2019-11-15T12:46:01-06:00 2018-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2018-01-01 930386936 MID-COLUMBIA MEDICAL CENTER MID- 5412961111 PO BOX 1580 THE DALLES OR 97058 WENDY APLAND CFO 5412961111 2019-11-14 1 TERRI REXRODE CPA MST P00096513 9206620016 2019-11-14 74.87.127.216 2019-11-14 13:44:33 CS P A43ECD1EE6AF4781A69F6BFA161A98BDE8FA2C07 A43ECD1EE6AF4781A69F6BFA161A98BDE8FA2C07 2018 2020-03-31 21:24:44Z DENNIS KNOX PO BOX 1580 THE DALLES OR 97058 132115850 0 X WWW.MCMC.NET X 1984 OR TO LEAD AND ACT AS A CATALYST IN PROMOTING HEALTH FOR ALL PEOPLE; TO RECOGNIZE THE INDIVIDUAL AS A WHOLE HUMAN BEING WITH DIFFERENT NEEDS THAT MUST BE ENTHUSIASTICALLY MET; TO COMMUNICATE A VISION OF HEALTH, ART, EDUCATION, TECHNOLOGY AND A CENTER FOR HEALING WHICH WILL CONTINUALLY UPGRADE THE QUALITY OF LIFE IN THE COMMUNITY ENVIRONMENT IN WHICH WE ALL LIVE; TO EMPOWER PEOPLE TO BECOME PARTNERS IN THEIR HEALTH CARE.GUIDED BY THIS MISSION MCMC CONTINUES TO BE A SIGNIFICANT PARTNER CONTRIBUTING TO THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES. 8 7 1143 226 0 0 22732 37462 115789603 130679352 185738 823050 5512382 575986 121510455 132115850 9100 877607 0 0 71710584 69334403 0 0 0 54187101 58600787 125906785 128812797 -4396330 3303053 62921146 63130359 32367486 29450683 30553660 33679676 X TO LEAD AND ACT AS A CATALYST IN PROMOTING HEALTH FOR ALL PEOPLE; TO RECOGNIZE THE INDIVIDUAL AS A WHOLE HUMAN BEING WITH DIFFERENT NEEDS THAT MUST BE ENTHUSIASTICALLY MET; TO COMMUNICATE A VISION OF HEALTH, ART, EDUCATION, TECHNOLOGY AND A CENTER HEALING WHICH WILL CONTINUALLY UPGRADE THE QUALITY OF LIFE IN THE COMMUNITY ENVIRONMENT IN WHICH WE ALL LIVE; TO EMPOWER PEOPLE TO BECOME PARTNERS IN THEIR HEALTH CARE.GUIDED BY THIS MISSION MCMC CONTINUES TO BE A SIGNIFICANT PARTNER CONTRIBUTING TO THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES. 0 0 117858873 877607 130610256 ACUTE HOSPITAL CARE:INPATIENT DAYS 6,355, INPATIENT REHAB DAYS 730, OUTPATIENT OBSERVATION DAYS 1,629, LABORATORY TESTS 198,620, IMAGING TESTS 31,510, HOME HEALTH EPISODES 2,078, EMERGENCY VISITS 15,246, ENDOSCOPY VISITS 1,851, MEDICAL ONCOLOGY 8,075, OUTPAIENT SURGERIES 1,588, RADIATION ONCOLOGY OUTPATIENT PROCEDURES 7,697, TOTAL HOSPITAL OUTPATIENT VISITS 105,551 AND TOTAL OUTPATIENT CLINIC VISITS 89,194.SEE SCHEDULE H FOR NARRATIVE OF PROGRAM SERVICE ACCOMPLISHMENTS. 117858873 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 131 0 1143 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X WENDY APLAND 5412961111 PO BOX 1580 THE DALLES OR 97058 WALLACE WOLF JR DVM DIRECTOR 1.00 X 0 0 0 CARINA SCHMIDT VICE-CHAIR 1.00 X X 0 0 0 PAUL CARDOSI MD DIRECTOR/CMO 40.00 X 305418 0 36958 DANIEL BOLDT DIRECTOR 1.00 X 0 0 0 PHIL BRADY SECRETARY 1.00 X X 0 0 0 ROB CARNAHAN CHAIR 1.00 X X 0 0 0 MARK ENGER DIRECTOR 1.00 X 0 0 0 FRANK TODA DIRECTOR 1.00 X 0 0 0 DIANNE STORBY - TERMED INTERIM CEO 1.00 40.00 X 0 271468 11642 EDWIN BODE INTERIM CFO 1.00 40.00 X 0 117748 5811 DENNIS KNOX CEO, EX-OFFICIO DIRECTOR 1.00 40.00 X 0 506473 31427 LARRY KAHL COO 1.00 40.00 X 0 186585 19695 DAVID STURGEON CFO 1.00 40.00 X 0 157758 15124 DONALD WENZLER CNO 40.00 X 150147 0 21958 DALE LEPPER CIO 1.00 40.00 X 0 138691 3143 KEITH STELZER PHYSICIAN 40.00 X 644995 0 29840 GARY GINGRICH PHYSICIAN 40.00 X 398434 0 33457 MARC MCALLISTER PHYSICIAN 40.00 X 366484 0 42592 NATHAN ULLRICH PHYSICIAN 40.00 X 364970 0 35007 THOMAS NICHOL PHYSICIAN 40.00 X 327569 0 39007 2558017 1378723 325661 