MID-COLUMBIA MEDICAL CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MID-COLUMBIA MEDICAL CENTER (EIN 93-0386936)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201403189349308705
- Schema version
- 2013v3.0
- 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 | 2014-11-14T16:12:33-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5885 MEADOWS ROAD NO 200 | AddressLine1 |
| City | LAKE OSWEGO | City |
| State | OR | State |
| ZIP Code | 97035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DON ARBON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5412961111 | PhoneNum |
| Signature | 2014-11-14 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | 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 | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $126,504,436 | 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 | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 1048 | TotalEmployeeCnt |
| Total Volunteers | 170 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $122,949 | PYContributionsGrantsAmt |
| CY Contributions Grants | $149,605 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $99,323,908 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $103,979,205 | CYProgramServiceRevenueAmt |
| PY Investment Income | $55,392 | PYInvestmentIncomeAmt |
| CY Investment Income | $923,945 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,083,125 | PYOtherRevenueAmt |
| CY Other Revenue | $3,739,872 | CYOtherRevenueAmt |
| PY Total Revenue | $104,585,374 | PYTotalRevenueAmt |
| CY Total Revenue | $108,792,627 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $24,598 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $528,559 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $61,228,232 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $65,417,714 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,373,639 | PYOtherExpensesAmt |
| CY Other Expenses | $44,201,874 | CYOtherExpensesAmt |
| PY Total Expenses | $103,626,469 | PYTotalExpensesAmt |
| CY Total Expenses | $110,148,147 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $958,905 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,355,520 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,256,149 | TotalAssetsBOYAmt |
| Total Assets EOY | $58,043,523 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,949,062 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,339,134 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,307,087 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,704,389 | 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 | $98,287,456 | ExpenseAmt |
| Grant | $528,559 | GrantAmt |
| Revenue | $106,433,990 | RevenueAmt |
| Desc | ACUTE HOSPITAL CARE: INPATIENT DAYS 7,430, INPATIENT REHAB DAYS 873, OUTPATIENT OBSERVATION DAYS 1,116, LABORATORY TESTS 190,158, IMAGING TESTS 28,092, HOME HEALTH EPISODES 1,582, EMERGENCY VISITS 14,850, ENDOSCOPY VISTIS 1,190, MEDICAL ONCOLOGY 9,526, OUTPATIENT SURGERIES 2,012, RADIATION ONCOLOGY OUTPATIENT PROCEDURES 8,212, TOTAL HOSPITAL OUTPATIENT VISITS 115,596 AND TOTAL OUTPATIENT CLINIC VISITS 92,647SEE SCHEDULE H FOR NARRATIVE OF PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $98,287,456 | 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 | 0 | 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 | 152 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1048 | 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 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 |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5412961111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 E 19TH STREET | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | 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 | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PAUL CARDOSI MD | ||||||||
| CHAIR | 50.00 | Yes (X) | $229,066 | $0 | $26,028 | Yes (X) | ||
| ROB CARNAHAN | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CARINA SCHMIDT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DUANE FRANCIS | ||||||||
| PRESIDENT & CEO | 50.00 | Yes (X) | $0 | $604,132 | $147,703 | Yes (X) | ||
| DONALD ARBON | ||||||||
| CFO & VP FINANCE | 50.00 | $0 | $221,819 | $26,204 | Yes (X) | |||
| REGINA ROSE | ||||||||
| VP CHIEF NURSING OFFICER | 50.00 | $172,861 | $0 | $24,710 | Yes (X) | |||
