2012-05-14T11:33:43-05:00 2011-06-30 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2010-07-01 930425580 GOOD SHEPHERD HEALTH CARE SYSTEM GOOD 5416673400 610 NW 11TH STREET HERMISTON OR 97838 DENNIS BURKE 5416673400 2012-05-09 1 KIM HUNWARDSEN CPA 6122536500 2012-05-09 2010 2016-02-24 21:20:13Z GOOD SHEPHERD MEDICAL CENTER DENNIS BURKE 610 NW 11TH STREET HERMISTON OR 97838 81245716 0 X WWW.GSHEALTH.ORG X 1953 OR HOSPITAL AND HEALTH CARE SERVICES 12 11 594 150 0 0 61052 142973 75922610 77991866 2167163 3036209 0 0 78150825 81171048 457373 306894 0 0 33556015 34097339 0 0 0 31440262 33218762 65453650 67622995 12697175 13548053 95300648 116270116 20784253 21352430 74516395 94917686 X TO PROVIDE COMPASSIONATE, HIGH QUALITY, AND ACCESSIBLE HEALTH CARE AND TO PROMOTE A HEALTHY COMMUNITY 1 0 63483548 306894 77289346 GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS) SERVED 2,236 INPATIENTS OVER 5,983 PATIENT-DAYS AND 44,921 OUTPATIENTS IN FISCAL YEAR 2010-11, AS WELL AS 17,528 PATIENTS IN OUR EMERGENCY CENTER. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF GSHCS, NOT ALL INDIVIDUALS HAVE THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN RECOGNITION OF THIS, DURING FY 2010-11 GSHCS WROTE OFF TO COLLECTION $4,978,778 VALUED AT CHARGES FOREGONE AS BAD DEBT. DIRECT CHARITY CARE TO OUR COMMUNITY AMOUNTED TO AN ADDITIONAL $7,725,064, VALUED AT CHARGES FOREGONE. GSHCS PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT DEEPLY DISCOUNTED RATES. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES WERE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS DURING FISCAL YEAR 2010-11 WAS $7,725,064 VALUED AT CHARGES FOREGONE.OUR EMERGENCY CENTER IS OPEN AROUND-THE-CLOCK TO ALL COMMUNITY MEMBERS, VISITORS, AND TRAVELERS, WITHOUT REGARD TO ONE'S ABILITY TO PAY. 63483548 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 132 0 1 594 1 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 OR X JAN PETER 5416673416 610 NW 11TH STREET HERMISTON OR 97838 X STEVE ELDRIGE 2.00 X X 0 0 0 NANCY MABRY 2.00 X X 0 0 0 BARBARA PLACE 2.00 X X 0 0 0 BILL ELFERING 2.00 X X 0 0 0 BOB CARLSON 2.00 X 0 0 0 RICHARD LINDNER 2.00 X 0 0 0 TRICIA FENLEY 2.00 X 0 0 0 DR DEREK EARL 2.00 X 0 0 0 SUE DAGGETT 2.00 X 0 0 0 TOM WAMSLEY 2.00 X 0 0 0 DR WINN GREGORY 2.00 X 0 0 0 GLENN CHOWNING 2.00 X 0 0 0 DENNIS E BURKE 40.00 X 322193 0 52801 JAN D PETER 40.00 X 130507 0 33478 WILLIAM ALSDURF 40.00 X 203878 0 5277 DAVID T HUGHES 40.00 X 174947 0 28927 DR GARY V TRUPP 40.00 X 250229 0 14431 DR FREDERICK G TINIO 40.00 X 327334 0 12596 DR THOMAS L FARNEY 40.00 X 224317 0 23151 DR THOMAS J HOLT 40.00 X 212853 0 7777 DR JACK M BERTMAN 40.00 X 244637 0 27722 2090895 0 206160 39 0 1 0 MCCORMACK CONSTRUCTION CO 422 SW 6TH PENDLETON OR 97801 CONSTRUCTION 1378292 RICK BURRILL 610 NW 11TH STREET HERMISTON OR 97838 PHYSICAL THERAPY 1145433 TUALITIN IMAGING 6464 SW BORELAND RD TUALITIN OR 97062 IMAGING SERVICES 1061085 MEDICAL DOCTOR ASSOC INC PO BOX 277185 ATLANTA GA 30384 PHYSICIAN SERVICES 839961 CREDITS INC 461 E MAIN HERMISTON OR 97838 COLLECTION SERVICES 432939 21 51315 91658 142973 NET PATIENT SERVICES 622110 76764378 76764378 OTHER REVENUE 900099 689165 689165 CAFETERIA 900099 471814 471814 DAYCARE 900099 230706 230706 LOSS ON SUBSIDIARY 446110 -164197 -164197 77991866 1455805 1455805 1622732 32340 74668 1622732 -42328 