MID-COLUMBIA HEALTH FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MID-COLUMBIA HEALTH FOUNDATION (EIN 93-0854433)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201313199349310286
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T16:55:06-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930418710 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAP LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5885 MEADOWS ROAD NO 200 | AddressLine1 |
| City | LAKE OSWEGO | City |
| State | OR | State |
| ZIP Code | 97035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930854433 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-COLUMBIA HEALTH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MID- | NameControl |
| Phone | 5412961111 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 E 19TH STREET | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DUANE FRANCIS | Name |
| Title | CEO | Title |
| Phone | 5412961111 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WESLEY B HANSEN | Name |
| PTIN | P00226581 | PTIN |
| Phone | 5036974118 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DUANE FRANCIS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 E 19TH STREET | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2149339 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MCMC.NET | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | WORK TOGETHER WITH AND PROVIDE FINANCIAL SUPPORT TO MID-COLUMBIA MEDICAL CENTER IN ORDER TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR OUR COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 11 | TotalNbrEmployees |
| Total Nbr Volunteers | 61 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 940397 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 762248 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 70514 | InvestmentIncomePriorYear |
| Investment Income Current Year | -18002 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 72288 | OtherRevenuePriorYear |
| Other Revenue Current Year | 101620 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1083199 | TotalRevenuePriorYear |
| Total Revenue Current Year | 845866 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 467622 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 399462 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 299992 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 293513 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 163975 | OtherExpensePriorYear |
| Other Expenses Current Year | 186246 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 931589 | TotalExpensesPriorYear |
| Total Expenses Current Year | 879221 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 151610 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -33355 | RevenuesLessExpensesCY |
| Total Assets BOY | 3075338 | TotalAssetsBOY |
| Total Assets EOY | 3265138 | TotalAssetsEOY |
| Total Liabilities BOY | 242826 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 309086 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2832512 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2956052 | NetAssetsOrFundBalancesEOY |
| Mission Description | WORK TOGETHER WITH AND PROVIDE FINANCIAL SUPPORT TO MID-COLUMBIA MEDICAL CENTER IN ORDER TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 860851 | Expense |
| Grants | 399462 | Grants |
| Revenue | -281 | Revenue |
| Description | THE PRIMARY PURPOSE OF THE FOUNDATION IS TO PROVIDE FUND RAISING FOR THE MID-COLUMBIA MEDICAL CENTER (ID# 93-0386936) AS WELL AS GRANTS / SCHOLARSHIPS TO THE GENERAL PUBLIC. | Description |
| Total Program Service Expense | 860851 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 11 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-COLUMBIA MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5412961111 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 E 19TH STREET | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| PHIL KASER | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| ROBERT BAILEY | |||||
| TREASURER | 1.00 | X | 0 | 0 | 0 |
| SHAWN CARROLL | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| PAM CLAUSEN | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| NAOMI GRIMSLEY | |||||
| CHAIR | 1.00 | X | 0 | 0 | 0 |
| DR FRANK TODA | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| ROB CARNAHAN | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| CYNTHIA KORTGE | |||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 |
| JASON COREY | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| LINDA TRAUTZ | |||||
| DIRECTOR | 50.00 | X | 0 | 74210 | 15358 |
| DR PAULA LEE-VALKOV | |||||
| VICE-CHAIR | 1.00 | X | 0 | 0 | 0 |
| DUANE FRANCIS | |||||
| DIRECTOR | 50.00 | X | 0 | 531187 | 143048 |
| DAVE GILDERSLEEVE | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| BRIAN LAUTERBACH | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 605397 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 158406 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 461586 | RelatedOrganizations |
| All Other Contributions | 300662 | AllOtherContributions |
| Total Contributions | 762248 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40784 | TotalRevenueColumn |
| Exclusion | $40,784 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1219450 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1277955 | Securities |
| Other | 281 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -58505 | Securities |
| Other | -281 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -58786 | TotalRevenueColumn |
| Related Or Exempt Function Income | -281 | RelatedOrExemptFunctionIncome |
| Exclusion | -$58,505 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 85024 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 25237 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 59787 | TotalRevenueColumn |
| Exclusion | $59,787 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | COFFEE CART FUND | Description |
| Business Code | 722210 | BusinessCode |
| Total Revenue Column | 41833 | TotalRevenueColumn |
| Exclusion | $41,833 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 41833 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 845866 | TotalRevenueColumn |
| Related Or Exempt Function Income | -281 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $83,899 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311316 | Total |
| Program Services | 311316 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88146 | Total |
| Program Services | 88146 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257234 | Total |
| Program Services | 257234 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36279 | Total |
| Program Services | 36279 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2900 | Total |
| Program Services | 2900 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7756 | Total |
| Program Services | 7756 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125380 | Total |
| Program Services | 125380 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18848 | Total |
| Program Services | 18848 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 791 | Total |
| Program Services | 791 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313 | Total |
| Program Services | 313 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 24296 | 5926 | 18370 |
| PUBLIC RELATIONS | 4317 | 4317 | |
| MISCELLANEOUS | 1645 | 1645 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 879221 | Total |
| Program Services | 860851 | ProgramServices |
| Management And General | 18370 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 444565 | BOY |
| EOY | 331385 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 661362 | BOY |
| EOY | 729286 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79215 | BOY |
| EOY | 22642 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113011 | BOY |
| EOY | 42559 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7068 | BOY |
| EOY | 3846 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 40811 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 37979 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3426 | BOY |
| EOY | 2832 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1506912 | BOY |
| EOY | 1850938 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 259779 | BOY |
| EOY | 281650 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3075338 | BOY |
| EOY | 3265138 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6324 | BOY |
| EOY | 5688 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 236502 | BOY |
| EOY | 303398 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242826 | BOY |
| EOY | 309086 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1572131 | BOY |
| EOY | 1711492 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 898984 | BOY |
| EOY | 879926 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361397 | BOY |
| EOY | 364634 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2832512 | BOY |
| EOY | 2956052 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3075338 | BOY |
| EOY | 3265138 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -33355 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 140515 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 16380 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 490845 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 888476 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 590612 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 484772 | CurrentTaxYearMinus1Year |
| Current Tax Year | 300662 | CurrentTaxYear |
| Total | 2755367 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 490845 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 888476 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 590612 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 484772 | CurrentTaxYearMinus1Year |
| Current Tax Year | 300662 | CurrentTaxYear |
| Total | 2755367 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 2755367 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 56150 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6541 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12181 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 70514 | CurrentTaxYearMinus1Year |
| Current Tax Year | -18002 | CurrentTaxYear |
| Total | 127384 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 2882751 | TotalSupport |
| Gross Receipts From Admissions Etc | 473906 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.95580 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.91620 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1260381 | BeginningOfYearBalance |
| Contributions | 281874 | Contributions |
| Investment Earnings Or Losses | 31231 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 328926 | GrantsOrScholarships |
| End Of Year Balance | 1244560 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1278290 | BeginningOfYearBalance |
| Contributions | 413749 | Contributions |
| Investment Earnings Or Losses | 6603 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 438261 | GrantsOrScholarships |
| End Of Year Balance | 1260381 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 357664 | BeginningOfYearBalance |
| Contributions | 32657 | Contributions |
| Investment Earnings Or Losses | 402 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 23127 | GrantsOrScholarships |
| End Of Year Balance | 367596 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 358543 | BeginningOfYearBalance |
| Contributions | 13818 | Contributions |
| Investment Earnings Or Losses | 890 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 15587 | GrantsOrScholarships |
| End Of Year Balance | 357664 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 347617 | BeginningOfYearBalance |
| Contributions | 10659 | Contributions |
| Investment Earnings Or Losses | 6106 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 5839 | GrantsOrScholarships |
| End Of Year Balance | 358543 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.62410 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.29300 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.08290 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 40811 | OtherCostOrOtherBasis |
| Depreciation | 37979 | Depreciation |
| Book Value | 2832 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2832 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CHARITABLE REMAINDER TRUST | Description |
| Book Value | 281650 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 281650 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO MID-COLUMBIA MEDICAL CENTER | $136,121 |
| LONG TERM DEBT - ANNUITIES | $167,277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 303398 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 99896797 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 140515 | NetUnrealizedGainsInvestments |
| Other Revenues | 98910416 | OtherRevenues |
| Revenue Not Rptd F990 | 99050931 | RevenueNotRptdF990 |
| Revenue Subtotal | 845866 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 845866 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 98891129 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 98011908 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 98011908 | ExpensesNotRptdF990 |
| Expenses Subtotal | 879221 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 879221 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | INCOME TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AT THE LARGEST AMOUNT OF INCOME TAX BENEFIT THAT IS MORE THAN 50% LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH INCOME TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS WOULD BE CLASSIFIED AS INCOME TAXES IN THE STATEMENTS OF OPERATIONS. THERE WERE NO UNRECOGNIZED INCOME TAX BENEFITS, NOR ANY INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS, ACCRUED OR EXPENSED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE OF OTHER ENTITIES IN AUDITED F/S 98,894,036. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 16,380. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES OF OTHER ENTITIES IN AUDITED F/S 98,011,908. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | TOURN OF TRADITION | NameOfEvent1 |
| Gross Receipts Event1 | 33223 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 33223 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 11217 | OtherDirectExpensesEvent1 |
| Name Of Event2 | FESTIVAL OF TREES | NameOfEvent2 |
| Gross Receipts Event2 | 45736 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 45736 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 8738 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 6065 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 6065 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 5283 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 85024 | GrossReceiptsTotal |
| Gross Revenue Total Events | 85024 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 25238 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 25238 | DirectExpenseSummaryEvents |
| Net Income Summary | 59786 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| MID-COLUMBIA MEDICAL CENTER | |||||||
| 1700 E 19TH STREETS | THE DALLES | OR | 97058 | 930386936 | 501(C)(3) | 108059 | SUPPORT HOSPITAL ACTIVITIES. |
| AUXILIARY FUND MID-COLUMBIA MEDICAL CENTER | |||||||
| 1700 E 19TH STREETS | THE DALLES | OR | 97058 | 930386936 | 501(C)(3) | 23286 | FUND EQUIPMENT PURCHASE FOR MID-COLUMBIA MEDICAL CENTER. |
| CELILO CANCER CENTER FUND MID-COLUMBIA MEDICAL CENTER | |||||||
| 1700 E 19TH STREETS | THE DALLES | OR | 97058 | 930386936 | 501(C)(3) | 25726 | ASSIST CANCER PATIENTS. |
| CHAPLAINS FUND MID-COLUMBIA MEDICAL CENTER | |||||||
| 1700 E 19TH STREETS | THE DALLES | OR | 97058 | 930386936 | 501(C)(3) | 26116 | EMERGENCY FUNDING FOR PATIENTS. |
| MAMMOGRAPHY ASSIST FUND MID-COLUMBIA MEDICAL CENTER | |||||||
| 1700 E 19TH STREETS | THE DALLES | OR | 97058 | 930386936 | 501(C)(3) | 85849 | ASSIST MAMMOGRAPHY PATIENTS. |
| REACH OUT AND READ FUND MID-COLUMBIA MEDICAL CENTER | |||||||
| 1700 E 19TH STREETS | THE DALLES | OR | 97058 | 930386936 | 501(C)(3) | 5345 | FUND BOOKS & MATERIALS FOR REACH OUT & READ PROGRAM. |
| AREA OF GREATEST NEED FUND MID-COLUMBIA MEDICAL CENTER | |||||||
| 1700 E 19TH STREETS | THE DALLES | OR | 97058 | 930386936 | 501(C)(3) | 5000 | SUPPORT HOSPITAL ACTIVITIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| ROOD MEMORIAL SCHOLARSHIP | 86 | 72493 |
| VARIOUS MID-COLUMBIA MEDICAL CENTER SCHOLARSHIPS | 10 | 8803 |
| VARIOUS MID-COLUMBIA MEDICAL CENTER NURSING SCHOLARSHIPS | 8 | 6850 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DUANE FRANCIS | NamePerson |
| Title | DIRECTOR | Title |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 530662 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 525 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 108160 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 34888 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 674235 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | DUANE FRANCIS - $93,160 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PATRICK GRIMSLEY | |||
| SPOUSE OF CURRENT DIRECTOR NAOMI GRIMSLEY | 379931 | EMPLOYMENT AS ER PHYSICIAN AND MEDICAL DIRECTOR | 0 |
| DESIGN STRUCTURES LLC | |||
| ENTITY IN WHICH CURRENT DIRECTOR DAVE GILDERSLEEVE SERVES AS AN OFFICER | 351061 | VARIOUS CONSTRUCTION PROJECTS | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 11 | NO REVIEW WAS OR WILL BE CONDUCTED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | WE ANNUALLY REQUIRE ALL EMPLOYEES AND DIRECTORS TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF A CONFLICT WAS DISCOVERED FOR AN EMPLOYEE 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 EMPLOYEE OR DIRECTOR COULD REMAIN AN EMPLOYEE. THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH EMPLOYEES AS PART OF THE PERFORMANCE REVIEW PROCESS. | |
| 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 ACTIVITES DIVISION OF THE OREGON DEPARTMENT OF JUSTICE. | |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 125,380. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,380. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 16,380. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THEIR FINANCIAL STATEMENTS & SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH CARE FOR THE MID-COLUMBIA REGION | ||||||||||
| 1700 E 19TH STREET | THE DALLES | OR | 97058 | 930847905 | HEALTH SERVICES | OR | 501(C)(3) | 3 | HEALTHCARE FOR THE MID-COLUMBIA REGION | 0 |
| MID-COLUMBIA MEDICAL CENTER | ||||||||||
| 1700 E 19TH STREET | THE DALLES | OR | 97058 | 930386936 | ACUTE HOSPITAL CARE | OR | 501(C)(3) | 3 | HEALTHCARE FOR THE MID-COLUMBIA REGION | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| DRY HOLLOW INC | |||||||||
| 1700 E 19TH STREET | THE DALLES | OR | 97058 | 930631350 | RENTAL BUILDING | OR | HEALTHCARE FOR THE MID-COLUMBIA REGION | C | 0 |
| MID-COLUMBIA HEALTH SERVICES | |||||||||
| 1700 E 19TH STREET | THE DALLES | OR | 97058 | 930840781 | MEDICAL BILLING | OR | HEALTHCARE FOR THE MID-COLUMBIA REGION | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MID-COLUMBIA MEDICAL CENTER | ||
| B | 108059 | GRANTS PAID |
| MID-COLUMBIA MEDICAL CENTER | ||
| E | 136121 | LOANS FROM RELATED PARTY |
| MID-COLUMBIA MEDICAL CENTER | ||
| O | 293514 | EMPLOYEE GROSS PAY |
| MID-COLUMBIA MEDICAL CENTER | ||
| Q | 167876 | ACTUAL EXPENSES |
| MID-COLUMBIA MEDICAL CENTER | ||
| S | 461586 | ACTUAL EXPENSES |