2016-08-12T14:09:11-05:00 2015-09-30 930623286 AKT LLP 5665 SW MEADOWS RD SUITE 200 LAKE OSWEGO OR 97035 990 2014-10-01 930223960 ASANTE ASAN 5417894103 2650 SISKIYOU BLVD MEDFORD OR 97504 PAT HOCKING CAFO 5417894103 2016-08-11 1 JOYLYN M ANKENEY CPA P00366587 5036204489 2016-08-11 2014 2016-09-27 15:27:22Z PAT HOCKING 2650 SISKIYOU BLVD MEDFORD OR 97504 1165750585 0 X WWW.ASANTE.ORG X 1938 OR ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 12 11 4266 0 1885475 -1896316 833065 1238973 537557261 593747841 47474223 40560898 11289261 28817558 597153810 664365270 252697 193967 0 0 268311381 306473044 0 0 0 231523685 248128988 500087763 554795999 97066047 109569271 943213574 980560303 365615404 381415354 577598170 599144949 X ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 0 0 350246056 461378475 ASANTE'S MAIN PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ROGUE REGIONAL MEDICAL CENTER (RRMC), A 378 LICENSED BED HOSPITAL LOCATED IN MEDFORD, OREGON. RRMC HAS BEEN NAMED ONE OF THE TOP 100 CARDIOVASCULAR HOSPITALS IN THE U.S. FIVE TIMES (2000-02, 2004, 2005). THE JOINT COMMISSION CERTIFIED RVMC AS A PRIMARY STROKE CENTER IN 2005, AND THE AMERICAN DIABETES ASSOC HAS ALSO AWARDED RVMC ITS RECOGNITION OF EXCELLENCE. RRMC ALSO EARNED THE GOLD PERFORMANCE ACHIEVEMENT AWARD IN CORONARY ARTERY DISEASE (CAD) FROM THE AMERICAN HEART ASSOC AND EARNED ACUMENTRA HEALTH'S "OUTSTANDING PERFORMANCE" AWARD FOR SURGICAL SITE INFECTION PREVENTION AND "EXCELLENT PERFORMANCE" AWARD FOR TREATING HEART FAILURE.KEY HOSPITAL INPATIENT SERVICES INCLUDE CANCER SERVICES, CARDIOVASCULAR SURGERY, AND INPATIENT CARDIAC CATHERIZATION LABORATORY, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, NEONATOLOGY, NEUROSCIENCES, OBSTETRICS, ORTHOPEDICS, PEDIATRICS, AND UROLOGY SERVICES. OTHER INPATIENT SERVICES INCLUDE BEHAVIORAL HEALTH, REHABILITATION, AND CRITICAL CARE SERVICES, INCLUDING THE REGION'S ONLY LEVEL 3 NEONATAL INTENSIVE CARE UNIT. KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LABORATORY TESTING AND DIAGNOSIS, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING, SLEEP SERVICES, HOSPICE, AND VARIOUS THERAPIES, INCLUDING BEHAVIORAL, OCCUPATIONAL, PHYSICAL, AND SPEECH.DURING FISCAL YEAR 2015, RRMC ADMITTED 17,228 PATIENTS FOR A TOTAL OF 83,477 PATIENT DAYS. IT ALSO HAD OVER 442,000 TOTAL OUTPATIENT VISITS AND DELIVERED 1,718 BABIES. THE EMERGENCY ROOMS TREATED 47,112 PATIENTS AND THE CHEMISTRY LABS PERFORMED OVER 1 MILLION TESTS. SURGICAL SERVICES PERFORMED 9,714 INPATIENT AND OUTPATIENT SURGERIES AT RRMC, INCLUDING 593 OPEN HEART AND 858 ORTHOPEDIC JOINT REPLACEMENTS. OTHER STATISTICS AT RRMC INCLUDE 18,187 HOSPICE VISITS, 60,260 VISITS TO THE VARIOUS REHAB UNITS, AND OVER 149,000 VISITS TO IMAGING. 117730665 155086386 ASANTE'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT BY EXPENSE IS THE OPERATION OF THREE RIVERS MEDICAL CENTER (TRMC), A 125 LICENSED BED HOSPITAL LOCATED IN GRANTS PASS, OREGON. TRMC ALSO HAS ITS SHARE OF SIGNIFICANT AWARDS AND RECOGNITIONS INCLUDING BEING DESIGNATED A BABY FRIENDLY HOSPITAL BY WHO AND UNICEF AND IS THE NATION'S FIRST MOTHER FRIENDLY HOSPITAL BY THE CENTER FOR IMPROVING MATERNITY SERVICES. THE AMERICAN DIABETES ASSOCIATION HAS ALSO DESIGNATED TRCH WITH IT'S "RECOGNITION OF EXCELLENCE". TRMC ALSO EARNED ACUMENTRA HEALTH'S "OUTSTANDING PERFORMANCE" AWARD FOR SURGICAL SITE INFECTION PREVENTION AND AN "EXCELLENT PERFORMANCE" AWARD FOR TREATING HEART FAILURE.SOME OF THE KEY INPATIENT SERVICES AVAILABLE AT TRMC INCLUDE CANCER SERVICES, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, OBSTETRICS, ORTHOPEDICS, AND PEDIATRICS. SOME OF THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, CARDIOPULMONARY SERVICES, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING AND VARIOUS THERAPIES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH.DURING THE FISCAL YEAR, TRMC ADMITTED 7,141 INPATIENTS FOR A TOTAL OF 23,176 PATIENT DAYS. IT ALSO DELIVERED 756 BABIES AND HAD OVER 256,000 OUTPATIENT VISITS. THE CHEMISTRY LAB PERFORMED NEARLY 560,000 TESTS AND THE EMERGENCY ROOM SAW 39,141 PATIENTS. THERE WERE 