LEGACY EMANUEL HOSPITAL & HEALTH CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LEGACY EMANUEL HOSPITAL & HEALTH CENTER (EIN 93-0386823)
Tax period
2015-04-01 to 2016-03-31
Filed
2017-02-15
IRS object ID
201740469349303049
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-02-15T13:59:56-08:00ReturnTs
Tax Period End2016-03-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930386823EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY EMANUEL HOSPITAL & HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLEGABusinessNameControlTxt
Phone5034155600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12801 N GANTENBEIN AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97227ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDA S HOFFPersonNm
Person TitleCFO & TreasurerPersonTitleTxt
Signature2017-02-15SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGEORGE J BROWN MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O 1919 NW LOVEJOY STREETAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97209ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$788,802,676GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LEGACYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1912FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionLegacy Emanuel Hospital & Health Center(LEHHC), established in 1912, provides acute and tertiary care in northeast Portland, with 554 licensed beds. LEHHC operates Randall Children's hospital, Level I Trauma Center, the Oregon Burn Center and high-risk obstetric services including a Level III NICU. LEHHC provides a comprehensive range of inpatient, clinical and diagnostic services in numerous medical specialties and subspecialties. LEHHC 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 anActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers611TotalVolunteersCnt
Total Gross UBI$27,815,931TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,276,259NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,996,782PYContributionsGrantsAmt
CY Contributions Grants$10,764,379CYContributionsGrantsAmt
PY Program Service Revenue$719,051,843PYProgramServiceRevenueAmt
CY Program Service Revenue$772,889,261CYProgramServiceRevenueAmt
PY Investment Income$10,776,418PYInvestmentIncomeAmt
CY Investment Income$4,267,811CYInvestmentIncomeAmt
PY Other Revenue$100,223PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$740,925,266PYTotalRevenueAmt
CY Total Revenue$787,921,451CYTotalRevenueAmt
PY Grants And Similar Paid$110,556PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$133,616CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$403,340,218PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$460,377,779CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$306,918,247PYOtherExpensesAmt
CY Other Expenses$342,492,302CYOtherExpensesAmt
PY Total Expenses$710,369,021PYTotalExpensesAmt
CY Total Expenses$803,003,697CYTotalExpensesAmt
PY Revenues Less Expenses$30,556,245PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$15,082,246CYRevenuesLessExpensesAmt
Total Assets BOY$543,726,735TotalAssetsBOYAmt
Total Assets EOY$497,130,419TotalAssetsEOYAmt
Total Liabilities BOY$377,258,405TotalLiabilitiesBOYAmt
Total Liabilities EOY$364,252,497TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$166,468,330NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$132,877,922NetAssetsOrFundBalancesEOYAmt
MissionLegacy Emanuel Hospital & Health Center(LEHHC), established in 1912, provides acute and tertiary care in northeast Portland, with 554 licensed beds. LEHHC operates Randall Children's hospital, Level I Trauma Center, the Oregon Burn Center and high-risk obstetric services including a Level III NICU. LEHHC provides a comprehensive range of inpatient, clinical and diagnostic services in numerous medical specialties and subspecialties. LEHHC 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 anMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$521,433,707ExpenseAmt
Grant$133,616GrantAmt
Revenue$655,166,245RevenueAmt
DescLEHHC provides a comprehensive range of inpatient, clinical and diagnostic services in numerous medical specialties and subspecialties. LEHHC provides training for interns and residents through its nationally accredited graduate medical education program. LEHHC operates primary care teaching clinics at LEHHC and in St. Helens, located approximately 30 miles from the main LEHHC campus. In addition to its core hospital services, LEHHC provides related health services through the following programs:The Randall Children's Hospital; Legacy Research; Legacy Laboratory Services, LLC(Lab); Legacy Metro LabThe Randall Children's Hospital at Legacy Emanuel is a full-service children's hospital within LEHHC committed to providing care in an environment sensitive to the special needs of children and their families, including premature and critically ill newborns. The Randall Children's Hospital treats children from throughout Oregon, southwest Washington, Alaska and Idaho.Legacy Research is a full-service research facility that supports a wide range of research activity. Legacy Research collaborates with pharmaceutical, biotechnology and medical device companies. Legacy Research is located in northeast Portland (Holladay Park campus).LEHHC is one of four members of an emergency air transport service joint venture, Life Flight Network LLC, which serves Oregon and southwest Washington.In support of its mission, LEHHC 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 2016, LEHHC provided financial assistance on approximately 12,320 patient accounts (of which 31% received discounts totaling 100% of costs) and resulted in LEHHC incurring roughly $14,515,000 in uncompensated costs associated with this program. In addition to charity care, LEHHC 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 2016, LEHHC incurred approximately $102,299,300, $46,793,000 and $1,141,700 in uncompensated costs attributable to Medicaid, Medicare, and other government programs, respectively. LEHHC 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 $15,241,700 during fiscal year 2016.LEHHC is part of Legacy, which collectively provided over $29 million, $167 million, $102 million, and $2 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2016.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$112,704,432ExpenseAmt
Revenue$74,564,297RevenueAmt
DescLEHHC is the sole member of Legacy Clinics, LLC, an Oregon limited liability company, which operates over forty primary care and specialty clinic sites throughout the Portland Metropolitan area. In addition, Legacy Clinics operates the hospitalist and intensivist programs at the four Legacy Health Oregon hospitals.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$33,001,923ExpenseAmt
