2011-03-09T21:51:58-06:00 2010-04-30 Clark Nuber PS 10900 NE 4th Street Suite 1700 Bellevue WA 98004 990 2009-05-01 910565546 HARRISON MEDICAL CENTER HARR 3607446507 2520 CHERRY AVENUE BREMERTON WA 983104270 FORREST G EHLINGER 3607446507 2011-03-09 1 Sara Elizabeth J Hyre 4254544919 2009 2016-02-24 21:20:13Z SCOTT BOSCH 2520 CHERRY AVENUE BREMERTON WA 983104270 423560021 0 X WWW.HARRISONMEDICAL.ORG X 1918 WA HARRISON MAKES A POSITIVE DIFFERENCE IN PEOPLE'S LIVES THROUGH EXCEPTIONAL HEALTH CARE. THE RESIDENTS OF KITSAP PENINSULA AND ADJACENT AREAS HAVE ACCESS TO ACUTE MEDICAL AND SURGICAL SERVICES INCLUDING EMERGENCY, ONCOLOGY AND CARDIO VASCULAR SERVICES. ADDITIONALLY, HARRISON PROVIDES OUTPATIENT SERVICES IN HOME HEALTH AND PEDIATRIC REHABILITATION AND OPERATES URGENT CARE AND PRIMARY CARE FACILITIES IN BOTH PORT ORCHARD AND BELFAIR. 15 12 2754 400 834777 749274 257329 412969 300068279 343132894 -1403477 2836136 67452 70046 298989583 346452045 313414 422191 0 151002365 164037248 0 0 137641771 161587274 288957550 326046713 10032033 20405332 265694851 346441290 122838199 166037468 142856652 180403822 HARRISON MEDICAL CENTER PROVIDES ACUTE MEDICAL AND SURGICAL SERVICES, EMERGENCY SERVICES AND A RANGE OF GENERAL AND SPECIALIZED SERVICES TO RESIDENTS OF THE KITSAP PENINSULA AND ADJACENT AREAS. 0 0 269941984 422310 343132894 DURING THE FISCAL YEAR ENDED APRIL 30, 2010, THE MEDICAL CENTER EXPERIENCED 15,376 HOSPITAL INPATIENT ADMISSIONS REPRESENTING 59,815 DAYS OF CARE TO ADULTS AND PEDIATRIC PATIENTS. SERVICES PROVIDED INCLUDED, 74,050 EMERGENCY ROOM VISITS, 12,461 SURGERY PATIENTS INCLUDING 218 OPEN HEART CASES, 1,889 BIRTHS INCLUDING 3,488 DAYS OF CARE, 25,433 HOME HEALTH VISITS, 35,550 URGENT CARE VISITS, 11,724 PRIMARY CARE VISITS AND 41,490 OUTPATIENT VISITS. HARRISON PROVIDES NEEDED MEDICAL CARE TO INDIGENT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CENTER HAS ESTABLISHED CRITERIA FOR DETERMINING WHETHER A PATIENT IS ELIGIBLE FOR CHARITY CARE. THE AMOUNT OF PATIENT REVENUES FOREGONE FOR CHARITY CARE PROVIDED BY HARRISON FOR THE FISCAL YEAR ENDED APRIL 30, 2010 AMOUNTED TO $14,851,579.ALL FINANCIAL SURPLUSES FROM OPERATIONS ARE USED TO FURTHER THE CHARITABLE PURPOSES OF THE MEDICAL CENTER. THESE SURPLUSES ARE USED TO HELP FUND NEW HEALTH SERVICE PROGRAMS IN THE FUTURE AND FUND NEW AND REPLACEMENT EQUIPMENT AND FACILITIES.COMMUNITY HEALTH EDUCATION:HARRISON MEDICAL CENTER HAS A LONG-STANDING COMMITMENT TO PROMOTE COMMUNITY EDUCATION IN THE HEALTH CARE AREA. THE COMMITMENT IS DEMONSTRATED THROUGH AN ACTIVE PROGRAM OF CLASSES DIRECTED AT THE COMMUNITY-AT-LARGE AND SPECIALIZED CLASSES DIRECTED AT PERSONS WITH SPECIAL NEEDS. THESE COMMUNITY EDUCATIONAL SERVICES ARE PROVIDED BY STAFF OR TRAINED PROFESSIONALS WHO ARE EMPLOYEES OF THE MEDICAL CENTER. HARRISON MEDICAL CENTER VALUES THE RELATIONSHIPS WE MAINTAIN WITH THE COMMUNITY AND COMMUNITY ORGANIZATIONS. THERE ARE NUMEROUS COMMUNITY BASED SUPPORT GROUPS, WHICH MEET AT HARRISON ON A REGULAR BASIS USING THE MEDICAL CENTER'S MEETING ROOMS AT NO CHARGE. THE FACILITATORS OF THESE GROUPS ARE OFTEN STAFF AND TRAINED PROFESSIONALS OF THE MEDICAL CENTER. HEALTH-RELATED VOLUNTEER SERVICE OF HARRISON MEDICAL CENTER EMPLOYEES:MANY OF HARRISON'S EMPLOYEES SERVE AS COMMUNITY SOCIAL SERVICE ORGANIZATION BOARD MEMBERS AS WELL AS DONATING THEIR TIME TO INDIVIDUAL HEALTH AGENCY PROJECTS. EMPLOYEES OF HARRISON REGULARLY CONTRIBUTE THEIR OWN TIME TO SUPPORT VARIOUS COMMUNITY FUND RAISING EVENTS SUCH AS MARCH OF DIMES WALK-A-THON, MS WALK-A-THON, ALZHEIMER'S MEMORY WALK, AMERICAN CANCER SOCIETY RELAY FOR LIFE, CYSTIC FIBROSIS GREAT STRIDES WALK, KITSAP COUNTY AIDS WALK AND UNITED WAY DAY OF CARING. THE MEDICAL CENTER ALSO CONTRIBUTES TO THESE CAUSES BY PROVIDING EVENT MEALS FOR THE VOLUNTEERS, AND PAID TIME FOR EMPLOYEES DURING REGULAR WORKING HOURS TO ORGANIZE THE EVENTS. HEALTH-RELATED SERVICE OF HARRISON MEDICAL CENTER VOLUNTEERS:HARRISON'S VOLUNTEERS ARE INVOLVED IN A PROGRAM THAT PROVIDES PATIENTS AND THEIR FAMILIES WITH COMPLEMENTARY THERAPIES DURING THEIR STAY AT THE MEDICAL CENTER. THESE THERAPIES INCLUDE HAND MASSAGE, THERAPEUTIC MUSIC, SUCH AS HARP, ACOUSTIC GUITAR, FLUTE AND