2020-08-12T12:11:40-05:00 2019-06-30 931298398 FORDHAM & CO LLP 233 SE 2ND AVE HILLSBORO OR 971234016 990 2018-07-01 930430029 TUALITY HEALTHCARE TUAL 5036811570 335 SE EIGHTH AVENUE HILLSBORO OR 97123 Meredith Peterson VP of Finance 5036811570 2020-07-29 1 Katie Eyre P01508108 5036486651 50.204.218.98 2020-07-29 16:34:43 PD P FF94F28B3EF135A90BF87366F3197503DD661E2A 0249E45791F4FE29407AFE041A670DD9D3A1EB35 2018 2020-09-22 18:59:49Z Lori James-Nielsen 335 SE 8th Avenue Hillsboro OR 97123 219521929 0 X www.tuality.org X 1954 OR Tuality Healthcare's Mission is to provide health care to the community with respect for human dignity and without regard for the recipient's ability to pay. We believe that compassion encourages healing, that knowledge is the foundation of wellness, and that attention to quality and fiscal stability will enable us to continue to service the community. 9 9 1473 169 220824 -85193 766570 848767 203120997 217906134 697199 767028 0 0 204584766 219521929 171970 87488 0 0 106343780 106475461 0 0 0 98160676 109076273 204676426 215639222 -91660 3882707 150513163 159025132 94943796 119346814 55569367 39678318 X Tuality Healthcare's Mission is to provide health care to the community with respect for human dignity and without regard for the recipient's ability to pay. We believe that compassion encourages healing, that knowledge is the foundation of CONTINUED ON SCHEDULE O wellness, and that attention to quality and fiscal stability will enable us to continue to service the community. 0 0 209630083 87488 216877833 The organization's primary exempt purpose is to provide cost-effective comprehensive high quality health care to members of the community.Tuality Healthcare is a licensed 215-bed hospital and health services provider operating in Washington County, Oregon. In addition to acute care hospital services, the Company provides a wide array of outpatient diagnostic and treatment services throughout western Washington County.In fiscal 2019, the organization provided care for 20,033 in-patient acute care days, 29,551 emergency room visits, 17,772 urgent care visits, and 16,044 home health visits.Tuality Healthcare also re-opened its geriatric psychiatry unit at the Hillsboro location in FY20.Please view our Community Benefit report found in the About Us section of our website, www.Tuality.org, for a description of programs and charity care provided by Tuality Healthcare. 209630083 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 138 0 1 1473 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X Meredith Peterson - Tuality Healthcare 5036811570 335 SE Eighth Avenue Hillsboro OR 97123 FRED NACHTIGAL CHAIRMAN OF THE BOARD 4.00 X X 0 0 0 CHARLES ROSENBLATT MD VICE CHAIRMAN OF THE BOARD 4.00 X X 0 0 0 LESLEY HALLICK PHD SECRETARY 4.00 X X 0 0 0 MIKE FOGLIA BOARD MEMBER 4.00 X 0 0 0 MIKE HUNDLEY BOARD MEMBER 4.00 X 0 0 0 DARELL LUMACO MD BOARD MEMBER 4.00 X 0 0 0 PATRICK O'LEARY MD BOARD MEMBER 4.00 X 0 0 0 MARK ROSENBAUM BOARD MEMBER 4.00 X 0 0 0 EUGENE ZURBRUGG BOARD MEMBER 4.00 X 0 0 0 LORI JAMES-NIELSEN PRESIDENT & CEO 40.00 X 488271 0 0 TIMOTHY FLEISCHMANN CFO-CHIEF FIN. OFFICER 40.00 X 208373 0 0 STEVEN KRAUTSCHEID VP, REAL ESTATE & PD 40.00 X 230439 0 0 JENNIE KIRKLAND VP PROVIDER/NETW SRS 40.00 X 210081 0 0 KELLEY FRENGLE VP OF HUMAN RESOURCES 40.00 X 193041 0 0 MEREDITH PETERSON VP OF FINANCE 40.00 X 178215 0 0 NATHAN MCCONKIE VP OF STRGY/BUS INTG 40.00 X 156664 0 0 DANIEL JARMAN-MILLER MEDICAL DIRECTOR-CLINICS 40.00 X 208645 0 0 JENNIFER PACKER CHIEF NURSE OFFICER 40.00 X 226921 0 0 ANN ANTHONY DIRECTOR OF PHARMACY 40.00 X 189415 0 0 CONNIE BARNES DIRECTOR NURSE SRVS 40.00 X 168120 0 0 KATRINA MCPHERSON MEDICAL DIRECTOR THA 40.00 X 165751 0 0 HEATHER HUMELBAUGH DIR. DIAGNOSTIC IMAG 40.00 X 160952 0 0 MARIA VARGAS DIRECTOR NURSE SRVS 40.00 X 153944 0 0 TODD SADOWSKI PHYSICIAN 40.00 X 537632 0 0 GREGORY ROSENBLATT PHYSICIAN 40.00 X 533723 0 0 ROBERT SCHMIDT PHYSICIAN 40.00 X 517368 0 0 NATHAN HILDEBRANT PHYSICIAN 40.00 X 458552 0 0 BICH-HANG NGUYEN PHYSICIAN 40.00 X 455883 0 0 TIM FLEISCHMANN FORMER CHIEF FINANCIAL OFFICER 40.00 X 360087 0 0 PANKAJ SAPRA FORMER CHIEF INFO OFFICER 40.00 X 