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Tuality Healthcare
335 Se Eighth Avenue
Hillsboro, OR 97123
EIN: 930430029
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Tuality Forest Grove Hospital1809 Maple Street
Forest Grove, OR 97116
Forest Grove, OR 97116
2 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
(click a facility name to update Individual Facility Details panel)
| Bed count | 48 | Medicare provider number | 380068 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
Tuality HealthcareDisplay data for year:
Community Benefit Spending- 2018
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
7.98%
Spending by Community Benefit Category- 2018
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2018
Additional data
Community Benefit Expenditures: 2018
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 215,639,222 Total amount spent on community benefits as % of operating expenses$ 17,208,772 7.98 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 3,761,557 1.74 %Medicaid as % of operating expenses$ 9,562,878 4.43 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 1,085,162 0.50 %Subsidized health services as % of operating expenses$ 315,283 0.15 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 2,148,351 1.00 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 335,541 0.16 %Community building*
as % of operating expenses$ 106,458 0.05 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 106,458 0.05 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 0 0 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 106,458 100 %Workforce development as % of community building expenses$ 0 0 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2018
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 4,474,999 2.08 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2018
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2018
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 209630083 including grants of $ 87488) (Revenue $ 216877833) 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 2019, the organization provided care for 20,033 in-patient acute care days, 29,551 emergency room visits, 17,772 urgent care visits, and 16,044 home health visits.Tuality Healthcare also re-opened its geriatric psychiatry unit at the Hillsboro location in FY20.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.
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
Tuality Community Hospital Part V, Section B, Line 5: The Community Health Needs Assessment was conducted as a rigorous process with other health care organizations in the four-county Portland metropolitan areas as part of the Healthy Columbia Willamette Collaborative. Community citizens were engaged through focus group participation, stakeholder interviews and advice from content experts.For the 2016 CHNA Assessment Model, Healthy Columbia Willamette Collaborative used a modifed version of the Mobilizing for Action through Planning and Partnerships (MAPP) model to conduct the 2016 CHNA. The MAPP model is an interactive process combining health data and community input to identify and prioritize community health needs. An equity lens was applied to the previous 2013 assessment model, which led to a number of changes, including the creation of a Community Engagement Workgroup to oversee community outreach and data collection, an explicit effort to seek information from community members on social determinants of health, and a Prioritized Health Issues Group to bridge quantitative and qualitative data without losing community voice.Input from over 1,000 community stakeholders has helped establish the community health needs and the subsequent decision making process. Three phases of the assessment model used the Health Status Assessment, the Community Themes and Strengths Assessment, and the Local Community Health System & Forces of Change Assessment. All engaged the community to help identify health needs in the region. Representatives gathered data from epidemiological sources, hospitals and coordinated care organizations. The collection and analysis of hospital and CCO data was an additional modification to the 2013 CHNA. Meanwhile, a Community Engagement Workgroup led the Community Themes and Strengths Assessment, which included an online survey, listening sessions in all four counties, and an inventory of community engagement projects conducted within the last three years.
Tuality Forest Grove Hospital Part V, Section B, Line 5: The Community Health Needs Assessment was conducted as a rigorous process with other health care organizations in the four-county Portland metropolitan areas as part of the Healthy Columbia Willamette Collaborative. Community citizens were engaged through focus group participation, stakeholder interviews and advice from content experts.For the 2016 CHNA Assessment Model, Healthy Columbia Willamette Collaborative used a modifed version of the Mobilizing for Action through Planning and Partnerships (MAPP) model to conduct the 2016 CHNA. The MAPP model is an interactive process combining health data and community input to identify and prioritize community health needs. An equity lens was applied to the previous 2013 assessment model, which led to a number of changes, including the creation of a Community Engagement Workgroup to oversee community outreach and data collection, an explicit effort to seek information from community members on social determinants of health, and a Prioritized Health Issues Group to bridge quantitative and qualitative data without losing community voice.Input from over 1,000 community stakeholders has helped establish the community health needs and the subsequent decision making process. Three phases of the assessment model used the Health Status Assessment, the Community Themes and Strengths Assessment, and the Local Community Health System & Forces of Change Assessment. All engaged the community to help identify health needs in the region. Representatives gathered data from epidemiological sources, hospitals and coordinated care organizations. The collection and analysis of hospital and CCO data was an additional modification to the 2013 CHNA. Meanwhile, a Community Engagement Workgroup led the Community Themes and Strengths Assessment, which included an online survey, listening sessions in all four counties, and an inventory of community engagement projects conducted within the last three years.
