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PORTLAND ADVENTIST MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PORTLAND ADVENTIST MEDICAL CENTER (EIN 93-0429015)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-10
IRS object ID
202033159349303773
Schema version
2019v5.1
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)
Return2020-11-10T13:46:08-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Moss Adams LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W March Ln Ste 200AddressLine1Txt
CityStocktonCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930429015EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Portland Adventist Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPORTBusinessNameControlTxt
Phone9164060000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110123 SE Market StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97216ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDonald WelchPersonNm
Person TitleTreasurerPersonTitleTxt
Phone9164060000PhoneNum
Signature2020-10-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTracy S PagliaPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
Preparation2020-10-29PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address172.9.161.112IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-29IPDt
IP Tm18:46:37IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Adventist Health PortlandBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJoyce NewmyerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110123 SE Market StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97216ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$347,003,067GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption1071GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.adventisthealth.org/portland/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1900FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionLiving God's love by inspiring health, wholeness and hope.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2315TotalEmployeeCnt
Total Volunteers263TotalVolunteersCnt
Total Gross UBI$1,455,072TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,460,325NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$304,520PYContributionsGrantsAmt
CY Contributions Grants$461,443CYContributionsGrantsAmt
PY Program Service Revenue$323,511,888PYProgramServiceRevenueAmt
CY Program Service Revenue$336,542,428CYProgramServiceRevenueAmt
PY Investment Income$4,241,405PYInvestmentIncomeAmt
CY Investment Income$9,204,715CYInvestmentIncomeAmt
PY Other Revenue$185,416PYOtherRevenueAmt
CY Other Revenue-$21,737CYOtherRevenueAmt
PY Total Revenue$328,243,229PYTotalRevenueAmt
CY Total Revenue$346,186,849CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$52,432CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$165,010,693PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$168,940,332CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$101,140PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$42,321CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$450,926CYTotalFundraisingExpenseAmt
PY Other Expenses$161,447,292PYOtherExpensesAmt
CY Other Expenses$168,292,996CYOtherExpensesAmt
PY Total Expenses$326,559,125PYTotalExpensesAmt
CY Total Expenses$337,328,081CYTotalExpensesAmt
PY Revenues Less Expenses$1,684,104PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,858,768CYRevenuesLessExpensesAmt
Total Assets BOY$321,822,691TotalAssetsBOYAmt
Total Assets EOY$340,125,339TotalAssetsEOYAmt
Total Liabilities BOY$129,428,094TotalLiabilitiesBOYAmt
Total Liabilities EOY$138,878,702TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$192,394,597NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$201,246,637NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionLiving God's love by inspiring health, wholeness and hope.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$271,336,375ExpenseAmt
Grant$52,432GrantAmt
Revenue$336,542,428RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$271,336,375TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2315EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jay Lipps VP System ControllerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9164061092PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 619135AddressLine1Txt
CityRosevilleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95661ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeInd
Reiner Scott
Dir/Chair0.0050.00Yes (X)Yes (X)$0$1,995,696$53,734
Wing Bill
Dir/Asst Secretary/CFO0.0050.00Yes (X)Yes (X)$0$1,572,254$46,583
Russell David
President thru 05/1950.000.00Yes (X)$0$1,500,614$44,751
Reppert Joseph
CFO/Asst Secr thru 08/190.0050.00Yes (X)$0$1,209,069$57,565
Boskind Jeffrey
Physician50.000.00$1,082,291$0$50,677Yes (X)
Joo Elliot
Physician50.000.00$1,074,467$0$53,765Yes (X)
Tella Mallik
Physician50.000.00$1,077,987$0$29,357Yes (X)
Aranda-Michel Jaime
Physician50.000.00$976,826$0$53,756Yes (X)
Spear Eugene
Physician50.000.00$967,860$0$53,756Yes (X)
Newmyer Joyce
President, PNR12.5037.50Yes (X)$0$871,962$53,734
Wagner Jack
Former Asst Secr0.000.00$0$778,475$29,189Yes (X)
Jobe Meredith
Secretary0.0050.00Yes (X)$0$730,385$45,909
Welch Donald
Treasurer/Finance Officer, PNR12.5037.50Yes (X)$0$596,433$53,734
Prows Ralph
Medical Officer thru 12/190.0050.00$0$566,719$45,909Yes (X)
Rippey Wesley
Regional Medical Officer, PNR12.5037.50$0$559,088$23,415Yes (X)
Brower Dorane
Physican Services Exec0.0050.00$0$377,391$54,668Yes (X)
Poole Aaron
Treasurer/Asst Secr thru 07/1950.000.00Yes (X)$0$367,137$51,507
Leach Judy
Strategy & Comm Exec, PNR0.0050.00$0$360,654$38,929Yes (X)
King Kyle
Network Dev Exec, PNR0.0050.00$0$329,417$40,439Yes (X)
Nutter Lucinda
Patient Care Executive0.0050.00$0$325,800$37,573Yes (X)
Tkachuck Derrik
VP Support Services thru 07/190.0050.00$0$307,864$55,154Yes (X)
Voshell Shane
Reg HR Dir, PNR0.0050.00$0$264,030$56,205Yes (X)
Reiner Richard
Director0.004.00Yes (X)$0$28,588$0
Davis Andrew
Director0.004.00Yes (X)$0$28,246$0
Cherry Robert
Director0.004.00Yes (X)$0$26,315$0
Heinrich Kerry
Director0.004.00Yes (X)$0$20,102$0
Innocent Larry
Director0.004.00Yes (X)$0$18,852$0
Woodson Marc
Director0.004.00Yes (X)$0$15,000$0
Graham Ricardo
Director0.004.00Yes (X)$0$8,848$0
Banks David
Director0.004.00Yes (X)$0$6,382$0
Freedman John
Director0.004.00Yes (X)$0$2,367$0
Salazar Velino
Director0.004.00Yes (X)$0$553$0
Ocampo Lucy
Director0.004.00Yes (X)$0$0$0
Philip Celeste
Director0.004.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,179,431TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,868,241TotReportableCompRltdOrgAmt
Total Other Compensation$1,030,309TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K297IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Mortenson Construction
710 NW 14th Ave Ste 300PortlandOR97209Construction Services$2,449,985
Accountable Healthcare Staffing Inc
PO Box 732800DallasTX75373Temp Staffing$2,282,306
Oregon Anesthesiology Group PC
707 SW Washington St Ste 700PortlandOR97205Medical Services$1,749,453
Walsh Construction
2905 SW First AvePortlandOR97201Construction Services$1,464,964
Siemens Medical Solutions
Dept LA 21536PasadenaCA91185Medical Services$1,399,269
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K47CntrctRcvdGreaterThan100KCnt
Fundraising$197,636FundraisingAmt
Related Organizations$10,000RelatedOrganizationsAmt
All Other Contributions$253,807AllOtherContributionsAmt
Total Contributions$461,443TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient service revenue621110$328,815,430$328,815,430
Other revenue900099$3,783,336$3,755,613$27,723
Rental revenue - MOBs/Other531120$2,118,554$2,118,554
Reference lab621500$1,427,349$1,427,349
Dietary621990$397,759$397,759
FieldValueIRS element (for citing)
Total Program Service Revenue$336,542,428TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,738,410TotalRevenueColumnAmt
Exclusion$6,738,410ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$3,100,884OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$634,579OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,466,305OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,466,305TotalRevenueColumnAmt
Exclusion$2,466,305ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$48,950FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$197,636ContriRptFundraisingEventAmt
Fundraising Direct Expenses$65,000FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$16,050TotalRevenueColumnAmt
