PORTLAND ADVENTIST MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PORTLAND ADVENTIST MEDICAL CENTER (EIN 93-0429015)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-17
IRS object ID: 201303229349300000
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-17T23:43:10-08:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	930429015	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Portland Adventist Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PORT	NameControl
Phone	5032516150	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10123 SE Market Street	AddressLine1
City	Portland	City
State	OR	State
ZIP Code	97216	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PERRY MARK	Name
Title	Treas/VPFin/CFO	Title
Date Signed	2013-11-17	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RUSSELL THOMAS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	10123 SE Market St	AddressLine1
City	Portland	City
State	OR	State
ZIP Code	97216	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	285004697	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Group Exemption Number	1071	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.adventisthealthnw.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1900	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	Our mission is to demonstrate the human expression of the healing ministry of Jesus Christ	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2447	TotalNbrEmployees
Total Nbr Volunteers	285	TotalNbrVolunteers
Total Gross UBI	5850219	TotalGrossUBI
Net Unrelated Business Txbl Income	-2489	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	621826	ContributionsGrantsPriorYear
Contributions Grants Current Year	542898	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	265403029	ProgramServiceRevenuePriorYear
Program Service Revenue CY	280416450	ProgramServiceRevenueCY
Investment Income Prior Year	3190957	InvestmentIncomePriorYear
Investment Income Current Year	3585154	InvestmentIncomeCurrentYear
Other Revenue Prior Year	56562	OtherRevenuePriorYear
Other Revenue Current Year	-60305	OtherRevenueCurrentYear
Total Revenue Prior Year	269272374	TotalRevenuePriorYear
Total Revenue Current Year	284484197	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	185748	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	8600	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	150440396	SalariesEtcPriorYear
Salaries Etc Current Year	157261458	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	285039	TotalFundrsngExpCurrentYear
Other Expense Prior Year	112063492	OtherExpensePriorYear
Other Expenses Current Year	120652827	OtherExpensesCurrentYear
Total Expenses Prior Year	262689636	TotalExpensesPriorYear
Total Expenses Current Year	277922885	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6582738	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6561312	RevenuesLessExpensesCY
Total Assets BOY	278075515	TotalAssetsBOY
Total Assets EOY	284141604	TotalAssetsEOY
Total Liabilities BOY	91195733	TotalLiabilitiesBOY
Total Liabilities EOY	90765360	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	186879782	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	193376244	NetAssetsOrFundBalancesEOY
Mission Description	Our mission is to demonstrate the human expression of the healing ministry of Jesus Christ.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	236287429	Expense
Revenue	268573859	Revenue
Description	Portland Adventist Medical CenterProgram Service Accomplishments2012Portland 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), theorganization 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, byengaging our communities and our patients in a new definition of and partnership for personal communityhealth. 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 costof providing care to these patients in 2012 was $13,175,433..The following Inpatient services that were provided to all our patients. These services included:1,081 Babies delivered2,712 Surgeries performed19,653 Radiology procedures performed1,482 Cardiac Catheterizations and other procedures263,764 Laboratory tests14,620 Patient days (Psychiatric Services)The following Outpatient services that were provided to all our patients. These services included:49,565 Emergency department visits4,268 Outpatient Surgeries performed90,276 Radiology procedures performed2,059 Cardiac Catheterizations and other procedures351,931 Laboratory tests 222,848 Medical clinic visits62,731 Rehab visitsHome Health Care services in 2012 that were provided to all our Home Health patients. These services included:32,882 Home Health visits47,354 Hospice patient days16,064 Home Medical Equipment deliveries6,938 Home Infusion Therapy daysPAMC 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 isfulfilling its mission. The total unreimbursed cost of these community benefits in 2012 was $3,866,798.Community Health Improvements ServicesCelebrate HillsboroCommunity Health Education: Sandy Mountain daysDiabetes Fair- Rose Garden and AMCCreating Health LectureCreating Health LectureMichael Greger MD Nutrition TalkMichael Greger MD Nutrition TalkAHA Heart and Stroke WalkCreating Health LectureMental Health Awareness