Revenue$43,158,719RevenueAmt
DescLEHHC is the sole member of Legacy Laboratory Service, LLC (Lab), an Oregon limited liability company which is located at the Holladay Park campus and operates and manages multiple locations throughout the greater Portland area, the Willamette Valley and the central Oregon coast. The Lab also provides outpatient laboratory services to over 2,500 physicians located in Oregon and southwest Washington. Test and service offerings support the medical community and programs offered by the System through specialized services, such as its cytogenetics, medical genetics and cellular and molecular diagnostics laboratories, as well as clinical laboratory support. Prior to April 1, 2009, Legacy Laboratory Services operated as a division of LEHHC.Legacy MetroLab (a dba of LEHHC) is a nationally certified toxicology laboratory supporting business and industry clients throughout the United States.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$667,140,062TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLINDA S HOFFPersonNm
Phone5034155600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11919 NW LOVEJOY STREETAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97209ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BISHOP DAVID BRAUER-RIEKE
BOARD DIRECTOR3.000.00Yes (X)$0$0$0
JEFFREY BARBER
BOARD DIRECTOR3.000.00Yes (X)$0$13,132$0
JONATHAN HILL MD
BOARD DIRECTOR40.003.00Yes (X)$380,204$11,500$22,059
JAMES WALKER
BOARD DIRECTOR3.000.00Yes (X)$0$14,917$0
ROBERT L CORNIE
BOARD DIRECTOR4.000.00Yes (X)$0$18,731$0
JEFFREY D FULLMAN MD
Chairman3.000.00Yes (X)$0$40,283$0Yes (X)
JEFFREY S GORDON
Chairman5.000.00Yes (X)$0$31,750$0Yes (X)
RONALD S KING
VICE CHAIR4.000.00Yes (X)$0$33,000$0Yes (X)
PATRICK REITEN
BOARD DIRECTOR3.000.00Yes (X)$0$13,500$0
CORLISS A MCKEEVER
BOARD DIRECTOR3.000.00Yes (X)$0$11,000$0
RT REV MICHAEL J HANLEY
BOARD DIRECTOR3.000.00Yes (X)$0$0$0
STEPHEN NEWBERRY MD
BOARD DIRECTOR3.001.00Yes (X)$0$12,000$0
JOHN W WINTER JR
BOARD DIRECTOR4.000.00Yes (X)$0$24,500$0
SHERYL MANNING
BOARD DIRECTOR4.000.00Yes (X)$0$19,750$0
ROBERT E DEWITT
Secretary0.0040.00Yes (X)$0$443,595$40,788Yes (X)
LESLIE ROOT MD
BOARD DIRECTOR1.004.00Yes (X)$0$16,837$0
GEORGE J BROWN MD
President & CEO0.0040.00Yes (X)$0$1,810,933$467,935Yes (X)
DAVID RAMUS
BOARD DIRECTOR3.000.00Yes (X)$0$9,250$0
CHARLES WILHOITE
BOARD DIRECTOR3.000.00Yes (X)$0$0$0
DIANE PINNEY
BOARD DIRECTOR4.000.00Yes (X)$0$11,000$0
LINDA S HOFF
CFO & TREASURER0.0040.00Yes (X)$0$659,680$179,147Yes (X)
MOLLY F BURCHELL MD
VP40.000.00$421,470$0$59,938Yes (X)
CAROL A BRADLEY
SR VP0.0040.00$0$446,480$67,426Yes (X)
TRENT S GREEN
SR VP0.0040.00$0$505,430$154,095Yes (X)
LEWIS L LOW MD
SR VP0.0040.00$0$607,597$85,666Yes (X)
MELINDA J MULLER MD
VP40.000.00$401,546$0$68,375Yes (X)
DUNCAN R NEILSON MD
VP40.000.00$486,411$0$55,857Yes (X)
DONALD A TOUSSAINT
VP40.000.00$273,628$0$47,379Yes (X)
SONJA O STEVES
SR VP0.0040.00$0$408,685$89,604Yes (X)
LORI J MORGAN MD
PRESIDENT/CAO40.000.00$534,839$0$76,930Yes (X)
P ASHLEY WACKYM MD
VP LEGACY RESEARCH40.000.00$473,026$0$62,263Yes (X)
EVERETT W NEWCOMB III MD
SR VP0.0040.00$0$838,091$216,944Yes (X)
MAUREEN A BRADLEY
SR VP0.0040.00$0$341,606$50,018Yes (X)
JOHN J KENAGY
SR VP0.0040.00$0$474,101$140,331Yes (X)
MADLYN A MURREY
PRESIDENT/CAO40.000.00$292,456$0$28,364Yes (X)
BRIAN P YOUNG MD
VP40.000.00$424,258$0$53,836Yes (X)
BRONWYN J HOUSTON
PRESIDENT/CAO40.000.00$178,746$0$42,607Yes (X)
KEYVAN ABTIN MD
NEUROSURGEON40.000.00$776,025$0$44,854Yes (X)
RAMNIK S JHOOTY MD
CARDIOLOGIST40.000.00$699,335$0$39,120Yes (X)
MONICA C WEHBY MD
PED NEUROSURGEON40.000.00$748,679$0$39,094Yes (X)
JOHN P IGUIDBASHIAN MD
CARDIO SURGEON40.000.00$959,335$0$65,688Yes (X)
SANDRA M WANEK MD
ECMO SURGEON40.000.00$953,157$0$22,124Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,003,115TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,817,348TotReportableCompRltdOrgAmt
Total Other Compensation$2,220,442TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K847IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BAUGH SKANSKA INC
222 SW COLUMBIA ST 300PORTLANDOR97201CONSTRUCTION$19,651,315
TRAUMA SPECIALISTS LLP
1620 SW TAYLORPORTLANDOR97205MEDICAL SERVICES$10,166,225
BLOODWORKS NORTHWEST
921 TERRY AVESEATTLEWA98104MEDICAL SERVICES$3,563,906
ASSOCIATED REGIONAL & UNIVERISTY PATHOLOGISTS
500 CHIPETA WAYSALT LAKE CITYUT84108MEDICAL SERVICES$2,952,598
NBBJ LP
PO BOX 742088LOS ANGELESCA90074ARCHITECTURE$4,439,836
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K55CntrctRcvdGreaterThan100KCnt
Related Organizations$4,070,244RelatedOrganizationsAmt
Government Grants$6,446,841GovernmentGrantsAmt
All Other Contributions$247,294AllOtherContributionsAmt
Total Contributions$10,764,379TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CONVENIENCE OF MEMBERS$3,614,289$3,614,289
LAB, PHARMACY, ETC$87,265,951$29,630,645$57,635,306
PATIENT PROGRAM REV$1,438,963,155$1,438,963,155
PHYSICIANS$48,811,224$48,811,224
REVENUE CLINICS$143,552,688$143,552,688

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$949,318,046TotalRevenueColumnAmt
Related Or Exempt Func Income-$919,498,671RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$29,819,375UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$772,889,261TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,003,686TotalRevenueColumnAmt
Exclusion$4,003,686ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,145,350OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$881,225OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$264,125OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$264,125TotalRevenueColumnAmt
Exclusion$264,125ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$787,921,451TotalRevenueColumnAmt
Related Or Exempt Func Income$741,459,041RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$27,815,931UnrelatedBusinessRevenueAmt
Exclusion$7,882,100ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$17,586TotalAmt
Program Services$17,586ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$116,030TotalAmt
Program Services$116,030ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,384,193TotalAmt
Program Services$3,987,300ProgramServicesAmt
Management And General$396,893ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$367,944,853TotalAmt
Program Services$340,154,452ProgramServicesAmt
Management And General$27,790,401ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,462,232TotalAmt
Program Services$18,918,567ProgramServicesAmt
Management And General$1,543,665ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$41,242,414TotalAmt
