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      <Desc>Legacy provides administrative services for the System in the areas of general administration, finance, legal services, human resources, information management, patient billing, quality and patient safety, and marketing and also oversees and supports health education and community wellness programs throughout the System's service area. Legacy is the sole corporate member of six nonprofit corporations: Legacy Emanuel Hospital &amp; Health Center (LEHHC), Legacy Good Samaritan Hospital and Medical Center (LGSHMC), Legacy Meridian Park Hospital (LMPH), Legacy Mount Hood Medical Center (LMHMC), Legacy Salmon Creek Hospital(LSCH), Silverton Health (SH) and Legacy Visiting Nurse Association (LVNA). While there is investment in a variety of community-based activities and programs as a part of its non-profit status, an overwhelming majority of Legacy community benefit comes in the form of providing uncompensated care. Legacy's policy of providing care regardless of the ability to pay makes it one of the region's largest providers of uncompensated care in the four-county metropolitan area. Legacy, 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.In support of its mission, Legacy 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, Legacy 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. During 2025, Legacy provided charity care on 92,018 patient accounts, representing 9,367 inpatient accounts, and 82,651 outpatient accounts. In 2025, 8% of the patients receiving charity care received a full subsidy representing roughly 20% of the total charity provided. The top five services provided to patients qualifying for charity care were emergency/trauma, surgery, cardiovascular, pediatrics, and general acute care.In addition to charity care, Legacy provides services under various states' Medicaid programs for low-income patients, to Medicare beneficiaries, and to beneficiaries under other government programs(such as Tricare). The cost of providing services to these beneficiaries generally exceeds the reimbursement from these programs.Legacy also employs financial counselors and social workers, who assist patients in obtaining coverage for their healthcare needs. This includes assistance with workers compensation, motor vehicle accident policies, COBRA, veterans' assistance, and public assistance programs such as Medicaid. This program assists many patients in obtaining coverage through a third party, reducing the patients' financial responsibility.</Desc>
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        <Desc>As the health needs of communities surrounding our hospitals are frequently changing, Legacy continues to identify investments for underserved populations. 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 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 encourages and supports employee volunteerism. Legacy donates $100 to nonprofit health, human service or education organizations in honor of employees who volunteer on personal time 50 hours a year. Employees may receive paid time when volunteering in one or two week time periods in local nonprofit organizations through Legacy's community service leave program.Non-cash donations of clinical and non-clinical services and items,such as screenings, support services, internships, information and referral services, and health fairs, are also provided to the community. In addition, free office space and other infrastructure services are made available to local non-profit organizations for a variety of uses.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, $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.</Desc>
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        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY CHAUMETON MD</PersonNm>
        <TitleTxt>ASSOCIATE CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>48757</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SONJA O STEVES</PersonNm>
        <TitleTxt>FORMER SR. VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MERRIN PERMUT</PersonNm>
        <TitleTxt>VP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <PersonNm>JENNIFER LETOURNEAU</PersonNm>
        <TitleTxt>VP</TitleTxt>
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        <PersonNm>NIKOLAUS KASHEY MD</PersonNm>
        <TitleTxt>VP</TitleTxt>
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        <PersonNm>GINGER SHARP</PersonNm>
        <TitleTxt>VP</TitleTxt>
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        <PersonNm>KERRIN E GILLESPIE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <PersonNm>KELLEY AURAND</PersonNm>
        <TitleTxt>VP</TitleTxt>
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        <PersonNm>SARAH JENSEN</PersonNm>
        <TitleTxt>VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LUDA KAMINSKA</PersonNm>
        <TitleTxt>RN</TitleTxt>
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        <PersonNm>KAITLIN WALKER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SETH PODOLSKY MD</PersonNm>
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        <PersonNm>BRYCE HELGERSON</PersonNm>
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        <PersonNm>TRENT GREEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE ROOT MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <PersonNm>NANCY HORTON</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <PersonNm>NANCY R LOCKE</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN G HILL</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES WILHOITE</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID RAMUS</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK REITEN</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <PersonNm>JERRY D PETTY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAMIR DESAI MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GAYLE GOSCHIE</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN T GUST</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY BARBER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDGAR NAVAS</PersonNm>
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        <PersonNm>LISA WYNN FREEDMAN</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACK A FRIEDMAN</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NASREEN ILIAS-KHAN MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BISHOP DIANA AKIYAMA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BISHOP LAURIE LARSON CAESAR</PersonNm>
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      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REED SMITH LP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2672 PAYSPHERE CIRCLE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60674</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBERT VIRDE CONSTRUCTION INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>541 LONE OAK AVE</AddressLine1Txt>
            <CityNm>EUGENE</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97404</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT SERVICES</ServicesDesc>
        <CompensationAmt>4540877</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KH ACQUISTION LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 845330</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75284</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STOEL RIVES LLP</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>101 S CAPITAL BLVD 1900</AddressLine1Txt>
