PORTLAND ADVENTIST MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PORTLAND ADVENTIST MEDICAL CENTER (EIN 93-0429015)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-20
IRS object ID: 201213259349300036
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-20T14:52:10-08:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	930429015	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Mark Perry	Name
Title	Treas/VPFin/CFO	Title
Date Signed	2012-11-20	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	269623435	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Group Exemption Number	1071	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.adventisthealthnw.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1900	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	Our mission is to demonstrate the human expression of the healing ministry of Jesus Christ	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	2445	TotalNbrEmployees
Total Nbr Volunteers	285	TotalNbrVolunteers
Total Gross UBI	5563112	TotalGrossUBI
Net Unrelated Business Txbl Income	-17519	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	523213	ContributionsGrantsPriorYear
Contributions Grants Current Year	621826	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	243719654	ProgramServiceRevenuePriorYear
Program Service Revenue CY	265403029	ProgramServiceRevenueCY
Investment Income Prior Year	3714261	InvestmentIncomePriorYear
Investment Income Current Year	3190957	InvestmentIncomeCurrentYear
Other Revenue Prior Year	84950	OtherRevenuePriorYear
Other Revenue Current Year	56562	OtherRevenueCurrentYear
Total Revenue Prior Year	248042078	TotalRevenuePriorYear
Total Revenue Current Year	269272374	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	145739	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	185748	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	139176205	SalariesEtcPriorYear
Salaries Etc Current Year	150440396	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	373914	TotalFundrsngExpCurrentYear
Other Expense Prior Year	108338566	OtherExpensePriorYear
Other Expenses Current Year	112063492	OtherExpensesCurrentYear
Total Expenses Prior Year	247660510	TotalExpensesPriorYear
Total Expenses Current Year	262689636	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	381568	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6582738	RevenuesLessExpensesCY
Total Assets BOY	264432198	TotalAssetsBOY
Total Assets EOY	273490042	TotalAssetsEOY
Total Liabilities BOY	84225726	TotalLiabilitiesBOY
Total Liabilities EOY	86610260	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	180206472	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	186879782	NetAssetsOrFundBalancesEOY
Mission Description	Our mission is to demonstrate the human expression of the healing ministry of Jesus Christ.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	225915143	Expense
Grants	185749	Grants
Revenue	254119602	Revenue
Description	Portland Adventist Medical Center (PAMC) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of Portland Adventist Medical Center, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay: providing free care and/or subsidized care providing care to persons covered by governmental programs at or below cost providing health/wellness activities and community education programsNot only does Portland Adventist Medical Center provide low cost care to individuals covered by government programs and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits. PAMC recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2011 was $14,454,348.The following Inpatient services that were provided to all our patients. These services included:1,175 Babies delivered2,724 Surgeries performed20,087 Radiology procedures performed1,367 Cardiac Catheterizations and other procedures 269,626 Laboratory tests14,629 Patient days (Psychiatric Services)The following Outpatient services that were provided to all our patients in 2011. These services included:48,548 Emergency department visits4,138 Outpatient Surgeries performed86,865 Radiology procedures performed1,495 Cardiac Catheterizations and other procedures 319,364 Laboratory tests209,229 Medical clinic visits57,760 Rehab visitsHome Health Care services in 2011 that were provided to all our Home Health patients. These services included:36,185 Home Health visits42,764 Hospice patient days15,669 