COLUMBIA LUTHERAN CHARITIES: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBIA LUTHERAN CHARITIES (EIN 93-0583856)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202243159349302849
- Schema version
- 2021v4.2
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T11:09:50-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930418710 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAP LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5885 MEADOWS ROAD NO 200 | AddressLine1Txt |
| City | LAKE OSWEGO | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97035 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930583856 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA LUTHERAN CHARITIES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLU | BusinessNameControlTxt |
| Phone | 5033254321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2111 EXCHANGE STREET | AddressLine1Txt |
| City | ASTORIA | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 971033329 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ZACHARY SCHMITT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5033254321 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ZACHARY | PersonFirstNm |
| Person Last | SCHMITT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT J WOLFER CPA | PreparerPersonNm |
| PTIN | P01299726 | PTIN |
| Phone | 5036974118 | PhoneNum |
| Preparation | 2022-11-10 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ZACHARY SCHMITT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2111 EXCHANGE STREET | AddressLine1Txt |
| City | ASTORIA | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 971033329 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $187,562,899 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COLUMBIAMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE EXCELLENCE, LEADERSHIP & COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 833 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $1,728,392 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,719,091 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,783,458 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $151,371,571 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $167,670,216 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,238,893 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,561,457 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,673,253 | PYOtherRevenueAmt |
| CY Other Revenue | $2,756,130 | CYOtherRevenueAmt |
| PY Total Revenue | $167,002,808 | PYTotalRevenueAmt |
| CY Total Revenue | $180,771,261 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $127,401 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,880,675 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,950,516 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $69,210,278 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $224,365 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $73,145,244 | PYOtherExpensesAmt |
| CY Other Expenses | $83,330,258 | CYOtherExpensesAmt |
| PY Total Expenses | $138,223,161 | PYTotalExpensesAmt |
| CY Total Expenses | $155,421,211 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $28,779,647 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $25,350,050 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $214,285,423 | TotalAssetsBOYAmt |
| Total Assets EOY | $246,096,987 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $79,290,208 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $78,824,102 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $134,995,215 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $167,272,885 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF COLUMBIA MEMORIAL HOSPITAL IS TO PROVIDE EXCELLENCE, LEADERSHIP, AND COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $103,754,184 | ExpenseAmt |
| Grant | $2,880,675 | GrantAmt |
| Revenue | $168,697,954 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $103,754,184 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 833 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZACHARY SCHMITT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5033384613 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2111 EXCHANGE STREET | AddressLine1Txt |
| City | ASTORIA | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| PAUL HAINES | ||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY MCALLISTER | ||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| HEATHER SEPPA | ||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| SHERIFF MATT PHILLIPS | ||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK SMITH | ||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUG KAUP | ||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JEAN DANFORTH | ||||||||
| QUALITY CHAIR | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE NYGAARD | ||||||||
| SECRETARY | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BILL LANDWEHR | ||||||||
| TREASURER | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CONSTANCE WAISANEN | ||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES HEILMAN MD | ||||||||
| BOARD MEMBER/PHYSICIAN | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CAMILO ROSALES MD | ||||||||
| BOARD MEMBER/PHYSICIAN | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT HOLLAND MD | ||||||||
| BOARD PRESIDENT/PHYSICIAN | 3.00 | Yes (X) | $3,245 | $0 | $0 | Yes (X) | ||
| MIKE AUTIO | ||||||||
| BOARD VICE-PRESIDENT | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ERIK THORSEN | ||||||||
| CEO | 40.00 | $800,089 | $0 | $115,206 | Yes (X) | 1.00 | ||
| NICOLE WILLIAMS | ||||||||
