2019-11-13T09:56:38-06:00 2018-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2018-01-01 930429015 Portland Adventist Medical Center PORT 9164060000 10123 SE Market Street Portland OR 97216 Donald Welch Treasurer 9164060000 2019-11-07 1 Tracy S Paglia P00366884 2099556100 2019-11-07 172.9.161.112 2019-11-07 01:30:37 PS P F565611BDA9E00D03FA055086BAA92DB14EC1355 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 2018 2020-01-14 16:20:31Z Adventist Health Portland Joyce Newmyer 10123 SE Market Street Portland OR 97216 328640117 0 1071 X www.adventisthealth.org/portland/ X 1900 OR Living God's love by inspiring health, wholeness and hope. 12 10 2368 274 1438186 237868 150844 304520 373699607 323511888 2773736 4241405 430340 185416 377054527 328243229 1155 0 0 0 166929297 165010693 0 101140 516126 210811379 161447292 377741831 326559125 -687304 1684104 320904406 321822691 130157485 129428094 190746921 192394597 X Living God's love by inspiring health, wholeness and hope. 0 0 267418890 0 323511888 See Schedule O 267418890 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 0 0 2368 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OR X Jay Lipps VP System Controller 9167465932 PO Box 619135 Roseville CA 95661 X Banks David Director 0.00 4.00 X 0 27620 0 Cherry Robert Director 0.00 4.00 X 0 25126 0 Davis Andrew Director 0.00 4.00 X 0 24002 0 Freedman John Director 0.00 4.00 X 0 718 0 Gabriel Melody Director thru 12/2018 0.00 4.00 X 0 20464 0 Graham Ricardo Director 0.00 4.00 X 0 1442 0 Heinrich Kerry Director 0.00 4.00 X 0 20485 0 Innocent Larry Director 0.00 4.00 X 0 31885 0 Pedersen James Director thru 07/2018 0.00 4.00 X 0 3625 0 Reiner Richard Director 0.00 4.00 X 0 27964 0 Reiner Scott Dir/Chair 0.00 50.00 X X 0 2458436 44472 Rippey Wesley Director thru 05/2018, Medical Officer, PNR 12.50 37.50 X 111651 623943 47568 Salazar Velino Director 0.00 4.00 X 0 1542 0 Wing Bill Dir/Vice Chair/Asst Secr 0.00 50.00 X X 0 1875311 49315 Jobe Meredith Secretary 0.00 50.00 X 0 666615 38328 Poole Aaron Treas/Asst Secr 50.00 0.00 X 0 327164 41356 Russell David President 50.00 0.00 X 0 553354 38291 Welch Donald Treas/Asst Secr/CFO, PNR 12.50 37.50 X 0 671125 44290 Wagner Jack Asst Secr thru 03/2018 0.00 50.00 X 0 1332908 34076 Brower Dorane VP Integrated Phys & Hlth Plan 0.00 50.00 X 0 318261 46368 King Kyle VP Network Dev 0.00 50.00 X 0 220050 32144 Leach Judy Strategy & Comm Exec 0.00 50.00 X 0 303187 31686 Newmyer Joyce President, PNR 12.50 37.50 X 0 1166598 42409 Nutter Lucinda Patient Care Exec 0.00 50.00 X 0 303935 36395 Prows Ralph Medical Officer 50.00 0.00 X 0 519387 38884 Reppert Joseph CFO 0.00 50.00 X 0 953615 46846 Tkachuck Derrik VP Support Svcs 0.00 50.00 X 0 287149 49888 Voshell Shane VP HR, PNR 0.00 50.00 X 0 261326 48260 Aranda-Michel Jaime Physician 50.00 0.00 X 962610 0 54300 Joo Elliot Physician 50.00 0.00 X 1241476 0 54304 Molloy Thomas Physician 50.00 0.00 X 798361 0 61498 Spear Eugene Physician 50.00 0.00 X 969720 0 56624 Tella Mallik Physician 50.00 0.00 X 923203 0 28305 5007021 13027237 965607 272 0 1 0 Comphealth Inc PO Box 972651 Dallas TX 753972651 Temporary staffing 2307768 Oregon Anesthesiology Group PC 120 NW 14th Ave Suite 300 Portland OR 97209 Medical services 1453211 Omnicell Inc PO Box 204650 Dallas TX 75320 Medical and surgical supply 1305904 Icon Medical Network LLC 8100 SW Nyberg St Suite 400 Tualatin OR 97062 Temporary staffing 995910 Fortis Construction Inc 1705 SW Taylor St Suite 200 Portland OR 97205 Construction services 847108 43 25000 279520 304520 Patient service revenue 621110 318080336 318080336 Rental revenue - MOBs/Other 531120 1820795 1820795 Other revenue 900099 1539596 1515647 23949 Reference lab 621500 1414237 1414237 Dietary 621990 656924 656924 323511888 3694839 3694839 646066 99500 546566 546566 546566 227297 103254 124043 124043 255507 194134 61373 61373 328243229 321416778 1438186 5083745 X 111651 111651 532391 532391 129622951 124066675 5280759 275517 4707568 4492316 197875 17377 20823081 20168856 618747 35478 9213051 8768819 424660 19572 15478036 1682325 13795711 414633 414633 95103 95103 25704 25704 101140 101140 37989563 20234653 17731878 23032 1849071 1849071 1860437 1614311 240101 6025 13168107 2963458 10204649 10988027 9521177 1435126 31724 451625 240253 209732 1640 322171 311598 10573 2496734 2495062 1672 10177147 10156203 20944 777172 698061 79111 Patient care supplies 43422616 43357021 65590 5 Quality assurance hospi 15567004 15567004 Rental/lease costs equi 641132 615522 25135 475 Income taxes 31878 21878 10000 5691132 306343 5380648 4141 326559125 267418890 58624109 516126 30781 81451 130909668 136665418 36431424 37110455 4664020 4665291 1030688 719503 323959953 221795726 104285027 102164227 2006047 6628308 -68931 975708 3111050 3091050 38504632 29721280 320904406 321822691 20000415 17124379 859750 1025053 109297320 111278662 130157485 129428094 X 186101221 187793638 