PIANO, THERAPEUTIC ART, BOOK AND BEVERAGE CART SERVICE AND SERVICE PET ROUNDING.TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS:HARRISON MEDICAL CENTER CONTINUES TO SERVE AS A CLINICAL SITE FOR STUDENTS IN NURSING, PHYSICAL THERAPY, MEDICAL RECORDS, RADIOLOGY, PHARMACY, SOCIAL WORK, AND DIETARY PROGRAMS AND A NON-CLINICAL SITE FOR STUDENTS IN MATERIALS MANAGEMENT. STUDENTS ARE ON-SITE AND UNDER HARRISON'S DIRECTION FOR SERVICE FOR SEVERAL THOUSAND HOURS EACH YEAR.COMMUNITY HEALTHCARE INFORMATION:HARRISON MEDICAL CENTER HAS DEVELOPED AN INTERNET WEB SITE AND PROVIDES THE COMMUNITY WITH AREAS TO LOOK UP HOSPITAL PROGRAMS AND SERVICES, COMMUNITY AND HEALTHCARE NEWS. IT ALSO CONTAINS A PHYSICIAN DATABASE THAT IS USEFUL TO INDIVIDUALS WHO ARE CHOOSING A PHYSICIAN. THE MEDICAL AND HEALTHCARE CONSUMER LIBRARIES MAINTAINED BY HARRISON MEDICAL CENTER ARE RESOURCES FOR HEALTH PROFESSIONALS AND THE PUBLIC IN OUR COMMUNITY. OUR MEDICAL LIBRARY WORKS IN COOPERATION WITH THE REGIONAL PUBLIC LIBRARY, NAVY HOSPITAL AND COMMUNITY COLLEGE LIBRARY TO PROVIDE HEALTHCARE INFORMATION FOR AREA RESIDENTS. 269941984 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 1 194 0 1 2754 1 1 1 0 0 0 0 0 0 0 0 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 0 WA X RICHARD SMITH 3607446507 2520 CHERRY AVENUE BREMERTON WA 98310 JOHN WALLEN 2.00 X X 0 0 0 JAMES CIVILLA 2.00 X X 0 0 0 DAVID VETERANE 2.00 X X 0 0 0 NANCY BOHANNON MD 5.00 X X 55201 0 0 GRIFFITH BLACKMON MD 3.00 X 2144 0 0 CARL CRAMER 2.00 X 0 0 0 JAMES SMALLEY 2.00 X 0 0 0 MARY GARGUILE 2.00 X 0 0 0 RUTH HANSTEN 2.00 X 0 0 0 GREGORY S HENDERSON MD 2.00 X 0 0 0 RALPH LINTZ 2.00 X 0 0 0 KELLY NELSON 2.00 X 0 0 0 RON MUHLEMAN 2.00 X 0 0 0 JOAN SORIANO 2.00 X 0 0 0 RICK TIFT 2.00 X 0 0 0 SCOTT BOSCH 50.00 X 577088 0 189001 PATRICIA COCHRELL 50.00 X 330637 0 49085 CYNTHIA MAY 50.00 X 221519 0 34632 RONALD MORRIS 50.00 X 237318 0 4669 ADAR PALIS 50.00 X 306670 0 45707 ANDREW STEFO 50.00 X 179842 0 45486 RICHARD SMITH 50.00 X 148288 0 29175 MARIAL KAGAN 50.00 X 271800 0 40759 REBECCA KELLY 50.00 X 193005 0 29748 THOMAS KRUSE 50.00 X 293857 0 49344 RAPIN CHAI KANITHANON 40.00 X 405478 0 24645 ROBERT C KING 40.00 X 495262 0 42313 RONALD ROBERT REIMER 40.00 X 427527 0 9745 DENNIS M WILLERFORD 40.00 X 472642 0 11135 MALCOM W WINTER 40.00 X 471217 0 11135 JAMES ROWSON 0.00 X 341028 0 20704 MARLA BRADY 0.00 X 233228 0 13835 5663751 0 651118 157 1 1 0 DYNACARE NORTHWEST INC 550 17TH AVENUE STE 300 SEATTLE WA 98122 LABORATORY 2021187 SOUND PHYSICIANS 1123 PACIFIC AVENUE TACOMA WA 98402 PHYSICIAN 1915170 ADVANCED MEDICAL IMAGING LLC 1780 NW MYHRE RD STE 1220 SILVERDALE WA 98383 IMAGING 1820291 S & S SECURITY SERVICE PO BOX 459 BELFAIR WA 98528 SECURITY 1519688 PATHOLOGY ASSOCIATES OF KITSAP COUNTY PO BOX 2171 BREMERTON WA 98310 PHYSICIAN 892359 22 336458 59016 17495 69413 412969 PATIENT REVENUE 621110 192199187 192199187 MEDICARE/MEDICAID 621110 150933707 150933707 343132894 2985617 834777 2150840 66328 -3718 70046 70046 70046 76654560 307653 76773815 337879 -119255 -30226 -149481 -149481 346452045 343132894 834777 2071405 422191 422191 3355191 3355191 124187388 105422579 18764809 5585594 4970891 614703 17984791 14944068 3040723 12924284 10726327 2197957 393673 393673 72713 72713 39577 39577 25081772 18039072 7042700 1280719 16289 1264430 2755879 946465 1809414 3809940 777873 3032067 2627557 1929077 698480 861630 443664 417966 3316370 3316370 15212937 10211856 5001081 2399110 2212336 186774 MEDICAL SUPPLIES 67780864 65979037 1801827 BAD DEBT PROVISION 24941606 24941606 EQUIP RENT/MAINTENANCE 7735841 4471851 3263990 BUSINESS TAXES 2183594 607 2182987 UNRELATED BUS INC TAXES 299000 299000 794492 169825 624667 326046713 269941984 56104729 0 3014887 20917298 1138241 2234942 42978393 44600307 2308516 2909014 2415654 2391084 249323295 131882112 107401805 117441183 66211262 103461188 32151780 42455593 8074313 10030681 265694851 346441290 30351777 36486129 62123808 90291615 30362614 39259724 122838199 166037468 X 138100397 174915979 2922803 3548838 1833452 1939005 142856652 180403822 265694851 346441290 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 39577 39577 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: PROFESSIONAL LOBBYIST WAS PAID FOR ASSISTANCE ON THE "NO ON 1033" CAMPAIGN. WASHINGTON INITIATIVE 1033 WOULD HAVE LIMITED PROPERTY TAX INCREASES TO THE RATE OF INFLATION AND POPULATION GROWTH. A PORTION OF THE MEMBERSHIP DUES PAID TO WASHINGTON SATE HOSPITAL ASSOCIATION AND AMERICAN HEART ASSOCIATION WERE EXPENDED FOR LOBBYING ACTIVITIES AS WELL. 8287756 6832354 15120110 59190571 28250811 30939760 155008906 99719611 55289295 20003708 3911690 16092018 117441183 INVESTMENT IN JOINT VENTURES 1137110 F ALTERNATIVE INVESTMENTS 41318483 F 42455593 ACCRUED PENSION LIABILITY 27351376 RESERVE FOR PROFESSIONAL LIABILITY CLAIMS 11096410 DEFERRED GAIN FROM SALE OF FACILITIES 811938 39259724 346452045 326046713 20405332 23894292 -6752454 17141838 37547170 362915625 23894292 -7430712 16463580 346452045 0 346452045 325368455 0 325368455 678258 678258 326046713 Part XI, Line 8 - Other Adjustments: CHANGE IN OBLIGATIONS UNDER PENSION PLAN: -8025420. CHANGE IN INTEREST IN HARRISON MEDICAL CENTER FOUNDATION: 1272966. Part XII, Line 2d - Other Adjustments: EXPENSES GROUPED WITH REVENUES ON FINANCIAL STATEMENTS: -678258. CHANGE IN OBLIGATIONS UNDER PENSION PLAN: -8025420. CHANGE IN INTEREST IN HARRISON MEDICAL CENTER FOUNDATION: 1272966. Part XIII, Line 4b - Other Adjustments: EXPENSES GROUPED WITH REVENUES ON FINANCIAL STATEMENTS: 678258. 1 1 X 1 X 1 X 100.000000000000 1 1 0 0 5044238 5044238 0.01550 37487116 24218980 13268136 0.04070 12257276 11707776 549500 0.00170 54788630 35926756 18861874 0.05790 503973 503973 0.00150 49520 49520 0.00020 41979 41979 0.00010 595472 595472 0.00180 55384102 35926756 19457346 0.05970 11500 11500 0.00000 137230 137230 0.00040 445123 445123 0.00140 593853 593853 0.00180 1 8471247 0 108260010 120065779 -11805769 X 0 HARRISON MEDICAL CENTER

2520 CHERRY AVENUE BREMERTON WA 98310

X X X HARRISON MEDICAL CENTER

1800 NW MYHRE ROAD SILVERDALE WA 98383

X X X HARRISON BELFAIR URGENT CARE

21 NE ROMANCE HILL ROAD BELFAIR WA 98528

X PRIMARY & URGENT CARE HARRISON PORT ORCHARD URGENT CARE

450 S KITSAP BLVD PORT ORCHARD WA 98366

X PRIMARY & URGENT CARE Part III, Line 4: THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA, UNDER ITS CHARITY CARE POLICY, WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE AMOUNT OF CHARGES FORGONE FOR CHARITY CARE PROVIDED BY THE MEDICAL CENTER FOR THE YEARS ENDED APRIL 30, 2010 AND 2009, WAS $14,851,580 AND $14,778,329, RESPECTIVELY.BAD DEBT EXPENSE IS RECORDED BASED ON A REVIEW OF OUTSTANDING ACCOUNTS RECEIVABLE BALANCES BY AGE AND FINANCIAL CLASS. BASED ON HISTORICAL CLOSED CASE DATA, AN ESTIMATED WRITE OFF AMOUNT IS CALCULATED AND A RESERVE IS ESTABLISHED ON THE BALANCE SHEET FOR THIS ESTIMATE. THE RESERVE IS COMPARED WITH THE PRIOR PERIOD RESERVE AND THE NECESSARY INCREASE IS BOOKED AS EXPENSE FOR THE PERIOD. BALANCES FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE HANDLED SEPARATELY.CHARITY CARE (FINANCIAL ASSISTANCE) EXPENSE IS RECORDED AT THE TIME THE FINANCIAL ASSISTANCE APPLICATION IS PROCESSED. THE AMOUNT RECORDED AS CHARITY CARE IS DETERMINED BY THE LEVEL OF FINANCIAL ASSISTANCE THAT IS APPROVED BASED ON INCOME CRITERIA ESTABLISHED IN THE POLICY. THIS AMOUNT IS IDENTIFIED AS CHARITY EXPENSE AND REPAYMENT IS NOT PURSUED FROM THE APPLICANT/PATIENT.THE MISSION OF HARRISON MEDICAL CENTER IS "TO MAKE A POSITIVE DIFFERENCE IN PEOPLE'S LIVES THROUGH EXCEPTIONAL HEALTH CARE." IN ORDER TO ENSURE THE FUTURE OF THIS MISSION WITHIN OUR COMMUNITY WE MUST REMAIN FINANCIALLY HEALTHY BY RECEIVING APPROPRIATE PAYMENT FOR THE SERVICES WE PROVIDE. IN ADDITION, OUR FINANCIAL ASSISTANCE PRACTICES WILL ALWAYS COMPLY WITH WASHINGTON STATE LAWS AND REGULATIONS AND BE CONSISTENT WITH BEST PRACTICES OF OTHER MEDICAL CENTERS. TO OBTAIN CURRENT FINANCIAL ASSISTANCE GUIDELINES THE WEBSITE USED IS HTTP://WWW.ASPE.HHS.GOV/POVERTY/08POVERTY.SHTMLIT IS THE GOAL THAT EACH PATIENT WHO INDICATES FINANCIAL DIFFICULTY IN PAYING FOR HEALTHCARE SERVICES IS FULLY AND FAIRLY EVALUATED AND OFFERED APPROPRIATE FINANCIAL ASSISTANCE. HARRISON IS ALSO OBLIGATED TO PURSUE OUTSTANDING BALANCES FOR THE DEDUCTIBLES OR CO-INSURANCE AMOUNTS REQUIRED BY A THIRD PARTY PAYER ON PATIENT