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MEDICINE","address_line1":"505 NE 87TH AVE SUITE 160","city":"VANCOUVER","state":"WA","zip":"98664","facility_type":"FETAL MEDICINE CENTER","name":"SOUTHWEST MATERNAL FETAL MEDICINE","address":"505 NE 87TH AVE SUITE 160, VANCOUVER, WA, 98664"},{"business_name_line1":"SOUTHWEST INFUSION SERVICE CENTER","address_line1":"NE 87TH AVE SUITE 350","city":"VANCOUVER","state":"WA","zip":"98664","facility_type":"INFUSION SERVICE CENTER","name":"SOUTHWEST INFUSION SERVICE CENTER","address":"NE 87TH AVE SUITE 350, VANCOUVER, WA, 98664"},{"business_name_line1":"FAMILY MEDICINE OF SOUTHWEST","address_line1":"100 E 33RD ST","city":"VANCOUVER","state":"WA","zip":"98663","facility_type":"FAMILY CLINIC, RESIDENCY CLINIC","name":"FAMILY MEDICINE OF SOUTHWEST","address":"100 E 33RD ST, VANCOUVER, WA, 98663"},{"business_name_line1":"HEART & VASCULAR CENTER SALMON CREEK","address_line1":"2312 NE 129TH ST","city":"VANCOUVER","state":"WA","zip":"98686","facility_type":"HEART & VASCULAR","name":"HEART & VASCULAR CENTER SALMON CREEK","address":"2312 NE 129TH ST, VANCOUVER, WA, 98686"},{"business_name_line1":"HEART & VASCULAR CENTER","address_line1":"200 MOTHER JOSEPH PLACE","city":"VANCOUVER","state":"WA","zip":"98664","facility_type":"HEART & VASCULAR","name":"HEART & VASCULAR CENTER","address":"200 MOTHER JOSEPH PLACE, VANCOUVER, WA, 98664"}],"supplemental_information":[{"explanation":"PART I, L7 COL(F): BAD DEBT IS CONSIDERED FOR WRITE OFF FOR PATIENTS OF PEACEHEALTH SOUTHWEST MEDICAL CENTER (\"MEDICAL CENTER\") WHEN A PATIENT HAS DEMONSTRATED AN UNWILLINGNESS TO PAY ACCORDING TO THE MEDICAL CENTER'S PAYMENT POLICY OR PREVIOUSLY AGREED UPON PAYMENT PLAN.THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT ON PART III, LINE 2, IS A COST TO CHARGE RATIO DETERMINED BY COMPARING TOTAL PATIENT CHARGES TO THE PATIENT CARE EXPENSES (EXCLUSIVE OF NON-OPERATING EXPENSES AND BAD DEBT). THIS RATIO IS THEN APPLIED TO THE BAD DEBT EXPENSE FROM THE FINANCIAL STATEMENTS TO ARRIVE AT THE BAD DEBT AT COST AMOUNT. WHILE IT IS POSSIBLE THAT SOME BAD DEBT ACCOUNTS COULD QUALIFY FOR CHARITY OR PARTIAL CHARITY IF SUFFICIENT INFORMATION FROM THE PATIENT WERE AVAILABLE, IT IS IMPOSSIBLE TO KNOW OR ESTIMATE THE PERCENTAGE OF PART III, LINE 2 THAT SHOULD BE CONSIDERED CHARITY CARE. THEREFORE, NO AMOUNT OF THE BAD DEBT IS CONSIDERED TO BE CHARITY CARE BY THE MEDICAL CENTER.BAD DEBT IS CONSIDERED FOR WRITE OFF FOR PATIENTS OF PEACEHEALTH SOUTHWEST MEDICAL CENTER (\"MEDICAL CENTER\") WHEN A PATIENT HAS DEMONSTRATED AN UNWILLINGNESS TO PAY ACCORDING TO THE MEDICAL CENTER'S PAYMENT POLICY OR PREVIOUSLY AGREED UPON PAYMENT PLAN."},{"explanation":"PART III, LINE 4: FOLLOWING IS THE FOOTNOTE REGARDING THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS FROM THE MEDICAL CENTER'S FINANCIAL STATEMENTS:THE MEDICAL CENTER PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE MEDICAL CENTER ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE MEDICAL CENTER."},{"explanation":"PART III, LINE 8: THE CALCULATION ABOVE IS COMPLETED USING MEDICARE COST REPORT DATA. AN ALTERNATIVE CALCULATION USING THE COST TO CHARGE RATIO METHODOLOGY, WOULD RESULT IN A SHORTFALL OF $32,527,687."},{"explanation":"PART III, LINE 9B: ACCOUNTS WILL BE CONSIDERED FOR BAD DEBT WRITE-OFF WHEN THE PATIENT HAS DEMONSTRATED AN UNWILLINGNESS TO PAY ACCORDING TO THE MEDICAL CENTER'S PAYMENT POLICY. TELEPHONE CALLS AND WRITTEN COMMUNICATION WILL BE USED TO FACILITATE PAYMENT. ACCOUNTS WILL BE REFERRED TO A COLLECTION AGENCY WHEN THE PATIENT HAS NOT AGREED TO AN ACCEPTABLE PAYMENT PLAN, DOES NOT RESPOND TO TELEPHONE CALLS AND/OR LETTERS, OR CANNOT BE LOCATED. UNPAID ACCOUNTS WILL BE SENT TO A COLLECTION AGENCY EXCEPT FOR BANKRUPTCIES, SMALL BALANCES, AND ACCOUNTS MEETING CHARITY CRITERIA. IF, AT ANY POINT DURING THE COLLECTION PROCESS, A PATIENT PROVIDES AN APPLICATION WITH PROOF OF INCOME SUPPORTING A REDUCTION, THE CHARITY AMOUNT WILL BE CREDITED TO THE PATIENT ACCOUNT AND FURTHER COLLECTION ACTIONS ON THAT PORTION OF THE BALANCE WILL CEASE."