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Nonprofiteer
← MID-COLUMBIA MEDICAL CENTER

Form 990 for tax year 2023

Filed by MID-COLUMBIA MEDICAL CENTER.

Totals

Total revenue
$74,214,683
Total expenses
$79,251,485
Contributions and grants received
$2,367,426
Grants paid
$0
Program services expenses (Part IX)
$69,874,498
Management and general expenses
$9,135,520
Fundraising expenses
$241,467
Program service expenses (Part III)
$69,874,498

Program services were 88.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Heinrich Kerry

    Dir/Chair/CEO

    Total calculated
    $3,359,823
    From this org
    $0
    From related orgs
    $3,302,428
    Other
    $57,395
    Hours/week
    0 + 50.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,017,000 related
    Bonus
    $0 + $1,208,880 related
    Other
    $0 + $76,548 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $44,099 related
    Filer's total
    $0 + $3,359,823 related

  • Hofheins Todd

    Dir/Vice Chair/COO

    Total calculated
    $2,348,733
    From this org
    $0
    From related orgs
    $2,272,592
    Other
    $76,141
    Hours/week
    0 + 50.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,389,462 related
    Bonus
    $0 + $735,265 related
    Other
    $0 + $147,865 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $62,845 related
    Filer's total
    $0 + $2,348,733 related

  • Cardosi Paul

    Director (thru 05/23)

    Total calculated
    $266,728
    From this org
    $229,684
    From related orgs
    $0
    Other
    $37,044
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $229,684
    Bonus
    $0
    Other
    $0
    Deferred
    $13,735
    Nontaxable benefits
    $23,309
    Filer's total
    $266,728

  • Innocent Larry

    Director

    Total calculated
    $26,611
    From this org
    $0
    From related orgs
    $26,611
    Other
    $0
    Hours/week
    0 + 4 related

  • Reiner Richard

    Director

    Total calculated
    $26,611
    From this org
    $0
    From related orgs
    $26,611
    Other
    $0
    Hours/week
    0 + 4 related

  • Hamada Janet

    Dir/Secretary (thru 05/23)

    Total calculated
    $0
    Hours/week
    1

  • Ketchum Bill

    Director (thru 05/23)

    Total calculated
    $0
    Hours/week
    1

  • Knapp Suzanne

    Director (thru 05/23)

    Total calculated
    $0
    Hours/week
    1

  • Mondragon Victor

    Director (thru 05/23)

    Total calculated
    $0
    Hours/week
    1

  • Spatz Michele

    Director (thru 05/23)

    Total calculated
    $0
    Hours/week
    1

  • Toda Frank PHD

    Dir/Treasurer (thru 05/23)

    Total calculated
    $0
    Hours/week
    1

  • Van Cleave Robb

    Dir/Chair (thru 05/23)

    Total calculated
    $0
    Hours/week
    1

  • Young Nolan

    Dir/Vice Chair (thru 05/23)

    Total calculated
    $0
    Hours/week
    1

  • Beaman John

    CFO/Assistant Secretary

    Total calculated
    $1,753,908
    From this org
    $0
    From related orgs
    $1,680,553
    Other
    $73,355
    Hours/week
    0 + 50.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,091,769 related
    Bonus
    $0 + $569,149 related
    Other
    $0 + $19,635 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $60,059 related
    Filer's total
    $0 + $1,753,908 related

  • Jobe Meredith

    Secretary

    Total calculated
    $1,018,898
    From this org
    $0
    From related orgs
    $959,488
    Other
    $59,410
    Hours/week
    0 + 50.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $660,525 related
    Bonus
    $0 + $168,715 related
    Other
    $0 + $130,248 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $46,114 related
    Filer's total
    $0 + $1,018,898 related

  • Knox Dennis M

    President & CEO

    Total calculated
    $583,510
    From this org
    $544,667
    From related orgs
    $0
    Other
    $38,843
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $491,814
    Bonus
    $52,853
    Other
    $0
    Deferred
    $22,500
    Nontaxable benefits
    $16,343
    Filer's total
    $583,510

  • Eldurkar Jayant

    CMO

    Total calculated
    $408,712
    From this org
    $359,889
    From related orgs
    $0
    Other
    $48,823
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $349,956
    Bonus
    $9,933
    Other
    $0
    Deferred
    $21,855
    Nontaxable benefits
    $26,968
    Filer's total
    $408,712

  • Apland Wendy H

    CFO/Treas & Asst Secr (as of 06/23)

    Total calculated
    $367,980
    From this org
    $324,732
    From related orgs
    $0
    Other
    $43,248
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $302,973
    Bonus
    $21,759
    Other
    $0
    Deferred
    $19,855
    Nontaxable benefits
    $23,393
    Filer's total
    $367,980

  • Overton Camie

    COO

    Total calculated
    $356,282
    From this org
    $326,706
    From related orgs
    $0
    Other
    $29,576
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $304,814
    Bonus
    $21,892
    Other
    $0
    Deferred
    $19,858
    Nontaxable benefits
    $9,718
    Filer's total
    $356,282

  • Lepper Dale C

    CIO

    Total calculated
    $257,942
    From this org
    $241,051
    From related orgs
    $0
    Other
    $16,891
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,018
    Bonus
    $16,033
    Other
    $0
    Deferred
    $14,812
    Nontaxable benefits
    $2,079
    Filer's total
    $257,942

  • Mason Jayme B

    CNO

    Total calculated
    $226,411
    From this org
    $204,522
    From related orgs
    $0
    Other
    $21,889
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,137
    Bonus
    $9,385
    Other
    $0
    Deferred
    $12,737
    Nontaxable benefits
    $9,152
    Filer's total
    $226,411

  • McCall Cheri L

    CHRO

    Total calculated
    $181,178
    From this org
    $159,835
    From related orgs
    $0
    Other
    $21,343
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,125
    Bonus
    $10,710
    Other
    $0
    Deferred
    $9,836
    Nontaxable benefits
    $11,507
    Filer's total
    $181,178

  • Newmyer Joyce

    President, OR State Network

    Total calculated
    $1,169,836
    From this org
    $0
    From related orgs
    $1,107,614
    Other
    $62,222
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $786,000 related
    Bonus
    $0 + $299,814 related
    Other
    $0 + $21,800 related
    Deferred
    $0 + $15,831 related
    Nontaxable benefits
    $0 + $46,391 related
    Filer's total
    $0 + $1,169,836 related

  • Reardon James

    Physician

    Total calculated
    $804,963
    From this org
    $761,193
    From related orgs
    $0
    Other
    $43,770
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $753,693
    Bonus
    $7,500
    Other
    $0
    Deferred
    $22,500
    Nontaxable benefits
    $21,270
    Filer's total
    $804,963

  • Scrivens Brian P

    Physician

    Total calculated
    $696,036
    From this org
    $652,263
    From related orgs
    $0
    Other
    $43,773
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $637,773
    Bonus
    $0
    Other
    $14,490
    Deferred
    $22,500
    Nontaxable benefits
    $21,273
    Filer's total
    $696,036

  • Beaman Douglas N

    Physician

    Total calculated
    $690,684
    From this org
    $646,914
    From related orgs
    $0
    Other
    $43,770
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $646,914
    Bonus
    $0
    Other
    $0
    Deferred
    $22,500
    Nontaxable benefits
    $21,270
    Filer's total
    $690,684

  • McCarthy Caitlin

    Physician

    Total calculated
    $572,590
    From this org
    $549,215
    From related orgs
    $0
    Other
    $23,375
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $549,215
    Bonus
    $0
    Other
    $0
    Deferred
    $22,500
    Nontaxable benefits
    $875
    Filer's total
    $572,590

  • Moon Paul

    Physician

    Total calculated
    $567,448
    From this org
    $521,678
    From related orgs
    $0
    Other
    $45,770
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $514,178
    Bonus
    $7,500
    Other
    $0
    Deferred
    $22,500
    Nontaxable benefits
    $23,270
    Filer's total
    $567,448

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 4b
Select executives agreed to participate in CAP-EX in place of a traditional SERP. See Schedule L, Part V of Adventist Health System/West, for a broader description. Split-Dollar life insurance participants are John Beaman, Kerry Heinrich, Todd Hofheins, and Joyce Newmyer. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. The plan was frozen for new non-vested contributions in 2016. Newmyer, Joyce - participant, no activity in 2023
Part I, Line 7
Executives received incentive pay in 2023 based on 2022 results. This compensation was determined by the board compensation committee based on the achievement of certain operational and financial goals.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202413169349305021

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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