2026-02-17T13:31:34-08:00 2025-03-31 990 2024-04-01 930618975 LEGACY MERIDIAN PARK HOSPITAL LEGA 5034155600 19300 SW 65TH AVENUE TUALATIN OR 97062 CAROLYN COGGINS INTERIM CFO 2026-02-17 true 2024 2025-03-06 01:10:19Z GEORGE J BROWN 317090699 false X WWW.LEGACYHEALTH.ORG X 1973 OR Legacy Meridian Park Hospital (LMPH), established in 1973, is a community hospital in Tualatin, OR. LMPH is South Metro's most sophisticated medical center and provides the personal touch of a community hospital along with a variety of specialized services. 18 12 0 134 29286 48504 230646 312144259 316857050 -9187 0 13803 3003 312197379 317090699 626376 233153 0 137194503 145606076 0 0 149893218 152052826 287714097 297892055 24483282 19198644 544947775 561327771 17019986 14190687 527927789 547137084 Legacy Meridian Park Hospital (LMPH), established in 1973, is a community hospital in Tualatin, OR, south of Portland with 150 licensed beds. LMPH serves the needs of the fast growing communities of Tualatin, Tigard, Wilsonville, Sherwood, West Linn, and Lake Oswego. LMPH offers outpatient diagnostic, angiography, and MRI/MRA, a total joint, diagnostic and interventional cardiac cath, a nationally recognized stroke program, cancer treatment, intensive and intermediate care units, a family birth center, and pediatric and ambulatory care units in the emergency department. LMPH 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 ach false false 221589392 233153 316857050 In support of its mission, LMPH 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, LMPH provided financial assistance on approximately 13,034 patient accounts (of which 678 accounts received discounts totaling 100% of costs) and resulted in LMPH incurring roughly $5,667,600 in uncompensated costs associated with this program. In addition to charity care, LMPH provides services under various states' Medicaid programs for financially needy patients and Medicare beneficiaries programs for which the cost of treating these patients exceeds the government payments received. During fiscal year 2025, LMPH incurred approximately $12,444,000 and $32,267,400 in uncompensated costs attributable to Medicaid and Medicare programs, respectively. LMPH 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 $3,217,000 during fiscal year 2025.LMPH 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. In addition, Legacy provided over $39 million in other community benefit activities during fiscal year 2025. 221589392 true true false true false false false false false false true true false false true false false true false false false false false false false false true true true true true false false false false false false true false false false false false false true false false false true 0 0 false 0 true true false false false false false false 0 false false false false false false false X 18 12 false true false false true true true true true false false true true true true true true true true false OR X X CAROLYN COGGINS 5034155600 1919 NW LOVEJOY STREET PORTLAND OR 97209 KATHRYN CORREIA President & CEO 0.00 40.00 X X 0 2705141 79606 GEORGE J BROWN MD President & CEO 0.00 40.00 X X 0 1651162 3556 ANITA N IYENGER SR VP 0.00 40.00 0 1169083 120472 JONATHAN E AVERY SR VP 0.00 40.00 0 1150440 128988 MELINDA J MULLER MD SR VP 0.00 40.00 0 907933 96202 NATHALIE G JOHNSON MD BOARD DIRECTOR 0.00 40.00 X 0 899753 35423 JOHN J KENAGY SR VP 0.00 40.00 0 795521 92243 CRAIG R ARMSTRONG Secretary 0.00 40.00 X X 0 816213 51743 ANNA LOOMIS CFO & TREASURER 0.00 40.00 X X 0 782656 28749 LISA J GOREN SR VP 0.00 40.00 0 665547 91904 KECIA M KELLY DNP SR VP 0.00 40.00 0 658381 77037 JOSEPH Z YODER HOSPITAL PRESIDENT 40.00 0.00 652216 0 75292 MAUREEN A BRADLEY SR VP 0.00 40.00 0 617551 75167 JOE FRANKHOUSE MD BOARD DIRECTOR 0.00 40.00 X 0 608435 77614 CHRISTOPHER THOMING FORMER INTERIM PRESIDENT 40.00 40.00 0 599867 61817 SONJA O STEVES FORMER SR. VP 0.00 0.00 0 567286 47505 GWEN J GREWE MD FORMER VP 0.00 40.00 0 525750 88900 CAMERON KLUG MD VP 40.00 0.00 489562 0 63237 KERRIN E GILLESPIE CFO 0.00 40.00 X X 0 486474 0 EMONIEL ISAKHAROV MD PHYSICIAN 40.00 0.00 437577 0 43135 POMPY Z GOSWAMI MD PHYSICIAN 40.00 0.00 375766 0 69513 ERIC J MACEVOY MD MEDICAL DIRECTOR 