Civic Intelligence

Legacy Health

EIN 23-7426300 • 501(c)3 • Portland, OR

Profile

Legacy Health (Legacy), formed in 1970, is a unique health care system founded on the tradition and values of community health care organizations, the healing ministries of the Lutheran and Episcopal Churches and community physicians. This system of health care providers is dedicated to caring, compassion and excellence. The individual strengths and traditions that each provider brings enable Legacy, as a system, to be of greater benefit to the communities Legacy serves in its common mission. Legacy is the largest Oregon-based, nonprofit health care system in the State of Oregon and is one of the largest employers in the Portland metropolitan area. Legacy provides an integrated network of health care services, including acute and critical care, inpatient and outpatient treatment, primary and specialty physician services, hospice, laboratory, research, education and a variety of specialty services. Facilities within the System include six hospitals, inpatient and home hospice programs,

1919 NW Lovejoy StreetPortland, OR 97209

www.legacyhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

85th percentile

0.69x

Higher debt load relative to assets than 85% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2025

Liabilities / Revenue

90th percentile

3.36x

Higher debt load relative to revenue than 90% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2025

Net Margin

37th percentile

3.2%

Higher net margin than 37% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2025

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-3.1%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2025

Revenue Growth

54th percentile

10%

Faster revenue growth than 54% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2025

Assets

Down

$2,048,100,894

Down $54,702,157 (-2.6%) from 2024

Liabilities

Down

$1,421,510,163

Down $80,408,422 (-5.4%) from 2024

Net Assets

Up

$626,590,731

Up $25,706,265 (+4.3%) from 2024

Revenue

Down

$423,185,495

Down $83,435,660 (-16%) from 2024

Expenses

Up

$409,758,890

Up $65,694,149 (+19%) from 2024

Net Income

Down

$13,426,605

Down $149,129,809 (-92%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0B$2.0B$1.0B$0Assets 2010: $1,196,043,563Liabilities 2010: $1,101,469,286Net Assets 2010: $94,574,2772010Assets 2011: $1,085,624,590Liabilities 2011: $995,565,374Net Assets 2011: $90,059,2162011Assets 2012: $848,376,935Liabilities 2012: $761,894,258Net Assets 2012: $86,482,6772012Assets 2013: $903,236,134Liabilities 2013: $815,889,700Net Assets 2013: $87,346,4342013Assets 2014: $973,881,923Liabilities 2014: $876,994,106Net Assets 2014: $96,887,8172014Assets 2015: $1,092,797,777Liabilities 2015: $1,016,570,954Net Assets 2015: $76,226,8232015Assets 2016: $1,040,339,131Liabilities 2016: $975,291,202Net Assets 2016: $65,047,9292016Assets 2017: $1,312,601,277Liabilities 2017: $1,245,195,743Net Assets 2017: $67,405,5342017Assets 2018: $1,420,270,239Liabilities 2018: $1,332,701,107Net Assets 2018: $87,569,1322018Assets 2019: $1,513,327,901Liabilities 2019: $1,393,318,332Net Assets 2019: $120,009,5692019Assets 2020: $1,584,772,532Liabilities 2020: $1,580,298,682Net Assets 2020: $4,473,8502020Assets 2021: $2,145,019,484Liabilities 2021: $1,861,918,478Net Assets 2021: $283,101,0062021Assets 2022: $2,251,797,785Liabilities 2022: $1,749,474,194Net Assets 2022: $502,323,5912022Assets 2023: $2,018,803,058Liabilities 2023: $1,629,340,841Net Assets 2023: $389,462,2172023Assets 2024: $2,102,803,051Liabilities 2024: $1,501,918,585Net Assets 2024: $600,884,4662024Assets 2025: $2,048,100,894Liabilities 2025: $1,421,510,163Net Assets 2025: $626,590,7312025