Exclusion-$16,050ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$110,952GrossSalesOfInventoryAmt
Cost Of Goods Sold$116,639CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,687TotalRevenueColumnAmt
Exclusion-$5,687ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$346,186,849TotalRevenueColumnAmt
Related Or Exempt Func Income$334,689,597RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,455,072UnrelatedBusinessRevenueAmt
Exclusion$9,580,737ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$52,432TotalAmt
Program Services$52,432ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$611,312TotalAmt
Management And General$611,312ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$132,162,706TotalAmt
Program Services$127,687,120ProgramServicesAmt
Management And General$4,170,514ManagementAndGeneralAmt
Fundraising$305,072FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,138,458TotalAmt
Program Services$4,959,919ProgramServicesAmt
Management And General$165,142ManagementAndGeneralAmt
Fundraising$13,397FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,605,514TotalAmt
Program Services$20,586,772ProgramServicesAmt
Management And General$968,261ManagementAndGeneralAmt
Fundraising$50,481FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,422,342TotalAmt
Program Services$9,097,539ProgramServicesAmt
Management And General$306,354ManagementAndGeneralAmt
Fundraising$18,449FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$27,642,710TotalAmt
Program Services$3,422,479ProgramServicesAmt
Management And General$24,220,231ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$395,144TotalAmt
Program Services$33,193ProgramServicesAmt
Management And General$361,951ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,098TotalAmt
Management And General$71,098ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$23,434TotalAmt
Program Services$23,434ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$42,321TotalAmt
Fundraising$42,321FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,446,989TotalAmt
Program Services$16,679,899ProgramServicesAmt
Management And General$17,767,090ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,431TotalAmt
Program Services$2,144ProgramServicesAmt
Management And General$19,287ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,683,104TotalAmt
Program Services$1,415,544ProgramServicesAmt
Management And General$261,086ManagementAndGeneralAmt
Fundraising$6,474FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,788,013TotalAmt
Program Services$2,165,814ProgramServicesAmt
Management And General$10,622,199ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,594,693TotalAmt
Program Services$10,219,766ProgramServicesAmt
Management And General$1,364,479ManagementAndGeneralAmt
Fundraising$10,448FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$429,784TotalAmt
Program Services$206,047ProgramServicesAmt
Management And General$222,437ManagementAndGeneralAmt
Fundraising$1,300FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$386,423TotalAmt
Program Services$386,176ProgramServicesAmt
Management And General$247ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,513,241TotalAmt
Program Services$2,513,241ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,723,085TotalAmt
Program Services$9,538,220ProgramServicesAmt
Management And General$184,865ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,205,584TotalAmt
Program Services$1,118,802ProgramServicesAmt
Management And General$86,782ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
Patient care supplies$43,609,064$43,609,044$20
Quality assurance hospi$16,389,975$16,389,975
Rental/lease costs equi$1,038,811$1,030,679$423$7,709
Income taxes$282,490$350$282,140

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,047,923TotalAmt
Program Services$197,786ProgramServicesAmt
Management And General$3,847,596ManagementAndGeneralAmt
Fundraising$2,541FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$337,328,081TotalAmt
Program Services$271,336,375ProgramServicesAmt
Management And General$65,540,780ManagementAndGeneralAmt
Fundraising$450,926FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$81,451BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$136,665,418BOYAmt
EOY$158,147,672EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$37,110,455BOYAmt
EOY$40,507,296EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,665,291BOYAmt
EOY$4,320,292EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$719,503BOYAmt
EOY$891,750EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$357,716,259LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$232,683,593LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$102,164,227BOYAmt
EOY$125,032,666EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,628,308BOYAmt
EOY$3,796,183EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$975,708BOYAmt
EOY$141,428EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,091,050BOYAmt
EOY$3,091,050EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$29,721,280BOYAmt
EOY$4,197,002EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$321,822,691BOYAmt
EOY$340,125,339EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,124,379BOYAmt
EOY$41,191,750EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,025,053BOYAmt
EOY$978,735EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$111,278,662BOYAmt
EOY$96,708,217EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$129,428,094BOYAmt
EOY$138,878,702EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$187,793,638BOYAmt
EOY$196,351,646EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,600,959BOYAmt
EOY$4,894,991EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$192,394,597BOYAmt
EOY$201,246,637EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$321,822,691BOYAmt
EOY$340,125,339EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,858,768ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$6,728PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$23,434OtherActivitiesAmt
Total Lobbying Expenditures$23,434TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Hospital belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,864,875BeginningYearBalanceAmt
Contributions$493,428ContributionsAmt
Investment Earnings Or Losses$185,688InvestmentEarningsOrLossesAmt
Other Expenditures$402,048OtherExpendituresAmt
End Year Balance$9,141,943EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,798,496BeginningYearBalanceAmt
Contributions$524,630ContributionsAmt
Investment Earnings Or Losses$137,502InvestmentEarningsOrLossesAmt
Other Expenditures$595,753OtherExpendituresAmt
End Year Balance$8,864,875EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,797,541BeginningYearBalanceAmt
Contributions$423,076ContributionsAmt
Investment Earnings Or Losses$115,160InvestmentEarningsOrLossesAmt
Other Expenditures$537,081OtherExpendituresAmt
End Year Balance$8,798,496EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,000,751BeginningYearBalanceAmt
Contributions$861,239ContributionsAmt
Investment Earnings Or Losses$450,598InvestmentEarningsOrLossesAmt
Other Expenditures$515,047OtherExpendituresAmt
End Year Balance$8,797,541EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,740,323BeginningYearBalanceAmt
Contributions$827,094ContributionsAmt
Investment Earnings Or Losses-$3,219InvestmentEarningsOrLossesAmt
Other Expenditures$563,447OtherExpendituresAmt
End Year Balance$8,000,751EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.46460BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.53540TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,079,709OtherCostOrOtherBasisAmt
Book Value$5,079,709BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$195,323,651OtherCostOrOtherBasisAmt
Depreciation$126,376,456DepreciationAmt
Book Value$68,947,195BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,669,331OtherCostOrOtherBasisAmt
Depreciation$10,711,419DepreciationAmt
Book Value$12,957,912BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,643,568OtherCostOrOtherBasisAmt
Depreciation$95,595,718DepreciationAmt
Book Value$38,047,850BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$125,032,666TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Payables to related organizations$77,389,397
Payables to third-party payors$707,131
Other liabilities$18,611,689
FieldValueIRS element (for citing)
Total Liability$96,708,217TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.