WeekHealing From DepressionHealing From DepressionLiving Well, Living LongerWomen's Health FairRockwood SDA Community PicnicCompassion ClackamasVentura Park concert in the park Hoodview Jr Academy Health FairRockwood SDA Health FairBetter Living ShowCreating Health LectureDon Hall, DrPH, The Vegetarian Sunny City EventPatrick Reynolds SeriesSharon SDA Church Community fair A Delicious Fair of the HeartAARP Driver safety programGrant Butler lecture Going VeganSmoke free Support groupCommunity Based Clinical Services:Stroke Education and screeningMammography Voucher Program for uninsured womenCompassion SandyCompassion DowntownKorean SDA Church HealthfairCHIP Blood DrawRiverside SDA Church Community Health Care Support Services:Emergent transportation needs of discharging patientsCancer patient transportationEnrollment assistance in government funded health programsCoupons for homeless sheltersCancer Survivor EventCancer Support GroupGrief ClassesHealth Professionals EducationPhysiciansAdvanced Life Support for ObstetricsVarious health lecturesNurses/Nursing students:Student nurses- 31,548 hours 400 studentsNursing School subsidyOther Health Professionals Education:Surgical TechsDietetic educationHealth Resource KioskMedical Library open to publicHosted Caremark lecture SeriesVarious Grief/Care classes for Home health/Hospice professionals PT, OT, Speech therapy student trainingSubsidized Health Services:Hospital Outpatient Services:Cardiopulmonary RehabSubsidized Continuing CareHome HealthBehavioral Health ServicesPsych and Psych Services PhysiciansFinancial and In-Kind DonationsCash Donations:Medical Teams InternationalIn-Kind Donations:Medical equipmentMedical Supplies to mission fieldsCompassionate FriendsBattle Ground Health CareFree space availability to non-profitsFood collection/ donationsAdministrative support to not-for-profit groupsNAMI Walk 2012Special need groups Board and committee membershipsNorthwest Adventist Federal Credit UnionOAHHS Public Policy MeetingNPUC Executive CommitteeOAHHS Compliance Advisory Oregon Conference Executive Community Building ActivitiesEconomic Development:Various Local Chamber of Commerce timeEast Metro Economic AllianceCoalition Building:NAMI walkVarious mental health groupsWorkforce DevelopmentLocal High School students mentoringCommunity Benefits OperationAssigned Staff:1026 total hoursCBISA software	Description
Total Program Service Expense	236287429	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	220	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2447	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Mark Perry	NamePerson
Telephone Number	5032516150	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	10123 SE Market St	AddressLine1
City	Portland	City
State	OR	State
ZIP Code	97216	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JONES HELMUTH
Director	0.00	1.00	X	0	1127	0
INNOCENT LARRY
Director	0.00	1.00	X	0	1273	0
GABRIEL MELODY
Director	0.00	1.00	X	0	300	0
REINER SCOTT
V Chair/Sec	0.00	50.00	X	0	915400	183744	X
CARMEN ROBERT
Chairman	0.00	50.00	X	0	1814442	38864	X
TORKELSEN MAX
Director	0.00	1.00	X	0	2233	0
RIPPEY WESLEY
Director/CMO	8.00	1.00	X	98827	1579	0
REIMCHE ALLAN
Director	0.00	1.00	X	0	2290	0
JOBE MEREDITH
Director/GenCou	0.00	1.00	X	0	318021	73755
GRAHAM RICARDO
Director	0.00	1.00	X	0	2556	0
FRIESTAD CHRISTINE
Director	0.00	1.00	X	0	2586	0
FIKE RUTHITA
Director	0.00	1.00	X	0	695	0
CREITZ LYNN
Director	0.00	1.00	X	0	4052	0
CAVINESS LARRY
Director	0.00	1.00	X	0	3245	0
DICKINSON CHARLES
Director	0.00	1.00	X	0	3085	0
WING BILL
Asst Sec	0.00	50.00		0	665195	154613	X
PERRY MARK
Treas/VPFin/CFO	50.00	0.00		0	277157	74749	X
RUSSELL THOMAS
President/CEO	50.00	0.00		0	500403	260034	X
WEHTJE RODNEY
Asst Treas	0.00	50.00		0	534490	210115	X
REBOK DOUGLAS
Asst Sec	0.00	50.00		0	872315	159731	X
TRYON ELLEN
VP Pat Care Serv/CNO	50.00	0.00		103250	183118	27790		X
RUSSELL DAVID
VP Mkt/Bus Dev	50.00	0.00		0	215078	55237		X
KINZER STEVEN
CEO PAMG	50.00	0.00		0	283234	69854		X
HEISER PAMELA
VP	50.00	0.00		0	241377	62373		X
BENFIELD RONALD
Sr VP/COO	50.00	0.00		0	247520	71887		X
Molloy Thomas
Physician	40.00	0.00		739926	0	22672			X
Schlippert William
Physician	40.00	0.00		551002	0	8939			X
Colip Charles
Physician	40.00	0.00		550654	0	22963			X
Dawson Lynne
Physician	40.00	0.00		499307	0	22490			X
Patillo Dominic
Physician	40.00	0.00		499060	0	18494			X
DODDS LARRY
Former Dir/V Chair/Sec	0.00	0.00		0	78842	18489				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3042026	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7171613	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1556793	TotalOtherCompensation
Number Individuals GT100 K	185	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Patrick L Hanley MD
10000 SE Main St	Portland	OR	97216	Medical Services	373832
Novia Stategies
13029 Danielson St Suite 200	Poway	CA	920648811	Business Consultants	1177502
Oregon Anesthesiology Grp
120 NW 14th Ave Ste 300	Portland	OR	97209	Medical Services	1320565
Northwest Cardiovas Inst
2222 NW Lovejoy Ste 606	Portland	OR	97210	Medical Services	1412415
Portland Psyc Assoc Inc
9955 SE Washington 200	Portland	OR	97216	Psyc Physician Serv	1669184

