MID-COLUMBIA MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MID-COLUMBIA MEDICAL CENTER (EIN 93-0386936)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201333189349308243
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T17:31:52-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930418710 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAP LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930386936 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-COLUMBIA MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MID- | NameControl |
| Phone | 5412961111 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DUANE FRANCIS | Name |
| Title | CEO | Title |
| Phone | 5412961111 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WESLEY B HANSEN | Name |
| PTIN | P00226581 | PTIN |
| Phone | 5036974118 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DUANE FRANCIS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 104585374 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MCMC.NET | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1115 | TotalNbrEmployees |
| Total Nbr Volunteers | 190 | TotalNbrVolunteers |
| Total Gross UBI | 40632 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -169 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 254973 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 122949 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 102147973 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 99323908 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 47588 | InvestmentIncomePriorYear |
| Investment Income Current Year | 55392 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4023480 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5083125 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 106474014 | TotalRevenuePriorYear |
| Total Revenue Current Year | 104585374 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 71490 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 24598 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 60174642 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 61228232 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 42773432 | OtherExpensePriorYear |
| Other Expenses Current Year | 42373639 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 103019564 | TotalExpensesPriorYear |
| Total Expenses Current Year | 103626469 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3454450 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 958905 | RevenuesLessExpensesCY |
| Total Assets BOY | 54284002 | TotalAssetsBOY |
| Total Assets EOY | 55256149 | TotalAssetsEOY |
| Total Liabilities BOY | 23747668 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 23949062 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 30536334 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 31307087 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 96399624 | Expense |
| Grants | 24598 | Grants |
| Revenue | 103503307 | Revenue |
| Description | ACUTE HOSPITAL CARE: INPATIENT DAYS 7,091 INPATIENT REHAB DAYS 908, OUTPATIENT OBSERVATION DAYS 1,345, LABORATORY TESTS 197,992, IMAGING TESTS 28,388, HOME HEALTH EPISODES 1,556, EMERGENCY VISITS 15,968, ENDOSCOPY VISTIS 1,128, MEDICAL ONCOLOGY 9,523, OUTPATIENT SURGERIES 1,916, RADIATION ONCOLOGY OUTPATIENT PROCEDURES 9,927, TOTAL HOSPITAL OUTPATIENT VISITS 120,597 AND TOTAL OUTPATIENT CLINIC VISITS 72,604.SEE SCHEDULE H FOR NARRATIVE OF PROGRAM SERVICE ACCOMPLISHMENTS. | Description |
| Total Program Service Expense | 96399624 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 145 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1115 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-COLUMBIA MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5412961111 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CARINA SCHMIDT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| GRETCHEN KIMSEY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DAN BOLDT | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT L R BAILEY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| WALLACE WOLF JR DVM | ||||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | |||
| PAUL CARDOSI | ||||||||
| VICE CHAIR | 50.00 | X | 179917 | 0 | 27258 | |||
| DUANE FRANCIS | ||||||||
| PRESIDENT & CEO | 50.00 | X | 0 | 531187 | 143048 | X | ||
