2016-05-17T16:12:36-05:00 2015-04-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2014-05-01 930505325 GRANDE RONDE HOSPITAL INC GRAN 5419638421 PO BOX 3290 LA GRANDE OR 97850 JAMES A MATTES PRESIDENT/CEO 5419638421 2015-12-08 true THOMAS DINGUS P00951009 5092420874 2016-05-17 2014 2016-08-17 19:52:53Z JAMES A MATTES PO BOX 3290 LA GRANDE OR 97850 76568967 false X WWW.GRH.ORG X 1962 OR TO ENSURE ACCESS TO HIGH-QUALITY, COST EFFECTIVE HEALTHCARE IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES. 11 7 680 100 0 355129 900410 68246819 73144830 1817053 1744342 676395 487827 71095396 76277409 0 0 45908769 50512027 0 110830 20131959 21010658 66040728 71522685 5054668 4754724 84433364 90603339 8131339 8693513 76302025 81909826 X TO ENSURE ACCESS TO HIGH-QUALITY, COST EFFECTIVE HEALTHCARE IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES. false false 63546494 73144830 GRANDE RONDE HOSPITAL, INC. (GRH) IS DEDICATED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE LOCAL COMMUNITY THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL, 24-HOUR EMERGENCY DEPARTMENT, FAMILY BIRTHING CENTER, HOME HEALTH AND HOSPICE PROGRAMS, AND 6 PROVIDER-BASED CLINICS WHICH INCLUDE WALK-IN (IMMEDIATE CARE) AND SLEEP CLINIC SERVICES. GRH ALSO OPERATES A TELEMEDICINE PROGRAM WHICH ENABLES PATIENTS TO OBTAIN THE SERVICES OF SPECIALISTS SUCH AS ICU INTENSIVISTS, CARDIOLOGISTS, NEONATOLOGISTS, AND DERMATOLOGISTS AND HELPS REDUCE PATIENT TRAVEL FOR THESE SERVICES. DURING THE TAX YEAR, GRH SERVED 1,656 INPATIENTS, 43,204 OUTPATIENTS, 12,915 EMERGENCY PATIENTS, AND REGISTERED 244 BIRTHS. ADDITIONALLY, GRH PROVIDED SERVICES TO 226 PATIENTS IN THE HOME HEALTH PROGRAM, 125 PATIENTS IN THE HOSPICE PROGRAM AS WELL AS RECORDING 60,833 VISITS TO ITS PROVIDER-BASED CLINICS. DURING THE TAX YEAR, GRH WAS ABLE TO PROVIDE CHARITY CARE SERVICES TO THOSE WHO COULD NOT OTHERWISE AFFORD NECESSARY MEDICAL CARE. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 1,717,323 FOR CHARITY CARE, 17,300,868 FOR MEDICARE, 10,418,335 FOR MEDICAID, AND 5,980,095 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED APRIL 30, 2015. ADDITIONALLY, GRH PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS AVAILABLE ON THE HOSPITAL'S WEB SITE AND UPON REQUEST. THE REPORT PROVIDES ADDITIONAL DETAILS REGARDING ITS SERVICES AND ACTIVITIES. 63546494 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false true false false true false false false false false false true true true false false true 100 0 true 680 true false false false false false false false false false false X 11 7 false false false false false false false true true false false true true true true true true true true false OR X GRANDE RONDE HOSPITAL INC 5419638421 900 SUNSET DRIVE LA GRANDE OR 97850 STEVEN HUNSAKER TRUSTEE 40.00 X 296755 0 25350 RONALD REYNOSO MD TRUSTEE 40.00 X 275497 0 47698 JAMES MATTES PRESIDENT/CE 40.00 X X 271732 0 54901 SUZANNE HOPPER TRUSTEE 3.00 X 0 0 0 STEVE LYON CHAIR 10.00 X X 0 0 0 BRAD TRISLER VICE CHAIR 3.00 X X 0 0 0 BOB MESSINGER TRUSTEE 3.00 X 0 0 0 BOB SEYMOUR SECRETARY 3.00 X X 0 0 0 TERI CHAMPLIN TRUSTEE 3.00 X 0 0 0 LIBBY GOBEN TRUSTEE 3.00 X 0 0 0 STEPHANIE MILLER TRUSTEE 3.00 X 0 0 0 WADE WEIS CFO 40.00 X 158860 0 43525 BENJAMIN OLSON PHYSICIAN 40.00 X 544717 0 45790 SEYMOUR BRONSTEIN PHYSICIAN 40.00 X 477987 0 40263 ANDREW PEARSON PHYSICIAN 40.00 X 425424 0 42280 STACY WHITAKER PHYSICIAN 40.00 X 413606 0 42280 CHRISTOPHER WOODWORTH PHYSICIAN 40.00 X 379124 0 44823 DALE ROBINSON MD TRUSTEE 40.00 X 270650 0 43000 3514352 429910 83 true true false JOHNSON SID & CO 3150 10TH STREET BAKER CITY OR 97814 CONSTRUCTION 2583870 JOHNSON CONTROLS PO BOX 730068 DALLAS TX 75373 ELECTRICAL 2485035 MCKESSON INFORMATION SOLUTIONS PO BOX 98347 CHICAGO IL 60693 HIS CONSULTING 1090789 PETERSON KOLBERG & ASSOCIATES PC 6969 SW HAMPTON STREET PORTLAND OR 97223 ARCHITECT 406205 HAMPTON PAVING LLC 1109 V AVE LA GRANDE OR 97850 CONSTRUCTION 291835 20 190242 710168 900410 NET PATIENT SERVICE REVENUE 624100 73127182 73127182 EDUCATION AND OTHER PATIENT 624100 17648 17648 73144830 1687744 1687744 51197 20001 31196 31196 31196 301989 445 245836 301989 -245391 56598 56598 59466 25721 33745 33745 CAFETERIA REVENUE 900099 213847 213847 REBATES & DISCOUNTS 900099 89713 89713 OTHER REVENUE 900099 80209 80209 39117 39117 422886 76277409 73144830 2232169 1207039 662844 544195 38737570 33860685 4820155 56730 1919663 1682658 236149 856 5784667 4620218 1152782 11667 2863088 2443444 415224 4420 236189 236189 121385 121385 67337 67337 3520708 2968401 547837 4470 192169 192169 1704822 1228328 465891 10603 991416 849334 140533 1549 361653 238010 121949 1694 266530 157510 109020 16 16 4706336 4214974 488503 2859 661554 446189 215365 MEDICAL SUPPLIES 6372962 6372962 OTHER EXPENSES 1134923 659616 466573 8734 REPAIRS & MAINTENANCE 672658 641668 28300 2690 INDIRECT ALLOCATION 2499653 -2504211 4558 71522685 63546494 7865361 110830 8425686 8263850 6341765 7058098 9976389 10694671 94566 146894 398976 964903 1232134 855873 978798 89108914 52296917 33519601 36811997 22612220 23407066 1590033 1663183 84433364 90603339 6604858 7364629 1041206 839753 485275 489131 8131339 8693513 X 75308416 80676463 993609 1233363 76302025 81909826 84433364 90603339 4754724 803565 49512 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11769 11769 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 1189674 1189674 40878194 24226124 16652070 3260033 2706413 553620 39368486 25364380 14004106 4412527 4412527 36811997 THIRD-PARTY PAYOR SETTLEMENTS 489131 489131 X SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE HOSPITAL HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX. THE HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. true true true X 2.500000000000 true X 4.500000000000 true true false true true 1047567 123981 923586 0.01290 15183872 13887915 1295957 0.01810 16231439 14011896 2219543 0.03100 1379706 1379706 0.01930 215188 24000 191188 0.00270 972075 378571 593504 0.00830 24049 24049 0.00030 2591018 402571 2188447 0.03060 18822457 14414467 4407990 0.06160 1 175 9370 9370 0.00010 1 175 9370 9370 0.00010 true 1262366 1069476 23286246 24226273 -940027 X true false 1 1 GRANDE RONDE HOSPITAL INC 900 SUNSET DRIVE LA GRANDE OR 97850 X X X X GRANDE RONDE HOSPITAL INC 1 false false true X X X X X X X X X X 12 true false false true X WWW.GRH.ORG X true 13 true WWW.GRH.ORG false false true X 250.000000000000 450.000000000000 X X true true X X X X true X WWWGRHORG X WWWGRHORG X WWWGRHORG X X X X X true X true X X X X true X false true FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 5 IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL CONDUCTED 63 KEY INFORMANT INTERVIEWS IN CONJUNCTION WITH THE OREGON OFFICE OF RURAL HEALTH TO GATHER PRIMARY DATA. KEY LEADERS FROM THE FOLLOWING SEGMENTS OF THE COMMUNITY AT LARGE PARTICIPATED IN THE KEY INFORMANT INTERVIEWS: RELIGIOUS ORGANIZATIONS, SOCIAL SERVICES, HEALTHCARE PROVIDERS, BUSINESSES AND LARGE EMPLOYERS, ECONOMIC ORGANIZATIONS, POLITICAL COMMUNITY AND ELECTED OFFICIALS, ELDERLY/SENIORS, LOW-INCOME, CHILDREN, DISABLED/SPECIAL NEEDS, WORKING CLASS/GENERAL POPULATION, AND LATINO. THE HOSPITAL ALSO CONTRACTED WITH NORTHEAST OREGON NETWORK (NEON) TO CONDUCT TWO FOCUS GROUPS - ONE FOR SENIORS AND ONE FOR WORKING FAMILIES. MEMBERS OF THE COMMUNITY AT LARGE ALSO PARTICIPATE ON THE COMMUNITY BENEFIT SUBCOMMITTEE. THEY ARE REPRESENTATIVES OF VARIOUS LOCAL ORGANIZATIONS INCLUDING THE DEPARTMENT OF HUMAN SERVICES, THE CENTER FOR HUMAN DEVELOPMENT (UNION COUNTY PUBLIC HEALTH DEPARTMENT), GENERAL CITIZENS AND RELIGIOUS LEADERS. FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 11 THERE WERE SIX HEALTH CARE NEEDS IDENTIFIED BY THE CHNA. THE HOSPITAL HAS AN IMPLEMENTATION STRATEGY AND ASSOCIATED COMMUNITY BENEFIT PLAN WITH OBJECTIVES TO ADDRESS THESE NEEDS. TWO OF THE IDENTIFIED NEEDS - OBESITY AND RELATED CONDITIONS AND CANCER ARE NOT DIRECTLY BEING ADDRESSED THROUGH SPECIFIC OBJECTIVES OR NEW INITIATIVES DUE TO LIMITED RESOURCES BUT THE HOSPITAL IS INDIRECTLY ADDRESSING THESE NEEDS THROUGH SEVERAL OF ITS OBJECTIVES RELATED TO ESTABLISHING THE PATIENT CENTERED PRIMARY CARE MEDICAL HOME AS WELL AS CLASSES ON HEALTHY LIVING AS REFERENCED IN THE PREVENTIVE CARE SECTION. FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 22D THE HOSPITAL HAS A POLICY THAT GRANTS PATIENTS WITHOUT HEALTH INSURANCE A 10% DISCOUNT. THE DISCOUNT IS GREATER THAN THE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. IN ADDITION, ACCOUNTS WITH APPROVED FINANCIAL ASSISTANCE, CHARGES ARE REDUCED BY AN APPROVED DISCOUNT PERCENTAGE WHICH IS GREATER THAN THE ALLOWED DISCOUNT ON ANY COMMERCIAL CONTRACTS. FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 24 PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE RECEIVE DISCOUNTED CARE FOR MEDICALLY NECESSARY TREATMENT. SERVICES PROVIDED THAT ARE DETERMINED AS ELECTIVE OR MEDICALLY UNNECESSARY MAY BE CHARGED AT FULL PRICE. MEDICAL NECESSITY IS DETERMINED THROUGH AN INTERNAL COMMITTEE WHICH USES MEDICAID SERVICES AS THE BASIS FOR ALLOWABLE SERVICES. 6 GRANDE RONDE HOSPITAL REGIONAL MEDI 506 4TH STREET LA GRANDE OR 97850 PHYSICIAN CLINIC GRANDE RONDE HOSPITAL REGIONAL MEDI 710 SUNSET DRIVE LA GRANDE OR 97850 PHYSICIAN CLINIC GRANDE RONDE HOSPITAL WOMENS CLINIC 610 SUNSET DRIVE LA GRANDE OR 97850 PHYSICIAN CLINIC GRANDE RONDE HOSPITAL CHILDRENS 612 SUNSET DRIVE LA GRANDE OR 97850 PHYSICIAN CLINIC GRANDE RONDE HOSPITAL HOME CARE 2502 COVE AVENUE LA GRANDE OR 97850 HOME HEALTH & HOSPICE GRANDE RONDE HOSPITAL SLEEP CLINIC 701 SUNSET DRIVE LA GRANDE OR 97850 SLEEP CLINIC PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES, LESS NON-PATIENT CARE ACTIVITIES AND TOTAL COMMUNITY BENEFIT EXPENSES) FOR LINES 7A AND 7B. THE COSTS ON LINE 7E, 7F AND 7I INCLUDE THE DIRECT AND INDIRECT COSTS AS ALLOWED FOR IN WORKSHEETS 4, 5 AND 8. LINE 7G UTILIZED A COST-TO-CHARGE RATIO USING THE MEDICARE COST REPORT AS FILED. PART II - COMMUNITY BUILDING ACTIVITIES THE HOSPITAL DONATED PROPERTY AND OTHER ITEMS TO VARIOUS LOCAL NON-PROFIT AGENCIES. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE HOSPITAL USED THE RATIO OF PATIENT CARE COSTS-TO-CHARGES TO DETERMINE THE COST OF BAD DEBT EXPENSE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE ESTIMATED AMOUNT OF BAD DEBT THAT IS ATTRIBUTED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS EQUAL TO THE AVERAGE OF ACTUAL DISCOUNTS ON FULLY EXECUTED PATIENT ACCOUNTS WITH FINANCIAL ASSISTANCE. THE RATE FOR THE TAX YEAR IS 84.72%. THE RATIONALE FOR APPLYING THE SAME AVERAGE DISCOUNT AMOUNT TO BAD DEBT IS DUE TO THE FACT THAT MULTIPLE FINANCIAL APPLICATIONS ARE SENT TO THE FINANCIAL GUARANTOR PRIOR TO DETERMINING BAD DEBT STATUS. THEREFORE, IF ALL APPLICATIONS WERE TO BE RETURNED, THE EXPERIENCE RATE IS ESTIMATED TO BE SIMILAR. NO BAD DEBT WAS CLASSIFIED AS A COMMUNITY BENEFIT. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS PATIENT RECEIVABLES AND CREDIT POLICY FOOTNOTE: "PATIENT RECEIVABLES ARE UNCOLLATERALIZED PATIENT AND THIRD-PARTY PAYOR OBLIGATIONS. THE HOSPITAL DOES NOT CHARGE INTEREST ON PAST DUE ACCOUNTS. PAYMENTS OF PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED ON THE REMITTANCE ADVICE. THE CARRYING AMOUNT OF PATIENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENT'S BEST ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND THIRD-PARTY PAYORS. MANAGEMENT REVIEWS PATIENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND UNCOLLECTIBLE AMOUNTS DUE TO BAD DEBTS. MANAGEMENT CONSIDERS HISTORICAL WRITE-OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION." PART III, LINE 8 - MEDICARE EXPLANATION ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. PART VI, LINE 2 - NEEDS ASSESSMENT THE BOARD ESTABLISHED COMMUNITY BENEFIT SUBCOMMITTEE ENGAGES EXTERNAL CONSULTANTS TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT. DATA WAS COLLECTED THROUGH RESEARCH OF EXISTING SOURCES AND BY GATHERING COMMUNITY INPUT THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. THE DATA WAS UTILIZED IN PRIORITIZING THE NEEDS OF THE COMMUNITY AND USED IN DISTRIBUTING COMMUNITY GRANTS. THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY AND CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.GRH.ORG/COMMUNITY-BENEFIT.ASPX. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE INFORMED OF THE HOSPITALS FINANCIAL ASSISTANCE PROGRAM VERBALLY AT ADMISSION AS WELL AS THROUGH LITERATURE PROVIDED IN THE ADMITTING AREAS OF PATIENT CARE FACILITIES. IN ADDITION, ALL ACCOUNTS THAT ARE TURNED OVER TO INTERNAL COLLECTIONS RECEIVE A FINANCIAL ASSISTANCE APPLICATION THROUGH THE MAIL WHICH IS FOLLOWED-UP WITH A TELEPHONE CALL. PART VI, LINE 4 - COMMUNITY INFORMATION GRANDE RONDE HOSPITAL, INC. IS LOCATED IN UNION COUNTY, OREGON, WHICH IS ISOLATED BY MOUNTAIN RANGES IN BOTH FREEWAY DIRECTIONS. THE MOUNTAIN PASSES ARE FREQUENTLY CLOSED DURING THE WINTER. GRANDE RONDE HOSPITAL IS LOCATED 42 MILES AWAY AND 50 MILES AWAY FROM ITS TWO CLOSEST HOSPITALS. THE CLOSEST REFERRAL HOSPITAL IS 87 MILES AWAY. THE HOSPITAL ALSO REFERS CARE TO BOISE, IDAHO, AND PORTLAND, OREGON, WHICH ARE 3 AND 4 HOURS AWAY RESPECTIVELY. THE APPROXIMATE POPULATION BASE FOR THE HOSPITALS PRIMARY SERVICE AREA IS 26,485 WITH A REGIONAL SERVICE AREA OF 49,650. FOR THE PRIMARY SERVICE AREA OF UNION COUNTY, THE AGE IN YEARS OF THE POPULATION IS 6.1% UNDER 5, 22.0% UNDER 18, 53.8% UNDER 65 AND 18.1% OVER 65. THE RACIAL MAKEUP OF THE COUNTY IS 93.3% WHITE, 0.6% BLACK OR AFRICAN AMERICAN, 1.2% NATIVE AMERICAN, 1.1% ASIAN, 1.3% PACIFIC ISLANDER, AND 2.5% FROM TWO OR MORE RACES. ADDITIONALLY, THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY 42,542 WITH 13.8% OF THE POPULATION LIVING BELOW THE POVERTY LEVEL AS ESTIMATED THROUGH 2013. DURING THE FISCAL YEAR, THE COUNTYS SEASONALLY ADJUSTED UNEMPLOYMENT RATE HAS BEEN AS HIGH AS 7.5% AND AS LOW AS 5.8% AND WAS AT 5.8% AT YEAR END. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH GRANDE RONDE HOSPITAL, INC. HAS AN ELEVEN MEMBER BOARD OF TRUSTEES THAT GOVERNS ITS ACTIVITIES. OF THOSE ELEVEN MEMBERS, NINE ARE FROM THE COMMUNITY AT LARGE. THE REMAINING TWO MEMBERS ARE THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE PROFESSIONAL STAFF PRESIDENT. THE NINE COMMUNITY MEMBERS USE THEIR UNIQUE EXPERIENCE AND ABILITIES TO LEAD THE HOSPITAL IN DIRECTIONS THAT SUPPORT THE NEEDS OF THE COMMUNITY. THE STATED MISSION OF THE ORGANIZATION IS AS FOLLOWS: "WE WILL ENSURE ACCESS TO HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES." PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM THE HOSPITAL IS AFFILIATED WITH SAINT ALPHONSUS HEALTH SYSTEM WHICH IS A MEMBER OF THE TRINITY HEALTHCARE SYSTEM IN A NON-MANAGEMENT CAPACITY. THE AFFILIATION IS FOR THE BENEFIT OF IMPROVING HEALTHCARE AND PROVIDING ACCESS TO AFFORDABLE SPECIALIZED CARE TO THE RURAL COMMUNITY. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT OREGON X X X X X false false false false false false false true false STEVEN HUNSAKER TRUSTEE 258687 12068 26000 13000 12350 322105 RONALD REYNOSO MD TRUSTEE 247997 1500 26000 13000 34698 323195 JAMES MATTES PRESIDENT/CEO 247232 24500 20650 34251 326633 WADE WEIS CFO 146988 11872 8480 35045 202385 BENJAMIN OLSON PHYSICIAN 461417 65800 17500 13000 32790 590507 SEYMOUR BRONSTEIN PHYSICIAN 354987 100000 23000 13000 27263 518250 ANDREW PEARSON PHYSICIAN 259473 148451 17500 13000 29280 467704 STACY WHITAKER PHYSICIAN 247851 148255 17500 13000 29280 455886 CHRISTOPHER WOODWORTH PHYSICIAN 253973 102151 23000 13000 31823 423947 DALE ROBINSON MD TRUSTEE 244362 3288 23000 13000 30000 313650 SCHEDULE J, PAGE 1, PART I, LINE 7 CERTAIN MEDICAL PROVIDERS ARE COMPENSATED BASED ON THE GROSS PROFESSIONAL CHARGES GENERATED BY THEIR SERVICES. BENJAMIN OLSON HIGHEST COMPENSATED EDUCATION LOAN X 100000 55140 false true true RONALD REYNOSO MD TRUSTEE EDUCATION LOAN X 42527 39426 false true true 94566 TRISHA ALEXANDER FAMILY MEMBER 105541 COMPENSATION false FORM 990, PAGE 2, PART III, LINE 4A ADDITIONALLY, GRH PROVIDED SERVICES TO 226 PATIENTS IN THE HOME HEALTH PROGRAM, 125 PATIENTS IN THE HOSPICE PROGRAM AS WELL AS RECORDING 60,833 VISITS TO ITS PROVIDER-BASED CLINICS. DURING THE TAX YEAR, GRH WAS ABLE TO PROVIDE CHARITY CARE SERVICES TO THOSE WHO COULD NOT OTHERWISE AFFORD NECESSARY MEDICAL CARE. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 1,717,323 FOR CHARITY CARE, 17,300,868 FOR MEDICARE, 10,418,335 FOR MEDICAID, AND 5,980,095 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED APRIL 30, 2015. ADDITIONALLY, GRH PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS AVAILABLE ON THE HOSPITAL'S WEB SITE AND UPON REQUEST. THE REPORT PROVIDES ADDITIONAL DETAILS REGARDING ITS SERVICES AND ACTIVITIES. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE SENIOR DIRECTOR OF FINANCE/CFO WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A REVISED DRAFT IS THEN REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER. FORM 990, PAGE 6, PART VI, LINE 12C EACH CURRENT MANAGER AND EACH CURRENT AND FORMER OFFICER, TRUSTEE, DIRECTOR, AND KEY EMPLOYEE ARE REQUIRED TO COMPLETE A DISCLOSURE STATEMENT IDENTIFYING ANY POSSIBLE CONFLICT OF INTEREST EACH FISCAL YEAR. THE FORMS ARE REVIEWED BY THE CORPORATION'S COMPLIANCE OFFICER AND/OR THE BOARD OF TRUSTEES. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, A DISINTERESTED PERSON OR COMMITTEE IS APPOINTED TO INVESTIGATE ALTERNATIVES TO THE BUSINESS TRANSACTION OR ARRANGEMENT IF A REASONABLE ALTERNATIVE IS NOT ATTAINABLE, A DECISION IS MADE AS TO WHETHER THE ARRANGEMENT IS FAIR AND REASONABLE AND IN THE CORPORATION'S BEST INTEREST, AND THEREFORE WHETHER OR NOT TO ENTER INTO THE BUSINESS TRANSACTION IN CONFORMITY WITH SUCH DETERMINATIONS. FORM 990, PAGE 6, PART VI, LINE 15A THE HOSPITAL BOARD OF TRUSTEES APPOINTS INDEPENDENT INDIVIDUAL TRUSTEES TO THE CONTRACT AND COMPENSATION COMMITTEE. THE COMMITTEE DIRECTS THE PROCESS TO ESTABLISH REASONABLE COMPENSATION FOR THE PRESIDENT/CEO, CFO, EXECUTIVES, AND KEY EMPLOYEES. THE COMMITTEE ANNUALLY EVALUATES THE COMPENSATION OF THESE INDIVIDUALS AS COMPARED TO FAIR MARKET VALUE. AN INDEPENDENT THIRD-PARTY CONSULTANT IS HIRED AS NEEDED TO CONDUCT A FULL SALARY AND BENEFITS SURVEY OF COMPARABLE ORGANIZATIONS AND TO RECOMMEND COMPENSATION RANGES FOR THESE INDIVIDUALS. THE COMMITTEE ANALYZES THE RESULTS OF THE THIRD-PARTY SURVEY AND/OR MARKET UPDATE REPORT AND DECIDES ON A RECOMMENDED COMPENSATION PACKAGE FOR THE PRESIDENT/CEO AND CFO. THESE RECOMMENDATIONS ARE THEN PRESENTED TO THE BOARD OF TRUSTEES FOR APPROVAL. ALL FINAL DECISIONS ARE MADE IN EXECUTIVE SESSION AND ARE DOCUMENTED IN DETAILED MINUTES. AFTER REVIEWING THE RESULTS OF THE SURVEY, THE COMMITTEE DECIDES ON AND PRESENTS A SALARY RANGE FOR EACH EXECUTIVE AND KEY EMPLOYEE TO THE PRESIDENT/CEO, WHO THEN DETERMINES EACH INDIVIDUAL'S COMPENSATION WITHIN THE COMMITTEE'S RECOMMENDED RANGE. THE BOARD OF TRUSTEES APPROVES THE BENEFITS AND PERQUISITES FOR THESE INDIVIDUALS. FORM 990, PAGE 6, PART VI, LINE 15B SEE ABOVE EXPLANATION - FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE HOSPITAL'S FORM 1023 AND THREE MOST RECENT FORM 990'S ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST, WHICH CAN BE MADE EITHER IN PERSON, BY US MAIL, FAX, EMAIL, OR BY PRIVATE DELIVERY SERVICE. ADDITIONALLY, THE FORM 990 IS AVAILABLE AT WWW.GUIDESTAR.COM. THE HOSPITAL DOES NOT MAKE AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, OR FINANCIAL STATEMENTS, ALTHOUGH LIMITED FINANCIAL INFORMATION IS PROVIDED TO THE PUBLIC ON THE HOSPITAL'S WEB SITE, WWW.GUIDESTAR.COM, AND THE OREGON DEPARTMENT OF JUSTICE CHARITABLE ACTIVITIES WEBSITE. FORM 990, PART XI, LINE 9 CHANGE IN BENEFICIAL INTEREST IN TRUST 49,512 GRANDE RONDE HOSPITAL FOUNDATION 900 SUNSET DRIVE LA GRANDE OR 97850 931174357 SUPPORT OR C3 11A N/A true GRANDE RONDE HOSPITAL AUXILIARY 900 SUNSET DRIVE LA GRANDE OR 97850 237090684 SUPPORT OR C3 11B N/A true EASTERN OREGON COORDINATED CARE ORGANIZATION LLC 601 SW SECOND AVENUE PORTLAND OR 97204 800835179 HEALTHCARE OR NA RELATED 1852704 2504889 false false 0.10000 DISPROPORTIONATE SHARE HOSPITAL DISPROPORTIONATE SHARE HOSPITAL 4000 KRUSEWAY PLACE BLDG 2 SUIET 100 LAKE OSWEGO OR 97035 456822739 HEALTHCARE OR NA TRUST false false true true false false false false false false true false false true true true false true false false GRANDE RONDE HOSPITAL FOUNDATION C 190242 ACTUAL COST THE HOSPITAL TIMELY E-FILED THE FYE2015 IRS FORM 990 ON DECEMBER 11, 2015, BEFORE THE EXTENDED DUE DATE WITH SUBID=91557420153450001924. THE RETURN WAS ULTIMATELY REJECTED DUE TO A PROBLEM WITH E-FILING OF THE SCHEDULE H, PART V, SECTION B, LINE 10 INCLUDED WITH THE RETURN. A PAPER RETURN WAS THEN FILED THE SAME DAY TO ENSURE THE RETURN WAS FILED BY THE EXTENDED DUE DATE. THE PREPARER WAS SUBSEQUENTLY ADVISED BY AN IRS AGENT IN CASE IM185306 A WAY TO E-FILE THE RETURN THAT WAS THEN ACCEPTED BY THE IRS ON MAY 17, 2016.