Program Services$37,355,081ProgramServicesAmt
Management And General$3,887,333ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,344,087TotalAmt
Program Services$24,420,944ProgramServicesAmt
Management And General$1,923,143ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$268,335TotalAmt
Program Services$223,270ProgramServicesAmt
Management And General$45,065ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,653,848TotalAmt
Program Services$23,653,848ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$118,348,269TotalAmt
Program Services$114,074,538ProgramServicesAmt
Management And General$4,273,731ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,622,622TotalAmt
Program Services$6,626,617ProgramServicesAmt
Management And General$996,005ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$987,638TotalAmt
Program Services$879,705ProgramServicesAmt
Management And General$107,933ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,400,857TotalAmt
Program Services$6,022,531ProgramServicesAmt
Management And General$1,378,326ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$32,207,387TotalAmt
Program Services$26,721,591ProgramServicesAmt
Management And General$5,485,796ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,938,941TotalAmt
Program Services$5,192,793ProgramServicesAmt
Management And General$746,148ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ADMINISTRATIVE SERVICES FEES$101,876,586$15,461,738$86,414,848
PROVIDER TAX$34,909,186$34,909,186
BAD DEBTS$8,299,078$8,299,078
CONSULTING$979,555$105,207$874,348

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$803,003,697TotalAmt
Program Services$667,140,062ProgramServicesAmt
Management And General$135,863,635ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$1,881,875BOYAmt
EOY$285,913EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$109,625,313BOYAmt
EOY$120,805,210EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,106,320BOYAmt
EOY$882,893EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,834,538BOYAmt
EOY$8,585,063EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$471,865BOYAmt
EOY$162,703EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$605,971,956LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$289,638,734LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$315,416,952BOYAmt
EOY$316,333,222EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$96,369,846BOYAmt
EOY$32,973,573EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,783,776BOYAmt
EOY$17,101,842EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$543,726,735BOYAmt
EOY$497,130,419EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$51,402,146BOYAmt
EOY$63,874,457EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$325,856,259BOYAmt
EOY$300,378,040EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$377,258,405BOYAmt
EOY$364,252,497EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$165,355,889BOYAmt
EOY$131,567,616EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,112,441BOYAmt
EOY$1,310,306EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$166,468,330BOYAmt
EOY$132,877,922EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$543,726,735BOYAmt
EOY$497,130,419EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$15,082,246ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$18,508,162OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$14,143FilingOrganizationsTotalAmt
Affiliated Group Total$349,884AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$14,143FilingOrganizationsTotalAmt
Affiliated Group Total$349,884AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$674,277,113FilingOrganizationsTotalAmt
Affiliated Group Total$956,235,965AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$674,291,256FilingOrganizationsTotalAmt
Affiliated Group Total$956,585,849AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Form4720 FiledfalseForm4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$2,000,000CurrentYearMinus3Amt
Current Year Minus2$2,000,000CurrentYearMinus2Amt
Current Year Minus1$2,000,000CurrentYearMinus1Amt
Current Year$2,000,000CurrentYearAmt
Total$8,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$12,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$290,854CurrentYearMinus3Amt
Current Year Minus2$355,538CurrentYearMinus2Amt
Current Year Minus1$317,778CurrentYearMinus1Amt
Current Year$364,027CurrentYearAmt
Total$1,328,197TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$500,000CurrentYearMinus3Amt
Current Year Minus2$500,000CurrentYearMinus2Amt
Current Year Minus1$500,000CurrentYearMinus1Amt
Current Year$500,000CurrentYearAmt
Total$2,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$3,000,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,029,966BeginningYearBalanceAmt
Contributions$7,174,135ContributionsAmt
Investment Earnings Or Losses-$97,570InvestmentEarningsOrLossesAmt
Other Expenditures$2,843,964OtherExpendituresAmt
End Year Balance$12,262,567EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,469,350BeginningYearBalanceAmt
Contributions$1,945,101ContributionsAmt
Investment Earnings Or Losses$142,846InvestmentEarningsOrLossesAmt
Other Expenditures$1,527,331OtherExpendituresAmt
End Year Balance$8,029,966EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,275,395BeginningYearBalanceAmt
Contributions$2,260,926ContributionsAmt
Investment Earnings Or Losses$302,623InvestmentEarningsOrLossesAmt
Other Expenditures$5,369,594OtherExpendituresAmt
End Year Balance$7,469,350EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,328,808BeginningYearBalanceAmt
Contributions$2,885,506ContributionsAmt
Investment Earnings Or Losses$169,983InvestmentEarningsOrLossesAmt
Other Expenditures$6,108,902OtherExpendituresAmt
End Year Balance$10,275,395EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,279,381BeginningYearBalanceAmt
Contributions$11,627,099ContributionsAmt
Investment Earnings Or Losses$22,758InvestmentEarningsOrLossesAmt
Other Expenditures$5,600,430OtherExpendituresAmt
End Year Balance$13,328,808EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.82000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.18000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,822,665OtherCostOrOtherBasisAmt
Book Value$2,822,665BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$376,291,866OtherCostOrOtherBasisAmt
Depreciation$140,648,730DepreciationAmt
Book Value$235,643,136BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,246,394OtherCostOrOtherBasisAmt
Depreciation$2,101,841DepreciationAmt
Book Value$4,144,553BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$212,048,658OtherCostOrOtherBasisAmt
Depreciation$146,888,163DepreciationAmt