| COO | 40.00 | $384,838 | $0 | $53,913 | Yes (X) | |||
| ZACHARY SCHMITT | ||||||||
| CFO | 40.00 | $349,735 | $0 | $53,666 | Yes (X) | 1.00 | ||
| JARROD KARNOFSKI | ||||||||
| VP - ANCILLARY SERVICES | 40.00 | $268,893 | $0 | $49,442 | Yes (X) | |||
| JUDY GEIGER | ||||||||
| VP - PATIENT CARE | 40.00 | $265,186 | $0 | $29,800 | Yes (X) | |||
| CHRISTOPHER LAMAN | ||||||||
| VP - STRATEGY | 40.00 | $261,543 | $0 | $59,570 | Yes (X) | |||
| DOUGLAS ABBOTT MD | ||||||||
| PHYSICIAN | 40.00 | $374,328 | $0 | $39,672 | Yes (X) | |||
| PETER BALES MD | ||||||||
| PHYSICIAN | 40.00 | $361,414 | $0 | $40,830 | Yes (X) | |||
| DAVID LEIBEL DO | ||||||||
| PHYSICIAN | 40.00 | $337,607 | $0 | $36,498 | Yes (X) | |||
| KERI BROWN MD | ||||||||
| PHYSICIAN | 40.00 | $242,093 | $0 | $16,350 | Yes (X) | |||
| MICHAEL MURDOCK MD | ||||||||
| PHYSICIAN | 40.00 | $226,592 | $0 | $29,039 | 4.00 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,875,563 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $523,986 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 185 | 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 |
|---|---|---|---|---|---|
| OHSU (CONSOLIDATED) | |||||
| 3181 SAM JACKSON PARK RD MAIL CODE | PORTLAND | OR | 97239 | PHYSICIAN FEES | $16,172,151 |
| ANESTHESIA ASSOCIATES NORTHWEST LLC | |||||
| 6400 SE LAKE RD STE 130 | PORTLAND | OR | 97222 | ANESTHESIOLOGY PHYSICIANS | $2,019,757 |
| HIMAGINE SOLUTIONS | |||||
| 600 EMERSON ROAD 225 | ST LOUIS | MO | 63141 | HEALTHCARE IP & OP CODING | $1,535,149 |
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY NORTH | KANSAS CITY | MO | 64117 | ELECTRONIC MEDICAL RECORDS | $1,518,856 |
| MAXIM HEALTHCARE SERVICES | |||||
| 12558 COLLECTONS CENTER DRIVE | CHICAGO | IL | 60693 | HEALTHCARE STAFFING | $1,448,085 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 50 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $15,919 | RelatedOrganizationsAmt |
| Government Grants | $3,205,906 | GovernmentGrantsAmt |
| All Other Contributions | $561,633 | AllOtherContributionsAmt |
| Total Contributions | $3,783,458 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT REVENUE | 621990 | $199,063,588 | $199,063,588 |
| EMERGENCY ROOM REVENUE | 621990 | $56,010,078 | $56,010,078 |
| INPATIENT REVENUE | 621990 | $46,784,709 | $46,784,709 |
| CONTRACTUAL ALLOWANCE | 621990 | -$139,509,584 | -$139,509,584 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,321,425 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,321,425 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $167,670,216 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,938,577 | TotalRevenueColumnAmt |
| Exclusion | $1,938,577 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $201,467 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $189,717 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,750 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,750 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,750 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,224,801 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,601,921 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,622,880 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,622,880 | TotalRevenueColumnAmt |
| Exclusion | $4,622,880 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| PHARMACY SALES | 446110 | $1,728,392 | $1,728,392 | |
| HOSPITALIST | 621110 | $552,131 | $552,131 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $463,857 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $463,857 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,744,380 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $180,771,261 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $168,697,954 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,728,392 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,561,457 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,709 | TotalAmt |
| Program Services | $162,709 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,717,966 | TotalAmt |
| Program Services | $2,717,966 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,508,618 | TotalAmt |
| Management And General | $2,508,618 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,826,809 | TotalAmt |
| Program Services | $36,180,799 | ProgramServicesAmt |
| Management And General | $13,492,387 | ManagementAndGeneralAmt |
| Fundraising | $153,623 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,425,551 | TotalAmt |
| Program Services | $2,455,635 | ProgramServicesAmt |
| Management And General | $965,953 | ManagementAndGeneralAmt |
| Fundraising | $3,963 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,284,663 | TotalAmt |
| Program Services | $6,848,089 | ProgramServicesAmt |
| Management And General | $2,414,085 | ManagementAndGeneralAmt |
| Fundraising | $22,489 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,164,637 | TotalAmt |
| Program Services | $2,932,127 | ProgramServicesAmt |
| Management And General | $1,219,813 | ManagementAndGeneralAmt |
| Fundraising | $12,697 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,293 | TotalAmt |
| Management And General | $410,293 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,693 | TotalAmt |
| Management And General | $205,693 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,870,579 | TotalAmt |
| Program Services | $20,004,713 | ProgramServicesAmt |
| Management And General | $1,865,866 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,853 | TotalAmt |
| Management And General | $254,828 | ManagementAndGeneralAmt |
| Fundraising | $25 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,407,194 | TotalAmt |
| Program Services | $735,463 | ProgramServicesAmt |
| Management And General | $13,645,878 | ManagementAndGeneralAmt |
| Fundraising | $25,853 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,049,730 | TotalAmt |
| Program Services | $677,202 | ProgramServicesAmt |
| Management And General | $2,369,693 | ManagementAndGeneralAmt |
| Fundraising | $2,835 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,107,617 | TotalAmt |
| Program Services | $1,001,494 | ProgramServicesAmt |
| Management And General | $3,104,923 | ManagementAndGeneralAmt |
| Fundraising | $1,200 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,710 | TotalAmt |
| Program Services | $58,861 | ProgramServicesAmt |
| Management And General | $9,849 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,615 | TotalAmt |
| Program Services | $103,360 | ProgramServicesAmt |
| Management And General | $216,155 | ManagementAndGeneralAmt |
| Fundraising | $1,100 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,251,425 | TotalAmt |
| Program Services | $2,145,798 | ProgramServicesAmt |
| Management And General | $4,105,627 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,275,853 | TotalAmt |
| Program Services | $481,963 | ProgramServicesAmt |
| Management And General | $793,890 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| UBIT TAX | $24,055 | $24,055 | ||
| MEDICAL SUPPLIES & PHAR | $22,524,777 | $153,917 | $22,370,860 | |
| OTHER PURCHASED SERVICE | $5,683,784 | $2,650,020 | $3,033,184 | $580 |
| REPAIRS & MAINTENANCE | $2,733,260 | $935,990 | $1,797,270 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,820 | TotalAmt |
| Program Services | $46,691 | ProgramServicesAmt |
| Management And General | $95,129 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,421,211 | TotalAmt |
| Program Services | $103,754,184 | ProgramServicesAmt |
| Management And General | $51,442,662 | ManagementAndGeneralAmt |
| Fundraising | $224,365 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,395 | BOYAmt |
| EOY | $97,563 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,868,514 | BOYAmt |
| EOY | $6,930,204 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,524,580 | BOYAmt |
| EOY | $16,173,699 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,852,216 | BOYAmt |
| EOY | $4,049,081 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,757,938 | BOYAmt |
| EOY | $2,597,917 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $125,976,370 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $72,769,562 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,606,613 | BOYAmt |
| EOY | $53,206,808 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,532,125 | BOYAmt |
| EOY | $144,650,132 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,112 | BOYAmt |
| EOY | $18,856 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,475,000 | BOYAmt |
| EOY | $2,475,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,567,930 | BOYAmt |
| EOY | $15,897,727 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,285,423 | BOYAmt |
| EOY | $246,096,987 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,566,866 | BOYAmt |
| EOY | $19,433,651 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,017,786 | BOYAmt |
| EOY | $43,014,252 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,705,556 | BOYAmt |
| EOY | $16,376,199 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,290,208 | BOYAmt |
| EOY | $78,824,102 | 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 | $134,995,215 | BOYAmt |
| EOY | $167,272,885 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,995,215 | BOYAmt |
| EOY | $167,272,885 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,285,423 | BOYAmt |
| EOY | $246,096,987 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $25,350,050 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $404,251 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $6,523,369 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $7,480,255 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,280,803 | OtherCostOrOtherBasisAmt |
| Book Value | $10,761,058 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $8,014,667 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $36,064,269 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,593,957 | DepreciationAmt |
| Book Value | $18,484,979 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,692,237 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,975,014 | DepreciationAmt |
| Book Value | $1,717,223 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,463,214 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,200,591 | DepreciationAmt |
| Book Value | $19,262,623 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,980,925 | OtherCostOrOtherBasisAmt |
| Book Value | $2,980,925 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,206,808 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $3,473,974 |
| INSURANCE ANNUITIES - DEFERRED COMP PLAN | $1,357,192 |
| MEDICAL MALPRACTICE RECEIVABLE | $405,000 |
| ASC 842 RIGHT OF USE ASSETS | $10,661,561 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,897,727 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED 3RD PARTY PAYOR | $3,488,000 |
| DEFERRED COMPENSATION | $1,357,192 |
| MEDICAL MALPRACTICE CLAIMS | $1,048,768 |
| ACCRUED RETIREMENT PLAN LIABILITY | $557,748 |
| ASC 842 LEASE LIABILITIES | $9,924,491 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,376,199 | 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 | INCOME TAX POSITIONS THAT MEET A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD ARE MEASURED AT THE LARGEST AMOUNT OF INCOME TAX BENEFIT THAT IS MORE THAN 50% LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH INCOME TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS IN CHARITIES' CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS WOULD BE CLASSIFIED AS INCOME TAXES IN CHARITIES' CONSOLIDATED STATEMENTS OF OPERATIONS. THERE WERE NO UNRECOGNIZED INCOME TAX BENEFITS, NOR ANY INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS, ACCRUED OR EXPENSED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | ExpensesExceedBudgetInd |
| 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 | $1,341,477 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,341,477 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,021,309 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,984,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,037,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02600 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,207,708 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,275,534 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $932,174 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,570,494 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,259,627 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,310,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $132,676 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $132,676 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,060 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $158,614 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $158,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $294,350 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $294,350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,864,844 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,259,627 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,605,217 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04250 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,570 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,570 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $455,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $71,601,519 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $64,148,299 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $7,453,220 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 COASTAL HEALTH ASSURANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CE/PHYSICIAN ASSC. MEDICAL CONTRACTS | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Critical Access HospitalCriticalAccessHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Emergency Room OtherEmergencyRoomOtherInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBIA MEMORIAL HOSPITAL | |||||||||||||
| 1 | 2111 EXCHANGE STREET | ASTORIA | OR | 97103 | WWW.COLUMBIAMEMORIAL.ORG | 14-1146 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |||
| CMH PRIMARY CARE CLINICCMH URGENT CARE | |||||||||||||
| 2 | 1639 SE ENSIGN LANE STE B103 | WARRENTON | OR | 97146 | WWW.COLUMBIAMEMORIAL.ORG | 14-1146-1 | Yes (X) | Yes (X) | HOSPITAL SATELLITE | A | |||
| SEASIDE PRIMARY CARE CLINICCMH IMAGING & LAB | |||||||||||||
| 3 | 1111 N ROOSEVELT DRIVE SUITE 210 | SEASIDE | OR | 97138 | WWW.COLUMBIAMEMORIAL.ORG | 14-1146-2 | Yes (X) | HOSPITAL SATELLITE | A | ||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.COLUMBIAMEMORIAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.COLUMBIAMEMORIAL.ORG | 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 | 300.000000000000 | 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 |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | 0 | 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 | WWW.COLUMBIAMEMORIAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.COLUMBIAMEMORIAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.COLUMBIAMEMORIAL.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Selling Debt | Yes (X) | PermitSellingDebtInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| 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 |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 | COMMUNITY REPRESENTATION FOR PRIMARY DATA:DATA FROM A NUMBER OF FEDERAL AND STATE SOURCES WERE USED TO BETTER UNDERSTAND THE DEMOGRAPHICS, HEALTH BEHAVIORS, SOCIAL & ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, AND CLINICAL CARE CHARACTERISTICS OF THE TWO-COUNTY SERVICE AREA. ADDITIONALLY THE HOSPITAL WAS A MEMBER AND ACTIVE PARTICIPANT IN THE 2018-2019 COLUMBIA PACIFIC COMMUNITY CARE ORGANIZATION'S (CCO) REGIONAL HEALTH ASSESSMENT (RHA) & REGIONAL HEALTH IMPROVEMENT PLAN (RHIP). THIS ASSESSMENT COMMENCED IN 2018 AND WAS COMPLETED IN JUNE OF 2019. THE ASSESSMENT ENGAGED THE COO'S THREE COUNTY SERVICE AREAS IN CONVERSATIONS ABOUT FACTORS THAT CREATE HEALTH AND WELLBEING FOR INDIVIDUALS. |
| PART V, SECTION B, LINE 11 | THE NEEDS IDENTIFIED BY THE REGIONAL HEALTH ASSESSMENT WERE COMBINED WITH INPUT SECURED BY LOCAL COMMUNITY LEADERS VIA A KEY INFORMANT SURVEY. SURVEY RESULTS DEMONSTRATE THAT KEY INFORMANTS PERCEIVE IMPROVEMENT IN ACCESS TO CARE SINCE THE 2016-2019 CHNA, BUT THAT ACCESS TO CARE, BEHAVORIAL HEALTH, CHRONIC CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH AND WELL BEING CONTINUE TO BE HIGH PRIORITIES FOR INTERVENETION IN THE 2020-2022 IMPLEMENTATION PLAN. AFTER CONSIDERATION OF THE PREVIOUSLY MENTIONED DATA, THE RHA AND THE KEY INFORMANT SURVEY, THE FOLLOWING WERE IDENTIFIED AS TOP HEALTH NEEDS/PRIORITIES FOR 2020-2022: ACCESS TO CARE - PRIMARY CARE; ACCESS TO CARE - BEHAVIORAL HEALTH; SOCIAL DETERMINANTS OF HEALTH: ADVERSE CHILDHOOD EXPERIENCES/TRAUMA. |
| PART V, SECTION B, LINE 13H | A PATIENT'S ELIGIBILITY IS DETERMINED BY THE FINANCIAL COUNSELOR DURING THE SCREENING PROCESS BASED UPON THE FEDERAL POVERTY LEVEL GUIDELINES, HOUSEHOLD SIZE, LIVING EXPENSES, AND OTHER ASSETS WHICH ARE AVAILABLE FOR PAYMENT. A PATIENT/GUARANTOR'S PRIMARY RESIDENCE AND AUTOMOBILES WILL NOT BE CONSIDERED IN ASSET EVALUATION. THE PATIENT'S INCOME HISTORY AND FINANCIAL SITUATION WILL BE REVIEWED, AND IF THERE ARE INSUFFICIENT ASSETS AVAILABLE FOR PAYMENT, ASSISTANCE WILL BE PROVIDED BASED UPON THE SCHEDULE BELOW.INCOME % OF THE FEDERAL POVERTY LEVEL: 0% - 300%DISCOUNT %: 100%INCOME % OF THE FEDERAL POVERTY LEVEL: 301% - 400%DISCOUNT %: 65%*INCOME % OF THE FEDERAL POVERTY LEVEL: >400% UNINSUREDDISCOUNT %: 20% SELF-PAY DISCOUNT*MINIMUM CHARITY DISCOUNT IS BASED ON AGB AS DESCRIBED BELOW AND WILL BE REVIEWED ANNUALLY AND REVISED IF NECESSARY TO COMPLY WITH IRS 501(R). |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 19 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - INFUSION CENTER | ||||
| 1905 EXCHANGE ST | ASTORIA | OR | 97103 | INFUSION SERVICES |
| 2 - CARDIOLOGY CLINIC | ||||
| 2095 EXCHANGE ST SUITE 301 | ASTORIA | OR | 97103 | CARDIOLOGY SERVICES |
| 3 - ORTHOPEDIC CLINIC | ||||
| 2265 EXCHANGE ST 3RD FLOOR | ASTORIA | OR | 97103 | ORTHOPEDIC SERVICES |
| 4 - WOMEN'S CENTER CLINIC | ||||
| 2265 EXCHANGE ST 2ND FLOOR | ASTORIA | OR | 97103 | WOMEN'S SERVICES |
| 5 - SEASIDE CLINIC | ||||
| 111 N ROSEVELT DRIVE 210 | SEASIDE | OR | 97138 | PRIMARY CARE SERVICES |
| 6 - WARRENTON PRIMARY CARE (RHC) | ||||
| 1639 SE ENSIGN LANE SUITE B103 | WARRENTON | OR | 97146 | PRIMARY CARE SERVICES |
| 7 - GENERAL SURGERY CLINIC | ||||
| 2055 EXCHANGE ST SUITE 270 | ASTORIA | OR | 97103 | GENERAL SURGERY SERVICES |
| 8 - ASTORIA PRIMARY CARE CLINIC | ||||
| 2158 EXCHANGE ST SUITE 107 | ASTORIA | OR | 97103 | PRIMARY CARE SERVICES |
| 9 - PEDIATRIC CLINIC | ||||
| 2265 EXCHANGE ST 3RD FLOOR | ASTORIA | OR | 97103 | PEDIATRIC SERVICES |
| 10 - FOOT & ANKLE CLINIC | ||||
| 2265 EXCHANGE ST 3RD FLOOR | ASTORIA | OR | 97103 | PODIATRY SERVICES |
| 11 - UROLOGY CLINIC | ||||
| 2265 EXCHANGE ST 3RD FLOOR | ASTORIA | OR | 97103 | UROLOGY SERVICES |
| 12 - LOWER COLUMBIA HOSPICE | ||||
| 2158 EXCHANGE ST SUITE 206 | ASTORIA | OR | 97103 | HOSPICE SERVICES |
| 13 - MEDICAL ONCOLOGY CLINIC | ||||
| 1905 EXCHANGE ST | ASTORIA | OR | 97103 | MEDICAL ONCOLOGY SERVICES |
| 14 - URGENT CARE CLINIC | ||||
| 2265 EXCHANGE ST 1ST FLOOR | ASTORIA | OR | 97103 | URGENT CARE SERVICES |
| 15 - PULMONOLOGY CLINIC | ||||
| 2055 EXCHANGE ST SUITE 210 | ASTORIA | OR | 97103 | PULMONOLOGY SERVICES |
| 16 - ENDOCRINOLOGY CLINIC | ||||
| 2158 EXCHANGE ST SUITE 205 | ASTORIA | OR | 97103 | ENDOCRINOLOGY SERVICES |
| 17 - RADIATION ONCOLOGY CLINIC | ||||
| 1905 EXCHANGE ST | ASTORIA | OR | 97103 | RADIATION THERAPY SERVICES |
| 18 - WOUND CARE CLINIC | ||||
| 2265 EXCHANGE ST | ASTORIA | OR | 97103 | WOUND CARE SERVICES |
| 19 - INTERV RADIOLOGY CLINIC | ||||
| 2111 EXCHANGE ST | ASTORIA | OR | 97103 | INTERVENTIONAL RADIOLOGY SERVICES |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE HOSPITAL'S CRITERIA FOR THE DETERMINATION OF CHARITY CARE INCLUDE PATIENT'S - OR THE OTHER RESPONSIBLE PARTY'S - ANNUAL HOUSEHOLD INCOME, HOUSEHOLD SIZE, ASSETS, CREDIT HISTORY, EXISTING DEBT OBLIGATIONS, AND OTHER INDICATORS OF THE PATIENT'S ABILITY TO PAY. |
| PART I, LINE 7: | A COST-TO-CHARGE RATIO IS USED, BASED ON WORKSHEET 2. |
| PART III, LINE 2: | THE METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE IS THE TOTAL OF ACTUAL BAD DEBT WRITE-OFFS, OFFSET WITH BAD DEBT RECOVERIES PLUS A RESERVE FOR SELF PAY ACCOUNTS EXPECTED TO BE UNCOLLECTABLE BASED ON THE AGING OF THE ACCOUNT. |
| PART III, LINE 3: | THE HOSPITAL'S BAD DEBT EXPENSE INCLUDES IMPLICIT PRICE CONCESSIONS FOR PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. BAD DEBT EXPENSE DOES NOT INCLUDE CHARITY CARE. |
| PART III, LINE 4: | SEE PAGE 12 OF ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | AS A MISSION-DRIVEN HOSPITAL, HEALTHCARE SERVICES ARE OFFERED TO THE COMMUNITY EVEN WHEN THE COST OF THAT CARE IS KNOWN TO BE MORE THAN THE REVENUE THAT WILL BE RECEIVED. AS THE HOSPITAL ABSORBS THESE LOSSES FROM MEDICARE (DETERMINED BY THE RATIOS USED IN THE MEDICARE COST REPORT), THE ENTIRE COMMUNITY BENEFITS BECAUSE MANY OF THESE PROGRAMS/SERVICES WOULD NOT EXIST WITHOUT HOSPITAL SUPPORT. |
| PART III, LINE 9B: | PERSONAL PAY ACCOUNTS AND THE BALANCE AFTER INSURANCE ARE SUBJECT TO A MINIMUM PAYMENT SCHEDULE. IF THE PATIENT OR GUARANTOR IS UNABLE TO MEET THIS PAYMENT SCHEDULE, APPLICATION MAY BE MADE THROUGH PATIENT FINANCIAL SERVICES CREDIT AND COLLECTION CLERK'(S) AND OR THE PATIENT FINANCIAL SERVICES MANAGER FOR CHARITY, FINANCIAL ASSISTANCE, OR REDUCED PAYMENTS. |
| PART VI, LINE 2: | THE ORGANIZATION CONTRACTS WITH A THIRD PARTY VENDOR TO PERFORM THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS IS PERFORMED EVERY THREE YEARS. |
| PART VI, LINE 3: | THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS WHO ARE AVAILABLE TO ASSIST PATIENTS WITH ELIGIBILITY FOR ASSISTANCE WITH ALL FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS. |
| PART VI, LINE 4: | THE ORGANIZATION IS LOCATED IN ASTORIA,OREGON AT THE ESTUARY WHERE THE COLUMBIA RIVER AND THE PACIFIC OCEAN MEET ALONG THE NORTH COAST OF OREGON. OUR SERVICE AREA INCLUDES NORTHWEST OREGON AND SOUTHWEST WASHINGTON STATE. |
| PART VI, LINE 5: | THE ORGANIZATION IS A MEMBER AND ACTIVE PARTICIPANT IN THE COLUMBIA PACIFIC COMMUNITY CARE ORGANIZATION'S REGIONAL HEALTH ASSESSMENT AND REGIONAL HEALTH IMPROVEMENT PLAN PROGRAMS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OR |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| CLATSOP COMMUNITY COLLEGE FOUNDATION | ||||||||
| 1651 LEXINGTON AVENUE | ASTORIA | OR | 97103 | 237100856 | 501(C)(3) | $80,000 | $0 | NURSING PROGRAM |
| CLATSOP COUNTY JUNIOR MARKET AUCTION ASSN | ||||||||
| PO BOX 43 | WARRENTON | OR | 97146 | 931321009 | 501(C)(3) | $10,935 | $0 | PROVIDE 4-H AND FFA YOUTH EDUCATION |
| NAMI OREGON | ||||||||
| 4701 SE 24TH AVENUE SUITE E | PORTLAND | OR | 97202 | 930875209 | 501(C)(3) | $15,000 | $0 | BEACON CLUBHOUSE |
| ASTORIA-WARRENTON AREA CHAMBER OF COMMERCE | ||||||||
| PO BOX 176 | ASTORIA | OR | 97103 | 930115760 | 501(C)(6) | $12,500 | $0 | GREAT COLUMBIA CROSSING 10K RUN/WALK |
| ASTORIA HIGH SCHOOL SCHOLARSHIPS INC | ||||||||
| PO BOX 598 | ASTORIA | OR | 97103 | 930724422 | 501(C)(3) | $9,400 | $0 | SCHOLARSHIP GRANTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CHARITY CARE | GrantTypeTxt |
| Recipient | 4529 | RecipientCnt |
| Cash Grant | $2,717,966 | CashGrantAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIK THORSEN | ||||||||||||||
| CEO | $677,645 | $0 | $115,294 | $0 | $7,150 | $0 | $87,492 | $0 | $27,714 | $0 | $915,295 | $0 | $0 | $0 |
| NICOLE WILLIAMS | ||||||||||||||
| COO | $343,021 | $0 | $40,068 | $0 | $1,749 | $0 | $21,220 | $0 | $32,693 | $0 | $438,751 | $0 | $0 | $0 |
| DOUGLAS ABBOTT MD | ||||||||||||||
| PHYSICIAN | $372,248 | $0 | $2,000 | $0 | $80 | $0 | $23,200 | $0 | $16,472 | $0 | $414,000 | $0 | $0 | $0 |
| ZACHARY SCHMITT | ||||||||||||||
| CFO | $312,927 | $0 | $35,680 | $0 | $1,128 | $0 | $21,253 | $0 | $32,413 | $0 | $403,401 | $0 | $0 | $0 |
| PETER BALES MD | ||||||||||||||
| PHYSICIAN | $356,414 | $0 | $5,000 | $0 | $0 | $0 | $23,200 | $0 | $17,630 | $0 | $402,244 | $0 | $0 | $0 |
| DAVID LEIBEL DO | ||||||||||||||
| PHYSICIAN | $335,957 | $0 | $1,650 | $0 | $0 | $0 | $23,200 | $0 | $13,298 | $0 | $374,105 | $0 | $0 | $0 |
| CHRISTOPHER LAMAN | ||||||||||||||
| VP - STRATEGY | $237,471 | $0 | $24,072 | $0 | $0 | $0 | $19,842 | $0 | $39,728 | $0 | $321,113 | $0 | $0 | $0 |
| JARROD KARNOFSKI | ||||||||||||||
| VP - ANCILLARY SERVICES | $239,013 | $0 | $28,604 | $0 | $1,276 | $0 | $20,138 | $0 | $29,304 | $0 | $318,335 | $0 | $0 | $0 |
| JUDY GEIGER | ||||||||||||||
| VP - PATIENT CARE | $232,053 | $0 | $28,549 | $0 | $4,584 | $0 | $16,563 | $0 | $13,237 | $0 | $294,986 | $0 | $0 | $0 |
| KERI BROWN MD | ||||||||||||||
| PHYSICIAN | $226,193 | $0 | $5,500 | $0 | $10,400 | $0 | $5,254 | $0 | $11,096 | $0 | $258,443 | $0 | $0 | $0 |
| MICHAEL MURDOCK MD | ||||||||||||||
| PHYSICIAN | $189,395 | $0 | $27,197 | $0 | $10,000 | $0 | $15,010 | $0 | $14,029 | $0 | $255,631 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | ERIK THORSEN, CEO IS PARTICIPATING IN A 457(F) PLAN WHICH STARTED IN 2015. COLUMBIA MEMORIAL HOSPITAL CONTRIBUTED $64,292 TO THIS PLAN IN 2021. |
| PART I, LINE 6 | MANAGEMENT BONUSES ARE CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. |
| PART I LINE 1A | DISCRETIONARY SPENDING ACCOUNT: BASED ON SIGNED EMPLOYMENT CONTRACTS, COLUMBIA MEMORIAL HOSPITAL PAID ONE LUMP SUM PAYMENT ON THE FIRST PAY-PERIOD OF EACH YEAR TO COVER DISCRETIONARY EXPENSE OF ERIK THORSEN, CEO, ($2,500), IN ADDITION, COLUMBIA MEMORIAL HOSPITAL PAID $609.78 PER MONTH TO COVER THE CEO CAR, ($609.78/MONTH - $7,317.36 ANNUALLY) HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: BASED ON SIGNED EMPLOYMENT CONTRACTS, COLUMBIA MEMORIAL HOSPITAL REIMBURSED MONTHLY COUNTRY CLUB MEMBERSHIP DUES FOR ERIK THORSEN, CEO ($365/MONTH FROM JANURARY TO JUNE AND $375/MONTH FROM JULY TO DECEMBER - $4,440 ANNUALLY) AND ROTARY CLUB DUES FOR ERIK THORSEN, CEO, OF $200 QUARTERLY ($800 ANNUALLY). THESE EXPENSES WERE SUBMITTED ON MONTHLY EXPENSE REPORTS OR DIRECT INVOICES FROM THE CLUB AND WERE REVIEWED AND APPROVED IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL AUTHORITY POLICY AND BUSINESS EXPENSE POLICY. |
| PART I, LINE 3 | COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE: COMPENSATION OF ALL OFFICERS IS REVIEWED WITH COMPARABILITY DATA BY A THIRD PARTY CONSULTANT. THE RESULTS OF THE STUDY ARE REVIEWED AND DISCUSSED AT THE BOARD OF TRUSTEES MEETING. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| THE HOSPITAL FACILITIES AUTHORITY OF THE CITY OF ASTORIA | ||||||||
| A | 270034718 | 046279BS3 | 2012-09-27 | $31,993,533 | FINANCE EHR SYSTEM, ASSET ACQUISTION, REFUNDING OF 2002 & 2007 BOND ISSUES | Yes (1) | 0 | 0 |
| THE HOSPITAL FACILITIES AUTHORITY OF THE CITY OF ASTORIA | ||||||||
| B | 270034718 | 046279CAI | 2016-07-07 | $20,451,436 | BUILDING OF THE CMH-OHSU KNIGHT CANCER COLLABORATIVE AND ER REMODEL | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $33,350,211 | $2,128,275 | $639,870 | $12,501,380 | $18,080,686 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $20,447,424 | $1,667,755 | $409,029 | $17,500,000 | 2017 | 0 | 0 | Yes (1) | Yes (1) | $870,640 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART 1 SECTION (C) CUSIP # 2016 BOND | 046279CAI 046279B27 046279C89 |
| FORM 990, PART III, LINE 4A: STATMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | |
| SCHEDULE K PART I LINE A COLUMN E AND PART II LINE 3 COLUMN A | RECONCILIATION OF ISSUE PRICE AND TOTAL PROCEEDS OF ISSUE: ISSUE PRICE: 31,993,553 DEBT SERVICE RESERVE FUND RELEASE: 829,500 BOND FUND RELEASE: 527,179 ROUNDING: -21 TOTAL PROCEEDS OF ISSUE: 33,350,211 |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $45,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | APPRAISAL | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 33: | FormAndLineReferenceDesc |
| Explanation | NO RECEIPT OR 8283 WAS FILED FOR THIS TRANSACTION. A BUILDING WAS SOLD AT BELOW-MARKET-VALUE, AND THE $45,000 DIFFERENCE BETWEEN APPRAISAL AND SELLING PRICE WAS RECOGNIZED AS A BARGAIN PURCHASE AND RECORDED AS AN ADJUSTMENT TO NET ASSETS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT OF THE 990 IS MADE AVAILABLE, ELECTRONICALLY, TO THE BOARD OF TRUSTEES, PRIOR TO THE BOARD MEETING. THE 990 IS REVIEWED AND DISCUSSED AT THE BOARD FINANCE COMMITTEE MEETING PRIOR TO FINALIZING AND FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES ANNUALLY. ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES MUST SIGN AND DATE THE CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT, QUESTIONNAIRE, AND DISCLOSURE STATEMENT. ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST AT THE BOARD OR OFFICER LEVEL ARE DISCUSSED AT THE BOARD MEETING. ACTUAL CONFLICTS OF INTEREST ARE ADDRESSED, DOCUMENTED, AND FILED IN THE CONFIDENTIAL PERSONNEL FILE. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF ALL OFFICERS WAS REVIEWED WITH COMPARABILITY DATA BY A THIRD-PARTY CONSULTANT. THE RESULTS OF THE STUDY WERE REVIEWED AND DISCUSSED AT A BOARD OF TRUSTEES' MEETING. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL INFORMATION REPORTED IN THE 990 ARE AVAILABLE UPON REQUEST AT THE HOSPITAL. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 20,004,713. MANAGEMENT AND GENERAL EXPENSES 1,865,866. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,870,579. |
| FORM 990, PART XI, LINE 9: | DEFINED BENEFIT RETIREMENT PLAN ADJUSTMENT 6,479,372. INCOME FROM PROVIDER TRUST K-1 -1,003. BARGAIN PURCHASE OF BUILDING 45,000. |
| FROM 990, PART XI, LINE 2C: | THE BOARD OF TRUSTEE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT, REVIEW, AND SELECTION OF AN INDEPENDENT AUDIT FIRM. TRADITIONALLY, A THREE YEAR CONTRACT WITH A SELECTED AUDIT FIRM IS APPROVED. ANNUALLY, A SPECIAL BOARD MEETING IS HELD AND THE AUDIT FIRM PRESENTS THE AUDITED FINANCIAL STATEMENTS TO THE BOARD OF TRUSTEES. DURING THE MEETING, THE BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS WITHOUT MANAGEMENT PRESENT. FOLLOW-UP INFORMATION ON THE MANAGEMENT LETTER RECOMMENDATIONS IS ALSO PRESENTED SEMI-ANNUALLY TO THE BOARD FINANCE COMMITTEE. |
| FORM 990, PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | MISSION STATEMENT: THE MISSION OF COLUMBIA MEMORIAL HOSPITAL IS TO PROVIDE EXCELLENCE, LEADERSHIP, AND COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. UTILIZATION STATISTICES: YEAR ENDING 2021 AVAILABLE BEDS 25 ADMISSIONS 1,826 PATIENT DAYS 5,386 OBSERVATIONS 627 AVERAGE LENGTH OF STAY (IN DAYS) 2.95 OCCUPANCY RATE 59.0% DELIVERIES 249 EMERGENCY ROOM VISITS 13,192 URGENT CARE VISITS 13,604 OUTPATIENT VISITS (NET OF ER) 245,805 SURGICAL CASES: 3,012 PLANETREE DESIGNATION THE HOSPITAL HAS ADOPTED A PHILOSOPHY OF PROVIDING PATIENT-CENTERED CARE THROUGHOUT ITS FACILITIES. IN 2000, THE HOSPITAL JOINED AN ORGANIZATION CALLED PLANETREE, INC ("PLANETREE") AS AN AFFILIATE MEMBER. PLANETREE PARTNERS WITH HEALTHCARE ORGANIZATIONS AROUND THE WORLD TO DEVELOP AND ADVANCE PATIENT CENTERED APPROACHES TO CARE. IN 2013, THE HOSPITAL BECAME ONLY THE SECOND HOSPITAL IN OREGON TO ACHIEVE THE PRESTIGIOUS PLANETREE DESIGNATION STATUS. PLANETREE-DESIGNATION REPRESENTS THE HIGHEST LEVEL OF ACHIEVEMENT IN PATIENT/PERSON-CENTERED CARE BASED ON EVIDENCE AND STANDARDS, ACCORDING TO PLANETREE. PLANETREE-DESIGNATED HOSPITALS MUST DEMONSTRATE THEIR COMMITMENT AND SUCCESSFUL ADOPTION OF THE PATIENT CENTERED CARE PRINCIPLES BY PASSING A RIGOROUS SURVEY PROCESS, PERFORMED BY PLANETREE EVERY THREE YEARS. COLUMBIA MEMORIAL HOSPITAL WAS AWARDED RE-DESIGNATION FOR ANOTHER THREE YEARS IN NOVEMBER 2016 AT THE ANNUAL PLANTREE CONFERENCE. THE HOSPITAL HAS MAINTAINED PLANETREE DESIGNATION BY CREATING AN ORGANIZATIONAL CULTURE COMMITTED TO PROVIDING THE LATEST IN MEDICAL TECHNOLOGY IN A HEALING, NURTURING ENVIRONMENT THAT ENCOURAGES A PATIENT'S INVOLVEMENT IN THE CARE THAT THEY RECEIVE. THE HOSPITAL CONTINUALLY STRIVES TO OFFER PEACEFUL, COMFORTABLE SURROUNDINGS, WARM AND SUPPORTIVE CAREGIVERS, ACCESS TO HEALTH INFORMATION ALTERNATIVE THERAPIES, AND EDUCATION TO HELP PATIENTS GET WELL FASTER AND STAY WELL LONGER. COLUMBIA MEMORIAL HOSPITAL RECENT ACCREDITATIONS: 1. HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP) - NATIONALLY RECOGNIZED ACCREDITATION - ORGANIZATION WITH DEEMING AUTHORITY FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) 2. COMMISSION OF OFFICE LABORATORY ACCREDITATION (COLA) - LABORATORY ACCREDITATION 3. AMERICAN COLLEGE OF RADIOLOGY MAMMOGRAPHY QUALITY STANDARDS ACT (ACR/MSQA) - IMAGING SERVICES/MAMO ACCRED. 4. INTER-SOCIETAL ACCREDITATION COMMISSION (IAC) - ECHOCARDIOGRAPHY ACCREDITATION 5. AMERICAN ASSOCIATION OF CARDIOVASULAR REHABILITATION (AACVP) - CARDIAC REHABILITATION ACCREDITATION 6. AMERICAN ASSOC. FOR RESPIRATORY CARE QUALITY RESPIRATORY CARE RECOGNITION (AARC'S QRCR) RESPIRATORY THERAPY ACCREDITATION INFORMATION TECHNOLOGY: THE HOSPITAL'S INVESTMENT IN THE HEALTHCARE INFORMATION TECHNOLOGY ALONG WITH THE NESESSARY HUMAN RESOURCES AND ASSOCIATED PROCESS CHANGE HAVE RESULTED IN IMPROVED CLINICAL OPERATIONS, QUALITY, PATIENT SAFETY, AND OVERALL EFFICIENCY. THE HOSPITAL RECEIVED THE MOST WIRED AWARD FROM THE AMERICAN HOSPITAL ASSOCIATION IN NINE CONSECUTIVE YEARS OF 2011-2019 AND IN 2021. THE HOSPITAL HAS ALSO ACHIEVED COMPLIANCE WITH THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 MEANINGFUL USE OF HEALTHCARE IT CRITERIA BOTH STAGE 1 AND STAGE 2. SINCE 2012, THE HOSPITAL HAS REALIZED MEANINGFUL USE INCENTIVE REVENUES OF APPROXIMATELY $3,164,000. THE HOSPITAL INVESTED IN AN INDUSTRY LEADING BUSINESS INTELLIGENCE PLATFORM WHICH IS UTILIZED IN OPTIMIZING OPERATIONS AND FINANCIAL PERFORMANCE. CMH MEDICAL GROUP: THE HOSPITAL OWNS AND OPERATES A NUMBER OF PROVIDER-BASED PRIMARY, URGENT CARE, AND SPECIALTY CARE CLINICS ORGANIZED AND COLLECTIVELY KNOWN AS THE CMH MEDICAL GROUP. THE CLINICS OPERATE IN 3 SEPERATE ASTORIA LOCATIONS AND 1 WARRENTON AND 1 IN SEASIDE OREGON. THE WARRENTON AND SEASIDE LOCATIONS OPERATES AS A PROVIDER-BASED LOCASTIONS AND EXPANDING THE CAPACITY TO PROVIDE PRIMARY CARE SERVICES FOR THE COMMUNITY. THERE ARE SEVENTY-THREE (73) PHYSICIANS AND MID-LEVEL PROVIDERS EMPLOYED WITHIN THE CMH MEDICAL GROUP IN ELEVEN (11) DIFFERENT MEDICAL SPECIALTIES. THESE SPECIALTIES INCLUDE: GENERAL SURGERY, PEDIATRICS, PRIMARY CARE, URGENT CARE, UROLOGY, ENDOCRINOLOGY, ORTHOPEDICS, PODIATRY, AND WOMEN'S HEALTHCARE, ONCOLOGY, AND CARDIOLOGY IN COLLABORATION WITH OHSU. CLINICAL COLLABORATIONS: IN ORDER TO ENHANCE THE SERVICES THAT THE HOSPITAL PROVIDES TO THE COMMUNITY, THE HOSPITAL ESTABLISHED A CLINICAL ALLIANCE WITH OHSU IN 2010. THROUGH THIS ALLIANCE, THE HOSPITAL AND OHSU INITIALLY CREATED THE CMH/OHSU CANCER CARE CENTER WHICH WAS DEDICATED TO PROVIDING COMPREHENSIVE, INTER-DISCIPLINARY, CONSULTATIVE, AND ONGOING ONCOLOGY AND HEMATOLOGY CARE. IN 2011, THE HOSPITAL AND OHSU ESTABLISHED THE CMH/OHSU CARDIOLOGY CLINIC, WHICH PROVIDES COMPREHENSIVE CARE FOR A RANGE OF HEART HEALTH AND HEART DIISEASE PREVENTION NEEDS IN THE COMMUNITY. SINCE 2011, THE ALLIANCE HAS BROADENED SUBSTANTIALLY AND NOW INCLUDES CLINICAL OVERSIGHT AND STAFFING OF THE HOSPITAL'S EMERGENCY DEPARTMENT, GENERAL SURGERY AND RESIDENCY PROGRAMS, TELEMEDICINE, A WOMEN'S HEART HEALTH PROJECT AND CONTINUING MEDICAL EDUCATION. IN TOTAL, THERE ARE APPROXIMATELY FORTY-SIX (46) OHSU PHYSICIANS WORKING FULL-TIME IN THE HOSPITAL'S FACILITIES. JOINT OPERATING AGREEMENT: IN THE FIRST QUARTER OF 2015, THE HOSPITAL ENTERED INTO A JOINT OPERATING AGREEMENT (JOA) WITH OHSU THROUGH THE OHSU KNIGHT CANCER INSTITUTE TO BETTER SERVE THE ONCOLOGY CARE NEEDS OF ASTORIA AND SURROUNDING COMMUNITIES IN OREGON AND SOUTHWEST WASHINGTON. A BOND WAS SECURED IN JULY OF 2016 TO PROVIDE FOR THE FINANCING OF A 19,000 SQUARE-FOOT, TWO-STORY COMPREHENSIVE CANCER TREATMENT CENTER AND EQUIPMENT. CONSTRUCTION ON THE CANCER TREATMENT CENTER BEGAN IN AUGUST OF 2016 AND WAS COMPLETED IN THE FALL OF 2017. THE JOA AND ADDITIONAL SPACE AND EQUIPMENT PROVIDED CMH THE OPPORTUNITY TO EXPAND SERVICES TO INCLUDE RADIATION THERAPY IN ADDITION TO MEDICAL ONCOLOGY AND INFUSION THERAPY SERVICES. COLUMBIA MEMORIAL HOSPITAL & OHSU KNIGHT CANCER COLLABORATION IS THE ONLY PROVIDER ON THE NORTH OREGON COAST THAT PROVIDES RADIATION THERAPY SERVICES. CMH FOUNDATION: THE HOSPITAL BENEFITS FORM SUBSTANTIAL COMMUNITY SUPPORT. THE FOUNDATION PROVIDES A DIRECT LINK TO THE REGION'S NEED FOR COMPASSIONATE HEALTH CARE BY SUPPORTING THE ENHANCEMENT OF THE HOSPITAL'S PROGRAMS AND SERVICES. THE FOUNDATION WAS INCORPORATED IN 1991 BY A GROUP OF CITIZENS TO SERVE AS THE BRIDGE BETWEEN THE COMMUNITY AND THE HOSPITAL TO ENCOURAGE FINANCIAL SUPPORT OF HEALTH PROGRAMS AND SERVICES. THE FOUNDATION IS A DEDICATED FUND DEVELOPMENT ENITY THAT HAS SUCCESSFULLY RAISED OVER $5,000,000. IN 2010, THE FOUNDATION CONTRIBUTED $500,000 TO THE HOSPITAL TO ASSIST WITH THE SURGERY CENTER RENOVATION. THIS SUPPORT CONTINUED WITH A $185,000 DONATION IN 2012 FOR THE CONTINUED EXPANSION OF THE CANCER CENTER AND HAS RAISED AN ADDITION OF $2,000,000 TO BENEFIT THAT PROGRAM. THE FOUNDATION FOCUSES ON WORKING WITH DONORS WHO WISH TO MAKE MAJOR AND PLANNED GIFTS IN SUPPORT OF THE HOSPITAL. IN SOME CASES, THE FOUNDATION WILL RAISE FUNDS TO SUPPORT A VARIETY OF PRIORITIES AS IDENTIFIED BY THE HOSPITAL AND IN PARTNERSHIP WITH DONORS. THE FOUNDATION PROVIDES OPPORTUNITIES FOR DONORS TO SUPPORT A MISSION THAT MATCHES THEIR OWN INTERESTS SUCH AS PROVIDING EQUIPMENT, CREATING PROGRAMS TO SERVE THE COMMUNITY OR FUNDING THE FUTURE ENDOWMENT. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | EINEIN |
|---|---|---|---|---|---|---|---|---|---|
| EXCHANGE STREET LLC | |||||||||
| 2111 EXCHANGE STREET | ASTORIA | OR | 97103 | HOLDS TITLE TO REAL PROPERTY | OR | $0 | $0 | COLUMBIA LUTHERAN CHARITIES | |
| ASTORIA IMAGING LLC | |||||||||
| 2111 EXCHANGE STREET | ASTORIA | OR | 97103 | DIAGNOSTIC IMAGING | OR | $0 | $0 | COLUMBIA LUTHERAN CHARITIES | 800240381 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| COLUMBIA MEMORIAL HOSPITAL FOUNDATION | |||||||||
| 2111 EXCHANGE STREET | ASTORIA | OR | 97103 | 931091701 | FUNDRAISING-CMH | OR | 501(C)3 | LINE 12A, I | Yes (1) |
| COLUMBIA MEMORIAL HOSPITAL AUXILIARY | |||||||||
| 2111 EXCHANGE STREET | ASTORIA | OR | 97103 | 931306211 | PROVIDE VOLUNTEERS | OR | 501(C)3 | LINE 12A, I | 0 |
| CARING FOR CLATSOP COALITION | |||||||||
| 800 EXCHANGE STREET 400 | ASTORIA | OR | 97103 | 810729203 | PROVIDE MENTAL HEALTHCARE | OR | 501(C)3 | LINE 3 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COASTAL HEALTH ASSURANCE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2111 EXCHANGE STREET | AddressLine1Txt |
| City | ASTORIA | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911818894 | EIN |
| Primary Activities | PHYSICIAN ASSOCIATION, MEDICAL CONTRACT MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Entity Type | C | EntityTypeTxt |
| Share Of EOY Assets | $18,856 | ShareOfEOYAssetsAmt |
| Ownership | 0.50000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | 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 | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COLUMBIA MEMORIAL HOSPITAL FOUNDATION | ||
| N | $35,712 | ACTUAL |
| COLUMBIA MEMORIAL HOSPITAL FOUNDATION | ||
| O | $192,772 | ACTUAL |
| CMH AUXILIARY | ||
| C | $15,919 | ACTUAL |