Part X, Line 2:The principal operations of the System is exempt from taxation pursuant to Internal Revenue Code Section 501(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2019 and 2018, no such assets or liabilities were recorded. The System currently files Form 990 (informational return of organizations exempt from income taxes) and Form 990-T (business income tax return for an exempt organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2015 in major tax jurisdictions.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1Patrick SivergEvent LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111815 SW Terra Linda StreetAddressLine1Txt
CityBeavertonCityNm
State AbbreviationORStateAbbreviationCd
ZIP97005ZIPCd
FieldValueIRS element (for citing)
ActivityGolf tournament directorActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$42,321RetainedByContractorAmt
Net To Organization-$42,321NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$42,321TotalRetainedByContractorsAmt
Total Net To Organization-$42,321TotalNetToOrganizationAmt
Licensed StatesORLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GalaEvent1Nm
Gross Receipts Event1$176,086GrossReceiptsEvent1Amt
Charitable Contri Event1$132,136CharitableContriEvent1Amt
Gross Revenue Event1$43,950GrossRevenueEvent1Amt
Other Direct Expenses Event1$42,700OtherDirectExpensesEvent1Amt
Event2Golf tournamentEvent2Nm
Gross Receipts Event2$70,500GrossReceiptsEvent2Amt
Charitable Contri Event2$65,500CharitableContriEvent2Amt
Gross Revenue Event2$5,000GrossRevenueEvent2Amt
Other Direct Expenses Event2$22,300OtherDirectExpensesEvent2Amt
Gross Receipts Total$246,586GrossReceiptsTotalAmt
Charitable Contributions Tot$197,636CharitableContributionsTotAmt
Gross Revenue Total Events$48,950GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$65,000OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$65,000DirectExpenseSummaryEventsAmt
Net Income Summary-$16,050NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,022,294TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,022,294NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$77,537,062TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,837,954DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,699,108NetCommunityBenefitExpnsAmt
Total Expense0.04950TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$80,559,356TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,837,954DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,721,402NetCommunityBenefitExpnsAmt
Total Expense0.05850TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,160,400TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,160,400NetCommunityBenefitExpnsAmt
Total Expense0.01530TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$364,329TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,189DirectOffsettingRevenueAmt
Net Community Benefit Expns$319,140NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,604,476TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$292,830DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,311,646NetCommunityBenefitExpnsAmt
Total Expense0.01870TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,476TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,476NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,819TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$67,819NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,205,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$338,019DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,867,481NetCommunityBenefitExpnsAmt
Total Expense0.03510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,764,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,175,973DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,588,883NetCommunityBenefitExpnsAmt
Total Expense0.09360TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,190TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,190NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,923TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,923NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,113TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,113NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,022,294BadDebtExpenseAmt
Bad Debt Expense Attributable$799,258BadDebtExpenseAttributableAmt
Reimbursed By Medicare$44,555,603ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$39,729,197CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$4,826,406MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 ASSN-Unit Owners Plaza ConfBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesCondo association mgmtPrimaryActivitiesTxt
Org Profit Or Ownership0.90000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.10000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Portland Adventist Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110123 SE Market StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97216ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.adventisthealth.org/PortlandWebsiteAddressTxt
State License14-1127StateLicenseNum
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 Line1Portland Adventist Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)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 Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Sch H Part VI - Needs AssesmentOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Sch H Part VI - Needs AssesmentOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Sch H Part VI - Needs AssesmentStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
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
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSch H Part VI-Patient EducFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSch H Part VI-Patient EducFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSch H Part VI-Patient EducFAPSummaryOnWebsiteURLTxt
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 (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
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 (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section A:Physician Clinics (27); Imaging (1); Rehab (PT/OT/Sp) Clinics (9); Wound Care (1); Urgent Care (3); Audiology (1)
Portland Adventist Medical CenterPart V, Section B, Line 5: The 2019 CHNA data collection process can be summarized as follows:1. Review of prior CHNA reporting efforts2. Collection of most recently available demographic, socioeconomic and health indicator data3. Community data gathering accomplished through provider surveys and listening sessionsData gathering was accomplished by using a widely-distributed community survey. Adventist Health Portland has chosen two different community surveys to be able to take into account the various groups that need to be represented. To not duplicate responses, Adventist Health Portland has chosen to use the Healthy Columbia Willamette (HCWC) as their main source of primary data for our service area. A second survey ("service provider" survey) was conducted to gather the opinions of the community from various health experts in our community. Additionally, nine listening sessions included the rural community, seniors, veterans, ethnic diversity and those in housing insecurity for a total of 104 participants. Secondary data sources include collected data on key health indicators, morbidity, mortality, and various social determinants of health from the Census, Centers for Disease Control and Prevention, Community Commons, and various other state and federal databases.
Portland Adventist Medical CenterPart V, Section B, Line 6b: The Healthy Columbia Willamette Collaborative data was utilized in the 2019 CHNA. It is a large public-private collaborative comprised of 14 hospitals and four local public health departments in the four-county region. Members include: Adventist Medical Center, Clackamas County Health Department, Clark County Public Health Department, Kaiser Permanente, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek, Multnomah County Health Department, Oregon Health & Science University, PeaceHealth Southwest Medical Center, Providence Milwaukie, Providence Portland, Providence St. Vincent, Providence Willamette Falls, Tuality Healthcare and Washington County Health Department.
