2016-08-15T12:43:57-05:00 2015-09-30 931298398 FORDHAM GOODFELLOW LLP 233 SE 2ND AVE HILLSBORO OR 971234016 990 2014-10-01 930430029 TUALITY HEALTHCARE TUAL 5036811579 335 SE EIGHTH AVENUE HILLSBORO OR 97123 Tim Fleischmann CFO 5036811579 2016-08-11 1 Lester L Fordham P00079631 5036486651 2014 2016-09-27 15:27:22Z Manuel Berman 335 SE 8th Avenue Hillsboro OR 97123 178392682 0 X www.tuality.org X 1954 OR Tuality Healthcare's Mission is to provide health care to the community with respect for human dignity and without regard for the recipient's ability to pay. We believe that compassion encourages healing, that knowledge is the foundation of wellness, and that attention to quality and fiscal stability will enable us to continue to service the community. 7 7 1628 289 206964 -323691 2806982 1047094 182389881 176802708 452165 542880 0 0 185649028 178392682 174217 190590 0 0 104114916 105781272 0 0 0 84750972 77700135 189040105 183671997 -3391077 -5279315 143154940 140619561 73908640 87602161 69246300 53017400 X Tuality Healthcare's Mission is to provide health care to the community with respect for human dignity and without regard for the recipient's ability to pay. We believe that compassion encourages healing, that knowledge is the foundation of CONTINUED ON SCHEDULE O wellness, and that attention to quality and fiscal stability will enable us to continue to service the community. 0 0 178016272 190590 175887508 The organization's primary exempt purpose is to provide cost-effective comprehensive high quality health care to members of the community.Tuality Healthcare is a licensed 215-bed hospital and health services provider operating in Washington County, Oregon. The Company operates its hospital at two locations, Tuality Community Hospital in Hillsboro, Oregon and Tuality Forest Grove Hospital in Forest Grove, Oregon. In addition to acute care hospital services, the Company provides a wide array of outpatient diagnostic and treatment services throughout western Washington County.In fiscal 2015, these facilities provided care CONTINUED ON SCHEDULE O for 18,709 in-patient acute care days, 43,125 emergency room visits, 17,957 urgent care visits, and 10,462 home health visits.Please view our Community Benefit report found in the About Us section of our website, www.tuality.org, for a description of programs and charity care provided by Tuality Healthcare. 178016272 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 167 0 1 1628 0 1 1 0 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X Tim Fleischmann - Tuality Healthcare 5036811570 335 SE Eighth Avenue Hillsboro OR 97123 MARK ROSENBAUM CHAIRMAN OF THE BOARD 4.00 X X 0 0 0 FRED NACHTIGAL VICE CHAIRMAN OF THE BOARD 4.00 X X 0 0 0 EUGENE ZURBRUGG SECRETARY OF THE BOARD 4.00 X X 0 0 0 MIKE FOGLIA BOARD MEMBER 4.00 X 0 0 0 CHARLES ROSENBLATT MD BOARD MEMBER 4.00 X 0 0 0 MIKE HUNDLEY BOARD MEMBER 4.00 X 0 0 0 DARELL LUMACO MD BOARD MEMBER 4.00 X 0 0 0 MANUEL BERMAN CEO, PRESIDENT 40.00 X 423879 0 42000 TIM FLEISCHMANN CHIEF FINANCIAL OFFICER 40.00 X 298690 0 42000 STUART CURRIE CHIEF MEDICAL OFFICER 40.00 X 395525 0 0 PANKAJ SAPRA CHIEF INFO OFFICER 40.00 X 253299 0 0 EUNICE RECH CHIEF CLINICAL OFFICER 40.00 X 216951 0 23712 KATHRYN RATLIFFE CHIEF HR OFFICER 40.00 X 213191 0 42000 DANIEL JARMAN-MILLER MEDICAL DIRECTOR-CLINICS 40.00 X 211817 0 0 CHRISTINE SENZ COO-HEALTH ALLIANCE 40.00 X 176085 0 1672 FRED WILLIAMS JR PHYSICIAN 40.00 X 533257 0 24000 TODD SADOWSKI PHYSICIAN 40.00 X 545311 0 0 GREGORY ROSENBLATT PHYSICIAN 40.00 X 508780 0 36000 DAVID BUUCK PHYSICIAN 40.00 X 544765 0 42000 BARRY ROSS PHYSICIAN 40.00 X 593106 0 18000 4914656 0 271384 186 0 1 0 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 CONTRACT HOSPITALISTS 1265725 TUALITY HEALTH ALLIANCE PO BOX 548 HILLSBORO OR 97123 BENEFITS ADMINISTRATOR 126393 2 673000 374094 1047094 NON MCR/MCD HOSP REV 621110 147043160 147043160 CAFETERIA 621110 708236 708236 MANAGEMENT FEES 541610 206964 206964 28844348 28844348 176802708 542840 542840 40 40 178392682 175887508 206964 1251116 190590 190590 2340821 2340821 82588147 82588147 4339333 4339333 9279259 9033263 245996 7233712 7041944 191768 130011 54204 75807 792774 760675 32099 9439641 9057431 382210 572800 572800 1665141 1269491 