            <CityNm>BOISE</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83702</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>2474731</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STRUCTURED COMMUNICATIONS SYSTEMS INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9200 SE SUNNYBROOK BLVD 300</AddressLine1Txt>
            <CityNm>CLACKAMAS</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97015</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION SYSTEMS</ServicesDesc>
        <CompensationAmt>2258463</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>92</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1844921</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>-3279</AllOtherContributionsAmt>
      <TotalContributionsAmt>1841642</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONVENIENCE OF MEMBERS</Desc>
        <TotalRevenueColumnAmt>266863</TotalRevenueColumnAmt>
        <ExclusionAmt>266863</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>LEGACY CONNECT</Desc>
        <TotalRevenueColumnAmt>3494634</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3494634</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <ExplanationTxt>Legacy provides administrative services supporting the hospitals, in the areas of general administration, finance, legal services, human resources, information management, patient billing, quality and patient safety, and marketing and also oversees and supports health education and community wellness programs throughout Legacy's service area.</ExplanationTxt>
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      <BoardDesignatedBalanceEOYPct>0.09000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.08000</PrmnntEndowmentBalanceEOYPct>
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        <BookValueAmt>36001868</BookValueAmt>
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        <BookValueAmt>210545</BookValueAmt>
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        <DepreciationAmt>293555844</DepreciationAmt>
        <BookValueAmt>31116729</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>15738237</OtherCostOrOtherBasisAmt>
        <BookValueAmt>15738237</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>85813255</TotalBookValueLandBuildingsAmt>
      <FinancialDerivativesGrp>
        <BookValueAmt>5184190</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>168618994</TotalBookValueSecuritiesAmt>
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        <Desc>DEFERRED FINANCING COSTS</Desc>
        <BookValueAmt>26402598</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>I/C AFFILIATE - INVESTMENT POOL</Desc>
        <BookValueAmt>84814923</BookValueAmt>
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        <Desc>LAND &amp; BUILDING HELD FOR DEVELOPMENT</Desc>
        <BookValueAmt>9692323</BookValueAmt>
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        <Desc>LEGACY REAL ESTATE ASSETS</Desc>
        <BookValueAmt>600363</BookValueAmt>
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        <Desc>LONG TERM INTERCOMPANY RECEIVABLE</Desc>
        <BookValueAmt>11474295</BookValueAmt>
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        <Desc>OTHER NONCURRENT</Desc>
        <BookValueAmt>4031363</BookValueAmt>
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        <Desc>PREPAID PENSION COST</Desc>
        <BookValueAmt>95579124</BookValueAmt>
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        <Desc>I/C AFFILIATE - INVESTMENT POOL</Desc>
        <Amt>218886492</Amt>
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        <Desc>NONCURRENT BENEFITS LIABILITY</Desc>
        <Amt>91272554</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>NONCURRENT WORKERS' COMP LIABILITY</Desc>
        <Amt>8665000</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FOR PROFESSIONAL LIABILITY COSTS</Desc>
        <Amt>148082903</Amt>
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      <RevenueNotReportedFinclStmtAmt>50253495</RevenueNotReportedFinclStmtAmt>
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        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>Endowment funds disclosed in Part V are used to improve the healthcare of the community as designated by the donors. Legacy Health Foundation (LHF) maintains all charitable gifts including endowment funds for the benefit of Legacy 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>FOUNDATION CONTRIBUTION $99047 FOUNDATION SALARY EXPENSE $2934516 OTHER RECLASS OF REV/EXP FOR TAX PURPOSE $42497631 GAIN/LOSS OF SALE OF ASSETS $4722301</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>FOUNDATION CONTRIBUTION $99047 FOUNDATION SALARY EXPENSE $2934516 OTHER RECLASS OF REV/EXP FOR TAX PURPOSE $47219327</ExplanationTxt>
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          <StateAbbreviationCd>OR</StateAbbreviationCd>
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          <StateAbbreviationCd>OR</StateAbbreviationCd>
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          <CityNm>VANCOUVER</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98661</ZIPCd>
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          <StateAbbreviationCd>OR</StateAbbreviationCd>
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        <ExplanationTxt>As the health needs of communities surrounding our hospitals are changing, Legacy continues to identify investments for underserved populations. Legacy provides Community Health Grants through grant funding for community-based organizations. The Community Health Grants are funded annually to 501(c)(3) organizations in response to needs identified within our community health needs assessments (CHNAs). In FY25, our Community Health Grants were awarded to address access to culturally and linguistically responsive health care, essential community services and resources, and a neighborhood for all.Community-based organizations were invited to apply for the Community Health Grants. The grants were reviewed and awarded to those organizations whose proposals mostly closely aligned with the strategies in our Community Health Improvement Plans (CHIPs). Follow up occurs semiannually with grantees regarding use of funds. In addition, Legacy donates to charitable organizations to support health and human services, civic and community causes, and business development. Legacy Community Benefit administers this funding, assuring the organizations meet priorities and qualifications, and that the money is used for its intended purpose.</ExplanationTxt>
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        <PersonNm>LUDA KAMINSKA</PersonNm>
        <TitleTxt>RN</TitleTxt>
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        <TotalCompensationFilingOrgAmt>438689</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN A BRADLEY</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELINDA MULLER MD</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MERRIN PERMUT</PersonNm>
        <TitleTxt>VP</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHALIE G JOHNSON MD</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NIKOLAUS KASHEY MD</PersonNm>
        <TitleTxt>VP</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH JENSEN</PersonNm>
