PORTLAND ADVENTIST MEDICAL CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- PORTLAND ADVENTIST MEDICAL CENTER (EIN 93-0429015)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-13
- IRS object ID
- 201903179349302660
- Schema version
- 2018v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-13T09:56:38-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W March Ln Ste 200 | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 952192367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930429015 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Portland Adventist Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 9164060000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10123 SE Market Street | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97216 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Donald Welch | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 9164060000 | PhoneNum |
| Signature | 2019-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Tracy S Paglia | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2019-11-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 172.9.161.112 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-07 | IPDt |
| IP Tm | 01:30:37 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F565611BDA9E00D03FA055086BAA92DB14EC1355 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Health Portland | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joyce Newmyer | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10123 SE Market Street | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $328,640,117 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.adventisthealth.org/portland/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1900 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | Living God's love by inspiring health, wholeness and hope. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 2368 | TotalEmployeeCnt |
| Total Volunteers | 274 | TotalVolunteersCnt |
| Total Gross UBI | $1,438,186 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $237,868 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $150,844 | PYContributionsGrantsAmt |
| CY Contributions Grants | $304,520 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $373,699,607 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $323,511,888 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,773,736 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,241,405 | CYInvestmentIncomeAmt |
| PY Other Revenue | $430,340 | PYOtherRevenueAmt |
| CY Other Revenue | $185,416 | CYOtherRevenueAmt |
| PY Total Revenue | $377,054,527 | PYTotalRevenueAmt |
| CY Total Revenue | $328,243,229 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,155 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $166,929,297 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $165,010,693 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $101,140 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $516,126 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $210,811,379 | PYOtherExpensesAmt |
| CY Other Expenses | $161,447,292 | CYOtherExpensesAmt |
| PY Total Expenses | $377,741,831 | PYTotalExpensesAmt |
| CY Total Expenses | $326,559,125 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$687,304 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,684,104 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $320,904,406 | TotalAssetsBOYAmt |
| Total Assets EOY | $321,822,691 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $130,157,485 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $129,428,094 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $190,746,921 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $192,394,597 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Living God's love by inspiring health, wholeness and hope. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $267,418,890 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $323,511,888 | RevenueAmt |
| Desc | See Schedule O | Desc |
| Total Program Service Expenses | $267,418,890 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2368 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jay Lipps VP System Controller | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9167465932 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Banks David | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $27,620 | $0 | |||
| Cherry Robert | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $25,126 | $0 | |||
| Davis Andrew | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $24,002 | $0 | |||
| Freedman John | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $718 | $0 | |||
| Gabriel Melody | |||||||||
| Director thru 12/2018 | 0.00 | 4.00 | Yes (X) | $0 | $20,464 | $0 | |||
| Graham Ricardo | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,442 | $0 | |||
| Heinrich Kerry | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $20,485 | $0 | |||
| Innocent Larry | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $31,885 | $0 | |||
| Pedersen James | |||||||||
| Director thru 07/2018 | 0.00 | 4.00 | Yes (X) | $0 | $3,625 | $0 | |||
| Reiner Richard | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $27,964 | $0 | |||
| Reiner Scott | |||||||||
| Dir/Chair | 0.00 | 50.00 | Yes (X) | $0 | $2,458,436 | $44,472 | Yes (X) | ||
| Rippey Wesley | |||||||||
| Director thru 05/2018, Medical Officer, PNR | 12.50 | 37.50 | Yes (X) | $111,651 | $623,943 | $47,568 | |||
| Salazar Velino | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,542 | $0 | |||
| Wing Bill | |||||||||
| Dir/Vice Chair/Asst Secr | 0.00 | 50.00 | Yes (X) | $0 | $1,875,311 | $49,315 | Yes (X) | ||
| Jobe Meredith | |||||||||
