ST CHARLES HEALTH SYSTEM INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ST CHARLES HEALTH SYSTEM INC (EIN 93-0602940)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-11
IRS object ID
202003169349305965
Schema version
2019v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-11T15:47:29-08:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930602940EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Charles Health System IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTCHBusinessNameControlTxt
Phone5417067707PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 NE Neff RdAddressLine1Txt
CityBENDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWelander JenniferPersonNm
Person TitleSENIOR VP/CFOPersonTitleTxt
Signature2020-11-11SignatureDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSluka JosephPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 NE Neff RdAddressLine1Txt
CityBENDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,427,035,121GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.stcharleshealthcare.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionMission: In a spirit of love and compassion, better health, better care, better value. Vision: Creating America's healthiest community, together.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee5208TotalEmployeeCnt
Total Volunteers525TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,631,049PYContributionsGrantsAmt
CY Contributions Grants$4,466,807CYContributionsGrantsAmt
PY Program Service Revenue$753,234,896PYProgramServiceRevenueAmt
CY Program Service Revenue$866,025,605CYProgramServiceRevenueAmt
PY Investment Income$18,883,649PYInvestmentIncomeAmt
CY Investment Income$128,104,012CYInvestmentIncomeAmt
PY Other Revenue$55,812,005PYOtherRevenueAmt
CY Other Revenue$3,542,630CYOtherRevenueAmt
PY Total Revenue$830,561,599PYTotalRevenueAmt
CY Total Revenue$1,002,139,054CYTotalRevenueAmt
PY Grants And Similar Paid$994,686PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,429,434CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$423,646,413PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$459,720,034CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$748,218CYTotalFundraisingExpenseAmt
PY Other Expenses$359,935,505PYOtherExpensesAmt
CY Other Expenses$372,574,003CYOtherExpensesAmt
PY Total Expenses$784,576,604PYTotalExpensesAmt
CY Total Expenses$833,723,471CYTotalExpensesAmt
PY Revenues Less Expenses$45,984,995PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$168,415,583CYRevenuesLessExpensesAmt
Total Assets BOY$1,047,605,572TotalAssetsBOYAmt
Total Assets EOY$1,206,976,077TotalAssetsEOYAmt
Total Liabilities BOY$406,838,923TotalLiabilitiesBOYAmt
Total Liabilities EOY$435,183,665TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$640,766,649NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$771,792,412NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo own, manage and operate hospitals in Central Oregon, as well as the care of sick, injured and infirm and the carrying on, participation in and sponsorship of health-related services and activities in the communities.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$459,059,507ExpenseAmt
Grant$1,429,434GrantAmt
Revenue$592,440,987RevenueAmt
DescSt. Charles BendSCMC-B provided services for 16,903 Inpatients, 1,955 births, 17,169 surgical cases, 44,954 Emergency Room visits, and 92,378 Other Outpatient visits in 2019. As one of the Pacific Northwest's leading regional health care facilities, St. Charles Bend provides services typically found in markets many times its size. For 100 years, St. Charles Bend has taken responsibility for the health and well-being of generations of Oregonians, developing into a Level II Regional Trauma Center with specialized partnerships in heart, cancer, orthopedics and neurosurgery.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$74,200,102ExpenseAmt
Revenue$55,705,844RevenueAmt
DescSt. Charles Medical Group (SCMG)SCMG is a group of medical clinics owned and operated by St. Charles Health System. These clinics are located throughout the region and provide outpatient services such as cancer care, OB/GYN, pulmonary care, sleep disorder resources, heart services and primary care. SCMG provided over 213,500 visits in Bend clinics, 70,400 visits in Redmond clinics, 7,800 visits in the Sisters clinic, 28,800 visits in Prineville clinics, 6,000 in the Madras clinics and 5,900 in La Pine clinics in 2018. SCMG also operates two immediate care clinics to provide low-cost urgent care services to the community; the immediate care clinics provided services for more than 22,500 patient visits in 2019.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$72,772,757ExpenseAmt
Revenue$100,842,149RevenueAmt
DescSt. Charles RedmondSCMC-R provided services for 2,421 inpatients, 228 births, 4,747 surgical cases, 22,328 Emergency Room visits, and 31,678 Other Outpatient Visits in 2019. At St. Charles Redmond, the patient experience remains at the center of all we do and each patient is empowered to play an active role in his or her own care and healing. Surgeries are performed in four of Oregon's newest and most advanced surgical suites. Patients and their families enjoy the comfort of state-of-the-art patient rooms. Everyone receives the level of care that is expected of a leading regional health care facility.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$83,414,830TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$120,460,286TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$689,447,196TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document455IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5208EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJENNIFER WELANDERPersonNm
Phone5417067707PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 NE Neff RdAddressLine1Txt
CityBENDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Sluka Joseph
President50.001.00Yes (X)$862,342$0$149,018
Slater Matthew MD
Physician50.000.00$863,422$0$33,020
Martin William MD
Physician50.000.00$720,467$0$53,801
Rafael Allen MD
Physician50.000.00$720,243$0$43,896
Laughlin James MD
Physician50.000.00$697,134$0$43,872
Vlessis Angelo MD
Physician50.000.00$670,255$0$34,579
Absalon Jeffrey MD
CHIEF PHYSICIAN EXECUTIVE40.000.00$510,422$0$90,304
Simmons Iman
SVP COO40.000.00$433,597$0$84,161
Welander Jennifer
Senior VP/CFO45.005.00Yes (X)$425,085$0$58,800
Guyn Jim MD
SVP Population Health40.000.00$428,903$0$45,624
Steinke Pamela
SVP Quality/CNE40.000.00$351,612$0$90,643
Pfister Robert
SVP Chief Quality and Safety Physic40.000.00$365,425$0$64,016
Brickhouse Jeremiah
SVP/CIO50.000.00$322,309$0$73,035
Adams Aaron
CEO Bend & Redmond40.000.00$315,484$0$76,129
Marchiando Rod
SVP Improvement & Strategy40.000.00$308,142$0$73,542
Berry Rebecca
VP Human Resources60.000.00$289,547$0$65,407
Binder Darren
SVP Chief Legal & Risk Officer50.000.00$262,028$0$36,221
Pennavaria Laura
CHIEF MEDICAL OFFICER, SCMG40.000.00$225,601$0$32,627
Robinson Debra
CNO Bend40.000.00$205,058$0$34,645
Powell Michael
CHIEF PHARMACY OFFICER50.000.00$196,432$0$38,707
Shields Todd
VP Hospital Administor Prineville40.000.00$173,004$0$36,901
Stevens Carla
SR Director Periop & Cardiovascular40.000.00$192,414$0$14,638
Golda David
VP Hospital Administor Madras40.000.00$161,866$0$36,604
Reedy James
CNO Redmond40.000.00$195,499$0$0
Askari Sanaz MD
Director5.000.00$71,500$0$0Yes (X)
Schuette Dan
Director25.000.00$30,000$0$0Yes (X)
Sayeg Thomas
Director5.000.00$25,000$0$0Yes (X)
Dempsey Dennis
Director15.000.00$25,000$0$0Yes (X)
Downer Doug
Director5.000.00$25,000$0$0Yes (X)
Van Pelt Greg
Director5.000.00$25,000$0$0Yes (X)
Gordon Steve
Director5.000.00$25,000$0$0Yes (X)
Gardner Mack
Director5.000.00$20,000$0$0Yes (X)
DeGroot Shawn
Director5.000.00$20,000$0$0Yes (X)
Haase Megan
Vice Chair5.000.00Yes (X)$20,000$0$0Yes (X)
Orlikoff James
Chairman5.000.00Yes (X)$20,000$0$0Yes (X)
Terhes John MD
Director5.000.00$10,000$0$0Yes (X)
Schmid Corey
Director5.000.00$10,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,222,791TotalReportableCompFromOrgAmt
Total Other Compensation$1,310,190TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K788IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CASCADE MEDICAL IMAGING LLC
1460 NE MEDICAL CENTER DRBENDOR97701Imaging Services$39,089,955
MAYO CLINIC LABORATORIES
200 SW FIRST STREETROCHESTERMN55905LAB SERVICES$3,148,911
CENTRAL OREGON MRI LLC
PO BOX 6059BENDOR97708MRI services$5,382,150
BEND ANESTHESIOLOGY GROUP
150 W CIVIC CENTER DR STE 200SANDYUT84070ANESTHESIOLOGY$3,061,710
CENTRAL OR PATHOLOGY CONSULTANTS
1348 NE CUSHING DRIVE STE 200BENDOR97701DIAGNOSTIC SERVICES$1,612,274
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K47CntrctRcvdGreaterThan100KCnt
Related Organizations$1,853,624RelatedOrganizationsAmt
Government Grants$242,302GovernmentGrantsAmt
All Other Contributions$2,370,881AllOtherContributionsAmt
Noncash Contributions$27,346NoncashContributionsAmt
Total Contributions$4,466,807TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
St. Charles Bend900099$592,440,987$592,440,987
St. Charles Madras900099$43,052,711$43,052,711
St. Charles Medical Group621110$55,705,844$55,705,844
St. Charles Prineville900099$42,811,129$42,811,129
St. Charles Redmond900099$100,842,149$100,842,149

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,172,785TotalRevenueColumnAmt
Related Or Exempt Func Income$31,172,785RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$866,025,605TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,623,822TotalRevenueColumnAmt
Exclusion$7,623,822ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$123,491RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,522RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$118,969RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,969TotalRevenueColumnAmt
Exclusion$118,969ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$527,252,956SecuritiesAmt
Other$17,780,608OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$424,553,374SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$102,699,582SecuritiesAmt
Other$17,780,608OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,480,190TotalRevenueColumnAmt
Exclusion$120,480,190ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$599,690GrossSalesOfInventoryAmt
Cost Of Goods Sold$338,171CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$261,519TotalRevenueColumnAmt
Related Or Exempt Func Income$261,519RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Healthcare JV Income900099$1,249,830$1,249,830