| ROB CARNAHAN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DONALD ARBON | ||||||||
| CFO & VP FINANCE | 50.00 | 0 | 229531 | 29568 | X | |||
| REGINA ROSE | ||||||||
| VP - CHIEF NURSING OFFICER | 50.00 | 178233 | 0 | 26540 | X | |||
| WILLIAM HAMILTON | ||||||||
| VP - MEDICAL AFFAIRS | 50.00 | 341283 | 0 | 32079 | X | |||
| XINYU FU | ||||||||
| PHYSICIAN | 50.00 | 402619 | 0 | 36582 | X | |||
| JOHN SCHWARTZ | ||||||||
| PHYSICIAN | 50.00 | 550311 | 0 | 31237 | X | |||
| CARL SCHWARTZ | ||||||||
| PHYSICIAN | 50.00 | 385275 | 0 | 28793 | X | |||
| NATHAN ULLRICH | ||||||||
| PHYSICIAN | 50.00 | 365005 | 0 | 29132 | X | |||
| GARY GINGRICH | ||||||||
| PHYSICIAN | 50.00 | 537675 | 0 | 28679 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2940318 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 760718 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 412916 | TotalOtherCompensation |
| Number Individuals GT100 K | 78 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RADIATION ONCOLOGISTS PC | |||||
| 1400 NW IRVING ST SUITE 527 | PORTLAND | OR | 97209 | ONCOLOGY PROFESSIONAL SERVICES | 928017 |
| CORESOURCE INC | |||||
| PO BOX 83301 | LANCASTER | PA | 17608 | HEALTH INSURANCE - CLAIMS PROCESSOR | 713058 |
| LOCUMTENENSCOM LLC | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | ANESTHESIOLOGY | 637309 |
| QUEST DIAGNOSTICS | |||||
| 3 GIRALDA FARMS | MADISON | NJ | 07940 | LAB SERVICES | 425185 |
| PATRICK GRIMSLEY DO | |||||
| 1700 E 19TH ST | THE DALLES | OR | 97058 | ER PHYSICIAN | 379931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Related Organizations | 108059 | RelatedOrganizations |
| Government Grants | 14890 | GovernmentGrants |
| Total Contributions | 122949 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID PMNTS | 900099 | 120689216 | 120689216 |
| HOSPITAL REVENUE | 900099 | 54767734 | 54767734 |
| CLINIC REVENUE | 900099 | 14779430 | 14779430 |
| LESS:CHARITY CARE | 900099 | -6204819 | -6204819 |
| LESS:CONTRACTUALS-HOSP | 900099 | -84707653 | -84707653 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 99323908 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 55392 | TotalRevenueColumn |
| Exclusion | $55,392 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| DAYCARE | 624410 | 475562 | $475,562 | |
| CAFETERIA | 722100 | 420591 | $420,591 | |
| LAUNDRY | 812300 | 40632 | 40632 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4146340 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4146340 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5083125 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 104585374 | TotalRevenueColumn |
| Related Or Exempt Function Income | 103470248 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 40632 | UnrelatedBusinessRevenue |
| Exclusion | $951,545 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24598 | Total |
| Program Services | 24598 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 878470 | Total |
| Program Services | 207175 | ProgramServices |
| Management And General | 671295 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49136054 | Total |
| Program Services | 46945517 | ProgramServices |
| Management And General | 2190537 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2217438 | Total |
| Program Services | 2139903 | ProgramServices |
| Management And General | 77535 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5598976 | Total |
| Program Services | 5185353 | ProgramServices |
| Management And General | 413623 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3397294 | Total |
| Program Services | 3146320 | ProgramServices |
| Management And General | 250974 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1500000 | Total |
| Management And General | 1500000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 219086 | Total |
| Management And General | 219086 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126000 | Total |
| Management And General | 126000 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4220938 | Total |
| Program Services | 4100777 | ProgramServices |
| Management And General | 120161 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 621615 | Total |
| Program Services | 554341 | ProgramServices |
| Management And General | 67274 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2851184 | Total |