},{"explanation":"PART V, SECTION B, LINE 19D: IRS REQUIREMENTS FOR CHARITABLE HOSPITALS 501(R)SECTION 501(R) OF THE IRS CODE CONTAINS SPECIFIC PROVISIONS RELATED TO PROVISION OF CHARITY CARE. CLARIFICATION HAS BEEN REQUESTED ON THE FOLLOWING PROVISION:LIMITATION ON CHARGESAN ELIGIBLE INDIVIDUAL UNDER A HOSPITALS FINANCIAL ASSISTANCE POLICY (FAP) WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE.PEACEHEATH HOSPITALS HAVE FAPS THAT PROVIDE 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. WE DO NOT USE GROSS CHARGES WITHOUT DISCOUNTS FOR INDIVIDUALS ELIGIBLE UNDER OUR FAPS."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":677125,"reported_domestic_org_grants_program_services":677125,"total_501c3_and_government_organizations":1,"total_other_organizations":0,"grants":[{"ein":912094479,"irc_section":"501(C)(3)","cash":5000,"purpose":"TO PROMOTE COMMUNITY HEALTH","address_line1":"1101 BROADWAY STREET","city":"VANCOUVER","state":"WA","zip":"98660","name":"COMMUNITY CHOICES","address":"1101 BROADWAY STREET, VANCOUVER, WA, 98660"}],"total_domestic_grants":677125,"total_domestic_program_services":677125,"detail_org_grants_total":5000,"detail_domestic_grants_total":5000,"supplemental_information":[{"identifier":"PROCEDURE FOR MONITORING GRANTS IN THE U.S.:","form_and_line_reference":"PART I, LINE 2:","explanation":"SCHEDULE I, PART I, LINE 2: PEACEHEALTH SOUTHWEST MEDICAL CENTER PRE-SCREENS APPLICANTS TO DETERMINE THE NEED OF THE ORGANIZATION RECEIVING A GRANT. GRANTS AND DONATIONS ARE THEN DETERMINED AND GIVEN TO THOSE ORGANIZATIONS WHOSE MISSION FALLS IN LINE WITH PROMOTING HEALTHCARE OR THE FURTHERANCE OF HEALTHCARE EDUCATION. BECAUSE EACH GRANT IS CAREFULLY EXAMINED BEFORE IT IS GIVEN AND THE PURPOSES OF THE GRANT ARE KNOWN BEFORE IT IS GIVEN, NO FOLLOW UP IS PERFORMED TO FIND OUT HOW THE GRANT WAS USED."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"SCHEDULE I, PART I, LINE 2: PEACEHEALTH SOUTHWEST MEDICAL CENTER PRE-SCREENS APPLICANTS TO DETERMINE THE NEED OF THE ORGANIZATION RECEIVING A GRANT. GRANTS AND DONATIONS ARE THEN DETERMINED AND GIVEN TO THOSE ORGANIZATIONS WHOSE MISSION FALLS IN LINE WITH PROMOTING HEALTHCARE OR THE FURTHERANCE OF HEALTHCARE EDUCATION. BECAUSE EACH GRANT IS CAREFULLY EXAMINED BEFORE IT IS GIVEN AND THE PURPOSES OF THE GRANT ARE KNOWN BEFORE IT IS GIVEN, NO FOLLOW UP IS PERFORMED TO FIND OUT HOW THE GRANT WAS USED.","form_and_line_reference":"PART I, LINE 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CONTRIBUTIONS TO THE PLAN ARE DISCLOSED ON SCHEDULE J AS DEFERRED COMPENSATION."}]},"ScheduleK":{"federal_tax_requirements_compliance":true,"bond_issues":[{"issuer_ein":911108929,"business_name_line1":"WASHINGTON HEALTH CARE FACILITIES AUTHORITY","cusip_number":"93978EW81","date_issued":"2008-10-29T00:00:00","issue_price":57200000,"purpose":"MEDICAL CENTER FACILITIES","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"WASHINGTON HEALTH CARE FACILITIES AUTHORITY"},{"issuer_ein":911108929,"business_name_line1":"WASHINGTON HEALTH CARE FACILITIES AUTHORITY","cusip_number":"93978EW73","date_issued":"2008-10-29T00:00:00","issue_price":55825000,"purpose":"MEDICAL CENTER FACILITIES","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"WASHINGTON HEALTH CARE FACILITIES 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Management believes that the Medical Center is