| WILLIAM HAMILTON MD | ||||||||
| VP MEDICAL AFFAIRS | 50.00 | $364,267 | $0 | $28,574 | Yes (X) | |||
| XINYU FU | ||||||||
| PHYSICIAN | 50.00 | $409,442 | $0 | $28,770 | Yes (X) | |||
| JOHN SCHWARTZ | ||||||||
| PHYSICIAN | 50.00 | $586,068 | $0 | $23,312 | Yes (X) | |||
| NATHAN ULLRICH | ||||||||
| PHYSICIAN | 50.00 | $366,710 | $0 | $26,420 | Yes (X) | |||
| GARY GINGRICH | ||||||||
| PHYSICIAN | 50.00 | $518,085 | $0 | $24,512 | Yes (X) | |||
| MARK CULLEN | ||||||||
| PHYSICIAN | 50.00 | $581,294 | $0 | $26,486 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,227,793 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $825,951 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $382,719 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 89 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OREGON HEALTH & SCIENCE UNIVERSITY | |||||
| 318 SW SAM JACKSON PARK RD | PORTLAND | OR | 97239 | PRO FEES FOR SPECIALTY CLINIC PROVIDERS | $1,056,634 |
| CORESOURCE INC | |||||
| PO BOX 83301 | LANCASTER | PA | 17608 | HEALTH INSURANCE CLAIMS PROCESSOR | $669,217 |
| RADIATION ONCOLOGISTS PC | |||||
| 1400 NW IRVING ST STE 527 | PORTLAND | OR | 97209 | RADIATION ONCOLOGISTS | $660,643 |
| QUEST DIAGNOSTICS | |||||
| 3 GIRALDA FARMS | MADISON | WI | 07940 | LAB SERVICES | $390,760 |
| LOCUMTENENSCOM LLC | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | ANESTHESIOLOGY LOCUM TENANS | $337,798 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $113,787 | RelatedOrganizationsAmt |
| Government Grants | $35,818 | GovernmentGrantsAmt |
| Total Contributions | $149,605 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PMNTS | 900099 | $119,641,301 | $119,641,301 |
| HOSPITAL REVENUE | 900099 | $72,559,271 | $72,559,271 |
| CLINIC REVENUE | 900099 | $14,984,542 | $14,984,542 |
| LESS:CHARITY CARE | 900099 | -$6,770,731 | -$6,770,731 |
| LESS:CONTRACTUALS-HOSP | 900099 | -$99,021,233 | -$99,021,233 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,586,055 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,586,055 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $103,979,205 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $181,026 | TotalRevenueColumnAmt |
| Exclusion | $181,026 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,454,728 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,639,153 | SecuritiesAmt |
| Other | $72,656 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $815,575 | SecuritiesAmt |
| Other | -$72,656 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $742,919 | TotalRevenueColumnAmt |
| Exclusion | $742,919 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| FITNESS & SPA CENTER | 713940 | $1,148,068 | $1,148,068 | |
| CAFETERIA | 722100 | $764,618 | $764,618 | |
| DAYCARE | 624410 | $482,785 | $482,785 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,344,401 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,306,717 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $37,684 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,739,872 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108,792,627 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $106,433,990 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,209,032 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,559 | TotalAmt |
| Program Services | $528,559 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,227,793 | TotalAmt |
| Program Services | $2,690,665 | ProgramServicesAmt |
| Management And General | $537,128 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,892,825 | TotalAmt |
| Program Services | $45,643,576 | ProgramServicesAmt |
| Management And General | $4,249,249 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,331,509 | TotalAmt |
| Program Services | $2,118,227 | ProgramServicesAmt |
| Management And General | $213,282 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,364,768 | TotalAmt |
| Program Services | $5,061,350 | ProgramServicesAmt |
| Management And General | $1,303,418 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,600,819 | TotalAmt |
| Program Services | $3,278,042 | ProgramServicesAmt |
| Management And General | $322,777 | ManagementAndGeneralAmt |
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 | $262,443 | TotalAmt |
| Management And General | $262,443 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,427 | TotalAmt |
