PORTLAND ADVENTIST MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: PORTLAND ADVENTIST MEDICAL CENTER (EIN 93-0429015)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-12-25
IRS object ID: 201803599349300400
Schema version: 2017v2.2
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
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-12-25T16:10:26-08:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Disaster Relief	California Wildfires DR-4407 and IRS CA-2018-13	DisasterReliefTxt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	800519547	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	THE ACCOUNTANCY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	330 N BRAND BLVD STE 200	AddressLine1Txt
City	GLENDALE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	912032361	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	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
Business Name Line2	dba Adventist Health Portland	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	PORT	BusinessNameControlTxt
Phone	5032572500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10123 SE Market St	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97216	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Aaron Poole	PersonNm
Person Title	Treasurer	PersonTitleTxt
Signature	2018-12-25	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	S Clement	PreparerPersonNm
PTIN	P01218012	PTIN
Phone	8185475701	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	David Russell	PrincipalOfficerNm
Gross Receipts	$378,681,470	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2281	TotalEmployeeCnt
Total Volunteers	289	TotalVolunteersCnt
Total Gross UBI	$1,828,788	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$277,927	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$909,455	PYContributionsGrantsAmt
CY Contributions Grants	$150,844	CYContributionsGrantsAmt
PY Program Service Revenue	$351,558,801	PYProgramServiceRevenueAmt
CY Program Service Revenue	$373,699,607	CYProgramServiceRevenueAmt
PY Investment Income	$3,299,597	PYInvestmentIncomeAmt
CY Investment Income	$3,195,897	CYInvestmentIncomeAmt
PY Other Revenue	$77,093	PYOtherRevenueAmt
CY Other Revenue	$8,179	CYOtherRevenueAmt
PY Total Revenue	$355,844,946	PYTotalRevenueAmt
CY Total Revenue	$377,054,527	CYTotalRevenueAmt
CY Grants And Similar Paid	$1,155	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$160,815,719	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$171,699,297	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$147,497	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$66,302	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$564,316	CYTotalFundraisingExpenseAmt
PY Other Expenses	$179,882,570	PYOtherExpensesAmt
CY Other Expenses	$205,975,077	CYOtherExpensesAmt
PY Total Expenses	$340,845,786	PYTotalExpensesAmt
CY Total Expenses	$377,741,831	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,999,160	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$687,304	CYRevenuesLessExpensesAmt
Total Assets BOY	$312,157,015	TotalAssetsBOYAmt
Total Assets EOY	$320,904,406	TotalAssetsEOYAmt
Total Liabilities BOY	$96,950,807	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$130,157,485	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$215,206,208	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$190,746,921	NetAssetsOrFundBalancesEOYAmt
Mission	Living God's love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$315,059,910	ExpenseAmt
Grant	$1,155	GrantAmt
Revenue	$370,976,816	RevenueAmt
Desc	Portland Adventist Medical Center (PAMC) 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 Portland Adventist Medical Center, 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 careproviding care to persons covered by governmental programs at below costproviding health/wellness activities and community education programsNot only does Portland Adventist Medical Center 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. PAMC 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 2017 was $21,330,000.The following volume of services were provided to our patients:30,503 Inpatient Days9,441 Inpatient Discharges794 Deliveries6,849 Surgical Cases6,267 Inpatient Admissions from the Emergency Department51,632 Emergency Department Visits9,410 Inpatient Admissions163,608 Patient VisitsPAMC 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 2017 was $5,631,054.Community Health Improvements Services:Better Living ShowOregon Board of Medical ImagingA Delicious Fair of the Heart Natl Alliance for Mentally Ill Unity CenterAHA Heart and Stroke Walk Health for Life publicationVegfest 2017Cancer Care CoordinatorSmoke Free Support GroupCancer Support GroupRememberance ServiceGrief ClassesNorthwest Parish Nursing MinistriesPrepare Childbirth