109 0 1 0 HEALTH CARE FOR THE MID-COLUMBIA REGION PO BOX 1580 THE DALLES OR 97058 MANAGEMENT FEES 1530000 ROSONKE MEDICAL GROUP 4125 STONEGATE DR HOOD RIVER OR 97031 ER PHYSICIAN GROUP 343704 JOHN ELLIOTT MD 1027 LINCOLN ST HOOD RIVER OR 97031 ER PHYSICIAN 341673 PATRICK GRIMSLEY MD 2880 BEAR RIDGE DR HOOD RIVER OR 97031 ER PHYSICIAN 336546 JENNIFER LARSON MD 569 FORESTVIEW HOOD RIVER OR 97031 ER PHYSICIAN 256027 11 37462 37462 NET PATIENT SERVICE REVENUE 621500 125342600 125342600 PHARMACY REVENUE 446110 3664462 3664462 FITNESS & SPA CENTER 713940 1027208 1027208 CAFETERIA 900099 645082 645082 130679352 411202 411202 411848 0 411848 411848 411848 575986 575986 575986 132115850 130610256 0 1468132 X 877607 877607 514482 514482 56140629 53113946 3026683 2265700 2142786 122914 6462059 6271993 190066 3951533 3736192 215341 1530000 1530000 137240 45781 91459 174398 174398 19328398 16071616 3256782 381962 380699 1263 2442191 2046150 396041 1400547 1273463 127084 4440062 3483497 956565 415358 364023 51335 306752 215074 91678 578116 578116 4527129 4298706 228423 607536 549935 57601 MEDICAL SUPPLIES EXPENS 18132503 18091777 40726 REPAIRS & MAINTENANCE 2078126 2040299 37827 DUES & SUBSCRIPTIONS 241585 144440 97145 1878884 1618291 260593 128812797 117858873 10953924 0 5570333 13741 2530572 7913418 13482958 16983255 447427 102183 1650779 1962303 5952958 1406985 72793566 50021726 23042203 22771840 6022779 8266866 501434 326965 1562858 1410669 1727697 2401282 62921146 63130359 13871449 14281154 150706 359867 14660845 12646349 3475325 2372474 32367486 29450683 X 25450326 30756724 5103334 2922952 30553660 33679676 62921146 63130359 X 3303053 -430208 198243 54928 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13094 13094 0 PART II-B, LINE 1: AHA/OAHHS DUES 562933 562933 15524238 10898430 4625808 6419839 2795625 3624214 49397330 36327671 13069659 889226 889226 22771840 MALPRACTICE LIABILITY - IBNR 756204 POST-RETIREMENT BENEFIT 1147679 PROFESSIONAL LIABILITY INSURANCE 19181 DUE TO RELATED PARTIES 449410 2372474 X 132115850 0 132115850 0 132115850 127935190 0 127935190 877607 877607 128812797 PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE MEDICAL CENTER DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES BASED ON TEH TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRANSFERS TO FOUNDATION 877,607. 1 1 X 1 X 1 X 1 0 1 1 1820173 1820173 0.01410 17376438 12638052 4738386 0.03680 19196611 12638052 6558559 0.05090 19 1997 303960 303960 0.00240 1 59 552723 552723 0.00430 3 232 11394 11394 0.00010 6 0 1463231 1463231 0.01140 29 2288 2331308 2331308 0.01820 29 2288 21527919 12638052 8889867 0.06910 2 370 231185 231185 0.00180 1 400 210981 210981 0.00160 3 770 442166 442166 0.00340 1 888451 5586 28666089 31866542 -3200453 X 1 1 1 1 MID-COLUMBIA MEDICAL CENTER 1700 E 19TH STREET THE DALLES OR 97058 WWW.MCMC.NET 14-0500 X X X MID-COLUMBIA MEDICAL CENTER 1 0 0 1 X X X X X X X 16 1 1 1 1 X HTTP://WWW.MCMC.NET X 1 18 1 HTTP://WWW.MCMC.NET 0 1 X 200.000000000000 400.000000000000 1 1 X X X 1 X HTTP://WWW.MCMC.NET X HTTP://WWW.MCMC.NET X HTTP://WWW.MCMC.NET X X X X X X X 1 X 0 X X X X 1 X 0 0 MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 5: IN PREPARING THE CHNA IN 2016, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WE SERVE, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF/EXPERTISE IN PUBLIC HEALTH BY CREATING A COLLABORATIVE, CROSS-ORGANIZATIONAL, CROSS-COUNTY FORUM, THE MEMBERS OF WHICH AGREE ON THE