Home Medical Equipment deliveries7,460 Home Infusion Therapy daysPAMC recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2011 was $3,673,346.Community Health Improvements ServicesCommunity Health Education: Healthful Living Lectures- Dr. Hans DiehlCancer Care Support GroupMedical personnel lactation educationSafety consultsAnswers to medication questions from the general publicKomen Care for The CureHealth Fair focusing on heart healthIntervention TrainingOregon Board of Medical ImagingComplete Health Improvement Project- Blood drawsAmerican Heart and Stroke WalkCommunity Based Clinical Services:Stroke Education and screeningMammography Voucher Program for uninsured womenHealth Care Support Services:Emergent transportation needs of discharging patientsCancer patient transportationEnrollment assistance in government funded health programsCoupons for homeless sheltersCancer Survivor EventCancer Support GroupGrief ClassesHealth Professionals EducationPhysiciansAdvanced Life Support for ObstetricsVarious health lecturesNurses/Nursing students:Student nurses- 46,622 hours 481 studentsNursing School subsidyOther Health Professionals Education:Surgical TechsDietetic educationHealth Resource KioskMedical Library open to publicHosted Caremark lecture SeriesVarious Grief/Care classes for Home health/Hospice professionals PT, OT, Speech therapy student trainingSubsidized Health Services:Hospital Outpatient Services:Cardiopulmonary RehabSubsidized Continuing CareHome HealthBehavioral Health ServicesPsych and Psych Physicians Services Financial and In-Kind DonationsCash Donations:Medical Teams InternationalIn-Kind Donations:Medical equipmentCompassionate FriendsBattle Ground Health CareFree space availability to non-profitsFood collection/ donationsAdministrative support to not-for-profit groupsNAMI Walk 2011Special need groups Board and committee membershipsCommunity Benefits OperationAssigned Staff:1026 total hoursCBISA software	Description
Total Program Service Expense	225915143	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	299	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2445	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JONES HELMUTH
Director	1.00	X	0	350	0
INNOCENT LARRY
Director	1.00	X	0	350	0
REINER SCOTT
Asst Secretary	50.00	X	0	907841	160287	X
DODDS LARRY
V Chair/Sec	50.00	X	0	685344	96060	X
CARMEN ROBERT
Chairman	50.00	X	0	1749297	39804	X
TORKELSEN MAX
Director	1.00	X	0	2381	0
RIPPEY WESLEY
Director/CMO	8.00	X	96255	2238	0
REIMCHE ALLAN
Director	1.00	X	0	1637	0
JOBE MEREDITH
Director	1.00	X	0	54617	0
HERBER STEVEN
Director	1.00	X	0	219911	41678
GRAHAM RICARDO
Director	1.00	X	0	2652	0
FRIESTAD CHRISTINE
Director	1.00	X	0	2927	0
FIKE RUTHITA
Director	1.00	X	0	635	0
CREITZ LYNN
Director	1.00	X	0	3123	0
CAVINESS LARRY
Director	1.00	X	0	2666	0
BRADSHAW ROBERT
Director	1.00	X	0	4652	0
WING BILL
Asst Secretary	50.00		0	321581	89967	X
PERRY MARK
Treas/VPFin/CFO	50.00		0	306079	71444	X
RUSSELL THOMAS
President/CEO	50.00		0	451956	103013	X
WEHTJE RODNEY
Asst Treasurer	50.00		0	506336	95494	X
REBOK DOUGLAS
Asst Secretary	50.00		0	857414	147299	X
TRYON ELLEN
Interim CNO	50.00		355250	0	0		X
RUSSELL DAVID
VP Mkt/Bus Dev	50.00		0	189432	48230		X
KINZER STEVEN
CEO PAMG	50.00		0	263404	63547		X
HEISER PAMELA
VP	50.00		0	217168	55611		X
BENFIELD RONALD
Sr VP	50.00		0	247520	71887		X
Molloy Thomas
Physician	40.00		797879	0	19491			X
Patillo Dominic
Physician	40.00		481573	0	4470			X
Grise Murlan
Physician	40.00		400493	0	27333			X
Nerness Curtis
Physician	40.00		323704	0	31542			X
Balme Benjamin
Physician	40.00		298529	0	23810			X
JONES DERYL
Former Pres/CEO	0.00		0	1782626	8650				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2753683	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	8784137	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1199617	TotalOtherCompensation
Number Individuals GT100 K	183	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Patrick L Hanley MD
10000 SE Main St	Portland	OR	97216	Medical Services	394365
Novia Strategies
13029 Danielson St Suite 200	Poway	CA	920648811	Business Consultants	1182174
Oregon Anesthesiology Grp
120 NW 14th Ave Ste 300	Portland	OR	97209	Medical Services	1265072
Northwest Cardiovas Inst
2222 NW Lovejoy Ste 606	Portland	OR	97210	Medical Services	1626512
Portland Psyc Assoc Inc
9955 SE Washington 200	Portland	OR	97216	Psyc Physician Serv	1706317