| Secretary | 0.00 | 50.00 | $0 | $666,615 | $38,328 | Yes (X) | |||
| Poole Aaron | |||||||||
| Treas/Asst Secr | 50.00 | 0.00 | $0 | $327,164 | $41,356 | Yes (X) | |||
| Russell David | |||||||||
| President | 50.00 | 0.00 | $0 | $553,354 | $38,291 | Yes (X) | |||
| Welch Donald | |||||||||
| Treas/Asst Secr/CFO, PNR | 12.50 | 37.50 | $0 | $671,125 | $44,290 | Yes (X) | |||
| Wagner Jack | |||||||||
| Asst Secr thru 03/2018 | 0.00 | 50.00 | $0 | $1,332,908 | $34,076 | Yes (X) | |||
| Brower Dorane | |||||||||
| VP Integrated Phys & Hlth Plan | 0.00 | 50.00 | $0 | $318,261 | $46,368 | Yes (X) | |||
| King Kyle | |||||||||
| VP Network Dev | 0.00 | 50.00 | $0 | $220,050 | $32,144 | Yes (X) | |||
| Leach Judy | |||||||||
| Strategy & Comm Exec | 0.00 | 50.00 | $0 | $303,187 | $31,686 | Yes (X) | |||
| Newmyer Joyce | |||||||||
| President, PNR | 12.50 | 37.50 | $0 | $1,166,598 | $42,409 | Yes (X) | |||
| Nutter Lucinda | |||||||||
| Patient Care Exec | 0.00 | 50.00 | $0 | $303,935 | $36,395 | Yes (X) | |||
| Prows Ralph | |||||||||
| Medical Officer | 50.00 | 0.00 | $0 | $519,387 | $38,884 | Yes (X) | |||
| Reppert Joseph | |||||||||
| CFO | 0.00 | 50.00 | $0 | $953,615 | $46,846 | Yes (X) | |||
| Tkachuck Derrik | |||||||||
| VP Support Svcs | 0.00 | 50.00 | $0 | $287,149 | $49,888 | Yes (X) | |||
| Voshell Shane | |||||||||
| VP HR, PNR | 0.00 | 50.00 | $0 | $261,326 | $48,260 | Yes (X) | |||
| Aranda-Michel Jaime | |||||||||
| Physician | 50.00 | 0.00 | $962,610 | $0 | $54,300 | Yes (X) | |||
| Joo Elliot | |||||||||
| Physician | 50.00 | 0.00 | $1,241,476 | $0 | $54,304 | Yes (X) | |||
| Molloy Thomas | |||||||||
| Physician | 50.00 | 0.00 | $798,361 | $0 | $61,498 | Yes (X) | |||
| Spear Eugene | |||||||||
| Physician | 50.00 | 0.00 | $969,720 | $0 | $56,624 | Yes (X) | |||
| Tella Mallik | |||||||||
| Physician | 50.00 | 0.00 | $923,203 | $0 | $28,305 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,007,021 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,027,237 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $965,607 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 272 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Comphealth Inc | |||||
| PO Box 972651 | Dallas | TX | 753972651 | Temporary staffing | $2,307,768 |
| Oregon Anesthesiology Group PC | |||||
| 120 NW 14th Ave Suite 300 | Portland | OR | 97209 | Medical services | $1,453,211 |
| Omnicell Inc | |||||
| PO Box 204650 | Dallas | TX | 75320 | Medical and surgical supply | $1,305,904 |
| Icon Medical Network LLC | |||||
| 8100 SW Nyberg St Suite 400 | Tualatin | OR | 97062 | Temporary staffing | $995,910 |
| Fortis Construction Inc | |||||
| 1705 SW Taylor St Suite 200 | Portland | OR | 97205 | Construction services | $847,108 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $25,000 | RelatedOrganizationsAmt |
| All Other Contributions | $279,520 | AllOtherContributionsAmt |
| Total Contributions | $304,520 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient service revenue | 621110 | $318,080,336 | $318,080,336 | ||
| Rental revenue - MOBs/Other | 531120 | $1,820,795 | $1,820,795 | ||
| Other revenue | 900099 | $1,539,596 | $1,515,647 | $23,949 | |
| Reference lab | 621500 | $1,414,237 | $1,414,237 | ||
| Dietary | 621990 | $656,924 | $656,924 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $323,511,888 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,694,839 | TotalRevenueColumnAmt |
| Exclusion | $3,694,839 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $646,066 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $99,500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $546,566 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $546,566 | TotalRevenueColumnAmt |
| Exclusion | $546,566 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $227,297 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $103,254 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $124,043 | TotalRevenueColumnAmt |
| Exclusion | $124,043 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $255,507 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $194,134 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,373 | TotalRevenueColumnAmt |
| Exclusion | $61,373 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $328,243,229 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $321,416,778 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,438,186 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,083,745 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,651 | TotalAmt |
| Program Services | $111,651 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,391 | TotalAmt |
| Management And General | $532,391 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,622,951 | TotalAmt |
| Program Services | $124,066,675 | ProgramServicesAmt |
| Management And General | $5,280,759 | ManagementAndGeneralAmt |
| Fundraising | $275,517 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,707,568 | TotalAmt |
| Program Services | $4,492,316 | ProgramServicesAmt |
| Management And General | $197,875 | ManagementAndGeneralAmt |
| Fundraising | $17,377 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,823,081 | TotalAmt |
| Program Services | $20,168,856 | ProgramServicesAmt |
| Management And General | $618,747 | ManagementAndGeneralAmt |
| Fundraising | $35,478 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,213,051 | TotalAmt |
| Program Services | $8,768,819 | ProgramServicesAmt |
| Management And General | $424,660 | ManagementAndGeneralAmt |
| Fundraising | $19,572 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,478,036 | TotalAmt |
| Program Services | $1,682,325 | ProgramServicesAmt |
