PORTLAND ADVENTIST MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PORTLAND ADVENTIST MEDICAL CENTER (EIN 93-0429015)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201613219349300006
- Schema version
- 2015v2.0
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T23:41:41-08:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930429015 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Portland Adventist Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 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 | David Russell | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Signature | 2016-11-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RUSSELL DAVID | PrincipalOfficerNm |
| Gross Receipts | $348,312,183 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.adventisthealth.org/nw | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1900 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | Our mission is to demonstrate the human expression of the healing ministry of Jesus Christ | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 2555 | TotalEmployeeCnt |
| Total Volunteers | 280 | TotalVolunteersCnt |
| Total Gross UBI | $2,260,672 | TotalGrossUBIAmt |
| PY Contributions Grants | $776,259 | PYContributionsGrantsAmt |
| CY Contributions Grants | $692,032 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $347,303,371 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $342,794,403 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,315,355 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,352,582 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$181,843 | PYOtherRevenueAmt |
| CY Other Revenue | -$92,165 | CYOtherRevenueAmt |
| PY Total Revenue | $351,213,142 | PYTotalRevenueAmt |
| CY Total Revenue | $347,746,852 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $175,139,697 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $172,452,681 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $821,330 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $170,910,616 | PYOtherExpensesAmt |
| CY Other Expenses | $168,131,438 | CYOtherExpensesAmt |
| PY Total Expenses | $346,050,313 | PYTotalExpensesAmt |
| CY Total Expenses | $340,584,119 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,162,829 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,162,733 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $287,944,930 | TotalAssetsBOYAmt |
| Total Assets EOY | $290,977,008 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $91,434,242 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $89,848,397 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $196,510,688 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $201,128,611 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our mission is to demonstrate the human expression of the healing ministry of Jesus Christ. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $274,575,393 | ExpenseAmt |
| Revenue | $330,861,456 | RevenueAmt |
| Desc | Portland Adventist Medical CenterProgram Service Accomplishments2015Portland Adventist Medical Center (AMC) 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 (AMC), the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths 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 (PAMC) 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 2015 was $2,950,525.The following Inpatient services that were provided to all our patients. These services included:1,027 Babies delivered2,648 Surgeries performed18,814 Radiology procedures performed1,277 Cardiac Catheterizations and other procedures230,331 Laboratory tests12,700 Patient days (Psychiatric Services)The following Outpatient services that were provided to all our patients. These services included:55,418 Emergency department visits4,245 Outpatient Surgeries performed98,509 Radiology procedures performed2,051 Cardiac Catheterizations and other procedures398,679 Laboratory tests263,715 Medical clinic visits72,934 Rehab 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 2015 was $3,275,392.Community Health Improvements ServicesWomen's Health FairDavid Douglas High SchoolBetter Living ShowOregon Board Of Medical ImagingA Delicious Fair of the HeartAnswering Medication questionsAHA Heart and Stroke WalkVegfest 2015Health For Life publicationNational Alliance for the Mentally IllCancer Care CoordinatorSmoke Free Support GroupCancer Support GroupRemembrance ServiceNorthwest Parish Nursing MinistriesFuneral ServicesPrepare Childbirth ClassesGrief ClassesNational Cancer Survivor's DayHealth Care Support Services:Emergent transportation needs of discharging patientsCancer patient transportationEnrollment assistance in government funded health programsCoupons for homeless sheltersCancer Survivor EventCancer Support GroupProject Access NowHealth Share of OregonHealth Professionals EducationPhysiciansAdvanced Life Support for ObstetricsVarious health lecturesMedical Students (6,17 hours)Nurses/Nursing students:Student nurses- 34,180 hours 311 studentsNursing School subsidyOregon Center for NursingOther Health Professionals Education:All City Palliative Care ConferencePlant Based Nutritional ConferenceAll City Palliative Care ConferenceMedical LibraryRehab StudentsSubsidized Health Services:Hospital Outpatient Services:Cardiopulmonary RehabBehavioral Health ServicesPsych and Psych Services PhysiciansFinancial and In-Kind DonationsCash Donations:Medical Teams InternationalIn-Kind Donations:American Cancer SocietyNorth Clackamas Education FoundationMeeting Room OverheadPACS Awards Dinner and AuctionPACS BoardMeals on WheelsOAHHS Public Policy MeetingFundraising for PACSAmerican Red Cross Blood drivesCompassion ConnectCelebration of ThanksgivingThe Salvation ArmySupplies donated to ReStoreSupplies Donated to PACSAmerican Cancer Society Relay for LifeBattle Ground Health CareCommunity Building ActivitiesEconomic Development:Various Local Chamber of Commerce timeGateway Area Business AssocaitionRose Community DelvelopmentLeadership developmentOregon MentorsEducation NWWorkforce DevelopmentLocal High School students mentoringCommunity Benefits OperationAssigned Staff:1,345 total hoursCBISA software | Desc |
