2023-11-02T08:14:49-05:00 2022-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2022-01-01 930386936 MID-COLUMBIA MEDICAL CENTER MID- 5412961111 PO BOX 1580 THE DALLES OR 97058 WENDY APLAND CFO 5412961111 2023-11-01 1 WENDY APLAND 999009999 0 TERRI REXRODE CPA MST P00096513 9206620016 2023-11-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DENNIS KNOX PO BOX 1580 THE DALLES OR 97058 146356461 0 X WWW.MCMC.NET X 1944 OR SEE SCH O. 10 8 1078 106 0 0 4174996 4363093 140757811 135366656 576486 -130777 300 0 145509593 139598972 232670 263390 0 0 79909130 81283399 0 0 0 63820124 68969503 143961924 150516292 1547669 -10917320 81790157 95523474 37456844 62749020 44333313 32774454 X SEE SCH O 0 0 143599955 263390 134946914 ACUTE HOSPITAL CARE:INPATIENT DAYS 7,838, INPATIENT REHAB DAYS 394, OUTPATIENT OBSERVATION DAYS 953, LABORATORY TESTS 199,614, IMAGING TESTS 31,341, HOME HEALTH EPISODES 1,942, EMERGENCY VISITS 14,375, ENDOSCOPY VISITS 1,214, MEDICAL ONCOLOGY 6,970, OUTPATIENT SURGERIES 1,478, RADIATION ONCOLOGY 5,760, SAME DAY PROCEDURES 1,793, AND TOTAL OUTPATIENT CLINIC VISITS 83,858.SEE SCHEDULE H FOR NARRATIVE OF PROGRAM SERVICE ACCOMPLISHMENTS. 143599955 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 112 0 1078 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X WENDY APLAND 5412961111 PO BOX 1580 THE DALLES OR 97058 DENNIS KNOX PRESIDENT & CEO 40.00 1.00 X X 599211 0 30855 PHIL BRADY CHAIR (THRU FEB. 2022) 1.00 X X 0 0 0 ROBB VAN CLEAVE CHAIR 1.00 X X 0 0 0 NOLAN YOUNG VICE CHAIR 1.00 X X 0 0 0 FRANK TODA PHD TREASURER 1.00 X X 0 0 0 JANET HAMADA SECRETARY 1.00 X X 0 0 0 PAUL CARDOSI MD DIRECTOR 40.00 X 260550 0 40845 BILL KETCHUM DIRECTOR 1.00 X 0 0 0 SUZANNE KNAPP DIRECTOR 1.00 X 0 0 0 VICTOR MONDRAGON DIRECTOR 1.00 X 0 0 0 MICHELE SPATZ DIRECTOR 1.00 X 0 0 0 SERENE PERKINS MD CMO (THRU AUG. 2022) 40.00 X 263324 0 22646 DON WENZLER CCO (THRU MAY 2022) 40.00 X 160867 0 15821 WENDY APLAND CFO 40.00 X 326947 0 37765 DALE LEPPER CIO 40.00 X 251357 0 14345 CAMIE OVERTON COO 40.00 X 322151 0 26259 CHERI MCCALL CHRO 40.00 X 165125 0 20285 JAYME MASON CNO 40.00 X 181013 0 18569 JAYANT ELDURKAR MD CMO 40.00 X 374512 0 46316 DOUGLAS BEAMAN PHYSICIAN 40.00 X 676535 0 37124 SOPHIA BORNSTEIN PHYSICIAN 40.00 X 514156 0 30678 MARC MCALLISTER PHYSICIAN 40.00 X 423503 0 38117 BRIAN SCRIVENS PHYSICIAN 40.00 X 694544 0 42217 JEFFREY MATHISEN PHYSICIAN 40.00 X 486939 0 40545 5700734 0 462387 120 0 1 0 OXFORD ANESTHESIA MANAGEMENT LLC 1765 E NINE MILE ROAD SUITE 1-229 PENSACOLA FL 32514 ANESTHESIA SERVICES 1281105 TRIAGE LLC 12020 PACIFIC ST OMAHA NE 68154 TEMPORARY STAFFING 761649 LOCUM TENENS COM LLC PO BOX 405547 ATLANTA GA 30384 TEMPORARY STAFFING 516441 PETER F STOLOFF PC 5285 MEADOWS ROAD SUITE 235 LAKE OSWEGO OR 97035 LEGAL SERVICES 292613 JUNIPER ADVISORY LLC 191 N WACKER DR SUITE 900 CHICAGO IL 60606 CONSULTING SERVICES 286858 17 480608 3882485 4363093 NET PATIENT SERVICE REVENUE 621500 102294394 102294394 PHARMACY REVENUE 456110 32379009 32379009 CAFETERIA 722514 419742 419742 FITNESS CENTER 713940 273511 273511 135366656 302036 302036 6324676 6755208 2281 -430532 -2281 -432813 -432813 139598972 134946914 0 288965 X 263390 263390 3178763 1732872 1445891 63763667 63071322 692345 2578892 2429692 149200 7496554 7310657 185897 4265523 3995404 270119 968444 141055 827389 82609 82609 13706 13706 74543 74543 23372566 22555020 817546 296521 295762 759 1569782 1509804 59978 4268181 3780204 487977 5963790 5079468 884322 232020 225554 6466 129505 125098 4407 363686 363686 4738961 4234212 504749 716189 687831 28358 MEDICAL SUPPLIES 20043813 20042934 879 REPAIRS & MAINTENANCE 2474322 2379103 95219 BAD DEBT EXPENSE 1464905 1464905 DUES & SUBSCRIPTIONS 304489 146820 157669 1891471 1765162 126309 150516292 143599955 6916337 0 11595333 5232849 10427209 210099 20958344 22927625 1892260 1585823 1624790 1347383 71117618 56431339 18065397 14686279 12953351 7610507 