MID-COLUMBIA HEALTH FOUNDATION: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MID-COLUMBIA HEALTH FOUNDATION (EIN 93-0854433)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-26
- IRS object ID
- 202003009349300410
- Schema version
- 2019v5.1
- 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 G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-10-26T08:09:36-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 543072237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930854433 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-COLUMBIA HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MID- | BusinessNameControlTxt |
| Phone | 5412967275 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1580 | AddressLine1Txt |
| City | THE DALLES | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97058 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTI TIMMONS | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 5412967275 | PhoneNum |
| Signature | 2020-10-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRI REXRODE CPA MST | PreparerPersonNm |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | PhoneNum |
| Preparation | 2020-10-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 184.100.239.163 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-12 | IPDt |
| IP Tm | 11:30:25 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7D2FE2EA17AC540A2D29D4112E82844D375299C1 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CELESTE HILL-THOMAS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1580 | AddressLine1Txt |
| City | THE DALLES | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97058 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,081,785 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCMC.NET/FOUNDATION | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | WORK TOGETHER WITH AND PROVIDE FINANCIAL SUPPORT TO MID-COLUMBIA MEDICAL CENTER IN ORDER TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 114 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,470,080 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,170,484 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,742 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,669 | CYProgramServiceRevenueAmt |
| PY Investment Income | $95,143 | PYInvestmentIncomeAmt |
| CY Investment Income | $756,481 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,274 | PYOtherRevenueAmt |
| CY Other Revenue | $61,312 | CYOtherRevenueAmt |
| PY Total Revenue | $1,620,239 | PYTotalRevenueAmt |
| CY Total Revenue | $2,045,946 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $478,676 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $359,277 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $413,096 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $430,319 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $221,887 | PYOtherExpensesAmt |
| CY Other Expenses | $208,104 | CYOtherExpensesAmt |
| PY Total Expenses | $1,113,659 | PYTotalExpensesAmt |
| CY Total Expenses | $997,700 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $506,580 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,048,246 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,750,027 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,741,109 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $250,223 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $212,317 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,499,804 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,528,792 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WORK TOGETHER WITH AND PROVIDE FINANCIAL SUPPORT TO MID-COLUMBIA MEDICAL CENTER IN ORDER TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $402,876 | ExpenseAmt |
| Grant | $359,277 | GrantAmt |
| Revenue | $2,045,946 | RevenueAmt |
| Desc | THE PRIMARY PURPOSE OF THE FOUNDATION IS TO PROVIDE FUNDRAISING FOR THE MID-COLUMBIA MEDICAL CENTER (ID# 93-0386936) AS WELL AS GRANTS/SCHOLARSHIPS TO THE GENERAL PUBLIC. | Desc |
| Total Program Service Expenses | $402,876 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WENDY APLAND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5415065928 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 323 E 2ND ST | AddressLine1Txt |
| City | THE DALLES | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97058 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| DENNIS KNOX | |||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $635,212 | $29,891 | |
| ERIC HOLEMAN | |||||||
| VICE CHAIR | 1.00 | 40.00 | Yes (X) | $0 | $169,376 | $30,924 | Yes (X) |
| CELESTE HILL-THOMAS | |||||||
| EXECUTIVE DIRECTOR | 40.00 | $0 | $121,989 | $23,588 | Yes (X) | ||
| AMY SUGG | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $80,632 | $23,885 | Yes (X) | |
| KRISTI TIMMONS | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DR FRANK TODA | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DR PAULA LEE-VALKOV | |||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| ROB CARNAHAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JASON COREY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT BAILEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAT ASHMORE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARILYN NIELSEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEAN DOLLARHIDE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LORI ROSEBRAUGH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KARA SIMPSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,007,209 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $108,288 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $4,186 | FundraisingAmt |