NEEDS WITHIN OUR REGION AND COMMUNITIES AND AGREE TO SUPPORT OUR ABILITY TO ADDRESS THOSE NEEDS TOGETHER. WE ELECTED TO ALSO INCLUDE THE SOCIAL SERVICE AGENCIES AND NON-PROFITS THAT SERVE OUR AREAS' MOST VULNERABLE POPULATIONS. THE NEXT CHNA WILL BE COMPLETED IN 2019.THE PERSONS CONSULTED INCLUDE: BARB SEATTER M.S., JOHN HUFFMAN, THEN-DIRECTOR OF COMMUNITY INITIATIVES MID-COLUMBIA MEDICAL CENTER (MCMC), COCO YACKLEY, ELLEN LARSEN RN, ERIN QUINN MSN, FNP, JULIE REYNOLDS PHD, MAIJA YASUI, MARK THOMAS CHAPLAIN, MEGAN MCANINCH MSC, TERI THALHOFER RN, BSN, DIRECTOR NORTH CENTRAL PUBLIC HEALTH DISTRICT. MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL'S (MCMC) CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: KLICKITAT VALLEY HEALTH, PROVIDENCE HOOD RIVER HOSPITAL AND SKYLINE HOSPITAL. MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 6B: THE HOSPITAL'S (MCMC) CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: COLUMBIA GORGE HEALTH COUNCIL, HOOD RIVER COUNTY HEALTH DEPARTMENT, KLICKITAT VALLEY HEALTH DEPARTMENT, MID-COLUMBIA CENTER FOR LIVING, NORTH CENTRAL PUBLIC HEALTH DISTRICT, ONE COMMUNITY HEALTH, PACIFIC SOURCE COMMUNITY SOLUTIONS.ALL ORGANIZATIONS LISTED IN PART V, SECTION B L.6A:B ARE UNDER THE UMBRELLA OF THE COLUMBIA GORGE REGIONAL COMMUNITY HEALTH AGENCY. MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 11: MCMC IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA IN THE FOURTH YEAR OF THE IMPLEMENTATION PLAN BY COORDINATING EFFORTS ACROSS HEALTHCARE AND SOCIAL SERVICES, PROVIDING SERVICES TO ASSIST WITH HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT (HIRING ASSISTERS), COORDINATING SERVICES ACROSS THE SPECTRUM OF HEALTHCARE PROVIDERS AND SUPPORTING DEVELOPMENT AND HEALTHY GROWTH IN THE EARLY STAGES OF CHILDHOOD. WE ADDRESS THE IDENTIFIED NEEDS THROUGH A THREE-STEP REPETITIVE PROCESS: 1) IDENTIFY, 2) INTEGRATE RESPONSE AND 3) COMPILE ACTION ITEMS. FIVE CONDITIONS MUST BE MET FOR COLLECTIVE IMPACT SUCCESS: A COMMON AGENDA, SHARED MEASUREMENTS, MUTUALLY REINFORCING ACTIVITIES, CONTINUOUS COMMUNICATION AND BACKBONE ORGANIZATION (A DEDICATED TEAM WITH SPECIFIC SKILLS TO PROVIDE THE SUPPORT NECESSARY FOR A COHESIVE INITIATIVE.) IN THE FOURTH YEAR OF IMPLEMENTATION, THERE ARE NO IDENTIFIED AREAS IN WHICH NEEDS ARE NOT BEING ADDRESSED. MID-COLUMBIA MEDICAL CENTER PART V, SECTION B, LINE 16J: MCMC CHARGES AND A LINK TO OUR FAP ARE AVAILABLE ON THE OREGON PRICEPOINT WEBSITE:HTTP://WWW.ORPRICEPOINT.ORG HOSTED BY THE OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS; POLICY IS DISCUSSED WITH PATIENTS WHEN THEY BRING UP FINANCIAL NEED. 10 1 - MCMC FAMILY MEDICINE 1620 E 12TH STREET THE DALLES OR 97058 HOSPITAL BASED CLINIC 2 - MCMC DERMATOLOGY 2690 MAY STREET HOOD RIVER OR 97031 NON-HOSPITAL BASED CLINIC 3 - COLUMBIA RIVER WOMEN'S CENTER 1810 E 19TH STREET SUITE 209 THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC 4 - GORGE UROLOGY 1805 E 19TH STREET THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC 5 - WATER'S EDGE INTERNAL MEDICINE 551 LONE PINE BLVD SUITE 201 THE DALLES OR 97058 HOSPITAL BASED CLINIC 6 - MCMC SURGICAL CLINIC 1810 E 19TH STREET SUITE 225 THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC 7 - COLUMBIA CREST FAMILY MEDICINE 1935 E 19TH STREET THE DALLES OR 97058 HOSPITAL BASED CLINIC 8 - MCMC PODIATRYUROLOGYORTHOPEDIC 33 NICHOLS PARKWAY HOOD RIVER OR 97031 NON-HOSPITAL BASED CLINIC 9 - COLUMBIA CREST DERMATOLOGY 1935 E 19TH STREET SUITE 110 THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC 10 - MCMC OCCUPATIONAL HEALTH 1815 E 19TH STREET SUITE 2 THE DALLES OR 97058 NON-HOSPITAL BASED CLINIC PART I, LINE 7: COST-TO-CHARGE RATIO WAS UTILIZED; CCR WAS DERIVED FROM CALCULATION USED IN 2018 AUDITED FINANCIALS. PART III, LINE 2: DESCRIBES ALLOWANCE FOR BAD DEBT EXPENSE AT GROSS CHARGE. THE ESTIMATE IS BASED PRIMARILY ON THE MEDICAL CENTER'S HISTORICAL COLLECTION EXPERIENCE, MANAGEMENT'S ESTIMATE OF THE PATIENT'S ECONOMIC ABILITY TO PAY AND THE EFFECTIVENESS OF COLLECTIONS EFFORTS. BAD DEBT COST IS CALCULATED BY APPLYING THE HOSPITAL'S COST TO CHARGE RATIO. PART III, LINE 3: WE COMPARED AMOUNTS ALLOWED FOR CHARITY CARE TO TOTAL CHARGES TO CALCULATE AN ESTIMATED RATE. PART II MCMC PROMOTES THE HEALTH OF THE COMMUNITIES WE SERVE BY PARTICIPATING IN REGIONAL EMERGENCY PREPAREDNESS PROGRAMS (PANDEMIC, NATURAL DISASTERS, AREA AND STATE TRAUMA ADVISORY BOARDS) AND DRILLS; BY SERVING AS AN ADVOCATE FOR THE COMMUNITY WITH REGARD TO LOCAL, STATE-WIDE AND REGIONAL HEALTH INITIATIVES; ACTING IN ADVISORY CAPACITY WITH OTHER LOCAL, STATE AND REGIONAL ORGANIZATIONS IN ORDER TO CREATE, ACCESS AND PROVIDE SERVICES OTHERWISE NOT AVAILABLE TO THE COMMUNITY; WORKING WITH THE LOCAL COMMUNITY COLLEGE AND EMS TO EDUCATE AND TRAIN FUTURE HEALTHCARE WORKERS BY PROVIDING JOB SHADOWING AND MENTORING PROGRAMS AS WELL AS DONATED SUPPORT TO THE COLLEGE FOR SPECIFIC NURSING PROGRAMS AND PROVIDING IN-KIND STAFF DONATED HOURS TO LOCAL SCHOOL ATHLETIC FUNCTIONS IN A MEDICAL CAPACITY (INJURED STUDENTS.) PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF PATENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE AMOUNTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATENTS (INCLUDING BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY IS USED TO DETERMINE THE ALLOWABLE MEDICARE COSTS. MID-COLUMBIA MEDICAL CENTER CONTINUES TO PROVIDE CLINICAL SERVICES TO MEDICARE PATIENTS AT A DEFICIT AS PART OF OUR COMMITMENT TO THE RESIDENTS OF THE COMMUNITIES WE SERVE. THIS DEFICIT IS CONSISTENT WITH OUR TAX-EXEMPT STATUS AND INTERNAL MISSION TO PROVIDE COMMUNITY BASED HEALTHCARE REGARDLESS OF PATIENTS' ABILITY TO PAY. PART III, LINE 9B: IN CASES WHERE THE PATIENT HAS QUALIFIED FOR FULL OR PARTIAL CHARITY CARE, THE AMOUNT IS WRITTEN DOWN IN THE PATIENT ACCOUNT AND NO ATTEMPT IS MADE TO COLLECT THE AMOUNT WRITTEN DOWN. PART VI, LINE 2: COMMUNITY BENEFIT PRIORITIES AND ALLOCATIONS ARE GUIDED BY A COMMUNITY ASSESSMENT PROCESS WHICH UTILIZES QUANTITATIVE AND QUALITATIVE DATA OBTAINED FROM INTERNAL SOURCES AS WELL AS ASSESSMENT DATA FROM KEY COMMUNITY PARTNERS. MID COLUMBIA MEDICAL CENTER PARTICIPATED AS A MEMBER OF THE COLUMBIA GORGE HEALTH COUNCIL (CGHC) IN A COLLABORATIVE NEEDS ASSESSMENT WHICH INCLUDED INPUT FROM SIX COUNTY HEALTH DEPARTMENTS, FOUR HOSPITALS, THE LOCAL COORDINATED CARE ORGANIZATION, SOCIAL SERVICES AGENCIES IN THE REGION, HEALTH CARE PROVIDERS IN THE SERVICE REGION AND CONSUMER'S REPRESENTATIVE OF THE SAME. DETAILS ON THE METHODOLOGY, PARTICIPANTS AND REGIONAL RESULTS ARE ADDRESSED IN THE COLUMBIA GORGE REGIONAL COMMUNITY HEALTH ASSESSMENT AGENCY REPORT AND HEALTH CARE PROFESSIONAL SESSIONS WERE CONDUCTED IN ORDER TO CAPTURE AND RANK THE PRIMARY PERCEIVED NEEDS IN THE GORGE REGION. OVERALL NEEDS IDENTIFIED WERE ADEQUATE INCOME, STABLE HOUSING, FOOD, TRANSPORTATION AND HEALTH PREVENTION AND BOTH MEDICAL AND BEHAVIORAL HEALTH. ACCESS TO CARE WAS AN ADDITIONAL REGION-WIDE IDENTIFIED