40.00 0.00 349396 0 82575 BRIAN M BEDOLLA MD MEDICAL DIRECTOR 40.00 0.00 386667 0 41349 ELIZABETH R SAMMOND MD MEDICAL DIRECTOR 40.00 0.00 350398 0 43324 SETH R PODOLSKY MD FORMER SR. VP 0.00 0.00 0 341550 6445 BRYCE R HELGERSON FORMER SR. VP 0.00 0.00 0 336721 0 DESI D MCCUE VP CNO 40.00 0.00 288102 0 44836 TRENT S GREEN FORMER SR. VP 0.00 0.00 0 314730 3679 MELINDA C STIBAL FORMER VP 0.00 40.00 0 266677 49899 LESLIE ROOT MD BOARD DIRECTOR 0.00 40.00 X 0 52079 1 NANCY HORTON BOARD DIRECTOR 3.00 0.00 X 0 25000 0 NANCY R LOCKE BOARD DIRECTOR 3.00 0.00 X 0 25000 0 JONATHAN G HILL MD FORMER DIRECTOR 0.00 0.00 0 12638 11190 CHARLES WILHOITE Chairman 4.00 0.00 X X 0 22500 0 DAVID RAMUS VICE CHAIR 4.00 0.00 X X 0 17500 0 SAMIR DESAI MD BOARD DIRECTOR 3.00 0.00 X 0 15000 0 JERRY D PETTY BOARD DIRECTOR 3.00 0.00 X 0 15000 0 PATRICK REITEN BOARD DIRECTOR 3.00 0.00 X 0 15000 0 GAYLE GOSCHIE BOARD DIRECTOR 3.00 0.00 X 0 12500 0 LYNN T GUST BOARD DIRECTOR 3.00 0.00 X 0 12500 0 NASREEN ILIAS-KHAN MD BOARD DIRECTOR 3.00 0.00 X 0 7500 0 JACK A FRIEDMAN BOARD DIRECTOR 3.00 0.00 X 0 7500 0 LISA WYNN FREEDMAN BOARD DIRECTOR 3.00 0.00 X 0 7500 0 JEFFREY BARBER BOARD DIRECTOR 3.00 0.00 X 0 7500 0 EDGAR NAVAS BOARD DIRECTOR 3.00 0.00 X 0 7500 0 BISHOP DIANA AKIYAMA BOARD DIRECTOR 3.00 0.00 X 0 0 0 BISHOP LAURIE L CAESAR BOARD DIRECTOR 3.00 0.00 X 0 0 0 3329684 17129088 1691401 398 true true true LABORATORY CORPORATION OF AMERICA PO BOX 2270 BURLINGTON NC 27216 LAB SERVICES 6361759 OREGON ANESTHESIOLOGY GROUP PC PO BOX 2040 PORTLAND OR 97208 MEDICAL SERVICES 3185068 OREGON HEALTH & SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK RD PORTLAND OR 97239 MEDICAL SERVICES 1332029 ECHO VISION INC 7214 NE 72ND PL VANCOUVER WA 98662 MEDICAL SERVICES 792441 CASCADE CLEANING SERVICES INC 2208 NW BIRDSDALE AVE 3 GRESHAM OR 97030 CLEANING SERVICES 629363 19 230646 230646 CAFE & GIFT SHOP 1201740 1201740 PATIENT PROGRAM REV 315626024 315626024 PHARMACY 29286 29286 316857050 0 0 0 3003 3003 3003 3003 0 0 0 0 0 317090699 315626024 29286 1204743 9180 9180 223973 223973 0 0 1613245 1399392 213853 0 115532168 100217134 15315034 5837790 5063928 773862 13594241 11792178 1802063 9028632 7831790 1196842 0 0 0 0 0 0 8672325 8672325 0 45289222 44159639 1129583 0 0 1279483 860437 419046 18894 16419 2475 0 0 675393 586901 88492 0 5051395 4389545 661850 4533151 4062643 470508 ADMINISTRATIVE SERVICES FEES 44679588 44679588 CONTRACT SERVICES 20384530 11465555 8918975 PROVIDER TAX 16889983 16889983 BAD DEBTS 3305091 3305091 1273771 643279 630492 297892055 221589392 76302663 0 714811 2089362 0 0 42202934 46846848 0 0 0 4286272 3335494 244761 198252 190807361 157065663 31874273 33741698 0 458524897 468016288 0 0 7099827 7099829 544947775 561327771 16830028 14000733 189958 189954 17019986 14190687 X 527927789 547137084 527927789 547137084 544947775 561327771 X 19198644 10651 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false X 12239 310452 12239 310452 259493891 2880749718 259506130 2881060170 1000000 1000000 250000 250000 false 2000000 2000000 2000000 2000000 8000000 12000000 294138 335335 303289 322691 1255453 500000 500000 500000 500000 2000000 3000000 153922 153922 86639119 77361491 9277628 8292605 4142849 4149756 90003219 75561323 14441896 5718496 5718496 33741698 468016288 NONCURRENT ENVIRONMENTAL OBILGATION 189954 189954 315811500 541 541 315810959 1279740 1279740 317090699 296787000 806 806 296786194 1105861 1105861 297892055 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. Meridian Park Medical Foundation (MPMF) maintains all charitable gifts including endowment funds for the benefit of LMPH and it's programs. In 2022, the MPMF board of trustees approved the dissolution of MPMF and a merger of the Foundations assets into the Legacy Health Foundation (LHF). All assets of MPMF as of March 31, 2022, were transferred to LHF, with all original donor restrictions preserved.