| Related Organizations | $614,974 | RelatedOrganizationsAmt |
| All Other Contributions | $551,324 | AllOtherContributionsAmt |
| Total Contributions | $1,170,484 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COFFEE CART FUND | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $57,669 | TotalRevenueColumnAmt |
| Exclusion | $57,669 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,669 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $756,481 | TotalRevenueColumnAmt |
| Exclusion | $756,481 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $97,151 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $4,186 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $35,839 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,312 | TotalRevenueColumnAmt |
| Exclusion | $61,312 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,045,946 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $875,462 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,172 | TotalAmt |
| Program Services | $236,172 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,105 | TotalAmt |
| Program Services | $123,105 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,577 | TotalAmt |
| Management And General | $145,577 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,401 | TotalAmt |
| Program Services | $30,869 | ProgramServicesAmt |
| Management And General | $193,532 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,789 | TotalAmt |
| Program Services | $1,232 | ProgramServicesAmt |
| Management And General | $9,557 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,679 | TotalAmt |
| Program Services | $20 | ProgramServicesAmt |
| Management And General | $23,659 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,873 | TotalAmt |
| Program Services | $2,058 | ProgramServicesAmt |
| Management And General | $23,815 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,245 | TotalAmt |
| Management And General | $1,245 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,252 | TotalAmt |
| Management And General | $16,252 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,141 | TotalAmt |
| Management And General | $98,141 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,899 | TotalAmt |
| Management And General | $16,899 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,598 | TotalAmt |
| Program Services | $2,823 | ProgramServicesAmt |
| Management And General | $21,775 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,114 | TotalAmt |
| Management And General | $26,114 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,121 | TotalAmt |
| Management And General | $15,121 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $828 | TotalAmt |
| Program Services | $334 | ProgramServicesAmt |
| Management And General | $494 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205 | TotalAmt |
| Management And General | $205 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565 | TotalAmt |
| Management And General | $565 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | $4,511 | $4,511 | |
| SUPPLIES | $1,873 | $1,873 | |
| DUES AND SUBSCRIPTIONS | $275 | $275 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,477 | TotalAmt |
| Program Services | $1,477 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $997,700 | TotalAmt |
| Program Services | $402,876 | ProgramServicesAmt |
| Management And General | $594,824 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $459,692 | BOYAmt |
| EOY | $570,915 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,864,789 | BOYAmt |
| EOY | $1,669,131 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,097 | BOYAmt |
| EOY | $260,348 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,484 | BOYAmt |
| EOY | $3,911 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $39,581 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $38,231 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,350 | BOYAmt |
| EOY | $1,350 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,151,615 | BOYAmt |
| EOY | $3,414,789 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $820,665 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,750,027 | BOYAmt |
| EOY | $6,741,109 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,172 | BOYAmt |
| EOY | $16,797 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,051 | BOYAmt |
| EOY | $195,520 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,223 | BOYAmt |
| EOY | $212,317 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,702,158 | BOYAmt |
| EOY | $3,421,120 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,797,646 | BOYAmt |
| EOY | $3,107,672 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,499,804 | BOYAmt |
| EOY | $6,528,792 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,750,027 | BOYAmt |
| EOY | $6,741,109 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,048,246 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$19,258 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $528,364 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $717,716 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $517,245 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,470,080 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,170,484 | CurrentTaxYearAmt |
| Total | $4,403,889 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $528,364 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $717,716 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $517,245 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,470,080 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,170,484 | CurrentTaxYearAmt |