4645700 4600959 190746921 192394597 320904406 321822691 1684104 -36428 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 25704 25704 0 Part II-B, Line 1: A portion of the dues paid to the following organization have been determined to be related to lobbying: Oregon Association of Hospitals and Health Systems 8798496 524630 137502 595753 8864875 8797541 423076 115160 537081 8798496 8000751 861239 450598 515047 8797541 7740323 827094 -3219 563447 8000751 7803519 767460 169943 1000599 7740323 0.48100 0.29120 0.22780 0 0 6821644 6821644 190272388 120911268 69361120 23898492 10406512 13491980 102967429 90477946 12489483 102164227 Receivables from related organizations 17453284 Receivables from third-party payors 12114104 Other receivables 153892 29721280 Payables to related organizations 91878075 Payables to third party payors 15758687 Workers' compensation liability 3300440 Other liabilities 341460 111278662 Part V, Line 4: Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. X X X X X 1 TrueSense 502 Keystone Drive Warrendale PA 15086 Tele-solicitation program 0 99122 76140 22982 Patrick SivergEvent LLC 11815 SW Terra Linda Street Beaverton OR 97005 Golf tournament director 0 82000 25000 57000 181122 101140 79982 OR Gala 145297 145297 57578 Golf tournament 82000 82000 45677 227297 227297 103255 103255 124042 1 1 X 1 X 1 X 1 1 0 1 1 3418497 3418497 0.01000 74558173 61497933 13060240 0.03810 77976670 61497933 16478737 0.04810 6226743 54924 6171819 0.01800 396106 56721 339385 0.00100 200000 200000 0.00060 70678 500 70178 0.00020 6893527 112145 6781382 0.01980 84870197 61610078 23260119 0.06790 11977 11977 0.00000 11977 11977 0.00000 1 967892 203644 43825726 41166810 2658916 X 1 1 2 ASSN-Unit Owners Plaza Conf Condo association mgmt 0.90000 0.10000 1 1 Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 www.adventisthealth.org/Portland 14-1127 X X X Portland Adventist Medical Center 1 0 0 1 X X X X X X X X X 16 1 0 1 1 X See Sch H Part VI - Needs Assesment X See Sch H Part VI - Needs Assesment X 1 18 1 See Sch H Part VI - Needs Assesment 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section A: Physician Clinics (23), Imaging (1), Rehab (PT/OT/Sp) Clinics (10), Wound Care (1); Radiation Oncology (1), Urgent Care (3) Portland Adventist Medical Center Part V, Section B, Line 5: The 2016 CHNA data collection process can be summarized as follows: Review of prior CHNA reporting effortsCollection of most recently available demographic, socioeconomic and health indicator dataData gathering was accomplished by using a widely-distributed community survey. Portland Adventist Medical Center (AHPL) has chosen two different community surveys to be able to take into account the various groups that need to be represented. In order to not duplicate responses, AHPL has chosen to use the Healthy Columbia Willamette (HCWC) as their main source of primary data for our service area. A second survey ("service provider" survey) was conducted to gather the opinions of the community from various health experts in our community. The following groups were represented and responded to our service provider survey: Pearl Health Center, Multnomah County Health Department, Human Solutions, Portland Adventist Community Services, Adventist Health Medical Group, and The Healthy Columbia Willamette Collaborate. Portland Adventist Medical Center Part V, Section B, Line 6b: Portland Adventist Medical Center collaborated with the Multnomah County Department of Public Health, Healthy Columbia Willamette Collaborative (HCWC) which is a unique public-private partnership that includes 15 hospitals, four health departments, and two coordinated care organizations (managed Medicaid organizations) in Clackamas, Multnomah, and Washington counties of Oregon, and in Clark County, Washington, Portland Adventist Community Services, and Human Solutions to prepare the 2016 Community Health Needs Assessment. Portland Adventist Medical Center Part V, Section B, Line 11: Our 2016 CHNA identified four areas of significant needs: chronic disease, access to culturally appropriate health care, behavioral health, and social determinants of health. The main goal was to improve the overall health and wellness of our communities through provision of services, community collaboration and innovation. Priority Need 1 - Chronic Disease main goal: to reduce the current and future burden of Chronic Diseases (Cardiovascular Disease, Diabetes, Hypertension, Asthma, Cancer). Interventions:1. Continue to develop funding and outreach partnerships to improve mammography screening for those not covered by insurance. Number of community members served with special grant: 47 Mammography screens in 2018 (increase over 2016 and 2017).2. Continue provider education and outreach to qualifying Smokers for Low-dose Lung CT Scan Program. Number of community members served in 2018: 537 Smoker CT Scans (increase from 2017).3. Provide free skin cancer screening and interactive educational activity at two-day Impact Your Health Portland Clinic at Portland Adventist Academy. Number of guests served: 160 quizzes returned and 72 skin cancer screens.4. Continue Radon Awareness Campaign and Free Home Radon screening kit distribution in 2018. Number of community households served: 19 Home Radon Kits and educational outreach to around 300 individuals.5. Support the community education and mammography screening work of Komen Foundation at the Race for the Cure. Provide practical nutrition support (bananas) to 2,000 Race for the Cure participants in 2018. 