| Management And General | $113,427 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,952,558 | TotalAmt |
| Program Services | $4,856,558 | ProgramServicesAmt |
| Management And General | $96,000 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,189,955 | TotalAmt |
| Program Services | $3,581,752 | ProgramServicesAmt |
| Management And General | $608,203 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495,340 | TotalAmt |
| Program Services | $495,340 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,995,955 | TotalAmt |
| Program Services | $2,746,905 | ProgramServicesAmt |
| Management And General | $249,050 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $883,795 | TotalAmt |
| Program Services | $822,516 | ProgramServicesAmt |
| Management And General | $61,279 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $13,785,146 | $13,610,520 | $174,626 |
| PURCHASED SERVICES | $5,681,575 | $4,405,211 | $1,276,364 |
| BAD DEBT EXPENSE | $5,303,387 | $5,303,387 | |
| OTHER | $4,038,293 | $3,144,848 | $893,445 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,148,147 | TotalAmt |
| Program Services | $98,287,456 | ProgramServicesAmt |
| Management And General | $11,860,691 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,394,895 | BOYAmt |
| EOY | $3,557,670 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,768,882 | BOYAmt |
| EOY | $12,271,185 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,315 | BOYAmt |
| EOY | $310,370 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,533,975 | BOYAmt |
| EOY | $1,588,025 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,325,501 | BOYAmt |
| EOY | $2,381,258 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $62,664,554 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $45,412,569 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,383,347 | BOYAmt |
| EOY | $17,251,985 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,493,765 | BOYAmt |
| EOY | $13,510,354 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $668,671 | BOYAmt |
| EOY | $875,041 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,477,493 | BOYAmt |
| EOY | $1,511,102 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,061,305 | BOYAmt |
| EOY | $4,786,533 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,256,149 | BOYAmt |
| EOY | $58,043,523 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,368,939 | BOYAmt |
| EOY | $9,187,691 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,028,431 | BOYAmt |
| EOY | $10,546,546 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $116,282 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,551,692 | BOYAmt |
| EOY | $7,488,615 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,949,062 | BOYAmt |
| EOY | $27,339,134 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,081,921 | BOYAmt |
| EOY | $30,535,223 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,166 | BOYAmt |
| EOY | $169,166 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,307,087 | BOYAmt |
| EOY | $30,704,389 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,256,149 | BOYAmt |
| EOY | $58,043,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,355,520 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $658,822 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $94,000 | 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 | $1,244,561 | BeginningYearBalanceAmt |
| Contributions | $317,585 | ContributionsAmt |
| Investment Earnings Or Losses | $50,466 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $516,114 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,096,498 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,260,381 | BeginningYearBalanceAmt |
| Contributions | $281,874 | ContributionsAmt |
| Investment Earnings Or Losses | $31,232 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $328,926 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,244,561 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,278,290 | BeginningYearBalanceAmt |
| Contributions | $413,749 | ContributionsAmt |
| Investment Earnings Or Losses | $6,603 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $438,261 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,260,381 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $358,543 | BeginningYearBalanceAmt |
