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LEGACY MERIDIAN PARK HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
LEGACY MERIDIAN PARK HOSPITAL (EIN 93-0618975)
Tax period
2021-04-01 to 2022-03-31
Filed
2023-02-15
IRS object ID
202300469349301995
Schema version
2021v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-02-15T13:03:01-08:00ReturnTs
Tax Period End2022-03-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930618975EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY MERIDIAN PARK HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLEGABusinessNameControlTxt
Phone5034155600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line119300 SW 65TH AVENUEAddressLine1Txt
CityTUALATINCityNm
State AbbreviationORStateAbbreviationCd
ZIP97062ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANNA L LOOMISPersonNm
Person TitleCFO & TREASURERPersonTitleTxt
Signature2023-02-15SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANNA LPersonFirstNm
Person LastLOOMISPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKATHRYN CORREIAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line119300 SW 65TH AVENUEAddressLine1Txt
CityTUALATINCityNm
State AbbreviationORStateAbbreviationCd
ZIP97062ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$274,197,920GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LEGACYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionLegacy Meridian Park Hospital (LMPH), established in 1973, is a community hospital in Tualatin, OR. LMPH is South Metro's most sophisticated medical center and provides the personal touch of a community hospital along with a variety of specialized services.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers73TotalVolunteersCnt
Total Gross UBI$14,777TotalGrossUBIAmt
PY Contributions Grants$371,438PYContributionsGrantsAmt
CY Contributions Grants$273,315CYContributionsGrantsAmt
PY Program Service Revenue$260,517,004PYProgramServiceRevenueAmt
CY Program Service Revenue$273,845,587CYProgramServiceRevenueAmt
PY Investment Income$46,108PYInvestmentIncomeAmt
CY Investment Income$6,252CYInvestmentIncomeAmt
PY Other Revenue$66,181PYOtherRevenueAmt
CY Other Revenue$62,657CYOtherRevenueAmt
PY Total Revenue$261,000,731PYTotalRevenueAmt
CY Total Revenue$274,187,811CYTotalRevenueAmt
CY Grants And Similar Paid$213,786CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$111,679,072PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$124,983,800CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$122,360,557PYOtherExpensesAmt
CY Other Expenses$128,276,377CYOtherExpensesAmt
PY Total Expenses$234,039,629PYTotalExpensesAmt
CY Total Expenses$253,473,963CYTotalExpensesAmt
PY Revenues Less Expenses$26,961,102PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,713,848CYRevenuesLessExpensesAmt
Total Assets BOY$531,167,310TotalAssetsBOYAmt
Total Assets EOY$543,802,539TotalAssetsEOYAmt
Total Liabilities BOY$62,398,357TotalLiabilitiesBOYAmt
Total Liabilities EOY$54,339,461TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$468,768,953NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$489,463,078NetAssetsOrFundBalancesEOYAmt
MissionLegacy Meridian Park Hospital (LMPH), established in 1973, is a community hospital in Tualatin, OR, south of Portland with 150 licensed beds. LMPH serves the needs of the fast growing communities of Tualatin, Tigard, Wilsonville, Sherwood, West Linn, and Lake Oswego. LMPH offers outpatient diagnostic, angiography, and MRI/MRA, a total joint, diagnostic and interventional cardiac cath, a nationally recognized stroke program, cancer treatment, intensive and intermediate care units, a family birth center, and pediatric and ambulatory care units in the emergency department. LMPH is part of Legacy Health (Legacy).Our mission:Our legacy is good health for our people, our patients, our communities, and our world. We will work as a team to demonstrate our values:Respect - Treat all people with respect and compassion Service - Put the needs of our patients and their families first Quality - Deliver outstanding clinical services within healing environments Excellence - Set high standards and achMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$177,037,218ExpenseAmt
Grant$213,786GrantAmt
Revenue$273,845,587RevenueAmt
DescIn support of its mission, LMPH voluntarily provides medically necessary patient care services that are discounted or free of charge to persons who have insufficient resources and/or who are uninsured. During fiscal year 2022, LMPH provided financial assistance on approximately 5,272 patient accounts (of which 668 accounts received discounts totaling 100% of costs) and resulted in LMPH incurring roughly $3,588,090 in uncompensated costs associated with this program. In addition to charity care, LMPH provides services under various states' Medicaid programs for financially needy patients and Medicare beneficiaries programs for which the cost of treating these patients exceeds the government payments received. During fiscal year 2022, LMPH incurred approximately $11,353,050 and $29,860,700 in uncompensated costs attributable to Medicaid and Medicare programs, respectively. LMPH also provides a variety of other community benefit activities such as medical education, donations to other charitable entities, research, and other health improvement services, which totaled roughly $1,750,200 during fiscal year 2022.LMPH is part of Legacy, which collectively provided over $40 million, $292 million, $265 million, and $13 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2022. In addition, Legacy provided over $26 million in other community benefit activities during fiscal year 2022.Desc
Total Program Service Expenses$177,037,218TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANNA LOOMISPersonNm
Phone5034155600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11919 NW LOVEJOY STREETAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97209ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KATHRYN CORREIA
President & CEO0.0040.00Yes (X)Yes (X)$0$1,725,220$86,479
TRENT S GREEN
SR VP0.0040.00$0$1,065,077$92,568
BRYCE R HELGERSON
SR VP0.0040.00$0$767,254$136,117
ANNA LOOMIS
CFO & TREASURER0.0040.00Yes (X)Yes (X)$0$837,787$61,371
JONATHAN E AVERY
HOSPITAL PRESIDENT40.000.00$654,931$0$113,724
JOHN J KENAGY
SR VP0.0040.00$0$611,138$98,640
SONJA O STEVES
SR VP0.0040.00$0$576,338$122,473
ANITA N IYENGER
SR VP0.0040.00$0$568,644$91,017
MELINDA J MULLER MD
SR VP0.0040.00$0$520,082$99,838
CHRISTOPHER THOMING MD
CLINICAL VP40.000.00$495,373$0$68,724
ALEXANDER GLADNEY
Secretary0.0040.00Yes (X)Yes (X)$0$478,951$23,664
MAUREEN A BRADLEY
SR VP0.0040.00$0$395,289$79,546
ALLYSON D ANDERSON
FORMER HOSPITAL PRESIDENT0.000.00$321,459$0$141,107
ERIC J MACEVOY MD
MEDICAL DIRECTOR40.000.00$350,295$0$64,845
GWEN J GREWE MD
VP INTERIM40.000.00$338,944$0$64,719
POMPY Z GOSWAMI
PHYSICIAN40.000.00$332,211$0$62,261
ANNE T GREER
Secretary0.0040.00Yes (X)Yes (X)$0$327,633$61,731
ELIZABETH R SAMMOND MD
MEDICAL DIRECTOR40.000.00$302,366$0$57,111
JONATHAN HILL MD
BOARD DIRECTOR3.0040.00Yes (X)$0$312,647$40,814
MELINDA C STIBAL
VP40.000.00$303,196$0$46,913
SETH R PODOLSKY MD
SR VP0.0040.00$0$333,096$14,782
LISA J GOREN
SR VP0.0040.00$0$264,726$49,559
BRIAN M BEDOLLA MD
MEDICAL DIRECTOR40.000.00$257,301$0$55,347
KECIA M KELLY DNP
SR VP0.0040.00$0$272,754$20,783
LESLIE ROOT MD
BOARD DIRECTOR4.0040.00Yes (X)$0$222,197$27,116
ROBERT E DEWITT
FORMER SR. VP & SECRETARY0.000.00$0$184,437$15,758
CAROL A BRADLEY
FORMER SR. VP0.000.00$0$117,186$24,178
CHARLES WILHOITE
Chairman4.000.00Yes (X)Yes (X)$0$45,000$0
DAVID RAMUS
VICE CHAIR4.000.00Yes (X)Yes (X)$0$35,000$0
GAYLE GOSCHIE
BOARD DIRECTOR3.000.00Yes (X)$0$25,000$0
NANCY R LOCKE
BOARD DIRECTOR4.000.00Yes (X)$0$25,000$0
LYNN T GUST
BOARD DIRECTOR3.000.00Yes (X)$0$25,000$0
NANCY HORTON
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
SAMIR DESAI MD
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
JACK A FRIEDMAN
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
LISA FREEDMAN
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
JERRY D PETTY
