2021-09-14T10:03:11-05:00 2020-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2020-01-01 930386936 MID-COLUMBIA MEDICAL CENTER MID- 5412961111 PO BOX 1580 THE DALLES OR 97058 WENDY APLAND CFO 5412961111 2021-09-13 1 WENDY APLAND 999009999 TERRI REXRODE CPA MST P00096513 9206620016 2021-09-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DENNIS KNOX PO BOX 1580 THE DALLES OR 97058 139857615 0 X WWW.MCMC.NET X 1984 OR SEE SCH O. 11 9 1102 100 0 0 49748 59312 133371578 139255435 3349894 320380 250555 0 137021775 139635127 614974 332016 0 0 74255798 76198069 0 0 0 61113337 57259735 135984109 133789820 1037666 5845307 66067234 85881695 28919766 42975644 37147468 42906051 X SEE SCH O 1 1 128650895 332016 138871724 ACUTE HOSPITAL CARE:INPATIENT DAYS 6545, INPATIENT REHAB DAYS 502, OUTPATIENT OBSERVATION DAYS 1395, LABORATORY TESTS 189,281, IMAGING TESTS 27,463,HOME HEALTH EPISODES 2,104, EMERGENCY VISITS 11,776, ENDOSCOPY VISITS 1,020, MEDICAL ONCOLOGY 9,207, OUTPAIENT SURGERIES 1,342, RADIATION ONCOLOGY 6,737, OUTPATIENT PROCEDURES 1,609, TOTAL HOSPITAL OUTPATIENT VISITS 89,495 AND TOTAL OUTPATIENT CLINIC VISITS 85,586.SEE SCHEDULE H FOR NARRATIVE OF PROGRAM SERVICE ACCOMPLISHMENTS. 128650895 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 129 0 1102 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X WENDY APLAND 5412961111 PO BOX 1580 THE DALLES OR 97058 DENNIS KNOX PRESIDENT & CEO 40.00 X X 624590 0 30543 DOUGLAS BEAMAN PHYSICIAN 40.00 X 504748 0 33444 SOPHIA BORNSTEIN PHYSICIAN 40.00 X 494153 0 23620 GARY GINGRICH PHYSICIAN 40.00 X 471104 0 31293 DONG XIANG PHYSICIAN 40.00 X 406275 0 34234 MARC MCALLISTER PHYSICIAN 40.00 X 397802 0 38644 SERENE PERKINS CMO 40.00 X 341820 0 29724 DONALD WENZLER CCO 40.00 X 314151 0 29593 PAUL CARDOSI MD DIRECTOR 40.00 X 307439 0 35844 WENDY APLAND CFO 40.00 X 310581 0 24316 DALE LEPPER CIO 40.00 X 246398 0 12776 CHRISTINA MCMANIGAL DPT COO - THRU OCTOBER 40.00 X 207103 0 31723 PHIL BRADY CHAIR 1.00 X 0 0 0 DANIEL BOLDT SECRETARY 1.00 X X 0 0 0 ROBB VAN CLEAVE DIRECTOR 1.00 X 0 0 0 JANET HAMADA DIRECTOR 1.00 X 0 0 0 MICHAEL HILL DIRECTOR 1.00 X 0 0 0 BILL KETCHUM DIRECTOR 1.00 X 0 0 0 MICHELE SPATZ DIRECTOR 1.00 X 0 0 0 FRANK TODA DIRECTOR 1.00 X 0 0 0 WALLACE WOLF JR DVM DIRECTOR 1.00 X 0 0 0 4626164 0 355754 135 0 1 0 ADAMS CONSTRUCTION 1215 E 18TH STREET THE DALLES OR 97058 CONSTRUCTION OF IMMEDIATE CARE FACILITY 488342 PATRICK GRIMSLEY DO PC 2880 BEAR RIDGE DR HOOD RIVER OR 97031 ER PHYSICIAN 268800 ROSONKE MEDICAL GROUP PC 4125 STONEGATE DR HOOD RIVER OR 97031 ER PHYSICIAN GROUP 234477 WILLIAM BRAD FARRIS MD 905 STATE ST HOOD RIVER OR 97031 ER PHYSICIAN 208215 JOHN ELLIOTT MD 1027 LINCOLN ST HOOD RIVER OR 97031 ER PHYSICIAN 197909 14 59312 59312 NET PATIENT SERVICE REVENUE 621500 107831745 107831745 PHARMACY REVENUE 446110 30553095 30553095 FITNESS & SPA CENTER 713940 486884 486884 CAFETERIA 900099 383711 383711 139255435 542868 542868 222488 -222488 -222488 -222488 139635127 138871724 0 704091 X 332016 332016 708114 708114 61340898 60023314 1317584 2342525 2289929 52596 7898368 7895695 2673 3908164 3819904 88260 133543 133543 