2016-11-15T23:41:41-08:00 2015-12-31 990 2015-01-01 930429015 Portland Adventist Medical Center PORT 5032572500 10123 SE Market St Portland OR 97216 David Russell President & CEO 2016-11-15 2015 2017-02-10 21:41:12Z RUSSELL DAVID 348312183 false false 1071 X www.adventisthealth.org/nw X 1900 OR Our mission is to demonstrate the human expression of the healing ministry of Jesus Christ 12 7 2555 280 2260672 776259 692032 347303371 342794403 3315355 4352582 -181843 -92165 351213142 347746852 0 0 175139697 172452681 0 821330 170910616 168131438 346050313 340584119 5162829 7162733 287944930 290977008 91434242 89848397 196510688 201128611 Our mission is to demonstrate the human expression of the healing ministry of Jesus Christ. false false 274575393 330861456 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 274575393 true true false true false false false false false true true false false true true false false true false false false false false false true false true true false false true false false false false false false false false false false false true false false false true true true false false false true 154 0 true 2555 true true true false false false false true true false 0 false false false false false false false false false false X 12 7 false false false false true false true true true false false true true true true true true true true true false OR X Donald Welch 5032614406 10123 SE Market St Portland OR 97216 X CAVINESS LARRY Director 0.00 4.00 X 0 6749 0 DICKINSON CHARLES Director 0.00 4.00 X 0 5456 0 FRIESTAD CHRISTINE Director 0.00 4.00 X 0 1752 0 GABRIEL MELODY Director 0.00 4.00 X 0 2333 0 GRAHAM RICARDO Director 0.00 4.00 X 0 4132 0 HEINRICH KERRY Director 0.00 4.00 X 0 528 0 INNOCENT LARRY Director 0.00 4.00 X 0 2045 0 JONES HELMUTH Director 0.00 4.00 X 0 84278 0 REIMCHE ALLAN Director 0.00 4.00 X 0 2734 0 RIPPEY WESLEY Director 9.00 4.00 X 124134 2474 0 SALAZAR VELINO Director 0.00 4.00 X 0 1464 0 TORKELSEN MAX Director 0.00 4.00 X 0 2801 0 REINER SCOTT Dir/Chair 0.00 50.00 X X 0 1526040 261659 WING BILL Dir/VCh/AsstSec 0.00 50.00 X X 0 1245488 228400 JOBE MEREDITH Secretary 0.00 50.00 X 0 537841 93577 WAGNER JACK Asst Secretary 0.00 50.00 X 0 1056525 41424 WEHTJE RODNEY Asst Treasurer 0.00 50.00 X 0 591283 58716 NEWMYER JOYCE President/CEO 50.00 0.00 X 0 641431 145086 PERRY MARK Treas/VPFin 50.00 0.00 X 0 352800 1181827 WELCH DONALD Treas/Asst Sec 50.00 0.00 X 0 245828 35374 BENFIELD RONALD Interim VP Fin 50.00 0.00 X 0 479016 53981 KINZER STEVEN CEO PAMG 50.00 0.00 X 0 407995 50544 NUTTER LUCINDA CNO 50.00 0.00 X 0 273494 43217 RUSSELL DAVID Sr VP/COO 50.00 0.00 X 0 353544 66968 TKACHUCK DERRIK VP Support Svcs 50.00 0.00 X 0 0 0 BROWER DORANE VP Integrated Phys & Hlth Plan Svcs 50.00 0.00 X 0 170490 29091 Joo Elliot Physician 40.00 0.00 X 1157296 0 22775 Tella Mallik Physician 40.00 0.00 X 894256 0 19590 Molloy Thomas Physician 40.00 0.00 X 804148 0 26118 Alhumaid Fawaz Physician 40.00 0.00 X 705035 0 23432 Crespo Sergio Physician 40.00 0.00 X 584067 0 20750 CARMEN ROBERT Former Dir/Chair 0.00 0.00 X 0 227056 6362 REBOK DOUGLAS Former Asst Secretary 0.00 0.00 X 0 597483 29043 RUSSELL THOMAS FORMER President/CEO 0.00 50.00 X 0 709456 112732 4268936 9532516 2550666 237 true true false Portland Cardiovascular Institu 1200 NW Naito Pkwy 200 Portland OR 97209 Medical Services 1457460 Oregon Anesthesiology Group PC 707 SW Washington St 700 Portland OR 97205 Medical Services 1353190 Staff Care Inc PO Box 281923 Atlanta GA 303841923 Temp Staffing 647422 Cardon Healthcare Holdings LLC PO Box 4950 The Woodlands TX 77387 Eligibility Assist 608493 Accountable Healthcare Staff PO Box 732800 Dallas TX 753732800 Temp Staffing 571681 37 322928 369104 33207 692032 Patient Service Revenue 621110 330861456 330861456 Rental Revenue - MOBs/Oth 531120 5927227 5927227 Reference Lab Services 621500 1817488 1817488 EHR Incentive 900099 1526874 1526874 Partnr inc fr rel prg svc 900099 1254126 1254126 1407232 443184 964048 342794403 2984967 2984967 0 0 0 1367615 1367615 1367615 1367615 58779 322928 150263 -91484 -91484 0 322170 415068 -92898 -92898 Medical Staff Funds 900099 90291 90291 Logo Sales to Employees 1926 1926 92217 347746852 339659974 2260672 5134174 0 0 0 0 124134 124134 0 128667956 115139078 13276212 252666 5173245 5167255 5990 28877638 23998690 4814470 64478 9609708 8330633 1259287 19788 0 406967 406967 278071 278071 0 0 0 13616672 8294623 5322049 1186465 1186375 90 4295182 2817201 1462474 15507 13207345 13187912 19433 0 11301624 10622783 652441 26400 561204 248077 308571 4556 0 344200 258521 83586 2093 2560200 2560200 0 12021602 11826364 195238 1552574 1447440 105134 Purchased Services 51084890 15562312 35235335 287243 Pt Care Supplies 39484414 39484414 Medical provider/hospital fee 15206248 15206248 All other expense 520107 -216748 575763 161092 503673 516256 -12583 340584119 274575393 65187396 821330 7329670 2866403 90520492 105902900 0 38265777 38575715 0 0 0 4051235 4960302 1815399 2168047 305717552 190965483 120653421 114752069 1076856 955897 127517 239109 0 2568550 2588550 21536013 17968016 287944930 290977008 18406062 15765733 1004204 956052 72023976 73126612 91434242 89848397 X 192338082 196771741 1606049 1775581 2566557 2581289 196510688 201128611 287944930 290977008 X 7162733 -2544810 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15988 false false 15988 false false Part II-B, Line 1i - Other Activities Description 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. 8193699 760506 64651 -2364 565811 8326107 8214627 838673 148919 -1008520 8193699 7811345 865954 87233 -549905 8214627 7464264 828866 53507 -535292 7811345 7253658 673090 116350 -578834 7464264 0.47670 0.31000 0.21330 false false false 6886144 6886144 199886830 111087637 88799193 4017882 2426515 1591367 94926696 77451331 17475365 114752069 Receivables from related entities 9096680 Other receivables 1720470 Receivables from third-party payors 7150866 17968016 Workers Comp Liability 3272463 Payable to related entities 66534348 Payable to third parties 135985 Other liabilities 3183816 73126612 Part V, Line 4: Intended uses of the endowment fund. Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. X X X X false Heroes of the Heart Gala 210554 174354 36200 8089 37516 10945 19339 Golf Tournament 171153 148574 22579 275 1189 15490 14351 43069 381707 322928 58779 275 1189 23579 51867 10945 62408 150263 -91484 true true X true X true X true true false false true true 2950525 2950525 0.00870 69915263 63580906 6334357 0.01860 72865788 63580906 9284882 0.02730 1141102 1141102 0.00340 473657 21925 451732 0.00130 8889473 7362960 1526513 0.00450 15543 15543 108345 108345 0.00030 10628120 7384885 3243235 0.00950 83493908 70965791 12528117 0.03680 2476 2476 26488 26488 0.00010 547 547 2646 2646 32157 32157 0.00010 true 2202793 946760 40864116 39366086 1498030 X true true Gresham Family Medical Ctr Physician Services 0.74500 0.25500 ASSN-Unit Owners Plaza Cond Condo association mgmt 0.90000 0.10000 1 1 Portland Adventist Medical Ctr 10123 SE Market Street Portland OR 97216 X X X false false true X X X X X X X X 13 true false false true X www.adventisthealth.org/nw X true 14 true www.adventisthealth.org/nw false false true X 200.0000 399.0000 X X X X true true X X X true X https://www.adventisthealth.org/nw X adventisthealth.org/nw X X X X true X X false X X X X true X false false 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. 45 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 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 X true true X X X X true true false false false false false false false false CARMEN ROBERT Former Dir/Chair 219735 7321 6362 233418 REBOK DOUGLAS Former Asst Secretary 206161 198734 192588 16180 12863 626526 150311 RUSSELL THOMAS FORMER President/CEO 430652 135285 143519 88694 24038 822188 81109 Joo Elliot Physician 1145128 12168 16180 6595 1180071 Tella Mallik Physician 852088 42168 16180 3410 913846 Molloy Thomas Physician 779368 24780 16180 9938 830266 Alhumaid Fawaz Physician 586242 100625 18168 16180 7252 728467 Crespo Sergio Physician 543404 40663 16180 4570 604817 REINER SCOTT Dir/Chair 962984 298366 264690 227469 34190 1787699 182145 WING BILL Dir/VCh/AsstSec 814628 250491 180369 192782 35618 1473888 130871 JOBE MEREDITH Secretary 355393 98178 84270 74975 18602 631418 53771 WAGNER JACK Asst Secretary 775339 146404 134782 16384 25040 1097949 WEHTJE RODNEY Asst Treasurer 380562 109398 101323 34588 24128 649999 NEWMYER JOYCE President/CEO 532068 92363 17000 113654 31432 786517 PERRY MARK Treas/VPFin 226584 67182 59034 1157716 24111 1534627 69093 WELCH DONALD Treas/Asst Sec 219118 26710 15320 20054 281202 BENFIELD RONALD Interim VP Fin 256732 63640 158644 29594 24387 532997 141666 KINZER STEVEN CEO PAMG 251012 61564 95419 25829 24715 458539 70501 NUTTER LUCINDA CNO 217755 46116 9623 16180 27037 316711 RUSSELL DAVID Sr VP/COO 259806 57015 36723 43000 23968 420512 25481 BROWER DORANE VP Integrated Phys & Hlth Plan Svcs 161902 8588 9111 19980 199581 Part I, Line 1a: Relevant information in regards to selections on 1a. 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. WGW LLC Gabriel JV LLC JV Ownership false Schedule L, Part V Supplemental Information 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. X Travel-excursion in San Juans 1 5000 Estimate X 1 week's use of private villa 1 19950 FMV false false false 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 Healthcare Resources Northwest LLC 2625 SE 98th Ave Portland OR 97266 461719208 Managed Care Mgmt OR 30004771 9872672 Portland Adventist Medical Center 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 PAR LLC 10610 SE Clay Street Portland OR 97216 931262371 Sr Living OR N/A true 39 false 0.50000 Gresham Family Medical Center 1700 SW 257th Ave Troutdale OR 97060 911768081 Physician Office OR N/A C Corp 0.74500 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 NA C Corp false true false true false false false false false false true false true true true true true true true true