2019-02-15T16:12:41-08:00 2018-03-31 990 2017-04-01 331065485 LEGACY SALMON CREEK HOSPITAL LEGA 5034155600 2211 NE 139TH STREET VANCOUVER WA 98686 ANNA L LOOMIS CFO & TREASURER 2019-02-15 2017 2019-02-21 02:37:17Z KATHRYN CORREIA 387287911 false false X WWW.LEGACYHEALTH.ORG X 2002 WA Legacy Salmon Creek Hospital is Washington's most modern hospital and provides acute and critical care in Vancouver, WA. LSCH operates adult, pediatric, and OB/GYN hospitalist programs, as well as 4 primary care physician practices and 13 specialty clinics. 16 14 0 363 770170 -10451 342479 542108 317529649 380869650 8329811 5715844 -1255221 -1225960 324946718 385901642 20858 21380 0 189261626 207348145 0 0 97019360 130433891 286301844 337803416 38644874 48098226 411955608 458194859 37470586 34988266 374485022 423206593 Legacy Salmon Creek Hospital (LSCH), established in 2005, provides acute and critical care in Vancouver, with 165 licensed beds. LSCH operates adult, pediatric, and OB/GYN hospitalist programs, as well as four primary care physician practices and thirteen specialty clinics. LSCH provides a comprehensive range of inpatient, clinical and diagnostic services in numerous medical specialties and subspecialties. LSCH is part of Legacy Health (Legacy).Our mission:Our legacy is good health for our people, our patients, our communities, and our world. We will work as a team to demonstrate our values:Respect - Treat all people with respect and compassion Service - Put the needs of our patients and their families first Quality - Deliver outstanding clinical services within healing environments Excellence - Set high standards and achieve them Responsibility - Be good stewards of our resources, ensuring access to care for all Innovation - Be progressive in our thinking and actions Leadership - Serv false false 241492763 21380 361872228 LSCH was the State of Washington's first new hospital construction since 1979. The hospital opened in August 2005 with 165 licensed beds, all of which are single occupancy. LSCH provides a full array of hospital services, including surgery, diagnostics, inpatient and outpatient medical services, neonatal intensive care unit, pediatric, obstetrical, and emergency services. LSCH utilizes an electronic information system for medical records and physician order entry. Physicians are able to complete their entire patient records electronically and can remotely access patient records, including diagnostic images.In support of its mission, LSCH 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. During fiscal year 2018, LSCH provided financial assistance on approximately 14,060 patient accounts (of which 1,226 accounts received discounts totaling 100% of costs) and resulted in LSCH incurring roughly $6,252,670 in uncompensated costs associated with this program. In addition to charity care, LSCH provides services under various states' Medicaid programs for financially needy patients Medicare beneficiaries, and other government programs for which the cost of treating these patients exceeds the government payments received. During fiscal year 2018, LSCH incurred approximately $31,041,000, $19,123,080 and $834,650 in uncompensated costs attributable to Medicaid, Medicare and other government programs respectively. LSCH also provides a variety of other community benefit activities such as medical education, donations to other charitable entities, research, and other health improvement services, which totaled roughly $1,674,760 during fiscal year 2018.LSCH is part of Legacy, which collectively provided over $49 million, $223 million, $143 million, and $3 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2018. In addition, Legacy provided over $25 million in other community benefit activities during fiscal year 2018. 32644167 18997422 LSCH operates adult, pediatric, and OB/GYN hospitalist programs, as well as four primary care physician practices and thirteen specialty clinics in southwest Washington. From it's opening in 2005, LSCH has used an electronic health information system for medical records and physician order entry. 274136930 true true false true false false false false false true true true false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false false true true false false false true 0 0 false 0 false true true false false false false false false 0 false false false false false false false false false false X 16 14 false false false false true true true true true false false true true true true true true true true true true X X ANNA LOOMIS 5034155600 1919 NW LOVEJOY STREET PORTLAND OR 97209 BISHOP DAVID BRAUER-RIEKE BOARD DIRECTOR 3.00 0.00 X 0 0 0 JONATHAN HILL MD BOARD DIRECTOR 3.00 40.00 X 0 765782 32654 SHERYL MANNING BOARD DIRECTOR 4.00 0.00 X 0 20250 0 DAVID RAMUS BOARD DIRECTOR 3.00 0.00 X 0 14750 0 ROBERT L CORNIE BOARD DIRECTOR 4.00 0.00 X 0 23228 0 DIANE PINNEY BOARD DIRECTOR 4.00 0.00 X 0 15000 0 JEFFREY D FULLMAN MD Chairman 4.00 1.00 X X 0 46420 0 LESLIE ROOT MD BOARD DIRECTOR 1.00 40.00 X 0 249891 10535 RONALD S KING VICE CHAIR 4.00 0.00 X X 0 28213 0 JEFFREY BARBER BOARD DIRECTOR 3.00 0.00 X 0 17973 0 CHARLES WILHOITE BOARD DIRECTOR 3.00 0.00 X 0 10750 0 SAMIR DESAI MD BOARD DIRECTOR 3.00 0.00 X 0 9050 0 STEPHEN G NEWBERRY MD BOARD DIRECTOR 3.00 0.00 X 0 10972 0 JAMES WALKER BOARD DIRECTOR 3.00 0.00 X 0 10500 0 JOHN W WINTER JR BOARD DIRECTOR 4.00 0.00 X 0 11500 0 GEORGE J BROWN MD President & CEO 0.00 40.00 X X 0 2395494 222598 NANCY R LOCKE BOARD DIRECTOR 3.00 0.00 X 0 15000 0 PATRICK REITEN BOARD DIRECTOR 3.00 0.00 X 0 13000 0 GAYLE GOSCHIE BOARD DIRECTOR 3.00 0.00 X 0 11000 0 RT REV MICHAEL J HANLEY BOARD MEMBER 3.00 0.00 X 0 0 0 ROBERT E DEWITT SR VP & SEC 0.00 40.00 X X 0 521094 87497 LINDA S HOFF CFO & TREASURER 0.00 40.00 X X 0 768339 32416 LYNN T GUST BOARD DIRECTOR 3.00 0.00 X 0 6750 0 SARAH K JENSEN INTERIM CFO 0.00 40.00 X X 0 302818 36295 BRYCE HELGERSON HOSPITAL PRESIDENT 40.00 0.00 X 498941 0 76277 CAROL A BRADLEY SR VP 0.00 40.00 X 0 470331 115067 TRENT S GREEN SR VP 0.00 40.00 X 0 847838 49419 SONJA O STEVES SR VP 0.00 40.00 X 0 460474 160757 EVERETT NEWCOMB III MD SR VP 0.00 40.00 X 0 1299729 122709 MAUREEN A BRADLEY SR VP 0.00 40.00 X 0 347210 82316 TERESA L HANDY VP 40.00 0.00 X 292861 0 57286 JOHN J KENAGY SR VP 0.00 40.00 X 0 758083 109586 LEWIS L LOW MD SR. VP 0.00 40.00 X 0 698835 117365 FRED H COLEMAN MD OB-GYN 40.00 0.00 X 419116 0 31826 WON LEE MD ONCOLOGIST 40.00 0.00 X 448591 0 48379 AKASHDEEP S SANDHU MD PHYSICIAN 40.00 0.00 X 429140 0 61160 CHRISTOPHER A STAMATAKOS MD PHYSICIAN 40.00 0.00 X 420262 0 45302 CARBER C HUANG MD PHYSICIAN 