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Nonprofiteer
← MID-COLUMBIA MEDICAL CENTER

Form 990 for tax year 2022

Filed by MID-COLUMBIA MEDICAL CENTER.

Totals

Total revenue
$139,598,972
Total expenses
$150,516,292
Contributions and grants received
$4,363,093
Grants paid
$263,390
Program service revenue
$135,366,656
Investment income
-$130,777
Other revenue
$0
Total assets, end of year
$95,523,474
Total liabilities, end of year
$62,749,020
Net assets or fund balances, end of year
$32,774,454
Program services expenses (Part IX)
$143,599,955
Management and general expenses
$6,916,337
Fundraising expenses
$0
Program service expenses (Part III)
$143,599,955

Program services were 95.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $480,608

  • 1e · Government grants (contributions)

    $3,882,485

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $102,294,394 · related or exempt $102,294,394

  • 2b · Program service revenue: PHARMACY REVENUE

    total $32,379,009 · related or exempt $32,379,009

  • 2c · Program service revenue: CAFETERIA

    total $419,742 · excluded $419,742

  • 2d · Program service revenue: FITNESS CENTER

    total $273,511 · related or exempt $273,511

  • 3 · Investment income

    total $302,036 · excluded $302,036

  • 7a · Gross sales of assets other than inventory

    securities $6,324,676

  • 7b · Less cost or other basis and sales expenses

    securities $6,755,208 · other assets $2,281

  • 7c · Gain or loss

    securities -$430,532 · other assets -$2,281

  • 7d · Net gain or loss

    total -$432,813 · excluded -$432,813

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $263,390 · program services $263,390

  • 5 · Compensation of officers, directors and key employees

    total $3,178,763 · program services $1,732,872 · management and general $1,445,891

  • 7 · Other salaries and wages

    total $63,763,667 · program services $63,071,322 · management and general $692,345

  • 8 · Pension plan contributions

    total $2,578,892 · program services $2,429,692 · management and general $149,200

  • 9 · Other employee benefits

    total $7,496,554 · program services $7,310,657 · management and general $185,897

  • 10 · Payroll taxes

    total $4,265,523 · program services $3,995,404 · management and general $270,119

  • 11b · Fees: legal

    total $968,444 · program services $141,055 · management and general $827,389

  • 11c · Fees: accounting

    total $82,609 · management and general $82,609

  • 11d · Fees: lobbying

    total $13,706 · management and general $13,706

  • 11f · Fees: investment management

    total $74,543 · management and general $74,543

  • 11g · Fees: other

    total $23,372,566 · program services $22,555,020 · management and general $817,546

  • 12 · Advertising and promotion

    total $296,521 · program services $295,762 · management and general $759

  • 13 · Office expenses

    total $1,569,782 · program services $1,509,804 · management and general $59,978

  • 14 · Information technology

    total $4,268,181 · program services $3,780,204 · management and general $487,977

  • 16 · Occupancy

    total $5,963,790 · program services $5,079,468 · management and general $884,322

  • 17 · Travel

    total $232,020 · program services $225,554 · management and general $6,466

  • 19 · Conferences, conventions and meetings

    total $129,505 · program services $125,098 · management and general $4,407

  • 20 · Interest

    total $363,686 · program services $363,686

  • 22 · Depreciation, depletion and amortization

    total $4,738,961 · program services $4,234,212 · management and general $504,749

  • 23 · Insurance

    total $716,189 · program services $687,831 · management and general $28,358

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $20,043,813 · program services $20,042,934 · management and general $879

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $2,474,322 · program services $2,379,103 · management and general $95,219

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $1,464,905 · program services $1,464,905

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $304,489 · program services $146,820 · management and general $157,669

  • 24e · All other expenses

    total $1,891,471 · program services $1,765,162 · management and general $126,309

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $11,595,333 · end of year $5,232,849

  • 2 · Savings and temporary cash investments

    beginning of year $10,427,209 · end of year $210,099

  • 4 · Accounts receivable

    beginning of year $20,958,344 · end of year $22,927,625

  • 8 · Inventories for sale or use

    beginning of year $1,892,260 · end of year $1,585,823

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,624,790 · end of year $1,347,383