| Management And General | $13,795,711 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,633 | TotalAmt |
| Management And General | $414,633 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,103 | TotalAmt |
| Management And General | $95,103 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,704 | TotalAmt |
| Program Services | $25,704 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,140 | TotalAmt |
| Fundraising | $101,140 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,989,563 | TotalAmt |
| Program Services | $20,234,653 | ProgramServicesAmt |
| Management And General | $17,731,878 | ManagementAndGeneralAmt |
| Fundraising | $23,032 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,849,071 | TotalAmt |
| Management And General | $1,849,071 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,860,437 | TotalAmt |
| Program Services | $1,614,311 | ProgramServicesAmt |
| Management And General | $240,101 | ManagementAndGeneralAmt |
| Fundraising | $6,025 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,168,107 | TotalAmt |
| Program Services | $2,963,458 | ProgramServicesAmt |
| Management And General | $10,204,649 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,988,027 | TotalAmt |
| Program Services | $9,521,177 | ProgramServicesAmt |
| Management And General | $1,435,126 | ManagementAndGeneralAmt |
| Fundraising | $31,724 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,625 | TotalAmt |
| Program Services | $240,253 | ProgramServicesAmt |
| Management And General | $209,732 | ManagementAndGeneralAmt |
| Fundraising | $1,640 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,171 | TotalAmt |
| Program Services | $311,598 | ProgramServicesAmt |
| Management And General | $10,573 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,496,734 | TotalAmt |
| Program Services | $2,495,062 | ProgramServicesAmt |
| Management And General | $1,672 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,177,147 | TotalAmt |
| Program Services | $10,156,203 | ProgramServicesAmt |
| Management And General | $20,944 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $777,172 | TotalAmt |
| Program Services | $698,061 | ProgramServicesAmt |
| Management And General | $79,111 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Patient care supplies | $43,422,616 | $43,357,021 | $65,590 | $5 |
| Quality assurance hospi | $15,567,004 | $15,567,004 | ||
| Rental/lease costs equi | $641,132 | $615,522 | $25,135 | $475 |
| Income taxes | $31,878 | $21,878 | $10,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,691,132 | TotalAmt |
| Program Services | $306,343 | ProgramServicesAmt |
| Management And General | $5,380,648 | ManagementAndGeneralAmt |
| Fundraising | $4,141 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,559,125 | TotalAmt |
| Program Services | $267,418,890 | ProgramServicesAmt |
| Management And General | $58,624,109 | ManagementAndGeneralAmt |
| Fundraising | $516,126 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,781 | BOYAmt |
| EOY | $81,451 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,909,668 | BOYAmt |
| EOY | $136,665,418 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,431,424 | BOYAmt |
| EOY | $37,110,455 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,664,020 | BOYAmt |
| EOY | $4,665,291 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,030,688 | BOYAmt |
| EOY | $719,503 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $323,959,953 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $221,795,726 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,285,027 | BOYAmt |
| EOY | $102,164,227 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,006,047 | BOYAmt |
| EOY | $6,628,308 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$68,931 | BOYAmt |
| EOY | $975,708 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,111,050 | BOYAmt |
| EOY | $3,091,050 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,504,632 | BOYAmt |
| EOY | $29,721,280 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,904,406 | BOYAmt |
| EOY | $321,822,691 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000,415 | BOYAmt |
| EOY | $17,124,379 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $859,750 | BOYAmt |
| EOY | $1,025,053 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,297,320 | BOYAmt |
| EOY | $111,278,662 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,157,485 | BOYAmt |
| EOY | $129,428,094 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,101,221 | BOYAmt |
| EOY | $187,793,638 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,645,700 | BOYAmt |
| EOY | $4,600,959 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,746,921 | BOYAmt |
| EOY | $192,394,597 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,904,406 | BOYAmt |
| EOY | $321,822,691 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,684,104 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$36,428 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $25,704 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $25,704 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | A portion of the dues paid to the following organization have been determined to be related to lobbying: Oregon Association of Hospitals and Health Systems | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,798,496 | BeginningYearBalanceAmt |
| Contributions | $524,630 | ContributionsAmt |
| Investment Earnings Or Losses | $137,502 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $595,753 | OtherExpendituresAmt |
| End Year Balance | $8,864,875 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,797,541 | BeginningYearBalanceAmt |
