LEGACY EMANUEL HOSPITAL & HEALTH CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: LEGACY EMANUEL HOSPITAL & HEALTH CENTER (EIN 93-0386823)
Tax period: 2024-04-01 to 2025-03-31
Filed: 2026-02-17
IRS object ID: 202610489349301576
Schema version: 2024v5.2
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 H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-02-17T13:23:00-08:00	ReturnTs
Tax Period End	2025-03-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	930386823	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEGACY EMANUEL HOSPITAL & HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LEGA	BusinessNameControlTxt
Phone	5034155600	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2801 N GANTENBEIN AVENUE	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97227	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CAROLYN COGGINS	PersonNm
Person Title	INTERIM CFO	PersonTitleTxt
Signature	2026-02-17	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GEORGE J BROWN	PrincipalOfficerNm
Gross Receipts	$1,197,480,089	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LEGACYHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	Legacy Emanuel Hospital & Health Center (LEHHC), established in 1912, provides a comprehensive range of inpatient, clinical and diagnostic services in numerous medical specialties and subspecialties. LEHHC is part of Legacy Health.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	149	TotalVolunteersCnt
Total Gross UBI	-$26,260	TotalGrossUBIAmt
PY Contributions Grants	$14,492,890	PYContributionsGrantsAmt
CY Contributions Grants	$14,573,728	CYContributionsGrantsAmt
PY Program Service Revenue	$1,267,785,894	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,180,871,393	CYProgramServiceRevenueAmt
PY Investment Income	$1,008,975	PYInvestmentIncomeAmt
CY Investment Income	$16,290	CYInvestmentIncomeAmt
PY Other Revenue	$63,164	PYOtherRevenueAmt
CY Other Revenue	$1,055,272	CYOtherRevenueAmt
PY Total Revenue	$1,283,350,923	PYTotalRevenueAmt
CY Total Revenue	$1,196,516,683	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,354,015	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$52,348	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$807,514,881	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$818,850,621	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$490,481,621	PYOtherExpensesAmt
CY Other Expenses	$549,982,227	CYOtherExpensesAmt
PY Total Expenses	$1,299,350,517	PYTotalExpensesAmt
CY Total Expenses	$1,368,885,196	CYTotalExpensesAmt
PY Revenues Less Expenses	-$15,999,594	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$172,368,513	CYRevenuesLessExpensesAmt
Total Assets BOY	-$247,881,098	TotalAssetsBOYAmt
Total Assets EOY	-$454,910,759	TotalAssetsEOYAmt
Total Liabilities BOY	$53,644,515	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,509,305	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$301,525,613	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$483,420,064	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Legacy Emanuel Hospital & Health Center(LEHHC), established in 1912, provides acute and tertiary care in northeast Portland, with 554 licensed beds. LEHHC operates Randall Children's hospital, Level I Trauma Center, the Oregon Burn Center and high-risk obstetric services including a Level III NICU. LEHHC provides a comprehensive range of inpatient, clinical and diagnostic services in numerous medical specialties and subspecialties. LEHHC 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 an	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$859,802,224	ExpenseAmt
Grant	$52,348	GrantAmt
Revenue	$920,084,946	RevenueAmt
Desc	LEHHC provides a comprehensive range of inpatient, clinical and diagnostic services in numerous medical specialties and subspecialties. LEHHC provides training for interns and residents through its nationally accredited graduate medical education program. LEHHC operates primary care teaching clinics at LEHHC and in St. Helens, located approximately 30 miles from the main LEHHC campus. In addition to its core hospital services, LEHHC provides related health services through the following programs:The Randall Children's Hospital; Legacy Research; Legacy Laboratory Services, LLC(Lab); Legacy Metro Lab; Unity Center for Behavioral HealthThe Randall Children's Hospital at Legacy Emanuel is a full-service children's hospital within LEHHC committed to providing care in an environment sensitive to the special needs of children and their families, including premature and critically ill newborns. The Randall Children's Hospital treats children from throughout Oregon, southwest Washington, Alaska and Idaho.Legacy Research is a full-service research facility that supports a wide range of research activity. Legacy Research collaborates with pharmaceutical, biotechnology and medical device companies. Legacy Research is located in northeast Portland (Holladay Park campus).LEHHC is one of four members of an emergency air transport service joint venture, Life Flight Network LLC, which serves Oregon and southwest Washington.In support of its mission, LEHHC 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 2025, LEHHC provided financial assistance on approximately 21,991 patient accounts (of which about 1,460 accounts received discounts totaling 100% of costs) and resulted in LEHHC incurring roughly $23,672,000 in uncompensated costs associated with this program. In addition to charity care, LEHHC 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 2025, LEHHC incurred approximately $145,480,200, $130,932,000 and $11,615,000 in uncompensated costs attributable to Medicaid, Medicare, and other government programs, respectively. LEHHC 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 $55,102,500 during fiscal year 2025.LEHHC is part of Legacy, which collectively provided over $62 million, $261 million, $319 million, and $18 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2025.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$208,681,755	ExpenseAmt
Revenue	$149,863,941	RevenueAmt
Desc	LEHHC is the sole member of Legacy Clinics, LLC, an Oregon limited liability company, which operates over seventy primary care and specialty clinic sites across the Portland-Vancouver Metropolitan area as well as to the Mid-Willamette Valley since the affiliation of Silverton Health with Legacy. In addition, Legacy Clinics operates the hospitalist and intensivist programs at the four Legacy Health Oregon hospitals.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$97,506,683	ExpenseAmt
Revenue	$111,260,656	RevenueAmt
Desc	Unity Center for Behavioral Health is a 24 hour behavioral and mental health services center located on Legacy's Holladay Park campus. It is a partnership between Legacy Health, Adventist Health, Kaiser Permanente and OHSU that provides immediate psychiatric care. It has 85 adult beds, 22 adolecent beds, 50 short term spaces as well as calming and therapy rooms.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$4,025,453	ExpenseAmt
Revenue	-$338,150	RevenueAmt
Desc	Legacy Laboratory Services was sold to Labcorp in November 2023.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$4,025,453	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	-$338,150	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,170,016,115	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	false	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CAROLYN COGGINS	PersonNm
Phone	5034155600	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1919 NW LOVEJOY STREET	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97209	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (55 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
KATHRYN CORREIA
President & CEO	0.00	40.00	Yes (X)	Yes (X)	$0	$2,705,141	$79,606
GEORGE J BROWN MD
President & CEO	3.00	40.00	Yes (X)	Yes (X)	$0	$1,651,162	$3,556
JOHN P IGUIDBASHIAN MD
CARDIO SURGEON	40.00	0.00			$1,090,413	$0	$293,048
ANITA N IYENGER
SR VP	0.00	40.00			$0	$1,169,083	$120,472
JONATHAN E AVERY
SR VP	0.00	40.00			$0	$1,150,440	$128,988
MAYANK AGRAWAL MD
CARDIOLOGIST	40.00	0.00			$1,083,473	$0	$66,058
ANDREW TSEN MD
MEDICAL DIRECTOR	40.00	0.00			$985,104	$0	$82,969
CHRIS ESTES MD
ORTHOPEDIC SURGEON	40.00	0.00			$994,152	$0	$53,958
MELINDA J MULLER MD
SR VP	0.00	40.00			$0	$907,933	$96,202
DOSHI SHEETEN MD
GASTROENTEROLOGIST	40.00	0.00			$926,504	$0	$75,884
NATHALIE G JOHNSON MD
BOARD DIRECTOR	20.00	20.00	Yes (X)		$237,507	$662,247	$35,424
JOHN J KENAGY
SR VP	0.00	40.00			$0	$795,521	$92,243
CRAIG R ARMSTRONG