112838 112838 20919147 18228344 2690803 199529 199529 2911100 2475805 435295 1549270 1548796 474 5443561 5429187 14374 254284 251872 2412 64642 54237 10405 454634 454634 5132662 4779858 352804 MEDICAL SUPPLIES EXPENS 16574625 16570615 4010 REPAIRS & MAINTENANCE 1951642 1936838 14804 DUES & SUBSCRIPTIONS 63270 44382 18888 1494988 1494988 133789820 128650895 5138925 0 6008264 15999676 14879665 17746909 15051493 1877376 1857368 1491740 1364994 67723517 47501065 21755377 20222452 12566995 12340134 1410669 1160669 3209904 3005244 66067234 85881695 14642562 18659609 180336 2849972 11018265 10170411 3078603 11295652 28919766 42975644 X 34969288 41472642 2178180 1433409 37147468 42906051 66067234 85881695 X 5845307 -86724 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9505 9505 0 PART II-B, LINE 1: 2020 OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS DUES $6,012; 2020 AMERICAN HOSPITAL ASSOCIATION DUES $3,493 622933 622933 18728858 14441951 4286907 7358096 3628543 3729553 40298434 29343571 10954863 715196 87000 628196 20222452 MALPRACTICE LIABILITY - IBNR 762 POST-RETIREMENT BENEFIT 1146095 DUE TO RELATED PARTIES 212962 MEDICARE ACCELERATED PAYMENTS 9935833 11295652 X 139585146 -49981 -49981 139635127 0 139635127 133539820 0 133539820 250000 250000 133789820 PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE MEDICAL CENTER 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -49,981. PART XII, LINE 4B - OTHER ADJUSTMENTS: IMPAIRMENT OF GOODWILL 250,000. 1 1 X 1 X 1 X 1 1 1 0 1 1 2430689 2430689 0.01820 15864737 11492957 4371780 0.03270 18295426 11492957 6802469 0.05090 6 496 5043822 3846251 1197571 0.00900 1 31 109917 109917 0.00080 1 0 10000 10000 0.00010 5 81 344491 344491 0.00260 13 608 5508230 3846251 1661979 0.01250 13 608 23803656 15339208 8464448 0.06340 1 0 2141 2141 0.00000 1 24 28932 28932 0.00020 1 0 27487 27487 0.00020 3 24 58560 58560 0.00040 1 2529351 34914923 40879838 -5964915 X 1 1 1 1 MID-COLUMBIA MEDICAL CENTER 1700 E 19TH STREET THE DALLES OR 97058 HTTP://WWW.MCMC.NET/ABOUT-MCMC/COMMUNI 14-0500 X X X MID-COLUMBIA MEDICAL CENTER 1 0 0 1 X X X X X X X 19 1 1 1 1 X HTTP://WWW.MCMC.NET/ABOUT-MCMC/COMMUNITY-OUTREACH/ X 1 20 1 HTTP://WWW.MCMC.NET/ABOUT-MCMC/COMMUNITY-OUTREACH/ 0 1 X 200.000000000000 400.000000000000 1 1 X X X 1 X HTTP://WWW.MCMC.NET X HTTP://WWW.MCMC.NET X HTTP://WWW.MCMC.NET X X X X X X X 1 X 0 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 COLUMBIA GORGE HEALTH COUNCIL (CGHC) IN A COLLABORATIVE NEEDS ASSESSMENT IN 2019 WHICH INCLUDED INPUT FROM SIX COUNTY HEALTH DEPARTMENTS, FOUR HOSPITALS, THE LOCAL COORDINATED CARE ORGANIZATION, SOCIAL SERVICES AGENCIES IN THE REGION, HEALTH CARE PROVIDERS IN THE SERVICE REGION AND CONSUMER'S REPRESENTATIVE OF THE SAME. 