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
JEFFREY BARBER
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
EDGAR NAVAS
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
PATRICK REITEN
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
JEFFREY D FULLMAN MD
BOARD DIRECTOR3.000.00Yes (X)$0$8,500$0
BISHOP DIANA AKIYAMA
BOARD DIRECTOR3.000.00Yes (X)$0$0$0
NASREEN ILIAS-KHAN MD
BOARD DIRECTOR3.000.00Yes (X)$0$0$0
BISHOP LAURIE L CAESAR
BOARD DIRECTOR3.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,356,076TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,863,956TotReportableCompRltdOrgAmt
Total Other Compensation$1,821,185TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K314IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ECHO VISION INC
7214 NE 72ND PLVANCOUVERWA98662MEDICAL SERVICES$606,136
NW ACUTE CARE SPECIALISTS PC
101 SW MAIN ST 940PORTLANDOR97204MEDICAL SERVICES$391,219
DIALYSIS SYSTEMS MANAGEMENT
6967 SE12TH CIROCALAFL34480MEDICAL SERVICES$368,965
SURGICAL INSTRUMENT SERVICE CO
151 N BRANDON DRIVEGLENDALE HEIGHTSIL60139MEDICAL SERVICES$356,950
OREGON ANESTHESIOLOGY GROUP PC
847 NE WASHINGTON ST STE 700PORTLANDOR97205MEDICAL SERVICES$337,219
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$273,315RelatedOrganizationsAmt
Total Contributions$273,315TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFE & GIFT SHOP$835,274$835,274
PATIENT PROGRAM REV$272,995,536$272,995,536
PHARMACY$14,777$14,777
FieldValueIRS element (for citing)
Total Program Service Revenue$273,845,587TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$62,657RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$62,657RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,657TotalRevenueColumnAmt
Exclusion$62,657ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$16,361OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$10,109OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$6,252OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,252TotalRevenueColumnAmt
Exclusion$6,252ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$274,187,811TotalRevenueColumnAmt
Related Or Exempt Func Income$272,995,536RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$14,777UnrelatedBusinessRevenueAmt
Exclusion$904,183ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$15,756TotalAmt
Program Services$15,756ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$198,030TotalAmt
Program Services$198,030ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,522,427TotalAmt
Program Services$1,144,520ProgramServicesAmt
Management And General$377,907ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$97,420,934TotalAmt
Program Services$76,419,487ProgramServicesAmt
Management And General$21,001,447ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,106,043TotalAmt
Program Services$3,994,930ProgramServicesAmt
Management And General$1,111,113ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,377,993TotalAmt
Program Services$11,222,796ProgramServicesAmt
Management And General$3,155,197ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,556,403TotalAmt
Program Services$4,928,929ProgramServicesAmt
Management And General$1,627,474ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,824TotalAmt
Management And General$21,824ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,701,223TotalAmt
Program Services$2,701,223ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,945,389TotalAmt
Program Services$35,024,788ProgramServicesAmt
Management And General$920,601ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,862,592TotalAmt
Program Services$1,070,639ProgramServicesAmt
Management And General$791,953ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,227TotalAmt
Program Services$7,897ProgramServicesAmt
Management And General$1,330ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$419,958TotalAmt
Program Services$359,400ProgramServicesAmt
Management And General$60,558ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,961,058TotalAmt
Program Services$5,101,466ProgramServicesAmt
Management And General$859,592ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,763,112TotalAmt
Program Services$2,530,696ProgramServicesAmt
Management And General$232,416ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
ADMINISTRATIVE SERVICES FEES$38,338,424$38,338,424
CONTRACT SERVICES$18,939,782$7,494,048$11,445,734
PROVIDER TAX$14,658,403$14,658,403
BAD DEBTS$5,770,265$5,770,265

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$885,120TotalAmt
Program Services$442,259ProgramServicesAmt
Management And General$442,861ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$253,473,963TotalAmt
Program Services$177,037,218ProgramServicesAmt
Management And General$76,436,745ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$707,590BOYAmt
EOY$711,168EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,970,426BOYAmt
EOY$34,804,396EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,717,557BOYAmt
EOY$3,960,482EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$123,373BOYAmt
EOY-$59,100EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$183,033,756LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$151,845,236LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,706,807BOYAmt
EOY$31,188,520EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$453,841,730BOYAmt
EOY$466,097,244EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,099,827BOYAmt
EOY$7,099,829EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$531,167,310BOYAmt
EOY$543,802,539EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$42,281,948BOYAmt
EOY$33,027,465EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,116,409BOYAmt
EOY$21,311,996EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,398,357BOYAmt
EOY$54,339,461EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$468,768,953BOYAmt
EOY$489,463,078EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$468,768,953BOYAmt
EOY$489,463,078EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$531,167,310BOYAmt
EOY$543,802,539EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$20,713,848ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$19,723OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Affiliated Group Total$294,138AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Affiliated Group Total$294,138AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$221,961,679FilingOrganizationsTotalAmt
Affiliated Group Total$2,338,027,138AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$221,961,679FilingOrganizationsTotalAmt
Affiliated Group Total$2,338,321,276AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Form4720 FiledfalseForm4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$2,000,000CurrentYearMinus3Amt
Current Year Minus2$2,000,000CurrentYearMinus2Amt
Current Year Minus1$2,000,000CurrentYearMinus1Amt
Current Year$2,000,000CurrentYearAmt
Total$8,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$12,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$316,588CurrentYearMinus3Amt
Current Year Minus2$402,167CurrentYearMinus2Amt
Current Year Minus1$285,875CurrentYearMinus1Amt
Current Year$294,138CurrentYearAmt
Total$1,298,768TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$500,000CurrentYearMinus3Amt
Current Year Minus2$500,000CurrentYearMinus2Amt
Current Year Minus1$500,000CurrentYearMinus1Amt
Current Year$500,000CurrentYearAmt
Total$2,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$3,000,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$153,922OtherCostOrOtherBasisAmt
Book Value$153,922BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,685,424OtherCostOrOtherBasisAmt
Depreciation$73,901,689DepreciationAmt
Book Value$11,783,735BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,292,605OtherCostOrOtherBasisAmt
Depreciation$2,992,416DepreciationAmt
Book Value$5,300,189BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$88,204,107OtherCostOrOtherBasisAmt
Depreciation$74,951,131DepreciationAmt
Book Value$13,252,976BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$697,698OtherCostOrOtherBasisAmt
