MID-COLUMBIA MEDICAL CENTER: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MID-COLUMBIA MEDICAL CENTER (EIN 93-0386936)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-11
- IRS object ID
- 202413169349305021
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-11T14:39:11-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W March Ln Ste 200 | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 952192367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930386936 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mid-Columbia Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MID- | BusinessNameControlTxt |
| Phone | 9164060000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 E 19th Street | AddressLine1Txt |
| City | The Dalles | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97058 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Wendy Apland | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9164060000 | PhoneNum |
| Signature | 2024-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Tracy S Paglia | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2024-11-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Health Columbia Gorge | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Kyle King | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 E 19th Street | AddressLine1Txt |
| City | The Dalles | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97058 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $74,214,683 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mcmc.net | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | Living God's love by inspiring health, wholeness, and hope. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 1020 | TotalEmployeeCnt |
| Total Volunteers | 102 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,363,093 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,367,426 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $135,366,656 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $71,104,641 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$130,777 | PYInvestmentIncomeAmt |
| CY Investment Income | $686,760 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $55,856 | CYOtherRevenueAmt |
| PY Total Revenue | $139,598,972 | PYTotalRevenueAmt |
| CY Total Revenue | $74,214,683 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $263,390 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $81,283,399 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,941,830 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $241,467 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $68,969,503 | PYOtherExpensesAmt |
| CY Other Expenses | $33,309,655 | CYOtherExpensesAmt |
| PY Total Expenses | $150,516,292 | PYTotalExpensesAmt |
| CY Total Expenses | $79,251,485 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$10,917,320 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,036,802 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $95,523,474 | TotalAssetsBOYAmt |
| Total Assets EOY | $94,323,835 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $62,749,020 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $57,474,520 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,774,454 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $36,849,315 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Living God's love by inspiring health, wholeness, and hope. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $69,874,498 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $71,104,641 | RevenueAmt |
| Desc | See Schedule O | Desc |
| Total Program Service Expenses | $69,874,498 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 95 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1020 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Beaman | PersonNm |
| Phone | 9164060000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Adventist Health Way | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Heinrich Kerry | |||||||||
| Dir/Chair/CEO | 0.00 | 50.50 | Yes (X) | Yes (X) | $0 | $3,302,428 | $57,395 | ||
| Hofheins Todd | |||||||||
| Dir/Vice Chair/COO | 0.00 | 50.50 | Yes (X) | Yes (X) | $0 | $2,272,592 | $76,141 | ||
| Cardosi Paul | |||||||||
| Director (thru 05/23) | 40.00 | 0.00 | Yes (X) | $229,684 | $0 | $37,044 | |||
| Innocent Larry | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,611 | $0 | |||
| Reiner Richard | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,611 | $0 | |||
| Hamada Janet | |||||||||
| Dir/Secretary (thru 05/23) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Ketchum Bill | |||||||||
| Director (thru 05/23) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Knapp Suzanne | |||||||||
| Director (thru 05/23) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mondragon Victor | |||||||||
| Director (thru 05/23) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Spatz Michele | |||||||||
| Director (thru 05/23) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Toda Frank PHD | |||||||||
| Dir/Treasurer (thru 05/23) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Van Cleave Robb | |||||||||
| Dir/Chair (thru 05/23) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Young Nolan | |||||||||
| Dir/Vice Chair (thru 05/23) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Beaman John | |||||||||
| CFO/Assistant Secretary | 0.00 | 50.50 | Yes (X) | $0 | $1,680,553 | $73,355 | |||
| Jobe Meredith | |||||||||
| Secretary | 0.00 | 50.50 | Yes (X) | $0 | $959,488 | $59,410 | |||
| Knox Dennis M | |||||||||
| President & CEO | 40.00 | 0.00 | Yes (X) | $544,667 | $0 | $38,843 | |||
| Eldurkar Jayant | |||||||||
| CMO | 40.00 | 0.00 | Yes (X) | $359,889 | $0 | $48,823 | |||
| Apland Wendy H | |||||||||
| CFO/Treas & Asst Secr (as of 06/23) | 40.00 | 0.00 | Yes (X) | $324,732 | $0 | $43,248 | |||
| Overton Camie | |||||||||
| COO | 40.00 | 0.00 | Yes (X) | $326,706 | $0 | $29,576 | |||
| Lepper Dale C | |||||||||
| CIO | 40.00 | 0.00 | Yes (X) | $241,051 | $0 | $16,891 | |||
| Mason Jayme B | |||||||||
| CNO | 40.00 | 0.00 | Yes (X) | $204,522 | $0 | $21,889 | |||
| McCall Cheri L | |||||||||
| CHRO | 40.00 | 0.00 | Yes (X) | $159,835 | $0 | $21,343 | |||
| Newmyer Joyce | |||||||||
| President, OR State Network | 10.00 | 40.00 | $0 | $1,107,614 | $62,222 | Yes (X) | |||
| Reardon James | |||||||||
| Physician | 40.00 | 0.00 | $761,193 | $0 | $43,770 | Yes (X) | |||
| Scrivens Brian P | |||||||||
| Physician | 40.00 | 0.00 | $652,263 | $0 | $43,773 | Yes (X) | |||
| Beaman Douglas N | |||||||||