ClassesNational Cancer Survivor's DayTransportation needs of discharging patientsCancer patient transportationCancer Survivor EventProject Access NowHealth Share of OregonCompassion Connect ClinicsStudent Healthcare Leaders ProgramLivingWell PodcastProject Access NowRadon EducationAnswering Medication QuestionsHealth Professionals Education:PhysiciansAdvanced Life Support for ObstetricsVarious health lecturesMedical Students (3,737 hours)Nursing students (21,768 hours/182 students)Nursing School subsidyOregon Center for NursingOther Health Professionals Education:All City Palliative Care ConferencePlant Based Nutritional ConferenceRehab StudentsSubsidized Health Services:Outpatient Emotional Wellness departmentFinancial and In-Kind Donations:American Cancer SocietyNorth Clackamas Education FoundationMeeting Room OverheadPACS Awards Dinner and AuctionPACS Board Meals on WheelsOAHHS Public Policy MeetingFundraising for PACSAmerican Red Cross Blood drivesCompassion ConnectCelebration of ThanksgivingSalvation ArmySupplies donated to ReStoreSupplies Donated to PACSAmerican Cancer Society Relay for LifeBattle Ground Health CareCommunity Building Activities:Economic DevelopmentVarious Local Chamber of Commerce timeGateway Area Business AssociationRose Community DevelopmentWorkforce Development:Local High School Students MentoringCommunity Benefits Operations:Assigned Staff = 1,505 total hours	Desc
Total Program Service Expenses	$315,059,910	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	132	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2281	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Aaron Poole	PersonNm
Phone	5032614406	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10123 SE Market St	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97216	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BANKS DAVID
Director	0.00	4.00	Yes (X)	$0	$1,553	$0
CHERRY ROBERT
Director	0.00	4.00	Yes (X)	$0	$11,550	$0
DAVIS ANDREW
Director	0.00	4.00	Yes (X)	$0	$10,600	$0
FREEDMAN JOHN
Director	0.00	4.00	Yes (X)	$0	$1,133	$0
FRIESTAD CHRISTINE
Director	0.00	4.00	Yes (X)	$0	$0	$0
GABRIEL MELODY
Director	0.00	4.00	Yes (X)	$0	$1,203	$0
GRAHAM RICARDO
Director	0.00	4.00	Yes (X)	$0	$2,074	$0
HEINRICH KERRY
Director	0.00	4.00	Yes (X)	$0	$15,866	$0
INNOCENT LARRY
Director	0.00	4.00	Yes (X)	$0	$17,608	$0
PEDERSEN JAMES
Director	0.00	4.00	Yes (X)	$0	$2,101	$0
REINER RICHARD
Director	0.00	4.00	Yes (X)	$0	$19,819	$0
RIPPEY WESLEY
Director	9.00	4.00	Yes (X)	$100,600	$17,516	$0
SALAZAR VELINO
Director	0.00	4.00	Yes (X)	$0	$1,928	$0
REINER SCOTT
Dir/Chair	0.00	50.00	Yes (X)	$0	$1,982,804	$53,885	Yes (X)
WING BILL
Dir/VChair	0.00	50.00	Yes (X)	$0	$1,460,244	$52,693	Yes (X)
JOBE MEREDITH
Secretary	0.00	50.00		$0	$654,239	$42,313	Yes (X)
RUSSELL DAVID
President	50.00	0.00		$0	$530,592	$42,360	Yes (X)
WELCH DONALD
Treas/Asst Sec	50.00	0.00		$0	$532,071	$51,564	Yes (X)
POOLE AARON
Treas/Asst Sec	50.00	0.00		$0	$315,893	$43,701	Yes (X)
WAGNER JACK
Asst Secretary	0.00	50.00		$0	$1,070,403	$37,117	Yes (X)
NUTTER LUCINDA
Patient Care Exec	50.00	0.00		$0	$306,188	$43,686		Yes (X)
TKACHUCK DERRIK
VP Support Svcs	50.00	0.00		$0	$277,789	$57,744		Yes (X)
BROWER DORANE
VP Integrated Phys & Hlth Plan Svcs	50.00	0.00		$0	$303,772	$53,841		Yes (X)
PROWS RALPH
CMO Medical Grp	50.00	0.00		$0	$522,326	$42,313		Yes (X)
VOSHELL SHANE
VP HR	50.00	0.00		$0	$218,423	$53,805		Yes (X)
KING KYLE
VP Network Dev	50.00	0.00		$0	$164,935	$31,989		Yes (X)
LEACH JUDY
Strategy & Comm Exec	50.00	0.00		$0	$245,118	$35,320		Yes (X)
NEWMYER JOYCE
PNR President	0.00	50.00		$0	$759,222	$49,449		Yes (X)
Joo Elliot
Physician	40.00	0.00		$1,138,593	$0	$56,861			Yes (X)
Tella Mallik
Physician	40.00	0.00		$906,443	$0	$28,685			Yes (X)
Molloy Thomas
Physician	40.00	0.00		$763,272	$0	$62,089			Yes (X)
Estes Christopher
Physician	40.00	0.00		$740,137	$0	$28,685			Yes (X)
Aranda-Michel Jaime
Physician	40.00	0.00		$727,950	$0	$51,634			Yes (X)
WEHTJE RODNEY
Former Asst Treas	0.00	0.00		$0	$249,427	$23,299				Yes (X)
REBOK DOUGLAS
Former Asst Secretary	0.00	0.00		$0	$120,028	$6,244				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,376,995	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,816,425	TotReportableCompRltdOrgAmt
Total Other Compensation	$949,277	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	270	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Oregon Anesthesiology Group PC
120 NW 14th Ave Ste 300	Portland	OR	97209	Medical Services	$1,100,846
Icon Medical Network
8100 SW Nyberg St Ste 400	Tualatin	OR	97062	Temp Staffing	$688,497
Accountable Healthcare Staff
PO Box 650539	Dallas	TX	752650539	Temp Staffing	$642,071
ECG Management Consultants
PO Box 74008176	Chicago	IL	60674	Consulting Servics	$522,801
Comphealth
PO Box 972651	Dallas	TX	753972651	Temp Staffing	$495,471