being operated in accordance with its tax-exempt status. FASB ASC 740, Income Taxes, clarifies the accounting for uncertainty in income taxes recognized in an enterprise's financial statements and prescribes a threshold of more likley than not for recognition of tax benefits of uncertain tax positions taken or expected to be taken in a tax return. FASB 740 also provides related guidance on measurement, derecognition, classification, interest and penalties, and disclosure. As the Medical Ceneter is exempt from taxation under Section 501(c)(3) of the Internal Revenue Code and is generally not subject to federal or state income taxes, the adoption of Topic 740 did not have a material impact on the Medical Center's financial statements."},{"identifier":"Part XIII, Line 2d","form_and_line_reference":"Other Amounts Not Included In Return","explanation":"Compensation Paid on Behalf of SWMC Fdn 233,603 (As Common Paymaster) --------- Total 233,603"}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_other":true,"free_care_other_percentage":400.0,"fpg_reference_discounted_care":true,"discounted_care_percent_400":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":14916935,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":195890085,"cost_of_care_reimbursed_by_medicare":288529309,"medicare_surplus_or_shortfall":-92639224,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":13071825,"net_community_benefit_expense":13071825,"total_expense_percentage":0.0273},"unreimbursed_medicaid":{"total_community_benefit_expense":17442000,"net_community_benefit_expense":17442000,"total_expense_percentage":0.0365},"total_financial_assistance":{"total_community_benefit_expense":30513825,"net_community_benefit_expense":30513825,"total_expense_percentage":0.0638},"community_health_services":{"activities_or_programs":6,"persons_served":76211,"total_community_benefit_expense":584037,"direct_offsetting_revenue":3350,"net_community_benefit_expense":580687,"total_expense_percentage":0.0012},"health_professions_education":{"activities_or_programs":3,"persons_served":25,"total_community_benefit_expense":3359590,"net_community_benefit_expense":3359590,"total_expense_percentage":0.007},"subsidized_health_services":{"activities_or_programs":3,"persons_served":11394,"total_community_benefit_expense":167105,"net_community_benefit_expense":167105,"total_expense_percentage":0.0003},"research":{"activities_or_programs":1,"total_community_benefit_expense":49283,"net_community_benefit_expense":49283,"total_expense_percentage":0.0001},"cash_and_inkind_contributions":{"activities_or_programs":1,"total_community_benefit_expense":142000,"net_community_benefit_expense":142000,"total_expense_percentage":0.009},"total_other_benefits":{"activities_or_programs":14,"persons_served":87630,"total_community_benefit_expense":4302015,"direct_offsetting_revenue":3350,"net_community_benefit_expense":4298665,"total_expense_percentage":0.0176},"total_community_benefits":{"activities_or_programs":14,"persons_served":87630,"total_community_benefit_expense":34815840,"direct_offsetting_revenue":3350,"net_community_benefit_expense":34812490,"total_expense_percentage":0.0814}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"Southwest Washington Medical Center","address_line1":"400 NE Mother Joseph Place","city":"Vancouver","state":"WA","zip":"98668","licensed_hospital":true,"general_medical_and_surgical":true,"teaching_hospital":true,"emergency_room_24_hours":true,"other_description":"Psychiatric Hospital","name":"Southwest Washington Medical Center","address":"400 NE Mother Joseph Place, Vancouver, WA, 98668"}],"facility_policies":[{"business_name_line1":"Southwest Washington Medical Center","facility_number":1,"other_publicity":true,"name":"Southwest