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      <Desc>Legacy provides administrative services for the System in the areas of general administration, finance, legal services, human resources, information management, patient billing, quality and patient safety, and marketing and also oversees and supports health education and community wellness programs throughout the System's service area. Legacy is the sole corporate member of six nonprofit corporations: Legacy Emanuel Hospital &amp; Health Center (LEHHC), Legacy Good Samaritan Hospital and Medical Center (LGSHMC), Legacy Meridian Park Hospital (LMPH), Legacy Mount Hood Medical Center (LMHMC), Legacy Salmon Creek Hospital(LSCH), Silverton Health (SH) and Legacy Visiting Nurse Association (LVNA). While there is investment in a variety of community-based activities and programs as a part of its non-profit status, an overwhelming majority of Legacy community benefit comes in the form of providing uncompensated care. Legacy's policy of providing care regardless of the ability to pay makes it one of the region's largest providers of uncompensated care in the four-county metropolitan area. Legacy, collectively provided over $41 million, $271 million, $297 million, and $13 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2024. In addition, Legacy provided over $38 million in other community benefit activities during fiscal year 2024.In support of its mission, Legacy 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. The criteria for charity care is determined based on eligibility for insurance coverage, household income, qualified assets, catastrophic medical events, or other information supporting a patient's inability to pay for services provided. Specifically, Legacy provides an uninsured discount of 35% to patients. A 75% discount is available to patients whose household income is between 301% and 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, the patients' qualified assets (e.g., 25% of household assets), and other catastrophic or economic circumstances are considered in determining eligibility for charity care.During 2024, Legacy provided charity care on 48,818 patient accounts, representing 4,769 inpatient accounts, and 44,049 outpatient accounts. In 2024, 8% of the patients receiving charity care received a full subsidy representing roughly 19% of the total charity provided. The top five services provided to patients qualifying for charity care were emergency/trauma, surgery, cardiovascular, pediatrics, and general acute care.In addition to charity care, Legacy provides services under various states' Medicaid programs for low-income patients, to Medicare beneficiaries, and to beneficiaries under other government programs(such as Tricare). The cost of providing services to these beneficiaries generally exceeds the reimbursement from these programs.Legacy also employs financial counselors and social workers, who assist patients in obtaining coverage for their healthcare needs. This includes assistance with workers compensation, motor vehicle accident policies, COBRA, veterans' assistance, and public assistance programs such as Medicaid. This program assists many patients in obtaining coverage through a third party, reducing the patients' financial responsibility.</Desc>
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        <Desc>As the health needs of communities surrounding our hospitals are frequently changing, Legacy continues to identify investments for underserved populations. Legacy collaborates with other health delivery systems and community-based organizations to improve the health of the community. One example of a collaboration addressing Access to Care, is Project Access Now (PANOW). PANOW provides innovative, integrated support for patients and healthcare providers across the tri-county region. Through shared investments, the monthly cost of premiums and out-of-pocket expenses are covered for patients who cannot afford to make those payments on their own. Additionally, PANOW connects uninsured and low-income individuals with donated primary and specialty care. Recognizing that health professions are lacking in diversity, Legacy established the Health Occupation Profession and Education program (HOPE, formerly Youth Employment in Summer). Each year students of ethnically diverse communities have access to paid summer employment in departments where they work with health professionals. Students are paid between $15-18 per hour and may work up to 400 hours over the summer. HOPE students also receive college scholarships between $3,000 and $10,000 annually. Students remain in the program if they remain in school and pursue health careers. Some students remain in the program as long as seven years and graduate with a range of degrees from imaging technician to Bachelor of Science in nursing to medical doctor. Most students are the first in their family to go to college. Legacy supports The Contingent - Emerging Leaders Internship Program. Through this program college students and recent graduates from ethnically diverse communities are matched with top companies throughout the Portland Metropolitan area for a 10-week paid summer internship. Program goals aim to provide this demographic with a comprehensive pathway to economic and personal success with structured programming that engages students throughout their professional journey. Students are paid between $15-18 per hour and may work up to 400 hours over the summer. Legacy encourages and supports employee volunteerism. Legacy donates $100 to nonprofit health, human service or education organizations in honor of employees who volunteer on personal time 50 hours a year. Employees may receive paid time when volunteering in one or two week time periods in local nonprofit organizations through Legacy's community service leave program.Non-cash donations of resources include clinical and non-clinical services and items (e.g., screenings and support services, internships, information and referral services and health fairs). Legacy's warehouse is available to nonprofit organizations to obtain surplus equipment and furniture. In addition, conference room space and other infrastructure services are made available to local nonprofits for a variety of uses.In FY24 Legacy Health contributed system-wide over $662M in community benefit across all reportable categories, including financial assistance. Of the $662M total community benefit, $2.4M was allocated through strategic investments and grant making to community-based organizations to address access to culturally and linguistically responsive health care, essential community services and resources, and a neighborhood for all.</Desc>
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        <TitleTxt>ASSOCIATE CMO</TitleTxt>
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        <OtherCompensationAmt>79431</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KECIA KELLY</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>618146</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>128774</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH FRANKHOUSE MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>627606</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN A BRADLEY</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
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        <OtherCompensationAmt>141134</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRYCE HELGERSON</PersonNm>
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        <OtherCompensationAmt>80904</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MERRIN PERMUT</PersonNm>
        <TitleTxt>VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NIKOLAUS KASHEY MD</PersonNm>
        <TitleTxt>VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN HILL MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AISHA FURBACH</PersonNm>