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	48	CntrctRcvdGreaterThan100KCnt
Fundraising	$95,883	FundraisingAmt
Related Organizations	$36,000	RelatedOrganizationsAmt
All Other Contributions	$18,961	AllOtherContributionsAmt
Noncash Contributions	$2,100	NoncashContributionsAmt
Total Contributions	$150,844	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	BusinessBusinessCd	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Dietary	$895,628	$895,628
Other Revenue	$7,252,071		900099	$7,252,071
Patient Service Revenue	$358,043,262		621110	$358,043,262
Reference Lab	$1,652,595		621500		$1,652,595
Rental Revenue - MOBs/Oth	$5,537,752		531120	$5,537,752

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$318,299	TotalRevenueColumnAmt
Related Or Exempt Func Income	$142,106	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$176,193	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$373,699,607	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,773,736	TotalRevenueColumnAmt
Exclusion	$2,773,736	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,862,900	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,440,739	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$422,161	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$422,161	TotalRevenueColumnAmt
Exclusion	$422,161	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$30,417	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$95,883	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$65,723	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$35,306	TotalRevenueColumnAmt
Exclusion	-$35,306	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$162,341	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$120,481	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,860	TotalRevenueColumnAmt
Exclusion	$41,860	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Security/Maint	Desc
Total Revenue Column	$1,625	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,625	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,625	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$377,054,527	TotalRevenueColumnAmt
Related Or Exempt Func Income	$370,976,816	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,828,788	UnrelatedBusinessRevenueAmt
Exclusion	$4,098,079	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,155	TotalAmt
Program Services	$1,155	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$100,600	TotalAmt
Program Services	$100,600	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$133,260,772	TotalAmt
Program Services	$122,779,298	ProgramServicesAmt
Management And General	$10,160,233	ManagementAndGeneralAmt
Fundraising	$321,241	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,302,697	TotalAmt
Program Services	$5,250,733	ProgramServicesAmt
Management And General	$51,964	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,568,864	TotalAmt
Program Services	$20,515,126	ProgramServicesAmt
Management And General	$3,001,445	ManagementAndGeneralAmt
Fundraising	$52,293	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,466,364	TotalAmt
Program Services	$8,767,941	ProgramServicesAmt
Management And General	$678,177	ManagementAndGeneralAmt
Fundraising	$20,246	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$539,561	TotalAmt
Management And General	$539,561	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$77,001	TotalAmt
Management And General	$77,001	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$66,302	TotalAmt
Fundraising	$66,302	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,426,016	TotalAmt
Program Services	$8,802,221	ProgramServicesAmt
Management And General	$2,603,344	ManagementAndGeneralAmt
Fundraising	$20,451	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,600,273	TotalAmt
Management And General	$1,600,273	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,826,582	TotalAmt
Program Services	$1,712,296	ProgramServicesAmt
Management And General	$100,012	ManagementAndGeneralAmt
Fundraising	$14,274	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,371,611	TotalAmt
Program Services	$14,312,852	ProgramServicesAmt
Management And General	$58,759	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,439,469	TotalAmt
Program Services	$12,198,286	ProgramServicesAmt
Management And General	$227,307	ManagementAndGeneralAmt
Fundraising	$13,876	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$867,183	TotalAmt
Program Services	$602,309	ProgramServicesAmt
Management And General	$262,174	ManagementAndGeneralAmt
Fundraising	$2,700	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$150,210	TotalAmt
Program Services	$134,587	ProgramServicesAmt
Management And General	$15,173	ManagementAndGeneralAmt
Fundraising	$450	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,064,094	TotalAmt
Program Services	$2,064,094	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,989,141	TotalAmt
Program Services	$10,940,907	ProgramServicesAmt
Management And General	$48,234	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,135,022	TotalAmt
Program Services	$1,082,690	ProgramServicesAmt
Management And General	$52,332	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Purchased Services	$89,358,929	$50,378,081	$38,969,027	$11,821
Pt Care Supplies	$40,661,046	$40,638,815		$22,231
Quality Assurance-Hospital Fee	$12,930,680	$12,930,680
All other expense	$3,821,508	$218,585	$3,593,883	$9,040