Tuality Community Hospital Part V, Section B, Line 6a: Adventist Medical Center, Kaiser Permanent Sunnyside Hospital, Kaiser Permanente Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek (Vancouver), Oregon Health & Science University, PeaceHealth Southwest Medical Center (Vancouver), Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Healthcare.
Tuality Forest Grove Hospital Part V, Section B, Line 6a: Adventist Medical Center, Kaiser Permanent Sunnyside Hospital, Kaiser Permanente Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek (Vancouver), Oregon Health & Science University, PeaceHealth Southwest Medical Center (Vancouver), Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Healthcare.
Tuality Community Hospital Part V, Section B, Line 6b: Clackamas County Public Health Division, Multnomah County Health Department, Washington County Public Health Division, Clark County Public Health, FamilyCare Health, Health Share of Oregon
Tuality Forest Grove Hospital Part V, Section B, Line 6b: Clackamas County Public Health Division, Multnomah County Health Department, Washington County Public Health Division, Clark County Public Health, FamilyCare Health, Health Share of Oregon
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Supplemental Information
Schedule H (Form 990) Part VI
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,268,637.
Part II, Community Building Activities: Tuality Healthcare plays host to many educational and community events at the Tuality Health and Education Center. Hillsboro Rotary Club, Washington County Community Action and other civic groups hold regular events at the center. Tuality Healthcare's Community Education department also hosts dozens of events that range from classes on diabetes, yoga and healthy eating to car seat safety and CPR training. Tuality providers also give presentations on the latest developments in medicine. We expect those offerings to grown as a result of our affiliation with Oregon Health & Science University. In addition, Tuality's Community Relations department offers free healthcare screenings (blood pressure, glucose, cholesterol) at community events. In 2017, the department conducted over 1,500 free screenings.Tuality Healthcare was a founding partner in the Hillsboro Health and Education District, a college-like campus located near downtown Hillsboro. Other partners include Pacific University, Virginia Garcia Medical Center, TriMet, city of Hillsboro and Washington County. In addition, Tuality is actively involved as a sponsor of numerous community events and activities across Washington County. They include the Oregon International Airshow, Washington County Fair, Celebrate Hillsboro, Latino Cultural Festival and many more. Tuality receives feedback from patients in a variety of ways. Most prominent are inpatient surveys managed by National Research Corp. and outpatient surveys managed by the Community Relations department. Both seek input from patients on care, facilities and customer service.
Part III, Line 4: Accounts receivable are stated at unpaid balances (net of contractual allowances) and are reduced by an allowance for amounts that could become uncollectible in the future. Substantially all of the Company's receivables are related to providing healthcare services to its hospitals' patients. The Company estimates the allowance for doubtful accounts by reserving a percentage of all self-pay accounts receivable without regard to aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. For all other non-self-pay payer categories, the Company reserves 100% of all accounts aging over 365 days from the date of discharge. The percentage used to reserve for all self-pay accounts is based on the Company's collection history. The Company collects substantially all of its third-party insured receivables, which include receivables from governmental agencies. Collections are impacted by the economic ability of patients to pay and the effectiveness of the Company's collection efforts. Significant changes in payer mix, business office operations, economic conditions or trends in federal and state governmental healthcare coverage could affect the Company's collection of accounts receivable and the estimates of the collectability of future accounts receivable. The process of estimating the allowance for doubtful accounts requires the Company to estimate the collectability of self-pay accounts receivable, which is primarily based on its collection history, adjusted for expected recoveries and, if available, anticipated changes in collection trends. The Company also continually reviews its overall reserve adequacy by analyzing current period net revenue and admissions by payer classification, aged accounts receivable by payer, and days revenue outstanding.The allowance for uncollectible accounts is decreased by charge-offs (net of recoveries). Accounts receivable are written off after collection efforts have been followed in accordance with the Company's policies.
Part III, Line 9b: In addition to referencing and accessing our internal Tuality Financial Assistance program (before, during, and after services are rendered), we also recognize other Portland providers' (hospitals, physician, ambulance, DME, etc) financial assistance determination (with written proof).
Part VI, Line 2: Tuality Healthcare's leadership interacts with the citizens of western Washington County in a variety of ways. Tuality is actively involved as a sponsor in a long list of community events, from the Washington County Airshow, the premier airshow in the Pacific Northwest, to the North Plains Garlic Festival. In addition, we engage our residents through our many partnerships with a host of worthwhile organizations like Pacific University, Virginia Garcia Memorial Health Center, Essential Health Clinic, Hospice of Washington County and many others. Tuality strives to get feedback from our customers through surveys and questionnaires that tell us how well we are doing with current services, as well as what new and improved services may be needed by the community.
Part VI, Line 6: N/A
Part VI, Line 7, Reports Filed With States OR
Part VI, Line 3: Requests for financial assistance may be made at any point before, during, or after the provision of care. Information related to eligibility for financial assistance is located in the lobbies of the hospital and available on the Tuality.org website. Financial assistance requests may be proposed by sources other than the patient, such as the patient's physician, family members, community or religious groups, social services, or hospital personnel. Anyone wishing to make application for financial assistance with Tuality Healthcare will be given a Financial Assistance Application, which includes instructions on how to apply. All private pay admits are screened for Medicaid/Social Security disability coverage and a hold is placed on the account while we assist the patient and /or their family in applying for government benefits.
Part VI, Line 4: "Tuality Healthcare serves a large geographic area of western Washington County that stretches from the suburban Portland cities of Aloha and Beaverton to the Coast Range. The market includes the cities of Hillsboro and Forest Grove, sites of Tuality's two hospitals, plus smaller towns such as Cornelius, Gaston, North Plains and Banks. This region is roughly 250,000 people and is one of the fastest growing areas in Oregon. In addition, Tuality is one of the region's largest employers with a staff of over 1,600. Tuality provides financial, material and medical assistance to many community partners in the region. Tuality Healthcare is designated a ""Disproportionate Share Hospital"" by the Centers for Medicare and Medicaid Services, due to the larger than normal percentage of care we provide to the low income and indigent population in our area."
Part VI, Line 5: When it comes to community, everyone has a part to play. For us, it's an honor and a duty to help those near us receive the best medical care possible. That's why, since our beginnings in 1918, we've worked hard to provide quality, convenient care for people in western Washington County. Today, we're the only local, independent, community-governed healthcare system in the area, offering inpatient and outpatient treatment, specialty services, health education, and more.Of course, our goal isn't only to treat you when you're sick, but also to help you stay well. For that reason, you'll often find us at local events and other public places, offering free or low-cost health screenings and educational courses. For those who need it, we even provide transportation to and from medical appointments.Many of these services are offered at Tuality Health Education Center and other locations. We really are your neighbors! Many of our 1,473 employees live just a short distance from work.Our larger facilities include Tuality Community Hospital in Hillsboro and Tuality Forest Grove Hospital. In addition, we have numerous other medical centers and outpatient facilities. By keeping up with the latest advances in medical science, we've earned a sterling reputation for the quality of our heart, cancer, stroke, and diagnostic imaging services.In this way, we are able to offer the best possible medical care to the Tualatin Valley cities and communities in western Washington County, such as Aloha, Beaverton, Hillsboro, Forest Grove, Cornelius, and the smaller communities of the Coastal Range foothills.