ISSUE.HEALTH OUTCOMES AND FACTORS OF PARTICULAR CONCERN IN WASCO COUNTY INCLUDE A HIGH RATE OF CHRONIC DISEASE, PREVALENCE OF ADULT AND CHILD OBESITY, TEEN PREGNANCY, LIMITED ACCESS TO HEALTHY FOODS, HIGH SCHOOL GRADUATION RATE AND A RELATIVELY HIGH PERCENTAGE OF THE POPULATION REPORTING INADEQUATE SOCIAL SUPPORT. PART VI, LINE 3: OUR PATIENT AND VISITOR SERVICES STAFF TAKE AN ACTIVE ROLE IN ASSISTING LOW-INCOME AND UNDER- / UN-INSURED PATIENTS (THERE ARE SOME EXEMPTIONS IN PLACE TO THE INDIVIDUAL MANDATE REQUIRED BY THE AFFORDABLE CARE ACT) WITH COMPLETING APPLICATIONS FOR THE OREGON HEALTH PLAN. APPLICATIONS (IN ENGLISH AND SPANISH) ARE AVAILABLE AT REGISTRATION AND IN PATIENT ACCOUNTS IN BOTH THE HOSPITAL AND THE OUTPATIENT CLINICS. THIS APPLICATION PACKET OUTLINES THE PROCESS AND PROVIDES PHONE NUMBERS AND CONTACT INFORMATION FOR ASSISTANCE WITH ENROLLMENT; STAFF HOURS ARE ALSO ACTIVELY DEDICATED TO ASSISTING IN THE PRESUMPTIVE ELIGIBILITY PROGRAM. PART VI, LINE 4: MID-COLUMBIA MEDICAL CENTER (MCMC) IS LOCATED IN THE DALLES, WASCO COUNTY, OREGON, WITH THE POPULATION OF WASCO COUNTY AT 26,505. MCMC SERVES A WIDE GEOGRAPHIC AREA OF RURAL NORTH CENTRAL OREGON ALONG THE COLUMBIA RIVER. THIS SERVICE AREA INCLUDES WASCO, SHERMAN AND GILLIAM COUNTIES IN OREGON AND KLICKITAT COUNTY IN WASHINGTON STATE FOR A COMBINED POPULATION TOTAL OF 52,214. MEDIAN INCOMES AND ETHNIC DEMOGRAPHICS VARY BY GEOGRAPHIC LOCATION. 2018 CENSUS DATA SHOWS MEDIAN INCOMES RANGE FROM $39,831 TO $48,510. WASCO COUNTY HAS THE LARGEST ETHNIC DIVERSITY WITH A DISTRIBUTION THAT IS 74% WHITE, 19% HISPANIC/LATINO, 4% AMERICAN INDIAN/ALASKA NATIVE AND 4% OTHER, STATISTICS WHICH REMAIN RELATIVELY UNCHANGED FROM 2014. FOURTEEN PERCENT OF THE POPULATION LIVES BELOW THE POVERTY LEVEL AND 11% OF THE POPULATION UNDER THE AGE OF 65 IS UNINSURED. 2018 DATA FROM THE OREGON HEALTH AUTHORITY CITES MARCH 2018 MEDICAID PROGRAM ENROLLMENT IN WASCO COUNTY AT 9,843, AND 9,953 AT DECEMBER 2017, A DECREASE OF 1%.IN ADDITION TO THE YEAR ROUND POPULATION, THE DALLES EXPERIENCES AN INFLUX OF OVER 15,000 SEASONAL WORKERS IN SUPPORT OF THE HARVEST OF OUR AGRICULTURAL ECONOMY. PART VI, LINE 5: MID-COLUMBIA MEDICAL CENTER IS A MISSION-DRIVEN ORGANIZATION WHOSE PURPOSE IS:-TO LEAD AND ACT AS A CATALYST IN PROMOTING HEALTH FOR ALL PEOPLE -TO RECOGNIZE THE INDIVIDUAL AS A WHOLE HUMAN BEING WITH DIFFERENT NEEDS THAT MUST BE MET ENTHUSIASTICALLY-TO COMMUNICATE A VISION OF HEALTH, ART, EDUCATION, TECHNOLOGY AND A CENTER FOR HEALING WHICH WILL CONTINUALLY UPGRADE THE QUALITY OF LIFE IN THE COMMUNITY ENVIRONMENT IN WHICH WE LIVE-TO EMPOWER PEOPLE TO BECOME PARTNERS IN THEIR HEALTHCAREBOARD AND SENIOR EXECUTIVE LEADERSHIP ARE ACTIVELY INVOLVED IN PRIORITIZATION OF COMMUNITY INITIATIVES. A FULL-TIME COORDINATOR OF MCMC'S COMMUNITY INITIATIVES DEPARTMENT OVERSEES IMPLEMENTATION OF PROGRAMS AND ACTS AS THE PRIMARY LIAISON IN COMMUNITY COLLABORATIONS. DISCUSSION AND RECOMMENDATION OF COMMUNITY BENEFIT FOCUS AREAS CENTERS AROUND FIVE KEY COMPONENTS: ALIGNMENT WITH THE ORGANIZATION'S STRATEGIC PLAN; LIKELIHOOD OR FEASIBILITY OF HAVING A MEASURABLE IMPACT ON THE ISSUE; ALIGNMENT WITH CORE ORGANIZATIONAL COMPETENCIES; EFFICIENT ALLOCATION OF RESOURCES AND ALIGNMENT WITH PARTNERS WHO HAVE RESOURCES ALLOCATED TOWARD THE ISSUE. THE MID-COLUMBIA MEDICAL CENTER COMMUNITY BENEFIT COMMITTEE (CBC), FORMED IN 2019, IS AN ADVISORY COMMITTEE FOCUSED ON LEADING COMMUNITY BENEFIT INITIATIVES BOTH INSIDE