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,716,751	TotalAmt
Program Services	$1,628,654	ProgramServicesAmt
Management And General	$78,706	ManagementAndGeneralAmt
Fundraising	$9,391	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$377,741,831	TotalAmt
Program Services	$315,059,910	ProgramServicesAmt
Management And General	$62,117,605	ManagementAndGeneralAmt
Fundraising	$564,316	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,909,673	BOYAmt
EOY	$30,781	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$112,343,364	BOYAmt
EOY	$130,909,668	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,537,022	BOYAmt
EOY	$36,431,424	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,995,800	BOYAmt
EOY	$4,664,020	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,911,753	BOYAmt
EOY	$1,030,688	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$316,191,333	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$211,906,306	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$110,310,938	BOYAmt
EOY	$104,285,027	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,282,159	BOYAmt
EOY	$2,006,047	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$279,606	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	-$68,931	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,588,550	BOYAmt
EOY	$3,111,050	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,998,150	BOYAmt
EOY	$38,504,632	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$312,157,015	BOYAmt
EOY	$320,904,406	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,025,367	BOYAmt
EOY	$20,000,415	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$907,901	BOYAmt
EOY	$859,750	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,017,539	BOYAmt
EOY	$109,297,320	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,950,807	BOYAmt
EOY	$130,157,485	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$210,443,797	BOYAmt
EOY	$186,101,221	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,181,025	BOYAmt
EOY	$4,645,700	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,581,386	BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$215,206,208	BOYAmt
EOY	$190,746,921	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$312,157,015	BOYAmt
EOY	$320,904,406	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$687,304	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$23,771,983	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church	Yes (X)	ChurchInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$20,409	OtherActivitiesAmt
Total Lobbying Expenditures	$20,409	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	A portion of the dues paid to the following organization has 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	$8,797,541	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,469,528	BeginningYearBalanceAmt
Contributions	$710,285	ContributionsAmt
Investment Earnings Or Losses	$171,979	InvestmentEarningsOrLossesAmt
Other Expenditures	$548,273	OtherExpendituresAmt
End Year Balance	$7,803,519	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.29340	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.70660	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,921,144	OtherCostOrOtherBasisAmt
Book Value	$6,921,144	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$204,282,033	OtherCostOrOtherBasisAmt
Depreciation	$122,722,254	DepreciationAmt
Book Value	$81,559,779	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,279,916	OtherCostOrOtherBasisAmt
Depreciation	$2,693,916	DepreciationAmt
Book Value	$586,000	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$101,708,240	OtherCostOrOtherBasisAmt
Depreciation	$86,490,136	DepreciationAmt
Book Value	$15,218,104	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$104,285,027	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Other receivables	$339,464
Receivables from related entities	$19,960,008
Receivables from third-party payors	$18,205,160

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$38,504,632	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Other liabilities	$499,205
Payable to related entities	$93,457,054
Payable to third parties	$12,404,997
Workers Comp Liability	$2,936,064

Field	Value	IRS element (for citing)
Total Liability	$109,297,320	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	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 Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
TSM Donor Engagement
155 Commerce Dr	Freedom	PA	15402	Telephone Solicitation	false	$13,079	$36,302
gEvents LLC
11815 SW Terra Linda St	Beaverton	OR	97005	Golf Tournament	false	$126,300	$30,000	$96,300
(no name)
					false

Field	Value	IRS element (for citing)
Total Gross Receipts	$139,379	TotalGrossReceiptsAmt
Total Retained By Contractors	$66,302	TotalRetainedByContractorsAmt
Total Net To Organization	$96,300	TotalNetToOrganizationAmt

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$126,300	GrossReceiptsEvent1Amt
Charitable Contri Event1	$95,883	CharitableContriEvent1Amt
Gross Revenue Event1	$30,417	GrossRevenueEvent1Amt
Cash Prizes Event1	$400	CashPrizesEvent1Amt
Non Cash Prizes Event1	$7,993	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$13,000	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$9,024	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$35,306	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$126,300	GrossReceiptsTotalAmt
Charitable Contributions Tot	$95,883	CharitableContributionsTotAmt
Gross Revenue Total Events	$30,417	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$400	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$7,993	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$13,000	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$9,024	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$35,306	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$65,723	DirectExpenseSummaryEventsAmt
Net Income Summary	-$35,306	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,300,365	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,300,365	NetCommunityBenefitExpnsAmt
Total Expense	0.02460	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,400,097	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,370,463	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,029,634	NetCommunityBenefitExpnsAmt
Total Expense	0.03180	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,700,462	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,370,463	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,329,999	NetCommunityBenefitExpnsAmt
Total Expense	0.05640	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,879,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,870,112	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$485,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,151	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$437,361	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,682	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,066	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,616	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$170,173	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$170,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$107,792	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,756,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$125,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,631,054	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,456,948	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,495,895	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,961,053	NetCommunityBenefitExpnsAmt
Total Expense	0.07140	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,379	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,379	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,103	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,103	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,400	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$464	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$464	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,346	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,346	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,603,423	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,472,719	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$59,272,897	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$41,635,296	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$17,637,601	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Gresham Family Medical Ctr
Physician Services	1.00000
ASSN-Unit Owners Plaza Cond
Condo association mgmt	0.90000	0.10000