  • 10a · Land, buildings and equipment: cost or other basis

    $71,117,618

  • 10b · Land, buildings and equipment: accumulated depreciation

    $56,431,339

  • 10c · Land, buildings and equipment, net

    beginning of year $18,065,397 · end of year $14,686,279

  • 11 · Investments: publicly traded securities

    beginning of year $12,953,351 · end of year $7,610,507

  • 14 · Intangible assets

    beginning of year $1,088,535 · end of year $952,468

  • 15 · Other assets

    beginning of year $3,184,938 · end of year $40,970,441

  • 17 · Accounts payable and accrued expenses

    beginning of year $14,115,763 · end of year $14,044,096

  • 19 · Deferred revenue

    beginning of year $3,574,273 · end of year $130,978

  • 23 · Secured mortgages and notes payable

    beginning of year $8,497,088 · end of year $8,264,596

  • 25 · Other liabilities

    beginning of year $11,269,720 · end of year $40,309,350

  • 27 · Net assets without donor restrictions

    beginning of year $43,644,676 · end of year $32,085,817

  • 28 · Net assets with donor restrictions

    beginning of year $688,637 · end of year $688,637

Mission and programs · 2022

Mission

SEE SCH O

Activities or mission (Part I)

SEE SCH O.

  • ACUTE HOSPITAL CARE:INPATIENT DAYS 7,838, INPATIENT REHAB DAYS 394, OUTPATIENT OBSERVATION DAYS 953, LABORATORY TESTS 199,614, IMAGING TESTS 31,341, HOME HEALTH EPISODES 1,942, EMERGENCY VISITS 14,375, ENDOSCOPY VISITS 1,214, MEDICAL ONCOLOGY 6,970, OUTPATIENT SURGERIES 1,478, RADIATION ONCOLOGY 5,760, SAME DAY PROCEDURES 1,793, AND TOTAL OUTPATIENT CLINIC VISITS 83,858.SEE SCHEDULE H FOR NARRATIVE OF PROGRAM SERVICE ACCOMPLISHMENTS.

    Expenses $143,599,955 · Grants $263,390 · Revenue $134,946,914

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dennis Knox

    PRESIDENT & CEO

    Total calculated
    $630,066
    From this org
    $599,211
    From related orgs
    $0
    Other
    $30,855
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $524,906
    Bonus
    $48,480
    Other
    $25,825
    Deferred
    $16,262
    Nontaxable benefits
    $14,593
    Filer's total
    $630,066

  • Phil Brady

    CHAIR (THRU FEB. 2022)

    Total calculated
    $0
    Hours/week
    1

  • Robb Van Cleave

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Nolan Young

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Frank Toda PhD

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Janet Hamada

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Paul Cardosi MD

    DIRECTOR

    Total calculated
    $301,395
    From this org
    $260,550
    From related orgs
    $0
    Other
    $40,845
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,012
    Bonus
    $0
    Other
    $11,538
    Deferred
    $17,312
    Nontaxable benefits
    $23,533
    Filer's total
    $301,395

  • Bill Ketchum

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Suzanne Knapp

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Victor Mondragon

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Michele Spatz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Serene Perkins MD

    CMO (THRU AUG. 2022)

    Total calculated
    $285,970
    From this org
    $263,324
    From related orgs
    $0
    Other
    $22,646
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $207,302
    Bonus
    $21,346
    Other
    $34,676
    Deferred
    $10,818
    Nontaxable benefits
    $11,828
    Filer's total
    $285,970

  • Don Wenzler

    CCO (THRU MAY 2022)

    Total calculated
    $176,688
    From this org
    $160,867
    From related orgs
    $0
    Other
    $15,821
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $124,667
    Bonus
    $0
    Other
    $36,200
    Deferred
    $9,625
    Nontaxable benefits
    $6,196
    Filer's total
    $176,688