| Contributions | $423,076 | ContributionsAmt |
| Investment Earnings Or Losses | $115,160 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $537,081 | OtherExpendituresAmt |
| End Year Balance | $8,798,496 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,000,751 | BeginningYearBalanceAmt |
| Contributions | $861,239 | ContributionsAmt |
| Investment Earnings Or Losses | $450,598 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $515,047 | OtherExpendituresAmt |
| End Year Balance | $8,797,541 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,740,323 | BeginningYearBalanceAmt |
| Contributions | $827,094 | ContributionsAmt |
| Investment Earnings Or Losses | -$3,219 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $563,447 | OtherExpendituresAmt |
| End Year Balance | $8,000,751 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,803,519 | BeginningYearBalanceAmt |
| Contributions | $767,460 | ContributionsAmt |
| Investment Earnings Or Losses | $169,943 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,000,599 | OtherExpendituresAmt |
| End Year Balance | $7,740,323 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.48100 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.29120 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.22780 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,821,644 | OtherCostOrOtherBasisAmt |
| Book Value | $6,821,644 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $190,272,388 | OtherCostOrOtherBasisAmt |
| Depreciation | $120,911,268 | DepreciationAmt |
| Book Value | $69,361,120 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,898,492 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,406,512 | DepreciationAmt |
| Book Value | $13,491,980 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $102,967,429 | OtherCostOrOtherBasisAmt |
| Depreciation | $90,477,946 | DepreciationAmt |
| Book Value | $12,489,483 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $102,164,227 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Receivables from related organizations | $17,453,284 |
| Receivables from third-party payors | $12,114,104 |
| Other receivables | $153,892 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $29,721,280 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Payables to related organizations | $91,878,075 |
| Payables to third party payors | $15,758,687 |
| Workers' compensation liability | $3,300,440 |
| Other liabilities | $341,460 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $111,278,662 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| TrueSense | ||||||||
| 502 Keystone Drive | Warrendale | PA | 15086 | Tele-solicitation program | 0 | $99,122 | $76,140 | $22,982 |
| Patrick SivergEvent LLC | ||||||||
| 11815 SW Terra Linda Street | Beaverton | OR | 97005 | Golf tournament director | 0 | $82,000 | $25,000 | $57,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $181,122 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $101,140 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $79,982 | TotalNetToOrganizationAmt |
| Licensed States | OR | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Gala | Event1Nm |
| Gross Receipts Event1 | $145,297 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $145,297 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $57,578 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf tournament | Event2Nm |
| Gross Receipts Event2 | $82,000 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $82,000 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $45,677 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $227,297 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $227,297 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $103,255 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $103,255 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $124,042 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,418,497 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,418,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,558,173 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,497,933 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,060,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03810 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,976,670 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,497,933 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,478,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04810 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,226,743 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,924 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,171,819 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01800 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $396,106 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $56,721 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $339,385 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $200,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $200,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,678 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $70,178 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,893,527 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $112,145 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,781,382 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,870,197 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,610,078 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,260,119 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06790 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,977 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,977 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $967,892 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $203,644 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $43,825,726 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,166,810 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,658,916 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 2 ASSN-Unit Owners Plaza Conf | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Condo association mgmt | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.90000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.10000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Portland Adventist Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10123 SE Market Street | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.adventisthealth.org/Portland | WebsiteAddressTxt |