1088535 952468 3184938 40970441 81790157 95523474 14115763 14044096 3574273 130978 8497088 8264596 11269720 40309350 37456844 62749020 X 43644676 32085817 688637 688637 44333313 32774454 81790157 95523474 X -10917320 -253863 -277458 -110218 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13706 13706 0 PART II-B, LINE 1: 2022 OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS DUES $7,658; 2022 AMERICAN HOSPITAL ASSOCIATION DUES $6,048 622933 622933 18973526 15598262 3375264 7344826 5008326 2336500 42924513 35737751 7186762 1251820 87000 1164820 14686279 ROU ASSET - OPERATING LEASES 37766927 ROU ASSET - FINANCE LEASE 427311 INVESTMENT IN AFFILIATE 2311548 OTHER ASSETS 464655 40970441 POST-RETIREMENT BENEFIT 628650 DUE TO RELATED PARTIES 416373 EST THIRD-PARTY PAYOR SETTLEMENTS 431066 OPERATING LEASE OBLIGATIONS 38399717 FINANCE LEASE OBLIGATION 433544 40309350 X PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 1 1 2906483 2906483 0.01950 27415799 16077416 11338383 0.07610 30322282 16077416 14244866 0.09560 549379 4370 545009 0.00370 340496 340496 0.00230 6009283 3902049 2107234 0.01410 5358 5358 0.00000 6904516 3906419 2998097 0.02010 37226798 19983835 17242963 0.11570 10477 10477 0.00010 2535 2535 0.00000 65654 65654 0.00040 78666 78666 0.00050 1 1464905 34969355 42036357 -7067002 X 1 1 1 1 MID-COLUMBIA MEDICAL CENTER 1700 E 19TH STREET THE DALLES OR 97058 WWW.MCMC.NET 14-0500 X X X MID-COLUMBIA MEDICAL CENTER 1 0 0 1 X X X X X X X 22 1 1 1 1 X SEE SCHEDULE H, SECTION C, LINE 7D X 1 20 1 SEE SCHEDULE H, SECTION C, LINE 7D 0 1 X 200.000000000000 400.000000000000 X 1 1 X X X 1 X HTTPS://MCMC.NET/FOR-PATIENTS-GUESTS/BILLING-AND-FINANCIAL-INFORMATION/ X HTTPS://MCMC.NET/FOR-PATIENTS-GUESTS/BILLING-AND-FINANCIAL-INFORMATION/ X HTTPS://MCMC.NET/FOR-PATIENTS-GUESTS/BILLING-AND-FINANCIAL-INFORMATION/ X X X X X X 1 X 0 X X X X 1 X 0 0 MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 5: MID-COLUMBIA MEDICAL CENTER PARTICIPATED AS A MEMBER OF THE GORGE COLLABORATIVE IN A COLLABORATIVE NEEDS ASSESSMENT IN 2022 WHICH INCLUDED FOUR HOSPITALS, ONE COUNTY HEALTH DEPARTMENT, SOCIAL SERVICES AGENCIES IN THE REGION, HEALTH CARE PROVIDERS IN THE SERVICE REGION AND CONSUMER'S REPRESENTATIVE OF THE SAME. AS PART OF THE DATA COLLECTION PROCESS FOR THE CHNA, LISTENING SESSIONS WERE CONDUCTED WITH REPRESENTATIVES FROM MEDICALLY UNDERSERVED COMMUNITIES AND LEADERS WHO DIRECTLY SERVE THESE POPULATIONS. MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 6A: MID-COLUMBIA MEDICAL CENTER, KLICKITAT VALLEY HEALTH, PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL, SKYLINE HOSPITAL MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 6B: COLUMBIA GORGE HEALTH COUNCIL, HOOD RIVER COUNTY HEALTH DEPARTMENT, KLICKITAT VALLEY HEALTH DEPARTMENT, MID-COLUMBIA CENTER FOR LIVING, MID-COLUMBIA COMMUNITY ACTION COUNCIL, NORTH CENTRAL PUBLIC HEALTH DISTRICT, ONE COMMUNITY HEALTH, PACIFICSOURCE COMMUNITY SOLUTIONS, SKAMANIA COUNTY PUBLIC HEALTH MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 7D: SCHEDULE H, PART V, SECTION B, LINES 7A & LINE 10A:HTTPS://MCMC.NET/COMMUNITY/COMMUNITY-ENGAGEMENT/ MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 11: NEEDS WERE IDENTIFIED THROUGH THE COMMUNITY HEALTH ASSESSMENT AND THE CUMULATIVE HEALTH DATA GATHERED. NEEDS THAT WORSENED OVER TIME OR WERE POORER THAN THE STATE AND/OR NATIONAL AVERAGE WERE PRIORITIZED ALONG WITH NEEDS THAT DISPROPORTIONATELY AFFECTED VULNERABLE POPULATIONS.THE IDENTIFIED TOP FOCUS AREAS THROUGHOUT THE SEVEN-COUNTY REGION ARE: - HOMELESSNESS AND HOUSING INSTABILITY - BEHAVIORAL HEALTH CHALLENGES AND ACCESS - ECONOMIC INSECURITY (INCLUDING CHILDCARE) - ACCESS TO HEALTH CARE SERVICES (INCLUDING ORAL HEALTH) - FOOD INSECURITY - CHRONIC CONDITIONSTHE FULL CHIP CAN BE ACCESSED HERE: HTTPS://MCMC.NET/COMMUNITY/COMMUNITY-ENGAGEMENT/IN RESPONSE, THE MCMC COMMUNITY BENEFIT COMMITTEE IN ALIGNMENT