2024-09-14T17:33:35-05:00 2023-12-31 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1400 PORTLAND OR 97205 990 2023-01-01 931306211 CMH AUXILIARY CMHA 5033254321 2111 EXCHANGE STREET ASTORIA OR 97103 MELANIE LESSARD PRESIDENT 5033254321 2024-09-11 1 1 WENDY CAMPOS P00448102 5032421447 2024-08-29 2023 2024-08-08 14:25:15Z COLUMBIA MEMORIAL HOSPITAL AUXILIARY MELANIE LESSARD 2111 EXCHANGE STREET ASTORIA OR 97103 38396 0 X WWW.COLUMBIAMEMORIAL.ORG X 2001 OR TO SUPPORT THE COLUMBIA MEMORIAL HOSPITAL COMMUNITY THROUGH OUR STRENGTH AND COMPASSION. 5 5 0 5 0 0 0 0 0 0 5 7 15839 38389 15844 38396 0 0 0 0 0 0 0 0 0 7602 7342 7602 7342 8242 31054 52044 83098 0 0 52044 83098 TO SUPPORT THE COLUMBIA MEMORIAL HOSPITAL COMMUNITY THROUGH OUR STRENGTH AND COMPASSION. 0 0 PROVIDED RESOURCES TO COLUMBIA MEMORIAL HOSPITAL PATIENTS THROUGH DIRECT SERVICE AND FUNDRAISING PROJECTS TO ENHANCE THE CARE AND COMFORT OF THE PATIENTS. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X NICOLE CARLSON 5033254321 2111 EXCHANGE ST ASTORIA OR 97103 X MELANIE LESSARD PRESIDENT 1.00 X X 0 0 0 NANCY SWEET VICE PRESIDENT 1.00 X X 0 0 0 LEE CLINTON TREASURER 1.00 X X 0 0 0 CHERYL HAM SECRETARY 1.00 X X 0 0 0 LAVONNE CARNERA MEMBER AT LARGE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 7 7 38389 0 38389 38389 38396 0 0 38396 20 20 3139 3139 1562 1562 1566 1566 BOOKS & SUBSCRIPTIONS 1005 1005 BUSINESS REGISTRATION 50 50 7342 0 7342 0 52044 83098 52044 83098 0 0 X 52044 83098 52044 83098 52044 83098 31054 0 X 0 0 0 X X 1 COLUMBIA LUTHERAN CHARITIES DBA COLUMBIA MEMORIAL HOSPITAL 930583856 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV, SECTION B, QUESTION 1 CMH AUXILIARY IS EFFECTIVELY OPERATED, SUPERVISED AND CONTROLLED BY COLUMBIA MEMORIAL HOSPITAL. IT WAS CREATED TO PURSUE THE MISSION OF COLUMBIA MEMORIAL HOSPITAL BY PROVIDING LEADERSHIP, EXCELLENCE, AND COMPASSION IN THE ENHANCEMENT OF HEALTHCARE FOR THOSE SERVED BY COLUMBIA MEMORIAL HOSPITAL AND TO SUPPORT THE FINANCIAL GOALS AND PROGRAMS ON AN EXPANDED BASIS. COLUMBIA MEMORIAL HOSPITAL MAY REMOVE AN AUXILIARY MEMBER AFTER CONSULTATION WITH THE BOARD, IF THE BEST INTEREST OF CMH AUXILIARY AND COLUMBIA MEMORIAL HOSPITAL WOULD BE SERVED. THE FILING ORGANIZATION'S BYLAWS ARE APPROVED BY COLUMBIA MEMORIAL HOSPITAL. THEY MAY BE ALTERED, REPEALED, OR AMENDED AFTER THE APPROVAL BY THE COLUMBIA MEMORIAL HOSPITAL GOVERNING BOARD, AUXILIARY EXECUTIVE BOARD, AND A TWO-THIRDS VOTE OF THE ACTIVE AUXILIARY MEMBERS PRESENT AND VOTING AT REGULAR MEETING. FORM 990, PART VI, SECTION A, LINE 7B COLUMBIA MEMORIAL HOSPITAL MAY REMOVE AN AUXILIARY MEMBER AFTER CONSULTATION WITH THE BOARD, IF THE BEST INTEREST OF CMH AUXILIARY AND COLUMBIA MEMORIAL HOSPITAL WOULD BE SERVED. THE BYLAWS OF CMH AUXILIARY ARE APPROVED BY COLUMBIA MEMORIAL HOSPITAL. THEY MAY BE ALTERED, REPEALED, OR AMENDED AFTER THE APPROVAL BY THE COLUMBIA MEMORIAL HOSPITAL GOVERNING BOARD, AUXILIARY EXECUTIVE BOARD, AND A TWO-THIRDS VOTE OF THE ACTIVE AUXILIARY MEMBERS PRESENT AND VOTING AT REGULAR MEETING. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE AUXILIARY FOLLOWS THE SAME POLICIES AS A RELATED ORGANIZATION, COLUMBIA MEMORIAL HOSPITAL: THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES ANNUALLY. ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES MUST SIGN AND DATE THE CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT, QUESTIONNAIRE, AND DISCLOSURE STATEMENT. ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST AT THE BOARD OR OFFICER LEVEL ARE DISCUSSED AT THE BOARD MEETING. ACTUAL CONFLICTS OF INTEREST ARE ADDRESSED, DOCUMENTED, AND FILED IN THE CONFIDENTIAL PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. COLUMBIA LUTHERAN CHARITIES DBA COLUMBIA MEMORIAL HOSPITAL 2111 EXCHANGE STREET ASTORIA OR 971033329 930583856 HEALTHCARE PROVIDER OR 501(C)3 LINE 3 0 COLUMBIA MEMORIAL HOSPITAL FOUNDATION 2111 EXCHANGE STREET ASTORIA OR 971033329 931091701 FOUNDATION FOR HOSPITAL OR 501(C)3 LINE 12A, I COLUMBIA LUTHERAN CHARITIES DBA COLUMBIA MEMORIAL HOSPITAL 0 COASTAL HEALTH ASSURANCE INC 2111 EXCHANGE STREET ASTORIA OR 97103 911818894 PHYSICIAN ASSOCIATION, MEDICAL CONTRACT MANAGEMENT OR N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0