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	21	NumberOfContractorsGT100K
Fundraising Events	275226	FundraisingEvents
All Other Contributions	267672	AllOtherContributions
Noncash Contributions	8591	NoncashContributions
Total Contributions	542898	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Other Revenue	900099	1384356	1384356
EHR Incentive	900099	2946755	2946755
Reference Lab Services	621500	4847325		4847325
Rental Revenue - MOBs/Oth	531120	5014810			$5,014,810
Patient Service Revenue	900099	264937793	264937793

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1285411	TotalRevenueColumn
Related Or Exempt Function Income	-695045	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1027052	UnrelatedBusinessRevenue
Exclusion	$953,404	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	280416450	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3622639	TotalRevenueColumn
Related Or Exempt Function Income	223207	RelatedOrExemptFunctionIncome
Exclusion	$3,399,432	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	-37485	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-37485	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-37485	TotalRevenueColumn
Exclusion	-$37,485	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	85945	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	275226	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	210301	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-124356	TotalRevenueColumn
Exclusion	-$124,356	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	286041	GrossSalesOfInventory
Cost Of Goods Sold	310199	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-24158	TotalRevenueColumn
Unrelated Business Revenue	-24158	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Medical Staff Funds	Description
Business Code	900099	BusinessCode
Total Revenue Column	88209	TotalRevenueColumn
Exclusion	$88,209	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	88209	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	284484197	TotalRevenueColumn
Related Or Exempt Function Income	268797066	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	5850219	UnrelatedBusinessRevenue
Exclusion	$9,294,014	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	8600	Total
Program Services	8600	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	57600	Total
Management And General	57600	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	116021078	Total
Program Services	105608016	ProgramServices
Management And General	10182360	ManagementAndGeneral
Fundraising	230702	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4654217	Total
Program Services	4647909	ProgramServices
Management And General	6308	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	27540145	Total
Program Services	23615059	ProgramServices
Management And General	3869756	ManagementAndGeneral
Fundraising	55330	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8988418	Total
Program Services	8095812	ProgramServices
Management And General	876000	ManagementAndGeneral
Fundraising	16606	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	794989	Total
Management And General	794989	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	337880	Total
Management And General	337880	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	12974956	Total
Program Services	8901445	ProgramServices
Management And General	4073511	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1481832	Total
Program Services	173590	ProgramServices
Management And General	1307875	ManagementAndGeneral
Fundraising	367	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4208675	Total
Program Services	3278756	ProgramServices
Management And General	915544	ManagementAndGeneral
Fundraising	14375	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7879849	Total
Program Services	7854032	ProgramServices
Management And General	25817	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10021533	Total
Program Services	9363493	ProgramServices
Management And General	633747	ManagementAndGeneral
Fundraising	24293	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	775682	Total
Program Services	537527	ProgramServices
Management And General	236438	ManagementAndGeneral
Fundraising	1717	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	328065	Total
Program Services	266145	ProgramServices
Management And General	61656	ManagementAndGeneral
Fundraising	264	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2886058	Total
Program Services	2886058	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10728287	Total
Program Services	10643006	ProgramServices
Management And General	85281	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1083408	Total
Program Services	1061302	ProgramServices
Management And General	22106	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Rent/Lease of Equipment	2264587	2264587
All other expense	10550666	162770	10385496	2400
Purchased Services	19496138	12079100	7478053	-61015
Pt Care Supplies	34840222	34840222

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	277922885	Total
Program Services	236287429	ProgramServices
Management And General	41350417	ManagementAndGeneral
Fundraising	285039	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6597445	BOY
EOY	4438985	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	80517629	BOY
EOY	87272853	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	225000	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	40440982	BOY
EOY	39042113	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3338877	BOY
EOY	3365793	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2171212	BOY
EOY	2159482	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	282929215	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	159192824	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	125136624	BOY
EOY	123736391	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	253646	BOY
EOY	569540	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1478694	BOY
EOY	1487193	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	120000	BOY
EOY	120000	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1552200	BOY
EOY	1984618	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	16243206	BOY
EOY	19964636	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	278075515	BOY
EOY	284141604	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19127546	BOY
EOY	20560785	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1174426	BOY
EOY	1225805	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	19835	BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	733334	BOY
EOY	466667	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	70140592	BOY
EOY	68512103	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	91195733	BOY
EOY	90765360	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	182959396	BOY
EOY	189297501	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1417878	BOY
EOY	1573794	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2502508	BOY
EOY	2504949	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	186879782	BOY
EOY	193376244	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	278075515	BOY
EOY	284141604	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6561312	ReconcilationRevenueExpenses
Reconcilation Other Changes	-64850	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church170b1 Ai	X	Church170b1Ai

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$5,247	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$14,903	OtherActivitiesAmount
Total Lobbying Expenditures IIB	20150	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	A portion of the dues paid to the following organizations has been determined to be related to lobbying: Oregon Association of Hospitals and Health Systems--lobbying portion $14,903.08	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3491756	BeginningOfYearBalance
Contributions	22085	Contributions
Investment Earnings Or Losses	37581	InvestmentEarningsOrLosses
Other Expenditures	-13506	OtherExpenditures
End Of Year Balance	3537916	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3433896	BeginningOfYearBalance
Contributions	47906	Contributions
Investment Earnings Or Losses	33124	InvestmentEarningsOrLosses
Other Expenditures	-23170	OtherExpenditures
End Of Year Balance	3491756	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3253240	BeginningOfYearBalance
Contributions	151645	Contributions
Investment Earnings Or Losses	38757	InvestmentEarningsOrLosses
Other Expenditures	-9746	OtherExpenditures
End Of Year Balance	3433896	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2980996	BeginningOfYearBalance
Contributions	247619	Contributions
Investment Earnings Or Losses	32683	InvestmentEarningsOrLosses
Other Expenditures	-8057	OtherExpenditures
End Of Year Balance	3253240	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	19405	BeginningOfYearBalance
Contributions	37280	Contributions
Grants Or Scholarships	-104254	GrantsOrScholarships
Administrative Expenses	2980996	AdministrativeExpenses
End Of Year Balance	2980996	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.31000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.69000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6643572	OtherCostOrOtherBasis
Book Value	6643572	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	190652568	OtherCostOrOtherBasis
Depreciation	91544399	Depreciation
Book Value	99108169	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2010624	OtherCostOrOtherBasis
Depreciation	1139851	Depreciation
Book Value	870773	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	83622451	OtherCostOrOtherBasis
Depreciation	66508574	Depreciation
Book Value	17113877	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	123736391	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
Receivables from third-party payors	2041958
Other receivables	4542212
Receivables from related entities	13380466

Field	Value	IRS element (for citing)
Total Book Value Other Assets	19964636	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Payable to related entities	$66,535,000
Workers' comp liability	$1,977,103

Field	Value	IRS element (for citing)
Total Of Amounts	68512103	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Part V, Line 4	Identifier
Return Reference	Part V, Line 4: Intended uses of the endowment fund.	ReturnReference
Explanation	Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Heroes of the Heart Gala	NameOfEvent1