WITH OUR MISSION AND VISION HAS SET THE FOLLOWING FOCUS PRIORITIES FOR THE 2023-2025 COMMUNITY BENEFIT CYCLE:PRIORITY 1: HOMELESSNESS AND HOUSING INSTABILITYHOUSING COSTS HAVE INCREASED AND COMMUNITY MEMBERS ARE EXPERIENCING "HOUSING-BURDEN" TRYING TO KEEP UP WITH THE RISING COSTS. COMMUNITY NEED ADDRESSED: PROVIDE SHORT-TERM TEMPORARY EMERGENCY HOUSING FOR PATIENTS, AND COLLABORATE WITH COMMUNITY PARTNER ON LONG-TERM SOLUTIONS.GOAL (ANTICIPATED IMPACT): - COLLABORATE WITH COMMUNITY PARTNERS THROUGH THE HOUSING COLLABORATIVE. - DISCHARGE PATIENTS TO STAY IN HOTEL ROOMS THAT PROJECT TURNKEY IS PROVIDING TO MCMC (COLLABORATION BETWEEN MCCAC AND MCMC) - USE PATIENT ASSISTANCE FUNDS, AS APPROPRIATE, TO FUND HOTEL STAYSPRIORITY 2: ACCESS TO HEALTH CARE SERVICESSOCIAL DETERMINANTS OF HEALTH SUCH AS TRANSPORTATION HAVE IMPACTED PEOPLE IN ACCESSING CARE, AS WELL AS A SHORTAGE OF PROVIDERS THAT OFFER CULTURALLY AND LINGUISTICALLY CENTERED CARE. ACCESS IS ONE OF MCMC'S STRATEGIC INITIATIVES.COMMUNITY NEED ADDRESSED: ACCESS TO CAREGOAL (ANTICIPATED IMPACT): - INCREASE VISIT VOLUMES IN 7 DEPARTMENTS INCLUDING PRIMARY CARE, GENERAL SURGERY CLINIC, IMMEDIATE CARE, ENT, AND CARDIOLOGY CLINIC - IMPROVE PRESS GANEY "OVERALL ACCESS" QUESTION FOR 7 DEPARTMENTS INCLUDING: PRIMARY CARE, GENERAL SURGERY CLINIC, IMMEDIATE CARE, ENT, AND CARDIOLOGY CLINICPRIORITY 3: CHRONIC CONDITIONSGORGE RESIDENTS ARE EXPERIENCING UNMANAGED CHRONIC CONDITIONS AS A RESULT OF HAVING TO FOCUS ON HOW THEY WILL COVER THEIR OTHER BASIC NEEDS AND THE LIMITED ACCESS TO PRIMARY CARE PROVIDERS AND SPECIALISTS. COMMUNITY NEED ADDRESSED: ADDRESS THE PREVENTION OF CHRONIC CONDITIONS GOAL (ANTICIPATED IMPACT) - TRAIN A BILINGUAL COMMUNITY HEALTH WORKER TO BECOME A LIFESTYLE COACH - START A SPANISH PREVENT CLASS PILOT IN 2024 - PARTICIPATE IN THE OLDER ADULT HOME-VISITING CHW PILOT (COLLABORATION BETWEEN COLUMBIA GORGE HEALTH COUNCIL AND MCMC) CONTINUED EFFORTS:MID-COLUMBIA MEDICAL CENTER HAS A HISTORY OF SERVING THE COMMUNITY BY CONDUCTING COMMUNITY OUTREACH AND FOCUSING ON ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THAT MANY UNDERSERVED POPULATIONS FACE. BELOW IS A LIST OF EXAMPLES THAT MCMC GIVES BACK TO THE COMMUNITY.SERVING OREGON AND ITS MIGRANTS BY OFFERING SOLUTIONS (SOMOS): MCMC'S COMMITMENT TO SERVING MARGINALIZED COMMUNITIES IS DEMONSTRATED BY ITS NATIONALLY RECOGNIZED SOMOS EVENTS WHICH ARE A SERIES OF HEALTH FAIRS CONDUCTED IN THREE DIFFERENT CHERRY ORCHARDS WHERE MIGRANT AND SEASONAL FARMWORKERS (MSFWS) ARE EMPLOYED. THE MISSION OF SOMOS IS TO OFFER MIGRANT FAMILIES HEALTH SERVICES SUCH AS BLOOD PRESSURE CHECKS, BLOOD GLUCOSE CHECKS, MEASURE HEIGHT AND WEIGHT, PROVIDE VACCINES, AND OFFER TEMPORARY DENTAL SEALANTS AND FLUORIDE TREATMENT. ALONG WITH THE HEALTH SCREENINGS, HYGIENE KITS, CULTURALLY APPROPRIATE FOOD BOXES, GIVEAWAYS, AND RESOURCES ARE PROVIDED. MCMC PROUDLY PARTNERS WITH SEVERAL ORGANIZATIONS TO BRING MUCH NEEDED HEALTH EDUCATION AND RESOURCES TO FAMILIES. AS A RESULT OF MCMC'S DEDICATED EFFORTS, THE SOMOS HEALTH FAIRS WERE AWARDED THE 2023 OUTSTANDING RURAL HEALTH PROGRAM BY THE NATIONAL RURAL HEALTH ASSOCIATION.MENTORING AND INTERNSHIP PROGRAMS THAT SUPPORT THE GROWTH OF THE MEDICAL WORKFORCE BY TRAINING FUTURE NURSES AND OFFERING A HOMEGROWN MEDICAL ASSISTANT PROGRAM.COLLABORATING WITH BRIDGES TO HEALTH PATHWAY PROGRAM WHICH SUPPORTS MCMC BY HAVING TWO CERTIFIED COMMUNITY HEALTH WORKERS OFFER SYSTEM NAVIGATION AND RESOURCES TO INDIVIDUALS WHO ARE ECONOMICALLY DISADVANTAGED, FOOD INSECURE, AND WHO ARE HOUSELESS.PARTICIPATING IN COMMUNITY MEETINGS SUCH AS: CLINICAL ADVISORY PANEL, COLUMBIA GORGE HEALTH COUNCIL, SPONSORING THE COMMUNITY PARTNER MEETINGS, SPECIALIZED PLAN OF CARE (SPOC), GORGE RESOLUTION CENTER, HOUSING COLLABORATIVE, SHERMAN COUNTY PUBLIC HEALTH MEETINGS. 