2025-04-18T13:00:19-05:00 2024-06-30 135565207 KPMG LLP 1300 SW 5TH AVENUE SUITE 3800 PORTLAND OR 97201 990 2023-07-01 911230425 PEACEHEALTH NETWORKS PEAC 3607291000 1115 SE 164TH AVENUE VANCOUVER WA 98683 DARRIN MONTALVO EVP, CFO/GROWTH OFF 3607291000 2025-05-09 1 0 DAVID M HIGHFILL P01517891 5032216500 2025-04-08 2023 2025-03-06 01:10:19Z DARRIN MONTALVO 1115 SE 164TH AVENUE VANCOUVER WA 98683 0 0 X WWW.PEACEHEALTH.ORG X 1983 WA PEACEHEALTH NETWORKS SUPPORTS THE ACTIVITIES OF PEACEHEALTH. 12 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -75602128 -125582756 12364272 12364272 -87966400 -137947028 X PEACEHEALTH NETWORK IS OPERATED PRIMARILY FOR THE BENEFIT AND PURPOSES OF PEACEHEALTH, A 501(C)(3) ORGANIZATION, WHICH HAS BEEN FORMALLY RECOGNIZED AS A PONTIFICAL PRIVATE JURIDIC PERSON ENGAGED IN THE APOSTOLIC WORK OF THE ROMAN CATHOLIC CHURCH. 0 0 0 0 0 SEE SCHEDULE O 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 1 CJ 0 0 0 0 0 0 0 0 0 1 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X JEFF SEIRER 3607291000 1115 SE 164TH AVENUE VANCOUVER WA 98683 ELIZABETH V DUNNE PRESIDENT 2.00 40.00 X X 0 3298106 61913 KATHLEEN PRUITT CSJP DIRECTOR 2.00 2.00 X 0 0 0 KEVIN MURPHY DIRECTOR 2.00 2.00 X X 0 25000 0 KARL CARRIER VICE CHAIR (THRU 2/2024) 3.00 2.00 X 0 50000 0 ANDREA NENZEL CSJP DIRECTOR 2.00 2.00 X 0 0 0 DR IONE ADAMS DIRECTOR (EFF 6/2024) 0.50 0.50 X 0 0 0 TODD STRUMWASSER MD DIRECTOR (THRU 6/2024) 2.00 2.00 X 0 25000 0 RICK WOLLENBERG DIRECTOR 2.00 2.00 X 0 25000 0 TIM ACKMAN DIRECTOR 2.00 2.00 X 0 25000 0 DAN HOLLINGSHEAD DIRECTOR 2.00 2.00 X 0 25000 0 DONNA KING DIRECTOR 2.00 2.00 X 0 25000 0 CAROL AARON VICE CHAIR (BEG 04/2024) 2.00 2.00 X 0 35000 0 DELEESA MEASHINTUBBY DIRECTOR 2.00 2.00 X 0 0 0 THOMAS KARNES SECRETARY 2.00 2.00 X 0 407655 56307 DARRIN MONTVALO TREASURER 1.00 41.00 X 0 1351766 357230 0 5292527 475450 0 0 1 0 0 0 0 0 0 0 0 0 0 -75602128 -125582756 -75602128 -125582756 12364272 12364272 12364272 12364272 X -87966400 -137947028 -87966400 -137947028 -75602128 -125582756 X 0 -49980628 X 0 1 X 1 0 X X 1 PEACEHEALTH 910939479 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 56275241 4585330 5003569 6255596 59608544 55504288 1721108 545347 1495502 56275241 52125596 10331158 -3897780 3054686 55504288 41480654 579275 10381977 316310 52125596 41337915 923802 -7819 773244 41480654 0.21368 0.54192 0.24440 0 1 1 0 DUE TO AFFILIATES 12364272 12364272 X PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO SUPPORT PEACEHEALTH (EIN: 91-0939479). THE REPORTED ENDOWMENT FUNDS BELONG TO THE PEACEHEALTH FOUNDATIONS. PEACEHEALTH NETWORKS BECAME THE SOLE MEMBER OF PEACEHEALTH DURING TAX YEAR 2013. THE ENDOWMENT FUNDS HELD BY THE PEACEHEALTH FOUNDATIONS ARE FOR: 1) THE PURCHASE OF PROPERTY, PLANT, AND EQUIPMENT 2) SUPPORT FOR HOSPICE AND INDIGENT CARE 3) PATIENT CARE AND OTHER OPERATING ACTIVITIES PART X, LINE 2: 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 50% PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATE OCCURS. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS SELF-INSURANCE 16472394 0 0 0 0 0 0 16472394 0 16472394 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 ELIZABETH V DUNNE PRESIDENT 0 1727536 0 1536968 0 33602 0 46392 0 15521 0 3360019 0 0 DARRIN MONTVALO TREASURER 0 959450 0 384642 0 7674 0 326368 0 30862 0 1708996 0 0 THOMAS KARNES SECRETARY 0 377655 0 30000 0 0 0 23192 0 33115 0 463962 0 0 PART I, LINE 3 PEACEHEALTH NETWORKS HAS NO EMPLOYEES, BUT PEACEHEALTH (EIN: 91-0939479) PROVIDES PERSONNEL SERVICES FOR PEACEHEALTH NETWORKS AND ESTABLISHES COMPENSATION FOR ITS OWN EMPLOYEES. PEACEHEALTH ESTABLISHES COMPENSATION USING: 1) INDEPENDENT COMPENSATION CONSULTANT 2) COMPENSATION SURVEY OF STUDY 3) APPROVAL BY THE BOARD PART I, LINE 4B PEACEHEALTH NETWORKS HAS NO EMPLOYEES. PEACEHEALTH NETWORKS IS THE MEMBER CORPORATION OF PEACEHEALTH (EIN: 91-0939479). EFFECTIVE DECEMBER 31, 2013 BYLAWS WERE AMENDED TO MAKE THE PEACEHEALTH NETWORKS BOARD IDENTICAL TO THE PEACEHEALTH BOARD, ALLOWING ADDITIONAL MEMBERS BEYOND MEMBERS OF THE PEACEHEALTH BOARD OF DIRECTORS TO BE APPOINTED. IN FY2017 THE PEACEHEALTH CEO (WHO IS NOT A MEMBER OF THE PEACEHEALTH BOARD) WAS ELECTED TO THE PEACEHEALTH NETWORKS BOARD AS ITS CHAIR. PEACEHEALTH COMPENSATES SOME OF THE OFFICERS OF PEACEHEALTH NETWORKS. THE COMPENSATION POLICIES OF PEACEHEALTH ARE DISCLOSED BELOW: PEACEHEALTH'S CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENTS, CERTAIN PHYSICIANS, AND OTHER HIGHLY COMPENSATED EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN VARIOUS NONQUALIFIED RETIREMENT PLANS. CONTRIBUTIONS TO THESE PLANS AND RELATED INVESTMENT RETURNS ARE DISCLOSED ON SCHEDULE J AS DEFERRED COMPENSATION AND AS BONUS COMPENSATION WHEN PAID TO THE INDIVIDUAL. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2023 (DEFERRED/PAID): THOMAS KARNES ($2,426/$0) PART III LINE 4A PEACEHEALTH NETWORKS HOLDS NO FINANCIAL ASSETS OTHER THAN THE FOLLOWING: MEMBERSHIP INTEREST IN PEACEHEALTH NETWORKS ON DEMAND, LLC ("PHNOD") (EIN: 83-2849989). PHNOD OPERATES ON-DEMAND HEALTHCARE CLINICS IN COLORADO, IDAHO, OREGON, AND WASHINGTON. PEACEHEALTH NETWORKS IS THE MEMBER CORPORATION OF PEACEHEALTH (EIN: 91-0939479), A 501(C)(3)ORGANIZATION WHICH HAS EXTENSIVE HEALTHCARE OPERATIONS AND HOLDS SUBSTANTIAL FINANCIAL ASSETS. PEACEHEALTH NETWORKS ALSO HOLDS STOCK IN CLARE REASSURANCE, LTD (EIN: 98-1560395). CLARE REASSURANCE, LTD. WAS ESTABLISHED TO PROVIDE SELF-INSURANCE TO PEACEHEALTH AND CERTAIN OF ITS AFFILIATES. PEACEHEALTH NETWORKS HOLDS MEMBERSHIP INTEREST IN PEACEHEALTH AMBULATORY, LLC (EIN: 86-2027568), WHICH IS A HOLDING COMPANY FOR PEACEHEALTH DIRECT CONTRACTING, LLC (EIN: 86-1344009) AND PEACEHEALTH CLINICALLY INTEGRATED NETWORK, LLC (EIN: 86-1975269). PEACEHEALTH DIRECT CONTRACTING, LLC AND PEACEHEALTH CLINICALLY INTEGRATED NETWORK, LLC PROVIDE VALUE BASED CONTRACTING. FORM 990, PART VI, SECTION B, LINE 11B PEACEHEALTH NETWORKS IS THE SOLE MEMBER OF PEACEHEALTH (EIN: 91-0939479). ALL REFERENCES BELOW TO DEPARTMENTS AND MANAGEMENT REFER TO PEACEHEALTH DEPARTMENTS AND MANAGEMENT. 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, SECTION B, LINE 12C A FORMAL CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO PEACEHEALTH NETWORKS 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, SECTION B, LINE 15 PEACEHEALTH NETWORKS DOES NOT COMPENSATE EMPLOYEES. RATHER, ALL EMPLOYEES THAT SPEND TIME ON PEACEHEALTH NETWORKS OPERATIONS ARE COMPENSATED BY PEACEHEALTH. THE 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 ULTIMATELY APPROVES 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 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 2023, 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, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF PEACEHEALTH NETWORKS ON DEMAND, LLC -57,528,768. CHANGE IN NET ASSETS OF CLARE REASSURANCE, LTD 5,508,712. CHANGE IN NET ASSETS OF PEACEHEALTH AMBULATORY LLC 2,039,428. 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