2020-11-10T13:46:08-06:00 2019-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2019-01-01 930429015 Portland Adventist Medical Center PORT 9164060000 10123 SE Market Street Portland OR 97216 Donald Welch Treasurer 9164060000 2020-10-29 1 Tracy S Paglia P00366884 2099556100 2020-10-29 172.9.161.112 2020-10-29 18:46:37 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 2019 2021-01-29 14:40:06Z Adventist Health Portland Joyce Newmyer 10123 SE Market Street Portland OR 97216 347003067 0 1071 X www.adventisthealth.org/portland/ X 1900 OR Living God's love by inspiring health, wholeness and hope. 14 12 2315 263 1455072 1460325 304520 461443 323511888 336542428 4241405 9204715 185416 -21737 328243229 346186849 0 52432 0 0 165010693 168940332 101140 42321 450926 161447292 168292996 326559125 337328081 1684104 8858768 321822691 340125339 129428094 138878702 192394597 201246637 X Living God's love by inspiring health, wholeness and hope. 0 0 271336375 52432 336542428 See Schedule O 271336375 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 0 0 2315 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 14 12 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OR X Jay Lipps VP System Controller 9164061092 PO Box 619135 Roseville CA 95661 X Reiner Scott Dir/Chair 0.00 50.00 X X 0 1995696 53734 Wing Bill Dir/Asst Secretary/CFO 0.00 50.00 X X 0 1572254 46583 Russell David President thru 05/19 50.00 0.00 X 0 1500614 44751 Reppert Joseph CFO/Asst Secr thru 08/19 0.00 50.00 X 0 1209069 57565 Boskind Jeffrey Physician 50.00 0.00 X 1082291 0 50677 Joo Elliot Physician 50.00 0.00 X 1074467 0 53765 Tella Mallik Physician 50.00 0.00 X 1077987 0 29357 Aranda-Michel Jaime Physician 50.00 0.00 X 976826 0 53756 Spear Eugene Physician 50.00 0.00 X 967860 0 53756 Newmyer Joyce President, PNR 12.50 37.50 X 0 871962 53734 Wagner Jack Former Asst Secr 0.00 0.00 X 0 778475 29189 Jobe Meredith Secretary 0.00 50.00 X 0 730385 45909 Welch Donald Treasurer/Finance Officer, PNR 12.50 37.50 X 0 596433 53734 Prows Ralph Medical Officer thru 12/19 0.00 50.00 X 0 566719 45909 Rippey Wesley Regional Medical Officer, PNR 12.50 37.50 X 0 559088 23415 Brower Dorane Physican Services Exec 0.00 50.00 X 0 377391 54668 Poole Aaron Treasurer/Asst Secr thru 07/19 50.00 0.00 X 0 367137 51507 Leach Judy Strategy & Comm Exec, PNR 0.00 50.00 X 0 360654 38929 King Kyle Network Dev Exec, PNR 0.00 50.00 X 0 329417 40439 Nutter Lucinda Patient Care Executive 0.00 50.00 X 0 325800 37573 Tkachuck Derrik VP Support Services thru 07/19 0.00 50.00 X 0 307864 55154 Voshell Shane Reg HR Dir, PNR 0.00 50.00 X 0 264030 56205 Reiner Richard Director 0.00 4.00 X 0 28588 0 Davis Andrew Director 0.00 4.00 X 0 28246 0 Cherry Robert Director 0.00 4.00 X 0 26315 0 Heinrich Kerry Director 0.00 4.00 X 0 20102 0 Innocent Larry Director 0.00 4.00 X 0 18852 0 Woodson Marc Director 0.00 4.00 X 0 15000 0 Graham Ricardo Director 0.00 4.00 X 0 8848 0 Banks David Director 0.00 4.00 X 0 6382 0 Freedman John Director 0.00 4.00 X 0 2367 0 Salazar Velino Director 0.00 4.00 X 0 553 0 Ocampo Lucy Director 0.00 4.00 X 0 0 0 Philip Celeste Director 0.00 4.00 X 0 0 0 5179431 12868241 1030309 297 1 1 0 Mortenson Construction 710 NW 14th Ave Ste 300 Portland OR 97209 Construction Services 2449985 Accountable Healthcare Staffing Inc PO Box 732800 Dallas TX 75373 Temp Staffing 2282306 Oregon Anesthesiology Group PC 707 SW Washington St Ste 700 Portland OR 97205 Medical Services 1749453 Walsh Construction 2905 SW First Ave Portland OR 97201 Construction Services 1464964 Siemens Medical Solutions Dept LA 21536 Pasadena CA 91185 Medical Services 1399269 47 197636 10000 253807 461443 