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 COUNTY HEALTH DEPARTMENT, MID-COLUMBIA CENTER FOR LIVING, NORTH CENTRAL PUBLIC HEALTH DISTRICT, ONE COMMUNITY HEALTH, PACIFIC SOURCE COMMUNITY SOLUTIONS, SKAMANIA COUNTY HEALTH DEPARTMENT, FOUR RIVERS EARLY LEARNING HUB, UNITED WAY, ADVANTAGE DENTAL, EASTERN OREGON CCO, SOUTHWEST ACCOUNTABLE COMMUNITIES OF HEALTH MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 11: IDENTIFICATION AND SELECTION OF SIGNIFICANT HEALTH NEEDSNEEDS 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. COMMUNITY HEALTH IMPROVEMENT PLAN PRIORITIESTHE IDENTIFIED TOP FOCUS AREAS THROUGHOUT THE SEVEN-COUNTY REGION ARE:O HOUSING. O FOOD.O TRANSPORTATION AND MOBILITY.O EQUITABLE HEALTH CARE SERVICES.O EQUITABLE PHYSICAL ACTIVITY. O SOCIAL CONNECTION AND COMMUNICATION.O CHILDREN AND YOUTH SAFETY.THE FULL CHIP CAN BE ACCESSED HERE: HTTPS://STATIC1.SQUARESPACE.COM/STATIC/5E7109F83CFF1B7D10E22DA6/T/5F121C8CD72BC729C955C2C9/1595022476435/COLUMBIA+GORGE+REGIONAL+2020+CHIP+PRIORITIES+SUMMARY-+ENGLISH.PDFIN RESPONSE, THE MCMC COMMUNITY BENEFIT COMMITTEE IN ALIGNMENT WITH OUR MISSION AND VISION HAS SET THE FOLLOWING FOCUS PRIORITIES FOR THE 2020-2022 COMMUNITY BENEFIT CYCLE:PRIORITY 1: ACCESS TO EQUITABLE HEALTH CARE SERVICES FOCUS ON PROVIDING NAVIGATION AND COORDINATION FOR PRIMARY CARE, SPECIALTY CARE AND MENTAL HEALTH SERVICES. PROVIDE TIMELY CARE TO PATIENTS WHEN AND WHERE THEY NEED IT. ENSURE PATIENTS HAVE AFFORDABLE AND ADEQUATE INSURANCE COVERAGE. COMMUNITY NEED ADDRESSEDACCESS TO PRIMARY, SPECIALTY AND BEHAVIORAL HEALTH CARE. GOAL (ANTICIPATED IMPACT)INCREASED ACCESSIBILITY FOR TIMELY CARE; INCREASED PATIENT ESTABLISHMENT WITH PCP; INCREASED NAVIGATION AND SUPPORTIVE SERVICES TO VULNERABLE POPULATIONS; INCREASED ACCESS TO CLINIC BASED BEHAVIORAL HEALTH SERVICES.PRIORITY 2: SOCIAL DETERMINANTS OF HEALTHADDRESS THESE BARRIERS, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO: TRANSPORTATION, AFFORDABLE HOUSING AND FOOD INSECURITY. COMMUNITY NEED ADDRESSEDACCESS TO HEALTHY FOOD/FOOD INSECURITY. GOAL (ANTICIPATED IMPACT)INCREASED ACCESS TO HEALTHY FOODS TO VULNERABLE PATIENT POPULATION, OPEN ELIGIBILITY BEYOND DIABETIC PATIENTS.PRIORITY 3: PATIENT EMPOWERING EDUCATIONFOCUS ON PROVIDING EDUCATION TO HELP PATIENTS MAKE INFORMED AND EMPOWERED DECISIONS REGARDING THEIR HEALTH AND WELLNESS INCLUDING PAIN MANAGEMENT, NUTRITION, HEALTHY LIVING AND CHRONIC DISEASE PREVENTION. COMMUNITY NEED ADDRESSEDPROVIDING ACCESS TO INFORMATION AND EDUCATION ON WELLNESS, HEALTH PROMOTION AND DISEASE PREVENTION. OFFERING FREE EDUCATIONAL OPPORTUNITIES TO ALLOW THE COMMUNITY ACCESS TO A VARIETY OF HEALTH CARE TOPICS, GIVING THEM THE INFORMATION TO MAKE EMPOWERED DECISIONS ABOUT THEIR OWN WELL-BEING. GOAL (ANTICIPATED IMPACT)PEOPLE GET THE LANGUAGE-APPROPRIATE INFORMATION THEY NEED OR WANT ON PAPER, ONLINE OR VIDEO TO BE ABLE TO ACCESS THE SERVICES THEY NEED.CONTINUED EFFORTSMANY OF THE KEY IDENTIFIED NEEDS FROM THE PREVIOUS CHA REMAINED, IN RESPONSE, MCMC HAS MAINTAINED THE FOLLOWING COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES. WORKED CLOSELY WITH OUR LOCAL SCHOOL DISTRICT TO BOTH ASSESS IDENTIFIED NEEDS AND PROMOTE EQUITY IN PHYSICAL ACTIVITY TO HELP ADDRESS THE VARIOUS HEALTH ISSUES FACED BY TODAY'S YOUTH. THIS INCLUDES IDENTIFYING ALL PHYSICAL ACTIVITY OPPORTUNITIES OF LOCAL YOUTH AND PINPOINTING DISPARITIES IN WHICH TO FOCUS OUR EFFORTS. PROVIDED FREE ATHLETIC TRAINING SERVICES TO EIGHT LOCAL MIDDLE AND HIGH SCHOOLS. OUR