FURP.ORG / PUBLIC DATA EXPLORER

MID-COLUMBIA HEALTH FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MID-COLUMBIA HEALTH FOUNDATION (EIN 93-0854433)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349309909
Schema version
2010v3.4
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)
Timestamp2011-11-15T17:11:25-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELAP LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14500 SW KRUSE WAY NO 200AddressLine1
CityLAKE OSWEGOCity
StateORState
ZIP Code97035ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930854433EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MID-COLUMBIA HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMID-NameControl
Phone5412961111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 E 19TH STREETAddressLine1
CityTHE DALLESCity
StateORState
ZIP Code97058ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDUANE FRANCISName
TitleCEOTitle
Phone5412961111Phone
Date Signed2011-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWESLEY B HANSENName
Phone5036974118Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDUANE FRANCISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11700 E 19TH STREETAddressLine1
CityTHE DALLESCity
StateORState
ZIP Code97058ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1164947GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MCMC.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionWORK 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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees4TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1325534ContributionsGrantsPriorYear
Contributions Grants Current Year1023355ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year6541InvestmentIncomePriorYear
Investment Income Current Year12181InvestmentIncomeCurrentYear
Other Revenue Prior Year137955OtherRevenuePriorYear
Other Revenue Current Year97594OtherRevenueCurrentYear
Total Revenue Prior Year1470030TotalRevenuePriorYear
Total Revenue Current Year1133130TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year542308GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1034364GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year291246SalariesEtcPriorYear
Salaries Etc Current Year295259SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year165545OtherExpensePriorYear
Other Expenses Current Year155505OtherExpensesCurrentYear
Total Expenses Prior Year999099TotalExpensesPriorYear
Total Expenses Current Year1485128TotalExpensesCurrentYear
Revenues Less Expenses Prior Year470931RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-351998RevenuesLessExpensesCY
Total Assets BOY3359272TotalAssetsBOY
Total Assets EOY3015558TotalAssetsEOY
Total Liabilities BOY270082TotalLiabilitiesBOY
Total Liabilities EOY249058TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3089190NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2766500NetAssetsOrFundBalancesEOY
Mission DescriptionWORK 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1467107Expense
Grants1034364Grants
Revenue1133130Revenue
DescriptionTHE 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 Expense1467107TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MID-COLUMBIA MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5412961111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11700 E 19TH STREETAddressLine1
CityTHE DALLESCity
StateORState
ZIP Code97058ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PHIL KASER
DIRECTOR1.00X000
ROBERT BAILEY
TREASURER1.00X000
SHAWN CARROLL
VICE-CHAIR1.00X000
PAM CLAUSEN
CHAIR1.00X000
NAOMI GRIMSLEY
DIRECTOR1.00X000
DR FRANK TODA
DIRECTOR1.00X000
ROB CARNAHAN
DIRECTOR1.00X000
JENNIFER DEWEY
DIRECTOR1.00X000
ZIPPORAH DILLON
SECRETARY0.00X000
LINDA TRAUTZ
DIRECTOR1.00X000
DR PAULA LEE-VALKOV
DIRECTOR1.00X000
DUANE FRANCIS
DIRECTOR1.00X0454040123877
DAVE GILDERSLEEVE
DIRECTOR1.00X000
BRIAN LAUTERBACH
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs454040TotalReportableCompFrmRltdOrgs
Total Other Compensation123877TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations437199RelatedOrganizations
All Other Contributions586156AllOtherContributions
Total Contributions1023355TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12181TotalRevenueColumn
Exclusion$12,181ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events84284GrossIncomeFundraisingEvents
Fundraising Direct Expenses31817FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column52467TotalRevenueColumn
Exclusion$52,467ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCOFFEE CART FUNDDescription
Business Code722210BusinessCode
Total Revenue Column45127TotalRevenueColumn
Exclusion$45,127ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue45127TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1133130TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$109,775ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total931603Total
Program Services931603ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total102761Total
Program Services102761ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total81207Total
Program Services81207ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total190715Total
Program Services190715ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23337Total
Program Services23337ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total107540Total
Program Services107540ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17843Total
Program Services17843ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total856Total
Program Services856ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1108Total
