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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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-15T23:41:41-08:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930429015EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Portland Adventist Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPORTBusinessNameControlTxt
Phone5032572500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110123 SE Market StAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97216ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid RussellPersonNm
Person TitlePresident & CEOPersonTitleTxt
Signature2016-11-15SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRUSSELL DAVIDPrincipalOfficerNm
Gross Receipts$348,312,183GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Group Exemption1071GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.adventisthealth.org/nwWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1900FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionOur mission is to demonstrate the human expression of the healing ministry of Jesus ChristActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee2555TotalEmployeeCnt
Total Volunteers280TotalVolunteersCnt
Total Gross UBI$2,260,672TotalGrossUBIAmt
PY Contributions Grants$776,259PYContributionsGrantsAmt
CY Contributions Grants$692,032CYContributionsGrantsAmt
PY Program Service Revenue$347,303,371PYProgramServiceRevenueAmt
CY Program Service Revenue$342,794,403CYProgramServiceRevenueAmt
PY Investment Income$3,315,355PYInvestmentIncomeAmt
CY Investment Income$4,352,582CYInvestmentIncomeAmt
PY Other Revenue-$181,843PYOtherRevenueAmt
CY Other Revenue-$92,165CYOtherRevenueAmt
PY Total Revenue$351,213,142PYTotalRevenueAmt
CY Total Revenue$347,746,852CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$175,139,697PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$172,452,681CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$821,330CYTotalFundraisingExpenseAmt
PY Other Expenses$170,910,616PYOtherExpensesAmt
CY Other Expenses$168,131,438CYOtherExpensesAmt
PY Total Expenses$346,050,313PYTotalExpensesAmt
CY Total Expenses$340,584,119CYTotalExpensesAmt
PY Revenues Less Expenses$5,162,829PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,162,733CYRevenuesLessExpensesAmt
Total Assets BOY$287,944,930TotalAssetsBOYAmt
Total Assets EOY$290,977,008TotalAssetsEOYAmt
Total Liabilities BOY$91,434,242TotalLiabilitiesBOYAmt
Total Liabilities EOY$89,848,397TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$196,510,688NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$201,128,611NetAssetsOrFundBalancesEOYAmt
MissionOur mission is to demonstrate the human expression of the healing ministry of Jesus Christ.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$274,575,393ExpenseAmt
Revenue$330,861,456RevenueAmt
DescPortland 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 softwareDesc
Total Program Service Expenses$274,575,393TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document154IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2555EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDonald WelchPersonNm
Phone5032614406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110123 SE Market StAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97216ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CAVINESS LARRY
Director0.004.00Yes (X)$0$6,749$0
DICKINSON CHARLES
Director0.004.00Yes (X)$0$5,456$0
FRIESTAD CHRISTINE
Director0.004.00Yes (X)$0$1,752$0
GABRIEL MELODY
Director0.004.00Yes (X)$0$2,333$0
GRAHAM RICARDO
Director0.004.00Yes (X)$0$4,132$0
HEINRICH KERRY
Director0.004.00Yes (X)$0$528$0
INNOCENT LARRY
Director0.004.00Yes (X)$0$2,045$0
JONES HELMUTH
Director0.004.00Yes (X)$0$84,278$0
REIMCHE ALLAN
Director0.004.00Yes (X)$0$2,734$0
RIPPEY WESLEY
Director9.004.00Yes (X)$124,134$2,474$0
SALAZAR VELINO
Director0.004.00Yes (X)$0$1,464$0
TORKELSEN MAX
Director0.004.00Yes (X)$0$2,801$0
REINER SCOTT
Dir/Chair0.0050.00Yes (X)$0$1,526,040$261,659Yes (X)
WING BILL
Dir/VCh/AsstSec0.0050.00Yes (X)$0$1,245,488$228,400Yes (X)
JOBE MEREDITH
Secretary0.0050.00$0$537,841$93,577Yes (X)
WAGNER JACK
Asst Secretary0.0050.00$0$1,056,525$41,424Yes (X)
WEHTJE RODNEY
Asst Treasurer0.0050.00$0$591,283$58,716Yes (X)
NEWMYER JOYCE
President/CEO50.000.00$0$641,431$145,086Yes (X)
PERRY MARK
Treas/VPFin50.000.00$0$352,800$1,181,827Yes (X)
WELCH DONALD
Treas/Asst Sec50.000.00$0$245,828$35,374Yes (X)
BENFIELD RONALD
Interim VP Fin50.000.00$0$479,016$53,981Yes (X)
KINZER STEVEN
CEO PAMG50.000.00$0$407,995$50,544Yes (X)
NUTTER LUCINDA
CNO50.000.00$0$273,494$43,217Yes (X)
RUSSELL DAVID
Sr VP/COO50.000.00$0$353,544$66,968Yes (X)
TKACHUCK DERRIK
VP Support Svcs50.000.00$0$0$0Yes (X)
BROWER DORANE
VP Integrated Phys & Hlth Plan Svcs50.000.00$0$170,490$29,091Yes (X)
Joo Elliot
Physician40.000.00$1,157,296$0$22,775Yes (X)
Tella Mallik
Physician40.000.00$894,256$0$19,590Yes (X)
Molloy Thomas
Physician40.000.00$804,148$0$26,118Yes (X)
Alhumaid Fawaz
Physician40.000.00$705,035$0$23,432Yes (X)
Crespo Sergio
Physician40.000.00$584,067$0$20,750Yes (X)
CARMEN ROBERT
Former Dir/Chair0.000.00$0$227,056$6,362Yes (X)
REBOK DOUGLAS
Former Asst Secretary0.000.00$0$597,483$29,043Yes (X)
RUSSELL THOMAS
FORMER President/CEO0.0050.00$0$709,456$112,732Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,268,936TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,532,516TotReportableCompRltdOrgAmt