ACCOUNTS FAIRLY AND CONSISTENTLY.1. HARRISON IS COMMITTED TO NEVER DENY NECESSARY MEDICAL CARE BASED ON THE INABILITY TO PAY.2. HARRISON WILL PROVIDE A WRITTEN NOTICE TO ALL PATIENTS INFORMING THEM ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.3. HARRISON WILL ACTIVELY SUPPORT PATIENTS IN THEIR EFFORTS TO OBTAIN APPROPRIATE FINANCIAL ASSISTANCE.4. UNCOMPENSATED HEALTHCARE WILL NEVER BE DENIED BASED UPON RACE, CREED, COLOR, SEX, NATIONAL ORIGIN, SEXUAL ORIENTATION, DISABILITY, AGE OR SOURCE OF INCOME.5. UNDER ALL CIRCUMSTANCES THE COLLECTION PRACTICES OF HARRISON ENTITIES WILL BE PERFORMED PROFESSIONALLY AND CONSISTENT WITH OUR MISSION AND THE FEDERAL FAIR DEBT COLLECTION PRACTICES ACT.6. HARRISON WILL COMPLY WITH OR EXCEED THE STATE OF WASHINGTON LEGISLATIVE DIRECTIVES ENACTED BY RCW 70.170.060 AND ANY UPDATES.7. HARRISON WILL ABIDE BY AND COMPLY WITH THE RULES AND MONITORING OF THE DEPARTMENT OF HEALTH.8. HARRISON WILL MAINTAIN A COLLECTION PROCEDURE WHICH DEFINES ACCOUNT PARAMETERS FOR REFERRAL TO COLLECTIONS BASED ON ALPHA PREFIX AND PLACEMENT OF LIENS.9. THE FINANCE COMMITTEE OF THE BOARD WILL RECEIVE AN ANNUAL REPORT SUMMARIZING OUR COLLECTION ACTIVITY.PROCEDURE CRITERIA:1. HARRISON WILL COMPLY WITH THE STATE DEPARTMENT OF HEALTH ACCOUNTING RULES OF UNIFORM PROCEDURES, DATA REQUIREMENTS AND CRITERIA FOR IDENTIFYING PATIENTS RECEIVING FINANCIAL ASSISTANCE.2. ASSISTANCE WILL BE PROVIDED IN ACCESSING ENTITLEMENT PROGRAMS SUCH AS STATE MEDICAL ASSISTANCE AND CRIME VICTIMS.3. THE AMOUNT OF DISCOUNT RELATED TO THE INDIGENT CARE AFTER MEDICARE PAYMENT WILL BE IDENTIFIED.4. PROCEDURES WILL BE IN PLACE TO INFORM THE PUBLIC ABOUT AVAILABLE FINANCIAL ASSISTANCE.5. HARRISON WILL SUBMIT ANNUAL REPORTS REQUESTED BY THE DEPARTMENT OF HEALTH.6. APPLICATION FOR FINANCIAL ASSISTANCE WILL BE WRITTEN WITH SUPPORTING DOCUMENTATION.7. FAILURE TO COMPLY WITH OUTREACH SERVICES PROTOCOL WILL RESULT IN THE DENIAL OF FINANCIAL ASSISTANCE. Part III, Line 8: HARRISON USES THE MEDICARE COST REPORT TO ALIGN REVENUE WITH EXPENSES FOR EACH ESTABLISHED MEDICARE DEFINED COST CENTER BY USING THE STEP-DOWN METHOD OF COST ALLOCATION. HOSPITAL GENERAL LEDGER DEPARTMENTS ARE GROUPED INTO MEDICARE-DEFINED COST CENTERS. EXPENSES ARE OFFSET BY OTHER OPERATING REVENUES TO EXCLUDE SERVICES UNRELATED TO PATIENT CARE. KEY STATISTICS ARE USED TO ALLOCATE THE COSTS TO THE MAJOR FUNCTION SERVICES. ADJUSTMENTS TO CREATE A BETTER MATCHING OF REVENUES AND COSTS ARE PERFORMED AS NEEDED. NON-PATIENT INCOME IS OFFSET AGAINST THE ASSOCIATED NON-PATIENT CARE EXPENSES ASSOCIATED WITH THE SERVICES. IN ADDITION, PROFESSIONAL SERVICES PROVIDED BY PHYSICIANS ARE EXCLUDED. ONCE THE GENERAL LEDGER HAS BEEN ADJUSTED FOR THE RECLASSIFICATIONS AND INCOME OFFSETS, THE EXPENSES ARE ALLOCATED USING THE STEP-DOWN METHOD. THE STEP-DOWN METHOD ALLOCATES THE COST OF EACH COST CENTER, AS WELL AS THE COSTS STEPPED DOWN TO IT, TO THE MAJOR FUNCTIONAL SERVICES.OVERHEAD, CAPITAL COSTS, DEPRECIATION, AND INTEREST ARE ALLOCATED BASED ON COST CENTER KEY STATISTICS. IN THE STEP-DOWN ALLOCATION PROCESS, COSTS WILL ACCUMULATE FROM PREVIOUSLY STEPPED DOWN COST CENTERS. THE ACCUMULATED COST FOR EACH COST CENTER WILL BE STEPPED DOWN USING ITS SPECIFIC STATISTIC. THE NEXT GROUP OF COST CENTERS TO BE ALLOCATED IS THE ANCILLARY COST CENTERS, WHICH ARE STEPPED DOWN BASED ON GROSS CHARGES PROVIDED TO EACH FUNCTIONAL SERVICE. THE FINAL RESULT PROVIDES FULLY ALLOCATED COSTS TO THE MAJOR FUNCTIONAL SERVICES, SUCH AS MEDICAL SURGICAL INPATIENTS, OBSTETRICS AND EMERGENCY DEPARTMENTS.HARRISON MEDICAL CENTER PROVIDES UNCOMPENSATED CARE OR CHARITY CARE TO PATIENTS WHO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE AT NO CHARGE OR AT SUBSTANTIALLY REDUCED RATES. $14,851,979 OF GROSS CHARGES WERE RELATED TO CHARITY CARE PATIENTS IN FISCAL YEAR 2010. IN AGGREGATE, HARRISON MEDICAL CENTER'S PATIENT CARE RELATED COSTS ARE APPROXIMATELY 33.96 % OF TOTAL PATIENT CHARGES. THE COST TO CHARGE METHODOLOGY WAS USED TO CALCULATE THE COST OF THESE UNCOMPENSATED SERVICES, RESULTING IN OVER $5 MILLION OF COMMUNITY BENEFIT PROVIDED BY HARRISON MEDICAL CENTER IN FISCAL YEAR 2010. Part V: HARRISON MEDICAL CENTER HAS THE