120661 0 0 5922738 0 0 198 1 1 0 OREGON HEALTH & SCIENCE UNIV 3181 SW SAM JACKSON PARK RD PORTLAND OR 97239 HOSPITAL 16595628 HILLSBORO CARDIOLOGY PC 337 SE 7TH AVE STE 5400 HILLSBORO OR 97123 CONTRACT PHYSICIANS 190336 THPS - TUALITY HEALTH PLAN SER PO BOX 925 HILLSBORO OR 97123 CONTRACT HEALTH SVCS 127722 COMPHEALTH ASSOC INC PO BOX 972651 DALLAS TX 753972651 RECRUITER 120909 4 848767 848767 NON MCR/MCD HOSP REV 621110 184874939 184874939 CAFETERIA 621110 807477 807477 MANAGEMENT FEES 541610 220824 220824 32002894 32002894 217906134 767025 767025 3 3 219521929 216877833 220824 1574505 87488 87488 2938832 2938832 81715390 81715390 3564821 3564821 10910068 10517696 392372 7346350 7082144 264206 341694 284494 57200 1212057 1166368 45689 20902052 20114150 787902 91694 45847 45847 983822 885440 98382 5039958 5039958 297172 260202 36970 47996 5010 42986 733784 733784 7909411 7118470 790941 1033223 929901 103322 Supplies 24108130 24093490 14640 Professional Fees 18533899 18464037 69862 Equipment Rental & Main 12311324 12296508 14816 Provider Tax 9545577 9545577 5984480 5679308 305172 215639222 209630083 6009139 0 9579916 13318 32122655 39529354 786195 1629203 2985572 3239674 1982615 2723183 203145733 149013718 43617076 54132015 41074320 37161265 18364814 20597120 150513163 159025132 69795687 82718699 14781862 13762012 2265274 2357761 706661 542947 7394312 19965395 94943796 119346814 X 54876012 38643972 693355 1034346 55569367 39678318 150513163 159025132 X 3882707 870489 -20644245 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 7356943 1551554 129914 1281216 7757195 6462402 1434234 476741 1016434 7356943 5643190 1171894 667800 1020482 6462402 5336245 788600 380609 862264 5643190 5741360 964702 -243484 1126333 5336245 0.37000 0.63000 0 1 1 2785577 2785577 61183161 52584286 8598875 19340551 1897817 17442734 119736719 94531615 25205104 99725 99725 54132015 Securities & Other Investments 37161265 F 37161265 Other Assets 19244274 Goodwill 318500 Interest in Net Asset of Foundation 1034346 20597120 Affiliates 19965395 19965395 223107300 870489 2714882 3585371 219521929 0 219521929 222288976 0 222288976 -6649754 -6649754 215639222 Part IV, Line 2b: The company has a 457(b) deferred compensation plan covering a group of highly compensated employees. The company has included both the asset and liability to account for these funds. Part XI, Line 2d - Other Adjustments: EQUITY INCOME FROM JOINT VENTURES & SUBSIDIARIES 2,715,363. ROUNDING -481. Part XII, Line 4b - Other Adjustments: DIRECT WRITE-OFF METHOD IN EXCESS OF GAAP BAD DEBT EXPENSE -6,649,754. 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 3761557 3761557 0.01790 38840378 29277500 9562878 0.04550 42601935 29277500 13324435 0.06340 2148351 2148351 0.01020 1085162 1085162 0.00520 418048 102765 315283 0.00150 335541 335541 0.00160 3987102 102765 3884337 0.01850 46589037 29380265 17208772 0.08190 106458 106458 0.00050 106458 106458 0.00050 1 4474999 57520940 81734096 -24213156 X 1 1 2 1 Tuality Community Hospital 335 SE 8th Ave Hillsboro OR 97123 X X X 2 Tuality Forest Grove Hospital 1809 Maple Street Forest Grove OR 97116 X X X Tuality Community Hospital 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X 1 16 1 https://tuality.org/about/community_needs_assessment 0 1 X 300.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X http://www.tuality.org X http://www.tuality.org X http://www.tuality.org X X X X 1 0 X X X X 1 X 0 0 Tuality Forest Grove Hospital 2 0 0 1 X X X X X X X X X 16 1 1 1 1 X 1 16 1 https://tuality.org/about/community_needs_assessment 0 1 X 300.