| Total Program Service Expenses | $274,575,393 | 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 | false | 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | 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 | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 154 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2555 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | false | 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 | Donald Welch | 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 (34 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CAVINESS LARRY | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $6,749 | $0 | ||||
| DICKINSON CHARLES | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $5,456 | $0 | ||||
| FRIESTAD CHRISTINE | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,752 | $0 | ||||
| GABRIEL MELODY | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,333 | $0 | ||||
| GRAHAM RICARDO | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $4,132 | $0 | ||||
| HEINRICH KERRY | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $528 | $0 | ||||
| INNOCENT LARRY | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,045 | $0 | ||||
| JONES HELMUTH | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $84,278 | $0 | ||||
| REIMCHE ALLAN | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,734 | $0 | ||||
| RIPPEY WESLEY | ||||||||||
| Director | 9.00 | 4.00 | Yes (X) | $124,134 | $2,474 | $0 | ||||
| SALAZAR VELINO | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,464 | $0 | ||||
| TORKELSEN MAX | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,801 | $0 | ||||
| REINER SCOTT | ||||||||||
| Dir/Chair | 0.00 | 50.00 | Yes (X) | $0 | $1,526,040 | $261,659 | Yes (X) | |||
| WING BILL | ||||||||||
| Dir/VCh/AsstSec | 0.00 | 50.00 | Yes (X) | $0 | $1,245,488 | $228,400 | Yes (X) | |||
| JOBE MEREDITH | ||||||||||
| Secretary | 0.00 | 50.00 | $0 | $537,841 | $93,577 | Yes (X) | ||||
| WAGNER JACK | ||||||||||
| Asst Secretary | 0.00 | 50.00 | $0 | $1,056,525 | $41,424 | Yes (X) | ||||
| WEHTJE RODNEY | ||||||||||
| Asst Treasurer | 0.00 | 50.00 | $0 | $591,283 | $58,716 | Yes (X) | ||||
| NEWMYER JOYCE | ||||||||||
| President/CEO | 50.00 | 0.00 | $0 | $641,431 | $145,086 | Yes (X) | ||||
| PERRY MARK | ||||||||||
| Treas/VPFin | 50.00 | 0.00 | $0 | $352,800 | $1,181,827 | Yes (X) | ||||
| WELCH DONALD | ||||||||||
| Treas/Asst Sec | 50.00 | 0.00 | $0 | $245,828 | $35,374 | Yes (X) | ||||
| BENFIELD RONALD | ||||||||||
| Interim VP Fin | 50.00 | 0.00 | $0 | $479,016 | $53,981 | Yes (X) | ||||
| KINZER STEVEN | ||||||||||
| CEO PAMG | 50.00 | 0.00 | $0 | $407,995 | $50,544 | Yes (X) | ||||
| NUTTER LUCINDA | ||||||||||
| CNO | 50.00 | 0.00 | $0 | $273,494 | $43,217 | Yes (X) | ||||
| RUSSELL DAVID | ||||||||||
| Sr VP/COO | 50.00 | 0.00 | $0 | $353,544 | $66,968 | Yes (X) | ||||
| TKACHUCK DERRIK | ||||||||||
| VP Support Svcs | 50.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| BROWER DORANE | ||||||||||
| VP Integrated Phys & Hlth Plan Svcs | 50.00 | 0.00 | $0 | $170,490 | $29,091 | Yes (X) | ||||
| Joo Elliot | ||||||||||
| Physician | 40.00 | 0.00 | $1,157,296 | $0 | $22,775 | Yes (X) | ||||
| Tella Mallik | ||||||||||
| Physician | 40.00 | 0.00 | $894,256 | $0 | $19,590 | Yes (X) | ||||
| Molloy Thomas | ||||||||||
| Physician | 40.00 | 0.00 | $804,148 | $0 | $26,118 | Yes (X) | ||||
| Alhumaid Fawaz | ||||||||||
| Physician | 40.00 | 0.00 | $705,035 | $0 | $23,432 | Yes (X) | ||||
| Crespo Sergio | ||||||||||
| Physician | 40.00 | 0.00 | $584,067 | $0 | $20,750 | Yes (X) | ||||
| CARMEN ROBERT | ||||||||||
| Former Dir/Chair | 0.00 | 0.00 | $0 | $227,056 | $6,362 | Yes (X) | ||||
| REBOK DOUGLAS | ||||||||||
| Former Asst Secretary | 0.00 | 0.00 | $0 | $597,483 | $29,043 | Yes (X) | ||||
| RUSSELL THOMAS | ||||||||||
| FORMER President/CEO | 0.00 | 50.00 | $0 | $709,456 | $112,732 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,268,936 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,532,516 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,550,666 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 237 | 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 |
|---|---|---|---|---|---|
| Portland Cardiovascular Institu | |||||
| 1200 NW Naito Pkwy 200 | Portland | OR | 97209 | Medical Services | $1,457,460 |
| Oregon Anesthesiology Group PC | |||||
| 707 SW Washington St 700 | Portland | OR | 97205 | Medical Services | $1,353,190 |
| Staff Care Inc | |||||
| PO Box 281923 | Atlanta | GA | 303841923 | Temp Staffing | $647,422 |
| Cardon Healthcare Holdings LLC | |||||
| PO Box 4950 | The Woodlands | TX | 77387 | Eligibility Assist | $608,493 |
| Accountable Healthcare Staff | |||||
| PO Box 732800 | Dallas | TX | 753732800 | Temp Staffing | $571,681 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $322,928 | FundraisingAmt |
| All Other Contributions | $369,104 | AllOtherContributionsAmt |
| Noncash Contributions | $33,207 | NoncashContributionsAmt |