FOLLOWING ADDITIONAL FACILITIES THAT ARE NOT RECOGNIZED AS HOSPITALS FOR STATE PURPOSES: ONE OUTPATIENT REHAB CLINIC, ONE PEDIATRIC REHAB CLINIC, ONE IV OPTIMUM CLINIC, ONE THORACIC AND VASCULAR CENTER, AND TWO MEDICAL ONCOLOGY FACILITIES. Part VI, Line 2: HARRISON MEDICAL CENTER'S ASSESSMENT OF THE COMMUNITY'S HEALTH CARE NEEDS IS DATA DRIVEN, FACTORING IN A NUMBER OF CONSIDERATIONS. THE ORGANIZATION REVIEWS MARKET SHARE DATA BY VARIOUS CLINICAL DEFINITIONS TO UNDERSTAND WHY PATIENTS MAY BE LEAVING THE COMMUNITY FOR CARE AND DETERMINE IF THERE IS AN UNMET NEED WITHIN THE COMMUNITY. DEMOGRAPHIC DATA IS ANALYZED ALONG WITH HISTORICAL USE RATES TO DETERMINE FUTURE CHANGES IN HEALTH CARE NEEDS. ALSO, DATA FROM THE CDC'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) IS REVIEWED TO UNDERSTAND CHANGES IN THE OVERALL HEALTH STATUS AND RISK FACTORS FOR VARIOUS DISEASES SUCH AS SMOKING AND OBESITY. ANALYSIS OF THE NUMBER AND TYPE OF PHYSICIANS AND MID-LEVEL PROVIDERS IS USED TO EVALUATE ACCESS TO PRIMARY AND SPECIALTY CARE PROVIDERS IN THE COMMUNITY. Part VI, Line 3: FINANCIAL ASSISTANCE APPLICATIONS ARE LOCATED AT EACH HARRISON MEDICAL CENTER LOCATION. PATIENTS THAT PRESENT FOR SERVICES AS SELF PAY OR INSURED ARE OFFERED A FINANCIAL ASSISTANCE APPLICATION. APPLICATIONS ARE AVAILABLE IN ENGLISH AND IN SPANISH. INTERPRETERS HELP PROVIDE INFORMATION TO OTHER NON- ENGLISH SPEAKING FAMILIES. THIS INFORMATION IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE. HARRISON MEDICAL CENTER PRODUCED 10,000 APPLICATIONS TO MAKE AVAILABLE TO OUR PATIENTS. ONCE AN APPLICATION IS RECEIVED OUR FINANCIAL ASSISTANCE SPECIALIST WILL REVIEW THE APPLICATION AND CONTACT THE PATIENT FOR ADDITIONAL INFORMATION IF NEEDED. WHEN REVIEWING THE APPLICATION, IF THE FINANCIAL ASSISTANCE SPECIALIST DETERMINES THAT THEY MAY QUALIFY FOR ANY STATE PROGRAMS THEN THEY WILL REFER THE ACCOUNT TO OUR OUTREACH SERVICES DEPARTMENT TO BE SCREENED FOR SUCH PROGRAMS. PATIENT ACCOUNTS SPECIALISTS ARE ALSO AVAILABLE TO MEET WITH PATIENTS AND OR THEIR FAMILIES TO HELP COMPLETE THE APPLICATION IF NEEDED. IF THE APPLICATION RECEIVED IS COMPLETE AND THE PATIENT DOES NOT QUALIFY FOR OTHER STATE PROGRAMS, THEN THE APPLICATION WILL BE PROCESSED AND OR APPROVED BASED ON THE FEDERAL POVERTY GUIDELINES. Part VI, Line 4: HARRISON MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF ABILITY TO PAY. HARRISON'S PRIMARY MARKET AREA, KITSAP COUNTY, HAS A POPULATION OVER 240,000. OVER 13 PERCENT OF THE COUNTY'S RESIDENTS ARE OVER THE AGE OF 65. HARRISON'S SECONDARY MARKET IS CLALLAM, JEFFERSON, AND NORTH MASON COUNTIES. Part VI, Line 5: HARRISON MEDICAL CENTER VALUES THE RELATIONSHIPS IT MAINTAINS WITH THE COMMUNITY AND COMMUNITY ORGANIZATIONS. THERE ARE NUMEROUS COMMUNITY BASED SUPPORT GROUPS, WHICH MEET AT HARRISON ON A REGULAR BASIS USING THE MEDICAL CENTER'S MEETING ROOMS AT NO CHARGE. THE FACILITATORS OF THESE GROUPS ARE OFTEN STAFF AND TRAINED PROFESSIONALS OF THE MEDICAL CENTER. THESE GROUPS INCLUDE DIABETES SUPPORT FOR CHILDREN AND PARENTS, STOP SMOKING SUPPORT, AMPUTEE SUPPORT, LUPUS SUPPORT, WOMEN'S CARDIAC HEALTH & CANCER PROGRAM, CANCER EDUCATION SUPPORT, LOOK GOOD AND FEEL BETTER SUPPORT, SLEEP APNEA SUPPORT, BETTER BREATHERS CLUB, PARKINSON'S, OVARIAN/GYNECOLOGICAL CANCER SUPPORT, BARIATRIC SURGERY SUPPORT, COMPASSIONATE FRIENDS SUPPORT, STROKE SUPPORT, BREAST CANCER SUPPORT, TRAUMATIC BRAIN INJURY SUPPORT, WOMEN WITH CANCER SUPPORT, HEART AND VASCULAR SUPPORT, KIDS CARE SUPPORT, LAP-BAND SUPPORT, ANCHOR SENIOR SUPPORT, AND ORTHOPEDIC SUPPORT.HARRISON MEDICAL CENTER'S SOCIAL WORKERS PROVIDE OVER 250 HOURS PER YEAR OF ASSISTANCE TO COMMUNITY MEMBERS WITH QUESTIONS REGARDING SERVICES OUTSIDE OF HMC AND ANOTHER 300 HOURS PER YEAR OF ASSISTANCE WITH ACCESS TO THESE SERVICES. SOCIAL WORKERS FREQUENTLY ARRANGE TRANSPORTATION FOR PATIENTS AND THEIR FAMILIES WHO LACK RESOURCES, PROCURE URGENTLY REQUIRED DISCHARGE MEDICATIONS TO LOW INCOME PATIENTS, PROVIDE 1.2 FTE'S OF SOCIAL WORK SERVICES FOR UNBILLED OUTPATIENT COUNSELING FOR RADIATION ONCOLOGY AND REHAB PATIENTS, AND THE SOCIAL WORK DIRECTOR SPENDS 15-20 HOURS EACH MONTH WORKING WITH COMMUNITY GROUPS ON MUTUAL PROJECTS