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	22	NumberOfContractorsGT100K
Fundraising Events	128410	FundraisingEvents
All Other Contributions	493416	AllOtherContributions
Noncash Contributions	19200	NoncashContributions
Total Contributions	621826	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Other Revenue	900099	2330309	2330309
Partnr inc fr rel prg svc	900099	3596507	3596507
Reference Lab Services	621500	4528753		4528753
Rental Revenue - MOBs/Oth	531120	4647091			$4,647,091
Patient Service Revenue	900099	248284803	248284803

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2015566	TotalRevenueColumn
Related Or Exempt Function Income	36045	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1034359	UnrelatedBusinessRevenue
Exclusion	$945,162	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	265403029	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3127852	TotalRevenueColumn
Exclusion	$3,127,852	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	63105	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	63105	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	63105	TotalRevenueColumn
Exclusion	$63,105	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	60178	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	128410	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	93624	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-33446	TotalRevenueColumn
Exclusion	-$33,446	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	299900	GrossSalesOfInventory
Cost Of Goods Sold	257437	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	42463	TotalRevenueColumn
Exclusion	$42,463	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Medical Staff Funds	Description
Business Code	900099	BusinessCode
Total Revenue Column	47545	TotalRevenueColumn
Exclusion	$47,545	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	47545	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	269272374	TotalRevenueColumn
Related Or Exempt Function Income	254247664	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	5563112	UnrelatedBusinessRevenue
Exclusion	$8,839,772	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	185748	Total
Program Services	185748	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	114016944	Total
Program Services	104613226	ProgramServices
Management And General	9190661	ManagementAndGeneral
Fundraising	213057	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4298297	Total
Program Services	4291780	ProgramServices
Management And General	6517	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	23238927	Total
Program Services	20213480	ProgramServices
Management And General	2981134	ManagementAndGeneral
Fundraising	44313	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8828628	Total
Program Services	8028727	ProgramServices
Management And General	784807	ManagementAndGeneral
Fundraising	15094	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	653850	Total
Management And General	653850	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	438714	Total
Management And General	438714	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	11880907	Total
Program Services	7661126	ProgramServices
Management And General	4219781	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1214296	Total
Program Services	167930	ProgramServices
Management And General	1046366	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4184982	Total
Program Services	3241212	ProgramServices
Management And General	928269	ManagementAndGeneral
Fundraising	15501	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7544592	Total
Program Services	7493071	ProgramServices
Management And General	51521	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9653418	Total
Program Services	9082592	ProgramServices
Management And General	547368	ManagementAndGeneral
Fundraising	23458	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	828411	Total
Program Services	555415	ProgramServices
Management And General	264441	ManagementAndGeneral
Fundraising	8555	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	334693	Total
Program Services	266009	ProgramServices
Management And General	68549	ManagementAndGeneral
Fundraising	135	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2880774	Total
Program Services	2880774	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10858162	Total
Program Services	10782224	ProgramServices
Management And General	75938	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1416139	Total
Program Services	1384376	ProgramServices
Management And General	31763	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
All other expense	941695	192314	748031	1350
Rent/Lease of Equipment	2259250	2259250
Purchased Services	25457338	11099618	14305269	52451
Pt Care Supplies	31516271	31516271

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	262689636	Total
Program Services	225915143	ProgramServices
Management And General	36400579	ManagementAndGeneral
Fundraising	373914	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2114866	BOY
EOY	6597445	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	81260243	BOY
EOY	80517629	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	225813	BOY
EOY	225000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	35599349	BOY
EOY	40440982	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2614503	BOY
EOY	3338877	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1728541	BOY
EOY	2171212	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	275107078	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	149970454	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	128591967	BOY
EOY	125136624	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	594494	BOY
EOY	253646	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1612585	BOY
EOY	1478694	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	40000	BOY
EOY	120000	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	90000	BOY
EOY	1552200	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9959837	BOY
EOY	11657733	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	264432198	BOY
EOY	273490042	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17324995	BOY
EOY	19127546	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1028585	BOY
EOY	1174426	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	59131	BOY
EOY	19835	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	733334	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	65813015	BOY
EOY	65555119	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	84225726	BOY
EOY	86610260	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	176372456	BOY
EOY	182959396	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1341516	BOY
EOY	1417878	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2492500	BOY
EOY	2502508	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	180206472	BOY
EOY	186879782	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	264432198	BOY
EOY	273490042	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6582738	ReconcilationRevenueExpenses
Reconcilation Other Changes	90572	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$3,195	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$21,411	OtherActivitiesAmount
Total Lobbying Expenditures IIB	24606	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	A portion of the dues paid to the following organizations has been determined to be related to lobbying: Oregon Association of Hospitals and Health Systems--lobbying portion $21,200 Portland Business Alliance--lobbying portion $211	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.30000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.70000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	187619342	OtherCostOrOtherBasis
Depreciation	85018686	Depreciation
Book Value	102600656	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2088496	OtherCostOrOtherBasis
Depreciation	1396684	Depreciation
Book Value	691812	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	78755668	OtherCostOrOtherBasis
Depreciation	63555084	Depreciation
Book Value	15200584	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	125136624	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Other Liabilities	-$50
Payable to related entities	$61,949,527
Payables to third parties	$1,379,007
Workers' comp liability	$2,226,635

Field	Value	IRS element (for citing)
Total Of Amounts	65555119	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part XI, Line 8	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	Net Assets Rlsd from Restrictions $90572 Net Assets Rlsd from Restrictions $ -0
Part V, Line 4	Part V, Line 4: Intended uses of the endowment fund.	Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.

