2017-08-15T14:03:07-05:00 2016-09-30 930623286 ALDRICH CPAS AND ADVISORS LLP 5665 SW MEADOWS RD SUITE 200 LAKE OSWEGO OR 97035 990 2015-10-01 936087366 ASANTE FOUNDATION ASAN 5417894103 2650 SISKIYOU BLVD MEDFORD OR 97504 GREG WOJTAL CFO 5417894103 2017-08-14 1 JOYLYN M ANKENEY CPA P00366587 5036204489 2017-08-14 2015 2021-01-29 14:40:06Z GREG WOJTAL 2650 SISKIYOU BLVD MEDFORD OR 97504 28842128 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. 20 20 13 0 0 0 1860420 2337318 0 0 2862106 361597 28055 200060 4750581 2898975 1262474 1165151 0 0 739662 800008 0 0 0 271797 376786 2273933 2341945 2476648 557030 23975539 25947406 1012250 1085603 22963289 24861803 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 1561456 933470 DURING THE TAX YEAR, THE ASANTE FOUNDATION'S LARGEST PROGRAM SERVICE ACCOMPLISHMENT WAS THE GRANTING OF $933,470 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 $191,000 WAS DONATED TO REMODEL THE CARDIAC REHAB DEPARTMENT. THIS GENEROUS DONATION ALLOWED THE DEPARTMENT TO EXPAND GRANTING THEM THE ABILITY TO HELP MORE PATIENTS RECOVERING FROM RECENT CARDIAC TRAUMA. IN ADDITION, OVER $43,000 WAS DONATED TO REMODEL THE BEHAVIORAL HEALTH UNIT. THE ASANTE FOUNDATION ALSO HELPS SUPPORT NUMEROUS CLINICAL DEPARTMENTS AT RRMC. THIS INCLUDES GENEROUS DONATIONS OF OVER $84,000 TO THE CARDIAC UNIT FOR A PILOT PROGRAM AND OVER $14,000 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, AND THE DUBS CANCER CENTER. 231122 138169 THE ASANTE FOUNDATION'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE GRANTING OF $148,135 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 $20,000 FOR A NEW SIMULATION LAB. THE FOUNDATION ALSO MADE CONTRIBUTIONS OF OVER $32,000 TOWARD THE PURCHASE OF PELVIC EQUIPEMNT FOR THE HOSPITAL. 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. 156421 93512 THE ASANTE FOUNDATION'S THIRD LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE GRANTING OF $93,512 TO HELP SUPPORT VARIOUS DEPARTMENTS AND CAPITAL PROJECTS AT ASHLAND COMMUNITY HOSPITAL, ASANTE PHYSICIAN PARTNERS AND THE NURSING EXCELLENCE INITIATIVE.THE ASANTE FOUNDATION HAS RAISED AND DONATED $92,840 TO THE NURSING EXCELLENCE INITIATIVE FOR FISCAL YEAR ENDING SEPT. 30, 2016. 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. 1948999 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 32 0 1 13 1 0 0 0 0 0 0 0 0 0 0 X 20 20 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 TRUSTEE 2.00 X 0 0 0 PATRICIA WINTEMUTE CURRENT CHAIR 2.00 X 0 0 0 LINDA FARLAND SECRETARY 2.00 X 0 0 0 TRAVIS HAMLYN TRUSTEE 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 TRUSTEE 2.00 X 0 0 0 JEFF LOUIE MD TRUSTEE 2.00 X 0 0 0 LAURA NAUMES VICE CHAIR 2.00 X 0 0 0 GERRY TANK MD TRUSTEE 2.00 X 0 0 0 DON TODD TREASURER 2.00 X 0 0 0 DARLENE TUENKER TRUSTEE 2.00 X 0 0 0 JEFF CROCKETT TRUSTEE 2.00 X 0 0 0 VICKIE CROCKETT TRUSTEE 2.00 X 0 0 0 CHARLES MCNAIR TRUSTEE 2.00 X 0 0 0 LES MARTIN TRUSTEE 2.00 X 0 0 0 JENNIFER MCRAE TRUSTEE 2.00 X 0 0 0 RYAN ROBERTSON TRUSTEE 2.00 X 0 0 0 JOHN SCHIAVONE TRUSTEE 2.00 X 0 0 0 ROY VINYARD ASANTE CEO 1.00 40.00 X 0 2062285 150348 PATRICK HOCKING ASANTE CFO 1.00 40.00 X 0 505877 133520 0 2568162 283868 0 0 1 0 0 152193 2185125 228898 2337318 422501 422501 25333685 25394589 -60904 -60904 -60904 748624 152193 548564 200060 200060 2898975 0 0 561657 1165151 1165151 548634 351126 197508 24152 15457 8695 