Total Other Compensation$2,550,666TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K237IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Portland Cardiovascular Institu
1200 NW Naito Pkwy 200PortlandOR97209Medical Services$1,457,460
Oregon Anesthesiology Group PC
707 SW Washington St 700PortlandOR97205Medical Services$1,353,190
Staff Care Inc
PO Box 281923AtlantaGA303841923Temp Staffing$647,422
Cardon Healthcare Holdings LLC
PO Box 4950The WoodlandsTX77387Eligibility Assist$608,493
Accountable Healthcare Staff
PO Box 732800DallasTX753732800Temp Staffing$571,681
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K37CntrctRcvdGreaterThan100KCnt
Fundraising$322,928FundraisingAmt
All Other Contributions$369,104AllOtherContributionsAmt
Noncash Contributions$33,207NoncashContributionsAmt
Total Contributions$692,032TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue621110$330,861,456$330,861,456
Rental Revenue - MOBs/Oth531120$5,927,227$5,927,227
Reference Lab Services621500$1,817,488$1,817,488
EHR Incentive900099$1,526,874$1,526,874
Partnr inc fr rel prg svc900099$1,254,126$1,254,126

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,407,232TotalRevenueColumnAmt
Unrelated Business Revenue$443,184UnrelatedBusinessRevenueAmt
Exclusion$964,048ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$342,794,403TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,984,967TotalRevenueColumnAmt
Exclusion$2,984,967ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,367,615OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,367,615OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,367,615TotalRevenueColumnAmt
Exclusion$1,367,615ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$58,779FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$322,928ContriRptFundraisingEventAmt
Fundraising Direct Expenses$150,263FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$91,484TotalRevenueColumnAmt
Exclusion-$91,484ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$322,170GrossSalesOfInventoryAmt
Cost Of Goods Sold$415,068CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$92,898TotalRevenueColumnAmt
Exclusion-$92,898ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Medical Staff Funds900099$90,291$90,291
Logo Sales to Employees$1,926$1,926
FieldValueIRS element (for citing)
Other Revenue Total$92,217OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$347,746,852TotalRevenueColumnAmt
Related Or Exempt Func Income$339,659,974RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,260,672UnrelatedBusinessRevenueAmt
Exclusion$5,134,174ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$124,134TotalAmt
Program Services$124,134ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$128,667,956TotalAmt
Program Services$115,139,078ProgramServicesAmt
Management And General$13,276,212ManagementAndGeneralAmt
Fundraising$252,666FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,173,245TotalAmt
Program Services$5,167,255ProgramServicesAmt
Management And General$5,990ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,877,638TotalAmt
Program Services$23,998,690ProgramServicesAmt
Management And General$4,814,470ManagementAndGeneralAmt
Fundraising$64,478FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,609,708TotalAmt
Program Services$8,330,633ProgramServicesAmt
Management And General$1,259,287ManagementAndGeneralAmt
Fundraising$19,788FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$406,967TotalAmt
Management And General$406,967ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$278,071TotalAmt
Management And General$278,071ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,616,672TotalAmt
Program Services$8,294,623ProgramServicesAmt
Management And General$5,322,049ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,186,465TotalAmt
Management And General$1,186,375ManagementAndGeneralAmt
Fundraising$90FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,295,182TotalAmt
Program Services$2,817,201ProgramServicesAmt
Management And General$1,462,474ManagementAndGeneralAmt
Fundraising$15,507FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,207,345TotalAmt
Program Services$13,187,912ProgramServicesAmt
Management And General$19,433ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,301,624TotalAmt
Program Services$10,622,783ProgramServicesAmt
Management And General$652,441ManagementAndGeneralAmt
Fundraising$26,400FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$561,204TotalAmt
Program Services$248,077ProgramServicesAmt
Management And General$308,571ManagementAndGeneralAmt
Fundraising$4,556FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$344,200TotalAmt
Program Services$258,521ProgramServicesAmt
Management And General$83,586ManagementAndGeneralAmt
Fundraising$2,093FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,560,200TotalAmt
Program Services$2,560,200ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,021,602TotalAmt
Program Services$11,826,364ProgramServicesAmt
Management And General$195,238ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,552,574TotalAmt
Program Services$1,447,440ProgramServicesAmt
Management And General$105,134ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
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

FieldValueIRS element (for citing)
Total$503,673TotalAmt
