2021-11-09T19:25:31-06:00 2020-12-31 930418710 DELAP LLP 5885 MEADOWS ROAD NO 200 LAKE OSWEGO OR 97035 990 2020-01-01 930583856 COLUMBIA LUTHERAN CHARITIES COLU 5033254321 2111 EXCHANGE STREET ASTORIA OR 971033329 ZACHARY SCHMITT CFO 5033254321 2021-11-08 1 ZACHARY SCHMITT 999009999 MARK E EKLUND CPA P00156145 5036974118 2021-11-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z COLUMBIA MEMORIAL HOSPITAL ZACHARY SCHMITT 2111 EXCHANGE STREET ASTORIA OR 971033329 185096093 0 X WWW.COLUMBIAMEMORIAL.ORG X 1958 OR PROVIDE EXCELLENCE, LEADERSHIP & COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. 12 10 854 119 1346324 0 756302 7719091 142858503 151371571 3167379 5238893 1501667 2673253 148283851 167002808 130617 127401 0 0 63203262 64950516 0 0 257293 70209060 73145244 133542939 138223161 14740912 28779647 179724242 214285423 78037327 79290208 101686915 134995215 THE MISSION OF COLUMBIA MEMORIAL HOSPITAL IS TO PROVIDE EXCELLENCE, LEADERSHIP, AND COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. 0 0 92730211 127401 152351631 SEE SCHEDULE O 92730211 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 1 75 0 1 854 1 0 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X ZACHARY SCHMITT 5033384613 2111 EXCHANGE STREET ASTORIA OR 97103 MIKE AUTIO BOARD MEMBER 3.00 X 0 0 0 JEAN DANFORTH QUALITY CHAIR 3.00 X 0 0 0 JAMES HEILMAN MD BOARD MEMBER 3.00 X 0 0 0 DOUG KAUP VICE PRESIDENT 3.00 X 0 0 0 BILL LANDWEHR BOARD MEMBER 3.00 X 0 0 0 NANCY MCALLISTER TREASURER 3.00 X 0 0 0 DAVE NYGAARD BOARD MEMBER 3.00 X 0 0 0 MATT PHILLIPS BOARD MEMBER 3.00 X 0 0 0 HEATHER SEPPA BOARD MEMBER 3.00 X 0 0 0 MARK SMITH BOARD MEMBER 3.00 X 0 0 0 CONSTANCE WAISANEN PRESIDENT 3.00 X 0 0 0 PAUL HAINES BOARD MEMBER 3.00 X 0 0 0 CAMILO ROSALES MD BOARD MEMBER/PHYSICIAN 3.00 X 0 0 0 ROBERT HOLLAND MD SECRETARY/PHYSICIAN 40.00 X 191023 0 32252 ERIK THORSEN CEO 40.00 X 787807 0 121080 ZACHARY SCHMITT CFO 40.00 X 341274 0 46668 NICOLE WILLIAMS COO 40.00 X 376218 0 48323 JARROD KARNOFSKI VP - ANCILLARY SERVICES 40.00 X 252664 0 45214 JUDY GEIGER VP - PATIENT CARE 40.00 X 246093 0 14340 BROWN KERI K MD PHYSICIAN 40.00 X 437579 0 56543 DOUGLAS D ABBOTT MD PHYSICIAN 40.00 X 702053 0 49072 PETER BALES MD PHYSICIAN 40.00 X 631922 0 55486 MICHAEL A MURDOCK MD PHYSICIAN 40.00 X 368351 0 49610 NATHAN F AMRINE PHYSICIAN 40.00 X 320694 0 65753 4655678 0 584341 131 0 1 0 OHSU (CONSOLIDATED) 3181 SAM JACKSON PARK RD MAIL CODE PORTLAND OR 972393098 PHYSICIAN FEES 3390097 OHSU (EMERGENCY) 3181 SAM JACKSON PARK RD MAIL CODE PORTLAND OR 972393098 EMERGENCY PHYSICIANS 2498411 ANESTHESIA ASSOCIATES NORTHWEST LLC 6400 SE LAKE RD STE 130 PORTLAND OR 97222 ANESTHESIOLOGY PHYSICIANS 2121740 OHSU (CARDIOSURGERY) 3181 SAM JACKSON PARK RD MAIL CODE PORTLAND OR 972393098 CARDIO/SURGERY PHYSICIANS 1546303 CERNER CORPORATION 2800 ROCKCREEK PARKWAY NORTH KANSAS CITY MO 64117 ELECTRONIC MEDICAL RECORDS 1529496 49 13346 7598734 107011 7719091 OUTPATIENT REVENUE 621990 189666411 189666411 EMERGENCY ROOM REVENUE 621990 52336325 52336325 