| Total Contributions | $692,032 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Service Revenue | 621110 | $330,861,456 | $330,861,456 | |
| Rental Revenue - MOBs/Oth | 531120 | $5,927,227 | $5,927,227 | |
| Reference Lab Services | 621500 | $1,817,488 | $1,817,488 | |
| EHR Incentive | 900099 | $1,526,874 | $1,526,874 | |
| Partnr inc fr rel prg svc | 900099 | $1,254,126 | $1,254,126 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,407,232 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $443,184 | UnrelatedBusinessRevenueAmt |
| Exclusion | $964,048 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $342,794,403 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,984,967 | TotalRevenueColumnAmt |
| Exclusion | $2,984,967 | 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 | $1,367,615 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,367,615 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,367,615 | TotalRevenueColumnAmt |
| Exclusion | $1,367,615 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $58,779 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $322,928 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $150,263 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$91,484 | TotalRevenueColumnAmt |
| Exclusion | -$91,484 | 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 | $322,170 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $415,068 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$92,898 | TotalRevenueColumnAmt |
| Exclusion | -$92,898 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Medical Staff Funds | 900099 | $90,291 | $90,291 | |
| Logo Sales to Employees | $1,926 | $1,926 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $92,217 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $347,746,852 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $339,659,974 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,260,672 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,134,174 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $124,134 | TotalAmt |
| Program Services | $124,134 | 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 | $128,667,956 | TotalAmt |
| Program Services | $115,139,078 | ProgramServicesAmt |
| Management And General | $13,276,212 | ManagementAndGeneralAmt |
| Fundraising | $252,666 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,173,245 | TotalAmt |
| Program Services | $5,167,255 | ProgramServicesAmt |
| Management And General | $5,990 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,877,638 | TotalAmt |
| Program Services | $23,998,690 | ProgramServicesAmt |
| Management And General | $4,814,470 | ManagementAndGeneralAmt |
| Fundraising | $64,478 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,609,708 | TotalAmt |
| Program Services | $8,330,633 | ProgramServicesAmt |
| Management And General | $1,259,287 | ManagementAndGeneralAmt |
| Fundraising | $19,788 | 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 | $406,967 | TotalAmt |
| Management And General | $406,967 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,071 | TotalAmt |
| Management And General | $278,071 | 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 | $0 | TotalAmt |
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 | $13,616,672 | TotalAmt |
| Program Services | $8,294,623 | ProgramServicesAmt |
| Management And General | $5,322,049 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,186,465 | TotalAmt |
| Management And General | $1,186,375 | ManagementAndGeneralAmt |
| Fundraising | $90 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,295,182 | TotalAmt |
| Program Services | $2,817,201 | ProgramServicesAmt |
| Management And General | $1,462,474 | ManagementAndGeneralAmt |
| Fundraising | $15,507 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,207,345 | TotalAmt |
| Program Services | $13,187,912 | ProgramServicesAmt |
| Management And General | $19,433 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,301,624 | TotalAmt |
| Program Services | $10,622,783 | ProgramServicesAmt |
| Management And General | $652,441 | ManagementAndGeneralAmt |
| Fundraising | $26,400 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,204 | TotalAmt |
| Program Services | $248,077 | ProgramServicesAmt |
| Management And General | $308,571 | ManagementAndGeneralAmt |
| Fundraising | $4,556 | 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 | $344,200 | TotalAmt |
| Program Services | $258,521 | ProgramServicesAmt |
| Management And General | $83,586 | ManagementAndGeneralAmt |
| Fundraising | $2,093 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,560,200 | TotalAmt |
| Program Services | $2,560,200 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,021,602 | TotalAmt |
| Program Services | $11,826,364 | ProgramServicesAmt |
| Management And General | $195,238 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,552,574 | TotalAmt |
| Program Services | $1,447,440 | ProgramServicesAmt |
| Management And General | $105,134 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Purchased Services | $51,084,890 | $15,562,312 | $35,235,335 | $287,243 |
| Pt Care Supplies | $39,484,414 | $39,484,414 | ||
| Medical provider/hospital fee | $15,206,248 | $15,206,248 | ||
| All other expense | $520,107 | -$216,748 | $575,763 | $161,092 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,673 | TotalAmt |
| Program Services | $516,256 | ProgramServicesAmt |
| Fundraising | -$12,583 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,584,119 | TotalAmt |
| Program Services | $274,575,393 | ProgramServicesAmt |