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X http://www.tuality.org X http://www.tuality.org X http://www.tuality.org X X X X 1 0 X X X X 1 X 0 0 Tuality Community Hospital Part V, Section B, Line 5: The Community Health Needs Assessment was conducted as a rigorous process with other health care organizations in the four-county Portland metropolitan areas as part of the Healthy Columbia Willamette Collaborative. Community citizens were engaged through focus group participation, stakeholder interviews and advice from content experts.For the 2016 CHNA Assessment Model, Healthy Columbia Willamette Collaborative used a modifed version of the Mobilizing for Action through Planning and Partnerships (MAPP) model to conduct the 2016 CHNA. The MAPP model is an interactive process combining health data and community input to identify and prioritize community health needs. An equity lens was applied to the previous 2013 assessment model, which led to a number of changes, including the creation of a Community Engagement Workgroup to oversee community outreach and data collection, an explicit effort to seek information from community members on social determinants of health, and a Prioritized Health Issues Group to bridge quantitative and qualitative data without losing community voice.Input from over 1,000 community stakeholders has helped establish the community health needs and the subsequent decision making process. Three phases of the assessment model used the Health Status Assessment, the Community Themes and Strengths Assessment, and the Local Community Health System & Forces of Change Assessment. All engaged the community to help identify health needs in the region. Representatives gathered data from epidemiological sources, hospitals and coordinated care organizations. The collection and analysis of hospital and CCO data was an additional modification to the 2013 CHNA. Meanwhile, a Community Engagement Workgroup led the Community Themes and Strengths Assessment, which included an online survey, listening sessions in all four counties, and an inventory of community engagement projects conducted within the last three years. Tuality Forest Grove Hospital Part V, Section B, Line 5: The Community Health Needs Assessment was conducted as a rigorous process with other health care organizations in the four-county Portland metropolitan areas as part of the Healthy Columbia Willamette Collaborative. Community citizens were engaged through focus group participation, stakeholder interviews and advice from content experts.For the 2016 CHNA Assessment Model, Healthy Columbia Willamette Collaborative used a modifed version of the Mobilizing for Action through Planning and Partnerships (MAPP) model to conduct the 2016 CHNA. The MAPP model is an interactive process combining health data and community input to identify and prioritize community health needs. An equity lens was applied to the previous 2013 assessment model, which led to a number of changes, including the creation of a Community Engagement Workgroup to oversee community outreach and data collection, an explicit effort to seek information from community members on social determinants of health, and a Prioritized Health Issues Group to bridge quantitative and qualitative data without losing community voice.Input from over 1,000 community stakeholders has helped establish the community health needs and the subsequent decision making process. Three phases of the assessment model used the Health Status Assessment, the Community Themes and Strengths Assessment, and the Local Community Health System & Forces of Change Assessment. All engaged the community to help identify health needs in the region. Representatives gathered data from epidemiological sources, hospitals and coordinated care organizations. The collection and analysis of hospital and CCO data was an additional modification to the 2013 CHNA. Meanwhile, a Community Engagement Workgroup led the Community Themes and Strengths Assessment, which included an online survey, listening sessions in all four counties, and an inventory of community engagement projects conducted within the last three years. Tuality Community Hospital Part V, Section B, Line 6a: Adventist Medical Center, Kaiser Permanent Sunnyside Hospital, Kaiser Permanente Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek (Vancouver), Oregon Health & Science University, PeaceHealth Southwest Medical Center (Vancouver), Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Healthcare. Tuality Forest Grove Hospital Part V, Section B, Line 6a: Adventist Medical Center, Kaiser Permanent Sunnyside Hospital, Kaiser Permanente Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek (Vancouver), Oregon Health & Science University, PeaceHealth