10 1 - WATER'S EDGE MEDICAL CLINIC 551 LONE PINE BLVD THE DALLES OR 97058 RURAL HEALTH CLINIC 2 - MCMC FAMILY MEDICINE 1620 E 12TH STREET THE DALLES OR 97058 RURAL HEALTH CLINIC 3 - COLUMBIA CREST MEDICAL CLINIC 1935 E 19TH STREET THE DALLES OR 97058 RURAL HEALTH CLINIC 4 - COLUMBIA RIVER WOMEN'S CENTER 1810 E 19TH STREET SUITE 209 THE DALLES OR 97058 RURAL HEALTH CLINIC 5 - MCMC SURGICAL CLINIC 1810 E 19TH STREET SUITE 225 THE DALLES OR 97058 OUTPATIENT CLINIC 6 - MCMC SPECIALTY CLINICS AT NICHOLS LANDIN 33 NICHOLS PARKWAY HOOD RIVER OR 97031 OUTPATIENT CLINIC 7 - GORGE UROLOGY 1805 E 19TH STREET THE DALLES OR 97058 OUTPATIENT CLINIC 8 - MCMC OCCUPATIONAL HEALTH 1825 E 19TH STREET SUITE 2 THE DALLES OR 97058 OUTPATIENT CLINIC 9 - COLUMBIA GORGE ENT AND ALLERGY 1815 E 19TH STREET SUITE 1 THE DALLES OR 97058 OUTPATIENT CLINIC 10 - COLUMBIA GORGE PATHOLOGY 1700 E 19TH STREET THE DALLES OR 97058 OUTPATIENT CLINIC PART I, LINE 7: A COST TO CHARGE RATIO WAS USED, DERIVED FROM THE METHODOLOGY USED TO REPORT TO THE STATE OF OREGON ON THE CBR-1 PART I, LINE 7G: HOME HEALTH SERVICES PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,464,905. PART II, COMMUNITY BUILDING ACTIVITIES: MCMC PROMOTES THE HEALTH OF THE COMMUNITIES WE SERVE BY PARTICIPATING IN REGIONAL EMERGENCY PREPAREDNESS PROGRAMS (PANDEMIC, NATURAL DISASTERS, AREA AND STATE TRAUMA ADVISORY BOARDS) AND DRILLS; BY SERVING AS AN ADVOCATE FOR THE COMMUNITY WITH REGARD TO LOCAL, STATE-WIDE AND REGIONAL HEALTH INITIATIVES; ACTING IN ADVISORY CAPACITY WITH OTHER LOCAL, STATE, AND REGIONAL ORGANIZATIONS IN ORDER TO CREATE, ACCESS AND PROVIDE SERVICES OTHERWISE NOT AVAILABLE TO THE COMMUNITY; WORKING WITH THE LOCAL COMMUNITY COLLEGE AND EMS TO EDUCATE AND TRAIN FUTURE HEALTHCARE WORKERS BY PROVIDING JOB SHADOWING AND MENTORING PROGRAMS AS WELL AS DONATED SUPPORT TO THE COLLEGE FOR SPECIFIC NURSING PROGRAMS; AND ENCOURAGING EMPLOYEES TO VOLUNTEER IN THE COMMUNITY FOR NEIGHBORHOOD IMPROVEMENT PROJECTS. PART III, LINE 2: DESCRIBES ALLOWANCE FOR BAD DEBT EXPENSE AT GROSS CHARGE. THE ESTIMATE IS BASED PRIMARILY ON THE MEDICAL CENTER'S HISTORICAL COLLECTION EXPERIENCE, MANAGEMENT'S ESTIMATE OF THE PATIENT'S ECONOMIC ABILITY TO PAY AND THE EFFECTIVENESS OF COLLECTIONS EFFORTS. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE AMOUNTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, BAD DEBT EXPENSE WAS INSIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS AND WAS NOT DISCRETELY PRESENTED.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (INCLUDING BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. PART III, LINE 8: MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY IS USED TO DETERMINE THE ALLOWABLE MEDICARE COSTS. MID-COLUMBIA MEDICAL CENTER CONTINUES TO PROVIDE CLINICAL SERVICES TO MEDICARE PATIENTS AT A DEFICIT AS PART OF OUR COMMITMENT TO THE RESIDENTS OF THE COMMUNITIES WE SERVE. THIS DEFICIT IS CONSISTENT WITH OUR TAX-EXEMPT STATUS AND INTERNAL MISSION TO PROVIDE COMMUNITY BASED HEALTHCARE REGARDLESS OF PATIENTS' ABILITY TO PAY. PART III, LINE 9B: IN CASES WHERE THE PATIENT HAS QUALIFIED FOR FULL OR PARTIAL CHARITY CARE, THE AMOUNT IS WRITTEN DOWN IN THE PATIENT ACCOUNT AND NO ATTEMPT IS MADE TO COLLECT THE AMOUNT WRITTEN DOWN. PART VI, LINE 2: IN ADDITION TO PARTICIPATING IN THE COLLABORATIVE CHNA, MCMC TAKES ACTIVE EFFORTS TO PARTICIPATE IN NUMEROUS COMMUNITY PARTNERSHIPS FOCUSED ON SOCIAL DETERMINANTS OF HEALTH SUCH AS CHRONIC HOMELESSNESS, MENTAL HEALTH, CHILDHOOD OBESITY AND TRANSPORTATION. PARTICIPATION IN THESE GROUPS HELP GAIN A MORE COMPREHENSIVE UNDERSTANDING OF OUR COMMUNITY AND THE ROOT CAUSES OF THOSE HEALTH ISSUES AS WELL AS THE AVAILABILITY OF RESOURCES TO ADDRESS THEM. MCMC ACTIVELY INTEGRATES HEALTH EFFORTS WITH OTHER KEY COMMUNITY LEADERS, INCLUDING PUBLIC HEALTH AND NORTHERN WASCO COUNTY SCHOOL DISTRICT TO IDENTIFY AND ADDRESS HEALTH ISSUES WITH PROGRAMS SUCH AS SCHOOL NURSES AND ATHLETIC TRAINERS.INTERNALLY, MCMC HOSTS A PATIENT AND FAMILY ADVISORY COUNCIL