﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-11-15T11:51:23-06:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>DELAP LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>4500 SW KRUSE WAY NO 200</AddressLine1>
        <City>LAKE OSWEGO</City>
        <State>OR</State>
        <ZIPCode>97035</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>930583856</EIN>
      <Name>
        <BusinessNameLine1>COLUMBIA LUTHERAN CHARITIES</BusinessNameLine1>
      </Name>
      <NameControl>COLU</NameControl>
      <Phone>5033254321</Phone>
      <USAddress>
        <AddressLine1>2111 EXCHANGE STREET</AddressLine1>
        <City>ASTORIA</City>
        <State>OR</State>
        <ZIPCode>971033329</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>WILLIAM G RIVERS</Name>
      <Title>CFO</Title>
      <Phone>5033254321</Phone>
      <DateSigned>2011-11-11</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>WESLEY B HANSEN</Name>
      <Phone>5036974118</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="12">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAs>
        <BusinessNameLine1>COLUMBIA MEMORIAL HOSPITAL</BusinessNameLine1>
      </DoingBusinessAs>
      <NameOfPrincipalOfficerPerson>WILLIAM G RIVERS</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>2111 EXCHANGE STREET</AddressLine1>
        <City>ASTORIA</City>
        <State>OR</State>
        <ZIPCode>971033329</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>62403301</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.COLUMBIAMEMORIAL.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1958</YearFormation>
      <StateLegalDomicile>OR</StateLegalDomicile>
      <ActivityOrMissionDescription>PROVIDE EXCELLENCE, LEADERSHIP &amp; COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>13</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>13</NbrIndependentVotingMembers>
      <TotalNbrEmployees>499</TotalNbrEmployees>
      <TotalNbrVolunteers>80</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>181927</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>625022</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>52907333</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>58882182</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>351059</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>762386</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>804315</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>640074</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>54244634</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>60909664</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>161186</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>66220</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>30386011</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>32926677</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>27000</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>226494</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>22632877</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>24171253</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>53180074</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>57191150</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>1064560</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>3718514</RevenuesLessExpensesCY>
      <TotalAssetsBOY>57411576</TotalAssetsBOY>
      <TotalAssetsEOY>62073504</TotalAssetsEOY>
      <TotalLiabilitiesBOY>34202997</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>35069993</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>23208579</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>27003511</NetAssetsOrFundBalancesEOY>
      <MissionDescription>THE MISSION OF COLUMBIA MEMORIAL HOSPITAL IS TO PROVIDE EXCELLENCE, LEADERSHIP, AND COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>49915777</Expense>
      <Grants>66220</Grants>
      <Revenue>59587069</Revenue>
      <Description>SEE SCHEDULE O</Description>
      <TotalProgramServiceExpense>49915777</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">1</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising referenceDocumentId="RetDoc1041200001">1</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId="RetDoc1041200001">0</FundraisingActivities>
      <Gaming referenceDocumentId="RetDoc1041200001">0</Gaming>
      <Hospital referenceDocumentId="RetDoc1041500001">1</Hospital>
      <FinancialStmtAttached>0</FinancialStmtAttached>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">1</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>0</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <ExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="RetDoc1042800001">1</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="RetDoc1042800001">1</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="RetDoc1042800001">0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="RetDoc1042800001">1</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">1</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>124</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>499</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <Form8899Filed>0</Form8899Filed>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>13</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>13</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>1</LocalChapters>
      <PoliciesReferenceChapters>1</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>1</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>0</WrittenPolicyOrProcedure>
      <StatesWhereCopyOfReturnIsFiled>OR</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>WILLIAM G RIVERS CFO</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>5033387505</TelephoneNumber>
        <AddressUS>