6. Cancer Navigator support services to help patients better navigate treatment and the stress often connected with cancer care. Number of persons served: 189 persons/families. Also provided medical transport to treatment services for 200 cancer patients.7. Community Colorectal/Digestive Health Outreach Activities in March 2018.8. Provide training and/or information on AHA "Hands-only" CPR at 2018 Montavilla Street Fair. Number of community members served: approximately 45 HOCPR interactions (English/Spanish).9. Community Heart Health Education series featuring providers from Northwest Cardiovascular Institute. Number of contacts: 370.10. Car Safety Seat Project. Number of Families Served with free/subsidized car seats: 11 families. Also co-hosted a FREE Safety Seat Clinic in partnership with OHSU where 25 families were served and educated 33 car seats checked with a 70% misuse rate. 11. Community Classes, support groups on lifestyle factors and health conditions. Approximate number of community members served: 2,400+ encounters.12. Establish the LivingWell Fitness Trail around the Hospital campus and in the Tunnel system to promote outdoor physical activity and build community. Trail dedicated in September 2018. Community number of visits in November/December 2018: 29 visits. 13. Health for Life Publication - Quarterly health publication that covers a variety of relevant health topics and community wellness news. Number of community members served: average 97,000 households. 14. VegFest 2018 - Interactive education/materials about plant-based nutrition and other life style factors related to health/chronic disease prevention/spiritual life. Partnered with People to People Ministries in 2018. Number of community members served: 1,000+.15. Social Media-related Educational Outreach (Podcasts, Blog) also 14 media appearances. Estimated Number of community members served: 500,000 media impressions.16. Co-sponsored the ninth Northwest Health & Nutrition Conference at the Oregon Convention Center and donated CME services. Number of community members served: 277 which was an increase from 247 in 2017. Priority Need 2 - Access to Culturally-Appropriate Health Care main goal: a healthier community that has access to comprehensive, "whole-person" health care that is accessible and sensitive to their unique cultural and linguistic needs. Interventions:1. Compassion Connect holding free community medical/dental clinics to address the need for access to health care in our greater service area. Number of community members served in 2018: 3,373 and volunteers serving: 3,144.2. Impact Your Health Portland free clinic offering free dental care, vision, general medical care, and health education services to uninsured and under-insured people in the Portland metro area. Number of community members served: 674 guests served by 650 volunteers in 2018.3. Patient enrollment assistance into means tested programs. Number of community members served: approximately 1,100.4. Project Access NOW funding which connects low-income, uninsured people to donated care across the Portland metropolitan area. The mission of Project Access NOW is "to improve the health of our community by creating access to care and services for those most in need." Number of community members served: estimated 1,146.5. Provide medical transport services for Cancer and Behavioral health. Number of persons served in 2018: over 200. 6. Meet with area Russian Community Pastors and other groups to better understand their needs and barriers to care. Number of attendees: 22. 7. Hire more Russian-speaking Associates in Emergency Department, AHMG clinics, etc. to facilitate the patient experience and improve quality of care. Seven new Russian-speaking staff hired and now serving in this project. 8. Training of Clinical and Community Chaplains of diverse cultural backgrounds with Clinical Pastoral Education Students (13 CPE students trained in 2018); Spiritual Care Volunteers (8 volunteers regularly engaged in 2018); and Area Pastors (12 on-call chaplain/pastors).9. Student Healthcare Leaders Program for High School age students in partnership with local schools. Total: 28 students from seven are high schools including home school students. 