| Program Services | 2756300 | ProgramServices |
| Management And General | 94884 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 747542 | Total |
| Program Services | 698464 | ProgramServices |
| Management And General | 49078 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 11221406 | 11137210 | 84196 |
| PURCHASED SERVICES | 5548654 | 4733078 | 815576 |
| MEDICAL PROF. FEES | 5465550 | 5369125 | 96425 |
| BAD DEBT EXPENSE | 5175236 | 5175236 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4676428 | Total |
| Program Services | 4226227 | ProgramServices |
| Management And General | 450201 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103626469 | Total |
| Program Services | 96399624 | ProgramServices |
| Management And General | 7226845 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9641349 | BOY |
| EOY | 14394895 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12437320 | BOY |
| EOY | 11768882 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1624701 | BOY |
| EOY | 1533975 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1349038 | BOY |
| EOY | 1325501 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 61887406 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 44504059 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17814836 | BOY |
| EOY | 17383347 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11416758 | BOY |
| EOY | 8849549 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54284002 | BOY |
| EOY | 55256149 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8542141 | BOY |
| EOY | 8368939 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10915152 | BOY |
| EOY | 11028431 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4290375 | BOY |
| EOY | 4551692 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23747668 | BOY |
| EOY | 23949062 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30256427 | BOY |
| EOY | 31081921 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 279907 | BOY |
| EOY | 225166 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30536334 | BOY |
| EOY | 31307087 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54284002 | BOY |
| EOY | 55256149 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 958905 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -85959 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -102193 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1260381 | BeginningOfYearBalance |
| Contributions | 281874 | Contributions |
| Investment Earnings Or Losses | 31232 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 328926 | GrantsOrScholarships |
| End Of Year Balance | 1244561 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1278290 | BeginningOfYearBalance |
| Contributions | 413749 | Contributions |
| Investment Earnings Or Losses | 6603 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 438261 | GrantsOrScholarships |
| End Of Year Balance | 1260381 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 357664 | BeginningOfYearBalance |
| Contributions | 32657 | Contributions |
| Investment Earnings Or Losses | 402 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 23127 | GrantsOrScholarships |
| End Of Year Balance | 367596 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 358543 | BeginningOfYearBalance |
| Contributions | 13818 | Contributions |
| Investment Earnings Or Losses | 890 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 15587 | GrantsOrScholarships |
| End Of Year Balance | 357664 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 347617 | BeginningOfYearBalance |
| Contributions | 10659 | Contributions |
| Investment Earnings Or Losses | 6106 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 5839 | GrantsOrScholarships |
| End Of Year Balance | 358543 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.62410 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.29300 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.08290 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 562933 | OtherCostOrOtherBasis |
| Book Value | 562933 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12855187 | OtherCostOrOtherBasis |
| Depreciation | 8474315 | Depreciation |
| Book Value | 4380872 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4013320 | OtherCostOrOtherBasis |