Book Value$65,160,495BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,562,373OtherCostOrOtherBasisAmt
Book Value$8,562,373BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$316,333,222TotalBookValueLandBuildingsAmt
Total Book Value Securities$32,973,573TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
I/C AFFILIATE DEBT$235,703,789
NONCURRENT ENVIRONMENTAL OBLIGATION$1,457,826
NONCURRENT PENSION LIABILITY$62,147,031
NONCURRENT WORKERS' COMP LIABILITY$1,069,392
Rounding$2
FieldValueIRS element (for citing)
Total Liability$300,378,040TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$769,379,000TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$769,379,000RevenueSubtotalAmt
Other Revenues Not Included$18,542,451OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$18,542,451RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$787,921,451TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$784,932,000TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$784,932,000ExpensesSubtotalAmt
Other Expenses Not Included$18,071,697OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$18,071,697ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$803,003,697TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. Emanuel Medical Center Foundation (EMCF) and Randall Children's Hospital Foundation (RCHF) maintain all charitable gifts including endowment funds for the benefit of LEHHC 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/SREVENUE FROM RESEARCH $11218911 OTHER RECLASS OF REV/EXP FOR TAX PURPOSE $6737017 AUXILIARY INCOME $22467 MEDICAL STAFF INCOME $484300 IN KIND DONATION $0 CAPITAL DONATION IN TOWER PROJECT $0 EMANUEL FOUNDATION DONATION $79756 CHILDREN'S FOUNDATION DONATION $0
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SEXPENSE FROM RESEARCH $11021047 OTHER RECLASS OF REV/EXP FOR TAX PURPOSE $6708092 AUXILIARY EXPENSE $-21437 MEDICAL STAFF EXPENSE $473126 ELIMINATE EQUIPMENT DONATIONS $-109131 ROUNDING $0

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,514,936TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,514,936NetCommunityBenefitExpnsAmt
Total Expense0.01810TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$276,849,986TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$174,550,686DirectOffsettingRevenueAmt
Net Community Benefit Expns$102,299,300NetCommunityBenefitExpnsAmt
Total Expense0.12740TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,027,611TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,885,926DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,141,685NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$299,392,533TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$181,436,612DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,955,921NetCommunityBenefitExpnsAmt
Total Expense0.14690TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,076,159TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$412,404DirectOffsettingRevenueAmt
Net Community Benefit Expns$663,755NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,074,597TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,183,269DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,891,328NetCommunityBenefitExpnsAmt
Total Expense0.00730TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,870,337TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,870,337NetCommunityBenefitExpnsAmt
Total Expense0.00980TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$816,243TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$816,243NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,837,336TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,595,673DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,241,663NetCommunityBenefitExpnsAmt
Total Expense0.01890TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$319,229,869TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$186,032,285DirectOffsettingRevenueAmt
Net Community Benefit Expns$133,197,584NetCommunityBenefitExpnsAmt
Total Expense0.16580TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$8,299,078BadDebtExpenseAmt
Bad Debt Expense Attributable$5,062,438BadDebtExpenseAttributableAmt
Reimbursed By Medicare$57,334,967ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$66,936,378CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,601,411MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY EMANUEL HOSP & HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12801 N GANTENBEIN AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97227ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.legacyhealth.orgWebsiteAddressTxt
State License14-0056StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LEGACY EMANUEL HOSP & HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.legacyhealth.orgOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.legacyhealth.orgStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.legacyhealth.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.legacyhealth.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.legacyhealth.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityIn 2014, Legacy Emanuel Medical Center participated with 14 other hospitals, four public health departments and two Coordinated Care Organizations in the four-county regional Healthy Columbia Willamette Collaborative Community Health Needs Assessment(HCWC CHNA) which was used as a base for the Legacy Emanuel Community Health Needs Assessment. The results of Legacy's community needs assessment can be found at www.legacyhealth.org.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). Our work included the following community partners: 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 AssessmentIn addition to Legacy Emanuel Medical Center, the other 14 hospitals in the metro area that participated in the Healthy Columbia Willamette Collaborative Community Health Needs Assessment were: Adventist Medical Center, Kaiser Permanente Sunnyside Medical Center, Kaiser Permanente Westside Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek 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 WhyLEHHC 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: Public Health: Limited financial and labor resources prevent addressing as need.NEED: Dental: Limited financial and labor resources prevent addressing as need.NEED: Natural Environment: Limited financial and labor resources prevent addressing as need.NEED: STDS and HIV/AIDS: Limited financial and labor resources prevent addressing as need.NEED: Transgender Care: Limited financial and labor resources prevent addressing as need.NEED: Autism: Limited financial and labor resources prevent addressing as need.