Highlighted filing

2025

Assets$2,048,100,894
Liabilities$1,421,510,163
Net Assets$626,590,731

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $144,808,0402010Expenses 2011: $172,552,1952011Expenses 2012: $180,641,0082012Expenses 2013: $180,642,8432013Revenue 2014: $189,459,278Expenses 2014: $187,133,547Net Income 2014: $2,325,7312014Revenue 2015: $185,691,177Expenses 2015: $195,001,170Net Income 2015: -$9,309,9932015Revenue 2016: $214,970,840Expenses 2016: $222,954,729Net Income 2016: -$7,983,8892016Revenue 2017: $227,699,857Expenses 2017: $243,735,378Net Income 2017: -$16,035,5212017Revenue 2018: $267,401,320Expenses 2018: $255,444,201Net Income 2018: $11,957,1192018Revenue 2019: $285,727,001Expenses 2019: $252,495,227Net Income 2019: $33,231,7742019Revenue 2020: $218,084,012Expenses 2020: $257,715,346Net Income 2020: -$39,631,3342020Revenue 2021: $517,918,656Expenses 2021: $238,457,165Net Income 2021: $279,461,4912021Revenue 2022: $316,347,594Expenses 2022: $322,341,283Net Income 2022: -$5,993,6892022Revenue 2023: $256,443,961Expenses 2023: $334,704,258Net Income 2023: -$78,260,2972023Revenue 2024: $506,621,155Expenses 2024: $344,064,741Net Income 2024: $162,556,4142024Revenue 2025: $423,185,495Expenses 2025: $409,758,890Net Income 2025: $13,426,6052025

Highlighted filing

2025

Revenue$423,185,495
Expenses$409,758,890
Net Income$13,426,605

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$2,048$1,422$627$423$410$13.4
2024Detailed filing. Detailed filing data is available for this year.$2,103$1,502$601$507$344$163
2023Detailed filing. Detailed filing data is available for this year.$2,019$1,629$389$256$335$78.3
2022Detailed filing. Detailed filing data is available for this year.$2,252$1,749$502$316$322$5.99
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,145$1,862$283$518$238$279
2020Detailed filing. Detailed filing data is available for this year.$1,585$1,580$4.47$218$258$39.6
2019Detailed filing. Detailed filing data is available for this year.$1,513$1,393$120$286$252$33.2
2018Detailed filing. Detailed filing data is available for this year.$1,420$1,333$87.6$267$255$12.0
2017Detailed filing. Detailed filing data is available for this year.$1,313$1,245$67.4$228$244$16.0
2016Detailed filing. Detailed filing data is available for this year.$1,040$975$65.0$215$223$7.98
2015Detailed filing. Detailed filing data is available for this year.$1,093$1,017$76.2$186$195$9.31
2014Detailed filing. Detailed filing data is available for this year.$974$877$96.9$189$187$2.33
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$903$816$87.3$181
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$848$762$86.5$181
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,086$996$90.1$173
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,196$1,101$94.6$145
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Feb 17, 2026
Return Version
2024v5.2
Gross Receipts
$492,254,850
Mission and Program Overview

Mission

Legacy Health (Legacy), formed in 1970, is a unique health care system founded on the tradition and values of community health care organizations, the healing ministries of the Lutheran and Episcopal Churches and community physicians. This system of health care providers is dedicated to caring, compassion and excellence. The individual strengths and traditions that each provider brings enable Legacy, as a system, to be of greater benefit to the communities Legacy serves in its common mission. Legacy is the largest Oregon-based, nonprofit health care system in the State of Oregon and is one of the largest employers in the Portland metropolitan area. Legacy provides an integrated network of health care services, including acute and critical care, inpatient and outpatient treatment, primary and specialty physician services, hospice, laboratory, research, education and a variety of specialty services. Facilities within the System include six hospitals, inpatient and home hospice programs,