Book Value$697,698BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,188,520TotalBookValueLandBuildingsAmt
Total Book Value Securities$466,097,244TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
I/C AFFILIATE DEBT$20,519,220
MPP NONCURRENT WORKERS' COMP LIABILITIES$3,137
NONCURRENT ENVIRONMENTAL OBILGATION$189,954
NONCURRENT WORKERS' COMP LIABILITY$599,685
FieldValueIRS element (for citing)
Total Liability$21,311,996TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$273,156,000TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$6,586OtherRevenueAmt
Revenue Not Reported-$6,586RevenueNotReportedAmt
Revenue Subtotal$273,162,586RevenueSubtotalAmt
Other Revenues Not Included$1,025,225OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,025,225RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$274,187,811TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$252,627,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$6,932OtherExpensesIncludedAmt
Expenses Not Reported-$6,932ExpensesNotReportedAmt
Expenses Subtotal$252,633,932ExpensesSubtotalAmt
Other Expenses Not Included$840,031OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$840,031ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$253,473,963TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.Endowment funds disclosed in Part V are used to improve the healthcare of the community as designated by the donors. Meridian Park Medical Foundation (MPMF) maintains all charitable gifts including endowment funds for the benefit of LMPH and it's programs. In 2021, the MPMF board of trustees approved the dissolution of MPMF and a merger of the Foundations assets into the Legacy Health Foundation (LHF). All assets of MPMF as of March 31, 2021, were transferred to LHF, with all original donor restrictions preserved.Income from permanently restricted net assets is accounted for in accordance with the donors' instructions.Legacy follows the guidance in the Uniform Prudent Management of Institutional Funds Act (UPMIFA) in determining the net asset classification of all donor-restricted endowment funds. In accordance with UPMIFA and board policy, assets classified as permanent endowments in accordance with donor intent are only utilized for current period expenditures to the extent that earnings on the endowment exceed the original fair value of the donation. To the extent earnings on endowment funds exceed identified expenditures on which to apply those earnings, the earnings are classified as temporarily restricted net assets. Legacy has adopted investment and spending policies for endowment assets to provide a predictable stream of funding to programs supported by its endowment and to maintain the value of the endowment assets. Asset allocation is reviewed quarterly with respect to: i) Legacy's tolerance for risk based on its financial condition and need for cash from investments to support operations; ii) expected asset class return, risk and correlation characteristics; iii) changes in accounting guidance or tax law and iv) changes in bond covenants or other restrictions.Legacy's spending practices are intended to comply with donor's wishes and meet all applicable laws and regulations. Spending must be for a purpose that is consistent with the documented intent of the donor, and may not exceed the amounts annually determined by Legacy. Factors that are considered in addressing the annual spending allocation are: i) market value of the fund relative to the principal of the gift and ii) the level of spending in prior years.From time to time, the fair value of assets associated with individual donor-restricted endowment funds may fall below the level that the donor or UPMIFA requires Legacy to retain as a fund of perpetual duration. Deficiencies of this nature are reported as a reduction to unrestricted net assets and are excluded from the performance indicator.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SFOUNDATION CONTRIBUTION $99768 MEDICAL STAFF INCOME $185570 FOUNDATION CAPITAL CONTRIBUTION $173547 PROGRAM SERVICE REVENUE $566340
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SMEDICAL STAFF EXPENSE $173923 FOUNDATION CONTRIBUTION $99768 PROGRAM SERVICE REVENUE $566340

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,588,093TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,588,093NetCommunityBenefitExpnsAmt
Total Expense0.01420TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,963,799TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,610,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,353,050NetCommunityBenefitExpnsAmt
Total Expense0.04480TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,551,892TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,610,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,941,143NetCommunityBenefitExpnsAmt
Total Expense0.05900TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$482,325TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$482,325NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$543,258TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$543,258NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$724,622TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$724,622NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,750,205TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,750,205NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,302,097TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,610,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,691,348NetCommunityBenefitExpnsAmt
Total Expense0.06590TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$5,770,265BadDebtExpenseAmt
Bad Debt Expense Attributable$3,635,267BadDebtExpenseAttributableAmt
Reimbursed By Medicare$35,663,090ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$47,993,240CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$12,330,150MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY MERIDIAN PARK HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line119300 SW 65TH AVENUEAddressLine1Txt
CityTUALATINCityNm
State AbbreviationORStateAbbreviationCd
ZIP97062ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.legacyhealth.orgWebsiteAddressTxt
State License14-1336StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LEGACY MERIDIAN PARK HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.legacyhealth.orgOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.legacyhealth.orgStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.legacyhealth.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.legacyhealth.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.legacyhealth.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: LEGACY MERIDIAN PARK HOSPITAL - Part V, Section B, Line 5In 2020, Legacy Meridian Park Medical Center participated with seven other hospital systems, four county health departments and one coordinated care organization in the four-county regional 2019 Healthy Columbia Willamette Collaborative (HCWC) Community Health Needs Assessment (CHNA) which was used as a base for the Legacy Meridian Park Community Health Needs Assessment. The results of Legacys Community Needs Assessment can be found at www.legacyhealth.org.The HCWC CHNA is regional and developed to improve efficiency and effectiveness and also to help meet the requirements of the ACA and Public Health Accreditation. HCWC prioritized community input and lived experiences of priority populations and leaders from community-based organizations across the region. Volunteer participants shared their insights on the vision, strengths, challenges, and needs of their communities in town halls and listening sessions. Four town halls were conductedone in each countyand community-based organizations hosted 18 community listening sessions across the quad-county region, with more than 200 participants. In the 2019 CHNA, HCWC also reviewed population data (health-related behaviors, morbidity, mortality); medical data from local Coordinated Care Organizations (CCO) (most frequent conditions Medicaid-covered individuals sought care