Part V, Line 22d - Other Billing Determination of Individuals Without InsuranceThe hospital facility used the Federal Poverty Guidelines to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Discounts are available for patients, on a sliding scale, whose household income is less than 400% of the federal poverty level. A full subsidy is available for patients whose income is at or below 200% of the federal poverty level.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Legacy Medical Clinics LLC
1919 NW Lovejoy StreetPortlandOR97209Physician Clinics
Legacy Laboratory Services
1225 NE 2nd AvePortlandOR97232Diagnostic Laboratory Services

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseLEHHC 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, LEHHC 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 BenefitThe 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. 61% of Households in the LEHHC service area would qualify for financial assistance with incomes under 400% of the Federal Poverty Guidelines using this methodology.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe 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 $137,332,000 and $184,125,000 respectively. This results in a total Medicare shortfall of $46,793,000.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 PatientsLegacy 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 - Needs AssessmentThe described CHNA provides the primary source for assessing needs. Senior leadership, in conjunction with the Board of Directors, Community Benefit and Commmunity Relations staff continually assesse 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. These are then aligned to the community health needs identified in the formal CHNA. The region served by LEHHC, along with most of Oregon, is experiencing significant challenges in population growth, economic development, education and health care. Recognizing that social and economic determinants impact health, LEHHC 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 - Patient Education of Eligibility for AssistanceLEHHC 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, LEHHC's financial assistance program, and public assistance programs, such as Medicaid. The criteria for financial assistance under LEHHC'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 services provided. Specifically, the LEHHC Financial Assistance Program provides an uninsured discount of 35% to patients who have resided within LEHHC'S primary service area for a period of six months, are uninsured for hospital care, and have a household income of less than $100,000 annually. Further discounts are available for patients, on a sliding scale, whose household income is less than 400% of the federal poverty level or roughly $97,000 for a family of four in the Portland, Oregon metropolitan area. For patients whose household income is at or below 200% of the federal poverty level, a full subsidy is available. In addition to the household income criteria, the patients' qualified assets (e.g. 25% of household assets), and other catastrophic or economic circumstances are considered in determining eligibility. In addition to financial counselors and social workers, LEHHC makes every effort to communicate its Financial Assistance Program to all patients. This includes signage in main admitting areas of the hospital and brochures explaining financial assistance in all patient care areas, as well as in appropriate languages. Financial counselors are available to assist patients in understanding and applying for available resources, including the LEHHC Financial Assistance Program. LEHHC's website also has information about the availability of financial assistance. LEHHC 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. Finally all of LEHHC's billing statements include information regarding the availability of financial assistance. If LEHHC 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 patients inability to understand medical instructions and to explain their symptoms/issues. Legacy'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. LEHHC provides copies of the latest policies in main admitting areas, as well as through newsletters and other publications. 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 2,800 providers and all health systems.
Part VI - Community InformationLEHHC is located across the Willamette River slightly north of downtown and is in one of the oldest urban neighborhoods in Portland. The primary service area extends from the Columbia River in the north to south of Highway 99E and from Walker Road and St. Helens in the west to NE/SE 161st in the east. The inner primary service area includes the close-in community neighborhoods of Boise, Eliot, Kenton, Piedmont, St. Johns, Irvington, Alameda, Lloyd District/ Sullivan's Gulch, Rose City and Laurelhurst. Zip codes for the five mile area include: 97005-97008, 97201-97222, 97225, 97227, 97229, 97230, 97232, 97233, 97236, 97239 and 97266. The most recently available demographic data is from 2016 to 2021. When available, data at the primary service area level is used, followed by the county (Multnomah) and then the state (Oregon). County data is used most frequently because there is a lack of available data at the zip code level, particularly related to race and ethnicity.The population of the primary service area for Legacy Emanuel was 940,000 approximately with a 5.4% growth projected by 2019. In 2015 the LEHHC primary service area was 71% non-Hispanic white, 11.2% Hispanic, 5.0% African American, 7.3% Asian and Pacific Islander, and 0.6% Native American. The foreign-born population represents 14.2% of total population in the area, an increase of nearly 20 percent since 2005.The African American/Black population continues to be most concentrated in the historical neighborhoods of North/Northeast Portland, but increased housing prices have resulted in the community moving increasingly to East Multnomah County. Multnomah County continues to have three to six times the percentage population of African Americans as the other three counties. Hispanics are moving into the service area at a higher rate than any other group. The Portland Native American community is the ninth largest urban Native American population in the US. With high child poverty and unemployment rates, the Native American community struggles across multiple indicators in contrast to the non-Hispanic white community. The immigrant and refugee population is increasing significantly. Recent immigrants and refugees are more likely to be culturally and linguistically isolated. A small but increasing African refugee population has settled primarily in North and NE Portland and is distinct from the African American/Black population. Available data suggests that the African population is generally poorer than other communities.Census numbers do not adequately represent the true and changing picture of the population. More than 100 languages are spoken in the Portland public schools. Schools near LEHHC are 40% - 70% children of color made up primarily of African-American and increasingly Hispanic students. Schools are experiencing a 50% English-as-a-Second-Language rate and a 50-80% reduced-cost or free lunch rates.Multnomah Countys median household income (MHI) average for the years 2008-2012 was $51,582 with 17.1 percent of the population living below poverty. However, there is a much greater disparity of MHI between communities of color earning half the incomes of non-Hispanic whites in Multnomah County. In Multnomah County, while non-Hispanic white MHI was at $55,346, African Americans had the lowest MHI at $27,347 followed by American Indian/Alaska Native at $29,695 and, Hispanic/Latinos at $36,572. In contrast, Asians MHI was $54,561. Families living below poverty level show non-Hispanic white at 7.9 percent relative to Asians at 12.6 percent, two or more races at 19.6 percent, Black/African American at 32.6 percent, Hispanic/Latino at 30.7 percent and American Indian/Alaska Native at 35.5 percent. The 2011 overall high school graduation rate in Multnomah County was 67.2 percent. Two of three school districts show the non-Hispanic white cohort to have a graduate rate more than fifty percent greater than Native Americans. Portland School District, the largest school district, shows a 15 percentage point difference between the non-Hispanic white student population and African American and Hispanics. 