| Management And General | $65,187,396 | ManagementAndGeneralAmt |
| Fundraising | $821,330 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,329,670 | BOYAmt |
| EOY | $2,866,403 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,520,492 | BOYAmt |
| EOY | $105,902,900 | 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 | $38,265,777 | BOYAmt |
| EOY | $38,575,715 | 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 | $4,051,235 | BOYAmt |
| EOY | $4,960,302 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,815,399 | BOYAmt |
| EOY | $2,168,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $305,717,552 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $190,965,483 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,653,421 | BOYAmt |
| EOY | $114,752,069 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,076,856 | BOYAmt |
| EOY | $955,897 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,517 | BOYAmt |
| EOY | $239,109 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,568,550 | BOYAmt |
| EOY | $2,588,550 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,536,013 | BOYAmt |
| EOY | $17,968,016 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,944,930 | BOYAmt |
| EOY | $290,977,008 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,406,062 | BOYAmt |
| EOY | $15,765,733 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,004,204 | BOYAmt |
| EOY | $956,052 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,023,976 | BOYAmt |
| EOY | $73,126,612 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,434,242 | BOYAmt |
| EOY | $89,848,397 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,338,082 | BOYAmt |
| EOY | $196,771,741 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,606,049 | BOYAmt |
| EOY | $1,775,581 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,566,557 | BOYAmt |
| EOY | $2,581,289 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,510,688 | BOYAmt |
| EOY | $201,128,611 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,944,930 | BOYAmt |
| EOY | $290,977,008 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,162,733 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,544,810 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $15,988 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $15,988 | 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--lobbying portion 15,988. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,193,699 | BeginningYearBalanceAmt |
| Contributions | $760,506 | ContributionsAmt |
| Investment Earnings Or Losses | $64,651 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$2,364 | OtherExpendituresAmt |
| Administrative Expenses | $565,811 | AdministrativeExpensesAmt |
| End Year Balance | $8,326,107 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,214,627 | BeginningYearBalanceAmt |
| Contributions | $838,673 | ContributionsAmt |
| Investment Earnings Or Losses | $148,919 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$1,008,520 | OtherExpendituresAmt |
| End Year Balance | $8,193,699 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,811,345 | BeginningYearBalanceAmt |
| Contributions | $865,954 | ContributionsAmt |
| Investment Earnings Or Losses | $87,233 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$549,905 | OtherExpendituresAmt |
| End Year Balance | $8,214,627 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,464,264 | BeginningYearBalanceAmt |
| Contributions | $828,866 | ContributionsAmt |
| Investment Earnings Or Losses | $53,507 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$535,292 | OtherExpendituresAmt |
| End Year Balance | $7,811,345 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,253,658 | BeginningYearBalanceAmt |
| Contributions | $673,090 | ContributionsAmt |
| Investment Earnings Or Losses | $116,350 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$578,834 | OtherExpendituresAmt |
| End Year Balance | $7,464,264 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.47670 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.31000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.21330 | 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 | $6,886,144 | OtherCostOrOtherBasisAmt |
| Book Value | $6,886,144 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $199,886,830 | OtherCostOrOtherBasisAmt |
| Depreciation | $111,087,637 | DepreciationAmt |
| Book Value | $88,799,193 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,017,882 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,426,515 | DepreciationAmt |
| Book Value | $1,591,367 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,926,696 | OtherCostOrOtherBasisAmt |
| Depreciation | $77,451,331 | DepreciationAmt |
| Book Value | $17,475,365 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $114,752,069 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Receivables from related entities | $9,096,680 |
| Other receivables | $1,720,470 |
| Receivables from third-party payors | $7,150,866 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,968,016 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Workers Comp Liability | $3,272,463 |
| Payable to related entities | $66,534,348 |
| Payable to third parties | $135,985 |
| Other liabilities | $3,183,816 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $73,126,612 | 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) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Heroes of the Heart Gala | Event1Nm |