40.00 0.00 X 405469 0 89028 JONATHAN E AVERY FORMER KEY EMPLOYEE 0.00 40.00 X 0 495889 74913 2914380 10646163 1663385 347 true true false LEASE CRUTCHER LEWIS LLC 550 SW 12TH AVE PORTLAND OR 97205 CONSTRUCTION 1574039 OHSU FINANCIAL SERVICES 1515 SW 5TH AVE 800 PORTLAND OR 97201 MEDICAL SERVICES 1506281 THE VANCOUVER CLINIC INC 700 NE 87TH AVE VANCOUVER WA 98664 MEDICAL SERVICES 902823 BLOODWORKS NORTHWEST 921 TERRY AVENUE SEATTLE WA 98104 MEDICAL SERVICES 806106 ZIMMER GUNSUL FRASCA ARCHITECTS LLP 1223 SW WASHINGTON ST 200 PORTLAND OR 97205 CONSTRUCTION 730415 53 542108 542108 CHARITY CARE -20278012 -20278012 CONTRACTUAL ALLOWANCE -619328987 -619328987 CONVENIENCE OF MEMBERS 2003056 2003056 PATIENT PROGRAM REV 1017703423 1017703423 RETAIL PHARMACY 770170 770170 380869650 5839580 5839580 0 0 35373 1261333 -1225960 -1225960 -1225960 1200 124936 -123736 -123736 -123736 0 0 0 0 385901642 378096424 770170 6492940 21380 21380 0 0 0 925365 849484 75881 0 163927105 125664127 38262978 8714564 6474264 2240300 22241742 15957471 6284271 11539369 8838016 2701353 0 272084 93353 178731 0 60000 60000 0 0 5124478 5124478 0 66676224 64101641 2574583 0 0 1304789 1051894 252895 136603 85609 50994 0 235495 189851 45644 0 0 13750812 11074113 2676699 2335340 2012545 322795 CONTRACT SERVICES 17311088 12599279 4711809 PROVIDER TAX 8103805 8103805 BAD DEBTS 6285555 6236144 49411 TAXES WA B&O, USE & SALES 4765360 3841736 923624 4072258 1817740 2254518 337803416 274136930 63666486 0 814031 881498 0 0 41904009 46112670 0 0 0 1956229 2806643 928221 651252 347180675 181613950 172469794 165566725 0 190680487 238973238 0 0 3202837 3202833 411955608 458194859 24934954 24622779 12535632 10365487 37470586 34988266 X 374485022 423206593 374485022 423206593 411955608 458194859 X 48098226 623345 X false true X true true true X false false X 76137 220449 76137 220449 297182591 1797852277 297258728 1798072726 1000000 1000000 250000 250000 false 2000000 2000000 2000000 2000000 8000000 12000000 317778 364027 272076 296586 1250467 500000 500000 500000 500000 2000000 3000000 1252420 724873 49804 464257 1562840 1454517 413224 35113 650434 1252420 933265 688272 -7216 159805 1454516 853457 392141 11649 323982 933265 519310 583398 4468 253719 853457 0.67000 0.33000 false true true 10338220 10338220 245793091 113908587 131884504 30958 33314 -2356 90536931 67672049 22864882 481475 481475 165566725 238973238 NONCURRENT PENSION LIABILITY 9845318 NONCURRENT WORKERS' COMP LIABILITY 520169 10365487 383734000 383734000 2167642 2167642 385901642 336022000 336022000 1781416 1781416 337803416 Part V, Line 4: Intended uses of the endowment fund. Endowment funds disclosed in Part V are used to improve the healthcare of the community as designated by the donors. Salmon Creek Hospital Foundation (SCHF) maintains all charitable gifts including endowment funds for the benefit of LSCH and it's programs. Income from permanently restricted net assets is accounted for in accordance with the donors' instructions.Legacy follows the guidance in the Uniform Prudent Management of Institutional Funds Act (UPMIFA) in determining the net asset classification of all donor-restricted endowment funds. In accordance with UPMIFA and board policy, assets classified as permanent endowments in accordance with donor intent are only utilized for current period expenditures to the extent that earnings on the endowment exceed the original fair value of the donation. To the extent earnings on endowment funds exceed identified expenditures on which to apply those earnings, the earnings are classified as temporarily restricted net assets. Legacy has adopted investment and spending policies for endowment assets to provide a predictable stream of funding to programs supported by its endowment and to maintain the value of the endowment assets. Asset allocation is reviewed quarterly with respect to: i) Legacy's tolerance for risk based on its financial condition and need for cash from investments to support operations; ii) expected asset class return, risk and correlation characteristics; iii) changes in accounting guidance or tax law and iv) changes in bond covenants or other restrictions.Legacy's spending practices are intended to comply with donor's wishes and meet all applicable laws and regulations. Spending must be for a purpose that is consistent with the documented intent of the donor, and may not exceed the amounts annually determined by Legacy. Factors that are considered in addressing the annual spending allocation are: i) market value of the fund relative to the principal of the gift and ii) the level of spending in prior years.From time to time, the fair value of assets associated with individual donor-restricted endowment funds may fall below the level that the donor or UPMIFA requires Legacy to retain as a fund of perpetual duration. Deficiencies of this nature are reported as a reduction to unrestricted net assets and are excluded from the performance indicator. Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S MEDICAL STAFF INCOME $311320 FOUNDATION DONATION $542109 OTHER EXPENSE $-2236 GAIN / LOSS OF SALE OF ASSETS $-123737 PROGRAM SERVICE REVENUE $1440002 $0 ROUNDING $184 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S MEDICAL STAFF EXPENSE $236838 FOUNDATION DONATION $230559 OTHER EXPENSE $-2236 GAIN / LOSS OF SALE OF ASSETS $-123737 PROGRAM SERVICE REVENUE $1440002 ROUNDING $-10 true true X true X 300.000000000 true X true true true false true true 6252668 6252668 0.01850 69381444 38340444 31041000 0.09190 4536427 3701776 834651 0.00250 80170539 42042220 38128319 0.11290 167383 167383 0.00050 813679 813679 0.00240 693700 693700 0.00210 1674762 1674762 0.00500 81845301 42042220 39803081 0.11790 false 6236144 3429879 46949270 54771631 -7822361 X true true 1 1 LEGACY SALMON CREEK HOSPITAL 2211 NE 139TH STREET VANCOUVER WA 98686 www.legacyhealth.org HAC.FS.00000208 X X X LEGACY SALMON CREEK HOSPITAL 1 false false true X X X X X X X X X 17 true true true true X www.legacyhealth.org true 17 true www.legacyhealth.org false false true X 300.0000 400.0000 X X X X X true true X X X true X www.legacyhealth.org X www.legacyhealth.org X www.legacyhealth.org X X X X X X true X false X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community In 2017, Legacy Mount Hood Medical Center participated with the 14 other hospitals, four public health departments and two Coordinated Care Organizations in the metro four county area regional Healthy Columbia Willamette Collaborative Community Health Needs Assessment (CHNA) which was used as a base for the Legacy Mount Hood Community