2019-11-15T12:46:01-06:00 2018-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2018-01-01 930854433 MID-COLUMBIA HEALTH FOUNDATION MID- 5412967275 PO BOX 1580 THE DALLES OR 97058 KRISTI TIMMONS CHAIR 5412967275 2019-11-15 1 TERRI REXRODE CPA MST P00096513 9206620016 2019-11-15 74.87.127.216 2019-11-15 11:12:18 CS P A43ECD1EE6AF4781A69F6BFA161A98BDE8FA2C07 7D2FE2EA17AC540A2D29D4112E82844D375299C1 2018 2020-03-31 21:24:44Z CELESTE HILL-THOMAS PO BOX 1580 THE DALLES OR 97058 1648930 0 X WWW.MCMC.NET/FOUNDATION X 1983 OR WORK TOGETHER WITH AND PROVIDE FINANCIAL SUPPORT TO MID-COLUMBIA MEDICAL CENTER IN ORDER TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR OUR COMMUNITY. 12 9 0 225 0 0 517245 1470080 0 42742 86570 95143 103894 12274 707709 1620239 415879 478676 0 0 203457 413096 0 0 0 129014 221887 748350 1113659 -40641 506580 5945918 5750027 668863 250223 5277055 5499804 WORK TOGETHER WITH AND PROVIDE FINANCIAL SUPPORT TO MID-COLUMBIA MEDICAL CENTER IN ORDER TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR OUR COMMUNITY. 0 0 524414 478676 0 THE PRIMARY PURPOSE OF THE FOUNDATION IS TO PROVIDE FUNDRAISING FOR THE MID-COLUMBIA MEDICAL CENTER (ID# 93-0386936) AS WELL AS GRANTS/SCHOLARSHIPS TO THE GENERAL PUBLIC. 524414 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 X 12 9 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X WENDY APLAND 5415065928 323 E 2ND ST THE DALLES OR 97058 DENNIS KNOX EX-OFFICIO DIRECTOR 1.00 40.00 X 0 506473 31427 ROB CARNAHAN TREASURER 1.00 X X 0 0 0 BRIAN LAUTERBACH CHAIR 1.00 X X 0 0 0 DR FRANK TODA DIRECTOR 1.00 X 0 0 0 DR PAULA LEE-VALKOV DIRECTOR 1.00 40.00 X 0 0 0 KRISTI TIMMONS CHAIR 1.00 X X 0 0 0 JASON COREY DIRECTOR 1.00 X 0 0 0 ROBERT BAILEY DIRECTOR 1.00 X 0 0 0 ERIC HOLEMAN SECRETARY 1.00 40.00 X X 0 166100 19448 PAT ASHMORE DIRECTOR 1.00 X 0 0 0 MARILYN NIELSEN DIRECTOR 1.00 X 0 0 0 AMY SCHANNO-SUGG DIRECTOR 1.00 X 0 78121 20170 CELESTE HILL-THOMAS EXECUTIVE DIRECTOR 40.00 X 108272 0 33224 108272 750694 104269 1 0 1 0 0 877607 592473 1470080 COFFEE CART FUND 722210 42742 42742 42742 91712 91712 3431 0 3431 3431 3431 40965 28691 12274 12274 1620239 0 0 150159 336716 336716 141960 141960 141496 141496 218718 27586 191132 12415 398 12017 11784 28 11756 28683 1986 26697 4300 4300 14647 14647 102373 102373 18413 18413 21907 233 21674 23862 23862 14479 14479 1219 160 1059 1350 1350 205 205 372 372 18760 15347 3413 1113659 524414 589245 0 691332 459692 1746657 1864789 22126 271097 3283 1484 39581 38231 1538 1350 3480982 3151615 5945918 5750027 16926 21172 447427 204510 229051 668863 250223 X 2614113 2702158 2278786 2410703 384156 386943 5277055 5499804 5945918 5750027 X 506580 -332787 48956 X X 0 1 X 1 0 X 1254481 528364 717716 517245 1470080 4487886 