| State License | 14-1127 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Portland Adventist Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Sch H Part VI - Needs Assesment | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Sch H Part VI - Needs Assesment | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Sch H Part VI - Needs Assesment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | Sch H Part VI-Patient Educ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | Sch H Part VI-Patient Educ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | Sch H Part VI-Patient Educ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section A: | Physician Clinics (23), Imaging (1), Rehab (PT/OT/Sp) Clinics (10), Wound Care (1); Radiation Oncology (1), Urgent Care (3) |
| Portland Adventist Medical Center | Part V, Section B, Line 5: The 2016 CHNA data collection process can be summarized as follows: Review of prior CHNA reporting effortsCollection of most recently available demographic, socioeconomic and health indicator dataData gathering was accomplished by using a widely-distributed community survey. Portland Adventist Medical Center (AHPL) has chosen two different community surveys to be able to take into account the various groups that need to be represented. In order to not duplicate responses, AHPL 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. The following groups were represented and responded to our service provider survey: Pearl Health Center, Multnomah County Health Department, Human Solutions, Portland Adventist Community Services, Adventist Health Medical Group, and The Healthy Columbia Willamette Collaborate. |
| Portland Adventist Medical Center | Part V, Section B, Line 6b: Portland Adventist Medical Center collaborated with the Multnomah County Department of Public Health, Healthy Columbia Willamette Collaborative (HCWC) which is a unique public-private partnership that includes 15 hospitals, four health departments, and two coordinated care organizations (managed Medicaid organizations) in Clackamas, Multnomah, and Washington counties of Oregon, and in Clark County, Washington, Portland Adventist Community Services, and Human Solutions to prepare the 2016 Community Health Needs Assessment. |
| 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: 47 Mammography screens in 2018 (increase over 2016 and 2017).2. Continue provider education and outreach to qualifying Smokers for Low-dose Lung CT Scan Program. Number of community members served in 2018: 537 Smoker CT Scans (increase from 2017).3. Provide free skin cancer screening and interactive educational activity at two-day Impact Your Health Portland Clinic at Portland Adventist Academy. Number of guests served: 160 quizzes returned and 72 skin cancer screens.4. Continue Radon Awareness Campaign and Free Home Radon screening kit distribution in 2018. Number of community households served: 19 Home Radon Kits and educational outreach to around 300 individuals.5. Support the community education and mammography screening work of Komen Foundation at the Race for the Cure. Provide practical nutrition support (bananas) to 2,000 Race for the Cure participants in 2018. 6. Cancer Navigator support services to help patients better navigate treatment and the stress often connected with cancer care. Number of persons served: 189 persons/families. Also provided medical transport to treatment services for 200 cancer patients.7. Community Colorectal/Digestive Health Outreach Activities in March 2018.8. Provide training and/or information on AHA "Hands-only" CPR at 2018 Montavilla Street Fair. Number of community members served: approximately 45 HOCPR interactions (English/Spanish).9. Community Heart Health Education series featuring providers from Northwest Cardiovascular Institute. Number of contacts: 370.10. Car Safety Seat Project. Number of Families Served with free/subsidized car seats: 11 families. Also co-hosted a FREE Safety Seat Clinic in partnership with OHSU where 25 families were served and educated 33 car seats checked with a 70% misuse rate. 11. Community Classes, support groups on lifestyle factors and health conditions. Approximate number of community members served: 2,400+ encounters.12. Establish the LivingWell Fitness Trail around the Hospital campus and in the Tunnel system to promote outdoor physical activity and build community. Trail dedicated in September 2018. Community number of visits in November/December 2018: 29 visits. 13. Health for Life Publication - Quarterly health publication that covers a variety of relevant health topics and community wellness news. Number of community members served: average 97,000 households. 