Program Services$516,256ProgramServicesAmt
Fundraising-$12,583FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$340,584,119TotalAmt
Program Services$274,575,393ProgramServicesAmt
Management And General$65,187,396ManagementAndGeneralAmt
Fundraising$821,330FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,329,670BOYAmt
EOY$2,866,403EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$90,520,492BOYAmt
EOY$105,902,900EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,265,777BOYAmt
EOY$38,575,715EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,051,235BOYAmt
EOY$4,960,302EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,815,399BOYAmt
EOY$2,168,047EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$305,717,552LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$190,965,483LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$120,653,421BOYAmt
EOY$114,752,069EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,076,856BOYAmt
EOY$955,897EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$127,517BOYAmt
EOY$239,109EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,568,550BOYAmt
EOY$2,588,550EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,536,013BOYAmt
EOY$17,968,016EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$287,944,930BOYAmt
EOY$290,977,008EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,406,062BOYAmt
EOY$15,765,733EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,004,204BOYAmt
EOY$956,052EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$72,023,976BOYAmt
EOY$73,126,612EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,434,242BOYAmt
EOY$89,848,397EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$192,338,082BOYAmt
EOY$196,771,741EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,606,049BOYAmt
EOY$1,775,581EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,566,557BOYAmt
EOY$2,581,289EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$196,510,688BOYAmt
EOY$201,128,611EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$287,944,930BOYAmt
EOY$290,977,008EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,162,733ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$2,544,810OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
ChurchYes (X)ChurchInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$15,988DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$15,988TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationA 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

FieldValueIRS element (for citing)
Beginning Year Balance$8,193,699BeginningYearBalanceAmt
Contributions$760,506ContributionsAmt
Investment Earnings Or Losses$64,651InvestmentEarningsOrLossesAmt
Other Expenditures-$2,364OtherExpendituresAmt
Administrative Expenses$565,811AdministrativeExpensesAmt
End Year Balance$8,326,107EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,214,627BeginningYearBalanceAmt
Contributions$838,673ContributionsAmt
Investment Earnings Or Losses$148,919InvestmentEarningsOrLossesAmt
Other Expenditures-$1,008,520OtherExpendituresAmt
End Year Balance$8,193,699EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,811,345BeginningYearBalanceAmt
Contributions$865,954ContributionsAmt
Investment Earnings Or Losses$87,233InvestmentEarningsOrLossesAmt
Other Expenditures-$549,905OtherExpendituresAmt
End Year Balance$8,214,627EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,464,264BeginningYearBalanceAmt
Contributions$828,866ContributionsAmt
Investment Earnings Or Losses$53,507InvestmentEarningsOrLossesAmt
Other Expenditures-$535,292OtherExpendituresAmt
End Year Balance$7,811,345EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,253,658BeginningYearBalanceAmt
Contributions$673,090ContributionsAmt
Investment Earnings Or Losses$116,350InvestmentEarningsOrLossesAmt
Other Expenditures-$578,834OtherExpendituresAmt
End Year Balance$7,464,264EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.47670BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.31000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.21330TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,886,144OtherCostOrOtherBasisAmt
Book Value$6,886,144BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$199,886,830OtherCostOrOtherBasisAmt
Depreciation$111,087,637DepreciationAmt
Book Value$88,799,193BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,017,882OtherCostOrOtherBasisAmt
Depreciation$2,426,515DepreciationAmt
Book Value$1,591,367BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$94,926,696OtherCostOrOtherBasisAmt
Depreciation$77,451,331DepreciationAmt
Book Value$17,475,365BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$114,752,069TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Receivables from related entities$9,096,680
Other receivables$1,720,470
Receivables from third-party payors$7,150,866
FieldValueIRS element (for citing)
Total Book Value Other Assets$17,968,016TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Workers Comp Liability$3,272,463
Payable to related entities$66,534,348
Payable to third parties$135,985
Other liabilities$3,183,816
FieldValueIRS element (for citing)
Total Liability$73,126,612TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4: Intended uses of the endowment fund.FormAndLineReferenceDesc
ExplanationBoard-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