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. A higher score indicated a greater need. The locations of two of the top four self-pay zip codes for all Legacy hospitals are in close proximity of LEHHC in St. Johns (97203 and 97217), Boise Eliot (97227) and Cully (97218).The LEHHC five mile primary service area includes four other tertiary hospitals. LEHHC operates a Level I trauma center and Randall Children's Hospital at Legacy Emanuel Medical Center. OHSU located on the southwest side of town operates a Level 1 trauma center, a children's hospital and has the only medical school in Portland. Providence Health operates one hospital about five miles west of LEHHC and the other three miles southeast. Kaiser Permanente formerly operated a hospital about a mile north of LEHHC; but continues to maintain a strong clinic presence in the area.LEHHCs primary service area includes two Medically Underserved Areas (MUA): St. Johns community and SE Portland. With the long-standing income disparities in the LEHHC area, safety net services have expanded in the last decade. Multnomah County Health Department operates FQHCs in Northeast and Southeast Portland. Two blocks from Emanuel is the site of a NARA (Native American Rehabilitation Association) FQHC. Eight years ago a nonprofit volunteer based safety net clinic opened one mile from the hospital which is dedicated to providing primary care for uninsured and Medicaid low income residents, primarily African American, from the immediately surrounding zip codes. Legacy Emanuels internal medicine residency program operates a teaching clinic and a midwifery clinic serving the low income and often uninsured.A local non-profit, Project Access NOW, 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, free administrative office space for Project Access NOW as well as clinical services. The Affordable Care Act is significantly increasing the insured rate in Oregon. With a June 2013 Oregon uninsured rate of 14 percent, by June 2014 the rate had decreased to 5.1 percenta 63 percent decrease (from 550,000 to 202,000 people). Most of the newly enrolled are now in theOregon Health Plan which increased 360,000 people--59 percent.In FY 2016, LEHHC provided about $15 million in charity care which accounts for 9% of total unreimbursed costs of $165 million.Legacy Emanuels charity care policy includes patients with incomes up to 400 percent of Federal Poverty Level (FPL). With the advent of the Affordable Care Act, a significant number of people under 139% of the FPL now have Medicaid coverage. This will reduce the self-pay/charity care costs to hospitals; at the same time it is expected to increase the unreimbursed costs of Medicaid. According to the OHA report, all hospitals incurred about 630 million in unreimbursed costs for Medicaid services statewide. Hospitals showed growth in unreimbursed costs due to the expansion of Medicaid as a provision of the Affordable Care Act in 2014. This growth is offset by reductions in charity care costs.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeLEHHC collaborates with other health care providers, community-based organizations, business and the public on projects to improve the health of the community. Examples of clinically based partnerships include, among others: CARES NW (Child Abuse Response and Evaluation Services) is one example of clinically based partnership in collaboration with three health systems. LEHHC serves as the employer and donates the infrastructure for CARES NW. A newer collaborative, Unity Center for Behavioral Health, includes all major health care systems in the metro area and will provide pcychiatric emergency services when it opens in January 2017. Legacy Health has collaborated with more than a dozen community mental health partners in developing this new program.Over 20 years ago, LEHHC recognized that nonprofit organizations spend valuable dollars on office space and infrastructure dollars better spent on meeting their missions. Since then LEHHC has provided free office space and other infrastructure services to three nonprofit organizations on its campus totaling over $90,000 a year in-kind. One organization, the African-American Health Coalition, is dedicated to closing the health inequities gap. In addition to space, Legacy donated a $1.6 million building to the coalition. Other organizations include Oregon Lutheran Synod and Northwest Parish Nurse Ministries. The Ronald McDonald House is located on donated land on the hospital campus. 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 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.As a hospital located in a high density, inner city neighborhood, LEHHC's security department patrols the neighborhoods as a service to those communities. Emanuel employees, local businesses and neighborhood associations collaborated to revitalize a neighboring park which was previously used for drug and other illegal activities. Since that time police incidents have decreased 93 percent.LEHHC clinical staff is involved with local communities through many child safety programs. In 1986, nurses in Emanuel Hospitals Level I Trauma Center developed the Trauma Nurses Talk Tough (TNTT) program. Taught by trauma and emergency medical professionals, the program reaches 56,000 people each year. The American Hospital Association awarded the TNTT program its NOVA Award. In addition, Legacy staff members conduct free education to show parents how to properly install car seats. Last year, Legacy staff fit and sold more than 8,000 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 a Safety Store sells child protection devices for the home at nominal charge.As a tertiary center, LEHHC provides several unique services to a four state region (Alaska, Washington, Oregon and Idaho) such as its Level I trauma center, Randall Childrens Hospital, burn center, and high-risk obstetric services, including a Level III NICU. In addition, LEHHC provides training for interns and residents through its nationally accredited graduate medical education program and partners with schools to provide training and education for nursing and other health professionals.
Part VI - Affilated Health Care System Roles and PromotionLEHHC is a subsidiary of Legacy Health (Legacy). Legacy is an integrated health system based in Portland, Oregon and primarily operates five 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 LEHHC medical staff is open, with physicians submitting credentialing information reviewed according to LEHHC policies and standards. While there is investment in a variety of community-based activities and programs as a part of its non-profit status, an overwhelming majority of Legacy and LEHHC's community benefit comes in the form of providing uncompensated care. Legacy's policy of providing care regardless of the ability to pay makes it one of the region's largest providers of uncompensated care in the four-county metropolitan area.In 1998, the Legacy Health Board approved a $10 million Community Health Fund from operating revenue to address major community health issues. About $500,000 annually has been granted to community-based projects addressing racial and ethnic inequities and root causes. These dollars are in addition to Legacys other generous charitable contributions. The Community Health Fund has provided 48 grants since 1998 totaling over $8.1 million, including 18 focused in the LEHHC service area. A recent project was the three-year, $470,000 partnership among three local organizations to reduce childhood obesity among children of color, particularly African American. In 2010, Legacy Health established the Health Literacy initiative. The ability of patients to both understand and act upon the medical information 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.Recognizing that education, employment and income inequities exist for communities of diversity, and that health professions are lacking in diversity, Legacy established the Youth Employment in Summer program in 1999. Annually, 13-15 African American, Hispanic and Native American youth receive paid summer employment in departments where they work with health professionals and earn college scholarships between $3,000 and $6,000 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. In addition to the Community Health Fund, Legacy provided cash donations to local health and human service, education, economic development and civic organizations. A few examples include Children's Cancer Association, March of Dimes, NW Parish Nurse Ministries, and Self Enhancement Inc. Donations focus on organizations with year-round relationships through programs and board representationspecifically focused organizations addressing disparities. A few examples include Native American Youth and Family Center, Childrens Community Clinic and Outside In. In addition, Legacy Health lab services provided more than $18,000 in in-kind services to the local safety net clinic located 10 blocks from Emanuel and dedicated to serving residents of the inner neighborhoods.