| Contributions | $13,818 | ContributionsAmt |
| Investment Earnings Or Losses | $890 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,587 | GrantsOrScholarshipsAmt |
| End Year Balance | $357,664 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.53530 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.33630 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.12840 | 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 | $12,967,267 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,810,275 | DepreciationAmt |
| Book Value | $4,156,992 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,111,018 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,394,089 | DepreciationAmt |
| Book Value | $2,716,929 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,701,232 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,208,205 | DepreciationAmt |
| Book Value | $9,493,027 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $322,104 | OtherCostOrOtherBasisAmt |
| Book Value | $322,104 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,251,985 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN NET ASSETS OF MID-COLUMBIA MEDICAL FOUNDATION | $169,166 |
| MISCELLANEOUS RECEIVABLES | $4,617,367 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,786,533 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASES | $1,187,953 |
| IBNR RESERVE | $4,597,270 |
| SETTLEMENT RESERVES | $670,864 |
| DEFERRED COMPENSATION | $1,032,528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,488,615 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $103,301,101 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$5,269,006 | OtherRevenueAmt |
| Revenue Not Reported | -$5,269,006 | RevenueNotReportedAmt |
| Revenue Subtotal | $108,570,107 | RevenueSubtotalAmt |
| Other Revenues Not Included | $222,520 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $222,520 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $108,792,627 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $104,252,461 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $104,252,461 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $5,895,686 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $5,895,686 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $110,148,147 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 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 $968,394. THE REMAINING ENDOWMENT FUNDS SUPPORT SEVERAL SCHOLARSHIPS. |
| 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, 2013 AND 2012. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT INCLUDED IN REVENUE ON THE FINANCIAL STATEMENTS -5,269,006. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RESTRICTED CONTRIBUTIONS FROM MID-COLUMBIA HEALTH FOUNDATION 70,915. RESTRICTED CONTRIBUTIONS FROM OTHER SOURCES 12,200. EXPENSES REPORTED AS REVENUE 139,405. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT INCLUDED IN REVENUE ON THE FINANCIAL STATEMENTS 5,269,006. CONTRIBUTIONS TO MID-COLUMBIA HEALTH FOUNDATION FOR OPERATIONS 487,275. EXPENSES REPORTED AS REVENUE 139,405. |
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 | $3,471,890 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,471,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,743,861 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,798,860 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,945,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03580 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,215,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,798,860 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,416,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06730 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 28500 | PersonsServedCnt |
| Total Community Benefit Expns | $462,609 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $453,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 59 | PersonsServedCnt |
| Total Community Benefit Expns | $554,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $554,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,634,565 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,615,388 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 36 | PersonsServedCnt |
| Total Community Benefit Expns | $21,101 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3000 | PersonsServedCnt |