Patient service revenue 621110 328815430 328815430 Other revenue 900099 3783336 3755613 27723 Rental revenue - MOBs/Other 531120 2118554 2118554 Reference lab 621500 1427349 1427349 Dietary 621990 397759 397759 336542428 6738410 6738410 3100884 634579 2466305 2466305 2466305 48950 197636 65000 -16050 -16050 110952 116639 -5687 -5687 346186849 334689597 1455072 9580737 X 52432 52432 611312 611312 132162706 127687120 4170514 305072 5138458 4959919 165142 13397 21605514 20586772 968261 50481 9422342 9097539 306354 18449 27642710 3422479 24220231 395144 33193 361951 71098 71098 23434 23434 42321 42321 34446989 16679899 17767090 21431 2144 19287 1683104 1415544 261086 6474 12788013 2165814 10622199 11594693 10219766 1364479 10448 429784 206047 222437 1300 386423 386176 247 2513241 2513241 9723085 9538220 184865 1205584 1118802 86782 Patient care supplies 43609064 43609044 20 Quality assurance hospi 16389975 16389975 Rental/lease costs equi 1038811 1030679 7709 423 Income taxes 282490 350 282140 4047923 197786 3847596 2541 337328081 271336375 65540780 450926 81451 0 136665418 158147672 37110455 40507296 4665291 4320292 719503 891750 357716259 232683593 102164227 125032666 6628308 3796183 975708 141428 3091050 3091050 29721280 4197002 321822691 340125339 17124379 41191750 1025053 978735 111278662 96708217 129428094 138878702 X 187793638 196351646 4600959 4894991 192394597 201246637 321822691 340125339 8858768 -6728 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 23434 23434 0 Part II-B, Line 1: The Hospital belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. 8864875 493428 185688 402048 9141943 8798496 524630 137502 595753 8864875 8797541 423076 115160 537081 8798496 8000751 861239 450598 515047 8797541 7740323 827094 -3219 563447 8000751 0.46460 0.00000 0.53540 0 0 5079709 5079709 195323651 126376456 68947195 23669331 10711419 12957912 133643568 95595718 38047850 125032666 Payables to related organizations 77389397 Payables to third-party payors 707131 Other liabilities 18611689 96708217 X 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. X X X X X 1 Patrick SivergEvent LLC 11815 SW Terra Linda Street Beaverton OR 97005 Golf tournament director 0 0 42321 -42321 42321 -42321 OR Gala 176086 132136 43950 42700 Golf tournament 70500 65500 5000 22300 246586 197636 48950 65000 65000 -16050 1 1 X 1 X 1 X 1 1 1 0 1 1 3022294 3022294 0.00900 77537062 60837954 16699108 0.04950 80559356 60837954 19721402 0.05850 5160400 5160400 0.01530 364329 45189 319140 0.00090 6604476 292830 6311646 0.01870 8476 8476 0.00000 67819 67819 0.00020 12205500 338019 11867481 0.03510 92764856 61175973 31588883 0.09360 8190 8190 0.00000 1923 1923 0.00000 10113 10113 0.00000 1 3022294 799258 44555603 39729197 4826406 X 1 1 1 ASSN-Unit Owners Plaza Conf Condo association mgmt 0.90000 0.10000 1 1 Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 www.adventisthealth.org/Portland 14-1127 X X X Portland Adventist Medical Center 1 0 0 1 X X X X X X X X X 19 1 0 1 1 X See Sch H Part VI - Needs Assesment X See Sch H Part VI - Needs Assesment X 1 19 1 See Sch H Part VI - Needs Assesment 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X X X X X X 1 X 0 X X X X 1 X 0 0 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 Center Part 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 Center Part 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 Center Part 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 Center Part 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. 