Washington Medical Center"}],"other_health_care_facility_count":6,"other_health_care_facilities":[{"business_name_line1":"Memorial Health Center and Urgent Care","address_line1":"3400 Main St","city":"Vancouver","state":"WA","zip":"98663","facility_type":"Urgent Care Facility Behavioral Health Clinic Interventional Pain Clinic","name":"Memorial Health Center and Urgent Care","address":"3400 Main St, Vancouver, WA, 98663"},{"business_name_line1":"Southwest Specialty Clinic - Mill Plain","address_line1":"8716 E Mill Plain Blvd","city":"Vancouver","state":"WA","zip":"98664","facility_type":"Wound Healing, Diabetes & Nutrition, Weight Management, Endocrinology","name":"Southwest Specialty Clinic - Mill Plain","address":"8716 E Mill Plain Blvd, Vancouver, WA, 98664"},{"business_name_line1":"Southwest Specialty Clinic -Salmon Creek","address_line1":"2312 NE 129th St","city":"Vancouver","state":"WA","zip":"98686","facility_type":"Wound Healing","name":"Southwest Specialty Clinic -Salmon Creek","address":"2312 NE 129th St, Vancouver, WA, 98686"},{"business_name_line1":"Southwest Maternal Fetal Medicine","address_line1":"505 NE 87th Ave Suite 160","city":"Vancouver","state":"WA","zip":"98664","facility_type":"Fetal Medicine Center","name":"Southwest Maternal Fetal Medicine","address":"505 NE 87th Ave Suite 160, Vancouver, WA, 98664"},{"business_name_line1":"Southwest Infusion Service Center","address_line1":"NE 87th Ave Suite 350","city":"Vancouver","state":"WA","zip":"98664","facility_type":"Infusion Service Center","name":"Southwest Infusion Service Center","address":"NE 87th Ave Suite 350, Vancouver, WA, 98664"},{"business_name_line1":"Family Medicine of Southwest","address_line1":"100 E 33rd St","city":"vancouver","state":"WA","zip":"98663","facility_type":"Family Clinic Residency Clinic","name":"Family Medicine of Southwest","address":"100 E 33rd St, vancouver, WA, 98663"}],"supplemental_information":[{"explanation":"Part I, Line 7 - Costing Methodology The costing methodology used to determine the amounts reported on Part I, Line 7 is a cost to charge ratio determined by comparing total patient charges to the patient care expenses (exclusive of non-operating expenses and bad debt). This ratio is then applied to the charity care charges to arrive at the amount of charity care reported on line 7. Part I, Line 7, column (f) - Bad Debt Excluded The bad debt expense included on Form 990, Part IX, Line 25, Column (a) which is excluded for the calculation of Part I, Line 7, Column (F) of this schedule is 48,533,685 Part III, Line 4 - Bad Debt Costing Methodology and Financial Statement Footnote Bad debt is considered for write off for patients of the Medical Center when a patient has demonstrated an unwillingness to pay according to the Medical Center's payment policy or previously agreed upon payment plan. The costing methodology used to determine the amount on Part III, Line 2, is a cost to charge ratio determined by comparing total patient charges to the patient care expenses (exclusive of non-operating expenses and bad debt). This ratio is then applied to the bad debt expense from the financial statements to arrive at the bad debt at cost amount. While it is possible that some bad debt accounts could qualify for charity or partial charity if sufficient information from the patient were available, it is impossible to know or estimate the percentage of Part III, Line 2 that should be considered charity care. Therefore, no amount of the bad debt is considered to be charity care by the Medical Center. Following is the footnote regarding the provision for uncollectible accounts from the Medical Center's financial statements: The Medical Center provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Medical Center estimates this allowance based on the aging of accounts receivable, historical collection experience by payor and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Medical Center. Part III, Line 8 - Medicare Shortfall and Allowable Costs Costing Method To determine the amount reported on Part III, Line 6, the Medical Center allocates overhead costs tracked using the cost reporting package of the Medical Center to each department of the Medical Center and added to the operating costs specifically assigned to that department via the Medical Center's cost reporting package. A cost to charge ratio, specific to each department is then calculated based on the ratio of the cost of operation of each department to each department's charges. This ratio is then applied to the Medicare charges associated with each department to arrive at the Medicare Allowable Costs. At the current time, the Medical Center does not consider any of its Medicare shortfall to be attributable to community benefit. Part III, Line 9b - Collection Practices Accounts will be considered for bad debt write-off when the patient has demonstrated an unwillingness to pay according to SWMC's payment policy. Telephone calls and written communication will be used to facilitate payment. Accounts will be referred to a collection agency when the patient has not agreed to an acceptable payment plan, does not respond to telephone calls and/or letters, or cannot be located. Unpaid accounts will be sent to a collection agency except for bankruptcies, small balances, and accounts meeting charity criteria. If, at any point during the collection process, a patient provides an application with proof of income supporting a reduction, the charity amount will be credited to the patient account and further collection actions on that portion of the balance will cease. Part VI, Line 2 - Needs Assessment On an annual basis, the Board and Executive Team shall direct a process to review and validate the current \"priorities\" that are being funded, including the progress being accomplished, and/or shall identify and rank a set of services/programs that support SWHS's community benefit principles. When appropriate and feasible, input shall be sought from the at-large community. SWHS leadership shall be active in its effort to seek out services/programs that meet the criteria on below to which funds may be allocated. As appropriate and feasible, input from organizations that may be interested in partnering on one or more of the services/programs shall be sought. Services/programs shall meet the following set of guiding principles: 1. Compatibility with the mission of SWHS 2. Community health improvement 3. Focus on underserved populations and unmet needs, and 4. Collaboration outside the organization. On an annual basis, the Planning Committee shall consult with the Finance Committee to validate and obtain a recommendation regarding the resources to be allocated for the implementation of the Community Benefit Policy. The Finance Committee shall determine the funding levels and provide this information to the Planning Committee on an annual basis. These designated funds may come from one or more of the following sources: 1. SWHS margin 2. SWMC Foundation 3. Board Designated Funds (Investment Portfolio) 4. Grants, or 5. Other partners. The Finance Committee shall take into account the expected cycle of a particular endeavor, and shall make an effort to provide a plan that smoothes out funding for the life of the endeavor. The Planning Committee shall direct the Executive Team regarding the services/programs to fund and allocate the dollars as directed. The