10. Faith Community Nursing and Health Ministries NW funding as they train and support faith community volunteers to serve their parishes and communities. Priority Need 3 - Behavioral Health - main goal: to increase mental/emotional wellbeing of our residents through improved access to outpatient, whole-person behavioral health care, spiritual care, and community support services. Interventions:1. Funding & leadership support for the UNITY Center for Behavioral Health (a partnership) which opened in 2017. The acute and emergency mental health services provided fill a huge community need. 2. Continue to develop the Outpatient Emotional Wellness Clinic. Add new, cutting edge treatment for depression. Number of community members served in 2018: 402 patients.3. Further develop/promote First Friday Program to address emotional and spiritual needs of the community with grief support, bible study and soup & salad lunch meeting. Number of community members served in 2018: 767 served and 2,058 attended meetings.4. Weekly Grief Recovery; Bible Study; Grieving through the Holiday; and Resilience in Grief Programs: Community encounters in 2018: approximately 814.Priority Need 4-Social Determinants of Health main goal: financially and otherwise challenged community members are healthier because they have access to key factors that can contribute to more successful lives including housing, education, wholesome food, and a more culturally respectful community. Interventions:1. Fund Housing Vouchers with City Team Ministries and Corporation for Supportive Housing. Persons served: 27 through City Team Ministries. 2. Funding to Central City Concern's Housing is Health Initiative. Three comprehensive housing projects (331 units) in East Portland for medically fragile and those in recovery. Also includes a medical clinic, counseling and other support services. Nearing completion at the end of 2018 with a planned phased opening in 2019. 3. Recruit AH volunteer leaders and others to deliver nutritious meals to needy individuals in 2018 in partnership with East Portland Meals on Wheels. Number of community members served: 50 and approximately 2,600 meals served.4. Collect food/clothing donations from special hospital-sponsored events and classes. Donations funneled through Portland Adventist Community Services to needy community members. Over 3,851 pounds of food, and 12,000 pairs of socks were collected for those in need. Administration and Adventist Health Portland Nutritional Services also donates money/food to Snow Cap for distribution.5. Community and relationship building with a health promotion focus through special neighborhood-building events such as the Gladstone Community Festival, Sandy Mountain Festival, Montavilla Street Fair Portland Slavic Festival, and the SunnyCity Festival. Community members served: estimated at 4,000+. Portland Adventist Medical Center Part V, Section B, Line 13h: Income level and family size are considered. Individuals eligible for Medicaid also qualify for financial assistance. Part V, Line 11: Priority Areas Not Addressed:The following three areas are considered areas under social determinants of health with relatively minimal involvement from Portland Adventist Medical Center (AHPL):1 - Illicit Drugs: Due to limited internal resources, we are helping fund other groups like Central City Concern to help address this important need.2 - Poverty/Jobs: AHPL addresses part of the growing poverty problem in our community with our access to healthcare initiatives. The greater challenges in this area are being served by community groups better suited to address those needs. AHPL does not have the resources or expertise to make a greater impact in this area. 42 1 - Adventist Health (AH) Audiology 10201 SE Main Street Suite 1 Portland OR 97216 Audiology services 2 - AH Gresham Station Imaging Center 831 NW Council Drive Suite 100 Gresham OR 97030 Imaging services 3 - AH Medical Group-Anti-Coagulation Clinic 1350 NE 122nd Avenue Suite 100 Portland OR 97230 Physician clinic 4 - AH Medical Group-Arthritis and Bone Care 10101 SE Main Street Suite 2011 Portland OR 97216 Physician clinic 5 - AH Medical Group-Cherry Park FP 10201 SE Main Street Suite 10 Portland OR 97216 Physician clinic 6 - AH Medical Group-Clackamas 11211 SE Sunnyside Road Clackamas OR 97015 Physician clinic 7 - AH Medical Group-Creekside Family Medicine 9200 SE 91st Avenue Suite 220 Happy Valley OR 97086 Physician clinic 8 - AH Medical Group-Damascus 14450 SE Royer Road Damascus OR 97089 Physician clinic 9 - AH Medical Group-Diabetes & Endo Center 10101 SE Main Street Suite 1001 Portland OR 97216 Physician clinic 10 - AH Medical Group-Emotional Wellness Center 10101 SE Main Street Suite 3001 Portland OR 97216 Physician clinic 11 - AH Medical Group-Fishers Landing 417 SE 164th Avenue Suite 300 Vancouver WA 98684 Physician clinic 12 - AH Medical Group-General Surgery Clinic 10000 SE Main