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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIE KIRKLAND</PersonNm>
        <TitleTxt>EX DIR AMBUL SERVICE</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>198213</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOAN TOWNSEND</PersonNm>
        <TitleTxt>DIR CLIN NURSE SRVS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>155928</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRED WILLIAMS JR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>510602</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD SADOWSKI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>527613</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY ROSENBLATT</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>524386</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT SCHMIDT</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>520712</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY ROSS</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>4688941</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>201</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OREGON HEALTH SCIENCES UNIVERSITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3181 SW SAM JACKSON PARK RD</AddressLine1Txt>
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            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>972393098</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITAL</ServicesDesc>
        <CompensationAmt>6646918</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUND PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 742936</AddressLine1Txt>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90074</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT HOSPITALISTS</ServicesDesc>
        <CompensationAmt>993817</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALIGNED TELEHEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>26135 MUREAU RD STE 101</AddressLine1Txt>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91302</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BENEFITS ADMINISTRATOR</ServicesDesc>
        <CompensationAmt>810257</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPHEALTH ASSOC INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972651</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753972651</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RECRUITER</ServicesDesc>
        <CompensationAmt>362164</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPHEALTH ASSOC INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972625</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753972625</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RECRUITER</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>766570</RelatedOrganizationsAmt>
      <TotalContributionsAmt>766570</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NON MCR/MCD HOSP REV</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>168528104</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>168528104</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>768305</TotalRevenueColumnAmt>
        <ExclusionAmt>768305</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>218952</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>218952</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>33605636</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33605636</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>203120997</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>697197</TotalRevenueColumnAmt>
        <ExclusionAmt>697197</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>2</TotalRevenueColumnAmt>
        <ExclusionAmt>2</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>218952</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1465504</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>171970</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>7404582</ProgramServicesAmt>
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        <ProgramServicesAmt>149147</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>237865</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>825903</ProgramServicesAmt>
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        <ProgramServicesAmt>4895240</ProgramServicesAmt>
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        <ProgramServicesAmt>274167</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16043</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>1342</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42984</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>739255</ProgramServicesAmt>
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        <ProgramServicesAmt>6433233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>714804</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1150408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127823</ManagementAndGeneralAmt>
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        <Desc>Supplies</Desc>
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        <ProgramServicesAmt>21227391</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>11576681</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>10985384</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>10789525</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <EOYAmt>786195</EOYAmt>
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        <EOYAmt>2985572</EOYAmt>
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        <EOYAmt>1982615</EOYAmt>
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        <EOYAmt>43617076</EOYAmt>
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        <EOYAmt>41074320</EOYAmt>
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        <EOYAmt>18364814</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>150513163</EOYAmt>
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        <EOYAmt>69795687</EOYAmt>
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        <EOYAmt>14781862</EOYAmt>
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        <EOYAmt>2265274</EOYAmt>
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        <EOYAmt>706661</EOYAmt>
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        <EOYAmt>7394312</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>94943796</EOYAmt>
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        <EOYAmt>54876012</EOYAmt>
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        <EOYAmt>693355</EOYAmt>