Secretary	0.00	40.00	Yes (X)	Yes (X)	$0	$816,213	$51,743
ANNA LOOMIS
CFO & TREASURER	0.00	40.00	Yes (X)	Yes (X)	$0	$782,656	$28,749
DANG TRAN
PRESIDENT CLINICS	40.00	0.00			$710,061	$0	$62,466
LISA J GOREN
SR VP	0.00	40.00			$0	$665,547	$91,904
KECIA M KELLY DNP
SR VP	0.00	40.00			$0	$658,381	$77,037
BAHAA M WANLY
PRESIDENT	40.00	0.00			$669,775	$0	$56,330
MAUREEN A BRADLEY
SR VP	0.00	40.00			$0	$617,551	$75,167
JOE H FRANKHOUSE MD
BOARD DIRECTOR	40.00	3.00	Yes (X)		$608,435	$0	$77,614
LORI J FARRELL
VP	40.00	0.00			$608,263	$0	$77,371
BRONWYN J HOUSTON
PRESIDENT CHILDREN'S HOSPITAL	40.00	0.00			$571,833	$0	$105,902
CHRISTOPHER THOMING MD
VP	40.00	0.00			$599,867	$0	$61,817
SONJA O STEVES
FORMER SR. VP	0.00	0.00			$0	$567,286	$47,505
GWEN GREWE
VP	40.00	0.00			$525,750	$0	$88,900
CATHERINE J MARKIN
VP	40.00	0.00			$521,289	$0	$54,798
MELISSA L ECKSTEIN
UCBH PRESIDENT	40.00	0.00			$503,750	$0	$53,776
KERRIN E GILLESPIE
CFO	0.00	40.00	Yes (X)	Yes (X)	$0	$486,474	$0
PAUL E SIRBAUGH
VP	40.00	0.00			$387,680	$0	$39,951
MISHAWN PEDERSEN
VP	40.00	0.00			$354,965	$0	$68,480
ASHLEY T BLATCHLEY
VP	40.00	0.00			$380,139	$0	$39,498
TEDRA DEMITRIOU
VP	40.00	0.00			$288,733	$0	$63,405
SETH R PODOLSKY MD
FORMER VP	0.00	0.00			$0	$341,550	$6,445
BRYCE R HELGERSON
FORMER SR VP	0.00	0.00			$0	$336,721	$0
TRENT S GREEN
FORMER SR. VP	0.00	0.00			$0	$314,730	$3,679
GRETCHEN M NICHOLS
FORMER HOSPITAL PRESIDENT	0.00	0.00			$192,063	$0	$7,364
MOLLY BURCHELL
FORMER VP	0.00	0.00			$135,000	$0	$26,520
LESLIE ROOT MD
BOARD DIRECTOR	40.00	3.00	Yes (X)		$52,079	$0	$1
NANCY HORTON
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$25,000	$0
NANCY R LOCKE
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$25,000	$0
JONATHAN G HILL MD
FORMER DIRECTOR	0.00	0.00			$12,638	$0	$11,190
CHARLES WILHOITE
Chairman	4.00	0.00	Yes (X)	Yes (X)	$0	$22,500	$0
DAVID RAMUS
VICE CHAIR	4.00	0.00	Yes (X)	Yes (X)	$0	$17,500	$0
PATRICK REITEN
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$15,000	$0
JERRY D PETTY
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$15,000	$0
SAMIR DESAI MD
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$15,000	$0
GAYLE GOSCHIE
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$12,500	$0
LYNN T GUST
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$12,500	$0
JEFFREY BARBER
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$7,500	$0
EDGAR NAVAS
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$7,500	$0
NASREEN ILIAS-KHAN MD
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$7,500	$0
LISA WYNN FREEDMAN
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$7,500	$0
JACK A FRIEDMAN
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$7,500	$0
BISHOP DIANA AKIYAMA
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$0	$0
BISHOP LAURIE LARSON CAESAR
BOARD DIRECTOR	3.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,439,473	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,826,136	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,406,020	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2196	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
OREGON ANESTHESIOLOGY GROUP PC
707 SW WASHINGTON ST 700	PORTLAND	OR	97205	MEDICAL SERVICES	$10,931,009
TRAUMA SPECIALISTS LLP
1620 SW TAYLOR	PORTLAND	OR	97205	MEDICAL SERVICES	$6,755,137
OREGON HEALTH & SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MEDICAL SERVICES	$4,522,857
PRESTIGE CARE INC
7700 NE PARKWAY DR 300	VANCOUVER	WA	98662	CONTRACT SERVICES	$2,156,350
ECHO VISION INC
11747 NW CEDAR FOREST LN	PORTLAND	OR	97229	MEDICAL SERVICES	$1,988,792

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	65	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,088,172	RelatedOrganizationsAmt
Government Grants	$6,475,029	GovernmentGrantsAmt
All Other Contributions	$10,527	AllOtherContributionsAmt
Total Contributions	$14,573,728	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONVENIENCE OF MEMBERS	$4,081,270	$4,081,270
PATIENT PROGRAM REV	$871,861,378		$871,861,378
PHYSICIANS	$44,565,772		$44,565,772
REVENUE CLINICS	$149,863,941		$149,863,941
UNITY	$110,837,182		$110,837,182

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$338,150	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$311,890	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$26,260	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,180,871,393	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,541	TotalRevenueColumnAmt
Exclusion	$31,541	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,003,427	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$948,155	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,055,272	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,055,272	TotalRevenueColumnAmt
Exclusion	$1,055,272	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$15,251	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$15,251	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$15,251	TotalRevenueColumnAmt
Exclusion	-$15,251	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,196,516,683	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,176,816,383	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$26,260	UnrelatedBusinessRevenueAmt
Exclusion	$5,152,832	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,196	TotalAmt
Program Services	$27,196	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$25,152	TotalAmt
Program Services	$25,152	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,632,930	TotalAmt
Program Services	$7,005,656	ProgramServicesAmt
Management And General	$627,274	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$663,090,342	TotalAmt
Program Services	$617,183,625	ProgramServicesAmt
Management And General	$45,906,717	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,745,326	TotalAmt
Program Services	$29,906,061	ProgramServicesAmt
Management And General	$1,839,265	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$67,636,699	TotalAmt
Program Services	$61,689,396	ProgramServicesAmt
Management And General	$5,947,303	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$48,745,324	TotalAmt
Program Services	$45,717,503	ProgramServicesAmt
Management And General	$3,027,821	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,607,623	TotalAmt
Program Services	$31,607,623	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$179,254,987	TotalAmt
Program Services	$175,090,034	ProgramServicesAmt
Management And General	$4,164,953	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,679,258	TotalAmt
Program Services	$9,930,767	ProgramServicesAmt
Management And General	$748,491	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$270,131	TotalAmt
Program Services	$251,272	ProgramServicesAmt
Management And General	$18,859	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,796,668	TotalAmt
Program Services	$12,837,776	ProgramServicesAmt
Management And General	$1,958,892	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,105,605	TotalAmt
Program Services	$20,108,511	ProgramServicesAmt
Management And General	$2,997,094	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,240,384	TotalAmt
Program Services	$15,152,980	ProgramServicesAmt
Management And General	$2,087,404	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
ADMINISTRATIVE SERVICES FEES	$193,635,621	$64,661,927	$128,973,694
PROVIDER TAX	$53,839,342	$53,839,342
BAD DEBTS	$24,364,928	$24,364,928
CONSULTING	$683,720	$167,922	$515,798

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$503,960	TotalAmt
Program Services	$448,444	ProgramServicesAmt
Management And General	$55,516	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,368,885,196	TotalAmt
Program Services	$1,170,016,115	ProgramServicesAmt
Management And General	$198,869,081	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,842,667	BOYAmt
EOY	$15,885,645	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$201,919,551	BOYAmt
EOY	$235,133,465	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$113,973	BOYAmt
EOY	$234,579	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,015,999	BOYAmt
EOY	$11,375,359	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$843,840	BOYAmt
EOY	$570,707	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$973,285,671	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$514,144,656	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$434,520,415	BOYAmt
EOY	$459,141,015	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	-$898,137,543	BOYAmt
EOY	-$1,177,251,529	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$247,881,098	BOYAmt
EOY	-$454,910,759	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$48,324,315	BOYAmt