for); and hospital data (uninsured patients seen in the emergency department for conditions that could have been managed in primary or ambulatory care settings).Our work included the following community partners: Adelante MujeresAntFarmASACCascade AIDS Project Aging WellCentral City ConcernCommunity Partnership for Affordable HousingCity of Lake OswegoClackamas Behavioral Health DivisionClackamas County Aging Services Advisory CouncilClackamas County Community Action BoardClackamas County Disaster ManagementClackamas County Public Health DivisionClackamas County Social ServicesClackamas WorkforceClark County Community ServicesClark County Public HealthCoalition of Community Health ClinicsEstacada Community CenterFaith Organization in Multnomah CountyFriendly HouseIndividual Facilitators, Arabic CommunityIndividual Facilitator, FarmworkersIraqi Society of OregonLatino NetworkMicronesian Islander CommunityMomentum AllianceNAMI, Clackamas CountyNAYA Family CenterNorthwest Family ServicesOutside InOregon AIDS Education & Training CenterOregon Community Health Workers AssociationOregon Dairy and Nutrition CouncilOregon Food BankOregon Health Equity AllianceOregon Office on Disability and HealthOregon Oral Health CoalitionPacific Islander CoalitionPlanned ParenthoodProject Access NOWProvidence ElderPlaceQuest Center for Integrative HealthSW WA Accountable Community of HealthSociety of St. Vincent de PaulVeterans of Foreign WarsVibrant Future Coalition/NW Family ServicesYMCA of Columbia Willamette
Facility: LEGACY MERIDIAN PARK HOSPITAL - Part V, Section B, Line 6aIn addition to Legacy Healths five hospitals which includes Legacy Meridian Park Medical Center, the other seven hospital systems in the metro area that participated in the Healthy Columbia Willamette Collaborative Community Health Needs Assessment were: Adventist Health, Kaiser Permanente, Oregon Health & Science University, Peace Health Southwest Medical Center, Providence Health & Services and Tuality Health Care.
Facility: LEGACY MERIDIAN PARK HOSPITAL - Part V, Section B, Line 11The FY2021 Legacy Meridian Park CHNA identified health-related needs across the quad county region. Legacy Meridian Park grouped the health needs identified in the 2019 Healthy Columbia Willamette Collaborative Community Health Assessment into two broad categories of need: Access to Health Care Chronic ConditionsIn addition to identified health-related needs across the quad county region, Legacy Meridian Park Medical Center heard through community members that discrimination, racism and trauma impact the health and well-being of communities and should be addressed as part of all programming and projects (HCWC CHNA 2019). Legacy Meridian Park Medical Centers Community Health Improvement Plan highlights the health equity strategies for this improvement plan cycle.The priority areas identified in this implementation plan will be addressed through health service delivery, health education and outreach, community partnerships, community investments, and funding for evidence-based health programs and services.No singular hospital facility can address all the issues present in our community. Through our partnerships in the Quad County, Legacy Meridian Park Medical Center is confident these needs are being addressed by other community organizations. Legacy Meridian Park Medical Centers top priority continues to be a focus on the issues which have the greatest impact on the health of the community and where we can affect the most change.Details on the specific initiatives Legacy Meridian Park is undertaking to address these priority issues can be found in the Community Health Improvement Plan (CHIP), which can be found on the organizations website at www.legacyhealth.org.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing MethodologyMedicare allowable costs were calculated using the costing methodologies in the Medicare Cost Report. The cost report arrives at total allowable hospital cost through a cost finding process that includes direct cost allocations and a step-down allocation of indirect or overhead costs. Inpatient operating costs are composed of general inpatient routine and ICU unit costs derived from cost per diems, as well as inpatient ancillary service costs that utilize cost to charge ratios to arrive at cost. Apportionment of cost applicable to hospital outpatient services is through the application of cost to charge ratios. This excludes other costs incurred to provide services of the hospital to the community that the cost report deems as unallowable costs, such as Physician on-call pay.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseLMPH uses many different approaches to inform and educate patients on the availability of financial assistance as is described later in Part VI of Schedule H. Still, many patients do not respond to requests for information or provide appropriate documentation to benefit from financial assistance. As a result, LMPH must report these amounts as bad debt. A portion of bad debt expense should be considered as charity care, using reasonable methodologies to analyze the information.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitThe estimated amount of bad debt expenses attributable to charity care policy was calculated using the FY2021 demographic profile of household income and average household size in the zip code areas around the hospital. 63% of Households in the LMPH service area would qualify for financial assistance with incomes under 400% of the Federal Poverty Guidelines using this methodology.
Part III, Line 4 - Bad Debt ExpenseThe footnote that explains the Legacy bad debt expense can be found on page 9 of the attached audited financial statements.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe entire Medicare shortfall should be considered a community benefit. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in the community served by the hospital. The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. The Medicare amounts listed in Part III Section B. on lines 5, 6, and 7 do not represent all of the organization's revenues and costs associated with its participation in Medicare programs. The methodology used in reporting in Part III Section B Medicare is inconsistent with the other sections in Schedule H, as the instructions limit Medicare revenues and allowable cost to those from only the Medicare Cost Report. Revenue and costs from Medicare Part C patients, Part B physician services billed by the organization, and clinical laboratory services weren't included. In addition, hospitals incur other costs to provide care that Medicare does not allow in the cost report, such as Physician Call pay to ensure adequate physician coverage for the ED. The total revenues and costs attributable to all Medicare services are $88,031,457 and $117,892,172 respectively. This results in a total Medicare shortfall of $29,860,715.Costing Methodology (Part III, Line 8).Medicare allowable costs were calculated using the costing methodologies in the Medicare Cost Report. The cost report arrives at total allowable hospital cost through a cost finding process that includes direct cost allocations and a step-down allocation of indirect or overhead costs. Inpatient operating costs are composed of general inpatient routine and ICU unit costs derived from cost per diems, as well as inpatient ancillary service costs that utilize cost to charge ratios to arrive at cost. Apportionment of cost applicable to hospital outpatient services is through the application of cost to charge ratios. This excludes other costs incurred to provide services of the hospital to the community that the cost report deems as unallowable costs, such as Physician on-call pay.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsLegacy provides care without charge or at amounts less than its established rates to patients who meet certain criteria under its financial assistance policy. Since Legacy does not pursue collection of amounts determined to qualify as charity care, they are excluded from net patient service revenues.