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 Ctr	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10123 SE Market St	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97216	ZIPCd

Field	Value	IRS element (for citing)
Website Address	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 Ctr	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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 (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Sch H Part VI - Needs Assessment	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Sch H Part VI - Needs Assessment	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Sch H Part VI - Needs Assessment	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	399.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Sch H Part VI-Patient Education	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Sch H Part VI-Patient Education	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Sch H Part VI-Patient Education	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the Community	The 2016 CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. collection of most recently available demographic, socioeconomic and health indicator data.Data gathering was accomplished by using a widely-distributed community survey. Portland Adventist Medical Center (PAMC) 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, PAMC 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.
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why	Illicit Drugs- Adventist Health will not focus on this health need due to lack of professional expertise and resources. There are other groups within our community addressing this important need. Please see our community resources section for some of these groups. Poverty- Adventist Health addresses part of the growing poverty problem in our community with our access to health care initiatives. . Besides some limited annual programs like our Holiday Food basket and Warm Winter Clothing programs that are supported generously by employees and directed to those in need, the greater challenges in this area are being served by community groups better suited to address those needs. Adventist Health does not have the resources or expertise to make a greater impact in this area. Hunger- This area of concern is directly related to the issue of poverty. The same reasons for Adventist Health not directing resources to this area in a substantial matter is as for poverty. Adventist Health will continue to sponsor an annual Celebration of Thanksgiving free community concert in the fall where donations to the Oregon Food Bank are collected at the door for admission. Thousands of pounds of non-perishable food has been collected.
Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients	Income level and family size are considered. Individuals eligible for Medicaid also qualify for financial assistance

