GRANDE RONDE HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GRANDE RONDE HOSPITAL INC (EIN 93-0505325)
- Tax period
- 2012-05-01 to 2013-04-30
- Filed
- 2013-12-13
- IRS object ID
- 201303479349300030
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-12-13T11:39:25-06:00 | Timestamp |
| Tax Period End Date | 2013-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN STE A | AddressLine1 |
| City | SPOKANE VALLEY | City |
| State | WA | State |
| ZIP Code | 99206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930505325 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANDE RONDE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GRAN | NameControl |
| Phone | 5419638421 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3290 | AddressLine1 |
| City | LA GRANDE | City |
| State | OR | State |
| ZIP Code | 97850 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES A MATTES | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 5419638421 | Phone |
| Date Signed | 2013-12-10 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS DINGUS | Name |
| Phone | 5092420874 | Phone |
| Date Prepared | 2013-12-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES A MATTES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3290 | AddressLine1 |
| City | LA GRANDE | City |
| State | OR | State |
| ZIP Code | 97850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 70239873 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GRH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1962 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | TO ENSURE ACCCESS TO HIGH-QUALITY, COST EFFECTIVE HEALTH SERVICES IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 627 | TotalNbrEmployees |
| Total Nbr Volunteers | 112 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 643101 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 440155 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 65198222 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 65833921 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 541560 | InvestmentIncomePriorYear |
| Investment Income Current Year | 878494 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 697217 | OtherRevenuePriorYear |
| Other Revenue Current Year | 606121 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 67080100 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67758691 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 14517 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 41815762 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 45284497 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 73963 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 21724651 | OtherExpensePriorYear |
| Other Expenses Current Year | 19919521 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 63554930 | TotalExpensesPriorYear |
| Total Expenses Current Year | 65204018 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3525170 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2554673 | RevenuesLessExpensesCY |
| Total Assets BOY | 74115027 | TotalAssetsBOY |
| Total Assets EOY | 78473193 | TotalAssetsEOY |
| Total Liabilities BOY | 7475433 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7903222 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 66639594 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 70569971 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO ENSURE ACCCESS TO HIGH-QUALITY, COST EFFECTIVE HEALTH SERVICES IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 57144164 | Expense |
| Revenue | 66092575 | Revenue |
| Description | GRANDE RONDE HOSPITAL, INC (GRH) IS DEDICATED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES 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 SUPPORTS A TELEMEDICINE PROGRAM WHICH ENABLES PATIENTS TO OBTAIN THE SERVICES OF SPECIALITSTS SUCH AS ICU INTENSIVISTS, CARDIOLOGISTS, NEONATOLOGISTS, AND DERMATOLOGISTS THAT THEY WOULD OTHERWISE HAVE TO TRAVEL OUT OF THE AREA TO VISIT. DURING THE TAX YEAR, GRH SERVED 1,689 INPATIENTS, 39,316 OUTPATIENTS, 12,660 EMERGENCY PATIENTS, AND DELIVERED 266 BABIES. ADDITIONALLY, GRH PROVIDED 2,587 HOME HEALTH VISITS, 3,457 HOSPICE VISITS, AND 52,041 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 OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 3,530,231 FOR CHARITY CARE, 16,971,309 FOR MEDICARE, 6,045,486 FOR MEDICAID, AND 5,003,503 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED APRIL 30, 2013. ADDITIONALLY, GRH PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS AVAILABLE UPON REQUEST AND PROVIDES ADDITIONAL DETAIL REGARDING ITS SERVICES AND ACTIVITIES. | Description |
| Total Program Service Expense | 57144164 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 115 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 627 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GRANDE RONDE HOSPITAL INC | NamePerson |
| Telephone Number | 5419638421 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 SUNSET DRIVE | AddressLine1 |
| City | LA GRANDE | City |
| State | OR | State |
| ZIP Code | 97850 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JAMES MATTES | |||||||
| PRESIDENT/CE | 40.00 | X | X | 290767 | 0 | 46173 | |
| DALE ROBINSON MD | |||||||
| TRUSTEE | 40.00 | X | 286751 | 0 | 37941 | ||
| BETSY NEELEY MD | |||||||
| TRUSTEE | 3.00 | X | 196824 | 0 | 34625 | ||
| 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 | ||
| LYNN HARRIS DMD | |||||||
| 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 | 143801 | 0 | 35224 | ||
| CHADLER BURGOYNE | |||||||
| PHYSICIAN | 40.00 | 550855 | 0 | 40252 | X | ||
| BRIAN AFFLECK | |||||||
| PHYSICIAN | 40.00 | 469498 | 0 | 37126 | X | ||
| SEYMOUR BRONSTEIN | |||||||
| PHYSICIAN | 40.00 | 467864 | 0 | 22953 | X | ||
| RODRIGO LIM | |||||||
| PHYSICIAN | 40.00 | 432572 | 0 | 37126 | X | ||
| STACY WHITAKER | |||||||
| PHYSICIAN | 40.00 | 361276 | 0 | 37126 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3200208 | TotalReportableCompFromOrg |
| Total Other Compensation | 328546 | TotalOtherCompensation |
| Number Individuals GT100 K | 57 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PHILIPS HEALTHCARE | |||||
| PO BOX 100355 | ATLANTA | GA | 30384 | HIS INSTALL | 1261225 |
| MCKESSON INFORMATION SOLUTIONS | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | HIS CONSULTING | 860010 |
| EDMONDSON DL | |||||
| 71441 SUMMERVILLE RD | SUMMERVILLE | OR | 97876 | CONSTRUCTION | 350638 |
| DAVIDSON DAN CONSTRUCTION INC | |||||
| PO BOX 217 | LA GRANDE | OR | 97850 | CONSTRUCTION | 296354 |
| INTERPATH LABORATORY INC | |||||
| PO BOX 1208 | PENDLETON | OR | 97801 | LAB TESTING | 248858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Related Organizations | 204865 | RelatedOrganizations |
| Government Grants | 235290 | GovernmentGrants |
| Total Contributions | 440155 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | 65806038 | 65806038 |
| EDUCATION AND OTHER PATIENT | 624100 | 27883 | 27883 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 65833921 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 619840 | TotalRevenueColumn |
| Exclusion | $619,840 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 117814 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 36680 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 81134 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 81134 | TotalRevenueColumn |
| Exclusion | $81,134 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2676641 | Securities |
| Other | 6350 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2424337 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 252304 | Securities |
| Other | 6350 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 258654 | TotalRevenueColumn |
| Related Or Exempt Function Income | 258654 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 44994 | GrossSalesOfInventory |
| Cost Of Goods Sold | 20165 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24829 | TotalRevenueColumn |
| Exclusion | $24,829 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA REVENUE | 722210 | 211486 | $211,486 |
| REBATES & DISCOUNTS | 900099 | 144056 | $144,056 |
| OTHER REVENUE | 900099 | 110955 | $110,955 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33661 | TotalRevenueColumn |
| Exclusion | $33,661 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 500158 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67758691 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66092575 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,225,961 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1016456 | Total |
| Program Services | 522229 | ProgramServices |
| Management And General | 494227 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34433021 | Total |
| Program Services | 30332587 | ProgramServices |
| Management And General | 4067213 | ManagementAndGeneral |
| Fundraising | 33221 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1839507 | Total |
| Program Services | 1621890 | ProgramServices |
| Management And General | 216149 | ManagementAndGeneral |
| Fundraising | 1468 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5368838 | Total |
| Program Services | 4380283 | ProgramServices |
| Management And General | 976741 | ManagementAndGeneral |
| Fundraising | 11814 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2626675 | Total |
| Program Services | 2232344 | ProgramServices |
| Management And General | 391024 | ManagementAndGeneral |
| Fundraising | 3307 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176798 | Total |
| Management And General | 176798 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89934 | Total |
| Management And General | 89934 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87155 | Total |
| Management And General | 87155 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3894219 | Total |
| Program Services | 3342582 | ProgramServices |
| Management And General | 546830 | ManagementAndGeneral |
| Fundraising | 4807 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148018 | Total |
| Program Services | 345 | ProgramServices |
| Management And General | 147673 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1790292 | Total |
| Program Services | 1324011 | ProgramServices |
| Management And General | 464491 | ManagementAndGeneral |
| Fundraising | 1790 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 907886 | Total |
| Program Services | 701209 | ProgramServices |
| Management And General | 205254 | ManagementAndGeneral |
