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        <BusinessNameLine1>LEGACY HEALTH</BusinessNameLine1>
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        <AddressLine1>1919 NW LOVEJOY STREET</AddressLine1>
        <City>PORTLAND</City>
        <State>OR</State>
        <ZIPCode>97209</ZIPCode>
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      <Name>DAVID E EAGER</Name>
      <Title>CFO &amp; TREASURER</Title>
      <DateSigned>2012-03-30</DateSigned>
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      <NameOfPrincipalOfficerPerson>GEORGE J BROWN MD</NameOfPrincipalOfficerPerson>
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      <ActivityOrMissionDescription>Legacy Health (Legacy), formed in 1970, is a unique health care system founded on the tradition and values of community health care organizations, the healing ministries of the Lutheran and Episcopal Churches and community physicians. This system of health care providers is dedicated to caring, compassion and excellence. The individual strengths and traditions that each provider brings enable Legacy, as a system, to be of greater benefit to the communities Legacy serves in its common mission. Legacy is the largest Oregon-based, nonprofit health care system in the State of Oregon and is one of the largest employers in the Portland metropolitan area. Legacy provides an integrated network of health care services, including acute and critical care, inpatient and outpatient treatment, primary and specialty physician services, hospice, laboratory, research, education and a variety of specialty services. Facilities within the System include five hospitals, inpatient and home hospice programs,</ActivityOrMissionDescription>
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      <MissionDescription>Legacy Health (Legacy), formed in 1970, is a unique health care system founded on the tradition and values of community health care organizations, the healing ministries of the Lutheran and Episcopal Churches and community physicians. This system of health care providers is dedicated to caring, compassion and excellence. The individual strengths and traditions that each provider brings enable Legacy, as a system, to be of greater benefit to the communities Legacy serves in its common mission. Legacy is the largest Oregon-based, nonprofit health care system in the State of Oregon and is one of the largest employers in the Portland metropolitan area. Legacy provides an integrated network of health care services, including acute and critical care, inpatient and outpatient treatment, primary and specialty physician services, hospice, laboratory, research, education and a variety of specialty services. Facilities within the System include five hospitals, inpatient and home hospice programs,</MissionDescription>
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      <Description>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) 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 $78 million, $59 million, $48 million, and $1 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2011. In addition, Legacy provided over $19 million in other community benefit activities during fiscal year 2011.In support of its mission, Legacy voluntarily provides medically necessary patient care services that are discounted or free of charge to persons who have insufficient resources and/or who are uninsured. The criteria for charity care is determined based on eligibility for insurance coverage, household income, qualified assets, catastrophic medical events, or other information supporting a patient's inability to pay for services provided. Specifically, Legacy provides an uninsured discount of 15% to patients who have resided within Legacy's primary service area for a period of six months, are uninsured for hospital care, and have a household income of less than $100,000 annually. Further discounts are available for patients, on a sliding scale, whose household income is less than 400% of the federal poverty level or roughly $89,000 for a family of four in Portland, Oregon. For patients whose household income is at or below 200% of the federal poverty level, a full subsidy is available. In addition to the household income criteria, the patients' qualified assets (e.g., 25% of household assets), and other catastrophic or economic circumstances are considered in determining eligibility for charity care.During 2011, Legacy provided charity care on 101,751 patient accounts, representing 9,091 inpatient accounts, and 92,660 outpatient accounts. In 2011, 22% of the patients receiving charity care received a full subsidy representing roughly 50% 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 financially needy patients. The cost of providing services to Medicaid beneficiaries generally exceeds the reimbursement from these programs.Legacy provides services to Medicare beneficiaries and beneficiaries under other government programs (such as TRICARE), for which the cost of treating these patients exceeds the government payments received.The cost of services provided under these programs is determined based on the relationship of costs (excluding the provision for doubtful accounts and those costs associated with medical education, research, community health services, and other contributions) to billed charges.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.</Description>