1254481 528364 717716 517245 1470080 4487886 1579779 2908107 53775 61065 68889 75018 91712 350459 4838345 638199 0.60110 0.62720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1644624 403368 10096 13550 2044538 1387747 209917 60960 14000 1644624 1429254 102815 51758 196080 1387747 1389999 11182 51092 23019 1429254 1345021 8511 48321 11854 1389999 0.74630 0.18930 0.06440 0 0 39581 38231 1350 1350 DUE TO RELATED PARTIES 31597 CRUT LIABILITY 187647 OTHER LIABILITIES 9807 229051 X 648599 0 648599 971640 971640 1620239 1142350 28691 28691 1113659 0 1113659 PART V, LINE 4: THE FOUNDATION'S ENDOWMENT FUND IS A QUASI-ENDOWMENT THAT FUNDS THE MID-COLUMBIA HEALTH FOUNDATION OPERATING EXPENSES - ENDING BALANCE $1,525,754. THE REMAINING ENDOWMENT FUNDS SUPPORT SEVERAL SCHOLARSHIPS AND OTHER FUNDS EXPLAINED BELOW: TEMPORARY AND PERMANENTLY RESTRICTED FUNDS: -EVELYN KASER SCHOLARSHIP FUND: TO ASSIST INDIVIDUALS WHO ASPIRE TO BECOME REGISTERED NURSES AND INTEND TO PRACTICE THEIR PROFESSION IN THE MID-COLUMBIA REGION. -LORNA & JOSEPH HALLIDAY FAMILY NURSING SCHOLARSHIP FUND: TO ASSIST INDIVIDUALS ASPIRING TO BECOME REGISTERED NURSES WHO GREW UP IN THE MID-COLUMBIA REGION. -MCMC BOARD OF TRUSTEES MEDICAL PROFESSIONALS SCHOLARSHIP: TO HELP DEFRAY SOME COLLEGE EXPENSES FOR GRADUATING SENIORS FROM THE DALLES HIGH SCHOOL. -MASONS LODGE SCHOLARSHIP FUND: TO ASSIST INDIVIDUALS FROM THE LOCAL COMMUNITIES OF SHERMAN, DUFUR, AND THE DALLES HIGH SCHOOLS TO ATTEND COLLEGE. -PERMANENT SCHOLARSHIP FUND: EARNS INTEREST THAT IS ANNUALLY TRANSFERRED TO THE MID-COLUMBIA MEDICAL CENTER SCHOLARSHIP FUND. PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSISTIONS, THE MEDICAL CENTER DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSISTION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -28,691. RESTRICTED CONTRIBUTIONS 106,866. RESTRICTED INVESTMENT INCOME 15,858. CONTRIBUTIONS FROM MCMC 877,607. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 28,691. GOLF 32812 32812 4869 9301 TRADITION OF COMPASSION 5230 5230 1200 2155 3 2923 2923 13 11153 40965 40965 6082 22609 28691 12274 1 COLUMBIA GORGE PREGNANCY RESOURCE CENTERS 1936 12TH ST STE 300 THE DALLES OR 97058 911350773 501(C)(3) 5000 AREA OF GREATEST NEED GRANT - IMPROVE COMMUNITY HEALTH 1 0 WASCO LODGE MASONIC SCHOLARSHIP 2 4000 RANDY ROOD MEMORIAL SCHOLARSHIP 49 114094 MCMC EMPLOYEE SCHOLARSHIP 3 3000 MCMC EMPLOYEE DEPENDENT SCHOLARSHIP 9 6566 NON-TRADITIONAL NURSING STUDENT SCHOLARSHIP 6 5800 EVELYN KASER NURSING SCHOLARSHIP 5 3300 LORNA & JOSEPH HALLIDAY NURSING SCHOLARSHIP 3 1200 MCMC BOARD OF TRUSTEES FUTURE HEALTHCARE PROFESSIONALS 2 4000 PART I, LINE 2: AN INTERNAL GRANT MANAGER TRACKS ALL EXPENSES RELATED TO THE GRANT AND REPORTS THEM PERIODICALLY IN A WRITTEN REPORT TO THE GRANTOR. SOME GRANTS CONTAIN LINE-ITEM BUDGETS WHICH ALSO MUST BE MET AND ARE SUBJECT TO AUDIT BY THE GRANTOR. X X X X X 0 0 0 0 0 0 0 0 0 DENNIS KNOX EX-OFFICIO DIRECTOR 0 475347 0 31126 0 0 0 13750 0 17677 0 537900 0 0 ERIC HOLEMAN SECRETARY 0 163764 0 2336 0 0 0 0 0 19448 0 185548 0 0 FORM 990, PART VI, SECTION A, LINE 6 HEALTHCARE FOR THE MID-COLUMBIA REGION IS THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS WERE PROVIDED ACCESS TO THE DRAFT TO REVIEW AT THE BOARD MEETING PRECEDING FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C WE ANNUALLY REQUIRE DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT TEAM TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT, THEY WOULD BE SUBJECT TO CORRECTIVE ACTION UP TO AND INCLUDING TERMINATION FOR VIOLATION OF OUR POLICY. IF THEY SELF-DISCLOSED A POTENTIAL CONFLICT OF INTEREST ON THE FORM, WE WOULD GATHER INFORMATION ON THE ISSUE AND MAKE A DETERMINATION ON HOW SEVERE THE CONFLICT IS AND WHETHER OR NOT THE EMPLOYEE OR DIRECTOR COULD REMAIN AN EMPLOYEE. THE CONFLICT OF INTEREST POLICY IS REVEIWED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO IS COMPENSATED BY HEALTH CARE FOR THE MID-COLUMBIA REGION, A RELATED ORGANIZATION. THE BOARD OF HEALTH CARE FOR THE MID-COLUMBIA REGION ENGAGES A PROFESSIONAL FIRM TO DO A REGIONAL AND NATIONAL SURVEY, ALONG WITH A COMPARISON OF ORGANIZATION COMPLEXITY AND STRUCTURE, AND THEN RECOMMENDS A SALARY AND BENEFITS RANGE TO THE BOARD. THIS IS ALL DONE CONFIDENTIALLY WITHOUT CEO PARTICIPATION. THE CEO THEN NEGOTIATES WITH THE BOARD, WHICH COMPARES THE COMPENSATION DISCUSSED WITH THE ANALYSIS PREVIOUSLY DESCRIBED AND VOTES ON AND APPROVES A NEW CONTRACT IN EXECUTIVE SESSION WITHOUT CEO PRESENCE OR PARTICIPATION IN THE VOTE. COMPENSATION OF THE ORGANIZATIONS OFFICERS OR KEY EMPLOYEES IS DETERMINED BY A SURVEY OF MARKET RATES FOR SIMILAR POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL INFORMATION AVAILABLE TO THE PUBLIC AT THE CHARITABLE ACTIVITIES DIVISION OF THE OREGON DEPARTMENT OF JUSTICE. FORM 990, PART XI, LINE 9: CHANGE IN CRUT 48,956. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THEIR FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HEALTH CARE FOR THE MID-COLUMBIA REGION 1700 E 19TH STREET THE DALLES OR 97058 930847905 HEALTH SERVICES OR 501(C)(3) LINE 12C, III-FI 0 MID-COLUMBIA MEDICAL CENTER 1700 E 19TH STREET THE DALLES OR 97058 930386936 ACUTE HOSPITAL OR 501(C)(3) LINE 3 HEALTHCARE FOR THE MID-COLUMBIA REGION 1 LPH&WC HOLDINGS LLC 1524 SHERMAN AVENUE HOOD RIVER OR 97031 811236711 RENTAL ACTIVITY OR N/A DRY HOLLOW PROFESSIONAL CENTER INC PO BOX 1580 THE DALLES OR 97058 930631350 RENTAL BUILDING OR N/A C 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 0 0