  • Wendy Apland

    CFO

    Total calculated
    $364,712
    From this org
    $326,947
    From related orgs
    $0
    Other
    $37,765
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,646
    Bonus
    $19,959
    Other
    $3,342
    Deferred
    $16,370
    Nontaxable benefits
    $21,395
    Filer's total
    $364,712

  • Dale Lepper

    CIO

    Total calculated
    $265,702
    From this org
    $251,357
    From related orgs
    $0
    Other
    $14,345
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $230,325
    Bonus
    $14,707
    Other
    $6,325
    Deferred
    $13,659
    Nontaxable benefits
    $686
    Filer's total
    $265,702

  • Camie Overton

    COO

    Total calculated
    $348,410
    From this org
    $322,151
    From related orgs
    $0
    Other
    $26,259
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $313,377
    Bonus
    $5,612
    Other
    $3,162
    Deferred
    $18,300
    Nontaxable benefits
    $7,959
    Filer's total
    $348,410

  • Cheri McCall

    CHRO

    Total calculated
    $185,410
    From this org
    $165,125
    From related orgs
    $0
    Other
    $20,285
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,732
    Bonus
    $9,824
    Other
    $4,569
    Deferred
    $10,014
    Nontaxable benefits
    $10,271
    Filer's total
    $185,410

  • Jayme Mason

    CNO

    Total calculated
    $199,582
    From this org
    $181,013
    From related orgs
    $0
    Other
    $18,569
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,778
    Bonus
    $0
    Other
    $8,235
    Deferred
    $10,915
    Nontaxable benefits
    $7,654
    Filer's total
    $199,582

  • Jayant Eldurkar MD

    CMO

    Total calculated
    $420,828
    From this org
    $374,512
    From related orgs
    $0
    Other
    $46,316
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $355,127
    Bonus
    $0
    Other
    $19,385
    Deferred
    $20,150
    Nontaxable benefits
    $26,166
    Filer's total
    $420,828

  • Douglas Beaman

    PHYSICIAN

    Total calculated
    $713,659
    From this org
    $676,535
    From related orgs
    $0
    Other
    $37,124
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $627,791
    Bonus
    $33,859
    Other
    $14,885
    Deferred
    $16,423
    Nontaxable benefits
    $20,701
    Filer's total
    $713,659

  • Sophia Bornstein

    PHYSICIAN

    Total calculated
    $544,834
    From this org
    $514,156
    From related orgs
    $0
    Other
    $30,678
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $498,181
    Bonus
    $6,353
    Other
    $9,622
    Deferred
    $19,888
    Nontaxable benefits
    $10,790
    Filer's total
    $544,834

  • Marc McAllister

    PHYSICIAN

    Total calculated
    $461,620
    From this org
    $423,503
    From related orgs
    $0
    Other
    $38,117
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $401,094
    Bonus
    $0
    Other
    $22,409
    Deferred
    $14,566
    Nontaxable benefits
    $23,551
    Filer's total
    $461,620

  • Brian Scrivens

    PHYSICIAN

    Total calculated
    $736,761
    From this org
    $694,544
    From related orgs
    $0
    Other
    $42,217
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $634,003
    Bonus
    $33,791
    Other
    $26,750
    Deferred
    $21,516
    Nontaxable benefits
    $20,701
    Filer's total
    $736,761

  • Jeffrey Mathisen

    PHYSICIAN

    Total calculated
    $527,484
    From this org
    $486,939
    From related orgs
    $0
    Other
    $40,545
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $465,334
    Bonus
    $21,605
    Other
    $0
    Deferred
    $19,844
    Nontaxable benefits
    $20,701
    Filer's total
    $527,484

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, and on a Form 990-PF Part VIII's — 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 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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 7
EXECUTIVES RECEIVED INCENTIVE PAY IN 2022 BASED ON 2021 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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • DRY HOLLOW PROFESSIONAL CENTER INC

    C · RENTAL BUILDING · OR · 100% owned · share of income $107,554 · share of assets $824,587

    Directly controlled by MID-COLUMBIA MEDICAL CENTER

Provenance

Return type
form_990
Tax year
2022
Filed
1 November 2023
IRS schema version
2022v5.0
Source object
202313069349300821

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