TO GATHER DIRECT INPUT ON THE NEEDS, CONCERNS, AND EXPERIENCES OF OUR PATIENTS FOR THE ADVANCEMENT OF QUALITY PATIENT CARE. PART VI, LINE 3: OUR PATIENT AND VISITOR SERVICES STAFF TAKE AN ACTIVE ROLE IN ASSISTING LOW-INCOME AND UNDER- / UN-INSURED PATIENTS (THERE ARE SOME EXEMPTIONS IN PLACE TO THE INDIVIDUAL MANDATE REQUIRED BY THE AFFORDABLE CARE ACT) WITH COMPLETING APPLICATIONS FOR THE OREGON HEALTH PLAN. APPLICATIONS (IN ENGLISH AND SPANISH) ARE AVAILABLE AT REGISTRATION AND IN PATIENT ACCOUNTS IN BOTH THE HOSPITAL AND THE OUTPATIENT CLINICS. THIS APPLICATION PACKET OUTLINES THE PROCESS AND PROVIDES PHONE NUMBERS AND CONTACT INFORMATION FOR ASSISTANCE WITH ENROLLMENT; STAFF HOURS ARE ALSO ACTIVELY DEDICATED TO ASSISTING IN THE PRESUMPTIVE ELIGIBILITY AND FULL COVERAGE FOR PATIENTS WITH INSURANCE ASSISTANCE. PATIENTS ARE ALSO ASSISTED IN ACHIEVING COMMUNITY RESOURCES THROUGH MCMC EMPLOYMENT OF BRIDGES TO HEALTH PATIENT NAVIGATORS, AND THROUGH REFERRALS TO SCREENING, HOUSING, TRANSPORTATION, FOOD, EDUCATION, AND OTHER NEEDED RESOURCES. PART VI, LINE 4: MID-COLUMBIA MEDICAL CENTER (MCMC) IS LOCATED IN THE DALLES, WASCO COUNTY, OREGON, WITH THE POPULATION OF WASCO COUNTY ESTIMATED AROUND 26,561. MCMC SERVES A WIDE GEOGRAPHIC AREA OF RURAL NORTH CENTRAL OREGON AND SOUTH CENTRAL WASHINGTON ALONG THE COLUMBIA RIVER. THIS SERVICE AREA INCLUDES WASCO, SHERMAN AND GILLIAM COUNTIES IN OREGON AND KLICKITAT COUNTY IN WASHINGTON FOR A COMBINED POPULATION TOTAL OF 53,805. MEDIAN INCOMES AND ETHNIC DEMOGRAPHICS VARY BY GEOGRAPHIC LOCATION. 2021 CENSUS DATA SHOWS MEDIAN HOUSEHOLD INCOMES RANGE FROM $51,705 TO $59,583. WASCO COUNTY HAS THE LARGEST ETHNIC DIVERSITY WITH A DISTRIBUTION THAT IS 72% WHITE, 21% HISPANIC/LATINO, 4% AMERICAN INDIAN/ALASKA NATIVE AND 3% OTHER. 13% OF THE POPULATION LIVES BELOW THE POVERTY LEVEL AND 9.8% OF THE POPULATION UNDER THE AGE OF 65 IS UNINSURED. DATA FROM THE OREGON HEALTH AUTHORITY CITES DECEMBER 2022 MEDICAID PROGRAM ENROLLMENT IN WASCO COUNTY AT 10,975, UP 6% FROM 10,391 IN DECEMBER 2021.IN ADDITION TO THE YEAR-ROUND POPULATION, THE DALLES EXPERIENCES AN INFLUX OF OVER 15,000 SEASONAL WORKERS EACH YEAR IN SUPPORT OF THE HARVEST OF OUR AGRICULTURAL ECONOMY. PART VI, LINE 5: GIVING BACK TO OUR COMMUNITYMID-COLUMBIA MEDICAL CENTER (MCMC) IS A MISSION-DRIVEN ORGANIZATION WHOSE PURPOSE IS TO PROVIDE EXCEPTIONAL AND AFFORDABLE HEALTHCARE SERVICES AND EXPERIENCES TO THOSE WE ARE PRIVILEGED TO SERVE THOUGH PERSON-CENTERED CARE.THE COLUMBIA GORGE IS MOSTLY RURAL AND AN AGRICULTURE-RICH REGION WHERE CHERRIES, WHEAT, APPLES, AND GRAPES ARE HARVESTED. COUNTIES FROM OREGON AND WASHINGTON ARE LOCATED ALONG THE COLUMBIA RIVER. ON THE OREGON SIDE, COUNTIES INCLUDE HOOD RIVER, WASCO, SHERMAN, GILLIAM, AND WHEELER. WASHINGTON COUNTIES INCLUDE SKAMANIA AND KLICKITAT. FROM THESE SEVEN COUNTIES, 92.2% OF PEOPLE IDENTIFY AS WHITE, 2.5% IDENTIFY AS AMERICAN INDIAN OR ALASKA NATIVE, 1.2% IDENTIFY AS ASIAN, 0.7% IDENTIFY SOLELY AS BLACK OR AFRICAN AMERICAN, AND 0.4% IDENTIFY AS NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER. 2.9% IDENTIFY AS TWO OR MORE RACES. 18.9% IDENTIFY AS HISPANIC OR LATINO/A, AND 74.9% DESCRIBE THEMSELVES AS WHITE ALONE, NOT HISPANIC OR LATINO. WHILE MCMC SERVES ALL SEVEN COUNTIES' RESIDENTS, IT IS LOCATED IN WASCO COUNTY WHICH IN 2022 HAD A POPULATION OF 26,274. THE POPULATION'S RACE/ETHNICITY IS COMPOSED OF 74% WHITE, 18.7% HISPANIC OR LATINO, 2.9% AMERICAN INDIAN AND ALASKA NATIVE, 0.1% BLACK OR AFRICAN AMERICAN, 0.9% ASIAN, 2.8% TWO OR MORE RACES. THE MEDIUM HOUSEHOLD INCOME IS $54,729, 13.3% PERSONS LIVE IN POVERTY, AND 11.4% ARE UNINSURED. THE LARGE AMOUNT OF AGRICULTURE IN THE REGION ALSO RESULTS IN A REGULAR INFLUX OF MIGRANT OR SEASONAL FARMWORKERS THROUGHOUT THE YEAR.THE BOARD AND SENIOR EXECUTIVE LEADERSHIP ARE ACTIVELY INVOLVED IN PRIORITIZATION OF COMMUNITY INITIATIVES. A FULL-TIME DEI SUPERVISOR OVERSEES