EOY	$22,247,721	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,320,200	BOYAmt
EOY	$6,261,584	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$53,644,515	BOYAmt
EOY	$28,509,305	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$303,900,827	BOYAmt
EOY	-$483,449,830	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,375,214	BOYAmt
EOY	$29,766	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$301,525,613	BOYAmt
EOY	-$483,420,064	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$247,881,098	BOYAmt
EOY	-$454,910,759	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$172,368,513	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$9,525,938	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$34,119	FilingOrganizationsTotalAmt
Affiliated Group Total	$288,572	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$34,119	FilingOrganizationsTotalAmt
Affiliated Group Total	$288,572	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,191,780,965	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,810,609,866	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,191,815,084	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,810,898,438	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Form4720 Filed	false	Form4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$2,000,000	CurrentYearMinus3Amt
Current Year Minus2	$2,000,000	CurrentYearMinus2Amt
Current Year Minus1	$2,000,000	CurrentYearMinus1Amt
Current Year	$2,000,000	CurrentYearAmt
Total	$8,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$12,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$294,138	CurrentYearMinus3Amt
Current Year Minus2	$335,335	CurrentYearMinus2Amt
Current Year Minus1	$303,289	CurrentYearMinus1Amt
Current Year	$322,691	CurrentYearAmt
Total	$1,255,453	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$500,000	CurrentYearMinus3Amt
Current Year Minus2	$500,000	CurrentYearMinus2Amt
Current Year Minus1	$500,000	CurrentYearMinus1Amt
Current Year	$500,000	CurrentYearAmt
Total	$2,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$3,000,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,933,599	BeginningYearBalanceAmt
Contributions	$727,483	ContributionsAmt
Investment Earnings Or Losses	$57,129	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,953,124	OtherExpendituresAmt
End Year Balance	$4,765,087	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,632,193	BeginningYearBalanceAmt
Contributions	$791,238	ContributionsAmt
Investment Earnings Or Losses	$134,732	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,624,564	OtherExpendituresAmt
End Year Balance	$6,933,599	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,772,703	BeginningYearBalanceAmt
Contributions	$884,306	ContributionsAmt
Investment Earnings Or Losses	-$52,198	InvestmentEarningsOrLossesAmt
Other Expenditures	-$27,382	OtherExpendituresAmt
End Year Balance	$7,632,193	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,699,864	BeginningYearBalanceAmt
Contributions	$372,964	ContributionsAmt
Investment Earnings Or Losses	$31,040	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,331,165	OtherExpendituresAmt
End Year Balance	$6,772,703	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,124,357	BeginningYearBalanceAmt
Contributions	$2,969,206	ContributionsAmt
Investment Earnings Or Losses	$296,673	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,690,371	OtherExpendituresAmt
End Year Balance	$8,699,865	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.09000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.14000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.77000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,716,051	OtherCostOrOtherBasisAmt
Book Value	$5,716,051	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$587,767,827	OtherCostOrOtherBasisAmt
Depreciation	$302,569,126	DepreciationAmt
Book Value	$285,198,701	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,757,136	OtherCostOrOtherBasisAmt
Depreciation	$6,651,310	DepreciationAmt
Book Value	$2,105,826	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$247,024,910	OtherCostOrOtherBasisAmt
Depreciation	$204,924,220	DepreciationAmt
Book Value	$42,100,690	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,019,747	OtherCostOrOtherBasisAmt
Book Value	$124,019,747	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$459,141,015	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CONTRACT PAYABLE	$4,971,156
NONCURRENT ENVIRONMENTAL OBLIGATION	$1,290,425
Rounding	$3

Field	Value	IRS element (for citing)
Total Liability	$6,261,584	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,150,356,000	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$1,150,356,000	RevenueSubtotalAmt
Other Revenues Not Included	$46,160,683	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$46,160,683	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,196,516,683	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,321,041,000	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$1,321,041,000	ExpensesSubtotalAmt
Other Expenses Not Included	$47,844,196	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$47,844,196	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,368,885,196	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. Legacy Health Foundation (LHF) and Randall Children's Hospital Foundation (RCHF) maintains all charitable gifts including endowment funds for the benefit of LEHHC 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.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S	REVENUE FROM RESEARCH $11111608 OTHER RECLASS OF REV/EXP FOR TAX PURPOSE $34411392 MEDICAL STAFF INCOME $637057 ROUNDING $626
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S	EXPENSE FROM RESEARCH $13484368 OTHER RECLASS OF REV/EXP FOR TAX PURPOSE $33888579 MEDICAL STAFF EXPENSE $700724 ELIMINATE EQUIPMENT DONATIONS $-230014 ROUNDING $539

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,671,639	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,671,639	NetCommunityBenefitExpnsAmt
Total Expense	0.01730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$449,622,099	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$304,141,905	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$145,480,194	NetCommunityBenefitExpnsAmt
Total Expense	0.10630	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,867,866	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,252,893	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,614,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$505,161,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$324,394,798	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$180,766,806	NetCommunityBenefitExpnsAmt
Total Expense	0.13210	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,938,428	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,276,076	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,662,352	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,420,672	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,251,796	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,168,876	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$277,772,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$246,254,585	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,517,725	NetCommunityBenefitExpnsAmt
Total Expense	0.02300	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,167,038	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,167,038	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$586,472	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$586,472	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$314,884,920	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$259,782,457	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,102,463	NetCommunityBenefitExpnsAmt
Total Expense	0.04020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$820,046,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$584,177,255	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$235,869,269	NetCommunityBenefitExpnsAmt
Total Expense	0.17230	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$24,364,928	BadDebtExpenseAmt
Reimbursed By Medicare	$67,711,686	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$100,825,891	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$33,114,205	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEGACY EMANUEL HOSP & HEALTH	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2801 N GANTENBEIN AVENUE	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97227	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.legacyhealth.org	WebsiteAddressTxt