Legacy is a unique health care system founded on the tradition and values of community health care organizations, the healing ministries of the Lutheran and Episcopal Churches and community physicians who provide dedicated health services with care, compassion and excellence.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$99,340,567$617,918,358▲ $518,577,791
Investments in Publicly Traded Securities$1,118,663,110$512,258,016▼ $606,405,094
Investments Other Securities$188,256,931$168,618,994▼ $19,637,937
Land, Buildings, and Equipment, Net$76,419,401$85,813,255▲ $9,393,854
Prepaid Expenses and Deferred Charges$25,561,800$28,601,332▲ $3,039,532
Accounts Receivable$23,490,958$17,757,115▼ $5,733,843
Inventories for Sale or Use$2,967,670$3,304,566▲ $336,896
Intangible Assets$1,981,058$1,341,761▼ $639,297
Other Notes and Loans Receivable, Net$375,000$0▼ $375,000
Cash and Non-Interest-Bearing Accounts-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related-$0-
Total Assets$2,102,803,051$2,048,100,894▼ $54,702,157
Other Assets Total$565,746,556$612,487,497▲ $46,740,941
Liabilities
Tax Exempt Bond Liabilities$726,429,567$713,608,154▼ $12,821,413
Other Liabilities$611,446,329$469,584,044▼ $141,862,285
Accounts Payable and Accrued Expenses$164,042,689$238,317,965▲ $74,275,276
Total Liabilities$1,501,918,585$1,421,510,163▼ $80,408,422
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$600,884,466$626,590,731▲ $25,706,265
Total Net Assets Fund Balance$600,884,466$626,590,731▲ $25,706,265
Total Liabilities and Net Assets / Fund Balance$2,102,803,051$2,048,100,894▼ $54,702,157

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$31,116,729$293,555,844$324,672,573
Buildings$36,001,868$137,687,802$173,689,670
Other Land Buildings$15,738,237-$15,738,237
Land$2,745,876-$2,745,876
Leasehold Improvements$210,545$2,392,739$2,603,284
Other Assets Org$95,579,124--
Financial Derivatives$5,184,190--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$19,863,511$11,126,602▲ $243,432$7,697,027$23,536,518
2023$18,368,683$4,543,736▲ $550,535$3,599,443$19,863,511
2022$11,227,731$9,089,704▼ $248,183$1,700,570$18,368,682
2021$11,334,310$1,663,884▲ $128,873$1,899,336$11,227,731
2020$7,859,727$5,047,400▲ $1,068,296$2,641,113$11,334,310
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joseph Frankhouse MdBoard Director-$610,384$660,128$2,784,747
George J Brown MdPresident & CEOFT$443,667$290,418$1,654,718
Anita IyengerSr VPFT$777,403$365,724$1,289,555
Jonathan AverySr VPFT$405,467$118,311$1,279,428
Luda KaminskaRnFT$536,250$33,722$1,004,135
John J KenagySr VPFT$1,047,456$102,232$887,764
Craig R ArmstrongSecretaryFT$1,350,574$114,237$867,956
Anna LoomisCFO & TreasurerFT$537,323$113,856$811,405
Kelley AurandVPFT$378,416$76,403$757,451
Kaitlin WalkerVPFT$406,518$81,199$735,418
Lisa GorenSr VPFT$824,471$82,197$692,718
Amy Chaumeton MdAssociate CMOFT$591,320$447,588$644,778
Nikolaus Kashey MdVPFT$465,388$314,730$614,791
Maureen a BradleySr VPFT$464,924$47,969$601,480
Jennifer LetourneauVPFT$716,476$181,102$562,699
Melinda Muller MdSr VPFT$376,376$-2,672$546,255
Ginger SharpVPFT$483,007$334,799$487,334
Kecia KellySr VPFT$609,620$74,298$486,474
Kathryn CorreiaPresident & CEOFT$486,474$65,261$472,737
Merrin PermutVPFT$529,133$341,550$445,633
Kerrin E GillespieCFOFT$481,532$186,007$438,689
Jonathan G HillFormer Director-$1,942,060$120,051$437,362
Nathalie G Johnson MdBoard Director--$567,286$347,995
Bryce HelgersonFormer Sr. VP-$730,994$589,544$336,721
Sarah JensenVPFT$370,025$75,608$318,409
Leslie Root MdBoard Director--$52,080$52,080
Nancy HortonBoard Director-$25,000-$25,000
Nancy R LockeBoard Director-$25,000-$25,000
Charles WilhoiteChairman-$22,500-$22,500
David RamusVice Chair-$17,500-$17,500
Jerry D PettyBoard Director-$15,000-$15,000
Patrick ReitenBoard Director-$15,000-$15,000
Samir Desai MdBoard Director-$15,000-$15,000
Gayle GoschieBoard Director-$12,500-$12,500
Lynn T GustBoard Director-$12,500-$12,500
Edgar NavasBoard Director-$7,500-$7,500
Jack a FriedmanBoard Director-$7,500-$7,500
Jeffrey BarberBoard Director-$7,500-$7,500
Lisa Wynn FreedmanBoard Director-$7,500-$7,500
Nasreen Ilias-khan MdBoard Director-$7,500-$7,500