6,772 SURGERIES PERFORMED DURING THE YEAR INCLUDING 460 TOTAL JOINT REPLACEMENTS. TRMC'S REHAB DEPARTMENT HAD 30,716 VISITS AND THE VARIOUS IMAGING DEPARTMENT HAD 117,633 VISITS.RENEWING A STRONG COMMITMENT TO REMAIN ON THE LEADING EDGE OF TECHNOLOGY, A NEW 3-TESLA MRI SCANNER, THE MOST POWERFUL MRI AVAILABLE IN THE WORLD, IS NOW IN USE AT TRMC. 4813346 193967 6340612 ASANTE'S CORPORATE DIVISION HAS MADE GENEROUS CASH DONATIONS TO NUMEROUS NON-PROFIT ORGANIZATIONS. THESE DONATIONS HELP SUPPORT LOCAL SCHOOLS AND OTHER YOUTH ACTIVITIES, SUCH AS LITTLE LEAGUE AND DRUG FREE GRAD NIGHTS AT LOCAL HIGH SCHOOLS. THE CORPORATE DIVISION HAS ALSO MADE SIGNIFICANT CONTRIBUTIONS TO NATIONALLY RECOGNIZED MEDICAL ASSOCIATIONS, SUCH AS THE AMERICAN RED CROSS AND DIABETES ASSOCIATIONS. OTHER CONTRIBUTIONS HAVE BEEN MADE TO HEALTH ORGANIZATIONS THAT ASSIST THE LOCAL SPANISH SPEAKING POPULATION, AND OTHERS HAVE BEEN MADE TO ORGANIZATIONS THAT ASSIST LOCAL SENIORS.OFTEN, INDIGENT AND MEDICAID PATIENTS WILL SHOW UP AT THE EMERGENCY ROOM IN NEED OF SPECIALIZED MEDICAL CARE. IN ORDER TO ASSURE THAT UNASSIGNED INDIGENT AND MEDICAIDPATIENTS HAVE SPECIALIZED CARE AVAILABLE TO THEM, ASANTE CREATED SOUTHERN OREGONTRAUMA AND EMERGENCY SERVICES (SOTES). SOTES CONTRACTS WITH LOCAL INDEPENDENT PHYSICIANS TO PROVIDE SPECIALIZED CARE TO THESE PATIENTS THROUGHOUT THEIR HOSPITAL STAY. THE PHYSICIAN BILLS SOTES, WHICH WILL REIMBURSE THE SPECIALIST AT MEDICARE RATES. SOTES OPERATES AT BREAKEVEN. EXPENSES ARE FULLY FUNDED AND REIMBURSED TO THE DOCTOR BY THE HOSPITALS. 472790067 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 410 0 1 4266 1 1 1 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OR X X PATRICK HOCKING 5417894549 2650 SISKIYOU BLVD MEDFORD OR 97504 ALAN BINETTE CHAIRPERSON 2.00 X X 0 0 0 THOMAS R MCGILLOWAY TREASURER 2.00 X X 0 0 0 GAYLE BYRNE TRUSTEE 2.00 X 0 0 0 RAY A COX SECRETARY 2.00 X X 0 0 0 RONALD JONES MD TRUSTEE 2.00 X 0 0 0 JAMES M WRIGHT TRUSTEE 2.00 X 0 0 0 ROY VINYARD PRESIDENT & CEO 40.00 X X 1260716 0 350278 ANNE GOLDEN TRUSTEE 2.00 X 0 0 0 STEPHEN D ROE VICE CHAIRPERSON 2.00 X X 0 0 0 THOMAS M TUREK MD TRUSTEE 2.00 X 0 0 0 PETER ANGSTADT TRUSTEE 2.00 X 0 0 0 DOUGLASS SCHMOR TRUSTEE 2.00 X 0 0 0 SCOTT KELLY RRMC CEO 40.00 X 580134 0 213574 WIN HOWARD TRMC CEO 40.00 X 428363 0 189485 PATRICK HOCKING CFO 40.00 X 444811 0 143825 GREG EDWARDS PEOPLE OFFICER 40.00 X 351777 0 144792 MARK HETZ CH INFO OFFICER 40.00 X 418471 0 160865 ROBERT THOMPSON FORMER QUALITY OFFICER 40.00 X 225396 0 76810 JAMES GIESEN MEDICAL DOCTOR 40.00 X 371202 0 82383 MICHAEL MCCASKILL MEDICAL DOCTOR 40.00 X 407865 0 77929 JAMES GREBOSKY MEDICAL DOCTOR 40.00 X 389796 0 132194 JENNIFER HALL MEDICAL DOCTOR 40.00 X 383798 0 72933 KENNETH LINDSEY MEDICAL DOCTOR 40.00 X 357851 0 118049 5620180 0 1763117 250 1 1 0 SOUTHERN OREGON CARDIOLOGY LLC 520 MEDICAL CENTER DRIVE SUITE 200 MEDFORD OR 97504 CARDIAC SERVICES 1031420 INTERIM PHYSCIANS LLC 12140 WOODCREST EXEC DR ST LOUIS MO 63141 PHYSICIAN SERVICES 247133 PHARMEDIUM SERVICES LLC 150 NORTH FIELD DR STE 350 LAKE FOREST IL 60045 PHARMACY SERVICES 210696 THE WOMEN'S CENTER LLC 3170 STATE ST MEDFORD OR 97504 WOMEN'S SERVICES 194668 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA ST STE 420 OMAHA NE 68154 MANAGEMENT SERVICES 122752 7 1238973 1238973 HOSPITAL SERVICES 622110 593747841 592622559 1125282 593747841 10505798 10505798 1751191 3763404 -2012213 -2012213 -2012213 523232077 113336 493290313 0 29941764 113336 30055100 113336 29941764 5091791 4331598 760193 760193 OTHER OPERATING INCOME 900099 19057911 19057911 NUTRITION SERVICES 621990 9644273 9644273 JV INCOME 621990 1367394 1367394 30069578 664365270 622805473 1885475 38435349 164489 164489 29478 29478 5994722 2997361 2997361 454628 227314 227314 215739483 189842678 25896805 10966429 9456902 1509527 56398753 51525578 4873175 16919029 14757151 2161878 599882 51337 548545 345146 345146 101574 101574 1888042 1888042 9585332 3774374 5810958 551401 551401 13099292 6549646 6549646 22820468 16120607 6699861 438755 302898 135857 994794 662198 332596 12028177 10818060 1210117 