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Heroes of the Heart GalaEvent1Nm
Gross Receipts Event1$210,554GrossReceiptsEvent1Amt
Charitable Contri Event1$174,354CharitableContriEvent1Amt
Gross Revenue Event1$36,200GrossRevenueEvent1Amt
Rent Facility Costs Event1$8,089RentFacilityCostsEvent1Amt
Food And Beverage Event1$37,516FoodAndBeverageEvent1Amt
Entertainment Event1$10,945EntertainmentEvent1Amt
Other Direct Expenses Event1$19,339OtherDirectExpensesEvent1Amt
Event2Golf TournamentEvent2Nm
Gross Receipts Event2$171,153GrossReceiptsEvent2Amt
Charitable Contri Event2$148,574CharitableContriEvent2Amt
Gross Revenue Event2$22,579GrossRevenueEvent2Amt
Cash Prizes Event2$275CashPrizesEvent2Amt
Non Cash Prizes Event2$1,189NonCashPrizesEvent2Amt
Rent Facility Costs Event2$15,490RentFacilityCostsEvent2Amt
Food And Beverage Event2$14,351FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$43,069OtherDirectExpensesEvent2Amt
Gross Receipts Total$381,707GrossReceiptsTotalAmt
Charitable Contributions Tot$322,928CharitableContributionsTotAmt
Gross Revenue Total Events$58,779GrossRevenueTotalEventsAmt
Cash Prizes Total Events$275CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$1,189NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$23,579RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$51,867FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,945EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$62,408OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$150,263DirectExpenseSummaryEventsAmt
Net Income Summary-$91,484NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,950,525TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,950,525NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,915,263TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,580,906DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,334,357NetCommunityBenefitExpnsAmt
Total Expense0.01860TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,865,788TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,580,906DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,284,882NetCommunityBenefitExpnsAmt
Total Expense0.02730TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,141,102TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,141,102NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$473,657TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,925DirectOffsettingRevenueAmt
Net Community Benefit Expns$451,732NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,889,473TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,362,960DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,526,513NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,543TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,543NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$108,345TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$108,345NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,628,120TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,384,885DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,243,235NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$83,493,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$70,965,791DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,528,117NetCommunityBenefitExpnsAmt
Total Expense0.03680TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,476TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,476NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,488TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,488NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$547TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$547NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,646TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,646NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,157TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,157NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,202,793BadDebtExpenseAmt
Bad Debt Expense Attributable$946,760BadDebtExpenseAttributableAmt
Reimbursed By Medicare$40,864,116ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$39,366,086CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,498,030MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Gresham Family Medical Ctr
Physician Services0.745000.25500
ASSN-Unit Owners Plaza Cond
Condo association mgmt0.900000.10000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Portland Adventist Medical CtrBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110123 SE Market StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97216ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.adventisthealth.org/nwOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.adventisthealth.org/nwStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care399.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.adventisthealth.org/nwFAPAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLadventisthealth.org/nwFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Selling DebtYes (X)PermitSellingDebtInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunitySurveys, listening sessions, Association with Healthy Columbia Willamette Collaborate
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons WhyIllicit 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 PatientsIncome 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 InsuranceThe 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.