1580404 1580404 81171048 77289346 0 3738729 301672 301672 5222 5222 783973 783973 26638911 25166220 1472691 1100307 1081048 19259 3959928 3816807 143121 1614220 1488149 126071 33485 33485 55708 55708 254969 254969 10369953 9589562 780391 121338 112586 8752 10756319 10560025 196294 666154 666154 242517 182917 59600 205133 205133 518870 518870 4140975 4140975 590289 590289 BAD DEBTS 4978778 4978778 284274 284274 67622995 63483548 4139447 0 1291757 4162250 9790119 11000597 5370439 6177119 1365994 1512595 700641 709516 79896380 35758427 40798480 44137953 41528157 50555989 -9157005 -6112733 3612066 4126830 95300648 116270116 5663653 6734044 14945496 13927302 500000 175104 191084 20784253 21352430 X 74228136 94560726 288259 356960 74516395 94917686 95300648 116270116 X 13548053 6853238 X 0 1 1 X 0 X 4670941 741457 5412398 38398646 14373456 24025190 31554576 20383446 11171130 4530760 1001525 3529235 44137953 ESTIMATED COST REPORT SETTLEMENTS PAYABLE 191084 191084 81171048 67622995 13548053 3644769 3208469 6853238 20401291 87019928 3644769 2574498 6219267 80800661 254969 115418 370387 81171048 69895807 2829453 2829453 67066354 254969 301672 556641 67622995 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL HAS ADOPTED THE PROVISIONS OF FASB ACCOUNTING STANDARDS CODIFICATION TOPIC AS 740-10, ON JULY 1, 2009. THE IMPLEMENTATION OF THIS STANDARD HAD NO IMPACT ON THE FINANCIAL STATEMENTS. AS OF BOTH THE DATE OF ADOPTION, AND AS OF JUNE 30, 2011, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO. THE HOSPITAL WILL RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IF INCURRED. THE HOSPITAL IS NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007 AND STATE EXAMINATIONS FOR YEARS BEFORE 2007. PART XI, LINE 8 - OTHER ADJUSTMENTS: INTERCOMPANY ELIMINATION ENTRY ON FINANCIAL STATEMENTS 3,208,469. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUES OF CONSOLIDATED SUBSIDIARY 2,876,170. CHARITABLE DONATIONS RECLASS TO EXPENSES -301,672. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME ELIMINATED FOR FINANCIAL STATEMENTS 210,914. CONTRIBUTIONS RECORDED IN FUND BALANCE FOR FINANCIAL STATEMENTS 68,701. LOSS IN SUBSIDIARY -164,197. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF CONSOLIDATED SUBSIDIARY 2,829,453. PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHARITABLE DONATIONS RECLASS TO EXPENSES 301,672. 1 1 X 1 X 1 X 150.000000000000 1 1 1 0 1 1 3938501 3938501 0.06290 10004527 10262190 -257663 0.00000 13943028 10262190 3680838 0.06290 269786 17937 251849 0.00410 175313 16266 159047 0.00260 0.00000 251672 251672 0.00410 696771 34203 662568 0.01080 14639799 10296393 4343406 0.07370 0 2538351 248939 8458732 8759068 -300336 X 1 1 1 1 GOOD SHEPHERD HEALTH CARE SYSTEM

610 NW 11TH STREET HERMISTON OR 97838

X X X X NOT REQUIRED 1 3 GOOD SHEPHERD MEDICAL GROUP

610 NW 11TH STREET HERMISTON OR 97838

CLINIC VANGE JOHN MEMORIAL HOSPICE

610 NW 11TH STREET HERMISTON OR 97838

HOSPICE TLC HOME HEALTH

610 NW 11TH STREET HERMISTON OR 97838