Street Suite 316 Portland OR 97216 Physician services 13 - AH Medical Group-GI Clinic 10000 SE Main Street Suite 112 Portland OR 97216 Physician clinic 14 - AH Medical Group-Gladstone Family Med 19220 McLoughlin Boulevard Gladstone OR 97027 Physician clinic 15 - AH Medical Group-Gresham Station 831 NW Council Drive Suite 101 125 Gresham OR 97030 Physician clinic 16 - AH Medical Group-Internal Medicine Assoc 10201 SE Main Street Suite 12 Portland OR 97216 Physician clinic 17 - AH Medical Group-Interventional Pain Clini 10000 SE Main Street Suite 128 Portland OR 97216 Physician clinic 18 - AH Medical Group-NW Orthopedic Specialists 10000 SE Main Street Suite 224 Portland OR 97216 Physician clinic 19 - AH Medical Group-NW Reg Heart & Vasc Portl 10000 SE Main Street Suite 60B Portland OR 97216 Physician clinic 20 - AH Medical Group-NW Reg Heart & Vasc-McMin 2700 SW Stratus Avenue Suite 406 McMinnville OR 97128 Physician services 21 - AH Medical Group-NW Regional Surgical Asso 10000 SE Main Street Suite 365 Portland OR 97216 Physician clinic 22 - AH Medical Group-Occupational Med Parkrose 1350 NE 122nd Avenue Suite 200 Portland OR 97230 Physician clinic 23 - AH Medical Group-Parkrose PrimIM 1350 NE 122nd Avenue Suite 100 Portland OR 97230 Physician clinic 24 - AH Medical Group-Parkrose Urgent Care 1350 NE 122nd Avenue Suite 200 Portland OR 97230 Physician clinic/urgent care 25 - AH Medical Group-Portland Lung Clinic 10201 SE Main Street Suite 11 Portland OR 97216 Physician clinic 26 - AH Medical Group-Resilience Center 10000 SE Main Street Suite 236 Portland OR 97216 Physician clinic 27 - AH Medical Group-Rockwood Urgent Care 18750 SE Stark Street Portland OR 97233 Physician clinic/urgent care 28 - AH Medical Group-Sandy Family Practice 17055 Ruben Lane Sandy OR 97055 Physician clinic 29 - AH Medical Group-Sandy Urgent Care 17055 Ruben Lane Sandy OR 97055 Physician clinic/urgent care 30 - AH Medical Group-Sleep Clinic 10201 SE Main Street Suite 29 Portland OR 97216 Physician clinic 31 - AH Medical Group-Troutdale Clinic 1700 SW 257th Avenue Troutdale OR 97060 Physician clinic 32 - AH Medical Group-Wound Health & Hyperbaric 10201 SE Main Street Suite 9 Portland OR 97216 Physician clinic 33 - AH Occupational Therapy 10201 SE Main Street Suite 4 Portland OR 97216 Occupational therapy clinic 34 - AH Physical Therapy Campus Rehab 10101 SE Main Street Suite LL Portland OR 97216 Physical therapy clinic 35 - AH Physical Therapy Clackamas 13435 SE 97th Avenue Suite LL101 Clackamas OR 97015 Physical therapy clinic 36 - AH Physical Therapy Gresham 831 NW Council Drive Suite 200 Gresham OR 97030 Physical therapy clinic 37 - AH Physical Therapy Parkrose 1350 NE 122nd Avenue Suite 200 Portland OR 97230 Physical therapy clinic 38 - AH Physical Therapy Sandy 37095 SE Highway 26 Suite 102 Sandy OR 97055 Physical therapy clinic 39 - AH Physical Therapy Vancouver 16096 SE 15th Avenue Vancouver WA 98683 Physical therapy clinic 40 - AH Specialty Rehab 10201 SE Main Street Suite 1 Portland OR 97216 Specialty rehab clinic 41 - AH Speech Therapy 10201 SE Main Street Suite 4 Portland OR 97216 Speech therapy services 42 - AH Wound Healing and Hyperbaric Medicine 10201 SE Main Street Suite 9 Portland OR 97216 Wound care services - hospital outpatient 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))/Gross patient chargesLines 7f and i are calculated based on specific expenses and revenuesLine 7g uses specific cost to charge ratios for those departments Part II, Community Building Activities: The Hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H. Part III, Line 2: 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. 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 III, Line 4: The system-wide audited combined financial statements do not contain a footnote describing bad debt expense. Part III, Line 8: The Medicare cost report apportions the Hospital's costs based on 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 healthcare "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. Our mission is to promote health in the community regardless of a person's ability to pay. We provide care to those with Medicare coverage who present themselves to our facility without consideration that the costs may or may not be fully reimbursed. The Medicare shortfall is a community benefit because care is provided to Medicare beneficiaries who are primarily elderly and disabled individuals on fixed incomes and who usually have no other resources with which to obtain medical care. We are thus relieving a local and federal government burden by caring for these people.Medicare revenue reconciliation from the Medicare cost report to general ledger: Medicare cost report revenue* 43,825,726 Prior year settlements 37,538 Cost report reimbursable bad debts 499,135 Estimates and accrual variances 138,521 Other 8,012,947 Total Medicare revenue 