ASHLAND COMMUNITY HEALTH SERVICES: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ASHLAND COMMUNITY HEALTH SERVICES (EIN 93-1213059)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-14
- IRS object ID
- 201802269349302290
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-14T16:53:19-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930623286 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALDRICH CPAS AND ADVISORS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5665 SW MEADOWS RD SUITE 200 | AddressLine1Txt |
| City | LAKE OSWEGO | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97035 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931213059 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASHLAND COMMUNITY HEALTH SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | DBA ASHLAND COMMUNITY HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASHL | BusinessNameControlTxt |
| Phone | 5417894549 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97504 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG WOJTAL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5417894549 | PhoneNum |
| Signature | 2018-08-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOYLYN M ANKENEY CPA | PreparerPersonNm |
| PTIN | P00366587 | PTIN |
| Phone | 5036204489 | PhoneNum |
| Preparation | 2018-08-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| Principal Officer | GREG WOJTAL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97504 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $62,422,074 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ASANTE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | ASANTE ASHLAND COMMUNITY HOSPITAL EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES IT SERVES. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 260 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $113,872 | PYContributionsGrantsAmt |
| CY Contributions Grants | $148,046 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,932,605 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $61,110,818 | CYProgramServiceRevenueAmt |
| PY Investment Income | $862 | PYInvestmentIncomeAmt |
| CY Investment Income | $684 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,311,200 | PYOtherRevenueAmt |
| CY Other Revenue | $1,162,526 | CYOtherRevenueAmt |
| PY Total Revenue | $59,358,539 | PYTotalRevenueAmt |
| CY Total Revenue | $62,422,074 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,093 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $45,646 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,595,512 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,538,823 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,955,496 | PYOtherExpensesAmt |
| CY Other Expenses | $28,742,229 | CYOtherExpensesAmt |
| PY Total Expenses | $53,563,101 | PYTotalExpensesAmt |
| CY Total Expenses | $52,326,698 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,795,438 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,095,376 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,168,831 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,212,568 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,956,263 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ASANTE ASHLAND COMMUNITY HOSPITAL EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES IT SERVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $43,947,206 | ExpenseAmt |
| Grant | $45,646 | GrantAmt |
| Revenue | $62,273,344 | RevenueAmt |
| Desc | ASHLAND COMMUNITY HEALTHCARE SERVICES GREATEST PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ASANTE ASHLAND COMMUNITY HOSPITAL(AACH), A 49 LICENSED BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ASHLAND, OREGON. DURING THE PERIOD OF OCTOBER 1 2016 TO SEPTEMBER 30, 2017, AACH ADMITTED 1,688 INPATIENTS FOR A TOTAL OF 5,338 PATIENT DAYS. IT ALSO HAD 533 INPATIENT SURGERIES AND DELIVERED 271 BABIES. THE OUTPATIENT DEPARTMENTS ALSO PERFORMED 1,944 OUTPATIENT SURGERIES AND 8,463 HOME HEALTH VISITS. ADDITIONALLY, THERE WERE 10,000 EMERGENCY ROOM VISITS, 18,019 RADIOLOGY STUDIES AND 5,028 WOUND CLINIC TREATMENTS. | Desc |
| Total Program Service Expenses | $43,947,206 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | Yes (1) | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 260 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREG WOJTAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5417894549 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97504 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| STEPHEN D ROE | ||||||||
| CURRENT CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS R MCGILLOWAY | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RAY A COX | ||||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER ANGSTADT | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNE GOLDEN | ||||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RONALD JONES MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLASS SCHMOR | ||||||||
| VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS M TUREK MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ROY G VINYARD | ||||||||
| ASANTE CEO | 2.00 | Yes (X) | $0 | $1,076,322 | $235,257 | 40.00 | Yes (X) | |
| KEN TRAUTMAN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SANDRA SLATTERY | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LEE MILLIGAN MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $333,908 | $64,900 | 40.00 | ||