Portland Adventist Medical CenterPart V, Section B, Line 11: Our 2016 CHNA identified four areas of significant needs: chronic disease, access to culturally appropriate health care, behavioral health, and social determinants of health. The main goal was to improve the overall health and wellness of our communities through provision of services, community collaboration and innovation. Priority Need 1 - Chronic Disease - main goal: to reduce the current and future burden of Chronic Diseases (Cardiovascular Disease, Diabetes, Hypertension, Asthma, Cancer). Interventions:1. Continue to develop funding and outreach partnerships to improve mammography screening for those not covered by insurance. Number of community members served with special grant: 73 Mammography screens in 2019.2. Continue provider education and outreach to qualifying Smokers for Low-dose Lung CT Scan Program. Number of community members served in 2019: 695 LDCT Scans.3. Provide free skin cancer screening and interactive educational activity at a single day Compassion Connect Clinic in Sandy, OR. Number of guests served: 48 skin cancer quizzes returned (60% scored 100%) and 15 skin cancer screens. Impact Your Health Clinic skin cancer screening clinic cancelled due overall event postponement to 2020.4. Support the community education and mammography screening work of Komen Foundation at the Race for the Cure. Also provide practical nutrition support (bananas) to approximately 3,000 Race for the Cure participants in 2019. 5. Community Colorectal/Digestive Health Outreach Activities in March 2019, plus Sunny City event and Compassion Sandy Clinic in the summer. (Included in Objective 6). Interactive display and Media provided coverage of the importance of colorectal screening and other preventive measures. While participation in other educational activities was higher, 166 participants took the Gut Check Challenge post-education quiz; 76% scored 100% on the quiz.6. Provide Cancer Navigator and other support services to help patients better navigate treatment and the stress often connected with cancer care. There were 85 persons/families served in 2019 (the position was vacant for part of the year). The FREE Cancer Support Group served 104 in 2019. 7. Provide opportunities for young people/adults to get exercise and make/enjoy fresh fruit smoothies and spin art using new Bike Blender. Also focused on fresh herbs and healthy, low-sodium recipes to help reduce High BP at the 2019 Montavilla Street Fair and Slavic Festival. Number of community members served: approx. 2,000 contacts.8. Conduct FREE Community Heart Health Education series in February featuring providers from Northwest Cardiovascular Institute (Included in Objective 6). Number of contacts: 155.9. Supported community fitness events that also raise funds for Heart health research and services. AH Portland joined with OHSU for the 2019 American Heart Association Heart Walk.10. Car Safety Seat Project. Number of families served with free/subsidized car seats: 11 Families. In July 2019, also co-hosted a brief Safety Seat Clinic in partnership with OHSU. A total of 21 families visited and checked 32 car seats. They found a 96% misuse rate upon arrival. The clinic also provided low cost car seat distribution for seven additional children who were identified as low income. 11. Additional Community Classes, & support groups on lifestyle and health conditions, e.g. nutrition, cooking, sleep, diabetes, smoke-free support, driver safety, etc). Approximate number of community members served: 1,000 encounters.12. In late 2018, a LivingWell Fitness Trail was established around the hospital campus, and in the Tunnel system to promote outdoor physical activity and build community. (Also Social Determinants, Objective #3). With extremely limited promotion in 2019, there were 358 logged visits using the QR fit code feature. Many more use the walking path around the campus, but do not necessarily log in. 13. Health for Life Publication - Quarterly health publication that covers a variety of relevant health topics and community wellness-related news. Number of community members served: average of 97,869 households touched in 2019.14. VegFest 2018 - Two-day event with Interactive education/materials about plant-based nutrition and other lifestyle factors related to health/chronic disease prevention/spiritual wellbeing. Estimated community members served: 1,100+ (attendance was much higher).15. Social Media-related Educational Outreach (Podcasts, Blog) as well as 14 media appearances (TV and print). Estimated number of community members served: 500,000 media impressions.16. Co-sponsored the 10th Northwest Health & Nutrition Conference at the Oregon Convention Center and donated CME services. Number of community members served: 241 in 2019. A mix of MD, ND, DO, DC, NP, PA, RN, RD and other participants.Priority Need 2 - Access to Culturally-Appropriate Health Care - main goal: a healthier community that has access to comprehensive, "whole-person" health care that is accessible and sensitive to their unique cultural and linguistic needs.Interventions: 1. Continue work with Compassion Connect providing free community medical/dental, and social support clinics to address the need for access to health care specifically in our East County service area. (They serve a much larger area and number of people, including locations in four states). This is Compassion Sandy and multiple mini-clinics in 2019. Total medical services: 195; total dental services: 293; approximate community guests: 629; total community volunteers: 864.2. Impact Your Health Portland free clinic offering free dental care, vision, general medical care, and health education services to uninsured and under-insured people in the Portland metro area. Number of community members served: 674 guests served by 650 volunteers in 2018. No event hosted in 2019 due to multiple factors. 3. CCC Housing Is Health Clinic. Number of community members served: new clinic opened in July, 2019. Community members served: 649 medical visits. (July - December).4. Adventist Health Financial Assistance Policy updated regularly, and ongoing Patient Enrollment Assistance into means tested programs.5. Help fund Project Access NOW which helps identify and enroll needy community members in health insurance, provides actual insurance assistance, and works with community partners to provide/coordinate medical services for those in need until they can enroll in a Marketplace insurance plan. The mission of Project Access NOW ("PANOW") is "to improve the health of our community by creating access to care and services for those most in need." In 2018-2019, PANOW enrolled 16,132 in health insurance, provided 4,511 health referrals and served 4,335 with their Classic Plan, a 61% increase over 2017-2018. AH Portland had 437 PANOW-specific encounters.6. Provided FREE medical transport services for 65 Oncology patients in 2019, most with multiple visits for treatment. 7. Training of Clinical and Community Chaplains of diverse cultural backgrounds. Clinical Pastoral Education Students (12 CPE students trained in 2019) Spiritual Care Volunteers (14 volunteers regularly engaged in 2019) Area Pastors (12 on-call chaplain/pastors engaged.8. Student Healthcare Leaders Program for high school age students in partnership with local schools. The number of participating schools has increased in 2019. Total: 28 students from 11 high schools, plus home school students (four new high schools represented in 2019).