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 2d: Other revenue amounts included in F/S but not included on form 990 ROUNDING $541 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S FOUNDATION CONTRIBUTION $230646 MEDICAL STAFF INCOME $417501 PROGRAM SERVICE REVENUE $627096 NON OPERATING EXPENSE $4497 Part XII, Line 2d: Other expenses and losses per audited F/S ROUNDING $806 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S MEDICAL STAFF EXPENSE $366170 FOUNDATION CONTRIBUTION $106017 PROGRAM SERVICE REVENUE $627096 NON OPERATING EXPENSE $6578 true true X true X 300.000000000 true X true true true false true true 5667641 5667641 0.01900 36928564 24484510 12444054 0.04180 42596205 24484510 18111695 0.06080 670850 39577 631273 0.00210 962446 907 961539 0.00320 21033034 20177497 855537 0.00290 768211 768211 0.00260 23434541 20217981 3216560 0.01080 66030746 44702491 21328255 0.07160 false 3305091 38581220 52286925 -13705705 X true true 1 1 LEGACY MERIDIAN PARK HOSPITAL 19300 SW 65TH AVENUE TUALATIN OR 97062 www.legacyhealth.org 14-1336 X X X LEGACY MERIDIAN PARK HOSPITAL 1 false false true X X X X X X X X X 23 true true true true X www.legacyhealth.org true 23 true www.legacyhealth.org false false true X 300.0000 400.0000 X X X X X true true X X X true X www.legacyhealth.org X www.legacyhealth.org X www.legacyhealth.org X X X X X X true X false X X X X true X false false Facility: LEGACY MERIDIAN PARK HOSPITAL - Part V, Section B, Line 5 Legacy Meridian Park Hospital (LMPH) 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 The results of Legacys Community Needs Assessment can be found at www.legacyhealth.org. Facility: LEGACY MERIDIAN PARK HOSPITAL - Part V, Section B, Line 6a In addition to Legacy Healths five hospitals which includes LMPH, the other five hospital systems in the metro area that participated in the HCWC CHNA were:Adventist HealthHillsboro Medical CenterKaiser PermanenteOregon Health & Science UniversityProvidence Health & Services Facility: LEGACY MERIDIAN PARK HOSPITAL - 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, LMPH 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.LMPH 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 partnershipProject 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-kindLegacy 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 grantsAlbertina 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. Part I, Line 7 - Explanation of Costing Methodology 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 2 - Methodology Used To Estimate Bad Debt Expense LMPH 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, LMPH must report these amounts as bad debt. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit LMPH 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, LMPH 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, LMPH is able to proactively identify patient accounts that are eligible for financial assistance. Part III, Line 4 - Bad Debt Expense The footnote that explains 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 $111,087,924 and $143,355,338 respectively. This results in a total Medicare shortfall of $32,267,413.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 LMPH, 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, LMPH 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 LMPH 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, LMPH 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, LMPH 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, LMPH 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 LMPH Financial Assistance Program. Legacy Healths website also has information about the availability of financial assistance. LMPH 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 LMPH 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. LMPH 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. LMPH 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 LMPH serves a predominantly suburban/urban community located in Tualatin, Oregon, with a primary service area that extends across Clackamas and Washington County. In Clackamas County, the population includes an estimated 425,428 (2024) residents and reflects demographic diversity. Approximately 19% of residents identify as people of color, including about 2% Black or African American, 6% Asian, 8% multiracial, and 10% Hispanic/Latino/a. Language diversity in the community includes 83% of residents speak English only, while about 5% speak Spanish and 3% speak an Asian or Pacific Islander language at home. In