Board Members and Trustees

NameTitle
Bishop Diana AkiyamaBoard Member
Bishop Laurie Larson CaesarBoard Member
Seth Podolsky MdFormer Sr. VP
Sonja O StevesFormer Sr. VP
Trent GreenFormer Sr. VP

Highest Paid Contractors

ContractorServicesLocationCompensation
Robert Virde Construction INCContract Services541 LONE OAK AVE, Eugene, OR 97404$4,540,877
Reed Smith LPLegal2672 PAYSPHERE CIRCLE, Chicago, IL 60674$3,354,917
Kh Acquistion LLCAdvisory ServicesPO BOX 845330, Dallas, TX 75284$2,952,348
Stoel Rives LLPLegal101 S CAPITAL BLVD 1900, Boise, ID 83702$2,474,731
Structured Communications Systems INCInformation Systems9200 SE SUNNYBROOK BLVD 300, Clackamas, OR 97015$2,258,463
Revenue and Support

Revenue Composition

Contributions and Grants
$1,841,642
Program Service Revenue
$128,570,835
Investment Income
$293,417,029
Other Revenue
$-644,011
All Other Contributions
$-3,279
Change in Net Assets
$13,426,605

Audited Revenue Reconciliation

Revenue per Audited Statements
$372,932,000
Revenue Not Reported on Financial Statements
$50,253,495
Other Revenue Adjustments
$50,253,495
Total Revenue per Audited Statements
$372,932,000
Total Revenue per Form 990
$423,185,495
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$206,146,154
Other Expenses$201,335,358
Grants and Similar Amounts Paid$2,277,378
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$145,441,968--$145,441,968
Information Technology$36,278,667--$36,278,667
Other Employee Benefits$21,745,857--$21,745,857
Current Officers, Directors, Trustees, and Key Employees$15,658,289--$15,658,289
Payroll Taxes$11,943,020--$11,943,020
Fees for Services Legal$11,544,839$1,600-$11,546,439
Pension Plan Contributions$11,357,020--$11,357,020
Office Expenses$9,009,775$71,024-$9,080,799
Interest$8,724,791--$8,724,791
Depreciation Depletion$7,758,731$207-$7,758,938
Insurance$6,788,492--$6,788,492
Grants to Domestic Orgs$2,277,378--$2,277,378
Advertising$1,339,854--$1,339,854
Travel$711,183--$711,183
Occupancy$298,826$9,600-$308,426
Other Expenses$126,996$33,521-$126,996
Total Functional Expenses$406,208,363$3,550,527$0$409,758,890