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        <EOYAmt>55569367</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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    <IRS990ScheduleB documentId="RetDoc1234500001" />
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        <EndYearBalanceAmt>5741360</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
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        <BookValueAmt>2407626</BookValueAmt>
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      <BuildingsGrp>
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        <BookValueAmt>7813865</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>1549622</DepreciationAmt>
        <BookValueAmt>9110817</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>99504112</DepreciationAmt>
        <BookValueAmt>24146993</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>137775</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>43617076</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Securities &amp; Other Investments</Desc>
        <BookValueAmt>41074320</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>41074320</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>Other Assets</Desc>
        <BookValueAmt>17352959</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Interest in Net Assets of Foundation</Desc>
        <BookValueAmt>693355</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
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        <ExplanationTxt>Part V, Section B, Line 5: The Community Health Needs Assessment was conducted as a rigorous process with other health care organizations in the four-county Portland metropolitan areas as part of the Healthy Columbia Willamette Collaborative. Community citizens were engaged through focus group participation, stakeholder interviews and advice from content experts.For the 2016 CHNA Assessment Model, Healthy Columbia Willamette Collaborative used a modifed version of the Mobilizing for Action through Planning and Partnerships (MAPP) model to conduct the 2016 CHNA. The MAPP model is an interactive process combining health data and community input to identify and prioritize community health needs. An equity lens was applied to the previous 2013 assessment model, which led to a number of changes, including the creation of a Community Engagement Workgroup to oversee community outreach and data collection, an explicit effort to seek information from community members on social determinants of health, and a Prioritized Health Issues Group to bridge quantitative and qualitative data without losing community voice.Input from over 1,000 community stakeholders has helped establish the community health needs and the subsequent decision making process. Three phases of the assessment model used the Health Status Assessment, the Community Themes and Strengths Assessment, and the Local Community Health System &amp; Forces of Change Assessment. All engaged the community to help identify health needs in the region. Representatives gathered data from epidemiological sources, hospitals and coordinated care organizations. The collection and analysis of hospital and CCO data was an additional modification to the 2013 CHNA. Meanwhile, a Community Engagement Workgroup led the Community Themes and Strengths Assessment, which included an online survey, listening sessions in all four counties, and an inventory of community engagement projects conducted within the last three years.</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 5: The Community Health Needs Assessment was conducted as a rigorous process with other health care organizations in the four-county Portland metropolitan areas as part of the Healthy Columbia Willamette Collaborative. Community citizens were engaged through focus group participation, stakeholder interviews and advice from content experts.For the 2016 CHNA Assessment Model, Healthy Columbia Willamette Collaborative used a modifed version of the Mobilizing for Action through Planning and Partnerships (MAPP) model to conduct the 2016 CHNA. The MAPP model is an interactive process combining health data and community input to identify and prioritize community health needs. An equity lens was applied to the previous 2013 assessment model, which led to a number of changes, including the creation of a Community Engagement Workgroup to oversee community outreach and data collection, an explicit effort to seek information from community members on social determinants of health, and a Prioritized Health Issues Group to bridge quantitative and qualitative data without losing community voice.Input from over 1,000 community stakeholders has helped establish the community health needs and the subsequent decision making process. Three phases of the assessment model used the Health Status Assessment, the Community Themes and Strengths Assessment, and the Local Community Health System &amp; Forces of Change Assessment. All engaged the community to help identify health needs in the region. Representatives gathered data from epidemiological sources, hospitals and coordinated care organizations. The collection and analysis of hospital and CCO data was an additional modification to the 2013 CHNA. Meanwhile, a Community Engagement Workgroup led the Community Themes and Strengths Assessment, which included an online survey, listening sessions in all four counties, and an inventory of community engagement projects conducted within the last three years.</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 6a: Adventist Medical Center, Kaiser Permanent Sunnyside Hospital, Kaiser Permanente Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek (Vancouver), Oregon Health &amp; Science University, PeaceHealth Southwest Medical Center (Vancouver), Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Healthcare.</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 6a: Adventist Medical Center, Kaiser Permanent Sunnyside Hospital, Kaiser Permanente Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek (Vancouver), Oregon Health &amp; Science University, PeaceHealth Southwest Medical Center (Vancouver), Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Healthcare.</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 6b: Clackamas County Public Health Division, Multnomah County Health Department, Washington County Public Health Division, Clark County Public Health, FamilyCare Health, Health Share of Oregon</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 6b: Clackamas County Public Health Division, Multnomah County Health Department, Washington County Public Health Division, Clark County Public Health, FamilyCare Health, Health Share of Oregon</ExplanationTxt>