Washington County, the population includes an estimated 602,050 (2024) residents and reflects significant demographic diversity. Approximately 30% of residents identify as people of color, including about 3% Black or African American, 13% Asian, 10% multiracial, and 18% Hispanic/Latino/a. Language diversity is notable in the community, where 71% of residents speak English only, while about 11% speak Spanish and 7% 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 Clackamas County have a median household income of $102,249 with approximately 7% living below the federal poverty level. These economic challenges in the region contribute to significant barriers in accessing healthcare services. An estimated 5% of community residents are uninsured, and 25% are Medicaid. Residents in Washington County have a median household income of $107,019 with approximately 8% 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 26% are Medicaid. Among LMPHs patient population, Medicaid coverage includes approximately 14% of encounters covered by Medicaid, compared with 16% across other hospitals in Clackamas County, and 23% across other hospitals in Washington County. Uninsured included 1% of patients, consistent with the regions low uninsured rate of 5-6%.The community is served by several hospitals within the Portland metropolitan area, including Kaiser Permanente Westside Medical Center, Providence St. Vincent Hospital, Providence Willamette Falls Hospital, 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 Clackamas and Washington County are designated as Medically Underserved Areas (MUAs) or Medically Underserved Populations (MUPs). These designations apply to primary care services in Clackamas County, and to both primary care services and low-income populations in Washington County. 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 FY25, Legacy Meridian Park Hospital provided $5.6 million in charity care; total unreimbursed costs of care for people in need amounted to $50.3 million. Part VI, Line 5 - Promotion of Community Health 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. LMPH also partners with schools to provide training and education for nursing and other health professionals. Surplus funds are reinvested to support the replacement of critical infrastructure and equipment needed to maintain high-quality patient care. LMPH medical staff is open, with physicians submitting credentialing information that is reviewed according to Legacy policies and standards. LMPH 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; Legacy Emanuel Hospital & Health Center 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. Part VI, Line 6 - Affilated Health Care System LMPH 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. Legacy Health trains interns and residents through its nationally accredited graduate medical education (GME) program and partners with local nursing and other health professional schools and programs to provide practical training and education.In 1986, nurses at the Legacy Emanuel Hospital & Health Centers Level I Trauma Center developed the Trauma Nurses Talk Tough (TNTT) program; a program that continues today across all Legacy service communities, although the program is managed from the Legacy Emanuel Hospital & Health Center. 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.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 true MATTER 360 7005 OXFORD STREET ST LOUIS PARK MN 55426 371441658 501(c)(3) 9180 0 COST SUPPLIES FOR DISASTER ASSISTANCE 1 0 PATIENT NEEDS FOR SAFE DISCHARGE 167230 TRANSPORTATION PATIENT NEEDS FOR SAFE DISCHARGE 56743 HOUSING, SHELTER, TRANSPORTATION Grantmaker's Description of How Grants are Used 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 for disaster relief. Several Legacy medical staff members, volunteer for Medical Teams International. true true false true true true true false true true ANITA N IYENGER SR VP 777403 394130 -2450 84091 36381 1289555 74930 ANNA LOOMIS CFO & TREASURER 537323 247702 -2369 28749 811405 99081 BRIAN M BEDOLLA MD MEDICAL DIRECTOR 337511 55817 -6661 41349 428016 BRYCE R HELGERSON FORMER SR. VP 336721 336721 336721 CAMERON KLUG MD VP 493341 -3779 17250 45987 552799 