| Gross Receipts Event1 | $210,554 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $174,354 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $36,200 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $8,089 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $37,516 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $10,945 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $19,339 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $171,153 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $148,574 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $22,579 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $275 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $1,189 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $15,490 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $14,351 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $43,069 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $381,707 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $322,928 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $58,779 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $275 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $1,189 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $23,579 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $51,867 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $10,945 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $62,408 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $150,263 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$91,484 | 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 | $2,950,525 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,950,525 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00870 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,915,263 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,580,906 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,334,357 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01860 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,865,788 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,580,906 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,284,882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02730 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,141,102 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,141,102 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $473,657 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,925 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $451,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,889,473 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,362,960 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,526,513 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,543 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,543 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,345 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,628,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,384,885 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,243,235 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,493,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,965,791 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,528,117 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03680 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,476 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,476 | NetCommunityBenefitExpnsAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,488 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,488 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $547 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $547 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,646 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,646 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,157 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,202,793 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $946,760 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $40,864,116 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $39,366,086 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,498,030 | 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 | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| Gresham Family Medical Ctr | |||
| Physician Services | 0.74500 | 0.25500 | |
| 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 Street | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.adventisthealth.org/nw | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.adventisthealth.org/nw | 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 | https://www.adventisthealth.org/nw | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | adventisthealth.org/nw | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Selling Debt | Yes (X) | PermitSellingDebtInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | Surveys, listening sessions, Association with 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 |
| Part V, Line 22d - Other Billing Determination of Individuals Without Insurance | The maximum amount charged to FAP-eligible individuals is determined on a sliding scale based on their income in relation to the Federal Poverty Level for their family size. Most are eligible for 100% assistance and are not charged anything. The sliding scale percentage is based on gross charges, but payment from insurance is deducted from the amount owed so an insured FAP-eligible person would owe less than full charges. A 40% discount off of full charges is provided to uninsured patients, so the most an uninsured person would pay is 60% of charges. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 45 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (45 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Adventist Health Physical Therapy Clackamas | ||||