        <TitleTxt>VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GINGER SHARP HENRY</PersonNm>
        <TitleTxt>VP</TitleTxt>
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        <OtherCompensationAmt>55149</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG R ARMSTRONG</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>60716</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLEY AURAND</PersonNm>
        <TitleTxt>VP</TitleTxt>
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        <OtherCompensationAmt>54788</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH JENSEN</PersonNm>
        <TitleTxt>VP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAITLIN WALKER</PersonNm>
        <TitleTxt>VP</TitleTxt>
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        <OtherCompensationAmt>43202</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE ROOT MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>220680</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63444</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TRENT GREEN</PersonNm>
        <TitleTxt>FORMER SR. VP</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES WILHOITE</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID RAMUS</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY HORTON</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GAYLE GOSCHIE</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY R LOCKE</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN T GUST</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY BARBER</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDGAR NAVAS</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK REITEN</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA WYNN FREEDMAN</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACK A FRIEDMAN</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY D PETTY</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NASREEN ILIAS-KHAN MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAMIR DESAI MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>15000</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BISHOP DIANA AKIYAMA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BISHOP LAURIE LARSON CAESAR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>18634620</TotalReportableCompFromOrgAmt>
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      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REED SMITH LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2672 PAYSPHERE CICLE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60674</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>3827550</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PACIFIC OFFICE AUTOMATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>14747 NW GREENBRIER PKWY</AddressLine1Txt>
            <CityNm>BEAVERTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97006</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PURCHASED SERVICES</ServicesDesc>
        <CompensationAmt>2012606</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCDERMOTT WILL &amp; EMERY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1675</AddressLine1Txt>
            <CityNm>CAROL STREAM</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60132</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>1797894</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STOEL RIVES LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>101 S CAPITAL BLVD 1900</AddressLine1Txt>
            <CityNm>BOISE</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83702</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>2809856</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VALUE CAPTURE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12 FEDERAL ST</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15212</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>2668079</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>92</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1939734</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>-5103</AllOtherContributionsAmt>
      <TotalContributionsAmt>1934631</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INV INC ALLOC TO AFFIL</Desc>
        <TotalRevenueColumnAmt>75178692</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>75178692</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LEGACY CONNECT</Desc>
        <TotalRevenueColumnAmt>3015735</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3015735</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <TotalRevenueColumnAmt>291469823</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>291469823</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PARTNERSHIP INCOME</Desc>
        <TotalRevenueColumnAmt>7493452</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7514659</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-21207</UnrelatedBusinessRevenueAmt>
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        <ExplanationTxt>Legacy provides administrative services supporting the hospitals, in the areas of general administration, finance, legal services, human resources, information management, patient billing, quality and patient safety, and marketing and also oversees and supports health education and community wellness programs throughout Legacy's service area.</ExplanationTxt>
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        <InvestmentEarningsOrLossesAmt>128873</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>11227731</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>7859727</BeginningYearBalanceAmt>
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        <BeginningYearBalanceAmt>1116372</BeginningYearBalanceAmt>
        <ContributionsAmt>7910781</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-387279</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>780147</OtherExpendituresAmt>
        <EndYearBalanceAmt>7859727</EndYearBalanceAmt>
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        <BookValueAmt>3510608</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>177737245</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>134849248</DepreciationAmt>
        <BookValueAmt>42887997</BookValueAmt>
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        <DepreciationAmt>2400246</DepreciationAmt>
        <BookValueAmt>409435</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>304487017</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>287505994</DepreciationAmt>
        <BookValueAmt>16981023</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>12630338</OtherCostOrOtherBasisAmt>
        <BookValueAmt>12630338</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>76419401</TotalBookValueLandBuildingsAmt>
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        <BookValueAmt>8148903</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>188256931</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED FINANCING COSTS</Desc>
        <BookValueAmt>28992900</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>I/C AFFILIATE - INVESTMENT POOL</Desc>
        <BookValueAmt>107358678</BookValueAmt>
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        <Desc>LAND &amp; BUILDING HELD FOR DEVELOPMENT</Desc>
        <BookValueAmt>9692323</BookValueAmt>
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        <Desc>LEGACY REAL ESTATE ASSETS</Desc>
        <BookValueAmt>600363</BookValueAmt>
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        <Desc>LONG TERM INTERCOMPANY RECEIVABLE</Desc>
        <BookValueAmt>11104209</BookValueAmt>
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        <Desc>OTHER NONCURRENT</Desc>
        <BookValueAmt>4937989</BookValueAmt>
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        <Desc>I/C AFFILIATE - INVESTMENT POOL</Desc>
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        <Desc>NONCURRENT BENEFITS LIABILITY</Desc>
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        <Desc>NONCURRENT LEASE</Desc>
        <Amt>3497389</Amt>
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        <Desc>NONCURRENT PENSION LIABILITY</Desc>
        <Amt>-88628223</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NONCURRENT WORKERS' COMP LIABILITY</Desc>
        <Amt>6462000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FOR PROFESSIONAL LIABILITY COSTS</Desc>
        <Amt>155452685</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Rounding</Desc>
        <Amt>4</Amt>
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      <RevenueSubtotalAmt>518399000</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>-11777845</RevenueNotReportedFinclStmtAmt>
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        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>Endowment funds disclosed in Part V are used to improve the healthcare of the community as designated by the donors. Legacy Health Foundation (LHF) maintains all charitable gifts including endowment funds for the benefit of Legacy and it's programs. 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.</ExplanationTxt>
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        <SpecificServicesProvidedTxt>INSURANCE</SpecificServicesProvidedTxt>
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          <BusinessNameLine1Txt>ALBERTINA KERR CENTERS</BusinessNameLine1Txt>
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          <AddressLine1Txt>424 NE 22ND AVE</AddressLine1Txt>
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          <StateAbbreviationCd>OR</StateAbbreviationCd>
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        <PurposeOfGrantTxt>BIPOC DOULA PROGRAM PILOT</PurposeOfGrantTxt>
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          <CityNm>VANCOUVER</CityNm>
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          <CityNm>PORTLAND</CityNm>
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        <ExplanationTxt>As the health needs of communities surrounding our hospitals are changing, Legacy continues to identify investments for underserved populations. Legacy provides Community Health Grants through grant funding for community-based organizations. The Community Health Grants are funded annually to 501(c)(3) organizations in response to needs identified within our community health needs assessments (CHNAs). In FY24, our Community Health Grants were awarded to address access to culturally and linguistically responsive health care, essential community services and resources, and a neighborhood for all.Community-based organizations were invited to apply for the Community Health Grants. The grants were reviewed and awarded to those organizations whose proposals mostly closely aligned with the strategies in our Community Health Improvement Plans (CHIPs). Follow up occurs semiannually with grantees regarding use of funds. In addition, Legacy donates to charitable organizations to support health and human services, civic and community causes, and business development. Legacy Community Benefit administers this funding, assuring the organizations meet priorities and qualifications, and that the money is used for its intended purpose.</ExplanationTxt>
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        <OtherCompensationFilingOrgAmt>76851</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>97816</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>40754</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>787513</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN A BRADLEY</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>445300</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>62573</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>112519</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28615</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>649007</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELINDA MULLER MD</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>710048</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>60163</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>153532</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>46217</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>969960</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MERRIN PERMUT</PersonNm>
        <TitleTxt>VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>481591</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>19050</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33646</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>560687</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHALIE G JOHNSON MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>564974</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>121973</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>43353</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>43389</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>19580</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>793269</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NIKOLAUS KASHEY MD</PersonNm>
        <TitleTxt>VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>440755</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>26026</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>48963</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>32691</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>548435</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH JENSEN</PersonNm>
        <TitleTxt>VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>361658</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>-2475</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>53852</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31748</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>444783</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SETH PODOLSKY MD</PersonNm>
        <TitleTxt>FORMER SR. VP</TitleTxt>
        <OtherCompensationFilingOrgAmt>870347</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7560</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>877907</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRENT GREEN</PersonNm>
        <TitleTxt>FORMER SR. VP</TitleTxt>
        <OtherCompensationFilingOrgAmt>132859</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6719</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>139578</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>Some executives belong to business clubs. Any expenses relating to the personal use of the club are paid directly to the club by the executive. Only business-related use is paid to the business club or reimbursed to the executive by Legacy. An allocation of personal use of dues is completed annually and added to the compensation of the executive.Legacy does periodically reimburse for some travel of companions. During 2023, no travel expenses for companions of Legacy Board Directors and executives were reimbursed. These transactions follow Legacys reimbursement policy requiring documentation and approval of the expenses, prior to reimbursement. These payments are taxable to the individuals and are reported on a W-2 for employees or a 1099 for Board Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 5b: Explanation of organization compensation based on revenues of related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>Physicians 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or</FormAndLineReferenceDesc>
        <ExplanationTxt>Legacy 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs</FormAndLineReferenceDesc>
        <ExplanationTxt>Legacy 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Sch 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 2023, Dr. Hill received compensation related to his duties as Clinical VP while Dr. Root received compensation for medical services provided at Legacy Emanuel Hospital. Dr. Frankhouse and Dr. Johnson received compensation related to their duties as Medical Directors at Legacy Good Samaritan hospital. There was no other reportable compensation received by any board member during 2023.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 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 and other benefits is included in other compensation as well as any severance related payments.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.Fiscal year 2024 performance bonuses were paid based on the achievement of patient and employee safety goals with attainment probability of 20-30%. The bonuses were paid out in July 2024 (tax year 2024) and are reported as deferred compensation on the 2023 form 990.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.</ExplanationTxt>
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    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART IV, ARBITRAGE, LINE 2CDate of rebate computation for OR Facilities Authority (Issuer A): 12/9/2021</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="23017517" softwareVersionNum="2023v6.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Miles Jackson</PersonNm>
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        <RelationshipDescriptionTxt>Employee</RelationshipDescriptionTxt>
        <TransactionAmt>140321</TransactionAmt>
        <TransactionDesc>Fam Mem of J Friedman Dir</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Alexander Gladney</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Employee</RelationshipDescriptionTxt>
        <TransactionAmt>2425000</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 2 - Payments related to a period of employment and treated as non-taxable under Internal Revenue Code Section 104(a).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Legacy articles of incorporation were amended and restated on September 24, 2023 to update the following:Maximum number of voting members from 17 to 18.Maximum number of persons that can be elected at large by the Legacy Health Board of Directors from 8 to 9. The Legacy bylaws were amended and restated on September 24, 2023. The documents were amended to reflect the following changes:1. Section 3.2 Number and Qualifications - The number of maximum voting directors was updated from 17 to 18.2. Section 3.3 Selections, Term and Removal -(a) Number of maximum voting members was updated to 18.(a)(6) Number of maximum persons that can be elected at large by the Legacy Health Board of Directors was updated from 8 to 9. 3. Section 5.7 Strategic Collaborations Committee-(a) The role of the Strategic Committee was updated. In addition to serving as the Board's liaison, soliciting input and making regular reports to the full Board, it will also exercise any other authority delegated by the Board to the Committee from time to time.(b) The number of voting directors was updated from three to five to six to twelve. The requirement to include members was specified to include the Chair, the Vice Chair, and other members appointed by the Chair, which may include the chairs of the other standing committees and other Directors. It was also specified that the President and Chief Executive Officer shall be a non-voting member and shall appoint staff to assist the Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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").</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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 a draft 990 return highlighting key areas and requesting feedback. Questions from the Board Audit and Compliance Committee are answered and changes made where appropriate. Any significant differences from the draft 990 to the final 990 return 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Legacy 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. When changes are made to the Legacy Articles or Bylaws, Legacy 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY = $48813103</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING = -$4</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER FROM FOUNDATION = $52736</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990 Part X</FormAndLineReferenceDesc>
        <ExplanationTxt>Legacy manages the investments for all affiliates through 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. Legacy reports the gains or losses on the investment portfolio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1, Line 5 &amp; Part V question 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of employees reported on the W-3 is for all Legacy Health Affiliates. Legacy Health is a common pay agent for all of the affiliates and reports all employees under its EIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX, line 20</FormAndLineReferenceDesc>
        <ExplanationTxt>Total interest expense relating to tax exempt bonds for Legacy &amp; its affiliates was $27,856,572.Entity AmountLHS 9,239,291LEHHC 13,365,377LGSMC 2,336,405LMPH 699,644LMHMC 1,174,252LSH 1,041,604 LSCH 0</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>1919 NW LOVEJOY ST</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
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        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>LEGACY MT HOOD MEDICAL CENTER</BusinessNameLine1Txt>
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        <ShareOfEOYAssetsAmt>-7307</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.75000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LEGACY HEALTH SYSTEM INSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1919 NW LOVEJOY ST</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97209</ZIPCd>
        </USAddress>
        <EIN>030322342</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>4078</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>422326</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>true</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>true</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>true</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY EMANUEL HOSPITAL &amp; HEALTH CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>6430644</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY GOOD SAMARITAN HOSPITAL &amp; MEDICAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>1230062</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY MERIDIAN PARK HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>788928</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY MOUNT HOOD MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>1126476</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY SALMON CREEK HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>2373168</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY VISITING NURSE ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>146640</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RANDALL CHILDRENS HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>273658</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RANDALL CHILDRENS HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>626445</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GOOD SAMARITAN FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>367570</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GOOD SAMARITAN FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>681400</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SALMON CREEK HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>234415</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>1264840</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>938452</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SILVERTON HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>1078044</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SILVERTON HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>122170</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>