MID-Columbia Medical Center

“The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Stone Point Health Board of Directors.”

“The Board of Directors of the Corporation shall have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Stone Point Health. The Hospital does not have any Members.”

“This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing.”

“During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital corporate officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president or the System Chief Legal Officer/General Counsel immediately. The System Chief Legal Officer/General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the Hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System Chief Legal Officer/General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System Chief Legal Officer/General Counsel retains the COIs for all individuals. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.”

“The Adventist Health Board of Directors has established an Executive Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 40 percent spread from minimum to maximum.”

“The Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency.”

“Board compensation is for Adventist Health System/West Board of Directors only - not hospital Board of Directors.”

“Mid-Columbia Medical Center DBA Adventist Health Columbia Gorge (AHCG), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. AHCG has served the Columbia River Gorge since 1901. It includes a 49-bed hospital located in The Dalles, Oregon, with 24/7 emergency care, a birth center and cancer center and robust outpatient services including immediate care, primary care, specialty care, behavioral health, rehabilitation and more. AHCG employs more than 500 associates and healthcare providers. It is part of Adventist Health, a faith-based nonprofit health system serving more than 90 communities on the West Coast and Hawaii. AHCG is part of the Columbia River Gorge Regional Community Health Assessment, partnering with seven other community organizations to create equity and health outcomes in our community. Although reimbursement for services rendered is critical to the operation and stability of AHCG, the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following coverage will be considered when individuals who need health care cannot afford to pay: - Free care and/or subsidized care - Care to persons covered by governmental programs at/or below cost - Health/wellness activities and community education programs Not only does AHCG provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits. AHCG recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2024 was $4,195,658. The following Inpatient services were provided to all our patients: - 89,272 clinic visits - 172 deliveries - 1,631 discharges - 14,089 emergency room visits - 446 inpatient surgeries - 82,054 outpatient hospital visits - 1,631 outpatient surgeries - 5,821 patient days AHCG recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2024 was $0. AHRO's quality and performance awards include: The Joint Commission's Gold Seal of Approval for Hospital Accreditation, The Joint Commission's Gold Seal of Approval for Home Health Accreditation, The Joint Commission's Gold Seal of Approval for Laboratory Accreditation, American College of Radiology Lung Cancer Screening Center, Patient-Centered Primary Care Home 5-Star Rated, American Academy of Sleep Medicine Accredited Facility, Planetree Certified for Excellence in Person-Centered Care. Adventist Health's mission statement of living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever. Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/”

“Physician professional fees: Program service expenses 5,203,357. Management and general expenses 31,156. Fundraising expenses 0. Total expenses 5,234,513. Consulting and other management fees: Program service expenses 45,114. Management and general expenses 77,763. Fundraising expenses 0. Total expenses 122,877. Contract labor: Program service expenses 3,744,251. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,744,251. Repair and maintenance: Program service expenses 2,119,950. Management and general expenses 62,274. Fundraising expenses 0. Total expenses 2,182,224. All other purchased services: Program service expenses 3,855,450. Management and general expenses 3,010,731. Fundraising expenses 79,317. Total expenses 6,945,498. Purchased medical services: Program service expenses 879,042. Management and general expenses 859,409. Fundraising expenses 115. Total expenses 1,738,566. Other medical professional fees: Program service expenses 4,213. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,213. Other professional fees non-medical: Program service expenses 100. Management and general expenses 30. Fundraising expenses 0. Total expenses 130.”

“Write-down as result of affiliation -5,312,879. Change in investment in subsidiary 42,395.”