42 1 - Adventist Health (AH) Audiology 10201 SE Main Street Suite 1 Portland OR 97216 Audiology services 2 - AH Gresham Station Imaging Center 831 NW Council Drive Suite 100 Gresham OR 97030 Imaging services 3 - AH Medical Group-Anti-Coagulation Clinic 1350 NE 122nd Avenue Suite 100 Portland OR 97230 Physician clinic 4 - AH Medical Group-Arthritis and Bone Care 10101 SE Main Street Suite 2011 Portland OR 97216 Physician clinic 5 - AH Medical Group-Cherry Park FP 10201 SE Main Street Suite 10 Portland OR 97216 Physician clinic 6 - AH Medical Group-Clackamas 11211 SE Sunnyside Road Clackamas OR 97015 Physician clinic 7 - AH Medical Group-Creekside Family Medici 9200 SE 91st Avenue Suite 220 Happy Valley OR 97086 Physician clinic 8 - AH Medical Group-Damascus 14450 SE Royer Road Damascus OR 97089 Physician clinic 9 - AH Medical Group-Diabetes & Endo Center 10101 SE Main Street Suite 1001 Portland OR 97216 Physician clinic 10 - AH Medical Group-Emotional Wellness Cent 10101 SE Main Street Suite 3001 Portland OR 97216 Physician clinic 11 - AH Medical Group-Fishers Landing 417 SE 164th Avenue Suite 300 Vancouver WA 98684 Physician clinic 12 - AH Medical Group-General Surgery Clinic 10000 SE Main Street Suite 316 Portland OR 97216 Physician services 13 - AH Medical Group-GI Clinic 10000 SE Main Street Suite 112 Portland OR 97216 Physician clinic 14 - AH Medical Group-Gladstone Family Med 19220 McLoughlin Boulevard Gladstone OR 97027 Physician clinic 15 - AH Medical Group-Gresham Station 831 NW Council Drive Suite 101 125 Gresham OR 97030 Physician clinic 16 - AH Medical Group-Internal Medicine Assoc 10201 SE Main Street Suite 12 Portland OR 97216 Physician clinic 17 - AH Medical Group-Interventional Pain Cli 10000 SE Main Street Suite 128 Portland OR 97216 Physician clinic 18 - AH Medical Group-NW Orthopedic Specialis 10000 SE Main Street Suite 224 Portland OR 97216 Physician clinic 19 - AH Medical Group-NW Reg Heart & Vasc Por 10000 SE Main Street Suite 60B Portland OR 97216 Physician clinic 20 - AH Medical Group-NW Reg Heart & Vasc-McM 2700 SW Stratus Avenue Suite 406 McMinnville OR 97128 Physician services 21 - AH Medical Group-NW Regional Surgical As 10000 SE Main Street Suite 365 Portland OR 97216 Physician clinic 22 - AH Medical Group-Occupational Med Parkro 1350 NE 122nd Avenue Suite 200 Portland OR 97230 Physician clinic 23 - AH Medical Group-Parkrose PrimIM 1350 NE 122nd Avenue Suite 100 Portland OR 97230 Physician clinic 24 - AH Medical Group-Parkrose Urgent Care 1350 NE 122nd Avenue Suite 200 Portland OR 97230 Physician clinic/urgent care 25 - AH Medical Group-Portland Lung Clinic 10201 SE Main Street Suite 11 Portland OR 97216 Physician clinic 26 - AH Medical Group-Resilience Center 10000 SE Main Street Suite 236 Portland OR 97216 Physician clinic 27 - AH Medical Group-Rockwood Urgent Care 18750 SE Stark Street Portland OR 97233 Physician clinic/urgent care 28 - AH Medical Group-Sandy Family Practice 17055 Ruben Lane Sandy OR 97055 Physician clinic 29 - AH Medical Group-Sandy Urgent Care 17055 Ruben Lane Sandy OR 97055 Physician clinic/urgent care 30 - AH Medical Group-Sleep Clinic 10201 SE Main Street Suite 29 Portland OR 97216 Physician clinic 31 - AH Medical Group-Troutdale Clinic 1700 SW 257th Avenue Troutdale OR 97060 Physician clinic 32 - AH Medical Group-Wound Health & Hyperbar 10201 SE Main Street Suite 9 Portland OR 97216 Physician clinic 33 - AH Occupational Therapy 10201 SE Main Street Suite 4 Portland OR 97216 Occupational therapy clinic 34 - AH Physical Therapy Campus Rehab 10101 SE Main Street Suite LL Portland OR 97216 Physical therapy clinic 35 - AH Physical Therapy Clackamas 13435 SE 97th Avenue Suite LL101 Clackamas OR 97015 Physical therapy clinic 36 - AH Physical Therapy Gresham 831 NW Council Drive Suite 200 