Southwest Medical Center (Vancouver), Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Healthcare. Tuality Community Hospital Part V, Section B, Line 6b: Clackamas County Public Health Division, Multnomah County Health Department, Washington County Public Health Division, Clark County Public Health, FamilyCare Health, Health Share of Oregon Tuality Forest Grove Hospital Part V, Section B, Line 6b: Clackamas County Public Health Division, Multnomah County Health Department, Washington County Public Health Division, Clark County Public Health, FamilyCare Health, Health Share of Oregon 26 1 - Tuality 8th Avenue Medical Plaza 364 SE 8th Avenue Hillsboro OR 97123 MOB 2 - Westside Neurology 364 SE 8th Avenue Suite 101 Hillsboro OR 97123 Physician Offices 3 - Hillsboro Hematology & Oncology 364 SE 8th Avenue Suite 108A Hillsboro OR 97123 Physician Offices 4 - Hillsboro Endocrine Clinic 364 SE 8th Avenue Suite 301A Hillsboro OR 97123 Physician Offices 5 - Tuality Obstetrics & Gynecology 364 SE 8th Avenue Suite 205 Hillsboro OR 97123 Physician Offices 6 - Cardiac Rehab 1200 NE 8th Avenue Suite 700 Hillsboro OR 97123 Physician Offices 7 - Hillsboro Internal Medicine 364 SE 8th Avenue Suite 301 Hillsboro OR 97123 Physician Offices 8 - Tuality Pulmonary 364 SE 8th Avenue Ste 301-A Hillsboro OR 97123 Physician Offices 9 - Tuality 7th Avenue Medical Plaza 333 SE 7th Avenue Hillsboro OR 97123 MOB 10 - Tuality 7th Avenue Lab Services 333 SE 7th Avenue Suite 3500 Hillsboro OR 97123 Lab 11 - Westside Urology Associates 333 SE 7th Avenue Suite 4500 Hillsboro OR 97123 Physician Offices 12 - Tuality Healthplace 1200 NE 48th Avenue Suite 700 Hillsboro OR 97124 OP Therapy 13 - THP Orthopedic Sports Spine & Rehab 1200 NE 48th Avenue Suite 1100 Hillsboro OR 97124 Physician Offices 14 - THP Neurosurgery 333 SE 7th Avenue Suite 4350 Hillsboro OR 97123 Physician Offices 15 - TualityOHSU Cancer Center 299 SE 9th Avenue Hillsboro OR 97123 OP Radiation Therapy 16 - Sunset Medical Clinic 10395 NW Glencoe Road Suite 200 North Plains OR 97133 Physician Offices 17 - South Hillsboro Urgent Care Clinic 7545 SE Tualatin Valley Hwy Hillsboro OR 97123 Urgent Care 18 - Physical Therapy & Sports Rehab 2333 Pacific Avenue Forest Grove OR 97116 OP Therapy 19 - OHSU Tuality Primary Care FG Clinic 1825 Maple St Forest Grove OR 97116 MOB 20 - Tuality Home Health 1809 Maple St Forest Grove OR 97116 Home Health Services 21 - Midwifery 364 SE 8th Avenue Suite 205 Hillsboro OR 97123 Physician Offices 22 - South Hillsboro Primary Care 7529 SE Tualatin Valley Hwy Hillsboro OR 97123 Physician Offices 23 - OHSU Tuality Urgent Care Clinic 1809 Maple St Forest Grove OR 97116 Urgent Care 24 - Tuality FG Lab-DI 1809 Maple St Forest Grove OR 97116 Clinics 25 - Tuality Digestive Health & General Surge 333 SE 7th Avenue Suite 5200 Hillsboro OR 97123 Physician Offices 26 - Twin Pines-Salud 324 SE 9th Avenue Hillsboro OR 97123 Clinics Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,268,637. Part II, Community Building Activities: Tuality Healthcare plays host to many educational and community events at the Tuality Health and Education Center. Hillsboro Rotary Club, Washington County Community Action and other civic groups hold regular events at the center. Tuality Healthcare's Community Education department also hosts dozens of events that range from classes on diabetes, yoga and healthy eating to car seat safety and CPR training. Tuality providers also give presentations on the latest developments in medicine. We expect those offerings to grown as a result of our affiliation with Oregon Health & Science University. In addition, Tuality's Community Relations department offers free healthcare screenings (blood pressure, glucose, cholesterol) at community events. In 2017, the department conducted over 1,500 free screenings.Tuality Healthcare was a founding partner in the Hillsboro Health and Education District, a college-like campus located near downtown Hillsboro. Other partners include Pacific University, Virginia Garcia Medical Center, TriMet, city of Hillsboro and Washington County. In addition, Tuality is actively involved as a sponsor of numerous community