Executive Team shall present an annual budget that project Community Benefit expenses. On an annual basis or as needed, the President/CEO shall consult with and advise the Board of Directors as to the status of SWHS's Community Benefit program. SWMC shall fully comply with The Community Benefit Program of the Washington State Hospital Association, a well-defined program that is fully compliant with Washington State law in regard to the tracking and reporting of all Community Benefits. The Marketing & Communications department shall continuously bring forward stories for internal and external audiences which demonstrate how community benefit funds make a difference to the community. An annual summary shall be created and shared with interested staff and community members including collaboration with the Foundation. Part VI, Line 3 - Patient Education of Eligibility for Assistance The Medical Center has assigned personnel to meet and discuss all payment options with conscious patients at the time of their arrival or as soon as possible thereafter. Additionally, during this initial discussion, the patient informed of the availability of Medicaid or other various state programs for which the patient may qualify. We assess ability to pay according to Federal guidelines and communicate all available options to the patients. In addition, the medical center posts summaries of its charity care policy in all registration areas of the hospital. As part of the above intake process, patients are provided with a hard copy of the charity care policy for their review. While no physical copy of the charity care policy is sent to the patient with their bill, the bill has a website where the patient can access the charity care policy as well as a phone number the patient can call to request a hard copy of the charity care policy. Part VI, Line 4 - Community Information Located in Vancouver, Washington, and part of the Portland, Oregon metropolitan area, Southwest's history began nearly a century and a half ago as St. Joseph Hospital. Today, Southwest is a nationally recognized multi-hospital/clinic healthcare system serving over 300,000 residents of Clark County in Southwest Washington. The area served by the Medical Center covers the urban areas of Portland, Oregon and Vancouver, Washington and the surrounding suburban areas of Clark County. Over 425,000 residents live in Clark County which has experienced the second-fastest growth rate (23.2%) in the state of Washington from 2000 through 2010. This rapid growth comes with an increasing need for the services which the medical center provides. With only one other hospital covering the Clark County area, the Medical Center is vitally important to the overall health and well-being to the Clark County community at large. The demographics of Clark County are 88% white, 2% African American, 1% American Indian and Alaskan Native, 4% Asian, 1% Native Hawaiian and Other Pacific Islander and 4% with two or more races. The income per capita of Clark County is $"}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":142954,"reported_domestic_individual_grants":661,"reported_domestic_org_grants_program_services":142954,"reported_domestic_individual_grants_program_services":661,"total_501c3_and_government_organizations":4,"total_other_organizations":0,"grants":[{"ein":912094479,"irc_section":"501(c)(3)","cash":8075,"purpose":"SPONSORSHIP","address_line1":"1101 Broadway St 110","city":"Vancouver","state":"WA","zip":"98660","name":"Community Choices","address":"1101 Broadway St 110, Vancouver, WA, 98660"},{"ein":911707542,"irc_section":"501(c)(3)","cash":95679,"purpose":"Program Support","address_line1":"4100 Plomondon