FREE SERVICES INCLUDE INJURY PREVENTION, TRIAGE, REHABILITATION AND CONCUSSION CARE. OUR FIVE FULL-TIME STAFF MEMBERS DEDICATE THEIR ENTIRE WORKLOAD TO KEEPING STUDENT ATHLETES AT THESE SCHOOLS SAFE AND HEALTHY THROUGH THE YEAR-ROUND SPORTS SEASON. PROVIDED SCHOOL NURSING SERVICES AT LOCAL SCHOOLS. OFFERED NUTRITION PROGRAMS THAT PROVIDE IN-DEPTH SUPPORT AND EDUCATION FOR DIABETES AND DIABETES PREVENTION AS WELL AS FACILITATING SUPPORT GROUPS FOR WEIGHT MANAGEMENT AND PROVIDING COMMUNITY EDUCATION ON VARIOUS NUTRITIONAL TOPICS. HELD FREE MOMMY WELLNESS CLASSES INTERDISCIPLINARY PROGRAM FOR PREGNANT AND NEW MOTHERS WITH CHILDREN UP TO 2 YEARS OF AGE TO PROVIDE EDUCATION AND EXERCISE TO PROMOTE HEALTHY LIFESTYLE HABITS FOR MOTHER AND CHILD. MOMMY WELLNESS TARGETS LOW-INCOME, MINORITY AND UNDERSERVED WOMEN AND THEIR YOUNG CHILDREN. OFFERED YEAR-ROUND, FREE CAR SEAT AND BIKE HELMET EVALUATIONS AND FITTINGS THROUGH OUR EMERGENCY DEPARTMENT. PROVIDED MENTORING AND INTERNSHIP 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. FACILITATED A VARIETY OF SUPPORT GROUPS ON A REGULAR BASIS. PROVIDED FREE MEETING FACILITIES FOR VARIOUS CHARITABLE, CIVIC AND SUPPORT GROUPS.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMSOME IDENTIFIED NEEDS FALL OUTSIDE OF THE SCOPE OF MCMC'S PRACTICE. WHILE MCMC ITSELF IS UNABLE TO ADDRESS THESE, WE ARE CONFIDENT THAT NOW THAT THEY HAVE BEEN ACKNOWLEDGED SUCH AS THE NEED FOR DENTAL CARE AND ADDITIONAL FOCUS ON HOUSING, FOR EXAMPLE THESE NEEDS WILL BE APPROPRIATELY ADDRESSED BY ONE OF OUR COMMUNITY PARTNERS. MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 16J: MCMC CHARGES AND A LINK TO OUR FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ON THE OREGON PRICEPOINT WEBSITE: HTTP://WWW.ORPRICEPOINT.ORG HOSTED BY THE OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS. THE POLICY IS DISCUSSED WITH PATIENTS WHEN THEY BRING UP FINANCIAL NEED. 9 1 - WATER'S EDGE MEDICAL CLINIC 551 LONE PINE BLVD SUITE 201 THE DALLES OR 97058 HOSPITAL BASED CLINIC 2 - MCMC FAMILY MEDICINE 1620 E 12TH STREET THE DALLES OR 97058 HOSPITAL BASED CLINIC 3 - COLUMBIA CREST MEDICAL CLINIC 1935 E 19TH STREET THE DALLES OR 97058 HOSPITAL BASED CLINIC 4 - COLUMBIA RIVER WOMEN'S CENTER 1810 E 19TH STREET SUITE 209 THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC 5 - MCMC SURGICAL CLINIC 1810 E 19TH STREET SUITE 225 THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC 6 - GORGE UROLOGY 1805 E 19TH STREET THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC 7 - MCMC OCCUPATIONAL HEALTH 1815 E 19TH STREET SUITE 2 THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC 8 - MCMC SPECIALTY CLINICS AT NICHOLS LANDIN 33 NICHOLS PARKWAY HOOD RIVER OR 97031 NON-HOSPITAL BASED CLINIC 9 - COLUMBIA GORGE ENT AND ALLERGY 1815 E 19TH STREET SUITE 1 THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC PART I, LINE 7: COST-TO-CHARGE RATIO WAS UTILIZED; CCR WAS DERIVED FROM CALCULATION USED IN THE 2020 MEDICARE COST REPORT. PART I, LINE 7G: EM PHYSICIAN ADVISORY PART II, COMMUNITY BUILDING ACTIVITIES: MCMC PROMOTES THE HEALTH OF THE COMMUNITES WE SERVE BY PARTICIPATING