Gresham OR 97030 Physical therapy clinic 37 - AH Physical Therapy Parkrose 1350 NE 122nd Avenue Suite 200 Portland OR 97230 Physical therapy clinic 38 - AH Physical Therapy Sandy 37095 SE Highway 26 Suite 102 Sandy OR 97055 Physical therapy clinic 39 - AH Physical Therapy Vancouver 16096 SE 15th Avenue Vancouver WA 98683 Physical therapy clinic 40 - AH Specialty Rehab 10201 SE Main Street Suite 1 Portland OR 97216 Specialty rehab clinic 41 - AH Speech Therapy 10201 SE Main Street Suite 4 Portland OR 97216 Speech therapy services 42 - AH Wound Healing and Hyperbaric Medicine 10201 SE Main Street Suite 9 Portland OR 97216 Wound care services - hospital outpatient 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 States OR 1 Adventist Health Foundation 10123 SE Market Street Portland OR 97216 501(c)(3) 10000 2019 Heros of the Heart Gala 1 0 Part I, Line 2: Funding 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. X X X X 1 1 0 0 0 0 0 0 0 Reiner Scott Dir/Chair 0 1510024 0 420315 0 65357 0 16782 0 36952 0 2049430 0 0 Wing Bill Dir/Asst Secretary/CFO 0 1200390 0 318717 0 53147 0 16782 0 29801 0 1618837 0 0 Russell David President thru 05/19 0 190852 0 32065 0 1277697 0 16528 0 28223 0 1545365 0 943452 Reppert Joseph CFO/Asst Secr thru 08/19 0 581409 0 187572 0 440088 0 16782 0 40783 0 1266634 0 0 Boskind Jeffrey Physician 1082291 0 0 0 0 0 16782 0 33895 0 1132968 0 0 0 Joo Elliot Physician 1074467 0 0 0 0 0 16782 0 36983 0 1128232 0 0 0 Tella Mallik Physician 1059506 0 0 0 18481 0 16782 0 12575 0 1107344 0 0 0 Aranda-Michel Jaime Physician 961463 0 0 0 15363 0 16782 0 36974 0 1030582 0 0 0 Spear Eugene Physician 850205 0 117655 0 0 0 16782 0 36974 0 1021616 0 0 0 Newmyer Joyce President, PNR 0 706207 0 125111 0 40644 0 16782 0 36952 0 925696 0 0 Wagner Jack Former Asst Secr 0 0 0 0 0 778475 0 0 0 29189 0 807664 0 0 Jobe Meredith Secretary 0 524870 0 65461 0 140054 0 16782 0 29127 0 776294 0 0 Welch Donald Treasurer/Finance Officer, PNR 0 412260 0 66318 0 117855 0 16782 0 36952 0 650167 0 0 Prows Ralph Medical Officer thru 12/19 0 440397 0 29445 0 96877 0 16782 0 29127 0 612628 0 0 Rippey Wesley Regional Medical Officer, PNR 0 419231 0 42380 0 97477 0 0 0 23415 0 582503 0 0 Brower Dorane Physican Services Exec 0 279569 0 35816 0 62006 0 16782 0 37886 0 432059 0 0 Poole Aaron Treasurer/Asst Secr thru 07/19 0 172396 0 18598 0 176143 0 15662 0 35845 0 418644 0 0 Leach Judy Strategy & Comm Exec, PNR 0 256203 0 34051 0 70400 0 16782 0 22147 0 399583 0 0 King Kyle Network Dev Exec, PNR 0 253660 0 26345 0 49412 0 11675 0 28764 0 369856 0 0 Nutter Lucinda Patient Care Executive 0 264811 0 17556 0 43433 0 16669 0 20904 0 363373 0 0 Tkachuck Derrik VP Support Services thru 07/19 0 106872 0 16943 0 184049 0 13472 0 41682 0 363018 0 0 Voshell Shane Reg HR Dir, PNR 0 198696 0 27119 0 38215 0 14348 0 41857 0 320235 0 0 Part I, Lines 4a-b Severance 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 - $943,452 Brower Charles Family member of Key EE, D. Brower 99277 Employment 0 Henry Linda Family member of Key EE, W. Rippey 65157 Employment 0 Lee Jessica Family member of Officer, D. Russell 107944 Employment 0 Russell Jennika Family member of Officer, D. Russell 26232 Employment 0 Russell Kevin Family member of Officer, D. Russell 146323 Employment 0 Tkachuck Victoria Family member of Key EE, D. Tkachuck 76726 Employment 0 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 4 The Hospital made changes to their Article 8.1, Execution of Legal Documents, to include more signature authority. Form 990, Part VI, Section A, line 6 The 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 7a The 