2013-12-13T11:39:25-06:00 2013-04-30 DINGUS ZARECOR & ASSOCIATES 12015 E MAIN STE A SPOKANE VALLEY WA 99206 990 2012-05-01 930505325 GRANDE RONDE HOSPITAL INC GRAN 5419638421 PO BOX 3290 LA GRANDE OR 97850 JAMES A MATTES 5419638421 2013-12-10 true THOMAS DINGUS 5092420874 2013-12-13 2012 2016-02-25 16:41:14Z JAMES A MATTES PO BOX 3290 LA GRANDE OR 97850 70239873 false X WWW.GRH.ORG X 1962 OR TO ENSURE ACCCESS TO HIGH-QUALITY, COST EFFECTIVE HEALTH SERVICES IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES. 11 7 627 112 0 643101 440155 65198222 65833921 541560 878494 697217 606121 67080100 67758691 14517 0 0 41815762 45284497 0 73963 21724651 19919521 63554930 65204018 3525170 2554673 74115027 78473193 7475433 7903222 66639594 70569971 X TO ENSURE ACCCESS TO HIGH-QUALITY, COST EFFECTIVE HEALTH SERVICES IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES. false false 57144164 66092575 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. 57144164 true true false false 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 115 0 true 627 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 40.00 X X 290767 0 46173 DALE ROBINSON MD 40.00 X 286751 0 37941 BETSY NEELEY MD 3.00 X 196824 0 34625 BURR BETTS PHD 10.00 X X 0 0 0 STEVE LYON 3.00 X X 0 0 0 BRAD TRISLER 3.00 X X 0 0 0 BOB MESSINGER 3.00 X 0 0 0 BOB SEYMOUR 3.00 X 0 0 0 LYNN HARRIS DMD 3.00 X 0 0 0 LIBBY GOBEN 3.00 X 0 0 0 STEPHANIE MILLER 3.00 X 0 0 0 WADE WEIS 40.00 X 143801 0 35224 CHADLER BURGOYNE 40.00 X 550855 0 40252 BRIAN AFFLECK 40.00 X 469498 0 37126 SEYMOUR BRONSTEIN 40.00 X 467864 0 22953 RODRIGO LIM 40.00 X 432572 0 37126 STACY WHITAKER 40.00 X 361276 0 37126 3200208 328546 57 false true false 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 16 204865 235290 440155 NET PATIENT SERVICE REVENUE 624100 65806038 65806038 EDUCATION AND OTHER PATIENT 624100 27883 27883 65833921 619840 619840 117814 36680 81134 81134 81134 2676641 6350 2424337 252304 6350 258654 258654 44994 20165 24829 24829 CAFETERIA REVENUE 722210 211486 211486 REBATES & DISCOUNTS 900099 144056 144056 OTHER REVENUE 900099 110955 110955 33661 33661 500158 67758691 66092575 1225961 1016456 522229 494227 34433021 30332587 4067213 33221 1839507 1621890 216149 1468 5368838 4380283 976741 11814 2626675 2232344 391024 3307 176798 176798 89934 89934 87155 87155 3894219 3342582 546830 4807 148018 345 147673 1790292 1324011 464491 1790 907886 701209 205254 1423 357976 282132 74273 1571 192283 134560 57723 90 90 4536174 4185066 348690 2418 588255 490997 97258 MEDICAL SUPPLIES 5413174 5413174 REPAIRS & MAINTENANCE 913167 886954 23774 2439 OTHER EXPENSES 824100 440453 375674 7973 INDIRECT ALLOCATION 853348 -855080 1732 65204018 57144164 7985891 73963 6859366 8301403 4099449 6010212 8375128 9757935 913146 888295 632310 566855 78437983 46774006 31292691 31663977 19599851 19817423 2343086 1467093 74115027 78473193 6068805 6363270 804480 840176 311648 155824 290500 543952 7475433 7903222 X 65679556 69341235 960038 1228736 66639594 70569971 74115027 78473193 2554673 1311871 63833 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1189674 1189674 39357081 21544251 17812830 3156183 2427534 728649 34115170 22802221 11312949 619875 619875 31663977 THIRD-PARTY PAYOR SETTLEMENTS 543952 543952 X LIABILITY UNDER FIN 48 FOOTNOTE 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 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 2188743 112982 2075761 0.03180 10196793 10196793 12385536 10309775 2075761 0.03180 230224 230224 0.00350 255770 10373 245397 0.00380 1209840 451420 758420 0.01160 876227 60 876167 0.01340 2572061 461853 2110208 0.03240 14957597 10771628 4185969 0.06420 15153 15153 0.00020 15153 15153 0.00020 true 2169981 1792187 22334693 22142692 192001 X true false 1 1 GRANDE RONDE HOSPITAL INC

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PHYSICIAN CLINIC GRANDE RONDE HOSPITAL WOMENS CLINIC

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SLEEP CLINIC GRANDE RONDE HOSPITAL CLINIC

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PHYSICIAN CLINIC 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 X X X X X false false false false false false false true false JAMES MATTES 266767 24000 17500 28673 336940 DALE ROBINSON MD 235642 34109 17000 12500 25441 324692 BETSY NEELEY MD 137915 36409 22500 9999 24626 231449 WADE WEIS 131539 12262 7688 27536 179025 CHADLER BURGOYNE 432474 100000 18381 12500 27752 591107 BRIAN AFFLECK 352498 100000 17000 12500 24626 506624 SEYMOUR BRONSTEIN 345364 100000 22500 12500 10453 490817 RODRIGO LIM 226458 189583 16531 12500 24626 469698 STACY WHITAKER 236410 107866 17000 12500 24626 398402 NON-FIXED PAYMENTS PROVIDED 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 111008 COMPENSATION false 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 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 204865 ACTUAL COST