36258976 26987120 9271856 4900385 3728790 1171595 PATIENT SUPPLIES 98620454 98620454 PURCHASED SERVICES 32760999 25689807 7071192 OTHER OPERATING EXPENSE 5729759 3341155 2388604 BAD DEBTS 5196786 5196786 2208766 1945884 262882 554795999 472790067 82005932 0 43542485 38266954 77243458 88536476 1316012 5222993 5677389 6059376 5513362 6368355 783411014 468592925 305505639 314818089 479301795 498994560 25113434 22293500 943213574 980560303 13218311 12587751 33200000 32675000 237578406 243665522 81618687 92487081 365615404 381415354 X 577598170 599144949 577598170 599144949 943213574 980560303 X 109569271 -62407958 -25614534 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 49470 0 0 1 47025 96495 0 PART II-B, LINE 1: ASANTE MAINTAINS MEMBERSHIPS IN THE AMERICAN HOSPITAL ASSOC (AHA) AND OREGON ASSOC OF HOSPITALS AND HEALTHCARE SYSTEMS (OAHHS). DURING TAX YEAR 2014, ASANTE PAID MEMBERSHIP DUES TO THE AHA AND OAHHS OF $76,713 AND $178,360 RESPECTIVELY. 17.93% OF OAHHS DUES AND 22.80% OF AHA DUES WENT FOR LOBBYING PURPOSES. THUS, ASANTE MADE INDIRECT LOBBYING EXPENDITURES OF $50,242 THROUGH ITS MEMBERSHIP DUES. ALSO, ASANTE PAID JOHN WATT AND ASSOCIATES (JWA) $47,025 FOR SPECIFIC ISSUES LOBBYING DURING THE TAX YEAR. JWA IS AN ADVOCATE FOR ASANTE AND SPECIALIZES IN BALLOT PROPOSITIONS AFFECTING THE HEALTHCARE INDUSTRY. 19262867 369173 213139 35278 19809910 18901661 320785 181774 141353 19262867 18536029 268729 163135 66232 18901661 18306191 104176 162870 37198 18536039 17929742 215695 169689 8935 18306191 0.77580 0.20970 0.01450 0 1 1 13611701 8742576 22354277 339913429 165993167 173920262 7456525 6082149 1374376 385493441 296517609 88975832 28193342 28193342 314818089 SELF INSURANCE RESERVE 6765687 REIMBURSEMENT DUE GOVT AGENCIES & 3RD PARTIES 3375259 OTHER CURRENT LIABILITIES 20399243 LONG TERM LIABILITIES 20491985 PAYROLL/BENEFITS PAYABLE 28664378 CURRENT PORTION LT DEBT 12790529 92487081 X 779998313 126292198 126292198 653706115 1888042 8771113 10659155 664365270 620216455 72563482 72563482 547652973 7143026 7143026 554795999 PART V, LINE 4: THE ASANTE FOUNDATION, A 501(C)(3) ORGANIZATION, IS DIRECTLY RELATED TO AND CONTROLLED BY ASANTE. IT IS IDENTIFIED ON SCHEDULE R, PART II AS A RELATED TAX-EXEMPT ORGANIZATION. THE ASANTE FOUNDATION MAINTAINS THE ASSETS OF 14 DIFFERENT ENDOWMENTS WITH A NET WORTH OF OVER $19.8 MILLION. THE CORPUS OF THE ENDOWMENTS IS TO REMAIN INTACT AND INVESTED IN MARKETABLE SECURITIES AND OTHER FINANCIAL INSTRUMENTS. AT THE END OF EACH FISCAL YEAR, ANY INVESTMENT INCOME GENERATED FROM THE ENDOWMENTS IS RELEASED TO ASANTE. THE INCOME RECEIVED IS USED TO SUBSIDIZE NUMEROUS PROGRAMS, INCLUDING THE RRMC HOSPICE, PHYSICIAN AND NURSING EDUCATION, CHILDREN'S HEALTH, ONCOLOGY PROGRAMS, AND SUPPORT OF THE FRANCIS CHENEY AND THREE RIVERS FAMILY HOUSES. PART X, LINE 2: IT IS THE OPINION OF BOTH THE MANAGEMENT OF ASANTE 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: ASANTE FOUNDATION INVESTMENT INCOME 2,759,745. OPERATING INCOME FROM AFFILIATES INCLUDED IN CONSOLIDATED FINANCIAL STMT 82,951,941. PROVIDER TAX NETTED WITH REVENUE FOR TAX RETURN 33,828,144. AFFILIATE INVESTMENT REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STMT 2,420,770. COST OF GOODS SOLD NETTED WITH REVENUE 4,331,598. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STMT 7,143,026. FOUNDATION NONOPERATING LOSS INCLUDED IN CONSOLIDATED FINANCIAL STMT 1,628,087. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON INVESTMENTS -69,035,260. AFFILIATE OPERATING EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STMT 103,439,000. PROVIDER TAX NETTED WITH REVENUE FOR TAX RETURN 33,828,144. COST OF GOODS SOLD NETTED WITH REVENUE 4,331,598. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 7,143,026. SCHEDULE D PART XI, XII AND XIII THE FINANCIAL STATEMENTS AND SCHEDULES OF ASANTE ARE AUDITED BY THE ACCOUNTING FIRM OF KPMG. THEY ARE COMPILED ON A CONSOLIDATED BASIS. THE CONSOLIDATED FINANCIAL STATEMENTS AND SCHEDULES CONTAIN FINANCIAL INFORMATION ABOUT ENTITIES WITHIN ASANTE THAT ARE NOT INCLUDED ON THE ASANTE FORM 990. FINANCIAL INFORMATION ABOUT THE ASANTE FOUNDATION, ASANTE PHYSICIANS PARTNERS, SOUTHERN OREGON INSURANCE COMPANY, AND ASANTE ASHLAND COMMUNITY HOSPITAL ARE INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS BUT, SINCE EACH OF THOSE ENTITIES RETAIN THEIR OWN TAX IDENTIFICATION NUMBER, THEY FILE THEIR OWN SEPARATE FORM 990. THUS, THEIR FINANCIAL INFORMATION IS EXCLUDED FROM THE ASANTE FORM 990 AND ARE INCLUDED AS RECONCILING ITEMS ON SCHEDULE D. ON THE ASANTE FORM 990, SCHEDULE D, PARTS XI, XII, AND XIII, WE HAVE RECONCILED THE TOTAL REVENUES, TOTAL EXPENSES, AND NET ASSETS TO THE CONSOLIDATED STATEMENT OF OPERATIONS ON THE AUDITED FINANCIAL STATEMENTS. IN MANY CASES, THE FINANCIAL INFORMATION OF THESE OTHER ENTITIES IS CONTAINED WITHIN THE REVENUE, EXPENSES, AND NET ASSETS ITEMS IN THE FINANCIAL STATEMENT AND MAY NOT BE READILY DISTINGUISHED ON THE FINANCIAL STATEMENT LINE ITEMS. 1 1 X 1 X 1 X 1 1 0 1 1 49653 7433475 7433475 0.01340 116309 144519955 66046941 78473014 0.14140 7531 13898207 11105214 2792993 0.00500 173493 165851637 77152155 88699482 0.15980 49054 7028987 620118 6408869 0.01160 102125 102125 0.00020 305347 34637 270710 0.00050 190568 190568 0.00030 49054 7627027 654755 6972272 0.01260 222547 173478664 77806910 95671754 0.17240 18315 18315 0.00000 159100 159100 0.00030 177415 177415 0.00030 1 1560626 230973 140335375 189307713 -48972338 X 1 1 1 SISKIYOU IMAGING RADIOLOGY & IMAGING SVC 0.33330 0.33330 2 CVI MANAGEMENT CO LLC MANAGEMENT SERVICES 0.25000 0.75000 3 CVI REAL PROPERTY PROPERTY MANAGEMENT 0.25000 0.75000 4 SOUTHERN OREGON LINEN SVCS LINEN PROCESSING 0.34000 5 HEALTH FUTURE LLC SUPPLIES PURCHASING 0.14300 6 GRANTS PASS SURGICAL CENTER OUTPATIENT SURGERIES 0.35000 0.65000 7 SURGERY CENTER OF SO OREGON OUTPATIENT SURGERIES 0.20000 0.80000 8 LHC HOME HEALTH 0.25000 9 ACCENTCARE HOME HEALTH 0.10000 2 1 ROGUE REGIONAL MEDICAL CENTER 2825 E BARNETT ROAD MEDFORD OR 97504 WWW.ASANTE.ORG 14-0451 X X X 2 THREE RIVERS MEDICAL CENTER 500 SW RAMSEY AVE GRANTS PASS OR 97527 WWW.ASANTE.ORG 14-1439 X X X ROGUE REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 14 1 1 1 1 X HTTP://WWW.ASANTE.ORG/APP/FILES/PUBLIC/2053/2014-COMMUNITY-HEALTH-NEEDS-ASS X 1 14 1 HTTP://WWW.ASANTE.ORG/APP/FILES/PUBLIC/2053/2014-COMMUNITY-HEALTH-NEEDS-ASS 0 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X X X X X X 1 0 X X X X 1 X 0 0 THREE RIVERS MEDICAL CENTER 2 0 0 1 X X X X X X X X 14 1 1 1 1 X HTTP://WWW.ASANTE.ORG/APP/FILES/PUBLIC/2053/2014-COMMUNITY-HEALTH-NEEDS-ASS X 1 14 1 HTTP://WWW.ASANTE.ORG/APP/FILES/PUBLIC/2053/2014-COMMUNITY-HEALTH-NEEDS-ASS 0 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X X X X X X 1 0 X X X X 1 X 0 0 ROGUE REGIONAL MEDICAL CENTER 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 2014. 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. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACTS REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE PARTNERED WITH PROFESSIONAL RESEARCH CONSULTANTS, INC. TO COMPLETE 600 COMMUNITY SURVEYS IN FISCAL YEAR 2014. 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. ALSO REQUIRED IS THE DEVELOPMENT AND EXECUTION OF AN IMPLEMENTATION STRATEGY TO ADDRESS THESE CONCERNS. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGONTHREE RIVERS MEDICAL CENTER IN GRANTS PASS, OREGON THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 6A: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGONROGUE REGIONAL MEDICAL CENTER IN MEDFORD, OREGON ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: KEY INFORMANTS INCLUDE PARTNERSHIPS WITH LOCAL LAW ENFORCEMENT AND COMMUNITY-BASED ORGANIZATIONS; OTHER COLLABORATIVES INCLUDE SOUTHERN OREGON SUCCESS AND THE UNITED WAY. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 6B: KEY INFORMANTS INCLUDE PARTNERSHIPS WITH LOCAL LAW ENFORCEMENT AND COMMUNITY-BASED ORGANIZATIONS; OTHER COLLABORATIVES INCLUDE SOUTHERN OREGON SUCCESS AND THE UNITED WAY. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: IDENTIFIED HEALTH NEEDS THE TOP FIVE HEALTH NEEDS IDENTIFIED BY BOTH SURVEY AND FOCUS GROUP PARTICIPANTS ARE:1.MENTAL/BEHAVIORAL HEALTH2.SUBSTANCE ABUSE TREATMENT3.ACCESS TO HEALTHCARE4.HEALTH EDUCATION5.OBESITYIMPLEMENTATION STRATEGYASANTE WILL ADDRESS THE TOP IDENTIFIED COMMUNITY HEALTH NEEDS IN THE FOLLOWING WAYS:1.MENTAL/BEHAVIORAL HEALTH 1.CONTINUE TO PROVIDE HIGH-QUALITY CARE TO BEHAVIORAL HEALTH PATIENTS AT ASANTE ROGUE REGIONAL MEDICAL CENTER, WHICH HOUSES THE ONLY INPATIENT BEHAVIORAL HEALTH UNIT IN SOUTHERN OREGON2.PARTNER WITH THE JACKSON COUNTY HEALTH DEPARTMENT TO BUILD ONE OF THE ONLY FULL-SERVICE TREATMENT FACILITIES IN OREGON FOR CHILDREN SUFFERING FROM AUTISM3.DEVELOP PRIMARY CARE BEHAVIORAL HEALTH TEAMS TO COORDINATE THE CARE OF PATIENTS PRIOR TO THEIR NEED FOR INPATIENT CARE2.SUBSTANCE ABUSE TREATMENT 1.CONTINUE TO WORK WITH LOCAL PROVIDERS SUCH AS THE ADDICTIONS RECOVERY CENTER TO COORDINATE CARE2.CONTINUE TO WORK WITH THE JACKSON COUNTY HEALTH DEPARTMENT TO PROVIDE COMMUNITY AWARENESS REGARDING THE GROWING PROBLEM OF OPIOID ABUSE IN SOUTHERN OREGON3.ENGAGE IN A REGION-WIDE OPIOID PROGRAM TO COORDINATE AND STANDARDIZE THE PROVIDER RESPONSE FOR POTENTIAL ABUSERS4.SERVE AS A MAJOR CORPORATE PARTNER FOR THE SOUTHERN OREGON METH PROJECT, A PUBLIC AWARENESS/EDUCATION CAMPAIGN SPONSORED BY KOBI NBC-53.ACCESS TO HEALTHCARE 1.BUILD A GROUP OF 60 TO 80 EMPLOYED PRIMARY CARE PHYSICIANS BY THE YEAR 2016 THROUGH ASANTE PHYSICIAN PARTNERS; MANY OF THESE PROVIDERS WILL OFFER AFTER-HOURS AND WEEKEND WALK-IN CLINICS2.PROVIDE ACCESS TO URGENT CARE IN GRANTS PASS IN THE ASANTE CENTER FOR OUTPATIENT HEALTH ON THE CAMPUS OF ASANTE THREE RIVERS MEDICAL CENTER BEGINNING AUGUST OF 20144.HEALTH EDUCATION 1.PROVIDE FOUR NO-COST COMMUNITY HEALTH EDUCATION PRESENTATIONS EACH YEAR TO BE HELD IN MEDFORD, ASHLAND, AND GRANTS PASS2.OFFER COMMUNITY COOKING AND NUTRITION CLASSES IN GRANTS PASS AT THE DEMONSTRATION KITCHEN LOCATED IN THE ASANTE CENTER FOR OUTPATIENT HEALTH ON THE CAMPUS OF ASANTE THREE RIVERS MEDICAL CENTER BEGINNING AUGUST 20143.DEVELOP A PATIENT CENTERED MEDICAL HOME MODEL IN WHICH PATIENT EDUCATION AND ENGAGEMENT IN THEIR HEALTHCARE IS A CRITICAL SUCCESS FACTOR5.OBESITY 1.CONTINUE OUR PARTNERSHIP WITH OREGON SURGICAL SPECIALISTS TO PROVIDE WEIGHT LOSS SURGERY AT THE SOUTHERN OREGON BARIATRIC CENTER, INCLUDING MAKING IT AVAILABLE FOR ALL 10,000 LIVES COVERED BY ASANTE'S HEALTHCARE COVERAGE PLAN2.INCORPORATE NUTRITION AND WEIGHT MANAGEMENT INFORMATION IN COMMUNITY HEALTH EDUCATION PRESENTATIONS WHEN APPROPRIATE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 11: IDENTIFIED HEALTH NEEDS THE TOP FIVE HEALTH NEEDS IDENTIFIED BY BOTH SURVEY AND FOCUS GROUP PARTICIPANTS ARE:1.MENTAL/BEHAVIORAL HEALTH2.SUBSTANCE ABUSE TREATMENT3.ACCESS TO HEALTHCARE4.HEALTH EDUCATION5.OBESITYIMPLEMENTATION STRATEGYASANTE WILL ADDRESS THE TOP IDENTIFIED COMMUNITY HEALTH NEEDS IN THE FOLLOWING WAYS:1.MENTAL/BEHAVIORAL HEALTH 1.CONTINUE TO PROVIDE HIGH-QUALITY CARE TO BEHAVIORAL HEALTH PATIENTS AT ASANTE ROGUE REGIONAL MEDICAL CENTER, WHICH HOUSES THE ONLY INPATIENT BEHAVIORAL HEALTH UNIT IN SOUTHERN OREGON2.PARTNER WITH THE JACKSON COUNTY HEALTH DEPARTMENT TO BUILD ONE OF THE ONLY FULL-SERVICE TREATMENT FACILITIES IN OREGON FOR CHILDREN SUFFERING FROM AUTISM3.DEVELOP PRIMARY CARE BEHAVIORAL HEALTH TEAMS TO COORDINATE THE CARE OF PATIENTS PRIOR TO THEIR NEED FOR INPATIENT CARE2.SUBSTANCE ABUSE TREATMENT 1.CONTINUE TO WORK WITH LOCAL PROVIDERS SUCH AS THE ADDICTIONS RECOVERY CENTER TO COORDINATE CARE2.CONTINUE TO WORK WITH THE JACKSON COUNTY HEALTH DEPARTMENT TO PROVIDE COMMUNITY AWARENESS REGARDING THE GROWING PROBLEM OF OPIOID ABUSE IN SOUTHERN OREGON3.ENGAGE IN A REGION-WIDE OPIOID PROGRAM TO COORDINATE AND STANDARDIZE THE PROVIDER RESPONSE FOR POTENTIAL ABUSERS4.SERVE AS A MAJOR CORPORATE PARTNER FOR THE SOUTHERN OREGON METH PROJECT, A PUBLIC AWARENESS/EDUCATION CAMPAIGN SPONSORED BY KOBI NBC-53.ACCESS TO HEALTHCARE 1.BUILD A GROUP OF 60 TO 80 EMPLOYED PRIMARY CARE PHYSICIANS BY THE YEAR 2016 THROUGH ASANTE PHYSICIAN PARTNERS; MANY OF THESE PROVIDERS WILL OFFER AFTER-HOURS AND WEEKEND WALK-IN CLINICS2.PROVIDE ACCESS TO URGENT CARE IN GRANTS PASS IN THE ASANTE CENTER FOR OUTPATIENT HEALTH ON THE CAMPUS OF ASANTE THREE RIVERS MEDICAL CENTER BEGINNING AUGUST OF 20144.HEALTH EDUCATION 1.PROVIDE FOUR NO-COST COMMUNITY HEALTH EDUCATION PRESENTATIONS EACH YEAR TO BE HELD IN MEDFORD, ASHLAND, AND GRANTS PASS2.OFFER COMMUNITY COOKING AND NUTRITION CLASSES IN GRANTS PASS AT THE DEMONSTRATION KITCHEN LOCATED IN THE ASANTE CENTER FOR OUTPATIENT HEALTH ON THE CAMPUS OF ASANTE THREE RIVERS MEDICAL CENTER BEGINNING AUGUST 20143.DEVELOP A PATIENT CENTERED MEDICAL HOME MODEL IN WHICH PATIENT EDUCATION AND ENGAGEMENT IN THEIR HEALTHCARE IS A CRITICAL SUCCESS FACTOR5.OBESITY 1.CONTINUE OUR PARTNERSHIP WITH OREGON SURGICAL SPECIALISTS TO PROVIDE WEIGHT LOSS SURGERY AT THE SOUTHERN OREGON BARIATRIC CENTER, INCLUDING MAKING IT AVAILABLE FOR ALL 10,000 LIVES COVERED BY ASANTE'S HEALTHCARE COVERAGE PLAN2.INCORPORATE NUTRITION AND WEIGHT MANAGEMENT INFORMATION IN COMMUNITY HEALTH EDUCATION PRESENTATIONS WHEN APPROPRIATE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16I: 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 HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16I: 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 HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 18D: ROGUE REGIONAL MEDICAL CENTER'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. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 18D: THREE RIVERS MEDICAL CENTER'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. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 22D: THE DISCOUNT ROGUE REGIONAL MEDICAL CENTER OFFERS IS BASED ON A SLIDING FEE SCHEDULE DETERMINED BY AN EMERGENCY PATIENT'S LEVEL OF INCOME. A DISCOUNT OF UP TO 100% IS POSSIBLE IF THE PHYSICIAN DETERMINES THAT A PROCEDURE IS "MEDICALLY NECESSARY". THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 22D: THE DISCOUNT THREE RIVERS MEDICAL CENTER OFFERS IS BASED ON A SLIDING FEE SCHEDULE DETERMINED BY AN EMERGENCY PATIENT'S LEVEL OF INCOME. A DISCOUNT OF UP TO 100% IS POSSIBLE IF THE PHYSICIAN DETERMINES THAT A PROCEDURE IS "MEDICALLY NECESSARY". PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ 1 ROGUE VALLEY RX 2900 E BARNETT ROAD MEDFORD OR 97504 OUTPATIENT PHARMACY PART II, COMMUNITY BUILDING ACTIVITIES: IN FISCAL 2015, ASANTE'S CONTRIBUTION TO COMMUNITY HEALTH IMPROVEMENTS ADVOCACYINCLUDES $4,000 TO THE JACKSON COUNTY CHILD ABUSE TASKFORCE, $2,000 TO THE AMERICAN CANCER SOCIETY, AND $5,000 TO HEARTS AND VINES. IN ADDITION, ASANTE CONTRIBUTED OVER $50,000 TO VARIOUS COMMUNITY ORGANIZATIONS, INCLUDING THE BOYS AND GIRLS CLUBS AND YMCA OF MEDFORD, THE JACKSONVILLE BRITT FESTIVAL, AND THE OREGON SHAKESPEAREAN FESTIVAL.ASANTE ALSO CONTIBUTED $18,315 TO LOCAL CHAMBERS OF COMMERCE TO HELP BUILD LEADERSHIP AMONG BUSINESSES IN THE COMMUNITY. PART III, LINE 2: COST TO CHARGE RATIO PART III, LINE 3: PERCENTAGE OF THE POPULATION THAT WOULD QUALIFY FOR CHARITY CARE ACCORDING TO POVERTY RATE FROM CENSUS BUREAU, 14.8% POVERTY RATE IN 2014, THAT PERCENTAGE OF BAD DEBT IS ASSUMED TO BE PART OF MISSED CHARITY CARE. PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON GROSS PATIENT CHARGES THAT HAVE BEEN WRITTEN OFF DUE TO NON-PAYMENT. 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. ASANTE 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 COMMUNITY 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 VI, LINE 2: ASANTE'S FIVE PRIMARY SOURCES OF INPUT INCLUDE THE COMMUNITY LEADERS FORUM, THE ENVIRONMENTAL ASSESSMENT, THE COMMUNITY ASSESSMENT SURVEY, FORMAL CONVERSATIONS WITH OUR COLLABORATORS, AND IDENTIFIED STRATEGIC PLAN GAPS FROM THE PREVIOUS YEAR. 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 MOST NOTABLE FACT ABOUT THE DEMOGRAPHICS OF OUR SERVICE AREA IS THAT WE HAVE A RATHER ELDERLY POPULATION, BOTH IN OUR PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, BUT ALSO OUR SECONDARY SERVICE AREA OF NORTHERN CALIFORNIA AND SOUTHERN OREGON. IN FISCAL 2015, PATIENTS 65+ ACCOUNTED FOR 38.26% AND 46.60% OF ADMISSIONS AT RRMC AND TRMC RESPECTIVELY.FOR THE NEXT 20 YEARS, THE 65+ AGE GROUP IS FORECAST TO BE THE FASTEST GROWING SEGMENT OF THE POPULATION. IN ADDITION, THE OVERALL POPULATION GROWTH OF OUR PRIMARY SERVICE AREA IS ALSO FORECAST TO AVERAGE 1% PER YEAR FOR THE NEXT 30 YEARS. PART VI, LINE 5: ALONG WITH PROVIDING QUALITY HEALTHCARE, ASANTE 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. THE ASANTE COMMUNITY HEALTH EDUCATION PROGRAM IS AN ONGOING, NO COST PROGRAM, OPEN TO ALL COMMUNITY MEMBERS. IN FY 2015, OVER 30 COMMUNITY HEALTH EDUCATION CLASSES WERE OFFERED AT RRMC AND TRMC. ON AVERAGE, ATTENDANCE WELL EXCEEDED 75 PEOPLE AT EACH EVENT. ASANTE ALSO PROMOTES AND EXTENDS PATIENT CARE BY PROVIDING SPACE AND MATERIALS TO APPROXIMATELY 30 SUPPORT GROUPS. ASANTE HOSPICE, RVMC AND TRMC CANCER SERVICES, AND RVMC/TRMC WOMEN AND CHILDREN'S SERVICES PROVIDE STAFF, RESOURCES AND ORGANIZATIONAL SUPPORT FOR VARIOUS WELL-ATTENDED SUPPORT GROUPS AND DEDICATIONAL EVENTS, SUCH AS "CANCER SURVIVOR'S DAY". MANY OTHER SUPPORT GROUPS ARE COMMUNITY-LED, BUT LOGISTICALLY SUPPORTED BY ASANTE HEALTH SYSTEM AND AFFILIATED CLINICAL STAFF MEMBERS. THE SMULLIN HEALTH EDUCATION CENTER HOUSES COMMUNITY AND HEALTHCARE RELATED EVENTS. ALONG WITH THE ASANTE COMMUNITY HEALTH EDUCATION PROGRAM AND SUPPORT GROUPS, SMULLIN HOSTED OVER 250 EVENTS. OPERATIONALLY, ASANTE HEALTH SYSTEM SUPPORTS THESE EVENTS BY PROVIDING SALAIRES, BENEFITS, SUPPLIES AND CLASSROOM SPACE. ADDITIONALLY, ASANTE IS THE SOLE SUPPORT OF THE FRANCIS CHENEY FAMILY PLACE AND THE THREE RIVERS FAMILY HOUSE. MUCH LIKE THE RONALD MCDONALD HOUSE, THESE HOUSES PROVIDE LOW-COST TEMPORARY LODGING FOR FAMILIES OF PATIENTS AT RVMC OR TRMC. DONATIONS ARE ACCEPTED, BUT NO ONE IS DENIED LODGING FOR AN INABILITY TO CONTRIBUTE.ASANTE HEALTH SYSTEM HAS SEVERAL CLINICAL DEPARTMENTS THAT PROVIDE NON-BILLED SERVICES TO COMMUNITY MEMBERS. THESE DEPARTMENTS INCLUDE THE STERILE PROCESSING DEPARTMENT, IMAGING DEPARTMENT, RRMC/TRMC PHARMACIES (BOTH HOSPITAL AND RETAIL), SOCIAL SERVICES, RESOURCE MANAGEMENT, SENIOR TRANSPORTATION, AND THE SUPPORTIVE CARE TEAM. RRMC ALSO PROVIDES FREE LAB WORK TO THE PATIENTS OF THE COMMUNITY HEALTH CENTERS. THE ASANTE HEALTH SYSTEM STRIVES TO MEET THEIR ON-GOING MISSION: ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. PART VI, LINE 6: ASANTE IS A COMMUNITY OWNED AND GOVERNED NOT-FOR-PROFIT HEALTH SYSTEM PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO MORE THAN 550,000 RESIDENTS IN NINE COUNTIES THROUGHOUT SOUTHERN OREGON AND NORTHERN CALIFORNIA. THE SYSTEM WAS FORMED IN 1995 TO INCLUDE ROGUE REGIONAL MEDICAL CENTER (RRMC) IN MEDFORD, AND THREE RIVERS MEDICAL CENTER (TRMC) IN GRANTS PASS. IN 2003, ASANTE FORMED ASANTE COMMUNITY SERVICES, WHICH PROVIDES LIFELINE AND RUNS THE OUTPATIENT PHARMACY. PART VI, LINE 7, REPORTS FILED WITH STATES OR 1 MEDFORD CHAMBER OF COMMERCE 101 E 8TH STREET MEDFORD OR 97501 930197580 501(C)(3) 18315 CASH SUPPORT LOCAL CHAMBER OF COMMERCE HEARTS AND VINES PO BOX 1441 MEDFORD OR 97501 501(C)(3) 5000 CASH SUPPORT LOCAL NON-PROFIT 2 2 SENIOR VAN TRANSPORTATION 29478 COST FREE VAN RIDES TO MED APPTS PART I, LINE 2: ONCE AN APPLICANT HAS BEEN APPROVED FOR GRANT FUNDS, THE GRANT AGREEMENT SPECIFIES THAT ALL GRANT MONIES ARE TO BE SPENT FOR ONLY THE PURPOSE SPELLED OUT IN THE APPLICATION. THE COUNTY CONNECTIONS COMMITTEE MUST KNOW WHERE THE DONATED MONEY WILL BE ALLOCATED, AND IF A FUNDRAISING EVENT, HOW THE RAISED MONEY WILL BE ALLOCATED. USUALLY, A DETAILED BUDGET OF THE GRANTEE'S CURRENT YEAR IS REQUIRED, AS WELL AS ANY REPORTS OR MINUTES FROM PREVIOUS EVENTS. SCHEDULE I, PART I, LINE 2 WHEN ASANTE RECEIVES A REQUEST FOR GRANT FUNDS FROM AN OUTSIDE ORGANIZATION, THE REQUEST IS REVIEWED BY EITHER THE JACKSON COUNTY OR JOSEPHINE COUNTY COMMUNITY CONNECTIONS COMMITTEE. 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 STRATEGIC INITIATIVES, 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, 4)THE ORGANIZATION COLLABORATES WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS AND, 5)THE GRANT MUST BE A RELATION BUILDING OPPORTUNITY. 1 X X X X X 1 1 0 0 0 0 0 1 0 ROY VINYARD PRESIDENT & CEO 639165 0 358988 0 262563 0 306163 0 44115 0 1610994 0 0 0 SCOTT KELLY RRMC CEO 352633 0 73714 0 153787 0 184359 0 29215 0 793708 0 0 0 WIN HOWARD TRMC CEO 271361 0 53071 0 103931 0 146570 0 42915 0 617848 0 0 0 PATRICK HOCKING CFO 321039 0 60531 0 63241 0 100176 0 43649 0 588636 0 0 0 GREG EDWARDS PEOPLE OFFICER 234847 0 54898 0 62032 0 103975 0 40817 0 496569 0 0 0 MARK HETZ CH INFO OFFICER 257558 0 62105 0 98808 0 136430 0 24435 0 579336 0 0 0 ROBERT THOMPSON FORMER QUALITY OFFICER 129246 0 61785 0 34365 0 57121 0 19689 0 302206 0 0 0 JAMES GIESEN MEDICAL DOCTOR 355678 0 15524 0 0 0 38600 0 43783 0 453585 0 0 0 MICHAEL MCCASKILL MEDICAL DOCTOR 378489 0 29376 0 0 0 38600 0 39329 0 485794 0 0 0 JAMES GREBOSKY MEDICAL DOCTOR 312413 0 43844 0 33539 0 89639 0 42555 0 521990 0 0 0 JENNIFER HALL MEDICAL DOCTOR 354285 0 29513 0 0 0 33100 0 39833 0 456731 0 0 0 KENNETH LINDSEY MEDICAL DOCTOR 277529 0 33530 0 46792 0 81700 0 36349 0 475900 0 0 0 PART I, LINES 4A-B ASANTE 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 ENDED SEPT 30, 2015, THERE WAS $263,250 CONTRIBUTED TO MR. VINYARD'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THIS AMOUNT IS NOT INCLUDED IN HIS REPORTED COMPENSATION UNTIL PAID OUT. ASANTE 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, 2015, THERE WAS $10, 306 CONTRIBUTED FOR MR. HOCKING AND $42,913 CONTRIBUTED FOR MR. VINYARD. THESE AMOUNTS WERE INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II. PART I, LINE 7 TWO OF THE FIVE HIGHEST PAID NON-EXECUTIVE EMPLOYEES, MOSTLY CARDIAC SURGEONS, ARE PAID A BASE SALARY AND THEN RECEIVE PRODUCTIVITY COMPENSATION BASED ON RELATIVE VALUE UNITS (RVU'S). EACH RVU IS $40. TOTAL COMPENSATION IS DETERMINED BY MULTIPLYING THE RVU'S BY $40. A HOSP AUTH OF MEDFORD OR 521378932 584283FL4 2010-02-17 239059650 FINANCE HOSPITAL EXPANSION 0 0 0 B STATE OF OREGON 936001787 NONEAVAIL 2011-12-29 30000000 FINANCE ELEC MED REC SOFTWARE 0 0 0 A 18465000 239059650 3511327 2680107 31041115 201827101 2011 1 0 1 1 B 15568690 30000000 192035 29807965 2013 0 0 1 1 A 0 0 1 1 1 1 0.00250 0.00250 0 0 1 B 0 0 0 1 1 0.00100 0.00100 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART IV 2C ARBITRAGE REBATE CLACULATION PERFORMED BY BLX ON FEB 20, 2015. NO REBATE LIABILITY DUE. FORM 990, PART VI, SECTION B, LINE 11 POLICY SUMMARY: THE FEDERAL FORMS 990 AND 990-T ARE FEDERALLY MANDATED LEGAL DOCUMENTS THAT ARE HIGHLY REGULATED. WITHIN ASANTE, THEY ARE TO BE PREPARED BY PERSONNEL IN THE ACCOUNTING DEPARTMENT. ADDITIONAL ASSISTANCE WILL BE PROVIDED BY PERSONNEL IN THE MARKETING, COMPLIANCE, AND EXECUTIVE DEPARTMENTS. BEFORE FINAL SUBMISSION OF THE DOCUMENTS, THEY ARE TO HAVE ASANTE 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 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 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 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 AND 990-T WILL BE KEPT AT CORPORATE HEADQUARTERS FOR PUBLIC DISPLAY AND COPYING, AS REQUESTED. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ASANTE MAILS TO ALL ASANTE MANAGEMENT, KEY EMPLOYEES, AND BOARD MEMBERS A CONFLICT OF INTEREST QUESTIONAIRE TO COMPLY WITH ASANTE'S CONFLICT OF INTEREST POLICY# 400-LD-034 AND 036. THE PURPOSE OF THE POLICY IS TO PROTECT ASANTE'S INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF A BOARD MEMBER OR OFFICER OF THE CORPORATION. IN ADDITION, ALL ASANTE EMPLOYEES HAVE AN OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS TO THEIR SUPERVISOR. THE 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 B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF THE 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. THE DATA IS PROVIDED AND PRESENTED TO THE COMPENSATION COMMITTEE 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. THE MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS COMPLETED IN 2012. FORM 990, PART VI, SECTION C, LINE 19 CURRENTLY, ASANTE DOES NOT MAKE AVAILABLE TO THE GENERAL PUBLIC COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR ITS FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9: ACCUMULATED EARNINGS ADJUSTMENT -571,870. DONATED CAPITAL 869,391. EQUITY TRANSFERS TO AFFILIATES -25,912,055. 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