Patient Account Interest900099$848,795$848,795
Service Fees900099$544,367$544,367

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$519,150TotalRevenueColumnAmt
Related Or Exempt Func Income$519,150RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,162,142OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,002,139,054TotalRevenueColumnAmt
Related Or Exempt Func Income$869,449,266RelatedOrExemptFuncIncomeAmt
Exclusion$128,222,981ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,429,434TotalAmt
Program Services$1,429,434ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,600,792TotalAmt
Management And General$7,600,792ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$362,498,533TotalAmt
Program Services$308,066,142ProgramServicesAmt
Management And General$54,017,595ManagementAndGeneralAmt
Fundraising$414,796FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,202,648TotalAmt
Program Services$11,652,364ProgramServicesAmt
Management And General$2,530,898ManagementAndGeneralAmt
Fundraising$19,386FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$52,014,645TotalAmt
Program Services$38,801,371ProgramServicesAmt
Management And General$13,124,942ManagementAndGeneralAmt
Fundraising$88,332FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,403,416TotalAmt
Program Services$19,209,227ProgramServicesAmt
Management And General$4,165,621ManagementAndGeneralAmt
Fundraising$28,568FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,274,043TotalAmt
Management And General$2,274,043ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$480,402TotalAmt
Program Services$221,625ProgramServicesAmt
Management And General$258,777ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$69,445,221TotalAmt
Program Services$61,610,579ProgramServicesAmt
Management And General$7,711,760ManagementAndGeneralAmt
Fundraising$122,882FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$733,357TotalAmt
Program Services$69,297ProgramServicesAmt
Management And General$659,438ManagementAndGeneralAmt
Fundraising$4,622FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,903,176TotalAmt
Program Services$7,307,199ProgramServicesAmt
Management And General$1,586,283ManagementAndGeneralAmt
Fundraising$9,694FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,844,184TotalAmt
Program Services$1,355,327ProgramServicesAmt
Management And General$15,466,652ManagementAndGeneralAmt
Fundraising$22,205FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,342,419TotalAmt
Program Services$8,014,491ProgramServicesAmt
Management And General$2,327,928ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,193,317TotalAmt
Program Services$930,524ProgramServicesAmt
Management And General$251,179ManagementAndGeneralAmt
Fundraising$11,614FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,066,701TotalAmt
Program Services$1,108,278ProgramServicesAmt
Management And General$953,307ManagementAndGeneralAmt
Fundraising$5,116FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,581,090TotalAmt
Program Services$24,045ProgramServicesAmt
Management And General$7,557,045ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$2,376,245TotalAmt
Program Services$616,536ProgramServicesAmt
Management And General$1,756,916ManagementAndGeneralAmt
Fundraising$2,793FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$42,740,946TotalAmt
Program Services$28,184,008ProgramServicesAmt
Management And General$14,556,938ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,140,629TotalAmt
Program Services$84ProgramServicesAmt
Management And General$2,140,545ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$143,590,832$143,624,453-$33,621
PROVIDER TAX EXPENSE$39,822,834$39,822,834
MAINTENTANCE AND REPAIRS$9,343,168$7,818,473$1,524,695
PATIENT SUPPORT$5,495,671$5,439,328$56,343

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,199,768TotalAmt
Program Services$4,141,577ProgramServicesAmt
Management And General$3,039,981ManagementAndGeneralAmt
Fundraising$18,210FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$833,723,471TotalAmt
Program Services$689,447,196ProgramServicesAmt
Management And General$143,528,057ManagementAndGeneralAmt
Fundraising$748,218FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$45,421,837BOYAmt
EOY$28,594,863EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,190,567BOYAmt
EOY$24,082,846EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$95,435,912BOYAmt
EOY$99,580,678EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$9,375BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,929,662BOYAmt
EOY$16,000,309EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,530,701BOYAmt
EOY$11,356,981EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$828,495,802LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$394,719,842LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$361,250,417BOYAmt
EOY$433,775,960EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$473,295,544BOYAmt
EOY$571,469,470EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$24,083,040BOYAmt
EOY$5,664,113EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY-$1,395,986BOYAmt
EOY$1,927,944EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,520,385BOYAmt
EOY$4,579,946EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,334,118BOYAmt
EOY$9,942,967EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,047,605,572BOYAmt
EOY$1,206,976,077EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$99,714,323BOYAmt
EOY$110,066,564EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,174,307BOYAmt
EOY$3,128,321EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$288,603,299BOYAmt
EOY$282,456,950EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,366,517BOYAmt
EOY$27,092,542EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,980,477BOYAmt
EOY$12,439,288EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$406,838,923BOYAmt
EOY$435,183,665EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$640,766,649BOYAmt
EOY$771,792,412EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$640,766,649BOYAmt
EOY$771,792,412EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,047,605,572BOYAmt
EOY$1,206,976,077EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$168,415,583ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$27,939,820NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,450,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$792,368GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$69,046DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$33,486OtherActivitiesAmt
Total Lobbying Expenditures$894,900TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationST. CHARLES UNDERTAKES LIMITED LOBBYING ACTIVITIES AIMED AT INFLUENCING STATE AND FEDERAL OFFICIALS ON HEALTHCARE MATTERS AFFECTING THE PROVISION AND FINANCING OF HEALTHCARE SERVICES BY NON-PROFIT HEALTH SYSTEMS IN OREGON.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,702,154BeginningYearBalanceAmt
Contributions$325ContributionsAmt
Investment Earnings Or Losses$728,943InvestmentEarningsOrLossesAmt
Grants Or Scholarships$113,389GrantsOrScholarshipsAmt
Administrative Expenses$22,880AdministrativeExpensesAmt
End Year Balance$5,295,153EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,902,009BeginningYearBalanceAmt
Contributions$2,440ContributionsAmt
Investment Earnings Or Losses-$127,411InvestmentEarningsOrLossesAmt
Grants Or Scholarships$51,407GrantsOrScholarshipsAmt
Administrative Expenses$23,477AdministrativeExpensesAmt
End Year Balance$4,702,154EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,527,217BeginningYearBalanceAmt
Contributions$2,577ContributionsAmt
Investment Earnings Or Losses$573,516InvestmentEarningsOrLossesAmt
Grants Or Scholarships$179,114GrantsOrScholarshipsAmt
Administrative Expenses$22,187AdministrativeExpensesAmt
End Year Balance$4,902,009EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,475,381BeginningYearBalanceAmt
Contributions$2,517ContributionsAmt
Investment Earnings Or Losses$236,984InvestmentEarningsOrLossesAmt
Grants Or Scholarships$161,937GrantsOrScholarshipsAmt
Administrative Expenses$25,728AdministrativeExpensesAmt
End Year Balance$4,527,217EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,564,921BeginningYearBalanceAmt
Contributions$51,375ContributionsAmt
Investment Earnings Or Losses-$29,698InvestmentEarningsOrLossesAmt
Grants Or Scholarships$90,396GrantsOrScholarshipsAmt
Administrative Expenses$20,821AdministrativeExpensesAmt
End Year Balance$4,475,381EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.62000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.29000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.09000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,157,008OtherCostOrOtherBasisAmt
Book Value$10,157,008BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$474,265,953OtherCostOrOtherBasisAmt
Depreciation$190,385,722DepreciationAmt
Book Value$283,880,231BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,857,114OtherCostOrOtherBasisAmt
Depreciation$5,241,411DepreciationAmt
Book Value$2,615,703BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$296,194,576OtherCostOrOtherBasisAmt
Depreciation$181,748,594DepreciationAmt
Book Value$114,445,982BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,021,151OtherCostOrOtherBasisAmt
Depreciation$17,344,115DepreciationAmt
Book Value$22,677,036BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$433,775,960TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescJOINT VENTURESDesc
Book Value$1,927,944BookValueAmt
Method ValuationCMethodValuationCd

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
COST REPORT SETTLEMENT EST LIABILITIES$767,010
PROF LIAB INSURANCE$11,515,000
RAC LIABILITY$157,278
FieldValueIRS element (for citing)
Total Liability$12,439,288TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.Endowment Funds are reported in this section because they are held by St. Charles Foundation, Inc., a related entity of SCHS. Permanently restricted endowment funds are primarily to be used for continuing education scholarships for caregivers and the professional medical community, support of SCHS' Community Benefit Programs, and in the area of greatest need. The Floyd Dement Hospital Trust Fund Testamentary Trust is administered by the Union Bank of California under a trust agreement which provides that the annual income be distributed to the Foundation for charity care to be provided to St. Charles Bend.St. Charles Foundation Board Designated endowments consist of two individual funds established for community benefit and indigent care.