| LINDA GANIM | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SHEILA CLOUGH | ||||||||
| ASHLAND CEO | 40.00 | $347,099 | $0 | $115,326 | Yes (X) | |||
| PATRICK HOCKING | ||||||||
| ASANTE CFO | 1.00 | $0 | $656,449 | $244,142 | 40.00 | Yes (X) | ||
| SUSAN MONTGOMERY | ||||||||
| VP PATIENT CARE | 40.00 | $224,447 | $0 | $96,183 | Yes (X) | |||
| DENESE CROSBIE | ||||||||
| CLINICAL MANAGER | 40.00 | $142,889 | $0 | $45,510 | Yes (X) | |||
| MICHAEL TONER | ||||||||
| PHARMACY MANAGER | 40.00 | $152,234 | $0 | $60,032 | Yes (X) | |||
| ROB HIBNER | ||||||||
| DIRECTOR ANCILLARY SERVICES | 40.00 | $134,058 | $0 | $31,061 | Yes (X) | |||
| BRENDA KIZZIRE | ||||||||
| PHYSICAL THERAPIST | 40.00 | $126,517 | $0 | $40,041 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,127,244 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,066,679 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $932,452 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ASHLAND ANESTHESIA ASSOCIATES | |||||
| 638 MAIN STREET | ASHLAND | OR | 97520 | PHYSICIAN SERVICES | $170,001 |
| SOUTHERN OREGON CARDIOLOGY | |||||
| 520 MEDICAL CENTER DR STE 200 | MEDFORD | OR | 97504 | PHYSICIAN SERVICES | $152,210 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 60673 | WOUND CARE MANAGEMENT | $123,622 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $148,046 | AllOtherContributionsAmt |
| Total Contributions | $148,046 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOSPITAL SERVICES | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $61,110,818 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,110,818 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $61,110,818 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $684 | TotalRevenueColumnAmt |
| Exclusion | $684 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER REVENUE | 900099 | $855,821 | $855,821 |
| CAFETERIA | 722210 | $226,489 | $226,489 |
| SISKIYOU IMAGING | 621990 | $80,216 | $80,216 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,162,526 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,422,074 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,273,344 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $684 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,646 | TotalAmt |
| Program Services | $45,646 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,010 | TotalAmt |
| Program Services | $173,505 | ProgramServicesAmt |
| Management And General | $173,505 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,116,986 | TotalAmt |
| Program Services | $18,390,296 | ProgramServicesAmt |
| Management And General | $1,726,690 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,662,424 | TotalAmt |
| Program Services | $1,519,734 | ProgramServicesAmt |
| Management And General | $142,690 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,412,403 | TotalAmt |
| Program Services | $1,291,173 | ProgramServicesAmt |
| Management And General | $121,230 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,326 | TotalAmt |
| Management And General | $7,326 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,625 | TotalAmt |
| Management And General | $5,625 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $748,558 | TotalAmt |
| Program Services | $374,279 | ProgramServicesAmt |
| Management And General | $374,279 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $955,882 | TotalAmt |
| Program Services | $477,941 | ProgramServicesAmt |
| Management And General | $477,941 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,323 | TotalAmt |
| Program Services | $629,391 | ProgramServicesAmt |
| Management And General | $69,932 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,219 | TotalAmt |
| Program Services | $56,175 | ProgramServicesAmt |
| Management And General | $14,044 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,325,016 | TotalAmt |
| Program Services | $1,192,514 | ProgramServicesAmt |
| Management And General | $132,502 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,171,226 | TotalAmt |
| Program Services | $4,585,613 | ProgramServicesAmt |
| Management And General | $4,585,613 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,352,687 | TotalAmt |
| Program Services | $2,117,418 | ProgramServicesAmt |
| Management And General | $235,269 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,331 | TotalAmt |
| Program Services | $283,798 | ProgramServicesAmt |
| Management And General | $31,533 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT SUPPLIES | $10,263,953 | $10,263,953 | |
| PURCHASED SERVIVES | $1,585,706 | $1,427,135 | $158,571 |
| REPAIRS AND MAINTENANCE | $1,140,382 | $1,026,344 | $114,038 |
| OTHER OPERATING EXPENSE | $79,230 | $71,307 | $7,923 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,765 | TotalAmt |
| Program Services | $20,984 | ProgramServicesAmt |
| Management And General | $781 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,326,698 | TotalAmt |
| Program Services | $43,947,206 | ProgramServicesAmt |