FieldValueIRS element (for citing)
Facility45FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Adventist Health Physical Therapy Clackamas
13435 SE 97th LL101ClackamasOR970157787Physical Therapy Clinc
Adventist Health Physical Therapy Medical Center Outpt
10101 SE Main Street LLPortlandOR97216Physical Therapy Clinic
Adventist Health Audiology
10201 SE Main Street Suite 1PortlandOR97216Audiology Services
Adventist Health Speech Therapy
10201 SE Main Street Suite 4PortlandOR97216Speech Theraphy Services
Adventist Health Speciality Rehab
10101 SE Main Street LLPortlandOR97216Speciality Rehab Clinic
Adventist Health Physical Therapy Vancouver
6069 SE 15th StreetVancouverWA98683Physical Therapy Clinic
Adventist Health Physical Therapy Gresham
831 NW Council Dr Suite 200GreshamOR97030Physical Therapy Clinic
Adventist Health Physical Therapy Sandy
37095 SE Hwy 26 Suite 102SandyOR97055Physical Therapy Clinic
Adventist Health Gresham Station Imaging Center
831 NW Council Dr Suite 100GreshamOR97030Imaging Services
Adventist Health Medical Clinic Gresham Station IM FP
831 NW Council Drive Suite 125GreshamOR97030Physician Clinic
Adventist Health Medical Clinic- Fishers Landing
417 SE 164th Ave Suite 300VancouverWA986848944Physician Clinic
Adventist Health Medical Clinic- Cherry Park FP
10201 SE Main Suite 20PortlandOR97216Physician Clinic
Advenstist Health Medical Clinic- Clackamas
11211 SE Sunnyside RoadClackamasOR97015Physician Clinic
Adventist Health Medical Clinic- Rockwood Urgent Care
18750 SE Stark StreetPortlandOR97233Physician Clinic/ Urgent Care
Adventist Health Medical Clinic- Damascus
14450 SE Royer RoadDamascusOR97089Physician Clinic
Adventist Health Medical Clinic- Diabetes & Endo Ctr
10101 SE Main Street Suite 1001PortlandOR97216Physician Clinic
Adventist Health Medical Clinic-Eastside Internal Med
10000 SE Main St Suite 128PortlandOR97216Physician Clinic
Adventist Health Medical Clinic-Gladstone Family Med
1105 Portland Ave Suite 2GladstoneOR97027Physician Clinic
Adventist Health Medical Clinic- Gresham Station
831 NW Council Drive Suite 101GreshamOR97030Physician Clinic
Adventist Health Medical Clinic-Hoodland
24461 East Welches RoadWelchesOR97067Physician Clinic
Adventist Health Medical Clinic-Internal Medicine Assoc
10201 SE Main St Suite 12PortlandOR97216Physician Clinic
Adventist Health Medical Clinic-Mt Scott Internal Med
9200 SE 91st Ave Suite 300PortlandOR97286Physician Clinic
Adventist Health Medical Clinic-Occupational Medicine
1350 NE 122nd AvePortlandOR97230Physician Clinic and Corporate Services
Adventist Health Medical Clinic-Arthritis and Bone Care
10201 SE Main St Suite 25PortlandOR97216Physician Clinic
Adventist Health Medical Clinic-Portland Lung Clinic
10201 SE Main St Suite 11PortlandOR97216Physician Clinic
Adventist Health Medical Clinic-Sandy Family Practice & Urge
17055 Ruben LaneSandyOR97055Physician Clinic and Urgent Care
Adventist Health Medical Clinic-Parkrose
1350 NE 122nd AvenuePortlandOR97230Physician Clinic
Adventist Health Oregon Hand Specialists
10000 SE Main St Suite 327PortlandOR97216Physician Clinic
Adventist Health Wound Healing and Hyperbaric Medicine
10201 SE Main St Suite 29PortlandOR97216Wound Care Service
Adventist Health Medical Clinic- Creekside Family Medicine
9200 SE 91st Ave 220Happy ValleyOR97086Physician Clinic
Adventist Health Medical Clinic- NW Regional Heart & Vasc
10000 SE Main St 365PortlandOR97216Physician Clinic
Adventist Health Medical Clinic- NW Orthopedic Specialists
10000 SE Main St 224PortlandOR97216Physician Clinic
Adventist Health Medical Clinic- Radiation Oncology Center
10123 SE Market StPortlandOR97216Physician Clinic
Adventist Health West Side Occupational Medicine
1200 NE 48th Avenue Suite 1000HillsboroOR97214Physician Clinic and Corporate Services
Adventist Health- Womens Center- Happy Valley
9300 SE 91st Avenue Suite 300Happy ValleyOR97086Physician Clinic
Adventist Health- Willamette View Clinic
13021 SE River Road Suite 3000PortlandOR97222Physician Clinic
