2012-11-14T18:40:17-06:00 2011-12-31 390758449 WIPFLI CPA AND CONSULTANTS 12 E ROWAN AVE SUITE 2 SPOKANE WA 99207 990 2011-01-01 820146328 GRITMAN MEDICAL CENTER GRIT 2088824511 700 S MAIN STREET MOSCOW ID 83843 KARA BESST 2088824511 2012-11-14 1 WIPFLI CPA AND CONSULTANTS P00290700 5094894524 2012-11-14 2011 2016-02-24 21:20:13Z KARA BESST 700 S MAIN STREET MOSCOW ID 83843 47499765 0 X WWW.GRITMAN.ORG X 1939 ID GRITMAN MEDICAL CENTER, INC., PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO PATIENTS IN MOSCOW, IDAHO, AND THE SURROUNDING AREA. 10 10 568 605 0 0 562051 0 42383394 45595067 1135880 -7779 387740 452130 44469065 46039418 0 0 0 0 22052672 23232691 0 0 0 20303916 21567738 42356588 44800429 2112477 1238989 66657532 69586362 27553119 29311661 39104413 40274701 PEOPLE FOCUSED, COMMUNITY DRIVEN ORGANIZATION PROVIDING EXCELLENT AND COMPASSIONATE HEALTHCARE FOR THE PEOPLE OF OUR COMMUNITY. 0 0 37206932 45595067 GRITMAN MEDICAL CENTER AND ITS AFFILIATES ARE COMMITTED TO A POLICY OF NONDISCRIMINATION AND EQUAL OPPORTUNITY FOR ALL QUALIFIED APPLICANTS AND STAFF, WITHOUT REGARD TO RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, MARITAL STATUS, SEX, SEXUAL ORIENTATION, POLITICAL IDEOLOGY, RELIGION, ANCESTRY, THE PRESENCE OF ANY SENSORY, MENTAL OR PHYSICAL DISABILITY AND DIAGNOSIS. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF GRITMAN MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. FURTHERMORE, OUR MISSION IS TO SERVE THE COMMUNITY AND PROVIDE HEALTH CARE SERVICES AND EDUCATION, THEREBY KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL THE MEMBERS OF THE COMMUNITY. 37206932 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 105 0 1 568 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 ID X LISA WOOD 2088832221 700 S MAIN ST MOSCOW ID 83843 BJ SWANSON 5.00 X 0 0 0 JANIE NIRK 3.00 X 0 0 0 GREG MANN 2.00 X 0 0 0 ROBIN WOODS 3.00 X 0 0 0 CHARLES JACOBSON MD 2.00 X 0 0 0 BARBARA WELLS 2.00 X 0 0 0 TERRY ARMSTRONG 2.00 X 0 0 0 GREG KIMBERLING 2.00 X 0 0 0 DICK HEIMSCH 2.00 X 0 0 0 WAYNE RUBYMD 2.00 X 0 0 0 LISA WOOD 40.00 X 51730 0 13191 KARA BESST 40.00 X 162820 0 44301 DEENA RAUCH 40.00 X 117865 0 13398 KANE FRANCETICH 40.00 X 109933 0 16175 CONNIE OSBORN 40.00 X 90777 0 15123 WILLIAM NASH 40.00 X 117020 0 11676 STEVEN REITZ 40.00 X 236757 0 15829 MARIA BODE 40.00 X 237389 0 15825 DEBORAH MAURO-BENDER 40.00 X 239591 0 14817 CHRISTINE SCHULTZ 40.00 X 112194 0 16231 1476076 0 176566 12 0 1 0 MOSCOW EMERGENCY PHYSICIANS 1026 KASPER RD MOSCOW ID 83843 ER SERVICES 1447831 CARDINAL HEALTH 3712 COLLECTION CENTER DR CHICAGO IL 60693 PHARMACEUTICALS 876880 MCKESSON CORPORATION 335 INTERLOCKEN PARKWAY BLOOMFIELD CO 80021 INFORMATION SYSTEMS 876743 YELLOWSTONE