IMPLEMENTATION OF PROGRAMS AND ACTS AS THE PRIMARY LIAISON IN COMMUNITY COLLABORATIONS. DISCUSSION AND RECOMMENDATION OF COMMUNITY BENEFIT FOCUS AREAS CENTERS AROUND FIVE KEY COMPONENTS: ALIGNMENT WITH THE ORGANIZATION'S STRATEGIC PLAN, LIKELIHOOD OR FEASIBILITY OF HAVING A MEASURABLE IMPACT ON THE ISSUE, ALIGNMENT WITH CORE ORGANIZATIONAL COMPETENCIES, EFFICIENT ALLOCATION OF RESOURCES, AND ALIGNMENT WITH PARTNERS WHO HAVE RESOURCES ALLOCATED TOWARD THE ISSUE. THE MID-COLUMBIA MEDICAL CENTER COMMUNITY BENEFIT COMMITTEE (CBC), FORMED IN 2019, IS AN ADVISORY COMMITTEE FOCUSED ON LEADING COMMUNITY BENEFIT INITIATIVES BOTH INSIDE AND OUTSIDE THE WALLS OF THE HOSPITAL. THESE ACTIVITIES INCLUDE IMPROVING CARE AND ACCESS FOR VULNERABLE POPULATIONS, PROMOTING COMMUNITY HEALTH, AND ENGAGING IN RESEARCH AND EDUCATION AS DRIVEN BY THE COLUMBIA GORGE HEALTH COUNCIL'S COMMUNITY HEALTH ASSESSMENT. MCMC'S CBC CONSISTS OF REPRESENTATION FROM MEDICAL STAFF, NURSING LEADERSHIP, MARKETING AND OUTREACH, FINANCIAL STAFF, OUTPATIENT CLINICS, AND OTHER KEY STAFF WHO CONTRIBUTE TO AND INFLUENCE THE OVERALL COMMUNITY BENEFIT OF THE HOSPITAL. THE CBC IS RESPONSIBLE FOR ENSURING THAT MCMC STRATEGIC PLANS EFFECTIVELY ADDRESS THE SPECIFIC HEALTH NEEDS OF OUR COMMUNITY AS IDENTIFIED THROUGH THE CHA; EXTENDING AND STRENGTHENING MCMC'S PROGRAMS' COMMUNITY BENEFIT SERVICES; AND CHAMPIONING COMMUNITY COLLABORATIONS WITH GOVERNMENT, NONPROFIT, OR OTHER HEALTHCARE RELATED ORGANIZATIONS.NEEDS ASSESSMENTCOMMUNITY 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 IN 2019 AND AN UPDATED NEEDS ASSESSMENT WITH THE GORGE COLLABORATIVE IN 2022. THE GORGE COLLABORATIVE WAS A COLLABORATION BETWEEN SEVEN NOT-FOR-PROFIT ORGANIZATIONS IN THE AREA STRIVING TO IMPROVE HEALTH OUTCOMES IN THE BROADER COMMUNITY. DETAILS ON THE METHODOLOGY, PARTICIPANTS AND REGIONAL RESULTS ARE ADDRESSED IN THE COLUMBIA GORGE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE TOP IDENTIFIED DRIVERS FOR THE 2022 ASSESSMENT INCLUDE HOMELESSNESS AND HOUSING INSTABILITY, BEHAVIORAL HEALTH, ECONOMIC INSECURITY, ACCESS TO HEALTH CARE SERVICES, FOOD INSECURITY, AND CHRONIC CONDITIONS. IN 2023 MCMC WILL DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN WITH SPECIFIC ACTION ITEMS TO BE IMPLEMENTED IN 2023-2025 TO ADDRESS THESE DRIVERS.IN 2022 MCMC'S COMMUNITY HEALTH IMPROVEMENT PLAN WAS FOCUSED ON THREE PRIORITIES: ACCESS TO EQUITABLE HEALTH CARE SERVICES, SOCIAL DETERMINANTS OF HEALTH, AND PATIENT EMPOWERING EDUCATION.ACCESS TO EQUITABLE HEALTH CARE SERVICESIN 2022 MCMC WORKED TO IMPROVE ACCESS TO CARE BY HIRING 25 NEW PROVIDERS, ESPECIALLY FOCUSED ON PRIMARY CARE PROVIDERS FOR WHICH THERE HAD BEEN A SHORTAGE IN PAST YEARS WITH PATIENTS UNABLE TO SCHEDULE APPOINTMENTS WITH PROVIDERS FOR REGULAR CARE. DURING 2022 MCMC WAS ABLE TO BRING IN ENOUGH PRIMARY CARE PROVIDERS TO PANEL ALL PATIENTS DROPPED BY PREVIOUS PROVIDERS THAT HAD LEFT THE AREA AND OPEN UP THE SCHEDULE TO NEW PATIENTS TO START SCHEDULING CARE. IN ADDITION TO PROVIDING CARE IN THE TRADITIONAL HOSPITAL AND CLINIC SETTINGS, MCMC COORDINATES A PROGRAM CALLED SERVING OREGON AND ITS MIGRANTS BY OFFERING SOLUTIONS (SOMOS) WHICH PROVIDES TARGETED HEALTH SCREENINGS AND CARE TO THE MIGRANT FARMWORKERS AND THEIR FAMILIES DURING THE PEAK TIMES THEY ARE IN THE AREA BY BRINGING THIS CARE TO SEVERAL OF THE LARGE FARMS/ORCHARDS IN THE AREA WHERE THE WORKERS ARE PRESENT. IN ADDITION TO HEALTH CARE AND SCREENINGS, SOMOS ALSO SEEKS TO PROVIDE FOOD AND OTHER ESSENTIALS TO THESE FAMILIES TO IMPROVE THEIR SOCIAL DETERMINANTS OF HEALTH.SOCIAL DETERMINANTS OF HEALTHMCMC CHOSE TO FOCUS ITS EFFORTS IN THIS AREA AROUND ACCESS TO TRANSPORTATION, AFFORDABLE HOUSING, AND FOOD INSECURITY. PRIMARILY MCMC PARTNERED WITH OTHER LOCAL ORGANIZATIONS AROUND THESE ISSUES, CONNECTING PATIENTS WITH NEEDS IN ONE OR MORE AREAS WITH THE APPROPRIATE COMMUNITY RESOURCES TO ASSIST. THIS INCLUDED "PRESCRIBING" FRESH PRODUCE VOUCHERS TO PATIENTS WITH FOOD INSECURITY AS PART OF A LOCAL VEGGIE RX PROGRAM, DISTRIBUTING GAS CARDS AND TRANSPORTATION VOUCHERS TO PATIENTS WITH CHALLENGES GETTING TRANSPORTATION TO MEDICAL APPOINTMENTS, AND UTILIZING SOCIAL WORKERS AND CASE MANAGERS TO CONNECT PATIENTS WITH COMMUNITY SERVICES TO ASSIST WITH VARIOUS ASPECTS OF THESE SOCIAL DETERMINANTS OF HEALTH.PATIENT EMPOWERING EDUCATIONMCMC OFFERS A COMPREHENSIVE WELLNESS PROGRAM FOR PEOPLE COMMITTED TO MAKING LASTING LIFESTYLE CHANGES. PREVENT IS A ONE-YEAR PROGRAM TAUGHT BY A TRAINED LIFESTYLE COACH FOR PEOPLE DIAGNOSED WITH PRE-DIABETES OR HEART DISEASE OR ARE OVERWEIGHT. MCMC ALSO OFFERS FREE MOMMY WELLNESS CLASSES, AN INTERDISCIPLINARY PROGRAM FOR PREGNANT AND NEW MOTHERS WITH CHILDREN UP TO TWO YEARS OF AGE. ITS PURPOSE IS TO PROVIDE EDUCATION AND EXERCISE DESIGNED TO PROMOTE HEALTHY LIFESTYLE HABITS FOR MOTHER AND CHILD. PERSISTENT PAIN EDUCATION PROGRAM IS AN EIGHT-WEEK CLASS WHICH PROVIDES EDUCATION ON PAIN NEUROSCIENCE, ADAPTIVE COPING STRATEGIES, NUTRITION, MINDFULNESS, PROPER MEDICATION, AND SLEEP HYGIENE TO PEOPLE WHO ARE DEALING WITH CHRONIC PAIN ISSUES. A PARKINSON'S SUPPORT GROUP FOCUSES ON RAISING AWARENESS FOR PATIENTS AND CAREGIVERS TO ADVOCATE FOR MAINTAINING INDEPENDENCE. ASSISTED LIVING BALANCE CLASS OFFERED TO LOCAL SENIORS PROMOTES BALANCE AND PROVIDES FALL RISK SCREENING AND CONSULTATIONS.OTHER MEANINGFUL CONTRIBUTIONS IN THE YEAR 2022:- CAR SEAT EVALUATIONS AND FREE BIKE HELMETS AND FITTINGS WERE AVAILABLE YEAR-ROUND THROUGH MCMC'S EMERGENCY DEPARTMENT- MCMC PROVIDED MENTORING PROGRAMS DESIGNED TO HELP TRAIN EXISTING AND FUTURE CARE PROVIDERS SUCH AS PHARMACY TECHNICIANS, EMS TECHNICIANS, MEDICAL ASSISTANTS, HEALTH INFORMATION MANAGEMENT STUDENTS, CHILDCARE PROVIDERS, RADIOLOGICAL TECHNICIANS, NURSES, AND RURAL HEALTH PROVIDERS - PHYSICIANS AND NURSES PROVIDE ACCESS TO FREE OR REDUCED COST PRIMARY CARE; MCMC ALSO PROVIDED SCHOOL NURSING SERVICES AT THE ELEMENTARY AGE LEVEL FOR LOCAL SCHOOLS- PROVIDED SUPPORT FOR AND HOSTED BLOOD DRIVES FOR THE AMERICAN RED CROSS- ENCOURAGED STAFF TO VOLUNTEER TO MAKE A DIFFERENCE THROUGH SERVICE TO MEMBERS OF THE COMMUNITY- PROVIDED ATHLETIC TRAINING SERVICES TO LOCAL SCHOOLS TO ASSIST STUDENT ATHLETES WITH INJURY PREVENTION AND RECOVERY.THE HOSPITAL ALSO PARTICIPATES AS A MEMBER OF THE COLUMBIA GORGE HEALTH COUNCIL (CGHC) AND CLINICAL ADVISORY PANEL (CAP) IN PROVIDING OVERSIGHT AND GOVERNANCE OF THE COORDINATED CARE ORGANIZATION FORMED BY PACIFICSOURCE COMMUNITY SOLUTIONS (PACIFICSOURCE.) CGHC IS A NONPROFIT CORPORATION COMPRISED OF THE MEDICAL CENTER, WASCO AND HOOD RIVER COUNTIES, CENTRAL OREGON INDEPENDENT PRACTICE ASSOCIATION, INC., ONE COMMUNITY HEALTH, PACIFICSOURCE, PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL AND AT-LARGE MEMBERS OF THE COMMUNITY. 1 MID-COLUMBIA HEALTH FOUNDATION 1700 E 19TH ST THE DALLES OR 97058 930854433 501(C)(3) 257295 0 OPERATIONAL SUPPORT 1 0 PART I, LINE 2: OPERATIONAL SUPPORT IS BASED OF THE GENERAL LEDGER & SUPPORTING JOURNAL ENTRIES MAINTAINED BY MID-COLUMBIA MEDICAL CENTER ON BEHALF OF THE FOUNDATION. X X X X X 0 0 0 0 0 0 0 1 0 BRIAN SCRIVENS PHYSICIAN 634003 0 33791 0 26750 0 21516 0 20701 0 736761 0 0 0 DOUGLAS BEAMAN PHYSICIAN 627791 0 33859 0 14885 0 16423 0 20701 0 713659 0 0 0 DENNIS KNOX PRESIDENT & CEO 524906 0 48480 0 25825 0 16262 0 14593 0 630066 0 0 0 SOPHIA BORNSTEIN PHYSICIAN 498181 0 6353 0 9622 0 19888 0 10790 0 544834 0 0 0 JEFFREY MATHISEN PHYSICIAN 465334 0 21605 0 0 0 19844 0 20701 0 527484 0 0 0 MARC MCALLISTER PHYSICIAN 401094 0 0 0 22409 0 14566 0 23551 0 461620 0 0 0 JAYANT ELDURKAR MD CMO 355127 0 0 0 19385 0 20150 0 26166 0 420828 0 0 0 WENDY APLAND CFO 303646 0 19959 0 3342 0 16370 0 21395 0 364712 0 0 0 CAMIE OVERTON COO 313377 0 5612 0 3162 0 18300 0 7959 0 348410 0 0 0 PAUL CARDOSI MD DIRECTOR 249012 0 0 0 11538 0 17312 0 23533 0 301395 