2014-12-09T16:29:19-06:00 2014-04-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2013-05-01 930505325 GRANDE RONDE HOSPITAL INC GRAN 5419638421 PO BOX 3290 LA GRANDE OR 97850 JAMES A MATTES PRESIDENT/CEO 5419638421 2014-12-09 true THOMAS DINGUS P00951009 5092420874 2014-12-09 2013 2015-11-30 17:44:51Z JAMES A MATTES PO BOX 3290 LA GRANDE OR 97850 77669666 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 7 635 115 0 440155 355129 65833921 68246819 878494 1817053 606121 676395 67758691 71095396 0 0 45284497 45908769 0 101043 19919521 20131959 65204018 66040728 2554673 5054668 78473193 84433364 7903222 8131339 70569971 76302025 X TO ENSURE ACCESS TO HIGH-QUALITY, COST EFFECTIVE HEALTHCARE IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES. true false 58740841 68246819 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 1,512 INPATIENTS, 39,037 OUTPATIENTS, 12,203 EMERGENCY PATIENTS, AND REGISTERED 248 BIRTHS. ADDITIONALLY, GRH PROVIDED SERVICES TO 150 PATIENTS IN THE HOME HEALTH PROGRAM, 106 PATIENTS IN THE HOSPICE PROGRAM AS WELL AS RECORDING 55,438 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 3,437,431 FOR CHARITY CARE, 16,366,679 FOR MEDICARE, 6,704,140 FOR MEDICAID, AND 5,891,528 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED APRIL 30, 2014. 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. 58740841 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 false false false true false false false false false false true true true false false true 98 0 true 635 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 JAMES MATTES PRESIDENT/CE 40.00 X X 306325 0 49269 DALE ROBINSON MD TRUSTEE 40.00 X 266137 0 39792 RONALD REYNOSO MD TRUSTEE 40.00 X 254320 0 39119 BURR BETTS PHD CHAIR 10.00 X X 0 0 0 STEVE LYON VICE-CHAIR 3.00 X X 0 0 0 BRAD TRISLER SECRETARY 3.00 X X 0 0 0 BOB MESSINGER TRUSTEE 3.00 X 0 0 0 BOB SEYMOUR TRUSTEE 3.00 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 150461 0 37731 SEYMOUR BRONSTEIN PHYSICIAN 40.00 X 474929 0 30191 CHADLER BURGOYNE PHYSICIAN 40.00 X 455140 0 30517 RODRIGO LIM PHYSICIAN 40.00 X 368056 0 37416 STACY WHITAKER PHYSICIAN 40.00 X 365973 0 39072 CHRISTOPHER WOODWORTH PHYSICIAN 40.00 X 352699 0 41615 2994040 344722 74 false true false MCKESSON INFORMATION SOLUTIONS PO BOX 98347 CHICAGO IL 60693 HIS CONSULTING 955715 PHILIPS HEALTHCARE PO BOX 100355 ATLANTA GA 30384 HIS INSTALL 564109 FORTIS CONSTRUCTION INC 1705 SW TAYLOR ST SUITE 200 PORTLAND OR 97205 CONSTRUCTION 474179 RELAY HEALTH 5995 WINDWARD PARKWAY ATLANTA GA 30005 BILLING SERVICE 282888 KFORCE INC 1001 E PALM AVENUE TAMPA FL 33605 CODING SERVICES 279467 19 63592 283450 8087 355129 NET PATIENT SERVICE REVENUE 624100 68226564 68226564 EDUCATION AND OTHER PATIENT 624100 20255 20255 68246819 489695 489695 61669 25976 35693 35693 35693 7837395 1274 6501862 9449 1335533 -8175 1327358 1327358 83827 36983 46844 46844 OTHER REVENUE 900099 252000 252000 CAFETERIA REVENUE 900099 212969 212969 REBATES & DISCOUNTS 900099 89731 89731 39158 39158 593858 71095396 68246819 2493448 1143088 627669 515419 35250860 31041357 4157073 52430 1758406 1541503 215852 1051 5088618 4166156 914673 7789 2667797 2277510 386098 4189 189564 189564 144290 144290 62145 62145 4156599 3644297 505634 6668 155247 356 154891 1640722 1259613 374362 6747 1020756 755951 263258 1547 351810 286576 63365 1869 234028 177184 56844 4351752 3762881 586496 2375 603578 503889 99689 MEDICAL SUPPLIES 5476963 5476963 OTHER EXPENSES 929764 463903 458376 7485 REPAIRS & MAINTENANCE 814741 796523 13333 4885 INDIRECT ALLOCATION 1958510 -1962518 4008 66040728 58740841 7198844 101043 8301403 8425686 6010212 6341765 9757935 9976389 146894 888295 964903 566855 855873 84561916 51042315 31663977 33519601 19817423 22612220 1467093 1590033 78473193 84433364 6363270 6604858 840176 1041206 155824 543952 485275 7903222 8131339 X 69341235 75308416 1228736 993609 70569971 76302025 78473193 84433364 5054668 590887 86499 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11836 11836 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 40796622 22951589 17845033 3210438 2568495 641943 37626580 25522231 12104349 1738602 1738602 33519601 THIRD-PARTY PAYOR SETTLEMENTS 305275 MEDICAL MALPRACTICE PAYABLE 180000 485275 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 true X true true true false true true 2096833 165126 1931707 0.02930 10926266 10926266 13023099 11091392 1931707 0.02930 754797 1000 753797 0.01140 304680 24000 280680 0.00430 1022951 362668 660283 0.01000 32455 32455 0.00050 2114883 387668 1727215 0.02620 15137982 11479060 3658922 0.05540 13067 13067 0.00020 13067 13067 0.00020 true 1609881 1377897 21028114 21150993 -122879 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 true X X X X X X X X X X 12 true false true X WWW.GRH.ORG X X X X X X X X false false true true 200.000000000000 true 400.000000000000 true X X X true true X X X X X true false X X X X true X false true FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 3 IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL CONDUCTED 61 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 6I THE CHNA WAS DEVELOPED AND APPROVED BY THE BOARD OF TRUSTEES DURING TAX YEAR 2012. THE COMMUNITY BENEFITS SUBCOMMITTEE DEVELOPED AN IMPLEMENTATION STRATEGY WITH EXECUTION TO FOLLOW OVER THE NEXT 3 TAX YEARS. FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 7 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 20D 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 22 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. 7 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 812 SUNSET DRIVE LA GRANDE OR 97850 HOME HEALTH & HOSPICE GRANDE RONDE HOSPITAL SLEEP CLINIC 701 SUNSET DRIVE LA GRANDE OR 97850 SLEEP CLINIC GRANDE RONDE HOSPITAL CLINIC 700 SUNSET DRIVE LA GRANDE OR 97850 PHYSICIAN 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 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 85.59%. 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 IS COLLECTED THROUGH RESEARCH OF EXISTING SOURCES AND BY GATHERING COMMUNITY INPUT THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. THE DATA IS 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 26,325 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 93.5% WHITE, 0.7% BLACK OR AFRICAN AMERICAN, 1.3% NATIVE AMERICAN, 1.1% ASIAN, 1.2% PACIFIC ISLANDER, AND 2.4% FROM TWO OR MORE RACES. ADDITIONALLY, THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY 41,784 WITH 17.2% OF THE POPULATION LIVING BELOW THE POVERTY LEVEL AS ESTIMATED THROUGH 2012. DURING THE FISCAL YEAR, THE COUNTYS SEASONALLY ADJUSTED UNEMPLOYMENT RATE HAS BEEN AS HIGH AS 8.3% AND AS LOW AS 7.3% AND WAS AT 7.3% 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 JAMES MATTES PRESIDENT/CEO 281825 24500 20400 28869 355594 DALE ROBINSON MD TRUSTEE 248637 17500 12750 27042 305929 RONALD REYNOSO MD TRUSTEE 236820 17500 12750 26369 293439 WADE WEIS CFO 137665 12796 8068 29663 188192 SEYMOUR BRONSTEIN PHYSICIAN 351929 100000 23000 12750 17441 505120 CHADLER BURGOYNE PHYSICIAN 416340 21300 17500 7982 22535 485657 RODRIGO LIM PHYSICIAN 266751 81325 19980 11094 26322 405472 STACY WHITAKER PHYSICIAN 243174 105299 17500 12750 26322 405045 CHRISTOPHER WOODWORTH PHYSICIAN 249221 80478 23000 12750 28865 394314 SCHEDULE J, PAGE 1, PART I, LINE 7 CERTAIN MEDICAL PROVIDERS ARE COMPENSATED BASED ON THE GROSS PROFESSIONAL CHARGES GENERATED BY THEIR SERVICES. TRISHA ALEXANDER FAMILY MEMBER 108716 COMPENSATION false FORM 990, PAGE 2, PART III, LINE 2 DURING THE TAX YEAR, GRANDE RONDE HOSPITAL, INC. ADDED NEW SERVICES TO INCLUDE SWING BED AND MENTAL HEALTH CLINIC SERVICES. FORM 990, PAGE 2, PART III, LINE 4A ADDITIONALLY, GRH PROVIDED SERVICES TO 150 PATIENTS IN THE HOME HEALTH PROGRAM, 106 PATIENTS IN THE HOSPICE PROGRAM AS WELL AS RECORDING 55,438 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 3,437,431 FOR CHARITY CARE, 16,366,679 FOR MEDICARE, 6,704,140 FOR MEDICAID, AND 5,891,528 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED APRIL 30, 2014. 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 CHAIR OF 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 86,499 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 false true true false false false false false false true false false true true true false true false false GRANDE RONDE HOSPITAL FOUNDATION C 63592 ACTUAL COST