INPATIENT REVENUE 621990 39481293 39481293 PROVISION FOR CHARITY CARE 621990 -2459372 -2459372 CONTRACTUAL ALLOWANCE 621990 -130274501 -130274501 2621415 2621415 151371571 1401004 1401004 228978 203962 25016 25016 25016 21725511 1701 17884941 4382 3840570 -2681 3837889 -2681 3840570 PHARMACY SALES 446110 1346324 1346324 HOSPITALIST 621110 536686 536686 CAFETERIA AND VENDING 722210 344188 344188 421039 421039 2648237 167002808 152351631 1346324 5585762 X 127401 127401 2210479 2210479 48011274 35708654 12137802 164818 3196443 2274173 921055 1215 7512656 5121894 2356247 34515 4019664 2604112 1401242 14310 187460 187460 171573 171573 15216807 14391879 824928 228065 12 228053 11908748 1011896 10863853 32999 2888065 461417 2422128 4520 4069174 1071767 2996207 1200 63965 49829 13841 295 303899 77447 224962 1490 6208653 2118076 4090577 664225 212431 451794 MEDICAL SUPPLIES & PHAR 21972759 21883660 89099 OTHER PURCHASED SERVICE 6710877 4003842 2705104 1931 REPAIRS & MAINTENANCE 2270638 1499008 771630 RECRUITMENT FEES 280336 112713 167623 138223161 92730211 45235657 257293 60559 81395 21505919 20868514 13591979 13524580 3210615 3852216 1349783 1757938 122065464 66458851 56276124 55606613 71662250 105532125 19364 19112 2475000 2475000 9572649 10567930 179724242 214285423 15704373 16566866 44986784 44017786 17346170 18705556 78037327 79290208 X 101686915 134995215 101686915 134995215 179724242 214285423 X 28779647 6047156 -1518503 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7480255 3280803 10761058 8015722 35607414 23890845 19732291 3692237 1671435 2020802 61336903 40896571 20440332 2652130 2652130 55606613 ESTIMATED 3RD PARTY PAYOR 3086000 DEFERRED COMPENSATION 1171894 MEDICAL MALPRACTICE CLAIMS 867577 ACCRUED RETIREMENT PLAN LIABILITY 8242945 LEASE LIABILITIES 5337140 18705556 X PART X, LINE 2: 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, 2020 AND 2019. 1 1 1 X 300.000000000000 1 X 1 1 0 1 1 1179843 58279 1121564 0.00810 23785882 19376564 4409318 0.03200 24965725 19434843 5530882 0.04010 257523 2500 255023 0.00190 4473 4473 0.00000 243801 18344 225457 0.00110 505797 20844 484953 0.00300 25471522 19455687 6015835 0.04310 100189 100189 0.00390 100189 100189 0.00390 1 1793284 989000 59894147 56985834 2908313 X 1 1 1 COASTAL HEALTH ASSURANCE CE/PHYSICIAN ASSC. MEDICAL CONTRACTS 0.50000 0.50000 3 1 COLUMBIA MEMORIAL HOSPITAL 2111 EXCHANGE STREET ASTORIA OR 97103 WWW.COLUMBIAMEMORIAL.ORG 14-1146 X X X X 2 CMH PRIMARY CARE CLINIC CMH URGENT CARE 1639 SE ENSIGN LANE STE B103 WARRENTON OR 97146 WWW.COLUMBIAMEMORIAL.ORG 14-1146-1 X X HOSPITAL SATELLITE 3 SEASIDE PRIMARY CARE CLINIC CMH IMAGING & LAB 1111 N ROOSEVELT DRIVE SUITE 210 SEASIDE OR 97138 WWW.COLUMBIAMEMORIAL.ORG 14-1146-2 X HOSPITAL SATELLITE COLUMBIA MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 19 1 0 0 1 X WWW.COLUMBIAMEMORIAL.ORG X 1 19 1 WWW.COLUMBIAMEMORIAL.ORG 0 1 X 300.000000000000 400.000000000000 0 1 X X X X 1 X WWW.COLUMBIAMEMORIAL.ORG X WWW.COLUMBIAMEMORIAL.ORG X WWW.COLUMBIAMEMORIAL.ORG X X X 1 X X 0 X X X 1 0 0 COLUMBIA MEMORIAL HOSPITAL 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. COLUMBIA MEMORIAL HOSPITAL 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. 18 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 - WARRENTON PRIMARY CARE (RHC) 1639 SE ENSIGN LANE SUITE B103 WARRENTON OR 97146 PRIMARY CARE SERVICES 4 - WOMEN'S CENTER CLINIC 2265 EXCHANGE ST 2ND FLOOR ASTORIA OR 97103 WOMEN'S SERVICES 5 - ORTHOPEDIC CLINIC 2265 EXCHANGE ST 3RD FLOOR ASTORIA OR 97103 ORTHOPEDIC SERVICES 6 - GENERAL SURGERY CLINIC 2055 EXCHANGE ST SUITE 270 ASTORIA OR 97103 GENERAL SURGERY SERVICES 7 - ASTORIA PRIMARY CARE CLINIC 2158 EXCHANGE ST SUITE 107 ASTORIA OR 97103 PRIMARY CARE SERVICES 8 - PEDIATRIC CLINIC 2265 EXCHANGE ST 3RD FLOOR ASTORIA OR 97103 PEDIATRIC SERVICES 9 - FOOT & ANKLE CLINIC 2265 EXCHANGE ST 3RD FLOOR ASTORIA OR 97103 PODIATRY SERVICES 10 - 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 - URGENT CARE CLINIC 2265 EXCHANGE ST 1ST FLOOR ASTORIA OR 97103 URGENT CARE SERVICES 14 - MEDICAL ONCOLOGY CLINIC 1905 EXCHANGE ST ASTORIA OR 97103 MEDICAL ONCOLOGY SERVICES 15 - PULMONOLOGY CLINIC 2055 EXCHANGE ST SUITE 210 ASTORIA OR 97103 PULMONOLOGY SERVICES 16 - RADIATION ONCOLOGY CLINIC 1905 EXCHANGE ST ASTORIA OR 97103 RADIATION THERAPY SERVICES 17 - ENDOCRINOLOGY CLINIC 2158 EXCHANGE ST SUITE 205 ASTORIA OR 97103 ENDOCRINOLOGY 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 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 PORTION OF BAD DEBT EXPENSE THAT WAS TREATED AS COMMUNITY BENEFIT EXPENSE IS THE NET COST OF CHARITY CARE PROVIDED IN 2020 ESTIMATED USING THE HOSPITAL'S COST OF CHARGE RATIO. THE MAJORITY OF THIS CHARITY CARE WAS PROVIDED FOR EMERGENCY, TRAUMA AND CANCER CARE TREATMENTS. PART III, LINE 4: SEE PAGE 13 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 7, REPORTS FILED WITH STATES OR 0 CLATSOP COMMUNITY COLLEGE 1651 LEXINGTON AVENUE ASTORIA OR 97103 237100856 501(C)(3) 50000 NURSING PROGRAM NAMI OREGON 4701 SE 24TH AVENUE SUITE E PORTLAND OR 97202 930875209 501(C)(3) 10000 BEACON CLUBHOUSE OREF HEALTHCARE RELIEF FUND 4000 KRUSE WAY PLACE BUILDING 2 SUITE 100 LAKE OSWEGO OR 97035 943098610 501(C)(3) 10000 HEALTHCARE HEROES RELIEF FUND CITY OF ASTORIA 1095 DUANE STREET ASTORIA OR 97103 936002118 501(C)(1) 10000 LIL' SPROUTS CONVERSION COSTS SMART FOODSERVICE (UNITED GROCERS INC 595 OREGON COAST HIGHWAY WARRENTON OR 97146 800862258 13541 CHRISTMAS FOOD BASKETS 2 3 X X 1 1 X X X X 0 1 0 0 0 1 0 0 0 ERIK THORSEN CEO 602040 0 166473 0 19294 0 95238 0 25842 0 908887 0 0 0 DOUGLAS D ABBOTT MD PHYSICIAN 679218 0 15500 0 7335 0 23700 0 25372 0 751125 0 0 0 PETER BALES MD PHYSICIAN 620491 0 4750 0 6681 0 23060 0 32426 0 687408 0 0 0 BROWN KERI K MD PHYSICIAN 411562 0 11750 0 14267 0 16945 0 39598 0 494122 0 0 0 NICOLE WILLIAMS COO 337550 0 27151 0 11517 0 21024 0 27299 0 424541 0 0 0 MICHAEL A MURDOCK MD PHYSICIAN 300303 0 64656 0 3392 0 22800 0 26810 0 417961 0 0 0 ZACHARY SCHMITT CFO 309126 0 21769 0 10379 0 20383 0 26285 0 387942 0 0 0 NATHAN F AMRINE PHYSICIAN 308851 0 2000 0 9843 0 33643 0 32110 0 386447 0 0 0 JARROD KARNOFSKI VP - ANCILLARY SERVICES 226082 0 18039 0 8543 0 19507 0 25707 0 297878 0 0 0 JUDY GEIGER VP - PATIENT CARE 225111 0 13364 0 7618 0 2583 0 11757 0 260433 0 0 0 ROBERT HOLLAND MD SECRETARY/PHYSICIAN 164470 0 22440 0 4113 0 250 0 32002 0 223275 0 0 0 PART I, LINE 4B ERIK THORSEN, CEO IS PARTICIPATING IN A 457(F) PLAN WHICH STARTED IN 2015. COLUMBIA MEMORIAL HOSPITAL CONTRIBUTION $64,292 TO THIS PLAN IN 2020. 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 - $4,380 ANNUALLY) AND ROTARY CLUB DUES FOR ERIK THORSEN, CEO, OF $200 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. A THE HOSPITAL FACILITIES AUTHORITY OF THE CITY OF ASTORIA 270034718 046279BS3 2012-09-27 31993533 FINANCE EHR SYSTEM, ASSET ACQUISTION, REFUNDING OF 2002 & 2007 BOND ISSUES 1 0 0 B THE HOSPITAL FACILITIES AUTHORITY OF THE CITY OF ASTORIA 270034718 046279CAI 2016-07-07 20451436 BUILDING OF THE CMH-OHSU KNIGHT CANCER COLLABORATIVE AND ER REMODEL 0 0 0 A 31993533 1015284 2110270 893237 12531869 18080686 2015 1 0 1 1 B 20451436 795556 1675637 758562 14471039 2017 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 PART 1 SECTION (C) CUSIP # 2016 BOND 046279CAI 046279B27 046279C89 FORM 990, PART III, LINE 4A: STATMENT OF PROGRAM SERVICE ACCOMPLISHMENTS HEATHER SEPPA BOARD MEMBER IS OFFICER AT BANK USED BY HOSPITAL 0 X 1 435000 APPRAISAL 0 0 0 PART I, LINE 33: NO RECEIPT OR 8283 WAS FILED FOR THIS TRANSACTION. A BUILDING WAS SOLD AT BELOW-MARKET-VALUE, AND THE $435,000 DIFFERENCE BETWEEN APPRAISAL AND SELLING PRICE WAS RECOGNIZED AS A BARGAIN PURCHASE AND RECORDED AS AN ADJUSTMENT TO NET ASSETS. 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 14,391,879. MANAGEMENT AND GENERAL EXPENSES 824,928. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,216,807. FORM 990, PART XI, LINE 9: GAIN ON DISPOSAL 4,382. DEFINED BENEFIT RETIREMENT PLAN ADJUSTMENT -1,952,495. INCOME FROM PROVIDER TRUST K-1 -5,390. BARGAIN PURCHASE OF BUILDING 435,000. 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 2020 AVAILABLE BEDS 25 ADMISSIONS 1,798 PATIENT DAYS 5,004 OBSERVATIONS 572 AVERAGE LENGTH OF STAY (IN DAYS) 2.99 OCCUPANCY RATE 50.53% DELIVERIES 288 EMERGENCY ROOM VISITS 12,152 URGENT CARE VISITS 13,017 OUTPATIENT VISITS (NET OF ER) 230,179 SURGICAL CASES: 2,698 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. 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 KNOW 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 FORTY-NINE (49) PHYSICIANS AND MID-LEVEL PROVIDERS EMPLOYED WITHIN THE CMH MEDICAL GROUP IN TWELVE DIFFERENT MEDICAL SPECIALTIES. THESE SPECIALTIES INCLUDE: GENERAL SURGERY, PEDIATRICS, PRIMARY CARE, URGENT CARE, UROLOGY, ENDOCRINOLOGY, ORTHOPEDICS, PODIATRY, AND WOMEN'S HEALTHCARE, ONCOLOGY IN COLLABORATION WITH OHSU, CARIOLLOGY AND GENERAL SURGERY ALSO 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 17 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. 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