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        <Description>In 1999, the Legacy Board allocated $10 million to establish a Community Health Fund from operating revenue to address major community health issues. For more than a decade, $500,000 has been granted annually to community-based projects addressing racial and ethnic inequities and root causes. These dollars are in addition to Legacy's other charitable contributions. The Community Health Fund has provided 38 grants since 1999 totaling more than $5.8 million. Recognizing that education, employment and income inequities exist for communities of diversity, and that health professions are lacking in diversity, Legacy established the Youth Employment in Summer program. African American and Hispanic youth receive paid summer employment in departments where they worked with health professionals and earned college scholarships between $2,500 and $5,000 annually. Students can remain in the program as long as they stay in school and pursue healthcare careers. Some students have remained in this program for as long as seven years and graduated with degrees in a variety of healthcare fields. 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 resources include clinical and non-clinical services and items (e.g., screenings and support services, internships, information and referral services and health fairs). Legacy's warehouse is available to nonprofit organizations to obtain surplus equipment and furniture. In addition, conference room space is made available to local nonprofits for Board and community meetings.</Description>
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      <RecipientTable>
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          <BusinessNameLine1>OREGON LIONS</BusinessNameLine1>
        </RecipientNameBusiness>
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          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97210</ZIPCode>
        </AddressUS>
        <EINOfRecipient>936041506</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
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        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>MOBILE HEALTH SCREENING</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>OREGON CENTER FOR NURS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5000 N WILLAMETTE BLVD</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
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        <PurposeOfGrant>FUNDRAISER BREAKFAST</PurposeOfGrant>
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      <RecipientTable>
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          <AddressLine1>PO BOX 14260</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
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        <PurposeOfGrant>IMMUNIZATION REGISTRY</PurposeOfGrant>
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      <RecipientTable>
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          <City>PORTLAND</City>
          <State>OR</State>
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        <PurposeOfGrant>SUPPORT PROGRAM</PurposeOfGrant>
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      <RecipientTable>
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        <AddressUS>
          <AddressLine1>12350 SE POWELL BLVD</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97236</ZIPCode>
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        <EINOfRecipient>930977166</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
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        <PurposeOfGrant>RENT ASSIST</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>HISPANIC METROPOLITAN CHAMBER</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2402 NE OREGON ST</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97232</ZIPCode>
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        <EINOfRecipient>931156358</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
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        <PurposeOfGrant>SCHOLARSHIPS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>FRIENDS OF GRANT PARK</BusinessNameLine1>
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          <AddressLine1>PO BOX 12574</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
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        <PurposeOfGrant>FIELD IMPROV</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>FREE CLINIC OF SW WASHINGTON</BusinessNameLine1>
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          <City>VANCOUVER</City>
          <State>WA</State>
          <ZIPCode>98661</ZIPCode>
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        <PurposeOfGrant>SPONSOR CLINIC</PurposeOfGrant>
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      <RecipientTable>
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          <City>TIGARD</City>
          <State>OR</State>
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          <City>PORTLAND</City>
          <State>OR</State>
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        <PurposeOfGrant>LIFE SAVER, COMM</PurposeOfGrant>
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      <RecipientTable>
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          <City>HILLSBORO</City>
          <State>OR</State>
          <ZIPCode>97123</ZIPCode>
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        <PurposeOfGrant>OPENING DOORS PROGRAM</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>COALITION OF COMMUNITY HEALTH CLINIC</BusinessNameLine1>
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          <AddressLine1>619 SW 11TH AVE 225</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97205</ZIPCode>
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        <EINOfRecipient>911829239</EINOfRecipient>
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        <AmountOfCashGrant>15000</AmountOfCashGrant>
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        <PurposeOfGrant>SUPPORT CLINIC OPERATION</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>CLARK COUNTY PUBLIC HEALTH</BusinessNameLine1>
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          <AddressLine1>1300 FRANKLIN</AddressLine1>
          <City>VANCOUVER</City>
          <State>WA</State>
          <ZIPCode>98660</ZIPCode>
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        <EINOfRecipient>916001299</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>SPONSOR PATIENT NAVIGATOR</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>CHILDRENS COMMUNITY CLINIC</BusinessNameLine1>
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          <City>PORTLAND</City>
          <State>OR</State>
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          <City>PORTLAND</City>
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        <PurposeOfGrant>SPONSOR CELEBRATION OF COURAGE</PurposeOfGrant>