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 7b The 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 11b This 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 12c During 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 15 The 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 19 The 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 11g Physician 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. Adventist Health Portland Accountable Care LLC 10123 SE Market Street Portland OR 97216 Managed care management OR 3356257 10535786 Portland Adventist Medical Center Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Delano PO Box 460 Delano CA 93216 770258013 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Medical Center Tehachapi 1100 Magellan Drive Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Physicians Network PO Box 619135 Roseville CA 95661 680357690 Medical foundation CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Adventist Health SystemWest PO Box 619135 Roseville CA 95661 953484589 Integrated health system CA 501(c)(3) Line 10 N/A 0 Adventist Health Tulare 869 North Cherry Street Tulare CA 93274 832351753 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) Line 3 Adventist Health SystemWest 0 Feather River Hospital PO Box 619135 Roseville CA 95661 941101228 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Fremont-Rideout Health Group 989 Plumas Street Yuba City CA 95991 942917251 Acute care hospital CA 501(c)(3) Line 12b, II Stone Point Health 0 Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Hanford Community Hospital 115 Mall Drive Hanford CA 93230 940535360 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Lodi Memorial Hospital Association Inc 975 S Fairmont Avenue Lodi CA 95240 941044474 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Northwest Medical Foundation of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Paradise Valley Hospital PO Box 619135 Roseville CA 95661 951816034 Discontinued Operations CA 501(c)(3) Line 1 Adventist Health SystemWest 0 Reedley Community Hospital 372 Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Rideout Memorial Hospital 989 Plumas Street Yuba City CA 95991 941387866 Acute care hospital CA 501(c)(3) Line 3 Fremont-Rideout Health Group 0 San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Simi Valley Hospital and Health Care Services 2975 N Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Stone Point Health PO Box 619135 Roseville CA 95661 823763347 Supporting organization CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 United Com-Serve 989 Plumas Street Yuba City CA 95991 943015356 Skilled nursing/assisted living/home health CA 501(c)(3) Line 12b, II Fremont-Rideout Health Group 0 Walla Walla General Hospital PO Box 619135 Roseville CA 95661 910617726 Hospital - closed July 2017 WA 501(c)(3) Line 3 Adventist Health SystemWest 0 Western Health Resources PO Box 619135 Roseville CA 95661 953867863 Home care CA 501(c)(3) Line 10 Adventist Health SystemWest 0 White Memorial Medical Center 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Association of Unit Owners of Portland Adventist Condo 10101 SE Main Street Portland OR 97216 930887521 Condo association - MOB OR Portland Adventist Medical Center C 242974 228333 0.90100 1 Healthcare Resources Northwest LLC 2625 SE 98th Avenue Portland OR 97266 461719208 Network of provider OR Portland Adventist Medical Center C 1.00000 1 South Coast Medical Center PO Box 619135 Roseville CA 95661 952037291 Wind down after sale of hospital CA N/A C 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 1 0 1 Association of Unit Owners K 300622 FMV