State License	14-0056	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LEGACY EMANUEL HOSP & HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.legacyhealth.org	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.legacyhealth.org	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.legacyhealth.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.legacyhealth.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.legacyhealth.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: LEGACY EMANUEL HOSP & HEALTH - Part V, Section B, Line 5	Legacy Emanuel Hospital & Health Center (LEHHC) participates in the Healthy Columbia Willamette Collaborative (HCWC) a public-private partnership improving health equity by conducting a regional Community Health Needs Assessment (CHNA). Primary data collection methods for the collaborative CHNA were used to elicit information directly from community members using both quantitative and qualitative approaches. An online survey, available in 10 languages, was completed by 503 individuals and was open to the public for 3 weeks. Another 311 community members participated in one of the 37 community engagement sessions, seven of which were conducted in a language other than English. Data collected through these methods assessed community health and social assets and needs, the root causes of observed poor health and social outcomes, and how best to take action to improve social connections and community health. The top three race and ethnicity groups represented were Hispanic/Latino/a, Black/African American, and White community members. Half of the community members spoke a language other than English.Organizations that participated in community engagement sessions include:Adelante MujeresAntFarmCareOregonCascade AIDS Project Aging WellCentral City ConcernClackamas County Health, Housing and Human ServicesClark County Public HealthCommunity Partnership for Affordable HousingEstacada Community CenterFaith Organization in Multnomah CountyFriendly HouseHealth Share of OregonIndividual Facilitators, Arabic CommunityIndividual Facilitator, FarmworkersIraqi Society of OregonLatino NetworkMomentum AllianceMultnomah County Health DepartmentNAMI, Clackamas CountyOutside InPacific Islander CoalitionSW WA Accountable Community of HealthTrillium Community Health PlanVeterans of Foreign WarsWashington County Public Health
Facility: LEGACY EMANUEL HOSP & HEALTH - Part V, Section B, Line 6a	In addition to Legacy Healths five hospitals which includes Legacy Emanuel Hospital & Health Center, the other five hospital systems in the metro area that participated in the Healthy Columbia Willamette Collaborative Community Health Needs Assessment were:Adventist HealthHillsboro Medical CenterKaiser PermanenteOregon Health & Science UniversityProvidence Health & Services
Facility: LEGACY EMANUEL HOSP & HEALTH - Part V, Section B, Line 11	The HCWC CHNA identified 13 priority issues across four priority areas: access to culturally and linguistically responsive care, essential community services and resources, a neighborhood for all, and support for family and community ways. From these 13 issues, LEHHC selected sixaccess to affordable health care; culturally and linguistically responsive health care; economic opportunity; educational opportunity; culturally specific and healthy foods; and physical safety in the communitywhere we had the greatest capacity, in terms of financial and personnel resources, to make an impact during the FY24FY26 CHIP period. The remaining areas identified in the quad-county HCWC CHNA will, ideally, be addressed by other local health systems, public agencies, and community-based organizations that are better positioned and resourced to support families and strengthen community well-being. Legacy remains committed to collaborating with community partners and will engage in efforts to address these outstanding needs when feasible.LEHHC has committed to addressing priority needs through community health grants for community-based organizations, strategic partnerships, development of hospital-based programs to address specific Social Determinants of Health (SDOH) needs and hospital in-kind activities. Examples include: Strategic partnership:Project Access NOW, Payment Support and Community Care Collaborative-Legacy Health collaborates with other health delivery systems and community-based organizations to improve the health of the community. One example of a collaboration addressing Access to Care, is Project Access NOW (PANOW). PANOW provides innovative, integrated support for patients and healthcare providers across the tri-county region. Through shared investments, the monthly cost of premiums and out-of-pocket expenses are covered for patients who cannot afford to make those payments on their own. Health Systems Access to Care Fund (HSACF)- Legacy Health, in partnership with CareOregon, Providence Health & Services, PeaceHealth and Kaiser Permanente NW, established the Health Systems Access to Care Fund (HSACF) through the Oregon Community Foundation. This fund directs contributions from participating health systems to community-based health clinics across Oregon and Southwest Washington, strengthening clinic infrastructure and expanding capacity to meet evolving patient needs driven by Medicaid transformation, ongoing healthcare reform, and persistent gaps in access to essential health services.Hospital in-kind:Legacy Health primary care clinics screening for social needsLegacy Health primary care clinics screen patients during clinic visits for food insecurity and other social needs and provide shelf-stable food bags to those patients who need them.Community health grants:Albertina Kerr-Legacys grant funding supported the expansion of Albertina Kerrs Employment Services into Clackamas County, addressing training and workforce readiness and for adults with intellectual and developmental disabilities (I/DD). This initiative helps individuals gain essential job skills, secure employment, and maintain long-term success in the workplace. In the first year of the grant, Albertina Kerr served 41 adults with I/DD, providing personalized support and training that empowered participants to pursue meaningful careers and greater independence. Familias en Accin-Familias en Accin has helped strengthen health equity efforts in Hispanic/Latino/a communities by expanding the workforce of Promotores de Salud/Community Health Workers (P/CHWs). These frontline health workers play a vital role in increasing access to care, advocating for patient needs, and connecting families with resources that address social determinants of health. With Legacys funding, Familias en Accin delivered an Oregon Health Authority-approved 90-hour CHW training and certification program tailored specifically for Hispanic/Latino/a participants. In the first year, 43 individuals completed the culturally specific training, with 81% earning state certification. All graduates received career coaching and continue to receive ongoing professional development support, helping to build a culturally responsive health workforce equipped to serve Hispanic/Latino/a children and families in the Tri-County area.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Legacy Medical Clinics LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1919 NW Lovejoy Street	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97209	ZIPCd

Field	Value	IRS element (for citing)
Facility	Physician Clinics	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	LEHHC 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. Also, patients may experience adverse changes in their medical and financial situation which affect their ability to pay. As a result, LEHHC must report these amounts as bad debt.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	LEHHC screens patients for presumptive charity eligibility prior to assignment to bad debt, in effort to help capture eligible patient population that may qualify for Financial Assistance. As a result, no additional portion of the bad debt expense is attributable to patients eligible under the organizations financial assistance policy.In prior years, LEHHC estimated the amount of bad debt expenses attributable to financial assistance policy using demographic profile of household income and average household size in the zip code areas under the hospital. However, with the additional tools and resources available, LEHHC is able to proactively identify patient accounts that are eligible for financial assistance.
Part III, Line 4 - Bad Debt Expense	The footnote that describes the Legacy bad debt expense can be found on page 9 of the attached audited financial statements.
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 $209,487,299 and $340,419,361 respectively. This results in a total Medicare shortfall of $130,932,062.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 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 VI, Line 2 - Needs Assessment	Legacy leaders, together with the Community Benefit team, work with local community-based partners, Coordinated Care Organizations (CCOs), county agencies and other health systems to understand the needs of the communities we serve. This ongoing work focuses on identifying priority needs and developing programs and initiatives that address emerging issues. Our engagement is designed to stay ahead of community needs while remaining accessible and responsive to real-time concerns. These continuous assessment activities supplement the formal Community Health Needs Assessment (CHNA) process and help to inform annual and long-term planning aligned with identified community priorities. The Community-Based Advisory Committee (CBAC) supports the Community Benefit team in reviewing the findings from the regional Healthy Columbia Willamette Collaborative (HCWC) CHNA. The committee brings together subject matter expertise, shared lived experiences, perspectives and knowledge that aid in the planning and development of Legacys hospital CHNAs and Community Health Improvement Plans (CHIPs). The region served by LEHHC, 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, LEHHC has been and will remain committed to addressing these issues to improve the health of all residents in the community and ensure equity among diverse populations.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	LEHHC employs financial counselors and social workers that assist patients in obtaining coverage for their healthcare needs. This includes assistance with workers compensation, COBRA, veterans assistance, Legacys financial assistance program, and public assistance programs, such as Medicaid. In support of its mission, LEHHC provides medically necessary patient care services that are discounted or free of charge to persons who have insufficient resources and/or who are uninsured. The criteria for charity care are determined based on eligibility for insurance coverage, household income, catastrophic medical events, or other information supporting a patients inability to pay for services provided. Specifically, LEHHC provides an uninsured discount of 35% to self-pay patients with no coverage. A 75% discount is available to patients whose household income is between 301% and 400% of the federal poverty level. For patients whose household income is at or below 300% of the federal poverty level, a full subsidy is available. In certain situations, charity care is awarded to individuals without any patient action required. In addition to the household income criteria, other catastrophic or economic circumstances are considered in determining eligibility for charity care. In addition to financial counselors and social workers, LEHHC makes every effort to communicate its Financial Assistance Program to all patients. This includes signage in main admitting areas of the hospital and brochures explaining financial assistance in all patient care areas, translated for patients/individuals with limited English proficiency (LEP). Financial counselors are available to assist patients in understanding and applying for available resources, including the LEHHC Financial Assistance Program. Legacy Healths website also has information about the availability of financial assistance. LEHHC provides financial assistance customer service Monday through Friday, and offers a confidential voicemail so patients can leave detailed messages outside of business hours. Patients are encouraged to sign up for MyHealth, a secure online tool to access their medical record. Using their MyHealth account they can correspond with a financial counselor electronically. Finally, all of Legacys billing statements include information regarding the availability of financial assistance. If LEHHC requires the use of a collection agency, those agencies are required to provide a telephone number for patients to call to request financial assistance. Annual education is provided to all admitting staff, so they can be kept informed of and speak with knowledge about current financial assistance policies and options. LEHHC provides copies of the latest policies in main admitting areas, as well as with the hospital financial counselor, online via the website and through MyHealth. LEHHC collaborates with other health delivery systems and community-based organizations to improve community health. One key collaboration addressing access to care is with Project Access NOW (PANOW). PANOW delivers innovative, integrated support for patients and healthcare providers across the tri-county region. Its Payment Support program assists low-income, uninsured and underinsured individuals by covering monthly insurance premiums, reducing out-of-pocket costs, and offering education on how to effectively use their insurance coverage.
Part VI, Line 4 - Community Information	LEHHC serves a predominantly urban community located in North and Northeast Portland, Oregon, with a primary service area that extends across Multnomah County. The service area includes an estimated 793,829 (2024) residents and reflects significant demographic diversity. Approximately 30% of residents identify as people of color, including about 6% Black or African American, 8% Asian, 9% multiracial, and 13% Hispanic/Latino/a. Language diversity is notable in the community, where 76% of residents speak English only, while about 8% speak Spanish and 6% speak an Asian or Pacific Islander language at home. Recent demographic trends show increasing racial/ethnic diversity and a continued rise in households speaking languages other than English, which has implications for accessibility and health communication. Residents in the service area have a median household income of $90,263 with approximately 13% living below the federal poverty level. These economic challenges in the region contribute to significant barriers in accessing healthcare services. An estimated 6% of community residents are uninsured, and 36% are Medicaid. Among LEHHCs patient population, Medicaid coverage is substantial, with approximately 39% of encounters covered by Medicaid, compared with 30% across other hospitals in Multnomah County, while 1-2% of patients are uninsured, consistent with the regions low uninsured rate of 6%. The community is served by several hospitals within the Portland metropolitan area, including Legacy Good Samaritan Hospital & Medical Center, Providence Portland Medical Center, Oregon Health & Sciences University (OHSU), and Kaiser Permanente Sunnyside Medical Center. Despite the number of available facilities, community members continue to experience access barriers, including transportation challenges, language barriers, and lower levels of trust in healthcare among certain priority populations. Within the service area, several neighborhoods in Multnomah County are designated as Medically Underserved Areas (MUAs) or Medically Underserved Populations (MUPs), including communities such as Rockwood and Flavel. These federal designations indicate places where residents experience more limited access to primary care and other essential health services, reflecting ongoing gaps in healthcare availability for certain populations in the region. In FY 2025, Legacy Emanuel Hospital & Health Center provided about $24 million in charity care which accounts for about 7.6% of total unreimbursed costs of $312 million.
Part VI, Line 5 - Promotion of Community Health	As a tertiary center, LEHHC provides several unique services to a four-state region (Alaska, Washington, Oregon and Idaho) such as its Level I trauma center, Randall Childrens Hospital, Oregon Burn Center, and high-risk obstetric services, including a Level III NICU. In addition, LEHHC, Legacy Good Samaritan Medical Center and Legacy Salmon Creek Medical Center provide training for interns and residents through its nationally accredited graduate medical education program. Together these three hospitals support over 1,700 employed and visiting medical trainees annually across many disciplines. Health professions training ranges from nursing, occupational and physical therapy, and radiography to public health, lab assistant, emergency medical technician, and many others. LEHHC also partners with schools to provide training and education for nursing and other health professionals.Legacy Health is involved in several activities and provides a wide variety of services that engage community members and promote community health. For example, the Legacy Health Board of Directors is comprised of volunteer community leaders, hospital administrators and representatives of the Lutheran and Episcopal churches who guide Legacys efforts in meeting its mission of providing good health for our people, our patients, our communities and our world. Non-cash donations of clinical and non-clinical services and itemssuch as screenings, support services, internships, information and referral services, and health fairsare also provided to the community. In addition, free office space and other infrastructure services are made available to local non-profit organizations in the LEHHC service area for a variety of uses.Surplus funds are reinvested to support the replacement of critical infrastructure and equipment needed to maintain high-quality patient care. LEHHC medical staff is open, with physicians submitting credentialing information that is reviewed according to Legacy policies and standards. LEHHC collaborates with other health care providers, community-based organizations, businesses, and the public on projects to improve the health of the community. One example of clinically based partnership is CARES Northwest (Child Abuse Response and Evaluation Services), a collaboration among four health systems Kaiser Permanente, OHSU Doernbecher Childrens Hospital, Providence Childrens Health and Randall Childrens Hospital at Legacy Emanuel; LEHHC serves as the employer for the majority of CARES Northwest staff and functions as the administrative home for the collaboration. Additionally, the first collaborative medical initiative of its kind in the Pacific Northwest, Unity Center for Behavioral Health, is a joint effort between Adventist Health, Kaiser Permanente, Oregon Health & Science University and Legacy Health, providing psychiatric emergency services. Legacy collaborated with more than a dozen community mental health partners in developing this psychiatric center.In 1986, nurses at LEHHCs Level I Trauma Center developed Trauma Nurses Talk Tough (TNTT), a program that continues today across all Legacy service communities, although the program is managed from LEHHC. In FY25, TNTT continued to offer virtual and in-person classes to provide important safety education to all ages. In FY25 TNTT offered 104 court ordered classes, 47 senior falls prevention classes, and multiple school, parent, and young driver safety education classes. LEHHC staff fit and distributed 4901 low-cost helmets and safety gear to children, of which 18% were donated. TNTT also began teaching Stop the Bleed in schools and to businesses that are interested in saving lives before medical personnel arrive. In total, 53 Stop the Bleed presentations were delivered to various community members. Legacy staff members also provided new parents with training to reduce the incidence of shaken baby syndrome, along with education and awareness programming about window safety to help prevent children from falling from upper stories.Finally, as a hospital located in a high-density, inner-city area, LEHHCs security department patrols the neighborhoods as a service to the surrounding community.
Part VI, Line 6 - Affilated Health Care System	LEHHC is a subsidiary of Legacy Health, a nonprofit health system committed to improving the health of the communities we serve. Legacy Health provides a broad range of services across the Portland/Vancouver metro area and mid-Willamette Valley, from wellness and urgent care to dedicated childrens services and advanced medical centers. We care for patients of all ages, delivering services when and where they are needed. Legacy Health currently includes:Six medical centersDedicated childrens care at Randall Childrens Hospital at Legacy EmanuelUnity Center for Behavioral Health (a collaboration with three other health care organizations)More than 80 primary care, urgent care and specialty clinicsOver 14,000 employees, and more than 3,000 health care providersPartnership with PacificSource health planResearch and hospiceLegacys policy of providing care regardless of an individuals ability to pay makes it one of the regions largest providers of uncompensated care. As the health needs of communities surrounding our hospitals are frequently changing, Legacy Health continues to identify investments for underserved populations.Legacy Health collaborates with other health delivery systems and community-based organizations to improve community health. One key collaboration addressing access to care is with Project Access NOW (PANOW). PANOW delivers innovative, integrated support for patients and healthcare providers across the tri-county region. Its Payment Support program assists low-income, uninsured and underinsured individuals by covering monthly insurance premiums, reducing out-of-pocket costs, and offering education on how to effectively use their insurance coverage. Legacy Health, in partnership with CareOregon, Providence Health & Services, PeaceHealth and Kaiser Permanente NW, established the Health Systems Access to Care Fund (HSACF) through the Oregon Community Foundation. This fund directs contributions from participating health systems to community-based health clinics across Oregon and Southwest Washington, strengthening clinic infrastructure and expanding capacity to meet evolving patient needs driven by Medicaid transformation, ongoing healthcare reform, and persistent gaps in access to essential health services. In 2024, the 10 community health clinics supported by the HSACF served 10,188 unique patients, an increase of 26.4% between 2022 and 2024. This equated to 26,595 patient visits for some of the most underserved people in Oregon and Southwest Washington.Legacy Health supports The Contingent - Emerging Leaders Internship Program. Through this program, college students and recent graduates from ethnically diverse communities are matched with top companies throughout the Portland Metropolitan area for a 10-week paid summer internship. Program goals aim to provide this demographic with a comprehensive pathway to economic and personal success with structured programming that engages students throughout their professional journey. Students are paid between $18-19 per hour and may work up to 400 hours over the summer. In FY25, Legacy Health contributed system-wide over $700M in community benefit across all reportable categories, including financial assistance. Of the $700M total community benefit, over $1.9M was allocated through strategic investments and grant making to community-based organizations to address access to culturally and linguistically responsive health care, essential community services and resources, and a neighborhood for all.
Part VI, Line 7 - States Filing of Community Benefit Report	OR

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
MATTER 360
7005 OXFORD STREET	ST LOUIS PARK	MN	55426	371441658	501(c)(3)	$0	$12,240	COST	SUPPLIES	FOR DISASTER ASSISTANCE
MEDICAL TEAMS INTERNATIONAL
14150 SW MILTON CT	TIGARD	OR	97224	930878944	501(c)(3)	$0	$14,956	COST	EQUIPMENT & SUPPLIES	FOR DISASTER ASSISTANCE

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	BURN/WOUND GARMENTS	GrantTypeTxt
Recipient	60	RecipientCnt
Non Cash Assistance	$25,152	NonCashAssistanceAmt
Non Cash Assistance	COMPRESSION GARMENTS	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Legacy reviews all organizations prior to donating cash or supplies to ensure their 501(c)(3) status. Legacy regularly donates supplies to Medical Teams International and Matter 360 for disaster relief. Several Legacy medical staff members, volunteer for Medical Teams International.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	Yes (true)	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (38 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
ANDREW TSEN MD
MEDICAL DIRECTOR	$836,520	$148,194	$390	$51,445	$31,524	$1,068,073
ANITA N IYENGER
SR VP							$777,403	$394,130	-$2,450	$84,091	$36,381	$1,289,555	$74,930
ANNA LOOMIS
CFO & TREASURER							$537,323	$247,702	-$2,369		$28,749	$811,405	$99,081
ASHLEY T BLATCHLEY
VP	$384,454		-$4,315		$39,498	$419,637
BAHAA M WANLY
PRESIDENT	$629,585	$44,174	-$3,984	$8,888	$47,442	$726,105								$44,174
BRONWYN J HOUSTON
PRESIDENT CHILDREN'S HOSPITAL	$523,652	$39,274	$8,907	$63,992	$41,910	$677,735								$39,274
BRYCE R HELGERSON
FORMER SR VP									$336,721			$336,721	$336,721
CATHERINE J MARKIN
VP	$525,439		-$4,150	$8,161	$46,637	$576,087
CHRIS ESTES MD
ORTHOPEDIC SURGEON	$758,055	$237,041	-$944	$28,133	$25,825	$1,048,110
CHRISTOPHER THOMING MD
VP	$558,630	$36,223	$5,014	$1,684	$60,133	$661,684
CRAIG R ARMSTRONG
Secretary							$730,994	$85,000	$219	$2,476	$49,267	$867,956
DANG TRAN
PRESIDENT CLINICS	$669,724	$47,507	-$7,170	$28,242	$34,224	$772,527								$47,507
DOSHI SHEETEN MD
GASTROENTEROLOGIST	$728,293	$200,082	-$1,871	$49,588	$26,296	$1,002,388
GEORGE J BROWN MD
President & CEO							$1,350,574	$200,000	$100,588	$3,556		$1,654,718	$100,588
GRETCHEN M NICHOLS
FORMER HOSPITAL PRESIDENT			$192,063	$7,364		$199,427								$192,063
GWEN GREWE
VP	$529,381		-$3,631	$36,225	$52,675	$614,650
JOE H FRANKHOUSE MD
BOARD DIRECTOR	$478,633	$128,419	$1,383	$33,978	$43,636	$686,049
JOHN J KENAGY
SR VP							$716,476	$70,150	$8,895	$44,149	$48,094	$887,764	$70,150
JOHN P IGUIDBASHIAN MD
CARDIO SURGEON	$972,536	$115,295	$2,582	$261,068	$31,980	$1,383,461
JONATHAN E AVERY
SR VP							$1,047,456	$103,550	-$566	$80,710	$48,278	$1,279,428	$103,550
JONATHAN G HILL MD
FORMER DIRECTOR	$11,941		$697		$11,190	$23,828
KATHRYN CORREIA
President & CEO							$1,942,060	$242,757	$520,324	$34,873	$44,733	$2,784,747	$242,757
KECIA M KELLY DNP
SR VP							$610,384	$58,702	-$10,705	$25,062	$51,975	$735,418	$58,702
KERRIN E GILLESPIE
CFO							$486,474					$486,474
LISA J GOREN
SR VP							$609,620	$59,926	-$3,999	$41,050	$50,854	$757,451	$59,926
LORI J FARRELL
VP	$608,045		$218	$40,399	$36,972	$685,634
MAUREEN A BRADLEY
SR VP							$481,532	$44,530	$91,489	$42,123	$33,044	$692,718	$96,576
MAYANK AGRAWAL MD
CARDIOLOGIST	$726,848	$362,798	-$6,173	$28,767	$37,291	$1,149,531
MELINDA J MULLER MD
SR VP							$824,471	$73,575	$9,887	$45,253	$50,949	$1,004,135	$73,575
MELISSA L ECKSTEIN
UCBH PRESIDENT	$466,425	$34,982	$2,343	$30,424	$23,352	$557,526								$34,982
MISHAWN PEDERSEN
VP	$356,890		-$1,925	$31,213	$37,267	$423,445
MOLLY BURCHELL
FORMER VP			$135,000	$26,520		$161,520								$135,000
NATHALIE G JOHNSON MD
BOARD DIRECTOR	$165,277	$71,305	$925		$6,255	$243,762	$427,756	$231,936	$2,555	$15,192	$13,977	$691,416
PAUL E SIRBAUGH
VP	$384,765		$2,915	$1,241	$38,710	$427,631
SETH R PODOLSKY MD
FORMER VP									$341,550	$6,445		$347,995
SONJA O STEVES
FORMER SR. VP									$567,286	$47,505		$614,791	$468,386
TEDRA DEMITRIOU
VP	$289,900		-$1,167	$33,958	$29,447	$352,138
TRENT S GREEN
FORMER SR. VP									$314,730	$3,679		$318,409	$314,730

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.	Some executives belong to business clubs. Any expenses relating to the personal use of the club are paid directly to the club by the executive. Only business related use is paid to the business club or reimbursed to the executive by Legacy. An allocation of personal use of dues is completed annually and added to the compensation of the executive.Legacy does periodically reimburse for some travel of companions. During 2024, no travel expenses for companions of Legacy Board Directors and executives were reimbursed. These transactions follow Legacys reimbursement policy requiring documentation and approval of the expenses, prior to reimbursement. These payments are taxable to the individuals and are reported on a W-2 for employees or a 1099 forBoard Directors.
Part I, Line 5b: Explanation of organization compensation based on revenues of related organization	Physicians employed by Legacy affiliates are paid variable compensation based on quality, value, and production. Production is based upon the level of effort of services provided during the year measured by industry standard relative value units (RVU) and which generate revenue.
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.
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.
Part III, Additional Information	Sch J, Part 1, Question 3 Regarding Compensation PracticesDirectors for Legacy started receiving compensation for their services in August 2014. They also 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. In addition to the Board of Directors compensation, during 2024, Dr. Hill received compensation related to his duties as clinical VP while Dr. Root received compensation for medical services provided at Legacy Emanuel Hospital. Dr. Frankhouse and Dr. Johnson received compensation related to their duties as Medical Directors and for medical services at Legacy Good Samaritan hospital. There was no other reportable compensation received by any board member during 2024.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. Distributions from 457(b) plans, reported to the employee on a 1099-R, are also included as other compensation. In addition, imputed income for insurance and other benefits is included in other compensation as well as any severance related payments. Column C - Deferred compensation includes the 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 plan is 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.Fiscal year 2024 performance bonuses were paid based on the achievement of patient and employee safety goals with attainment probability of 20-30%. The bonuses were paid out in July 2024 (tax year 2024), included in the Executive compensation and were reported as deferred compensation on the 2023 form 990. This is included on sch J Part II column F on the 2024 form 990.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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Hoda Ilias	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Employee	RelationshipDescriptionTxt
Transaction	$238,878	TransactionAmt
Transaction	Fam Dr. Ilias-Khan Dir	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 3	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.
Form 990, Part VI, Section A, Line 6	Legacy Health is the sole member of Legacy Emanuel Hospital & Health Center.
Form 990, Part VI, Section A, Line 7a	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 elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of a Lutheran congregation in the Oregon Synod ("Lutheran Director");(d) One (1) person elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of an Episcopal congregation in the Episcopal Diocese known to his/her parish priest, or alternatively a member of the clergy in the Episcopal Diocese ("Episcopal Director").
Form 990, Part VI, Section A, Line 7b	The election of Lutheran Director is subject to the approval by the Bishop of the Oregon Synod, who may object to the newly-elected director for any reason by delivering written notice to the Legacy President or the Chair of the Board of Directors no later than one week after the election. If the Bishop timely objects to the election of the new Lutheran Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Lutheran Director for his/her full term or the remainder of an unexpired term to which elected. The election of the Episcopal Director is subject to approval by the Bishop of the Episcopal Diocese, who may object to the newly elected director for any reason by delivering written notice to the Legacy President or Chair of the Board of Directors no later than one week after the election. The election of the Episcopal Director is also subject to approval by the Standing Committee of the Episcopal Diocese, who may object to the newly elected director only on the grounds that he/she is not an active member of an Episcopal congregation or a member of the Episcopal clergy in the Episcopal Diocese; such objection to be effected by delivering written notice to the Legacy President or Chair of the Board of Directors within five days after the next meeting of the Standing Committee or 45 days after the election, whichever is earlier. If the Bishop or Standing Committee timely object to the election of the new Episcopal Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Episcopal Director for his/her full term or the remainder of an unexpired term to which elected.
Form 990, Part VI, Section B, Line 11b	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 and Compliance Committee received a memorandum with a draft 990 return highlighting key areas and requesting feedback. Questions from the Board Audit and Compliance Committee are answered and changes made where appropriate. Any significant differences from the draft 990 to the final 990 return are provided to the Board Audit and Compliance Committee. Depending on the deadline for the 990 return filing and the Board Audit and Compliance Committee meeting this discussion may take place following the filing of the return.
Form 990, Part VI, Section B, Line 12c	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 Department 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. Audit and Compliance Committee of the Board).
Form 990, Part VI, Section B, Line 15b	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, Section C, Line 19	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 LEHHC's financial results.When changes are made to the LEHHC Articles or Bylaws, LEHHC discloses the changes on the IRS Form 990. These documents are publicly available upon request. Other governing documents are not available to the public.
Form 990, Part XI, Line 9	CAPITAL CONTRIBUTION FROM FDNT = $3272768
Form 990, Part XI, Line 9	CAPITAL CONTRIBUTION FROM RESEARCH = $230014
Form 990, Part XI, Line 9	INTERCO CLEARING = -$13056029
Form 990, Part XI, Line 9	RESEARCH RNA = $27311
Form 990, Part XI, Line 9	ROUNDING = -$2
Form 990, Part IV, question 12	Legacy has an audit of its consolidated financial statement which includes consolidating schedules highlighting LEHHC's financial results.
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 LEHHC, the lab & clinics is 7,352.
Form 990, Part X	LEHHC 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, 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, Silverton Health, and Legacy Visiting Nurse Association.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LEGACY CLINICS LLC
1919 NW LOVEJOY ST	PORTLAND	OR	97209	931272735	HEALTHCARE	OR	-$79,597,242	-$709,030,423	LEGACY EMANUEL HOSPITAL & HEALTH CENTER
LEGACY LABORATORY SERVICES LLC
1919 NW LOVEJOY ST	PORTLAND	OR	97209	263597257	HEALTHCARE	OR	-$4,619,793	$184,263,224	LEGACY EMANUEL HOSPITAL & HEALTH CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
LEGACY HEALTH
1919 NW LOVEJOY ST	PORTLAND	OR	97209	237426300	HEALTHCARE	OR	501(C)(3)	11b	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 MERIDIAN PARK HOSPITAL
19300 SW 65TH AVE	TUALATIN	OR	97062	930618975	HOSPITAL	OR	501(C)(3)	3	N/A	false
LEGACY MOUNT HOOD MEDICAL CENTER
24800 SE STARK ST	GRESHAM	OR	97030	930591528	HOSPITAL	OR	501(C)(3)	3	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 VISITING NURSE ASSOCIATION
6475 SW BORLAND ROAD SUITE J	TUALATIN	OR	97062	930848530	HOSPICE	OR	501(C)(3)	9	N/A	false
RANDALL CHILDRENS HOSPITAL FOUNDATION
PO BOX 4484	PORTLAND	OR	97208	931314469	CHARITABLE FOUNDATION	OR	501(C)(3)	7	N/A	Yes (true)
GOOD SAMARITAN FOUNDATION
PO BOX 4484	PORTLAND	OR	97208	237017276	CHARITABLE FOUNDATION	OR	501(C)(3)	7	N/A	false
SALMON CREEK HOSPITAL FOUNDATION
PO BOX 4484	PORTLAND	OR	97208	830433165	CHARITABLE FOUNDATION	WA	501(C)(3)	7	N/A	false
LEGACY HEALTH FOUNDATION
1919 NW LOVEJOY ST	PORTLAND	OR	97209	465562403	CHARITABLE FOUNDATION	OR	501(C)(3)	7	N/A	false
SILVERTON HEALTH FOUNDATION
342 FAIRVIEW STREET	SILVERTON	OR	97381	930913392	CHARITABLE FOUNDATION	OR	501(C)(3)	7	N/A	false
SILVERTON HEALTH
342 FAIRVIEW STREET	SILVERTON	OR	97381	930281321	HOSPITAL	OR	501(C)(3)	3	N/A	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RANDALL CHILDRENS HOSPITAL FOUNDATION
c	$1,411,184	Cash
RANDALL CHILDRENS HOSPITAL FOUNDATION
m	$777,000	Actual Cost