          <AddressLine1>2111 EXCHANGE STREET</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>KATHERINE HELLBERG</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BILL LANDWEHR</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BILL LIND</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ED NELSON JR</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID PHILLIPS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HEATHER SEPPA</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MALCOLM SMITH</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RANDY STEMPER</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY VELTKAMP</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL F VOELLER MD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CONSTANCE WAISANEN</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT HOLLAND</NamePerson>
        <Title>CHIEF OF STAFF</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <KeyEmployee>X</KeyEmployee>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>268096</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>26475</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LESLIE BLASEWITZ</NamePerson>
        <Title>CCO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>141689</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23720</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM G RIVERS</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>127545</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>22131</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ERIK THORSEN</NamePerson>
        <Title>COO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>263047</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25219</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RANDALL JOHNSON</NamePerson>
        <Title>CRNA</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>264209</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21643</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KIMBERLY S ELTZROTH</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>246902</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19197</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SAM K LIU</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>247306</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>37508</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM C LACOST</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>477008</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>36444</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TERRY FINKLEIN</NamePerson>
        <Title>FORMER CEO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>199587</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21266</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2235389</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>233603</TotalOtherCompensation>
      <NumberIndividualsGT100K>36</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>RICKENBACH CONSTRUCTION</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 5837</AddressLine1>
            <City>ALOHA</City>
            <State>OR</State>
            <ZIPCode>97006</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>GENERAL CONTRACTOR</DescriptionOfServices>
        <Compensation>5186287</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NORTH COAST EMERGENCY PHYSICIANS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2111 EXCHANGE ST</AddressLine1>
            <City>ASTORIA</City>
            <State>OR</State>
            <ZIPCode>97103</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>EMERGENCY ROOM PHYSICIANS</DescriptionOfServices>
        <Compensation>1673119</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ANDERSON DABROWSKI ARCHITECTS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1430 SE 3RD AVE STE 200</AddressLine1>
            <City>PORTLAND</City>
            <State>OR</State>
            <ZIPCode>97214</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ARCHITECT</DescriptionOfServices>
        <Compensation>322786</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CPSI</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6600 WALL ST</AddressLine1>
            <City>MOBILE</City>
            <State>AL</State>
            <ZIPCode>36695</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SOFTWARE SUPPORT</DescriptionOfServices>
        <Compensation>294799</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>DELAP LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4500 SW KRUSE WAY STE 200</AddressLine1>
            <City>LAKE OSWEGO</City>
            <State>OR</State>
            <ZIPCode>97035</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ACCOUNTING</DescriptionOfServices>
        <Compensation>159377</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>10</NumberOfContractorsGT100K>
      <RelatedOrganizations>19829</RelatedOrganizations>
      <GovernmentGrants>23831</GovernmentGrants>
      <AllOtherContributions>581362</AllOtherContributions>
      <TotalContributions>625022</TotalContributions>
      <ProgramServiceRevenue>
        <Description>OUTPATIENT REVENUE</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>48729797</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>48729797</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>INPATIENT REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>25686948</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>25686948</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>EMERGENCY ROOM REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>24324607</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>24324607</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PROVISION FOR CHARITY</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>-2002583</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-2002583</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CONTRACTUAL ALLOWANCE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>-37856587</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-37856587</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>58882182</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>411054</TotalRevenueColumn>
        <ExclusionAmount>411054</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>224575</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>439573</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>-214998</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>-214998</TotalRevenueColumn>
        <ExclusionAmount>-214998</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>1223957</Securities>
        <Other>181439</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>923014</Securities>
        <Other>131050</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>300943</Securities>
        <Other>50389</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>351332</TotalRevenueColumn>
        <ExclusionAmount>351332</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeGaming>2005</GrossIncomeGaming>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>2005</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2005</RelatedOrExemptFunctionIncome>
      </NetIncomeFromGaming>
      <OtherRevenueMisc>
        <Description>JOINT VENTURE</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>423185</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>423185</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA AND VENDING</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>150185</TotalRevenueColumn>
        <ExclusionAmount>150185</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>REBATES AND DISCOUNTS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>71864</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>71864</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>207833</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>207833</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>853067</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>60909664</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>59587069</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>697573</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>60001</Total>
        <ProgramServices>60001</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>6219</Total>
        <ProgramServices>6219</ProgramServices>
      </GrantsToDomesticIndividuals>
      <CompCurrentOfficersDirectors>
        <Total>713889</Total>
        <ManagementAndGeneral>602351</ManagementAndGeneral>
        <Fundraising>111538</Fundraising>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>22967331</Total>
        <ProgramServices>20980607</ProgramServices>
        <ManagementAndGeneral>1962891</ManagementAndGeneral>
        <Fundraising>23833</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1768470</Total>
        <ProgramServices>1686661</ProgramServices>
        <ManagementAndGeneral>75920</ManagementAndGeneral>
        <Fundraising>5889</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>5540993</Total>
        <ProgramServices>4905638</ProgramServices>
        <ManagementAndGeneral>615043</ManagementAndGeneral>
        <Fundraising>20312</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1935994</Total>
        <ProgramServices>1762658</ProgramServices>
        <ManagementAndGeneral>159897</ManagementAndGeneral>
        <Fundraising>13439</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>414296</Total>
        <ProgramServices>75834</ProgramServices>
        <ManagementAndGeneral>338462</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>169534</Total>
        <ProgramServices>2250</ProgramServices>
        <ManagementAndGeneral>152684</ManagementAndGeneral>
        <Fundraising>14600</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesProfFundraising>
        <Total>27000</Total>
        <Fundraising>27000</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>28854</Total>
        <ManagementAndGeneral>28854</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>4379137</Total>
        <ProgramServices>3904245</ProgramServices>
        <ManagementAndGeneral>474892</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>228496</Total>
        <ProgramServices>29526</ProgramServices>
        <ManagementAndGeneral>198970</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>7099306</Total>
        <ProgramServices>6727758</ProgramServices>
        <ManagementAndGeneral>369468</ManagementAndGeneral>
        <Fundraising>2080</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>469482</Total>
        <ProgramServices>249593</ProgramServices>
        <ManagementAndGeneral>219889</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>677410</Total>
        <ProgramServices>584089</ProgramServices>
        <ManagementAndGeneral>85479</ManagementAndGeneral>
        <Fundraising>7842</Fundraising>
      </Occupancy>
      <Travel>
        <Total>263575</Total>
        <ProgramServices>179399</ProgramServices>
        <ManagementAndGeneral>84176</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>60272</Total>
        <ProgramServices>58619</ProgramServices>
        <ManagementAndGeneral>1653</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>222607</Total>
        <ProgramServices>170294</ProgramServices>
        <ManagementAndGeneral>52313</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>2735966</Total>
        <ProgramServices>2406859</ProgramServices>
        <ManagementAndGeneral>329107</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>743311</Total>
        <ProgramServices>137901</ProgramServices>
        <ManagementAndGeneral>605410</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>4777989</Total>
        <ProgramServices>4777989</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS AND MAINTENANCE</Description>
        <Total>794366</Total>
        <ProgramServices>790839</ProgramServices>
        <ManagementAndGeneral>3527</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>RECRUITMENT FEES</Description>
        <Total>291881</Total>
        <ProgramServices>283978</ProgramServices>
        <ManagementAndGeneral>7903</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>814771</Total>
        <ProgramServices>134820</ProgramServices>
        <ManagementAndGeneral>679990</ManagementAndGeneral>
        <Fundraising>-39</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>57191150</Total>
        <ProgramServices>49915777</ProgramServices>
        <ManagementAndGeneral>7048879</ManagementAndGeneral>
        <Fundraising>226494</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>709348</BOY>
        <EOY>3863253</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>11614704</BOY>
        <EOY>11870113</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>299254</BOY>
        <EOY>279430</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>692384</BOY>
        <EOY>1000582</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>804151</BOY>
        <EOY>1120305</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>51780658</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>24291079</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>23637848</BOY>
        <EOY>27489579</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsProgramRelated>
        <BOY>17808624</BOY>
        <EOY>13820037</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>271689</BOY>
        <EOY>208315</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>1573574</BOY>
        <EOY>2421890</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>57411576</BOY>
        <EOY>62073504</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>5336210</BOY>
        <EOY>7408383</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>21622676</BOY>
        <EOY>20342972</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>7244111</BOY>
        <EOY>7318638</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>34202997</BOY>
        <EOY>35069993</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>23208579</BOY>
        <EOY>27003511</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>23208579</BOY>
        <EOY>27003511</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>57411576</BOY>
        <EOY>62073504</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>3718514</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>76418</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>788734</OtherCostOrOtherBasis>
        <BookValue>788734</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>21140488</OtherCostOrOtherBasis>
        <Depreciation>9529023</Depreciation>
        <BookValue>11611465</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>44640</OtherCostOrOtherBasis>
        <Depreciation>30605</Depreciation>
        <BookValue>14035</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>24204102</OtherCostOrOtherBasis>
        <Depreciation>13618272</Depreciation>
        <BookValue>10585830</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>5602694</OtherCostOrOtherBasis>
        <Depreciation>1113179</Depreciation>
        <BookValue>4489515</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>27489579</TotalOfBookValueLandBuildings>
      <InvestmentsProgramRelated>
        <Description>BOARD DESIGNATED - FUNDED DEPRECIATION</Description>
        <BookValue>11445876</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>HELD BY TRUSTEE UNDER BOND INDENTURE AGR</Description>
        <BookValue>1831287</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>BOARD DESIGNATED - HOSPICE</Description>
        <BookValue>539229</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>BOARD DESIGNATED - CHAPLIANCY</Description>
        <BookValue>3645</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>13820037</TotalOfBookValueProgramRelated>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>94312</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>MEDICAL MALPRACTICE CLAIMS LIABILITY</Description>
        <Amount>432608</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>RETIREMENT PLAN LIABILITY</Description>
        <Amount>6791718</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>7318638</TotalOfAmounts>
      <TotalRevenue>60909664</TotalRevenue>
      <TotalExpenses>57191150</TotalExpenses>
      <ExcessOrDeficitForYear>3718514</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>530158</NetUnrealizedGLOnInvestments>
      <OtherAmount>-453740</OtherAmount>
      <TotalAdjustments>76418</TotalAdjustments>
      <ExcessOrDeficitPerFS>3794932</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>61029464</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>530158</NetUnrealizedGainsInvestments>
      <OtherRevenues>-410358</OtherRevenues>
      <RevenueNotRptdF990>119800</RevenueNotRptdF990>
      <RevenueSubtotal>60909664</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>60909664</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>57293915</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>439573</OtherExpensesIncluded>
      <ExpensesNotRptdF990>439573</ExpensesNotRptdF990>
      <ExpensesSubtotal>56854342</ExpensesSubtotal>
      <OtherExpensesNotIncluded>336808</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>336808</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>57191150</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>DEFINED BENEFIT RETIREMENT PLAN ADJUSTMENT -453,740.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSE -439,573. RECLASS OTHER INCOME 29,215.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSE 439,573.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RECLASS FROM OTHER INCOME 336,808.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <AgreementRefFundraising>1</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfOrganization>
          <BusinessNameLine1>HILLARY LYONS ASSOCIATES</BusinessNameLine1>
        </NameOfOrganization>
        <AddressUS>
          <AddressLine1>PO BOX 99</AddressLine1>
          <City>DIMONDALE</City>
          <State>MI</State>
          <ZIPCode>48821</ZIPCode>
        </AddressUS>
        <Activity>CONSULTING</Activity>
        <FundraiserControlOfFunds>0</FundraiserControlOfFunds>
        <GrossReceipts>0</GrossReceipts>
        <AmountRetainedByContractor>27000</AmountRetainedByContractor>
        <NetToOrganization>0</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalRetainedByContractors>27000</TotalRetainedByContractors>
      <Form990ScheduleGPartIV>
        <Explanation>FUNDRAISING IS DONE THROUGH THE COLUMBIA MEMORIAL HOSPITAL FOUNDATION, EIN #93-1091701. COLUMBIA LUTHERAN CHARITIES PAID $27,000 TO HILLARY LYONS ASSOCIATES FOR CONSULTING SERVICES PROVIDED TO THE COLUMBIA MEMORIAL HOSPITAL FOUNDATION. COLUMBIA MEMORIAL HOSPITAL FOUNDATION ALSO PAID $27,000 TO HILLARY LYONS ASSOCIATES FOR CONSULTING UNDER THE SAME CONTRACT.</Explanation>
      </Form990ScheduleGPartIV>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>1050907</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1050907</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01840</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>6644118</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5488279</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1155839</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02020</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>7695025</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5488279</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2206746</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03860</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>145903</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>450</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>145453</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00250</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>11625</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2400</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9225</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>1455284</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>709201</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>746083</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01300</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>58233</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>58233</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>1671045</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>712051</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>958994</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01670</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>9366070</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6200330</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3165740</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05530</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>22305</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>22305</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CommunitySupport>
      <Total>
        <TotalCommunityBuildingExpense>22305</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>22305</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2496611</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>16272740</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>20858405</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-4585665</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>1 COASTAL HEALTH ASSURANCE</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>PHYSICIAN ASSC. MEDICAL CONTRACTS</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.50000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>2 ASTORIA IMAGING LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>MAGNETIC RESONANCE IMAGING(MRI)</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.51000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.49000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>3</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>COLUMBIA MEMORIAL HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2111 EXCHANGE STREET</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
        <Other>OTHER</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>ASTORIA IMAGING LLC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2111 EXCHANGE STREET</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </Address>
        <Other>MRI JOINT VENTURE</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>CMH HOME HEALTH AND HOSPICE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>486 12TH STREET</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>HOME SERVICES</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>COLUMBIA MEMORIAL HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>1</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CMH PROFESSIONAL OFFICE BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2055 EXCHANGE STREET</AddressLine1>
            <City>ASTORIA</City>
            <State>OR</State>
            <ZIPCode>97103</ZIPCode>
          </Address>
          <FacilityType>OFFICE SPACE LEASED TO PRIVATE HEALTHCARE PROVIDERS</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: THE COLLECTION OF RECEIVABLES FROM THIRD-PARTY PAYERS AND PATIENTS IS THE HOSPITAL'S PRIMARY SOURCE OF CASH AND IS CRITICAL TO ITS OPERATING PERFORMANCE. WHEN THE HOSPITAL PROVIDES CARE TO PATIENTS, IT DOES NOT REQUIRE COLLATERAL; HOWEVER, IT MAINTAINS AN ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS AND PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE PAYOR HAS PAID, BUT PATIENT RESPONSIBILITY AMOUNTS (GENERALLY DEDUCTIBLES AND CO PAYMENTS) REMAIN OUTSTANDING. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED PRIMARILY UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE, THE AGE OF THE PATIENT'S ACCOUNT, MANAGEMENT'S ESTIMATE OF THE PATIENT'S ECONOMIC ABILITY TO PAY AND THE EFFECTIVENESS OF COLLECTION EFFORTS. PATIENT ACCOUNTS RECEIVABLE BALANCES ARE ROUTINELY REVIEWED IN CONJUNCTION WITH HISTORICAL COLLECTION RATES AND OTHER ECONOMIC CONDITIONS WHICH MIGHT ULTIMATELY AFFECT THE COLLECTIBILITY OF PATIENT ACCOUNTS WHEN CONSIDERING THE ADEQUACY OF THE AMOUNTS RECORDED IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.ACTUAL WRITE-OFFS HAVE HISTORICALLY BEEN WITHIN MANAGEMENT'S EXPECTATIONS. SIGNIFICANT CHANGES IN PAYOR MIX, BUSINESS OFFICE OPERATIONS, ECONOMIC CONDITIONS, OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE HOSPITAL'S COLLECTION OF PATIENT ACCOUNTS RECEIVABLE, CASH FLOWS, AND RESULTS OF OPERATIONS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: AS A MISSION-DRIVEN HOSPITAL, HEALTHCARE SERVICES ARE OFFERED TO THE COMMUNITY EVEN WHEN THE COST OF THAT CARE IS KNOWN TO BE MORE THAN THE REVENUE THAT WILL BE RECEIVED. AS THE HOSPITAL ABSORBS THESE LOSSES FROM MEDICARE (DETERMINED BY THE RATIOS USED IN THE MEDICARE COST REPORT), THE ENTIRE COMMUNITY BENEFITS BECAUSE MANY OF THESE PROGRAMS/SERVICES WOULD NOT EXIST WITHOUT HOSPITAL SUPPORT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: PERSONAL PAY ACCOUNTS AND THE BALANCE AFTER INSURANCE ARE SUBJECT TO A MINIMUM PAYMENT SCHEDULE. IF THE PATIENT OR GUARANTOR IS UNABLE TO MEET THIS PAYMENT SCHEDULE, APPLICATION MAY BE MADE THROUGH PATIENT FINANCIAL SERVICES CREDIT AND COLLECTION CLERK'(S) AND OR THE PATIENT FINANCIAL SERVICES MANAGER FOR CHARITY, FINANCIAL ASSISTANCE, OR REDUCED PAYMENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLUMBIA MEMORIAL HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: A UNIFORM PERCENTAGE REDUCTION IN CHARGES IS ITEMIZED IN THE BILL FOR INDIVIDUALS WHO DO NOT HAVE INSURANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>REPORTS FILED WITH STATES</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>OR</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>0</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CLATSOP CARE CENTER HEALTH DISTRICT</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>947 OLNEY AVE</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </AddressUS>
        <EINOfRecipient>930725041</EINOfRecipient>
        <AmountOfCashGrant>20960</AmountOfCashGrant>
        <PurposeOfGrant>HOSPICE HOUSE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ASTORIA SCHOOL DISTRICT</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>785 ALAMEDA</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </AddressUS>
        <EINOfRecipient>936000297</EINOfRecipient>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>PLAYGROUND EQUIPMENT AT LOCAL SCHOOL</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ASTORIA BICENTENNIAL CELEBRATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>101 15TH ST</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </AddressUS>
        <EINOfRecipient>930453858</EINOfRecipient>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <Form990ScheduleIPartIV>
        <Identifier>SCHEDULE I, PART I, LINE 2:</Identifier>
        <Explanation>A CMH EMPLOYEE IS ASSIGNED TO MANGAGE THE GRANT PROGRAM PER THE TERMS OF EACH GRANT AGREEMENT. THE ACCOUNTING DEPARTMENT KEEPS COPIES OF ALL GRANT AGREEMENTS, MAINTAINS DETAILED REVENUE AND EXPENDITURE RECORDS FOR EACH GRANT, AND ASSISTS IN THE PREPARATION OF ANY REQUIRED FINANCIAL REPORTING.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>1</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT HOLLAND</NamePerson>
        <BaseCompensationFilingOrg>268096</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26475</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>294571</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LESLIE BLASEWITZ</NamePerson>
        <BaseCompensationFilingOrg>140899</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>790</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11353</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12367</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>165409</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ERIK THORSEN</NamePerson>
        <BaseCompensationFilingOrg>231469</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>30578</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20832</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4387</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>288266</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RANDALL JOHNSON</NamePerson>
        <BaseCompensationFilingOrg>264209</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21393</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>285852</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KIMBERLY S ELTZROTH</NamePerson>
        <BaseCompensationFilingOrg>241902</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5000</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7818</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11379</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>266099</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SAM K LIU</NamePerson>
        <BaseCompensationFilingOrg>243139</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>4167</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16115</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21393</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>284814</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM C LACOST</NamePerson>
        <BaseCompensationFilingOrg>450008</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>27000</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9969</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26475</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>513452</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TERRY FINKLEIN</NamePerson>