HOME HEALTH PART I, LINE 3C: THE ORGANIZATION PROVIDES DISCOUNTS ON A SLIDING SCALE FROM 10% TO 100% BASED ON AN INDIVIDUAL'S INCOME LEVEL. PART I, LINE 7: THE CHARITY CARE INCLUDED IN PART I, LINE 7A IS BASED ON THE COST TO CHARGE RATIO USING WORKSHEET 2.THE UNREIMBURSED MEDICAID IN PART I, LINE 7B IS BASED ON GROSS CHARGES AND CLAIMS FROM THE MEDICAID COST REPORT.THE COMMUNITY HEALTH SERVICES, EDUCATION AND CONTRIBUTIONS IN PART I, LINES 7E, 7F AND 7I ARE BASED ON ACTUAL EXPENSES. PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR OF THE CALCULATION ON PART 1, LINE 7, COLUMN F WAS $4,978,778. PART III, LINE 4: FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE:RECEIVABLES ARISING FROM REVENUES FROM SERVICES TO PATIENTS ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS BASED ON EXPERIENCE, THIRD-PARTY CONTRACTUAL REIMBURSEMENT ARRANGEMENTS, AND ANY UNUSUAL CIRCUMSTANCES WHICH MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. RECEIVABLES ARE STATED IN THE BALANCE SHEET LESS SUCH ALLOWANCES.THE BAD DEBT EXPENSE WAS CONVERTED TO COST USING THE COST TO CHARGE RATIO CALCULATED USING WORKSHEET 2.THE ORGANIZATION ESTIMATES THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY PATIENTS TO BE $248,939. THIS ESTIMATE IS BASED ON AN OVERALL CHARITY CARE PERCENTAGE OF GROSS REVENUE. PART III, LINE 8: MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES & REGULATIONS SET FORTH BY CMS. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THEY PROVIDE SERVICES TO MEDICARE PATIENTS KNOWING THEY WILL NOT RECOVER THE ENTIRE COST OF THE SERVICES. HOWEVER, THEY CONTINUE TO PROVIDE THESE SERVICES AS THE ELDERLY ARE CONSIDERED A CHARITABLE CLASS. PART III, LINE 9B: THE ORGANIZATION'S COLLECTION PROCEDURES REQUIRES A FINANCIAL ADVISOR TO WORK WITH ANY PATIENT WHO IS IDENFITIED AS POTENTIALLY BEING ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SENDING THE ACCOUNT TO COLLECTION. IF DURING THE COURSE OF THE COLLECTION PROCESS THE COLLECTION AGENCY DETERMINES AN ACCOUNT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, IT IS REFERRED BACK TO THE HOSPITAL FOR FURTHER DISCUSSION WITH THE PATIENT OR FOR WRITE OFF. ALL FURTHER COLLECTION ACTION IS CEASED. PART VI, LINE 2: OUR COMMUNITY HEALTHCARE NEEDS ASSESSMENT PROCESS HAS FIVE COMPONENTS THAT ARE CONDUCTED EVERY OTHER YEAR:1. THE ONGOING COLLECTION AND EVALUATION OF COMMUNITY FEEDBACK FROM PATIENT SURVEYS AND COMMENT FORMS.2. PATIENT AND COMMUNITY-MEMBER HEALTHCARE NEEDS FOCUS GROUPS.3. A HEALTHCARE NEEDS SURVEY COMPLETED BY EMPLOYERS AND OTHER COMMUNITY LEADERS.4. A FORMAL TELEPHONE SURVEY.5. A DEMOGRAPHIC STUDY CONDUCTED BY THE OREGON OFFICE OF RURAL HEALTH. PART VI, LINE 3: OUR FINANCIAL COUNSELORS INFORM AND EDUCATE THE PEOPLE WE SERVE WITH RESPECT TO CHARITY CARE AND GOVERNMENTAL ASSISTANCE PROGRAMS. ALL PATIENTS AND RESPONSIBLE PARTIES, WHERE POSSIBLE, ARE APPRISED OF THE AVAILABILITY OF FINANCIAL COUNSELING SERVICES AT THE TIME AND POINT OF SERVICE. WE HAVE ARRANGED OUR PATIENT FLOW TO MAXIMIZE THE CONVENIENCE OF VISITING OUR FINANCIAL COUNSELORS AS PART OF THE GOOD SHEPHERD TREATMENT REGIME.IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS PROVIDED, IN WRITING TO THE PATIENTS UPON ADMISSION TO THE HOSPITAL FACILITY. IT IS ALSO POSTED IN THE EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICES. A COPY OF THE POLICY IS ALSO ATTACHED TO BILLING INVOICES AND AVAILABLE UPON REQUEST. PART VI, LINE 4: GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS) IS THE CORPORATE NAME FOR AN ORGANIZATION MADE UP OF SEVERAL ENTITIES, INCLUDING GOOD SHEPHERD MEDICAL CENTER, VANGE JOHN MEMORIAL HOSPICE, TLC HOME HEALTH, GOOD SHEPHERD MEDICAL GROUP, GOOD SHEPHERD CLINIC PHARMACY, GOOD