| Total | $4,403,889 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,377,325 | SubstantialContributorsTotAmt |
| Public Support Total170 | $2,026,564 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $61,065 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $68,889 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $75,018 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $91,712 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $756,481 | CurrentTaxYearAmt |
| Total | $1,053,165 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,457,054 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $660,281 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.37140 | PublicSupportCY170Pct |
| Public Support PY170 | 0.60110 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,044,538 | BeginningYearBalanceAmt |
| Contributions | $52,326 | ContributionsAmt |
| Investment Earnings Or Losses | $59,362 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $20,250 | GrantsOrScholarshipsAmt |
| End Year Balance | $2,135,976 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,644,624 | BeginningYearBalanceAmt |
| Contributions | $403,368 | ContributionsAmt |
| Investment Earnings Or Losses | $10,096 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $13,550 | GrantsOrScholarshipsAmt |
| End Year Balance | $2,044,538 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,387,747 | BeginningYearBalanceAmt |
| Contributions | $209,917 | ContributionsAmt |
| Investment Earnings Or Losses | $60,960 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $14,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,644,624 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,429,254 | BeginningYearBalanceAmt |
| Contributions | $102,815 | ContributionsAmt |
| Investment Earnings Or Losses | $51,758 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $196,080 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,387,747 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,389,999 | BeginningYearBalanceAmt |
| Contributions | $11,182 | ContributionsAmt |
| Investment Earnings Or Losses | $51,092 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $23,019 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,429,254 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.74110 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.18270 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.07620 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,581 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,231 | DepreciationAmt |
| Book Value | $1,350 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,350 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM RELATED PARTIES | Desc |
| Book Value | $820,665 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $820,665 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CRUT LIABILITY | $183,336 |
| OTHER LIABILITIES | $12,184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $195,520 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $888,530 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $888,530 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,157,416 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,157,416 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,045,946 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,033,539 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $35,839 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $35,839 | ExpensesNotReportedAmt |
| Expenses Subtotal | $997,700 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $997,700 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE FOUNDATION'S ENDOWMENT FUND IS A QUASI-ENDOWMENT THAT FUNDS THE MID-COLUMBIA HEALTH FOUNDATION OPERATING EXPENSES - ENDING BALANCE $1,582,880 THE REMAINING ENDOWMENT FUNDS SUPPORT SEVERAL SCHOLARSHIPS AND OTHER FUNDS EXPLAINED BELOW: TEMPORARY AND PERMANENTLY RESTRICTED FUNDS: -EVELYN KASER SCHOLARSHIP FUND: TO ASSIST INDIVIDUALS WHO ASPIRE TO BECOME REGISTERED NURSES AND INTEND TO PRACTICE THEIR PROFESSION IN THE MID-COLUMBIA REGION. -LORNA & JOSEPH HALLIDAY FAMILY NURSING SCHOLARSHIP FUND: TO ASSIST INDIVIDUALS ASPIRING TO BECOME REGISTERED NURSES WHO GREW UP IN THE MID-COLUMBIA REGION. -MCMC BOARD OF TRUSTEES MEDICAL PROFESSIONALS SCHOLARSHIP: TO HELP DEFRAY SOME COLLEGE EXPENSES FOR GRADUATING SENIORS FROM THE DALLES HIGH SCHOOL. -MASONS LODGE SCHOLARSHIP FUND: TO ASSIST INDIVIDUALS FROM THE LOCAL COMMUNITIES OF SHERMAN, DUFUR, AND THE DALLES HIGH SCHOOLS TO ATTEND COLLEGE. -PERMANENT SCHOLARSHIP FUND: EARNS INTEREST THAT IS ANNUALLY TRANSFERRED TO THE MID-COLUMBIA MEDICAL CENTER SCHOLARSHIP FUND. |
| PART X, LINE 2: | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSISTIONS, 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 POSISTION 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 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE -35,839. RESTRICTED CONTRIBUTIONS 499,132. RESTRICTED INVESTMENT INCOME 79,149. CONTRIBUTIONS FROM MCMC 614,974. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 35,839. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FESTIVAL OF TREES | Event1Nm |
| Gross Receipts Event1 | $52,881 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $3,090 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $49,791 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $4,490 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,549 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $550 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $5,894 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF | Event2Nm |
