIDE) 7% LIVE BELOW THE FEDERAL POVERTY LINE- 18.5% ARE LATINX (18.6% COUNTYWIDE, 13% STATEWIDE) 23% LIVE BELOW THE FEDERAL POVERTY LINE- 6.6% ARE MULTI-RACIAL (3.2% COUNTYWIDE, 4.9% STATEWIDE) 18.6% LIVE BELOW THE FEDERAL POVERTY LINETHE 2020 POPULATION OF SAN JUAN COUNTY, WA IS APPROXIMATELY 18,498, A 17.20% INCREASE COMPARED TO 2010. THE POPULATION OF FRIDAY HARBOR, WA IS APPROXIMATELY 2,740, AN INCREASE OF 26.73% COMPARED TO 2010. OF THE SAN JUAN COUNTY POPULATION:- 88% ARE WHITE (67.5% STATEWIDE) 9.5% LIVE BELOW THE FEDERAL POVERTY LINE- 0.8% ARE BLACK (4.4% STATEWIDE) 6.7% LIVE BELOW THE FEDERAL POVERTY LINE- 1..1% ARE AMERICAN INDIANA/ALASKA NATIVE (1.9% STATEWIDE) 5% LIVE BELOW THE FEDERAL POVERTY LINE- 1.5% ARE ASIAN (9.6% STATEWIDE) 16.8% LIVE BELOW THE FEDERAL POVERTY LINE- 0.2% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER (0.8% STATEWIDE) 7.7% LIVE BELOW THE FEDERAL POVERTY LINE- 6.8% ARE LATINX (13% STATEWIDE) 20.4% LIVE BELOW THE FEDERAL POVERTY LINE- 2.6% ARE MULTI-RACIAL (4.9% STATEWIDE) 11.8% LIVE BELOW THE FEDERAL POVERTY LINE