Street","city":"Vancouver","state":"WA","zip":"98661","name":"Free Clinic of Southwest Washington","address":"4100 Plomondon Street, Vancouver, WA, 98661"},{"ein":135613797,"irc_section":"501(c)(3)","cash":6000,"purpose":"PROGRAM SUPPORT","address_line1":"1200 Natio Pkwy Ste 200","city":"Portland","state":"OR","zip":"97209","name":"American Heart Association","address":"1200 Natio Pkwy Ste 200, Portland, OR, 97209"},{"ein":910939479,"irc_section":"501(c)(3)","cash":5325,"purpose":"Program Support","address_line1":"PO Box 10905","city":"Eugene","state":"OR","zip":"97440","name":"PeaceHealth","address":"PO Box 10905, Eugene, OR, 97440"}],"total_domestic_grants":143615,"total_domestic_program_services":143615,"detail_org_grants_total":115079,"detail_domestic_grants_total":115079,"supplemental_information":[{"identifier":"Grant Monitoring","form_and_line_reference":"Schedule I, Part I, Line 2","explanation":"Southwest Washington Medical Center pre-screens applicants to determine the need of the organization receiving a grant. Grants and donations are then determined and given to those organizations whose mission falls in line with promoting healthcare or the furtherance of healthcare education. Because each grant is carefully examined before it is given and the purposes of the grant are known before it is given, no follow up is performed to find out how the grant was used."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"Southwest Washington Medical Center pre-screens applicants to determine the need of the organization receiving a grant. Grants and donations are then determined and given to those organizations whose mission falls in line with promoting healthcare or the furtherance of healthcare education. Because each grant is carefully examined before it is given and the purposes of the grant are known before it is given, no follow up is performed to find out how the grant was used.","form_and_line_reference":"Schedule I, Part I, Line 2"}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Joseph M 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WHILE IT IS POSSIBLE THAT SOME BAD DEBT ACCOUNTS COULD QUALIFY FOR CHARITY OR PARTIAL CHARITY IF SUFFICIENT INFORMATION FROM THE PATIENT WERE AVAILABLE, IT IS IMPOSSIBLE TO KNOW OR ESTIMATE THE PERCENTAGE OF PART III, LINE 2 THAT SHOULD BE CONSIDERED CHARITY CARE. THEREFORE, NO AMOUNT OF THE BAD DEBT IS CONSIDERED TO BE CHARITY CARE BY THE MEDICAL CENTER. BAD DEBT IS CONSIDERED FOR WRITE OFF FOR PATIENTS OF PEACEHEALTH SOUTHWEST MEDICAL CENTER (\"MEDICAL CENTER\") WHEN A PATIENT HAS DEMONSTRATED AN UNWILLINGNESS TO PAY ACCORDING TO THE MEDICAL CENTER'S PAYMENT POLICY OR PREVIOUSLY AGREED UPON PAYMENT PLAN."},{"explanation":"PART III, LINE 4: FOLLOWING IS THE FOOTNOTE REGARDING THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS FROM THE MEDICAL CENTER'S FINANCIAL STATEMENTS:THE MEDICAL CENTER PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE MEDICAL CENTER ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE MEDICAL CENTER."},{"explanation":"PART III, LINE 8: THE MEDICARE COST REPORT INFORMATION WAS NOT AVAILABLE AT TIME OF FILING OF THIS RETURN. THE SUCCESSOR ENTITY (PEACEHEALTH, FEIN: 91-0939479) WILL REPORT THIS INFORMATION FOR THE YEAR ENDED 06-30-13. AMOUNTS REPRESENT PRO FORMA INFORMATION FOR REPORTING PURPOSES."