Mid-Columbia Medical Center
Public records show a registered, tax-exempt organization in good standing.
What it says it does
Living God's love by inspiring health, wholeness, and hope.
- Income
- $135.8 million
- Spending
- $155.6 million
- Spent on programs
- 84%
- Reserves
- -1.3 months of spending
- Largest source of income
- fees for its services, 97%
- Employees
- 940
- Volunteers
- 61
- Highest pay
- $4.0 million, dir/chair/ceo
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 36 out of 100. Higher than 11% of charities in its peer group (health care, over $100m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
2 of 20It owes 86% of what it owns.
Living within its means
4 of 15Spending exceeded income by 15% of income.
Income trend
15 of 15Income rose 83% on the year before.
Spending floor
15 of 1584% of spending went to programs and raising each dollar of donations cost 15 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 93 out of 100. Higher than 35% of charities in its peer group (health care, over $100m).
Independent board
18 of 252 of 3 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $131.3 million spent. 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/
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since January 1946.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.