Gross Receipts Event1	185855	GrossReceiptsEvent1
Charitable Contributions Event1	169055	CharitableContributionsEvent1
Gross Revenue Event1	16800	GrossRevenueEvent1
Rent Facility Costs Event1	20775	RentFacilityCostsEvent1
Food And Beverage Event1	36535	FoodAndBeverageEvent1
Other Direct Expenses Event1	46153	OtherDirectExpensesEvent1
Name Of Event2	Golf Tournament	NameOfEvent2
Gross Receipts Event2	175316	GrossReceiptsEvent2
Charitable Contributions Event2	106171	CharitableContributionsEvent2
Gross Revenue Event2	69145	GrossRevenueEvent2
Cash Prizes Event2	2560	CashPrizesEvent2
Non Cash Prizes Event2	1564	NonCashPrizesEvent2
Rent Facility Costs Event2	23400	RentFacilityCostsEvent2
Food And Beverage Event2	14699	FoodAndBeverageEvent2
Other Direct Expenses Event2	64615	OtherDirectExpensesEvent2
Gross Receipts Total	361171	GrossReceiptsTotal
Charitable Contributions Total	275226	CharitableContributionsTotal
Gross Revenue Total Events	85945	GrossRevenueTotalEvents
Cash Prizes Total Events	2560	CashPrizesTotalEvents
Non Cash Prizes Total Events	1564	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	44175	RentFacilityCostsTotalEvents
Food And Beverage Total Events	51234	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	110768	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	210301	DirectExpenseSummaryEvents
Net Income Summary	-124356	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	12193	PersonsServed
Total Community Benefit Expense	8154081	TotalCommunityBenefitExpense
Net Community Benefit Expense	8154081	NetCommunityBenefitExpense
Percent Of Total Expense	0.02930	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	43022	PersonsServed
Total Community Benefit Expense	42907242	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36304490	DirectOffsettingRevenue
Net Community Benefit Expense	6602752	NetCommunityBenefitExpense
Percent Of Total Expense	0.02380	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	55215	PersonsServed
Total Community Benefit Expense	51061323	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36304490	DirectOffsettingRevenue
Net Community Benefit Expense	14756833	NetCommunityBenefitExpense
Percent Of Total Expense	0.05310	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	11920	PersonsServed
Total Community Benefit Expense	755202	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6917	DirectOffsettingRevenue
Net Community Benefit Expense	748285	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	1062	PersonsServed
Total Community Benefit Expense	428523	TotalCommunityBenefitExpense
Direct Offsetting Revenue	92912	DirectOffsettingRevenue
Net Community Benefit Expense	335611	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	10537	PersonsServed
Total Community Benefit Expense	26744364	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21810070	DirectOffsettingRevenue
Net Community Benefit Expense	4964294	NetCommunityBenefitExpense
Percent Of Total Expense	0.01790	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	74722	TotalCommunityBenefitExpense
Net Community Benefit Expense	74722	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	5956	PersonsServed
Total Community Benefit Expense	272541	TotalCommunityBenefitExpense
Net Community Benefit Expense	272541	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	29475	PersonsServed
Total Community Benefit Expense	28275352	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21909899	DirectOffsettingRevenue
Net Community Benefit Expense	6395453	NetCommunityBenefitExpense
Percent Of Total Expense	0.02310	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	84690	PersonsServed
Total Community Benefit Expense	79336675	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58214389	DirectOffsettingRevenue
Net Community Benefit Expense	21152286	NetCommunityBenefitExpense
Percent Of Total Expense	0.07620	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	33184	TotalCommunityBuildingExpense
Net Community Building Expense	33184	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	9322	TotalCommunityBuildingExpense
Net Community Building Expense	9322	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	42506	TotalCommunityBuildingExpense
Net Community Building Expense	42506	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$9,813,794	BadDebtExpenseAmount
Amount Attributable To	4023655	AmountAttributableTo
Amount Reimbursed By Medicare	33339720	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	30459368	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2880352	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (6 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Caremark
Behavioral health services	0.50000
Gastroenterology Associates
Physican Specialist Svcs	0.74500	0.25500
PAR LLC
Retirement residence mgmt	0.50000
ASSN-Unit Owners Plaza Cond
Condo association mgmt	0.81000
Healthcare Resources Northw
Managed care organization	1.00000
Gresham Family Medical Cent
Physician Services	0.74500	0.12000	0.13500

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Portland Adventist Medical Ctr	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	10123 SE Market Street	AddressLine1
City	Portland	City
State	OR	State
ZIP Code	97216	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Portland Adventist Medical Ctr	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	false	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	399.0000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medicaid Medicare	X	MedicaidMedicare
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notified All Patients	X	NotifiedAllPatients
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	49	NumberOfOtherFacilities

Other Facilities OtherFacilities (49 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Adventist Health Occupational Therapy- Fishers Landing
417 SE 164th Avenue Suite 300	Vancouver	WA	986848944	Occupational Therapy Services
Adventist Health- Willamette View Clinic
13021 SE River Road Suite 3000	Portland	OR	97222	Physician Clinic
Adventist Health West Side Occupational Medicine
1200 NE 48th Avenue Suite 1000	Hillsboro	OR	97214	Occupational Therapy Services
Adventist Health Medical Clinic- Diabetes & Endo Ctr
19255 SW 65th Ave Suite 110	Tualatin	OR	97062	Physician Speciality Clinic
Adventist Health Audiology
10201 SE Main Street Suite 1	Portland	OR	97216	Audiology Services
Gresham Station Lab
831 NW Council Drivw Suite 120	Gresham	OR	97030	Lab and Draw Station
Adventist Health Medical Clinic- Rose City Family Medicine
7420 NE Sandy Blvd	Portland	OR	97213	Physician Clinic
Adventist Health Hospice-Tillamook
1015 Third St	Tillamook	OR	97141	Hospice Services- Tillamook
Adventist Health Home Infusion Therapy
5835 NE 122nd Ave 155	Portland	OR	97230	Home Infusion Therapy Service
Adventist Health Medical Clinic-Camas
411 NE 6th Avenue	Camas	WA	98607	Physician Clinic
Adventist Health Speciality Rehab
10101 SE Main Street LL	Portland	OR	97216	Speciality Rehab Therapy Clinic
Adventist Health Medical Clinic-Gladstone Family Med
1105 Portland Ave Suite 2	Gladstone	OR	97027	Physician Clinic
Adventist Health Medical Clinic- NW Orthopedic Specialists
10001 SE Main St Suite 224	Portland	OR	97216	Physician Speciality Clinic
Adventist Health Physical Therapy Vancouver
6069 SE 15th Street	Vancouver	WA	98683	Physical Therapy Clinic
Adventist Health Medical Clinic-Mt Scott Internal Med
9200 SE 91st Ave Suite 300	Portland	OR	97286	Physician Clinic
Adventist Health Medical Clinic- Diabetes & Endo Ctr
10101 SE Main Street Suite 1001	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic-Arthritis and Bone Care
10201 SE Main St Suite 25	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic-Hoodland
24461 East Welches Road	Welches	OR	97067	Physician Clinic
Adventist Health Medical Clinic- NW Regional Heart Center
10000 SE Main St Suite 365	Portland	OR	97216	Physician Speciality Clinic
Adventist Health Medical Clinic- Creekside Family Medicine
9200 SE 91st Ave 220	Happy Valley	OR	97086	Physician Clinic
Adventist Health Physical Therapy Clackamas
13435 SE 97th LL101	Clackamas	OR	970157787	Physical Therapy Clinc
Adventist Health Medical Clinic-Occupational Medicine
10201 SE Main St Suite 29	Portland	OR	97216	Physician Clinic and Corporate Services
Adventist Health Occupational Therapy
10101 SE Main Street LL	Portland	OR	97216	Occupational Therapy Services
Adventist Health Medical Clinic- Damascus
14450 SE Royer Road	Damascus	OR	97089	Physician Clinic
Adventist Health Medical Clinic-Eastside Internal Med
10000 SE Main St Suite 128	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic-Hazelwood
12615 NE Halsey Street	Portland	OR	97230	Physician Clinic
Adventist Health Medical Clinic- Fishers Landing
417 SE 164th Ave Suite 300	Vancouver	WA	98684	Physician Clinic
Adventist Health Medical Clinic-Portland Lung Clinic
10201 SE Main St Suite 11	Portland	OR	97216	Physician Clinic
Tillamook Home Health
1015 Third Street	Tillamook	OR	97141	Home Health Services- Tillamook
Advenstist Health Medical Clinic- Clackamas
11211 SE Sunnyside Road	Clackamas	OR	97015	Physician Clinic
Adventist Health Medical Clinic-Internal Medicine Assoc
10201 SE Main St Suite 12	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic-Ventura Park
11510 SE Stark Street	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic- Gresham Station
831 NW Council Drive Suite 101	Gresham	OR	97030	Physician Clinic
Adventist Health Medical Clinic- Cherry Park FP
10000 SE Main Street Suite 224	Portland	OR	97216	Physician Clinic
Adventist Health Speech Therapy
10201 SE Main Street Suite 1	Portland	OR	97216	Speech Theraphy Services
Adventist Health Physical Therapy Sandy
37095 SE Hwy 26 Suite 102	Sandy	OR	97055	Physical Therapy Clinic
Adventist Health Medical Clinic Gresham Station IM FP
831 NW Council Drive Suite 125	Gresham	OR	97030	Physician Clinic
Adventist Health Physical Therapy Gresham
831 NW Council Dr Suite 200	Gresham	OR	97030	Physical Therapy Clinic
Adventist Health Oregon Hand Specialists
10000 SE Main St Suite 327	Portland	OR	97216	Physician Speciality Clinic
Adventist Health Medical Clinic- Rockwood Urgent Care
18750 SE Stark Street	Portland	OR	97233	Physician Clinic/ Urgent Care
Adventist Health Medical Clinic-Sandy Family Practice & Urge
17055 Ruben Lane	Sandy	OR	97055	Physician Clinic and Urgent Care
Adventist Health Wound Healing and Hyperbaric Medicine
10201 SE Main St Suite 29	Portland	OR	97216	Wound Care Service
Adventist Health Physical Therapy Medical Center Outpt
10101 SE Main Street LL	Portland	OR	97216	Physical Therapy Services
Adventist Health- Womens Center- Happy Valley
9300 SE 91st Avenue Suite 300	Happy Valley	OR	97086	Physician Speciality Clinic
Adventist Health Home Medical Equipment
5835 NE 122nd Ave 155	Portland	OR	97230	Home Medical Equipment Service
Adventist Health Home Health Agency
5835 NE 122nd Ave 155	Portland	OR	97230	Home Health Services- Portland
Adventist Health Hospice Portland
5835 NE 122nd Ave 155	Portland	OR	97230	Hospice Services
Adventist Health Medical Clinic- Radiation Oncology Center
10123 SE Market St	Portland	OR	97216	Physician Speciality Clinic
Adventist Health Gresham Station Imaging Center
831 NW Council Dr Suite 100	Gresham	OR	97030	Imaging Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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
Part V - Explanation of Number of Facility Type	Hospice (2), Home Medical Equipment (1), Home Infusion Therapy (1),Home Health Services (2) Physician Clinics (31), Lab (1), Imaging (1), Pt/OT Clinics (10), Wound Care (1)
Part VI - States Where Community Benefit Report Filed	OR
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 - 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 - 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 2012 include the following:1)Chempacs for state 2)Civic involvement and support of local Chambers of Commerce beyond normal business needs.
Part VI - Community Information	PAMCs primary service area is 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 - 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 - 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 V, Line 20d - Other Billing Determination of Individuals Without Insurance	The hospital's financial assistance policy has three income ranges for patients who received emergency, obsteric, and other medical care, which provides a discount based on Federal Poverty Guidelines.	Number of Hospital Faciltiy - 1
Part V, Line 12h - Other Factors Used in Determing Amounts Charged Patients	Income level and family size are considered. Individuals eligible for Medicaid also qualify for financial assistance	Number of Hospital Faciltiy - 1
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 III, Line 8 - Explanation Of Shortfall As Community Benefit	The 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 45,646,154 Prior Year Settlements 515,882 Cost Report Reimbursable Bad Debts 547,816 Estimates and Accrual Variances 15,106 Other (2,073,789) Subtotal - Amount reported in Pt III, line 5 44,651,169 Amounts include in Part 1, lines g and f 11,311,449 Total Medicare Revenue 55,962,618 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 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 I, Line 7g - Costs Associated With Physicans Clinics	Specific ratios of cost to charges were use for each department.Departments: Hospice Home Health Cardiopulmonary Rehab Psych and Psych Physicians No Physician clinics are counted as subsidized

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained
Total Nbr Of501 C3 And Govt Grants	0	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg
TRYON ELLEN
VP Pat Care Serv/CNO	103250	177577	5541	19250	8540	103250	210908
RUSSELL DAVID
VP Mkt/Bus Dev		183020	32058	36517	18720		270315	21471
KINZER STEVEN
CEO PAMG		235100	48134	51103	18751		353088	35139
HEISER PAMELA
VP		193960	47417	41558	20815		303750	26761
BENFIELD RONALD
Sr VP/COO		242487	5033	52740	19147		319407
WING BILL
Asst Sec		554320	33678	131876	22737		819808		77197
PERRY MARK
Treas/VPFin/CFO		257155	20002	54418	20331		351906	14440
RUSSELL THOMAS
President/CEO		396760	103643	239097	20937		760437	67996
WEHTJE RODNEY
Asst Treas		362899	100009	191288	18827		744605	63809	71582
REINER SCOTT
V Chair/Sec		654000	111866	160719	23025		1099144	42890	149534
REBOK DOUGLAS
Asst Sec		561780	172912	138641	21090		1032046	116805	137623
CARMEN ROBERT
Chairman		982571	591191	15298	23566		1853306	472760	240680
JOBE MEREDITH
Director/GenCou		262685	55336	56358	17397		391776
Patillo Dominic
Physician	457900					517554				41160	14024	4470
Dawson Lynne
Physician	476993					521797				22314	14024	8466
Colip Charles
Physician	525862					573617				24792	14024	8939
Schlippert William
Physician	526601					559941				24401		8939
Molloy Thomas
Physician	728664					762598				11262		22672
DODDS LARRY
Former Dir/V Chair/Sec			562	3561	14928		97331		78280

Form990 Schedule J Part III Form990ScheduleJPartIII

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
WGW LLC
Gabriel JV	LLC JV Ownership	false
Wes Rippey MD
Director	Physician services	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	Melody Gabriel, an AH director, and her husband are owners and officers of businesses that engage in a joint venture with the hospital. Other family members with ownership and officer positions in these businesses include her parents, her brother and his wife, and trusts established on behalf of her children. The businesses are organized as LLCs.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Temp Restr Net Assets-change in value = -$64850
Form 990, Part VI, Line 19	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.
Form 990, Part VI, Line 15b	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 15a	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 12c	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 11b	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 7b	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 6	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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	11b,II	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
White Memorial Medical Center
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	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
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	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
Sonora Community Hospital
1000 Greenley Rd	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital & Hlth Care Svcs
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
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
San Joaquin Community Hospital
2615 Chester Ave	Bakersfield	CA	93301	952294234	Hospital	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
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
Willits Hospital Inc
1 Madrone St	Willits	CA	95490	680108919	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
Glendale Adventist Medical Center
1509 Wilson Ter	Glendale	CA	91206	951816017	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
Central Valley General Hospital
1025 N Douty Street	Hanford	CA	93230	770324630	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Clearlake Hospital Inc
15630 Ave 18th Ave	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health SystemWest
2100 Douglas Blvd	Roseville	CA	95661	953484589	Support and Manage System-Wide Activities	CA	501(c)(3)	1	NA	false

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	PAR LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	10610 SE Clay Street	AddressLine1
City	Portland	City
State	OR	State
ZIP Code	97216	ZIPCode

Field	Value	IRS element (for citing)
EIN	931262371	EIN
Primary Activity	Sr Living	PrimaryActivity
Legal Domicile State	OR	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Share Of Total Income	5009773	ShareOfTotalIncome
Share Of EOY Assets	10249279	ShareOfEOYAssets
Disproportionate Allocations	true	DisproportionateAllocations
Code V	$39	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
South Coast Medical Center
2100 Douglas Blvd	Roseville	CA	95661	952037291	Wind down after sale of hospital	CA	N/A	C Corp	false
Gastroenterlogy Associates PC
10000 SE Main St 112	Portland	OR	97216	930583031	Physician Office	OR	N/A	C Corp	false	131640	538542	1.00000
Assn Unit Owners Portland Adv Condo
10101 SE Main St	Portland	OR	97216	930887521	Condo Assn-MOB	OR	N/A	C corp	false	217668	33848	0.81000
Healthcare Resources Northwest
2625 SE 98th Ave	Portland	OR	97266	931166731	Medical Mgnt Services	OR	N/A	C corp	false	18494656	4223344	1.00000
Gresham Family Medical Center
1700 SW 257th Ave	Troutdale	OR	97060	911768081	Physician Office	OR	N/A	C Corp	true	2080965	423006	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	true	DividendsRelatedOrganization
Sale Of Assets To Other Org	true	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	true	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Gastroenterlogy Associates PC
q	1415000
Gastroenterlogy Associates PC
o	1660250
Gastroenterlogy Associates PC
j	247
Gastroenterlogy Associates PC
a	76419
Assn Unit Owners Portland Adv Condo
r	325692
Assn Unit Owners Portland Adv Condo
q	204174
Assn Unit Owners Portland Adv Condo
o	25704
Healthcare Resources Northwest
s	1449862
Healthcare Resources Northwest
r	465000
Healthcare Resources Northwest
q	2551426
Healthcare Resources Northwest
o	1180042
Healthcare Resources Northwest
j	43188
Healthcare Resources Northwest
a	144213
Gresham Family Medical Center
r	500000
Gresham Family Medical Center
q	1958225
Gresham Family Medical Center
o	1452592
Gresham Family Medical Center
n	30959
Gresham Family Medical Center
j	20634
Gresham Family Medical Center
a	132756
PAR LLC
s	780000