IN REGIONAL EMERGENCY PREPAREDNESS PROGRAMS (PANDEMIC, NATURAL DISASTERS, AREA AND STATE TRAUMA ADVISORY BOARDS) AND DRILLS; BY SERVING AS AN ADVOCATE FOR THE COMMUNITY WITH REGARD TO LOCAL, STATE-WIDE AND REGIONAL HEALTH INITIATIVES; ACTING IN ADVISORY CAPACITY WITH OTHER LOCAL, STATE, AND REGIONAL ORGANIZATIONS IN ORDER TO CREATE, ACCESS AND PROVIDE SERVICES OTHERWISE NOT AVAILABLE TO THE COMMUNITY; WORKING WITH THE LOCAL COMMUNITY COLLEGE AND EMS TO EDUCATE AND TRAIN FUTURE HEALTHCARE WORKERS BY PROVIDING JOB SHADOWING AND MENTORING PROGRAMS AS WELL AS DONATED SUPPORT TO THE COLLEGE FOR SPECIFIC NURSING PROGRAMS AND PROVIDING IN-KIND STAFF DONATED HOURS TO LOCAL SCHOOL ATHLETIC FUNCTIONS IN A MEDICAL CAPACITY (INJURED STUDENTS). PART III, LINE 2: DESCRIBES ALLOWANCE FOR BAD DEBT EXPENSE AT GROSS CHARGE. THE ESTIMATE IS BASED PRIMARILY ON THE MEDICAL CENTER'S HISTORICAL COLLECTION EXPERIENCE, MANAGEMENT'S ESTIMATE OF THE PATIENT'S ECONOMIC ABILITY TO PAY AND THE EFFECTIVENESS OF COLLECTIONS EFFORTS. 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, 2020 AND 2019, 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. 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 OUR SCHOOL NURSES AND ATHLETIC TRAINERS. THE PARTNERSHIPS WERE OF CRITICAL VALUE DURING THE PANDEMIC IN WHICH WE RELIED HEAVILY ON THESE RELATIONSHIPS TO IDENTIFY AND RAPIDLY RESPOND TO COVID RELATED INCIDENCE. THROUGHOUT 2020 MCMC STAFF ALSO PARTICIPATED IN NUMEROUS EMERGENCY MANAGEMENT AND COVID TASK FORCES IN ORDER TO ASSESS AND ADDRESS THE RAPIDLY EVOLVING PANDEMIC.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 PROGRAM. PART VI, LINE 4: MID-COLUMBIA MEDICAL CENTER (MCMC) IS LOCATED IN THE DALLES, WASCO COUNTY, OREGON, WITH THE POPULATION OF WASCO COUNTY AT 26,682. MCMC SERVES A WIDE GEOGRAPHIC AREA OF RURAL NORTH CENTRAL OREGON ALONG THE COLUMBIA RIVER GORGE. OUR SERVICE AREA INCLUDES WASCO, SHERMAN AND GILLIAM COUNTIES IN OREGON AND KLICKITAT COUNTY IN WASHINGTON STATE FOR A COMBINED POPULATION TOTAL OF 52,999. MEDIAN INCOMES AND ETHNIC DEMOGRAPHICS VARY BY GEOGRAPHIC LOCATION. 2020 CENSUS DATA SHOWS MEDIAN INCOMES RANGE FROM $47,500 TO $55,773. WASCO COUNTY HAS THE LARGEST ETHNIC DIVERSITY WITH A DISTRIBUTION THAT IS 74% WHITE, 19% HISPANIC/LATINO, 4% AMERICAN INDIAN/ALASKA NATIVE AND 4% OTHER, STATISTICS WHICH REMAIN RELATIVELY UNCHANGED FROM 2014. TWELVE PERCENT OF THE POPULATION LIVES BELOW THE POVERTY LEVEL AND 10% OF THE POPULATION UNDER THE AGE OF 65 IS UNINSURED. 2020 DATA FROM THE OREGON HEALTH AUTHORITY CITES OCTOBER 2020 MEDICAID PROGRAM ENROLLMENT IN WASCO COUNTY AT 8,464 AND 7,778 AT MARCH 2019, AN INCREASE OF 9%.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: GIVING BACK TO OUR COMMUNITYMID-COLUMBIA MEDICAL CENTER 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.BOARD AND SENIOR EXECUTIVE LEADERSHIP ARE ACTIVELY INVOLVED IN PRIORITIZATION OF COMMUNITY INITIATIVES. A FULL-TIME COORDINATOR OF MCMC'S COMMUNITY INITIATIVES DEPARTMENT 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 OUR 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 OUR 