| Total Community Benefit Expns | $701,346 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $68,975 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $632,371 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 31595 | PersonsServedCnt |
| Total Community Benefit Expns | $5,374,375 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,696,428 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,677,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 31595 | PersonsServedCnt |
| Total Community Benefit Expns | $20,590,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,495,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,094,838 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08250 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $162,607 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $162,607 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25000 | PersonsServedCnt |
| Total Community Benefit Expns | $213,288 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $213,288 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,298 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,298 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25000 | PersonsServedCnt |
| Total Community Benefit Expns | $377,193 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $377,193 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,473,905 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $23,512 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $27,795,500 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $29,216,415 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,420,915 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 LONE PINE HEALTH & WELLNESS CENTER LLC | |||
| MANAGE MEDICAL BUILDING/PROPERTY | 0.30000 | 0.00000 | 0.00000 |
| 2 HEALTH FUTURE LLC | |||
| ADMINISTRATIVE SERVICES PROVIDER AND GPO | 0.16670 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 6 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (6 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 | MCMC.NET | 14-0500 | Yes (X) | Yes (X) | Yes (X) | A | |
| COLUMBIA HILLS FAMILY MEDICINE | |||||||||||
| 2 | 1620 E 12TH STREET | THE DALLES | OR | 97058 | MCMC.NET | 14-0500 | B | RURAL HEALTH CLINIC | |||
| COLUMBIA CREST CLINIC | |||||||||||
| 3 | 1935 E 19TH STREET | THE DALLES | OR | 97058 | MCMC.NET | 14-0500 | B | RURAL HEALTH CLINIC | |||
| INTERNAL MEDICINE CLINIC | |||||||||||
| 5 | 1815 E 19TH STREET | THE DALLES | OR | 97058 | MCMC.NET | 14-0500 | B | RURAL HEALTH CLINIC | |||
| WATERS EDGE CLINICS | |||||||||||
| 7 | 551 LONE PINE BLVD | THE DALLES | OR | 97058 | WELLNESSATWATERSEDGE.COM | 14-0500 | B | RURAL HEALTH CLINIC | |||
| RIVERVIEW INTERNAL MEDICINE CLINIC | |||||||||||
| 8 | 1825 E 19TH STREET | THE DALLES | OR | 97058 | MCMC.NET | 14-0500 | B | RURAL HEALTH CLINIC | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| 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 Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available Upon RequestRptAvailableUponRequestInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | State RegulationStateRegulationInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Posted In Emergency RoomPostedInEmergencyRoomInd | Posted In Admission OfficePostedInAdmissionOfficeInd | Provided On AdmissionProvidedOnAdmissionInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit Other ActionsPermitOtherActionsInd | Collection ActivitiesCollectionActivitiesInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MID-COLUMBIA MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||
| 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 (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 400.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | Yes (X) | 0 | 0 |
| RURAL HEALTH CLINICS | ||||||||||||||||||||||||||||||||||||||||||
| 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 (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 400.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | Yes (X) | 0 | 0 | ||||
Supplemental Information SupplementalInformationGrp (4 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 |
| PART V, SECTION B | FACILITY REPORTING GROUP B |
| FACILITY REPORTING GROUP B CONSISTS OF: | - FACILITY 2: COLUMBIA HILLS FAMILY MEDICINE, - FACILITY 3: COLUMBIA CREST CLINIC, - FACILITY 5: INTERNAL MEDICINE CLINIC, - FACILITY 7: WATERS EDGE CLINICS, - FACILITY 8: RIVERVIEW INTERNAL MEDICINE CLINIC |
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | TRACK DIRECT LABOR AND OTHER COSTS IN EACH CATEGORY FOR ALL PATIENT SEGMENTS. IF ONLY REVENUE INFORMATION WAS AVAILABLE, A COST/CHARGE RATIO WAS APPLIED TO ESTIMATE COSTS. |
| PART I, LINE 7G: | HOME HEALTH SERVICES, NET OF REVENUES AND CHARITY CARE/BAD DEBT ALREADY REPORTED IN PART I-7A OR III-A.2. FINANCIAL STATEMENTS REPORT BAD DEBT BASED ON GROSS CHARGES.$3,634,565 HOME HEALTH REVENUES$3,615,388 HOME HEALTH OPERATING EXPENSES$ (19,177) NET LOSSCOMMUNITY BENEFIT: MID-COLUMBIA MEDICAL CENTER (MCMC) IS THE SOLE PROVIDER OF VISITING HOME HEALTH SERVICES IN A FIVE-COUNTY RANGE IN OREGON AND WASHINGTON STATES; WITHOUT OUR SERVICES THERE WOULD BE NO IN-HOME CARE IN THE COMMUNITIES WE SERVE. |
| 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. |
| PART III, LINE 4: | FOOTNOTE 1 IN THE AUDITED FINANCIAL STATEMENTS DESCRIBES ALLOWANCE FOR BAD DEBT EXPENSE AT GROSS CHARGE. THE ESTIMATE IS BASED PRIMARILY UPON 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 8: | 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 A PATIENT HAS QUALIFIED FOR FULL OR PARTIAL CHARITY CARE, THE BALANCE OF THE PATIENT ACCOUNT BALANCE IS WRITTEN DOWN AND NO ATTEMPT IS MADE TO COLLECT THE AMOUNT ALLOWED FOR CHARITY CARE. |
| 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 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, HEALTH PREVENTION AND BOTH MEDICAL AND BEHAVIORAL HEALTH. ACCESS TO CARE AND THE NUMBER OF UNINSURED ARE ADDITIONAL REGION WIDE IDENTIFIED ISSUES.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, LOW HIGH SCHOOL GRADUATION RATE AND A RELATIVELY HIGH PERCENTAGE OF THE POPULATION REPORTING INADEQUATE SOCIAL SUPPORT. |
| PART VI, LINE 3: | ALL FAMILY PRACTICE CLINIC STAFF ACTIVELY PROMOTES HEALTHY KIDS OPTIONS, WHICH PROVIDES INSURANCE FOR ALL CHILDREN IN THE STATE OF OREGON. BROCHURES ARE AVAILABLE IN ENGLISH AND SPANISH AT ALL FAMILY PRACTICE OFFICES. THE SCHOOL HEALTH NURSES MCMC SUPPLIES DISTRIBUTE THAT INFORMATION THROUGH THE LOCAL SCHOOLS.OUR PATIENT AND VISITOR SERVICES AND PATIENT ACCOUNTS DEPARTMENTS TAKE AN ACTIVE ROLE IN ASSISTING PATIENTS WITH COMPLETING APPLICATIONS FOR THE OREGON HEALTH PLAN. BROCHURES IN ENGLISH AND SPANISH ARE AVAILABLE AT REGISTRATION AND IN PATIENT ACCOUNTS DEPARTMENTS. THIS BROCHURE OUTLINES THE PROCESS AND PROVIDES PHONE NUMBERS AND CONTACT INFORMATION. |
| PART VI, LINE 4: | MID-COLUMBIA MEDICAL CENTER (MCMC) IS LOCATED IN THE DALLES, WASCO COUNTY, OREGON, POPULATION 25,426. 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 50,249. MEDIAN INCOMES AND ETHNIC DEMOGRAPHICS VARY BY GEOGRAPHIC LOCATION. 2013 CENSUS DATA SHOWS MEDIAN INCOMES RANGE FROM $38,774 TO $46,453. 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. 19% OF THE POPULATION IS BELOW THE POVERTY LEVEL, 22% OF THE POPULATION IS UNINSURED; OF ADULTS UNDER 65, 13% ARE DISABLED, 63% ARE WITH PUBLIC HEALTH INSURANCE AND 18% ARE UNINSURED.2013 TRUVEN HEALTH ANALYTICS DATA REPORTS THE CURRENT TOTAL POPULATION OF THE AREA IS EXPECTED TO INCREASE ABOUT 4% OVER THE NEXT FIVE YEARS, BUT NOT EQUALLY ACROSS COUNTIES. THE FIVE-YEAR PROJECTED GROWTH FOR THE HISPANIC/LATINO POPULATION IS 13%, MORE THAN FIVE TIMES PROJECTED GROWTH THAN ANY OTHER POPULATION. IT IS IMPORTANT TO NOTE THAT WITH THIS ESTIMATE THERE ARE A NUMBER OF UNDOCUMENTED PEOPLE WHO ARE INELIGIBLE FOR MANY PROGRAMS AND BENEFITS, PRESENTING ADDITIONAL CHALLENGES TO MEETING BASIC NEEDS AND PROVIDING ACCESS TO HEALTHCARE. WE CAN ANTICIPATE THAT A SIZEABLE PORTION OF THIS POPULATION WILL REMAIN UNINSURED.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 ALL LIVE. * TO EMPOWER PEOPLE TO BECOME PARTNERS IN THEIR HEALTHCARE.GUIDED BY THIS MISSION MCMC CONTINUES TO BE A SIGNIFICANT PARTNER CONTRIBUTING TO THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES:PREVENTION AND EDUCATIONADULT AND CHILDHOOD OBESITY* THE CENTER FOR MIND AND BODY MEDICINE AND MCMC DIETICIANS PARTNERED WITH LA NUESTRA COMUNIDAD SANA TO PROVIDE EXPERT INSTRUCTORS FOR A FAMILY WEIGHT LOSS PROGRAM (PASOS ADELANTE.) OVER 20 FAMILIES PARTICIPATED AND GRADUATED FROM THIS BENCHMARK PROGRAM ADDRESSING NUTRITION AND OBESITY IN THE HISPANIC/LATINO POPULATION, WITH SCHOLARSHIPS PROVIDED TO PARTICIPANTS UNABLE TO COVER THE EXPENSE OF THE PROGRAMMID-COLUMBIA MEDICAL CENTER HEALTH FAIR* 350 PEOPLE ATTENDED THE HEALTH FAIR, WITH 117 BLOOD DRAWS, 46 FLU SHOTS AND 75 BLOOD PRESSURE SCREENINGS PROVIDED FREE OF CHARGEPLANETREE HEALTH RESOURCE CENTER* IN ADDITION TO ISSUING THOUSANDS OF FREE INPATIENT ADMISSION PACKETS TO PATIENTS, PHRC PROVIDED 375 BLOOD PRESSURE SCREENINGS IN 2013* OVER 280 PEOPLE ATTENDED THE FREE PHRC LECTURE SERIES, WITH TOPICS RANGING FROM TREATMENT AND MANAGEMENT OF CHRONIC PAIN TO HEALTHY WEIGHT AND STRESS MANAGEMENT* OVER 7,700 HUNDRED COMMUNITY MEMBERS TOOK ADVANTAGE OF FREE SERVICES AT PHRCDIABETES* MCMC HAS A ROBUST DIABETES EDUCATION OUTREACH FOCUS PROVIDING EDUCATIONAL SESSIONS THROUGHOUT OUR COMMUNITY AND SERVICE AREA. IN 2013 OVER 200 COMMUNITY RESIDENTS ATTENDED PRESENTATIONS GIVEN THROUGHOUT OUR COMMUNITY. OUR ANNUAL DIABETES DISCOVERY DAY WAS ATTENDED BY OVER 225 PEOPLE FROM COMMUNITIES THROUGHOUT THE COLUMBIA GORGE. THIS FREE ANNUAL EVENT INCLUDED LECTURES BY PHYSICIANS, CERTIFIED DIABETES EDUCATORS AND DIETICIANS, WHO PRESENTED INFORMATION AND DEMONSTRATIONS ON THE LATEST RESEARCH, TREATMENTS, LIFESTYLE AND PREVENTION TIPS PROMOTING GOOD HEALTH FOR DIABETIC PATIENTS. FREE BLOOD SUGAR SCREENINGS WERE OFFERED BY MCMC LABORATORY STAFF AS WELL.POVERTY AND UNINSUREDALL FAMILY PRACTICE STAFF ACTIVELY PROMOTE HEALTHY KIDS OPTIONS, WHICH PROVIDES INSURANCE FOR ALL CHILDREN IN THE STATE OF OREGON. BROCHURES ARE AVAILABLE IN ENGLISH AND SPANISH AT ALL FAMILY PRACTICE OFFICES AND THE MCMC SCHOOL HEALTH NURSES DISTRIBUTE THAT INFORMATION IN THE LOCAL SCHOOLS. OUR PATIENT AND VISITOR SERVICES AND PATIENT ACCOUNTS DEPARTMENTS TAKE AN ACTIVE ROLE IN ASSISTING PATIENTS WITH COMPLETING APPLICATIONS FOR THE OREGON HEALTH PLAN. APPLICATIONS (IN ENGLISH AND SPANISH) ARE AVAILABLE AT REGISTRATION AND IN PATIENT ACCOUNTS. THIS APPLICATION PACKET OUTLINES THE PROCESS AND PROVIDES PHONE NUMBERS AND CONTACT INFORMATION. OTHER MEANINGFUL CONTRIBUTIONS IN THE YEAR 2013MCMC FAMILY PRACTICE PROVIDERS PROVIDED OVER 300 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 PRESCRIPTIONS, OVER THE COUNTER MEDICATIONS, VITAMIN/SUPPLEMENTS AND PET MEDICINES.MCMC PRODUCES A QUARTERLY HEALTH MAGAZINE 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 AT MAJOR MCMC AND OTHER COMMUNITY EVENTS* OVER 2,250 HOURS OF FREE INTERPRETATION SERVICES WERE PROVIDED TO ASSIST PATIENTS SEEKING CARE THROUGHOUT OUR ORGANIZATION AND TO ANY OTHER LOCAL HEALTH SERVICE PROVIDERS, REGARDLESS OF AFFILIATION WITH MCMC. MCMC ALSO IMPLEMENTED VIDEO REMOTE INTERPRETING TECHNOLOGY TO MEET ALL LANGUAGE NEEDS IN THE HOSPITAL 24/7.* SUBSIDY OF THE SCHOOL HEALTH SERVICES PROGRAM PROVIDES ADDITIONAL DIRECT SERVICE HOURS TO SERVE SPECIAL NEEDS STUDENTS IN THE LOCAL DISTRICT* 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 * OUR PRIMARY CARE CLINICS ARE ACTIVE PARTICIPANTS IN THE REACH OUT AND READ EARLY CHILDHOOD LITERACY PROGRAM, PROVIDING FREE BOOKS FOR PEDIATRIC PATIENTS SEEN IN OUR CLINICS* MCMC PARTNERS WITH BREAD AND BLESSINGS, CONTRIBUTING IN-KIND FOOD DONATIONS ON A MONTHLY BASIS. IN ADDITION, DEPARTMENTS/CLINICS AND INDIVIDUAL STAFF VOLUNTEER REGULARLY AT THE LOCAL COMMUNITY MEALS PROGRAM OVERSEEN BY ST. VINCENT DE PAUL SERVICES, BY PURCHASING, PREPARING AND SERVING FREE MEALS.SOCIAL DETERMINANTS OF HEALTHMCMC IS INVOLVED IN A VARIETY OF COMMUNITY AND COALITION BUILDING ACTIVITIES AND HEALTH ADVOCACY REGARDING SUCH SOCIAL DETERMINANTS OF HEALTH AS FOOD SECURITY, HOUSING AND TRANSPORTATION. THE NEWLY FORMED REGIONAL COMMUNITY ACTION COUNCIL WILL BE PRIORITIZING AN IMPLEMENTATION STRATEGY AROUND THESE TOPICS BEGINNING IN 2014; MCMC WILL BE A PRIMARY PARTNER IN THOSE EFFORTS. |
| 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 (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 |
| CONFLUENCES INC | |||||||
| 1701 BROADWAY 144 | VANCOUVER | WA | 98663 | 753008926 | 501(C)(3) | $17,748 | COLUMBIA RIVER ART, NATURAL RESOURCE PRESERVATION, HERITAGE AND TOURISM CORRIDOR |
| CIVIC AUDITORIUM HISTORIC PRESERVATION FOUNDATION | |||||||
| 323 E FOURTH STREET | THE DALLES | OR | 97058 | 300589189 | 501(C)(3) | $10,000 | PRESERVATION OF COMMUNITY RESOURCE |
| MID-COLUMBIA HEALTH FOUNDATION | |||||||