Adventist Health Physical Therapy Parkrose
1350 NE 122nd AvenuePortlandOR97230Physical Threapy Clinic
Adventist Health Gastroenterology Associates
10000 SE Main Street Suite 112PortlandOR972162441Physician Clinic
Adventist Health- Womens Center- Gresham Station
831 NW Council Drive Suite 145GreshamOR97086Physician Clinic
Adventist Health Medical Clinic-Estacada
103 SW Hwy 224EstacadaOR97023Physician Clinic
Adventist Health Medical Clinic- Resilience Center
10000 SE Main St Suite 236PortlandOR97216Physician Clinic
Adventist Health Medical Clinic- Electrophysiology
10000 SE Main Street Suite 60BPortlandOR97216Physician Clinic
Huang Clinic
10201 SE Main Street 29PortlandOR97216Physician Clinic
Parkrose Imaging Center
1350 NE 122nd AvenuePortlandOR97230Imaging Services
Adventist Health Occupational Therapy
10101 SE Main Street LLPortlandOR97216Occupational Therapy Clinic

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7g - Costs Associated With Physicans ClinicsSpecific 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 ExpenseUncollected 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 Benefithe 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 PatientsWhen 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 AssessmentEvery 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 AssistanceFinancial 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 InformationPAMCs 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 ActivitiesActivities 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 PurposeWe 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 PromotionThe 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 FiledOR
Part V - Explanation of Number of Facility TypePhysician Clinics (32), Imaging (2), Rehab (PT/OT/Sp) Clinics (10), Wound Care (1)
Part VI - Additional InformationSupplemental 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

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus 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

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationAny 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

FieldValueIRS element (for citing)
Business Name Line1WGW LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionGabriel JVRelationshipDescriptionTxt
TransactionLLC JV OwnershipTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationMelody 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 CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Travel-excursion in San Juans1$5,000Estimate
Yes (X)1 week's use of private villa1$19,950FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe 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 ShareholdersPart 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 ProcessThe 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 ConflictsDuring 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 ManagementSee 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 EmployeesThe 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 AvailableThe 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 IncreasesChange in value split interest agreement = $2364
Other Changes In Net Assets Or Fund Balances - Other IncreasesInvestment income - temp. restricted = $72747
Other Changes In Net Assets Or Fund Balances - Other IncreasesChaplains endowment fund = $14732
Other Changes In Net Assets Or Fund Balances - Other IncreasesOther = $82446
Other Changes In Net Assets Or Fund Balances - Other DecreasesTransfers to related organizations = -$2717099
Form 990, Sch H, Part V, Section B, Line 5a - Hospital Website CHNAadventisthealth.org/nw/pages/about-us/community-benefits/needs-assessment.aspx

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Healthcare Resources Northwest LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12625 SE 98th AveAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97266ZIPCd
FieldValueIRS element (for citing)