Health Needs Assessment. The results of Legacy's community needs assessment can be found at www.legacyhealth.org.The 2017 Community Needs Assessment is conducted based on the Healthy Columbia Willamette Collaborative (HCWC) Community Health Needs Assessment (CHNA). The HCWC CHNA is regional and developed to improve efficiency and effectiveness and also to help meet the requirements of the ACA and Public Health Accreditation. The regional CHNA obtained information from the community through a variety of venues -online surveys and interviews with public health, tribal, regional, state or local health or other departments as well as medically underserved, low income and minority populations and those with chronic disease needs; a review of community engagement/needs assessment projects; and community listening sessions with uninsured and/or low-income community members from diverse culturally-identified and geographic communities. In the latest round of work, the Collaborative also reviewed population data (health-related behaviors, morbidity, mortality); medical data from local CCOs (most frequent conditions Medicaid-covered individuals sought care for); and hospital data (uninsured patients seen in the emergency department for conditions that could have been managed in primary or ambulatory care settings). The following organizations were surveyed or interviewed.Adelante Mujeres Adult Mental Health and Substance Abuse Advisory Council Allies for a Healthier Oregon Ant Farm Calvary Church Central City Concern Clackamas County Public Health Advisory Committee Clackamas Service Center Coalition of Community Health Clinics Elders in Action Commission El Programa Hispano FamilyCare Community Advisory Council Free Clinic of SW Washington Hacienda CDC Health Share of Oregon Community Advisory Council Highland Church & Highland Access, Reentry and Recovery Program Immigrant and Refugee Community Organization The Intertwine Alliance Latino Network Liberation Street Church Lifeline Connections LifeWorks Northwest Multnomah County Health Equity Initiative Native American Youth Association National Alliance on Mental Illness (Clackamas) OHSU Richmond Clinic Health Literacy Committee Oregon Community Health Worker Association Oregon Health Equity Alliance Outside In Oregon Foundation for Reproductive Health Oregon Public Health Institute Project Access NOW Q Center Urban League of Portland Veterans Affairs Hospital Washington County Mental Health and Addictions Advisory Council Washington County Public Health Advisory Council Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment In addition to Legacy Salmon Creek Medical Center, the HCWC comprised of 14 other hospitals in the metro area and are as follows: Adventist Medical Center, Kaiser Permanente Sunnyside Medical Center, Kaiser Permanente Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Oregon Health & Science University, Peace Health Southwest Medical Center, Providence Milwaukie Medical Center, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center and Tuality Health Care/Tuality Community Hospital. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Legacy Salmon Creek did not address needs identified in the Community Needs Assessment for the reasons explained in the following, by need. These are included in the Community Needs Assessment and Implementation Strategies Plan.NEED: Early Childhood: limited financial and labor resources prevent addressing as need.NEED: HIV/AIDS: limited financial and labor resources prevent addressing as need.NEED: Autism: limited financial and labor resources prevent addressing as need. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense LSCH uses many different approaches to inform and educate patients on the availability of financial assistance as is described later in Part VI of Schedule H. Still, many patients do not respond to requests for information or provide appropriate documentation to benefit from financial assistance. As a result, LSCH must report these amounts as bad debt. A portion of bad debt expense should be considered as charity care, using reasonable methodologies to analyze the information. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The estimated amount of bad debt expenses attributable to charity care policy was calculated using the demographic profile of household income and average household size in the zip code areas around the hospital. 55% of Households in the LSCH service area would qualify for financial assistance with incomes under 400% of the Federal Poverty Guidelines using this methodology. Part III, Line 4 - Bad Debt Expense The footnote that describes the Legacy bad debt expense can be found on page 11 of the attached audited financial statements. Part III, Line 8 - Explanation Of Shortfall As Community Benefit The entire Medicare shortfall should be considered a community benefit. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in the community served by the hospital. The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. The Medicare amounts listed in Part III Section B. on lines 5, 6, and 7 do not represent all of the organization's revenues and costs associated with its participation in Medicare programs. The methodology used in reporting in Part III Section B Medicare is inconsistent with the other sections in Schedule H, as the instructions limit Medicare revenues and allowable cost to those from only the Medicare Cost Report. Revenue and costs from Medicare Part C patients, Part B physician services billed by the organization, and clinical laboratory services weren't included. In addition, hospitals incur other costs to provide care that Medicare does not allow in the cost report, such as Physician Call pay to ensure adequate physician coverage for the ED. The total revenues and costs attributable to all Medicare services are $116,203,660 and $135,326,740 respectively. This results in a total Medicare shortfall of $19,123,080.Costing Methodology (Part III, Line 8).Medicare allowable costs were calculated using the costing methodologies in the Medicare Cost Report. The cost report arrives at total allowable hospital cost through a cost finding process that includes direct cost allocations and a step-down allocation of indirect or overhead costs. Inpatient operating costs are composed of general inpatient routine and ICU unit costs derived from cost per diems, as well as inpatient ancillary service costs that utilize cost to charge ratios to arrive at cost. Apportionment of cost applicable to hospital outpatient services is through the application of cost to charge ratios. This excludes other costs incurred to provide services of the hospital to the community that the cost report deems as unallowable costs, such as Physician on-call pay. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Legacy provides care without charge or at amounts less than its established rates to patients who meet certain criteria under its financial assistance policy. Since Legacy does not pursue collection of amounts determined to qualify as charity care, they are excluded from net patient service revenues. Part VI, Line 2 - Needs Assessment The described CHNA provides the primary source for assessing needs. Senior leadership, in conjunction with the Board of Directors, continually assesses the needs of the communities it serves through a compilation of primary and secondary market research (qualitative and quantitative), medical staff input, reviewing national trends and practices, working with local foundations and funders regarding their assessments, and working with local community-based partners to understand their needs. The goal is to understand the needs and develop programs specific to the community. Involvement is both proactive and responsive - a leadership role in initiating programs as well as being readily available as a collaborative partner when the community asks. The outcome of these assessments is the development of both long-term and fiscal year plans that are supported by a yearly budget that is proposed by staff and approved by the Board of Directors. Community Benefit and Community Relations staff as well as Legacy representatives on nonprofit and community based boards serving communities at risk also provide ongoing informal feedback regarding needs. These are then aligned to the community health needs identified in the formal CHNA. During 2017, Legacy Health conducted a community needs assessment. The results of the assessment can be found at www.LegacyHealth.org.In Legacy Salmon Creeks previous CHNA, we identified access to health care, chronic disease, mental health, substance use disorder, health literacy, and education and youth as our CHNA priorities. Since this last report, we have invested time, resources, and funding in programs and services we believed would have an impact on these needs. A $10 million Community Health Fund was established in 1998 by the Legacy Health Board. The funding is supported by operating revenue on an annual basis. Every partner organization receiving funding meets the needs identified in the CHNA. The region served by Legacy Salmon Creek Hospital (LSCH), along with most of Washington, is experiencing significant challenges in population growth, economic development, education and health care. Recognizing that social and economic determinants impact health, LSCH has been and will remain committed to addressing these issues to improve the health of all residents in the community, including equity among ethnically diverse populations. Part VI, Line 3 - Patient Education of Eligibility for Assistance LSCH employs financial counselors and social workers that assist patients in obtaining coverage for their healthcare needs. This includes assistance with workers compensation, motor vehicle accident policies, COBRA, veterans' assistance, LSCH's financial assistance program, and public assistance programs, such as Medicaid. The criteria for financial assistance under LSCH's program 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 medically necessary services provided. Specifically, the LSCH Financial Assistance Program provides an uninsured discount of 35% to patients who are self-pay. Further discounts are available for patients, on a sliding scale, whose household income is less than 400% of the federal poverty level or roughly $98,400 for a family of four in Portland, Oregon. For patients whose household income is at or below 300% 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. In addition to financial counselors and social workers, LSCH makes every effort to communicate its Financial Assistance Program to patients. This includes signage in main admitting areas of each hospital and brochures explaining financial assistance in all patient care areas, translated for patients/individuals with limited English proficiency (LEP). Financial counselors are available to assist patients in understanding and applying for available resources, including the LSCH Financial Assistance Program. LSCH's website also has information about the availability of financial assistance. LSCH offers financial assistance customer service Monday through Friday, as well as the availability of voice mail so patients can leave confidential, detailed messages during non-business hours. Patients are encouraged to sign up for MyHealth, a secure online tool to access their medical record. Using their MyHealth account they can correspond with a financial counselor via email. Finally, all of Legacy's billing statements include information regarding the availability of financial assistance. If LSCH requires the use of a collection agency, those agencies are required to provide a telephone number that patients can call to request financial assistance.In 2010, Legacy Health established the Health Literacy initiative. Nearly all Legacy employees are touch points to patients and families and health literacy is involved in every touch point. What is health literacy? The Institute of Medicine defines health literacy as the capacity to obtain, understand, and process basic health information and services needed to make appropriate health decisions. In short, health literacy is the ability to understand and act on health information. Nearly half of the U.S. adult population has a low level of health literacy. Patients with low health literacy are less likely to comply with treatment, less likely to seek preventive care and twice as likely to be hospitalized. Quality, safety and cost are all affected by a patient's inability to understand medical instructions and to explain their symptoms/issuesLegacy's employees are learning and practicing new way of communicating with patients using health literacy tools such as universal precautions, plain language and teach back methods. Annual education is provided to all billing and admitting staff so they can be kept informed of and speak with knowledge about current financial assistance policies and options. LSCH provides copies of the latest policies in main admitting areas, as well as with the hospital financial counselor, online via the website and through MyHealth.Since 2008, the four county metro area health