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Adventist Health Gresham Station Imaging Center
831 NW Council Dr Suite 100	Gresham	OR	97030	Imaging Services
Adventist Health Wound Healing and Hyperbaric Medicine
10201 SE Main St Suite 9	Portland	OR	97216	Wound Care Services-Hospital Outpatient
Adventist Hlth Medical Grp-GI Clinic
10000 SE Main Street Suite 112	Portland	OR	972162441	Physician Clinic
Adventist Hlth Medical Group-NW Orthopedic Specialists
10000 SE Main St 224	Portland	OR	97216	Physician Clinic
Northwest Regional Heart & Vascular-Portland
10000 SE Main St 60	Portland	OR	97216	Physician Clinic
Adventist Health Medical Group-Cherry Park FP
10201 SE Main Suite 10	Portland	OR	97216	Physician Clinic
Adventist Health Physical Therapy-Campus Rehab
10101 SE Main Street LL	Portland	OR	97216	Physical Therapy Clinic
Adventist Health Physical Therapy Gresham
831 NW Council Dr Suite 200	Gresham	OR	97030	Physical Therapy Clinic
Adventist Health Physical Therapy Sandy
35401 Hwy 26	Sandy	OR	97055	Physical Therapy Clinic
Adventist Health Medical Group-Rockwood Urgent Care
18750 SE Stark Street	Portland	OR	97233	Physician Clinic/ Urgent Care
Adventist Hlth Med Grp-Sandy Family Practice
17055 Ruben Lane	Sandy	OR	97055	Physician Clinic and Urgent Care
Advenstist Health Medical Group-Clackamas
11211 SE Sunnyside Road	Clackamas	OR	97015	Physician Clinic
Adventist Hlth Medical Group-NW Regional Surgical Assoc
10000 SE Main St 365	Portland	OR	97216	Physician Clinic
Adventist Health Medical Group-Arthritis and Bone Care
10101 SE Main St Suite 2011	Portland	OR	97216	Physician Clinic
Adventist Health Medical Group-Internal Medicine Assoc
10201 SE Main St Suite 12	Portland	OR	97216	Physician Clinic
Adventist Health Medical Group-Diabetes & Endo Ctr
10101 SE Main Street Suite 1001	Portland	OR	97216	Physician Clinic
Adventist Health Medical Group-Portland Lung Clinic
10201 SE Main St Suite 11	Portland	OR	97216	Physician Clinic
Northwest Regional Heart & Vascular-McMinnville
2700 SW Stratus Ave Ste 406	McMinnville	OR	97128	Physician Clinic
Adventist Hlth Medical Grp-Wound Healing & Hyperbaric
10201 SE Main St Suite 9	Portland	OR	97216	Physician Services
Adventist Health Medical Group-Gresham Station
831 NW Council Drive Suite 101 125	Gresham	OR	97030	Physician Clinic
Adventist Health Medical Group-Fishers Landing
417 SE 164th Ave Suite 300	Vancouver	WA	986848944	Physician Clinic
Adventist Health Physical Therapy Parkrose
1350 NE 122nd Avenue 200	Portland	OR	97230	Physical Threapy Clinic
Adventist Hlth Medical Group-Occupational Med Parkrose
1350 NE 122nd Ave 200	Portland	OR	97230	Physician Clinic
Adventist Health Medical Group-Troutdale Clinic
1700 SW 257th Ave	Troutdale	OR	97060	Physician Clinic
Adventist Health Medical Group-Damascus
14450 SE Royer Road	Damascus	OR	97089	Physician Clinic
Adventist Health Physical Therapy Clackamas
13435 SE 97th LL101	Clackamas	OR	970157787	Physical Therapy Clinc
Adventist Health Medical Group-Mt Scott Internal Med
9200 SE 91st Ave Suite 300	Portland	OR	97286	Physician Clinic
Adventist Health Medical Group-Parkrose Urgent Care
1350 NE 122nd Ave 200	Portland	OR	97230	Physician Clinic/Urgent Care
Adventist Health Physical Therapy Vancouver
16096 SE 15th Ave	Vancouver	WA	98683	Physical Therapy Clinic
Adventist Health Audiology
10201 SE Main Street Suite 1	Portland	OR	97216	Audiology Services
Adventist Health Speech Therapy
10201 SE Main Street Suite 4	Portland	OR	97216	Speech Theraphy Services
Adventist Hlth Medical Group-Creekside Family Medicine
9200 SE 91st Ave 220	Happy Valley	OR	97086	Physician Clinic
Adventist Health Speciality Rehab
10201 SE Main St 1	Portland	OR	97216	Speciality Rehab Clinic
Adventist Health Medical Group-Sleep Clinic
10201 SE Main St Suite 29	Portland	OR	97216	Physician & DME Clinic
Adventist Health Occupational Therapy
10201 SE Main Street Suite 4	Portland	OR	97216	Occupational Therapy Clinic
Adventist Health Medical Group-Sandy Urgent Care
17055 Ruben Lane	Sandy	OR	97055	Physician Clinic/Urgent Care
Adventist Health Medical Group-Gladstone Family Med
19220 McLoughlin Blvd	Gladstone	OR	97027	Physician Clinic
Adventist Health Medical Group-Resilience Center
10000 SE Main St Suite 236	Portland	OR	97216	Physician Clinic
Adventist Health Medical Group-Electrophysiology
10000 SE Main Street Suite 60B	Portland	OR	97216	Physician Clinic
Adventist Health Medical Group-Parkrose PrimIM
1350 NE 122nd Avenue 100	Portland	OR	97230	Physician Clinic
Adventist Health Medical Group-Willamette View Clinic
13021 SE River Road Suite 3000	Portland	OR	97222	Physician Clinic
Emotional Wellness Center
10101 SE Maint St 3001	Portland	OR	97216	Outpatient Behavioral Medicine
Adventist Health Medical Group-Interventional Pain Clinic
10000 SE Main St 128	Portland	OR	97216	Physician Clinic
Adventist Hlth Med Grp-NW Orthopedic Spec-Tillamook
1100 Third St	Tillamook	OR	97141	Physician Clinic
Adventist Health Med Grp-Womens Ctr Happy Valley
9300 SE 91st Avenue Suite 300	Happy Valley	OR	97086	Physician Clinic
Adventist Hlth Med Grp-Womens Center-Gresham Station
831 NW Council Drive Suite 145	Gresham	OR	97086	Physician Clinic