Part VI - States Where Community Benefit Report FiledOR

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL TEAMS INTERNATIONALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114150 SW MILTON CTAddressLine1Txt
CityTIGARDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97224ZIPCd
FieldValueIRS element (for citing)
Recipient EIN930878944RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$0CashGrantAmt
Non Cash Assistance$12,586NonCashAssistanceAmt
Valuation Method UsedCOSTValuationMethodUsedDesc
Non Cash AssistanceEQUIPMENT & SUPPLIESNonCashAssistanceDesc
Purpose Of GrantFOR DISASTER ASSISTANCEPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtNon Cash AssistanceNonCashAssistanceAmtNon Cash AssistanceNonCashAssistanceDescRecipientRecipientCnt
PATIENT NEEDS FOR SAFE DISCHARGE$88,530TRANSPORTATION
BURN/WOUND GARMENTS$27,500COMPRESSION GARMENTS120

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationLegacy 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (true)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcYes (true)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN P YOUNG MD
VP$333,157$60,193$30,908$27,414$26,422$478,094
BRONWYN J HOUSTON
PRESIDENT/CAO$166,963$13,608-$1,825$17,677$24,930$221,353
CAROL A BRADLEY
SR VP$367,266$59,973$19,241$39,410$28,016$513,906
DONALD A TOUSSAINT
VP$199,995$34,024$39,609$34,285$13,094$321,007$19,567
DUNCAN R NEILSON MD
VP$395,187$72,610$18,614$18,830$37,027$542,268
EVERETT W NEWCOMB III MD
SR VP$647,865$134,905$55,321$184,869$32,075$1,055,035$45,582
GEORGE J BROWN MD
President & CEO$1,068,412$252,963$489,558$420,977$46,958$2,278,868$465,036
JOHN J KENAGY
SR VP$400,720$72,160$1,221$110,568$29,763$614,432
JOHN P IGUIDBASHIAN MD
CARDIO SURGEON$816,330$30,000$113,005$38,125$27,563$1,025,023
JONATHAN HILL MD
BOARD DIRECTOR$369,224$10,980$10,880$11,179$402,263$11,500$11,500
KEYVAN ABTIN MD
NEUROSURGEON$700,739$69,298$5,988$16,998$27,856$820,879
LEWIS L LOW MD
SR VP$492,826$86,459$28,312$56,249$29,417$693,263
LINDA S HOFF
CFO & TREASURER$549,960$112,672-$2,952$147,327$31,820$838,827
LORI J MORGAN MD
PRESIDENT/CAO$468,073$68,734-$1,968$46,342$30,588$611,769
MADLYN A MURREY
PRESIDENT/CAO$213,818$71,712$6,926$18,974$9,390$320,820
MAUREEN A BRADLEY
SR VP$257,484$83,376$746$26,547$23,471$391,624
MELINDA J MULLER MD
VP$343,388$59,814-$1,656$38,085$30,290$469,921
MOLLY F BURCHELL MD
VP$367,254$51,442$2,774$37,236$22,702$481,408
MONICA C WEHBY MD
PED NEUROSURGEON$710,858$38,641-$820$26,311$12,783$787,773
P ASHLEY WACKYM MD
VP LEGACY RESEARCH$361,993$79,521$31,512$30,703$31,560$535,289
RAMNIK S JHOOTY MD
CARDIOLOGIST$482,890$219,647-$3,202$19,089$20,031$738,455
ROBERT E DEWITT
Secretary$372,971$62,942$7,682$27,402$13,386$484,383
SANDRA M WANEK MD
ECMO SURGEON$481,624$470,680$853$19,251$2,873$975,281
SONJA O STEVES
SR VP$347,887$62,219-$1,421$67,984$21,620$498,289
TRENT S GREEN
SR VP$430,357$77,391-$2,318$129,568$24,527$659,525

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.Legacy does periodically reimburse for some travel of companions. During 2015, 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 for Board Directors.