0 0 0 SERENE PERKINS MD CMO (THRU AUG. 2022) 207302 0 21346 0 34676 0 10818 0 11828 0 285970 0 0 0 DALE LEPPER CIO 230325 0 14707 0 6325 0 13659 0 686 0 265702 0 0 0 JAYME MASON CNO 172778 0 0 0 8235 0 10915 0 7654 0 199582 0 0 0 CHERI MCCALL CHRO 150732 0 9824 0 4569 0 10014 0 10271 0 185410 0 0 0 DON WENZLER CCO (THRU MAY 2022) 124667 0 0 0 36200 0 9625 0 6196 0 176688 0 0 0 PART I, LINE 7 EXECUTIVES RECEIVED INCENTIVE PAY IN 2022 BASED ON 2021 RESULTS. THIS COMPENSATION WAS DETERMINED BY THE BOARD COMPENSATION COMMITTEE BASED ON THE ACHIEVEMENT OF CERTAIN OPERATIONAL AND FINANCIAL GOALS. FORM 990, PART I, LINE 1 MISSION STATEMENT: TO PROVIDE EXCEPTIONAL HEALTH SERVICES AND EXPERIENCES THROUGH PERSON-CENTERED CARE. OUR CORE VALUES: COMPASSION- GROUNDED IN OUR PLANETREE HISTORY, WE DEMONSTRATE EMPATHY FOR PATIENTS, FAMILIES, AND STAFF AND BELIEVE THAT PERSON-CENTERED CARE IS THE CORNERSTONE OF COMPASSION. INTEGRITY- WE PROMOTE TRUST THROUGH OPEN AND RESPECTFUL COMMUNICATION. WE TAKE PRIDE IN WHAT WE DO, FEEL RESPONSIBLE FOR THE OUTCOME OF OUR EFFORTS, AND RECOGNIZE OUR WORK AS A REFLECTION OF OURSELVES. WELLNESS- WE VIEW INDIVIDUALS AS ACTIVE PARTICIPANTS IN THEIR OWN HEALTHCARE AND PARTNER WITH THEM SO THEY CAN ACHIEVE THEIR HIGHEST HEALTH POTENTIAL AND LIVE LIFE TO ITS FULLEST. TEAMWORK- WE RECOGNIZE THAT WE CAN ONLY ACHIEVE OUR MISSION BY WORKING COLLABORATIVELY TO ACHIEVE ORGANIZATIONAL EXCELLENCE AND SUPERIOR PATIENT EXPERIENCES. DIVERSITY, EQUITY, AND INCLUSION PRINCIPLES DRIVE RICH, INNOVATIVE SOLUTIONS TO PATIENT CARE ISSUES. QUALITY- WE STRIVE TO PROVIDE HIGH VALUE HEALTHCARE, DELIVERING EXCELLENT CLINICAL QUALITY WITH A FOCUS ON PATIENT SAFETY AND OUTSTANDING SERVICE. FORM 990, PART III, LINE 1 MISSION STATEMENT: TO PROVIDE EXCEPTIONAL HEALTH SERVICES AND EXPERIENCES THROUGH PERSON-CENTERED CARE. OUR CORE VALUES: COMPASSION- GROUNDED IN OUR PLANETREE HISTORY, WE DEMONSTRATE EMPATHY FOR PATIENTS, FAMILIES, AND STAFF AND BELIEVE THAT PERSON-CENTERED CARE IS THE CORNERSTONE OF COMPASSION. INTEGRITY- WE PROMOTE TRUST THROUGH OPEN AND RESPECTFUL COMMUNICATION. WE TAKE PRIDE IN WHAT WE DO, FEEL RESPONSIBLE FOR THE OUTCOME OF OUR EFFORTS, AND RECOGNIZE OUR WORK AS A REFLECTION OF OURSELVES. WELLNESS- WE VIEW INDIVIDUALS AS ACTIVE PARTICIPANTS IN THEIR OWN HEALTHCARE AND PARTNER WITH THEM SO THEY CAN ACHIEVE THEIR HIGHEST HEALTH POTENTIAL AND LIVE LIFE TO ITS FULLEST. TEAMWORK- WE RECOGNIZE THAT WE CAN ONLY ACHIEVE OUR MISSION BY WORKING COLLABORATIVELY TO ACHIEVE ORGANIZATIONAL EXCELLENCE AND SUPERIOR PATIENT EXPERIENCES. DIVERSITY, EQUITY, AND INCLUSION PRINCIPLES DRIVE RICH, INNOVATIVE SOLUTIONS TO PATIENT CARE ISSUES. QUALITY- WE STRIVE TO PROVIDE HIGH VALUE HEALTHCARE, DELIVERING EXCELLENT CLINICAL QUALITY WITH A FOCUS ON PATIENT SAFETY AND OUTSTANDING SERVICE. FORM 990, PART VI, SECTION B, LINE 11B 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 EXECUTIVE COMPENSATION COMMITTEE WAS DESIGNED WHICH INCLUDED MEMBERS OF THE BOARD OF TRUSTEES, HR OFFICER, AND COMPENSATION SPECIALIST. COMPENSATION COMMITTEE AGED AND/OR UPDATED PREVIOUSLY SUPPLIED COMPENSATION DATA FROM OUTSIDE FIRM BASED ON COMMERCIALLY AVAILABLE SALARY SURVEYS. 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 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,536,960. MANAGEMENT AND GENERAL EXPENSES 817,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,354,506. PROFESSIONAL FEES AND CONSULTING: PROGRAM SERVICE EXPENSES 16,722,399. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,722,399. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,014,556. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,014,556. ANESTHESIOLOGSIT FEES: PROGRAM SERVICE EXPENSES 1,281,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,281,105. FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENT IN AFFILIATES -110,218. 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