| 13435 SE 97th LL101 | Clackamas | OR | 970157787 | Physical Therapy Clinc |
| Adventist Health Physical Therapy Medical Center Outpt | ||||
| 10101 SE Main Street LL | Portland | OR | 97216 | 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 Health Speciality Rehab | ||||
| 10101 SE Main Street LL | Portland | OR | 97216 | Speciality Rehab Clinic |
| Adventist Health Physical Therapy Vancouver | ||||
| 6069 SE 15th Street | Vancouver | WA | 98683 | 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 | ||||
| 37095 SE Hwy 26 Suite 102 | Sandy | OR | 97055 | Physical Therapy Clinic |
| Adventist Health Gresham Station Imaging Center | ||||
| 831 NW Council Dr Suite 100 | Gresham | OR | 97030 | Imaging Services |
| Adventist Health Medical Clinic Gresham Station IM FP | ||||
| 831 NW Council Drive Suite 125 | Gresham | OR | 97030 | Physician Clinic |
| Adventist Health Medical Clinic- Fishers Landing | ||||
| 417 SE 164th Ave Suite 300 | Vancouver | WA | 986848944 | Physician Clinic |
| Adventist Health Medical Clinic- Cherry Park FP | ||||
| 10201 SE Main Suite 20 | Portland | OR | 97216 | Physician Clinic |
| Advenstist Health Medical Clinic- Clackamas | ||||
| 11211 SE Sunnyside Road | Clackamas | OR | 97015 | Physician Clinic |
| Adventist Health Medical Clinic- Rockwood Urgent Care | ||||
| 18750 SE Stark Street | Portland | OR | 97233 | Physician Clinic/ Urgent Care |
| Adventist Health Medical Clinic- Damascus | ||||
| 14450 SE Royer Road | Damascus | OR | 97089 | Physician Clinic |
| Adventist Health Medical Clinic- Diabetes & Endo Ctr | ||||
| 10101 SE Main Street Suite 1001 | Portland | OR | 97216 | Physician Clinic |
| Adventist Health Medical Clinic-Eastside Internal Med | ||||
| 10000 SE Main St Suite 128 | Portland | OR | 97216 | Physician Clinic |
| Adventist Health Medical Clinic-Gladstone Family Med | ||||
| 1105 Portland Ave Suite 2 | Gladstone | OR | 97027 | Physician Clinic |
| Adventist Health Medical Clinic- Gresham Station | ||||
| 831 NW Council Drive Suite 101 | Gresham | OR | 97030 | Physician Clinic |
| Adventist Health Medical Clinic-Hoodland | ||||
| 24461 East Welches Road | Welches | OR | 97067 | Physician Clinic |
| Adventist Health Medical Clinic-Internal Medicine Assoc | ||||
| 10201 SE Main St Suite 12 | Portland | OR | 97216 | Physician Clinic |
| Adventist Health Medical Clinic-Mt Scott Internal Med | ||||
| 9200 SE 91st Ave Suite 300 | Portland | OR | 97286 | Physician Clinic |
| Adventist Health Medical Clinic-Occupational Medicine | ||||
| 1350 NE 122nd Ave | Portland | OR | 97230 | Physician Clinic and Corporate Services |
| Adventist Health Medical Clinic-Arthritis and Bone Care | ||||
| 10201 SE Main St Suite 25 | Portland | OR | 97216 | Physician Clinic |
| Adventist Health Medical Clinic-Portland Lung Clinic | ||||
| 10201 SE Main St Suite 11 | Portland | OR | 97216 | Physician Clinic |
| Adventist Health Medical Clinic-Sandy Family Practice & Urge | ||||
| 17055 Ruben Lane | Sandy | OR | 97055 | Physician Clinic and Urgent Care |
| Adventist Health Medical Clinic-Parkrose | ||||
| 1350 NE 122nd Avenue | Portland | OR | 97230 | Physician Clinic |
| Adventist Health Oregon Hand Specialists | ||||
| 10000 SE Main St Suite 327 | Portland | OR | 97216 | Physician Clinic |
| Adventist Health Wound Healing and Hyperbaric Medicine | ||||
| 10201 SE Main St Suite 29 | Portland | OR | 97216 | Wound Care Service |
| Adventist Health Medical Clinic- Creekside Family Medicine | ||||
| 9200 SE 91st Ave 220 | Happy Valley | OR | 97086 | Physician Clinic |
| Adventist Health Medical Clinic- NW Regional Heart & Vasc | ||||
| 10000 SE Main St 365 | Portland | OR | 97216 | Physician Clinic |
| Adventist Health Medical Clinic- NW Orthopedic Specialists | ||||
| 10000 SE Main St 224 | Portland | OR | 97216 | Physician Clinic |
| Adventist Health Medical Clinic- Radiation Oncology Center | ||||
| 10123 SE Market St | Portland | OR | 97216 | Physician Clinic |
| Adventist Health West Side Occupational Medicine | ||||
| 1200 NE 48th Avenue Suite 1000 | Hillsboro | OR | 97214 | Physician Clinic and Corporate Services |
| Adventist Health- Womens Center- Happy Valley | ||||
| 9300 SE 91st Avenue Suite 300 | Happy Valley | OR | 97086 | Physician Clinic |
| Adventist Health- Willamette View Clinic | ||||
| 13021 SE River Road Suite 3000 | Portland | OR | 97222 | Physician Clinic |
| Adventist Health Physical Therapy Parkrose | ||||
| 1350 NE 122nd Avenue | Portland | OR | 97230 | Physical Threapy Clinic |
| Adventist Health Gastroenterology Associates | ||||
| 10000 SE Main Street Suite 112 | Portland | OR | 972162441 | Physician Clinic |
| Adventist Health- Womens Center- Gresham Station | ||||
| 831 NW Council Drive Suite 145 | Gresham | OR | 97086 | Physician Clinic |
| Adventist Health Medical Clinic-Estacada | ||||
| 103 SW Hwy 224 | Estacada | OR | 97023 | Physician Clinic |
| Adventist Health Medical Clinic- Resilience Center | ||||
| 10000 SE Main St Suite 236 | Portland | OR | 97216 | Physician Clinic |
| Adventist Health Medical Clinic- Electrophysiology | ||||
| 10000 SE Main Street Suite 60B | Portland | OR | 97216 | Physician Clinic |
| Huang Clinic | ||||
| 10201 SE Main Street 29 | Portland | OR | 97216 | Physician Clinic |
| Parkrose Imaging Center | ||||
| 1350 NE 122nd Avenue | Portland | OR | 97230 | Imaging Services |
| Adventist Health Occupational Therapy | ||||