| Management And General | $8,379,492 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,644,181 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,476,277 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $449,386 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $373,870 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,543 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,933,192 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,382 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,168,831 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,023,611 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,188,957 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,212,568 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,946,524 | BOYAmt |
| EOY | $0 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,739 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,956,263 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,168,831 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,095,376 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$12,051,639 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $2,925 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,700 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,625 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ASHLAND HOSPITAL MAINTAINS MEMBERSHIPS IN THE AMERICAN HOSPITAL ASSOC (AHA) AND OREGON ASSOC OF HOSPITALS AND HEALTHCARE SYSTEMS (OAHHS). DURING TAX YEAR 2016, ASHLAND HOSPITAL PAID MEMBERSHIP DUES TO THE AHA AND OAHHS OF $4,190 AND $10,668 RESPECTIVELY 18.39% OF OAHHS DUES AND 22.98% OF AHA DUES WENT FOR LOBBYING PURPOSES. THUS, ASHLAND HOSPITAL MADE INDIRECT LOBBYING EXPENDITURES OF $2,925 THROUGH ITS MEMBERSHIP DUES. ALSO, ASHLAND HOSPITAL PAID JOHN WATT AND ASSOCIATES (JWA) $2,700 FOR SPECIFIC ISSUES LOBBYING DURING THE TAX YEAR. JWA IS AN ADVOCATE FOR ASANTE AND SPECIALIZES IN BALLOT PROPOSITIONS AFFECTING THE HEALTHCARE INDUSTRY. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | FIN 48 FOOTNOTE. THE FINANCIAL STATEMENTS AND SCHEDULES OF ASANTE PHYSICIAN PARTNERS ARE AUDITED BY THE ACCOUNTING FIRM OF KPMG. THEY ARE COMPILED ON A CONSOLIDATED BASIS ALONG WITH OTHER ASANTE AFFILITATES. IT IS OF THE OPINION OF BOTH THE MANAGEMENT OF ASANTE PHYSICIAN PARTNERS AND KPMG THAT NO UNCERTAIN TAX POSITIONS WERE TAKEN DURING THE FISCAL YEAR. THIS OPINION IS STATED IN THE FOOTNOTES OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. |
| PART XII LINE 2B | IT IS THE OPINION OF BOTH THE MANAGEMENT OF ASHLAND HOSPITAL AND KPMG THAT NO UNCERTAIN TAX POSITIONS WERE TAKEN DURING THE FISCAL YEAR. THIS OPINION IS STATED IN THE FOOTNOTES OF THE AUDITED CONSOLIDATED FINANCIAL STATMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10330 | PersonsServedCnt |
| Total Community Benefit Expns | $863,773 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $863,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01650 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 616 | PersonsServedCnt |
| Total Community Benefit Expns | $1,379,083 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,089,484 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $289,599 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10946 | PersonsServedCnt |
| Total Community Benefit Expns | $2,242,856 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,089,484 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,153,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02200 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 940 | PersonsServedCnt |
| Total Community Benefit Expns | $363,009 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $131,740 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $231,269 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 205 | PersonsServedCnt |
| Total Community Benefit Expns | $169,759 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $169,759 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $588,542 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $100,362 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $488,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00930 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 604 | PersonsServedCnt |
| Total Community Benefit Expns | $89,473 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,473 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 38 | ActivitiesOrProgramsCnt |
| Persons Served | 1749 | PersonsServedCnt |
| Total Community Benefit Expns | $1,210,783 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $232,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $978,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01860 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 38 | ActivitiesOrProgramsCnt |
| Persons Served | 12695 | PersonsServedCnt |
| Total Community Benefit Expns | $3,453,639 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,321,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,132,053 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,572 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,072 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 65 | PersonsServedCnt |
| Total Community Benefit Expns | $2,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,326 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 65 | PersonsServedCnt |
| Total Community Benefit Expns | $5,898 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,072 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,988,889 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,944,228 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,955,339 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 SISKIYOU IMAGING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | IMAGING SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.33000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASHLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 280 MAPLE STREET | AddressLine1Txt |
| City | ASHLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97520 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ASHLANDHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 14-1445 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASHLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.ASANTE.ORG/APP/FILES/PUBLIC/2053/2016-COMMUNITY-HEALTH-NEEDS-ASS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE AND ASHLAND COMMUNITY HOSPITAL PARTNERED WITH PROFESSIONAL RESEARCH CONSULTANTS, INC. TO COMPLETE 600 COMMUNITY SURVEYS IN FISCAL YEAR 2017. THAT YEAR, WE ALSO HELD A FOCUS GROUP COMPRISED OF 7 KEY COMMUNITY LEADERS FROM JACKSON AND JOSEPHINE COUNTIES. THE FOCUS GROUP DISCUSSED THE INDIVIDUAL LEADERS' EXPERIENCES AND PERCEPTIONS OF THE TOP HEALTH CONCERNS IN OUR COMMUNITY. |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6A: ROGUE REGIONAL MEDICAL CENTER OF MEDFORD, OREGONTHREE RIVERS MEDICAL CENTER OF GRANTS PASS, OREGON |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: ACCESSALLCAREALLIED SOLUTIONSASHLAND EMERGENCY FOOD BANKASHLAND FIRE & RESCUEASHLAND GRACE POINT CHURCHASHLAND HIGH SCHOOLASHLAND SCHOOL DISTRICTBOYS & GIRLS CLUBS OF THE ROGUE VALLEYCASA OF JACKSON AND JOSEPHINE COUNTIESCENTRAL POINT SCHOOL DISTRICT 6CHILDREN'S ADVOCACY CENTER OF JACKSON COUNTYCITY COUNCILCITY OF ASHLANDCITY OF EAGLE POINTCITY OF JACKSONVILLECITY OF MEDFORDCITY OF TALENTCOMMUNITY VOLUNTEER NETWORKCOMPASS HOUSE EASTWOOD BAPTIST CHURCH FOOD & FRIENDS: MEALS ON WHEELSGORDON ELWOOD FOUNDATION GRANTS PASS CITY COUNCIL GRANTS PASS DAILY COURIER GRANTS PASS DEPARTMENT OF PUBLIC SAFETY GRANTS PASS FAMILY YMCA GRANTS PASS FIRE RESCUE GRANTS PASS SCHOOL DISTRICT GRANTS PASS SCHOOL DISTRICT 7 HABITAT FOR HUMANITY HEARTS WITH A MISSION HIGHLAND ELEMENTARY SCHOOL HOUSING AUTHORITY OF JACKSON COUNTY JACKSON CARE CONNECT JACKSON COUNTY BOARD OF COMMISSIONERS JACKSON COUNTY HEALTH AND HUMAN SERVICES JACKSON COUNTY LIBRARY JACKSON COUNTY MENTAL HEALTH JACKSON COUNTY PUBLIC HEALTH JEFFERSON REGIONAL HEALTH ALLIANCE JEROME PRAIRIE BIBLE CHURCH JOSEPHINE COUNTY JOSEPHINE COUNTY BOARD OF COMMISSIONERS JOSEPHINE COUNTY FOUNDATION JOSEPHINE COUNTY PUBLIC HEALTH JOSEPHINE COUNTY SCHOOL SYSTEM JOSEPHINE HOUSING COUNCIL JWA PUBLIC AFFAIRS KAIROS KTVL TV LA CLINICALAW ENFORCEMENTLINCOLN ELEMENTARY SCHOOL MAIL TRIBUNE MASLOW PROJECT MEDFORD FIRE-RESCUE MEDFORD PARKS AND RECREATION MEDFORD POLICE DEPARTMENT MEDFORD SCHOOL DISTRICT MERCY FLIGHTS MOUNT ASHLAND ASSOCIATION NAMI NORTH MEDFORD HIGH SCHOOL ONTRACK, INC. OPTIONS FOR SOUTHERN OREGON OREGON COMMUNITY FOUNDATION OREGON HEALTH AUTHORITY OREGON SHAKESPEARE FESTIVAL OSU EXTENSION SERVICES OUR LADY OF THE MOUNTAIN CATHOLIC CHURCH PRIMECARE, INC. ROGUE COMMUNITY COLLEGE ROGUE COMMUNITY HEALTH ROGUE VALLEY COUNCIL OF GOVERNMENTS ROGUE VALLEY FAMILY YMCA ROGUE VALLEY METROPOLITAN PLANNING ORGANIZATION SISKIYOU COMMUNITY HEALTH CENTER SOREDI (SOUTHERN OREGON REGIONAL ECONOMIC DEVELOPMENT, INC.) SOUTHERN OREGON GOODWILL INDUSTRIES ST. MARY'S SCHOOLCOMMUNICATION STRATEGIES THE ARC OF JACKSON COUNTY THE CHAMBER OF MEDFORD/JACKSON COUNTY THE SALVATION ARMY, MEDFORD UNITED COMMUNITY ACTION NETWORK UCANUNITED WAY OF JACKSON COUNTY WORKSOURCE ROGUE VALLEY |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: IDENTIFIED HEALTH NEEDS THE TOP TWELVE HEALTH NEEDS IDENTIFIED BY BOTH SURVEY AND FOCUS GROUP PARTICIPANTS ARE:1. ACCESS TO HEALTH CARE SERVICES 2. MENTAL HEALTH & SUBSTANCE ABUSE 3. HEART DISEASE AND STROKE 4. INFANT HEALTH AND FAMILY PLANNING 5. DIABETES 6. NUTRITION 7. RESPIRATORY DISEASES 8. CANCER 9. DISABILITY AND HEALTH 10. INJURY AND VIOLENCE PREVENTION 11. TOBACCO USE 12. DEMENTIAS, INCLUDING ALZHEIMER'S DISEASEIMPLEMENTATION STRATEGYEACH OF THE INITIATIVES AND ACTIONS BELOW AS THEY RELATE TO THE TOP 12 COMMUNITY HEALTH NEEDS (ONLY 8 ARE LISTED DUE TO SPACE CONSTRAINTS) CATEGORIES AS IDENTIFIED IN THE CHNA WILL BE FULFILLED OR IMPLEMENTED BY: - ASANTE - ASANTE ASHLAND COMMUNITY HOSPITAL (AACH) - ASANTE ROGUE REGIONAL MEDICAL CENTER (ARRMC) - ASANTE THREE RIVERS MEDICAL CENTER (ATRMC) - ASANTE PHYSICIAN PARTNERS (APP) 1. ACCESS TO HEALTH CARE SERVICES CURRENT: - INCREASED THE NUMBER OF APP PROVIDERS - HIRED CERTIFIED APPLICATION COUNSELORS TO HELP INCREASE ACCESS TO CARE FOR OHP PATIENTS - OPENED THE TRANSITIONAL CARE CLINIC AT ATRMC - ADDED AN URGENT CARE LOCATION IN MEDFORD - SPONSORED ROGUE COMMUNITY COLLEGE HEALTH PROFESSIONALS CURRICULUM PROGRAMS FOR STUDENTS - PROVIDED FUNDING FOR THE SCHOOL NURSE PROGRAM IN THE ASHLAND AND PHOENIX-TALENT SCHOOL DISTRICTS - ADDED DISCHARGE PLANNERS AND CASE MANAGERS AT ARRMC TO REDUCE READMISSION RATES - IMPLEMENTED A NURSE TRIAGE PROGRAM AT THE CONTACT CENTER FOR SELECT APP CLINICS - ADDED 24/7 ACCESS TO TELE-INTENSIVISTS FOR ICU PATIENTS AT ATRMC AND AACH - SPONSORED THE HOLMES PARK HOUSE HOSPICE CARE FACILITY - SPONSORED THE ST. VINCENT DE PAUL DENTAL VAN- SPONSORED THE ROGUE VALLEY SOROPTIMIST WINE WALK FOR WOMEN'S HEALTH TO BENEFIT PREVENTION, DETECTION, TREATMENT AND SUPPORT SERVICES FOR UNINSURED AND UNDER-INSURED WOMEN AND CHILDREN FUTURE: - EXPAND THE USE OF TELEMEDICINE CAPABILITIES FOR APP PROVIDERS - RECRUIT AND HIRE ADDITIONAL APP PROVIDERS - OPEN AN URGENT CARE CLINIC IN WHITE CITY AND EXPLORE URGENT CARE OPPORTUNITIES IN CENTRAL POINT - OPEN ADDITIONAL RETAIL HEALTH CARE CLINICS WITHIN ASANTE'S SERVICE AREA - EXPAND THE NURSE TRIAGE PROGRAM FOR ALL APP PRIMARY CARE CLINICS 2. MENTAL HEALTH & SUBSTANCE ABUSE CURRENT: - ADDED FOUR BEHAVIORAL HEALTH "SWING" ROOMS IN THE ARRMC EMERGENCY DEPARTMENT - REMODELED AND ADDED ONE ROOM TO THE PSYCHIATRIC CRISIS UNIT IN THE ARRMC EMERGENCY DEPARTMENT TO ACCOMMODATE PATIENTS OF ALL AGES - ADOPTED THE TRAUMA-INFORMED CARE MODEL - CREATED THE COMFORT ROOM IN THE BEHAVIORAL HEALTH UNIT AT ARRMC - PAINTED THE PSYCHIATRIC CARE ROOMS AT ATRMC TO A MORE SOOTHING COLOR - INCREASED THE NUMBER OF APP BEHAVIORAL HEALTH STAFF MEMBERS - ADDED LICENSED CLINICAL SOCIAL WORKERS TO APP FAMILY PRACTICE CLINICS AS PART OF THE MEDICAL HOME MODEL OF CARE - PROVIDED FINANCIAL SUPPORT TO COMPASS HOUSE FOR TRANSITIONAL CARE FROM HOSPITAL TO HOME - SPONSORED THE NATIONAL ALLIANCE ON MENTAL ILLNESS MARCH 4 HOPE, REESTABLISHING ASANTE'S RELATIONSHIP WITH NAMI OF SOUTHERN OREGON - PARTNERED WITH NAMI OF SOUTHERN OREGON TO CREATE A QUARTERLY COMMUNITY MENTAL HEALTH LECTURE SERIES - PROVIDED FINANCIAL COMMITMENT TO SUPPORT THE CRISIS RESOLUTION CENTER IN MEDFORD - PROVIDED ONGOING FINANCIAL SUPPORT FOR THE GRANTS PASS SOBERING CENTER - PROVIDED FINANCIAL SUPPORT FOR ADDICTIONS RECOVERY CENTER'S MEDICALLY-MONITORED DETOXIFICATION CENTER - PARTNERED WITH ASHLAND POLICE DEPARTMENT, ON TRACK AND AACH TO CREATE A DRUG-SURRENDER PROGRAM FOR PEOPLE WITH CHEMICAL DEPENDENCY FUTURE: - RENOVATE THE BEHAVIORAL HEALTH UNIT AND INCREASE THE NUMBER OF BEDS FROM 18 TO 24 - OFFER TELEMEDICINE CONSULTS AND EVALUATIONS FOR MENTAL HEALTH PATIENTS 3. HEART DISEASE AND STROKE CURRENT: - PRIMARY FINANCIAL SPONSOR OF THE PULSEPOINT HEART ATTACK NOTIFICATION APP IN JACKSON AND JOSEPHINE COUNTIES - ESTABLISHED A CO-MANAGEMENT AGREEMENT WITH SOUTHERN OREGON CARDIOLOGY - REDUCED CLINICAL VARIATION AND STANDARDIZED SUPPLY COSTS IN THE CATH LAB AT ARRMC - PARTNERED WITH OHSU FOR TELESTROKE AT ATRMC - RECEIVED ACUTE STROKE READY CERTIFICATION AT ATRMC BY OUR ACCREDITING AGENCY, DNV GL (DET NORSKE VERITAS GERMANISCHER LLOYD) - PROMOTED NATIONAL HEART MONTH ACTIVITIES AND EDUCATION - SUPPORTED MENDED HEARTS PEER-TO-PEER SUPPORT GROUP - REINSTATED SEVERAL CATH LABS AT ARRMC TO ACCOMMODATE INCREASED PATIENT VOLUMES - ADDED A TRANSCATHETER AORTIC VALVE REPLACEMENT PROGRAM AT ARRMC AS LEADING EDGE HEART CARE FOR PATIENTS - EXPANDED THE SCOPE OF CARDIAC REHABILITATION SERVICES AT ARRMC SPONSORED THE AMERICAN COLLEGE OF CARDIOLOGY OREGON CARDIOVASCULAR SYMPOSIUM AND NURSING HEART FAILURE CONFERENCE - CONSISTENTLY MET QUALITY AND SAFETY CRITERIA TO BE AWARDED THE AMERICAN HEART ASSOCIATION MISSION: LIFELINE RECEIVING CENTER GOLD PLUS RECOGNITION - CONSISTENTLY MET QUALITY AND SAFETY CRITERIA TO BE AWARDED THE AMERICAN HEART ASSOCIATION MISSION: LIFELINE GOLD PLUS STEMI RECOGNITION FUTURE: - SUPPORT THE RECRUITMENT OF ADDITIONAL NEUROSURGEONS TO SOUTHERN OREGON - ATTAIN LEVEL II TRAUMA CENTER STATUS AT ARRMC 4. INFANT HEALTH AND FAMILY PLANNING CURRENT: - HIRED MATERNAL FETAL MEDICINE PROVIDERS - CREATED A MIDWIFERY PROGRAM AT APP AND AACH - MAINTAINED THE ONLY REGIONAL NEONATAL INTENSIVE CARE UNIT (NICU) - PURCHASED AN ISOLETTE TRANSPORTER FOR FRAGILE INFANTS - HIRED SIX PEDIATRIC HOSPITALISTS - DEVELOPED A FORMAL PEDIATRIC HOSPITALIST PROGRAM - HIRED A PEDIATRIC ONCOLOGIST - RENOVATED THE PEDIATRIC UNIT AT ARRMC - PARTNERED WITH OHSU TO PROVIDE TELEMEDICINE FOR PEDIATRIC INPATIENTS - IMPLEMENTED OHSU ROTATING CLINICS FOR PEDIATRIC PATIENTS - IMPLEMENTED QUIET TIME IN THE NICU AND SPECIAL CARE NURSERY TO PROMOTE HEALING - RENOVATED AND EXPANDED THE FAMILY BIRTH CENTER AT AACH - ADDED THREE PEDIATRIC CARE ROOMS AT ATRMC FUTURE: - DEVELOP AN OBSTETRICAL LABORIST SERVICE AT ARRMC 5. DIABETES CURRENT: - BUILT A DEMONSTRATION KITCHEN AT ASANTE CENTER FOR OUTPATIENT HEALTH FOR DIABETES NUTRITION EDUCATION - ESTABLISHED A DIABETES CARE CENTER AND NUTRITION SERVICES IN MEDFORD AND GRANTS PASS - ADDED INPATIENT CONSULTS FOR PEOPLE WITH DIABETES - ESTABLISHED BLOOD GLUCOSE MONITORING CLINICS - HIRED AN APP ENDOCRINOLOGIST 6. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT CURRENT: - BUILT A DEMONSTRATION KITCHEN AT ASANTE CENTER FOR OUTPATIENT HEALTH FOR COOKING CLASSES AND DIABETES NUTRITION EDUCATION - PARTNERED WITH SOUTHERN OREGON BARIATRIC CENTER AND OREGON SURGICAL SPECIALISTS - HIRED INPATIENT AND OUTPATIENT NUTRITION COUNSELORS - HELD ANNUAL EMPLOYEE FITNESS AND WEIGHT MANAGEMENT CHALLENGES - SPONSORED THE ANNUAL PEAR BLOSSOM RUN AND WALK - SPONSORED SEVERAL COMMUNITY SPORTING EVENTS TO SUPPORT LOCAL SCHOOL AND YOUTH PROGRAMS - SPONSORED THE HEALTHY FOOD FESTIVAL IN GRANTS PASS - SPONSORED THE ACCESS FOOD SHARE PROGRAM - SPONSORED THE FRIENDS OF JOSEPHINE COUNTY FOOD BANK - DONATED FOOD TO HEARTS WITH A MISSION FOR HOMELESS YOUTH - SPONSORED BLUE ZONES PROJECT IN GRANTS PASS FOR HEALTHIER, MORE ACTIVE LIVING - SPONSORED THE ASHLAND HIGH SCHOOL SPORTS PROGRAM AND ATHLETIC TRAINERS TO ENSURE PLAYER SAFETY - SPONSORED THE ASHLAND CHAMBER OF COMMERCE COMMUNITY-WIDE HEALTH AND WELL BEING INITIATIVE FUTURE: - ADD COMPREHENSIVE PRIMARY CARE PLUS (CPC+) AS PART OF THE MEDICAL HOME MODEL OF CARE 7. RESPIRATORY DISEASES CURRENT: - REMODELED AND EXPANDED CARDIOPULMONARY SERVICES AT ARRMC - HIRED SEVEN PULMONOLOGISTS AND TWO PULMONARY NURSE PRACTITIONERS TO APP - EXPANDED CARDIOPULMONARY TESTING SERVICES TO AACH - IMPLEMENTED A PROCESS TO SCHEDULE DISCHARGED PATIENTS WITH PNEUMONIA AND RESPIRATORY ISSUES TO AN APP PULMONOLOGIST - IMPLEMENTED A ROTATING APP PULMONOLOGIST IN GRANTS PASS - IMPLEMENTED TELEMEDICINE PULMONARY INTENSIVISTS CONSULTS AT ALL THREE HOSPITALS - ADDED A SLEEP LAB PROGRAM AT ATRMC FUTURE: - OFFER LUNG CANCER SCREENING CLINICS - RECRUIT ADDITIONAL PULMONOLOGISTS TO APP 8. CANCER CURRENT: - ESTABLISHED A GYNECOLOGIC CANCER SUPPORT GROUP - HIRED A PEDIATRIC ONCOLOGIST - PARTNERED WITH OHSU TO BRING A CANCER SPECIALIST/SURGEON TO ARRMC EACH MONTH - PROMOTED NATIONAL BREAST CANCER AWARENESS MONTH ACTIVITIES AND EDUCATION - HIRED AN ONCOLOGY NURSE NAVIGATOR FOR ALL CANCER-TYPES - EXPANDED THE BREAST CANCER NURSE NAVIGATOR PROGRAM TO JOSEPHINE COUNTY - ADDED 3-D MAMMOGRAPHY TO ALL THREE IMAGING CENTERS - ADDED BREAST MRI CAPABILITY AT ARRMC - REMODELED THE SPEARS CANCER CENTER AND UPGRADED WITH A NEW LINEAR ACCELERATOR FUTURE: - RECRUIT AN EAR, NOSE AND THROAT PHYSICIAN TO DO NECK AND THROAT CANCER SURGERIES - PROVIDE DIRECT INFUSION INTERVENTION FOR CHEMO PATIENTS - OFFER LUNG CANCER SCREENING CLINICS - BUILD AN ONCOLOGY MEDICAL OFFICE TO PROVIDE COMPREHENSIVE CANCER SERVICES |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 16J: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE ASANTE BUSINESS OFFICE FOR A FINANCIAL ASSISTANCE APPLICATION. |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 18E: ASHLAND COMMUNITY HOSPITAL'S "POLICY" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES AND GARNISH WAGES BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CENTER FOR INTERNAL MEDICINE | ||||
| 530 CATALINA STREET | ASHLAND | OR | 97520 | INTERNAL MEDCINE CLINIC |
| 2 - CENTER FOR FAMILY MEDICINE | ||||
| 628 N MAIN STREET | ASHLAND | OR | 97520 | FAMILY MEDICINE CLINIC |
| 3 - CENTER FOR FAMILY MEDICINE | ||||
| 49 TALENT AVE | TALENT | OR | 97540 | FAMILY MEDICINE CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | COST TO CHARGE RATIO IS USED TO CALCULATE BENEFIT EXPENSES. |
| PART I, LINE 7G: | SUBSIDIZED SERVICES INCLUDE HOME HEALTH AND SOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES. |
| PART III, LINE 2: | A YEAR OVER YEAR ADJUSTMENT WAS MADE DURING THE CURRENT FISCAL YEAR WHICH RESULTED IN NEGATIVE BAD DEBT EXPENSE FOR THE FISCAL YEAR ENDING 9/30/17. |
| PART III, LINE 4: | BAD DEBTS RESULT WHEN A PATIENT WHO HAS BEEN DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES IS UNWILLING TO SETTLE THE CLAIM OR DOES NOT PROVIDE FINANCIAL INFORMATION TO ACCESS CAPACITY. |
| PART III, LINE 8: | CERTAIN GOVERNMENT SPONSORED HEALTH INSURANCE COMPANIES, SUCH AS MEDICARE AND MEDICAID, PAY A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR INSUREES. IN MOST CASES, THE AMOUNT PAID DOES NOT EVEN COVER THE EXPENSES OF RENDERING SERVICES. ASHLAND COMMUNITY HOSPITAL CONSIDERS THE DIFFERENCE BETWEEN THE EXPENSES OF RENDERING SERVICES TO MEDICARE AND MEDICAID PATIENTS AND THE AMOUNT OF NET REIMBURSEMENT FROM THESE GOVERNMENT SPONSORED INSURANCE COMPANIES A COMMNUITY BENEFIT. CALCULATION: TOTAL MEDICARE PAYMENTS PER COST REPORT LESS TOTAL MEDICARE COSTS PER COST REPORT = UNRECOVERED MEDICARE COST PER COST REPORT. |
| PART III, LINE 9B: | IF THERE IS AN INDICATION THAT A PATIENT MAY BE UNABLE TO PAY THEIR BILL, A FINANCIAL QUESTIONNAIRE IS GIVEN OR SENT TO THE PATIENT. ON RECEIPT OF THE COMPLETED QUESTIONNAIRE, THE BUSINESS OFFICE WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT WITHIN 20 DAYS. ELIGIBILITY IS DETERMINED BASED UPON THE QUESTIONNAIRE AND ON FINANCIAL DOCUMENTS, SUCH AS TAX RETURNS, SSI STATEMENTS, PAYCHECK STUBS, AND FSA/HSA INFORMATION. THE PATIENT'S OTHER FINANCIAL OBLIGATIONS, NUMBER OF DEPENDENTS, ASSETS AND OTHER FINANCIAL CIRCUMSTANCES ARE CONSIDERED. OFTEN, A PATIENT WILL NOT PROVIDE A FINANCIAL QUESTIONNAIRE, SO THE BUSINESS OFFICE WILL USE SOFT CREDIT CHECKS AND ZIP CODES+4 TO HELP DETERMINE ELIGIBILITY. THE PERCENTAGE OF FINANCIAL ASSISTANCE PROVIDED IS BASED UPON A SLIDING SCALE TABLE THAT UTILIZES THE PATIENT FAMILY'S INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES. |
| PART III, SECTION B | UNREIMBURSED COSTS FROM THE MEDICARE PROGRAM (USING THE MEDICARE COST REPORT). |
| PART V | DURING THE PERIOD OF OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017, ASANTE ASHLAND COMMUNITY HOSPITAL WAS COMPRISED OF A FULL SERVICE ACUTE CARE HOSPITAL, AN INTERNAL MEDICINE CLINIC AND TWO FAMILY MEDICINE CLINICS. |
| PART VI, LINE 2: | ASHLAND COMMUNITY HOSPITAL'S PRIMARY SOURCES OF INPUT INCLUDE THE COMMUNITY LEADERS FORUM, FORMAL CONVERSATIONS WITH OUR COLLABORATORS, IDENTIFIED STRATEGIC PLAN GAPS, AND ENVIRONMENTAL AND COMMUNITY ASSESSMENT SURVEYS FROM MEMBERS OF THE COMMUNITY. |
| PART VI, LINE 3: | THE FINANCIAL ACCESS SPECIALISTS, CREDIT ANALYSTS, AND REGISTRATION PERSONNEL WORK WITH THE PATIENT EITHER AT THE TIME OF SCHEDULING, ARRIVAL AT THE HOSPITAL, OR DURING THE BILLING PROCESS. IF THE PATIENT DISCLOSES THEY WILL HAVE DIFFICULTY PAYING, WE ASSIST THEM APPLYING FOR THE OREGON HEALTH PLAN, FINANCIAL ASSISTANCE, OR A PAYMENT PLAN. BASED UPON INCOME AND EXPENSES, A PATIENT MAY BE ELIGIBLE FOR CHARITY CARE WRITE-OFF OF BETWEEN 10% AND 100% OF THEIR BILL. |
| PART VI, LINE 4: | THE POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA IS PROJECTED TO INCREASE BY APPROXIMATELY 6.5% OVER THE FIVE YEAR PERIOD OF 2010-2015. SIMILARLY, THE POPULATION OF THE SECONDARY SERVICE AREA IS PROJECTED TO INCREASE BY 6.9% OVER THE SAME PERIOD. ALMOST 50% OF THE POPULATION GROWTH IN BOTH THE PRIMARY AND SECONDARY SERVICE AREAS IS PROJECTED TO OCCUR IN THE 65+ AGE COHORT. THE SIGNIFICANT INCREASE IN THE PORTION OF THE HOSPITAL'S TOTAL REVENUE DERIVED FROM THE MEDICARE PROGRAM INCREASED FROM APPROXIMATELY 40% OF GROSS REVENUE IN 2005 TO 50.4% IN 2015. |
| PART VI, LINE 5: | ALONG WITH PROVIDING QUALITY HEALTHCARE, ASANTE ASHLAND COMMUNITY HOSPITAL FURTHERS ITS EXEMPT PURPOSE AND FULFILLS ITS MISSION TO THE COMMUNITY BY PROVIDING OR SUBSIDIZING NUMEROUS CLASSES, SUPPORT GROUPS, HEALTH FAIRS, AND SELF-HELP PROGRAMS. THESE PROGRAMS ARE AT NO OR LOW COST TO THE PUBLIC. |
| PART VI, LINE 6: | FOUNDED IN 1996, ASANTE ASHLAND COMMUNITY HOSPITAL IS A COMMUNITY OWNED AND GOVERNED NOT-FOR-PROFIT ACUTE CARE HOSPITAL PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO MORE THAN 550,000 RESIDENTS IN NINE COUNTIES THROUGHOUT SOUTHERN OREGON AND NORTHERN CALIFORNIA. SINCE MERGING WITH ASANTE, THE HOSPITAL TODAY IS AFFILITATED WITH ROGUE REGIONAL MEDICAL CENTER (RRMC) IN MEDFORD, OREGON AND THREE RIVERS MEDICAL CENTER (TRMC) IN GRANTS PASS, OREGON. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OR |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| JACKSON COUNTY SART | |||||||
| 2305 ASHLAND ST C-148 | ASHLAND | OR | 97520 | 810650183 | 501(C)(3) | $5,000 | SUPPORT SEXUAL ASSAULT RESPONSE TEAM |
| ASHLAND CHAMBER OF COMMERCE | |||||||
| PO BOX 1360 | ASHLAND | OR | 97520 | 930115140 | 501(C)(3) | $30,000 | SUPPORT LOCAL CHAMBER OF COMMERCE AND WELLNESS INITIATIVE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | ONCE A REQUESTOR HAS BEEN APPROVED FOR GRANT FUNDS, A LETTER OF RESTRICITON IS WRITTEN WHICH DETAILS THE MANNER IN WHICH THE MONEY CAN BE USED BY THE REQUESTING ORGANIZATION. |
| SCHEDULE I, PART I, LINE 2 | WHEN ASHLAND COMMUNITY HOSPITAL RECEIVES A REQUEST FOR GRANT FUNDS FROM AN OUTSIDE ORGANIZATION, THE REQUEST IS REVIEWED BY THE EXECUTIVE STAFF. THE APPLICANT MUST FILL OUT AN APPLICATION FORM AND PROVIDE SUPPORTING DOCUMENTS OR EVENT MATERIALS. TO BE SELECTED, THE ORGANIZATION MUST MEET THE FOLLOWING CRITERIA: 1)THE GRANT MUST SUPPORT ONE OF THE TOP TWELVE INDENTIFIED HEALTH NEEDS, 2)IT MUST HAVE A DIRECT IMPACT ON THE HEALTHCARE OF THE COMMUNITY, 3)THE ORGANIZATION MUST BE A NOT-FOR-PROFIT HEALTH, HUMAN SERVICES, OR EDUCATION RELATED ORGANIZATION, AND 4)THE ORGANIZATION COLLABORATES WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROY G VINYARD | ||||||||||||||
| ASANTE CEO | $0 | $680,027 | $0 | $238,134 | $0 | $158,161 | $0 | $196,157 | $0 | $39,100 | $0 | $1,311,579 | $0 | $0 |
| LEE MILLIGAN MD | ||||||||||||||
| BOARD MEMBER | $0 | $300,296 | $0 | $27,735 | $0 | $5,877 | $0 | $39,900 | $0 | $25,000 | $0 | $398,808 | $0 | $0 |
| SHEILA CLOUGH | ||||||||||||||
| ASHLAND CEO | $246,989 | $0 | $61,870 | $0 | $38,240 | $0 | $90,140 | $0 | $25,186 | $0 | $462,425 | $0 | $0 | $0 |
| PATRICK HOCKING | ||||||||||||||
| ASANTE CFO | $0 | $389,153 | $0 | $87,679 | $0 | $179,617 | $0 | $214,872 | $0 | $29,270 | $0 | $900,591 | $0 | $0 |
| SUSAN MONTGOMERY | ||||||||||||||
| VP PATIENT CARE | $165,562 | $0 | $26,738 | $0 | $32,147 | $0 | $78,975 | $0 | $17,208 | $0 | $320,630 | $0 | $0 | $0 |
| DENESE CROSBIE | ||||||||||||||
| CLINICAL MANAGER | $142,339 | $0 | $550 | $0 | $0 | $0 | $32,550 | $0 | $12,960 | $0 | $188,399 | $0 | $0 | $0 |
| MICHAEL TONER | ||||||||||||||
| PHARMACY MANAGER | $136,863 | $0 | $10,081 | $0 | $5,290 | $0 | $33,134 | $0 | $26,898 | $0 | $212,266 | $0 | $0 | $0 |
| ROB HIBNER | ||||||||||||||
| DIRECTOR ANCILLARY SERVICES | $122,684 | $0 | $11,374 | $0 | $0 | $0 | $22,641 | $0 | $8,420 | $0 | $165,119 | $0 | $0 | $0 |
| BRENDA KIZZIRE | ||||||||||||||
| PHYSICAL THERAPIST | $125,567 | $0 | $950 | $0 | $0 | $0 | $31,568 | $0 | $8,473 | $0 | $166,558 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE SALARY RANGE OF THE CEO IS SET BY THE ASANTE COMPENSATION COMMITTEE AND IS APPROVED BY THE ASANTE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE ACTUAL SALARY IS SET BY THE ASANTE CEO. |
| PART I, LINE 4B | ASANTE, THE PARENT CORPORATION OF ASHLAND COMMUNITY HOSPITAL, HAS AN EXECUTIVE RESTORATION PLAN WHICH INCLUDES ASANTE VP& CHIEF MEDICAL INFORMATION OFFICER LEE MILLIGAN, MD, ASANTE CFO PATRICK HOCKING, ASHLAND CEO SHEILA CLOUGH, AND ASANTE CEO ROY VINYARD. 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. FOR THE FISCAL YEAR ENDED SEPT 30, 2017, THERE WAS $18,000 EACH CONTRIBUTED FOR DR. MILLIGAN, MR. HOCKING, MRS. CLOUGH AND MR. VINYARD. THESE AMOUNTS WERE INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II. |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | WHOLE HOSPITAL INCLUDING ALL ASSETS AND LIABILITIES | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2017-08-31 | DistributionDt |
| Fair Market Value Of Asset | $11,996,875 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | BALANCE SHEET VALUE TRANSFERRED | MethodOfFMVDeterminationTxt |
| EIN | 930223960 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASANTE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97504 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (1) | DirectorOfSuccessorInd |
| Employee Of Successor | Yes (1) | EmployeeOfSuccessorInd |
| Owner Of Successor | 0 | OwnerOfSuccessorInd |
| Receive Compensation | 0 | ReceiveCompensationInd |
| Assets Distributed | Yes (1) | AssetsDistributedInd |
| Required To Notify AG | Yes (1) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (1) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (1) | LiabilitiesPaidInd |
| Bonds Outstanding | 0 | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2E: | PERSON(S) INVOLVED: ALL DIRECTORS AND EMPLOYEES |
| PART I, LINE 2E: | EXPLANATION OF INVOLVEMENT: THE DIRECTORS FOR ASHLAND COMMUNITY HEALTH SERVICES ARE THE SAME AS THE DIRECTORS OF THE RECIPIENT ORGANIZATION. ACHS HAS BEEN GOVERNED BY THE ASANTE BOARD SINCE THE AGREEMENT WITH THE PRIOR GOVERNING BODY, THE CITY OF ASHLAND, APPROVED THE CHANGE IN GOVERNANCE IN JUNE 2013. THE PLAN FOR THE CHANGE IN GOVERNANCE TOOK SOME YEARS TO COMPLETE AND AS OF THIS FISCAL YEAR END (9/30/2017) ACHS IS FULLY INTEGRATED INTO ASANTE. MOST ACHS EMPLOYEES BECAME ASANTE EMPLOYEES AS PART OF THIS TRANSITION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FEDERAL FORM 990 IS A FEDERALLY MANDATED LEGAL DOCUMENT THAT IS HIGHLY REGULATED. WITHIN ASHLAND COMMUNITY HEALTHCARE SERVICES, THEY ARE TO BE PREPARED BY PERSONNEL IN THE ASANTE ACCOUNTING DEPARTMENT. ASANTE IS THE PARENT CORPORATION OF ASHLAND COMMUNITY HEALTHCARE SERVICES. ADDITIONAL ASSISTANCE WILL BE PROVIDED BY PERSONNEL IN THE ASANTE MARKETING, COMPLIANCE, AND EXECUTIVE DEPARTMENTS. BEFORE FINAL SUBMISSION OF THE DOCUMENTS, THEY ARE TO HAVE ASHLAND COMMUNITY HEALTHCARE SERVICES BOARD REVIEW. POLICY DETAILS: 1. WHEN FINAL AUDITED FINANCIAL INFORMATION IS AVAILABLE, ACCOUNTING PERSONNEL WILL COMPILE THE NEEDED INFORMATION TO PREPARE THE APPROPRIATE RETURNS FOR THE PRIOR FISCAL YEAR. 2. AS NEEDED, ACCOUNTING WILL FILE ALL APPROPRIATE EXTENSIONS ON A TIMELY BASIS. HOWEVER, THE FINAL SUBMISSION CAN NEVER BE EXTENDED PAST AUGUST 15TH OF THE YEAR FOLLOWING THE FISCAL YEAR BEING FILED. 3. IN ADDITION TO NORMAL PREPARATION, ACCOUNTING PERSONNEL WILL COORDINATE WITH PERSONNEL IN MARKETING, COMPLIANCE, AND POSSIBLY THE EXECUTIVE DEPARTMENTS IN PREPARING THE VARIOUS SCHEDULES NEEDED TO COMPLETE THE RETURN. ALL WORK PAPERS ARE TO BE RETAINED IN A PERMANENT FILE. 4. WHEN ALL NECESSARY INFORMATION HAS BEEN COMPILED, IT IS TO BE LOADED INTO APPROPRIATE TAX SOFTWARE. 5. WHEN COMPLETED, A DRAFT RETURN WILL BE REVIEWED BY THE ASANTE CHIEF ADMINISTRATIVE AND FINANCE OFFICER. AFTER THE REVIEW, ACCOUNTING WILL CLEAR ALL REVIEW NOTES AND COMMENTS. 6. ONCE REVIEWED BY THE CAFO, AN ADDITIONAL REVIEW WILL BE PERFORMED BY AN OUTSIDE CPA FIRM. ACCOUNTING WILL AGAIN CLEAR ANY ADDITIONAL REVIEW NOTES AND COMMENTS SUBMITTED BY THE OUTSIDE CPA. 7. THE ACHS CHIEF EXECUTIVE OFFICER AND MEMBERS OF THE BOARD OF DIRECTORS WILL LOOK OVER THE FINAL SET OF RETURNS AND MAKE FURTHER COMMENTS AND CORRECTIONS, AS IS APPROPRIATE. 8. ONCE ALL REVIEWS AND CORRECTIONS ARE MADE, THE ASANTE CAFO WILL SIGN ALL APPROPRIATE RETURNS FOR FILING. 9. ALL RETURNS WILL THEN BE FILED EITHER ELECTRONICALLY OR PAPER COPY WITH THE APPROPRIATE GOVERNMENT AGENCY. A COPY OF EACH RETURN IS TO BE KEPT IN THE ACCOUNTING DEPARTMENT AND A COPY OF THE 990 WILL BE KEPT AT THE ASANTE CORPORATE HEADQUARTERS FOR PUBLIC DISPLAY AND COPYING, AS REQUESTED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL ASHLAND COMMUNITY HOSPITAL MANAGERS, KEY EMPLOYEES, AND BOARD MEMBERS ARE REQUIRED TO FILE A CONFLICT OF INTEREST QUESTIONAIRE. THE PURPOSE OF THE QUESTIONAIRE IS THE PROTECT THE HOSPITAL'S INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THE MIGHT BENEFIT THE PRIVATE INTERESTS OF A BOARD MEMBER OR OFFICER OF THE COMPANY. IN ADDITION, ALL EMPLOYEES OF THE HOSPITAL HAVE AN OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS TO THEIR SUPERVISOR. THE ASANTE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR ADMINISTERING, MONITORING, AND INVESTIGATING ANY POSSIBLE CONFLICTS AND MAKE AN ANNUAL REPORT TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | DONATED CAPITAL -57,891. CHANGE IN TEMP RESTRICT BALANCE 3,127. LIQUIDATING NET ASSET TRANSFER (SEE SCHEDULE N) -11,996,875. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ASANTE | |||||||||
| 2650 SISKIYOU BLVD | MEDFORD | OR | 97504 | 930223960 | HOSPITAL/HEALTHCARE | OR | 501(C)(3) | LINE 11 | 0 |
| ASHLAND COMMUNITY HOSPITAL FOUNDATION | |||||||||
| 280 MAPLE STREET | ASHLAND | OR | 97520 | 930691238 | SUPPORT ASHLAND COMM HOSP | OR | 501(C)(3) | LINE 12B, II | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISKIYOU IMAGING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 278 MAPLE STREET | AddressLine1Txt |
| City | ASHLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97520 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 753006992 | EIN |
| Primary Activities | IMAGING SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASANTE HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $79,180 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $135,911 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.33330 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASANTE | ||
| O | $20,463,995 | CASH |
| ASHLAND COMMUNITY HOSPITAL FOUNDATION | ||
| C | $148,046 | CASH |
| ASSET TRANSFER TO ASANTE | ||
| R | $11,996,875 | BOOK VALUE |
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