395650 7955518 7955518 551423 524121 27302 57649 1128 56521 1081242 1081242 6943184 6248866 694318 733282 659954 73328 Supplies 18500296 18483040 17256 Bad Debt Exp - Direct W 9041597 9041597 Provider Tax 7976142 7976142 Equipment Rental & Main 7007631 6992382 15249 5251804 4144404 1107400 183671997 178016272 5655725 0 38078652 32858231 28536233 29335862 676402 1034620 2682904 2942471 2184677 2421900 170781583 135605815 34316440 35175768 21432594 20760688 15247038 16090021 143154940 140619561 56943322 68633026 14994144 16528042 1515869 1123275 711821 847899 213403 73908640 87602161 X 69113700 52829800 132600 187600 69246300 53017400 143154940 140619561 X -5279315 -1810343 -9139242 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 5741360 964702 -243484 1126333 5336245 5255722 977540 632924 14069 1110757 5741360 4571447 1001098 773916 13609 1077130 5255722 4008067 911906 688295 22507 1014315 4571446 4442993 948326 -27010 23876 1332366 4008067 0.48000 0.52000 0 1 1 2407626 2407626 56711170 49164814 7546356 3956265 934475 3021790 107464109 85506526 21957583 242413 242413 35175768 Securities & Other Investments 20760688 F 20760688 Other Assets 15583921 Interest in Net Assests of Foundation 187600 Goodwill 318500 16090021 Affiliates 213403 213403 178688000 -1810343 2105661 295318 178392682 0 178392682 182400218 0 182400218 1271779 1271779 183671997 Part IV, Line 2b: The company has a 457(b) deferred compensation plan covering a group of highly compensated employees. The company has included both the asset and liability to account for these funds. Part XI, Line 2d - Other Adjustments: EQUITY INCOME FROM JOINT VENTURES & SUBSIDIARIES 2,105,632. ROUNDING 29. Part XII, Line 4b - Other Adjustments: DIRECT WRITE-OFF METHOD IN EXCESS OF GAAP BAD DEBT EXPENSE 1,271,779. 1 1 X 1 X 1 X 1 1 1 0 1 1 2823741 2823741 0.01620 38097302 28690577 9406725 0.05390 40921043 28690577 12230466 0.07010 2226329 2226329 0.01270 326620 326620 0.00190 430897 82332 348565 0.00200 496519 496519 0.00280 3480365 82332 3398033 0.01940 44401408 28772909 15628499 0.08950 201819 201819 0.00120 201819 201819 0.00120 1 3388911 48117221 65873299 -17756078 X 1 1 2 1 Tuality Community Hospital 335 SE 8th Ave Hillsboro OR 97123 X X X 2 Tuality Forest Grove Hospital 1809 Maple Street Forest Grove OR 97116 X X X Tuality Community Hospital 1 0 0 1 X X X X X X X X X 14 1 1 1 1 X http://www.tuality.org X 1 14 1 http://www.tuality.org/tuality/index.php/about/community_needs_assessment 0 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X http://www.tuality.org X http://www.tuality.org X http://www.tuality.org X X X X 1 0 X X X X 1 X 0 0 Tuality Forest Grove Hospital 2 0 0 1 X X X X X X X X X 14 1 1 1 1 X http://www.tuality.org X 1 14 1 http://www.tuality.org/tuality/index.php/about/community_needs_assessment 0 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X http://www.tuality.org X http://www.tuality.org X http://www.tuality.org X X X X 1 0 X X X X 1 X 0 0 Tuality Community Hospital Part V, Section B, Line 5: The Community Health Needs Assessment was conducted as a rigorous process with other health care organizations in the four-county Portland metropolitan areas as part of the Healthy Columbia Willamette Collaborative. Community citizens were engaged through focus group participation, stakeholder interviews and advice from content experts.Input from over 1,000 community stakeholders has helped establish the community health needs and the subsequent decision making process. This input was collected indirectly by the Collaborative through other recently conducted community engagement projects. Three phases of the assessment model used the Community Themes and Strengths Assessment, the Local Community Health System Assessment & Forces of Change Assessment, and Community Listening Sessions. All engaged the community to help identify health needs in the region. In August 2013, content experts from the identified health focus areas (Access to Affordable Health Care, Behavioral Health, and Chronic Disease) were invited to provide information regarding best practices and recommendations for strategies that the Collaborative could consider moving forward with. These content experts contributed to the Collaborative's selection of final Health Improvement Teams (Access to Affordable Health, Suicide Prevention, Opiate Prescribing Policy, Breastfeeding Promotion, and Tobacco Prevention/Cessation).Because the Healthy Columbia Willamette Collaborative understands the importance of working with the community to ensure the process yields the most accurate results and is trusted by the public, in years two (June 2013-May 2014) and three (June 2014-May 2015) of the assessment there has been a larger role for the greater community to participate in decisions. During year 2, the Collaborative invited community/content stakeholders to participate on each of the Health Improvement Teams to ensure that strategies were developed to maximize benefits to the regional community. The Collaborative also worked with community partners to identify data gaps from the Community Health Needs Assessment and explore options on how to fill these gaps for future assessments. Tuality Forest Grove Hospital Part V, Section B, Line 5: The Community Health Needs Assessment was conducted as a rigorous process with other health care organizations in the four-county Portland metropolitan areas as part of the Healthy Columbia Willamette Collaborative. Community citizens were engaged through focus group participation, stakeholder interviews and advice from content experts.Input from over 1,000 community stakeholders has helped establish the community health needs and the subsequent decision making process. This input was collected indirectly by the Collaborative through other recently conducted community engagement projects. Three phases of the assessment model used the Community Themes and Strengths Assessment, the Local Community Health System Assessment & Forces of Change Assessment, and Community Listening Sessions. All engaged the community to help identify health needs in the region. In August 2013, content experts from the identified health focus areas (Access to Affordable Health Care, Behavioral Health, and Chronic Disease) were invited to provide information regarding best practices and recommendations for strategies that the Collaborative could consider moving forward with. These content experts contributed to the Collaborative's selection of final Health Improvement Teams (Access to Affordable Health, Suicide Prevention, Opiate Prescribing Policy, Breastfeeding Promotion, and Tobacco Prevention/Cessation).Because the Healthy Columbia Willamette Collaborative understands the importance of working with the community to ensure the process yields the most accurate results and is trusted by the public, in years two (June 2013-May 2014) and three (June 2014-May 2015) of the assessment there has been a larger role for the greater community to participate in decisions. During year 2, the Collaborative invited community/content stakeholders to participate on each of the Health Improvement Teams to ensure that strategies were developed to maximize benefits to the regional community. The Collaborative also worked with community partners to identify data gaps from the Community Health Needs Assessment and explore options on how to fill these gaps for future assessments. Tuality Community Hospital Part V, Section B, Line 6a: Adventist Medical Center, Clark County Public Health Department, FamilyCare, Health Share of Oregon, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek (Vancouver), Oregon Health & Science University, PeaceHealth Southwest Medical Center (Vancouver), Providence Milwaukie, Providence Portland, Providence St. Vincent, Providence Willamette Falls, Tuality Healthcare. Tuality Forest Grove Hospital Part V, Section B, Line 6a: Adventist Medical Center, Clark County Public Health Department, FamilyCare, Health Share of Oregon, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek (Vancouver), Oregon Health & Science University, PeaceHealth Southwest Medical Center (Vancouver), Providence Milwaukie, Providence Portland, Providence St. Vincent, Providence Willamette Falls, Tuality Healthcare. Tuality Community Hospital Part V, Section B, Line 6b: Clackamas County Public Health Division, Multnomah County Health Department, Washington County Public Health Division Tuality Forest Grove Hospital Part V, Section B, Line 6b: Clackamas County Public Health Division, Multnomah County Health Department, Washington County Public Health Division Tuality Community Hospital Part V, Section B, Line 22d: Average rate of all negotiated commerial insurance rates. Tuality Forest Grove Hospital Part V, Section B, Line 22d: Average rate of all negotiated commerial insurance rates. Part V, Section B, Line 16 Financial Assistance Policy Website Availability Tuality Community Hospital Part V, Section B, line 16a website: http://www.tuality.org Tuality Community Hospital Part V, Section B, line 16b website: http://www.tuality.org Tuality Community Hospital Part V, Section B, line 16c website: http://www.tuality.org Tuality Forest Grove Hospital Part V, Section B, line 16a website: http://www.tuality.org Tuality Forest Grove Hospital Part V, Section B, line 16b website: http://www.tuality.org Tuality Forest Grove Hospital Part V, Section B, line 16c website: http://www.tuality.org 27 Tuality Urgent Care at Reedville 7545 SE Tualatin Valley Hwy Hillsboro OR 97123 Urgent Care Tuality Healthplace 1200 NE 48th Ave Ste 7000 Hillsboro OR 97123 OP Therapy TualityOHSU Cancer Center 299 SE 9th Ave Hillsboro OR 97123 OP Radiation Therapy Tuality Home Health 3201 19th Ave Ste E F Forest Grove OR 97116 Home Health Services Orenco Station Medical Plaza 6355 NE Cornell Rd Hillsboro OR 97124 MOB Tuality 8th Avenue Medical Plaza 364 SE 8th Ave Hillsboro OR 97123 MOB Tuality 7th Avenue Medical Plaza 333 SE 7th Ave Hillsboro OR 97123 MOB Tuality Forest Grove Medical Plaza 3201 19th Ave Forest Grove OR 97116 MOB Hillsboro Internal Medicine 364 SE 8th Ave Ste 301 Hillsboro OR 97123 Physician Offices Physical Therapy & Sports Rehab 2333 Pacific Ave Forest Grove OR 97116 OP Therapy Tuality Obstetrics & Gynecology 364 SE 8th Ave Ste 205 Hillsboro OR 97123 Physician Offices Westside Medical Clinic 21255 NW Jacobson Rd Ste 500 Hillsboro OR 97124 Physician Offices Tuality Hillsboro Hematology & Oncology 364 SE 8th Ave Ste 108A Hillsboro OR 97123 Physician Offices Sunset Medical Clinic 10395 NW Glencoe Rd Ste 500 North Plains OR 97133 Physician Offices THP Orthopedic Sports Spine & Rehab 1200 NE 48th Ave Ste 1100 Hillsboro OR 97124 Physician Offices THP Neurosurgery 1200 NE 48th Ave Ste 1100 Hillsboro OR 97124 Physician Offices Westside Neurology 364 SE 8th Ave Ste 101 Hillsboro OR 97123 Physician Offices Tuality 8th Lab Services 364 SE 8th Ave Ste 107 Hillsboro OR 97123 Lab Tuality Breast Health & Lactation Svcs 364 SE 8th Ave Ste 200 Hillsboro OR 97123 Physician Offices Hillsboro Endocrine Clinic 364 SE 8th Ave Ste 201 Hillsboro OR 97123 Physician Offices Cardiac Rehab 364 SE 8th Ave Ste 210 Hillsboro OR 97123 Physician Offices Hillsboro Surgical Associates 364 SE 8th Ave Ste 301-A Hillsboro OR 97123 Physician Offices Tuality Pulmonary 364 SE 8th Ave Ste 301-A Hillsboro OR 97123 Physician Offices Tuality 7th Avenue Lab Services 333 SE 7th Ave Ste 3500 Hillsboro OR 97123 Lab Westside Urology Associates 333 SE 7th Ave Ste 4500 Hillsboro OR 97123 Physician Offices Orenco Station Medical Plaza Lab Svcs 6355 NE Cornell Rd Ste 100 Hillsboro OR 97124 Lab Orenco Station Medical Group 6355 NE Cornell Rd Ste 100 Hillsboro OR 97124 Physician Offices Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 9,041,597. Part II, Community Building Activities: Tuality Healthcare plays host to many educational and community events at the Tuality Health and Education Center. Hillsboro Rotary Club, Washington County Community Action and other civic groups hold regular events at the center. Tuality Healthcare's Community Education department also hosts dozens of events that range from classes on diabetes, yoga and healthy eating to car seat safety and CPR training. Tuality providers also give presentations on the latest developments in medicine. We expect those offerings to grown as a result of our affiliation with Oregon Health & Science University. In addition, Tuality's Community Relations department offers free healthcare screenings (blood pressure, glucose, cholesterol) at community events. In 2016, the department conducted over 1,500 free screenings.Tuality Healthcare was a founding partner in the Hillsboro Health and Education District, a college-like campus located near downtown Hillsboro. Other partners include Pacific University, Virginia Garcia Medical Center, TriMet, city of Hillsboro and Washington County. In addition, Tuality is actively involved as a sponsor of numerous community events and activities across Washington County. They include the Oregon International Airshow, Washington County Fair, Celebrate Hillsboro, Latino Cultural Festival and many more. Tuality receives feedback from patients in a variety of ways. Most prominent are inpatient surveys managed by National Research Corp. and outpatient surveys managed by the Community Relations department. Both seek input from patients on care, facilities and customer service. Part III, Line 4: Accounts receivable are stated at unpaid balances (net of contractual allowances) and are reduced by an allowance for amounts that could become uncollectible in the future. Substantially all of the Company's receivables are related to providing healthcare services to its hospitals' patients. The Company estimates the allowance for doubtful accounts by reserving a percentage of all self-pay accounts receivable without regard to aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. For all other non-self-pay payer categories, the Company reserves 100% of all accounts aging over 365 days from the date of discharge. The percentage used to reserve for all self-pay accounts is based on the Company's collection history. The Company collects substantially all of its third-party insured receivables, which include receivables from governmental agencies. Collections are impacted by the economic ability of patients to pay and the effectiveness of the Company's collection efforts. Significant changes in payer mix, business office operations, economic conditions or trends in federal and state governmental healthcare coverage could affect the Company's collection of accounts receivable and the estimates of the collectability of future accounts receivable. The process of estimating the allowance for doubtful accounts requires the Company to estimate the collectability of self-pay accounts receivable, which is primarily based on its collection history, adjusted for expected recoveries and, if available, anticipated changes in collection trends. The Company also continually reviews its overall reserve adequacy by analyzing current period net revenue and admissions by payer classification, aged accounts receivable by payer, and days revenue outstanding.The allowance for uncollectible accounts is decreased by charge-offs (net of recoveries). Accounts receivable are written off after collection efforts have been followed in accordance with the Company's policies. Part III, Line 9b: In addition to referencing and accessing our internal Tuality Financial Assistance program (before, during, and after services are rendered), we also recognize other Portland providers' (hospitals, physician, ambulance, DME, etc) financial assistance determination (with written proof). Part VI, Line 2: Tuality Healthcare's leadership interacts with the citizens of western Washington County in a variety of ways. Tuality is actively involved as a sponsor in a long list of community events, from the Washington County Airshow, the premier airshow in the Pacific Northwest, to the North Plains Garlic Festival. In addition, we engage our residents through our many partnerships with a host of worthwhile organizations like Pacific University, Virginia Garcia Memorial Health Center, Essential Health Clinic, Hospice of Washington County and many others. Tuality strives to get feedback from our customers through surveys and questionnaires that tell us how well we are doing with current services, as well as what new and improved services may be needed by the community. Part VI, Line 3: Requests for financial assistance may be made at any point before, during, or after the provision of care. Information related to eligibility for financial assistance is located in the lobbies of the hospital and available on the Tuality.org website. Financial assistance requests may be proposed by sources other than the patient, such as the patient's physician, family members, community or religious groups, social services, or hospital personnel. Anyone wishing to make application for financial assistance with Tuality Healthcare will be given a Financial Assistance Application, which includes instructions on how to apply. All private pay admits are screened for Medicaid/Social Security disability coverage and a hold is placed on the account while we assist the patient and /or their family in applying for government benefits. Part VI, Line 4: Tuality Healthcare serves a large geographic area of western Washington County that stretches from the suburban Portland cities of Aloha and Beaverton to the Coast Range. The market includes the cities of Hillsboro and Forest Grove, sites of Tuality's two hospitals, plus smaller towns such as Cornelius, Gaston, North Plains and Banks. This region is roughly 250,000 people and is one of the fastest growing areas in Oregon. In addition, Tuality is one of the region's largest employers with a staff of over 1,600. Tuality provides financial, material and medical assistance to many community partners in the region. Tuality Healthcare is designated a "Disproportionate Share Hospital" by the Centers for Medicare and Medicaid Services, due to the larger than normal percentage of care we provide to the low income and indigent population in our area. Part VI, Line 5: When it comes to community, everyone has a part to play. For us, it's an honor and a duty to help those near us receive the best medical care possible. That's why, since our beginnings in 1918, we've worked hard to provide quality, convenient care for people in western Washington County. Today, we're the only local, independent, community-governed healthcare system in the area, offering inpatient and outpatient treatment, specialty services, health education, and more.Of course, our goal isn't only to treat you when you're sick, but also to help you stay well. For that reason, you'll often find us at local events and other public places, offering free or low-cost health screenings and educational courses. For those who need it, we even provide transportation to and from medical appointments.Many of these services are offered at Tuality Health Education Center and other locations. We really are your neighbors! Many of our 1,600 employees live just a short distance from work.Our larger facilities include Tuality Community Hospital in Hillsboro and Tuality Forest Grove Hospital. In addition, we have numerous other medical centers and outpatient facilities. By keeping up with the latest advances in medical science, we've earned a sterling reputation for the quality of our heart, cancer, stroke, and diagnostic imaging services.In this way, we are able to offer the best possible medical care to the Tualatin Valley cities and communities in western Washington County, such as Aloha, Beaverton, Hillsboro, Forest Grove, Cornelius, and the smaller communities of the Coastal Range foothills. Part VI, Line 6: N/A Part VI, Line 7, Reports Filed With States OR 1 Hillsboro Chamber of Commerce 5193 NE Elam Young Pkwy Ste A Hillsboro OR 97124 930188235 501 C (6) 5100 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Hillsboro Parks & Recreation 4400 NW 229th Avenue Hillsboro OR 97124 936002183 501 C (3) 6000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Community Action Organization 1001 SW Baseline Hillsboro OR 97124 930554941 501 C (3) 11000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Hillsboro Tuesday Marketplace 400 E Main St Suite 140 Hillsboro OR 97123 931249105 501 C (4) 7500 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Library Foundation of Hillsboro 2850 NE Brookwood Parkway Hillsboro OR 97124 943107840 501 C (3) 5000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Oregon International Airshow PO Box 37 Hillsboro OR 97123 300143892 501 C (3) 7200 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Project Access Now PO Box 10953 Portland OR 97296 208928388 501 C (3) 17147 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Southwest Community Health Center 7754 SW Capitol Hwy Portland OR 97219 743050497 501 C (3) 15000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Virginia Garcia Clinic PO Box 486 Cornelius OR 97113 930717997 501 C (3) 50000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Washington County Fairgrounds 1400 SW