Portland Adventist Medical CenterPart V, Section B, Line 13h: Income level and family size are considered. Individuals eligible for Medicaid also qualify for financial assistance.
Part V, Line 11:Priority Need 3 - Behavioral Health - main goal: to increase mental/emotional wellbeing of our residents through improved access to outpatient, whole-person behavioral health care, spiritual care, and community support services. Interventions:1. Continue funding & leadership support for the UNITY Center for Behavioral Health ("BH"), a partnership which opened in 2017. The acute (85 adult beds) and emergency behavioral health services provided fill a huge community need. In 2019, they had 10,900 Emergency BH visits from 5,675 unique patients (approx 30/day). Of those, 1,894 admitted for inpatient care at Unity Center. 2. In 2019, AH Portland continued to adjust and develop the Outpatient Emotional Wellness Clinic offerings to meet changing community need. This included services at the main Clinic on the hospital campus as well as some of our Medical Clinics in the area. The number of community members served in 2019: 4,109.3. For three years, AH Portland helped fund the building of the CCC Eastside Health Center and housing facility. It opened in July 2019. Number of community members served in 2019: 649 medical, 400 substance use disorder (SUD), 335 medication support/opioid use disorder, 129 recuperative care program (five from Adventist), 67 dual SUD & MH (basic and intense).4. Further develop/promote First Friday ("FF") Program, etc. Number of community members served in 2019: 2,520 attended FF meetings. Soup & salad gathering: 1,020 meals served. 5. Weekly Grief recovery and Bible study groups, Grieving through the Holiday, and Resilience in Grief Program: Community encounters in 2019: approx. 110.6. PrayerWORKS online prayer community: 24,720 web-based prayer interactions in 2019.Priority Need 4 - Social Determinants of Health - main goal: financially and otherwise challenged community members are healthier because they have access to key factors that can contribute to more successful lives including housing, education, wholesome food, and a more culturally respectful community. Interventions:1. Helped fund Central City Concern's Housing is Health Initiative - Three comprehensive housing projects (331 units) in East Portland for medically fragile and those in recovery. Also includes a medical clinic, counseling and other support services. The Blackburn Center opened in July 2019. It, and the other two new Housing is Health Initiative projects which opened a little earlier, were partly funded by Adventist Health, OHSU, along with many others. They now serve the housing and health needs of an often challenging and historically underserved but important part of our community in East Portland.2. Fund Housing/Meal Vouchers with City Team Ministries. Persons served: approximately 182 individuals in 2019. 3. AH staff and volunteers deliver nutritious meals to needy seniors and other individuals in 2019 in partnership with East Portland Meals on Wheels. Number of meals delivered in 2019: 1,423 meals. 4. Market Street Community Garden. With the goal of increasing access to fresh produce for refugees and others as well as helping build community, Adventist Health partnered with Outgrowing Hunger to establish a community garden adjacent to AH Portland main campus. Students were also involved in learning gardening. The Garden opened in Spring 2019. Community members served in 2019: 55 families, and others fed through the main garden.5. Collect food/clothing donations from special hospital-sponsored events and classes. Donations funneled through Portland Adventist Community Services ("PACS") and Portland Rescue Mission to assist needy community members. Over 1,900 pounds of food, and 3,000 pairs of socks were collected in 2019 from the Celebration of Thanksgiving alone! More food was collected at cooking schools and donated to PACS.6. Engage with selected Special Neighborhood-building Events, including the following: Gladstone Community Festival, Sandy Mountain Festival, Compassion Sandy, Montavilla Street Fair, Portland Slavic Festival, National Night Out, SunnyCity Festival, Festival of Thanksgiving (1,600), Estimate of Community Members Served: 5,100+.
Part V, Line 11:Priority Areas Not Addressed:The following two areas are considered areas under social determinants of health with relatively minimal involvement from Portland Adventist Medical Center (PAMC):1 - Illicit Drugs: Due to limited internal resources, we are helping fund other groups like Central City Concern to help address this important need.2 - Poverty/Jobs: PAMC addresses part of the growing poverty problem in our community with our access to healthcare initiatives. The greater challenges in this area are being served by community groups better suited to address those needs. PAMC does not have the resources or expertise to make a greater impact in this area.
FieldValueIRS element (for citing)
Facility42FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Adventist Health (AH) Audiology
10201 SE Main Street Suite 1PortlandOR97216Audiology services
2 - AH Gresham Station Imaging Center
831 NW Council Drive Suite 100GreshamOR97030Imaging services
3 - AH Medical Group-Anti-Coagulation Clinic
1350 NE 122nd Avenue Suite 100PortlandOR97230Physician clinic
4 - AH Medical Group-Arthritis and Bone Care
10101 SE Main Street Suite 2011PortlandOR97216Physician clinic
5 - AH Medical Group-Cherry Park FP
10201 SE Main Street Suite 10PortlandOR97216Physician clinic
6 - AH Medical Group-Clackamas
11211 SE Sunnyside RoadClackamasOR97015Physician clinic
7 - AH Medical Group-Creekside Family Medici
9200 SE 91st Avenue Suite 220Happy ValleyOR97086Physician clinic
8 - AH Medical Group-Damascus
14450 SE Royer RoadDamascusOR97089Physician clinic
9 - AH Medical Group-Diabetes & Endo Center
10101 SE Main Street Suite 1001PortlandOR97216Physician clinic
10 - AH Medical Group-Emotional Wellness Cent
10101 SE Main Street Suite 3001PortlandOR97216Physician clinic
11 - AH Medical Group-Fishers Landing
417 SE 164th Avenue Suite 300VancouverWA98684Physician clinic
12 - AH Medical Group-General Surgery Clinic
10000 SE Main Street Suite 316PortlandOR97216Physician services
13 - AH Medical Group-GI Clinic
10000 SE Main Street Suite 112PortlandOR97216Physician clinic
14 - AH Medical Group-Gladstone Family Med
19220 McLoughlin BoulevardGladstoneOR97027Physician clinic
15 - AH Medical Group-Gresham Station
831 NW Council Drive Suite 101 125GreshamOR97030Physician clinic
16 - AH Medical Group-Internal Medicine Assoc
10201 SE Main Street Suite 12PortlandOR97216Physician clinic
17 - AH Medical Group-Interventional Pain Cli
10000 SE Main Street Suite 128PortlandOR97216Physician clinic
18 - AH Medical Group-NW Orthopedic Specialis
10000 SE Main Street Suite 224PortlandOR97216Physician clinic
19 - AH Medical Group-NW Reg Heart & Vasc Por
10000 SE Main Street Suite 60BPortlandOR97216Physician clinic