52,513,867*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 9b: 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 VI, Line 2: The Hospital's 2016 CHNA, the 2019 Community Health Plan (CHP) Update for fiscal year 2018, the 2018 Community Health Plan (CHP) Update for fiscal year 2017, and the 2016 Implementation Strategy (adopted in May 2017), that includes the 2016 Update, are posted on the Hospital's website at:https://www.adventisthealth.org/about-us/community-benefit/The CHNA, Implementation Strategy and the CHPs are also available on the Adventist Health Corporate website at: https://www.adventisthealth.org/about-us/community-benefit/Hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact.Committee/Board Participation includes: Multnomah County Health Department, Healthy Columbia Willamette Collaborative, Portland Adventist Community Services, UNITY Center, Compassion Connect, Adventist Medical Evangelism Network, Meals on Wheels, Project Access Now, and BUILD Project Partners. Part VI, Line 3: The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the Hospital's website at: https://www.adventisthealth.org/patient-resources/financial-assistance/These documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The Hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. Part VI, Line 4: The prime service area for Portland Adventist Medical Center is the following areas of Multnomah and Clackamas Counties: Mid County, East County, and the eastern most portions of Central Eastside and Southeast. Also included would be the areas of Clackamas County that border East County and Southeast Multnomah County and the Sandy region.The population in the top ten zip codes for charity patients is primarily composed of individuals who identify as White (67.1%), followed by Hispanic/Latino (14.18%), Asian (8.87%), African American (4.66%), Pacific Islander (0.77%), Native American (0.71%), and the remaining 3.71% being of mixed race or other. The median income for all households in the top ten zip codes for charity patients is $46,024 which is lower than both the State of Oregon ($50,521) and the U.S. ($53,046). Part VI, Line 5: Our Hospital's mission is, "Living God's love by inspiring health, wholeness and hope." Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the "Triple Aim." The "Triple Aim" concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities. Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given today's state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy.Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthy even though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantiallyreduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population;2) Factors that cause the present outcomes distribution; and3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to:1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors,2) Improve care quality and patient safety, and3) Advance care coordination across the health care continuum.We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. Part VI, Line 6: 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 communities served by all member hospitals. Part VI, Line 7, Reports Filed With States OR X X X X 1 1 0 0 0 0 0 0 0 Reiner Scott Dir/Chair 0 1339257 0 747881 0 371298 0 16682 0 27790 0 2502908 0 289242 Rippey Wesley Director thru 05/2018, Medical Offic 0 565539 0 0 111651 58404 0 20249 0 27319 111651 671511 0 0 Wing Bill Dir/Vice Chair/Asst Secr 0 1015353 0 603273 0 256685 0 16682 0 32633 0 1924626 0 191758 Jobe Meredith Secretary 0 419684 0 111013 0 135918 0 16682 0 21646 0 704943 0 59224 Poole Aaron Treas/Asst Secr 0 261059 0 27658 0 38447 0 16682 0 24674 0 368520 0 0 Russell David President 0 385799 0 88699 0 78856 0 16682 0 21609 0 591645 0 0 Welch Donald Treas/Asst Secr/CFO, PNR 0 398127 0 97502 0 175496 0 16682 0 27608 0 715415 0 93616 Wagner Jack Asst Secr thru 03/2018 0 180671 0 414342 0 737895 0 11182 0 22894 0 1366984 0 0 Brower Dorane VP Integrated Phys & Hlth Plan 0 250805 0 26539 0 40917 0 16386 0 29982 0 364629 0 0 King Kyle VP Network Dev 0 184515 0 16598 0 18937 0 11497 0 20647 0 252194 0 0 Leach Judy Strategy & Comm Exec 0 237547 0 48964 0 16676 0 16682 0 15004 0 334873 0 0 Newmyer Joyce President, PNR 0 657199 0 294310 0 215089 0 16682 0 25727 0 1209007 0 115201 Nutter Lucinda Patient Care Exec 0 246391 0 26663 0 30881 0 16524 0 19871 0 340330 0 0 Prows Ralph Medical Officer 0 402083 0 44054 0 73250 0 16682 0 22202 0 558271 0 0 Reppert Joseph CFO 0 686470 0 152446 0 114699 0 16682 0 30164 0 1000461 0 0 Tkachuck Derrik VP Support Svcs 0 237772 0 24138 0 25239 0 15770 0 34118 0 337037 0 0 Voshell Shane VP HR, PNR 0 189911 0 40615 0 30800 0 14265 0 33995 0 309586 0 0 Aranda-Michel Jaime Physician 950749 0 0 0 11861 0 16682 0 37618 0 1016910 0 0 0 Joo Elliot Physician 1229657 0 107 0 11712 0 16682 0 37622 0 1295780 0 0 0 Molloy Thomas Physician 744337 0 0 0 54024 0 16682 0 