Part X : FIN48 FootnoteThe audited financial statements contain the following footnote: Accounting principles generally accepted in the United States of America require SCHS' management to evaluate tax positions taken by the Corporation and recognize a tax liability (or asset) if the Corporation has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. Management has analyzed tax positions taken by the Corporation and has concluded that as of December 31, 2019, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Corporation is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Corporation's management believes it is no longer subject to income tax examinations for years prior to 2016.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served36466PersonsServedCnt
Total Community Benefit Expns$18,366,400TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,366,400NetCommunityBenefitExpnsAmt
Total Expense0.02200TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served179522PersonsServedCnt
Total Community Benefit Expns$196,356,056TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$155,951,194DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,404,862NetCommunityBenefitExpnsAmt
Total Expense0.04850TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served215988PersonsServedCnt
Total Community Benefit Expns$214,722,456TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$155,951,194DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,771,262NetCommunityBenefitExpnsAmt
Total Expense0.07050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served32691PersonsServedCnt
Total Community Benefit Expns$710,438TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$710,438NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served2105PersonsServedCnt
Total Community Benefit Expns$845,509TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$384,611DirectOffsettingRevenueAmt
Net Community Benefit Expns$460,898NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Persons Served485PersonsServedCnt
Total Community Benefit Expns$51,642TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,642NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served49PersonsServedCnt
Total Community Benefit Expns$1,861,335TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,861,335NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served35330PersonsServedCnt
Total Community Benefit Expns$3,468,924TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$384,611DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,084,313NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served251318PersonsServedCnt
Total Community Benefit Expns$218,191,380TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$156,335,805DirectOffsettingRevenueAmt
Net Community Benefit Expns$61,855,575NetCommunityBenefitExpnsAmt
Total Expense0.07430TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served205134PersonsServedCnt
Total Community Benefit Expns$317,125TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$317,125NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served205134PersonsServedCnt
Total Community Benefit Expns$317,125TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$317,125NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Reimbursed By Medicare$196,255,423ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$248,041,457CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$51,786,034MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Cascade Medical Imaging LLC
CT, Mammography and Other0.700000.30000
Central Oregon Magnetic Res
Magnetic Resonance Imaging0.333000.66700
Heart Center of the Cascade
Owns & manages a medical bu0.500000.50000
Cascade SurgiCenter LLC
Outpatient surgery0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
St Charles Bend
12500 NE NEFF RDBENDOR97701Yes (X)Yes (X)Yes (X)
St Charles Redmond
21253 NW CANAL BLVDREDMONDOR97756Yes (X)Yes (X)Yes (X)
St Charles Prineville
3384 SE COMBS FLAT RDPRINEVILLEOR97754Yes (X)Yes (X)Yes (X)Yes (X)
St Charles Madras
4470 NE A STMADRASOR97741Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back MedicareLookBackMedicareIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
St Charles Bend
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)falseYes (true)Yes (X)http://www.stcharleshealthcare.org/Yes (X)Yes (true)19Yes (true)http://www.stcharleshealthcare.org/falsefalseYes (true)Yes (X)300.0000400.0000Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.stcharleshealthcare.orgYes (X)http://www.stcharleshealthcare.orgYes (X)http://www.stcharleshealthcare.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
St Charles Redmond
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)falseYes (true)Yes (X)http://www.stcharleshealthcare.org/Yes (X)Yes (true)19Yes (true)http://www.stcharleshealthcare.org/falsefalseYes (true)Yes (X)300.0000400.0000Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.stcharleshealthcare.orgYes (X)http://www.stcharleshealthcare.orgYes (X)http://www.stcharleshealthcare.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
St Charles Prineville
3falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)falseYes (true)Yes (X)http://www.stcharleshealthcare.org/Yes (X)Yes (true)19Yes (true)http://www.stcharleshealthcare.org/falsefalseYes (true)Yes (X)300.0000400.0000Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.stcharleshealthcare.orgYes (X)http://www.stcharleshealthcare.orgYes (X)http://www.stcharleshealthcare.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
St Charles Madras
4falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)falseYes (true)Yes (X)http://www.stcharleshealthcare.org/Yes (X)Yes (true)19Yes (true)http://www.stcharleshealthcare.org/falsefalseYes (true)Yes (X)300.0000400.0000Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)http://www.stcharleshealthcare.orgYes (X)http://www.stcharleshealthcare.orgYes (X)http://www.stcharleshealthcare.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: St Charles Bend - Part V, Section B, Line 5Methodologyprimary researchThe CHNA was conducted using many forms of data collection and analysis including the following primary research: Surveys: DHM Research conducted telephone interviews of more than 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. Community Input: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community-based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens.
Facility: St Charles Madras - Part V, Section B, Line 5Methodologyprimary researchThe CHNA was conducted using many forms of data collection and analysis including the following primary research: Surveys: DHM Research conducted telephone interviews of more than 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. Community stakeholder interviews: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community-based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens.
Facility: St Charles Prineville - Part V, Section B, Line 5The CHNA was conducted using many forms of data collection and analysis including the following primary research: Surveys: DHM Research conducted telephone interviews of more than 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. Community Input: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community-based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens.
Facility: St Charles Redmond - Part V, Section B, Line 5Methodologyprimary researchThe CHNA was conducted using many forms of data collection and analysis including the following primary research:Surveys: DHM Research conducted telephone interviews of more than 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. .Community Input: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community-based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens.
Facility: St Charles Bend - Part V, Section B, Line 6aSt. Charles Redmond, St Charles Madras, St Charles Prineville
Facility: St Charles Madras - Part V, Section B, Line 6aSt. Charles Bend, St Charles Redmond, St Charles Prineville
Facility: St Charles Prineville - Part V, Section B, Line 6aSt. Charles Bend, St Charles Redmond, St Charles Madras
Facility: St Charles Redmond - Part V, Section B, Line 6aSt. Charles Bend, St Charles Madras, St Charles Prineville
Facility: St Charles Bend - Part V, Section B, Line 11The significant health needs that were identified for the St. Charles Bend facility were prioritized as such:1.Stable Housing & Supportsa.Housingb.Housing Supports for High Utilizersc.Homelessness2.Address Poverty & Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation3.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education & Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan)4.Substance & Alcohol Misuse Prevention & Treatment a.Alcoholb.Tobaccoc.Other Drugsd.Marijuana5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesitya.Preventable DiseasesAfter careful consideration, St. Charles Bend selected alcohol misuse prevention as its priority for the 2020-2022 regional health implementation strategy. The American Academy of Family Physicians defines alcohol misuse as a spectrum of behavior, including risky (excessive) alcohol use, alcohol abuse or alcohol dependence. Risky and excessive alcohol use means drinking more that the amount that results in an increased risk of poor health outcomes. They also mention that in the United States, 58% of men and 46% of women are estimated to have consumed alcohol in the past 30 days. According to the 2018 Oregon Health Authority (OHA) State of Health Assessment there has been a 38% increase in the overall rate of alcohol-related deaths in Oregon since 2001 and in the 2017 Pain in the Nation: The Drug, Alcohol, and Suicide Crises and the Need for a National Resiliency Strategy report it shows that 23% of suicides and 40% of suicide attempts involved alcohol. Oregon also ranks third highest in the country for deaths related to alcohol. Alcohol is a risk factor for injuries, violence, unintended pregnancy and motor vehicle crashes. In Oregon 33% of driving-related deaths involved alcohol, this was according to the OHA report. In Deschutes County 32% of motor vehicle crash deaths involved alcohol and 21% of adults reported they had drank alcohol excessively in the past 30 days. In the 2013 Prevention Status report from the Center for Disease Control and Prevention (CDC) the cost of excessive alcohol use is $2.8 billion, or $1.75 per drink in Oregon. Also in Oregon, in the same report, excessive drinking resulted in 1,302 deaths and 33,933 years of potential life lost each year. In Central Oregon, 37% of people ages 18-34 reported binge drinking at least once in the last 30 days. In the OHA report the word alcohol appears 25 times and in nine of those times it is in relation to the negative impacts it has on the other issues facing our communities. St. Charles Bend representatives feel that alcohol misuse prevention is a health need that is severe in Oregon and Deschutes County and is something that together with our partners, we will make positive changes. Many local organizations are working to address this need and we believe St. Charles can capitalize on the energy that surrounds the subject. St. Charles Health System is using the Robert Wood Johnson Foundation County Health Rankings to measure the success of its 10-year goal of becoming the first, second and third ranked counties in the state of Oregon. Alcohol misuse impacts a lot of the metrics shown in the rankings but it is specifically called out in the Excessive drinking and Alcohol-impaired driving deaths sections. By increasing our efforts to prevent alcohol misuse, we would not only be improving the health of the communities we serve, educating our populations and enhancing our partnerships, we would also be in alignment with the health systems strategic plan and its goals. The following are the significant health needs identified in the St. Charles Bend CHNA that will not be addressed in this implementation strategy: 1.Stable Housing and Supportsa.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) 4.Substance Misuse Prevention and Treatment a.Tobaccob.Other Drugsc.Marijuana 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases In order to achieve real improvement, this plan will only focus on severe issues that the organization has the most ability to impact, has community partners available to collaborate with and needs that will further St. Charles strategic goal of creating the top three healthiest counties in Oregon per the Robert Wood Johnson Foundations County Health Rankings. By selecting one priority, a more focused effort can be made by the caregivers at St. Charles Bend, in collaboration with local partners, to improve the health of those the health system serves. Although the other needs listed above are important, they were not selected for this RHIS. With limited resources available, the St. Charles Bend team felt it was important not to take on too much in order to tackle the selected issue from all angles and have laser-focused energy around improving alcohol misuse prevention efforts in our region. It is important to note that even though the other needs werent selected as priorities, work in these areas will continue. Each of the needs is an area of focus both internally within St. Charles departments and by external partners.