events and activities across Washington County. They include the Oregon International Airshow, Washington County Fair, Celebrate Hillsboro, Latino Cultural Festival and many more. Tuality receives feedback from patients in a variety of ways. Most prominent are inpatient surveys managed by National Research Corp. and outpatient surveys managed by the Community Relations department. Both seek input from patients on care, facilities and customer service. Part III, Line 4: Accounts receivable are stated at unpaid balances (net of contractual allowances) and are reduced by an allowance for amounts that could become uncollectible in the future. Substantially all of the Company's receivables are related to providing healthcare services to its hospitals' patients. The Company estimates the allowance for doubtful accounts by reserving a percentage of all self-pay accounts receivable without regard to aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. For all other non-self-pay payer categories, the Company reserves 100% of all accounts aging over 365 days from the date of discharge. The percentage used to reserve for all self-pay accounts is based on the Company's collection history. The Company collects substantially all of its third-party insured receivables, which include receivables from governmental agencies. Collections are impacted by the economic ability of patients to pay and the effectiveness of the Company's collection efforts. Significant changes in payer mix, business office operations, economic conditions or trends in federal and state governmental healthcare coverage could affect the Company's collection of accounts receivable and the estimates of the collectability of future accounts receivable. The process of estimating the allowance for doubtful accounts requires the Company to estimate the collectability of self-pay accounts receivable, which is primarily based on its collection history, adjusted for expected recoveries and, if available, anticipated changes in collection trends. The Company also continually reviews its overall reserve adequacy by analyzing current period net revenue and admissions by payer classification, aged accounts receivable by payer, and days revenue outstanding.The allowance for uncollectible accounts is decreased by charge-offs (net of recoveries). Accounts receivable are written off after collection efforts have been followed in accordance with the Company's policies. Part III, Line 9b: In addition to referencing and accessing our internal Tuality Financial Assistance program (before, during, and after services are rendered), we also recognize other Portland providers' (hospitals, physician, ambulance, DME, etc) financial assistance determination (with written proof). Part VI, Line 2: Tuality Healthcare's leadership interacts with the citizens of western Washington County in a variety of ways. Tuality is actively involved as a sponsor in a long list of community events, from the Washington County Airshow, the premier airshow in the Pacific Northwest, to the North Plains Garlic Festival. In addition, we engage our residents through our many partnerships with a host of worthwhile organizations like Pacific University, Virginia Garcia Memorial Health Center, Essential Health Clinic, Hospice of Washington County and many others. Tuality strives to get feedback from our customers through surveys and questionnaires that tell us how well we are doing with current services, as well as what new and improved services may be needed by the community. Part VI, Line 3: Requests for financial assistance may be made at any point before, during, or after the provision of care. Information related to eligibility for financial assistance is located in the lobbies of the hospital and available on the Tuality.org website. Financial assistance requests may be proposed by sources other than the patient, such as the patient's physician, family members, community or religious groups, social services, or hospital personnel. Anyone wishing to make application for financial assistance with Tuality Healthcare will be given a Financial Assistance Application, which includes instructions on how to apply. All private pay admits are screened for Medicaid/Social Security disability coverage and a hold is placed on the account while we assist the patient and /or their family in applying for government benefits. Part VI, Line 4: Tuality Healthcare serves a large geographic area of western Washington County that stretches from the suburban Portland cities of Aloha and Beaverton to the Coast Range. The market includes the cities of Hillsboro and Forest Grove, sites of Tuality's two hospitals, plus smaller towns such as Cornelius, Gaston, North Plains and Banks. This region is roughly 250,000 people and is one of the fastest growing areas in Oregon. In addition, Tuality is one of the region's largest employers with a staff of over 1,600. Tuality provides financial, material and medical assistance to many community partners in the region. Tuality Healthcare is designated a "Disproportionate Share Hospital" by the Centers for Medicare and Medicaid Services, due to the larger than normal percentage of care we provide to the low income and indigent population in our area. Part VI, Line 5: When it comes to community, everyone has a part to play. For us, it's an honor and a duty to help those near us receive the best medical care possible. That's why, since our beginnings in 1918, we've worked hard to provide quality, convenient care for people in western Washington County. Today, we're the only local, independent, community-governed healthcare system in the area, offering inpatient and outpatient treatment, specialty services, health education, and more.Of course, our goal isn't only to treat you when you're sick, but also to help you stay well. For that reason, you'll often find us at local events and other public places, offering free or low-cost health screenings and educational courses. For those who need it, we even provide transportation to and from medical appointments.Many of these services are offered at Tuality Health Education Center and other locations. We really are your neighbors! Many of our 1,473 employees live just a short distance from work.Our larger facilities include Tuality Community Hospital in Hillsboro and Tuality Forest Grove Hospital. In addition, we have numerous other medical centers and outpatient facilities. By keeping up with the latest advances in medical science, we've earned a sterling reputation for the quality of our heart, cancer, stroke, and diagnostic imaging services.In this way, we are able to offer the best possible medical care to the Tualatin Valley cities and communities in western Washington County, such as Aloha, Beaverton, Hillsboro, Forest Grove, Cornelius, and the smaller communities of the Coastal Range foothills. Part VI, Line 6: N/A Part VI, Line 7, Reports Filed With States OR 1 Hillsboro Chamber of Commerce 5193 NE Elam Young Pkwy Ste A Hillsboro OR 97124 930188235 501 C (6) 10301 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Community Action Organization 1001 SW Baseline Hillsboro OR 97124 930554941 501 C (3) 6500 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Hillsboro Tuesday Marketplace 238 SE 2nd Avenue Hillsboro OR 97123 931249105 501 C (4) 12000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Project Access Now PO Box 10953 Portland OR 97296 208928388 501 C (3) 9737 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Virginia Garcia Clinic PO Box 486 Cornelius OR 97113 930717997 501 C (3) 13000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Pacific University 2043 College Wqy Forest Grove OR 97116 930386892 501 C (3) 10000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Susan G Komen for the Cure 5005 LBJ Freeway Suite 526 Dallas TX 75244 751835298 501 C (3) 5000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT 5 7 Part I, Line 2: Internal records document the award of grants or assistance and the intended use. X 0 1 0 0 0 0 0 0 0 LORI JAMES-NIELSEN PRESIDENT & CEO 488271 0 0 0 0 0 0 0 0 0 488271 0 0 0 TIMOTHY FLEISCHMANN CFO-CHIEF FIN. OFFICER 208373 0 0 0 0 0 0 0 0 0 208373 0 0 0 STEVEN KRAUTSCHEID VP, REAL ESTATE & PD 230439 0 0 0 0 0 0 0 0 0 230439 0 0 0 JENNIE KIRKLAND VP PROVIDER/NETW SRS 210081 0 0 0 0 0 0 0 0 0 210081 