| Physician | 40.00 | 0.00 | $646,914 | $0 | $43,770 | Yes (X) | |||
| McCarthy Caitlin | |||||||||
| Physician | 40.00 | 0.00 | $549,215 | $0 | $23,375 | Yes (X) | |||
| Moon Paul | |||||||||
| Physician | 40.00 | 0.00 | $521,678 | $0 | $45,770 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,522,349 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,375,897 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $786,638 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 157 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Juniper Advisory LLC | |||||
| 191 N Wacker Drive Suite 900 | Chicago | IL | 60606 | Hospital partnerships | $3,289,968 |
| Oxford Anesthesia Management LLC | |||||
| 1765 E Nine Mile R Suite 1-229 | Pensacola | FL | 32514 | Anesthesiologist | $1,236,825 |
| Triage LLC | |||||
| 12020 Pacific Street | Omaha | NE | 68154 | Travel nursing | $576,233 |
| Peter F Stoloff PC | |||||
| 5285 Meadows Road Suite 235 | Lake Oswego | OR | 97035 | Healthcare attorney | $472,278 |
| Locke Lord LLP | |||||
| 2200 Ross Avenue Suite 2800 | Dallas | TX | 75201 | Legal services | $444,532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,452,760 | RelatedOrganizationsAmt |
| Government Grants | $194,088 | GovernmentGrantsAmt |
| All Other Contributions | $720,578 | AllOtherContributionsAmt |
| Total Contributions | $2,367,426 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Patient service revenue | 621110 | $64,832,488 | $64,832,488 | |
| Premium revenue | 621110 | $2,008,031 | $2,008,031 | |
| Cafeteria revenue | 722514 | $291,171 | $291,171 | |
| Management fees | 541610 | $8,303 | $8,303 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,964,648 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,964,648 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71,104,641 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $686,760 | TotalRevenueColumnAmt |
| Exclusion | $686,760 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $55,856 | TotalRevenueColumnAmt |
| Exclusion | $55,856 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $55,856 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,214,683 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,813,470 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,033,787 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,648,745 | TotalAmt |
| Program Services | $1,646,508 | ProgramServicesAmt |
| Management And General | $1,002,237 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,778,721 | TotalAmt |
| Program Services | $32,062,076 | ProgramServicesAmt |
| Management And General | $3,582,632 | ManagementAndGeneralAmt |
| Fundraising | $134,013 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,517,033 | TotalAmt |
| Program Services | $1,345,565 | ProgramServicesAmt |
| Management And General | $163,649 | ManagementAndGeneralAmt |
| Fundraising | $7,819 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,595,388 | TotalAmt |
| Program Services | $3,154,282 | ProgramServicesAmt |
| Management And General | $427,692 | ManagementAndGeneralAmt |
| Fundraising | $13,414 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,401,943 | TotalAmt |
| Program Services | $2,118,153 | ProgramServicesAmt |
| Management And General | $274,103 | ManagementAndGeneralAmt |
| Fundraising | $9,687 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,287 | TotalAmt |
| Management And General | $458,287 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,686 | TotalAmt |
| Management And General | $86,686 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,492 | TotalAmt |
| Program Services | $15,492 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,609,378 | TotalAmt |
| Program Services | $11,193,405 | ProgramServicesAmt |
| Management And General | $1,358,926 | ManagementAndGeneralAmt |
| Fundraising | $57,047 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,065 | TotalAmt |
| Management And General | $183,065 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,821 | TotalAmt |
| Program Services | $201,143 | ProgramServicesAmt |
| Management And General | $223,659 | ManagementAndGeneralAmt |
| Fundraising | $19 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,321,403 | TotalAmt |
| Program Services | $3,904,145 | ProgramServicesAmt |
| Management And General | $403,179 | ManagementAndGeneralAmt |
| Fundraising | $14,079 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $734,606 | TotalAmt |
| Program Services | $646,110 | ProgramServicesAmt |
| Management And General | $88,496 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,274 | TotalAmt |
| Program Services | $230,061 | ProgramServicesAmt |
| Management And General | $21,610 | ManagementAndGeneralAmt |
| Fundraising | $603 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,451 | TotalAmt |
| Program Services | $56,865 | ProgramServicesAmt |
| Management And General | $7,586 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,226 | TotalAmt |
| Program Services | $554,615 | ProgramServicesAmt |
| Management And General | $122,611 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,869,087 | TotalAmt |
| Program Services | $1,624,978 | ProgramServicesAmt |
| Management And General | $244,109 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $731,610 | TotalAmt |
| Program Services | $725,940 | ProgramServicesAmt |
| Management And General | $5,173 | ManagementAndGeneralAmt |
| Fundraising | $497 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Patient care supplies | $10,409,618 | $10,272,404 | $136,673 | $541 |
| Rental/lease costs equi | $66,572 | $51,595 | $12,286 | $2,691 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,079 | TotalAmt |
| Program Services | $71,161 | ProgramServicesAmt |
| Management And General | $332,861 | ManagementAndGeneralAmt |
| Fundraising | $1,057 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,251,485 | TotalAmt |
| Program Services | $69,874,498 | ProgramServicesAmt |
| Management And General | $9,135,520 | ManagementAndGeneralAmt |
| Fundraising | $241,467 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,232,849 | BOYAmt |
| EOY | $6,517,977 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,099 | BOYAmt |
| EOY | $4,519,343 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,215 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,927,625 | BOYAmt |
| EOY | $20,602,096 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,585,823 | BOYAmt |
| EOY | $1,774,118 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,347,383 | BOYAmt |
| EOY | $1,366,885 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $91,326,046 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $59,643,004 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,686,279 | BOYAmt |
| EOY | $31,683,042 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,610,507 | BOYAmt |
| EOY | $701,567 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $952,468 | BOYAmt |
| EOY | $952,468 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,970,441 | BOYAmt |
| EOY | $26,204,124 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,523,474 | BOYAmt |
| EOY | $94,323,835 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,044,096 | BOYAmt |
| EOY | $14,723,597 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,978 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,264,596 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,309,350 | BOYAmt |
| EOY | $42,750,923 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,749,020 | BOYAmt |
| EOY | $57,474,520 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,085,817 | BOYAmt |
| EOY | $36,621,791 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $688,637 | BOYAmt |
| EOY | $227,524 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,774,454 | BOYAmt |
| EOY | $36,849,315 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,523,474 | BOYAmt |
| EOY | $94,323,835 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,036,802 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$50,400 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $9,162,063 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $15,492 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,492 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Hospital belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $701,591 | OtherCostOrOtherBasisAmt |
| Book Value | $701,591 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,359,560 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,591,550 | DepreciationAmt |
| Book Value | $22,768,010 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,811,147 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,811,147 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,693,024 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,737,211 | DepreciationAmt |
| Book Value | $7,955,813 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $760,724 | OtherCostOrOtherBasisAmt |
| Depreciation | $503,096 | DepreciationAmt |
| Book Value | $257,628 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,683,042 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Right-of-use assets | $23,123,455 |
| Other assets | $2,328,224 |
| Other receivables | $120,351 |
| Receivables from related organizations | $632,094 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $26,204,124 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Lease liability | $22,539,476 |
| Payables to related organizations | $19,422,320 |
| Payables to third-party payors | $576,601 |
| Other liabilities | $212,526 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,750,923 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The principal operations of the System are exempt from taxation pursuant to Internal Revenue Code Section 501(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities, along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2023 and 2022, no such assets or liabilities were recorded. The System currently files Form 990 (Informational Return of Organizations Exempt From Income Taxes) and Form 990-T (Exempt Organization Business Income Tax Return) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2020 in major tax jurisdictions. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| Most Hospitals Policy | Yes (X) | MostHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,892,355 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,892,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03650 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,138,874 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,924,397 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,214,477 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.19200 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,031,229 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,924,397 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,106,832 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $334,408 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $334,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,848 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,848 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $934,827 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $180,670 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $754,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $950 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,321,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $180,670 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,140,363 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01430 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,352,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,105,067 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,247,195 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24280 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,584 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,025 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,025 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,609 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $39,609 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $569,642 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $145,647 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $26,901,211 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $33,074,825 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,173,614 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Health Columbia Gorge | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 E 19th Street | AddressLine1Txt |
| City | The Dalles | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97058 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mcmc.net | WebsiteAddressTxt |
| State License | 14-0500 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Health Columbia Gorge | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Sch H Part VI - Needs Assessment | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Sch H Part VI - Needs Assessment | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Sch H Part VI - Needs Assessment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | Sch H Part VI - Patient Education | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | Sch H Part VI - Patient Education | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | Sch H Part VI - Patient Education | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Adventist Health Columbia Gorge | Part V, Section B, Line 5: Mid-Columbia Medical Center dba Adventist Health Columbia Gorge participated as a member of the Gorge Collaborative in a collaborative needs assessment in 2022 which included four hospitals, one county health department, social services agencies in the region, health care providers in the service region and consumer representatives of the same. As part of the data collection process for the CHNA, listening sessions were conducted with representatives from medically underserved communities and leaders who directly serve these populations. |
| Adventist Health Columbia Gorge | Part V, Section B, Line 6a: The following hospital facilities participated in the Hospital's CHNA process: Mid-Columbia Medical Center dba Adventist Health Columbia Gorge, Klickitat Valley Health, Providence Hood River Memorial Hospital and Skyline Hospital. |
| Adventist Health Columbia Gorge | Part V, Section B, Line 6b: The following non-hospital facilities participated in the Hospital's CHNA process: Columbia Gorge Health Council, Hood River County Health Department, Klickitat Valley Health Department, Mid-Columbia Center for Living, Mid-Columbia Community Action Council, North Central Public Health District, One Community Health, PacificSource Community Solutions, Skamania County Public Health. |
| Adventist Health Columbia Gorge | Part V, Section B, Line 11: Tax year 2023 was Year One of the Implementation Strategy for the 2022 CHNA. All programs and activities provided to the community were in response to the priority health needs identified in the 2022 Community Health Needs Assessment (CHNA). The Mid-Columbia Medical Center dba Adventist Health Columbia Gorge's (AHCG) 2022 CHNA identified three areas of significant need: Homelessness and Housing Instability, Access to Health Care Services and Chronic Conditions. Priority Need One - Homelessness and Housing Instability. The goal is to reduce "housing-burden" for community members who are having trouble keeping up with rising costs of housing by helping to provide short term temporary housing for patients and collaborate with community partner organizations on long-term solutions. In 2023, the Health Foundation assisted 15 individuals with temporary emergency hotel stays which totaled $5,414 in spent funds. Between 2022, 2023, and part of 2024, $17,834 was provided in assistance for temporary emergency hotels. Project Turnkey (The Annex) is still a work in progress and there were no patients discharged to rooms in 2023. The work of the AHCG Houseless Collaborative is to prevent and address houselessness in the Columbia Gorge region using a coordinated approach. The Houseless Collaborative supports five counties across Oregon and Washington including Wasco, Hood Rover, Sherman, Skamania, and Klickitat counties. AHCG's Director of Case Management, Quality Resources, and Education attended the Housing Collaborative meetings in 2023 to collaborate and discuss with other community partners how to address houselessness in the Columbia Gorge area.Priority Need Two - Access to Health Care Services. The goal is to increase access to culturally and linguistically centered care to the community where social determinants of health have impacting care through a focus on providing increased access to appointments in alignment with AHCG's strategic initiatives. Increased access in 2023 resulted in an increase in visit volumes in seven clinics including Family Medicine, Internal Medicine, Behavioral Health Internal Medicine, Behavioral Health Pediatrics, ENT, The Dalles Cardiology, and Immediate Care. In 2023, there was a total of 59,136 visits up from 55,571 in 2022. Overall access scores for those departments have improved as well according to patient satisfaction responses. Priority Need Three - Chronic Conditions. The goal is to assist community members who are experience unmanaged chronic conditions with additional access to primary care providers and specialists by addressing prevention. A bilingual community health worker became a certified Lifestyle Coach in 2023 and began preparation to launch a Spanish Prevention Pilot program. The class will be six months long with weekly one-hour sessions. In March 2024, a Spanish Prevention Pilot class started with three participants. An English prevent class was available in 2023 with 20 participants enrolled in the class and four individuals completing the entire course. In 2023, preparation began to implement the Connected Care for Older Adults Pilot project. Efforts included AHCG working with Lindsay Miller Consulting and the Columbia Gorge Clinical Advisory Panel to solidify the project's budget, identify key partners, electronic medical record integration, and clinical processes. In December, the community health worker position needed to implement this project was hired and onboarded.Significant needs not met:No hospital can address all the health needs identified in its community. AHCG is committed to serving the community by adhering to its mission, and using its skills, expertise and resources to provide a range of community benefit programs. Areas of significant health needs that will not be directly address at this time include behavioral health (mental health), economic insecurity (financial stability) and food security. While these significant health needs are not address directly, they are likely to benefit from collective efforts of our community partnerships. |
| Part V, Section B, Line 13h: | Patients who do not meet the income criteria, may be eligible for financial assistance based on essential living expenses and resources. The following two (2) qualifications must both apply:1. Essential living expenses: Exceed fifty percent (50%) of the household income; and2. Resources: The patient's excess medical expenses (the amount that allowable medical expenses are greater than 50% of annual household income) must be greater than available qualifying assets. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Water's Edge Medical Clinic | ||||
| 551 Lone Pine Boulevard | The Dalles | OR | 97058 | Rural health clinic |
| 2 - MCMC Family Medicine | ||||
| 1620 E 12th Street | The Dalles | OR | 97058 | Rural health clinic |
| 3 - Columbia Crest Medical Clinic | ||||
| 1935 E 19th Street | The Dalles | OR | 97058 | Rural health clinic |
| 4 - Columbia River Women's Center | ||||
| 1810 E 19th Street Suite 209 | The Dalles | OR | 97058 | Rural health clinic |
| 5 - MCMC Surgical Clinic | ||||
| 1810 E 19th Street Suite 225 | The Dalles | OR | 97058 | Outpatient clinic |
| 6 - MCMC Specialty Clinics at Nichols Lan | ||||
| 33 Nichols Parkway | Hood River | OR | 97031 | Outpatient clinic |
| 7 - Gorge Urology | ||||
| 1805 E 19th Street | The Dalles | OR | 97058 | Outpatient clinic |
| 8 - MCMC Occupational Health | ||||
| 1825 E 19th Street Suite 2 | The Dalles | OR | 97058 | Outpatient clinic |
| 9 - Columbia Gorge Ent and Allergy | ||||
| 1815 E 19th Street Suite 1 | The Dalles | OR | 97058 | Outpatient clinic |
| 10 - Columbia Gorge Pathology | ||||
| 1700 E 19th Street | The Dalles | OR | 97058 | Outpatient clinic |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on Hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:Total expenses - (provision for bad debts + other revenue + interest income)/gross patient charges |
| Part II, Community Building Activities: | The Hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare treating people once they are ill to transformative well-being changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint. In 2022, these projects were active and growing. In 2023, we saw tremendous growth in several of our markets promoting walking moais, worksite wellness, Blue Zones Project school pledges to create an environment that instills healthy lifestyle choices for our children and Blue Zones Project restaurant pledges to provide healthy options. Blue Zones widens our impact from only reaching our hospitals' communities in four states to a global mission practice. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. |
| Part III, Line 2: | Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the Hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. |
| Part III, Line 3: | The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the Hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. |
| Part III, Line 4: | The Adventist Health audited combined financial statements do not contain a footnote describing bad debt expense. |
| Part III, Line 8: | The Medicare Cost Report apportions the Hospital's costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever expanding regulatory requirements, shortages of highly skilled labor and involving medical and information technology. The health care "market basket" is unrelated to that of the average individual consumer.Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments to many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. For further information, please refer to Schedule H, Part III, Section B. |
| Part III, Line 9b: | When a patient has requested screening for charity care, the Hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income", and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest |
| Part VI, Line 2: | The 2022 Columbia Gorge Regional Community Health Needs Assessment (CHNA), the 2023-2025 Community Health Improvement Plan or Implementation Strategy (CHIS), and the 2023 Community Health Plan (CHP) updated for 2023 are posted on the Hospital's website at:https://mcmc.net/community/community-engagement/The 2019 CHNA and 2020 CHIS may also be found there. These reports may also be found at the Adventist Health Corporate website at: https://www.adventisthealth.org/about-us/community-benefit/The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, our hospitals support local partners to augment our own efforts, and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of the regions we serve. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community.In addition to the CHNA, our Hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level. Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact. |
| Part VI, Line 3: | The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the Hospital's website at: https://www.adventisthealth.org/patient-resources/bill-pay/financial-assistance/ The documents are available in multiple languages. The link to the Hospital's Self-Pay Billing and Collection Policy is posted at: https://www.adventisthealth.org/documents/system/13863-self-pay-billing-and-collection-policy.pdfAt the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The Hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. |
| Part VI, Line 4: | Mid-Columbia Medical Center dba Adventist Health Columbia Gorge (AHCG) is located in the Dalles, Wasco County, Oregon, with the population of Wasco County estimated around 26,561. AHCG serves a wider geographic area of rural North Central Oregon and South Central Washington along the Columbia River. This service area includes Wasco, Sherman, and Gilliam Counties in Oregon and Klickitat County in Washington for a combined population total of 53,805. Median incomes and ethnic demographics vary by geographic location. Census data for 2021 shows median household incomes range from $451,705 to $59,583.Wasco County has the largest ethnic diversity with a distribution that is 72% White, 21% Hispanic/Latino, 4% American Indian/Alaska Native and 3% other. About 13% of the population lives below the poverty level and 9.8% of the population under the age of 65 is uninsured. Data from the Oregon Health Authority cites December 2022 Medicaid program enrollment in Wasco County at 10,975, up 6% from 10,391 in December 2021.In addition to the year-round population, the Dalles experience an influx of over 15,000 seasonal workers each year in support of the harvest of our agricultural economy. |
| Part VI, Line 5: | Our Hospital's mission is, "Living God's love by inspiring health, wholeness and hope." Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the "Triple Aim." The "Triple Aim" concept broadly known and accepted within health care includes:1. Improve the experience of care for our residents.2. Improve the health of populations.3. Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low-income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given today's state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders.As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy.Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthy - even though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1. The distribution of specific health statuses and outcomes within a population, 2. Factors that cause the present outcomes distribution, and3. Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to:1. Increase the prevalence of evidence-based preventive health services and preventive health behaviors,2. Improve care quality and patient safety, and3. Advance care coordination across the health care continuum.We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. |
| Part VI, Line 6: | The Hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. |
| Part VI, Line 7, Reports Filed With States | OR |
| Part VI, Other Information: | Other community impact activities not included elsewhere include: Serving Oregon and Its Migrants by Offering Solutions (SOMOS) are a series of health fairs hosted at cherry orchards to provide free health screenings to migrant and seasonal farmworkers. The health screenings provided include height & weight, blood pressure, and blood glucose checks. Multiple community partners attend the SOMOS events to offer services and resources. Community partners that have participated include Advantage Dental, One Community Health, North Central Public Health District, Oregon Human Development Corporation, The Next Door, Inc., and Migrant Education Program. The goal of SOMOS is to provide accessible and culturally specific care. In 2023, there were three such events held where 233 individuals received health screenings and 31 individuals received dental sealants. AHCG partners with Columbia Gorge Community College by offering clinical rotations to aspiring nursing students. Additionally, there is a homegrown Medical Assistant program offered to interested individuals that would like to pursue a career in healthcare. In 2023, the Hospital provided 4,360 hours of clinical experience to nursing students. Participation in community coalitions and other collaborative efforts with the community to strengthen the community's capacity to address health and safety issues: 1. Columbia Gorge Health Council (CGHC) & Partnership with Bridges to Health: The Columbia Gorge Health Council serves as the community governance and engagement body for the local Coordinated Care Organization in the region. In partnership with the CGHC, the Hospital participates in the Bridges to Health Program which is a collaborative approach with multiple agencies to have community health workers help individuals navigate complex systems to address their health-related social needs. 2. CGHC Clinical Advisory Panel (CAP): The CAP offers clinical guidance and direction to the Columbia Gorge Health Council to improve health outcomes for PacificSource Community Solutions members and the community. 3. Sponsoring the Community Partner Meetings: AHCG initiated the Community Partners Meeting in 2023 to strengthen communication and connections among local organizations that have vital roles in the healthcare sector. Topics such as lack of discharge placements and transportation barriers have been discussed. 4. Columbia Gorge Crisis Resolution Center: The Columbia Gorge Resolution Center is an initiative and advisory workgroup whose purpose is to build a crisis resolution center and residential treatment facilities to address mental health and substance use disorders. The Hospital's behavioral health manager is an active participant of the advisory workgroup. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Heinrich Kerry | ||||||||||||||
| Dir/Chair/CEO | $0 | $2,017,000 | $0 | $1,208,880 | $0 | $76,548 | $0 | $13,296 | $0 | $44,099 | $0 | $3,359,823 | $0 | $0 |
| Hofheins Todd | ||||||||||||||
| Dir/Vice Chair/COO | $0 | $1,389,462 | $0 | $735,265 | $0 | $147,865 | $0 | $13,296 | $0 | $62,845 | $0 | $2,348,733 | $0 | $0 |
| Beaman John | ||||||||||||||
| CFO/Assistant Secretary | $0 | $1,091,769 | $0 | $569,149 | $0 | $19,635 | $0 | $13,296 | $0 | $60,059 | $0 | $1,753,908 | $0 | $0 |
| Newmyer Joyce | ||||||||||||||
| President, OR State Network | $0 | $786,000 | $0 | $299,814 | $0 | $21,800 | $0 | $15,831 | $0 | $46,391 | $0 | $1,169,836 | $0 | $0 |
| Jobe Meredith | ||||||||||||||
| Secretary | $0 | $660,525 | $0 | $168,715 | $0 | $130,248 | $0 | $13,296 | $0 | $46,114 | $0 | $1,018,898 | $0 | $0 |
| Reardon James | ||||||||||||||
| Physician | $753,693 | $0 | $7,500 | $0 | $0 | $0 | $22,500 | $0 | $21,270 | $0 | $804,963 | $0 | $0 | $0 |
| Scrivens Brian P | ||||||||||||||
| Physician | $637,773 | $0 | $0 | $0 | $14,490 | $0 | $22,500 | $0 | $21,273 | $0 | $696,036 | $0 | $0 | $0 |
| Beaman Douglas N | ||||||||||||||
| Physician | $646,914 | $0 | $0 | $0 | $0 | $0 | $22,500 | $0 | $21,270 | $0 | $690,684 | $0 | $0 | $0 |
| Knox Dennis M | ||||||||||||||
| President & CEO | $491,814 | $0 | $52,853 | $0 | $0 | $0 | $22,500 | $0 | $16,343 | $0 | $583,510 | $0 | $0 | $0 |
| McCarthy Caitlin | ||||||||||||||
| Physician | $549,215 | $0 | $0 | $0 | $0 | $0 | $22,500 | $0 | $875 | $0 | $572,590 | $0 | $0 | $0 |
| Moon Paul | ||||||||||||||
| Physician | $514,178 | $0 | $7,500 | $0 | $0 | $0 | $22,500 | $0 | $23,270 | $0 | $567,448 | $0 | $0 | $0 |
| Eldurkar Jayant | ||||||||||||||
| CMO | $349,956 | $0 | $9,933 | $0 | $0 | $0 | $21,855 | $0 | $26,968 | $0 | $408,712 | $0 | $0 | $0 |
| Apland Wendy H | ||||||||||||||
| CFO/Treas & Asst Secr (as of 06/23) | $302,973 | $0 | $21,759 | $0 | $0 | $0 | $19,855 | $0 | $23,393 | $0 | $367,980 | $0 | $0 | $0 |
| Overton Camie | ||||||||||||||
| COO | $304,814 | $0 | $21,892 | $0 | $0 | $0 | $19,858 | $0 | $9,718 | $0 | $356,282 | $0 | $0 | $0 |
| Cardosi Paul | ||||||||||||||
| Director (thru 05/23) | $229,684 | $0 | $0 | $0 | $0 | $0 | $13,735 | $0 | $23,309 | $0 | $266,728 | $0 | $0 | $0 |
| Lepper Dale C | ||||||||||||||
| CIO | $225,018 | $0 | $16,033 | $0 | $0 | $0 | $14,812 | $0 | $2,079 | $0 | $257,942 | $0 | $0 | $0 |
| Mason Jayme B | ||||||||||||||
| CNO | $195,137 | $0 | $9,385 | $0 | $0 | $0 | $12,737 | $0 | $9,152 | $0 | $226,411 | $0 | $0 | $0 |
| McCall Cheri L | ||||||||||||||
| CHRO | $149,125 | $0 | $10,710 | $0 | $0 | $0 | $9,836 | $0 | $11,507 | $0 | $181,178 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | Select executives agreed to participate in CAP-EX in place of a traditional SERP. See Schedule L, Part V of Adventist Health System/West, for a broader description. Split-Dollar life insurance participants are John Beaman, Kerry Heinrich, Todd Hofheins, and Joyce Newmyer. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. The plan was frozen for new non-vested contributions in 2016. Newmyer, Joyce - participant, no activity in 2023 |
| Part I, Line 7 | Executives received incentive pay in 2023 based on 2022 results. This compensation was determined by the board compensation committee based on the achievement of certain operational and financial goals. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a: | Mid-Columbia Medical Center DBA Adventist Health Columbia Gorge (AHCG), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of AHCG, the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following coverage will be considered when individuals who need health care cannot afford to pay: - Free care and/or subsidized care - Care to persons covered by governmental programs at/or below cost - Health/wellness activities and community education programs Not only does AHCG provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits. AHCG recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2023 was $6,489,428. The following Inpatient services were provided to all our patients: - 102 babies delivered - 259 surgeries performed - 3,431 patient days The following Outpatient services were provided to all our patients: - 7,493 emergency department visits - 883 outpatient surgeries performed - 44,073 outpatient visits - 31,175 clinic visits AHCG recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2023 was $754,827. Adventist Health's mission statement of living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever. Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ AHCG coordinates events called Serving Oregon and its Migrants by Offering Solutions (SOMOS). SOMOS are health fairs conducted at cherry orchards harvest season that offer migrant farmworkers free basic health clinics. Screenings include height and weight measurements, blood pressure screenings, and blood glucose checks. In partnership with a migrant health center, family orchard owners, local health departments, and a dental clinic, SOMOS also provides culturally appropriate food and offers free temporary dental sealants and fluoride treatment. For DEI Supervisor Jasmin Hulia Flores, this program is personal. "My dad is a farmworker, and has been his entire life, and he migrated when he was younger to different locations. When we offer these services, I think about my dad and how crucial and essential the health of farmworkers is," shared Jasmin. The National Rural Health Association awarded SOMOS as the 2023 Outstanding Rural Health Program. |
| Form 990, Part VI, Section A, line 4 | The Hospital's Articles of Incorporation were amended for the following: 1. Article III was updated to allow for the Board of Directors of the Hospital to have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Stone Point Health. The Hospital has no members within the meaning of ORS Section 65.001. The Hospital's Bylaws were amended for the following: 1. Article 1 was revised to report the affiliation with Stone Point Health. 2. Article 2 was removed and the Hospital has no members. All sections relating to the membership were removed. 3. Article 3 was revised to indicate that no director may resign when the Board of Directors would be left without a duly elected director. 4. Article 5 was revised to specify the officers to include a chair, vice chair, president, secretary, secretary, treasurer, and any other person designated as an officer by the Board. The chair of the Board shall be the Chief Executive Officer of Stone Point Health or their designee. Any executive vice presidents are designated by the president. The Chief Executive Officer of Stone Point Health designates the vice chair. The Board chair designates the president. Officer responsibilities for the president were added. |
| Form 990, Part VI, Section A, line 7a | The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Stone Point Health Board of Directors. |
| Form 990, Part VI, Section A, line 7b | The Board of Directors of the Corporation shall have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Stone Point Health. The Hospital does not have any Members. |
| Form 990, Part VI, Section B, line 11b | This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing. |
| Form 990, Part VI, Section B, line 12c | During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital corporate officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president or the System General Counsel immediately. The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the Hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. |
| Form 990, Part VI, Section B, line 15 | The Hospital's Board of Directors has established a Human Resources Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. |
| Form 990, Part VI, Section C, line 19 | The Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency. |
| Form 990, Part VII: | Board compensation is for Adventist Health System/West Board of Directors only - not hospital Board of Directors. |
| Form 990, Part IX, line 11g | Physician professional fees: Program service expenses 2,741,431. Management and general expenses 18,852. Fundraising expenses 0. Total expenses 2,760,283. Consulting and other management fees: Program service expenses 0. Management and general expenses 163,489. Fundraising expenses 0. Total expenses 163,489. Contract labor: Program service expenses 2,001,199. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,001,199. Repair and maintenance: Program service expenses 995,042. Management and general expenses 12,636. Fundraising expenses 154. Total expenses 1,007,832. All other purchased services: Program service expenses 5,455,733. Management and general expenses 1,163,949. Fundraising expenses 56,893. Total expenses 6,676,575. |
| Form 990, Part XI, line 9: | Write-up as result of affiliation 9,162,063. |
| 2023 Form 990 and Schedules: | Mid-Columbia Medical Center DBA Adventist Health Columbia Gorge (AHCG), was affiliated with Adventist health System/West (AHRS) effective July 20, 2023. As part of the affiliation process, several key personnel left the organization. Information for certain sections of the Form 990 and Schedules was not able to be produced as part of the year's data was originally housed with AHCG's prior accountants and personnel. As a result, Adventist Health System/West is preparing a return using the best information available for the tax year ended December 31, 2023 and will provide a more comprehensive analysis and return for the tax year ending December 31, 2024. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Health Clearlake Hospital Inc | |||||||||||
| 15630 18th Avenue | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Adventist Health Delano | |||||||||||
| 1401 Garces Highway | Delano | CA | 93215 | 770258013 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Adventist Health Foundation | |||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 680002188 | Charitable foundation | CA | 501(c)(3) | Line 7 | Adventist Health SystemWest | 0 | |
| Adventist Health Medical Center Tehachapi | |||||||||||
| 1100 Magellan Drive | Tehachapi | CA | 93561 | 812240617 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Adventist Health Mendocino Coast | |||||||||||
| 700 River Drive | Fort Bragg | CA | 95437 | 845174585 | Hospital | CA | 501(c)(3) | Line 3 | Stone Point Health | 0 | |
| Adventist Health Physicians Network | |||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 680357690 | Medical foundation | CA | 501(c)(3) | Line 12b, II | Adventist Health SystemWest | 0 | |
| Adventist Health SystemWest | |||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 953484589 | Integrated health system | CA | 501(c)(3) | Line 10 | 0 | N/A | |
| Adventist Health Tulare | |||||||||||
| 869 North Cherry Street | Tulare | CA | 93274 | 832351753 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Castle Medical Center | |||||||||||
| 640 Ulukahiki Street | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Feather River Hospital | |||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 941101228 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Glendale Adventist Medical Center | |||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 951816017 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Hanford Community Hospital | |||||||||||
| 115 Mall Drive | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Lodi Memorial Hospital Association Inc | |||||||||||
| 975 S Fairmont Avenue | Lodi | CA | 95240 | 941044474 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Mid-Columbia Health Foundation | |||||||||||
| 1700 E 19th Street | The Dalles | OR | 97058 | 930854433 | Support Mid-Columbia Medical Center | OR | 501(c)(3) | Line 7 | Mid-Columbia Medical Center | Yes (1) | |
| Northwest Medical Foundation of Tillamook | |||||||||||
| 1000 Third Street | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Paradise Valley Hospital | |||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 951816034 | Discontinued operations | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Portland Adventist Medical Center | |||||||||||
| 10123 SE Market Street | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Reedley Community Hospital | |||||||||||
| 372 Cypress Avenue | Reedley | CA | 93654 | 453220509 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Rideout Memorial Hospital | |||||||||||
| 726 Fourth Street | Marysville | CA | 95901 | 941387866 | Acute care hospital | CA | 501(c)(3) | Line 3 | Stone Point Health | 0 | |
| St Helena Hospital | |||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| San Joaquin Community Hospital | |||||||||||
| 2615 Chester Avenue | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Simi Valley Hospital and Health Care Services | |||||||||||
| 2975 N Sycamore Drive | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Sonora Community Hospital | |||||||||||
| 1000 Greenley Road | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Stone Point Health | |||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 823763347 | Supporting organization | CA | 501(c)(3) | Line 12b, II | Adventist Health SystemWest | 0 | |
| Ukiah Adventist Hospital | |||||||||||
| 275 Hospital Drive | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| United Com-Serve | |||||||||||
| 726 Fourth Street | Marysville | CA | 95901 | 943015356 | Skilled nursing/assisted living/home health | CA | 501(c)(3) | Line 12b, II | Stone Point Health | 0 | |
| Walla Walla General Hospital | |||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 910617726 | Hospital - closed July 2017 | WA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Western Health Resources | |||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 953867863 | Home care | CA | 501(c)(3) | Line 10 | Adventist Health SystemWest | 0 | |
| White Memorial Medical Center | |||||||||||
| 1720 E Cesar E Chavez Avenue | Los Angeles | CA | 90033 | 952282647 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
| Willits Hospital Inc | |||||||||||
| 1 Marcela Drive | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(c)(3) | Line 3 | Adventist Health SystemWest | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Blue Legacy Ventures LLC | |||||||||
| 1010 NE 2nd Avenue | Miami | FL | 33132 | 871254649 | Real property rental | FL | N/A | 0 | 0 |
| Blue Zones LLC | |||||||||
| 200 Southdale Center | Edina | MN | 55435 | 271603327 | Education | MN | N/A | 0 | 0 |
| PAR LLC DBA CherryWood Village | |||||||||
| 8440 SE Sunnybrook Blvd Suite 100 | Clackmas | OR | 97015 | 931262371 | Senior housing | OR | N/A | 0 | 0 |
| PVHR LLC DBA Paradise Village | |||||||||
| 8440 SE Sunnybrook Blvd Suite 100 | Clackmas | OR | 97015 | 260622555 | Senior housing | OR | N/A | 0 | 0 |
| PVHR2 LLC DBA Parkview Memory Care at Paradise Village | |||||||||
| 8440 SE Sunnybrook Blvd Suite 100 | Clackmas | OR | 97015 | 473300170 | Senior housing | OR | N/A | 0 | 0 |
| WWGHR LLC DBA Wheatland Village | |||||||||
| 8440 SE Sunnybrook Blvd Suite 100 | Clackmas | OR | 97015 | 810591221 | Rental | OR | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dry Hollow Professional Center Inc | ||||||||||||||||||
| 1700 E 19th Street | The Dalles | OR | 97058 | 930631350 | Rental Building | OR | Mid-Columbia Medical Center | C | $107,694 | $1,097,748 | 1.00000 | Yes (1) | ||||||
| AdHealth Limited | ||||||||||||||||||
| Pure captive insurance | C | 0 | PO Box HM 2062 | Hamilton | BD | HM HX | BD | N/A | ||||||||||
| Adventist Health Plan Inc | ||||||||||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 463833261 | Health insurance | CA | C | 0 | N/A | |||||||||
| South Coast Medical Center | ||||||||||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 952037291 | Wind down after sale of hospital | CA | C | 0 | N/A | |||||||||
| Thrive Productions Inc | ||||||||||||||||||
| 200 Southdale Center | Edina | MN | 55435 | 453369049 | Production company | MN | C | 0 | N/A | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Dry Hollow Professional Center | ||
| A | $107,694 | Actual |
| Mid-Columbia Health Foundation | ||
| C | $1,452,760 | Actual |
| Mid-Columbia Health Foundation | ||
| M | $774,452 | Actual |
| Mid-Columbia Health Foundation | ||
| Q | $949,786 | Actual |