2018-08-14T16:51:00-05:00 2017-09-30 930623286 ALDRICH CPAS AND ADVISORS LLP 5665 SW MEADOWS RD SUITE 200 LAKE OSWEGO OR 97035 990 2016-10-01 936087366 ASANTE FOUNDATION ASAN 5417894103 2650 SISKIYOU BLVD MEDFORD OR 97504 GREG WOJTAL CFO 5417894103 2018-08-08 1 JOYLYN M ANKENEY CPA P00366587 5036204489 2018-08-08 2016 2022-09-23 18:48:47Z GREG WOJTAL 2650 SISKIYOU BLVD MEDFORD OR 97504 33606500 0 X WWW.ASANTE.ORG/GIVING X 1973 OR 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. 22 21 13 21 0 0 2337318 3171787 0 0 361597 2287498 200060 108187 2898975 5567472 1165151 1385973 0 0 800008 843402 0 0 805847 376786 1125923 2341945 3355298 557030 2212174 25947406 29190648 1085603 1296272 24861803 27894376 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 1569887 1122500 DURING THE TAX YEAR, THE ASANTE FOUNDATION'S LARGEST PROGRAM SERVICE ACCOMPLISHMENT WAS THE GRANTING OF $1,122,500 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 $100,000 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 $90,000 WAS DONATED TO REMODEL THE BEHAVIORAL HEALTH ROOMS IN THE EMERGENCY DEPARTMENT. THE ASANTE FOUNDATION ALSO HELPS SUPPORT NUMEROUS CLINICAL DEPARTMENTS AT RRMC. THIS INCLUDES GENEROUS DONATIONS OF OVER $95,000 TO THE RESOURCE MANAGEMENT DEPARTMENT FOR A PULMONARY NURSE NAVIGATOR AND OVER $17,000 TO HELP SUPPORT PEDIATRIC ONCOLOGY PATIENTS AND THEIR FAMILIES. THE FOUNDATION ALSO PROVIDED NEARLY $10,000 FOR FREE MAMMOGRAMS AND BREAST CANCER EDUCATION FOR UNINSURED WOMEN IN THE VALLEY. OTHER DONATIONS HELP SUPPORT THE WOMEN'S IMAGING CENTER, THE EMERGENCY DEPARTMENT, THE MENTAL HEALTH DEPARTMENT, FAMILY HOUSE, NURSE EDUCATION AND THE DUBS CANCER CENTER. 186105 133069 THE ASANTE FOUNDATION'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE GRANTING OF $133,069 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 $10,990 FOR A NEW BELLY BOARDS FOR WOMAN'S IMAGING. THE FOUNDATION ALSO MADE A CONTRIBUTION OF $11,576 FOR NEW LOCKS FOR THE FAMILY HOUSE. IN ADDITION TO CAPITAL PROJECTS, THE FOUNDATION CONTRIBUTED OVER $14,00 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 AND FAMILY BIRTH. 191461 130405 THE ASANTE FOUNDATION'S THIRD LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE GRANTING OF $130,405 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 $68,203 TO A DIABETIC CARE PROGRAM AT APP. THEY ALSO CONTRIBUTED $30,000 TO THE NURSING INITIATIVE FOR SAFE PATIENT HANDLING TRAINING EQUIPMENT. 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. 1947453 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 19 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 BROOKS PAST CHAIR 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 DON TODD TREASURER 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 TRUSTEE 2.00 X 0 0 0 CAL SCHMIDT TRUSTEE 2.00 X 0 0 0 DAVID THOMASON TRUSTEE 2.00 X 0 0 0 ROY VINYARD ASANTE CEO 1.00 40.00 X 0 1076322 235257 PATRICK HOCKING - THRU 13117 ASANTE CFO - RETIRED 1.00 40.00 X 0 656449 244142 FLOYD HARMON EXECUTIVE DIRECTOR ASANTE FOUNDATION 40.00 X 241195 0 0 241195 1732771 479399 1 0 1 0 0 351817 2819970 202874 3171787 1095240 1095240 28425439 27233181 1192258 1192258 1192258 914034 351817 805847 108187 108187 5567472 0 0 2395685 1385973 1385973 574616 287938 286678 29370 14717 14653 191072 95745 95327 48344 24225 24119 265026 31454 31454 202118 634 571 63 PURCHASED SERVICES 541600 71656 71656 398288 MISCELLANEOUS 245075 0 68306 176769 PRINTING AND PUBLICATIO 44068 7698 7698 28672 REPAIRS AND MAINTENANCE 20436 18392 2044 9084 9084 3355298 1947453 601998 805847 501 501 839 32748 86195 86195 86195 25577140 28732975 282731 338229 25947406 29190648 706578 667977 379025 628295 1085603 1296272 X 14064315 15018423 6634198 7687283 4163290 5188670 24861803 27894376 25947406 29190648 X 2212174 863473 -43074 X 0 1 X 0 0 X X X 2 ASANTE 930223960 3 1 1337127 0 ASANTE PHYSICIAN PARTNERS 383849354 3 1 48846 0 2 1385973 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19768780 1025379 712656 470828 21035987 19809910 65967 149912 257009 19768780 19262877 369173 213139 35278 19809910 18901671 320785 181774 141353 19262877 18536039 268729 163135 66232 18901671 0.73880 0.24670 0.01450 0 0 86195 86195 86195 INTERCOMPANY PAYABLE 522196 RECEIVABLES RECLASS 71218 PAYROLL BENEFITS PAYABLE 34881 628295 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 1265851 351817 914034 1265851 351817 914034 OR CHILDREN'S MIRACLE NETWORK 1265851 351817 914034 1265851 351817 914034 914034 1 ASANTE PHYSICIAN PARTNERS 2650 SISKIYOU BLVD MEDFORD OR 97504 383849354 501 (C)(3) 48846 SUPPORT PALLIATIVE CARE DEPARTMENT ASANTE 2650 SISKIYOU BLVD MEDFORD OR 97504 930223960 501 (C)(3) 1337127 SUPPORT HOSPITAL DEPARTMENTS 2 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 680027 0 238134 0 158161 0 196157 0 39100 0 1311579 0 0 PATRICK HOCKING - THRU 13117 ASANTE CFO - RETIRED 0 389153 0 87679 0 179617 0 214872 0 29270 0 900591 0 0 FLOYD HARMON EXECUTIVE DIRECTOR ASANTE FOUNDATION 241195 0 0 0 0 0 0 0 0 0 241195 0 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 CFO PATRICK HOCKING 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 MR. HOCKING AND MR. VINYARD. THESE AMOUNTS WERE INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II. COMPENSATION FROM UNRELATED ORGANIZATION SCHEDULE J, PART II SHOWS THE COMPENSATION OF THE OFFICERS, DIRECTORS AND KEY EMPLOYEES OF ASANTE, AS WELL AS THE COMPENSATION OF THE TOP 5 HIGHEST PAID EMPLOYEES. COLUMNS BI, BII AND BIII DISPLAYS THE AMOUNTS ACTUALLY PAID TO THESE PEOPLE AS WHAT SHOWS UP ON THEIR FORM W-2 ON DECEMBER 31,2015. 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. X 4 14176 FMV X EVENT SUPPLIES 276 202874 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 BEGINNING RETATINED EARNINGS -43,074. 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 1337127 CASH ASANTE PHYSICIAN PARTNERS B 48846 CASH ASANTE O 574616 CASH