SHEPHERD MEDICAL FOUNDATION, AND GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION. GOOD SHEPHERD SERVES A CORE POPULATION OF ALMOST 50,000 PEOPLE IN THE CITY OF HERMISTON, OREGON AND IN 14 OUTLYING SMALLER TOWNS WITHIN A ROUGH 50-MILE RADIUS. THIS POPULATION IS LARGELY RURAL, WITH AGRICULTURE DOMINATING INDUSTRIAL ENTERPRISES.THE AVERAGE HOUSEHOLD INCOME IN HERMISTON IS $35,865.17.1% OF RESIDENTS HAVE INCOMES BELOW FEDERAL POVERTY GUIDELINES.31.3% OF RESIDENTS IDENTIFY AS NON-WHITE HISPANIC ETHNICITY, WITH A SIZABLE NUMBER OF SPANISH-PRIMARY SPEAKERS. PART VI, LINE 6: GOOD SHEPHERD MAINTAINS OPEN ACTIVE, AFFILIATE, AND COURTESY MEDICAL STAFFS, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED AND INTERESTED PHYSICIANS IN THE COMMUNITIES WE SERVE. GSHCS IS GOVERNED BY A TWELVE-MEMBER BOARD OF TRUSTEES. THE BOARD IS COMPRISED OF INDEPENDENT REPRESENTATIVES OF THE COMMUNITY, WITH AN EMPHASIS ON MAINTAINING A TRUE CROSS-SECTION OF CORE POPULATION COMMUNITIES WITHIN ITS MEMBERSHIP.OUR SURPLUS FUNDS ARE USED TO FUND COMMUNITY HEALTH EDUCATION CLASSES, AS WELL AS FUNDING BUILDING AND EQUIPMENT UPGRADES TO MAINTAIN THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY. SURPLUS FUNDS ARE ALSO APPLIED TO ONGOING PROFESSIONAL EDUCATION AMONG OUR CLINICAL STAFF TO REMAIN CURRENT IN THE BEST PRACTICES OF MODERN HEALTHCARE. WE OPERATE A FULLY-STAFFED 24-HOUR EMERGENCY ROOM, AVAILABLE TO THE PUBLIC REGARDLESS OF ABILITY TO PAY. GOOD SHEPHERD OPERATES TWO FOUNDATIONS THAT PROVIDE FUNDS TO APPROPRIATE COMMUNITY GROUPS AND ACTIVITIES, AS WELL AS PROVIDING SCHOLARSHIP FUNDS TO LOCAL RESIDENTS ESTABLISHING OR FURTHERING HEALTHCARE-RELATED EDUCATION. WE LIVE OUR MISSION TO PROMOTE A HEALTHY COMMUNITY. GOOD SHEPHERD IS THE HOST AND DRIVING FORCE BEHIND THE GOOD SHEPHERD WELLNESS COALITION, A GRASS-ROOTS GROUP OF COMMUNITY LEADERS THAT IDENTIFY, ANALYZE, AND ADDRESS PRESSING HEALTHCARE ISSUES IN THE COMMUNITY.WE MAINTAIN A DIALOGUE WITH THE PEOPLE WE SERVE THROUGH A BIWEEKLY RADIO SHOW, WITH AN EMPHASIS ON WELLNESS AND PREVENTATIVE CARE.GOOD SHEPHERD HOSTS AN ANNUAL FAMILY HEALTH AND FITNESS DAY, WITH FREE ACCESS TO HEALTHCARE PROFESSIONALS, FREE SCREENINGS, AND A WEALTH OF HEALTH AND WELLNESS INFORMATION AVAILABLE TO THE PUBLIC.WE ARE ACTIVE IN COMMUNITY HEALTH-RELATED ACTIVITIES, INCLUDING THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, THE MARCH OF DIMES' MARCH FOR BABIES, AND THE UMATILLA COUNTY FAIR, WHERE WE PROVIDE HEALTH INFORMATION AND HEALTHCARE-RELATED GIVEAWAYS. REPORTS FILED WITH STATES PART VI, LINE 7 OR 1 GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION 610 NW 11TH STREET HERMISTON OR 97838 931170546 501(C)(3) 250000 COMMUNITY SUPPORT 1 SCHOLARSHIPS 10 5222 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS ARE AWARDED TO EMPLOYEES TO HELP FURTHER THEIR EDUCATION IN A FIELD THAT WOULD POTENTIALLY BENEFIT THE ORGANIZATION IN THE FUTURE ONCE THE EMPLOYEE HAS COMPLETED THEIR EDUCATION. EACH EMPLOYEE MUST REPORT BACK WITH A GRADE REPORT SHOWING THEIR PROGRESS/COMPLETION OF THEIR COURSE OF STUDY. GRANTS ARE ALSO AWARDED TO GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION, A RELATED ORGANIZATION WHICH IS TAX EXEMPT UNDER SECTION 501(C)(3). X X X X 0 0 0 0 0 0 0 0 0 DENNIS E BURKE 278241 0 18750 0 25202 0 27722 0 26303 0 376218 0 0 0 JAN D PETER 122328 0 8179 0 0 0 8400 0 26303 0 165210 0 0 0 WILLIAM ALSDURF 184610 0 19268 0 0 0 0 0 5685 0 209563 0 0 0 DAVID T HUGHES 160219 0 14728 0 0 0 10781 0 19370 0 205098 0 0 0 DR GARY V TRUPP 245410 0 4819 0 0 0 0 0 15055 0 265284 0 0 0 DR FREDERICK G TINIO 319387 0 7947 0 0 0 0 0 13220 0 340554 0 0 0 DR THOMAS L FARNEY 216838 0 7479 0 0 0 23151 0 0 0 247468 0 0 0 DR THOMAS J HOLT 212853 0 0 0 0 0 0 0 8377 0 221230 0 0 0 DR JACK M BERTMAN 244637 0 0 0 0 0 0 0 28946 0 273583 0 0 0 THE HOSPITAL FACILITY AUTHORITY OF UMATILLA COUNTY OREGON 930425580 2007-08-29 17786918 NEW CONSTRUCTION, EXPANSION AND MAJOR EQUIPMENT PURCHASES 0 0 0 17786918 13813512 3973397 2010 0 0 0 1 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 1 0 CREDITS INC COMPANY IS OWNED 100% BY A BOARD MEMBER 463934 CHARGES FOR COLLECTION SERVICES 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 TELEMEDICINE SERVICES BEGAN JULY 2010. TELEMEDICINE IS THE USE OF MEDICAL INFORMATION EXCHANGED FROM ONE SITE TO ANOTHER VIA ELECTRONIC COMMUNICATIONS TO IMPROVE PATIENTS' HEALTH STATUS. THIS IS RELATED TO THEIR EXEMPT PURPOSE OF PROVIDING QUALITY HEALTH CARE SERVICES TO THE COMMUNITY IT SERVES. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS REVIEWED BY THE CFO AND CONTROLLER AND PRESENTED ON A HIGH LEVEL TO THE BOARD OF DIRECTORS. A FINAL COPY IS PROVIDED TO THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES WITH CONFLICTS ARE EXPECTED TO DISCLOSE CONFLICTS OF INTEREST ON A VOLUNTARY BASIS AND REFRAIN FROM DISCUSSION AND/OR VOTING ON RELATED MATTERS AS NECESSARY. THESE DISCLOSURES ARE REVIEWED AND DETERMINED TO EXIST OR NOT TO EXIST BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BASED ON SURVEY INFORMATION. THIS PROCESS IS COMPLETED ANNUALLY IN THE MONTH OF OCTOBER. THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED BY THE CEO BASED ON SURVEY INFORMATION. THIS PROCESS IS COMPLETED ANNUALLY ON THE ANNIVERSARY DATE OF THE INDIVIDUAL'S HIRE DATE. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART VII, COLUMN (B) IN ADDITION TO THE HOURS REPORTED ON FORM 990, PART VII, THE FOLLOWING INDIVIDUALS DEVOTED TIME TO GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION, A RELATED ORGANIZATION, EACH WEEK. GLENN CHOWNING - 1 HOUR TRICIA FENLEY - 1 HOUR RICHARD LINDNER - 2 HOURS TOM WAMSLEY - 1 HOUR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,644,769. INTERCOMPANY ELIMINATION ENTRY ON FINANCIAL STATEMENTS 3,208,469. TOTAL TO FORM 990, PART XI, LINE 5: 6,853,238. GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION 610 NW 11TH STREET HERMISTON OR 97838 931170546 FUNDRAISING OR 501(C)(3) LINE 11A, I GOOD SHEPHERD HEALTH CARE SYSTEM 1 GOOD SHEPHERD MEDICAL FOUNDATION 610 NW 11TH STREET HERMISTON OR 97838 930844485 FUNDRAISING OR 501(C)(3) LINE 7 GOOD SHEPHERD HEALTH CARE SYSTEM 1 GOOD SHEPHERD MEDICAL SERVICE CORP 610 NW 11TH STREET HERMISTON OR 97838 930688940 RETAIL PHARMACY OR N/A C -375111 3286520 1.00000 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 GOOD SHEPHERD MEDICAL SERVICE CORP A 210914 BOOK VALUE GOOD SHEPHERD MEDICAL SERVICE CORP N 374120 BOOK VALUE GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION B 250000 BOOK VALUE GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION C GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION M GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION O