2019-08-14T10:22:32-05:00 2018-09-30 930623286 ALDRICH CPAS AND ADVISORS LLP 5665 SW MEADOWS RD SUITE 200 LAKE OSWEGO OR 97035 990 2017-10-01 936087366 ASANTE FOUNDATION ASAN 5417894103 2650 SISKIYOU BLVD MEDFORD OR 97504 GREG WOJTAL CFO 5417894103 2019-08-12 1 JOYLYN M ANKENEY CPA P00366587 5036204489 2019-08-12 50.234.117.166 2019-08-12 12:21:11 PD P 7A0F8E73DBDA97777B6EC6D7A794CA0707E59423 9494BF7B0DAB8C47E497A7B628D0FF9CB78333A7 2017 2019-02-21 02:37:17Z GREG WOJTAL 2650 SISKIYOU BLVD MEDFORD OR 97504 33772252 0 X WWW.ASANTE.ORG/GIVING X 1973 OR TO SUPPORT ASANTE, A 501(C)(3) HEALTHCARE SYSTEM WHICH SERVES THE HEALTHCARE NEEDS OF THE CITIZENS OF SOUTHERN OREGON AND NORTHERN CALIFORNIA. 22 21 13 306 0 0 3171787 2708545 0 0 2287498 1624189 108187 663939 5567472 4996673 1385973 1943691 0 0 843402 1110634 0 0 709780 1125923 1022644 3355298 4076969 2212174 919704 29190648 31417235 1296272 2053361 27894376 29363874 X THE ASANTE FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO RAISE MONIES AND IN-KIND DONATIONS TO FURTHER THE EXEMPT PURPOSE OF ASANTE, A 501(C)(3) HOSPITAL AND HEALTHCARE SYSTEM WHICH SERVICES THE HEALTHCARE NEEDS OF THE CITIZENS OF SOUTHERN OREGON AND NORTHERN CALIFORNIA. 0 0 1909077 1303022 DURING THE TAX YEAR, THE ASANTE FOUNDATION'S LARGEST PROGRAM SERVICE ACCOMPLISHMENT WAS THE GRANTING OF $1,303,022 TO BENEFIT VARIOUS DEPARTMENTS AND CAPITAL PROJECTS AT ROGUE REGIONAL MEDICAL CENTER (RRMC), A 378 LICENSED BED HOSPITAL LOCATED IN MEDFORD, OREGON.OF THE CAPITAL PROJECTS,OVER $200,000 WAS DONATED TO ADDITION OF AN END OF LIFE ROOM ON THE MEDICAL ONCOLOGY UNIT. THIS GENEROUS DONATION ALLOWED THE DEPARTMENT TO ADD A ROOM DEDICATED TO THE PEACEFUL PASSING OF A PATIENT. IN ADDITION, OVER $80,000 WAS DONATED TO PURCHASE NEW FEES EQUIPMENT FOR REHAB.THE ASANTE FOUNDATION ALSO HELPS SUPPORT NUMEROUS CLINICAL DEPARTMENTS AT RRMC. THIS INCLUDES GENEROUS DONATIONS OF OVER $271,000 TO THE BEHAVIORAL HEALTH UNIT FOR A SANCTUARY PILOT PROGRAM, WHICH IS ENOUGH TO FUND THE PROGRAM FOR 2 YEARS. NEARLY $30,000 WAS DONATED TO SUPPORT THE BABY FRIENDLY INITIATIVE IN FAMILY BIRTH AND THE NICU. OTHER DONATIONS HELP SUPPORT THE WOMEN'S IMAGING CENTER, THE EMERGENCY DEPARTMENT, THE MENTAL HEALTH DEPARTMENT, FAMILY HOUSE, NURSE EDUCATION, THE DUBS CANCER CENTER AND MANY MORE. 539295 368091 THE ASANTE FOUNDATION'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE GRANTING OF $368,091 TO HELP SUPPORT VARIOUS DEPARTMENTS AND CAPITAL PROJECTS AT THREE RIVERS MEDICAL CENTER (TRMC), A 125 LICENSED BED HOSPITAL LOCATED IN GRANTS PASS, OREGON.DURING THE TAX YEAR, THE FOUNDATION CONTRIBUTED $85,000 FOR A LARGE BORE CT FOR IMAGING. THE FOUNDATION ALSO MADE A CONTRIBUTION OF $56,718 FOR UPGRADES TO THE CANCER TREATMENT ROOMS. IN ADDITION TO CAPITAL PROJECTS, THE FOUNDATION CONTRIBUTED NEARLY $17,00 FOR FREE MAMMOGRAMS AND BREAST CANCER EDUCATION FOR UNINSURED WOMEN IN THE AREA. OTHER DEPARTMENTS THAT BENEFITED FROM FOUNDATION DONATIONS INCLUDE THE IMAGING DEPARTMENT, DIABETES EDUCATION, FAMILY BIRTH AND MANY MORE. 399358 272578 THE ASANTE FOUNDATION'S THIRD LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE GRANTING OF $272,578 TO HELP SUPPORT VARIOUS DEPARTMENTS AND CAPITAL PROJECTS AT ASHLAND COMMUNITY HOSPITAL, ASANTE PHYSICIAN PARTNERS AND THE NURSING EXCELLENCE INITIATIVE.DURING THE TAX YEAR THE FOUNDATION CONTRIBUTED $7,700 TO A DIABETIC CARE PROGRAM AS WELL AS $10,464 FOR AN ATHLETIC TRAINER AT APP. THEY ALSO CONTRIBUTED OVER $20,000 TO THE NURSING INITIATIVE FOR INNOVATIVE SOFTWARE AND PROCESS IMPROVEMENT.THE ASANTE FOUNDATION'S ON-GOING MISSION IS TO CONTINUALLY ASSESS THE NEEDS OF THE HOSPITALS IT SUPPORTS, AS WELL AS THE COMMUNITY WE SERVE. OVER THE YEARS, THE FOUNDATION HAS CONTRIBUTED MILLIONS OF DOLLARS TO HELP SUBSIDIZED IMPORTANT CLINICAL DEPARTMENTS OF THE HOSPITALS AND HELP PURCHASE NEEDED MEDICAL EQUIPMENT. IT HAS ALSO MADE SIGNIFICANT CONTRIBUTIONS TO MAJOR BUILDING PROJECTS AT ROGUE REGIONAL MEDICAL CENTER AND THREE RIVERS MEDICAL CENTER. 2847730 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 1 18 0 1 13 1 0 0 0 0 0 0 0 0 0 0 X 22 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X GREG WOJTAL 5417894549 2650 SISKIYOU BLVD MEDFORD OR 97504 BRIAN GROSS MD TRUSTEE 2.00 X 0 0 0 DIONNE IRVINE TRUSTEE 2.00 X 0 0 0 BOB MAYERS CHAIR 2.00 X 0 0 0 LINDA FARLAND TRUSTEE 2.00 X 0 0 0 TRAVIS HAMLYN VICE CHAIR 2.00 X 0 0 0 KURT HEATER TRUSTEE 2.00 X 0 0 0 CLIFF KUHLMAN TRUSTEE 2.00 X 0 0 0 SCOTT LEWIS SECRETARY 2.00 X 0 0 0 JEFF LOUIE MD TRUSTEE 2.00 X 0 0 0 LAURA NAUMES TRUSTEE 2.00 X 0 0 0 JEFF CROCKETT TRUSTEE 2.00 X 0 0 0 VICKIE CROCKETT TRUSTEE 2.00 X 0 0 0 CHARLES MCNAIR TRUSTEE 2.00 X 0 0 0 LES MARTIN TRUSTEE 2.00 X 0 0 0 JENNIFER MCRAE TRUSTEE 2.00 X 0 0 0 JOHN SCHIAVONE TRUSTEE 2.00 X 0 0 0 KEITH BARNES TREASURER 2.00 X 0 0 0 CAL SCHMIDT TRUSTEE 2.00 X 0 0 0 DAVID THOMASON TRUSTEE 2.00 X 0 0 0 CAROLINE BROOKS TRUSTEE 2.00 X 0 0 0 TARA MILLAN TRUSTEE 2.00 X 0 0 0 PATRICIA WINTEMUTE FORMER CHAIR 2.00 X 0 0 0 ROY VINYARD ASANTE CEO 1.00 40.00 X 0 1236805 160715 FLOYD HARMON EXEC DIR ASANTE FDN 40.00 X 262970 0 0 GREG WOJTAL ASANTE CFO 1.00 40.00 X 0 470862 97769 PATRICK HOCKING FORMER ASANTE CFO 0.00 40.00 X 0 205730 72534 262970 1913397 331018 1 1 1 0 0 390295 2318250 367457 2708545 954463 954463 28735525 28065799 669726 669726 669726 1373719 390295 709780 663939 663939 4996673 0 0 2288128 1943691 1943691 750950 487980 262970 35461 23043 12418 262989 170895 92094 61234 39791 21443 143414 33299 33292 76823 918 826 92 PURCHASED SERVICES 591971 109437 109437 373097 MISCELLANEOUS 216247 -16595 232842 REPAIRS AND MAINTENANCE 43076 38768 4308 PRINTING AND PUBLICATIO 27018 27018 4076969 2847730 519459 709780 501 500 51841 32748 64498 86195 86195 86195 28732975 30805329 338229 408872 29190648 31417235 667977 18446 628295 2034915 1296272 2053361 X 15018423 14854062 7687283 9224264 5188670 5285548 27894376 29363874 29190648 31417235 X 919704 563407 -13613 X 0 1 X 1 0 X X X 2 ASANTE 930223960 3 1 1856563 0 ASANTE PHYSICIAN PARTNERS 383849354 3 1 87128 0 2 1943691 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 21035987 96879 1118497 418484 21832879 19768780 1025379 712656 470828 21035987 19809910 65967 149912 257009 19768780 19262877 369173 213139 35278 19809910 18901671 320785 181774 141353 19262877 0.74970 0.24210 0.00820 0 0 86195 86195 86195 INTERCOMPANY PAYABLE 1992579 PAYROLL BENEFITS PAYABLE 42336 2034915 X PART V, LINE 4: THE ENDOWMENTS ARE SET UP TO HELP PURCHASE CAPITAL EQUIPMENT FOR A VARIETY OF DEPARTMENTS AND SERVICES AT ROGUE REGIONAL MEDICAL CENTER AND THREE RIVERS MEDICAL CENTER. UP TO 5% OF ENDOWMENT EARNINGS CAN BE USED TO PURCHASE EQUIPMENT. PART X, LINE 2: THE MANAGEMENT OF THE ASANTE FOUNDATION DOES NOT BELIEVE IT HAS ADOPTED ANY UNCERTAIN TAX POSITIONS AS DEFINED BY FASB ASC SUBTOPIC 740-10, "INCOME TAXES-OVERALL". X 1 CHILDREN'S MIRACLE NETWORK 4525 S 2300 EAST 202 SALT LAKE CITY UT 84117 PROMOTION 1 1764014 390295 1373719 1764014 390295 1373719 OR CHILDREN'S MIRACLE NETWORK 1764014 390295 1373719 1764014 390295 1373719 1373719 1 ASANTE PHYSICIAN PARTNERS 2650 SISKIYOU BLVD MEDFORD OR 97504 383849354 501 (C)(3) 87128 SUPPORT PALLIATIVE CARE DEPARTMENT ASANTE 2650 SISKIYOU BLVD MEDFORD OR 97504 930223960 501 (C)(3) 1856563 SUPPORT HOSPITAL DEPARTMENTS PART I, LINE 2 THE ASANTE FOUNDATION REGULARLY MAKES DONATIONS TO ASANTE, A 501(C)(3) HOSPITAL AND HEALTHCARE ORGANIZATION, FOR THE PURPOSE OF CAPITAL PURCHASES AND SUPPORT VARIOUS HOSPITAL DEPARTMENTS 0 1 0 0 0 0 0 0 0 ROY VINYARD ASANTE CEO 0 774796 0 220506 0 241503 0 121240 0 39475 0 1397520 0 0 FLOYD HARMON EXEC DIR ASANTE FDN 262970 0 0 0 0 0 0 0 0 0 262970 0 0 0 GREG WOJTAL ASANTE CFO 0 390647 0 25000 0 55215 0 79744 0 18025 0 568631 0 0 PATRICK HOCKING FORMER ASANTE CFO 0 90166 0 103778 0 11786 0 64341 0 8193 0 278264 0 0 PART I, LINE 3 THE ASANTE FOUNDATION DOES NOT HAVE A PAID CEO. HOWEVER, ROY VINYARD, THE CEO/EXECUTIVE DIRECTOR OF ASANTE (THE FOUNDATION'S SUPPORTED ORGANIZATION) HAS HIS SALARY DETERMINED BY THE ASANTE COMPENSATION COMMITTEE. HIS SALARY IS DETERMINED BY INDEPENDANT COMPENSATION CONSULTANTS, WRITTEN EMPLOYMENT CONTRACTS, AND A COMPENSATION SURVEY AND STUDY. HIS FINAL SALARY MUST BE APPROVED BY THE ASANTE BOARD OF DIRECTORS. PART I, LINE 4B ASANTE, THE PARENT CORPORATION OF THE FOUNDATION, HAS AN EXECUTIVE RESTORATION PLAN WHICH INCLUDES ASANTE VP& CHIEF MEDICAL INFORMATION OFFICER LEE MILLIGAN, MD, ARRMC CEO SCOTT KELLY, ATRMC CEO WIN HOWARD, AACH CEO SHEILA CLOUGH, CIO MARK HETZ, CHIEF QUALITY AND SAFETY OFFICER JAMES GREBOSKY, MD, VP OF MEDICAL AFFAIRS ERIC LOELIGER, MD, AND CSO DENNIE CONRAD. THIS PLAN STATES FIXED PAYMENTS WILL BE RECEIVED AT PRE-DETERMINED INTERVALS FROM ASANTE IF STILL EMPLOYED BY ASANTE IN THEIR CURRENT ROLL AT THE TIME OF VESTING. IF EMPLOYMENT TERMINATES BY ASANTE FOR ANY REASON PRIOR TO VESTING, THEY WILL NOT HAVE CLAIM TO THE FUNDS. SELECT EXECUTIVES OF ASANTE, THE PARENT CORPORATION, AGREED TO PARTICIPATE IN CAP-EX IN PLACE OF A TRADITIONAL SERP. SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION. COMPENSATION FROM UNRELATED ORGANIZATION SCHEDULE J, PART II SHOWS THE COMPENSATION OF THE OFFICERS, DIRECTORS AND KEY EMPLOYEES OF ASANTE. COLUMNS BI, BII AND BIII DISPLAYS THE AMOUNTS ACTUALLY PAID TO THESE PEOPLE AS WHAT SHOWS UP ON THEIR FORM W-2 ON DECEMBER 31,2017. COLUMNS C AND D INCLUDE AMOUNTS ACCRUED, BUT UNPAID DURING THE FISCAL YEAR, WITH COLUMN E BEING TOTAL COMPENSATION REPORTED FOR FORM 990 PURPOSES. COLUMN F INCLUDES AMOUNTS THAT HAD BEEN REPORTED AS ACCRUED BUT UNPAID COMPENSATION ON PRIOR YEAR FORM 990 TAX RETURNS, BUT PAID-OUT DURING THE CURRENT YEAR. ROY VINYARD ASANTE CEO SEE PART V X 3000000 4859303 0 1 1 4859303 SCHEDULE L PART II THE EO PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN--NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, THE EO RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST.THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE EO. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD THE EO RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY.CASD WORKS AS FOLLOWS. THE EO DEPOSITS FUNDS INTO A CASH VALUE LIFE INSURANCE POLICY ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT THE EO'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY THE EO ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE. ANY REMAINING DEATH PROCEEDS ARE AVAILABLE TO BE PAID TO THE EXECUTIVE'S BENEFICIARY. X 114 12186 FMV X EVENT SUPPLIES 261 355271 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ASANTE IS THE SOLE MEMBER OF ASANTE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A ASANTE, AS THE SOLE MEMBER OF ASANTE FOUNDATION, RETAINS THE RIGHT TO APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B ASANTE, AS THE SOLE MEMBER OF ASANTE FOUNDATION, RETAINS THE RIGHT TO APPROVE GOVERNANCE DECISIONS MADE BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FEDERAL FORM 990 IS A FEDERALLY MANDATED LEGAL DOCUMENT THAT IS HIGHLY REGULATED. WHEN FINAL AUDITED FINANCIAL INFORMATION IS AVAILABLE, PERSONNEL FROM ASANTE'S ACCOUNTING DEPARTMENT WILL COORDINATED WITH PERSONNEL IN ASANTE'S MARKETING, COMPLIANCE, AND EXECUTIVE DEPARTMENTS TO PREPARE ALL WORK PAPERS AND SCHEDULES. WHEN ALL WORK PAPERS ARE COMPLETE, THE INFORMATION IS LOADED INTO APPROPRIATE TAX SOFTWARE AND A DRAFT RETURN IS PRINTED. THE DRAFT RETURN IS REVIEWED BY ASANTE'S CHIEF ADMINISTRATIVE AND FINANCE OFFICER AND DIRECTOR OF FINANCE. AFTER THE REVIEW, ACCOUNTING WILL CLEAR ALL REVIEW NOTES. THE ASANTE FOUNDATION'S BOARD OF DIRECTORS WILL LOOK OVER THE FINAL SET OF RETURNS AND MAKE FURTHER COMMENTS OR CORRECTIONS, AS IS APPROPRIATE. ONCE ALL REVIEWS AND CORRECTIONS ARE MADE, THE CAFO WILL SIGN ALL APPROPRIATE RETURNS FOR FILING. THE RETURN WILL THEN BE FILED EITHER ELECTRONICALLY OR PAPER COPY WITH THE APPROPRIATE GOVERNMENT AGENCIES. A COPY OF THE RETURN IS TO BE KEPT IN ASANTE'S ACCOUNTING DEPARTMENT AND ANOTHER WILL BE KEPT AT ASANTE'S CORPORATE HEADQUARTERS FOR PUBLIC DISPLAY AND COPYING, AS REQUESTED. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, THE FOUNDATION MAILS TO ALL BOARD MEMBERS A CONFLICT OF INTEREST QUESTIONNAIRE TO COMPLY WITH THE FOUNDATION'S CONFLICT OF INTEREST POLICY. THE PURPOSE OF THE POLICY IS TO PROTECT THE INTERESTS OF BOTH THE ASANTE FOUNDATION AND ASANTE (ITS SUPPORTED ORGANIZATION) WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF A BOARD MEMBER. ASANTE'S CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR ADMINISTERING, MONITORING, AND INVESTIGATING ANY POSSIBLE CONFLICTS AND MAKES AN ANNUAL REPORT TO THE ASANTE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE ASANTE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF ASANTE'S CEO AND OTHER KEY EMPLOYEES. THE REVIEW COMPARES THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES WITH COMPENSATION DATA FOR JOB INCUMBENTS IN COMPARABLE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND SCOPE TO THAT OF ASANTE. THE DATA IS PROVIDED AND PRESENTED TO THE COMPENSATION COMMITTEE OF ASANTE BY AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE SETS THE ACTUAL ANNUAL CASH COMPENSATION FOR THE CEO AND SALARY RANGES FOR THE OTHER KEY EMPLOYEES. THE COMMITTEE ALSO SETS TOTAL COMPENSATION OPPORTUNITY FOR THE CEO AND EACH OF THE KEY EMPLOYEES, CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. MINUTES OF THE COMMITTEE DELIBERATIONS AND DECISIONS ARE RECORDED AND MAINTAINED BY ASANTE. THE MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS COMPLETED IN 2012. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: ADJUSTMENT TO RE -13,613. ASANTE 2650 SISKIYOU BLVD MEDFORD OR 97504 930223960 HOSPITAL AND HEALTHCARE OR 501 (C)(3) 509(A)(1) N/A 0 ASANTE PHYSICIAN PARTNERS 2650 SISKIYOU BLVD MEDFORD OR 97504 383849354 PHYSICIAN GROUP OR 501 (C)(3) 509(A)(1) ASANTE 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 ASANTE B 1856563 CASH ASANTE PHYSICIAN PARTNERS B 87128 CASH ASANTE O 750950 CASH