183184 117238 65946 44038 28184 15854 79492 79492 40574 40574 20561 13159 7402 31075 31075 22966 22966 MISCELLANEOUS 53123 53123 PRINTING AND PUBLICATIO 36017 36017 DUES AND SUBSCRIPTIONS 30937 30937 PURCHASED SERVICES 25784 16502 9282 36257 27490 8767 2341945 1948999 392946 0 501 501 14250 839 86195 0 294951 86195 23427807 25577140 238030 282731 23975539 25947406 616885 706578 395365 379025 1012250 1085603 X 13697709 14064315 5110490 6634198 4155090 4163290 22963289 24861803 23975539 25947406 X 557030 1382615 -41131 X 0 1 X 0 0 X X X 2 ASANTE 930223960 3 1 1164479 0 ASANTE PHYSICIAN PARTNERS 383849354 3 1 672 0 2 1165151 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 19809910 65967 149912 257009 19768780 19262877 369173 213139 35278 19809910 18901671 320785 181774 141353 19262877 18536039 268729 163135 66232 18901671 18306191 104176 162870 37198 18536039 0.78030 0.21060 0.00910 0 0 86195 86195 86195 INTERCOMPANY PAYABLE 237518 RECEIVABLES RECLASS 141507 379025 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 900817 152193 748624 900817 152193 748624 OR CHILDREN'S MIRACLE NETWORK 900817 152193 748624 900817 152193 748624 748624 1 ASANTE PHYSICIAN PARTNERS 2650 SISKIYOU BLVD MEDFORD OR 97504 383849354 501 (C)(3) 672 SUPPORT PALLIATIVE CARE DEPARTMENT ASANTE 2650 SISKIYOU BLVD MEDFORD OR 97504 930223960 501 (C)(3) 1164479 SUPPORT HOSPITAL DEPARTMENTS PART I, LINE 2 THE ASANTE FOUNDATION REGULARLY MAKES DONATIONS TO ASANTE, A 501(C)(3) HOSPITAL AND HEALTHCARE ORGANIZATION, FOR THE PURPOSE OF CAPITAL PURCHASES AND SUPPORT VARIOUS HOSPITAL DEPARTMENTS 0 1 0 0 0 0 0 0 0 ROY VINYARD ASANTE CEO 0 699558 0 0 0 1362727 0 120900 0 29448 0 2212633 0 1023495 PATRICK HOCKING ASANTE CFO 0 371026 0 67454 0 67397 0 104600 0 28920 0 639397 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 ASANTE FOUNDATION, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR ROY VINYARD, THE ASANTE CEO. THIS PLAN STATES HE IS TO RECEIVE FIXED PAYMENTS AT PRE-DETERMINED INTERVAL FROM ASANTE IF HE IS EMPLOYED BY ASANTE AS CEO AT THE TIME OF VESTING. MR. VINYARD HAS THE AUTHORITY TO DIRECT HOW HIS PLAN ASSETS ARE TO BE INVESTED. IF MR. VINYARD IS NOT EMPLOYED AS CEO BY ASANTE FOR ANY REASON PRIOR TO VESTING, HE WILL NOT HAVE CLAIM TO THE FUNDS. FOR THE FISCAL YEAR END OF SEPT 30, 2016, THERE WAS $263,250 SET ASIDE IN MR. VINYARDS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THIS AMOUNT IS NOT INCLUDED IN HIS REPORTED COMPENSATION UNTIL PAID OUT. HE DID RECEIVE A PAYOUT IN TAX YEAR 2015 IN THE AMOUNT OF $1,286,746 FROM THIS RETIREMENT ACCOUNT. OF THE AMOUNT PAID OUT IN THE CURRENT FISCAL YEAR $1,023,495 WAS ACCRUED IN AND DISCLOSED IN TAX YEARS 2011-2014. ASANTE, THE PARENT CORPORATION OF THE ASANTE FOUNDATION, HAS AN EXECUTIVE RESTORATION PLAN WHICH INCLUDES ASANTE CFO PATRICK HOCKING AND ASANTED 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 ROLE 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, 201, THERE WAS $10,010 CONTRIBUTED FOR MR. HOCKING AND $107,919 CONTRIBUTED FOR 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 7 13956 FMV X EVENT SUPPLIES 263 228898 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 11 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: NET CHANGE IN ENDOWMENT -41,131. 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 1164479 CASH ASANTE PHYSICIAN PARTNERS B 672 CASH ASANTE O 800008 CASH