delivery systems (encompassing all hospitals in the area) and safety net clinics have partnered to establish a seamless, coordinated program to provide care for the low income uninsured, Project Access. This program enables low income uninsured patients to receive continuity of care in earlier stages of acuity due to the collaboration among 3,000 providers and all health systems. Part VI, Line 4 - Community Information LSCH opened in 2005 in north Clark County between the cities of Vancouver to the south and Battle Ground and Ridgefield to the north in an unincorporated area known as Salmon Creek and Hazel Dell. The primary service area is defined as the five mile radius, but due to the hospital's location in an unincorporated area and since there are only two hospitals in the county, the county is the commonly used primary service area composition. This definition extends from the Columbia River on the south, north to La Center, west to Vancouver Lake and east to Camas. The primary service area extends from the Columbia River on the south, to La Center in the north, Vancouver Lake in the west and Camas in the east. The primary service area includes the cities of Vancouver, Battle Ground, Ridgefield and Camas. Vancouver and Camas are industrial, commercial and residential communities while and Battle Ground and Ridgefield are primarily residential. Zip codes for the primary service area include: 98601, 98603, 98604, 98606-07, 98616, 98622, 98629, 98642, 98660-68, 98671, 98674-75, and 98682-87. The population of the LSCH primary service area was estimated to be 453,819 in 2017, having increased 30.9 percent from 2000-2015. It is one of the fastest growing counties in the state and an estimated growth of 7.14 percent is projected by 2022. Although the racial and ethnic population of Clark County is predominantly white (non-Hispanic/Latino), the demographics of Clark County continue to diversify. Notably, the foreign-born population in Clark County increased 16.4 percent from 2005 to 2014, with Legacy Salmon Creek Medical Center Community Health Needs Assessment 5 the Hispanic/Latino population increasing 98 percent from 2000 to 2010 the highest rate of change of any ethnic population.The LSCH primary service area was 82.2 percent non-Hispanic white, 10.2 percent Hispanic, 2.2 percent African American, 5.9 percent Asian and Pacific Islander, and .96 percent Native American in 2017. While still a small population relative to the entire metro area, specific geographic areas are experiencing significant growth in the Slavic population, including Clark County. Slavs are counted in the non-Hispanic white population, but they have a distinct cultural identity and their socioeconomic status is generally lower than other (non-Hispanic) white populations. Russian and other Slavic languages (Czech, Slovak and Ukrainian) are among the top five languagesspoken at home in Clark County (0.8 percent).Clark County had a median household income (MHI) of $61,741 with 9.3 percent of the population living below poverty. In contrast, Washington County in Oregon had a MHI at $66,136 with 8.7 percent below poverty, followed by Clackamas County at $65,316 with 6.8 percent below poverty and Multnomah at $53,660 with 12.8 percent below poverty. County-level race and ethnicity data is not available, but a sampling of school districts within service areas reveals distinct differences. Two main school districts in the LSCH service area show the non-Hispanic white cohort to have a graduation rate higher than African Americans, Hispanics, Asian Pacific Islanders and Native Americans.The Dignity Health and Truven Health Community Needs Index (CNI) is accepted as the national standard in identifying communities with health disparities and comparing relative need. Legacy Salmon Creeks community health focus is the highest Community Needs Index zip codes in its service area which include: 98660-West Vancouver, 98661-Downtown Vancouver, 98663-Rosemere East Vancouver and 98665-Hazel Dell.Peace Health SW Washington Medical Center is the only other hospital that serves the LSCH primary service area. In 2013, Kaiser Permanente entered into a 7 year contract with LSCH. According to the contract, LSCH became the new partner hospital for Kaisers 100,000 members in Clark County. The service area includes a Medically Underserved Areas (MUA) in central Vancouver. There is also one non-public sector Federally Qualified Health Center (FQHC) operated by SeaMar and one long-standing volunteer-based safety net Free Clinic in Vancouver. The Clark County Health Department does not operate primary care services directly.A local non-profit, Project Access Clark County, links uninsured low income individuals to no-cost healthcare services. All of the health systems in the metro area are very involved with this program. Legacy Health provides cash donations as well as clinical services.While the Affordable Care Act has significantly lowered the uninsured rate in Washington State, longstanding income disparities in the Legacy Salmon Creek service area underscore the ongoing need for safety net services which are detailed in the separate CHIP document which can be found on the organizations website.In FY18, LSCH provided $6.3 million in charity care; total unreimbursed costs of care for people in need amounted to $38.1 million. Part VI, Line 5 - Promotion of Community Health 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. Legacys warehouse located in NW Portland, is open 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.Clinical staff is involved with local communities through many child safety programs. In 1986, nurses in member hospital Legacy Emanuels Level I Trauma Center developed the Trauma Nurses Talk Tough (TNTT) program. The American Hospital Association awarded the TNTT program its NOVA Award. In addition, Legacy staff members conduct free education sessions to show parents how to properly install car seats. Last year, Legacy staff fit and sold more than 4,240 bicycle helmets to children at a nominal or no fee based on need. Legacy staff members also provide new parents with training to reduce the incidences of shaken baby syndrome and as well as an education and awareness program about window safety (to prevent children falling from upper stories). Part VI, Line 6 - Affilated Health Care System LSCH is a subsidiary of Legacy Health (Legacy). Legacy is an integrated health system based in Portland, Oregon and primarily operates six acute care hospitals and related services (e.g., physician practices, hospice, preferred provider network) in