Facility: St Charles Madras - Part V, Section B, Line 11The significant health needs selected for the St. Charles Madras facility were prioritized as such:1.Stable Housing & Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty & Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Substance & Alcohol Misuse Prevention & Treatment a.Alcoholb.Tobaccoc.Other Drugsd.Marijuana 4.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education & Developmentb.Childcarec.Immunizationsd.ACEs (across the lifespan) 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.CVDb.Diabetesc.Obesityd.Preventable DiseasesAfter careful consideration, St. Charles Madras selected alcohol misuse prevention as its priority for the 2020-2022 regional health implementation strategy. The American Academy of Family Physicians defines alcohol misuse as a spectrum of behavior, including risky (excessive) alcohol use, alcohol abuse or alcohol dependence. Risky and excessive alcohol use means drinking more that the amount that results in an increased risk of poor health outcomes. They also mention that in the United States, 58% of men and 46% of women are estimated to have consumed alcohol in the past 30 days. According to the 2018 Oregon Health Authority (OHA) State of Health Assessment there has been a 38% increase in the overall rate of alcohol-related deaths in Oregon since 2001. In the 2017 Pain in the Nation: The Drug, Alcohol, and Suicide Crises and the Need for a National Resiliency Strategy report it shows that 23% of suicides and 40% of suicide attempts involved alcohol. Oregon also ranks third highest in the country for deaths related to alcohol. Alcohol is a risk factor for injuries, violence, unintended pregnancy and motor vehicle crashes. In Oregon 33% of driving-related deaths involved alcohol, this was according to the OHA report. In Jefferson County 19% of motor vehicle crash deaths involved alcohol and 17% of adults reported drinking alcohol excessively in the past 30 days. In the 2013 Prevention Status report from the Center of Disease Control and Prevention (CDC) the cost of excessive alcohol use is $2.8 billion, or $1.75 per drink in Oregon. Also in Oregon, in the same report, excessive drinking resulted in 1,302 deaths and 33,933 years of potential life lost each year. In Central Oregon, 37% of people ages 18-34 reported binge drinking at least once in the last 30 days. In the OHA report the word alcohol appears 25 times and in nine of those times it is in relation to the negative impacts it has on the other issues facing our communities. St. Charles Madras representatives feel that alcohol misuse prevention is a health need that is severe in Oregon and Jefferson County and that together with our partners, we will make positive changes. Many local organizations are working to address this need and we believe St. Charles can capitalize on the energy that surrounds the subject. St. Charles Health System is using the Robert Wood Johnson Foundation County Health Rankings to measure the success of its 10-year goal of becoming the first, second and third ranked counties in the state of Oregon. Alcohol misuse impacts a lot of the metrics shown in the rankings but it is specifically called out in the Excessive drinking and Alcohol-impaired driving deaths sections. By increasing our efforts to prevent alcohol misuse, we would not only be improving the health of the communities we serve, educating our populations and enhancing our partnerships, we would also be in alignment with the health systems strategic plan and its goals. The following are the significant health needs identified in the St. Charles Madras CHNA that will not be addressed in this implementation strategy: 1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Substance Misuse Prevention and Treatment a.Tobaccob.Other Drugsc.Marijuana 4.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases In order to achieve real improvement, it was determined that this plan would only focus on severe issues that the organization felt it had the most ability to impact, had community partners available to collaborate with and needs that would further its strategic goal of creating the top three healthiest counties in Oregon per the Robert Wood Johnson Foundations County Health Rankings. By selecting one priority, a more focused effort can be made by the caregivers at St. Charles Madras, in collaboration with local partners, to improve the health of those the health system serves. Although the other needs listed above are important, they were not selected for this RHIS. With limited resources available, the St. Charles Madras team felt it was important not to take on too much in order to tackle the selected issue from all angles and have laser-focused energy around improving alcohol misuse prevention efforts in our region. It is important to note that even though the other needs werent selected as priorities, work in these areas will continue. Each of the needs is an area of focus both internally within St. Charles departments and by external partners.
Facility: St Charles Prineville - Part V, Section B, Line 11The significant health needs selected for the St. Charles Prineville facility were prioritized as such:1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 4.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases 5.Substance and Alcohol Misuse Prevention and Treatment a.Alcoholb.Tobaccoc.Other Drugsd.Marijuana 6.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan)After careful consideration, St. Charles Prineville selected alcohol misuse prevention as its priority for the 2020-2022 regional health implementation strategy. The American Academy of Family Physicians defines alcohol misuse as a spectrum of behavior, including risky (excessive) alcohol use, alcohol abuse or alcohol dependence. Risky and excessive alcohol use means drinking more that the amount that results in an increased risk of poor health outcomes. They also mention that in the United States, 58% of men and 46% of women are estimated to have consumed alcohol in the past 30 days.[1] According to the 2018 Oregon Health Authority (OHA) State of Health Assessment there has been a 38% increase in the overall rate of alcohol-related deaths in Oregon since 2001. In the 2017 Pain in the Nation: The Drug, Alcohol, and Suicide Crises and the Need for a National Resiliency Strategy report it shows that 23% of suicides and 40% of suicide attempts involved alcohol. Oregon also ranks third highest in the country for deaths related to alcohol.[2] Alcohol is a risk factor for injuries, violence, unintended pregnancy and motor vehicle crashes. In Oregon 33% of driving-related deaths involved alcohol, this was according to the OHA report.[3] In Crook County 58% of motor vehicle crash deaths involved alcohol and 17% of adults reported drinking excessively in the past 30 days.[4] In the 2013 Prevention Status report from the Center of Disease Control and Prevention (CDC) the cost of excessive alcohol use is $2.8 billion, or $1.75 per drink in Oregon. Also in Oregon, in the same report, excessive drinking resulted in 1,302 deaths and 33,933 years of potential life lost each year. In Central Oregon, 37% of people ages 18-34 reported binge drinking at least once in the last 30 days.[5] In the OHA report the word alcohol appears 25 times and in nine of those times it is in relation to the negative impacts it has on the other issues facing our communities.St. Charles Prineville representatives feel that alcohol misuse prevention is a health need that is severe in Oregon and Crook County and that together with our partners, we will make positive changes. Many local organizations are working to address this need and we believe St. Charles can capitalize on the energy that surrounds the subject. St. Charles Health System is using the Robert Wood Johnson Foundation County Health Rankings to measure the success of its 10-year goal of becoming the first, second and third ranked healthiest counties in the state of Oregon. Alcohol misuse impacts a lot of the metrics shown in the rankings but it is specifically called out in the Excessive drinking and Alcohol-impaired driving deaths sections. By increasing our efforts to prevent alcohol misuse, we would not only be improving the health of the communities we serve, educating our populations and enhancing our partnerships, we would also be in alignment with the health systems strategic plan and its goals. The following are the significant health needs identified in the St. Charles Prineville CHNA that will not be addressed in this implementation strategy: 1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 4.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases 5.Substance Misuse Prevention and Treatment a.Tobaccob.Other Drugsc.Marijuana 6.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) In order to achieve real improvement, it was determined that this plan would only focus on severe issues that the organization felt it had the most ability to impact, had community partners available to collaborate with and needs that would further its strategic goal of becoming the top three healthiest counties in Oregon per the Robert Wood Johnson Foundations County Health Rankings. By selecting one priority, a more focused effort can be made by the caregivers at St. Charles Prineville, in collaboration with local partners, to improve the health of those the health system serves. Although the other needs listed above are important, they were not selected for this RHIS. With limited resources available, the St. Charles Prineville team felt it was important not to take on too much in order to tackle the selected issue from all angles and have laser-focused energy around improving alcohol misuse prevention efforts in our region. It is important to note that even though the other needs werent selected as priorities, work in these areas will continue. Each of the needs is an area of focus both internally within St. Charles departments and by external partners.