20 - AH Medical Group-NW Reg Heart & Vasc-McM
2700 SW Stratus Avenue Suite 406McMinnvilleOR97128Physician services
21 - AH Medical Group-NW Regional Surgical As
10000 SE Main Street Suite 365PortlandOR97216Physician clinic
22 - AH Medical Group-Occupational Med Parkro
1350 NE 122nd Avenue Suite 200PortlandOR97230Physician clinic
23 - AH Medical Group-Parkrose PrimIM
1350 NE 122nd Avenue Suite 100PortlandOR97230Physician clinic
24 - AH Medical Group-Parkrose Urgent Care
1350 NE 122nd Avenue Suite 200PortlandOR97230Physician clinic/urgent care
25 - AH Medical Group-Portland Lung Clinic
10201 SE Main Street Suite 11PortlandOR97216Physician clinic
26 - AH Medical Group-Resilience Center
10000 SE Main Street Suite 236PortlandOR97216Physician clinic
27 - AH Medical Group-Rockwood Urgent Care
18750 SE Stark StreetPortlandOR97233Physician clinic/urgent care
28 - AH Medical Group-Sandy Family Practice
17055 Ruben LaneSandyOR97055Physician clinic
29 - AH Medical Group-Sandy Urgent Care
17055 Ruben LaneSandyOR97055Physician clinic/urgent care
30 - AH Medical Group-Sleep Clinic
10201 SE Main Street Suite 29PortlandOR97216Physician clinic
31 - AH Medical Group-Troutdale Clinic
1700 SW 257th AvenueTroutdaleOR97060Physician clinic
32 - AH Medical Group-Wound Health & Hyperbar
10201 SE Main Street Suite 9PortlandOR97216Physician clinic
33 - AH Occupational Therapy
10201 SE Main Street Suite 4PortlandOR97216Occupational therapy clinic
34 - AH Physical Therapy Campus Rehab
10101 SE Main Street Suite LLPortlandOR97216Physical therapy clinic
35 - AH Physical Therapy Clackamas
13435 SE 97th Avenue Suite LL101ClackamasOR97015Physical therapy clinic
36 - AH Physical Therapy Gresham
831 NW Council Drive Suite 200GreshamOR97030Physical therapy clinic
37 - AH Physical Therapy Parkrose
1350 NE 122nd Avenue Suite 200PortlandOR97230Physical therapy clinic
38 - AH Physical Therapy Sandy
37095 SE Highway 26 Suite 102SandyOR97055Physical therapy clinic
39 - AH Physical Therapy Vancouver
16096 SE 15th AvenueVancouverWA98683Physical therapy clinic
40 - AH Specialty Rehab
10201 SE Main Street Suite 1PortlandOR97216Specialty rehab clinic
41 - AH Speech Therapy
10201 SE Main Street Suite 4PortlandOR97216Speech therapy services
42 - AH Wound Healing and Hyperbaric Medicine
10201 SE Main Street Suite 9PortlandOR97216Wound care services - hospital outpatient

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on Hospital specific data included in the system-wide audited combined financial statements. The formula used for computation equals financial statement data labeled as follows for 7a-c:(Total expenses - (Provision for bad debts + Other revenue + Interest income))/Gross patient chargesLines 7f and i are calculated based on specific expenses and revenuesLine 7g uses specific cost to charge ratios for those departments
Part II, Community Building Activities:The hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H.
Part III, Line 2:Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the Hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the Hospital obtained sufficient information, those accounts would have been reclassified from bad debt expense to charity care.
Part III, Line 4:The system-wide audited combined financial statements do not contain a footnote describing bad debt expense.
Part III, Line 8:The Medicare cost report apportions the Hospital's costs based on inpatient days and ancillary and outpatient charges to establish the costing methodology. Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The healthcare "market basket" is unrelated to that of the average individual consumer. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments to many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care. In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. Our mission is to promote health in the community regardless of a person's ability to pay. We provide care to those with Medicare coverage who present themselves to our facility without consideration that the costs may or may not be fully reimbursed. The Medicare shortfall is a community benefit because care is provided to Medicare beneficiaries who are primarily elderly and disabled individuals on fixed incomes and who usually have no other resources with which to obtain medical care. We are thus relieving a local and federal government burden by caring for these people.Medicare revenue reconciliation from the Medicare cost report to general ledger: Medicare cost report revenue* 44,555,603 Prior year settlements 306,753 Cost report reimbursable bad debts 579,163 Estimates and accrual variances 202,738 Other 11,049,581 Total Medicare revenue 56,693,838*Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts.
Part III, Line 9b:When a patient has requested screening for charity care, the Hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest
Part VI, Line 2:The hospital's 2019 CHNA, the 2020 Community Health Plan (CHP) Update for fiscal year 2019, and 2020 Implementation Strategy, are posted on the hospital's website at:https://www.adventisthealth.org/portland/about-us/community-benefit/The two most recent Community Health Needs Assessments, two most recent Implementation Strategy reports and the most recent Community Health Plan Update are also available on the Adventist Health Corporate website at:https://www.adventisthealth.org/about-us/community-benefit/In addition to the CHNA, our hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level? Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact.
Part VI, Line 3:The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at:https://www.adventisthealth.org/documents/financial-assistance/ENG_PFS-112_Financial-Assistance-Policy.pdf.These documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance.
Part VI, Line 4:The prime service area for Portland Adventist Medical Center is the following areas of Multnomah and Clackamas Counties: Mid County, East County, and the eastern most portions of Central Eastside and Southeast. Also included would be the areas of Clackamas County that border East County and Southeast Multnomah County and the Sandy region. Total population for the primary service area is 567,931 with a density of 1,238.97 per square mile. Population under 18 years of age is 22.24% as compared to the state average of 21.27%. Population of adults over the age of 65 is 14.14% as compared to the state average of 16.72%. The population of with limited English proficiency is 10.63% which is significantly higher that the state average of 5.83%. People in the service area have a life expectancy of 78.11 years as compared to the state average of 79.22 years. The uninsured rate is also higher than the state average at 7.91% as opposed to 7.27%. Children living in poverty accounts for 20.41% of the service area which is far above the state average of 18.03%. Adventist Health Portland's primary service area also has a lower graduation rate of 77.90% than the state average of 79.4%.