the four county metro area of Portland and SW Washington. The Legacy Board is comprised of community and business leaders as well as representatives of the medical staff. The LSCH medical staff is open, with physicians submitting credentialing information reviewed according to LSCH policies and standards. In 1998, the Legacy Health Board approved a $10 million Community Health Fund from operating revenue to address major community health issues. . Currently, $600,000 is granted annually to community-based projects addressing racial and ethnic inequities and root causes. These dollars are in addition to the systems generous charitable contributions. The Community Health Fund has provided 50 grants since 1998 totaling over $9 million 60 percent of which have gone to programs serving communities of color. An example is the Legacy Salmon Creek service area three year grant providing summer academic help for 500 homeless and low income students as well as practical experience for new teachers to better understand what life is like for kids who head home to a crowded shelter or even a tent. The goal is two-foldto increase academic success for students facing significant socio and economic challenges and to develop more effective teaching during the academic year when the teachers are in their own classrooms. In 2010, Legacy Health established the Health Literacy initiative. Communication with patients such that patients both understand and can act on the information required of and provided to them is critical to their health outcomes. Patients must use information to navigate the health system (complete insurance and government forms, sign consents, schedule appointments), manage diseases and acquire preventive screenings. Providers (defined as all staff interacting with or developing materials used by patients) are responsible for ensuring that patients can act on the information provided. Funded by the Community Health Fund in 2012, Legacy hosted the first Oregon and SW Washington Health Literacy Conference. 360 people from 69 organizations attended. Since 2012, the Health Literacy Conference has been organized every year with more than 500 health professionals attending each year from 80 organizations. Legacy Health is now the recognized leader in moving health literacy forward both in the health delivery system and broader community. Planning for the 2019 Health Literacy Conference is underway and is anticipated to surpass 700 attendees.Recognizing that education, employment and income inequities exist for communities of diversity, and that health professions are lacking in diversity, Legacy established the Health Occupation Profession and Education - HOPE program (formerly Youth Employment in Summer-YES). Between 5 and 15 students of ethnically diverse communities receive paid summer employment in departments where they work with health professionals and earn college scholarships between $3,000 and $10,000 annually. Students must remain in school and pursued health careers in order to continue in the program. Some students remain in the program as long as seven years and graduated with degrees in a variety of healthcare fields. The vast majority of the students are the first in the families to go to college. To date, there have been more than 86 participating HOPE students In addition to the Community Health Fund, Legacy provided cash donations to local health and human service, education, economic development and civic organizations. Donations focus on organizations with year-round relationships through programs and board representationspecifically focused organizations addressing disparities. A few examples include Columbia River Mental Health Services, The Childrens Center, Free Clinic of SW Washington and NAMI Clark County. In addition, Legacy Health lab services provided more in-kind services to the local safety net clinic in Battle Ground, Washington. true MEDICAL TEAMS INTERNATIONAL 14150 SW MILTON CT TIGARD OR 97224 930878944 501(c)(3) 0 21380 COST SUPPLIES FOR DISASTER ASSISTANCE 1 0 Grantmaker's Description of How Grants are Used Legacy reviews all organizations prior to donating cash or supplies to ensure their 501(c)(3) status. Legacy regularly donates supplies to Medical Teams International for disaster relief. Several Legacy medical staff members, volunteer for Medical Teams International. X true true false true false true true true true false true true AKASHDEEP S SANDHU MD PHYSICIAN 230615 176906 21619 30957 30203 490300 BRYCE HELGERSON HOSPITAL PRESIDENT 404719 92235 1987 63902 12375 575218 CARBER C HUANG MD PHYSICIAN 344127 69726 -8384 55299 33729 494497 CAROL A BRADLEY SR VP 373569 91144 5618 82883 32184 585398 CHRISTOPHER A STAMATAKOS MD PHYSICIAN 203846 211008 5408 17550 27752 465564 EVERETT NEWCOMB III MD SR VP 660401 568111 71217 86311 36398 1422438 440850 FRED H COLEMAN MD OB-GYN 364246 34197 20673 21600 10226 450942 GEORGE J BROWN MD President & CEO 1089089 1138989 167416 186745 35853 2618092 921314 JOHN J KENAGY SR VP 408037 334119 15927 75920 33666 867669 234566 JONATHAN E AVERY FORMER KEY EMPLOYEE 417773 64864 13252 44967 29946 570802 JONATHAN HILL MD BOARD DIRECTOR 485014 258050 22718 6750 25904 798436 LESLIE ROOT MD BOARD DIRECTOR 175687 52810 21394 6996 3539 260426 LEWIS L LOW MD SR. VP 536624 124215 37996 84739 32626 816200 LINDA S HOFF CFO & TREASURER 247494 485315 35530 16356 16060 800755 323064 MAUREEN A BRADLEY SR VP 264708 80209 2293 62124 20192 429526 ROBERT E DEWITT SR VP & SEC 414815 98137 8142 69612 17885 608591 SARAH K JENSEN INTERIM CFO 251490 51501 -173 24194 12101 339113 SONJA O STEVES SR VP 361180 101063 -1769 136554 24203 621231 TERESA L HANDY VP 243420 42596 6845 29092 28194 350147 TRENT S GREEN SR VP 476447 372436 -1045 22286 27133 897257 253663 WON LEE MD ONCOLOGIST 450000 667 -2076 19960 28419 496970 Part I, Line 1a: Relevant information in regards to selections on 1a. Some executives belong to business clubs. Any expenses relating to the personal use of the club are paid directly to the club by the executive. Only business related use is paid to the business club or reimbursed to the executive by Legacy. An allocation of personal use of dues is completed annually and added to the compensation of the executive.Legacy does periodically reimburse for some travel of companions. During 2017, some travel expenses for companions of Legacy Board Directors and executives were reimbursed. These transactions follow Legacys reimbursement policy requiring documentation and approval of the expenses, prior to reimbursement. These payments are taxable to the individuals and are reported on a W-2 for employees or a 1099 forBoard Directors. Part I, Line 5b: Explanation of organization compensation based on revenues of related organization 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). Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or 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. Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs 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. Part III, Additional Information Sch J, Part 1, Question 3 Regarding Compensation PracticesDirectors for Legacy started receiving compensation for their services in August 2014. They also receive expense reimbursements related to their duties. Any expense reimbursements to board members are reviewed by the Director of Tax for determining 1099 tax reporting. In addition to the Board of Directors compensation, during 2017, Dr. Hill received compensation related to his duties as Medical Director as well as for the Medical Staff at Legacy Emanuel Hospital. Dr. Fullman received compensation for medical services provided to Legacy Meridian Park Hospital. Dr. Root received compensation for medical services to Legacy Emanuel Hospital prior to her employment with Legacy Medical Group. There was no other reportable compensation received by any board member during 2017.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. Distributions from 457(b) plans, reported to the employee on a 1099-R, are also included as other compensation. In addition, imputed income for insurance, cell phone and other benefits is included in other compensation as well as any severance related payments.Column C - Deferred compensation includes the contributions to defined contribution plans, amounts deferred under the 457(f) plan including earnings, earnings in the 457(b) plan, and the value of the pension restoration plan. Earnings on the 457(f) and 457(b) include gains and losses on the underlying investments.The defined contribution plan is available to all employees as they become qualified to participate. The pension restoration plan provides executive pension benefits in excess of IRS mandated limits on eligible compensation to key executives. The benefits are unfunded and subject to forfeiture. Executive pension benefits are intended to make the executive's retirement benefit, as a proportion of their final average salary, comparable to all other employees, and are treated as income when paid.The Legacy Health Board approved the goals and long-term objectives for the Executive Long- Term Incentive Plan effective April 1, 2014 for 3 years ending on March 31, 2017. The plan was discretionary and could be terminated at any time. The purpose of the Plan was to attract and retain highly qualified senior executives, to focus management performance and reward participants for contributing to the accomplishments of Legacys long-term objectives. The longterm strategic goals included the development of a health plan partnership strategy; partner with other local healthcare providers to open a center for behavioral health; expanded use ofinformation technology and data analytics to improve patient care; and executing an urgent care strategy to improve access to care and reduce emergency visits. Targets for operating margins and clinical quality were required over the three-year period and all goals were measured at March 31, 2017. The Plan was funded and paid out in May 2017 after approval from the Legacy Health Compensation committee and the Legacy Health Board. The amount paid out was properly reported as deferred compensation in prior years. The total amount paid out is included in the CEO, CFO, COO and CIO and Chief Strategy Officers compensation reported as deferred in prior Form 990 in 2017. The amounts reported are $781,978, $323,064, $379,341, $234,566 and $253,663 respectively.The Legacy Health Board approved the goals and long-term objectives for the Executive Long- Term Incentive Plan effective April 1, 2017 for 3 years ending on March 31, 2020. The plan is discretionary and can be terminated at any time. The purpose of the Plan is to achieve market share growth in key areas identified in Legacy Healths strategic plan. Targets for operating margins and clinical quality are required over the three-year period and all goals are measured at March 31, 2020.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. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Legacy Health is the sole member of Legacy Salmon Creek Hospital. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors includes the following members: (a) The Bishop of the Oregon Synod of the Evangelical Lutheran Church inAmerica (the "Oregon Synod") or the Bishop's designee, who shall serve ex officio;(b) The Bishop of the Episcopal Diocese of Oregon (the "Episcopal Diocese")or the Bishop's designee, who shall serve ex officio;(c) One (1) person elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of a Lutheran congregation in the Oregon Synod ("Lutheran Director");(d) One (1) person elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of an Episcopal congregation in the Episcopal Diocese known to his/her parish priest, or alternatively a member of the clergy in the Episcopal Diocese ("Episcopal Director"). Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The election of Lutheran Director is subject to the approval by the Bishop of the Oregon Synod, who may object to the newly-elected director for any reason by delivering written notice to the Legacy President or the Chair of the Board of Directors no later than one week after the election. If the Bishop timely objects to the election of the new Lutheran Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Lutheran Director for his/her full term or the remainder of an unexpired term to which elected. The election of the Episcopal Director is subject to approval by the Bishop of theEpiscopal Diocese, who may object to the newly elected director for any reason by delivering written notice to the Legacy President or Chair of the Board of Directors no later than one week after the election. The election of the Episcopal Director is also subject to approval by the Standing Committee of the Episcopal Diocese, who may object to the newly elected director only on the grounds that he/she is not an active member of an Episcopal congregation or a member of the Episcopal clergy in the Episcopal Diocese; such objection to be effected by delivering written notice to the Legacy President or Chair of the Board of Directors within five days after the next meeting of the Standing Committee or 45 days after the election, whichever isearlier. If the Bishop or Standing Committee timely object to the election of the new Episcopal Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Episcopal Director for his/her full term or the remainder of an unexpired term to which elected. Form 990, Part VI, Line 11b: Form 990 Review Process 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 received a memorandum with draft 990 returns for Legacy and Legacy Emanuel Hospital & Health Center highlighting key areas and requesting feedback. Questions from the Board Audit Committee are answered and changes made where appropriate. Any significant differences in disclosure from the draft 990 to the final 990 return for other affiliated entities, including Legacy Salmon Creek Hospital are provided to the Board Audit Committee. Depending on the deadline for the 990 return filing and the Board Audit Committee meeting this discussion may take place following the filing of the return. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The following is a summary of Legacy's policy and procedures for conflict of interest disclosure, monitoring and resolution.All Legacy employees and non-employees in leadership positions (e.g., Board members, Foundation Trustees, Medical Directors) are required to disclose potential conflicts of interest as the conflict arises. All employees are required to disclose any conflict of interest per the Standard of Conduct policy. Certain groups have annual formal disclosure requirements, Executives and non-employees in leadership positions complete the Conflict Disclosure Statement from the Standards of Conduct policy annually. Officers, Directors, Trustees, Key and Highly Compensated employees are also required to complete a questionnaire covering business relationships, business transactions with interested parties, loans and grants. Conflict Disclosure Statements and questionnaires are returned to Legacy Corporate Compliance or Tax Departments for review of the disclosure. If a conflict is disclosed, or identified through any other means, Legacy Corporate Compliance ensures that management mitigates the risk (e.g., discontinues relationship with vendor, segregates responsibilities, recuses Board member from voting in area of conflict) and that the conflict and mitigation steps are reported to the appropriate level (e.g., Compliance Committee, Audit Committee of the Board). Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees 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. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available 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. Legacy's audited consolidated financial statements include consolidating schedules which highlights LSCH's financial results.When changes are made to the LSCH Articles or Bylaws, LSCH 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. Other Changes In Net Assets Or Fund Balances - Other Increases CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY = $718223 Other Changes In Net Assets Or Fund Balances - Other Decreases GIFT SHOP OPERATIONS FUND = -$94878 Form 990, Part IV, question 12 Legacy has an audit of its consolidated financial statement which includes consolidating schedules highlighting LSCH's financial results. Form 990, Part VI, question 2 Legacy Health System CPC, LLC (CPC) is a common pay agent for Legacy and its affiliates. The CPC files all required federal employment tax returns for Legacy and its affiliates. The number of employees reported on Form W-3 for LSCH is 2,587. Form 990, Part X LSCH participates in the Legacy investment 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. Form 990, Schedule J Schedule J Reporting of Officers and Senior Management on Legacy Affilate Returns. The Legacy Officers, Senior Vice Presidents and other key employees may have responsibilities for the operations of the entire health system, including the affiliated entities. Their compensation is paid from and reported on the Legacy return(EIN 23-7426300). The compensation is reported again for informational purposes on related affiliated entity returns including, Legacy Emanuel Hospital & Health Center, Legacy Good Samaritan Hospital and Medical Center, Legacy Meridian Park Hospital, Legacy Mount Hood Medical Center, Legacy Salmon Creek Hospital, Silverton Health, Legacy Visiting Nurse Association, and Legacy Adventist Venture. LEGACY HEALTH 1919 NW LOVEJOY ST PORTLAND OR 97209 237426300 HEALTHCARE OR 501(C)(3) 11b N/A false LEGACY EMANUEL HOSPITAL & HEALTH CENTER 2801 N GANTENBEIN AVE PORTLAND OR 97227 930386823 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL 1015 NW 22ND AVE PORTLAND OR 97210 930386793 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY MERIDIAN PARK HOSPITAL 19300 SW 65TH AVE TUALATIN OR 97062 930618975 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY MOUNT HOOD MEDICAL CENTER 24800 SE STARK ST GRESHAM OR 97030 930591528 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY VISITING NURSE ASSOCIATION 815 NE DAVIS ST PORTLAND OR 97210 930848530 HOSPICE OR 501(C)(3) 9 N/A false EMANUEL MEDICAL CENTER FOUNDATION PO BOX 4484 PORTLAND OR 97208 936095667 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false RANDALL CHILDRENS HOSPITAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 931314469 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false GOOD SAMARITAN FOUNDATION PO BOX 4484 PORTLAND OR 97208 237017276 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false MERIDIAN PARK MEDICAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 930773410 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false MT HOOD MEDICAL CENTER FOUNDATION PO BOX 4484 PORTLAND OR 97208 930794951 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false SALMON CREEK HOSPITAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 830433165 CHARITABLE FOUNDATION WA 501(C)(3) 7 N/A true LEGACY ADVENTIST VENTURE 1919 NW LOVEJOY ST PORTLAND OR 97209 931121816 HEALTHCARE OR 501(C)(3) 9 N/A false LEGACY HEALTH FOUNDATION 1919 NW LOVEJOY ST PORTLAND OR 97209 465562403 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false SILVERTON HEALTH 342 FAIRVIEW STREET SILVERTON OR 97381 930281321 HOSPITAL OR 501(C)(3) 3 N/A false SILVERTON HEALTH FOUNDATION 342 FAIRVIEW STREET SILVERTON OR 97381 930913392 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false false true true false false false false false false false true false true false false false false false false SALMON CREEK HOSPITAL FOUNDATION c 542108 Cash SALMON CREEK HOSPITAL FOUNDATION m 82241 Actual Cost