Part I, Line 5b: Explanation of organization compensation based on revenues of related organizationPhysicians 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 orLegacy 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 RegsLegacy 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 InformationSch J, Part 1, Question 3 Regarding Compensation PracticesDirectors for Legacy started receiving compensation for their services in August 2014. The compensation for 2014 was not paid out until February 2015 and is reported in FY2016 to match the 1099 reporting. 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 2015, 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. There was no other reportable compensation received by any board member during 2015.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 value of defined benefit plans, contributions to defined contribution plans, amounts deferred under the 457(f) plan including earnings, earnings in the 457(b) plan, and the value of the pension restoration plan. Earnings on the 457(f) and 457(b) include gains and losses on the underlying investments. The defined contribution 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 is discretionary and can be terminated at any time. The purpose of the Plan is 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 long-term strategic goals include the development of a health plan partnership strategy; partner with other local healthcare providers to open a center for behavioral health; expanded use of information 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 are required over the three year period and all goals are measured at March 31, 2017. Payout is after approval from the Legacy Health Compensation committee and the Legacy Health Board. 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.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonKEYVAN ABTIN MDPersonNm
Loan PurposeMALPRACTICE COVERAGELoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$42,862OriginalPrincipalAmt
Balance Due$31,498BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$31,498TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyLegacy Health (Legacy) provides management services for all of its affiliated companies which includes, accounting, purchasing, contracting, legal, human resources, information technology, billing, facilities, budgeting, transcription, security, public relations, strategic planning, organization development.Cascade Pathology Services provides a Medical Director and pathologists who oversee the pathology laboratory services at LEMHHC. The amount paid for the year ended March 31, 2016 was $755,040.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLegacy Health is the sole member of Legacy Emanuel Hospital & Health Center.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors includes the following members: (a) The Bishop of the Oregon Synod of the Evangelical Lutheran Church inAmerica (the "Oregon Synod") or the Bishop's designee, who shall serve ex officio;(b) The Bishop of the Episcopal Diocese of Oregon (the "Episcopal Diocese")or the Bishop's designee, who shall serve ex officio;(c) One (1) person appointed by election of the Oregon Synod Council;(d) One (1) person appointed by election of the Convention of the EpiscopalDiocese.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe appointed persons by the Oregon Synod Council and the Convention of the Episcopal Diocese may not be removed from the Board without written consent of their respective organizations.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Legacy Board received a copy of the 990 return prior to filing. At the direction of the entire Board, the Board Compensation Committee reviewed the compensation disclosures and the Board Audit Committee reviewed the 990 return with Management prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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 Department 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 EmployeesThe 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 AvailableLegacy 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 LEHHC's financial results.When changes are made to the LEHHC Articles or Bylaws, LEHHC 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 DecreasesADDITIONAL MINIMUM PENSION LIABILITY = -$18617294
Other Changes In Net Assets Or Fund Balances - Other IncreasesCAPITAL CONTRIBUTION FROM RESEARCH = $109131
Other Changes In Net Assets Or Fund Balances - Other IncreasesROUNDING = $1
Form 990, Part IV, question 12Legacy has an audit of its consolidated financial statement which includes consolidating schedules highlighting LEHHC's financial results.
Form 990, Part VI, question 2Legacy 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 LEHHC, the lab & clinics is 5,315.
Form 990, Part XLEHHC 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 JSchedule 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, Legacy Visiting Nurse Association, and Legacy Adventist Venture.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LEGACY CLINICS LLC
1919 NW LOVEJOY STPORTLANDOR97209931272735HEALTHCAREOR-$46,392,752$115,854,384LEGACY EMANUEL HOSPITAL & HEALTH CENTER
LEGACY LABORATORY SERVICES LLC
1919 NW LOVEJOY STPORTLANDOR97209263597257HEALTHCAREOR$7,579,852$43,040,612LEGACY EMANUEL HOSPITAL & HEALTH CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LEGACY HEALTH
1919 NW LOVEJOY STPORTLANDOR97209237426300HEALTHCAREOR501(C)(3)11bN/Afalse
LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL
1015 NW 22ND AVEPORTLANDOR97210930386793HOSPITALOR501(C)(3)3N/Afalse
LEGACY MERIDIAN PARK HOSPITAL
19300 SW 65TH AVETUALATINOR97062930618975HOSPITALOR501(C)(3)3N/Afalse
LEGACY MOUNT HOOD MEDICAL CENTER
24800 SE STARK STGRESHAMOR97030930591528HOSPITALOR501(C)(3)3N/Afalse
LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH STVANCOUVERWA98686331065485HOSPITALWA501(C)(3)3N/Afalse
LEGACY VISITING NURSE ASSOCIATION
815 NE DAVIS STPORTLANDOR97210930848530HOSPICEOR501(C)(3)9N/Afalse
EMANUEL MEDICAL CENTER FOUNDATION
PO BOX 4484PORTLANDOR97208936095667CHARITABLE FOUNDATIONOR501(C)(3)7N/AYes (true)
RANDALL CHILDRENS HOSPITAL FOUNDATION
PO BOX 4484PORTLANDOR97208931314469CHARITABLE FOUNDATIONOR501(C)(3)7N/AYes (true)
GOOD SAMARITAN FOUNDATION
PO BOX 4484PORTLANDOR97208237017276CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
MERIDIAN PARK MEDICAL FOUNDATION
PO BOX 4484PORTLANDOR97208930773410CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
MT HOOD MEDICAL CENTER FOUNDATION
PO BOX 4484PORTLANDOR97208930794951CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
SALMON CREEK HOSPITAL FOUNDATION
PO BOX 4484PORTLANDOR97208830433165CHARITABLE FOUNDATIONWA501(C)(3)7N/Afalse
LEGACY ADVENTIST VENTURE
1919 NW LOVEJOY STPORTLANDOR97209931121816HEALTHCAREOR501(C)(3)9N/Afalse
LEGACY HEALTH FOUNDATION
1919 NW LOVEJOY STPORTLANDOR97209465562403CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LIFE FLIGHT NETWORK LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line122285 YELLOW GATE LANE SUITE 102AddressLine1Txt
CityAURORACityNm
State AbbreviationORStateAbbreviationCd
ZIP97002ZIPCd
FieldValueIRS element (for citing)
EIN205016802EIN
Primary ActivitiesEMER AIR AMPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$5,111,792ShareOfTotalIncomeAmt
Share Of EOY Assets$4,342,089ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.32000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EMANUEL MEDICAL CENTER FOUNDATION
c$1,806,223Cash
EMANUEL MEDICAL CENTER FOUNDATION
i$66,780Cash
EMANUEL MEDICAL CENTER FOUNDATION
m$227,294Actual Cost
RANDALL CHILDRENS HOSPITAL FOUNDATION
c$1,362,022Cash
RANDALL CHILDRENS HOSPITAL FOUNDATION
m$301,634Actual Cost

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