Schedule G IRS990ScheduleG

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

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Golf Tournament	NameOfEvent1
Gross Receipts Event1	188588	GrossReceiptsEvent1
Charitable Contributions Event1	128410	CharitableContributionsEvent1
Gross Revenue Event1	60178	GrossRevenueEvent1
Cash Prizes Event1	2560	CashPrizesEvent1
Non Cash Prizes Event1	1781	NonCashPrizesEvent1
Rent Facility Costs Event1	23630	RentFacilityCostsEvent1
Food And Beverage Event1	15926	FoodAndBeverageEvent1
Other Direct Expenses Event1	49727	OtherDirectExpensesEvent1
Gross Receipts Total	188588	GrossReceiptsTotal
Charitable Contributions Total	128410	CharitableContributionsTotal
Gross Revenue Total Events	60178	GrossRevenueTotalEvents
Cash Prizes Total Events	2560	CashPrizesTotalEvents
Non Cash Prizes Total Events	1781	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	23630	RentFacilityCostsTotalEvents
Food And Beverage Total Events	15926	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	49727	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	93624	DirectExpenseSummaryEvents
Net Income Summary	-33446	NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	11678	PersonsServed
Total Community Benefit Expense	7623908	TotalCommunityBenefitExpense
Net Community Benefit Expense	7623908	NetCommunityBenefitExpense
Percent Of Total Expense	0.02900	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	43022	PersonsServed
Total Community Benefit Expense	33725606	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26395165	DirectOffsettingRevenue
Net Community Benefit Expense	7330440	NetCommunityBenefitExpense
Percent Of Total Expense	0.02790	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	54700	PersonsServed
Total Community Benefit Expense	41349514	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26395165	DirectOffsettingRevenue
Net Community Benefit Expense	14954348	NetCommunityBenefitExpense
Percent Of Total Expense	0.05690	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	5410	PersonsServed
Total Community Benefit Expense	767997	TotalCommunityBenefitExpense
Direct Offsetting Revenue	223761	DirectOffsettingRevenue
Net Community Benefit Expense	544236	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	452709	TotalCommunityBenefitExpense
Direct Offsetting Revenue	123062	DirectOffsettingRevenue
Net Community Benefit Expense	329647	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23677561	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21091020	DirectOffsettingRevenue
Net Community Benefit Expense	2586541	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	212922	TotalCommunityBenefitExpense
Net Community Benefit Expense	212922	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	5410	PersonsServed
Total Community Benefit Expense	25111189	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21437843	DirectOffsettingRevenue
Net Community Benefit Expense	3673346	NetCommunityBenefitExpense
Percent Of Total Expense	0.01400	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	60110	PersonsServed
Total Community Benefit Expense	66460703	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47833008	DirectOffsettingRevenue
Net Community Benefit Expense	18627694	NetCommunityBenefitExpense
Percent Of Total Expense	0.07090	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	53733	TotalCommunityBuildingExpense
Net Community Building Expense	53733	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	5942	TotalCommunityBuildingExpense
Net Community Building Expense	5942	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	59675	TotalCommunityBuildingExpense
Net Community Building Expense	59675	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$8,356,840	BadDebtExpenseAmount
Amount Attributable To	2841326	AmountAttributableTo
Amount Reimbursed By Medicare	30085306	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	32128199	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2042893	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (6 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Caremark
Behavioral health services	0.50000
Gastroenterology Associates
Physican Specialist Svcs	0.74500	0.25500
PAR LLC
Retirement residence mgmt	0.50000
ASSN-Unit Owners Plaza Cond
Condo association mgmt	0.78000
Healthcare Resources Northw
Managed care organization	1.00000
Gresham Family Medical Cent
Physician Services	0.74500	0.12000	0.13500

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	0	FacilityNumber

Name Name

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

Address Address

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

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	46	NumberOfOtherFacilities

Other Facilities OtherFacilities (46 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Adventist Health Physical Workforce
10101 SE Main Street LL	Portland	OR	97216	Workforce Therapy Clinic
Advenstist Health Medical Clinic- Clackamas
11211 SE Sunnyside Road	Clackamas	OR	97015	Physician Clinic
Adventist Health Medical Clinic- Diabetes & Endo Ctr
19255 SW 65th Ave Suite 110	Tualatin	OR	97062	Physician Speciality Clinic
Adventist Health Audiology
10201 SE Main Street Suite 1	Portland	OR	97216	Audiology Services
Adventist Health Medical Clinic- Rose City Family Medicine
7420 NE Sandy Blvd	Portland	OR	97213	Physician Clinic
Adventist Health Medical Clinic- NW Orthopedic Specialists
10101 SE Main ST Suite 3012	Portland	OR	97216	Physician Speciality Clinic
Adventist Health Medical Clinic- Creekside Family Medicine
9200SE 91st Ave 220	Happy Valley	OR	97086	Physician Clinic
Adventist Health Medical Clinic- Radiation Oncology Center
10123 SE Market St	Portland	OR	97216	Physician Speciality Clinic
Adventist Health Speech Therapy
10201 SE Main Street Suite 1	Portland	OR	97216	Speech Theraphy Services
Gresham Station Lab
831 NW Council Drivw Suite 120	Gresham	OR	97030	Lab and Draw Station
Adventist Health Medical Clinic-Mt Scott Internal Med
9200 SE 91st Ave Suite 300	Portland	OR	97086	Physician Clinic
Adventist Health Physical Therapy Vancouver
6069 SE 15th Street	Vancouver	WA	98683	Physical Therapy Clinic
Adventist Health Home Infusion Therapy
5835 NE 122nd Ave 155	Portland	OR	97320	Home Infusion Therapy Service
Adventist Health Hospice-Tillamook
1015 Third St	Tillamook	OR	97141	Hospice Services- Tillamook
Adventist Health Speciality Rehab
10101 SE Main Street LL	Portland	OR	97216	Speciality Rehab Therapy Clinic
Adventist Health Medical Clinic-Gladstone Family Med
1105 Portland Ave Suite 2	Gladstone	OR	97027	Physician Clinic
Adventist Health Medical Clinic- NW Regional Heart Center
10000 SE Main St Suite 365	Portland	OR	97216	Physician Speciality Clinic
Adventist Health Medical Clinic-Occupational Medicine
10201 SE Main St Suite 29	Portland	OR	97216	Physician Clinic and Corporate Services
Adventist Health Medical Clinic-Camas
411 NE 6th Avenue	Camas	OR	98607	Physician Clinic
Adventist Health Medical Clinic- Diabetes & Endo Ctr
10101 SE Main Street Suite 1001	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic-Arthritis and Bone Care
10201 SE Main St Suite 25	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic-Hoodland
24461 East Welches Road	Welches	OR	97067	Physician Clinic
Adventist Health Physical Therapy Clackamas
13435 SE 97th LL101	Clackamas	OR	97015	Physical Therapy Clinc
Adventist Health Medical Clinic-Eastside Internal Med
10000 SE Main St Suite 128	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic- Fishers Landing
417 SE 164th Ave Suite 300	Vancouver	WA	98684	Physician Clinic
Adventist Health Medical Clinic-Hazelwood
12615 NE Halsey Street	Portland	OR	97230	Physician Clinic
Adventist Health Physical Therapy Sandy
37095 SE Hwy 26 Suite 102	Sandy	OR	97055	Physical Therapy Clinic
Tillamook Home Health
1015 Third Street	Tillamook	OR	97141	Home Health Services- Tillamook
Adventist Health Oregon Hand Specialists
10000 SE Main St Suite 327	Portland	OR	97216	Physician Speciality Clinic
Adventist Health Medical Clinic-Portland Lung Clinic
10201 SE Main St Suite 11	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic- Damascus
14450 SE Royer Road	Damascus	OR	97089	Physician Clinic
Adventist Health Medical Clinic-Ventura Park
11510 SE Stark Street	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic- Cherry Park FP
10000 SE Main Street Suite 224	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic-Sandy Family Practice & Urge
17055 Ruben Lane	Sandy	OR	97055	Physician Clinic and Urgent Care
Adventist Health Medical Clinic-Internal Medicine Assoc
10201 SE Main St Suite 12	Portland	OR	97216	Physician Clinic
Adventist Health Medical Clinic- Gresham Station
831 NW Council Drive Suite 101	Gresham	OR	97030	Physician Clinic
Adventist Health Physical Therapy Gresham
831 NW Council Dr Suite 200	Gresham	OR	97030	Physical Therapy Clinic
Adventist Health Medical Clinic Gresham Station IM FP
831 NW Council Drive Suite 125	Gresham	OR	97030	Physician Clinic
Adventist Health Occupational Therapy
10101 SE Main Street LL	Portland	OR	97216	Occupational Therapy Services
Adventist Health Medical Clinic- Rockwood Urgent Care
18750 SE Stark Street	Portland	OR	97233	Physician Clinic/ Urgent Care
Adventist Health Physical Therapy Medical Center Outpt
10101 SE Main Street LL	Portland	OR	97216	Physical Therapy Services
Adventist Health Home Medical Equipment
5835 NE 122nd Ave 155	Portland	OR	97230	Home Medical Equipment Service
Adventist Health Wound Healing and Hyperbaric Medicine
10201 SE Main St Suite 29	Portland	OR	97216	Wound Care Service
Adventist Health Hospice Portland
5835 NE 122nd Ave 155	Portland	OR	97230	Hospice Services
Adventist Health Home Health Agency
5835 NE 122nd Ave 155	Portland	OR	97230	Home Health Services- Portland
Adventist Health Gresham Station Imaging Center
831 NW Council Dr Suite 100	Gresham	OR	97030	Imaging Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part VI - Additional Information	Supplemental for Part I, Line 7 The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide audited combined financial statements. The formula used for computation equals financial statement data labeled as follows for 7a-c: (Total expenses - (Provision for bad debts + Other revenue + Interest income)) divided by Gross patient charges7e,f,h,i are calculated based on specific expenses and revenues.7g uses specific cost to charge ratios for those departments