| Fundraising | 1423 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357976 | Total |
| Program Services | 282132 | ProgramServices |
| Management And General | 74273 | ManagementAndGeneral |
| Fundraising | 1571 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192283 | Total |
| Program Services | 134560 | ProgramServices |
| Management And General | 57723 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90 | Total |
| Management And General | 90 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4536174 | Total |
| Program Services | 4185066 | ProgramServices |
| Management And General | 348690 | ManagementAndGeneral |
| Fundraising | 2418 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 588255 | Total |
| Program Services | 490997 | ProgramServices |
| Management And General | 97258 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 5413174 | 5413174 | ||
| REPAIRS & MAINTENANCE | 913167 | 886954 | 23774 | 2439 |
| OTHER EXPENSES | 824100 | 440453 | 375674 | 7973 |
| INDIRECT ALLOCATION | 853348 | -855080 | 1732 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65204018 | Total |
| Program Services | 57144164 | ProgramServices |
| Management And General | 7985891 | ManagementAndGeneral |
| Fundraising | 73963 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6859366 | BOY |
| EOY | 8301403 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4099449 | BOY |
| EOY | 6010212 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8375128 | BOY |
| EOY | 9757935 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 913146 | BOY |
| EOY | 888295 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 632310 | BOY |
| EOY | 566855 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 78437983 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 46774006 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31292691 | BOY |
| EOY | 31663977 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19599851 | BOY |
| EOY | 19817423 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2343086 | BOY |
| EOY | 1467093 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74115027 | BOY |
| EOY | 78473193 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6068805 | BOY |
| EOY | 6363270 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 804480 | BOY |
| EOY | 840176 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 311648 | BOY |
| EOY | 155824 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 290500 | BOY |
| EOY | 543952 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7475433 | BOY |
| EOY | 7903222 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65679556 | BOY |
| EOY | 69341235 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 960038 | BOY |
| EOY | 1228736 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66639594 | BOY |
| EOY | 70569971 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74115027 | BOY |
| EOY | 78473193 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2554673 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1311871 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 63833 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1189674 | OtherCostOrOtherBasis |
| Book Value | 1189674 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39357081 | OtherCostOrOtherBasis |
| Depreciation | 21544251 | Depreciation |
| Book Value | 17812830 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3156183 | OtherCostOrOtherBasis |
| Depreciation | 2427534 | Depreciation |
| Book Value | 728649 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34115170 | OtherCostOrOtherBasis |
| Depreciation | 22802221 | Depreciation |
| Book Value | 11312949 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 619875 | OtherCostOrOtherBasis |
| Book Value | 619875 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 31663977 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THIRD-PARTY PAYOR SETTLEMENTS | Description |
| Amount | $543,952 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 543952 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | 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 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2188743 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 112982 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2075761 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03180 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10196793 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10196793 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12385536 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10309775 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2075761 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03180 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 230224 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 230224 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 255770 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10373 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 245397 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1209840 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 451420 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 758420 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01160 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 876227 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 60 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 876167 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01340 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2572061 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 461853 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2110208 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03240 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14957597 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10771628 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4185969 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06420 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15153 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15153 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15153 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15153 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,169,981 | BadDebtExpenseAmount |
| Amount Attributable To | 1792187 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 22334693 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 22142692 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 192001 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANDE RONDE HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 SUNSET DRIVE | AddressLine1 |
| City | LA GRANDE | City |
| State | OR | State |
| ZIP Code | 97850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANDE RONDE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 150.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COSTTOCHARGES FOR AMOUNTS REPORTED IN THE TABLE TOTAL OPERATING EXPENSES NONPATIENT CARE ACTIVITIES 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 COSTTOCHARGE RATIO USING THE MEDICARE COST REPORT AS FILED |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | THE HOSPITAL USED THE RATIO OF PATIENT CARE COSTSTOCHARGES TO DETERMINE THE COST OF BAD DEBT EXPENSE FOR PART III LINE 3 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 8259 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 FOR PART III LINE 4 PATIENT RECEIVABLES AND CREDIT POLICY FOOTNOTE PATIENT RECEIVABLES ARE UNCOLLATERALIZED PATIENT AND THIRDPARTY 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 MANAGEMENTS BEST ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND THIRDPARTY 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 |
| MEDICARE EXPLANATION | PART III LINE 8 | 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 |
| NEEDS ASSESSMENT | PART VI | THE BOARD ESTABLISHED COMMUNITY BENEFIT SUBCOMMITTEE ENGAGES EXTERNAL CONSULTANTS TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT SECONDARY DATA IS COLLECTED THROUGH RESEARCH OF EXISTING SOURCES AND PRIMARY DATA IS COLLECTED BY GATHERING COMMUNITY INPUT THROUGH PRESENTATIONS AND KEY INFORMANT INTERVIEWS THE DATA IS UTILIZED IN PRIORITIZING THE NEEDS OF THE COMMUNITY AND CREATING THE ASSOCIATED IMPLEMENTATION STRATEGY THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL HTTPWWWGRHORGCOMMUNITYBENEFITASPX |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | PATIENTS ARE INFORMED OF THE HOSPITALS FINANCIAL ASSISTANCE PROGRAM VERBALLY AT ADMISSIONS 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 FOLLOWEDUP WITH A TELEPHONE CALL |
| COMMUNITY INFORMATION | PART VI | 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 ID AND PORTLAND OR WHICH ARE 3 AND 4 HOURS AWAY RESPECTIVELY THE APPROXIMATE POPULATION BASE FOR THE HOSPITALS PRIMARY SERVICE AREA IS 25759 WITH A REGIONAL SERVICE AREA OF 56640 FOR THE PRIMARY SERVICE AREA OF UNION COUNTY THE AGE IN YEARS OF THE POPULATION IS 61 UNDER 5 221 UNDER 18 541 UNDER 65 AND 177 OVER 65 THE RACIAL MAKEUP OF THE COUNTY WAS 938 WHITE 05 BLACK OR AFRICAN AMERICAN 13 NATIVE AMERICAN 10 ASIAN 11 PACIFIC ISLANDER AND 23 FROM TWO OR MORE RACES ADDITIONALLY THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY 40924 WITH 166 OF THE POPULATION LIVING BELOW THE POVERTY LEVEL AS ESTIMATED THROUGH 2011 DURING THE FISCAL YEAR THE COUNTYS SEASONALLY ADJUSTED UNEMPLOYMENT RATE HAS BEEN AS HIGH AS 93 AND AS LOW AS 84 AND WAS AT 84 AT YEAR END |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | 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 PRESIDENTCHIEF 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 HIGHQUALITY COSTEFFECTIVE HEALTH CARE IN A SAFE CUSTOMERFRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | THE HOSPITAL IS AFFILIATED IN A NONMANAGEMENT CAPACITY WITH ST ALPHONSUS HEALTH SYSTEM WHICH IS A MEMBER OF THE TRINITY HEALTHCARE SYSTEM THE AFFILIATION IS FOR THE BENEFIT OF IMPROVING HEALTHCARE AND PROVIDING ACCESS TO AFFORDABLE SPECIALIZED CARE TO THE RURAL COMMUNITY |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | OREGON |
| GRANDE RONDE HOSPITAL INC LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | IN CONDUCTING ITS MOST RECENT CHNA THERE WERE MEMBERS OF THE COMMUNITY AT LARGE THAT PARTICIPATED ON THE COMMUNITY BENEFIT SUBCOMMITTEE SOME OF THE INDIVIDUALS ARE REPRESENTATIVES OF VARIOUS LOCAL ORGANIZATIONS TO INCLUDE THE DEPARTMENT OF HUMAN SERVICES THE CENTER FOR HUMAN DEVELOPMENT UNION COUNTY PUBLIC HEALTH DEPARTMENT IN ADDITION GENERAL CITIZENS AS WELL AS RELIGIOUS LEADERS OF UNION COUNTY WERE INCLUDED |
| GRANDE RONDE HOSPITAL INC LINE NUMBER 1 PART V LINE 7 | PART V LINE 7 | THERE WERE 6 HEALTH NEEDS IDENTIFIED BY THE CHNA THE HOSPITAL IS CURRENTLY IN THE STRATEGY AND IMPLEMENTATION STAGES TO ADDRESS THE NEEDS FROM THE CHNA THAT IT CAN IMPACT THE MOST |
| GRANDE RONDE HOSPITAL INC LINE NUMBER 1 PART V LINE 20D | 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 |
| GRANDE RONDE HOSPITAL INC LINE NUMBER 1 PART V LINE 22 | 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg |
|---|---|---|---|---|---|---|
| JAMES MATTES | ||||||
| PRESIDENTCEO | 266767 | 24000 | 17500 | 28673 | 336940 | |
| DALE ROBINSON MD | ||||||
| TRUSTEE | 235642 | 17000 | 12500 | 25441 | 324692 | 34109 |
| BETSY NEELEY MD | ||||||
| TRUSTEE | 137915 | 22500 | 9999 | 24626 | 231449 | 36409 |
| WADE WEIS | ||||||
| CFO | 131539 | 12262 | 7688 | 27536 | 179025 | |
| CHADLER BURGOYNE | ||||||
| PHYSICIAN | 432474 | 18381 | 12500 | 27752 | 591107 | 100000 |
| BRIAN AFFLECK | ||||||
| PHYSICIAN | 352498 | 17000 | 12500 | 24626 | 506624 | 100000 |
| SEYMOUR BRONSTEIN | ||||||
| PHYSICIAN | 345364 | 22500 | 12500 | 10453 | 490817 | 100000 |
| RODRIGO LIM | ||||||
| PHYSICIAN | 226458 | 16531 | 12500 | 24626 | 469698 | 189583 |
| STACY WHITAKER | ||||||
| PHYSICIAN | 236410 | 17000 | 12500 | 24626 | 398402 | 107866 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NON-FIXED PAYMENTS PROVIDED | Identifier |
| Return Reference | SCHEDULE J, PAGE 1, PART I, LINE 7 | ReturnReference |
| Explanation | CERTAIN MEDICAL PROVIDERS ARE COMPENSATED BASED ON THE GROSS PROFESSIONAL CHARGES GENERATED BY THEIR SERVICES. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TRISHA ALEXANDER | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY MEMBER | Relationship |
| Amount Of Transaction | 111008 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIRST ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | AND 52,041 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 OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 3,530,231 FOR CHARITY CARE, 16,971,309 FOR MEDICARE, 6,045,486 FOR MEDICAID, AND 5,003,503 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR ENDED APRIL 30, 2013. ADDITIONALLY, GRH PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS AVAILABLE UPON REQUEST AND PROVIDES ADDITIONAL DETAIL REGARDING ITS SERVICES AND ACTIVITIES. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE IRS FORM 990 IS REVIEWED AND APPROVED BY THE CEO, CFO, AND BOARD OF TRUSTEES PRIOR TO FILING. INDIVIDUAL BOARD COMMITTEES ARE CHARGED WITH REVIEWING SPECIFIC SECTIONS OF THE 990 AND ITS SUPPLEMENTAL SCHEDULES AS FOLLOWS: FINANCE COMMITTEE - PART VIII-XII AND SCHEDULE D; COMMUNITY BENEFIT SUBCOMMITTEE - SCHEDULE H; GOVERNANCE COMMITTEE - PART I & VI; CONTRACT & COMPENSATION COMMITTEE - SCHEDULE J & OTHER APPLICABLE SECTIONS; AUDIT COMMITTEEE - ENTIRE 990. EACH COMMITTEE ISSUES A RECOMMENDATION OF APPROVAL TO THE FULL BOARD, WHICH THEN VOTES TO APPROVE THE ENTIRE 990 PRIOR TO FILING. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANGEMENT IS SATISFIED WITH THE 990, APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A STATEMENT IDENTIFYING ANY POSSIBLE CONFLICTS OF INTEREST EACH FISCAL YEAR. THE FORMS ARE REVIEWED BY THE CORPORATION'S COMPLIANCE OFFICER AND/OR THE BOARD OF TRUSTEES, WHO THEN DETERMINE(S) IF A CONFLICT OF INTEREST ACTUALLY EXISTS. IF A CONFLICT OF INTEREST IS DETERMINDED 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 COPORATION'S BEST INTEREST, AND THEREFORE WHETHER OR NOT TO ENTER INTO THE BUSINESS TRANSACTION IN CONFORMITY WITH SUCH DETERMINATIONS. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE HOSPITAL BOARD HAS A CONTRACT AND COMPENSATION COMMITTEE MADE UP OF INDEPENDENT TRUSTEES THAT OVERSEES THE PROCESS OF ESTABLISHING 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 EVERY 3 TO 5 YEARS TO CONDUCT A TOTAL COMPENSATION SURVEY OF COMPARABLE ORGANIZATIONS AND TO RECOMMEND COMPENSATION RANGES FOR THESE INDIVIDUALS. IN A YEAR WITHOUT A TOTAL COMPENSATION SURVEY, AN INDEPENDENT THIRD-PARTY CONSULTANT IS HIRED TO COMPLETE A MARKET UPDATE. THE COMMITTEE ANALYZES THE RESULTS OF THE THIRD PARTY SURVEY AND/OR MARKET 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. ADDITIONALLY, AFTER REVIEWING THE RESULTS OF THE FULL SURVEY OR MARKET UPDATE, THE COMMITTEE DECIDES ON AND PRESENTS A SALARY RANGE (25TH TO 75TH PERCENTILE OF THE COMPENSATION RANGE AS DETERMINED BY THE THIRD-PARTY CONSULTANT) 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 ALSO APPROVES BENEFITS AND PERQUISITES FOR THESE INDIVIDUALS. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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 HOSPITAL'S FORM 990'S ARE AVAILABLE ON 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, GUIDESTAR.COM, AND THE OREGON DEPARTMENT OF JUSTICE CHARITABLE ACTIVITIES WEBSITE. |
| RECONCILIATION OF CHANGES - OTHER | FORM 990, PART XI, LINE 9 | CHANGE IN BENEFICIAL INTEREST IN TRUST 63,833 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANDE RONDE HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 204865 | AmountInvolved |
| Method Of Amt Determination | ACTUAL COST | MethodOfAmtDetermination |
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