44816 0 859859 0 0 0 Spear Eugene Physician 936786 0 0 0 32934 0 16682 0 39942 0 1026344 0 0 0 Tella Mallik Physician 921792 0 0 0 1411 0 16682 0 11623 0 951508 0 0 0 Part I, Lines 4a-b Severance payments are made based upon agreements between certain qualifying employees and Adventist Health Services/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Wagner, Jack - severance payment - $598,810 The Supplemental Executive Retirement Plan (SERP) is a defined contribution plan designed to encourage the participants continued employment with Adventist Health and is subject to the participants satisfying specified substantial risks of forfeiture. The SERP benefit distribution occurs when the executive achieves 30 years of Adventist health care service, 20 of which are to be as an executive and at least 10 are to be with Adventist Health System/West, and reaches age 60. Until that time, the SERP benefit is at risk to the creditors of Adventist Health. The SERP benefit is designed to help the executive receive employer-provided retirement benefit income equal to 60% of pre-retirement income. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. Jobe, Meredith - $59,224 Newmyer, Joyce - $115,201 Reiner, Scott - $289,242 Welch, Donald - $93,616 Wing, Bill - $191,758 Brower Charles Family member of Key EE, D. Brower 108223 Employment 0 Henry Linda Family member of Key EE, W. Rippey 59434 Employment 0 Lee Jessica Family member of Officer, D. Russell 102048 Employment 0 Rippey Wesley Director/CMO 111651 Professional services 0 Russell Jennika Family member of Officer, D. Russell 13430 Employment 0 Russell Kevin Family member of Officer, D. Russell 85186 Employment 0 Tkachuck Victoria Family member of Key EE, D. Tkachuck 77359 Employment 0 Wagner Brent Family member of Officer, J. Wagner 82281 Employment 0 Form 990, Part III, Line 4a Portland Adventist Medical Center dba Adventist Health Portland (AHPL) 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 AHPL, the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's 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 below cost - providing health/wellness activities and community education programs Not only does AHPL 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. AHPL 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 2018 was $41,592,012. The following Inpatient services that were provided to all our patients. These services included: - 783 Babies delivered - 2,212 Surgeries performed - 30,387 Patient days The following Outpatient services that were provided to all our patients. These services included: - 49,841 Emergency department visits - 4,478 Outpatient Surgeries performed - 157,149 Outpatient visits - 281,291 Clinic visits AHPL 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 2018 was $6,781,382. Adventist Health's mission statement of Living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry as represented by the life of Jesus Christ and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever. Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ Form 990, Part VI, Section A, line 6 The Hospital is organized as a public benefit corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit public benefit corporation that operates as a public charity. The Hospital operates as an affiliate of Adventist Health System/West. Form 990, Part VI, Section A, line 7a The Hospital's Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors. Form 990, Part VI, Section A, line 7b The sole corporate member, Adventist Health System/West, must approve all changes to the Articles of Incorporation and Bylaws. Form 990, Part VI, Section B, line 11b This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the System Controller and Market Finance Officer, and shared by electronic communication with the Hospital's Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c 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 General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The Corporate General Counsel reviews all the disclosures on the board and Corporate employees' COIs. Corporate General Counsel retains the COIs for the board members. The officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. Form 990, Part VI, Section B, line 15 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 50 percent spread from minimum to maximum. A hospital CEO has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital. (Incentive potential is industry norm) Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary. Form 990, Part VI, Section C, line 19 The Hospital does not make its governing documents publicly available beyond required filings of Articles of Incorporation and Bylaws with the Oregon Secretary of State and Oregon Department of Justice. The Hospital does not make its Conflict of Interest Policy publicly available. The Hospital files monthly/quarterly summary financial reports with