Part VI, Line 2 - Needs AssessmentLegacy Senior leadership, in conjunction with the Community Benefit staff works with local community-based partners to understand the needs of the community. The goal is to develop programs specific to the needs of the community. Involvement is both proactive and responsive - a leadership role in initiating programs as well as being readily available as a collaborative partner when the community asks. The outcome of this work is the development of both long-term and fiscal year plans. These are then aligned to the community health needs identified in the formal CHNA. The region served by the Legacy Meridian Park, along with most of Oregon, is experiencing significant challenges in population growth, economic development, education and health care. Recognizing that social and economic determinants impact health, Legacy Meridian Park has been and will remain committed to addressing these issues to improve the health of all residents in the community and ensure equity among ethnically diverse populations.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceLegacy Meridian Park employs financial counselors and social workers that assist patients in obtaining coverage for their healthcare needs. This includes assistance with workers compensation, motor vehicle accident policies, COBRA, veterans assistance, Legacys financial assistance program, and public assistance programs, such as Medicaid. In support of its mission, Legacy Meridian Park provides medically necessary patient care services that are discounted or free of charge to persons who have insufficient resources and/or who are uninsured. The criteria for charity care are determined based on eligibility for insurance coverage, household income, catastrophic medical events, or other information supporting a patients inability to pay for services provided. Specifically, Legacy Meridian Park provides an uninsured discount of 35% to self-pay patients with no coverage. Additional discounts, on a sliding scale, are available to patients whose household income is less than 400% of the federal poverty level. For patients whose household income is at or below 300% of the federal poverty level, a full subsidy is available. In addition to the household income criteria, other catastrophic or economic circumstances are considered in determining eligibility for charity care. In addition to financial counselors and social workers, Legacy Meridian Park makes every effort to communicate its Financial Assistance Program to all patients. This includes signage in main admitting areas of the hospital and brochures explaining financial assistance in all patient care areas, translated for patients/individuals with limited English proficiency (LEP). Financial counselors are available to assist patients in understanding and applying for available resources, including the Legacy Meridian Park Financial Assistance Program. Legacy Meridian Parks website also has information about the availability of financial assistance. Legacy Meridian Park offers financial assistance customer service Monday through Friday, as well as the availability of voicemail so patients can leave confidential, detailed messages during non-business hours. Patients are encouraged to sign up for MyHealth, a secure online tool to access their medical record. Using their MyHealth account they can correspond with a financial counselor via email. Finally, all of Legacys billing statements include information regarding the availability of financial assistance. If Legacy Meridian Park requires the use of a collection agency, those agencies are required to provide a telephone number that patients can call to request financial assistance. Annual education is provided to all billing and admitting staff, so they can be kept informed of and speak with knowledge about current financial assistance policies and options. Legacy Meridian Park provides copies of the latest policies in main admitting areas, as well as with the hospital financial counselor, online via the website and through MyHealth. Legacy Meridian Park also partners with Project Access NOW, a community-based organization that aims to improve the health of our community by creating access to care and services for those in need. The Premium Assistance program serves low-income, uninsured or underinsured; participants receive assistance with monthly insurance premiums to help lower additional out-of-pocket expenses and are provided education on how to utilize insurance once covered.
Part VI, Line 4 - Community InformationLegacy Meridian Park Medical Center is the South Portland Metropolitan areas full-service medical center, with specialty areas that include stroke, chest pain, minimally invasive and robotic surgery, cancer care and orthopedic and total joint surgery. The facility also includes a birth center and breast health center. Legacy Meridian Park is located in Clackamas County but is in close proximity to Washington County. The primary service area includes Tualatin, Tigard, Wilsonville, Sherwood, West Linn, Canby and Lake Oswego.The demographic data that informed Legacy Meridian Parks CHNA/CHIP for FY22 is from 2012-2016. The population estimate of the primary service area for Legacy Meridian Park was 394,967 for Clackamas County and 564,088 for Washington County. In Clackamas County, the community consists of 89% White, 8.2% Hispanic/Latino, 4.1% Asian, 3.4% two or more races, 0.9% Black/African American, 0.7% American Indian/Alaska Native, and 0.3% Native Hawaiian/Pacific Islander. Foreign-born population represents 8% of the community and languages other than English account for 12.1%. In Washington County, the community consists of 77.6% White, 16.2% Hispanic/Latino, 9.5% Asian, 4.9% two or more races, 1.8% Black/African American, 0.6% American Indian/Alaska Native, and 0.4% Native Hawaiian/Pacific Islander. Foreign-born population represents 17% of the community and languages other than English account for 24.1%. In Clackamas County, while White individuals median per capita income was $36.674, Hispanic/Latino had the lowest median per capita income at $20,162, followed by Native American/Alaska Native at $20,676, two or more races at $20,720, Native Hawaiian/Pacific Islander at $24,676, African American/Black at $27,741, and Asian at $34,355. In Washington County, while Asian individuals median per capita income was $37,972, Hispanic/Latino had the lowest median per capita income at $15,255, followed by two or more races at $17,030, Native Hawaiian/Pacific Islander at $21,765, Native American/Alaska Native at $24,245, African American/Black at $26,730, and White at $35,540. In FY22, Legacy Meridian Park Hospital provided $3.5 million in charity care; total unreimbursed costs of care for people in need amounted to $44.5 million.
Part VI, Line 5 - Promotion of Community HealthThe Legacy Health system is involved in several activities and provides a wide variety of services that engage community members and promote community health. For example, the Legacy Health Board is comprised of volunteer community leaders, hospital administrators and representatives of the Lutheran and Episcopal churches who guide Legacys efforts in meeting its mission of providing good health for our people, our patients, our communities and our world. The Community-Based Advisory Committee (CBAC) assists the Community Benefit department with the development and implementation of the Community Health Needs Assessments (CHNAs) and Community Health Implementation Plans (CHIPs) for each Legacy Medical Center. Legacy Community Benefit and the CBAC work closely with the Healthy Columbia and Willamette Collaborative and other partners in the Portland metropolitan area (Clackamas, Multnomah, Washington counties in Oregon and Clark County in SW Washington) to assess community needs and describe how Legacy Meridian Park will address these needs and evaluate the effectiveness of its efforts within its service community.The Legacy Meridian Park Medical Center gives in-kind lab donations to safety net clinics in their service areas. Non-cash donations of clinical and non-clinical services and items, e.g., screenings and support services, internships, information and referral services, and health fairs, also are provided. Legacy Healths supply warehouse is open to local non-profit organizations to obtain surplus equipment and furniture. In addition, free office and conference space and other infrastructure services are made available to local non-profit organizations in the Legacy Meridian Park service area for a variety of uses. In addition, Legacy provides training for interns and residents through its nationally accredited graduate medical education program, Legacy Health supports over 500 employed and visiting medical trainees annually across many disciplines. Health professions training ranged from nursing, occupational and physical therapy, and radiography to public health, lab assistant, emergency medical technician, and many others. Legacy also partners with schools to provide training and education for nursing and other health professionals.Legacy Meridian Parks medical staff is open, with physicians submitting credentialing information that is reviewed according to Legacy Health policies and standards.Legacy Meridian Park collaborates with other health care providers, community-based organizations, business and the public on projects to improve the health of the community. One example of clinically based partnerships includes, among others: CARES NW (Child Abuse Response and Evaluation Services), a collaboration among four health systems Kaiser Permanente, OHSU Doernbecher Childrens Hospital, Providence Childrens Health and Randall Childrens Hospital at Legacy Emanuel; Legacy Emanuel serves as the employer and donates the infrastructure. Additionally, the first collaborative medical initiative of its kind in the Pacific Northwest, Unity Center for Behavioral Health, is a joint effort between Adventist Health, Kaiser Permanente, Oregon Health & Science University and Legacy Health, providing psychiatric emergency services. Legacy has collaborated with more than a dozen community mental health partners in developing this new psychiatric center.