Walnut Hillsboro OR 97123 930764165 501 C (3) 5000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT OR Healthcare Quality Corp 520 SW 6th Ave 830 Portland OR 97204 931293103 501 C (3) 28924 VARIOUS COMMUNITY AND HEALTH ENRICHMENT Pacific University 2043 College Way Forest Grove OR 97116 930386892 501 C (3) 8000 VARIOUS COMMUNITY AND HEALTH ENRICHMENT 10 2 Part I, Line 2: Internal records document the award of grants or assistance and the intended use. X 0 1 0 0 0 0 0 0 0 MANUEL BERMAN CEO, PRESIDENT 423879 0 0 0 0 0 42000 0 0 0 465879 0 0 0 TIM FLEISCHMANN CHIEF FINANCIAL OFFICER 298690 0 0 0 0 0 42000 0 0 0 340690 0 0 0 STUART CURRIE CHIEF MEDICAL OFFICER 395525 0 0 0 0 0 0 0 0 0 395525 0 0 0 PANKAJ SAPRA CHIEF INFO OFFICER 253299 0 0 0 0 0 0 0 0 0 253299 0 0 0 EUNICE RECH CHIEF CLINICAL OFFICER 216951 0 0 0 0 0 23712 0 0 0 240663 0 0 0 KATHRYN RATLIFFE CHIEF HR OFFICER 213191 0 0 0 0 0 42000 0 0 0 255191 0 0 0 DANIEL JARMAN-MILLER MEDICAL DIRECTOR-CLINICS 211817 0 0 0 0 0 0 0 0 0 211817 0 0 0 CHRISTINE SENZ COO-HEALTH ALLIANCE 176085 0 0 0 0 0 1672 0 0 0 177757 0 0 0 FRED WILLIAMS JR PHYSICIAN 533257 0 0 0 0 0 24000 0 0 0 557257 0 0 0 TODD SADOWSKI PHYSICIAN 545311 0 0 0 0 0 0 0 0 0 545311 0 0 0 GREGORY ROSENBLATT PHYSICIAN 508780 0 0 0 0 0 36000 0 0 0 544780 0 0 0 DAVID BUUCK PHYSICIAN 544765 0 0 0 0 0 42000 0 0 0 586765 0 0 0 BARRY ROSS PHYSICIAN 593106 0 0 0 0 0 18000 0 0 0 611106 0 0 0 Part I, Line 4b $68,881 Manuel Berman 32,181 David Buuck 75,986 Timothy Fleishcmann 35,960 Kathryn Ratliffe A The Hospital Facility Authority of Hillsboro Oregon 930430029 000000000 2015-08-28 16125000 Refund Hosp. Rev. Bonds Ser. 2001 $12,293,396, Cap. Purch. Fund $3,578,300 0 0 0 A 16125000 3579979 251625 1 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 Gregory Rosenblatt Highly Compensated Employee Family Member of Director 508780 Compensation for Physician Services. 0 Form 990, Part VI, Section A, line 2 Gregory Rosenblatt snd Charles Rosenblatt have a family relationship. Form 990, Part VI, Section B, line 11 A copy of the 990 is reviewed by Tuality Healthcare's Chief Financial Officer. It is then presented to the Tuality Healthcare Board of Directors for review, prior to being filed. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by making it part of the employee's annual review. Board members are also required to review the policy annually. All afore said parties are required to certify that they have read the conflict of interest policy, have disclosed any potential conflicts of interest, and agree to immediately notify the Compliance Officer if a conflict should arise. Corrective actions are to be taken immediately to address any conflicts of interest. Form 990, Part VI, Section B, line 15 The Executive group's compensation is periodically reviewed every 3-5 yrs by an independent party, at the direction of the board of directors. The Tuality Healthcare HR department annually reviews compensation for all others. Form 990, Part VI, Section C, line 19 The organization's tax returns are made available for public inspection on the following website: Guidestar.org. Governing documents are made available upon written request to the Chief Financial Officer of Tuality Healthcare. Form 990, Part XI, line 9: CHANGE IN INTEREST IN NET ASSETS UNDER 136 55,000. DIRECT WRITE OFF METHOD IN EXCESS OF GAAP METHOD OF BAD DEBT EXPENSE 1,271,779. ROUNDING 24. EQUITY INCOME NET OF DISTRIBUTIONS OF JT VENTURES 2,105,632. CHANGE IN MINIMUM PENSION LIABILITY UNDER FAS 158 -12,571,677. Tuality Healthcare Foundation 334 SE 8th Avenue Hillsboro OR 97123 930751507 Charitable Foundation OR 501(C)(3) 7 Tuality Healthcare 0 Tuality Property Management PO Box 309 Hillsboro OR 97123 930840810 Exempt Organization Property Management OR 501(C)(2) N/A Tuality Healthcare 0 Tuality Management Systems Inc 335 SE 8th Avenue Hillsboro OR 97123 930840778 Other Medical Services OR Tuality Healthcare C 1507728 1.00000 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 0 1 0 1 Tuality Management Systems Inc L 206964 Actual Cost Tuality Property Management L 456900 Actual Cost Tuality Healthcare Foundation C 673000 Cash Tuality Healthcare Foundation O 439880 Actual Cost Tuality Healthcare Foundation Q 355255 Cash