AND SERVING ON VARIOUS COMMUNITY BOARDS.HARRISON MEDICAL CENTER RECRUITS PHYSICIANS TO FILL UNMET NEEDS IN THE COMMUNITY. ANALYSIS OF THE NUMBER AND TYPE OF PHYSICIANS AND MID-LEVEL PROVIDERS IS USED TO EVALUATE ACCESS TO PRIMARY AND SPECIALTY CARE PROVIDERS IN THE COMMUNITY. WHERE GAPS EXIST, HARRISON WORKS WITH OUR PHYSICIAN PARTNERS TO RECRUIT NEW PROVIDERS TO MEET THE GAPS IDENTIFIED BY THE ANALYSIS. Part VI, Line 6: HARRISON MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY IN MANY WAYS. HARRISON'S OPEN MEDICAL STAFF PRACTICE IN FIVE LOCATIONS THROUGHOUT KITSAP COUNTY AND NORTH MASON COUNTY, PROVIDING PRIMARY AND URGENT CARE AS WELL AS ADVANCED SPECIALTY CARE. FOR THE PAST SIX YEARS, HARRISON HAS SPONSORED THE KITSAP COUNTY MEDICAL SOCIETY FOUNDATION'S FAMILY FUN RUN. THE EVENT MARKS THE CULMINATION OF A TWO-MONTH PROGRAM, ENCOURAGING SCHOOL CHILDREN TO EXERCISE AND MAKE HEALTHY NUTRITION CHOICES. OUR DIETARY DEPARTMENT HAS CREATED AN ONGOING WELLNESS PROGRAM FOR EMPLOYEES. THE PROGRAM OFFERS GROUP EXERCISE CLASSES, PERSONALIZED DIET AND ACTIVITY PLANS, ONLINE COMMUNITY FORUMS, AND HEALTH SCREENINGS ALL MEANT TO ENABLE EMPLOYEES TO LEAD HEALTHIER LIVES. HARRISON OFFERS A NURSING RESIDENCY PROGRAM DESIGNED TO AID THE TRANSITION OF NURSING STUDENTS TO STAFF NURSES PROVIDING CARE FOR PATIENTS AT THE BEDSIDE. HARRISON ALSO OFFERS A MULTITUDE OF CLASSES FROM SMOKING CESSATION TO DIABETES EDUCATION.THE HARRISON MEDICAL CENTER BOARD OF DIRECTORS CONSISTS OF BUSINESS AND COMMUNITY LEADERS FROM WITHIN OUR PRIMARY AND SECONDARY MARKET AREAS. BOARD MEMBERS BRING RICH AND DIVERSE SKILL SETS TO THE GOVERNANCE ROLE THROUGH BACKGROUNDS INCLUDING, BUT NOT LIMITED TO, PUBLIC ACCOUNTING, EDUCATION, MEDICINE, MEDIA, AND MANUFACTURING.HARRISON MEDICAL CENTER PROVIDES URGENT AND EMERGENT PATIENT CARE IN THREE LOCATIONS, 24 HOURS A DAY, SEVEN DAYS A WEEK, OPERATING TWO HOSPITAL BASED EMERGENCY ROOMS AND AN URGENT CARE CLINIC. HARRISON ALSO PROVIDES URGENT CARE AT A SECOND LOCATION, 12 HOURS A DAY, EVERY DAY. NO PATIENT IS EVER TURNED AWAY FROM HARRISON MEDICAL CENTER BECAUSE OF AN INABILITY TO PAY. IT MAINTAINS AN OPEN MEDICAL STAFF CONSISTING OF COMMUNITY PHYSICIANS WHO HAVE MET THE CREDENTIALING REQUIREMENTS OF THE ORGANIZATION. 1 HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVENUE BREMERTON WA 98310 911197626 501(C)(3) 271956 N/A N/A PROVIDE SALARIES AND BENEFITS FOR FOUNDATION STAFF AMERICAN CANCER SOCIETY 718 LEBO BLVD BREMERTON WA 98310 131788491 501(C)(3) 12000 N/A N/A RELAY FOR LIFE SPONSORSHIP BOYS & GIRLS CLUB 11875 NW SILVERDALE WAY SUITE 205 SILVERDALE WA 98383 261550879 501(C)(3) 5500 N/A N/A BARN DANCE AND BBQ SPONSORSHIP KITSAP COUNTY MEDICAL SOCIETY PO BOX 339 BREMERTON WA 98383 237087265 501(C)(6) 23000 N/A N/A MULTIPLE EVENT SPONSORSHIP MARCH OF DIMES 1904 3RD AVENUE SUITE 230 SEATTLE WA 98101 999999999 501(C)(3) 9000 N/A N/A MARCH FOR BABIES 2010 SPONSORSHIP KIDS DISCOVERY MUSEUM 305 MADISON AVE SUITE C BAINBRIDGE ISLAND WA 98110 300167480 501(C)(3) 10000 N/A N/A MEDICAL CLINIC EXHIBIT SPONSORSHIP 5 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: SUPPORT IS PROVIDED TO HARRISON MEDICAL CENTER FOUNDATION IN THE FORM OF SALARIES AND BENEFITS FOR SEVERAL STAFF MEMBERS. HARRISON MEDICAL CENTER REVIEWS THE RECORDS AND PREPARES THE FINANCIAL STATEMENTS OF THE FOUNDATION. WHEN CONSIDERING FINANCIAL DONATIONS TO OTHER ORGANIZATIONS, HARRISON MEDICAL CENTER FOCUSES ON THREE AREAS: HEALTH AND WELLNESS PROGRAMS THAT ENHANCE OPPORTUNITIES FOR FAMILIES IN KITSAP COUNTY; SPORTS PROGRAMS THAT SUPPORT HEALTHY, ACTIVE LIFESTYLES; AND BUSINESS DEVELOPMENT OPPORTUNITIES THAT EXPAND THE WELLNESS COMPONENT OF OUR SERVICES. WE BELIEVE OUR EMPLOYEES ARE THE BEST RESOURCE WE CAN OFFER OUR COMMUNITIES AND THEREFORE WE ALSO SUPPORT ORGANIZATIONS IN WHICH THEY ARE ACTIVE VOLUNTEERS. X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 SCOTT BOSCH 479258 0 89460 0 8370 0 170972 0 18029 0 766089 0 0 0 PATRICIA COCHRELL 289832 0 39825 0 980 0 35850 0 13235 0 379722 0 0 0 CYNTHIA MAY 193745 0 27000 0 774 0 19760 0 14872 0 256151 0 0 0 RONALD MORRIS 133691 0 32400 0 71227 0 0 0 4669 0 241987 0 0 0 ADAR PALIS 232224 0 31050 0 43396 0 37330 0 8377 0 352377 0 0 0 ANDREW STEFO 163270 0 0 0 16572 0 37407 0 8079 0 225328 0 0 0 RICHARD SMITH 138792 0 0 0 9496 0 14897 0 14278 0 177463 0 0 0 MARIAL KAGAN 237288 0 32400 0 2112 0 31220 0 9539 0 312559 0 0 0 REBECCA KELLY 169767 0 22950 0 288 0 22114 0 7634 0 222753 0 0 0 THOMAS KRUSE 225463 0 31050 0 37344 0 34344 0 15000 0 343201 0 22412 0 RAPIN CHAI KANITHANON 397598 0 0 0 7880 0 12250 0 12395 0 430123 0 0 0 ROBERT C KING 465134 0 0 0 30128 0 27350 0 14963 0 537575 0 0 0 RONALD ROBERT REIMER 426725 0 0 0 802 0 4900 0 4845 0 437272 0 0 0 DENNIS M WILLERFORD 472423 0 0 0 219 0 4900 0 6235 0 483777 0 0 0 MALCOM W WINTER 470998 0 0 0 219 0 4900 0 6235 0 482352 0 0 0 JAMES ROWSON 133374 0 22500 0 185154 0 13921 0 6783 0 361732 0 30721 0 MARLA BRADY 60750 0 21870 0 150608 0 6245 0 7590 0 247063 0 13827 0 Part I, Line 1a KITSAP GOLF & COUNTRY CLUB MEMBERSHIP DUES IN THE AMOUNT OF $4,794 FOR SCOTT BOSCH, CEO, ARE PAID FOR BY THE MEDICAL CENTER AND ARE A NON-TAXABLE BENEFIT TO THE INDIVIDUAL BECAUSE THE MEMBERSHIP IS ONLY USED FOR BUSINESS PURPOSES. HOUSING COST IN THE AMOUNT OF $16,000 FOR ANDREW STEFO, CFO, IS PAID FOR BY THE MEDICAL CENTER AND IS A TAXABLE BENEFIT. Part I, Line 4a THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: MARLA BRADY = $101,250, RONALD MORRIS = $54,167. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)(III) AS OTHER REPORTABLE COMPENSATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SCOTT BOSCH = $153,822, PATRICIA COCHRELL = $23,600, MARIEL KAGAN = $19,200, REBECCA KELLY = $13,600, THOMAS KRUSE = $22,825, CINDY MAY = $16,000, ADAR PALIS = $21,055, ANDREW STEFO = $33,600 Part I, Line 6 DEFERRED COMPENSATION: AS PART OF THE EXECUTIVE BENEFITS PACKAGE AVAILABLE TO SENIOR PERSONNEL, VICE PRESIDENT LEVEL STAFF ARE PROVIDED A NET PERCENTAGE OF THEIR ANNUAL BASE COMPENSATION TO BE USED FOR THE PURCHASE OF ADDITIONAL BENEFITS (E.G., LIFE INSURANCE, LONG TERM CARE INSURANCE, ETC.) OR TO BE DEFERRED AS AN AT RISK (SUBJECT TO RISK RULES, AS DEFINED) INVESTMENT TO BE PAID OUT ONLY UPON TERMINATION / RETIREMENT OF THE INDIVIDUAL. NO PART OF THIS ADDITIONAL BENEFIT IS PREDICATED ON THE EARNINGS OF HARRISON MEDICAL CENTER. INCENTIVE COMPENSATION: AN INCENTIVE COMPENSATION PLAN IS ALSO IN PLACE FOR SENIOR EXECUTIVES (VICE PRESIDENT LEVEL AND THE CEO). THIS PLAN, WHICH PLACES A PORTION OF EACH EXECUTIVE'S OVERALL COMPENSATION AT RISK, IS PREMISED ON A SERIES OF GOALS THAT RANGE FROM QUALITY TO FINANCIAL PERFORMANCE. WHILE A TRIGGER DOES EXIST IN THE PLAN THAT THE OPERATING BUDGET FOR THE FISCAL YEAR MUST BE MET, NO PART OF THE INCENTIVE IS COMPUTED AS A PERCENTAGE OF OPERATING INCOME. THE TARGETS ARE ADJUSTED EACH YEAR BY THE BOARD OF DIRECTORS, DEPENDENT ON THE ORGANIZATIONAL OBJECTIVES FOR THE YEAR. Supplemental Information Part III PART II, COLUMN (B)(III): THE MAJORITY OF THE AMOUNT REPORTED AS OTHER REPORTABLE COMPENSATION FOR JAMES ROWSON INCLUDES FUNDS RECEIVED FROM THE EXECUTIVE CAPITAL ACCUMULATION ACCOUNT. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2010 SERIES 911108929 2010-04-29 30000000 CONSTRUCT, REMODEL & EQUIP CARDIOVASCULAR CENTER & CAMPUS IMPROVEMENTS 0 0 30000000 21288758 600000 8111242 2012 0 0 0 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 1 0 0 0 0 0 PATHOLOGY ASSOICATES OF KITSAP COUNTY PARTNERSHIP MORE THAN 5% OWNED BY GREGORY S. HENDERSON, MD, TRUSTEE 892359 ANATOMIC PATHOLOGY SERVICES AGREEMENT AND LAB DIRECTOR SERVICES 0 KITSAP CHEST CONSULTANTS PARTNERSHIP MORE THAN 5% OWNED BY GRIFFITH BLACKMON, MD, TRUSTEE 659759 MANAGEMENT FEES AND ICU CALL COVERAGE CONTRACT 0 X 2563 COST X 1 1734 COST X SURGICAL NAV 1 49000 DONOR FMV X EMULATOR 1 1261 COST X NON-MED SUPPLIES 4 1406 COST X MISCELLANEOUS 1 13449 COST 0 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): THE NUMBER OF CONTRIBUTIONS REPORTED IN COLUMN B IS BASED ON THE NUMBER OF CONTRIBUTIONS RECEIVED. Form 990, Part VI, Section B, line 11 THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER TO ENSURE ACCURACY AND COMPLETENESS OF DATA. ONCE THEIR REVIEW IS COMPLETE, THE 990 IS SHARED WITH THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS RECEIVES AN ELECTRONIC COPY OF THE FORM PRIOR TO FILING. Form 990, Part VI, Section B, line 12c BOARD MEMBERS ARE ANNUALLY REQUIRED TO ACKNOWLEDGE RECEIPT OF THE MEDICAL CENTER'S CURRENT POLICY AND COMPLETE AND SUBMIT PROVIDED QUESTIONNAIRES. MEDICAL CENTER COUNSEL REVIEWS THE SUBMITTED QUESTIONNAIRES AND PROVIDES A FORMAL REPORT BACK TO THE BOARD. Form 990, Part VI, Section B, line 15 CONSULTANTS ARE RETAINED BY THE CHAIRMAN OF THE BOARD FOR THE EXPRESS PURPOSE OF SETTING EXECUTIVE COMPENSATION AND OPINING AS TO ITS COMPARABILITY AND REASONABLENESS. CONSULTANTS MAY USE A VARIETY OF RESOURCES TO MAKE THIS DETERMINATION INCLUDING SURVEYS, INFORMATION FROM OTHER ORGANIZATIONS' FORM 990, AND VARIOUS COMPARATIVE DATA. THIS REVIEW PROCESS IS DONE ANNUALLY FOR THE EXECUTIVE STAFF AND KEY EMPLOYEES. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART I, LINE 6 VOLUNTEER RESOURCES RECRUITS, ORIENTS, PLACES, TRAINS AND SUPPORTS VOLUNTEERS FROM 14 TO OVER 90 YEARS OF AGE. PEOPLE VOLUNTEER BECAUSE THEY VALUE SERVICE, TO GAIN WORK EXPERIENCE, MEET JUNIOR/HIGH SCHOOL REQUIREMENTS, MEET CRITERIA FOR COLLEGE APPLICATIONS OR PROGRAMS, OR FOR CAREER EXPLORATION. WE COORDINATE WITH SCHOOLS AND LOCAL ORGANIZATIONS IN ORDER TO PROVIDE OPPORTUNITIES FOR THEIR CLIENTS AND FOR THOSE WITH SPECIAL NEEDS. DURING THE FISCAL YEAR, MAY 1, 2009 THROUGH APRIL 30 2010, VOLUNTEER RESOURCES SUPPORTED OVER 400 VOLUNTEERS AND JOB SHADOWS WITH ABOUT 180 ACTIVE VOLUNTEERS EACH MONTH. CURRENTLY, ALMOST ONE HALF OF NEW VOLUNTEERS ARE VOLUNTEERING TO MEET SCHOOL REQUIREMENTS OR TO ENHANCE THEIR WORK EXPERIENCE. IN-VOLUNTEERS DONATED 37,060 HOURS OF SERVICE THROUGHOUT HARRISON AND HEALTH PARTNERS. VOLUNTEERS WERE PLACED AND/OR COMPLETED WORK ORDERS FOR OVER 40 DEPARTMENTS OR LOCATIONS: BELFAIR PRIMARY CARE, BUSINESS/COMMUNITY DEVELOPMENT, COMMUNICATIONS, COMPLEMENTARY THERAPIES, DIABETES CENTER, DIETARY, EDUCATION SERVICES, EMPLOYEE HEALTH, ENVIRONMENTAL SERVICES, FACILITIES, FOUNDATION, GIFT SHOPS, INFORMATION TECHNOLOGY, SOUTH KITSAP URGENT CARE AND PRIMARY CARE, HOME HEALTH, HUMAN RESOURCES, INFECTION PREVENTION, MARKETING, MEDICAL AFFAIRS, MEDICAL IMAGING NURSING ADMINISTRATION, NURSING UNITS (ALL), PATIENT ACCOUNTS, PUBLIC RELATIONS, PRE ADMIT, RADIATION ONCOLOGY, REGISTRATION, REHABILITATION (ALL AREAS), SERVICE EXCELLENCE, SLEEP CLINIC, SOCIAL WORK, SPIRITUAL CARE (ALL INPATIENT AREAS), SURGERY (INPATIENT AND SAME DAY), PHARMACY, TELECOMMUNICATIONS. EXAMPLES OF VOLUNTEER TASKS INCLUDE PROVIDING CUSTOMER SERVICE BY GREETING AND ESCORTING PATIENTS AND VISITORS, BEING COMMUNICATION LIAISONS, STAFFING RECEPTION DESKS, MAKING PHONE CALLS, PROVIDING CLERICAL AND COMPUTER ASSISTANCE, STAFFING SPECIAL EVENTS, ASSISTING NURSES IN CLINICAL AREAS, STOCKING SUPPLIES, GIVING TOURS, AND PROVIDING COMPLEMENTARY THERAPIES INCLUDING HAND RUBS, MUSIC, DOG THERAPY, AND ART THERAPY. VOLUNTEERS ALSO COMPLETE THOUSANDS OF WORK ORDERS WHICH INCLUDE COPYING, COLLATING, ART PROJECTS, AND SPECIAL PROJECTS. THE INDEPENDENT SECTOR ESTIMATES THE AVERAGE DOLLAR VALUE OF VOLUNTEER TIME AT $20.85 PER HOUR FOR 2009 ($18.35 WITHOUT FRINGE BENEFITS OF 12%). NOTE MINIMUM WAGE PLUS 15% INCREASE SUGGESTED BY HUMAN RESOURCES EQUALS CLOSE TO A $400,000 SAVINGS IN LABOR COST. BY ANY COUNT, THESE FIGURES HELP US MEASURE THE BROADER CONTRIBUTION OF VOLUNTEERS WHO DEDICATE THEIR TIME, TALENTS AND ENERGY TO MAKING A POSITIVE DIFFERENCE AT HARRISON. FORM 990, PART VII, SECTION A: COMPENSATION JIM ROWSEN, CHIEF FINANCIAL OFFICER, RETIRED FROM HARRISON MEDICAL CENTER ON DECEMBER 31, 2008. RICK SMITH, THE CURRENT DIRECTOR OF FINANCE, SERVED AS THE INTERIM CFO WHILE THE HOSPITAL SEARCHED FOR A REPLACEMENT. ANDREW STEFO WAS HIRED AS THE NEW CHIEF FINANCIAL OFFICER AS OF MARCH 30, 2009. ANDREW STEFO RESIGNED FROM THE HOSPITAL AS THE CHIEF FINANCIAL OFFICER AS OF JUNE 30, 2010. RICK SMITH IS SERVING AS THE INTERIM CHIEF FINANCIAL OFFICER AGAIN WHILE THE HOSPITAL SEARCHES FOR A REPLACEMENT FOR THE POSITION. HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVENUE BREMERTON WA 98310 911197626 RAISES & MANAGES CHARITABLE GIFTS FOR HARRISON MEDICAL CENTER WA 501(C)(3) LINE 7 N/A 0 1 1 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0