| 10101 SE Main Street LL | Portland | OR | 97216 | Occupational Therapy Clinic |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7g - Costs Associated With Physicans Clinics | Specific ratios of cost to charges were used for each department.Departments: Cardiac Rehab Psych and Psych Physicians No Physician clinics are counted as subsidized |
| 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 | he Medicare cost report apportions the hospitals costs on the basis of 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 health care 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.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL Revenue. *Medicare Cost Report Revenue 39,683,748 Prior Year Settlements 0 Cost Report Reimbursable Bad Debts 362,550 Estimates and Accrual Variances 17,959 Other 799,859 Subtotal - Amount reported in Pt III, line 5 40,864,116 Amounts include in Part I, line g and f 0 Total Medicare Revenue 40,864,116*Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts.Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts. |
| Part III, Line 9b - 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 - Needs Assessment | Every three years, PAMC partners with other local entities to conduct a community health needs assessment that helps to identify the health care gaps that exist within the hospitals service areas. That data and other key sources of information- such as the hospital's situation assessment, discharge data and pertinent healthcare trends- plays a prominent role in the hospital's annual strategic planning. Initiatives to achieve those goals are based on community demographics and the expressed and implied health care needs of the area's residents, communicated through the triennial community health needs assessment and other vehicles. |
| Part VI - Patient Education of Eligibility for Assistance | Financial assistance is a part of the community service provided by this hospital and is available to those individuals using our services.For those who are unable to pay, reasonable efforts will be made to assist the patient in obtaining help for payment of their medical bills from public agencies. If a patient indicates they cannot pay the bill, they are offered a charity care application. We contact an external firm to screen patients for eligibility for government assistance. The discussion of whether they can pay the bill may come up at any point (before admission, during the stay, after discharge or after the account is sent to a collection agency).Those who do not qualify for public funding will be considered for financial assistance under the hospital's financial assistance guidelines. Identifying a potential charity discount will begin as soon as information is provided that a patient may be receiving service. |
| Part VI - Community Information | PAMCs primary service area is Mid and East Multnomah County. This area's lower income population as a percentage of the total population is growing as this population shifts from North Portland to East Portland. In addition the organization provides services to residents of Clackamas and Washington Counties in Oregon and Clark County in Washington. Portland, Vancouver (WA), and the suburbs surrounding these two cities lay within this four county area. |
| Part VI - Community Building Activities | Activities in this area focus on the root causes of health problems such as poverty and homelessness. By addressing the root causes of health problems, we help improve access to health care to individuals who might not be able to do so if these issues are ignored. While there are public health agencies that deal with these problems, they are limited to what they can do by budget limitations. Activities we were involved in during 2015 include the following:1)Gateway Area Business Association 2)Civic involvement and support of local Chambers of Commerce beyond normal business needs. 3) SE Works 4) Oregon Mentors 5) Rose Community Development |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | We do not wait until a community member needs our services through our clinics or Emergency Department. We are active in the community we serve. By involving ourselves in various activities, groups, and outreaches, we communicate our willingness to serve our community and our commitment to our mission. Our community health needs assessment keeps us current with changes in the health of our community. By working with other groups and agencies we are better able to assess the needs of the community than if we relied only on our own resources. The hospital uses all available financial resources to improve the quality of the health care we provide and to better serve the needs of the community. |
| Part VI - Affilated Health Care System Roles and Promotion | 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 communites served |
| Part VI - States Where Community Benefit Report Filed | OR |
| Part V - Explanation of Number of Facility Type | Physician Clinics (32), Imaging (2), Rehab (PT/OT/Sp) Clinics (10), Wound Care (1) |
| 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 (21 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARMEN ROBERT | |||||||||||||
| Former Dir/Chair | $219,735 | $7,321 | $6,362 | $233,418 | |||||||||
| REBOK DOUGLAS | |||||||||||||
| Former Asst Secretary | $206,161 | $192,588 | $12,863 | $626,526 | $198,734 | $16,180 | $150,311 | ||||||
| RUSSELL THOMAS | |||||||||||||
| FORMER President/CEO | $430,652 | $143,519 | $24,038 | $822,188 | $135,285 | $88,694 | $81,109 | ||||||
| Joo Elliot | |||||||||||||
