2025-04-18T13:00:19-05:00 2024-06-30 135565207 KMPG LLP 1300 SW 5TH AVENUE SUITE 3800 PORTLAND OR 97201 990 2023-07-01 911350776 HEALTH VENTURES HEAL 3607291000 1115 SE 164TH AVENUE VANCOUVER WA 98683 DARRIN MONTALVO EVP-CFO/GROWTH OFF 3607291000 2025-04-09 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 7799914 0 X N/A X 1986 WA HEALTH VENTURES IS OPERATED PRIMARILY FOR THE BENEFIT AND PURPOSES OF PEACEHEALTH. 6 1 0 0 0 0 0 0 11800224 7799914 0 0 0 0 11800224 7799914 10000000 10000000 0 0 0 0 0 0 0 62982 28345 10062982 10028345 1737242 -2228431 42789726 41957551 239225 281575 42550501 41675976 HEALTH VENTURES 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 10000000 10000000 7799914 SUPPORT TO PEACEHEALTH, A WASHINGTON NON-PROFIT CORPORATION, WHICH IS EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE,WHICH OPERATES A HEALTHCARE SYSTEM IN WASHINGTON, OREGON AND ALASKA. THE PURPOSE OF HEALTH VENTURES IS TO OPERATE FOR THE BENEFIT OF PEACEHEALTH. DURING THE TAX YEAR 2023, HEALTH VENTURES TRANSFERRED $10,000,000 TO PEACEHEALTH THROUGH A FUND BALANCE TRANSFER. 10000000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 1 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 OR WA X JEFF SEIRER 3607291000 1115 SE 164TH AVENUE VANCOUVER WA 98683 MICHAEL P DWYER PRESIDENT 2.00 40.00 X X 0 1616661 234388 DARRIN MONTALVO VICE PRES/TREAS/CHAIR 1.00 41.00 X X 0 1351766 357230 RICHARD DECARLO DIRECTOR 2.00 40.00 X 0 1478509 474664 KARL CARRIER BOD CHAIR (THRU 2/2024) 2.00 0.00 X X 0 50000 0 SCOTT FOSTER CHIEF MED EXEC, PHMG (THRU 3/2024) 2.00 40.00 X X 0 1194782 223776 MELISSA EDWARDS MD CHIEF EXECUTIVE, PHMG (EFF 4/2024) 2.00 40.00 X X 0 0 0 THOMAS KARNES SECRETARY 2.00 40.00 X X 0 407655 56307 BRIAN SHIPLEY DIRECTOR 2.00 40.00 X 0 385754 49730 0 6485127 1396095 0 0 1 0 0 THE OREGON CANCER CENTERS, LTD 621500 3590628 3590628 OREGON IMAGING CENTERS 621500 3243103 3243103 MOUNT BAKER IMAGING, LLC 621500 771807 771807 FRESENIUS KIDNEY CARE LONGVIEW 621500 461300 461300 RIVERBEND AMBULATORY SURGERY CTR 621910 42000 42000 -308924 -308924 7799914 7799914 7799914 0 0 10000000 10000000 294919 294919 MISCELLANEOUS -266574 -266574 10028345 10000000 28345 0 13486296 8961079 27755101 31743063 1548329 1253409 42789726 41957551 239225 281575 239225 281575 X 42550501 41675976 42550501 41675976 42789726 41957551 X -2228431 1353906 X 0 1 X 1 0 X X 1 PEACEHEALTH 910939479 3 1 10000000 0 1 10000000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 OREGON IMAGING CENTERS, LLC 6955724 C THE OREGON CANCER CENTERS, LTD 7022270 C MOUNT BAKER IMAGING, LLC 9343573 C RIVERBEND AMBULATORY SURG CTR 119000 C FRESENIUS KIDNEY CARE LV LLC 8302496 C 31743063 X 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. 1 PEACEHEALTH 1115 SE 164TH AVENUE VANCOUVER WA 98683 910939479 501(C) (3) 10000000 0 SUPPORT PEACEHEALTH 1 0 PART I, LINE 2: HEALTH VENTURES TRANSFERS DISTRIBUTED FUNDS FROM JOINT VENTURES TO ITS SUPPORTED ORGANIZATION, PEACEHEALTH (EIN: 91-0939479). THE USE OF THESE FUNDS IS MONITORED BY THE PEACEHEALTH BOARD OF DIRECTORS AND MANAGEMENT. 1 1 0 0 0 0 0 0 0 RICHARD DECARLO DIRECTOR 0 1042443 0 417914 0 18152 0 449746 0 24918 0 1953173 0 0 MICHAEL P DWYER PRESIDENT 0 645721 0 954637 0 16303 0 219921 0 14467 0 1851049 0 695768 DARRIN MONTALVO VICE PRES/TREAS/CHAIR 0 959450 0 384642 0 7674 0 326368 0 30862 0 1708996 0 0 SCOTT FOSTER CHIEF MED EXEC, PHMG (THRU 3/2024) 0 561805 0 632977 0 0 0 184531 0 39245 0 1418558 0 632977 THOMAS KARNES SECRETARY 0 377655 0 30000 0 0 0 23192 0 33115 0 463962 0 0 BRIAN SHIPLEY DIRECTOR 0 341254 0 44500 0 0 0 33192 0 16538 0 435484 0 0 PART I, LINE 3 PEACEHEALTH (EIN: 91-0939479) IS THE SOLE MEMBER OF HEALTH VENTURES. THE CEO OF HEALTH VENTURES IS COMPENSATED BY PEACEHEALTH AND PERFORMS DUTIES FOR PEACEHEALTH BEYOND SERVING AS THE CEO OF HEALTH VENTURES. PEACEHEALTH ESTABLISHES COMPENSATION FOR THE HEALTH VENTURES CEO USING: 1) INDEPENDENT COMPENSATION CONSULTANT 2) COMPENSATION SURVEY OR STUDY 3) APPROVAL BY THE BOARD PART I, LINES 4A-B PEACEHEALTH (EIN: 91-0939479) IS THE SOLE MEMBER OF HEALTH VENTURES. HEALTH VENTURES HAS NO EMPLOYEES, BUT PEACEHEALTH PROVIDES PERSONNEL SERVICES FOR HEALTH VENTURES. ALL EMPLOYEES, OFFICERS, AND DIRECTORS THAT SPEND TIME ON HEALTH VENTURES OPERATIONS ARE EMPLOYED BY PEACEHEALTH. THE COMPENSATION POLICIES OF PEACEHEALTH ARE DISCLOSED BELOW. PEACEHEALTH'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 2023 (DEFERRED/PAID): MICHAEL P. DWYER: $174,012/$695,768 DARRIN MONTALVO: $293,176/$0 RICHARD DECARLO: $409,954/$0 SCOTT FOSTER: $151,339/$632,977 SEAN GREGORY: $330,380/$0 THOMAS KARNES: $2,426/$0 FORM 990, PART VI, SECTION A, LINE 4 BYLAWS WERE AMENDED IN SPRING OF 2024. FORM 990, PART VI, SECTION A, LINE 6 PEACEHEALTH, A WASHINGTON NON-PROFIT CORPORATION, WHICH IS EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, IS THE SOLE MEMBER CORPORATION OF HEALTH VENTURES. FORM 990, PART VI, SECTION A, LINE 7A PEACEHEALTH, A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF HEALTH VENTURES AND ELECTS THE HEALTH VENTURES BOARD. AS THE SOLE MEMBER CORPORATION, PEACEHEALTH HAS CERTAIN ADDITIONAL RIGHTS, INCLUDING APPROVING DISSOLUTION OF HEALTH VENTURES AND APPROVING CHANGES TO HEALTH VENTURES' ARTICLES AND BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B SEE EXPLANATION ABOVE FOR FORM 990, PART VI, SECTION A, LINE 7A. FORM 990, PART VI, SECTION B, LINE 11B 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 HEALTH VENTURES 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 THIS RESPONSE REFERS TO PART VI, LINES 15A AND 15B. THE INDEPENDENT CHAIR OF THE PEACEHEALTH BOARD OF DIRECTORS REVIEWS AND RECOMMENDS, IN PARTNERSHIP WITH THE 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 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: DISTRIBUTION FROM CONTROLLED ENTITY 1,353,906. FORM 990, PART XI HEALTH VENTURES REPORTS THE REVENUE AND EXPENSE ITEMS FROM THE UNDERLYING JOINT VENTURES PER THE IRS FORM(S) SCHEDULE K-1. THESE SCHEDULE(S) K-1 ARE DONE ON A CALENDAR YEAR BASIS AND USE TAX REPORTING RULES. THE BOOKS AND RECORDS OF HEALTH VENTURES ARE DONE ON A 6/30 FISCAL YEAR AND USE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) REPORTING RULES. THESE DIFFERENT ACCOUNTING METHODS LEAD TO BOOK-TO-TAX DIFFERENCES, AND THESE DIFFERENCES ARE SHOWN ON THE SCHEDULE O ABOVE. THE BOOK-TO-TAX DIFFERENCES OUTSIDE OF CURRENT YEAR REVENUE AND EXPENSE ARE ACCOUNTED FOR IN THE LINE 9 DESCRIPTION ITEM OTHER BOOK/TAX DIFFERENCES. THE RIVERBEND AMBULATORY SURGERY CENTER, LLC (RASC) IS CONSOLIDATED WITH HEALTH VENTURES FOR BOOK/GAAP REPORTING. BECAUSE