14. VegFest 2018 - Interactive education/materials about plant-based nutrition and other life style factors related to health/chronic disease prevention/spiritual life. Partnered with People to People Ministries in 2018. Number of community members served: 1,000+.15. Social Media-related Educational Outreach (Podcasts, Blog) also 14 media appearances. Estimated Number of community members served: 500,000 media impressions.16. Co-sponsored the ninth Northwest Health & Nutrition Conference at the Oregon Convention Center and donated CME services. Number of community members served: 277 which was an increase from 247 in 2017. 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. Compassion Connect holding free community medical/dental clinics to address the need for access to health care in our greater service area. Number of community members served in 2018: 3,373 and volunteers serving: 3,144.2. 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 2018.3. Patient enrollment assistance into means tested programs. Number of community members served: approximately 1,100.4. Project Access NOW funding which connects low-income, uninsured people to donated care across the Portland metropolitan area. The mission of Project Access NOW is "to improve the health of our community by creating access to care and services for those most in need." Number of community members served: estimated 1,146.5. Provide medical transport services for Cancer and Behavioral health. Number of persons served in 2018: over 200. 6. Meet with area Russian Community Pastors and other groups to better understand their needs and barriers to care. Number of attendees: 22. 7. Hire more Russian-speaking Associates in Emergency Department, AHMG clinics, etc. to facilitate the patient experience and improve quality of care. Seven new Russian-speaking staff hired and now serving in this project. 8. Training of Clinical and Community Chaplains of diverse cultural backgrounds with Clinical Pastoral Education Students (13 CPE students trained in 2018); Spiritual Care Volunteers (8 volunteers regularly engaged in 2018); and Area Pastors (12 on-call chaplain/pastors).9. Student Healthcare Leaders Program for High School age students in partnership with local schools. Total: 28 students from seven are high schools including home school students. 10. Faith Community Nursing and Health Ministries NW funding as they train and support faith community volunteers to serve their parishes and communities. 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. Funding & leadership support for the UNITY Center for Behavioral Health (a partnership) which opened in 2017. The acute and emergency mental health services provided fill a huge community need. 2. Continue to develop the Outpatient Emotional Wellness Clinic. Add new, cutting edge treatment for depression. Number of community members served in 2018: 402 patients.3. Further develop/promote First Friday Program to address emotional and spiritual needs of the community with grief support, bible study and soup & salad lunch meeting. Number of community members served in 2018: 767 served and 2,058 attended meetings.4. Weekly Grief Recovery; Bible Study; Grieving through the Holiday; and Resilience in Grief Programs: Community encounters in 2018: approximately 814.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. Fund Housing Vouchers with City Team Ministries and Corporation for Supportive Housing. Persons served: 27 through City Team Ministries. 2. Funding to 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. Nearing completion at the end of 2018 with a planned phased opening in 2019. 3. Recruit AH volunteer leaders and others to deliver nutritious meals to needy individuals in 2018 in partnership with East Portland Meals on Wheels. Number of community members served: 50 and approximately 2,600 meals served.4. Collect food/clothing donations from special hospital-sponsored events and classes. Donations funneled through Portland Adventist Community Services to needy community members. Over 3,851 pounds of food, and 12,000 pairs of socks were collected for those in need. Administration and Adventist Health Portland Nutritional Services also donates money/food to Snow Cap for distribution.5. Community and relationship building with a health promotion focus through special neighborhood-building events such as the Gladstone Community Festival, Sandy Mountain Festival, Montavilla Street Fair Portland Slavic Festival, and the SunnyCity Festival. Community members served: estimated at 4,000+. |
| 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 Areas Not Addressed:The following three areas are considered areas under social determinants of health with relatively minimal involvement from Portland Adventist Medical Center (AHPL):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: AHPL 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. AHPL does not have the resources or expertise to make a greater impact in this area. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 42 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 Medicine | ||||
| 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 Center | ||||
| 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 Clini | ||||
| 10000 SE Main Street Suite 128 | Portland | OR | 97216 | Physician clinic |
| 18 - AH Medical Group-NW Orthopedic Specialists | ||||
| 10000 SE Main Street Suite 224 | Portland | OR | 97216 | Physician clinic |
| 19 - AH Medical Group-NW Reg Heart & Vasc Portl | ||||
| 10000 SE Main Street Suite 60B | Portland | OR | 97216 | Physician clinic |
| 20 - AH Medical Group-NW Reg Heart & Vasc-McMin | ||||
| 2700 SW Stratus Avenue Suite 406 | McMinnville | OR | 97128 | Physician services |
| 21 - AH Medical Group-NW Regional Surgical Asso | ||||
| 10000 SE Main Street Suite 365 | Portland | OR | 97216 | Physician clinic |
| 22 - AH Medical Group-Occupational Med Parkrose | ||||