EIN461719208EIN
Primary ActivitiesManaged Care MgmtPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Total Income$30,004,771TotalIncomeAmt
End Of Year Assets$9,872,672EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Adventist Health SystemWest
2100 Douglas BlvdRosevilleCA95661953484589Support and Manage System-Wide ActivitiesCA501(c)(3)1NAfalse
Adventist Health Clearlake Hospital Inc
15630 Ave 18th AveClearlakeCA95422680395149HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Castle Medical Center
640 Ulukahiki StreetKailuaHI96734990107330HospitalHI501(c)(3)1Adventist Health SystemWestfalse
Central Valley General Hospital
1025 N Douty StreetHanfordCA93230770324630HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Feather River Hospital
5974 Pentz RoadParadiseCA95969941101228HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Glendale Adventist Medical Center
1509 Wilson TerGlendaleCA91206951816017HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Hanford Community Hospital
450 Mall DrHanfordCA93230940535360HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Willits Hospital Inc
1 Marcela DrWillitsCA95490680108919HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Paradise Valley Hospital
2100 Douglas BlvdRosevilleCA95661951816034Wind Down After Sale of Hospital FacilitiesCA501(c)(3)1Adventist Health SystemWestfalse
St Helena Hospital
10 Woodland RdSt HelenaCA94574941279779HospitalCA501(c)(3)1Adventist Health SystemWestfalse
San Joaquin Community Hospital
2615 Chester AveBakersfieldCA93301952294234HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Selma Community Hospital Inc
1141 Rose AveSelmaCA93662770509133Supporting Hanford Community HospitalCA501(c)(3)11, Typ 3 func integAdventist Health SystemWestfalse
Simi Valley Hospital & Hlth Care Svcs
2975 N Sycamore DrSimi ValleyCA93065956064971HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Sonora Community Hospital
1000 Greenley RdSonoraCA95370941415069HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Northwest Medical Foundn of Tillamook
1000 Third StTillamookOR97141930622075HospitalOR501(c)(3)1Adventist Health SystemWestfalse
Ukiah Adventist Hospital
275 Hospital DrUkiahCA95482941639901HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Walla Walla General Hospital
1025 S Second AveWalla WallaWA99362910617726HospitalWA501(c)(3)1Adventist Health SystemWestfalse
White Memorial Medical Center
1720 Cesar E Chavez AveLos AngelesCA90033952282647HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Adventist Health Reedley Hospital
372 Cypress AvenueReedleyCA93654453220509HospitalCA501(c)(3)1Adventist Health SystemWestfalse
Adventist Health Physicians Network
2100 Douglas BlvdRosevilleCA95661680357690Medical FoundationCA501(c)(3)11b,IIAdventist Health SystemWestfalse
Western Health Resources
2100 Douglas BlvdRosevilleCA95661953867863Home careCA501(c)(3)1Adventist Health SystemWestfalse
Lodi Memorial Hospital Association Inc
975 S Fairmont AveLodiCA95240941044474HospitalCA501(c)(3)3Adventist Health SystemWestfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PAR LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110610 SE Clay StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97216ZIPCd
FieldValueIRS element (for citing)
EIN931262371EIN
Primary ActivitiesSr LivingPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsYes (true)DisproportionateAllocationsInd
UBI Code V$39UBICodeVAmt
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Gresham Family Medical Center
1700 SW 257th AveTroutdaleOR97060911768081Physician OfficeORN/AC Corp0.74500Yes (true)
Assn Unit Owners Portland Adv Condo
10101 SE Main StPortlandOR97216930887521Condo Assn-MOBORN/AC corp0.90000false
South Coast Medical Center
2100 Douglas BlvdRosevilleCA95661952037291Wind down after sale of hospitalCAN/AC Corpfalse
Adventist Health Plan Inc
2100 Douglas BlvdRosevilleCA95661463833261InsuranceCAC CorpfalseNA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd