2014-02-18T15:52:21-08:00 2013-03-31 990 2012-04-01 930591528 LEGACY MOUNT HOOD MEDICAL CENTER LEGA 5034155600 24800 SE STARK ST GRESHAM OR 97030 LINDA S HOFF 2014-02-18 2012 2015-11-30 17:44:51Z GEORGE J BROWN MD C/O 1919 NW LOVEJOY STREET PORTLAND OR 97209 116554420 false false X WWW.LEGACYHEALTH.ORG X 1922 OR Legacy Mount Hood Medical Center (LMHMC) was founded in 1922 and is a community hospital in Gresham, Oregon with 115 licensed beds. LMHMC offers a wide range of services including family birth, diagnostic services, cancer treatment, surgery and emergency services. LMHMC is part of Legacy Health (Legacy).Our mission:Our legacy is good health for our people, our patients, our communities, and our world. We will work as a team to demonstrate our values:Respect - Treat all people with respect and compassion Service - Put the needs of our patients and their families first Quality - Deliver outstanding clinical services within healing environments Excellence - Set high standards and achieve them Responsibility - Be good stewards of our resources, ensuring access to care for all Innovation - Be progressive in our thinking and actions Leadership - Serve as a role model of good health and good citizenship 16 14 0 357 0 64105 85864 109605728 114841668 874811 1582074 0 110544644 116509606 0 0 46411094 48790285 0 0 57650828 64332571 104061922 113122856 6482722 3386750 75067661 77190937 61584381 61877159 13483280 15313778 Legacy Mount Hood Medical Center (LMHMC) was founded in 1922 and is a community hospital in Gresham, Oregon with 115 licensed beds. LMHMC offers a wide range of services including family birth, diagnostic services, cancer treatment, surgery and emergency services. LMHMC is part of Legacy Health (Legacy).Our mission:Our legacy is good health for our people, our patients, our communities, and our world. We will work as a team to demonstrate our values:Respect - Treat all people with respect and compassion Service - Put the needs of our patients and their families first Quality - Deliver outstanding clinical services within healing environments Excellence - Set high standards and achieve them Responsibility - Be good stewards of our resources, ensuring access to care for all Innovation - Be progressive in our thinking and actions Leadership - Serve as a role model of good health and good citizenship false false 87729603 114841668 LMHMC provides inpatient and outpatient healthcare services to the communities it serves. In support of its mission, LMHMC voluntarily provides medically necessary patient care services that are discounted or free of charge to persons who have insufficient resources and/or who are uninsured. During fiscal year 2013, LMHMC provided financial assistance on approximately 16,060 patient accounts (of which 21% received discounts totaling 100% of costs) and resulted in LMHMC incurring roughly $8,608,550 in uncompensated costs associated with this program. In addition to charity care, LMHMC provides services under various states' Medicaid programs for financially needy patients, Medicare beneficiaries and other government programs for which the cost of treating these patients exceeds the government payments received. During fiscal year 2013, LMHMC incurred approximately $7,435,400, $3,497,100 and $346,300 in uncompensated costs attributable to Medicaid, Medicare, and other government programs, respectively. LMHMC also provides a variety of other community benefit activities such as medical education, donations to other charitable entities, research, and other health improvement services which totaled roughly $556,150 during fiscal year 2013.LMHMC is part of Legacy, which collectively provided over $66 million, $119 million, $77 million, and $2 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2013. In addition, Legacy provided over $21 million in other community benefit activities during fiscal year 2013. 87729603 true true false true false false false false false true true true false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false true false false false false true true false false false true 0 0 false 0 false false false false false false false false false 0 false false false false false false false false false false X 16 14 false true false false true true true true true false false true true true true true true true true true true OR X X LINDA S HOFF 5034155600 1919 NW LOVEJOY STREET PORTLAND OR 97209 RT REV MICHAEL J HANLEY 3.00 0.00 X 0 0 0 DAVID E EAGER 0.00 40.00 X X 0 661662 59796 P CAMPBELL GRONER III 0.00 40.00 X X 0 534857 130283 GEORGE J BROWN MD 0.00 40.00 X X 0 1450450 381385 JOHN W WINTER JR 4.00 0.00 X 0 0 0 STEPHEN NEWBERRY MD 3.00 1.00 X 0 8000 0 CORLISS A MCKEEVER 3.00 0.00 X 0 499 0 DUANE C MCDOUGALL 3.00 0.00 X 0 0 0 RONALD S KING 4.00 0.00 X 0 0 0 LESLIE ROOT MD 4.00 1.00 X 0 21460 0 JEFFREY S GORDON 5.00 0.00 X X 0 0 0 JEFFREY D FULLMAN MD 3.00 0.00 X 0 0 0 DIANE PINNEY 4.00 0.00 X 0 0 0 ROBERT L CORNIE 4.00 0.00 X 0 0 0 COLLEEN A CAIN 7.00 0.00 X X 0 0 0 SHERYL MANNING 4.00 0.00 X 0 0 0 CHRISTOPHER S THOMING MD 3.00 0.00 X 0 0 0 BISHOP DAVID BRAUER-RIEKE 3.00 0.00 X 0 0 0 CAROL A BRADLEY 0.00 40.00 X 0 429479 81250 LOW L LEWIS 0.00 40.00 X 0 453383 63130 JOHN J KENAGY 0.00 40.00 X 0 289752 39269 GLEN LUTZ 0.00 40.00 X 0 142360 8017 MAUREEN A BRADLEY 0.00 40.00 X 0 293638 39299 EVERETT NEWCOMB III 0.00 40.00 X 0 691557 186437 GRETCHEN M NICHOLS 40.00 0.00 X 346966 0 60678 SONJA O STEVES 0.00 40.00 X 0 388659 95849 TRENT S GREEN 0.00 40.00 X 0 423222 75838 GEORGE A CIOFFI MD 0.00 40.00 X 0 355597 65241 JEANNIE C LEE 40.00 0.00 X 170060 0 34009 MARCIA S SODERLING 40.00 0.00 X 188406 0 24066 ROBERT R ROWBOTHAM 40.00 0.00 X 176755 0 38576 MAURI TRAYLOR 40.00 0.00 X 188645 0 24823 SHARON L TRUJILLO 40.00 0.00 X 164929 0 34613 BRYCE HELGERSON 0.00 40.00 X 0 382495 39729 PAMELA VUKOVICH 0.00 40.00 X 0 230511 86196 1235761 6757581 1568484 51 true true false WAVE FORM SYSTEM INC PO BOX 6989 PORTLAND OR 97208 MEDICAL SERVICES 166630 OREGON ANESTHESIOLOGY GROUP PC 120 NW 14TH AVE 300 PORTLAND OR 97209 MEDICAL SERVICES 462064 NW CARDIOVASCULAR INSTITUTE 2222 NW Lovejoy st 606 PORTLAND OR 97209 MEDICAL SERVICES 175768 EXECUTIVE HEALTH RESOURCE PO BOX 822688 PHILADELPHIA PA 19182 MEDICAL SERVICES 173365 BAUGH SKANSKA INC PO BOX 767 BEAVERTON OR 97075 CONSTRUCTION 758338 8 85864 34704 85864 PATIENT PROGRAM REV 291266672 291266672 CONTRACTUAL ALLOWANCE -151872628 -151872628 CHARITY CARE -25105793 -25105793 CAFE, PHARMACY & ETC 553417 553417 114841668 1619576 1619576 0 0 0 7312 44814 -37502 -37502 -37502 0 0 0 0 116509606 114841668 1582074 0 0 0 0 415644 364759 50885 0 37520567 32927096 4593471 3077667 2700882 376785 4701373 4125805 575568 3075034 2698572 376462 0 2307 2307 0 0 0 0 2317400 2317400 0 13281042 12669759 611283 0 0 245580 192556 53024 75341 59074 16267 0 0 1274567 999370 275197 0 5437141 4263184 1173957 24293 -38867 63160 PROVIDER TAX 5980672 5980672 CONTRACT SERVICES 7989446 7588125 401321 BAD DEBTS 10800732 10800732 ADMINISTRATIVE SERVICES FEES 16333560 16333560 570490 80484 490006 113122856 87729603 25393253 0 245918 12189 0 0 13118288 12863774 0 0 0 1478731 1572421 24073 25605 103063159 60065657 39756358 42997502 0 20444293 19719446 0 0 0 75067661 77190937 7172575 8475976 473721 360781 53938085 53040402 61584381 61877159 X 13483280 15313778 13483280 15313778 75067661 77190937 X 3386750 -1556252 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false X 290854 290854 98560561 1288839396 98560561 1289130250 1000000 1000000 250000 250000 false 2000000 2000000 2000000 2000000 8000000 12000000 263925 185614 288019 290854 1028412 500000 500000 500000 500000 2000000 3000000 99721 73894 359 79796 94178 82987 34525 371 18162 99721 71518 46401 40 34972 82987 115981 157461 201924 71518 108298 43990 36307 115981 1.00000 false true true 1494569 1494569 54584025 30786123 23797902 1512596 1200050 312546 40286423 28079484 12206939 5185546 5185546 42997502 1092250 C 19719446 Rounding 1 NONCURRENT WORKERS' COMP LIABILITY 247402 NONCURRENT PHYS CONTRACTS LIABILITY 125000 NONCURRENT PENSION LIABILITY 10149517 I/C AFFILIATE DEBT 42518482 53040402 116286725 252601 252601 116034124 475482 475482 116509606 112912397 252601 252601 112659796 463060 463060 113122856 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S AUXILIARY EXPENSE $42050 FOUNDATION CONTRIBUTION $32548 ROUNDING $506 OCCUPANCY EXPENSE $245580 OTHER EXPENSE $0 MEDICAL STAFF EXPENSE $104874 GAIN / LOSS OF SALE OF ASSETS $37502 Part XII, Line 2d Part XII, Line 2d: Other expenses and losses per audited F/S PROGRAM SERVICE REVENUE RECLASS $252601 Part XI, Line 4b Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S AUXILIARY INCOME $46038 FOUNDATION CONTRIBUTION $32548 ROUNDING $-1171 OCCUPANCY EXPENSE $245580 OTHER EXPENSE $0 MEDICAL STAFF INCOME $114985 GAIN / LOSS OF SALE OF ASSETS $37502 FOUNDATION CAPITAL CONTRIBUTION $0 Part XI, Line 2d Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 PROGRAM SERVICE REVENUE RECLASS $252601 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Endowment funds disclosed in Part V are used to improve the healthcare of the community as designated by the donors. Mount Hood Medical Center Foundation (MHMCF) maintains all charitable gifts including endowment funds for the benefit of LMHMC and it's programs. Income from permanently restricted net assets is accounted for in accordance with the donors' instructions.Legacy follows the guidance in the Uniform Prudent Management of Institutional Funds Act (UPMIFA) in determining the net asset classification of all donor-restricted endowment funds. In accordance with UPMIFA and board policy, assets classified as permanent endowments in accordance with donor intent are only utilized for current period expenditures to the extent that earnings on the endowment exceed the original fair value of the donation. To the extent earnings on endowment funds exceed identified expenditures on which to apply those earnings, the earnings are classified as temporarily restricted net assets. Legacy has adopted investment and spending policies for endowment assets to provide a predictable stream of funding to programs supported by its endowment and to maintain the value of the endowment assets. Asset allocation is reviewed quarterly with respect to: i) Legacy's tolerance for risk based on its financial condition and need for cash from investments to support operations; ii) expected asset class return, risk and correlation characteristics; iii) changes in accounting guidance or tax law and iv) changes in bond covenants or other restrictions.Legacy's spending practices are intended to comply with donor's wishes and meet all applicable laws and regulations. Spending must be for a purpose that is consistent with the documented intent of the donor, and may not exceed the amounts annually determined by Legacy. Factors that are considered in addressing the annual spending allocation are: i) market value of the fund relative to the principal of the gift and ii) the level of spending in prior years.From time to time, the fair value of assets associated with individual donor-restricted endowment funds may fall below the level that the donor or UPMIFA requires Legacy to retain as a fund of perpetual duration. Deficiencies of this nature are reported as a reduction to unrestricted net assets and are excluded from the performance indicator. true true X true X true X true true true false true true 8608550 8608550 0.07610 19957941 12522557 7435384 0.06570 28566491 12522557 16043934 0.14180 49754 49754 0.00040 341841 341841 0.00300 164534 164534 0.00150 556129 556129 0.00490 29122620 12522557 16600063 0.14670 false 10800732 7668520 15163798 19370746 -4206948 X true true 1 1 LEGACY MT HOOD MEDICAL CENTER

24800 SE STARK ST PORTLAND OR 97030

www.legacyhealth.org X X X LEGACY MT HOOD MEDICAL CENTER 1 true X X X X X X X X X 11 true true true X X X X X X X X X X false false false true true 200.0000 true 400.0000 true X X X X X X X true true X X X X X X true false X X X X true X false false Part VI - States Where Community Benefit Report Filed OR Part VI - Affilated Health Care System Roles and Promotion LMHMC is a subsidiary of Legacy Health (Legacy). Legacy is an integrated health system based in Portland, Oregon and primarily operates five acute care hospitals and related services (e.g., physician practices, hospice, preferred provider network) in the four county metro area of Portland and SW Washington. The Legacy Board is comprised of community and business leaders as well as representatives of the medical staff. The LMHMC medical staff is open, with physicians submitting credentialing information reviewed according to LMHMC policies and standards. In 1998, the Legacy Board approved a $10 million Community Health Fund from operating revenue to address major community health issues. About $500,000 annually has been granted to community-based projects addressing racial and ethnic inequities and root causes. These dollars are in addition to the system's generous charitable contributions. The Community Health Fund has provided over 35 grants since 1998 totaling nearly $6.7 million. In 2010, Legacy established the Health Literacy Initiative. The ability of patients to both understand and act upon the medical information provided to them is critical to their health outcomes. Patients must use information to navigate the health system (complete insurance and government forms, sign consents, schedule appointments), manage diseases and acquire preventive screenings. Providers (defined as all staff interacting with or developing materials used by patients) are responsible for ensuring that patients can act on the information provided. Funded by the Community Health Fund in 2012, Legacy hosted the first Oregon and SW Washington Health Literacy Conference. 360 people from 69 organizations attended. In 2013, the Health Literacy Conference had 500 health professionals attend and ensuring this conference as an annual event. Legacy is now the recognized leader in moving health literacy forward both in the health delivery system and broader community.Recognizing that education, employment and income inequities exist for communities of diversity, and that health professions are lacking in diversity, Legacy established the Youth Employment in Summer program in 1999. Annually, 13-15 African American, Hispanic and Native American youth receive paid summer employment in departments where they work with health professionals and earn college scholarships between $2,500 and $5,000 annually. Students must remain in school and pursued health careers in order to continue in the program. Some students remain in the program as long as seven years and graduated with degrees in a variety of healthcare fields. The vast majority of the students are the first in the families to go to college. In addition to the Community Health Fund, Legacy provided cash donations to local health and human service, education, economic development and civic organizations. Donations focus on organizations with year-round relationships through programs and board representation. A few examples include The Wallace Medical Concern, SnowCap and the local schools. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Non-cash donations of resources include clinical and non-clinical services and items such as screenings and support services, internships, information and referral services and health fairs. Legacy's warehouse is located on Legacy Good Samaritan's campus and is open to nonprofit organizations to obtain surplus equipment and furniture. In addition, conference room space is made available to local nonprofits for Board and community meetings.Clinical staff at Legacy hospitals are involved with local communities through many child safety programs. In 1986, nurses in Emanuel Hospital's Level I Trauma Center developed the Trauma Nurses Talk Tough (TNTT) program. Taught by trauma and emergency medical professionals, the program reaches 56,000 people each year. The American Hospital Association awarded the TNTT program its NOVA Award. In addition, Legacy staff members conduct free education sessions to show parents how to properly install car seats. Last year, Legacy staff fit and sold more than 11,000 bicycle and snow helmets for children at a nominal or no fee based on need. Legacy staff members also provide new parents with training to reduce the incidences of shaken baby syndrome and our in-house Safety Store sells child protection devices for the home at a nominal charge. Part VI - Community Information LMHMC is located in Gresham, a suburban area about 35 miles east of downtown Portland. The total service area extends from the Columbia River in the north to Estacada in the south and from 122nd Avenue in the west to Mt. Hood in the east. The five mile primary service area includes the cities/towns of Gresham, Troutdale, Fairview and Wood Village. Zip codes for the primary service area include: 97030, 97060, 97230, 97233, 97236, 97019 and 97080. While Gresham is the fourth largest city in Oregon, the other communities are much smaller in population. The communities are contiguous to each other. People living in this area perceive themselves as distinct from Portland, Oregon, although the majority works in Portland. The towns have strong local governments and identities. The primary service area is situated in the eastern third of the same county as the larger urban core--Portland (referred to as East Multnomah County). This presents challenges as the urban center/county seat consumes the majority of dollars and services and East Multnomah County often feels ignored. The situation is especially pressing as demographics are shifting such that East Multnomah County requires additional services and dollars, but struggles to be heard relative to Portland. The area is working diligently to have a stronger employment base which is critical for schools, public sector services and autonomy within the county. In November 2010, the Portland State University (PSU) Population Research Center reported the Oregon metro area tri-county population at 1,644,535 residents; with Clark County, the four county area was 2,080,926. The population of the five mile primary service area was 116,486 in 2010. Annual growth from 2010 to 2015 is projected to be 1.5%. East Multnomah County is expected to grow at a higher rate than West Multnomah County. In 2009, the median age in Oregon was 37.8 years and 36.9 years in Multnomah County. In 2010 the LMHMC primary service area was 78.9% non-Hispanic white, 11.9% Hispanic, 1.9% African American, 3.2% Asian, 3.0% bi-racial and 0.7% Native American. It is commonly recognized that communities of color may be undercounted in census numbers. As home and rental costs in the City of Portland have increased significantly in the past decade, communities of color have sought housing in the surrounding communities. The range of languages spoken at home is significant within segmented areas of East Multnomah County. More than 45 languages are spoken in the East County public schools. The African American/Black population continues to be most concentrated in the historical neighborhoods of North/Northeast Portland, but increased housing prices in those areas have resulted in this population shifting toward East Multnomah County. Hispanics are moving into the LMHMC service area at a higher rate than any other group (more than doubling in numbers in the past 15 years). Additionally, they have a higher birth rate than other communities of color. The Hispanic population accounts for about one-fifth of the births in Oregon, while they make up just one-tenth of the population. Between 1995 and 2004 babies born to Hispanic mothers increased 67 percent. It is projected that communities of color will make up the majority of the Oregon population by 2040, and that 25 percent of the population will be Hispanic. A number of the elementary schools in East County are 50 percent Hispanic.The Slavic community, in addition to the Hispanic community, has settled in the area. While still a small population relative to the entire metro area, specific geographic areas are experiencing significant growth in the Slavic population, particularly in the southern East Multnomah County. Slavs are counted in the non-Hispanic white population, but they have distinct cultural identity. Their socioeconomic indicators are generally lower than the other non-Hispanic white population.The immigrant and refugee population is growing significantly in the region. Recent immigrants and refugees are more likely to be culturally and linguistically isolated. Speaking a language other than English at home has increased significantly, particularly in East County and specific neighborhoods such as Rockwood which is located on the edge of west Gresham. Spanish is the most common language spoken followed by Slavic languages.Catholic Healthcare West and Thomson Reuters developed the Community Needs Index (CNI), a tool that produces a composite picture of needs using a variety of demographic and socio economic indicators. The CNI is increasingly being used as the national standard in identifying communities with health disparities and comparing relative need. A higher score indicated a greater need. The location of one of the top four self-pay zip codes for all Legacy hospitals is in the LMHMC service area.The LMHMC is the sole hospital in the primary service area. Three other health systems have a strong clinic presence.With the long-standing income disparities and increase in diversity in the LMHMC area, safety net services have expanded and emerged. Multnomah County Health Department operates FQHCs in inner Gresham and Rockwood, a neighborhood on the western edge of Gresham (the site of one of the highest Community Needs Index scores in the entire metro area). One-fourth of the census tracts in Rockwood have "Medically Underserved Population" designation with an uninsured population of 30%. Two safety net clinics serve the area. One is a physician staffed nonprofit in Gresham. The other in Rockwood is Wallace Medical Concern a volunteer staffed clinic which receives Legacy's financial support, donated laboratory services and board representation. Wallace recently moved into a permanent expanded space and is seeking FQHC look-alike status and projects serving 5900 patients annually within the second year of the move. Legacy Medical Group Clinic in Sandy is 13 miles from the hospital and is a designated Rural Health Center.A local non-profit, Project Access NOW, links uninsured low income individuals to no-cost healthcare services. All of the health systems in the metro area are very involved with this program. Legacy Health provides cash donations, free administrative office space for Project Access NOW as well as clinical services. In FY 13, LMHMC provided $8.6 million in charity care and $19.8 million in total unpaid costs of care for those in need. LMHMC has historically been among the highest charity care provider as percent of charges among all metro area hospitals. Part VI - Patient Education of Eligibility for Assistance LMHMC employs financial counselors and social workers that assist patients in obtaining coverage for their healthcare needs. This includes assistance with workers compensation, motor vehicle accident policies, COBRA, veterans' assistance, LMHMC's financial assistance program, and public assistance programs, such as Medicaid. The criteria for financial assistance under LMHMC's program is determined based on eligibility for insurance coverage, household income, qualified assets, catastrophic medical events, or other information supporting a patient's inability to pay for medically necessary services provided. Specifically, the LMHMC Financial Assistance Program provides an uninsured discount of 15% to patients who have resided within LMHMC's primary service area for a period of six months, are uninsured for hospital care, and have a household income of less than $100,000 annually. Further discounts are available for patients, on a sliding scale, whose household income is less than 400% of the federal poverty level or roughly $92,200 for a family of four in Portland, Oregon. For patients whose household income is at or below 200% of the federal poverty level, a full subsidy is available. In addition to the household income criteria, the patients' qualified assets (e.g. 25% of household assets), and other catastrophic or economic circumstances are considered in determining eligibility. In addition to financial counselors and social workers, LMHMC makes every effort to communicate its Financial Assistance Program to all patients. This includes signage in main admitting areas of each hospital and brochures explaining financial assistance in all patient care areas, as well as in appropriate languages. Financial counselors are available to assist patients in understanding and applying for available resources, including the LMHMC Financial Assistance Program. LMHMC's website also has information about the availability of financial assistance. LMHMC offers financial assistance customer service Monday through Friday, as well as the availability of voice mail so patients can leave confidential, detailed messages during non-business hours. Finally all of Legacy's billing statements include information regarding the availability of financial assistance. If LMHMC requires the use of a collection agency, those agencies are required to provide a telephone number that patients can call to request financial assistance.In 2010, Legacy Health established the Health Literacy initiative. Nearly all Legacy employees are touch points to patients and families and health literacy is involved in every touch pointWhat is health literacy? The Institute of Medicine defines health literacy as the capacity to obtain, understand, and process basic health information and services needed to make appropriate health decisions. In short, health literacy is the ability to understand and act on health information. Nearly half of the U.S. adult population has a low level of health literacy. Patients with low health literacy are less likely to comply with treatment, less likely to seek preventive care and twice as likely to be hospitalized. Quality, safety and cost are all affected by a patient's inability to understand medical instructions and to explain their symptoms/issues. Legacy's employees are learning and practicing new way of communicating with patients using health literacy tools such as universal precautions, plain language and teach back methods.Annual education is provided to all billing and admitting staff so they can be kept informed of and speak with knowledge about current financial assistance policies and options. LMHMC provides copies of the latest policies in main admitting areas, as well as through newsletters and other publications. Since 2008, the four county metro area health delivery systems (encompassing all hospitals in the area) and safety net clinics have partnered to establish a seamless, coordinated program to provide care for the low income uninsured, Project Access. This program enables low income uninsured patients to receive continuity of care in earlier stages of acuity due to the collaboration among 2800 providers and all health systems. Part VI - Needs Assessment Senior leadership, in conjunction with the Board of Directors, continually assesses the needs of the communities it serves through a compilation of primary and secondary market research (qualitative and quantitative), medical staff input, reviewing national trends and practices, working with local foundations and funders regarding their assessments, and working with local community-based partners to understand their needs. The goal is to understand the needs and develop programs specific to the community. Involvement is both proactive and responsive - a leadership role in initiating programs as well as being readily available as a collaborative partner when the community asks. The outcome of these assessments is the development of both long-term and fiscal year plans that are supported by a yearly budget that is proposed by staff and approved by the Board of Directors. During 2010, Legacy Health conducted a community needs assessment. The results of the assessment were available in July of 2011 and can be found at www.LegacyHealth.org. The region served by Legacy Mount Hood Medical Center (LMHMC), along with most of Oregon, is experiencing significant challenges in population growth, economic development, education and health care. Recognizing that social and economic determinants impact health, LMHMC has been and will remain committed to addressing these issues to improve the health of all residents in the community, including equity among ethnically diverse populations. Number of Hospital Faciltiy - 1 Part V, Line 20d - Other Billing Determination of Individuals Without Insurance The hospital facility used the Federal Poverty Guidelines to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Discounts are available for patients, on a sliding scale, whose household income is less than 400% of the federal poverty level. A full subsidy is available for patients whose income is at or below 200% of the federal poverty level. Number of Hospital Faciltiy - 1 Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why Legacy Mount Hood did not address needs identified in the Community Needs Assessment for the reasons explained in the following, by need. These are included in the Community Needs Assessment and Implementation Strategies Plan.NEED: Mental Health: Limited financial and labor resources prevent addressing as need.NEED: Addiction/Substance Abuse: Limited financial and labor resources prevent addressing as need.NEED: Public Health: Limited financial and labor resources prevent addressing as need.NEED: Dental: Limited financial and labor resources prevent addressing as need.NEED: Childhood Obesity and Physical Activity: Limited financial and labor resources prevent addressing as need.NEED: Natural Environment: Limited financial and labor resources prevent addressing as need.NEED: Early Childhood: Limited financial and labor resources prevent addressing as need.NEED: HIV/AIDS: Limited financial and labor resources prevent addressing as need.NEED: Transgender Care: Limited financial and labor resources prevent addressing as need.NEED: Autism: Limited financial and labor resources prevent addressing as need. Number of Hospital Faciltiy - 1 Part V, Line 6i - Describe Other Needs Identified The action plan for Legacy Mt. Hood can be found at www.legacyhealth.orgUsing these criteria and the lens of racial and ethnic equity, a Legacy Mount Hood Medical Center Implementation Strategies Plan details needs and implementation strategies in order of priority. All needs expressed by stakeholders related to health, health care and public health are listed, including those not addressed as a focus priority due to lack of financial and labor resources. Many needs beyond the five focus areas are addressed within hospital services and activities and these can be found in the Plan. Legacy Mount Hoods resources and strengths are on health-related services and, thus, the five focus areas are health-related needs and actions. Community stakeholders clearly stressed recommending focused attention in contrast to a broader superficial approach in addressing issues.Based on the criteria, Legacy Mount Hood will focus on:communities of color, charity care, access to health care, health literacy and youth and education. Number of Hospital Faciltiy - 1 Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment The Community Needs Assessment was conducted in conjunction with the four other Legacy Health hospitals, i.e., Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center and Legacy Salmon Creek Medical Center. Number of Hospital Faciltiy - 1 Part V, Line 3 - Account Input from Person Who Represent the Community In July of 2011, the results of Legacy's community needs assessment were available and can be found at www.Legacyhealth.org.Input from persons who represent the community consisted of one on one personal interviews conducted by leadership with 56 elected officials (state, county and city) and public sector (public health, human services), faith, business and community nonprofit organization members, including representatives of culturally, racially and ethnically diverse and low income communities. Interviewees were intentionally designated based on their direct involvement with organizations. Venetta Abdellatif, Director, Multnomah County Health DepartmentJudy Alley, Executive Director, Snow CapThomas D. Aschenbrener, President/CEO, Northwest Health FoundationMichael Balter, Executive Director, Boys and Girls Aid SocietyCarolyn Becic, Executive Director, Oregon MentorsCindy Becker, Administrator, Clackamas County Health and Human ServicesThe Right Rev. David Brauer-Rieke, Bishop, Oregon Lutheran Synod ELCARachel Bristol, Executive Director, Oregon Food BankSam Brooks, Former President, Oregon Association of Minority EntrepreneursLorena Campbell, Liaison, East Multnomah County Schools LiaisonMargaret Carter, Deputy Director of Human Services, Oregon Department of Human ServicesGale Castillo, Executive Director, Hispanic Metropolitan ChamberRobin Christian, Executive Director, Children First for OregonLisa Cline, Executive Director,The Wallace Medical ConcernJeff Cogen, Chair, Multnomah CountyRodney Cook, Director, Clackamas Office of Children and FamiliesCarlos Crespo, DrPh, Director, Portland State University School of Community HealthMarie Dahlstrom, Executive Director, Familias en AccionAndy Davidson, President/CEO, Oregon Association of Hospitals and Healthcare SystemsMarty Davis, Publisher, Just OutChris DeMars, Program Officer, NW Health FoundationJean DeMaster, Executive Director, Human SolutionsKevin Dowling, Program Manager,CARES NWErin Fair, Policy Director, Care OregonPietro Ferrari, Executive Director, HaciendaJeana Frazzini, Executive Director, Basic Rights OregonJoanne Fuller, Director, Human ServicesMultnomah CountyBruce Goldberg, MD, Director, Oregon Department of Human Services Janie Griffin, Dean, Mt. Hood Community CollegeGuadalupe Guajardo, Senior Consultant,Nonprofit Association of OregonMary Lou Hennrich, Executive Director, Oregon Public Health InstituteDonna Larson, Dean of Allied Health, Mt. Hood Community CollegeDavid Leslie, Executive Director, Ecumenical Ministries of OregonMarc Levy, Executive Director, United Way of the Columbia WillametteAdrienne Livingston, Executive Director, Black United FundNichole Maher, Executive Director, Native American Youth and Family CenterDiane McKeel, Commissioner, Multnomah CountyCorliss McKeever, President/CEO, African American Health CoalitionLaurie Monnes-Anderson, State Senator, Oregon State SenateVicki Nakashima, Partners in DiversityCarol Neilson-Hood, Executive Director,Gresham Area Chamber of CommerceLinda Nilsen-Solares, Executive Director, Project Access NOWCarman Rubio, Executive Director, Latino NetworkJim Schlachter, Superintendent, Gresham Barlow School DistrictLillian Shirley, Director, Multnomah County Health DepartmentJohn Sygielski, EdD,President, Mt. Hood Community CollegeLynn Thompson, CEO, Big Brothers Big Sisters Columbia NorthwestTricia Tillman, Administrator,Oregon Multicultural Health and ServicesJoshua Todd, Director,Multnomah County Commission on Children, Families and CommunityGreg Van Pelt, Chief Executive Oregon,Providence Health and Services Oregon RegionMaree Wacker, CEO, American Red Cross Oregon Trail ChapterLarry Wallack, DrPH, Dean, Portland State University College of Urban and Public AffairsJoyce White, Executive Director, Grantmakers of OR and SW WAWim Wievel, PhD, President, Portland State UniversityGloria Wiggins, Division Manager, El Programa Hispano Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Legacy provides care without charge or at amounts less than its established rates to patients who meet certain criteria under its financial assistance policy. Since Legacy does not pursue collection of amounts determined to qualify as charity care, they are excluded from net patient service revenues. Part III, Line 8 - Explanation Of Shortfall As Community Benefit The entire Medicare shortfall should be considered a community benefit. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in the community served by the hospital. The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. The Medicare amounts listed in Part III Section B. on lines 5, 6, and 7 do not represent all of the organization's revenues and costs associated with its participation in Medicare programs. The methodology used in reporting in Part III Section B Medicare is inconsistent with the other sections in Schedule H, as the instructions limit Medicare revenues and allowable cost to those from only the Medicare Cost Report. Revenue and costs from Medicare Part C patients, Part B physician services billed by the organization, and clinical laboratory services weren't included. In addition, hospitals incur other costs to provide care that Medicare does not allow in the cost report, such as Physician Call pay to ensure adequate physician coverage for the ED. The total revenues and costs attributable to all Medicare services are $35,208,373 and $38,705,448 respectively. This results in a total Medicare shortfall of $3,497,075.Costing Methodology (Part III, Line 8).Medicare allowable costs were calculated using the costing methodologies in the Medicare Cost Report. The cost report arrives at total allowable hospital cost through a cost finding process that includes direct cost allocations and a step-down allocation of indirect or overhead costs. Inpatient operating costs are composed of general inpatient routine and ICU unit costs derived from cost per diems, as well as inpatient ancillary service costs that utilize cost to charge ratios to arrive at cost. Apportionment of cost applicable to hospital outpatient services is through the application of cost to charge ratios. This excludes other costs incurred to provide services of the hospital to the community that the cost report deems as unallowable costs, such as Physician on-call pay. Part III, Line 4 - Bad Debt Expense The footnote that describes the Legacy bad debt expense can be found on Page 14 of the attached audited financial statements. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The estimated amount of bad debt expenses attributable to charity care policy was calculated using the demographic profile of household income and average household size in the zip code areas around the hospital. 71% of Households in the LMHMC service area would qualify for financial assistance with incomes under 400% of the Federal Poverty Guidelines under this methodology. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense LMHMC uses many different approaches to inform and educate patients on the availability of financial assistance as is described later in Part VI of Schedule H. Still, many patients do not respond to requests for information or provide appropriate documentation to benefit from financial assistance. As a result, LMHMC must report these amounts as bad debt. A portion of bad debt expense should be considered as charity care, using reasonable methodologies to analyze the information. true true false false false true true false true true TRENT S GREEN 325288 59154 38780 45194 30644 499060 40454 SONJA O STEVES 299746 52572 36341 71639 24210 484508 35749 SHARON L TRUJILLO 166239 825 -2135 10859 23754 199542 ROBERT R ROWBOTHAM 172795 875 3085 14380 24196 215331 PAMELA VUKOVICH 230511 73949 12247 316707 P CAMPBELL GRONER III 353473 68821 112563 89507 40776 665140 106177 MAURI TRAYLOR 189219 875 -1449 15208 9615 213468 MAUREEN A BRADLEY 235001 53468 5169 19568 19731 332937 MARCIA S SODERLING 169477 16560 2369 12208 11858 212472 LOW L LEWIS 333181 39176 81026 36931 26199 516513 16213 JOHN J KENAGY 274619 10000 5133 23607 15662 329021 JEANNIE C LEE 170737 837 -1514 16299 17710 204069 GRETCHEN M NICHOLS 261734 57828 27404 36997 23681 407644 30719 GLEN LUTZ 20074 122286 4283 3734 150377 GEORGE J BROWN MD 917307 255586 277557 333283 48102 1831835 250411 GEORGE A CIOFFI MD 45789 309808 60468 4773 420838 222257 EVERETT NEWCOMB III 554392 120963 16202 154048 32389 877994 DAVID E EAGER 540010 115900 5752 30212 29584 721458 CAROL A BRADLEY 323730 58211 47538 47366 33884 510729 39685 BRYCE HELGERSON 288346 56052 38097 29808 9921 422224 35276 Sch J, Part III, Additional Information Part III, Additional Information Sch J, Part 1, Question 3 Regarding Compensation PracticesDirectors for Legacy are not compensated, but receive expense reimbursements related to their duties. Any expense reimbursements to board members are reviewed by the Director of Tax for determining 1099 tax reporting. During 2012, Corliss McKeever was reimbursed for Board Educational travel. A guest attended with Ms. McKeever. Any reimbursed expense related to spouse or guest travel is reported on part VII of the form 990. Compensation received by Dr. Newberry during 2012 related to his responsibilities as Past President of the Medical Staff at Legacy Meridian Park Hospital. Dr. Root received compensation relating to her duties as President of the Legacy Emanuel Medical Staff & compensation for medical services provided to Legacy Emanuel Hospital.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior management personnel. The comprehensive compensation plan is designed for positions that have a significant impact on the high-level strategic and policy direction of Legacy and its affiliates.Base pay and total compensation (including incentive compensation) for similar positions is established at a level comparable to market compensation for healthcare organizations. External consultants are regularly used to review published compensation surveys of comparable organizations and comparable benchmark positions in the market. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for executive positions. The Committee oversees the system's governance procedures with respect to intermediate sanctions legislation and the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures.Sch J, Part II, Column Breakdown Of W-2 Or Misc-1099:Column B(i) - Base compensation consists of regular base pay including employee elected deferrals for retirement plans (403(b) and 457(b) plans).Column B(ii) - The incentive compensation program for Legacy is based on predetermined criteria and reviewed and approved by the Board. Bonuses are paid to key employees for interim duties outside their primary responsibilities (e.g. Acting in Capacity).Column B(iii) - Other compensation consists of deferred compensation amounts paid to executives during the current year and were reported on prior form 990 returns. These amounts include arrangements that contain elements of a substantial risk of forfeiture conditioned on continued employment, vesting and/or a noncompete provision upon termination of employment. In addition, imputed income for insurance, cell phone and other benefits is included in other compensation as well as any severance related payments. Column C - Deferred compensation includes the value of defined benefit plans, contributions to defined contribution plans, amounts deferred under the 457(f) plan including earnings, earnings in the 457(b) plan, and the value of the pension restoration plan. Earnings on the 457(f) and 457(b) include gains and losses on the underlying investments. The defined contribution and benefit plans are available to all employees as they become qualified to participate. The pension restoration plan provides executive pension benefits in excess of IRS mandated limits on eligible compensation to key executives. The benefits are unfunded and subject to forfeiture. Executive pension benefits are intended to make the executive's retirement benefit, as a proportion of their final average salary, comparable to all other employees, and are treated as income when paid.The Legacy Health Board approved an Executive Long Term Incentive Plan effective April 1, 2011 for 3 years ending on March 31, 2014. The initial participants include the CEO, CFO and COO. The Plan is discretionary and can be terminated at any time. The purpose of the Plan is to attract and retain highly qualified senior executives, to focus management performance and reward participants for contributing to the accomplishments of Legacys long-term objectives. The long-term strategic goals include improving the quality of care by preventing serious adverse events by ensuring a culture of safety for employee; growth and strategy by achieving meaningful use and optimal care outcomes; and financial management with improved bond rating and increased philanthropic support for programs. Targets for operating margins are required over the three year period and all goals are measured at March 31, 2014. Payout is after approval from the Legacy Health Compensation committee and the Legacy Health Board. Although the Plan is not funded and is subject to substantial risk of forfeiture, Part II, Schedule J, column C reporting is required as deferred compensation for FY2013. Included in the CEO and COOs deferred compensation amount for the Plan is $177,864, and $76,333 respectively. The CFO left Legacy in 2013 and is not eligible to receive any payout. Column D - Nontaxable benefits include company paid health and welfare and long term care and disability benefits under group plans.Column F - Current year compensation reported as deferred in prior years. Sch J, Part I, Line 8 Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs Legacy enters into initial employment agreements with executives that qualify under the initial contract exception. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for key executive positions. The Committee relies on comparable market data and all decisions are documented. Sch J, Part I, Line 6b Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or Legacy has an at-risk incentive compensation plan for management. The plan is based on meeting goals related to employee engagement, work processes, customer service, clinical quality, financial management, and certain key strategic tactics. In order to payout any at-risk incentive compensation, Legacy must exceed operating margin targets. X 34704 false false false Form 990, Schedule J Schedule J Reporting of Officers and Senior Management on Legacy Affilate Returns. The Legacy Officers, Senior Vice Presidents and other key employees may have responsibilities for the operations of the entire health system, including the affiliated entities. Their compensation is paid from and reported on the Legacy return(EIN 23-7426300). The compensation is reported again for informational purposes on related affiliated entity returns including, Legacy Emanuel Hospital & Health Center, Legacy Good Samaritan Hospital and Medical Center, Legacy Meridian Park Hospital, Legacy Mount Hood Medical Center, Legacy Salmon Creek Hospital, Legacy Visiting Nurse Association, and Legacy Adventist Venture. Form 990, Part X LMHMC participates in the Legacy investment pooled funds which include professionally managed equity and fixed income securities in both separately managed portfolios and commingled investment accounts. Investment returns are prorated according to each affiliate's share of the pool. Form 990, Part VI, question 2 Legacy Health System CPC, LLC (CPC) is a common pay agent for Legacy and its affiliates. The CPC files all required federal employment tax returns for Legacy and its affiliates. The number of employees reported on Form W-3 for LMHMC is 712. Form 990, Part IV, question 12 Legacy has an audit of its consolidated financial statement which includes consolidating schedules highlighting LMHMC's financial results. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Rounding = -$5 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases IN KIND DONATION = -$34704 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in additional minimum pension liability = -$1521543 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Legacy Health's audited and interim consolidated financial statements are publicly available on the Electronic Municipal Market Access(EMMA) (www.emma.msrb.org) and DAC Bond (www.dacbond.com) websites. Legacy's audited consolidated financial statements include consolidating schedules which highlights LMHMC's financial results.When changes are made to the LMHMC Articles or Bylaws, LMHMC discloses and attaches copies to the IRS Form 990, which are publicly available by request or on various public websites such as Guidestar(www.guidestar.org). Other governing documents are not available to the public. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The following describes the compensation practices of Legacy and its affiliates.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior management personnel. The comprehensive compensation plan is designed for positions that have a significant impact on the high-level strategic and policy direction of Legacy and its affiliates.Base pay and total compensation (including incentive compensation) for similar positions is established at a level comparable to market compensation for healthcare organizations. External consultants are regularly used to review published compensation surveys of comparable organizations and comparable benchmark positions in the market. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for key executive positions. The Committee oversees the system's governance procedures with respect to the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The following is a summary of Legacy's policy and procedures for conflict of interest disclosure, monitoring and resolution.All Legacy employees and non-employees in leadership positions (e.g., Board members, Foundation Trustees, Medical Directors) are required to disclose potential conflicts of interest as the conflict arises. All employees are required to disclose any conflict of interest per the Standard of Conduct policy. Certain groups have annual formal disclosure requirements, Executives and non-employees in leadership positions complete the Conflict Disclosure Statement from the Standards of Conduct policy annually. Officers, Directors, Trustees, Key and Highly Compensated employees are also required to complete a questionnaire covering business relationships, business transactions with interested parties, loans and grants. Conflict Disclosure Statements and questionnaires are returned to Legacy Corporate Compliance or Tax Departments for review of the disclosure. If a conflict is disclosed, or identified through any other means, Legacy Corporate Compliance ensures that management mitigates the risk (e.g., discontinues relationship with vendor, segregates responsibilities, recuses Board member from voting in area of conflict) and that the conflict and mitigation steps are reported to the appropriate level (e.g., Compliance Committee, Audit Committee of the Board). Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process The Legacy Board received a copy of the 990 return prior to filing. At the direction of the entire Board, the Board Compensation Committee reviewed the compensation disclosures and the Board Audit Committee reviewed the 990 returns for Legacy and Legacy Emanuel Hospital & Health Center with Management prior to filing. Any key differences in disclosure for other affiliated entities, including Legacy Mount Hood Medical Center were discussed with the Board Audit Committee. Form 990, Part VI, Line 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The appointed persons by the Oregon Synod Council and the Convention of the Episcopal Diocese may not be removed from the Board without written consent of their respective organizations. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors includes the following members: (a) The Bishop of the Oregon Synod of the Evangelical Lutheran Church inAmerica (the "Oregon Synod") or the Bishop's designee, who shall serve ex officio;(b) The Bishop of the Episcopal Diocese of Oregon (the "Episcopal Diocese")or the Bishop's designee, who shall serve ex officio;(c) One (1) person appointed by election of the Oregon Synod Council;(d) One (1) person appointed by election of the Convention of the EpiscopalDiocese. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Legacy Health is the sole member of Legacy Mount Hood Medical Center. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Legacy Health (Legacy) provides management services for all of its affiliated companies which includes, accounting, purchasing, contracting, legal, human resources, information technology, billing, facilities, budgeting, transcription, security, public relations, strategic planning, organization development. LEGACY ADVENTIST VENTURE 1919 NW LOVEJOY ST PORTLAND OR 97209 931121816 HEALTHCARE OR 501(C)(3) 9 N/A false SALMON CREEK HOSPITAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 830433165 CHARITABLE FOUNDATION WA 501(C)(3) 7 N/A false MERIDIAN PARK MEDICAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 930773410 CHARITABLE FOUNDATION OR 501(C)(3) 11a N/A false GOOD SAMARITAN FOUNDATION PO BOX 4484 PORTLAND OR 97208 237017276 CHARITABLE FOUNDATION OR 501(C)(3) 11a N/A false THE CHILDRENS HOSPITAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 931314469 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false EMANUEL MEDICAL CENTER FOUNDATION PO BOX 4484 PORTLAND OR 97208 936095667 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false MT HOOD MEDICAL CENTER FOUNDATION PO BOX 4484 PORTLAND OR 97208 930794951 CHARITABLE FOUNDATION OR 501(C)(3) 11a N/A true LEGACY VISITING NURSE ASSOCIATION 815 NE DAVIS ST PORTLAND OR 97210 930848530 HOSPICE OR 501(C)(3) 9 N/A false LEGACY SALMON CREEK HOSPITAL 2211 NE 139TH ST VANCOUVER WA 98686 331065485 HOSPITAL WA 501(C)(3) 3 N/A false LEGACY MERIDIAN PARK HOSPITAL 19300 SW 65TH AVE TUALATIN OR 97062 930618975 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL 1015 NW 22ND AVE PORTLAND OR 97210 930386793 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY EMANUEL HOSPITAL & HEALTH CENTER 2801 N GANTENBEIN AVE PORTLAND OR 97227 930386823 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY HEALTH 1919 NW LOVEJOY ST PORTLAND OR 97209 237426300 HEALTHCARE OR 501(C)(3) 11b N/A false MANAGED HEALTHCARE NORTHWEST 1919 NW LOVEJOY ST PORTLAND OR 97208 930914759 MEDICAL OR LEGACY MOUNT HOOD MEDICAL CENTER C -746 804550 0.75000 true false true true false false false false true true true true false true true false false false false false MT HOOD MEDICAL CENTER FOUNDATION m 86199 Actual Cost MT HOOD MEDICAL CENTER FOUNDATION c 85864 Cash