Part V - Explanation of Number of Facility Type	Hospice (2), Home Medical Equipment (1), Home Infusion Therapy (1),Home Health Services (2) Physician Clinics (27), Lab (1), Imaging (1), Pt/OT Clinics (10), Wound Care (1)
Part VI - States Where Community Benefit Report Filed	OR
Part VI - Affilated Health Care System Roles and Promotion	The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communites served
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	We do not wait until a community member needs our services through our clinics or Emergency Department. We are active in the community we serve. By involving ourselves in various activities, groups, and outreaches, we communicate our willingness to serve our community and our commitment to our mission. Our community health needs assessment keeps us current with changes in the health of our community. By working with other groups and agencies we are better able to assess the needs of the community than if we relied only on our own resources. The hospital uses all available financial resources to improve the quality of the health care we provide and to better serve the needs of the community.
Part VI - Community Building Activities	Activities in this area focus on the root causes of health problems such as poverty and homelessness. By addressing the root causes of health problems, we help improve access to health care to individuals who might not be able to do so if these issues are ignored. While there are public health agencies that deal with these problems, they are limited to what they can do by budget limitations. Activities we were involved in 2011 include the following: 1)Mock job interviews with high school students.2)Shadow Nurses by students from the Center for Advanced Learning 6)Civic involvement and support of local Chambers of Commerce beyond normal business needs.
Part VI - Community Information	PAMCs primary service area is East Multnomah County. This area's lower income population as a percentage of the total population is growing as this population shifts from North Portland to East Portland. In addition the organization provides services to residents of Clackamas and Washington Counties in Oregon and Clark County in Washington. Portland, Vancouver (WA), and the suburbs surrounding these two cities lay within this four county area.
Part VI - Patient Education of Eligibility for Assistance	Financial assistance is a part of the community service provided by this hospital and is available to those individuals using our services.For those who are unable to pay, reasonable efforts will be made to assist the patient in obtaining help for payment of their medical bills from public agencies. If a patient indicates they cannot pay the bill, they are offered a charity care application. We contact an external firm to screen patients for eligibility for government assistance. The discussion of whether they can pay the bill may come up at any point (before admission, during the stay, after discharge or after the account is sent to a collection agency).Those who do not qualify for public funding will be considered for financial assistance under the hospital's financial assistance guidelines. Identifying a potential charity discount will begin as soon as information is provided that a patient may be receiving service.
Part VI - Needs Assessment	Every three years, PAMC partners with other local entities to conduct a community health needs assessment that helps to identify the health care gaps that exist within the hospitals service areas. That data and other key sources of information- such as the hospital's situation assessment, discharge data and pertinent healthcare trends- plays a prominent role in the hospital's annual strategic planning. Initiatives to achieve those goals are based on community demographics and the expressed and implied health care needs of the area's residents, communicated through the triennial community health needs assessment and other vehicles.
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	The hospital's financial assistance policy has three income ranges for patients who received emergency, obsteric, and other medical care, which provides a discount based on Federal Poverty Guidelines.	Number of Hospital Faciltiy - 0
Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients	Income level and family size are considered. Individuals eligible for Medicaid also qualify for financial assistance	Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income" and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments to many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL Revenue. Medicare Cost Report Revenue 31,684,100 Prior Year Settlements 32,842 Cost Report Reimbursable Bad Debts 574,431 Estimates and Accrual Variances 25,372 Other (2,231,439) Subtotal - Amount reported in Pt III, line 5 30,085,306 Amounts include in Part 1, lines g and f 11,600,381 Total Medicare Revenue 41,685,687 Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts.Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts.
Part III, Line 4 - Bad Debt Expense	Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide audited combined financial statements. The resulting figure has been reported as bad debts at cost on Part III, Line 2.The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information, those accounts would have been reclassified from bad debt expense to charity care.The system-wide audited combined financial statements do not contain a footnote describing bad debt expense.
Part I, Line 7g - Costs Associated With Physicans Clinics	Specific ratios of cost to charges were use for each department.Departments: Hospice Home Health Cardiopulmonary Rehab Psych and Psych Physicians No Physician clinics are counted as subsidized