AND OUTSIDE THE WALLS OF THE HOSPITAL. THESE ACTIVITIES INCLUDE IMPROVING CARE AND ACCESS FOR VULNERABLE POPULATIONS, PROMOTING COMMUNITY HEALTH, AND ENGAGING IN RESEARCH AND EDUCATION AS DRIVEN BY THE COLUMBIA GORGE HEALTH COUNCIL'S COMMUNITY HEALTH ASSESSMENT. MCMC'S COMMUNITY BENEFIT COMMITTEE CONSISTS OF REPRESENTATION FROM OUR MEDICAL STAFF, NURSING LEADERSHIP, MARKETING AND OUTREACH, FINANCIAL STAFF, OUTPATIENT CLINICS AND OTHER KEY STAFF WHO CONTRIBUTE TO AND INFLUENCE THE OVERALL COMMUNITY BENEFIT OF OUR HOSPITAL. THE CBC IS RESPONSIBLE FOR ENSURING THAT MCMC STRATEGIC PLANS EFFECTIVELY ADDRESS THE SPECIFIC HEALTH NEEDS OF OUR COMMUNITY AS IDENTIFIED THROUGH THE CHA; EXTENDING AND STRENGTHENING MCMC'S PROGRAMS' COMMUNITY BENEFIT SERVICES; AND CHAMPIONING COMMUNITY COLLABORATIONS WITH GOVERNMENT, NONPROFIT OR OTHER HEALTHCARE RELATED ORGANIZATIONS.NEEDS ASSESSMENTCOMMUNITY BENEFIT PRIORITIES AND ALLOCATIONS ARE GUIDED BY A COMMUNITY ASSESSMENT PROCESS WHICH UTILIZES QUANTITATIVE AND QUALITATIVE DATA OBTAINED FROM INTERNAL SOURCES AS WELL AS ASSESSMENT DATA FROM KEY COMMUNITY PARTNERS. MID COLUMBIA MEDICAL CENTER PARTICIPATED AS A MEMBER OF THE COLUMBIA GORGE HEALTH COUNCIL (CGHC) IN A COLLABORATIVE NEEDS ASSESSMENT IN 2016 WHICH INCLUDED INPUT FROM SIX COUNTY HEALTH DEPARTMENTS, FOUR HOSPITALS, THE LOCAL COORDINATED CARE ORGANIZATION, SOCIAL SERVICES AGENCIES IN THE REGION, HEALTH CARE PROVIDERS IN THE SERVICE REGION AND CONSUMER'S REPRESENTATIVE OF THE SAME. DETAILS ON THE METHODOLOGY, PARTICIPANTS AND REGIONAL RESULTS ARE ADDRESSED IN THE COLUMBIA GORGE REGIONAL COMMUNITY HEALTH ASSESSMENT AGENCY REPORT AND HEALTH CARE PROFESSIONAL SESSIONS WERE CONDUCTED IN ORDER TO CAPTURE AND RANK THE PRIMARY PERCEIVED NEEDS IN THE GORGE REGION. OVERALL NEEDS IDENTIFIED WERE ADEQUATE INCOME, STABLE HOUSING, FOOD, TRANSPORTATION AND HEALTH PREVENTION AND BOTH MEDICAL AND BEHAVIORAL HEALTH. ACCESS TO CARE WAS AN ADDITIONAL REGION WIDE IDENTIFIED ISSUE. THE NEXT NEEDS ASSESSMENT WILL BE PERFORMED IN 2019.HEALTH OUTCOMES AND FACTORS OF PARTICULAR CONCERN IN WASCO COUNTY INCLUDE A HIGH RATE OF CHRONIC DISEASE, PREVALENCE OF ADULT AND CHILD OBESITY, TEEN PREGNANCY, LIMITED ACCESS TO HEALTHY FOODS, HIGH SCHOOL GRADUATION RATE AND A RELATIVELY HIGH PERCENTAGE OF THE POPULATION REPORTING INADEQUATE SOCIAL SUPPORT. PREVENTION AND EDUCATIONADULT AND CHILDHOOD OBESITY-MID-COLUMBIA MEDICAL CENTER PARTNERS WITH THOSE IN THE COMMUNITY SEEKING TO IMPROVE OR ENHANCE THEIR HEALTH THROUGH LIFESTYLE CHANGES AND CHOICES, PARTICULARLY IN THE AREAS OF OBESITY AND HEART DISEASEFREE LECTURE SERIES INTRODUCED THE FOLLOWING TOPICS-TALKING TO YOUR HEALTHCARE PROVIDER-SHOULDER INJURIES AND PHYSICAL THERAPY-URINARY INCONTINENCE DOC TALK-OVER-USE INJURIES DOC TALK-PALLIATIVE CARE DOC TALKPATIENT REHABILITATION SERVICES-PATIENT REHABILITATION SERVICES PROVIDED COMMUNITY EDUCATION AND ASSISTANCE IN THE DECISION-MAKING PROCESS FOR COMMUNITY MEMBERS CONSIDERING TOTAL JOINT REPLACEMENT-OVER 39 PARTICIPANTS ATTENDED THE FREE MOMMY WELLNESS CLASSES; AN INTERDISCIPLINARY PROGRAM FOR PREGNANT AND NEW MOTHERS WITH CHILDREN UP TO TWO YEARS OF AGE, ITS PURPOSE IS TO PROVIDE EDUCATION AND EXERCISE DESIGNED TO PROMOTE HEALTHY LIFESTYLE HABITS FOR MOTHER AND CHILD. THE PROGRAM ALSO ADDRESSES BABY SIGN LANGUAGE AND DEVELOPMENT, PELVIC HEALTH FOR MOTHERS, BABY-MOTHER BONDING AND LACTATION SUPPORT. MOMMY WELLNESS TARGETS LOW INCOME, MINORITY AND UNDER-SERVED WOMEN AND THEIR YOUNG CHILDREN-PERSISTENT PAIN EDUCATION PROGRAM IS AN EIGHT-WEEK CLASS WHICH PROVIDES EDUCATION ON PAIN NEUROSCIENCE, ADAPTIVE COPING STRATEGIES, NUTRITION, MINDFULNESS, PROPER MEDICATION AND SLEEP HYGIENE TO PEOPLE WHO ARE DEALING WITH CHRONIC PAIN ISSUES-PARKINSON'S SUPPORT GROUP HAD 20 ATTENDEES WITH THE CLASS FOCUSING ON RAISING AWARENESS FOR PATIENTS AND CAREGIVERS TO ADVOCATE FOR MAINTAINING INDEPENDENCE-ASSISTED LIVING BALANCE CLASS OFFERED TO ALL RESIDENTS OF FLAGSTONE ASSISTED LIVING AND THE DALLES SENIOR CENTER; BALANCE AND FALL RISK SCREENING AND CONSULTATIONS WERE OFFERED-CENTER FOR MIND BODY MEDICINE OFFERED MONTHLY MINDFULNESS AND MEDITATION AND BREATH CLASSES THROUGHOUT THE YEAR, WITH FOCUS ON LOWERING STRESS AND ANXIETY THROUGH MEDITATION AND BREATHING. FURTHER GOALS TO HELP RESHAPE THE RELATIONSHIP WITH MENTAL AND PHYSICAL PAIN AND REDUCE 'BRAIN CHATTER.' THESE CLASSES WERE FREE TO THE COMMUNITYPOVERTY AND UNINSURED-OUR PATIENT AND VISITOR STAFF TAKE AN ACTIVE ROLE IN ASSISTING LOW-INCOME AND UNDER- / UN-INSURED PATIENTS (THERE ARE SOME EXEMPTIONS IN PLACE TO THE INDIVIDUAL MANDATE REQUIRED BY THE AFFORDABLE CARE ACT) WITH COMPLETING APPLICATIONS FOR THE OREGON HEALTH PLAN. APPLICATIONS (IN ENGLISH AND SPANISH) ARE AVAILABLE AT REGISTRATION AND IN PATIENT ACCOUNTS IN BOTH THE HOSPITAL AND THE OUTPATIENT CLINICS. THIS APPLICATION PACKET OUTLINES THE PROCESS AND PROVIDES PHONE NUMBERS AND CONTACT INFORMATION FOR ASSISTANCE WITH ENROLLMENT OTHER MEANINGFUL CONTRIBUTIONS IN THE YEAR 2018-ANNUAL COMMUNITY DRUG-TAKE BACK: MID-COLUMBIA MEDICAL CENTER, IN PARTNERSHIP WITH LOCAL LAW ENFORCEMENT, YOUTH THINK AND TRI-COUNTY HAZARDOUS WASTE & RECYCLING, OFFERS FREE DROP-OFF OF HOUSEHOLD PRESCRIPTION, OVER THE COUNTER, VITAMIN/SUPPLEMENTS AND PET MEDICINES-MCMC PRODUCES A QUARTERLY HEALTH MAGAZINE (WELL AWARE) DISTRIBUTED TO OVER 17,000 HOUSEHOLDS THROUGHOUT THE SURROUNDING COMMUNITY, AT A COST OF APPROXIMATELY $26,000MCMC FACILITATES A VARIETY OF SUPPORT GROUPS ON A REGULAR BASIS, INCLUDING-MONTHLY STROKE CLUB -MONTHLY FAMILY SUPPORT CLASSES -MONTHLY PROSTATE CANCER SUPPORT GROUP-REACH FOR RECOVERY BREAST CANCER SUPPORT GROUP-PARKINSON'S SUPPORT GROUP -PRE- OR BORDERLINE DIABETES CLASS-SURVIVORSHIP (POST-CANCER) SUPPORT GROUP-CAR SEAT EVALUATIONS, BIKE HELMET PROGRAMS AND TRAUMA NURSES TALK TOUGH ARE OFFERED ANNUALLY AT MAJOR MCMC AND OTHER COMMUNITY EVENTS-WITH A WIDELY DIVERSE ETHNIC POPULATION IN THE SERVICE AREA, INTERPRETATION SERVICES ARE IN HIGH DEMAND. IN 2014, MCMC IMPLEMENTED AUDIO / VIDEO REMOTE INTERPRETING TECHNOLOGY TO MEET LANGUAGE NEEDS IN THE HOSPITAL 24/7 TO ASSIST PATIENTS SEEKING CARE THROUGHOUT OUR ORGANIZATION AND TO ANY OTHER LOCAL HEALTH SERVICE PROVIDER, REGARDLESS OF AFFILIATION WITH MCMC. SPANISH SPEAKING STAFF REMAIN AVAILABLE FOR NON-MEDICAL INTERPRETATION SERVICES AT BOTH THE HOSPITAL AND OUTPATIENT CLINICS. MCMC CONTINUES TO WORK TO CERTIFY QUALIFIED STAFF AS MEDICAL INTERPRETERS IN ORDER TO MEET SPECIFIC STATE REGULATIONS AND GUIDELINES-MCMC PROVIDES MENTORING AND INTERNSHIP PROGRAMS DESIGNED TO HELP TRAIN EXISTING AND FUTURE CARE PROVIDERS SUCH AS PHARMACY TECHNICIANS, EMS TECHNICIANS, MEDICAL ASSISTANTS, HEALTH INFORMATION MANAGEMENT STUDENTS, CHILD CARE PROVIDERS, RADIOLOGICAL TECHNICIANS, NURSES AND RURAL HEALTH PROVIDERS -PHYSICIANS AND NURSES PROVIDE ACCESS TO FREE OR REDUCED COST PRIMARY CARE; MCMC ALSO PROVIDES SCHOOL NURSING SERVICES AT THE ELEMENTARY AGE LEVEL FOR LOCAL SCHOOLS-PROVIDES SUPPORT FOR THE AMERICAN RED CROSS BLOOD DRIVES-ENCOURAGES STAFF TO VOLUNTEER TO MAKE A DIFFERENCE THROUGH SERVICE TO MEMBERS OF THE COMMUNITY-PROVIDES FREE MEETING FACILITIES FOR VARIOUS CHARITABLE, CIVIC AND SUPPORT GROUPS -MCMC DEVELOPED A PROGRAM CALLED SOMOS: SERVING OREGON AND ITS MIGRANTS BY OFFERING SOLUTIONS. THIS PROGRAM WAS DESIGNED TO ASSIST MIGRANT WORKERS IN OUR COMMUNITY WITH RECEIVING FREE HEALTH SCREENINGS AND REFERRALS AS APPROPRIATE. THE PROGRAM SERVES THE UNDERSERVED MINORITY AND LOW INCOME MIGRANT POPULATION 1 MID-COLUMBIA HEALTH FOUNDATION 1700 E 19TH ST THE DALLES OR 97058 930854433 501(C)(3) 877607 OPPERATIONAL SUPPORT 1 0 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 1 1 0 0 0 0 0 0 0 PAUL CARDOSI MD DIRECTOR/CMO 304732 0 686 0 0 0 13750 0 23208 0 342376 0 0 0 DIANNE STORBY - TERMED INTERIM CEO 0 99091 0 0 0 172377 0 8518 0 3124 0 283110 0 0 DENNIS KNOX CEO, EX-OFFICIO DIRECTOR 0 475347 0 31126 0 0 0 13750 0 17677 0 537900 0 0 LARRY KAHL COO 0 186585 0 0 0 0 0 9674 0 10021 0 206280 0 0 DAVID STURGEON CFO 0 151265 0 0 0 6493 0 7669 0 7455 0 172882 0 0 DONALD WENZLER CNO 149285 0 0 0 862 0 7317 0 14641 0 172105 0 0 0 KEITH STELZER PHYSICIAN 644995 0 0 0 0 0 13750 0 16090 0 674835 0 0 0 GARY GINGRICH PHYSICIAN 398434 0 0 0 0 0 13750 0 19707 0 431891 0 0 0 MARC MCALLISTER PHYSICIAN 366484 0 0 0 0 0 13750 0 28842 0 409076 0 0 0 NATHAN ULLRICH PHYSICIAN 364970 0 0 0 0 0 13750 0 21257 0 399977 0 0 0 THOMAS NICHOL PHYSICIAN 281528 0 46041 0 0 0 13750 0 25257 0 366576 0 0 0 PART I, LINES 4A-B DIANE STORBY: -SEVERENCE COMPENSATION FROM HEALTH CARE FOR THE MID-COLUMBIA REGION PAID OUT IN 2018: $97,178 FORM 990, PART VI, SECTION A, LINE 6 HEALTH CARE FOR THE MID-COLUMBIA REGION IS THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE RETURN IS SUBMITTED TO THE BOARD OF TRUSTEES FOR REVIEW. UPDATES ARE MADE AS NECESSARY BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C WE ANNUALLY REQUIRE ALL OFFICERS AND DIRECTORS TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF A CONFLICT WAS DISCOVERED FOR AN OFFICER OR DIRECTOR WITH A SIGNED DISCLOSURE STATEMENT, THEY WOULD BE SUBJECT TO CORRECTIVE ACTION UP TO AND INCLUDING TERMINATION FOR VIOLATION OF OUR POLICY. IF THEY SELF-DISCLOSED A POTENTIAL CONFLICT OF INTEREST ON THE FORM, WE WOULD GATHER INFORMATION ON THE ISSUE AND MAKE A DETERMINATION ON HOW SEVERE THE CONFLICT IS AND WHETHER OR NOT THE INDIVIDUAL COULD REMAIN AN OFFICER OR DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD 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 ANALSYSIS JUST DESCRIBED AND THEN VOTES ON AND APPROVES A NEW CONTRACT IN EXECUTIVE SESSION WITHOUT CEO PRESENCE OR PARTICIPATION IN THE VOTE. THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS DETERMINED USING A SURVEY OF MARKET RATES FOR SIMILAR POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 AS REQUESTED. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,902,060. MANAGEMENT AND GENERAL EXPENSES 593,806. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,495,866. PROFESSIONAL FEES AND CONSULTING: PROGRAM SERVICE EXPENSES 9,169,556. MANAGEMENT AND GENERAL EXPENSES 2,662,976. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,832,532. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP 54,928. FORM 990, PART XI, LINE 2C THE RESPONSIBILITY AND PROCESS FOR OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. 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