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 WHICH INCLUDED INPUT FROM SIX COUNTY HEALTH DEPARTMENTS, FOUR HOSPITALS, THE LOCAL COORDINATED CARE ORGANIZATION, SOCIAL SERVICES AGENCIES IN THE REGION, HEALTH CARE PROVIDERS IN THE SERVICE REGION AND CONSUMER'S REPRESENTATIVE OF THE SAME. DETAILS ON THE METHODOLOGY, PARTICIPANTS AND REGIONAL RESULTS ARE ADDRESSED IN THE COLUMBIA GORGE REGIONAL COMMUNITY HEALTH ASSESSMENT AGENCY REPORT AND HEALTH CARE PROFESSIONAL SESSIONS WERE CONDUCTED IN ORDER TO CAPTURE AND RANK THE PRIMARY PERCEIVED NEEDS IN THE GORGE REGION. THE TOP IDENTIFIED DRIVERS FOR THE 2019 CYCLE INCLUDE CHILDREN AND YOUTH SAFETY, STABLE HOUSING, FOOD, TRANSPORTATION, PHYSICAL ACTIVITY, AND HEALTH PREVENTION FOR BOTH MEDICAL AND BEHAVIORAL HEALTH. ACCESS TO CARE HAS REMAINED AS AN ADDITIONAL REGION WIDE IDENTIFIED ISSUE. UNFORTUNATELY, ALL SOCIAL SUPPORT INDICATORS FROM THE CONSUMER SURVEY ARE WORSE THAN 2016. TRANSPORTATION, YOUTH HEALTH AND SAFETY, AND ACCESS TO CHILDCARE ALL SAW DECLINES. MEDICALLY, IMPROVEMENTS WERE SEEN IN ACCESS TO CARE COUPLED WITH A DECREASE IN EMERGENCY ROOM UTILIZATION FOR NON-EMERGENT CARE.PREVENTION AND EDUCATIONADULT AND CHILDHOOD OBESITY MID-COLUMBIA MEDICAL CENTER OFFERS A COMPREHENSIVE WELL- NESS PROGRAM FOR PEOPLE COMMITTED TO MAKING LASTING LIFESTYLE CHANGES. PREVENT IS A ONE-YEAR PROGRAM TAUGHT BY A TRAINED LIFESTYLE COACH DIAGNOSED WITH PRE-DIABETES OR HEART DISEASE, OR ARE OVERWEIGHT. MCMC IS A PROUD MEMBER OF FIT IN THE GORGE A COALITION OF COMMUNITY PARTNERS THAT AIMS TO REDUCE CHILDHOOD OBESITY THROUGHOUT THE COLUMBIA GORGE REGION. WE WORK COLLABORATIVELY ACROSS SECTORS INCLUDING HEALTH CARE, PARKS & REC, PUBLIC HEALTH, AND EDUCATION TO FIND CREATIVE SOLUTIONS TO ADDRESS CHILDHOOD OBESITY. OUR PEDIATRICS AND FAMILY MEDICINE PROVIDERS COLLABORATE WITH PARKS & REC TO FACILITATE "SWIM PRESCRIPTIONS" WHICH ARE GIVEN TO FAMILIES OF CHILDREN WHO ARE NOT GETTING ENOUGH PHYSICAL ACTIVITY.PATIENT REHABILITATION SERVICES PATIENT REHABILITATION SERVICES PROVIDED COMMUNITY EDUCATION AND ASSISTANCE IN THE DECISION-MAKING PROCESS FOR COMMUNITY MEMBERS CONSIDERING TOTAL JOINT REPLACEMENT 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. PARKINSON'S SUPPORT GROUP FOCUSING ON RAISING AWARENESS FOR PATIENTS AND CAREGIVERS TO ADVOCATE FOR MAINTAINING INDEPENDENCE ASSISTED LIVING BALANCE CLASS OFFERED TO ALL RESIDENTS OF FLAGSTONE ASSISTED LIVING AND THE DALLES SENIOR CENTER; BALANCE AND FALL RISK SCREENING AND CONSULTATIONS WERE OFFEREDPOVERTY AND UNINSUREDOUR 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 PROGRAMALL COUNTIES SERVED SHOW A HIGHER THAN NATIONAL AVERAGE OF INDIVIDUALS LIVING WITH DISABILITY AND PERSONS LIVING IN POVERTY. AS TRANSPORTATION AND ACCESS TO CARE REMAIN AT THE TOP OF THE NEEDS LIST FOR OUR VULNERABLE COMMUNITY MEMBERS, MCMC HAS CHOSEN TO CONTINUE TO OFFER VISITING HOME HEALTH SERVICES TO OUR PATIENTS, DESPITE CONTINUED OPERATIONAL LOSSES. MANY IN OUR COMMUNITY LIVE IN REMOTE AREAS AND LACK AVAILABLE, RELIABLE TRANSPORTATION, MAKING OUR VISITING HEALTH SERVICES AN INVALUABLE RESOURCE WHEN PATIENT WOULD BE OTHERWISE UNABLE TO ACCESS NECESSARY MEDICAL CARE. HOME HEALTH SERVICES INCLUDE NURSING, OUTPATIENT THERAPIES, SOCIAL WORKERS AND AIDS TO ENSURE THE CONTINUUM OF HEALTH AND WELL-BEING FOR THE INDIVIDUAL THROUGH THE COORDINATION AND DELIVERY OF PROFESSIONAL AND COMPASSIONATE ASSESSMENTS, HEALTHCARE SERVICES, AND IN-DEPTH EDUCATION IN THE HOME SETTING. OTHER MEANINGFUL CONTRIBUTIONS IN THE YEAR 2020 CAR SEAT EVALUATIONS AND FREE BIKE HELMETS AND FITTINGS ARE AVAILABLE YEAR-ROUND THROUGH OUR EMERGENCY DEPARTMENT MCMC PROVIDES MENTORING AND INTERNSHIP 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 PROVIDES SCHOOL NURSING SERVICES AT THE ELEMENTARY AGE LEVEL FOR LOCAL SCHOOLS PROVIDES SUPPORT FOR THE AMERICAN RED CROSS BLOOD DRIVES ENCOURAGES STAFF TO VOLUNTEER TO MAKE A DIFFERENCE THROUGH SERVICE TO MEMBERS OF THE COMMUNITY PROVIDES FREE MEETING FACILITIES FOR VARIOUS CHARITABLE, CIVIC AND SUPPORT GROUPS MCMC DEVELOPED A PROGRAM CALLED SOMOS: SERVING OREGON AND ITS MIGRANTS BY OFFERING SOLUTIONS. THIS PROGRAM WAS DESIGNED TO ASSIST MIGRANT WORKERS IN OUR COMMUNITY WITH RECEIVING FREE HEALTH SCREENINGS AND REFERRALS AS APPROPRIATE. THE PROGRAM SERVES THE UNDERSERVED MINORITY AND LOW-INCOME MIGRANT POPULATION.SOCIAL DETERMINANTS OF HEALTHMCMC IS INVOLVED IN A VARIETY OF COMMUNITY AND COALITION BUILDING AND HEALTH ADVOCACY ACTIVITIES REGARDING SUCH SOCIAL DETERMINANTS AS: FOOD AS HEALTH SECURITY, SUBSTANCE ABUSE, MENTAL HEALTH, HOUSING AND TRANSPORTATION. THE HOSPITAL ALSO PARTICIPATES AS A MEMBER OF THE COLUMBIA GORGE HEALTH COUNCIL (CGHC) IN PROVIDING OVERSIGHT AND GOVERNANCE OF THE COORDINATED CARE ORGANIZATION FORMED BY PACIFICSOURCE COMMUNITY SOLUTIONS (PACIFICSOURCE.) CGHC IS A NONPROFIT CORPORATION COMPRISED OF THE MEDICAL CENTER, WASCO AND HOOD RIVER COUNTIES, CENTRAL OREGON INDEPENDENT PRACTICE ASSOCIATION, INC., ONE COMMUNITY HEALTH, PACIFICSOURCE, PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL AND AT-LARGE MEMBERS OF THE COMMUNITY. 1 MID-COLUMBIA HEALTH FOUNDATION 1700 E 19TH ST THE DALLES OR 97058 930854433 501(C)(3) 332016 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 1 0 0 1 0 0 0 0 0 DENNIS KNOX PRESIDENT & CEO 493761 0 62607 0 68222 0 14250 0 16293 0 655133 0 0 0 DOUGLAS BEAMAN PHYSICIAN 494748 0 10000 0 0 0 14250 0 19194 0 538192 0 0 0 SOPHIA BORNSTEIN PHYSICIAN 414593 0 55743 0 23817 0 14250 0 9370 0 517773 0 0 0 GARY GINGRICH PHYSICIAN 464841 0 0 0 6263 0 14250 0 17043 0 502397 0 0 0 DONG XIANG PHYSICIAN 387044 0 0 0 19231 0 14250 0 19984 0 440509 0 0 0 MARC MCALLISTER PHYSICIAN 388848 0 0 0 8954 0 14250 0 24394 0 436446 0 0 0 SERENE PERKINS CMO 323172 0 17889 0 759 0 14250 0 15474 0 371544 0 0 0 DONALD WENZLER CCO 291663 0 16073 0 6415 0 14250 0 15343 0 343744 0 0 0 PAUL CARDOSI MD DIRECTOR 279343 0 0 0 28096 0 14250 0 21594 0 343283 0 0 0 WENDY APLAND CFO 304775 0 3631 0 2175 0 11438 0 12878 0 334897 0 0 0 DALE LEPPER CIO 227800 0 12361 0 6237 0 12028 0 748 0 259174 0 0 0 CHRISTINA MCMANIGAL DPT COO - THRU OCTOBER 128235 0 2075 0 76793 0 9138 0 22585 0 238826 0 0 0 PART I, LINE 4A THERE IS A INCENTIVE BASED COMPENSATION PLAN FOR THE EXECUTIVE TEAM BUT IT IS BASED ON MORE THAN JUST FINANCIAL RESULTS. THERE WAS ONE EMPLOYEE ON THE LIST THAT RECEIVED SEVERANCE PAYMENTS. CHRISTINA MCMANIGAL RECEIVED $33,516.00 IN SEVERANCE PAYMENTS. PART I, LINE 5 THE INCENTIVE COMPENSATION PLAN FOR THE QUALIFIED PERSONS WAS BASED LARGELY ON NET PROFESSIONAL FEES GENERATED BY THE DIVISION MANAGED BY THIS INDIVIDUAL, NOT MID-COLUMBIA MEDICAL CENTER AS A WHOLE. 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 RESPECTUL 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 2 NO SIGNIFICANT CHANGES DURING THE YEAR HOWEVER WE DID OPEN IMMEDIATE CARE A WALK-IN CLINIC FOR NON-EMERGENCY CARE THAT CAN'T WAIT FOR A DOCTOR'S VISIT. THE CLINIC IS STAFFED BY HEALTHCARE PROFESSIONALS WHO ARE SPECIALLY TRAINED TO TREAT A VARIETY OF ILLNESSES AND CONDITIONS, INCLUDING: MINOR FRACTURES, SPRAINS AND STRAINS, CUTS, SCRAPES OR RASHES, KITCHEN ACCIDENTS, CHILDHOOD ILLNESSES, URINARY TRACT INFECTION, VOMITING AND DIARRHEA, SORE THROAT OR RUNNY NOSE, COUGH OR CONGESTION, DEHYDRATION, SPORTS INJURIES, JOB-RELATED INJURIES FORM 990, PART III, LINE 3 IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE OUTBREAK OF THE NOVEL CORONAVIRUS AS A PANDEMIC, WHICH CONTINUES TO SPREAD THROUGHOUT THE UNITED STATES. AS A RESULT OF THE PANDEMIC, THERE ARE EVOLVING FEDERAL AND STATE REQUIREMENTS AND LAWS THAT AFFECTED THE MEDICAL CENTER'S OPERATIONS. THE MEDICAL CENTER CEASED OPERATIONS OF THE WATER'S EDGE SPA, HOWEVER, IT WAS NOT A SIGNIFICANT CHANGE TO THE OVERALL OPERATIONS OF THE MEDICAL CENTER. 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 RESPECTUL 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 A, LINE 6 HEALTH CARE FOR THE MID-COLUMBIA REGION IS THE SOLE MEMBER. ON APRIL 4, 2019, THE OPERATIONS AND RELATED ASSETS AND LIABILITIES OF HEALTH CARE FOR THE MID-COLUMBIA REGION WERE MERGED INTO MID-COLUMBIA MEDICAL CENTER. AS A RESULT, MID-COLUMBIA MEDICAL CENTER WILL EXIST AS THE PARENT OVER THE AFFILIATES OF THE FOUNDATION AND DRY HOLLOW. NO CHANCE TO THE OVERALL SCOPE OF OPERATIONS OCCURRED AS A RESULT OF THIS EVENT. 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 DIRECTOR 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 AS REQUESTED. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,484,478. MANAGEMENT AND GENERAL EXPENSES 2,690,803. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,175,281. PROFESSIONAL FEES AND CONSULTING: PROGRAM SERVICE EXPENSES 10,743,866. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,743,866. FORM 990, PART XI, LINE 9: NET ASSETS TRANSFERRED FROM AFFILIATES -86,724. MID-COLUMBIA HEALTH FOUNDATION PO BOX 1580 THE DALLES OR 97058 930854433 SUPPORT MID-COLUMBIA MEDICAL CENTER OR 501(C)(3) LINE 7 HEALTH CARE FOR THE MID-COLUMBIA REGION 1 HEALTH CARE FOR THE MID-COLUMBIA REGION PO BOX 1580 THE DALLES OR 97058 930847905 HEALTH CARE SERVICES OR 501(C)(3) LINE 12C, III - FI 0 DRY HOLLOW PROFESSIONAL CENTER INC PO BOX 1580 THE DALLES OR 97058 930631350 RENTAL BUILDING OR N/A C 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 LONE PINE HEALTH & WELLNESS CENTER K 1959000 ACTUAL MID-COLUMBIA HEALTH FOUNDATION P 617307 ACTUAL