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7g - Costs Associated With Physicans Clinics	Department: Outpatient Emotional Wellness
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	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 as reported in the system-wide audited combined financial statements. 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 8 - Explanation Of Shortfall As Community Benefit	The Medicare cost report apportions the hospitals 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* 40,452,099 Prior year settlements 471,717 Cost report reimbursable bad debts 443,426 Estimates and accrual variances 122,695 Other 17,782,957 Subtotal-Amt reported in Part III, Line 5 59,272,897 Amts in Part I, Lines 7f-g 0 Total Medicare revenue 59,272,897*The Medicare cost report revenue includes the patient co-pay and deductible amounts while excluding the bad debt reimbursement related to the patients' portion of the billed amounts.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	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 - Needs Assessment	The hospital's 2016 CHNA, the 2017 Community Health Plan (CHP) Update/Annual Report, and the 2016 Implementation Strategy (adopted in May 2017), known as the 2017 Community Health Plan (Implementation Strategy) & 2016 Update/Annual Report, are posted on the hospital's website at https://www.adventisthealth.org/portland/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 - Patient Education of Eligibility for Assistance	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/portland/patient-resources/patient-financial-services/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 - Community Information	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 4 - 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 VI, Line 5 - Promotion of Community Health	Our hospitals mission is, Living Gods 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 todays 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 healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community.
Part VI, Line 6 - Affilated Health Care System	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 - States Filing of Community Benefit Report	OR
Part V - Explanation of Number of Facility Type	Physician Clinics (32), Imaging (1), Rehab (PT/OT/Sp) Clinics (10), Wound Care (1); Radiation Oncology (1), Urgent Care (3)
Part VI - Additional Information	Supplemental for 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)) divided by Gross patient charges7e,f,h,i are calculated based on specific expenses and revenues.7g uses specific cost to charge ratios for those departments

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Aranda-Michel Jaime
Physician	$723,450	$4,500	$16,676	$34,958	$779,584
BROWER DORANE
VP Integrated Phys & Hlth Plan Svcs						$228,714	$41,124	$33,934	$16,356	$37,485	$357,613
Estes Christopher
Physician	$703,231	$36,906	$16,676	$12,009	$768,822
JOBE MEREDITH
Secretary						$395,752	$98,614	$159,873	$16,356	$25,957	$696,552	$60,017
Joo Elliot
Physician	$1,084,807	$53,786	$16,676	$40,185	$1,195,454
KING KYLE
VP Network Dev						$143,607		$21,328	$7,913	$24,076	$196,924
LEACH JUDY
Strategy & Comm Exec						$214,584		$30,534	$12,712	$22,608	$280,438
Molloy Thomas
Physician	$761,664	$1,608	$16,676	$45,413	$825,361
NEWMYER JOYCE
PNR President						$603,848	$136,813	$18,561	$16,356	$33,093	$808,671
NUTTER LUCINDA
Patient Care Exec						$233,120	$42,150	$30,918	$16,356	$27,330	$349,874
POOLE AARON
Treas/Asst Sec						$241,060	$38,879	$35,954	$16,356	$27,345	$359,594
PROWS RALPH
CMO Medical Grp						$386,280	$64,329	$71,717	$16,356	$25,957	$564,639
REBOK DOUGLAS
Former Asst Secretary								$120,028		$6,244	$126,272	$120,028
REINER SCOTT
Dir/Chair						$1,184,750	$324,119	$473,935	$16,356	$37,529	$2,036,689	$406,467
RUSSELL DAVID
President						$363,709	$77,303	$89,580	$16,407	$25,953	$572,952	$28,796
Tella Mallik
Physician	$894,058	$12,385	$16,676	$12,009	$935,128
TKACHUCK DERRIK
VP Support Svcs						$206,182	$36,496	$35,111	$15,829	$41,915	$335,533
VOSHELL SHANE
VP HR						$172,284	$11,645	$34,494	$11,900	$41,905	$272,228
WAGNER JACK
Asst Secretary						$755,988	$221,735	$92,680	$11,160	$25,957	$1,107,520
WEHTJE RODNEY
Former Asst Treas						$158,863		$90,564	$213	$23,086	$272,726	$79,970
WELCH DONALD
Treas/Asst Sec						$363,147	$94,666	$74,258	$16,356	$35,208	$583,635
WING BILL
Dir/VChair						$953,512	$273,121	$233,611	$16,356	$36,337	$1,512,937	$172,851

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	FormAndLineReferenceDesc
Explanation	Any items checked on this line are reported as taxable income to the employee, except first class or charter travel, which is only approved for business purposes on an exception basis.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd	TransactionTransactionAmt
WGW LLC
Gabriel JV	LLC JV Ownership	false
Rippey Wesley
Director/CMO	Professional srvs	false	$100,600