        <TitleTxt>VP</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SETH PODOLSKY MD</PersonNm>
        <TitleTxt>FORMER SR. VP</TitleTxt>
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        <PersonNm>SONJA O STEVES</PersonNm>
        <TitleTxt>FORMER SR. VP</TitleTxt>
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        <PersonNm>TRENT GREEN</PersonNm>
        <TitleTxt>FORMER SR. VP</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>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 for Board Directors.In 2024, the contract CEO received a housing stipend as part of his compensation for services performed in his capacity as an officer of Legacy. This stipend was included in his total reportable compensation and was issued on Form 1099.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 5b: Explanation of organization compensation based on revenues of related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 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 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART IV, ARBITRAGE, LINE 2CDate of rebate computation for OR Facilities Authority (Issuer A): 12/9/2021Date of rebate computation for OR Facilities Authority (Issuer B): 4/30/2025</ExplanationTxt>
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          <PersonNm>Miles Jackson</PersonNm>
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        <TransactionDesc>Fam Mem of J Friedman Dir</TransactionDesc>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020490" softwareVersionNum="2024v5.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Legacy articles of incorporation were amended and restated on March 20, 2025 and updates Article 5.7 to extend a director's term. The 2025 Articles add a new paragraph at the end of Article 5.7 allowing the Board, by majority vote, to extend any Director's term for up to one year after expiration. During that extension:1. The Director keeps all rights, powers, privileges and obligations, and2. The extended Director counts toward the number of voting members even if this temporarily exceeds the 18 member maximum.For the approval of such an extension, the affected Director is recused (does not vote and isnt counted for the majority). The Legacy bylaws were amended and restated on March 20, 2025 to update Article 3 &amp; 3.3 as follows:The 2025 Bylaws add a paragraph authorizing the Board, by majority of Directors in office, to extend any Directors term for up to one (1) year after expiration. During that extension the Director retains full rights/obligations and counts toward the number of voting members even if this temporarily exceeds the stated maximum. For the extension decision, the affected Director does not vote and is not counted in determining the majority.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>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").</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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. When changes are made to the Legacy Articles or Bylaws, Legacy discloses the changes on the IRS Form 990. These documents are publicly available upon request. Other governing documents are not available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY = -$674755</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCO CLEARING = $13053460</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Rounding = $2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER FROM FOUNDATION = -$99047</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990 Part X</FormAndLineReferenceDesc>
        <ExplanationTxt>Legacy manages the investments for all affiliates through 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. Legacy reports the gains or losses on the investment portfolio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1, Line 5 &amp; Part V question 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of employees reported on the W-3 is for all Legacy Health Affiliates. Legacy Health is a common pay agent for all of the affiliates and reports all employees under its EIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX, line 20</FormAndLineReferenceDesc>
        <ExplanationTxt>Total interest expense relating to tax exempt bonds for Legacy &amp; its affiliates was $28,668,162.Entity AmountLHS 8,724,791LEHHC 14,796,668LGSMC 2,285,663LMPH 675,393LMHMC 1,151,904LSH 1,033,744 LSCH 0</ExplanationTxt>
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          <StateAbbreviationCd>OR</StateAbbreviationCd>
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        </USAddress>
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        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LEGACY MT HOOD MEDICAL CENTER</BusinessNameLine1Txt>
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        <ShareOfEOYAssetsAmt>-56402</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.75000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LEGACY HEALTH SYSTEM INSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1919 NW LOVEJOY ST</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97209</ZIPCd>
        </USAddress>
        <EIN>030322342</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>15555</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>437881</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>true</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>true</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>true</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY EMANUEL HOSPITAL &amp; HEALTH CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>5265876</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY GOOD SAMARITAN HOSPITAL &amp; MEDICAL</BusinessNameLine1Txt>
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        <InvolvedAmt>1497432</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY MERIDIAN PARK HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>845472</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY MOUNT HOOD MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>1160280</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY SALMON CREEK HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>2444352</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY VISITING NURSE ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>151044</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RANDALL CHILDRENS HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>302711</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RANDALL CHILDRENS HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>437842</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GOOD SAMARITAN FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>632647</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SALMON CREEK HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>613789</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>840525</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEGACY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>1158503</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SILVERTON HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>1110384</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SILVERTON HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>122531</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>