| 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 & Hyperbaric | ||||
| 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 |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. The system-wide audited combined financial statements do not contain a footnote describing bad debt expense. |
| 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* 43,825,726 Prior year settlements 37,538 Cost report reimbursable bad debts 499,135 Estimates and accrual variances 138,521 Other 8,012,947 Total Medicare revenue 52,513,867*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 2016 CHNA, the 2019 Community Health Plan (CHP) Update for fiscal year 2018, the 2018 Community Health Plan (CHP) Update for fiscal year 2017, and the 2016 Implementation Strategy (adopted in May 2017), that includes the 2016 Update, are posted on the Hospital's website at:https://www.adventisthealth.org/about-us/community-benefit/The CHNA, Implementation Strategy and the CHPs are also available on the Adventist Health Corporate website at: https://www.adventisthealth.org/about-us/community-benefit/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.Committee/Board Participation includes: Multnomah County Health Department, Healthy Columbia Willamette Collaborative, Portland Adventist Community Services, UNITY Center, Compassion Connect, Adventist Medical Evangelism Network, Meals on Wheels, Project Access Now, and BUILD Project Partners. |
| 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/patient-resources/financial-assistance/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.The population in the top ten zip codes for charity patients is primarily composed of individuals who identify as White (67.1%), followed by Hispanic/Latino (14.18%), Asian (8.87%), African American (4.66%), Pacific Islander (0.77%), Native American (0.71%), and the remaining 3.71% being of mixed race or other. The median income for all households in the top ten zip codes for charity patients is $46,024 which is lower than both the State of Oregon ($50,521) and the U.S. ($53,046). |
| 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 is 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 healthy even though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantiallyreduced.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; and3) 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, and3) 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Reiner Scott | ||||||||||||||
| Dir/Chair | $0 | $1,339,257 | $0 | $747,881 | $0 | $371,298 | $0 | $16,682 | $0 | $27,790 | $0 | $2,502,908 | $0 | $289,242 |
| Rippey Wesley | ||||||||||||||
| Director thru 05/2018, Medical Offic | $0 | $565,539 | $0 | $0 | $111,651 | $58,404 | $0 | $20,249 | $0 | $27,319 | $111,651 | $671,511 | $0 | $0 |
| Wing Bill | ||||||||||||||
| Dir/Vice Chair/Asst Secr | $0 | $1,015,353 | $0 | $603,273 | $0 | $256,685 | $0 | $16,682 | $0 | $32,633 | $0 | $1,924,626 | $0 | $191,758 |
| Jobe Meredith | ||||||||||||||
| Secretary | $0 | $419,684 | $0 | $111,013 | $0 | $135,918 | $0 | $16,682 | $0 | $21,646 | $0 | $704,943 | $0 | $59,224 |
| Poole Aaron | ||||||||||||||
| Treas/Asst Secr | $0 | $261,059 | $0 | $27,658 | $0 | $38,447 | $0 | $16,682 | $0 | $24,674 | $0 | $368,520 | $0 | $0 |
| Russell David | ||||||||||||||
| President | $0 | $385,799 | $0 | $88,699 | $0 | $78,856 | $0 | $16,682 | $0 | $21,609 | $0 | $591,645 | $0 | $0 |
| Welch Donald | ||||||||||||||
| Treas/Asst Secr/CFO, PNR | $0 | $398,127 | $0 | $97,502 | $0 | $175,496 | $0 | $16,682 | $0 | $27,608 | $0 | $715,415 | $0 | $93,616 |
| Wagner Jack | ||||||||||||||
| Asst Secr thru 03/2018 | $0 | $180,671 | $0 | $414,342 | $0 | $737,895 | $0 | $11,182 | $0 | $22,894 | $0 | $1,366,984 | $0 | $0 |
| Brower Dorane | ||||||||||||||
| VP Integrated Phys & Hlth Plan | $0 | $250,805 | $0 | $26,539 | $0 | $40,917 | $0 | $16,386 | $0 | $29,982 | $0 | $364,629 | $0 | $0 |
| King Kyle | ||||||||||||||
| VP Network Dev | $0 | $184,515 | $0 | $16,598 | $0 | $18,937 | $0 | $11,497 | $0 | $20,647 | $0 | $252,194 | $0 | $0 |
| Leach Judy | ||||||||||||||
| Strategy & Comm Exec | $0 | $237,547 | $0 | $48,964 | $0 | $16,676 | $0 | $16,682 | $0 | $15,004 | $0 | $334,873 | $0 | $0 |
| Newmyer Joyce | ||||||||||||||
| President, PNR | $0 | $657,199 | $0 | $294,310 | $0 | $215,089 | $0 | $16,682 | $0 | $25,727 | $0 | $1,209,007 | $0 | $115,201 |
| Nutter Lucinda | ||||||||||||||
| Patient Care Exec | $0 | $246,391 | $0 | $26,663 | $0 | $30,881 | $0 | $16,524 | $0 | $19,871 | $0 | $340,330 | $0 | $0 |
| Prows Ralph | ||||||||||||||
| Medical Officer | $0 | $402,083 | $0 | $44,054 | $0 | $73,250 | $0 | $16,682 | $0 | $22,202 | $0 | $558,271 | $0 | $0 |
| Reppert Joseph | ||||||||||||||
| CFO | $0 | $686,470 | $0 | $152,446 | $0 | $114,699 | $0 | $16,682 | $0 | $30,164 | $0 | $1,000,461 | $0 | $0 |
| Tkachuck Derrik | ||||||||||||||
| VP Support Svcs | $0 | $237,772 | $0 | $24,138 | $0 | $25,239 | $0 | $15,770 | $0 | $34,118 | $0 | $337,037 | $0 | $0 |
| Voshell Shane | ||||||||||||||
| VP HR, PNR | $0 | $189,911 | $0 | $40,615 | $0 | $30,800 | $0 | $14,265 | $0 | $33,995 | $0 | $309,586 | $0 | $0 |
| Aranda-Michel Jaime | ||||||||||||||
| Physician | $950,749 | $0 | $0 | $0 | $11,861 | $0 | $16,682 | $0 | $37,618 | $0 | $1,016,910 | $0 | $0 | $0 |
| Joo Elliot | ||||||||||||||
| Physician | $1,229,657 | $0 | $107 | $0 | $11,712 | $0 | $16,682 | $0 | $37,622 | $0 | $1,295,780 | $0 | $0 | $0 |
| Molloy Thomas | ||||||||||||||
| Physician | $744,337 | $0 | $0 | $0 | $54,024 | $0 | $16,682 | $0 | $44,816 | $0 | $859,859 | $0 | $0 | $0 |
| Spear Eugene | ||||||||||||||
| Physician | $936,786 | $0 | $0 | $0 | $32,934 | $0 | $16,682 | $0 | $39,942 | $0 | $1,026,344 | $0 | $0 | $0 |
| Tella Mallik | ||||||||||||||
| Physician | $921,792 | $0 | $0 | $0 | $1,411 | $0 | $16,682 | $0 | $11,623 | $0 | $951,508 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Lines 4a-b | FormAndLineReferenceDesc |
| Explanation | 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. Wagner, Jack - severance payment - $598,810 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. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. Jobe, Meredith - $59,224 Newmyer, Joyce - $115,201 Reiner, Scott - $289,242 Welch, Donald - $93,616 Wing, Bill - $191,758 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Brower Charles | |||
| Family member of Key EE, D. Brower | $108,223 | Employment | 0 |
| Henry Linda | |||
| Family member of Key EE, W. Rippey | $59,434 | Employment | 0 |
| Lee Jessica | |||
| Family member of Officer, D. Russell | $102,048 | Employment | 0 |
| Rippey Wesley | |||
| Director/CMO | $111,651 | Professional services | 0 |
| Russell Jennika | |||
| Family member of Officer, D. Russell | $13,430 | Employment | 0 |
| Russell Kevin | |||
| Family member of Officer, D. Russell | $85,186 | Employment | 0 |
| Tkachuck Victoria | |||
| Family member of Key EE, D. Tkachuck | $77,359 | Employment | 0 |
| Wagner Brent | |||
| Family member of Officer, J. Wagner | $82,281 | Employment | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 of AHPL, 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 AHPL 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 2018 was $41,592,012. The following Inpatient services that were provided to all our patients. These services included: - 783 Babies delivered - 2,212 Surgeries performed - 30,387 Patient days The following Outpatient services that were provided to all our patients. These services included: - 49,841 Emergency department visits - 4,478 Outpatient Surgeries performed - 157,149 Outpatient visits - 281,291 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 2018 was $6,781,382. 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 6 | The Hospital is organized as a public benefit corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit public benefit 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 Compensation 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 CEOs and CFOs, 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 CEOs and 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 and Bylaws with the Oregon Secretary of State and Oregon Department of Justice. The Hospital does not make its Conflict of Interest Policy publicly available. The Hospital files monthly/quarterly summary financial reports with the Oregon Health Authority. |
| 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 5,401,072. Management and general expenses 2,450,105. Fundraising expenses 0. Total expenses 7,851,177. Other medical professional fees: Program service expenses 157,285. Management and general expenses 0. Fundraising expenses 0. Total expenses 157,285. Consulting and other management fees: Program service expenses 765,469. Management and general expenses 365,801. Fundraising expenses 0. Total expenses 1,131,270. Other professional fees non-medical: Program service expenses 477,419. Management and general expenses 0. Fundraising expenses 0. Total expenses 477,419. Contract labor: Program service expenses 2,861,933. Management and general expenses 63,425. Fundraising expenses 0. Total expenses 2,925,358. Purchased medical services: Program service expenses 1,528,378. Management and general expenses 827. Fundraising expenses 0. Total expenses 1,529,205. Repairs and maintenance: Program service expenses 3,558,333. Management and general expenses 25,403. Fundraising expenses 0. Total expenses 3,583,736. Revenue cycle fees: Program service expenses 0. Management and general expenses 14,361,082. Fundraising expenses 0. Total expenses 14,361,082. All other purchased services: Program service expenses 5,484,764. Management and general expenses 465,235. Fundraising expenses 23,032. Total expenses 5,973,031. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healthcare Resources Northwest LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2625 SE 98th Avenue | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97266 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461719208 | EIN |
| Primary Activities | Managed care management | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Total Income | $3,109,740 | TotalIncomeAmt |
| End Of Year Assets | $17,892,935 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Portland Adventist Medical Center | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 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 | 0 | N/A | |
| 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 | |
| St Helena Hospital | |||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 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 & 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 | |
| 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 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAR LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10610 SE Clay Street | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931262371 | EIN |
| Primary Activities | Senior living | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $1,025,923 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $11,215,161 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | $249,242 | $252,439 | 0.90100 | Yes (1) | |
| South Coast Medical Center | |||||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 952037291 | Wind down after sale of hospital | CA | C | 0 | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |