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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART IV, LINE 2B</FormAndLineReferenceDesc>
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        <ExplanationTxt>TO GATHER INPUT FOR THIS NEEDS ASSESSMENT, FOUR TOWN HALLS WERE CONDUCTED (ONE EACH IN CLACKAMAS, MULTNOMAH AND WASHINGTON COUNTIES IN OREGON AND ONE IN CLARK COUNTY IN WASHINGTON). IN ADDITION, 18 COMMUNITY LISTENING SESSIONS WERE HELD ACROSS THE QUAD-COUNTY REGION, WITH MORE THAN 200 PARTICIPANTS. THE TOWN HALL EVENTS WERE DESIGNED TO BRING TOGETHER COMMUNITY LEADERS AND REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS, TO PROVIDE FEEDBACK ON EARLY DATA FINDINGS AND ELICIT CONVERSATIONS ABOUT COMMUNITIES FOR OUTREACH IN THE LISTENING SESSIONS. DURING THESE TOWN HALLS, A LIST OF POPULATIONS AND COMMUNITIES WERE TARGETED FOR INCLUSION IN THE SMALLER FOCUS GROUP BASED LISTENING SESSIONS. INDEPENDENT OUTSIDE GROUPS WERE BROUGHT IN TO ANALYIZE THE DATA COLLECTED AT THE TOWN HALLS AND REACH A CONSENSUS ON THE CATEGORIES OF PARTICIPANTS TO BE INCLUDED IN THE SMALLER MEETINGS.</ExplanationTxt>
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        <ExplanationTxt>IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTPS://TUALITY.ORG/ABOUT/COMMUNITY_BENEFIT_REPORT/ A HOST OF ISSUES IMPACTS THE HEALTH OF COMMUNITIES IN THE QUAD-COUNTY REGION OF CLARK COUNTY, WASHINGTON AND CLACKAMAS, MULTNOMAH AND WASHINGTON COUNTIES IN OREGON, INCLUDING: -DISCRIMINATION AND RACISM: THE REGION IS HOME TO DIVERSE COMMUNITIES WITH THEIR OWN STRENGTHS AND CHALLENGES TO ADDRESS UNIQUE HEALTH NEEDS. MANY COMMUNITIES - LGBTQ+, RURAL, PEOPLE LIVING WITH DISABILITIES, PEOPLE LIVING WITH MENTAL HEALTH CONCERNS, IMMIGRANTS, REFUGEES, AND PEOPLE OF COLOR - FACE GREATER CHALLENGES IN ACCESSING RESOURCES, HEALTH CARE, AND ATTAINING OVERALL WELL-BEING, DUE TO DISCRIMINATION AND RACISM. TUALITY HEALTHCARE SUPPORTS THIS CORE ISSUE BY CONSULTING AND PARTNERING WITH COMMUNITY GROUPS TO ADDRESS RACISM AND PARTICIPATES IN ORGANIZATIONAL EQUITY, DIVERSITY AND INCLUSION WORK. -TRAUMA: TRAUMA WAS IDENTIFIED ACROSS THE REGION AS AN UNDERLYING CORE ISSUE AFFECTING HEALTH AND WELL-BEING OF COMMUNITY MEMBERS. INDIVIDUALS AND GROUPS WHO HAVE EXPERIENCED TRAUMA SEE INCREASED RISK OF DISEASE AND DEATH. THIS IS AN OVERARCHING CORE ISSUE, WHICH MUST BE CONSIDERED IN ALL PROGRAMS TO ADEQUATELY ADDRESS THE OTHER CORE ISSUES. TUALITY HEALTHCARE SUPPORTS THIS CORE ISSUE BY PROVIDING TRAUMA-INFORMED CARE. -BEHAVIORAL HEALTH: MEETING BEHAVIORAL HEALTH NEEDS IS CRITICAL, PARTICULARLY WITH THE HIGH RATES OF DEPRESSION AND SUICIDE IN THE REGION. ACROSS THE REGION ALMOST A QUARTER (24.1%) OF THE POPULATION HAS BEEN DIAGNOSED WITH DEPRESSION. TUALITY HEALTHCARE IS ADDRESSING THIS CORE ISSUE BY IMPLEMENTING UNIVERSAL DEPRESSION SCREENINGS, CONDUCTING OPIOID PREVENTION WORK AND BY RE-OPENING THE GERIPSYCH UNIT IN 2019. -CHRONIC CONDITIONS: CHRONIC DISEASES ARE CONDITIONS THAT LAST ONE YEAR OR MORE AND REQUIRE ONGOING MEDICAL ATTENTION AND/OR LIMIT ACTIVITIES OF DAILY LIVING. RISK FACTORS FOR CHRONIC DISEASE INCLUDE: TOBACCO USE SECONDHAND SMOKE POOR NUTRITION LACK OF PHYSICAL ACTIVITY EXCESSIVE ALCOHOL OTHER SUBSTANCE USE TUALITY HEALTHCARE IS ADDRESSING THIS CORE ISSUE THROUGH NUTRITION AND CHRONIC CONDITION SELF-MANAGEMENT EDUCATION, PARTNERING WITH COMMUNITY- BASED ORGANIZATIONS TO SUPPORT HEALTHY LIFESTYLES, TOBACCO PREVENTION PROGRAMS AND A SIGNIFICANT INVESTMENT IN CARDIAC SERVICES FOR THE COMMUNITY. -ACCESS TO HEALTHCARE: COMMUNITY MEMBERS IDENTIFIED THE NEED FOR BETTER ACCESS TO THE HEALTH CARE SYSTEM, INCLUDING CULTURALLY RESPONSIVE HEALTH CARE, AND SUPPORT FOR NAVIGATING THE HEALTH CARE SYSTEM, INCLUDING A BETTER UNDERSTANDING OF INSURANCE AS KEY AREAS FOR MORE FOCUS. TUALITY HEALTHCARE IS ADDRESSING THIS CORE ISSUE THROUGH FINANCIAL ASSISTANCE PROGRAMS FOR PATIENTS AND EXPANDING PRIMARY CARE CLINICS INCLUDING IMPROVED PATIENT NAVIGATION SERVICES. -CULTURALLY RESPONSIVE CARE: HEALTH CARE THAT IS RESPONSIVE TO THE CULTURAL NEEDS OF PATIENTS IS CRITICAL TO ENSURE THAT ALL COMMUNITY MEMBERS LIVE THEIR FULLEST AND HEALTHIEST LIVES. THE CURRENT HEALTH CARE SYSTEM IS WORKING TO BE RESPONSIVE BUT HAS WORK TO DO TO MEET THE NEEDS OF ALL PATIENTS. SPECIFICALLY, COMMUNITY MEMBERS WANTED MORE PROVIDERS WHO SHARE THEIR CULTURAL BACKGROUND, MORE COMMUNITY HEALTH WORKERS WHO CAN ASSIST PATIENTS IN NAVIGATING THE SYSTEM AND LIVING THEIR HEALTHIEST LIVES, AND INFORMATION PROVIDED IN MORE LANGUAGES THAN ENGLISH AND SPANISH. TUALITY HEALTHCARE IS ADDRESSING THIS CORE ISSUE BY CONDUCTING INTERNAL TRAININGS FOR PROVIDERS, STAFF AND LEADERS. -ISOLATION: ISOLATION IS A KEY DETERMINANT OF HEALTH. IT IS DIFFERENT FROM LONELINESS, THOUGH THEY ARE OFTEN DISCUSSED TOGETHER. IN THIS REPORT, ISOLATION MEANS EITHER GEOGRAPHIC, PHYSICAL, AND/OR SOCIAL ISOLATION. IT PERTAINS TO SOCIAL CONTACTS OR NETWORK THAT CAN INCLUDE FAMILY, FRIENDS, BUT ALSO THE BROADER ENVIRONMENT THROUGH SOCIAL ACTIVITIES. ISOLATION ALSO MEANS BEING GEOGRAPHICALLY ISOLATED (WHERE YOU LIVE IS A LONG WAY FROM OTHER PEOPLE, SERVICES). ISOLATION HAS PARTICULARLY DETRIMENTAL EFFECTS ON LOW-INCOME SENIORS WHO, IN URBAN SETTINGS, TEND TO BE CLUSTERED IN AREAS WITH HIGH PROPORTIONS OF LOW-INCOME OLDER ADULTS. TUALITY HEALTHCARE IS ADDRESSING THIS CORE ISSUE BY PROVIDING HOME HEALTH CARE.</ExplanationTxt>
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            <AddressLine1Txt>333 SE 7TH AVENUE SUITE 4500</AddressLine1Txt>
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            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TUALITY HEALTHPLACE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 NE 48TH AVENUE SUITE 700</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97124</ZIPCd>
          </USAddress>
          <FacilityTxt>OP THERAPY, CARDIAC REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>THP ORTHOPEDIC SPORTS SPINE &amp; REHA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 NE 48TH AVENUE SUITE 1100</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97124</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>THP NEUROSURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>333 SE 7TH AVENUE SUITE 4350</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TUALITYOHSU CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>299 SE 9TH AVENUE</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>OP RADIATION THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTH PLAINSSUNSET MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10395 NW GLENCOE RD SUITE 500</AddressLine1Txt>
            <CityNm>NORTH PLAINS</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97133</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTH HILLSBORO IMMEDIATE CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7545 SE TUALATIN VALLEY HWY</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>IMMEDIATE CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTH HILLSBORO PRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7529 SE TUALATIN VALLEY HWY</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TUALITY FG LAB-DI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1809 MAPLE ST</AddressLine1Txt>
            <CityNm>FOREST GROVE</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97116</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TUALITY HOME HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>372 SE 6TH AVENUE SUITE 100</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHYSICAL THERAPY &amp; SPORTS REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2333 PACIFIC AVENUE</AddressLine1Txt>
            <CityNm>FOREST GROVE</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97116</ZIPCd>
          </USAddress>
          <FacilityTxt>OP THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GASTROENTEROLOGY CLINICDIGESTIVE H</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>333 SE 7TH AVENUE STE 5200</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OHSU TUALITY PRIMARY &amp; IMMEDIATE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1825 MAPLE ST</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97116</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TWIN PINES-SALUD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>324 SE 9TH AVENUE SUITES E F</AddressLine1Txt>
            <CityNm>HILLSBORO</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97123</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>TUALITY HEALTHCARE PLAYS HOST TO MANY EDUCATIONAL AND COMMUNITY EVENTS AT THE TUALITY HEALTH AND EDUCATION CENTER. HILLSBORO ROTARY CLUB, WASHINGTON COUNTY COMMUNITY ACTION AND OTHER CIVIC GROUPS HOLD REGULAR EVENTS AT THE CENTER. TUALITY HEALTHCARE'S COMMUNITY EDUCATION DEPARTMENT ALSO HOSTS DOZENS OF EVENTS THAT RANGE FROM CLASSES ON DIABETES, YOGA AND OTHER HEALTHY ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE ARE STATED AT UNPAID BALANCES (NET OF CONTRACTUAL ALLOWANCES) AND ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. SUBSTANTIALLY ALL OF THE COMPANY'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO ITS HOSPITALS' PATIENTS. THE COMPANY ESTIMATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY RESERVING A PERCENTAGE OF ALL SELF-PAY ACCOUNTS RECEIVABLE WITHOUT REGARD TO AGING CATEGORY, BASED ON COLLECTION HISTORY, ADJUSTED FOR EXPECTED RECOVERIES AND, IF PRESENT, ANTICIPATED CHANGES IN TRENDS. FOR ALL OTHER NON-SELF-PAY PAYER CATEGORIES, THE COMPANY RESERVES 100% OF ALL ACCOUNTS AGING OVER 365 DAYS FROM THE DATE OF DISCHARGE. THE PERCENTAGE USED TO RESERVE FOR ALL SELF-PAY ACCOUNTS IS BASED ON THE COMPANY'S COLLECTION HISTORY. THE COMPANY COLLECTS SUBSTANTIALLY ALL OF ITS THIRD-PARTY INSURED RECEIVABLES, WHICH INCLUDE RECEIVABLES FROM GOVERNMENTAL AGENCIES. COLLECTIONS ARE IMPACTED BY THE ECONOMIC ABILITY OF PATIENTS TO PAY AND THE EFFECTIVENESS OF THE COMPANY'S COLLECTION EFFORTS. SIGNIFICANT CHANGES IN PAYER MIX, BUSINESS OFFICE OPERATIONS, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE COMPANY'S COLLECTION OF ACCOUNTS RECEIVABLE AND THE ESTIMATES OF THE COLLECTABILITY OF FUTURE ACCOUNTS RECEIVABLE. THE PROCESS OF ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS REQUIRES THE COMPANY TO ESTIMATE THE COLLECTABILITY OF SELF-PAY ACCOUNTS RECEIVABLE, WHICH IS PRIMARILY BASED ON ITS COLLECTION HISTORY, ADJUSTED FOR EXPECTED RECOVERIES AND, IF AVAILABLE, ANTICIPATED CHANGES IN COLLECTION TRENDS. THE COMPANY ALSO CONTINUALLY REVIEWS ITS OVERALL RESERVE ADEQUACY BY ANALYZING CURRENT PERIOD NET REVENUE AND ADMISSIONS BY PAYER CLASSIFICATION, AGED ACCOUNTS RECEIVABLE BY PAYER, AND DAYS REVENUE OUTSTANDING. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS DECREASED BY CHARGE-OFFS (NET OF RECOVERIES). ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE COMPANY'S POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS 6,299,730.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO REFERENCING AND ACCESSING OUR INTERNAL TUALITY FINANCIAL ASSISTANCE PROGRAM (BEFORE, DURING, AND AFTER SERVICES ARE RENDERED), WE ALSO RECOGNIZE OTHER PORTLAND PROVIDERS' (HOSPITALS, PHYSICIAN, AMBULANCE DME, ETC) FINANCIAL ASSISTANCE DETERMINATION (WITH WRITTEN PROOF).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE ARE STATED AT UNPAID BALANCES (NET OF CONTRACTUAL ALLOWANCES) AND ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. SUBSTANTIALLY ALL OF THE COMPANY'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO ITS HOSPITALS' PATIENTS. THE COMPANY ESTIMATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY RESERVING A PERCENTAGE OF ALL SELF-PAY ACCOUNTS RECEIVABLE WITHOUT REGARD TO AGING CATEGORY, BASED ON COLLECTION HISTORY, ADJUSTED FOR EXPECTED RECOVERIES AND, IF PRESENT, ANTICIPATED CHANGES IN TRENDS. FOR ALL OTHER NON-SELF-PAY PAYER CATEGORIES, THE COMPANY RESERVES 100% OF ALL ACCOUNTS AGING OVER 365 DAYS FROM THE DATE OF DISCHARGE. THE PERCENTAGE USED TO RESERVE FOR ALL SELF-PAY ACCOUNTS IS BASED ON THE COMPANY'S COLLECTION HISTORY. THE COMPANY COLLECTS SUBSTANTIALLY ALL OF ITS THIRD-PARTY INSURED RECEIVABLES, WHICH INCLUDE RECEIVABLES FROM GOVERNMENTAL AGENCIES. COLLECTIONS ARE IMPACTED BY THE ECONOMIC ABILITY OF PATIENTS TO PAY AND THE EFFECTIVENESS OF THE COMPANY'S COLLECTION EFFORTS. SIGNIFICANT CHANGES IN PAYER MIX, BUSINESS OFFICE OPERATIONS, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE COMPANY'S COLLECTION OF ACCOUNTS RECEIVABLE AND THE ESTIMATES OF THE COLLECTABILITY OF FUTURE ACCOUNTS RECEIVABLE. THE PROCESS OF ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS REQUIRES THE COMPANY TO ESTIMATE THE COLLECTABILITY OF SELF-PAY ACCOUNTS RECEIVABLE, WHICH IS PRIMARILY BASED ON ITS COLLECTION HISTORY, ADJUSTED FOR EXPECTED RECOVERIES AND, IF AVAILABLE, ANTICIPATED CHANGES IN COLLECTION TRENDS. THE COMPANY ALSO CONTINUALLY REVIEWS ITS OVERALL RESERVE ADEQUACY BY ANALYZING CURRENT PERIOD NET REVENUE AND ADMISSIONS BY PAYER CLASSIFICATION, AGED ACCOUNTS RECEIVABLE BY PAYER, AND DAYS REVENUE OUTSTANDING. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS DECREASED BY CHARGE-OFFS (NET OF RECOVERIES). ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE COMPANY'S POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>REQUESTS FOR FINANCIAL ASSISTANCE MAY BE MADE AT ANY POINT BEFORE, DURING, OR AFTER THE PROVISION OF CARE. INFORMATION RELATED TO ELIGIBILITY FOR FINANCIAL ASSISTANCE IS LOCATED IN THE LOBBIES OF THE HOSPITAL AND AVAILABLE ON THE TUALITY.ORG WEBSITE. IN ADDITION TO REFERENCING AND ACCESSING OUR INTERNAL TUALITY FINANCIAL ASSISTANCE PROGRAM, WE ALSO RECOGNIZE OTHER PORTLAND PROVIDERS' (HOSPITALS, PHYSICIAN, AMBULANCE, DME, ETC.) FINANCIAL ASSISTANCE DETERMINATION (WITH WRITTEN PROOF).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TUALITY HEALTHCARE SERVES A LARGE GEOGRAPHIC AREA OF WESTERN WASHINGTON COUNTY THAT STRETCHES FROM THE SUBURBAN PORTLAND CITIES OF ALOHA AND BEAVERTON TO THE COAST RANGE. THE MARKET INCLUDES THE CITIES OF HILLSBORO AND FOREST GROVE, SITES OF TUALITY'S TWO HOSPITALS, PLUS SMALLER TOWNS SUCH AS CORNELIUS, GASTON, NORTH PLAINS AND BANKS. THIS REGION IS ROUGHLY 250,000 PEOPLE AND IS ONE OF THE FASTEST GROWING AREAS IN OREGON. IN ADDITION, TUALITY IS ONE OF THE REGION'S LARGEST EMPLOYERS WITH A STAFF OF OVER 1,500. TUALITY PROVIDES FINANCIAL, MATERIAL AND MEDICAL ASSISTANCE TO MANY COMMUNITY PARTNERS IN THE REGION. TUALITY HEALTHCARE IS DESIGNATED A "DISPROPORTIONATE SHARE HOSPITAL" BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, DUE TO THE LARGER THAN NORMAL PERCENTAGE OF CARE WE PROVIDE TO THE LOW INCOME AND INDIGENT POPULATION IN OUR AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN IT COMES TO COMMUNITY, EVERYONE HAS A PART TO PLAY. FOR US, IT'S AN HONOR AND A DUTY TO HELP THOSE NEAR US RECEIVE THE BEST MEDICAL CARE POSSIBLE. THAT'S WHY, SINCE OUR BEGINNINGS IN 1918, WE'VE WORKED HARD TO PROVIDE QUALITY, CONVENIENT CARE FOR PEOPLE IN WESTERN WASHINGTON COUNTY. TODAY, WE'RE THE ONLY LOCAL, INDEPENDENT, COMMUNITY-GOVERNED HEALTHCARE SYSTEM IN THE AREA, OFFERING INPATIENT AND OUTPATIENT TREATMENT, SPECIALTY SERVICES, HEALTH EDUCATION AND MORE. OF COURSE, OUR GOAL ISN'T ONLY TO TREAT YOU WHEN YOU'RE SICK, BUT ALSO TO HELP YOU STAY WELL. FOR THAT REASON, YOU'LL OFTEN FIND US AT LOCAL EVENTS AND OTHER PUBLIC PLACES, OFFERING FREE OR LOW-COST HEALTH SCREENINGS AND EDUCATIONAL COURSES. FOR THOSE WHO NEED IT, WE EVEN PROVIDE TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS. MANY OF THESE SERVICES ARE OFFERED AT TUALITY HEALTH EDUCATION CENTER AND OTHER LOCATIONS. WE REALLY ARE YOUR NEIGHBORS MANY OF OUR 1,500 EMPLOYEES LIVE JUST A SHORT DISTANCE FROM WORK. OUR LARGER FACILITIES INCLUDE HILLSBORO MEDICAL CENTER IN HILLSBORO. IN ADDITION, WE HAVE NUMBEROUS 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 THE TUALATIN VALLEY CITIES AND COMMUNITIES IN WESTERN WASHINGTON COUNTY, SUCH AS ALOHA, BEAVERTON, HILLSBORO, FOREST GROVE, CORNELIUS, AND THE SMALLER COMMUNITIES OF THE COAST RANGE FOOTHILLS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>OREGON</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>OR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>OREGON</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINE 1: 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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          <BusinessNameLine1Txt>COMAGINE HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>650 NE HOLLADAY ST 1700</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97232</ZIPCd>
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        <PurposeOfGrantTxt>COMMUNITY AND HEALTH</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>AMERICAN HEART ASSOC - WESTERN</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>7272 GREENVILLE AVE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
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        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY &amp; HEALTH</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PROJECT ACCESS NOW</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>650 NE HOLLADAY ST 1700</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97232</ZIPCd>
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        <RecipientEIN>208928388</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>54407</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY &amp; HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERNAL RECORDS DOCUMENT THE AWARD OF GRANTS OR ASSISTANCE AND THE INTENDED USE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>LORI JAMES-NIELSEN</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>558130</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100777</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>13089</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAVI CHIKKALINGAIAH</PersonNm>
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        <OtherCompensationFilingOrgAmt>516</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BICH-HANG NGUYEN</PersonNm>
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        <PersonNm>WILLIAM KELLEY</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMY LAKE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>531896</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15330</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>743</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2893</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>550862</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH HARDMAN</PersonNm>
        <TitleTxt>CMO-CHIEF MED OFFICR</TitleTxt>
        <BaseCompensationFilingOrgAmt>382621</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>81559</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>810</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11234</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>476224</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER PACKER</PersonNm>
        <TitleTxt>COO-CHIEF OPER OFFCR</TitleTxt>
        <BaseCompensationFilingOrgAmt>331136</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>60260</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2322</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3275</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>396993</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHAN MCCONKIE</PersonNm>
        <TitleTxt>VP OF STRGY/BUS INTG</TitleTxt>
        <BaseCompensationFilingOrgAmt>185510</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>34917</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>540</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8212</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>229179</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEREDITH PETERSON</PersonNm>
        <TitleTxt>VP OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>191680</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>34789</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>810</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1336</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>228615</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>JEREMY LAKE 0 25,388 0 JOSEPH HARDMAN 0 38,231 0 JENNIFER PACKER 0 27,436 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc7">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HOSPITAL FACILITY AUTH OF HILLSBORO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>930430029</BondIssuerEIN>
        <BondIssuedDt>2015-08-28</BondIssuedDt>
        <IssuePriceAmt>16125000</IssuePriceAmt>
        <PurposeDesc>REFUND HOSPITAL REVENUE BOND SERIES 2001 12,293,396, CAPITAL PURCHASE FUND 3,578,300</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>6190000</RetiredAmt>
        <TotalProceedsAmt>16125000</TotalProceedsAmt>
        <InReserveFundAmt>3579979</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>251625</IssuanceCostsFromProceedsAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>false</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL FACILITY AUTH OF HILLSBORO REFUND HOSPITAL REVENUE BOND SERIES 2001 12,293,396, CAPITAL PURCHASE FUND 3,578,300</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc8">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>GREGORY ROSENBLATT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>539600</TransactionAmt>
        <TransactionDesc>PHYSICIAN COMPENSATI</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: GREGORY ROSENBLATT (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE FAMILY MEMBER OF DIRECTOR (C) AMOUNT OF TRANSACTION 539,600 (D) DESCRIPTION OF TRANSACTION: COMPENSATION FOR PHYSICIAN SERVICES (E) SHARING OF ORGANIZATION REVENUES? = NO</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS PROVIDE VARIOUS SERVICES IN SUPPORT OF HEALTH CARE STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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 YEAR 2023, THE ORGANIZATION PROVIDED CARE FOR 33,679 IN-PATIENT ACUTE CARE DAYS, 37,213 EMERGENCY ROOM VISITS, 29,307 URGENT CARE VISITS, AND 19,312 HOME HEALTH VISITS. PLEASE SEE THE COMPANY'S COMMUNITY BENEFIT REPORT (ON THE COMPANY'S WEBSITE AT HTTPS://TUALITY.ORG) FOR A DESCRIPTION OF PROGRAMS AND CHARITY CARE PROVIDED BY TUALITY HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TUALITY HEALTHCARE TUALITY HEALTHCARE DIRECTOR PHYSICIAN FAMILY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS REVIEWED BY TUALITY HEALTHCARE'S DIRECTOR OF FINANCE. IT IS THEN PRESENTED TO THE TUALITY HEALTHCARE BOARD OF DIRECTORS FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MAKING IT PART OF THE EMPLOYEE'S ANNUAL REVIEW. BOARD MEMBERS ARE ALSO REQUIRED TO REVIEW THE POLICY ANNUALLY. ALL AFORE SAID PARTIES ARE REQUIRED TO CERTIFY THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY, HAVE DISCLOSED ANY POTENTIAL CONFLICTS OF INTEREST, AND AGREE TO IMMEDIATELY NOTIFY THE COMPLIANCE OFFICER IF A CONFLICT SHOULD ARISE. CORRECTIVE ACTIONS ARE TO BE TAKEN IMMEDIATELY TO ADDRESS ANY CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE GROUP'S COMPENSATION IS PERIODICALLY REVIEWED EVERY 3-5 YEARS BY AN INDEPENDENT PARTY, AT THE DIRECTION OF THE BOARD OF DIRECTORS. THE TUALITY HEALTHCARE HR DEPARTMENT ANNUALLY REVIEWS COMPENSATION FOR ALL OTHERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE GROUP'S COMPENSATION IS PERIODICALLY REVIEWED EVERY 3-5 YEARS BY AN INDEPENDENT PARTY, AT THE DIRECTION OF THE BOARD OF DIRECTORS. THE TUALITY HEALTHCARE HR DEPARTMENT ANNUALLY REVIEWS COMPENSATION OF ALL OTHERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TAX RETURNS ARE MADE AVAILABLE FOR PUBLIC INSPECTION ON THE FOLLOWING WEBSITE: GUIDESTAR.ORG. GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST TO THE CHIEF FINANCIAL OFFICER OF TUALITY HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT SERVICES 19,180,281 823,874 0 PURCHASED SERVICES 21,254,125 912,953 0 TOTAL 40,434,406 1,736,827 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY INCOME NET OF DISTRIBUTIONS OF JT VENTURES 474,106 DIRECT WRITE OFF METHOD IN EXCESS OF GAAP METHOD 0 CHANGE IN MINIMUM PENSION LIABILITY UNDER FAS 158 7,486,054 CHANGE IN INTEREST IN NET ASSETS UNDER 136 42,222 CHANGE IN MINIMUM PENSION LIABILITY UNDER FAS 158 0 CHANGE IN INTEREST IN NET ASSETS UNDER 136 0 DIRECT WRITE OFF METHOD LESS THAN GAAP METHOD -2,779,724 TOTAL 5,222,658</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUALITY HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>334 SE 8TH AVENUE</AddressLine1Txt>
          <CityNm>HILLSBORO</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97123</ZIPCd>
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          <BusinessNameLine1Txt>TUALITY HE</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUALITY PROPERTY MANAGEMENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 309</AddressLine1Txt>
          <CityNm>HILLSBORO</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97123</ZIPCd>
        </USAddress>
        <EIN>930840810</EIN>
        <PrimaryActivitiesTxt>EXEMPT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C2</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TUALITY HE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TUALITY MANAGEMENT SYSTEMS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>335 SE 8TH AVENUE</AddressLine1Txt>
          <CityNm>HILLSBORO</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97123</ZIPCd>
        </USAddress>
        <EIN>930840778</EIN>
        <PrimaryActivitiesTxt>OTHER MEDI</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TUALITY HE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TUALITY PROPERTY MANAGEMENT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>491724</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TUALITY HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1409266</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TUALITY HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>270395</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TUALITY HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>698689</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TUALITY HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>9148</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