CHRISTOPHER THOMING FORMER INTERIM PRESIDENT 558630 36223 5014 1684 60133 661684 CRAIG R ARMSTRONG Secretary 730994 85000 219 2476 49267 867956 DESI D MCCUE VP CNO 293709 -5607 8068 36768 332938 ELIZABETH R SAMMOND MD MEDICAL DIRECTOR 320649 35224 -5475 14052 29272 393722 EMONIEL ISAKHAROV MD PHYSICIAN 315099 129353 -6875 22425 20710 480712 ERIC J MACEVOY MD MEDICAL DIRECTOR 331083 26067 -7754 50789 31786 431971 GEORGE J BROWN MD President & CEO 1350574 200000 100588 3556 1654718 100588 GWEN J GREWE MD FORMER VP 529381 -3631 36225 52675 614650 JOE FRANKHOUSE MD BOARD DIRECTOR 478633 128419 1383 33978 43636 686049 JOHN J KENAGY SR VP 716476 70150 8895 44149 48094 887764 70150 JONATHAN E AVERY SR VP 1047456 103550 -566 80710 48278 1279428 103550 JONATHAN G HILL MD FORMER DIRECTOR 11941 697 11190 23828 JOSEPH Z YODER HOSPITAL PRESIDENT 614565 33469 4182 28833 46459 727508 33469 KATHRYN CORREIA President & CEO 1942060 242757 520324 34873 44733 2784747 242757 KECIA M KELLY DNP SR VP 610384 58702 -10705 25062 51975 735418 58702 KERRIN E GILLESPIE CFO 486474 486474 LISA J GOREN SR VP 609620 59926 -3999 41050 50854 757451 59926 MAUREEN A BRADLEY SR VP 481532 44530 91489 42123 33044 692718 96576 MELINDA C STIBAL FORMER VP 265580 1097 25679 24220 316576 MELINDA J MULLER MD SR VP 824471 73575 9887 45253 50949 1004135 73575 NATHALIE G JOHNSON MD BOARD DIRECTOR 593032 303241 3480 15192 20231 935176 POMPY Z GOSWAMI MD PHYSICIAN 321988 55550 -1772 44491 25022 445279 SETH R PODOLSKY MD FORMER SR. VP 341550 6445 347995 SONJA O STEVES FORMER SR. VP 567286 47505 614791 468386 TRENT S GREEN FORMER SR. VP 314730 3679 318409 314730 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 to determine 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. Sch J, Part II, Column Breakdown of W-2 or Misc-1099 (Cont):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. Brooke Klouda Employee 34725 Fam - Anna Loomis KE false 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 Merdian Park Hospital. 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 theEpiscopal 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 isearlier. 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 draft 990 returns for Legacy and Legacy Emanuel Hospital & Health Center highlighting key areas and requesting feedback. Questions from the Board Audit and Compliance Committee are answered and changes made where appropriate. Any significant differences in disclosure from the draft 990 to the final 990 return for other affiliated entities, including Legacy Meridian Park Hospital 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 Departments for review of the disclosure. If a conflict is disclosed, or identified through any other means, Legacy Corporate Compliance ensures that management mitigates the risk (e.g., discontinues relationship with vendor, segregates responsibilities, recuses Board member from voting in area of conflict) and that the conflict and mitigation steps are reported to the appropriate level (e.g. Audit and Compliance Committee of the Board). Form 990, Part VI, Section B, Line 15b The following describes the compensation practices of Legacy Health and its affiliates.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior leaders responsible for ensuring Legacy Health serves its mission and patients every day, and for ensuring a safe, inclusive and equitable workplace for all Legacy employees. 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, and are accountable for the effective day-to-day operation of the system. 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 LMPH's financial results.When changes are made to the LMPH Articles or Bylaws, LMPH 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 GIFT SHOP OPERATIONS FUND = -$2117 Form 990, Part XI, Line 9 INTERCO CLEARING = $818 Form 990, Part XI, Line 9 MEDICAL STAFF RECONCILIATION = $11950 Form 990, Part IV, question 12 Legacy has an audit of its consolidated financial statement which includes consolidating schedules highlighting LMPH'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 LMPH is 1,420. Form 990, Part X LMPH 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. 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