Part VI, Line 5:Our hospital's mission is, "Living God's love by inspiring health, wholeness and hope." Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the "triple aim." The "Triple Aim" concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given today's state of health, where cost and heartache are soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community.
Part VI, Line 6:The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals.
Part VI, Line 7, Reports Filed With StatesOR

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Adventist Health FoundationBusinessNameLine1Txt

US Address USAddress

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Address Line110123 SE Market StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97216ZIPCd
FieldValueIRS element (for citing)
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Purpose Of Grant2019 Heros of the Heart GalaPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationFunding provided to other organizations is provided to recipients with the understanding that the funds are being used only for the designated purposes. No monitoring is conducted by Portland Adventist Medical Center.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Reiner Scott
Dir/Chair$0$1,510,024$0$420,315$0$65,357$0$16,782$0$36,952$0$2,049,430$0$0
Wing Bill
Dir/Asst Secretary/CFO$0$1,200,390$0$318,717$0$53,147$0$16,782$0$29,801$0$1,618,837$0$0
Russell David
President thru 05/19$0$190,852$0$32,065$0$1,277,697$0$16,528$0$28,223$0$1,545,365$0$943,452
Reppert Joseph
CFO/Asst Secr thru 08/19$0$581,409$0$187,572$0$440,088$0$16,782$0$40,783$0$1,266,634$0$0
Boskind Jeffrey
Physician$1,082,291$0$0$0$0$0$16,782$0$33,895$0$1,132,968$0$0$0
Joo Elliot
Physician$1,074,467$0$0$0$0$0$16,782$0$36,983$0$1,128,232$0$0$0
Tella Mallik
Physician$1,059,506$0$0$0$18,481$0$16,782$0$12,575$0$1,107,344$0$0$0
Aranda-Michel Jaime
Physician$961,463$0$0$0$15,363$0$16,782$0$36,974$0$1,030,582$0$0$0
Spear Eugene
Physician$850,205$0$117,655$0$0$0$16,782$0$36,974$0$1,021,616$0$0$0
Newmyer Joyce
President, PNR$0$706,207$0$125,111$0$40,644$0$16,782$0$36,952$0$925,696$0$0
Wagner Jack
Former Asst Secr$0$0$0$0$0$778,475$0$0$0$29,189$0$807,664$0$0
Jobe Meredith
Secretary$0$524,870$0$65,461$0$140,054$0$16,782$0$29,127$0$776,294$0$0
Welch Donald
Treasurer/Finance Officer, PNR$0$412,260$0$66,318$0$117,855$0$16,782$0$36,952$0$650,167$0$0
Prows Ralph
Medical Officer thru 12/19$0$440,397$0$29,445$0$96,877$0$16,782$0$29,127$0$612,628$0$0
Rippey Wesley
Regional Medical Officer, PNR$0$419,231$0$42,380$0$97,477$0$0$0$23,415$0$582,503$0$0
Brower Dorane
Physican Services Exec$0$279,569$0$35,816$0$62,006$0$16,782$0$37,886$0$432,059$0$0
Poole Aaron
Treasurer/Asst Secr thru 07/19$0$172,396$0$18,598$0$176,143$0$15,662$0$35,845$0$418,644$0$0
Leach Judy
Strategy & Comm Exec, PNR$0$256,203$0$34,051$0$70,400$0$16,782$0$22,147$0$399,583$0$0
King Kyle
Network Dev Exec, PNR$0$253,660$0$26,345$0$49,412$0$11,675$0$28,764$0$369,856$0$0
Nutter Lucinda
Patient Care Executive$0$264,811$0$17,556$0$43,433$0$16,669$0$20,904$0$363,373$0$0
Tkachuck Derrik
VP Support Services thru 07/19$0$106,872$0$16,943$0$184,049$0$13,472$0$41,682$0$363,018$0$0
Voshell Shane
Reg HR Dir, PNR$0$198,696$0$27,119$0$38,215$0$14,348$0$41,857$0$320,235$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Lines 4a-bFormAndLineReferenceDesc
ExplanationSeverance payments are made based upon agreements between certain qualifying employees and Adventist Health Services/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Poole, Aaron - severance payment - $108,130 Reppert, Joseph - severance payment - $194,953 Russell, David - severance payment - $223,716 Tkachuck, Derrik - severance payment - $134,751 Wagner, Jack - severance payment - $778,453 The Supplemental Executive Retirement Plan (SERP) is a defined contribution plan designed to encourage the participants continued employment with Adventist Health and is subject to the participants satisfying specified substantial risks of forfeiture. The SERP benefit distribution occurs when the executive achieves 30 years of Adventist health care service, 20 of which are to be as an executive and at least 10 are to be with Adventist Health System/West, and reaches age 60. Until that time, the SERP benefit is at risk to the creditors of Adventist Health. The SERP benefit is designed to help the executive receive employer-provided retirement benefit income equal to 60% of pre-retirement income. Russell, David - $943,452ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Brower Charles
Family member of Key EE, D. Brower$99,277Employment0
Henry Linda
Family member of Key EE, W. Rippey$65,157Employment0
Lee Jessica
Family member of Officer, D. Russell$107,944Employment0
Russell Jennika
Family member of Officer, D. Russell$26,232Employment0
Russell Kevin
Family member of Officer, D. Russell$146,323Employment0
Tkachuck Victoria
Family member of Key EE, D. Tkachuck$76,726Employment0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a:Portland Adventist Medical Center dba Adventist Health Portland (AHPL) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability Portland Adventist Medical Center dba Adventist Health Portland, the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay: - providing free care and/or subsidized care - providing care to persons covered by governmental programs at below cost - providing health/wellness activities and community education programs Not only does Portland Adventist Medical Center dba Adventist Health Portland provide low cost care to individuals covered by government-programs and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits. AHPL recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2019 was $19,721,402. The following Inpatient services that were provided to all our patients. These services included: - 728 Babies delivered - 1,936 Surgeries performed - 31,831 Patient days The following Outpatient services that were provided to all our patients. These services included: - 49,091 Emergency department visits - 4,807 Outpatient surgeries performed - 160,217 Outpatient visits - 302,173 Clinic visits AHPL recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2019 was $11,867,481. Adventist Health's mission statement of Living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry as represented by the life of Jesus Christ and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever. Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/
Form 990, Part VI, Section A, line 4The Hospital made changes to their Article 8.1, Execution of Legal Documents, to include more signature authority.