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$409,758,890
Expenses per Audited Statements$359,506,000
Total Expenses per Audited Statements$359,506,000
Expenses Not Reported on Financial Statements$50,252,890
Other Expense Adjustments$50,252,890
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Project Access NowPortland, OR501(c)(3)Community Health Grant$732,069
The or Community FoundationPortland, OR501(c)(3)Wellness Access Specialist Support$150,000
Girls Inc of Nw OregonPortland, OR501(c)(3)Girls Groups & Eureka Programs$57,500
Transition ProjectsPortland, OR501(c)(3)School Based Health Navigator$57,500
Free Clinic of Sw WashingtonVancouver, WA501(c)(3)Project Access Program$53,750
Latino NetworkPortland, OR501(c)(3)Community Health Response Program$53,750
Portland OpportunitiesPortland, OR501(c)(3)Premium Assistance$53,750
Silverton Area Community AidSilverton, OR501(c)(3)Workforce Development Program$53,750
Virginia Garcia Memorial FdtnCornelius, OR501(c)(3)Outreach & Prevention -bipoc Youth$53,750
Ywca Clark CountyVancouver, WA501(c)(3)-$53,750
Familias En AccionPortland, OR501(c)(3)Workforce Development Program$51,875
Hacienda Community DevelopmenPortland, OR501(c)(3)Cully Comm Programming$51,875
Albertina Kerr CentersPortland, OR501(c)(3)Employment Services Program$51,772
Liberty HouseSalem, OR501(c)(3)North Marion County Expansion$51,125
Asian Health & Service CenterPortland, OR501(c)(3)Empower Asian Comm Project$50,000
Catholic Community ServicesKeizer, OR501(c)(3)Grant to Address Social Needs$50,000
Council for the HomelessVancouver, WA501(c)(3)Community Health Grant$50,000
El Programa Hispano CatolicoGresham, OR501(c)(3)Comm Health Grant - Aging Program$50,000
Feedem FreedomPortland, OR501(c)(3)Wingi Free Food Market$50,000
Fourth Plain ForwardVancouver, WA501(c)(3)Bipoc Doula Program Pilot$50,000
Boys & Girls Clubs of Sw WaVancouver, WA501(c)(3)Healthy Lifestyles Prog for Youth$49,698
Cascadia Behavioral HealthcarPortland, OR501(c)(3)Peer Workforce Initiative$48,910
Mike ProgramPortland, OR501(c)(3)Mentored Health Education Program$37,250
Kindness FarmPortland, OR501(c)(3)Food Insecurity$30,000
Lift Urban PortlandPortland, OR501(c)(3)Food Security Program$26,125
Rose HavenPortland, OR501(c)(3)Mobile Food Pantry$25,000
Bienestar IncHillsboro, OR501(c)(3)Erg Program Donation$10,000
Paws Assisting VeteransCornelius, OR501(c)(3)Culturally Specific Counseling Svcs$10,000
The ContingentPortland, OR501(c)(3)Community Clinics Support$6,750
Oregon LionsPortland, OR501(c)(3)2024 Galaween & Program Donation$6,250
Donate Life NorthwestPortland, OR501(c)(3)2025 Starlight Gala$5,626

International Summary

Employees
1
Spending
$94,017

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
CaribbeanProgram ServiceInsurance01$94,017
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Miles JacksonEmployeeFam Mem of J Friedman DirNo$152,632

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
I/c Affiliate - Investment Pool$218,886,492
Reserve for Professional Liability Costs$148,082,903
Noncurrent Benefits Liability$91,272,554
NONCURRENT WORKERS' COMP LIABILITY$8,665,000
Equipment Rent Nc$2,677,093
Rounding$2

Bond Issues

BondIssuerIssuedIssue PricePurpose
AOr Facilities Authority2016-11-10$320,774,739Financing refunding rev bonds
COr Facilities Authority2022-05-11$201,655,914Financing refunding rev bonds
BOr Facilities Authority2020-03-16$24,675,000Financing refunding rev bonds

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$326,700,923$124,129,122$19,880,000$2,571,800
C$201,655,914$100,000,000-$1,975,914
B$24,675,000$24,300,000$12,375,000$375,000

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
Yes
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 4

The Legacy articles of incorporation were amended and restated on March 20, 2025 and updates Article 5.7 to extend a director's term. The 2025 Articles add a new paragraph at the end of Article 5.7 allowing the Board, by majority vote, to extend any Director's term for up to one year after expiration. During that extension:1. The Director keeps all rights, powers, privileges and obligations, and2. The extended Director counts toward the number of voting members even if this temporarily exceeds the 18 member maximum.For the approval of such an extension, the affected Director is recused (does not vote and isnt counted for the majority). The Legacy bylaws were amended and restated on March 20, 2025 to update Article 3 & 3.3 as follows:The 2025 Bylaws add a paragraph authorizing the Board, by majority of Directors in office, to extend any Directors term for up to one (1) year after expiration. During that extension the Director retains full rights/obligations and counts toward the number of voting members even if this temporarily exceeds the stated maximum. For the extension decision, the affected Director does not vote and is not counted in determining the majority.