Facility: St Charles Redmond - Part V, Section B, Line 11The significant health needs selected for the St. Charles Redmond facility were prioritized as such:1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Substance and Alcohol Misuse Prevention and Treatment a.Alcoholb.Tobaccoc.Other Drugsd.Marijuana 4.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable DiseasesAfter careful consideration, St. Charles Redmond selected alcohol misuse prevention as its priority for the 2020-2022 regional health implementation strategy. The American Academy of Family Physicians defines alcohol misuse as a spectrum of behavior, including risky (excessive) alcohol use, alcohol abuse or alcohol dependence. Risky and excessive alcohol use means drinking more that the amount that results in an increased risk of poor health outcomes. They also mention that in the United States, 58% of men and 46% of women are estimated to have consumed alcohol in the past 30 days. According to the 2018 Oregon Health Authority (OHA) State of Health Assessment there has been a 38% increase in the overall rate of alcohol-related deaths in Oregon since 2001. In the 2017 Pain in the Nation: The Drug, Alcohol, and Suicide Crises and the Need for a National Resiliency Strategy report it shows that 23% of suicides and 40% of suicide attempts involved alcohol. Oregon also ranks third highest in the country for deaths related to alcohol. Alcohol is a risk factor for injuries, violence, unintended pregnancy and motor vehicle crashes. In Oregon 33% of driving-related deaths involved alcohol, this was according to the OHA report. In Deschutes County 32% of motor vehicle crash deaths involved alcohol and 21% of adults had drank excessively in the past 30 days. In the 2013 Prevention Status report from the Center of Disease Control and Prevention (CDC) the cost of excessive alcohol use is $2.8 billion, or $1.75 per drink in Oregon. Also in Oregon, in the same report, excessive drinking resulted in 1,302 deaths and 33,933 years of potential life lost each year. In Central Oregon, 37% of people ages 18-34 reported binge drinking at least once in the last 30 days. In the OHA report the word alcohol appears 25 times and in nine of those times it is in relation to the negative impacts it has on the other issues facing our communities. St. Charles Redmond representatives feel that alcohol misuse prevention is a health need that is severe in Oregon and Deschutes County and is something that together with our partners, we will make positive changes. Many local organizations are working to address this need and we believe St. Charles can capitalize on the energy that surrounds the subject. St. Charles Health System is using the Robert Wood Johnson Foundation County Health Rankings to measure the success of its 10-year goal of becoming the first, second and third ranked healthiest counties in the state of Oregon. Alcohol misuse impacts a lot of the metrics shown in the rankings but it is specifically called out in the Excessive drinking and Alcohol-impaired driving deaths sections. By increasing our efforts to prevent alcohol misuse, we would not only be improving the health of the communities we serve, educating our populations and enhancing our partnerships, we would also be in alignment with the health systems strategic plan and its goals. The following are the significant health needs identified in the St. Charles Redmond CHNA that will not be addressed in this implementation strategy: 1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Substance Misuse Prevention and Treatment a.Tobaccob.Other Drugsc.Marijuana 4.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases In order to achieve real improvement, it was determined that this plan would only focus on severe issues that the organization felt it had the most ability to impact, had community partners available to collaborate with and needs that would further its strategic goal of creating the top three healthiest counties in Oregon per the Robert Wood Johnson Foundations County Health Rankings. By selecting one priority, a more focused effort can be made by the caregivers at St. Charles Redmond, in collaboration with local partners, to improve the health of those the health system serves. Although the other needs listed above are important, they were not selected for this RHIS. With limited resources available, the St. Charles Redmond team felt it was important not to take on too much in order to tackle the selected issue from all angles and have laser-focused energy around improving alcohol misuse prevention efforts in our region. It is important to note that even though the other needs werent selected as priorities, work in these areas will continue. Each of the needs is an area of focus both internally within St. Charles departments and by external partners.
Facility: St Charles Bend - Part V, Section B, Line 16jA REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS.
Facility: St Charles Madras - Part V, Section B, Line 16jA REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS.
Facility: St Charles Prineville - Part V, Section B, Line 16jA REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS.
Facility: St Charles Redmond - Part V, Section B, Line 16jA REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Cascade Medical Imaging
1460 NE Medical Center DrBendOR97701Diagnostic Imaging Clinic
St Charles Cancer Center Bend
2500 NE Neff RoadBendOR97701Outpatient Cancer Center
Cascade SurgiCenter
2200 NE Neff Rd 100BendOR97701Surgery Center
St Charles Family Care Redmond
211 NW Larch AveRedmondOR97756Primary Care Clinic
Sage View Psychiatric Center
1885 NE Purcell BlvdBendOR97701Mental Health Services
Central Oregon Magnetic Resonance Imaging
1460 NE Medical Center DrBendOR97701MRI Center
St Charles Sleep Center Bend
2042 Williamson CtBendOR97701Sleep Lab
St Charles Family Care Prineville
384 SE Combs Flat RoadPrinevilleOR97754Rural Health Clinic
St Charles Pulmonary Clinic Bend
2500 NE Neff RdBendOR97701Lung Clinic
St Charles Center for Womens Health Redmond
340 NW 5th Street Ste 101RedmondOR97756OB/GYN Clinic
St Charles Immediate Care East
2600 NE Neff RdBendOR97701Immediate Care Clinic
Behavioral Health Bend
2542 Courtney DrBendOR97701Behavioral Health Clinic
St Charles Sleep Center Redmond
655 NW Jackpine AveRedmondOR97756Sleep Lab
St Charles Family Care Sisters
630 Arrowleaf TrailSistersOR97759Primary Care Clinic
St Charles Family Care Bend East
2965 NE Conners Ave Ste 127BendOR97701Primary Care Clinic
St Charles Pulmonary Clinic Redmond
655 NW Jackpine AveRedmondOR97756Lung Clinic
St Charles Heart & Lung Specialists
2500 NE Neff RdBendOR97701Cardiothoracic Surgery
St Charles Paliative Care
2500 NE Neff RdBendOR97701Paliative Care Clinic
St Charles Hospice
2275 Northeast Doctors Dr Suite 6BendOR97754Hospice Care
St Charles Preoperative Medicine
2500 NE Neff RdBendOR97701Comprehensive Care for Surgery Patients
St Charles Infectious Disease
2965 NE Conners Ave Suite 127BendOR97701Infectious Disease Clinic
St Charles Family Care Madras
480 NE A StMadrasOR97741Primary Care Clinic
Redmond Surgical Specialists
1245 NW 4th StreetRedmondOR97756Surgical Specialists
Behavioral Health Redmond
916 SW 17th St Suite 202RedmondOR97756Behavioral Health Clinic
St Charles Anticoagulation Clinic Bend
2275 NE Doctors DriveBendOR97701Anticoag Clinic
Sisters Diagnostic Radiology
630 N Arrowleaf TrailSistersOR97759Radiology
St Charles Sisters Lab Services
630 N Arrowleaf TrailSistersOR97759Outpatient Lab
Sisters School Based Health Clinic
1680 W McKimmey Butte RdSistersOR97759School Based Clinic
St Charles Wound Care & Ostomy Clinic
2275 Northeast Doctors Dr Suite 6BendOR97701Wound & Ostomy Care
St Charles Neonatology
2500 NE Neff RdBendOR97701Neonatal Intensive Care Unit
St Charles Trauma & Acute Care
2275 Northeast Doctors Dr Suite 6BendOR97701Trauma and & Surgical Services
St Charles Rheumatology
2965 NE Connors AveBendOR97701Rheumatology Clinic
St Charles Lab Clinic Redmond
1553 NW Canal BlvdRedmondOR97756Lab Services
St Charles Imaging Redmond
211 NW Larch AveRedmondOR97756Imaging Services
St Charles Immediate Care South
61250 SE Coombs PlaceBendOR97702Urgent Care Clinic
St Charles Family Care Bend South
61250 SE Coombs PlaceBendOR97701Primary Care Clinic
St Charles Imaging Bend East
2500 NE Neff RoadBendOR97701Imaging Services
St Charles Anticoagulation Clinic Redmond
244 NW Kingwood AveRedmondOR97756Anticoag Clinic
St Charles Surgical Specialists Prineville
384 SE Combs Flat RoadPrinevilleOR97754Surgical Specialists
St Charles Surgical Specialists Madras
480 NE A StreetMadrasOR97741Surgical Specialists
St Charles Lab Clinic Madras
470 NE A StreetMadrasOR97741Outpatient Lab
St Charles Lab Services Bend East
547 NE Bellvue Suite 105BendOR97701Outpatient Lab
St Charles Cancer Center Redmond
1541 NW CanalRedmondOR97756Outpatient Cancer Center
St Charles Family Care Clinic La Pine
51600 Hunnington RdLa PineOR97739PRIMARY CARE CLINIC
St Charles Imaging Services La Pine
51600 Hunnington RdLa PineOR97739IMAGING SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing MethodologyThe costing methodology used was derived from SCHS's financial systems, which address all hospital-based patient segments and other services provided. A cost-to-charge ratio from the financial systems was used to calculate the cost of Financial Assistance in line 7a. Numbers reported in column (b) in lines 7a and 7b refer to the number of patient encounters.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseWhen SCHS provides care to patients, it does not require collateral; however, itmaintains an estimated allowance for doubtful accounts. The primary collection risksrelate to uninsured patient accounts and patient accounts for which the primaryinsurance payor has paid, but patient responsibility amounts (generally deductiblesand copayments) remain outstanding. The reserves against accounts receivable is estimated based primarily upon SCHS historical collection experience, the age of the patient's account, management's estimate of the patient's economic ability to pay, and the effectiveness of collection efforts. Patient accounts receivable balances are routinely reviewed in conjunction with historical collection rates and other economic conditions that might ultimately affect the collectability of patientaccounts when considering the adequacy of the amounts recorded as net patient revenues. Actual write offs have historically been within management'sexpectations.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitSCHS currently has no reasonable way to track or estimate the amount of bad debt expense attributable to charity care, and accordingly this line has been left blank.