THE BOOK/GAAP OWNERSHIP AND CONTROL THRESHOLDS FOR CONSOLIDATION ARE NOT APPLICABLE FOR TAX REPORTING, THE CONSOLIDATION OF RASC IS REMOVED ON THIS FORM 990. PEACEHEALTH 1115 SE 164TH AVENUE VANCOUVER WA 98683 910939479 MEDICAL SERVICES WA 501(C)(3) LINE 3 PEACEHEALTH NETWORKS 0 PEACEHEALTH SW MEDICAL CENTER FOUNDATION PO BOX 1600 VANCOUVER WA 98683 911231436 FUNDRAISING WA 501(C)(3) LINE 7 PEACEHEALTH 0 PEACEHEALTH NETWORKS 1115 SE 164TH AVENUE VANCOUVER WA 98668 911230425 SUPPORT WA 501(C)(3) LINE 12B, II N/A 0 KETCHIKAN MEDICAL CENTER FDN 3100 TONGASS AVENUE KETCHIKAN AK 99901 651225184 FUNDRAISING AK 501(C)(3) LINE 7 PEACEHEALTH 0 COTTAGE GROVE MEDICAL CENTER FDN 1515 VILLAGE DRIVE COTTAGE GROVE OR 97424 930688381 FUNDRAISING OR 501(C)(3) LINE 7 PEACEHEALTH 0 PEACE HARBOR MEDICAL CENTER FDN 400 NINTH STREET FLORENCE OR 97439 931084126 FUNDRAISING OR 501(C)(3) LINE 7 PEACEHEALTH 0 SACRED HEART MEDICAL CENTER FDN PO BOX 10905 EUGENE OR 97440 936026548 FUNDRAISING OR 501(C)(3) LINE 7 PEACEHEALTH 0 ST JOHN MEDICAL CENTER FDN 1615 DELAWARE ST PO BOX 3002 LONGVIEW WA 98632 911538852 FUNDRAISING WA 501(C)(3) LINE 7 PEACEHEALTH 0 ST JOSEPH MEDICAL CENTER FDN 2901 SQUALICUM PARKWAY BELLINGHAM WA 98225 721545902 FUNDRAISING WA 501(C)(3) LINE 7 PEACEHEALTH 0 RB AMBULATORY SURGERY CENTER 3355 RIVERBEND DR SUITE 110 SPRINGFIELD OR 97477 205575145 MEDICAL OR HEALTH VENTURES RELATED 1382129 4590175 0 1 0.51830 ARDON HEALTH 601 SW 2ND AVENUE 24TH FLOOR PORTLAND OR 97204 821561337 PHARMACY DE N/A 0 0 CLARE REASSURANCE 1115 SE 164TH AVE VANCOUVER WA 98683 981560395 REINSURANCE CJ N/A C 0 LOWER COLUMBIA REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466157497 POOLED INC FUND WA N/A T 0 OREGON REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466180599 POOLED INC FUND WA N/A T 0 PEACEHEALTH AMBULATORY LLC 1115 SE 164TH AVE VANCOUVER WA 98683 862027568 MEDICAL WA N/A C 0 PEACEHEALTH CLINICALLY INTEGRATED NETWORK 1115 SE 164TH AVE VANCOUVER WA 98683 861975269 MEDICAL WA N/A C 0 PEACEHEALTH DIRECT CONTRACTING LLC 1115 SE 164TH AVE VANCOUVER WA 98683 861344009 MEDICAL WA N/A C 0 PEACEHEALTH NETWORKS ON DEMAND LLC 1115 SE 164TH AVE VANCOUVER WA 98683 832849989 MEDICAL CLINICS WA N/A C 0 POOLED INCOME FUND OF PEACEHEALTH #1 1115 SE 164TH AVE VANCOUVER WA 98683 276030191 POOLED INC FUND WA N/A T 0 SIUSLAW REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466221760 POOLED INC FUND WA N/A T 0 SOUTHWEST REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466168710 POOLED INC FUND WA N/A T 0 WHATCOM REGION POOLED INCOME FUND 1115 SE 164TH AVE VANCOUVER WA 98683 466129451 POOLED INC FUND WA N/A T 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 PEACEHEALTH B 10000000 CASH MT BAKER IMAGING LLC 2930 SQUALICUM BELLINGHAM WA 98225 352252095 MEDICAL WA RELATED 0 1430765 5760471 0 0 0.50000 THE OREGON CANCER CENTERS ONE POST STREET SAN FRANCISCO CA 94104 752715208 MEDICAL TX RELATED 0 3065195 10112005 0 0 0.50000 OREGON IMAGING CENTERS 1200 HILYARD ST EUGENE OR 97401 931054138 MEDICAL OR RELATED 0 3216008 3592640 0 0 0.50000 SW WA REGIONAL SURGERY CTR 200 NE MOTHER J VANCOUVER WA 98664 911959910 MEDICAL WA RELATED 0 518455 0 0 0.25210 FRESENIUS KIDNEY CARE LONGVIEW 920 WINTER ST WALTHAM MA 02451 831384619 MEDICAL MA RELATED 0 677122 3442214 0 0 0.40000