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
No Grant More Than5000	X	NoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants	0	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Bonus Filing OrgBonusFilingOrg
TRYON ELLEN
355250	355250
RUSSELL DAVID
		167131	22301	31397	16833	237662	15499
KINZER STEVEN
		222163	41241	46681	16866	326951	30517
HEISER PAMELA
		183188	33980	36500	19111	272779	22814
BENFIELD RONALD
		242487	5033	52740	19147	319407
WING BILL
		305801	15780	74419	15548	411548
PERRY MARK
		240375	65704	52150	19294	377523	46464
RUSSELL THOMAS
		364687	87269	83795	19218	554969	53610
WEHTJE RODNEY
		340430	87122	78557	16937	601830	52751	78784
REINER SCOTT
		577345	181404	138780	21507	1068128	119583	149092
REBOK DOUGLAS
		533280	175042	128096	19203	1004713	123894	149092
DODDS LARRY
		303557	210693	79089	16971	781404	120139	171094
CARMEN ROBERT
		934340	547748	18150	21654	1789101	424494	267209
HERBER STEVEN
		212461	7450	27400	14278	261589
Balme Benjamin
273439	322339								25090	15014	8796
Nerness Curtis
306928	355246								16776	15014	16528
Grise Murlan
335880	427826								2155	10802	16531	62458
Patillo Dominic
438179	486043								40644		4470	2750
Molloy Thomas
786677	817370								11202		19491
JONES DERYL
			1782626	60	8590	1791276	1782626

Form990 Schedule J Part III Form990ScheduleJPartIII

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Wes Rippey MD	NamePerson

Field	Value	IRS element (for citing)
Relationship	Director	Relationship
Description Of Transaction	Physician services	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VII, Line 1a-Board Comp	Robert BradshawThe directors serve on the Board without compensation. Amounts reported generally are for taxable benefits. Further explanation for those directors who receive compensation for services rendered in their professional capacity is discussed for each individual as applicable.Steven HerberSteven Herber, MD concurrently served as a Director and the Chief Medical Officer (CMO) for St. Helena Hospital. During 2011, Dr. Herber accepted the full-time appointment as the Sr. Vice President of Medical Affairs for affiliated hospitals in the St. Helena Region. He stepped down from the Board at that time and became an employee of Adventist Health. The hospital paid Dr. Herber $52,000 for his CMO services, which were provided under contract approved by the Board Compliance Committee (BCC). In addition, the hospital purchased Dr. Herber's medical practice assets in the amount of $14,076 with the approval of BCC.Meredith JobeJobe & Stoterau, a law practice with which Meredith Jobe is affiliated, provided legal services regarding real estate matters to White Memorial Medical Center in the amount of $12,288. In addition, Mr. Jobe provided real estate, labor and general legal advice to Adventist Health System/West in the amount of $40,018. Wesley RippeyWesley Rippey, MD is the Chief Medical Officer for Portland Adventist Medical Center. The hospital paid Dr. Rippey $57,600 for his CMO services. Additionally, Dr. Rippey provides vascular study interpretations and on call coverage for patients of the hospital. The hospital paid $38,655 for these professional services. These services were provided under contract approved by the Board Compliance Committee.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The hospital does not make its governing documents publicly available, beyond required filings of articles of incorporation with the secretary of state. The hospital does not make its conflict of interest policy publicly available. The hospital files monthly/quarterly summary financial reports with the state health planning agency.	Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The hospital board of directors has established a Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 24 percent spread from minimum to maximum (industry norm is approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 percent of base salary.	Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The corporate internal audit staff review these questionnaires and disclosures each year during the audit process.	Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review Process	The completed Form 990 is shared with members of the hospital's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board after their review but prior to filing.	Form 990, Part VI, Line 11
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Part VI, Line 7aThe hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.Part VI, Line 7bThe sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.	Form 990, Part VI, Line 7b
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The hospital operates as an affiliate of Adventist Health System/West.	Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
White Memorial Medical Center
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Walla Walla General Hospital
1025 S Second Ave	Walla Walla	WA	99362	910617726	Hospital	WA	501(c)(3)	1	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Northwest Medical Foundn of Tillamook
1000 Third St	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Rd	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital & Hlth Care Svcs
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Selma Community Hospital Inc
1141 Rose Ave	Selma	CA	93662	770509133	Supporting Hanford Community Hospital	CA	501(c)(3)	11, Typ 3 func integ	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Ave	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
St Helena Hospital
10 Woodland Rd	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Wind Down After Sale of Hospital Facilities	CA	501(c)(3)	1	Adventist Health SystemWest	false
Willits Hospital Inc
1 Madrone St	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Hanford Community Hospital
450 Mall Dr	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Glendale Adventist Medical Center
1509 Wilson Ter	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Feather River Hospital
5974 Pentz Road	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Central Valley General Hospital
1025 N Douty Street	Hanford	CA	93230	770324630	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Clearlake Hospital Inc
15630 Ave 18th Ave	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health SystemWest
2100 Douglas Blvd	Roseville	CA	95661	953484589	Support and Manage System-Wide Activities	CA	501(c)(3)	1	NA	false

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	931262371	EIN
Primary Activity	Sr Living	PrimaryActivity
Legal Domicile State	OR	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Share Of Total Income	4805222	ShareOfTotalIncome
Share Of EOY Assets	10621787	ShareOfEOYAssets
Disproportionate Allocations	true	DisproportionateAllocations
Code V	$39	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
South Coast Medical Center
2100 Douglas Blvd	Roseville	CA	95661	952037291	Wind down after sale of hospital	CA	N/A	C Corp
Gastroenterlogy Associates PC
10000 SE Main St 112	Portland	OR	97216	930583031	Physician Office	OR	N/A	C Corp	1262900	336428	1.00000
Assn Unit Owners Portland Adv Condo
10101 SE Main St	Portland	OR	97216	930887521	Condo Assn-MOB	OR	N/A	C corp	225342	53527	0.78000
Healthcare Resources Northwest
2625 SE 98th Ave	Portland	OR	97266	931166731	Medical Mgnt Services	OR	N/A	C corp	14500345	3785730	1.00000
Gresham Family Medical Center
1700 SW 257th Ave	Troutdale	OR	97060	911768081	Physician Office	OR	N/A	C Corp	2114024	324580	1.00000

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Gastroenterlogy Associates PC
p	485000
Gastroenterlogy Associates PC
n	770200
Gastroenterlogy Associates PC
a	30219
Assn Unit Owners Portland Adv Condo
q	305209
Assn Unit Owners Portland Adv Condo
p	134190
Assn Unit Owners Portland Adv Condo
n	25704
Healthcare Resources Northwest
r	1083256
Healthcare Resources Northwest
q	379736
Healthcare Resources Northwest
p	1954396
Healthcare Resources Northwest
n	1100956
Healthcare Resources Northwest
i	512
Healthcare Resources Northwest
a	98423
Gresham Family Medical Center
q	200000
Gresham Family Medical Center
p	1973133
Gresham Family Medical Center
n	716797
Gresham Family Medical Center
m	30959
Gresham Family Medical Center
a	132756
PAR LLC
r	3030000