| Depreciation | 1140749 | Depreciation |
| Book Value | 2872571 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44151804 | OtherCostOrOtherBasis |
| Depreciation | 34888995 | Depreciation |
| Book Value | 9262809 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 304162 | OtherCostOrOtherBasis |
| Book Value | 304162 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 17383347 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 3555685 |
| BOARD DESIGNATED ASSETS - CASH & MONEY MARKET | 1513869 |
| BOARD DESIGNATED ASSETS - CERTIFICATES OF DEPOSIT | 348310 |
| BOARD DESIGNATED ASSETS - MUTUAL FUNDS | 3130361 |
| BOARD DESIGNATED ASSETS - ACCRUED INTEREST RECEIVABLE | 1225 |
| INTEREST IN NET ASSETS OF MC FOUNDATION | 225166 |
| DUE FROM AFFILIATE | 74933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 8849549 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASES | $838,732 |
| OTHER LIABILITIES | $2,352,787 |
| SETTLEMENT RESERVES | $653,218 |
| DEFERRED COMPENSATION | $706,955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4551692 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 99370615 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -5124869 | OtherRevenues |
| Revenue Not Rptd F990 | -5124869 | RevenueNotRptdF990 |
| Revenue Subtotal | 104495484 | RevenueSubtotal |
| Other Revenues Not Included | 89890 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 89890 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 104585374 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 98287466 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 247452 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 247452 | ExpensesNotRptdF990 |
| Expenses Subtotal | 98040014 | ExpensesSubtotal |
| Other Expenses Not Included | 5586455 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 5586455 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 103626469 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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, 2012 AND 2011. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT - INCLUDED AS REVENUE ON THE FINANCIAL STATEMENTS -5,124,869. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RESTRICTED CONTRIBUTIONS FROM MID-COLUMBIA HEALTH FOUNDATION 89,890. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FMV OF INTEREST RATE SWAP AGREEMENT 247,452. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PAYMENTS TO MID-COLUMBIA HEALTH FOUNDATION FOR OPERATIONS 461,586. BAD DEBT - INCLUDED AS REVENUE ON THE FINANCIAL STATEMENTS 5,124,869. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Tailored To Ind Hospitals | X | PolicyTailoredToIndHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 150.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3258938 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3258938 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03140 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11185174 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7638330 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3546844 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03420 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14444112 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7638330 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6805782 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06560 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 521098 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2940 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 518158 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 488520 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 488480 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3453778 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3442162 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11616 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21542 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4246 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17296 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 740347 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 63725 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 676622 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5225285 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3513113 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1712172 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01650 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19669397 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11151443 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8517954 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08210 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 208624 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 3936 | DirectOffsettingRevenue |