| Gross Receipts Event2 | $37,675 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $946 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $36,729 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $650 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $5,302 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $150 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $9,292 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $4,520 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $150 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $4,370 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $1,618 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $25 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $75 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $4,245 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $95,076 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $4,186 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $90,890 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $6,758 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $8,876 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $775 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $19,431 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $35,840 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $55,050 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| THE NEXT DOOR INC | |||||||
| 1113 KELLY AVE | THE DALLES | OR | 97058 | 930600421 | 501(C)(3) | $5,000 | AREA OF GREATEST NEED GRANT |
| WHITE SALMON VALLEY EDUCATION | |||||||
| PO BOX 2231 | WHITE SALMON | WA | 98672 | 760817766 | 501(C)(3) | $4,950 | AREA OF GREATEST NEED GRANT |
| YOUTH EMPOWERMENT SHELTER | |||||||
| 514 E 9TH ST | THE DALLES | OR | 97058 | 464777480 | 501(C)(3) | $10,000 | WOMENS GIVING CIRCLE DONATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (8 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| WASCO LODGE MASONIC SCHOLARSHIP | 2 | $4,000 |
| RANDY ROOD MEMORIAL SCHOLARSHIP | 40 | $97,499 |
| MCMC EMPLOYEE SCHOLARSHIP | 3 | $2,990 |
| MCMC EMPLOYEE DEPENDENT SCHOLARSHIP | 10 | $6,866 |
| NON-TRADITIONAL NURSING STUDENT SCHOLARSHIP | 3 | $3,500 |
| EVELYN KASER NURSING SCHOLARSHIP | 7 | $4,500 |
| LORNA & JOSEPH HALLIDAY NURSING SCHOLARSHIP | 3 | $1,750 |
| MCMC BOARD OF TRUSTEES FUTURE HEALTHCARE PROFESSIONALS | 1 | $2,000 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FUNDING IS TRACKED THROUGH OUR JOUNAL SHEETS OF ALL THE DIFFERENT FUNDS WE HAVE. THE GRANTEES ARE REQUIRED TO PROVIDE A END OF YEAR REPORT ON HOW FUNDS WERE USED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENNIS KNOX | ||||||||||||||
| DIRECTOR | $0 | $481,682 | $0 | $150,562 | $0 | $2,968 | $0 | $14,000 | $0 | $15,891 | $0 | $665,103 | $0 | $0 |
| ERIC HOLEMAN | ||||||||||||||
| VICE CHAIR | $0 | $166,980 | $0 | $0 | $0 | $2,396 | $0 | $8,806 | $0 | $22,118 | $0 | $200,300 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | HEALTHCARE 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 CHANGE 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 DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT TEAM TO SIGN A CONFLICT OF INTEREST 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 EMPLOYEE OR DIRECTOR COULD REMAIN AN OFFICER, DIRECTOR OR EMPLOYEE. THE CONFLICT OF INTEREST POLICY IS REVEIWED ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION COMMITTEE WAS DESIGNED TO 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 PREVIOUSLY DESCRIBED AND VOTES ON AND APPROVES A NEW CONTRACT IN EXECUTIVE SESSION WITHOUT CEO PRESENCE OR PARTICIPATION IN THE VOTE. COMPENSATION OF THE ORGANIZATIONS OFFICERS OR KEY EMPLOYEES IS DETERMINED BY A SURVEY OF MARKET RATES FOR SIMILAR POSITIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL INFORMATION AVAILABLE TO THE PUBLIC AT THE CHARIABLE ACTIVITIES DIVISION OF THE OREGON DEPARTMENT OF JUSTICE. |
| FORM 990, PART XI, LINE 9: | CHANGE IN CRUT -19,258. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THEIR FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||||||||||
| 1700 E 19TH STREET | THE DALLES | OR | 97058 | 930847905 | HEALTH SERVICES | OR | 501(C)(3) | LINE 12C, III-FI | 0 | |
| MID-COLUMBIA MEDICAL CENTER | ||||||||||
| 1700 E 19TH STREET | THE DALLES | OR | 97058 | 930386936 | ACUTE HOSPITAL | OR | 501(C)(3) | LINE 3 | Yes (1) | HEALTHCARE FOR THE MID-COLUMBIA REGION |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LPH&WC HOLDINGS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1524 SHERMAN AVENUE | AddressLine1Txt |
| City | HOOD RIVER | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 811236711 | EIN |
| Primary Activities | RENTAL ACTIVITY | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| DRY HOLLOW PROFESSIONAL CENTER INC | |||||||||
| PO BOX 1580 | THE DALLES | OR | 97058 | 930631350 | RENTAL BUILDING | OR | N/A | C | 0 |
| CHARITABLE REMAINDER TRUST (1) | |||||||||
| INVESTMENTS | OR | T | 0 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MID-COLUMBIA MEDICAL CENTER | ||
| B | $82,139 | GRANTED TO RELATED PARTY FOUNDATI |
| MID-COLUMBIA MEDICAL CENTER | ||
| C | $614,974 | ACTUAL REIMBURSED EXPENSES |
| MID-COLUMBIA MEDICAL CENTER | ||
| L | $388,892 | FUNDRAISER FOR RELATED PARTY FOUN |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II | FormAndLineReferenceDesc |
| Explanation | ON APRIL 4, 2019, THE OPERATIONS AND RELATED ASSETS AND LIABILITES 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 CHANGE TO THE OVERALL SCOPE OF OPERATIONS OCCURRED AS A RESULT OF THIS EVENT. | ExplanationTxt |