Program Services1108ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1360Total
Program Services1360ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES22113409218021
PUBLIC RELATIONS37873787
MISCELLANEOUS898898

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1485128Total
Program Services1467107ProgramServices
Management And General18021ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY235869BOY
EOY373561EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2169786BOY
EOY2184105EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY40954BOY
EOY132346EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY637983BOY
EOY37166EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4879BOY
EOY7818EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis67378LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec63452LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5034BOY
EOY3926EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY264767BOY
EOY276636EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3359272BOY
EOY3015558EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4518BOY
EOY5009EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY265564BOY
EOY244049EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY270082BOY
EOY249058EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1420282BOY
EOY1488210EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1331458BOY
EOY918748EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY337450BOY
EOY359542EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3089190BOY
EOY2766500EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3359272BOY
EOY3015558EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-351998ReconcilationRevenueExpenses
Reconcilation Other Changes29308ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years240101CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years221663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years490845CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year888476CurrentTaxYearMinus1Year
Current Tax Year590612CurrentTaxYear
Total2431697Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years240101CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years221663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years490845CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year888476CurrentTaxYearMinus1Year
Current Tax Year590612CurrentTaxYear
Total2431697Total
FieldValueIRS element (for citing)
Public Support Total1702431697PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22967CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99403CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6541CurrentTaxYearMinus1Year
Current Tax Year12181CurrentTaxYear
Total197242Total
FieldValueIRS element (for citing)
Total Support2628939TotalSupport
Gross Receipts From Admissions Etc497927GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.92500PublicSupportPertcentage170
Public Support Pertcent Prior Year0.91310PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance357664BeginningOfYearBalance
Contributions32657Contributions
Investment Earnings Or Losses402InvestmentEarningsOrLosses
Grants Or Scholarships23127GrantsOrScholarships
End Of Year Balance367596EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance358543BeginningOfYearBalance
Contributions13818Contributions
Investment Earnings Or Losses890InvestmentEarningsOrLosses
Grants Or Scholarships15587GrantsOrScholarships
End Of Year Balance357664EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance347617BeginningOfYearBalance
Contributions10659Contributions
Investment Earnings Or Losses6106InvestmentEarningsOrLosses
Grants Or Scholarships5839GrantsOrScholarships
End Of Year Balance358543EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.98010PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.01990TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis67378OtherCostOrOtherBasis
Depreciation63452Depreciation
Book Value3926BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3926TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionCHARITABLE REMAINDER TRUSTDescription
Book Value276636BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets276636TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO MID-COLUMBIA MEDICAL CENTER$71,766
LONG TERM DEBT - ANNUITIES$172,283
FieldValueIRS element (for citing)
Total Of Amounts244049TotalOfAmounts
Total Revenue1133130TotalRevenue
Total Expenses1485128TotalExpenses
Excess Or Deficit For Year-351998ExcessOrDeficitForYear
Net Unrealized GL On Investments4021NetUnrealizedGLOnInvestments
Other$25,287OtherAmount
Total Adjustments29308TotalAdjustments
Excess Or Deficit Per FS-322690ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt101209227TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4021NetUnrealizedGainsInvestments
Other Revenues100072076OtherRevenues
Revenue Not Rptd F990100076097RevenueNotRptdF990
Revenue Subtotal1133130RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901133130TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt100159679TotExpensesEtcAuditedFinclStmt
Other Expenses Included98674551OtherExpensesIncluded
Expenses Not Rptd F99098674551ExpensesNotRptdF990
Expenses Subtotal1485128ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901485128TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT
PART XII, LINE 2D - OTHER ADJUSTMENTS:REVENUE OF OTHER ENTITIES IN AUDITED F/S 100,046,789. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 25,287.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES OF OTHER ENTITIES IN AUDITED F/S 98,674,551.
PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE DISCLOSURE FOR UNCERTAIN TAX POSITIONS: 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, 2010 AND 2009.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1TOURN OF TRADITIONNameOfEvent1
Gross Receipts Event139146GrossReceiptsEvent1
Gross Revenue Event139146GrossRevenueEvent1
Other Direct Expenses Event114209OtherDirectExpensesEvent1
Name Of Event2FESTIVAL OF TREESNameOfEvent2
Gross Receipts Event235768GrossReceiptsEvent2
Gross Revenue Event235768GrossRevenueEvent2
Other Direct Expenses Event28268OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events9370GrossReceiptsOtherEvents
Gross Revenue Other Events9370GrossRevenueOtherEvents
Other Direct Expenses Other Events9340OtherDirectExpensesOtherEvents
Gross Receipts Total84284GrossReceiptsTotal
Gross Revenue Total Events84284GrossRevenueTotalEvents
Other Direct Expenses Total Events31817OtherDirectExpensesTotalEvents
Direct Expense Summary Events31817DirectExpenseSummaryEvents
Net Income Summary52467NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MID-COLUMBIA MEDICAL CENTER
1700 E 19TH STREETSTHE DALLESOR97058930386936501(C)(3)43736SUPPORT HOSPITAL ACTIVITIES.
CHAPLAIN'S FUND AND MCMC EMPLOYEES MID-COLUMBIA MEDICAL CENTER
1700 E 19TH STREETSTHE DALLESOR97058930386936501(C)(3)17091EMERGENCY FUNDING FOR PATIENTS.
CELILO CENTER FUND MID-COLUMBIA MEDICAL CENTER
1700 E 19TH STREETSTHE DALLESOR97058930386936501(C)(3)12180ASSISTING CANCER PATIENTS.
DIGITAL IMAGING FUND MID-COLUMBIA MEDICAL CENTER
1700 E 19TH STREETSTHE DALLESOR97058930386936501(C)(3)750000DIGITAL IMAGING EQUIPMENT & SERVICES
GREAT'N SMALL MID-COLUMBIA MEDICAL CENTER
1700 E 19TH STREETSTHE DALLESOR97058930386936501(C)(3)14626CHILD CARE AND DEVELOPMENT
BACKPACKS FOR KIDS
304 FISH HATCHERY ROADGOLDENDALEWA98620264392912501(C)(3)5000TO PROVIDE CHILDREN WITH NUTRITIOUS EASY TO PREPARE FOODS TO TAKE HOME ON WEEKEND AND HOLIDAYS WHEN OTHER FOOD RESOURSES MAY NOT BE AVAILABLE TO THEM
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
ROOD MEMORIAL SCHOLARSHIP3579161
VARIOUS MID-COLUMBIA MEDICAL CENTER SCHOLARSHIPS149800
MID-COLUMBIA MEDICAL CENTER BOARD OF TRUSTEES24000
VARIOUS NURSING SCHOLARSHIPS65800
EVELYN KASER SCHOLARSHIP44000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDUANE FRANCISNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs454040CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs95531DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs28346NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs577917TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6HEALTHCARE FOR THE MID-COLUMBIA REGION IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11NO REVIEW WAS OR WILL BE CONDUCTED.
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 12C
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 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 B, LINE 15
CURRENTLY NOT AVAILABLE.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 4,021. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 25,287. TOTAL TO FORM 990, PART XI, LINE 5: 29,308.FORM 990, PART XI, LINE 5:
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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HEALTH CARE FOR THE MID-COLUMBIA REGION
19TH AND NEVADA STREETSTHE DALLESOR97058930847905HEALTH SERVICESOR501(C)(3)3HEALTHCARE FOR THE MID-COLUMBIA REGION0
MID-COLUMBIA MEDICAL CENTER
19TH AND NEVADA STREETSTHE DALLESOR97058930386936ACUTE HOSPITAL CAREOR501(C)(3)3HEALTHCARE FOR THE MID-COLUMBIA REGION0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
DRY HOLLOW INC
19TH NEVADA STREETSTHE DALLESOR97058930631350RENTAL BUILDINGORHEALTHCARE FOR THE MID-COLUMBIA REGIONC
MID-COLUMBIA HEALTH SERVICES
19TH NEVADA STREETSTHE DALLESOR97058930840781HEALTH & PERSONAL CAREORHEALTHCARE FOR THE MID-COLUMBIA REGIONC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MID-COLUMBIA MEDICAL CENTER
B793736GRANTS PAID
MID-COLUMBIA MEDICAL CENTER
C437199GRANT RECEIVED
MID-COLUMBIA MEDICAL CENTER
E71766LOANS FROM RELATED PARTY
MID-COLUMBIA MEDICAL CENTER
N295259EMPLOYEE GROSS PAY
MID-COLUMBIA MEDICAL CENTER
P141940ACTUAL EXPENSES