Form 990, Part VI, Section A, line 6The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation that operates as a public charity. The Hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Section A, line 7aThe Hospital's Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors.
Form 990, Part VI, Section A, line 7bThe sole corporate member, Adventist Health System/West, must approve all changes to the Articles of Incorporation and Bylaws.
Form 990, Part VI, Section B, line 11bThis Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the System Controller and Market Finance Officer, and shared by electronic communication with the Hospital's Board of Directors prior to filing.
Form 990, Part VI, Section B, line 12cDuring the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The Corporate General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The Corporate General Counsel reviews all the disclosures on the board and Corporate employees' COIs. Corporate General Counsel retains the COIs for the board members. The officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.
Form 990, Part VI, Section B, line 15The Hospital Board of Directors has established a Human Performance Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital CEO has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital. (Incentive potential is industry norm) Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary.
Form 990, Part VI, Section C, line 19The Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency.
Form 990, Part VII:In recognition of the time commitment directors make to serve on the Adventist Health System/West boards and committees, directors receive compensation when their employment agreements with their employers allow such payments. For those whose employers do not allow accepting compensation for board service, the funds are directly distributed to charitable organizations as mandated by their employment agreements. In addition, amounts paid for taxable benefits are also reported.
Form 990, Part IX, line 11gPhysician professional fees: Program service expenses 7,796,940. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,796,940. Consulting and other management fees: Program service expenses 330,660. Management and general expenses 0. Fundraising expenses 0. Total expenses 330,660. Contract labor: Program service expenses 2,000,613. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,000,613. Purchased medical services: Program service expenses 2,063,069. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,063,069. Repairs and maintenance: Program service expenses 3,294,943. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,294,943. Revenue cycle fees: Program service expenses 0. Management and general expenses 17,767,090. Fundraising expenses 0. Total expenses 17,767,090. All other purchased services: Program service expenses 1,193,674. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,193,674.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Adventist Health Portland Accountable Care LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110123 SE Market StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97216ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesManaged care managementPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Total Income$3,356,257TotalIncomeAmt
End Of Year Assets$10,535,786EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Portland Adventist Medical CenterBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Adventist Health Clearlake Hospital Inc
15630 18th AvenueClearlakeCA95422680395149HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Adventist Health Delano
PO Box 460DelanoCA93216770258013HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Adventist Health Medical Center Tehachapi
1100 Magellan DriveTehachapiCA93561812240617HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Adventist Health Physicians Network
PO Box 619135RosevilleCA95661680357690Medical foundationCA501(c)(3)Line 12b, IIAdventist Health SystemWest0
Adventist Health SystemWest
PO Box 619135RosevilleCA95661953484589Integrated health systemCA501(c)(3)Line 100N/A
Adventist Health Tulare
869 North Cherry StreetTulareCA93274832351753HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Castle Medical Center
640 Ulukahiki StreetKailuaHI96734990107330HospitalHI501(c)(3)Line 3Adventist Health SystemWest0
Feather River Hospital
PO Box 619135RosevilleCA95661941101228HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Fremont-Rideout Health Group
989 Plumas StreetYuba CityCA95991942917251Acute care hospitalCA501(c)(3)Line 12b, IIStone Point Health0
Glendale Adventist Medical Center
1509 Wilson TerraceGlendaleCA91206951816017HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Hanford Community Hospital
115 Mall DriveHanfordCA93230940535360HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Lodi Memorial Hospital Association Inc
975 S Fairmont AvenueLodiCA95240941044474HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Northwest Medical Foundation of Tillamook
1000 Third StreetTillamookOR97141930622075HospitalOR501(c)(3)Line 3Adventist Health SystemWest0
Paradise Valley Hospital
PO Box 619135RosevilleCA95661951816034Discontinued OperationsCA501(c)(3)Line 1Adventist Health SystemWest0
Reedley Community Hospital
372 Cypress AvenueReedleyCA93654453220509HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Rideout Memorial Hospital
989 Plumas StreetYuba CityCA95991941387866Acute care hospitalCA501(c)(3)Line 3Fremont-Rideout Health Group0
San Joaquin Community Hospital
2615 Chester AvenueBakersfieldCA93301952294234HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Simi Valley Hospital and Health Care Services
2975 N Sycamore DriveSimi ValleyCA93065956064971HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Sonora Community Hospital
1000 Greenley RoadSonoraCA95370941415069HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
St Helena Hospital
10 Woodland RoadSt HelenaCA94574941279779HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Stone Point Health
PO Box 619135RosevilleCA95661823763347Supporting organizationCA501(c)(3)Line 12b, IIAdventist Health SystemWest0
Ukiah Adventist Hospital
275 Hospital DriveUkiahCA95482941639901HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
United Com-Serve
989 Plumas StreetYuba CityCA95991943015356Skilled nursing/assisted living/home healthCA501(c)(3)Line 12b, IIFremont-Rideout Health Group0
Walla Walla General Hospital
PO Box 619135RosevilleCA95661910617726Hospital - closed July 2017WA501(c)(3)Line 3Adventist Health SystemWest0
Western Health Resources
PO Box 619135RosevilleCA95661953867863Home careCA501(c)(3)Line 10Adventist Health SystemWest0
White Memorial Medical Center
1720 Cesar E Chavez AvenueLos AngelesCA90033952282647HospitalCA501(c)(3)Line 3Adventist Health SystemWest0
Willits Hospital Inc
1 Marcela DriveWillitsCA95490680108919HospitalCA501(c)(3)Line 3Adventist Health SystemWest0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Association of Unit Owners of Portland Adventist Condo
10101 SE Main StreetPortlandOR97216930887521Condo association - MOBORPortland Adventist Medical CenterC$242,974$228,3330.90100Yes (1)
Healthcare Resources Northwest LLC
2625 SE 98th AvenuePortlandOR97266461719208Network of providerORPortland Adventist Medical CenterC1.00000Yes (1)
South Coast Medical Center
PO Box 619135RosevilleCA95661952037291Wind down after sale of hospitalCAC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Association of Unit OwnersBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$300,622InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt