MID-COLUMBIA MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: MID-COLUMBIA MEDICAL CENTER (EIN 93-0386936)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201503179349305165
Schema version: 2014v5.0
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-13T12:33:23-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	930386936	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MID-COLUMBIA MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MID-	BusinessNameControlTxt
Phone	5412961111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 E 19TH STREET	AddressLine1Txt
City	THE DALLES	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97058	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DON ARBON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5412961111	PhoneNum
Signature	2015-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARK E EKLUND CPA	PreparerPersonNm
PTIN	P00156145	PTIN
Phone	5036974118	PhoneNum
Preparation	2015-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DUANE FRANCIS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 E 19TH STREET	AddressLine1Txt
City	THE DALLES	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97058	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$122,002,183	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MCMC.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1984	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	TO LEAD AND ACT AS A CATALYST IN PROMOTING HEALTH FOR ALL PEOPLE; TO RECOGNIZE THE INDIVIDUAL AS A WHOLE HUMAN BEING WITH DIFFERENT NEEDS THAT MUST BE ENTHUSIASTICALLY MET;TO COMMUNICATE A VISION OF HEALTH, ART, EDUCATION, TECHNOLOGY AND A CENTER FOR HEALING WHICH WILL CONTINUALLY UPGRADE THE QUALITY OF LIFE IN THE COMMUNITY ENVIRONMENT IN WHICH WE ALL LIVE;TO EMPOWER PEOPLE TO BECOME PARTNERS IN THEIR HEALTH CARE.GUIDED BY THIS MISSION MCMC CONTINUES TO BE A SIGNIFICANT PARTNER CONTRIBUTING TO THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	1083	TotalEmployeeCnt
Total Volunteers	174	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$149,605	PYContributionsGrantsAmt
CY Contributions Grants	$134,997	CYContributionsGrantsAmt
PY Program Service Revenue	$103,979,205	PYProgramServiceRevenueAmt
CY Program Service Revenue	$106,979,510	CYProgramServiceRevenueAmt
PY Investment Income	$923,945	PYInvestmentIncomeAmt
CY Investment Income	$758,068	CYInvestmentIncomeAmt
PY Other Revenue	$3,739,872	PYOtherRevenueAmt
CY Other Revenue	$4,563,614	CYOtherRevenueAmt
PY Total Revenue	$108,792,627	PYTotalRevenueAmt
CY Total Revenue	$112,436,189	CYTotalRevenueAmt
PY Grants And Similar Paid	$528,559	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$19,653	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,417,714	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$69,859,429	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$503,005	CYTotalFundraisingExpenseAmt
PY Other Expenses	$44,201,874	PYOtherExpensesAmt
CY Other Expenses	$39,965,841	CYOtherExpensesAmt
PY Total Expenses	$110,148,147	PYTotalExpensesAmt
CY Total Expenses	$109,844,923	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,355,520	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,591,266	CYRevenuesLessExpensesAmt
Total Assets BOY	$58,043,523	TotalAssetsBOYAmt
Total Assets EOY	$60,416,427	TotalAssetsEOYAmt
Total Liabilities BOY	$27,339,134	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$26,484,710	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$30,704,389	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$33,931,717	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO LEAD AND ACT AS A CATALYST IN PROMOTING HEALTH FOR ALL PEOPLE; TO RECOGNIZE THE INDIVIDUAL AS A WHOLE HUMAN BEING WITH DIFFERENT NEEDS THAT MUST BE ENTHUSIASTICALLY MET;TO COMMUNICATE A VISION OF HEALTH, ART, EDUCATION, TECHNOLOGY AND A CENTER FOR HEALING WHICH WILL CONTINUALLY UPGRADE THE QUALITY OF LIFE IN THE COMMUNITY ENVIRONMENT IN WHICH WE ALL LIVE;TO EMPOWER PEOPLE TO BECOME PARTNERS IN THEIR HEALTH CARE.GUIDED BY THIS MISSION MCMC CONTINUES TO BE A SIGNIFICANT PARTNER CONTRIBUTING TO THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$97,039,867	ExpenseAmt
Grant	$19,653	GrantAmt
Revenue	$111,533,359	RevenueAmt
Desc	ACUTE HOSPITAL CARE: INPATIENT DAYS 7,114, INPATIENT REHAB DAYS 1,024, OUTPATIENT OBSERVATION DAYS 1,351, LABORATORY TESTS 259,969, IMAGING TESTS 31,900, HOME HEALTH EPISODES 1,641, EMERGENCY VISITS 15,865, ENDOSCOPY VISITS 1,291, MEDICAL ONCOLOGY 9,243, OUTPATIENT SURGERIES 1,695, RADIATION ONCOLOGY OUTPATIENT PROCEDURES 8,182, TOTAL HOSPITAL OUTPATIENT VISITS 121,245 AND TOTAL OUTPATIENT CLINIC VISITS 110,366.SEE SCHEDULE H FOR NARRATIVE OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$97,039,867	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	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	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	142	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1083	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MID-COLUMBIA MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5412961111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 E 19TH STREET	AddressLine1Txt
City	THE DALLES	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97058	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT LR BAILEY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
WALLACE WOLF JR DVM
DIRECTOR	1.00	Yes (X)	$0	$0	$0
DAN BOLDT
CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
PAUL CARDOSI MD
DIRECTOR	50.00	Yes (X)	$237,103	$0	$22,405	Yes (X)
ROB CARNAHAN
VICE-CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
CARINA SCHMIDT
SECRETARY	1.00	Yes (X)	$0	$0	$0
PHIL BRADY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MARK ENGER
DIRECTOR	4.00	Yes (X)	$0	$0	$0
DUANE FRANCIS
PRESIDENT & CEO	50.00	Yes (X)	$0	$578,499	$149,326	Yes (X)
DONALD ARBON
CFO & VP FINANCE	50.00		$0	$224,241	$27,040	Yes (X)
REGINA ROSE
VP CHIEF NURSING OFFICER	50.00		$171,014	$0	$24,235		Yes (X)
WILLIAM HAMILTON MD
VP MEDICAL AFFAIRS	50.00		$396,458	$0	$31,116		Yes (X)
DIANNE STORBY
EXEC VP OF OPERATIONS	1.00		$0	$275,326	$27,692		Yes (X)	50.00
ERICK LARSON
VP CHIEF INFORMATION OFFICER	1.00		$0	$179,747	$24,207		Yes (X)	50.00
XINYU FU
PHYSICIAN	50.00		$437,978	$0	$27,903				Yes (X)
JOHN SCHWARTZ
PHYSICIAN	50.00		$554,911	$0	$22,676				Yes (X)
NATHAN ULLRICH
PHYSICIAN	50.00		$372,236	$0	$25,403				Yes (X)
GARY GINGRICH
PHYSICIAN	50.00		$504,911	$0	$23,876				Yes (X)
MARK CULLEN
PHYSICIAN	50.00		$690,445	$0	$27,903				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,365,056	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,257,813	TotReportableCompRltdOrgAmt
Total Other Compensation	$433,782	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	96	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
OREGON HEALTH & SCIENCE UNIVERSITY
318 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	PRO FEES FOR SPECIALTY CLINIC PROVIDERS	$1,392,745
CORESOURCE INC
PO BOX 83301	LANCASTER	PA	17608	HEALTH INSURANCE CLAIMS PROCESSOR	$684,042
RADIATION ONCOLOGISTS PC
1400 NW IRVING ST STE 527	PORTLAND	OR	97209	RADIATION ONCOLOGISTS	$673,136
MID-COLUMBIA SURGICAL SPECIALIST
1810 E 19TH ST 225	THE DALLES	OR	97058	PRO FEES, ER CALL	$454,934
QUEST DIAGNOSTICS
3 GIRALDA FARMS	MADISON	NJ	07940	LAB SERVICES	$402,597

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
Related Organizations	$85,883	RelatedOrganizationsAmt
Government Grants	$29,590	GovernmentGrantsAmt
All Other Contributions	$19,524	AllOtherContributionsAmt
Total Contributions	$134,997	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$106,979,510	TotalRevenueColumnAmt
Related Or Exempt Func Income	$106,979,510	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$106,979,510	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$218,704	TotalRevenueColumnAmt
Exclusion	$218,704	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$180,698	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$180,698	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$180,698	TotalRevenueColumnAmt
Related Or Exempt Func Income	$180,698	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$10,105,358	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$9,556,229	SecuritiesAmt
Other	$9,765	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$549,129	SecuritiesAmt
Other	-$9,765	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$539,364	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$9,765	RelatedOrExemptFuncIncomeAmt
Exclusion	$549,129	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FITNESS & SPA CENTER	713940	$1,104,170	$1,104,170
CAFETERIA	722100	$748,957	$748,957
DAYCARE	624410	$453,183	$453,183

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,076,606	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,076,606	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,382,916	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$112,436,189	TotalRevenueColumnAmt
Related Or Exempt Func Income	$111,533,359	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$767,833	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$19,653	TotalAmt
Program Services	$19,653	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,365,056	TotalAmt
Program Services	$2,797,584	ProgramServicesAmt
Management And General	$567,472	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$52,656,794	TotalAmt
Program Services	$48,044,845	ProgramServicesAmt
Management And General	$4,348,585	ManagementAndGeneralAmt
Fundraising	$263,364	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,304,836	TotalAmt
Program Services	$2,079,214	ProgramServicesAmt
Management And General	$225,622	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,721,910	TotalAmt
Program Services	$6,290,821	ProgramServicesAmt
Management And General	$1,418,524	ManagementAndGeneralAmt
Fundraising	$12,565	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,810,833	TotalAmt
Program Services	$3,449,040	ProgramServicesAmt
Management And General	$342,908	ManagementAndGeneralAmt
Fundraising	$18,885	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,500,000	TotalAmt
Management And General	$1,500,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$271,360	TotalAmt
Management And General	$271,360	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$108,206	TotalAmt
Management And General	$108,206	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,686,096	TotalAmt
Program Services	$5,686,096	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$384,491	TotalAmt
Program Services	$370,796	ProgramServicesAmt
Management And General	$6,500	ManagementAndGeneralAmt
Fundraising	$7,195	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$540,792	TotalAmt
Program Services	$468,109	ProgramServicesAmt
Management And General	$72,683	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,848,487	TotalAmt
Program Services	$3,225,214	ProgramServicesAmt
Management And General	$600,467	ManagementAndGeneralAmt
Fundraising	$22,806	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$247,752	TotalAmt
Program Services	$230,934	ProgramServicesAmt
Management And General	$14,663	ManagementAndGeneralAmt
Fundraising	$2,155	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$112,856	TotalAmt
Program Services	$112,856	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,916,120	TotalAmt
Program Services	$2,640,827	ProgramServicesAmt
Management And General	$274,980	ManagementAndGeneralAmt
Fundraising	$313	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$545,204	TotalAmt
Program Services	$489,435	ProgramServicesAmt
Management And General	$55,769	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$20,946,713	$20,717,988	$220,734	$7,991
PURCHASED SERVICES	$1,476,710		$1,310,229	$166,481
OTHER	$1,381,054	$416,455	$963,349	$1,250

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$109,844,923	TotalAmt
Program Services	$97,039,867	ProgramServicesAmt
Management And General	$12,302,051	ManagementAndGeneralAmt
Fundraising	$503,005	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,557,670	BOYAmt
EOY	$2,717,667	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$1,779,877	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,271,185	BOYAmt
EOY	$13,625,322	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$16,764	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$310,370	BOYAmt
EOY	$250,319	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,588,025	BOYAmt
EOY	$1,740,821	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,381,258	BOYAmt
EOY	$4,379,614	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$64,271,856	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$47,355,562	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,251,985	BOYAmt
EOY	$16,916,294	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$13,510,354	BOYAmt
EOY	$12,831,870	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$875,041	BOYAmt
EOY	$869,057	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,511,102	BOYAmt
EOY	$1,609,784	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,786,533	BOYAmt
EOY	$3,679,038	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$58,043,523	BOYAmt
EOY	$60,416,427	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,187,691	BOYAmt
EOY	$9,270,701	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$116,282	BOYAmt
EOY	$7,792	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,430,264	BOYAmt
EOY	$10,669,551	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$116,282	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,488,615	BOYAmt
EOY	$6,536,666	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,339,134	BOYAmt
EOY	$26,484,710	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,535,223	BOYAmt
EOY	$32,769,280	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$169,166	BOYAmt
EOY	$1,162,437	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$30,704,389	BOYAmt
EOY	$33,931,717	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$58,043,523	BOYAmt
EOY	$60,416,427	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,591,266	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$306,404	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$39,115	DonatedServicesAndUseFcltsAmt
Prior Period Adjustments	-$721,000	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$1,089,773	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,345,021	BeginningYearBalanceAmt
Contributions	$8,511	ContributionsAmt
Investment Earnings Or Losses	$48,321	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$11,854	GrantsOrScholarshipsAmt
End Year Balance	$1,389,999	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,310,867	BeginningYearBalanceAmt
Contributions	$12,621	ContributionsAmt
Investment Earnings Or Losses	$27,470	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,937	GrantsOrScholarshipsAmt
End Year Balance	$1,345,021	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,287,095	BeginningYearBalanceAmt
Contributions	$6,237	ContributionsAmt
Investment Earnings Or Losses	$23,245	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,710	GrantsOrScholarshipsAmt
End Year Balance	$1,310,867	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,266,891	BeginningYearBalanceAmt
Contributions	$9,137	ContributionsAmt
Investment Earnings Or Losses	$17,965	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$6,898	GrantsOrScholarshipsAmt
End Year Balance	$1,287,095	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$357,664	BeginningYearBalanceAmt
Contributions	$32,657	ContributionsAmt
Investment Earnings Or Losses	$402	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$23,127	GrantsOrScholarshipsAmt
End Year Balance	$367,596	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.71430	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.26950	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.01620	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$562,933	OtherCostOrOtherBasisAmt
Book Value	$562,933	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,902,235	OtherCostOrOtherBasisAmt
Depreciation	$9,181,792	DepreciationAmt
Book Value	$4,720,443	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,155,829	OtherCostOrOtherBasisAmt
Depreciation	$1,644,415	DepreciationAmt
Book Value	$2,511,414	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,472,162	OtherCostOrOtherBasisAmt
Depreciation	$36,529,355	DepreciationAmt
Book Value	$8,942,807	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$178,697	OtherCostOrOtherBasisAmt
Book Value	$178,697	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$16,916,294	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
INTEREST IN NET ASSETS OF MID-COLUMBIA MEDICAL FOUNDATION	$1,162,437
MISCELLANEOUS RECEIVABLES	$723,392
MEDICAL MALPRACTICE INSURANCE RECEIVABLE	$1,793,209

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,679,038	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
CAPITAL LEASES	$1,061,089
IBNR RESERVE	$2,320,521
SETTLEMENT RESERVES	$1,888,685
DEFERRED COMPENSATION	$1,266,371

Field	Value	IRS element (for citing)
Total Liability	$6,536,666	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$112,458,952	TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts	$285,052	DonatedServicesAndUseFcltsAmt
Other Revenue	$2,091	OtherRevenueAmt
Revenue Not Reported	$287,143	RevenueNotReportedAmt
Revenue Subtotal	$112,171,809	RevenueSubtotalAmt
Other Revenues Not Included	$264,380	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$264,380	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$112,436,189	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$109,629,062	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$285,052	DonatedServicesUseFcltsAmt
Other Expenses Included	$2,091	OtherExpensesIncludedAmt
Expenses Not Reported	$287,143	ExpensesNotReportedAmt
Expenses Subtotal	$109,341,919	ExpensesSubtotalAmt
Other Expenses Not Included	$503,004	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$503,004	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$109,844,923	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE FOUNDATION'S ENDOWMENT FUND IS A QUASI-ENDOWMENT THAT FUNDS THE MID-COLUMBIA HEALTH FOUNDATION OPERATING EXPENSES - ENDING BALANCE $992,882. THE REMAINING ENDOWMENT FUNDS SUPPORT SEVERAL SCHOLARSHIPS AND OTHER FUNDS EXPLAINED BELOW: TEMPORARY AND PERMANENTLY RESTRICTED FUNDS: - EVELYN KASER SCHOLARSHIP FUND: TO INSURE THAT INDIVIDUALS WHO DESIRE TO BECOME REGISTERED NURSES HAVE THIS EDUCATIONAL OPPORTUNITY DESPITE FINANCIAL CONCERNS. - LORNA & JOSEPH HALLIDAY FAMILY NURSING SCHOLARSHIP FUND: TO ASSIST INDIVIDUALS ASPIRING TO BECOME REGISTERED NURSES WHO GREW UP IN THE MID-COLUMBIA REGION. - MCMC BOARD OF TRUSTEES MEDICAL PROFESSIONALS SCHOLARSHIP: TO HELP DEFRAY SOME COLLEGE EXPENSES FOR GRADUATING SENIORS FROM THE DALLES HIGH SCHOOL. - PERMANENT SCHOLARSHIP FUND: EARNS INTEREST THAT IS ANNUALLY TRANSFERRED TO THE MID-COLUMBIA MEDICAL CENTER SCHOLARSHIP FUND.
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 THE MEDICAL CENTER'S 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 THE MEDICAL CENTER'S 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, 2014 AND 2013.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES NETTED WITH REVENUE IN F/S 2,091.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CONTRIBUTIONS FROM MID-COLUMBIA HEALTH FOUNDATION 85,883. INCOME FROM PASSTHROUGH ENTITIES 178,497.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES NETTED WITH REVENUE IN F/S 2,091.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES FOR MID-COLUMBIA HEALTH FOUNDATION 503,004.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Indiv Hospital Tailored Policy	Yes (X)	IndivHospitalTailoredPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	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	$2,840,284	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,840,284	NetCommunityBenefitExpnsAmt
Total Expense	0.02590	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,769,950	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,946,712	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,823,238	NetCommunityBenefitExpnsAmt
Total Expense	0.06210	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,610,234	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,946,712	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,663,522	NetCommunityBenefitExpnsAmt
Total Expense	0.08800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	1428	PersonsServedCnt
Total Community Benefit Expns	$497,160	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,023	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$496,137	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	33	PersonsServedCnt
Total Community Benefit Expns	$484,010	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$484,010	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	27	PersonsServedCnt
Total Community Benefit Expns	$19,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,540	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$947,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,150	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$874,614	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	1488	PersonsServedCnt
Total Community Benefit Expns	$1,948,674	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,869,961	NetCommunityBenefitExpnsAmt
Total Expense	0.01700	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	1488	PersonsServedCnt
Total Community Benefit Expns	$22,558,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,025,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,533,483	NetCommunityBenefitExpnsAmt
Total Expense	0.10500	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$147,198	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$147,198	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$275,562	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$275,562	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$778	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$778	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,190	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$77,190	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	40	PersonsServedCnt
Total Community Benefit Expns	$500,728	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500,728	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,022,868	BadDebtExpenseAmt
Bad Debt Expense Attributable	$79,496	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$27,395,227	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,787,221	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,391,994	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
MID-COLUMBIA MEDICAL CENTER
1	1700 E 19TH STREET	THE DALLES	OR	97058	WWW.MCMC.NET	14-0500	Yes (X)	Yes (X)	Yes (X)	A
WATERS EDGE CLINICS
2	551 LONE PINE BLVD	THE DALLES	OR	97058	WWW.MCMC.NET	14-0500				B	RURAL HEALTH CLINIC
COLUMBIA HILLS FAMILY MEDICINE
3	1620 E 12TH STREET	THE DALLES	OR	97058	WWW.MCMC.NET	14-0500				B	RURAL HEALTH CLINIC
RIVERVIEW INTERNAL MEDICINE CLINIC
4	1825 E 19TH STREET	THE DALLES	OR	97058	WWW.MCMC.NET	14-0500				B	RURAL HEALTH CLINIC
COLUMBIA CREST CLINIC
5	1935 E 19TH STREET	THE DALLES	OR	97058	WWW.MCMC.NET	14-0500				B	RURAL HEALTH CLINIC
INTERNAL MEDICINE CLINIC
6	1815 E 19TH STREET	THE DALLES	OR	97058	WWW.MCMC.NET	14-0500				B	RURAL HEALTH CLINIC

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	Communtity Notified FAPCommuntityNotifiedFAPInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit Other ActionsPermitOtherActionsInd	Collection ActivitiesCollectionActivitiesInd	Other ActionsOtherActionsInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Documented Elig DeterminationDocumentedEligDeterminationInd
MID-COLUMBIA MEDICAL CENTER
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.MCMC.NET	Yes (X)	Yes (1)	14	Yes (1)	HTTP://WWW.MCMC.NET	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
RURAL HEALTH CLINICS
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.MCMC.NET	Yes (X)	Yes (1)	14	Yes (1)	WWW.MCMC.NET	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	Yes (X)					Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0				Yes (X)	Yes (1)	Yes (X)	0	0	Yes (X)

Supplemental Information SupplementalInformationGrp (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: MID-COLUMBIA MEDICAL CENTER
MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 5:	IN PREPARING THE CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WE SERVE, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF/EXPERTISE IN PUBLIC HEALTH BY CREATING A COLLABORATIVE, CROSS-ORGANIZATIONAL, CROSS-COUNTY FORUM, THE MEMBERS OF WHICH AGREE ON THE NEEDS WITHIN OUR REGION AND COMMUNITIES AND AGREE TO SUPPORT OUR ABILITY TO ADDRESS THOSE NEEDS TOGETHER. WE ELECTED TO ALSO INCLUDE THE SOCIAL SERVICE AGENCIES AND NON-PROFITS THAT SERVE OUR AREAS' MOST VULNERABLE POPULATIONS.THE PERSONS CONSULTED INCLUDE: BARB SEATTER M.S., CATHERINE WHALEN, DIRECTOR OF COMMUNITY INITIATIVES MID-COLUMBIA MEDICAL CENTER (MCMC), COCO YACKLEY, ELLEN LARSEN RN, ERIN QUINN MSN, FNP, JULIE REYNOLDS PHD, MAIJA YASUI, MARK THOMAS CHAPLAIN, MEGAN MCANINCH MSC, TERI THALHOFER RN, BSN, DIRECTOR NORTH CENTRAL PUBLIC HEALTH DISTRICT.
MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE HOSPITAL'S (MCMC) CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: KLICKITAT VALLEY HEALTH, PROVIDENCE HOOD RIVER HOSPITAL AND SKYLINE HOSPITAL.
MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 6B:	THE HOSPITAL'S (MCMC) CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: KLICKITAT VALLEY HEALTH, PROVIDENCE HOOD RIVER HOSPITAL AND SKYLINE HOSPITAL.
MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 11:	MCMC IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA IN THE FIRST YEAR OF THE IMPLEMENTATION PLAN BY COORDINATING EFFORTS ACROSS HEALTHCARE AND SOCIAL SERVICES, PROVIDING SERVICES TO ASSIST WITH HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT (HIRING ASSISTERS), COORDINATING SERVICES ACROSS THE SPECTRUM OF HEALTHCARE PROVIDERS AND SUPPORTING DEVELOPMENT AND HEALTHY GROWTH IN THE EARLY STAGES OF CHILDHOOD. WE ADDRESS THE IDENTIFIED NEEDS THROUGH A THREE-STEP REPETITIVE PROCESS: 1) IDENTIFY, 2) INTEGRATE RESPONSE AND 3) COMPILE ACTION ITEMS. FIVE CONDITIONS MUST BE MET FOR COLLECTIVE IMPACT SUCCESS: A COMMON AGENDA, SHARED MEASUREMENTS, MUTUALLY REINFORCING ACTIVITIES, CONTINUOUS COMMUNICATION AND BACKBONE ORGANIZATION (A DEDICATED TEAM WITH SPECIFIC SKILLS TO PROVIDE THE SUPPORT NECESSARY FOR A COHESIVE INITIATIVE.) IN THE FIRST YEAR OF IMPLEMENTATION, THERE ARE NO IDENTIFIED AREAS IN WHICH NEEDS ARE NOT BEING ADDRESSED.
MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 16I:	MCMC CHARGES AND A LINK TO OUR FAP ARE AVAILABLE ON THE OREGON PRICEPOINT WEBSITE: HTTP://WWW.ORPRICEPOINT.ORG HOSTED BY THE OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS; POLICY IS DISCUSSED WITH PATIENTS WHEN THEY BRING UP FINANCIAL NEED.
MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 18D:	REPORT ONLY TO THIRD PARTY COLLECTION AGENCY: ASSET RECOVERY
MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 19D:	IF THE THIRD PARTY COLLECTION AGENCY (ASSET RECOVERY) IDENTIFIES THAT AN INDIVIDUAL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE INDIVIDUAL IS REFERRED BACK TO THE HOSPITAL FOR FURTHER REVIEW.
MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 22D:	THE HOSPITAL ANNUALLY TAKES ACCOUNTS PAID BY COMMERCIAL INSURANCE, MEDICARE AND MEDICAID ADVANTAGE PLANS FOR THE PRIOR 12-MONTH PERIOD TO DETERMINE THE WRITE-OFF PERCENTAGE TO APPLY TO CHARGES FOR ANY INDIVIDUAL THAT IS SELF-PAY AT THE TIME OF BILLING.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 3: COLUMBIA HILLS FAMILY MEDICINE, - FACILITY 5: COLUMBIA CREST CLINIC, - FACILITY 6: INTERNAL MEDICINE CLINIC, - FACILITY 2: WATERS EDGE CLINICS, - FACILITY 4: RIVERVIEW INTERNAL MEDICINE CLINIC
RURAL HEALTH CLINICS PART V, SECTION B, LINE 5:	IN PREPARING THE CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WE SERVE, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF/EXPERTISE IN PUBLIC HEALTH BY CREATING A COLLABORATIVE, CROSS-ORGANIZATIONAL, CROSS-COUNTY FORUM, THE MEMBERS OF WHICH AGREE ON THE NEEDS WITHIN OUR REGION AND COMMUNITIES AND AGREE TO SUPPORT OUR ABILITY TO ADDRESS THOSE NEEDS TOGETHER. WE ELECTED TO ALSO INCLUDE THE SOCIAL SERVICE AGENCIES AND NON-PROFITS THAT SERVE OUR AREAS' MOST VULNERABLE POPULATIONS.THE PERSONS CONSULTED INCLUDE: BARB SEATTER M.S., CATHERINE WHALEN, DIRECTOR OF COMMUNITY INITIATIVES MID-COLUMBIA MEDICAL CENTER (MCMC), COCO YACKLEY, ELLEN LARSEN RN, ERIN QUINN MSN, FNP, JULIE REYNOLDS PHD, MAIJA YASUI, MARK THOMAS CHAPLAIN, MEGAN MCANINCH MSC, TERI THALHOFER RN, BSN, DIRECTOR NORTH CENTRAL PUBLIC HEALTH DISTRICT.
RURAL HEALTH CLINICS PART V, SECTION B, LINE 6A:	THE HOSPITAL'S (MCMC) CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: KLICKITAT VALLEY HEALTH, PROVIDENCE HOOD RIVER HOSPITAL AND SKYLINE HOSPITAL.
RURAL HEALTH CLINICS PART V, SECTION B, LINE 6B:	THE HOSPITAL'S (MCMC) CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: KLICKITAT VALLEY HEALTH, PROVIDENCE HOOD RIVER HOSPITAL AND SKYLINE HOSPITAL.
RURAL HEALTH CLINICS PART V, SECTION B, LINE 11:	MCMC IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA IN THE FIRST YEAR OF THE IMPLEMENTATION PLAN BY COORDINATING EFFORTS ACROSS HEALTHCARE AND SOCIAL SERVICES, PROVIDING SERVICES TO ASSIST WITH HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT (HIRING ASSISTERS), COORDINATING SERVICES ACROSS THE SPECTRUM OF HEALTHCARE PROVIDERS AND SUPPORTING DEVELOPMENT AND HEALTHY GROWTH IN THE EARLY STAGES OF CHILDHOOD. WE ADDRESS THE IDENTIFIED NEEDS THROUGH A THREE-STEP REPETITIVE PROCESS: 1) IDENTIFY, 2) INTEGRATE RESPONSE AND 3) COMPILE ACTION ITEMS. FIVE CONDITIONS MUST BE MET FOR COLLECTIVE IMPACT SUCCESS: A COMMON AGENDA, SHARED MEASUREMENTS, MUTUALLY REINFORCING ACTIVITIES, CONTINUOUS COMMUNICATION AND BACKBONE ORGANIZATION (A DEDICATED TEAM WITH SPECIFIC SKILLS TO PROVIDE THE SUPPORT NECESSARY FOR A COHESIVE INITIATIVE.) IN THE FIRST YEAR OF IMPLEMENTATION, THERE ARE NO IDENTIFIED AREAS IN WHICH NEEDS ARE NOT BEING ADDRESSED.
RURAL HEALTH CLINICS PART V, SECTION B, LINE 18D:	REPORT ONLY TO THIRD PARTY COLLECTION AGENCY: ASSET RECOVERY
RURAL HEALTH CLINICS PART V, SECTION B, LINE 22D:	DISCOUNTS OF 16% ARE OFFERED ON THE SELF-PAY PORTION ON ANY OUTPATIENT CLINIC BILL. A TIMELY PAYMENT DISCOUNT IS OFFERED IN ADDITION TO THE ABOVE FOR SHORT-TERM PAYMENT PLANS. OTHER DISCOUNTS MAY BE AVAILABLE DEPENDING ON FINANCIAL NEED.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MCMCOHSU ORTHOPEDICS
551 LONE PINE BLVD	THE DALLES	OR	97058	NON-HOSPITAL BASED CLINIC
MCMCOHSU CARDIOLOGY
551 LONE PINE BLVD	THE DALLES	OR	97058	NON-HOSPITAL BASED CLINIC
COLUMBIA RIVER WOMEN'S CENTER
1810 E 19TH STREET	THE DALLES	OR	97058	NON-HOSPITAL BASED CLINIC
COLUMBIA CREST DERMATOLOGY
1935 E 19TH STREET STE 110	THE DALLES	OR	97058	NON-HOSPITAL BASED CLINIC
GORGE UROLOGY
1805 E 19TH STREET	THE DALLES	OR	97058	NON-HOSPITAL BASED CLINIC
GORGE UROLOGY
810 12TH STREET	HOOD RIVER	OR	97031	NON-HOSPITAL BASED CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ADDITIONAL CRITERIA USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY: FINANCIAL ASSISTANCE IS PROVIDED ON A SLIDING SCALE (UP TO 100% OF CHARGES) FOR THOSE WITH HOUSEHOLD INCOMES BETWEEN 200% AND 400% OF THE FPG. FACTORS USED IN CALCULATING THE HOUSEHOLD INCOME AND AMOUNT OF FINANCIAL ASSISTANCE INCLUDE HOUSEHOLD INCOME, EXPENSES, ASSETS, FAMILY SIZE, EMPLOYMENT STATUS, AND FINANCIAL OBLIGATIONS.
PART I, LINE 7:	COST-TO-CHARGE RATIO WAS UTILIZED; CCR WAS DERIVED FROM CALCULATION USED IN 2014 AUDITED FINANCIALS
PART II, COMMUNITY BUILDING ACTIVITIES:	MCMC PROMOTES THE HEALTH OF THE COMMUNITIES WE SERVE BY PARTICIPATING IN REGIONAL EMERGENCY PREPAREDNESS PROGRAMS (PANDEMIC, NATURAL DISASTERS, AREA AND STATE TRAUMA ADVISORY BOARDS) AND DRILLS; BY SERVING AS AN ADVOCATE FOR THE COMMUNITY WITH REGARD TO LOCAL, STATE-WIDE AND REGIONAL HEALTH INITIATIVES; ACTING IN ADVISORY CAPACITY WITH OTHER LOCAL, STATE AND REGIONAL ORGANIZATIONS IN ORDER TO CREATE, ACCESS AND PROVIDE SERVICES OTHERWISE NOT AVAILABLE TO THE COMMUNITY; WORKING WITH THE LOCAL COMMUNITY COLLEGE AND EMS TO EDUCATE AND TRAIN FUTURE HEALTHCARE WORKERS BY PROVIDING JOB SHADOWING AND MENTORING PROGRAMS AS WELL AS DONATED SUPPORT TO THE COLLEGE FOR SPECIFIC NURSING PROGRAMS AND PROVIDING IN-KIND STAFF DONATED HOURS TO LOCAL SCHOOL ATHLETIC FUNCTIONS IN A MEDICAL CAPACITY (INJURED STUDENTS).
PART III, LINE 2:	DESCRIBES ALLOWANCE FOR BAD DEBT EXPENSE AT GROSS CHARGE. THE ESTIMATE IS BASED PRIMARILY ON THE MEDICAL CENTER'S HISTORICAL COLLECTION EXPERIENCE, MANAGEMENT'S ESTIMATE OF THE PATIENT'S ECONOMIC ABILITY TO PAY AND THE EFFECTIVENESS OF COLLECTIONS EFFORTS. BAD DEBT COST IS CALCULATED BY APPLYING THE HOSPITAL'S COST TO CHARGE RATIO.
PART III, LINE 3:	WE CALCULATED THE PERCENT OF GROSS CHARGES WRITTEN OFF TO MEANS-TESTED CHARITY CARE AND APPLIED THAT SAME PERCENTAGE TO OUR BAD DEBT BASED ON THE ASSUMPTION THAT THE PERCENTAGE WOULD REASONABLY APPLY TO PATIENTS FOR WHOM WE HAD INSUFFICIENT DATA IN ORDER TO DETERMINE THEIR ELIGIBILITY.
PART III, LINE 4:	DESCRIPTION OF BAD DEBT POLICY CAN BE FOUND ON PAGE 9 & 10 OF THE 2014 FINAL AUDITED FINANCIAL STATEMENTS
PART III, LINE 8:	MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY IS USED TO DETERMINE THE ALLOWABLE MEDICARE COSTS. MID-COLUMBIA MEDICAL CENTER CONTINUES TO PROVIDE CLINICAL SERVICES TO MEDICARE PATIENTS AT A DEFICIT AS PART OF OUR COMMITMENT TO THE RESIDENTS OF THE COMMUNITIES WE SERVE. THIS DEFICIT IS CONSISTENT WITH OUR TAX-EXEMPT STATUS AND INTERNAL MISSION TO PROVIDE COMMUNITY BASED HEALTHCARE REGARDLESS OF PATIENTS' ABILITY TO PAY.
PART III, LINE 9B:	IN CASES WHERE PATIENT HAS QUALIFIED FOR FULL OR PARTIAL CHARITY CARE, THE AMOUNT IS WRITTEN DOWN IN THE PATIENT ACCOUNT AND NO ATTEMPT IS MADE TO COLLECT THE AMOUNT WRITTEN DOWN.
PART VI, LINE 2:	COMMUNITY BENEFIT PRIORITIES AND ALLOCATIONS ARE GUIDED BY A COMMUNITY ASSESSMENT PROCESS WHICH UTILIZES QUANTITATIVE AND QUALITATIVE DATA OBTAINED FROM INTERNAL SOURCES AS WELL AS ASSESSMENT DATA FROM KEY COMMUNITY PARTNERS. MID-COLUMBIA MEDICAL CENTER PARTICIPATED AS A MEMBER OF THE COLUMBIA GORGE HEALTH COUNCIL (CGHC) IN A COLLABORATIVE NEEDS ASSESSMENT WHICH INCLUDED INPUT FROM SIX COUNTY HEALTH DEPARTMENTS, FOUR HOSPITALS, THE LOCAL COORDINATED CARE ORGANIZATION, SOCIAL SERVICES AGENCIES IN THE REGION, HEALTH CARE PROVIDERS IN THE SERVICE REGION AND CONSUMERS REPRESENTATIVE OF THE SAME. DETAILS ON THE METHODOLOGY, PARTICIPANTS AND REGIONAL RESULTS ARE ADDRESSED IN THE COLUMBIA GORGE REGIONAL COMMUNITY HEALTH ASSESSMENT AGENCY REPORT AND HEALTH CARE PROFESSIONAL SESSIONS WERE CONDUCTED IN ORDER TO CAPTURE AND RANK THE PRIMARY PERCEIVED NEEDS IN THE GORGE REGION. OVERALL NEEDS IDENTIFIED WERE ADEQUATE INCOME, STABLE HOUSING, FOOD, TRANSPORTATION AND HEALTH PREVENTION AND BOTH MEDICAL AND BEHAVIORAL HEALTH. ACCESS TO CARE WAS AN ADDITIONAL REGION-WIDE IDENTIFIED ISSUE.HEALTH OUTCOMES AND FACTORS OF PARTICULAR CONCERN IN WASCO COUNTY INCLUDE A HIGH RATE OF CHRONIC DISEASE, PREVALENCE OF ADULT AND CHILD OBESITY, TEEN PREGNANCY, LIMITED ACCESS TO HEALTHY FOODS, HIGH SCHOOL GRADUATION RATE AND A RELATIVELY HIGH PERCENTAGE OF THE POPULATION REPORTING INADEQUATE SOCIAL SUPPORT.
PART VI, LINE 3:	OUR PATIENT AND VISITOR SERVICES AND PATIENT ACCOUNTS STAFF TAKE AN ACTIVE ROLE IN ASSISTING LOW-INCOME AND UNDER- / UN-INSURED PATIENTS (THERE ARE SOME EXEMPTIONS IN PLACE TO THE INDIVIDUAL MANDATE REQUIRED BY THE AFFORDABLE CARE ACT) WITH COMPLETING APPLICATIONS FOR THE OREGON HEALTH PLAN. APPLICATIONS (IN ENGLISH AND SPANISH) ARE AVAILABLE AT REGISTRATION AND IN PATIENT ACCOUNTS IN BOTH THE HOSPITAL AND THE OUTPATIENT CLINICS. THIS APPLICATION PACKET OUTLINES THE PROCESS AND PROVIDES PHONE NUMBERS AND CONTACT INFORMATION FOR ASSISTANCE WITH ENROLLMENT.
PART VI, LINE 4:	MID-COLUMBIA MEDICAL CENTER (MCMC) IS LOCATED IN THE DALLES, WASCO COUNTY, OREGON, POPULATION 25,515. MCMC SERVES A WIDE GEOGRAPHIC AREA OF RURAL NORTH CENTRAL OREGON ALONG THE COLUMBIA RIVER. THIS SERVICE AREA INCLUDES WASCO, SHERMAN AND GILLIAM COUNTIES IN OREGON AND KLICKITAT COUNTY IN WASHINGTON STATE FOR A COMBINED POPULATION TOTAL OF 50,018. MEDIAN INCOMES AND ETHNIC DEMOGRAPHICS VARY BY GEOGRAPHIC LOCATION. 2014 CENSUS DATA SHOWS MEDIAN INCOMES RANGE FROM $41,694 TO $44,743. WASCO COUNTY HAS THE LARGEST ETHNIC DIVERSITY WITH A DISTRIBUTION THAT IS 76% WHITE, 16% HISPANIC/LATINO, 4% AMERICAN INDIAN/ALASKA NATIVE AND 4% OTHER, STATISTICS WHICH REMAIN UNCHANGED FROM 2013. 18% OF THE POPULATION LIVES BELOW THE POVERTY LEVEL, 10.5% OF THE POPULATION IS UNINSURED, (DOWN 8.6% FROM 2013); 49.5% HAVE PUBLIC HEALTH INSURANCE (UP 11.5% FROM 2013) AND 37.8% ARE PRIVATELY INSURED (DOWN 0.6% FROM 2013), ACCORDING TO THE FIRST STATE REPORT PRESENTING COUNTY-LEVEL ESTIMATES OF CHANGES IN OREGON'S UNINSURED RATE PRE- AND POST- AFFORDABLE CARE ACT IMPLEMENTATION. THE REPORT WAS ISSUED JOINTLY BY OREGON HEALTH & SCIENCE UNIVERSITY (OHSU) AND OREGON HEALTH AUTHORITY (OHA) IN MAY, 2015. THIS REPORT ADVISES THAT WHILE FINAL SURVEY DATA RESULTS FROM 2014 WILL NOT BE AVAILABLE UNTIL THE LATTER PART OF 2015, THE SHIFTS IN COVERAGE DO SUGGEST INCREASED ENROLLMENT IN MEDICAID AND PARTICIPATION OF ENROLLEES IN THE MARKETPLACE.ADDITIONAL PUBLISHED DATA FROM THE OHA CITES DECEMBER 31, 2013 MEDICARE PROGRAM ENROLLMENT IN WASCO COUNTY AT 4,774, AND 7,563 AT DECEMBER 31, 2014, AN INCREASE OF 58.4%.IN ADDITION TO THE YEAR ROUND POPULATION, THE DALLES EXPERIENCES AN INFLUX OF OVER 15,000 SEASONAL WORKERS IN SUPPORT OF THE HARVEST OF OUR AGRICULTURAL ECONOMY.
PART VI, LINE 5:	MID-COLUMBIA MEDICAL CENTER IS A MISSION-DRIVEN ORGANIZATION WHOSE PURPOSE IS:* TO LEAD AND ACT AS A CATALYST IN PROMOTING HEALTH FOR ALL PEOPLE* TO RECOGNIZE THE INDIVIDUAL AS A WHOLE HUMAN BEING WITH DIFFERENT NEEDS THAT MUST BE MET ENTHUSIASTICALLY * TO COMMUNICATE A VISION OF HEALTH, ART, EDUCATION, TECHNOLOGY AND A CENTER FOR HEALING WHICH WILL CONTINUALLY UPGRADE THE QUALITY OF LIFE IN THE COMMUNITY ENVIRONMENT IN WHICH WE LIVE * TO EMPOWER PEOPLE TO BECOME PARTNERS IN THEIR HEALTHCAREBOARD AND SENIOR EXECUTIVE LEADERSHIP ARE ACTIVELY INVOLVED IN PRIORITIZATION OF COMMUNITY INITIATIVES. A FULL-TIME DIRECTOR OVERSEES IMPLEMENTATION OF PROGRAMS AND ACTS AS THE PRIMARY LIAISON IN COMMUNITY COLLABORATIONS. DISCUSSION AND RECOMMENDATION OF COMMUNITY BENEFIT FOCUS AREAS CENTERS AROUND FIVE KEY COMPONENTS: ALIGNMENT WITH THE ORGANIZATION'S STRATEGIC PLAN; LIKELIHOOD OR FEASIBILITY OF HAVING A MEASURABLE IMPACT ON THE ISSUE; ALIGNMENT WITH CORE ORGANIZATIONAL COMPETENCIES; EFFICIENT ALLOCATION OF RESOURCES AND ALIGNMENT WITH PARTNERS WHO HAVE RESOURCES ALLOCATED TOWARD THE ISSUE. PREVENTION AND EDUCATIONADULT AND CHILDHOOD OBESITY* MID-COLUMBIA MEDICAL CENTER PARTNERS WITH THOSE IN THE COMMUNITY SEEKING TO IMPROVE OR ENHANCE THEIR HEALTH THROUGH LIFESTYLE CHANGES AND CHOICES, PARTICULARLY IN THE AREAS OF OBESITY AND HEART DISEASE* OVER 300 PEOPLE ATTENDED THE HEALTH FAIR, WITH 77 BLOOD DRAWS, 64 FLU VACCINATIONS, OVER 70 SKIN CANCER SCREENINGS, 58 BLOOD PRESSURE SCREENINGS, MORE THAN 80 DROP-INS AT THE DISTRACTED DRIVING EXHIBIT AND 50 ATTENDEES AT THE HEALTHY COOKING DEMO, ALL PROVIDED FREE OF CHARGEMID-COLUMBIA MEDICAL CENTER WOMEN'S HEALTH FAIR* OVER 200 WOMEN ATTENDED THIS FIRST-TIME EVENT, WITH HEALTHY COOKING DEMONSTRATIONS, WEIGHT LOSS AND NUTRITION, GENETICS, BREAST CARE AND PELVIC HEALTH LECTURES* PROVIDERS AT THE SKIN CARE AND SKIN CANCER PREVENTION BOOTH HAD OVER 45 WOMEN SIGN UP FOR AND RECEIVE FREE SKIN CHECKSPLANETREE HEALTH RESOURCE CENTER* IN ADDITION TO ISSUING THOUSANDS OF FREE INPATIENT ADMISSION PACKETS TO PATIENTS, PHRC PROVIDED 453 BLOOD PRESSURE SCREENINGS IN 2014* 7,067 COMMUNITY MEMBERS TOOK ADVANTAGE OF FREE SERVICES AT PHRC* 203 PEOPLE ATTENDED THE FREE PHRC LECTURE SERIES WHICH INTRODUCED THE FOLLOWING TOPICS: O ANTIBIOTIC RESISTANCE AND YOUR HEALTH O SAVING YOUR SKIN: SKIN CANCER PREVENTION O ACUPUNCTURE FOR PAIN RELIEF O KEEPING KIDS FIT & FIERCE O HIGH CHOLESTEROL AND THE NEW CHOLESTEROL GUIDELINES O LIVING IN THE AGE OF SUPERBUGS AND RESISTANCE O EAT YOUR WAY TO GOOD HEALTH O THE ROAD TO RESILIENCE: COPING WITH LIFE'S CHALLENGESDIABETES / OBESITY* MCMC HAS A ROBUST DIABETES EDUCATION OUTREACH FOCUS PROVIDING EDUCATIONAL SESSIONS THROUGHOUT OUR COMMUNITY AND SERVICE AREA. IN 2014 MCMC PROVIDED SCHOLARSHIPS TO LOW INCOME FAMILIES ATTENDING THE HEALTHY WEIGHT SOLUTIONS PROGRAM, WHICH PROVIDED NUTRITIONAL COUNSELING, HEALTHY COOKING DEMONSTRATIONS, INDIVIDUAL COUNSELING AND OVER 90 HOURS OF GROUP EDUCATIONOTHER MEANINGFUL CONTRIBUTIONS IN THE YEAR 2014* MCMC FAMILY PRACTICE PROVIDERS PROVIDED 200 FREE SPORTS PHYSICALS TO DISTRICT 21 STUDENTS IN MIDDLE AND HIGH SCHOOL* ANNUAL COMMUNITY DRUG TAKE-BACK: MID-COLUMBIA MEDICAL CENTER, IN PARTNERSHIP WITH LOCAL LAW ENFORCEMENT, YOUTH THINK AND TRI-COUNTY HAZARDOUS WASTE & RECYCLING, OFFERS FREE DROP-OFF OF HOUSEHOLD PRESCRIPTION, OVER THE COUNTER, VITAMIN/SUPPLEMENTS AND PET MEDICINES* MCMC PRODUCES A QUARTERLY HEALTH MAGAZINE (WELL AWARE) DISTRIBUTED TO OVER 17,000 HOUSEHOLDS THROUGHOUT THE SURROUNDING COMMUNITY, AT A COST OF APPROXIMATELY $100,000* MCMC FACILITATES A VARIETY OF SUPPORT GROUPS ON A REGULAR BASIS, INCLUDING: O MONTHLY DIABETES SUPPORT GROUP FACILITATION O MONTHLY STROKE CLUB O MONTHLY FAMILY SUPPORT CLASSES O HEALTHY WEIGHT SOLUTIONS O MONTHLY PROSTATE CANCER SUPPORT GROUP O REACH FOR RECOVERY - BREAST CANCER SUPPORT GROUP * CAR SEAT EVALUATIONS, BIKE HELMET PROGRAMS AND TRAUMA NURSES TALK TOUGH ARE OFFERED ANNUALLY AT MAJOR MCMC AND OTHER COMMUNITY EVENTS* WITH A WIDELY DIVERSE ETHNIC POPULATION IN THE SERVICE AREA, INTERPRETATION SERVICES ARE IN HIGH DEMAND. MCMC IMPLEMENTED VIDEO REMOTE INTERPRETING TECHNOLOGY TO MEET LANGUAGE NEEDS IN THE HOSPITAL 24/7 TO ASSIST PATIENTS SEEKING CARE THROUGHOUT OUR ORGANIZATION AND TO ANY OTHER LOCAL HEALTH SERVICE PROVIDER, REGARDLESS OF AFFILIATION WITH MCMC. SPANISH SPEAKING STAFF REMAIN AVAILABLE FOR INTERPRETATION SERVICES AT BOTH THE HOSPITAL AND OUTPATIENT CLINICS* MCMC PROVIDES MENTORING AND INTERNSHIP PROGRAMS DESIGNED TO HELP TRAIN EXISTING AND FUTURE CARE PROVIDERS SUCH AS PHARMACY TECHNICIANS, MEDICAL ASSISTANTS, HEALTH INFORMATION MANAGEMENT STUDENTS, CHILD CARE PROVIDERS, RADIOLOGICAL TECHNICIANS, NURSES AND RURAL HEALTH EMS PROVIDERS * PHYSICIANS AND NURSES PROVIDE ACCESS TO FREE OR REDUCED COST PRIMARY CARE; MCMC ALSO PROVIDES SCHOOL NURSING SERVICES AT THE ELEMENTARY AGE LEVEL FOR LOCAL SCHOOLS* PROVIDES SUPPORT FOR THE AMERICAN RED CROSS BLOOD DRIVES* ENCOURAGES STAFF TO VOLUNTEER TO MAKE A DIFFERENCE THROUGH SERVICE TO MEMBERS OF THE COMMUNITY* PROVIDES FREE MEETING FACILITIES FOR VARIOUS CHARITABLE, CIVIC AND SUPPORT GROUPSSOCIAL DETERMINANTS OF HEALTHMCMC IS INVOLVED IN A VARIETY OF COMMUNITY AND COALITION BUILDING ACTIVITIES AND HEALTH ADVOCACY REGARDING SUCH SOCIAL DETERMINANTS AS: HEALTH AS FOOD SECURITY, HOUSING AND TRANSPORTATION. THE NEWLY FORMED REGIONAL COMMUNITY ACTION COUNCIL BEGAN PRIORITIZING AN IMPLEMENTATION STRATEGY AROUND THESE TOPICS BEGINNING IN 2014; MCMC WILL BE A PRIMARY PARTNER IN THOSE EFFORTS. THE HOSPITAL ALSO PARTICIPATES AS A MEMBER OF THE COLUMBIA GORGE HEALTH COUNCIL (CGHC) IN PROVIDING OVERSIGHT AND GOVERNANCE OF THE COORDINATED CARE ORGANIZATION FORMED BY PACIFICSOURCE COMMUNITY SOLUTIONS (PACIFICSOURCE.) CGHC IS A NONPROFIT CORPORATION COMPRISED OF THE MEDICAL CENTER, WASCO AND HOOD RIVER COUNTIES, CENTRAL OREGON INDEPENDENT PRACTICE ASSOCIATION, INC., ONE COMMUNITY HEALTH, PACIFICSOURCE, PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL AND AT-LARGE MEMBERS OF THE COMMUNITY.
PART VI, LINE 6:	N/A
PART VI, LINE 7, REPORTS FILED WITH STATES	OR

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MID-COLUMBIA HEALTH FOUNDATION
1700 E 19TH STREET	THE DALLES	OR	97058	930854433	501(C)(3)	$5,000	TO PROVIDE FUNDS FOR SCHOLARSHIPS
OREGON SOLUTIONS - PORTLAND STATE UNIVERSITY FOUNDATION
PO BOX 751	PORTLAND	OR	97207	930619733	501(C)(3)	$5,000	COMMUNITY PROJECTS

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	AN INTERNAL GRANT MANAGER TRACKS ALL EXPENSES RELATED TO THE GRANT AND REPORTS THEM PERIODICALLY IN A WRITTEN REPORT TO THE GRANTOR. SOME GRANTS CONTAIN LINE-ITEM BUDGETS WHICH ALSO MUST BE MET AND ARE SUBJECT TO AUDIT BY THE GRANTOR.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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 (12 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
PAUL CARDOSI MD
DIRECTOR	$186,095	$0	$51,008	$0	$0	$0	$11,855	$0	$10,550	$0	$259,508	$0	$0	$0
DUANE FRANCIS
PRESIDENT & CEO	$0	$577,999	$0	$500	$0	$0	$0	$116,948	$0	$32,378	$0	$727,825	$0	$0
DONALD ARBON
CFO & VP FINANCE	$0	$223,741	$0	$500	$0	$0	$0	$11,212	$0	$15,828	$0	$251,281	$0	$0
REGINA ROSE
VP CHIEF NURSING OFFICER	$171,014	$0	$0	$0	$0	$0	$8,550	$0	$15,685	$0	$195,249	$0	$0	$0
WILLIAM HAMILTON MD
VP MEDICAL AFFAIRS	$395,958	$0	$500	$0	$0	$0	$13,000	$0	$18,116	$0	$427,574	$0	$0	$0
DIANNE STORBY
EXEC VP OF OPERATIONS	$0	$274,826	$0	$500	$0	$0	$0	$13,000	$0	$14,692	$0	$303,018	$0	$0
ERICK LARSON
VP CHIEF INFORMATION OFFICER	$0	$179,747	$0	$0	$0	$0	$0	$8,987	$0	$15,220	$0	$203,954	$0	$0
XINYU FU
PHYSICIAN	$437,978	$0	$0	$0	$0	$0	$13,000	$0	$14,903	$0	$465,881	$0	$0	$0
JOHN SCHWARTZ
PHYSICIAN	$554,911	$0	$0	$0	$0	$0	$13,000	$0	$9,676	$0	$577,587	$0	$0	$0
NATHAN ULLRICH
PHYSICIAN	$372,236	$0	$0	$0	$0	$0	$13,000	$0	$12,403	$0	$397,639	$0	$0	$0
GARY GINGRICH
PHYSICIAN	$504,911	$0	$0	$0	$0	$0	$13,000	$0	$10,876	$0	$528,787	$0	$0	$0
MARK CULLEN
PHYSICIAN	$690,445	$0	$0	$0	$0	$0	$13,000	$0	$14,903	$0	$718,348	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4B	DUANE FRANCIS - $103,948
PART I, LINE 6	THE INCENTIVE COMPENSATION PLAN FOR THE QUALIFIED PERSON WAS BASED LARGELY ON NET PROFESSIONAL FEES GENERATED DIRECTLY BY THE QUALIFIED PERSON, COMMON PRACTICE FOR EMPLOYED PHYSICIANS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan To OrganizationLoanToOrganizationInd	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd	Loan From OrganizationLoanFromOrganizationInd
HEALTH CARE FOR THE MID-COLUMBIA REGION
DIRECTLY CONTROLLING ENTITY	OPERATING LOAN	Yes (X)	$4,261	0	0	0
MID-COLUMBIA HEALTH FOUNDATION
RELATED TO MID-COLUMBIA HEALTH FOUNDATION BY COMMON PARENT ORGANIZATION	OPERATING EXPENSES		$16,764	0	0	0	Yes (X)
DRY HOLLOW PROFESSIONAL CENTER INC
WHOLLY OWNED SUBSIDIARY OF HEALTH CARE, THE CONTROLLING ENTITY	OPERATING LOAN	Yes (X)	$3,531	0	0	0

Field	Value	IRS element (for citing)
Total Balance Due	$24,556	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MIRIAM MCDONELL MD
SPOUSE OF PAUL CARDOSI, M.D., BOARD MEMBER	$28,687	EMPLOYMENT	0
VICKI WOLF
SPOUSE OF WALLACE WOLF, JR., D.V.M., DIRECTOR	$46,564	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE AMENDED AND RESTATED JULY 9TH, 2014. A SUMMARY OF THE CHANGES IS AS FOLLOWS: - ELECTION: OREGON HEALTH AND SCIENCE UNIVERSITY ("OHSU") SHALL BE ENTITLED TO APPOINT ONE VOTING MEMBER ("OHSU MCMC DIRECTOR") OF THE BOARD OF DIRECTORS SUBJECT TO THE APPROVAL OF THE BOARD. APPROVAL BY THE BOARD MAY NOT BE UNREASONABLY WITHHELD. - TERM: THE TERM OF OFFICE OF THE OHSU MCMC DIRECTOR SHALL NOT BE LIMITED UNLESS REMOVED (SEE FOLLOWING POINT) BY OHSU OR THE BOARD, OR AT THE TERMINATION OF THE CLINICAL COLLABORATION AGREEMENT. - REMOVAL: OHSU MAY REMOVE THE OHSU MCMC DIRECTOR AT ANY TIME. THE CORPORATION MAY REMOVE THE OHSU MCMC DIRECTOR ONLY FOR GROSS NEGLIGENCE OF DUTIES. - VACANCIES: OHSU SHALL BE ENTITLED TO REPLACE THE OHSU MCMC DIRECTOR WHO HAS BEEN REMOVED FROM THE BOARD. - QUORUM: EXCEPT FOR ACTIONS REQUIRING SUPER-MAJORITY VOTING OF THE BOARD, THE ACT OF THE MAJORITY OF THE QUORUM WHICH IS PRESENT SHALL BE CONSIDERED THE ACT OF THE BOARD. - SUPER-MAJORITY VOTING: THE AFFIRMATIVE VOTE OF THE OHSU APPOINTED DIRECTOR PLUS 75% OR MORE OF THE OTHER MEMBERS OF THE HCMCR BOARD SHALL BE REQUIRED TO APPROVE ANY OF THE FOLLOWING ACTIONS: 1. ANY AMENDMENT OR RESTATEMENT OF OR REVISION TO THE ORGANIZATIONAL DOCUMENTS GOVERNING MCMC AND HCMCR; 2. ENCUMBRANCE OF ANY INTEREST IN REAL PROPERTY EXCEPT IN ACCORDANCE WITH ESTABLISHED POLICIES; 3. APPOINTMENT OR TERMINATION OF THE PRESIDENT OR CEO OF MCMC; 4. AGGREGATE BORROWING BY MCMC IN EXCESS OF A DOLLAR AMOUNT ESTABLISHED BY HCMCR; 5. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF HCMCR OR MCMC; 6. SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF HCMCR OR MCMC; 7. CREATION OF ANY SUBSIDIARY OR PARTICIPATION IN ANY MATERIAL JOINT VENTURE; AND/OR 8. ANY EXPENDITURE OF $1 MILLION OR MORE.
FORM 990, PART VI, SECTION A, LINE 6	HEALTH CARE FOR THE MID-COLUMBIA REGION IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11	A DRAFT OF THE RETURN IS SUBMITTED TO THE BOARD OF TRUSTEES FOR REVIEW. UPDATES ARE MADE AS NECESSARY BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	WE ANNUALLY REQUIRE ALL OFFICERS AND DIRECTORS TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF A CONFLICT WAS DISCOVERED FOR AN OFFICER OR DIRECTOR WITH A SIGNED DISCLOSURE STATEMENT, THEY WOULD BE SUBJECT TO CORRECTIVE ACTION UP TO AND INCLUDING TERMINATION FOR VIOLATION OF OUR POLICY. IF THEY SELF-DISCLOSED A POTENTIAL CONFLICT OF INTEREST ON THE FORM, WE WOULD GATHER INFORMATION ON THE ISSUE AND MAKE A DETERMINATION ON HOW SEVERE THE CONFLICT IS AND WHETHER OR NOT THE INDIVIDUAL COULD REMAIN AN OFFICER OR DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD ENGAGES A PROFESSIONAL FIRM TO DO A REGIONAL AND NATIONAL SURVEY, ALONG WITH A COMPARISON OF ORGANIZATION COMPLEXITY AND STRUCTURE, AND THEN RECOMMENDS A SALARY AND BENEFITS RANGE TO THE BOARD. THIS IS ALL DONE CONFIDENTIALLY WITHOUT CEO PARTICIPATION. THE CEO THEN NEGOTIATES WITH THE BOARD, WHICH COMPARES THE COMPENSATION DISCUSSED WITH THE ANALYSIS JUST DESCRIBED AND THEN VOTES ON AND APPROVES A NEW CONTRACT IN EXECUTIVE SESSION WITHOUT CEO PRESENCE OR PARTICIPATION IN THE VOTE. THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS DETERMINED USING A SURVEY OF MARKET RATES FOR SIMILAR POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19	AS REQUESTED.
FORM 990, PART XI, LINE 9:	INCREASE IN RESTRICTED NET ASSETS 993,271. WRITE-OFF OF PAYABLE DUE TO AFFILIATE 275,000. INCOME FROM PASSTHROUGH ENTITIES -178,498.
FORM 990, PART XI, LINE 2C	THE RESPONSIBILITY AND PROCESS FOR OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MID-COLUMBIA HEALTH FOUNDATION
1700 E 19TH STREET	THE DALLES	OR	97058	930854433	SUPPORT MID-COLUMBIA MEDICAL CENTER	OR	501(C)(3)	LINE 7	HEALTH CARE FOR THE MID-COLUMBIA REGION	Yes (1)
HEALTH CARE FOR THE MID-COLUMBIA REGION
1700 E 19TH STREET	THE DALLES	OR	97058	930847905	HEALTH CARE SERVICES	OR	501(C)(3)	LINE 11C, III-FI		0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LONE PINE HEALTH & WELLNESS CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10210 194TH ST E101	AddressLine1Txt
City	GRAHAM	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98338	ZIPCd

Field	Value	IRS element (for citing)
EIN	263919508	EIN
Primary Activities	MANAGE MEDICAL BUILDING/PROPERTY	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Predominant Income Type	EXCLUDED 512-514	PredominantIncomeTypeTxt
Share Of Total Income	$471,377	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,652,199	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.30000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DRY HOLLOW PROFESSIONAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 EAST 19TH STREET	AddressLine1Txt
City	THE DALLES	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97058	ZIPCd

Field	Value	IRS element (for citing)
EIN	930631350	EIN
Primary Activities	RENTAL BUILDING	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
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	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MID-COLUMBIA HEALTH FOUNDATION
B	$5,000	GRANTS PAID
MID-COLUMBIA HEALTH FOUNDATION
C	$85,883	GRANTS RECEIVED
MID-COLUMBIA HEALTH FOUNDATION
D	$16,764	LOANS TO RELATED PARTY
LONE PINE HEALTH & WELLNESS CENTER
D	$1,500,000	LOAN GUARANTEE
HEALTH CARE FOR THE MID-COLUMBIA REGION
E	$4,261	LOAN FROM RELATED PARTY
DRY HOLLOW PROFESSIONAL CENTER
E	$3,531	LOAN FROM RELATED PARTY
HEALTH CARE FOR THE MID-COLUMBIA REGION
K	$203,763	RENTAL AGREEMENT
LONE PINE HEALTH & WELLNESS CENTER
K	$1,590,000	RENTAL AGREEMENT
DRY HOLLOW PROFESSIONAL CENTER
K	$134,346	RENTAL AGREEMENT
HEALTH CARE FOR THE MID-COLUMBIA REGION
M	$1,500,000	MANAGEMENT CONTRACT
HEALTH CARE FOR THE MID-COLUMBIA REGION
S	$150,000	WRITE-OFF RECEIVABLE
DRY HOLLOW PROFESSIONAL CENTER
S	$125,000	WRITE-OFF RECEIVABLE