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            <AddressLine1Txt>364 SE 8th Avenue Suite 200</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - Hillsboro Endocrine Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>364 SE 8th Avenue Suite 201</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - Tuality Obstetrics &amp; Gynecology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>364 SE 8th Avenue Suite 205</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - Cardiac Rehab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>364 SE 8th Avenue Suite 210</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - Hillsboro Internal Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>364 SE 8th Avenue Suite 301</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - Hillsboro Surgical Associates</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>364 SE 8th Avenue Suite 301-A</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - Tuality Pulmonary</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>364 SE 8th Avenue Ste 301-A</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - Tuality 7th Avenue Medical Plaza</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>333 SE 7th Avenue</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>MOB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - Tuality 7th Avenue Lab Services</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>333 SE 7th Avenue Suite 3500</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Lab</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - Westside Urology Associates</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>333 SE 7th Avenue Suite 4500</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - Tuality Healthplace</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 NE 48th Avenue Suite 700</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97124</ZIPCd>
          </USAddress>
          <FacilityTxt>OP Therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - THP Orthopedic Sports Spine &amp; Rehab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 NE 48th Avenue Suite 1100</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97124</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - THP Neurosurgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 NE 48th Avenue Suite 1100</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97124</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - TualityOHSU Cancer Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>299 SE 9th Avenue</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>OP Radiation Therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - Sunset Medical Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10395 NW Glencoe Road Suite 500</AddressLine1Txt>
            <CityNm>North Plains</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97133</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Offices</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - Tuality Urgent Care at Reedville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7545 SE Tualatin Valley Hwy</AddressLine1Txt>
            <CityNm>Hillsboro</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - Physical Therapy &amp; Sports Rehab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2333 Pacific Avenue</AddressLine1Txt>
            <CityNm>Forest Grove</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97116</ZIPCd>
          </USAddress>
          <FacilityTxt>OP Therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - Tuality Forest Grove Medical Plaza</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3201 19th Ave</AddressLine1Txt>
            <CityNm>Forest Grove</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97116</ZIPCd>
          </USAddress>
          <FacilityTxt>MOB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>23 - Tuality Home Health</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3201 19th Ave Ste E F</AddressLine1Txt>
            <CityNm>Forest Grove</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97116</ZIPCd>
          </USAddress>
          <FacilityTxt>Home Health Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7, Column (f):</FormAndLineReferenceDesc>
        <ExplanationTxt>The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 10,789,525.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>Tuality Healthcare plays host to many educational and community events at the Tuality Health and Education Center. Hillsboro Rotary Club, Washington County Community Action and other civic groups hold regular events at the center. Tuality Healthcare's Community Education department also hosts dozens of events that range from classes on diabetes, yoga and healthy eating to car seat safety and CPR training. Tuality providers also give presentations on the latest developments in medicine. We expect those offerings to grown as a result of our affiliation with Oregon Health &amp; Science University. In addition, Tuality's Community Relations department offers free healthcare screenings (blood pressure, glucose, cholesterol) at community events. In 2017, the department conducted over 1,500 free screenings.Tuality Healthcare was a founding partner in the Hillsboro Health and Education District, a college-like campus located near downtown Hillsboro. Other partners include Pacific University, Virginia Garcia Medical Center, TriMet, city of Hillsboro and Washington County. In addition, Tuality is actively involved as a sponsor of numerous community events and activities across Washington County. They include the Oregon International Airshow, Washington County Fair, Celebrate Hillsboro, Latino Cultural Festival and many more. Tuality receives feedback from patients in a variety of ways. Most prominent are inpatient surveys managed by National Research Corp. and outpatient surveys managed by the Community Relations department. Both seek input from patients on care, facilities and customer service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts receivable are stated at unpaid balances (net of contractual allowances) and are reduced by an allowance for amounts that could become uncollectible in the future. Substantially all of the Company's receivables are related to providing healthcare services to its hospitals' patients. The Company estimates the allowance for doubtful accounts by reserving a percentage of all self-pay