},{"explanation":"PART III, LINE 9B: ACCOUNTS WILL BE CONSIDERED FOR BAD DEBT WRITE-OFF WHEN THE PATIENT HAS DEMONSTRATED AN UNWILLINGNESS TO PAY ACCORDING TO THE MEDICAL CENTER'S PAYMENT POLICY. TELEPHONE CALLS AND WRITTEN COMMUNICATION WILL BE USED TO FACILITATE PAYMENT. ACCOUNTS WILL BE REFERRED TO A COLLECTION AGENCY WHEN THE PATIENT HAS NOT AGREED TO AN ACCEPTABLE PAYMENT PLAN, DOES NOT RESPOND TO TELEPHONE CALLS AND/OR LETTERS, OR CANNOT BE LOCATED. UNPAID ACCOUNTS WILL BE SENT TO A COLLECTION AGENCY EXCEPT FOR BANKRUPTCIES, SMALL BALANCES, AND ACCOUNTS MEETING CHARITY CRITERIA. IF, AT ANY POINT DURING THE COLLECTION PROCESS, A PATIENT PROVIDES AN APPLICATION WITH PROOF OF INCOME SUPPORTING A REDUCTION, THE CHARITY AMOUNT WILL BE CREDITED TO THE PATIENT ACCOUNT AND FURTHER COLLECTION ACTIONS ON THAT PORTION OF THE BALANCE WILL CEASE."},{"explanation":"PART V, SECTION B, LINE 20D: IRS REQUIREMENTS FOR CHARITABLE HOSPITALS 501(R)SECTION 501(R) OF THE IRS CODE CONTAINS SPECIFIC PROVISIONS RELATED TO PROVISION OF CHARITY CARE. CLARIFICATION HAS BEEN REQUESTED ON THE FOLLOWING PROVISION:LIMITATION ON CHARGESAN ELIGIBLE INDIVIDUAL UNDER A HOSPITALS FINANCIAL ASSISTANCE POLICY (FAP) WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE.PEACEHEATH HOSPITALS HAVE FAPS THAT PROVIDE FOR DISCOUNTS TO ELIGIBLE INDIVIDUALS BETWEEN 200% AND 400% DEPENDING ON FEDERAL POVERTY LEVEL. 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WHILE IT IS POSSIBLE THAT SOME BAD DEBT ACCOUNTS COULD QUALIFY FOR CHARITY OR PARTIAL CHARITY IF SUFFICIENT INFORMATION FROM THE PATIENT WERE AVAILABLE, IT IS IMPOSSIBLE TO KNOW OR ESTIMATE THE PERCENTAGE OF PART III, LINE 2 THAT SHOULD BE CONSIDERED CHARITY CARE. THEREFORE, NO AMOUNT OF THE BAD DEBT IS CONSIDERED TO BE CHARITY CARE BY THE MEDICAL CENTER. BAD DEBT IS CONSIDERED FOR WRITE OFF FOR PATIENTS OF PEACEHEALTH SOUTHWEST MEDICAL CENTER (\"MEDICAL CENTER\") WHEN A PATIENT HAS DEMONSTRATED AN UNWILLINGNESS TO PAY ACCORDING TO THE MEDICAL CENTER'S PAYMENT POLICY OR PREVIOUSLY AGREED UPON PAYMENT PLAN."},{"explanation":"PART III, LINE 4: FOLLOWING IS THE FOOTNOTE REGARDING THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS FROM THE MEDICAL CENTER'S FINANCIAL STATEMENTS:THE MEDICAL CENTER PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE MEDICAL CENTER ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE MEDICAL CENTER."},{"explanation":"PART III, LINE 8: THE MEDICARE COST REPORT INFORMATION WAS NOT AVAILABLE AT TIME OF FILING OF THIS RETURN. THE SUCCESSOR ENTITY (PEACEHEALTH, FEIN: 91-0939479) WILL REPORT THIS INFORMATION FOR THE YEAR ENDED 06-30-13. AMOUNTS REPRESENT PRO FORMA INFORMATION FOR REPORTING PURPOSES."},{"explanation":"PART III, LINE 9B: ACCOUNTS WILL BE CONSIDERED FOR BAD DEBT WRITE-OFF WHEN THE PATIENT HAS DEMONSTRATED AN UNWILLINGNESS TO PAY ACCORDING TO THE MEDICAL CENTER'S PAYMENT POLICY. TELEPHONE CALLS AND WRITTEN COMMUNICATION WILL BE USED TO FACILITATE PAYMENT. ACCOUNTS WILL BE REFERRED TO A COLLECTION AGENCY WHEN THE PATIENT HAS NOT AGREED TO AN ACCEPTABLE PAYMENT PLAN, DOES NOT RESPOND TO TELEPHONE CALLS AND/OR LETTERS, OR CANNOT BE LOCATED. UNPAID ACCOUNTS WILL BE SENT TO A COLLECTION AGENCY EXCEPT FOR BANKRUPTCIES, SMALL BALANCES, AND ACCOUNTS MEETING CHARITY CRITERIA. IF, AT ANY POINT DURING THE COLLECTION PROCESS, A PATIENT PROVIDES AN APPLICATION WITH PROOF OF INCOME SUPPORTING A REDUCTION, THE CHARITY AMOUNT WILL BE CREDITED TO THE PATIENT ACCOUNT AND FURTHER COLLECTION ACTIONS ON THAT PORTION OF THE BALANCE WILL CEASE."},{"explanation":"PART V, SECTION B, LINE 20D: IRS REQUIREMENTS FOR CHARITABLE HOSPITALS 501(R)SECTION 501(R) OF THE IRS CODE CONTAINS SPECIFIC PROVISIONS RELATED TO PROVISION OF CHARITY CARE. CLARIFICATION HAS BEEN REQUESTED ON THE FOLLOWING PROVISION:LIMITATION ON CHARGESAN ELIGIBLE INDIVIDUAL UNDER A HOSPITALS FINANCIAL ASSISTANCE POLICY (FAP) WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE.PEACEHEATH HOSPITALS HAVE FAPS THAT PROVIDE FOR DISCOUNTS TO ELIGIBLE INDIVIDUALS BETWEEN 200% AND 400% DEPENDING ON FEDERAL POVERTY LEVEL. 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