INSURANCE EXCHANGE 4301 HILLSBORO PIKE SUITE 310 NASHVILLE TN 37215 INSURNACE 685719 SMITH & NEPHEW ORTHO PO BOX 785921 PHILADELPHIA PA 19178 ORTHO SERVICES 633919 36 NET PATIENT SERVICE RE 621110 44836132 44836132 OTHER REVENUE 621110 618794 618794 AUXILIARY REVENUE 453220 140141 140141 45595067 206975 206975 452130 0 452130 452130 452130 1245593 1460347 -214754 -214754 -214754 46039418 45595067 0 444351 18841519 17406912 1434607 4391172 4057443 333729 240898 240898 69089 69089 2087443 2084203 3240 455146 2077 453069 5572332 5060044 512288 1109094 1094600 14494 67576 67576 297088 168657 128431 1058951 44707 1014244 134855 134855 2927339 316637 2610702 805606 805606 PROVISION FOR UNCOLLECT 3097667 3097667 REPAIRS AND MAINTENANCE 1732556 1711049 21507 OTHER FEES 1046638 778199 268439 MISCELLANEOUS OTHER EXP 865460 511555 353905 44800429 37206932 7593497 0 1316360 1573832 6915683 7944675 1267947 1408861 445681 381802 71847730 33117618 37245995 38730112 19465866 19547080 66657532 69586362 5802830 7232490 20898539 20837621 851750 1241550 27553119 29311661 X 39035712 40274701 68701 0 39104413 40274701 66657532 69586362 X 1238989 -68701 X X 0 1 1 X 0 X 0 0 0 0 0 0 0 0 1 1337 1337 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: EXPENSES PAID TO STRATEGIC HEALTHCARE ORGANIZATIONS WHOSE FOCUS IS STATE AND FEDERAL GOVERNMENT RELATIONS AND ADVOCACY EFFORTS ON BEHALF OF HOSPITAL ASSOCIATIONS. 5834645 5834645 16622744 6940844 9681900 22491123 7601841 14889282 26509825 18574933 7934892 389393 389393 38730112 INVESTMENT IN SUBSIDIARIES 779736 DEFERRED FINANCING COSTS, NET 508146 INVESTMENT IN JOINT VENTURE 202867 RECEIVABLE FROM THIRD-PARTY 1167586 INTERNALLY DESIGNATED-ASSETS LIMITED AS TO USE 15097409 HELD BY TRUSTEE-BOND RESERVE 1232149 OTHER RECEIVABLE 559187 19547080 PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAM 1241550 1241550 46039418 44800429 1238989 -68701 -68701 1170288 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: GRITMAN MEDICAL CENTER INC. AND THE FOUNDATION ARE NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE MEDICAL CENTER AND FOUNDATION ARE ALSO EXEMPT FROM STATE TAXES ON RELATED INCOME. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OR THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE GRITMAN MEDICAL CENTER (THE MEDICAL CENTER) HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE MEDICAL CENTER IS ALSO ENGAGED, TO A LIMITED EXTENT, IN ACTIVITIES WHICH THE INTERNAL REVENUE SERVICE CONSIDERS UNRELATED TO THE MEDICAL CENTER'S EXEMPT PURPOSE AND, THEREFORE, TAXABLE. THESE ACTIVITIES, HOWEVER, HAVE RESULTED IN NET OPERATING LOSSES FOR INCOME TAX PURPOSES. THE MEDICAL CENTER DOES NOT PRESENTLY ANTICIPATE THAT A TAX BENEFIT FROM THESE NET OPERATING LOSSES WILL BE REALIZED IN THE FUTURE. ACCORDINGLY, ANY POTENTIAL DEFERRED TAX ASSET RESULTING FROM THE AVAILABILITY OF NET OPERATING LOSS CARRY-FORWARD IS OFFSET BY A VALUATION ALLOWANCE OF EQUAL AMOUNT. NO DEFERRED TAX ASSETS AND LIABILITIES HAVE BEEN RECOGNIZED SINCE NO OTHER DIFFERENCES EXIST BETWEEN THE FINANCIAL AND TAX BASES OF REPORTING THE MEDICAL CENTER'S ASSETS AND LIABILITIES. THE MEDICAL CENTER'S FEDERAL RETURNS FOR YEARS 2007 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE EXPIRATION OF THE STATUTES OF LIMITATIONS RELATED TO THE VARIOUS STATE INCOME TAX RETURNS THAT THE MEDICAL CENTER AND ITS SUBSIDIARIES FILE VARIES BY STATE. GENERALLY, THE MEDICAL CENTER'S VARIOUS STATE INCOME TAX RETURNS FOR TAX YEARS 2007 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY VARIOUS STATE TAXING AUTHORITIES. 1 1 X 1 X 1 X 1 1 1 0 0 693384 693384 0.01670 4757381 4577299 180082 0.00430 5450765 4577299 873466 0.02100 22 13234 78258 4607 73651 0.00190 8 131 437048 437048 0.01050 3 0 976590 700639 275951 0.00660 0.00700 4 1 27029 27029 0.00060 37 13366 1518925 705246 813679 0.02660 37 13366 6969690 5282545 1687145 0.04760 2 425 18787 18787 0.00050 2 425 18787 18787 0.00050 1 1194665 8658818 9644923 -986105 X 1 1 1 PALOUSE HEALTH PROPERTIES LLC PROPERTY MANAGEMENT 0.60000 0.40000 2 PALOUSE SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.60000 0.40000 1 1 GRITMAN MEDICAL CENTER

700 S MAIN STREET MOSCOW ID 83843

X X X GRITMAN MEDICAL CENTER 1 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X 1 0 1 X 0 0 1 PALOUSE SURGERY CENTER LLC

2300 WEST A STREET MOSCOW ID 83843

GENERAL MEDICAL AND SURGERY PART I, LINE 7: PART I, LINE 7: LINES 7A, B AND C WERE CALCULATED USING A COST TO CHARGE RATIO BASED ON TOTAL OPERATING EXPENSES LESS BAD DEBT DIVIDED BY GROSS PATIENT CHARGES.PART I, LINES 7E,F,G AND I WERE CALCULATED FROM GENERAL LEDGER ACTUAL COSTS. PART I, LINE 7G: TWO RURAL CLINICS AND ADULT DAY HEALTH WERE INCLUDED IN LINE 7G. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3097667. PART II: GRITMAN MEDICAL CENTER IS COMMITTED TO SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITY. WE ORGANIZE AND PARTNER WITH OTHERS IN OUR COMMUNITY, PARTICIPATE IN COMMUNITY EVENTS, AND PROVIDE USEFUL INFORMATION AND EDUCATE RESIDENTS YOUNG AND OLD ON WAYS TO IMPROVE THEIR HEALTH AND WELL BEING THROUGH PREVENTATIVE PROGRAMS. EXAMPLES INCLUDE FREE MONTHLY EDUCATIONAL CLASSES PRESENTED BY LOCAL EXPERTS ON TOPICS SUCH AS BICYCLING FITNESS, NUTRITION AND MEMORY WELLNESS. WE ORGANIZE AN ANNUAL FUN RUN EACH FEBRUARY TO ENCOURAGE HEART HEALTH. WE PARTNER WITH THE CITY OF MOSCOW, THE UNIVERSITY OF IDAHO TO SPONSOR A FALL TRIATHLON FOR CHILDREN AND ADULTS. WE OFFER A FREE "FIT AND FALL PROOF" CLASS SEVERAL TIMES WEEKLY TO HELP IMPROVE THE BALANCE OF SENIORS AND THUS REDUCE THE RISK OF FALLS. WE OFFER FREE SUPPORT GROUPS, FREE BLOOD PRESSURE CLINICS AND FREE SMOKING CESSATION COUNSELING. PART III, LINE 4: THE MEDICAL CENTER AND SURGERY CENTER REPORT PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER AND SURGERY CENTER PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER AND SURGERY CENTER BILL THIRD PARTY PAYERS DIRECTLY AND BILL THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. THE RECEIVABLES ARE NON-INTEREST BEARING. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. PART III, LINE 8: INFORMATION WAS FROM GRITMAN MEDICAL CENTER'S 2011 COST REPORT. PART III, LINE 9B: GRITMAN MEDICAL CENTER DOES NOT COLLECT FROM PATIENTS INITIALLY KNOWN TO QUALIFY FOR CHARITY CARE. IF A PATIENT IN COLLECTIONS IS LATER DETERMINED TO QUALIFY FOR CHARITY CARE, GRITMAN MEDICAL CENTER CEASES COLLECTION EFFORTS FOR THAT PATIENT. GRITMAN MEDICAL CENTER PART V, SECTION B, LINE 13G: GRITMAN HAS 1.5 FULL-TIME FINANCIAL COUNSELOR(S) TO INFORM AND EDUCATE PATIENTS. ONE FINANCIAL COUNSELOR WORKS WITH PATIENTS WHO VISIT US THROUGH OUREMERGENCY DEPARTMENT. AFTER A PATIENT IS SEEN IN THE ED, THE COUNSELOR WILL SHARE INFORMATION ON ALL AVAILABLE PAYMENT OPTIONS INCLUDING COUNTY ASSISTANCEAND OUR CHARITY CARE. IF THE PATIENT CANNOT PAY, THE PATIENT IS GIVEN OUR CHARITY CARE FORM AND IF NEEDED CAN ASSIST IN FILLING OUT THE FORM.OUR CASE MANAGEMENT STAFF REFER PATIENTS TO OUR FINANCIAL COUNSELORS, AS WELL, IF PATIENTS EXPRESS INTEREST OR NEED IN RECEIVING BILLING INFORMATION.OUR FINANCIAL POLICY IS AVAILABLE ON OUR WEBSITE AND IN BROCHURE FORM. GRITMAN MEDICAL CENTER PART V, SECTION B, LINE 15E: LEGAL ACTION MAY BE USED AS PART OF THE COLLECTION PROCESS. GRITMAN MEDICAL CENTER PART V, SECTION B, LINE 19D: THEY ARE BILLED AT THE CHARGE RATE, HOWEVER CAN GET THE PROMPT PAY DISCOUNT OF 15% IF PAYMENT IS MADE WITHIN 20 DAYS OF RECEIVING THEIR BILL. PART VI, LINE 2: IN AUGUST 2009, QHR STRATEGY GROUP PERFORMED A MARKET ASSESSMENT FOR GRITMAN MEDICAL CENTER. INCLUDED IN THE ASSESSMENT IS DATA FOR IDAHO PUBLIC HEALTH DISTRICT #2 WHICH INCLUDES LATAH COUNTY (AMONG OTHERS)FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND DESIGNED TO ESTIMATE THE PREVALENCE OF RISK FACTORS FOR MAJOR CAUSES OF MORBIDITY AND MORTALITY IN THE UNITED STATES. ALSO INCLUDED IN THE QHR ASSESSMENT IS INFORMATION GATHERED FROM AN ONLINE COMMUNITY HEALTHCARE SURVEY. BECAUSE OUR PRIMARY SERVICE AREA INCLUDES MANY SMALL RURAL TOWNS, THE GRITMAN COMMUNITY RELATIONS TEAM TRAVELED TO THE TOWNS, SETTING UP THE SURVEY IN THE LOCAL LIBRARIES SO THAT THOSE WITHOUT COMPUTER AND ONLINE ACCESS COULD PARTICIPATE. IN 2011, A STRATEGIC PLANNING ASSESSMENT WAS PERFORMED, WHICH INCLUDED AN ANALYSIS OF POTENTIAL COMMUNITY NEEDS OF VARIOUS SERVICE LINES. PART VI, LINE 3: GRITMAN HAS 1.5 FULL-TIME FINANCIAL COUNSELOR(S) TO INFORM AND EDUCATE PATIENTS. OUR FINANCIAL COUNSELOR WORKS WITH PATIENTS WHO VISIT US THROUGH THE FACILITY. THE FINANCIAL COUNSELORS MONITOR OUR CENSUS REPORTS AND REACHES OUT TO OUR SELF-PAY PATIENTS AND INFORMS THEM OF OUR CHARITY CARE OPTIONS AND COUNTY ASSISTANCE PROGRAMS AND HELPS THE PATIENTS AS NEEDED. THEY ALSO HELP PATIENTS WHO RECEIVED THEIR BILL AND INFORM US TEHY DO NOT HAVE MEANS OF PAYING.OUR CASE MANAGEMENT STAFF REFER PATIENTS TO OUR FINANCIAL COUNSELORS, AS WELL, IF PATIENTS EXPRESS INTEREST OR NEED IN RECEIVING BILLING INFORMATION. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR GRITMAN MEDICAL CENTER IS LATAH COUNTY. LATAH COUNTY IS 2,000 SQUARE MILES WITH 35,867 PEOPLE. LATAH COUNTY IS COMPOSED OF MOSCOW, THE COUNTY SEAT AND 10 SMALL TOWNS WHICH HAVE BEEN HARD-HIT BY THE DECLINING NATURAL RESOURCE INDUSTRIES. THERE IS A WIDE VARIATION IN THE MEDIAN AGE IN THE SERVICE AREA.GRITMAN IS IN A HIGHLY COMPETITIVE MARKET WITH FOUR OTHER HOSPITALS BEING JUST 30 MINUTES AWAY. ALL BUT ONE ARE CRITICAL ACCESS HOSPITALS. PART VI, LINE 5: GRITMAN'S BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA. GRITMAN EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. GRITMAN APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE. X X 0 0 0 0 0 0 0 0 0 KARA BESST 162820 0 0 0 0 0 0 0 44301 0 207121 0 0 0 STEVEN REITZ 236757 0 0 0 0 0 4801 0 11028 0 252586 0 0 0 MARIA BODE 237389 0 0 0 0 0 9603 0 6222 0 253214 0 0 0 DEBORAH MAURO-BENDER 239591 0 0 0 0 0 9603 0 5214 0 254408 0 0 0 SUPPLEMENTAL INFORMATION PART III NAME OF UNRELATED ORGANIZATION: QHR AMOUNT OF COMPENSATION: $214,550 NAME OF INDIVIDUALS RECIEVING COMPENSATION: KARA BESST, CEO, LISA WOOD, CFO IDAHO HEALTH FACILITIES AUTHORITY 826051863 45129UAV6 2003-06-01 18545000 NEW HOSPITAL WING 0 0 0 1880000 18904302 1237930 281940 17384432 2003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE GRITMAN MEDICAL CENTER CFO WILL PRESENT A COPY OF THE FORM 990 TO THE BOARD FOR REVIEW PRIOR TO SIGNATURE OF THE RETURN BY THE ORGANIZATION'S CEO. FORM 990, PART VI, SECTION B, LINE 12C POTENTIAL CONFLICTS ARE REQUIRED TO BE DISCLOSED TO THE BOARD THROUGHOUT THE YEAR. LEGAL COUNSEL REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST PRESENT AND THEN DETERMINES IF A CONFLICT OF INTEREST IS PRESENT. IT IS THE POLICY OF GRITMAN MEDICAL CENTER THAT ANY BOARD MEMBER WITH AN UNDISCLOSED CONFLICT OF INTEREST MAY BE SUBJECT TO IMMEDIATE TERMINATION FROM SERVICE ON THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINE 12: THE ORGANIZATIONS CEO & CFO, ARE EMPLOYEES OF QUORUM HEALTH RESOURCES (QHR). AS SUCH, THEIR PAY RATE IS DETERMINED BY QHR. QHR PERFORMS A COMPENSATION SURVEY TO DETERMINE THE CEO & CFOS COMPENSATION. THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS ALL CONTRACTS WITH QHR TO DETERMINE REASONABLE SALARIES. GRITMAN HAS THREE OTHER SENIOR ADMINISTRATIVE STAFF, THE CHIEF NURSING OFFICER (CNO), THE CHIEF QUALITY OFFICER (CQO), AND THE CHIEF INFORMATION OFFICER (CIO). EACH YEAR PRIOR TO THE ANNUAL PAY INCREASE THEIR POSITIONS ARE REVIEWED BY THE HUMAN RESOURCES DIRECTOR. THEIR SALARY GRADE MINIMUM AND MAXIMUM RATES AND THEIR ACTUAL PAID RATE ARE COMPARED TO STATE AND REGIONAL SALARY SURVEY DATA TO DETERMINE THEIR RELATIONSHIP TO OUR EXTERNAL MARKET. IN ADDITION TO THE EXTERNAL COMPARISON, WE ENSURE WE HAVE INTERNAL EQUITY BASED ON THEIR SALARY GRADE LEVEL, YEARS OF EXPERIENCE AND HOW THEIR RESPONSIBILITIES COMPARE TO THOSE IN OTHER POSITIONS. ALL PAY INCREASES ARE REVIEWED AND APPROVED BY THE CEO. THE PAY INCREASES ARE THEN INCORPORATED INTO THE ANNUAL BUDGET WHICH IS APPROVED BY THE BOARD OF DIRECTORS. SALARY DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED. THE PAY INCREASE ARE NOT APPROVED UNTIL THE ANNUAL BUDGET IS APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL INFORMATION IS MADE AVAILABLE AT GRITMAN'S ANNUAL BOARD MEETING IN MAY OF EACH YEAR, WHICH IS OPEN TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PRIOR PERIOD ADJUSTMENT RELATED TO TEMPORARILY RESTRICTED NET ASSETS -68,701. TOTAL TO FORM 990, PART XI, LINE 5: -68,701. PRIOR YEAR PROCESS FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR. GRITMAN MEDICAL CENTER FOUNDATION 700 S MAIN STREET MOSCOW ID 83843 200586022 HOSPITAL SUPPORT ID 501(C)(3) 7 GRITMAN MEDICAL CENTER 1 PALOUSE SURGERY CENTER LLC 2300 WEST A STREET MOSCOW ID 83843 810593962 OUTPATIENT SURGERY CENTER ID GRITMAN MEDICAL CENTER RELATED 143274 450857 0 0 0.60000 PALOUSE HEALTH PROPERTIESLLC 2300 WEST A STREET MOSCOW ID 83843 810593963 PROPERTY MANAGEMENT ID GRITMAN MEDICAL CENTER RELATED 60752 331596 0 0 0.60000 PALOUSE SURGEONS LLC 825 SE BISHOP SUITE 130 PULLMAN WA 99163 202369734 GENERAL SURGERY ID PALOUSE SURGEON'S LLC RELATED -548048 50744 0 0 0.40000 INLAND NW RENAL CARE GROUP LLC 920 WINTER STREET WALTHAM WA 024511457 261845298 DIALYSIS SERVICES ID GRITMAN MEDICAL CENTER RELATED 34455 135723 0 0 0.30000 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 PALOUSE SURGERY CENTER LLC R 162000 ACTUAL CASH PALOUSE HEALTH PROPERTIES LLC R 24000 ACTUAL CASH INLAND NORTHWEST RENAL CARE GROUP LLC R 41000 ACTUAL CASH PALOUSE SURGEONS LLC Q -546200 ACTUAL CASH INLAND NORTHWEST RENAL CARE GROUP LLC I 10265 ACTUAL CASH PALOUSE SURGEONS LLC I 3291 ACTUAL CASH