| 1700 E 19TH STREET | THE DALLES | OR | 97058 | 930854433 | 501(C)(3) | $487,275 | OPERATING EXPENSES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | 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 (10 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 | ||||||||||||||
| CHAIR | $168,061 | $0 | $61,005 | $0 | $0 | $0 | $11,682 | $0 | $14,346 | $0 | $255,094 | $0 | $0 | $0 |
| DUANE FRANCIS | ||||||||||||||
| PRESIDENT & CEO | $0 | $568,607 | $0 | $35,525 | $0 | $0 | $0 | $114,705 | $0 | $32,998 | $0 | $751,835 | $0 | $0 |
| DONALD ARBON | ||||||||||||||
| CFO & VP FINANCE | $0 | $221,294 | $0 | $525 | $0 | $0 | $0 | $11,310 | $0 | $14,894 | $0 | $248,023 | $0 | $0 |
| REGINA ROSE | ||||||||||||||
| VP CHIEF NURSING OFFICER | $172,836 | $0 | $25 | $0 | $0 | $0 | $8,988 | $0 | $15,722 | $0 | $197,571 | $0 | $0 | $0 |
| WILLIAM HAMILTON MD | ||||||||||||||
| VP MEDICAL AFFAIRS | $363,742 | $0 | $525 | $0 | $0 | $0 | $12,750 | $0 | $15,824 | $0 | $392,841 | $0 | $0 | $0 |
| XINYU FU | ||||||||||||||
| PHYSICIAN | $409,417 | $0 | $25 | $0 | $0 | $0 | $12,750 | $0 | $16,020 | $0 | $438,212 | $0 | $0 | $0 |
| JOHN SCHWARTZ | ||||||||||||||
| PHYSICIAN | $551,043 | $0 | $35,025 | $0 | $0 | $0 | $12,750 | $0 | $10,562 | $0 | $609,380 | $0 | $0 | $0 |
| NATHAN ULLRICH | ||||||||||||||
| PHYSICIAN | $366,685 | $0 | $25 | $0 | $0 | $0 | $12,900 | $0 | $13,520 | $0 | $393,130 | $0 | $0 | $0 |
| GARY GINGRICH | ||||||||||||||
| PHYSICIAN | $498,876 | $0 | $19,209 | $0 | $0 | $0 | $12,750 | $0 | $11,762 | $0 | $542,597 | $0 | $0 | $0 |
| MARK CULLEN | ||||||||||||||
| PHYSICIAN | $581,269 | $0 | $25 | $0 | $0 | $0 | $11,906 | $0 | $14,580 | $0 | $607,780 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | DUANE FRANCIS - $101,955 |
| PART I, LINE 6 | THE INCENTIVE COMPENSATION PLAN OF $80,164 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
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 | $60,446 | EMPLOYMENT | 0 |
| VICKI WOLF | |||
| SPOUSE OF WALLACE WOLF, JR., D.V.M., DIRECTOR | $60,367 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: | DECREASE IN RESTRICTED NET ASSETS -56,000. WRITE-OFF OF PAYABLE DUE TO AFFILIATE 150,000. |
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MID-COLUMBIA HEALTH FOUNDATION | ||||||||||
| 1700 E 19TH STREET | THE DALLES | OR | 97058 | 930854433 | SUPPORT MID-COLUMBIA MEDICAL CENTER | OR | 501(C)(3) | 7 | HEALTH CARE FOR THE MID-COLUMBIA REGION | 0 |
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||||||||||
| 1700 E 19TH STREET | THE DALLES | OR | 97058 | 930847905 | HEALTH CARE SERVICES | OR | 501(C)(3) | 3 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10210 194TH ST E101 | AddressLine1 |
| City | GRAHAM | City |
| State | WA | State |
| ZIP Code | 98338 | ZIPCode |
| 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 | $183,856 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $3,761,109 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 EAST 19TH STREET | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930631350 | EIN |
| Primary Activities | RENTAL BUILDING | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH CARE FOR THE MID-COLUMBIA REGION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MID-COLUMBIA HEALTH FOUNDATION | ||
| B | $5,000 | GRANTS PAID |
| MID-COLUMBIA HEALTH FOUNDATION | ||
| C | $113,787 | GRANTS RECEIVED |
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||
| E | $31,647 | PAYABLES TO RELATED PARTY |
| MID-COLUMBIA HEALTH FOUNDATION | ||
| E | $2,439 | LOANS FROM RELATED PARTY |
| DRY HOLLOW PROFESSIONAL CENTER | ||
| E | $82,196 | PAYABLES TO RELATED PARTY |
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||
| K | $137,099 | RENTAL AGREEMENT |
| LONE PINE HEALTH & WELLNESS CENTER | ||
| K | $1,522,000 | RENTAL AGREEMENT |
| DRY HOLLOW PROFESSIONAL CENTER | ||
| K | $134,346 | RENTAL AGREEMENT |
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||
| M | $1,500,000 | MANAGEMENT CONTRACT |
| MID-COLUMBIA HEALTH FOUNDATION | ||
| O | $301,350 | EMPLOYEE GROSS PAY |
| MID-COLUMBIA HEALTH FOUNDATION | ||
| P | $185,925 | ACTUAL EXPENSES |
| MID-COLUMBIA HEALTH FOUNDATION | ||
| S | $113,787 | ACTUAL EXPENSES |
| LONE PINE HEALTH & WELLNESS CENTER | ||
| D | $2,250,000 | LOAN GUARANTEE |
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||
| S | $150,000 | WRITE-OFF RECEIVABLE |