0 0 0 KELLEY FRENGLE VP OF HUMAN RESOURCES 193041 0 0 0 0 0 0 0 0 0 193041 0 0 0 MEREDITH PETERSON VP OF FINANCE 178215 0 0 0 0 0 0 0 0 0 178215 0 0 0 NATHAN MCCONKIE VP OF STRGY/BUS INTG 156664 0 0 0 0 0 0 0 0 0 156664 0 0 0 DANIEL JARMAN-MILLER MEDICAL DIRECTOR-CLINICS 208645 0 0 0 0 0 0 0 0 0 208645 0 0 0 JENNIFER PACKER CHIEF NURSE OFFICER 226921 0 0 0 0 0 0 0 0 0 226921 0 0 0 ANN ANTHONY DIRECTOR OF PHARMACY 189415 0 0 0 0 0 0 0 0 0 189415 0 0 0 CONNIE BARNES DIRECTOR NURSE SRVS 168120 0 0 0 0 0 0 0 0 0 168120 0 0 0 KATRINA MCPHERSON MEDICAL DIRECTOR THA 165751 0 0 0 0 0 0 0 0 0 165751 0 0 0 HEATHER HUMELBAUGH DIR. DIAGNOSTIC IMAG 160952 0 0 0 0 0 0 0 0 0 160952 0 0 0 MARIA VARGAS DIRECTOR NURSE SRVS 153944 0 0 0 0 0 0 0 0 0 153944 0 0 0 TODD SADOWSKI PHYSICIAN 537632 0 0 0 0 0 0 0 0 0 537632 0 0 0 GREGORY ROSENBLATT PHYSICIAN 533723 0 0 0 0 0 0 0 0 0 533723 0 0 0 ROBERT SCHMIDT PHYSICIAN 517368 0 0 0 0 0 0 0 0 0 517368 0 0 0 NATHAN HILDEBRANT PHYSICIAN 458552 0 0 0 0 0 0 0 0 0 458552 0 0 0 BICH-HANG NGUYEN PHYSICIAN 455883 0 0 0 0 0 0 0 0 0 455883 0 0 0 TIM FLEISCHMANN FORMER CHIEF FINANCIAL OFFICER 360087 0 0 0 0 0 0 0 0 0 360087 0 0 0 PANKAJ SAPRA FORMER CHIEF INFO OFFICER 120661 0 0 0 0 0 0 0 0 0 120661 0 0 0 Part I, Line 4b $ 20,678 Todd Sadowski 32,847 Gregory Rosenblatt 1,985 Maria Vargas 28,496 Timothy Fleischmann 6,347 Kelley Frengle 156 Nathan Hildebrant 22,979 Robert Schmidt A The Hospital Facility Authority of Hillsboro Oregon 930430029 000000000 2015-08-28 16125000 Refund Hosp. Rev. Bonds Ser. 2001 $12,293,396, Cap. Purch. Fund $3,578,300 0 0 0 A 2535000 16125000 3579979 251625 1 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 Gregory Rosenblatt Highly Compensated Employee Family Member of Director 533723 Compensation for Physician Services. 0 Form 990, Part VI, Section A, line 2 Gregory Rosenblatt and Charles Rosenblatt have a family relationship. Form 990, Part VI, Section B, line 11b A copy of the 990 is reviewed by Tuality Healthcare's Director of Finance. It is then presented to the Tuality Healthcare Board of Directors for review. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by making it part of the employee's annual review. Board members are also required to review the policy annually. All afore said parties are required to certify that they have read the conflict of interest policy, have disclosed any potential conflicts of interest, and agree to immediately notify the Compliance Officer if a conflict should arise. Corrective actions are to be taken immediately to address any conflicts of interest. Form 990, Part VI, Section B, line 15 The Executive group's compensation is periodically reviewed every 3-5 yrs by an independent party, at the direction of the board of directors. The Tuality Healthcare HR department annually reviews compensation for all others. Form 990, Part VI, Section C, line 19 The organization's tax returns are made available for public inspection on the following website: Guidestar.org. Governing documents are made available upon written request to the Chief Financial Officer of Tuality Healthcare. Form 990, Part XI, line 9: CHANGE IN INTEREST IN NET ASSETS UNDER 136 340,991. DIRECT WRITE OFF METHOD IN EXCESS OF GAAP METHOD OF BAD DEBT EXPENSE -6,649,754. ROUNDING -1. EQUITY INCOME NET OF DISTRIBUTIONS OF JT VENTURES 2,715,363. CHANGE IN MINIMUM PENSION LIABILITY UNDER FAS 158 -17,050,844. Tuality Healthcare Foundation 334 SE 8th Avenue Hillsboro OR 97123 930751507 Charitable Foundation OR 501(C)(3) 7 Tuality Healthcare 0 Tuality Property Management PO Box 309 Hillsboro OR 97123 930840810 Exempt Organization Property Management OR 501(C)(2) N/A Tuality Healthcare 0 Tuality Management Systems Inc 335 SE 8th Avenue Hillsboro OR 97123 930840778 Other Medical Services OR Tuality Healthcare C 2308344 1.00000 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 0 0 0 1 Tuality Management Systems Inc L 220824 Actual Cost Tuality Property Management L 486048 Actual Cost Tuality Healthcare Foundation C 848767 Cash Tuality Healthcare Foundation E 107918 Actual Cost Tuality Healthcare Foundation D 1125292 Cash Tuality Healthcare Foundation O 448084 Actual Cost