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          <City>PORTLAND</City>
          <State>OR</State>
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        <PurposeOfGrant>WORKING OUR WAY HOME - LUNCHEON</PurposeOfGrant>
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          <City>BEAVERTON</City>
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        <PurposeOfGrant>CHARITY EVENTS</PurposeOfGrant>
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          <City>PORTLAND</City>
          <State>OR</State>
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        <PurposeOfGrant>IMPACT PROGRAM</PurposeOfGrant>
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        <Identifier>Grantmaker's Description of How Grants are Used</Identifier>
        <Explanation>Legacy provides grants to the community through the Community Health Fund which was established in 1999 by the Legacy Board of Directors. The Legacy Board oversees a $10 million Community Health Fund helping to address major community health issues. The majority of the grants are for three years. The Legacy Board reviews applications providing grants only to 501(c)(3) organizations. Follow up occurs annually regarding the use of the funds. In addition Legacy donates to charitable organizations to support health and human services, civic and community causes, and business development. Legacy's Community Affairs Department administers these grants, assuring the organizations meet the 501(c)(3) qualifications and the money is used for its intended purpose.</Explanation>
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        <NamePerson>GEORGE A CIOFFI MD</NamePerson>
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        <NamePerson>EVERETT NEWCOMB III</NamePerson>
        <CompBasedOnRelatedOrgs>385476</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>30000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>10471</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>72357</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>23772</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>522076</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>ELAINE M DENNING</NamePerson>
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        <CompReportPrior990FilingOrg>7635</CompReportPrior990FilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>CAROL EDWARDS</NamePerson>
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        <TotalCompensationFilingOrg>312606</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>9777</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CAROL A BRADLEY</NamePerson>
        <BaseCompensationFilingOrg>310003</BaseCompensationFilingOrg>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <OtherCompensationFilingOrg>5857</OtherCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>APRIL B WHITWORTH</NamePerson>
        <OtherCompensationFilingOrg>196326</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5061</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>201387</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>ANTHONY C WENTE</NamePerson>
        <BaseCompensationFilingOrg>158195</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>15622</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>21043</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>25230</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>220090</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part III, Additional Information</Identifier>
        <ReturnReference>Part III, Additional Information</ReturnReference>
        <Explanation>Sch J, Part 1, Question 3 Regarding Compensation PracticesDirectors for Legacy are not compensated, but receive expense reimbursements related to their duties. Any expense reimbursements to board members require review and approval by the Director of Management Audit. During 2010, the board meeting included spouses or a guest. Any reimbursed expense related to the spouse or guest's travel is reported on part VII of the form 990. Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior management personnel. The comprehensive compensation plan is designed for positions that have a significant impact on the high-level strategic and policy direction of Legacy and its affiliates.Base pay and total compensation (including incentive compensation) for similar positions is established at a level comparable to market compensation for healthcare organizations. External consultants are regularly used to review published compensation surveys of comparable organizations and comparable benchmark positions in the market.The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for executive positions. The Committee oversees the system's governance procedures with respect to intermediate sanctions legislation and the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures.Sch J, Part II, Column Breakdown Of W-2 Or Misc-1099:Column B(i) - Base compensation consists of regular base pay including employee elected deferrals for retirement plans (403(b) and 457(b) plans).Column B(ii) - The incentive compensation program for Legacy is based on predetermined criteria and reviewed and approved by the Board. Bonuses are paid to key employees for interim duties outside their primary responsibilities (e.g. Acting in Capacity).Column B(iii) - Other compensation consists of deferred compensation amounts paid to executives during the current year and were reported on prior form 990 returns. These amounts include arrangements that contain elements of a substantial risk of forfeiture conditioned on continued employment, vesting and/or a noncompete provision upon termination of employment. In addition, imputed income for insurance, cell phone and other benefits is included in other compensation as well as any severance related payments. Column C - Deferred compensation includes the value of defined benefit plans, 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 and benefit plans are 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.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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 8</Identifier>
        <ReturnReference>Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 6b</Identifier>
        <ReturnReference>Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 5b</Identifier>
        <ReturnReference>Part I, Line 5b: Explanation of organization compensation based on revenues of related organization</ReturnReference>
        <Explanation>Physicians employed by Legacy affiliates are paid a bonus contingent upon their revenue generated during the year measured by industry standard relative value units (RVU).</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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        <DateIssued>2010-01-13</DateIssued>
        <IssuePrice>123745000</IssuePrice>
        <DescriptionOfPurpose>FINANCING CURRENT REFUNDING REVENUE BONDS</DescriptionOfPurpose>
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        <DateIssued>2009-05-21</DateIssued>
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        <DateIssued>2008-11-13</DateIssued>
        <IssuePrice>150000000</IssuePrice>
        <DescriptionOfPurpose>FINANCING CAPITAL CONSTRUCTION, REMODELLING, AND ETC</DescriptionOfPurpose>
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        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
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        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
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        <NameOfGICProvider>
          <BusinessNameLine1>CALYON TRINITY</BusinessNameLine1>
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        <GrossProceedsInvested>false</GrossProceedsInvested>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <ReturnReference>Part IX, line 20</ReturnReference>
        <Explanation>Total interest expense relating to tax exempt bonds for Legacy &amp; its affiliates was $14,366,474.Entity AmountLHS 3,059,824LEHHC 5,367,744 LGSMC 2,405,707LMPH 2,131,831 LMHMC 1,401,368LSCH 0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Part 1, Line 5 &amp; Part V question 2a</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>990 Part X</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>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 and attaches copies to the IRS Form 990, which are publicly available by request or on various public websites such as Guidestar(www.guidestar.org). Other governing documents are not available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The following describes the compensation practices of Legacy and its affiliates.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior management personnel. The comprehensive compensation plan is designed for positions that have a significant impact on the high-level strategic and policy direction of Legacy and its affiliates.Base pay and total compensation (including incentive compensation) for similar positions is established at a level comparable to market compensation for healthcare organizations. External consultants are regularly used to review published compensation surveys of comparable organizations and comparable benchmark positions in the market. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for key executive positions. The Committee oversees the system's governance procedures with respect to the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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. 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 Management Audit for review of the disclosures. If a conflict is disclosed, or identified through any other means, Management Audit 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., Compliance Committee, Audit Committee of the Board).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>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 Committee reviewed the 990 return with Management prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>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 appointed by election of the Oregon Synod Council;(d) One (1) person appointed by election of the Convention of the EpiscopalDiocese.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 4</Identifier>
        <ReturnReference>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</ReturnReference>
        <Explanation>Legacy's bylaws were amended and restated to reflect changes to the Medical Quality &amp; Credentialing Committee. In fiscal year 2011, LEHHC and LGSHMC each formed their own medical staff. Previously, the medical staff at these hospitals were combined for purposes of quality review and credentialing.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>LEGACY SINGLE DEPOSITORY ENTITY LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1919 NW LOVEJOY ST</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97209</ZIPCode>
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          <City>PORTLAND</City>
          <State>OR</State>
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        <PrimaryActivities>Common Pay Company</PrimaryActivities>
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          <City>PORTLAND</City>
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        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY VISITING NURSE ASSOCIATION</BusinessNameLine1>
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          <AddressLine1>815 NE DAVIS ST</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97210</ZIPCode>
        </AddressUS>
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        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY SALMON CREEK HOSPITAL</BusinessNameLine1>
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          <AddressLine1>2211 NE 139TH ST</AddressLine1>
          <City>VANCOUVER</City>
          <State>WA</State>
          <ZIPCode>98686</ZIPCode>
        </AddressUS>
        <EIN>331065485</EIN>
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        <LegalDomicileState>WA</LegalDomicileState>
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          <BusinessNameLine1>LEGACY MOUNT HOOD MEDICAL CENTER</BusinessNameLine1>
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          <AddressLine1>24800 SE STARK AT</AddressLine1>
          <City>GRESHAM</City>
          <State>OR</State>
          <ZIPCode>97030</ZIPCode>
        </AddressUS>
        <EIN>930591528</EIN>
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        <LegalDomicileState>OR</LegalDomicileState>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY MERIDIAN PARK HOSPITAL</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>19300 SW 65TH AVE</AddressLine1>
          <City>TUALATIN</City>
          <State>OR</State>
          <ZIPCode>97062</ZIPCode>
        </AddressUS>
        <EIN>930618975</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY GOOD SAMARITAN HOSPITAL &amp; MEDICAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1015 NW 22ND AVE</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97210</ZIPCode>
        </AddressUS>
        <EIN>930386793</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
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        <PublicCharityStatus>3</PublicCharityStatus>
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        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY EMANUEL HOSPITAL &amp; HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 N GANTENBEIN AVE</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97227</ZIPCode>
        </AddressUS>
        <EIN>930386823</EIN>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTHWEST HOSPITAL PARTNERSHIP INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1919 NW LOVEJOY ST</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97209</ZIPCode>
        </AddressUS>
        <EIN>930973009</EIN>
        <PrimaryActivity>Investment</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
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          <BusinessNameLine1>LGSHMC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfEOYAssets>13333</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>OPTION CARE AT LEGACY LLC</BusinessNameLine1>
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          <AddressLine1>104 WILMOT ROAD MS 1435</AddressLine1>
          <City>DEERFIELD</City>
          <State>IL</State>
          <ZIPCode>60015</ZIPCode>
        </AddressUS>
        <EIN>203161422</EIN>
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        <LegalDomicileState>OR</LegalDomicileState>
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          <BusinessNameLine1>LVNA</BusinessNameLine1>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LIFE FLIGHT NETWORK LLC</BusinessNameLine1>
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          <AddressLine1>22285 YELLOW GATE LANE SUITE 102</AddressLine1>
          <City>AURORA</City>
          <State>OR</State>
          <ZIPCode>97002</ZIPCode>
        </AddressUS>
        <EIN>205016802</EIN>
        <PrimaryActivity>Air Ambul</PrimaryActivity>
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          <BusinessNameLine1>LEHHC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>LEGACYUSP SURGERY CENTERS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>15305 DALLAS PKWY SUITE 1600 LB 2</AddressLine1>
          <City>ADDISON</City>
          <State>TX</State>
          <ZIPCode>75001</ZIPCode>
        </AddressUS>
        <EIN>261846866</EIN>
        <PrimaryActivity>MGMT SERV</PrimaryActivity>
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        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>LEGACY HEALTH SYSTEM INSURANCE COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>1919 NW LOVEJOY ST</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97209</ZIPCode>
        </AddressUS>
        <EIN>030322342</EIN>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>MANAGED HEALTHCARE NORTHWEST</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>422 E BURNSIDE ST 215</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97208</ZIPCode>
        </AddressUS>
        <EIN>930914759</EIN>
        <PrimaryActivity>MEDICAL</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY MT HOOD MEDICAL CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
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        <ShareOfEOYAssets>845738</ShareOfEOYAssets>
        <PercentageOwnership>0.75000</PercentageOwnership>
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      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>true</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>true</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>true</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>SALMON CREEK HOSPITAL FOUNDATION</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MT HOOD MEDICAL CENTER FOUNDATION</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>MERIDIAN PARK MEDICAL FOUNDATION</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>GOOD SAMARITAN FOUNDATION</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>THE CHILDRENS HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Actual Cost</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE CHILDRENS HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>EMANUEL MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEGACY MOUNT HOOD MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Fair Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEGACY MERIDIAN PARK HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>426812</AmountInvolved>
        <MethodOfAmtDetermination>Fair Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEGACY GOOD SAMARITAN HOSPITAL &amp; MEDICAL</BusinessNameLine1>
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        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEGACY GOOD SAMARITAN HOSPITAL &amp; MEDICAL</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>80088</AmountInvolved>
        <MethodOfAmtDetermination>Fair Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEGACY EMANUEL HOSPITAL &amp; HEALTH CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEGACY EMANUEL HOSPITAL &amp; HEALTH CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>4663195</AmountInvolved>
        <MethodOfAmtDetermination>Fair Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>