accounts receivable without regard to aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. For all other non-self-pay payer categories, the Company reserves 100% of all accounts aging over 365 days from the date of discharge. The percentage used to reserve for all self-pay accounts is based on the Company's collection history. The Company collects substantially all of its third-party insured receivables, which include receivables from governmental agencies. Collections are impacted by the economic ability of patients to pay and the effectiveness of the Company's collection efforts. Significant changes in payer mix, business office operations, economic conditions or trends in federal and state governmental healthcare coverage could affect the Company's collection of accounts receivable and the estimates of the collectability of future accounts receivable. The process of estimating the allowance for doubtful accounts requires the Company to estimate the collectability of self-pay accounts receivable, which is primarily based on its collection history, adjusted for expected recoveries and, if available, anticipated changes in collection trends. The Company also continually reviews its overall reserve adequacy by analyzing current period net revenue and admissions by payer classification, aged accounts receivable by payer, and days revenue outstanding.The allowance for uncollectible accounts is decreased by charge-offs (net of recoveries). Accounts receivable are written off after collection efforts have been followed in accordance with the Company's policies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to referencing and accessing our internal Tuality Financial Assistance program (before, during, and after services are rendered), we also recognize other Portland providers' (hospitals, physician, ambulance, DME, etc) financial assistance determination (with written proof).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Tuality Healthcare's leadership interacts with the citizens of western Washington County in a variety of ways. Tuality is actively involved as a sponsor in a long list of community events, from the Washington County Airshow, the premier airshow in the Pacific Northwest, to the North Plains Garlic Festival. In addition, we engage our residents through our many partnerships with a host of worthwhile organizations like Pacific University, Virginia Garcia Memorial Health Center, Essential Health Clinic, Hospice of Washington County and many others. Tuality strives to get feedback from our customers through surveys and questionnaires that tell us how well we are doing with current services, as well as what new and improved services may be needed by the community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Requests for financial assistance may be made at any point before, during, or after the provision of care. Information related to eligibility for financial assistance is located in the lobbies of the hospital and available on the Tuality.org website. Financial assistance requests may be proposed by sources other than the patient, such as the patient's physician, family members, community or religious groups, social services, or hospital personnel. Anyone wishing to make application for financial assistance with Tuality Healthcare will be given a Financial Assistance Application, which includes instructions on how to apply. All private pay admits are screened for Medicaid/Social Security disability coverage and a hold is placed on the account while we assist the patient and /or their family in applying for government benefits.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Tuality Healthcare serves a large geographic area of western Washington County that stretches from the suburban Portland cities of Aloha and Beaverton to the Coast Range. The market includes the cities of Hillsboro and Forest Grove, sites of Tuality's two hospitals, plus smaller towns such as Cornelius, Gaston, North Plains and Banks. This region is roughly 250,000 people and is one of the fastest growing areas in Oregon. In addition, Tuality is one of the region's largest employers with a staff of over 1,600. Tuality provides financial, material and medical assistance to many community partners in the region. Tuality Healthcare is designated a "Disproportionate Share Hospital" by the Centers for Medicare and Medicaid Services, due to the larger than normal percentage of care we provide to the low income and indigent population in our area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>When it comes to community, everyone has a part to play. For us, it's an honor and a duty to help those near us receive the best medical care possible. That's why, since our beginnings in 1918, we've worked hard to provide quality, convenient care for people in western Washington County. Today, we're the only local, independent, community-governed healthcare system in the area, offering inpatient and outpatient treatment, specialty services, health education, and more.Of course, our goal isn't only to treat you when you're sick, but also to help you stay well. For that reason, you'll often find us at local events and other public places, offering free or low-cost health screenings and educational courses. For those who need it, we even provide transportation to and from medical appointments.Many of these services are offered at Tuality Health Education Center and other locations. We really are your neighbors! Many of our 1,600 employees live just a short distance from work.Our larger facilities include Tuality Community Hospital in Hillsboro and Tuality Forest Grove Hospital. In addition, we have numerous other medical centers and outpatient facilities. By keeping up with the latest advances in medical science, we've earned a sterling reputation for the quality of our heart, cancer, stroke, and diagnostic imaging services.In this way, we are able to offer the best possible medical care to the Tualatin Valley cities and communities in western Washington County, such as Aloha, Beaverton, Hillsboro, Forest Grove, Cornelius, and the smaller communities of the Coastal Range foothills.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7, Reports Filed With States</FormAndLineReferenceDesc>
        <ExplanationTxt>OR</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hillsboro Chamber of Commerce</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5193 NE Elam Young Pkwy Ste A</AddressLine1Txt>
          <CityNm>Hillsboro</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97124</ZIPCd>
        </USAddress>
        <RecipientEIN>930188235</RecipientEIN>
        <IRCSectionDesc>501 C (6)</IRCSectionDesc>
        <CashGrantAmt>10258</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Community Action Organization</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 SW Baseline</AddressLine1Txt>
          <CityNm>Hillsboro</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97124</ZIPCd>
        </USAddress>
        <RecipientEIN>930554941</RecipientEIN>
        <IRCSectionDesc>501 C (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hillsboro Tuesday Marketplace</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>238 SE 2nd Avenue</AddressLine1Txt>
          <CityNm>Hillsboro</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97123</ZIPCd>
        </USAddress>
        <RecipientEIN>931249105</RecipientEIN>
        <IRCSectionDesc>501 C (4)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Project Access Now</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 10953</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97296</ZIPCd>
        </USAddress>
        <RecipientEIN>208928388</RecipientEIN>
        <IRCSectionDesc>501 C (3)</IRCSectionDesc>
        <CashGrantAmt>38682</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Southwest Community Health Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7754 SW Capital Hwy</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97219</ZIPCd>
        </USAddress>
        <RecipientEIN>743050497</RecipientEIN>
        <IRCSectionDesc>501 C (3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OR Healthcare Quality Corp</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>520 SW 6th Ave 830</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97204</ZIPCd>
        </USAddress>
        <RecipientEIN>931293103</RecipientEIN>
        <IRCSectionDesc>501 C (3)</IRCSectionDesc>
        <CashGrantAmt>28920</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hillsboro Parks &amp; Recreation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>150 E Main St</AddressLine1Txt>
          <CityNm>Hillsboro</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97123</ZIPCd>
        </USAddress>
        <RecipientEIN>936002183</RecipientEIN>
        <IRCSectionDesc>501 C (3)</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Oregon International Airshow</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 37</AddressLine1Txt>
          <CityNm>Hillsboro</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97123</ZIPCd>
        </USAddress>
        <RecipientEIN>300143892</RecipientEIN>
        <IRCSectionDesc>501 C (3)</IRCSectionDesc>
        <CashGrantAmt>7800</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Faith Community Nursing</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2801 N Gantenbein Ave Suite 2027</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97227</ZIPCd>
        </USAddress>
        <RecipientEIN>943180955</RecipientEIN>
        <IRCSectionDesc>501 C (3)</IRCSectionDesc>
        <CashGrantAmt>7180</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Centro Cultural of Washington County</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 708</AddressLine1Txt>
          <CityNm>Cornelius</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97113</ZIPCd>
        </USAddress>
        <RecipientEIN>930606729</RecipientEIN>
        <IRCSectionDesc>501 C (3)</IRCSectionDesc>
        <CashGrantAmt>5600</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Vision Action Network</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3700 SW Murray Blvd Suite 190</AddressLine1Txt>
          <CityNm>Beaverton</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97005</ZIPCd>
        </USAddress>
        <RecipientEIN>931317190</RecipientEIN>
        <IRCSectionDesc>501 C (3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS COMMUNITY AND HEALTH ENRICHMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Internal records document the award of grants or assistance and the intended use.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
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    </IRS990ScheduleJ>
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        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
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      </TaxExemptBondsPrivateBusUseGrp>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Gregory Rosenblatt</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Highly Compensated Employee Family Member of Director</RelationshipDescriptionTxt>
        <TransactionAmt>488386</TransactionAmt>
        <TransactionDesc>Compensation for Physician Services.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Gregory Rosenblatt and Charles Rosenblatt have a family relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the 990 is reviewed by Tuality Healthcare's Director of Finance. It is then presented to the Tuality Healthcare Board of Directors for review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by making it part of the employee's annual review. Board members are also required to review the policy annually. All afore said parties are required to certify that they have read the conflict of interest policy, have disclosed any potential conflicts of interest, and agree to immediately notify the Compliance Officer if a conflict should arise. Corrective actions are to be taken immediately to address any conflicts of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive group's compensation is periodically reviewed every 3-5 yrs by an independent party, at the direction of the board of directors. The Tuality Healthcare HR department annually reviews compensation for all others.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's tax returns are made available for public inspection on the following website: Guidestar.org. Governing documents are made available upon written request to the Chief Financial Officer of Tuality Healthcare.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NET ASSETS UNDER 136 481,270. DIRECT WRITE OFF METHOD IN EXCESS OF GAAP METHOD OF BAD DEBT EXPENSE -1,015,808. ROUNDING 1. EQUITY INCOME NET OF DISTRIBUTIONS OF JT VENTURES 2,608,226. CHANGE IN MINIMUM PENSION LIABILITY UNDER FAS 158 3,091,805.</ExplanationTxt>
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      <AssetExchangeInd>0</AssetExchangeInd>
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        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
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