Part VI, Line 6 - Affilated Health Care SystemThe Legacy Meridian Park Medical Center is a subsidiary of Legacy Health. Legacy Health (Legacy) is an integrated health system headquartered in Portland, Oregon. Legacy operates six acute care hospitals, provides dedicated childrens care at the Randall Childrens Hospital at Legacy Emanuel, Unity Center for Behavioral Health and offers related services (e.g., physician practices, hospice, preferred provider network) in the four-county metro area of Portland, Oregon (Clackamas, Multnomah, Washington counties in Oregon and Clark County in SW Washington) and in Marion County, Oregon, which is approximately 50 miles south of Portland.Legacy Health conducts system-wide projects and activities to improve the health of its service communities. For example, Legacy's policy of providing care regardless of an individuals ability to pay makes it one of the region's largest providers of uncompensated care. As the health needs of communities surrounding our hospitals are frequently changing, Legacy Health continues to identify investments for underserved populations. For example, in FY2022, Legacy contributed over one million dollars ($1,027,420.00) to two health care collaboratives (Project Access NOW and the Health Systems Access to Care Fund (see below)) that ensure access to culturally responsive primary and specialty health services for community members in Legacy service areas.In response to the lack of diversity within health professions and the persistent inequities in education, employment, and income among communities of color, Legacy Health established the Health Occupation Profession and Education program (HOPE, formerly Youth Employment in Summer) to provide work experiences through paid summer internships in the health care professions for underserved students of color. The primary goal of the program is to increase the number of underserved persons of color entering health care careers and to promote greater diversity in health care professions. Each summer between 5-15 students from ethnically diverse communities participate in the program. Students are paid between $15-18 per hour and may work up to 400 hours within available clinical and non-clinical departments across the Legacy Health system. Students meet weekly with a mentor and/or attend workshops to ensure the needs of the student and the department are being met.Students who perform well during the summer internship qualify for college tuition assistance ranging from $3,000 to $10,000 annually. These successful students also may continue in the HOPE program the following summer if they maintain the educational requirements for the program. Some students have remained in the program for seven years. Program alumni graduate with a range of degrees including imaging technology, nursing, and medicine. Most students are the first in their family to go to college. At all sites, Legacy Health trains interns and residents through its nationally accredited graduate medical education program and partners with local nursing and other health professional schools and programs to provide practical training and education.Legacy Health also collaborates with and supports other health care systems, public health agencies and community-based organizations to improve the health of the community. For example, in the fall of 2018, Legacy Health, Kaiser Permanente NW, PeaceHealth and Providence Health & Services came together to create the Health Systems Access to Care Fund through the Oregon Community Foundation. The goal of this fund is to strengthen the capacity and infrastructure for community clinics that are expanding and/or adapting their current models in response to the changing needs of patient populations due to ongoing healthcare reform, Medicaid transformation, and the increasing pressure on the safety net for access to care. Community clinics in Oregon and SW Washington were awarded multiyear grants up to $50,000. In 2022, eleven clinics continued existing work focused on four main areas which included assuring easy access to care, improving quality of care, strengthening leadership and enhancing data collection. Finally, Legacy Community Benefit contributes to organizations and partnerships in the Legacy Medical Centers service communities whose work addresses community-identified needs and aligns with the objectives and strategies of each Medical Centers Community Health Implementation Plan. In FY2022, Community Benefit funded 18 community-based organizations ($668,500.00) that promoted workforce development and educational attainment and addressed behavioral health issues within the communities served by Legacy Health.
Part VI, Line 7 - States Filing of Community Benefit ReportOR

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL TEAMS INTERNATIONALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114150 SW MILTON CTAddressLine1Txt
CityTIGARDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97224ZIPCd
FieldValueIRS element (for citing)
Recipient EIN930878944RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$15,756CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedCOSTValuationMethodUsedDesc
Non Cash AssistanceSUPPLIESNonCashAssistanceDesc
Purpose Of GrantFOR DISASTER ASSISTANCEPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtNon Cash AssistanceNonCashAssistanceAmtNon Cash AssistanceNonCashAssistanceDesc
PATIENT NEEDS FOR SAFE DISCHARGE$178,910TRANSPORTATION
PATIENT NEEDS FOR SAFE DISCHARGE$19,120HOUSING, SHELTER, TRANSPORTATION

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationLegacy reviews all organizations prior to donating cash or supplies to ensure their 501(c)(3) status. Legacy regularly donates supplies to Medical Teams International for disaster relief. Several Legacy medical staff members, volunteer for Medical Teams International.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (true)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcYes (true)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
ALEXANDER GLADNEY
Secretary$363,462$104,500$10,989$8,376$15,288$502,615
ALLYSON D ANDERSON
FORMER HOSPITAL PRESIDENT$321,459$141,107$462,566$321,459
ANITA N IYENGER
SR VP$571,791$1,000-$4,147$58,583$32,434$659,661
ANNA LOOMIS
CFO & TREASURER$839,668$1,000-$2,881$24,841$36,530$899,158
ANNE T GREER
Secretary$308,319$16,063$3,251$38,546$23,185$389,364
BRIAN M BEDOLLA MD
MEDICAL DIRECTOR-$5,023$21,039$312,648$242,253$20,071$34,308
BRYCE R HELGERSON
SR VP$764,766$1,000$1,488$120,126$15,991$903,371
CAROL A BRADLEY
FORMER SR. VP$117,186$24,178$141,364
CHRISTOPHER THOMING MD
CLINICAL VP$832$14,500$564,097$476,441$18,100$54,224
ELIZABETH R SAMMOND MD
MEDICAL DIRECTOR-$3,498$33,559$359,477$235,515$70,349$23,552
ERIC J MACEVOY MD
MEDICAL DIRECTOR-$7,448$36,511$415,140$280,565$77,178$28,334
GWEN J GREWE MD
VP INTERIM-$1,401$30,450$403,663$287,740$52,605$34,269
JOHN J KENAGY
SR VP$612,001$1,000-$1,863$54,945$43,695$709,778
JONATHAN E AVERY