Form 990, Part VI, Section A, Line 7A

The Board of Directors includes the following members: (a) The Bishop of the Oregon Synod of the Evangelical Lutheran Church inAmerica (the Oregon Synod") or the Bishop's designee, who shall serve ex officio;(b) The Bishop of the Episcopal Diocese of Oregon (the "Episcopal Diocese")or the Bishop's designee, who shall serve ex officio;(c) One (1) person elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of a Lutheran congregation in the Oregon Synod ("Lutheran Director");(d) One (1) person elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of an Episcopal congregation in the Episcopal Diocese known to his/her parish priest, or alternatively a member of the clergy in the Episcopal Diocese ("Episcopal Director").

Form 990, Part VI, Section A, Line 7B

The election of Lutheran Director is subject to the approval by the Bishop of the Oregon Synod, who may object to the newly-elected director for any reason by delivering written notice to the Legacy President or the Chair of the Board of Directors no later than one week after the election. If the Bishop timely objects to the election of the new Lutheran Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Lutheran Director for his/her full term or the remainder of an unexpired term to which elected. The election of the Episcopal Director is subject to approval by the Bishop of theEpiscopal Diocese, who may object to the newly elected director for any reason by delivering written notice to the Legacy President or Chair of the Board of Directors no later than one week after the election. The election of the Episcopal Director is also subject to approval by the Standing Committee of the Episcopal Diocese, who may object to the newly elected director only on the grounds that he/she is not an active member of an Episcopal congregation or a member of the Episcopal clergy in the Episcopal Diocese; such objection to be effected by delivering written notice to the Legacy President or Chair of the Board of Directors within five days after the next meeting of the Standing Committee or 45 days after the election, whichever isearlier. If the Bishop or Standing Committee timely object to the election of the new Episcopal Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Episcopal Director for his/her full term or the remainder of an unexpired term to which elected.

Form 990, Part VI, Section B, Line 11B

The Legacy Board received a copy of the 990 return prior to filing. At the direction of the entire Board, the Board Compensation Committee reviewed the compensation disclosures and the Board Audit and Compliance Committee received a memorandum with a draft 990 return highlighting key areas and requesting feedback. Questions from the Board Audit and Compliance Committee are answered and changes made where appropriate. Any significant differences from the draft 990 to the final 990 return are provided to the Board Audit and Compliance Committee. Depending on the deadline for the 990 return filing and the Board Audit and Compliance Committee meeting this discussion may take place following the filing of the return.

Form 990, Part VI, Section B, Line 12C

The following is a summary of Legacy's policy and procedures for conflict of interest disclosure, monitoring and resolution.All Legacy employees and non-employees in leadership positions (e.g., Board members, Foundation Trustees, Medical Directors) are required to disclose potential conflicts of interest as the conflict arises. All employees are required to disclose any conflict of interest per the Standard of Conduct policy. Certain groups have annual formal disclosure requirements, Executives and non-employees in leadership positions complete the Conflict Disclosure Statement from the Standards of Conduct policy annually. Officers, Directors, Trustees, Key and Highly Compensated employees are also required to complete a questionnaire covering business relationships, business transactions with interested parties, loans and grants. Conflict Disclosure Statements and questionnaires are returned to Legacy Corporate Compliance or Tax Departments for review of the disclosure. If a conflict is disclosed, or identified through any other means, Legacy Corporate Compliance ensures that management mitigates the risk (e.g., discontinues relationship with vendor, segregates responsibilities, recuses Board member from voting in area of conflict) and that the conflict and mitigation steps are reported to the appropriate level (e.g. Audit and Compliance Committee of the Board).

Form 990, Part VI, Section B, Line 15B

The following describes the compensation practices of Legacy Health and its affiliates.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior leaders responsible for ensuring Legacy Health serves its mission and patients every day, and for ensuring a safe, inclusive and equitable workplace for all Legacy employees. The comprehensive compensation plan is designed for positions that have a significant impact on the high-level strategic and policy direction of Legacy and its affiliates, and are accountable for the effective day-to-day operation of the system.Base pay and total compensation (including incentive compensation) for similar positions is established at a level comparable to market compensation for healthcare organizations. External consultants are regularly used to review published compensation surveys of comparable organizations and comparable benchmark positions in the market. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for key executive positions. The Committee oversees the system's governance procedures with respect to the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures.

Form 990, Part VI, Section C, Line 19

Legacy Health's audited and interim consolidated financial statements are publicly available on the Electronic Municipal Market Access(EMMA) (www.emma.msrb.org) and DAC Bond (www.dacbond.com) websites. When changes are made to the Legacy Articles or Bylaws, Legacy discloses the changes on the IRS Form 990. These documents are publicly available upon request. Other governing documents are not available to the public.

Filing and Contact Details

Filer

Filer Name
Legacy Health
EIN
23-7426300
Phone
5034155600
Address
1919 NW LOVEJOY STREET, PORTLAND, OR 97209

Signing Officer

Name
Carolyn Coggins
Title
Interim CFO
Signed
2026-02-17

Organization Details

Principal Officer
George J Brown
Formed
1970
Legal Domicile
Or
Voting Board Members
18
Independent Board Members
12
Employees
17,705
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Change in additional minimum pension liability = -$674755

Form 990, Part XI, Line 9

Interco clearing = $13053460

Form 990, Part XI, Line 9

Rounding = $2

Form 990, Part XI, Line 9

Transfer from foundation = -$99047

990 Part X

Legacy manages the investments for all affiliates through pooled funds which include professionally managed equity and fixed income securities in both separately managed portfolios and commingled investment accounts. Investment returns are prorated according to each affiliate's share of the pool. Legacy reports the gains or losses on the investment portfolio.

Part 1, Line 5 & Part V question 2A

The number of employees reported on the W-3 is for all Legacy Health Affiliates. Legacy Health is a common pay agent for all of the affiliates and reports all employees under its EIN.

Part IX, line 20

Total interest expense relating to tax exempt bonds for Legacy & its affiliates was $28,668,162.Entity AmountLHS 8,724,791LEHHC 14,796,668LGSMC 2,285,663LMPH 675,393LMHMC 1,151,904LSH 1,033,744 LSCH 0

Financial Statement Notes

Part V, Line 4: Intended uses of the endowment fund.

Endowment funds disclosed in Part V are used to improve the healthcare of the community as designated by the donors. Legacy Health Foundation (LHF) maintains all charitable gifts including endowment funds for the benefit of Legacy and it's programs. Income from permanently restricted net assets is accounted for in accordance with the donors' instructions.Legacy follows the guidance in the Uniform Prudent Management of Institutional Funds Act (UPMIFA) in determining the net asset classification of all donor-restricted endowment funds. In accordance with UPMIFA and board policy, assets classified as permanent endowments in accordance with donor intent are only utilized for current period expenditures to the extent that earnings on the endowment exceed the original fair value of the donation. To the extent earnings on endowment funds exceed identified expenditures on which to apply those earnings, the earnings are classified as temporarily restricted net assets. Legacy has adopted investment and spending policies for endowment assets to provide a predictable stream of funding to programs supported by its endowment and to maintain the value of the endowment assets. Asset allocation is reviewed quarterly with respect to: i) Legacy's tolerance for risk based on its financial condition and need for cash from investments to support operations; ii) expected asset class return, risk and correlation characteristics; iii) changes in accounting guidance or tax law and iv) changes in bond covenants or other restrictions.Legacy's spending practices are intended to comply with donor's wishes and meet all applicable laws and regulations. Spending must be for a purpose that is consistent with the documented intent of the donor, and may not exceed the amounts annually determined by Legacy. Factors that are considered in addressing the annual spending allocation are: i) market value of the fund relative to the principal of the gift and ii) the level of spending in prior years.From time to time, the fair value of assets associated with individual donor-restricted endowment funds may fall below the level that the donor or UPMIFA requires Legacy to retain as a fund of perpetual duration. Deficiencies of this nature are reported as a reduction to unrestricted net assets and are excluded from the performance indicator.

Part XI, Line 4B: Other revenue amounts included on 990 but not included in F/S

Foundation contribution $99047 foundation salary expense $2934516 other reclass of rev/exp for tax purpose $42497631 gain/loss of sale of assets $4722301

Part XII, Line 4B: Other revenue amounts included on 990 but not included in F/S

Foundation contribution $99047 foundation salary expense $2934516 other reclass of rev/exp for tax purpose $47219327

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IRS990/Desc0Legacy provides administrative services for the System in the areas of general administration, finance, legal services, human resources, information management, patient billing, quality and patient safety, and marketing and also oversees and supports health education and community wellness programs throughout the System's service area. Legacy is the sole corporate member of six nonprofit corporations: Legacy Emanuel Hospital & Health Center (LEHHC), Legacy Good Samaritan Hospital and Medical Center (LGSHMC), Legacy Meridian Park Hospital (LMPH), Legacy Mount Hood Medical Center (LMHMC), Legacy Salmon Creek Hospital(LSCH), Silverton Health (SH) and Legacy Visiting Nurse Association (LVNA). While there is investment in a variety of community-based activities and programs as a part of its non-profit status, an overwhelming majority of Legacy community benefit comes in the form of providing uncompensated care. Legacy's policy of providing care regardless of the ability to pay makes it one of the region's largest providers of uncompensated care in the four-county metropolitan area. Legacy, collectively provided over $62 million, $261 million, $319 million, and $18 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2025. In addition, Legacy provided over $39 million in other community benefit activities during fiscal year 2025.In support of its mission, Legacy provides medically necessary patient care services that are discounted or free of charge to persons who have insufficient resources and/or who are uninsured. The criteria for charity care are determined based on eligibility for insurance coverage, household income, catastrophic medical events, or other information supporting a patients inability to pay for services provided. Specifically, Legacy provides an uninsured discount of 35% to self-pay patients with no coverage. A 75% discount is available to patients whose household income is between 301% and 400% of the federal poverty level. For patients whose household income is at or below 300% of the federal poverty level, a full subsidy is available. In certain situations, charity care is awarded to individuals without any patient action required. In addition to the household income criteria, other catastrophic or economic circumstances are considered in determining eligibility for charity care. During 2025, Legacy provided charity care on 92,018 patient accounts, representing 9,367 inpatient accounts, and 82,651 outpatient accounts. In 2025, 8% of the patients receiving charity care received a full subsidy representing roughly 20% of the total charity provided. The top five services provided to patients qualifying for charity care were emergency/trauma, surgery, cardiovascular, pediatrics, and general acute care.In addition to charity care, Legacy provides services under various states' Medicaid programs for low-income patients, to Medicare beneficiaries, and to beneficiaries under other government programs(such as Tricare). The cost of providing services to these beneficiaries generally exceeds the reimbursement from these programs.Legacy also employs financial counselors and social workers, who assist patients in obtaining coverage for their healthcare needs. This includes assistance with workers compensation, motor vehicle accident policies, COBRA, veterans' assistance, and public assistance programs such as Medicaid. This program assists many patients in obtaining coverage through a third party, reducing the patients' financial responsibility.
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IRS990/Form990PartVIISectionAGrp/PersonNm2ANITA IYENGER
IRS990/Form990PartVIISectionAGrp/PersonNm3JONATHAN AVERY
IRS990/Form990PartVIISectionAGrp/PersonNm4MELINDA MULLER MD
IRS990/Form990PartVIISectionAGrp/PersonNm5NATHALIE G JOHNSON MD
IRS990/Form990PartVIISectionAGrp/PersonNm6JOHN J KENAGY
IRS990/Form990PartVIISectionAGrp/PersonNm7CRAIG R ARMSTRONG
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IRS990/Form990PartVIISectionAGrp/PersonNm13AMY CHAUMETON MD
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IRS990/Form990PartVIISectionAGrp/PersonNm15MERRIN PERMUT
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