        <BaseCompensationFilingOrg>194505</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>3300</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1782</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21016</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>220853</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>ASTORIA GOLF AND COUNTRY CLUB DUES FOR OFFICERS TERRY FINKLEIN AND ERIK THORSEN WERE PAID BY THE ORGANIZATION.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1B</ReturnReference>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>MANAGEMENT BONUSES ARE CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE HOSPITAL FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>270034718</IssuerEIN>
        <CUSIPNumber>046279BD6</CUSIPNumber>
        <DateIssued>2007-08-16</DateIssued>
        <IssuePrice>18880000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION &amp; EQUIPMENT</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>18880000</TotalProceeds>
        <AmountInReserveFund>211241</AmountInReserveFund>
        <CapitalizedInterest>774925</CapitalizedInterest>
        <IssuanceCostsFromProceeds>546140</IssuanceCostsFromProceeds>
        <CreditEnhancement>226835</CreditEnhancement>
        <CapitalExpenditures>18373574</CapitalExpenditures>
        <OtherSpentProceeds>63564</OtherSpentProceeds>
        <AmountUnspent>3</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoanTable>
        <NamePerson>WILLIAM C LACOST</NamePerson>
        <PurposeOfLoan>EDUCATION AND HOUSING ASSISTANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>120000</OriginalPrincipalAmount>
        <Default>0</Default>
        <ApprovedByBoard>0</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>KIMBERLY S ELTZROTH</NamePerson>
        <PurposeOfLoan>HOUSING ASSISTANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>15000</OriginalPrincipalAmount>
        <Default>0</Default>
        <ApprovedByBoard>0</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>SAM LIU</NamePerson>
        <PurposeOfLoan>HOUSING ASSISTANCE</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>15000</OriginalPrincipalAmount>
        <Default>0</Default>
        <ApprovedByBoard>0</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>RANDY STEMPER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>CMH BOARD MEMBER</Relationship>
        <AmountOfTransaction>4449</AmountOfTransaction>
        <DescriptionOfTransaction>OWNER OF ASTORIA BUILDER'S SUPPLY. COMPETITIVELY BID AGAINST OTHER SUPPLIERS FOR RICKENBACH CONSTRUCTION. RICHKENBACH CONSTRUCTION CONTRACTED WITH CMH TO COMPLETE THE THIRD FLOOR TENANT IMPROVEMENTS OF THE NEW PAVILION BUILDING.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>HEATHER SEPPA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>CMH BOARD MEMBER</Relationship>
        <AmountOfTransaction>6834</AmountOfTransaction>
        <DescriptionOfTransaction>PRESIDENT OF BANK OF ASTORIA WHERE THE HOSPITAL HAS SEVERAL BANK ACCOUNTS AND PAYS ROUTINE BANKING TRANSACTION FEES.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>A DRAFT OF THE 990 IS MAILED TO THE BOARD OF TRUSTEES PRIOR TO THE BOARD MEETING. THE 990 IS REVIEWED AND DISCUSSED AT THE BOARD FINANCE COMMITTEE MEETING PRIOR TO FINALIZING AND FILING THE RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES ANNUALLY. ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES MUST SIGN AND DATE THE CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT, QUESTIONNAIRE, AND DISCLOSURE STATEMENT. ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST AT THE BOARD OR OFFICER LEVEL ARE DISCUSSED AT THE BOARD MEETING. ACTUAL CONFLICTS OF INTEREST ARE ADDRESSED, DOCUMENTED, AND FILED IN THE CONFIDENTIAL PERSONNEL FILE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>COMPENSATION OF ALL OFFICERS WAS REVIEWED WITH COMPARABILITY DATA BY A THIRD PARTY CONSULTANT. THE RESULTS OF THE STUDY WERE REVIEWED AND DISCUSSED AT A BOARD OF TRUSTEES' MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL INFORMATION REPORTED IN THE 990 ARE AVAILABLE UPON REQUEST AT THE HOSPITAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 530,158. DEFINED BENEFIT RETIREMENT PLAN ADJUSTMENT -453,740. TOTAL TO FORM 990, PART XI, LINE 5: 76,418.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FROM 990, PART XI LINE 2C:</ReturnReference>
        <Explanation>THE BOARD OF TRUSTEE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT, REVIEW, AND SELECTION OF AN INDEPENDENT AUDIT FIRM. TRADITIONALLY, A THREE YEAR CONTRACT WITH A SELECTED AUDIT FIRM IS APPROVED. ANNUALLY, A SPECIAL BOARD MEETING IS HELD AND THE AUDIT FIRM PRESENTS THE AUDITED FINANCIAL STATEMENTS TO THE BOARD OF TRUSTEES. DURING THE MEETING, THE BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS WITHOUT MANAGEMENT PRESENT. FOLLOW-UP INFORMATION ON THE MANAGEMENT LETTER RECOMMENDATIONS IS ALSO PRESENTED SEMI-ANNUALLY TO THE BOARD FINANCE COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990 PART III, 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</ReturnReference>
        <Explanation>KEY STATISTICS FOR 2010: INPATIENT ADMISSION INCLUDING NEWBORNS: 2,117 INPATIENT DAYS INCLUDING NEWBORNS: 6,015 SURGERY PATIENTS: 2,752 ANCILLARY VISITS: 35,120 LABORATORY TESTS: 126,200 IMAGING TOTALS: 31,344 CLINIC VISITS: 21,492 EMERGENCY &amp; TRAUMA VISITIS: 13,402 URGENT CARE CLINIC VISITS: 5,665 HOME HEALTH VISITS: 3,292 HOSPICE PATIENT DAYS: 8,623 THE FOLLOWING ARE HIGHLIGHTS OF THE ACHIEVEMENTS IN EACH CATEGORY OF COLUMBIA MEMORIAL HOSPITAL'S MISSION STATEMENT. LEADERSHIP: IN THE PAST TWO YEARS, COLUMBIA MEMORIAL HOSPITAL (CMH) HAS REALIZED A 19% IN THE NUMBER OF OUTPATIENT VISITS DUE TO THE ADDITION OF SEVERAL NEW CLINICS AND SERVICES INCLUDING: URGENT CARE, ORTHOPEDICS, UROLOGY, GENERAL SURGERY, PEDIATRICS, CARDIAC REHABILITATION, INFUSION AND CHEMOTHERAPY. CONSTRUCTION CONTINUED INTO 2010 WITH THE REMODEL OF SURGERY, RECOVERY, ENDOSCOPY SUITE, SAME DAY SURGERY ROOMS, EMERGENCY ROOM, AND LABORATORY. ALL OF THE CONSTRUCTION CONTRACTS FOR THE CMH BUILDING AND REMODELING PROJECTS REQUIRE THE USE OF LOCAL CONTRACTORS AND BUSINESSES TO PROMOTE EMPLOYMENT AND STIMULATE THE LOCAL ECONOMY. CMH'S PATTERN OF GROWTH HAS ALSO BOOSTED EMPLOYMENT REALIZING A 21% INCREASE IN FULL TIME EQUIVALENTS (FTES) SINCE 2008. SUCCESSFUL RECRUITMENT OF NEW PHYSICIANS PLAYED A CRITICAL PART IN INCREASING ACCESS TO HEALTHCARE LOCALLY. IN 2009 SIX PHYSICIANS WERE RECRUITED INTO THE COMMUNITY AND ANOTHER FOUR WERE ADDED IN 2010. CMH CONTINUES TO PLAY A CRUCIAL LEADERSHIP ROLE CONDUCTING NEEDS ASSESSMENTS, NETWORKING WITH OTHER LOCAL HEALTHCARE PROVIDERS AND COMMUNITY LEADERS, INCORPORATING NEEDS INTO LONG-TERM STRATEGIC PLANNING GOALS, AND ENSURING GOALS ARE REALIZED TO ENHANCE BOTH THE QUALITY AND QUANTITY OF HEALTHCARE SERVICES PROVIDED. EXCELLENCE: QUALITY IS THE NUMBER ONE PRIORITY AT CMH. A GROUP OF PHYSICIANS DRIVES OUR ACTIVE "QUASAR" COMMITTEE, FOCUSING ON PATIENT OUTCOMES AND DEVELOPMENT OF ACTION PLANS TO ENSURE EXCELLENCE IN PATIENT CARE. IN ADDITION, PEER REVIEWS ARE CONDUCTED THROUGHOUT THE HOSPITAL ON A ROUTINE BASIS FROM OTHER HEALTHCARE FACILITIES. PATIENT OUTCOMES AND OTHER QUALITY MEASURES ARE ALSO TRACKED AT THE DEPARTMENT LEVEL AND REPORTED ON A MONTHLY AND QUARTERLY BASIS TO THE ADMINISTRATIVE TEAM IN COMPARISON TO INTERNAL GOALS AND EXTERNAL BENCHMARKS. CMH REMAINED A JOINT COMMISSION (JCAHO) ACCREDITED HOSPITAL THROUGHOUT 2010. THIS IS NO SMALL TASK WITH THE INCREASED REQUIREMENTS TO PASS RIGOROUS QUALITY, SAFETY, AND COMPLIANCE AUDITS. SURVEYORS ARRIVE UNANNOUNCED TO PERFORM A MULTITUDE OF "TRACERS" TO VERIFY COMPLIANCE WITH INTERNAL POLICIES AS WELL AS WITH EXTERNAL REGULATIONS. PROVIDING AND PARTICIPATING IN EDUCATION OF PHYSICIANS, CMH EMPLOYEES, PATIENTS, VISITORS, AND COMMUNITY MEMBERS IS ANOTHER VITALLY IMPORTANT GOAL FOR CMH. SOME EXAMPLES OF EDUCATIONAL ACTIVITIES PROVIDED BY CMH INCLUDE: HEALTH OCCUPATIONS COURSES IN LOCAL HIGH SCHOOLS, JOB SHADOWING OPPORTUNITIES FOR STUDENTS, CLINIC SETTING FOR COLLEGE AND JOB CORPS CNA/CMA TRAINING, HEALTH FAIRS AND HEALTH SCREENING OPPORTUNITIES, EDUCATIONAL ARTICLES IN THE QUARTERLY NEWSLETTERS, "WIREDMD" ACCESS ON CAMPUS FOR PATIENTS AND VISITORS, EDUCATIONAL BROCHURES, AND COMMUNITY "DOC TALKS" ON VARIOUS MEDICAL CONDITIONS. CMH ENCOURAGES AND SUPPORTS EMPLOYEES IN OBTAINING HIGHER LEVEL CERTIFICATIONS AND ADVANCED DEGREES TO PROMOTE EXCELLENCE THROUGH EDUCATION IN THE YEARS TO COME. COMPASSION: CMH HAS ADOPTED THE "PLANETREE" PHILOSOPHY TO PERSONALIZE, HUMANIZE, AND DEMYSTIFY THE HEALTHCARE EXPERIENCE FOR PATIENTS AND THEIR FAMILIES. CMH AND PLANETREE PROMOTE THE DEVELOPMENT AND IMPLEMENTATION OF INNOVATIVE MODELS OF HEALTHCARE THAT FOCUS ON HEALING AND NURTURING THE BODY, MIND, AND SPIRIT. CMH HAS IMPLEMENTED THE FOLLOWING INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTHCARE EXPERIENCE AT OUR HOSPITAL; CARE PARTNERS, PET THERAPY, MASSAGE, REIKI, TAI CHI, MUSIC, ARTWORK, AROMATHERAPY, HEALING GARDEN, AND A FAMILY ROOM. A COMMITTEE OF STAFF MEMBERS MEET REGULARLY TO EXPLORE AND DEVELOP NEW WAYS TO ENHANCE THE HEALING ENVIRONMENT AND OFFER COMPASSION AND SUPPORT TO PATIENTS AND THEIR FAMILIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XI, LINE 2C:</ReturnReference>
        <Explanation>THE BOARD OF TRUSTEE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT, REVIEW AND SELECTION OF AN INDEPENDENT AUDIT FIRM. TRADITIONALLY, A THREE YEAR CONTRACT WITH A SELECTED AUDIT FIRM IS APPROVED. ANNUALLY, A SPECIAL BOARD MEETING IS HELD AND THE AUDIT FIRM PRESENTS THE AUDITED FINANCIAL STATEMENTS TO THE BOARD OF TRUSTEES. DURING THE MEETING, THE BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS WITHOUT MANAGEMENT PRESENT. FOLLOW-UP INFORMATION ON THE MANAGEMENT LETTER RECOMMENDATIONS IS ALSO PRESENTED SEMI-ANNUALLY TO THE BOARD FINANCE COMMITTEE.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COLUMBIA MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2111 EXCHANGE STREET</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </AddressUS>
        <EIN>931091701</EIN>
        <PrimaryActivities>FUNDRAISING FOR THE HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COLUMBIA MEMORIAL HOSPITAL AUXILIARY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2111 EXCHANGE STREET</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </AddressUS>
        <EIN>931306211</EIN>
        <PrimaryActivities>PROVIDE VOLUNTEERS</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ASTORIA IMAGING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2111 EXCHANGE STREET</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </AddressUS>
        <EIN>800240381</EIN>
        <PrimaryActivity>MRI JOINT VENTURE</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>288519</ShareOfTotalIncome>
        <ShareOfEOYAssets>1736039</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COASTAL HEALTH ASSURANCE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2111 EXCHANGE STREET</AddressLine1>
          <City>ASTORIA</City>
          <State>OR</State>
          <ZIPCode>97103</ZIPCode>
        </AddressUS>
        <EIN>911818894</EIN>
        <PrimaryActivity>PHO</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <ShareOfTotalIncome>-46</ShareOfTotalIncome>
        <ShareOfEOYAssets>21145</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.49000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COLUMBIA MEMORIAL HOSPITAL FOUNDATION (IN-KIND CONTRIBUTION)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>119924</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COLUMBIA MEMORIAL HOSPITAL FOUNDATION (IN-KIND CONTRIBUTION SALARY EXP)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>150380</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ASTORIA IMAGING LLC (SALARY EXPENSE FOR MRI MNGMT TECHS &amp; REGISTRATION)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>205029</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COLUMBIA MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>513162</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>