HOSPITAL PRESIDENT$34,589$71,844$768,655$619,342$1,000$41,880
JONATHAN HILL MD
BOARD DIRECTOR$282,130$25,600$4,917$11,600$29,214$353,461
KATHRYN CORREIA
President & CEO$1,718,633$1,000$5,587$43,448$43,031$1,811,699
KECIA M KELLY DNP
SR VP$210,096$43,500$19,158$6,928$13,855$293,537
LESLIE ROOT MD
BOARD DIRECTOR$159,240$63,269-$312$23,204$3,912$249,313
LISA J GOREN
SR VP$270,000$1,000-$6,274$21,764$27,795$314,285
MAUREEN A BRADLEY
SR VP$358,240$1,000$36,049$56,478$23,068$474,835
MELINDA C STIBAL
VP$2,091$15,607$350,109$300,105$1,000$31,306
MELINDA J MULLER MD
SR VP$482,812$42,381-$5,111$59,793$40,045$619,920
POMPY Z GOSWAMI
PHYSICIAN$19,722$40,777$394,472$219,855$92,634$21,484
ROBERT E DEWITT
FORMER SR. VP & SECRETARY$184,437$15,758$200,195
SETH R PODOLSKY MD
SR VP$288,750$33,500$10,846$378$14,404$347,878
SONJA O STEVES
SR VP$571,000$1,000$4,338$96,808$25,665$698,811
TRENT S GREEN
SR VP$1,029,518$1,000$34,559$53,413$39,155$1,157,645

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 5b: Explanation of organization compensation based on revenues of related organizationPhysicians employed by Legacy affiliates are paid variable compensation based on quality, value, and production. Production is based upon the level of effort of services provided during the year measured by industry standard relative value units (RVU) and which generate revenue.
Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related orLegacy has an at-risk incentive compensation plan for management. The plan is based on meeting goals related to employee engagement, work processes, customer service, clinical quality, financial management, and certain key strategic tactics. In order to payout any at-risk incentive compensation, Legacy must exceed operating margin targets.
Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in RegsLegacy enters into initial employment agreements with Executives that qualify under the initial contract exception. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for key executive positions. The Committee relies on comparable market data and all decisions are documented.
Part III, Additional InformationSch J, Part 1, Question 3 Regarding Compensation PracticesDirectors for Legacy started receiving compensation for their services in August 2014. They also receive expense reimbursements related to their duties. Any expense reimbursements to board members are reviewed by the Director of Tax for determining 1099 tax reporting. In addition to the Board of Directors compensation, during 2021, Dr. Hill received compensation related to his duties as Clinical VP while Dr. Root received compensation for medical services provided at Legacy Emanuel Hospital. There was no other reportable compensation received by any board member during 2021.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior management personnel. The comprehensive compensation plan is designed for positions that have a significant impact on the high-level strategic and policy direction of Legacy and its affiliates. Base pay and total compensation (including incentive compensation) for similar positions is established at a level comparable to market compensation for healthcare organizations. External consultants are regularly used to review published compensation surveys of comparable organizations and comparable benchmark positions in the market. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for executive positions. The Committee oversees the system's governance procedures with respect to intermediate sanctions legislation and the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures.Sch J, Part II, Column Breakdown of W-2 or Misc-1099:Column B(i) - Base compensation consists of regular base pay including employee elected deferrals for retirement plans (403(b) and 457(b) plans).Column B(ii) - The incentive compensation program for Legacy is based on predetermined criteria and reviewed and approved by the Board. Bonuses are paid to key employees for interim duties outside their primary responsibilities (e.g. Acting in Capacity).Column B(iii) - Other compensation consists of deferred compensation amounts paid to executives during the current year and were reported on prior form 990 returns. These amounts include arrangements that contain elements of a substantial risk of forfeiture conditioned on continued employment, vesting and/or a noncompete provision upon termination of employment. Distributions from 457(b) plans, reported to the employee on a 1099-R, are also included as other compensation. In addition, imputed income for insurance, cell phone and other benefits is included in other compensation as well as any severance related payments. Sch J, Part II, Column Breakdown of W-2 or Misc-1099 (Cont):Column C - Deferred compensation includes the contributions to defined contribution plans, amounts deferred under the 457(f) plan including earnings, earnings in the 457(b) plan, and the value of the pension restoration plan. Earnings on the 457(f) and 457(b) include gains and losses on the underlying investments. The defined contribution plan is available to all employees as they become qualified to participate. The pension restoration plan provides executive pension benefits in excess of IRS mandated limits on eligible compensation to key executives. The benefits are unfunded and subject to forfeiture. Executive pension benefits are intended to make the executive's retirement benefit, as a proportion of their final average salary, comparable to all other employees, and are treated as income when paid.Column D - Nontaxable benefits include company paid health and welfare and long-term care and disability benefits under group plans.Column F - Current year compensation reported as deferred in prior years.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyLegacy Health (Legacy) provides management services for all of its affiliated companies which includes, accounting, purchasing, contracting, legal, human resources, information technology, billing, facilities, budgeting, transcription, security, public relations, strategic planning, organization development.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLegacy Health is the sole member of Legacy Merdian Park Hospital.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors includes the following members: (a) The Bishop of the Oregon Synod of the Evangelical Lutheran Church inAmerica (the "Oregon Synod") or the Bishop's designee, who shall serve ex officio;(b) The Bishop of the Episcopal Diocese of Oregon (the "Episcopal Diocese")or the Bishop's designee, who shall serve ex officio;(c) One (1) person elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of a Lutheran congregation in the Oregon Synod ("Lutheran Director");(d) One (1) person elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of an Episcopal congregation in the Episcopal Diocese known to his/her parish priest, or alternatively a member of the clergy in the Episcopal Diocese ("Episcopal Director").
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe election of Lutheran Director is subject to the approval by the Bishop of the Oregon Synod, who may object to the newly-elected director for any reason by delivering written notice to the Legacy President or the Chair of the Board of Directors no later than one week after the election. If the Bishop timely objects to the election of the new Lutheran Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Lutheran Director for his/her full term or the remainder of an unexpired term to which elected. The election of the Episcopal Director is subject to approval by the Bishop of theEpiscopal Diocese, who may object to the newly elected director for any reason by delivering written notice to the Legacy President or Chair of the Board of Directors no later than one week after the election. The election of the Episcopal Director is also subject to approval by the Standing Committee of the Episcopal Diocese, who may object to the newly elected director only on the grounds that he/she is not an active member of an Episcopal congregation or a member of the Episcopal clergy in the Episcopal Diocese; such objection to be effected by delivering written notice to the Legacy President or Chair of the Board of Directors within five days after the next meeting of the Standing Committee or 45 days after the election, whichever isearlier. If the Bishop or Standing Committee timely object to the election of the new Episcopal Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Episcopal Director for his/her full term or the remainder of an unexpired term to which elected.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Legacy Board received a copy of the 990 return prior to filing. At the direction of the entire Board, the Board Compensation Committee reviewed the compensation disclosures and the Board Audit and Compliance Committee received a memorandum with draft 990 returns for Legacy and Legacy Emanuel Hospital & Health Center highlighting key areas and requesting feedback. Questions from the Board Audit and Compliance Committee are answered and changes made where appropriate. Any significant differences in disclosure from the draft 990 to the final 990 return for other affiliated entities, including Legacy Meridian Park Hospital are provided to the Board Audit and Compliance Committee. Depending on the deadline for the 990 return filing and the Board Audit and Compliance Committee meeting this discussion may take place following the filing of the return.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe following is a summary of Legacy's policy and procedures for conflict of interest disclosure, monitoring and resolution.All Legacy employees and non-employees in leadership positions (e.g., Board members, Foundation Trustees, Medical Directors) are required to disclose potential conflicts of interest as the conflict arises. All employees are required to disclose any conflict of interest per the Standard of Conduct policy. Certain groups have annual formal disclosure requirements, Executives and non-employees in leadership positions complete the Conflict Disclosure Statement from the Standards of Conduct policy annually. Officers, Directors, Trustees, Key and Highly Compensated employees are also required to complete a questionnaire covering business relationships, business transactions with interested parties, loans and grants. Conflict Disclosure Statements and questionnaires are returned to Legacy Corporate Compliance or Tax Departments for review of the disclosure. If a conflict is disclosed, or identified through any other means, Legacy Corporate Compliance ensures that management mitigates the risk (e.g., discontinues relationship with vendor, segregates responsibilities, recuses Board member from voting in area of conflict) and that the conflict and mitigation steps are reported to the appropriate level (e.g. Audit and Compliance Committee of the Board).
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe following describes the compensation practices of Legacy Health and its affiliates.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior leaders responsible for ensuring Legacy Health serves its mission and patients every day, and for ensuring a safe, inclusive and equitable workplace for all Legacy employees. The comprehensive compensation plan is designed for positions that have a significant impact on the high-level strategic and policy direction of Legacy and its affiliates, and are accountable for the effective day-to-day operation of the system. Base pay and total compensation (including incentive compensation) for similar positions is established at a level comparable to market compensation for healthcare organizations. External consultants are regularly used to review published compensation surveys of comparable organizations and comparable benchmark positions in the market. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for key executive positions. The Committee oversees the system's governance procedures with respect to the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableLegacy Health's audited and interim consolidated financial statements are publicly available on the Electronic Municipal Market Access(EMMA) (www.emma.msrb.org) and DAC Bond (www.dacbond.com) websites. Legacy's audited consolidated financial statements include consolidating schedules which highlights LMPH's financial results.When changes are made to the LMPH Articles or Bylaws, LMPH discloses and attaches copies to the IRS Form 990, which are publicly available by request or on various public websites such as Guidestar(www.guidestar.org). Other governing documents are not available to the public.
Other Changes In Net Assets Or Fund Balances - Other DecreasesFY20 Medical Staff Reconciliation = -$19723
Form 990, Part IV, question 12Legacy has an audit of its consolidated financial statement which includes consolidating schedules highlighting LMPH's financial results.
Form 990, Part VI, question 2Legacy Health System CPC, LLC (CPC) is a common pay agent for Legacy and its affiliates. The CPC files all required federal employment tax returns for Legacy and its affiliates. The number of employees reported on Form W-3 for LMPH is 1,405.
Form 990, Part XLMPH participates in the Legacy investment pooled funds which include professionally managed equity and fixed income securities in both separately managed portfolios and commingled investment accounts. Investment returns are prorated according to each affiliate's share of the pool.
Form 990, Schedule JSchedule J Reporting of Officers and Senior Management on Legacy Affilate Returns. The Legacy Officers, Senior Vice Presidents and other key employees may have responsibilities for the operations of the entire health system, including the affiliated entities. Their compensation is paid from and reported on the Legacy return(EIN 23-7426300). The compensation is reported again for informational purposes on related affiliated entity returns including, Legacy Emanuel Hospital & Health Center, Legacy Good Samaritan Hospital and Medical Center, Legacy Meridian Park Hospital, Legacy Mount Hood Medical Center, Legacy Salmon Creek Hospital, Silverton Health, and Legacy Visiting Nurse Association.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LEGACY HEALTH
1919 NW LOVEJOY STPORTLANDOR97209237426300HEALTHCAREOR501(C)(3)11bN/Afalse
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
2801 N GANTENBEIN AVEPORTLANDOR97227930386823HOSPITALOR501(C)(3)3N/Afalse
LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL
1015 NW 22ND AVEPORTLANDOR97210930386793HOSPITALOR501(C)(3)3N/Afalse
LEGACY MOUNT HOOD MEDICAL CENTER
24800 SE STARK STGRESHAMOR97030930591528HOSPITALOR501(C)(3)3N/Afalse
LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH STVANCOUVERWA98686331065485HOSPITALWA501(C)(3)3N/Afalse
LEGACY VISITING NURSE ASSOCIATION
815 NE DAVIS STPORTLANDOR97210930848530HOSPICEOR501(C)(3)9N/Afalse
RANDALL CHILDRENS HOSPITAL FOUNDATION
PO BOX 4484PORTLANDOR97208931314469CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
GOOD SAMARITAN FOUNDATION
PO BOX 4484PORTLANDOR97208237017276CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
SALMON CREEK HOSPITAL FOUNDATION
PO BOX 4484PORTLANDOR97208830433165CHARITABLE FOUNDATIONWA501(C)(3)7N/Afalse
LEGACY HEALTH FOUNDATION
1919 NW LOVEJOY STPORTLANDOR97209465562403CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
SILVERTON HEALTH
342 FAIRVIEW STREETSILVERTONOR97381930281321HOSPITALOR501(C)(3)3N/Afalse
SILVERTON HEALTH FOUNDATION
342 FAIRVIEW STREETSILVERTONOR97381930913392CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LEGACY HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypecTransactionTypeTxt
Involved$99,768InvolvedAmt
Method Of Amount DeterminationCashMethodOfAmountDeterminationTxt