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Melody Gabriel, an AH director, and her husband are owners and officers of businesses that engage in a joint venture with the hospital. Other family members with ownership and officer positions in these businesses include her parents, her brother and his wife, and trusts established on behalf of her children. The businesses are organized as LLCs.Wesley Rippey, MD is the Medical Officer (MO) for Portland Adventist Medical Center. The hospital paid Dr. Rippey $60,500 for his MO services. Additionally, Dr. Rippey provides vascular study interpretations and on call coverage for patients of the hospital. The hospital paid $40,100 for these professional services. These services were provided under contracts approved by the Board Compliance Committee.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Part VI, Line 7aThe hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors.Part VI, Line 7bThe sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.
Form 990, Part VI, Line 11b: Form 990 Review Process	The completed Form 990 is shared with members of the corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	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 internal audit staff review these questionnaires and disclosures each year during the audit process.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The hospital board of directors has established a Human Performance Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital 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 executives with midpoints set at the median of the peer group and having a 50 percent spread (about 20% above and below midpoint) from minimum to maximum. The system CEO and Sr Vice Presidents (Executive Cabinet) have a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other executives have a maximum potential incentive of 25 percent of base salary.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	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.
Other Changes In Net Assets Or Fund Balances - Other Increases	Additional Contributions = $383530
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in Value of AUOPA Investment = -$83604
Other Changes In Net Assets Or Fund Balances - Other Decreases	Other = -$1495
Other Changes In Net Assets Or Fund Balances - Other Decreases	Restricted Funds Released From Restriction = -$136745
Other Changes In Net Assets Or Fund Balances - Other Increases	Temporarily Restricted Investment Income = $37039
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfer To/From Related Organizations = -$750
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfers to related organizations = -$23969958

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 Ave	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97266	ZIPCd

Field	Value	IRS element (for citing)
EIN	461719208	EIN
Primary Activities	Managed Care Mgmt	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Total Income	$49,020,944	TotalIncomeAmt
End Of Year Assets	$19,414,222	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 (21 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
Adventist Health SystemWest
2100 Douglas Blvd	Roseville	CA	95661	953484589	Support and Manage System-Wide Activities	CA	501(c)(3)	1	NA	false
Adventist Health Clearlake Hospital Inc
15630 Ave 18th Ave	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	false
Feather River Hospital
5974 Pentz Road	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Glendale Adventist Medical Center
1509 Wilson Ter	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Hanford Community Hospital
450 Mall Dr	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Willits Hospital Inc
1 Marcela Dr	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Wind Down After Sale of Hospital Facilities	CA	501(c)(3)	1	Adventist Health SystemWest	false
St Helena Hospital
10 Woodland Rd	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Ave	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital & Hlth Care Svcs
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Rd	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Northwest Medical Fnd of Tillamook
1000 Third St	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Walla Walla General Hospital
1025 S Second Ave	Walla Walla	WA	99362	910617726	Hospital	WA	501(c)(3)	1	Adventist Health SystemWest	false
White Memorial Medical Center
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Reedley Hospital
372 Cypress Avenue	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	11b,II	Adventist Health SystemWest	false
Western Health Resources
2100 Douglas Blvd	Roseville	CA	95661	953867863	Home care	CA	501(c)(3)	1	Adventist Health SystemWest	false
Lodi Memorial Hospital Association Inc
975 S Fairmont Ave	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Hlth Medical Ctr Tehachapi
15 W E St	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false

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	Sr Living	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Disproportionate Allocations	Yes (true)	DisproportionateAllocationsInd
UBI Code V	$39	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Gresham Family Medical Center PC
1700 SW 257th Ave	Troutdale	OR	97060	911768081	Medical Office	OR	N/A	C Corp	1.00000	Yes (true)
Assn Unit Owners Portland Adv Condo
10101 SE Main St	Portland	OR	97216	930887521	Condo Assn-MOB	OR	N/A	C corp	0.90100	false
South Coast Medical Center
2100 Douglas Blvd	Roseville	CA	95661	952037291	Wind down after sale of hospital	CA	N/A	C Corp		false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	The reporting organization, a member of Adventist Health (System), is requesting abatement of late filing penalties due to extraordinary events occurring within the System caused by the Camp Fire in Butte County, California that erupted on November 8, 2018. On November 12, 2018, President Donald J Trump issued a Presidential Major Disaster Declaration. We request that the relief provided by the Internal Revenue Service in CA-2018-13 under IRC 7508A and Regulation 301.7508A-1 be applied to the reporting organization. The System experienced a catastrophic loss to the hospital in Paradise and multiple other buildings. Included in that loss was the building that housed critical information technology infrastructure. The morning following the start of the fire, the information technology area experienced System-wide loss of service over the following two weeks. The IT function had to make changes to accommodate the losses to infrastructure due to the fire. Tax software was not functional through November 30, 2018. During 2017 the System transitioned to an Enterprise Resource Planning cloud-based system and adopted a shared services model. This change resulted in the loss of personnel knowledgeable about the organizational structure, activities, and financial reporting of the entity. The ability to aggregate data consistent with prior years' reporting was challenging. More time was required to ensure reporting was in alignment with the tax format. Inquiry and reassignment of accounts was needed as we became aware of the constraints in the new ERP environment from within which we obtained the reporting data. Rebalancing of the income statement and net assets was critical and took extensive effort to complete.	ExplanationTxt