Part III, Line 4 - Bad Debt ExpenseSee page 15, footnote 4 "Net Patient Service Revenue", in the attached Audited Financial Statements.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitAs a response to efforts to improve the health and quality of life of people living in the community, SCHS provided $51,786,034 in unreimbursed services to patients enrolled in traditional Medicare programs. SCHS believes that the Medicare shortfall should be treated as a community benefit since it has a clear mission to serving and improving the health status of the elderly. If SCHS should cease to exist, this shortfall would have to be absorbed by another health care provider. Costs are from the Medicare Cost Report, but none of these costs are being claimed as a community benefit in Part I, line 7.Our community benefit report shows a Medicare shortfall of $91,333,968 which differs from the shortfall of $51,786,034 reported in Part III Section B because Part III Section B includes only those costs allowed in the Medicare Cost Report which excludes the Medicare Advantage shortfall; this shortfall is included in our annual community benefit report.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsCollection policies are the same for all patients. Every effort is made to identify patients who may need financial assistance at the earliest point during the patients experience with St. Charles. Patients may be identified as a candidate for financial assistance at any time before, during or after services are delivered. If at any point during the collection process documentation or information is received that indicates the patient may be eligible for our financial assistance program, the account is reviewed by our financial assistance team for presumptive eligibility. For a majority of the year, if the responsible party did not respond to statements, letters or phone calls within 120 days of billing the patient balance due, St. Charles ran the accounts through charity advisor software and the probability of payment was determined electronically. If the probability of payment was low, the encounter was written off to free care. On October 1st, St. Charles eliminated the charity advisory software scrub to identify the probability of payment, and subsequent write off to charity care.
Part VI, Line 2 - Needs AssessmentSt. Charles Health System (SCHS) assesses the needs of each of our communities in many different ways other than the facility community health needs assessments. SCHS partners with many organizations from around the community. We collaborated with the Central Oregon Health Council (COHC) to establish a local community data website. The data is provide by Healthy Communities Institute (HCI) and COHC staff manages the website. The website will have dashboards of each community and population risk profiling data that is continuously updated and accessible to the community. This information helps SCHS to keep a finger on the pulse of each population's many health indicators, helping us to continually assess each community's needs, positive changes and/or opportunities for improvement. This information can be found at http://www.centraloregonhealthdata.org. Each year St. Charles also produces the St. Charles Health System Annual Report. This report is comprised of a summary of each of the following: Community BenefitTotalsFinancial OverviewDays cash on handOperating marginExcess marginOperating ExpensesFull time employee countEach health system facility (St. Charles Bend, St. Charles Redmond, St. Charles Prineville and St. Charles Madras) BirthsDischargesIn-patient casesOut-patient casesEmergency visitsSt. Charles Medical GroupPatient visits for each clinicsThe 2018-19 Annual Report is posted online on the St. Charles Health System website at https://www.stcharleshealthcare.org/About-Us/Reports. This report and the primary data collected for its creation let us know what the trends are for different hospital stays, conditions and out-patient visits, helping to decide what services we offer and where the needs are. St. Charles also plays a significant role in local, regional and State groups in order to stay abreast of the newest information, trends, health data and best practices. SCHS has representation on the Central Oregon Health Council (COHC), the governance entity over the region's Coordinated Care Organization, PacificSource Community Solutions, County Commissions, patients, community members & local medical clinics. BY PARTICIPATING ON THIS COUNCIL, ST. CHARLES IS ABLE TO WORK WITH THE EXPERTS IN EACH OF THE THREE COUNTIES TO HEAR FIRSTHAND HOW EACH COMMUNITY IS DOING AND WHAT THEIR HEALTH NEEDS ARE. ST. CHARLES ALSO SITS ON DIFFERENT COMMITTEES FOR THE OREGON ASSOCIATION FOR HOSPITALS AND HEALTH SYSTEMS (OAHHS) AND LOCAL NON-PROFITS. BEING PART OF THESE GROUPS HELPS ST. CHARLES TO BETTER UNDERSTAND THE NEEDS OF OUR COMMUNITIES WHILE ALSO LEARNING HOW TO BETTER COLLECT, TRACK, REPORT AND IMPROVE UPON COLLECTED INFORMATION.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceThe Financial assistance program policy is posted on the SCHS website.Financial Counselors and registration staff in our facilities & primary care clinics offer financial assistance to patients, both upon request and when patients are uninsured.SCHS works to identify patients who may qualify for coverage through the following government programs (uninsured patients seen in our Emergency departments & those admitted to all of our facilities are automatically referred to a Financial Counseling Patient Advocate): CobraCrime Victims AssistanceEmergency Medicaid for Aliens Medicaid for pregnant women and children Medicaid, Medicare Supplemental Security Income (SSI)Temporary Aid for Needy Families (TANF) VeteransOur Financial Counseling Patient Advocate will work with these individuals through the process of qualifying for coverage or denial of coverage from all applicable government programs.Patients working with the Financial Counseling Patient Advocate have their accounts put on hold from collections. Patients will be referred to the SCHS Financial Assistance Department for follow-up.
Part VI, Line 4 - Community InformationDeschutes County: (St. Charles Bend and St. Charles Redmond) Information taken from United States Census Bureau(https://www.census.gov/quickfacts/fact/table/deschutescountyoregon) unless otherwise noted:URBANLAND AREA IN SQUARE MILES (2010): 3,018POPULATION (2019 ESTIMATE): 197,692POPULATION (2019): UNDER 5 YEARS: 5% UNDER 18 YEARS: 19.8% 65 YEARS AND OVER: 20.5% FEMALE: 50.5%HOUSEHOLDS (2014-2018): 72,471PERSONS PER HOUSEHOLD (2014-2018): 2.47MEDIAN HOUSEHOLD INCOME (2014-2018): $63,680PERCENTAGE OF PERSONS BELOW POVERTY LEVEL (2014-2018): 9.4%HIGH SCHOOL GRADUATE OR HIGHER, PERCENT OF PERSONS AGE 25+ (2014-2018): 93.5%POPULATION BY RACE (2019): WHITE ALONE, NOT HISPANIC: 94.4% HISPANIC OR LATINO: 8.3% TWO OR MORE RACES: 2.8% AMERICAN INDIAN AND ALASKA NATIVE ALONE: 1.1% ASIAN ALONE: 1.3% BLACK OR AFRICAN AMERICAN ALONE: .6% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: 0.2%HEALTH CARE PROVIDER ASSETS IN DESCHUTES COUNTY (OUTSIDE OF ST. CHARLES BEND AND REDMOND): MOSAIC MEDICAL CLINIC, (BEND AND REDMOND) (FQHC) LYNCH COMMUNITY CLINIC (SCHOOL-BASED HEALTH CENTER PARTNERSHIP BETWEEN MOSAIC MEDICAL, REDMOND SCHOOL DISTRICT AND DESCHUTES COUNTY) ENSWORTH COMMUNITY SCHOOL-BASED HEALTH CENTER (PARTNERSHIP BETWEEN MOSAIC MEDICAL, BEND-LAPINE SCHOOL DISTRICT AND DESCHUTES COUNTY)BEND MEMORIAL CLINIC, (BEND, REDMOND AND SISTERS) HIGH LAKES HEALTH CARE (BEND, REDMOND AND SISTERS).CROOK COUNTY: (ST. CHARLES PRINEVILLE) INFORMATION TAKEN FROM UNITED STATES CENSUS BUREAU(https://www.census.gov/quickfacts/fact/table/crookcountyoregon) UNLESS OTHERWISE NOTED:RURALMEDICALLY UNDERSERVED AREA (MUA)LAND AREA IN SQUARE MILES (2010): 2.971POPULATION (2019 ESTIMATE): 24,404POPULATION (2019): UNDER 5 YEARS: 5.6% UNDER 18 YEARS: 19.8% 65 YEARS AND OVER: 25.2% FEMALE: 50.4%HOUSEHOLDS (2014-2018): 9,339PERSONS PER HOUSEHOLD (2014-2018): 2.38MEDIAN HOUSEHOLD INCOME (2014-2018): $44,524PERCENTAGE OF PERSONS BELOW POVERTY LEVEL (2014-2018): 12.9%HIGH SCHOOL GRADUATE OR HIGHER, PERCENT OF PERSONS AGE 25+ (2014-2018): 87.6%POPULATION BY RACE (2019): WHITE ALONE, NOT HISPANIC: 94.7% HISPANIC OR LATINO: 7.6% TWO OR MORE RACES: 2.3% AMERICAN INDIAN AND ALASKA NATIVE ALONE: 1.7% ASIAN ALONE: 0.7% BLACK OR AFRICAN AMERICAN ALONE: 0.5% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: 0.1%HEALTH CARE PROVIDER ASSETS IN CROOK COUNTY (OUTSIDE OF ST.CHARLES PRINEVILLE): MOSAIC MEDICAL (FQHC)CROOK KIDS CLINIC (SCHOOL-BASED HEALTH CENTER PARTNERSHIP BETWEEN MOSAIC MEDICAL AND CROOK COUNTY SCHOOL DISTRICT).JEFFERSON COUNTY: (ST. CHARLES MADRAS) INFORMATION TAKEN FROM UNITED STATES CENSUS BUREAU(https://www.census.gov/quickfacts/fact/table/jeffersoncountyoregon)UNLESS OTHERWISE NOTED: RURALMEDICALLY UNDERSERVED AREA (MUA)LAND AREA IN SQUARE MILES (2019): 1,781POPULATION (2019 ESTIMATE): 24,658POPULATION (2019): UNDER 5 YEARS: 6.3% UNDER 18 YEARS: 23.3% 65 YEARS AND OVER: 19.9% FEMALE: 48.3%HOUSEHOLDS (2014-2018): 7,892PERSONS PER HOUSEHOLD (2014-2018): 2.81MEDIAN HOUSEHOLD INCOME (2014-2018): $50,339PERCENTAGE OF PERSONS BELOW POVERTY LEVEL (2014-2018): 16%HIGH SCHOOL GRADUATE OR HIGHER, PERCENT OF PERSONS AGE 25+ (2014-2018): 86%POPULATION BY RACE (2019): WHITE ALONE, NOT HISPANIC: 75.9% HISPANIC OR LATINO: 19.9% TWO OR MORE RACES: 3.4% AMERICAN INDIAN AND ALASKA NATIVE ALONE: 18.3% ASIAN ALONE: .9% BLACK OR AFRICAN AMERICAN ALONE: 1.2% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: 0.2%HEALTH CARE PROVIDER ASSETS IN JEFFERSON COUNTY (OUTSIDE OF ST. CHARLES MADRAS): MOSAIC MEDICAL (FQHC)CONFEDERATED TRIBES OF WARM SPRINGS MADRAS MEDICAL GROUP
Part VI, Line 4 - Community Building ActivitiesOur community building activities focused on workforce development activities which support the community by offering the expertise and resources of our hospital systems caregivers for the betterment of the community. Specifically these programs address community-wide workforce issues, potentially providing health care workers to promote the health of the community.
Part VI, Line 5 - Promotion of Community HealthSCHS provides services without charge, or at amounts less than its established rates, to patients who meet the criteria of its charity care policy. SCHS criteria for the determination of charity care include the patientsor other responsible partysannual household income, number of people in the home and amount claimed on taxes, credit history, existing medical debt obligations and other indicators of the patient's ability to pay. Generally, those individuals with an annual household income at or less than 300% of the Federal Poverty Guidelines (the Guidelines) qualify for charity care under SCHS policy. In addition, SCHS provides discounts on a sliding scale to those individuals with an annual household income of between 300% and 400% of the Guidelines. Since SCHS does not pursue collection of amounts determined to qualify as charity care, those amounts are not reported as net patient service revenue.Because Madras Prineville and La Pine are located in medically underserved areas (MUAs), the resources used for provider recruitment in those communities are counted as community benefit. St. Charles also allows nursing students, high school students and other providers to partake in job-shadowing with our paid caregivers to help them complete their course work and/or earn credits, without restrictions related to future employment.The St. Charles Health System Board of Directors is comprised of members from multiple communities served by the systemBend, Prineville, Madras, Sisters, etc.allowing for diverse views and leadership related to promoting the health of the community. Various community classes are offered at each campus, including Trauma Nurses Talk Tough, Childbirth Education, Diabetes-Health Heart Education, etc. In order to continue to promote health in the community and eliminate barriers, scholarships are available for those who are unable to pay but would still like to participate in any of these classes. Being the only health care system in Central Oregon, many non-profit community organizations come to St. Charles needing funds and other donations, such as in-kind support. During 2019, St. Charles facility caregivers provided thousands of hours of in-kind support to these organizations who share in St. Charles vision of Creating Americas healthiest community, together. In-kind support activities include but are not limited to membership on non-profit community organization boards, below fair market value rent fees, free cleaning and landscaping services and hours spent coordinating events promoting health improvement for vulnerable and low-income community members.
Part VI, Line 7 - States Filing of Community Benefit ReportOR

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BESTCARE TREATMENT SERVICES
PO Box 1710REDMONDOR97756931269087501(C)(3)$34,500$0Treatment & prevention of addiction
BETHLEHEM INN
3705 N HWY 97BENDOR97701931323419501(c)(3)$10,000$0HOMELESS SHELTER AND SERVICES
BOYS & GIRLS CLUB OF BEND
500 NW WALL STREETBENDOR97701931127536501(C)(3)$14,200$0ENABLE YOUNG PEOPLE TO REACH THEIR
CENTER FOUNDATION
2200 NE Neff RoadBENDOR97701931296341501(c)(3)$5,480$0PROVISION OF NO COST MEDICAL CARE
CO COUNCIL ON AGING
373 NE Greenwood AveBENDOR97701930661229501(C)(3)$25,000$0Suicide Prevention & Basic Needs
CONFEDERATED TRIBES OF WARM
PO BOX 1747REDMONDOR97756930639711501(c)(3)$10,000$0Alcohol, tobacco & drug free activi
CROOK COUNTY
300 NE Third Rm 23PRINEVILLEOR97754936002290CROOK COUNTY$11,887$0VETERAN & SR. SUICIDE PREVENTION
DESTINATION REHAB
PO Box 8316BENDOR97708811349238501(C)(3)$8,000$0REHAB FOR NEURO CONDITIONS
FAMILY ACCESS NETWORK FOUND
2125 NE DAGGETT LNBENDOR97701203534560501(C)(3)$12,500$0Access to basic needs for children
GIVING PLATE
61445 S HWY 97 SBENDOR97702800553186501(C)(3)$8,745$0COMMUNITY FOOD BANK
J BAR J YOUTH SERVICES
62895 Hamby RdBENDOR97701930677650501(c)(3)$5,870$0SUICIDE PREVENTION
JEFFERSON CNTY FAITH BASED
278 Southeast 8th StreetMADRASOR97741461018517501(C)(3)$12,000$0COMMUNITY IMPROVEMENT
JERICHO ROAD
PO Box 1623REDMONDOR97753562653566501(c)(3)$5,750$0SUPPORT FOR HOMELESS
KEMPLE MEMORIAL CHILD DENTAL
1029 NW 14TH St Ste 101BENDOR97701931241460501(C)(3)$7,500$0DENTAL CARE FOR CHILDREN
KIDS CENTER
1375 NW KINGSTON AVEBENDOR97701943169200501(c)(3)$10,000$0CHILD ABUSE PREVENTION & TREATMENT
LA PINE COMMUNITY KITCHEN
16480 FINLEY BUTTE RDLA PINEOR97739202087631501(C)(3)$6,050$0Provide food & clothing to resident
LEADERSHIP BEND FOUNDATION
777 NW WALL STBENDOR97701931224982501(C)(3)$10,000$0Community leadership development pr
LINES FOR LIFE
5100 SW MACADAM AVE STE 400PORTLANDOR97239930725294501(C)(3)$28,000$0Substance abuse and suicide prevent
MOUNTAIN STAR FAMILY RELIEF
2125 NE Daggett LnBENDOR97701421560891501(C)(3)$10,000$0Help prevent Child Abuse & Neglect
OR ASSOC OF HOSPITALS
400 KRUSE WAY PLACELAKE OSWEGOOR97035943098610501(C)(3)$582,802$0SUSTAINING RURAL HOSPITALS
RIMROCK TRAILS ADOLESCENT TRE
1333 NW 9TH STREETBENDOR97701931019081501(C)(3)$7,000$0DRUG & ALCOHOL TREATMENT FOR ADOLES
SHEPHERDS HOUSE
PO Box 5484BENDOR97708753207723501(C)(3)$15,500$0Homeless shelter and services
ST CHARLES FOUNDATION
2500 NE Neff RdBENDOR97701943076293501(C)(3)$54,269$0To support fundraising activities
THE SHIELD
60401 TALL PINE AVEBENDOR97702831162216501(C)(3)$8,000$0MENTAL HEALTH SERVICES
TOUR DES CHUTES
70 SW Century Dr STE 100-273BENDOR97702202006038501(c)(3)$10,000$0SUPPORTS CANCER CARE
VOLUNTEERS IN MEDICINE
2300 NE Neff RdBENDOR97701931327847501(C)(3)$239,024$0FREE MEDICAL CARE
YOUTH VILLAGE
PO BOX 341154MEMPHISTN38184581716970501(C)(3)$64,391$0HELP TROUBLED CHILDREN
FieldValueIRS element (for citing)
Total501c3 Org27Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
Absalon Jeffrey MD
CHIEF PHYSICIAN EXECUTIVE$430,073$80,349$62,298$28,006$600,726$4,646
Adams Aaron
CEO Bend & Redmond$314,986$498$49,236$26,893$391,613
Berry Rebecca
VP Human Resources$249,973$39,574$43,335$22,072$354,954
Binder Darren
SVP Chief Legal & Risk Officer$193,485$58,543$20,417$15,804$298,249$10,000
Brickhouse Jeremiah
SVP/CIO$281,072$41,237$46,675$26,360$395,344$26,923
Golda David
VP Hospital Administor Madras$161,721$145$10,120$26,484$198,470
Guyn Jim MD
SVP Population Health$379,880$48,623$16,800$28,824$474,527$400
Laughlin James MD
Physician$587,645$680$16,800$27,072$741,006$108,809
Marchiando Rod
SVP Improvement & Strategy$265,512$42,630$45,011$28,531$381,684
Martin William MD
Physician$635,266$19,510$25,050$28,751$774,268$65,691
Pennavaria Laura
CHIEF MEDICAL OFFICER, SCMG$220,938$4,663$13,681$18,946$258,228
Pfister Robert
SVP Chief Quality and Safety Physic$341,536$23,889$37,217$26,799$429,441
Powell Michael
CHIEF PHARMACY OFFICER$176,625$19,807$12,400$26,307$235,139
Rafael Allen MD
Physician$600,009$20,172$16,800$27,096$764,139$100,062
Reedy James
CNO Redmond$155,899$39,600$195,499
Robinson Debra
CNO Bend$203,735$823$12,593$22,052$239,703$500
Shields Todd
VP Hospital Administor Prineville$167,469$5,535$10,958$25,943$209,905
Simmons Iman
SVP COO$361,792$71,805$56,337$27,824$517,758
Slater Matthew MD
Physician$840,295$23,127$11,200$21,820$896,442
Sluka Joseph
President$707,093$155,249$121,848$27,170$1,011,360$127,437
Steinke Pamela
SVP Quality/CNE$291,479$60,133$68,623$22,020$442,255$36,344
Stevens Carla
SR Director Periop & Cardiovascular$188,033$4,381$11,557$3,081$207,052
Vlessis Angelo MD
Physician$667,903$2,322$5,600$28,979$704,834$30
Welander Jennifer
Senior VP/CFO$361,098$63,987$36,733$22,067$483,885$41,925

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HOSPITAL FACILITY AUTHORI
A9309911820000000002014-04-01$75,000,000SEE PART VIfalsefalsefalse
HOSPITAL FACILITY AUTHORI
B930991182250336DY72016-10-12$114,801,653SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmt
A$75,121,022$44,185$290,853$74,785,9842017falsefalseYes (true)Yes (true)
B$115,767,222$2,415$1,200,176$67,328,216falseYes (true)falseYes (true)$3,580,000$45,969,500$1,267,008

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.006000.00600falsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)Yes (true)falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
US BANK NA
AfalsefalsefalseYes (true)Yes (true)falseYes (true)falsefalseYes (true)
(no name)
BfalseYes (true)falsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationCOLUMN A:DIFFERENCE BETWEEN PART 1 (e) AND PART II, Line 3 IS DUE TO INTEREST EARNED ON BOND PROCEEDS.PART I COL (f):PROCEEDS OF THE BOND WERE ISSUED TO PAY OR REIMBURSE THE COST OF CAPITALIZED ASSETS OF BORROWER FACILITIES AND SUPPORT THE PROVISION OF HEALTHCARE.PART III, lINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(i)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.PART IV, LINE 2(C): THE REBATE REPORT WAS PREPARED BY BLX GROUP LLC, AND DATED FEBRUARY 28, 2019.PART IV, LINE 4(C): THE QUALIFIED HEDGE WAS TERMINATED SUBSTANTIALLY CONTEMPORANEOUSLY WITH THE ISSUE DATE OF THE BONDS, WITHIN THE MEANING OF TREASURY REGULATION, SECTION 1.148(h)(5)(ii)(A).COLUMN B:DIFFERENCE BETWEEN PART 1 (e) AND PART II, Line 3 IS DUE TO INTEREST EARNED ON BOND PROCEEDS.PART I(f): THE SERIES 2016A BONDS REFUND THE BORROWER'S 2005B BONDS WHICH WERE ISSUED ON DECEMBER 21, 2005.PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(i)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution107ContributionCnt
Noncash Contributions Rpt F990$27,346NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST OR STATEDMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Sage View mental health, Community Education and rents from affiliates. OTHER PROGRAM SERVICES 5: St. Charles Prineville OTHER PROGRAM SERVICES 6: St. Charles Medical Group (SCMG)SCMG is a group of medical clinics owned and operated by St. Charles Health System. These clinics are located throughout the region and provide outpatient services such as cancer care, OB/GYN, pulmonary care, sleep disorder resources, heart services and primary care. SCMG provided over 213,500 visits in Bend clinics, 70,400 visits in Redmond clinics, 7,800 visits in the Sisters clinic, 28,800 visits in Prineville clinics, 6,000 in the Madras clinics and 5,900 in La Pine clinics in 2018. SCMG also operates two immediate care clinics to provide low-cost urgent care services to the community; the immediate care clinics provided services for more than 22,500 patient visits in 2019. OTHER PROGRAM SERVICES 7: Home Health/Hospice OTHER PROGRAM SERVICES 8: Net Gain/(Loss)on sale of inventory OTHER PROGRAM SERVICES 9: Healthcare JV Income/(Loss) OTHER PROGRAM SERVICES 10: IT Support OTHER PROGRAM SERVICES 11: Patient Interest OTHER PROGRAM SERVICES 12: Education, Reimbursed Salaries, Outside Repairs and Supply Sales
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsDuring 2019, the Board of Directors of St. Charles Health System, Inc. (SCHS) amended and restated SCHS Bylaws to update and clarify the requirements relating to the composition of the Board and to specifically set forth the distinction between the roles of committees having board-delegated authority and committees functioning in an advisory capacity. The other terms of the amended and restated SCHS Bylaws are generally consistent with the prior version, but were restated in a different format intended to achieve greater internal consistency and clarity.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe 990 was prepared internally and reviewed by an external consultant. It was reviewed by the organization's Director of Finance and the CFO, both CPAs. It was also sent to each Board member and an acknowledgment of receipt and review is required by each member. It was reviewed by the Audit & Compliance Committee on behalf of the Board of Directors for final review before filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe policy covers any SCHS director, principal officer, or member of a committee (hereinafter referred to as fiduciary) with powers delegated by the SCHS Board of Directors (the Board) who has a direct or indirect financial interest in SCHS or any entity within SCHS. This policy is intended to ensure that the business conducted by SCHS is free from the influence of actual or potential conflicts of interests by any SCHS fiduciary. Each fiduciary shall annually complete the Conflict of Interest Questionnaire. This completed form is automatically submitted to the SCHS Compliance Officer who will evaluate the completed forms and present a report to the Governance Committee . The fiduciary is also required to update his/her responses to the Conflict of Interest Questionnaire should any new information regarding an actual or potential conflict of interest for that fiduciary arise. In addition, should a subsequent conflict arise after the submission of the previously completed Conflict of Interest Questionnaire each fiduciary shall orally disclose, prior to the Boards or the relevant committees consideration of a proposed transaction or arrangement, the existence of any financial interest that he or she may have with respect to the transaction or arrangement. The board will then review the transaction or arrangement to determine if it is in SCHS's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination, it shall make its decision as to whether to enter into the transaction or arrangement.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementSCHS utilizes an independent outside consultant to provide comparability data regarding compensation for the CEO and top management officials. The analysis covers all elements of total compensation. The CEO's compensation is reviewed and approved by the Board of Directors following a compensation review. The most recent study for the CEO and top management officials was performed in November of 2019.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesSCHS utilizes an independent outside consultant to provide comparability data regarding compensation for the Key Employees. The analysis covers all elements of total compensation. The compensation is reviewed by the Board of Directors following a compensation review. The evaluation and review process is prescribed in an internal policy and the process is documented. The most recent study for the key employees was performed in November of 2019.SCHS utilized an independent outside consultant to determine the pros and cons of establishing board compensation. In February 2010 the consultant presented its findings to the St. Charles board governance committee advising that board members not be involved in determining any level of compensation for the board. An external committee was selected to review the consultants analysis along with management recommendations and agreed that compensation for the SCHS board of directors is warranted and will assist in retaining and recruiting highly qualified board members.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents are available upon request. The Conflict of Interest policy is available to employees through a shared document management system. Financial reports are shared with employees monthly. Audited financial statements are available to the public upon request and on the internet at https://emma.msrb.org/Home/Index.
Other Changes In Net Assets Or Fund Balances - Other DecreasesDISTRIBUTIONS PAID TO NONCONTROLLING OWNERS = -$9450000

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Cascade Medical Buildings LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 NE Neff RdAddressLine1Txt
CityBendCityNm
State AbbreviationORStateAbbreviationCd
ZIP97701ZIPCd
FieldValueIRS element (for citing)
EIN270037327EIN
Primary ActivitiesReal Estate RentalPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Total Income$761,000TotalIncomeAmt
End Of Year Assets$50,003,237EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1St Charles Health System IncBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST CHARLES FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 NE NEFF ROADAddressLine1Txt
CityBENDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97701ZIPCd
FieldValueIRS element (for citing)
EIN943076293EIN
Primary ActivitiesRAISES FUNDS FOR SCHS & CMNTY PROGRAMSPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SCHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
CASCADE MEDICAL IMAGING LLC
1460 NE MEDICAL CENTER DRIVEBENDOR97701850484640IMAGING SERVICESORSCHSrelated$27,005,455$12,412,813falseYes (true)0.70000
HEART CENTER OF THE CASCADES
2500 NE NEFF RDBENDOR97701383724947MEDICAL BUILDINGORNArelated$329,011$1,923,595falseYes (true)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE REMAINDER TRUSTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 NE NEff RoadAddressLine1Txt
CityBENDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97701ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesCRUTPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeTRUSTEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST CHARLES FOUNDATION
b$54,269CASH
ST CHARLES FOUNDATION
c$1,853,624CASH/BOOK VALUE
ST CHARLES FOUNDATION
o$542,953BOOK VALUE
ST CHARLES FOUNDATION
r$215,264BOOK VALUE
CASCADE MEDICAL IMAGING LLC
j$202,121BOOK VALUE
CASCADE MEDICAL IMAGING LLC
m$38,920,484BOOK VALUE
CASCADE MEDICAL IMAGING LLC
p$307,352BOOK VALUE
CASCADE MEDICAL IMAGING LLC
q$4,198,740BOOK VALUE
CASCADE MEDICAL IMAGING LLC
s$22,050,000CASH
HEART CENTER OF THE CASCADES
d$3,798,000BOOK VALUE
HEART CENTER OF THE CASCADES
j$30,120BOOK VALUE
HEART CENTER OF THE CASCADES
k$1,620,000BOOK VALUE
HEART CENTER OF THE CASCADES
m$363,945BOOK VALUE
HEART CENTER OF THE CASCADES
s$232,000CASH

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.