the Oregon Health Authority. Form 990, Part VII: In recognition of the time commitment directors make to serve on the Adventist Health System/West boards and committees, directors receive compensation when their employment agreements with their employers allow such payments. For those whose employers do not allow accepting compensation for board service, the funds are directly distributed to charitable organizations as mandated by their employment agreements. In addition, amounts paid for taxable benefits are also reported. Form 990, Part IX, line 11g Physician professional fees: Program service expenses 5,401,072. Management and general expenses 2,450,105. Fundraising expenses 0. Total expenses 7,851,177. Other medical professional fees: Program service expenses 157,285. Management and general expenses 0. Fundraising expenses 0. Total expenses 157,285. Consulting and other management fees: Program service expenses 765,469. Management and general expenses 365,801. Fundraising expenses 0. Total expenses 1,131,270. Other professional fees non-medical: Program service expenses 477,419. Management and general expenses 0. Fundraising expenses 0. Total expenses 477,419. Contract labor: Program service expenses 2,861,933. Management and general expenses 63,425. Fundraising expenses 0. Total expenses 2,925,358. Purchased medical services: Program service expenses 1,528,378. Management and general expenses 827. Fundraising expenses 0. Total expenses 1,529,205. Repairs and maintenance: Program service expenses 3,558,333. Management and general expenses 25,403. Fundraising expenses 0. Total expenses 3,583,736. Revenue cycle fees: Program service expenses 0. Management and general expenses 14,361,082. Fundraising expenses 0. Total expenses 14,361,082. All other purchased services: Program service expenses 5,484,764. Management and general expenses 465,235. Fundraising expenses 23,032. Total expenses 5,973,031. Healthcare Resources Northwest LLC 2625 SE 98th Avenue Portland OR 97266 461719208 Managed care management OR 3109740 17892935 Portland Adventist Medical Center Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Medical Center Tehachapi 1100 Magellan Drive Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Physicians Network PO Box 619135 Roseville CA 95661 680357690 Medical foundation CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Adventist Health SystemWest PO Box 619135 Roseville CA 95661 953484589 Integrated health system CA 501(c)(3) Line 10 N/A 0 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) Line 3 Adventist Health SystemWest 0 Feather River Hospital PO Box 619135 Roseville CA 95661 941101228 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Fremont-Rideout Health Group 989 Plumas Street Yuba City CA 95991 942917251 Acute care hospital CA 501(c)(3) Line 12b, II Stone Point Health 0 Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Hanford Community Hospital 115 Mall Drive Hanford CA 93230 940535360 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Lodi Memorial Hospital Association Inc 975 S Fairmont Avenue Lodi CA 95240 941044474 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Northwest Medical Foundation of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Paradise Valley Hospital PO Box 619135 Roseville CA 95661 951816034 Discontinued operations CA 501(c)(3) Line 1 Adventist Health SystemWest 0 Reedley Community Hospital 372 Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Rideout Memorial Hospital 989 Plumas Street Yuba City CA 95991 941387866 Acute care hospital CA 501(c)(3) Line 3 Fremont-Rideout Health Group 0 St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Simi Valley Hospital & Health Care Services 2975 N Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Stone Point Health PO Box 619135 Roseville CA 95661 823763347 Supporting organization CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 United Com-Serve 989 Plumas Street Yuba City CA 95991 943015356 Skilled nursing/assisted living/home health CA 501(c)(3) Line 12b, II Fremont-Rideout Health Group 0 Walla Walla General Hospital PO Box 619135 Roseville CA 95661 910617726 Hospital - closed July 2017 WA 501(c)(3) Line 3 Adventist Health SystemWest 0 Western Health Resources PO Box 619135 Roseville CA 95661 953867863 Home care CA 501(c)(3) Line 10 Adventist Health SystemWest 0 White Memorial Medical Center 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 PAR LLC 10610 SE Clay Street Portland OR 97216 931262371 Senior living OR N/A Related 1025923 11215161 0 0 0.50000 Association of Unit Owners of Portland Adventist Condo 10101 SE Main Street Portland OR 97216 930887521 Condo association - MOB OR Portland Adventist Medical Center C 249242 252439 0.90100 1 South Coast Medical Center PO Box 619135 Roseville CA 95661 952037291 Wind down after sale of hospital CA N/A C 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 1 0 1