| Net Community Building Expense | 204688 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 231610 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 231610 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2882 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2882 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 443116 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 3936 | DirectOffsettingRevenue |
| Net Community Building Expense | 439180 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,555,305 | BadDebtExpenseAmount |
| Amount Attributable To | 34316 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 29057584 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 30101560 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1043976 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership |
|---|---|
| 1 LONE PINE HEALTH & WELLNESS CENTER | |
| MANAGE MEDICAL BUILDING/PROPERTY | 0.30000 |
| 2 HEALTH FUTURE LLC | |
| HEALTHCARE, BENEFITS, AND ADMINISTRATIVE SERVICES PROVIDER | 0.14290 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 6 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther | Facility Reporting GroupFacilityReportingGroup |
|---|---|---|---|---|---|---|---|---|---|
| MID-COLUMBIA MEDICAL CENTER | |||||||||
| 1 | 1700 E 19TH STREET | THE DALLES | OR | 97058 | X | X | X | ||
| COLUMBIA HILLS FAMILY MEDICINE - RHC | |||||||||
| 2 | 1620 E 12TH STREET | THE DALLES | OR | 97058 | RURAL HEALTH CLINIC | A | |||
| INTERNAL MEDICINE CLINIC - RHC | |||||||||
| 3 | 1815 E 19TH STREET | THE DALLES | OR | 97058 | RURAL HEALTH CLINIC | A | |||
| WATER'S EDGE CLINICS | |||||||||
| 4 | 551 LONE PINE BLVD | THE DALLES | OR | 97058 | RURAL HEALTH CLINIC | A | |||
| INTERNAL MEDICINE CLINIC - RHC | |||||||||
| 5 | 1825 E 19TH STREET | THE DALLES | OR | 97058 | RURAL HEALTH CLINIC | A | |||
| COLUMBIA CREST CLINIC | |||||||||
| 6 | 1935 E 19TH STREET | THE DALLES | OR | 97058 | RURAL HEALTH CLINIC | A | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Permit Other ActionsPermitOtherActions | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MID-COLUMBIA MEDICAL CENTER | |||||||||||||||||||||||||||
| 1 | 1 | 1 | 150.000000000000 | 1 | 150.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 | X | 0 | 0 | ||
| MID-COLUMBIA OUTPATIENT CLINICS | |||||||||||||||||||||||||||
| 7 | 1 | 1 | 150.000000000000 | 1 | 150.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | 0 | 0 | 1 | X | 0 | 0 | X | X | |||||
Form990 Schedule H Part VI Form990ScheduleHPartVI (25 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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: NUMBERS INCLUDE 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.$3,442,162 HOME HEALTH REVENUES$3,453,778 HOME HEALTH OPERATING EXPENSES$11,616 NET LOSSCOMMUNITY BENEFIT: MID-COLUMBIA MEDICAL CENTER ("MCMC") IS THE SOLE PROVIDER OF VISITING HOME HEALTH SERVICES IN A FIVE-COUNTY RANGE; WITHOUT OUR SERVICES THERE WOULD BE NO IN-HOME CARE IN THE COMMUNITIES WE SERVE. | ||
| PART II: MCMC PROMOTES THE HEALTH OF THE COMMUNITIES WE SERVE BY PARTICIPATING IN REGIONAL EMERGENCY PREPAREDNESS PROGRAMS (H1N1, 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 PATIENT'S ABILITY TO PAY. | ||
| PART III, LINE 9B: IN CASES WHERE A PATIENT HAS QUALIFIED FOR FULL OR PARTIAL CHARITY CARE, THAT AMOUNT IS WRITTEN DOWN IN THE PATIENT ACCOUNT AND NO ATTEMPT IS MADE TO COLLECT THE AMOUNT WRITTEN DOWN. | ||
| PART V, SECTION B, LINE 14G: CHARGES ARE SHOWN ON THE OREGON PRICE POINT WEBSITE; POLICY IS DISCUSSED WITH PATIENTS WHEN THEY BRING UP FINANCIAL NEED. | MID-COLUMBIA MEDICAL CENTER | |
| PART V, SECTION B, LINE 16E: REPORT ONLY TO THIRD PARTY COLLECTION AGENCY: ASSET RECOVERY | MID-COLUMBIA MEDICAL CENTER | |
| PART V, SECTION B, LINE 20D: DISCOUNTS OF 10% TO 20% ARE OFFERED ON THE SELF-PAY PORTION ON ANY HOSPITAL 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. | MID-COLUMBIA MEDICAL CENTER | |
| PART VI, LINE 2: BOARD AND SENIOR EXECUTIVE LEADERSHIP ARE ACTIVELY INVOLVED IN PRIORITIZATION OF COMMUNITY INITIATIVES. A FULL-TIME DIRECTOR OVERSEES PROJECT DEVELOPMENT AND IMPLEMENTATION OF INSTITUTIONAL PROGRAMS AND ACTS AS THE PRIMARY LIAISON IN COMMUNITY COLLABORATIONS.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. THESE PARTNERS INCLUDE THE NORTHERN CENTRAL PUBLIC HEALTH DEPARTMENT, WASCO COUNTY COMMISSION ON CHILDREN AND FAMILIES, THE CITY OF THE DALLES VISION ACTION PLAN AND WASCO COUNTY EMERGENCY FOOD BANKS AND COLUMBIA GORGE HEALTH COUNCIL. OREGON STATE DATA IS ALSO REVIEWED INCLUDING COUNTY SPECIFIC INCIDENCE OF CHRONIC DISEASE, YOUTH AND ADULT RISK BEHAVIOR SURVEYS AND COUNTY SPECIFIC MORBIDITY AND MORTALITY RATES.THIS INFORMATION IS THEN REVIEWED BY THE MEMBERS OF THE HOSPITAL OPERATIONS MANAGEMENT TEAM. DISCUSSION AND RECOMMENDATION OF COMMUNITY BENEFIT FOCUS AREAS CENTER AROUND FIVE KEY COMPONENTS: ALIGNMENT WITH THE ORGANIZATIONS 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 FOR THE ISSUE.ISSUES OF IMPORTANCE IN OUR COMMUNITY INCLUDE CHRONIC ILLNESS, PRIMARILY DIABETES, HIGH CHOLESTEROL, HYPERTENSION AND OBESITY ALL OF WHICH ALIGN WITH OUR CORE ORGANIZATIONAL FOCUS. KEY COMMUNITY PARTNER FOCUS AREAS INCLUDE CHILD ABUSE, TEEN PREGNANCY, READINESS TO LEARN AND ALCOHOL AND TOBACCO USE IN MIDDLE AND HIGH SCHOOL STUDENT POPULATIONS. PLEASE SEE BELOW FOR HIGHLIGHTED PROGRAMS AND SERVICES ADDRESSING THESE AND OTHER GENERAL COMMUNITY HEALTH ISSUES DURING 2012. | ||
| 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/SPANISH VERSIONS AT ALL FAMILY PRACTICE OFFICES AND THE SCHOOL HEALTH NURSES PROVIDE THAT INFORMATION TO THE LOCAL SCHOOLS AS WELL.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 25,487. 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 49,871. MEDIAN INCOMES AND ETHNIC DEMOGRAPHICS VARY BY GEOGRAPHIC LOCATION. 2012 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, 5% AMERICAN INDIAN/ALASKA NATIVE AND 2% 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.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 EDUCATIONIN IN 2012, MID-COLUMBIA MEDICAL CENTER ONCE AGAIN PLAYED A KEY ROLE IN PARTNERING WITH THOSE IN OUR COMMUNITY SEEKING TO IMPROVE/ENHANCE THEIR HEALTH THROUGH LIFESTYLE CHANGES AND CHOICES. THESE ARE JUST SOME OF THE HIGHLIGHTS OF PROGRAMS MCMC SPONSORED FOR THE COMMUNITIES WE SERVE:OBESITYTHE 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 PROGRAM.HYPERTENSIONMORE THAN 275 BLOOD PRESSURE CHECKS AND AN ARRAY OF OTHER SCREENINGS WERE PERFORMED AT THE 2012 MCMC HEALTH FAIRBLOOD PRESSURE CHECKS ARE AVAILABLE DAILY AT THE PLANETREE HEALTH RESOURCE LIBRARY; OVER 70 CHECKS WERE DONE IN 2012.DIABETESDIABETES DISCOVERY DAY OVER 150 PEOPLE FROM COMMUNITIES THROUGHOUT THE COLUMBIA GORGE ATTENDED AND WERE SCREENED AT THE DIABETES DISCOVERY DAY, A FREE ANNUAL EVENT SPONSORED BY MCMC, WHICH 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.HEART DISEASE/HIGH CHOLESTEROLMCMC SPONSORS AN ANNUAL GO RED FOR WOMEN DAY WHICH PROVIDED INFORMATION ON HEART DISEASE, NUTRITION FOR HEALTHY HEARTS, BMI SCREENING, BLOOD PRESSURE CHECKS AND OVERALL HEART HEALTH EDUCATION TO OVER 500 COMMUNITY MEMBERS.CHILD ABUSESUBSIDY OF THE FAMILIES FIRST HOME VISITING PROGRAM, WHICH PROVIDED INTENSIVE PARENTING SUPPORT FOR FAMILIES AT RISK FOR CHILD ABUSE, PROVIDED FUNDS FOR AN ADDITIONAL FULL TIME EMPLOYEE ELIMINATING ANY WAITING LIST FOR FAMILIES REQUESTING THIS PROGRAM. OUR CONTINUED SUPPORT OF THIS PROGRAM HAS RESULTED IN A FOUR-YEAR TREND OF DECREASED CHILD ABUSE RATES IN WASCO COUNTY.OTHER225 INDIVIDUALS ATTENDED PLANETREE HEALTH RESOURCE CENTERS (PHRC) POPULAR FREE LECTURE SERIES AND AN ADDITIONAL 7,800 RESIDENTS VISITED THE CENTER IN DOWNTOWN THE DALLES TO TAKE ADVANTAGE OF ITS VAST COLLECTION OF CONSUMER HEALTH INFORMATION.THE MCMC/ WATERS EDGE HEALTH AND WELLNESS FAIR PROVIDES AN OPPORTUNITY FOR COMMUNITY RESIDENTS TO LEARN ABOUT HEALTH SERVICES IN THE AREA, MEET PROVIDERS, BE EDUCATED ON HEALTHY NUTRITION, CHILDRENS' HEALTH ISSUES, BREAST HEALTH AND CANCER PREVENTION AND RECEIVE FOCUSED INFORMATION ON VARIOUS TOPICS SELECTED ANNUALLY. BLOOD PRESSURE, DEPRESSION, BMI SCREENING AND DISCOUNTED LAB TESTS ARE OFFERED IN AN EFFORT TO IDENTIFY HEALTH ISSUES WHICH COULD IMPACT A HEALTHY LIFESTYLE.CAR SEAT EVALUATIONS, BIKE HELMET PROGRAMS AND TRAUMA NURSES "TALK TOUGH" SESSIONS ARE OFFERED ANNUALLY AT MAJOR MCMC AND COMMUNITY EVENTS.MCMC FAMILY PRACTICE PROVIDERS PROVIDED OVER 300 FREE SPORTS PHYSICALS TO NORTHERN WASCO COUNTY SCHOOL DISTRICT 21 STUDENTS IN MIDDLE AND HIGH SCHOOL.MCMC PRODUCES A QUARTERLY HEALTH MAGAZINE, WELL AWARE, WHICH IS DISTRIBUTED TO OVER 17,000 HOUSEHOLDS THROUGHOUT THE SURROUNDING COMMUNITY, AT A COST OF APPROXIMATELY $62,000.PROVIDES THE SERVICES OF A SPORTS MEDICINE SPECIALIST AT NORTHERN WASCO COUNTY SCHOOL DISTRICT 21, AS WELL AS SHERMAN AND KLICKITAT COUNTY ATHLETIC EVENTS IN THE EVENT OF ON-THE-FIELD INJURIES.PROVIDES AND SUBSIDIZES EMT (EMERGENCY MEDICAL TECHNICIAN) MENTORING AND TRAINING FOR SEVERAL NEIGHBORING COUNTIES.ANNUAL COMMUNITY DRUG-TAKE BACK: MID-COLUMBIA MEDICAL CENTER, IN PARTNERSHIP WITH LOCAL LAW ENFORCEMENT, YOUTHTHINK AND TRI-COUNTY HAZARDOUS WASTE & RECYCLING, OFFERS FREE DROP-OFF OF HOUSEHOLD PRESCRIPTION, OVER THE COUNTER, VITAMIN/SUPPLEMENTS AND PET MEDICINES.MCMC FACILITATES A VARIETY OF SUPPORT GROUPS OPEN TO THE COMMUNITY ON A REGULAR BASIS, INCLUDING- MONTHLY DIABETES SUPPORT GROUP FACILITATION - MONTHLY STROKE CLUB - MONTHLY FAMILY SUPPORT CLASSES - HEALTHY WEIGHT SOLUTIONS - MONTHLY PROSTATE CANCER SUPPORT GROUP- REACH FOR RECOVERY BREAST CANCER SUPPORT GROUPMEANINGFUL CONTRIBUTIONS IN THE YEAR 2012OVER 2,100 HOURS OF FREE INTERPRETIVE SERVICES WERE PROVIDED TO ASSIST PATIENTS SEEKING CARE THROUGHOUT OUR ORGANIZATION AND TO ANY OTHER LOCAL HEALTH SERVICE PROVIDER, REGARDLESS OF AFFILIATION WITH MCMC.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, CHILD CARE PROVIDERS, RADIOLOGICAL TECHNICIANS, NURSES AND RURAL HEALTH EMS PROVIDERS.IN ADDITION, MCMC IS INVOLVED IN A VARIETY OF COMMUNITY AND COALITION BUILDING ACTIVITIES AND HEALTH ADVOCACY THROUGH ITS PARTICIPATION IN LOCAL AND STATE BOARDS. THROUGH THESE AND MANY ONGOING ACTIVITIES, MID-COLUMBIA MEDICAL CENTER CONTINUES WORKING FOR HEALTHIER COMMUNITIES. | ||
| OR | REPORTS FILED WITH STATES | PART VI, LINE 7 |
| SEE BELOW | PART V, LINE 8 FACILITY REPORTING GROUP A | |
| THE POLICY IS DISCUSSED WITH PATIENTS WHEN THEY BRING UP FINANCIAL NEED. | FACILITY 2 -- COLUMBIA HILLS FAMILY MEDICINE - RHC | PART V, SECTION B, LINE 14G: |
| DISCOUNTS OF 10-20% ARE OFFERED ON THE SELF-PAY PORTION ON ANY 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. | FACILITY 2 -- COLUMBIA HILLS FAMILY MEDICINE - RHC | PART V, SECTION B, LINE 20D: |
| THE POLICY IS DISCUSSED WITH PATIENTS WHEN THEY BRING UP FINANCIAL NEED. | FACILITY 3 -- INTERNAL MEDICINE CLINIC - RHC | PART V, SECTION B, LINE 14G: |
| DISCOUNTS OF 10-20% ARE OFFERED ON THE SELF-PAY PORTION ON ANY 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. | FACILITY 3 -- INTERNAL MEDICINE CLINIC - RHC | PART V, SECTION B, LINE 20D: |
| THE POLICY IS DISCUSSED WITH PATIENTS WHEN THEY BRING UP FINANCIAL NEED. | FACILITY 4 -- WATER'S EDGE CLINICS | PART V, SECTION B, LINE 14G: |
| DISCOUNTS OF 10-20% ARE OFFERED ON THE SELF-PAY PORTION ON ANY 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. | FACILITY 4 -- WATER'S EDGE CLINICS | PART V, SECTION B, LINE 20D: |
| THE POLICY IS DISCUSSED WITH PATIENTS WHEN THEY BRING UP FINANCIAL NEED. | FACILITY 5 -- INTERNAL MEDICINE CLINIC - RHC | PART V, SECTION B, LINE 14G: |
| DISCOUNTS OF 10-20% ARE OFFERED ON THE SELF-PAY PORTION ON ANY 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. | FACILITY 5 -- INTERNAL MEDICINE CLINIC - RHC | PART V, SECTION B, LINE 20D: |
| THE POLICY IS DISCUSSED WITH PATIENTS WHEN THEY BRING UP FINANCIAL NEED. | FACILITY 6 -- COLUMBIA CREST CLINIC | PART V, SECTION B, LINE 14G: |
| DISCOUNTS OF 10-20% ARE OFFERED ON THE SELF-PAY PORTION ON ANY 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. | FACILITY 6 -- COLUMBIA CREST CLINIC | PART V, SECTION B, LINE 20D: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| MID-COLUMBIA HEALTH FOUNDATION | |||||||
| 1700 E 19TH STREETS | THE DALLES | OR | 97058 | 930854433 | 501(C)(3) | 5000 | TO PROVIDE FUNDS FOR SCHOLARSHIPS. |
| CONFLUENCES INC | |||||||
| 1701 BROADWAY 144 | VANCOUVER | WA | 98663 | 753008926 | 501(C)(3) | 12500 | COLUMBIA RIVER ART, NATURAL RESOURCE PRESERVATION, HERITAGE AND TOURISM CORRIDOR. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL CARDOSI | ||||||||||||||
| VICE CHAIR | 165510 | 0 | 1007 | 0 | 13400 | 0 | 9735 | 0 | 17523 | 0 | 207175 | 0 | 0 | 0 |
| DUANE FRANCIS | ||||||||||||||
| PRESIDENT & CEO | 0 | 530662 | 0 | 525 | 0 | 0 | 93160 | 15000 | 0 | 34888 | 93160 | 581075 | 0 | 0 |
| DONALD ARBON | ||||||||||||||
| CFO & VP FINANCE | 0 | 229006 | 0 | 525 | 0 | 0 | 0 | 13640 | 0 | 15928 | 0 | 259099 | 0 | 0 |
| REGINA ROSE | ||||||||||||||
| VP - CHIEF NURSING OFFICER | 178208 | 0 | 25 | 0 | 0 | 0 | 10674 | 0 | 15866 | 0 | 204773 | 0 | 0 | 0 |
| WILLIAM HAMILTON | ||||||||||||||
| VP - MEDICAL AFFAIRS | 340758 | 0 | 525 | 0 | 0 | 0 | 15000 | 0 | 17079 | 0 | 373362 | 0 | 0 | 0 |
| XINYU FU | ||||||||||||||
| PHYSICIAN | 402594 | 0 | 25 | 0 | 0 | 0 | 15000 | 0 | 21582 | 0 | 439201 | 0 | 0 | 0 |
| JOHN SCHWARTZ | ||||||||||||||
| PHYSICIAN | 550286 | 0 | 25 | 0 | 0 | 0 | 15000 | 0 | 16237 | 0 | 581548 | 0 | 0 | 0 |
| CARL SCHWARTZ | ||||||||||||||
| PHYSICIAN | 385250 | 0 | 25 | 0 | 0 | 0 | 15000 | 0 | 13793 | 0 | 414068 | 0 | 0 | 0 |
| NATHAN ULLRICH | ||||||||||||||
| PHYSICIAN | 364980 | 0 | 25 | 0 | 0 | 0 | 11150 | 0 | 17982 | 0 | 394137 | 0 | 0 | 0 |
| GARY GINGRICH | ||||||||||||||
| PHYSICIAN | 537650 | 0 | 25 | 0 | 0 | 0 | 15000 | 0 | 13679 | 0 | 566354 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 4B | DUANE FRANCIS - $93,160 |
| PART I, LINE 6 | THE INCENTIVE COMPENSATION PLAN OF $982 FOR THE QUALIFIED PERSONS WAS BASED LARGELY ON NET PROFESSIONAL FEES. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MIRIAM D MCDONELL | |||
| SPOUSE OF PAUL CARDOSI, DIRECTOR | 65323 | EMPLOYMENT | 0 |
| VICKI WOLF | |||
| SPOUSE OF WALLACE WOLF, JR., DIRECTOR | 59345 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 DIRECTORS 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 EMPLOYEE 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 OR 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 -54,741. WRITE-OFF OF PAYABLE DUE TO AFFILIATE 200,000. CHANGE IN FV OF INTEREST RATE SWAP AGREEMENT -247,452. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, LINE 2C | THE RESPONSIBILITY AND PROCESS FOR OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. | ORGANIZATIONAL OVERSIGHT OF FINANCIAL STATEMENT AUDIT: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | HEALTH CARE FOR THE MID-COLUMBIA REGION | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONE PINE HEALTH & WELLNESS CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 OSPREY LANE W | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263919508 | EIN |
| Primary Activity | MANAGE MEDICAL BUILDING/PROPERTY | PrimaryActivity |
| Legal Domicile State | OR | LegalDomicileState |
| Predominant Income Type | EXCLUDED 512-514 | PredominantIncomeType |
| Share Of Total Income | 20177 | ShareOfTotalIncome |
| Share Of EOY Assets | 3647016 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.30000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| DRY HOLLOW PROFESSIONAL CENTER INC | |||||||||
| 1700 EAST 19TH STREET | THE DALLES | OR | 97058 | 930631350 | RENTAL BUILDING | OR | HEALTH CARE FOR THE MID-COLUMBIA REGION | C | 0 |
| MID-COLUMBIA HEALTH SERVICES | |||||||||
| 1700 EAST 19TH STREET | THE DALLES | OR | 97058 | 930840781 | MEDICAL BILLING | OR | HEALTH CARE FOR THE MID-COLUMBIA REGION | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MID-COLUMBIA HEALTH FOUNDATION | ||
| C | 75000 | CASH CONTRIBUTION RECEIVED |
| MID-COLUMBIA HEALTH FOUNDATION | ||
| D | 163121 | LOANS TO RELATED PARTY |
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||
| E | 52150 | PAYABLES TO RELATED PARTY |
| DRY HOLLOW PROFESSIONAL CENTER | ||
| E | 9038 | PAYABLES TO RELATED PARTY |
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||
| K | 79154 | RENTAL AGREEMENT |
| DRY HOLLOW PROFESSIONAL CENTER | ||
| K | 97000 | RENTAL AGREEMENT |
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||
| M | 1500000 | MANAGEMENT CONTRACT |
| MID-COLUMBIA HEALTH FOUNDATION | ||
| O | 293514 | EMPLOYEE GROSS PAY |
| MID-COLUMBIA HEALTH FOUNDATION | ||
| P | 167876 | ACTUAL EXPENSES |
| MID-COLUMBIA HEALTH FOUNDATION | ||
| R | 461586 | ACTUAL EXPENSES |
| LONE PINE HEALTH & WELLNESS CENTER | ||
| D | 4500000 | LOAN GUARANTEE |