| Physician | $1,145,128 | $12,168 | $16,180 | $6,595 | $1,180,071 | ||||||||
| Tella Mallik | |||||||||||||
| Physician | $852,088 | $42,168 | $16,180 | $3,410 | $913,846 | ||||||||
| Molloy Thomas | |||||||||||||
| Physician | $779,368 | $24,780 | $16,180 | $9,938 | $830,266 | ||||||||
| Alhumaid Fawaz | |||||||||||||
| Physician | $586,242 | $18,168 | $16,180 | $7,252 | $728,467 | $100,625 | |||||||
| Crespo Sergio | |||||||||||||
| Physician | $543,404 | $40,663 | $16,180 | $4,570 | $604,817 | ||||||||
| REINER SCOTT | |||||||||||||
| Dir/Chair | $962,984 | $264,690 | $34,190 | $1,787,699 | $298,366 | $227,469 | $182,145 | ||||||
| WING BILL | |||||||||||||
| Dir/VCh/AsstSec | $814,628 | $180,369 | $35,618 | $1,473,888 | $250,491 | $192,782 | $130,871 | ||||||
| JOBE MEREDITH | |||||||||||||
| Secretary | $355,393 | $84,270 | $18,602 | $631,418 | $98,178 | $74,975 | $53,771 | ||||||
| WAGNER JACK | |||||||||||||
| Asst Secretary | $775,339 | $134,782 | $25,040 | $1,097,949 | $146,404 | $16,384 | |||||||
| WEHTJE RODNEY | |||||||||||||
| Asst Treasurer | $380,562 | $101,323 | $24,128 | $649,999 | $109,398 | $34,588 | |||||||
| NEWMYER JOYCE | |||||||||||||
| President/CEO | $532,068 | $17,000 | $31,432 | $786,517 | $92,363 | $113,654 | |||||||
| PERRY MARK | |||||||||||||
| Treas/VPFin | $226,584 | $59,034 | $24,111 | $1,534,627 | $67,182 | $1,157,716 | $69,093 | ||||||
| WELCH DONALD | |||||||||||||
| Treas/Asst Sec | $219,118 | $26,710 | $20,054 | $281,202 | $15,320 | ||||||||
| BENFIELD RONALD | |||||||||||||
| Interim VP Fin | $256,732 | $158,644 | $24,387 | $532,997 | $63,640 | $29,594 | $141,666 | ||||||
| KINZER STEVEN | |||||||||||||
| CEO PAMG | $251,012 | $95,419 | $24,715 | $458,539 | $61,564 | $25,829 | $70,501 | ||||||
| NUTTER LUCINDA | |||||||||||||
| CNO | $217,755 | $9,623 | $27,037 | $316,711 | $46,116 | $16,180 | |||||||
| RUSSELL DAVID | |||||||||||||
| Sr VP/COO | $259,806 | $36,723 | $23,968 | $420,512 | $57,015 | $43,000 | $25,481 | ||||||
| BROWER DORANE | |||||||||||||
| VP Integrated Phys & Hlth Plan Svcs | $161,902 | $8,588 | $19,980 | $199,581 | $9,111 | ||||||||
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
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WGW LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Gabriel JV | RelationshipDescriptionTxt |
| Transaction | LLC JV Ownership | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
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. | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Travel-excursion in San Juans | 1 | $5,000 | Estimate |
| Yes (X) | 1 week's use of private villa | 1 | $19,950 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 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. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.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 hospital'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 after their review but 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 Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 24 percent spread from minimum to maximum (industry norm is approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 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 with the secretary of state. The hospital does not make its conflict of interest policy publicly available. The hospital files monthly/quarterly summary financial reports with the state health planning agency. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Change in value split interest agreement = $2364 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Investment income - temp. restricted = $72747 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Chaplains endowment fund = $14732 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Other = $82446 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfers to related organizations = -$2717099 |
| Form 990, Sch H, Part V, Section B, Line 5a - Hospital Website CHNA | adventisthealth.org/nw/pages/about-us/community-benefits/needs-assessment.aspx |
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 | $30,004,771 | TotalIncomeAmt |
| End Of Year Assets | $9,872,672 | 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 (22 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 |
| Central Valley General Hospital | ||||||||||
| 1025 N Douty Street | Hanford | CA | 93230 | 770324630 | Hospital | CA | 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 |
| Selma Community Hospital Inc | ||||||||||
| 1141 Rose Ave | Selma | CA | 93662 | 770509133 | Supporting Hanford Community Hospital | CA | 501(c)(3) | 11, Typ 3 func integ | 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 Foundn 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 |
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 (4 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Gresham Family Medical Center | |||||||||||
| 1700 SW 257th Ave | Troutdale | OR | 97060 | 911768081 | Physician Office | OR | N/A | C Corp | 0.74500 | Yes (true) | |
| Assn Unit Owners Portland Adv Condo | |||||||||||
| 10101 SE Main St | Portland | OR | 97216 | 930887521 | Condo Assn-MOB | OR | N/A | C corp | 0.90000 | false | |
| South Coast Medical Center | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 952037291 | Wind down after sale of hospital | CA | N/A | C Corp | false | ||
| Adventist Health Plan Inc | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 463833261 | Insurance | CA | C Corp | false | NA | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | 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 | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |