ASHLAND COMMUNITY HEALTH SERVICES: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ASHLAND COMMUNITY HEALTH SERVICES (EIN 93-1213059)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-10
IRS object ID: 201141309349301749
Schema version: 2009v1.7
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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-10T14:23:02-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Moss Adams LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	805 SW Broadway 1200	AddressLine1
City	Portland	City
State	OR	State
ZIP Code	97205	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	931213059	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Ashland Community Healthcare Services	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ASHL	NameControl
Phone	5412014000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	280 Maple Street	AddressLine1
City	Ashland	City
State	OR	State
ZIP Code	97520	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARK MARCHETTI	Name
Title	PRESIDENT/CEO	Title
Phone	5412014000	Phone
Date Signed	2011-05-02	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Paul Waldram	Name
Phone	5032421447	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARK MARCHETTI	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	280 Maple Street	AddressLine1
City	Ashland	City
State	OR	State
ZIP Code	97520	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	52518849	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.ashlandhospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	OUR MISSION IS TO PROVIDE COMPASSIONATE, HIGH QUALITY CARE THAT IMPROVES THE OVERALL HEALTH OF OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY BY WORKING IN PARTNERSHIP WITH OUR PHYSICIANS AND OTHER REGIONAL HEALTHCARE PROVIDERS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	508	TotalNbrEmployees
Total Nbr Volunteers	512	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	452062	ContributionsGrantsPriorYear
Contributions Grants Current Year	303011	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	51226323	ProgramServiceRevenuePriorYear
Program Service Revenue CY	49776569	ProgramServiceRevenueCY
Investment Income Prior Year	17753	InvestmentIncomePriorYear
Investment Income Current Year	52803	InvestmentIncomeCurrentYear
Other Revenue Prior Year	627861	OtherRevenuePriorYear
Other Revenue Current Year	1318233	OtherRevenueCurrentYear
Total Revenue Prior Year	52323999	TotalRevenuePriorYear
Total Revenue Current Year	51450616	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	27119436	SalariesEtcPriorYear
Salaries Etc Current Year	24502551	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	27560887	OtherExpensePriorYear
Other Expenses Current Year	24935366	OtherExpensesCurrentYear
Total Expenses Prior Year	54680323	TotalExpensesPriorYear
Total Expenses Current Year	49437917	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2356324	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2012699	RevenuesLessExpensesCY
Total Assets BOY	40807444	TotalAssetsBOY
Total Assets EOY	42770823	TotalAssetsEOY
Total Liabilities BOY	16702569	TotalLiabilitiesBOY
Total Liabilities EOY	16648939	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	24104875	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	26121884	NetAssetsOrFundBalancesEOY
Mission Description	Our mission is to provide compassionate, high quality care that improves the overall health of our patients, their families and the community by working in partnership with our physicians and other regional healthcare providers.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	33938399	Expense
Revenue	49776569	Revenue
Description	PROVISION OF HEALTHCARE SERVICES TO RESIDENTS WITHIN OUR GEOGRAPHIC region, INCLUDING A SIGNIFICANT PORTION OF SERVICES TO MEDICARE/MEDICAID PATIENTS ($54 MILLION GROSS) and charity care ($1.4 MILLION GROSS).	Description
Total Program Service Expense	33938399	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	89	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	508	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
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	Arebi Garsa	NamePerson
Telephone Number	5412014004	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	280 Maple StREET	AddressLine1
City	ASHLAND	City
State	OR	State
ZIP Code	97520	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 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
MARIE DONOVAN
Chair	8.00	X	X	0	0	0
DOUGLAS DIEHL MD
Chair Elect	6.00	X	X	0	0	0
REV HARVEY RAY
SECRETARY	6.00	X	X	0	0	0
DOUGLAS GENtry
TREASURER	2.00	X	X	0	0	0
LINDA BUTLER
MEMBER	2.00	X		0	0	0
CAROL CHRISTLIEB
MEMBER	2.00	X		0	0	0
STEVE MINER
MEMBER	3.00	X		0	0	0
DOUGLAS MORRISON MD
MEMBER	2.00	X		0	0	0
MARTIN LENK
MEMBER	3.00	X		0	0	0
ANNE GOLDEN
MEMBER	3.00	X		0	0	0
VALRI WILLIAMS
MEMBER	3.00	X		0	0	0
DAVE BERNARD
MEMBER	2.00	X		0	0	0
TOM REID
MEMBER	3.00	X		0	0	0
Mark Marchetti
PRESIDENT/CEO	40.00	X	X	200705	0	25130
AREBI GARSA
CFO	40.00		X	0	0	0
PAMELA ATOR MD
HOSPITALIST	40.00			197033	0	9735	X
BETH LEONE MD
HOSPITALIST	40.00			172982	0	11741	X
DAVID CANDELARIA MD
HOSPITALIST	40.00			169808	0	19637	X
KARIN KUHL MD
PHYSICIAN PROVIDER	40.00			143183	0	7245	X
MOLLY GRAMLEY MD
PHYSICIAN PROVIDER	40.00			140016	0	7126	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1023727	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	80614	TotalOtherCompensation
Number Individuals GT100 K	13	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
WELLSPRING PARTNERS
123 N WACKER STE 100	CHICAGO	IL	60606	CONSULTANTS	771282
PRINCIPLE PHARMACY GROUP INC
TWO PERIMETER PARK SOUTH STE 230 EA	BIRMINGHAM	AL	35243	PHARMACY MANAGEMENT	521649
Ashland Emergency PHYSICIANS
1370 Lithia Way	Talent	OR	97540	ER PHYSICIANS	494612
BE SMITH INC
9777 RIDGE DR Ste 300	LENEXA	KS	66219	RECRUITING SERVICES/INERM MGMT/CONSULTIN	493476
DIVERSIFIED CLINICAL SERVICES
4500 SALISBURY Rd Ste 300	JACKSONVILLE	FL	32216	WOUND CLINIC MANAGEMENT SERVICES	433880

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	14	NumberOfContractorsGT100K
Government Grants	34809	GovernmentGrants
All Other Contributions	268202	AllOtherContributions
Total Contributions	303011	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Hospital Services	621990	27615927	27615927
medicare/medicaid	621990	22160642	22160642

Field	Value	IRS element (for citing)
Total Program Service Revenue	49776569	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	36562	TotalRevenueColumn
Exclusion	$36,562	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	42288	Real
Personal	78187	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	42288	Real
Personal	78187	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	120475	TotalRevenueColumn
Exclusion	$120,475	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1084474	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1068233	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	16241	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	16241	TotalRevenueColumn
Exclusion	$16,241	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
OTHER REVENUE	900099	730010	$730,010
NONPATIENT FOOD SALES	722210	225726	$225,726
PASSTHROUGH INCOME	621990	137153	$137,153

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	104869	TotalRevenueColumn
Exclusion	$104,869	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1197758	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	51450616	TotalRevenueColumn
Related Or Exempt Function Income	49776569	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,371,036	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	216213	Total
Program Services	183781	ProgramServices
Management And General	32432	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	19416010	Total
Program Services	16503609	ProgramServices
Management And General	2912401	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1102103	Total
Program Services	936788	ProgramServices
Management And General	165315	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1895337	Total
Program Services	1611036	ProgramServices
Management And General	284301	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1872888	Total
Program Services	1591955	ProgramServices
Management And General	280933	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	168582	Total
Program Services	8429	ProgramServices
Management And General	160153	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	76140	Total
Management And General	76140	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	8300792	Total
Program Services	602629	ProgramServices
Management And General	7698163	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	69187	Total
Management And General	69187	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	729996	Total
Program Services	510997	ProgramServices
Management And General	218999	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	196529	Total
Program Services	137570	ProgramServices
Management And General	58959	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	957530	Total
Program Services	818627	ProgramServices
Management And General	138903	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	163225	Total
Program Services	114258	ProgramServices
Management And General	48967	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	442019	Total
Management And General	442019	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2694047	Total
Program Services	1347024	ProgramServices
Management And General	1347023	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	602482	Total
Management And General	602482	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Supplies	8204568	7384111	820457
Bad Debt	1854655	1854655
Other Operating Expense	475614	332930	142684

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	49437917	Total
Program Services	33938399	ProgramServices
Management And General	15499518	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3811172	BOY
EOY	4499082	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	144635	BOY
EOY	1856343	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6283697	BOY
EOY	6414797	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	386607	BOY
EOY	291486	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1214737	BOY
EOY	1277086	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	452332	BOY
EOY	459814	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	46164111	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	20471372	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	27216815	BOY
EOY	25692739	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	375218	BOY
EOY	201484	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	922231	BOY
EOY	2077992	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	40807444	BOY
EOY	42770823	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	5609268	BOY
EOY	6406903	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	9742249	BOY
EOY	9187372	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1351052	BOY
EOY	1054664	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	16702569	BOY
EOY	16648939	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	24104875	BOY
EOY	26121884	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	24104875	BOY
EOY	26121884	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	40807444	BOY
EOY	42770823	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	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	306412	OtherCostOrOtherBasis
Book Value	306412	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	509382	OtherCostOrOtherBasis
Depreciation	243852	Depreciation
Book Value	265530	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26137169	OtherCostOrOtherBasis
Depreciation	5454427	Depreciation
Book Value	20682742	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16890128	OtherCostOrOtherBasis
Depreciation	12719717	Depreciation
Book Value	4170411	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2321020	OtherCostOrOtherBasis
Depreciation	2053376	Depreciation
Book Value	267644	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	25692739	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Estimated Medical Malpractice liability	$541,000
CAPITAL LEASE OBLIGATIONS	$513,664

Field	Value	IRS element (for citing)
Total Of Amounts	1054664	TotalOfAmounts
Total Revenue	51450616	TotalRevenue
Total Expenses	49437917	TotalExpenses
Excess Or Deficit For Year	2012699	ExcessOrDeficitForYear
Net Unrealized GL On Investments	6236	NetUnrealizedGLOnInvestments
Other	-$1,926	OtherAmount
Total Adjustments	4310	TotalAdjustments
Excess Or Deficit Per FS	2017009	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	49600271	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	6236	NetUnrealizedGainsInvestments
Other Revenues	-1854655	OtherRevenues
Revenue Not Rptd F990	-1848419	RevenueNotRptdF990
Revenue Subtotal	51448690	RevenueSubtotal
Other Revenues Not Included	1926	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1926	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	51450616	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	47583262	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	47583262	ExpensesSubtotal
Other Expenses Not Included	1854655	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	1854655	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	49437917	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X:	Description of Uncertain Tax Positions Under FIN 48:	The Hospital adopted the provisions of FASB Accounting Standards Codification (ASC) 740-10, Income Taxes, relating to accounting for uncertain tax positions on July 1, 2009, which had no financial statement impact to the Hospital. The Hospital recognizes the tax benefit from uncertain tax positions only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The Hospital recognizes interest and penalties related to income tax matters in administrative expense. The Hospital had no unrecognized tax benefits, which would require an adjustment to the July 1, 2009 beginning balance of net assets and had no unrecognized tax benefits at June 30, 2010. No interest and penalties have been accrued upon adoption or for the year ended June 30, 2010. The Hospital files an exempt organization return in the U.S. federal jurisdiction and with the Oregon charities division. The Hospital is no longer subject to income tax examinations by taxing authorities for years before 2006 for its federal and state filings.
Part XI, Line 8 - Other Adjustments:		DIFFERENCE IN LOSS ON LLCS PER BOOKS AND ACTUAL PER K-1S: -1926.
Part XII, Line 2d - Other Adjustments:		bad debt expense netted with revenue on financial statements: -1854655.
Part XII, Line 4b - Other Adjustments:		DIFFERENCE IN LOSS ON LLCS PER BOOKS AND ACTUAL PER K-1S: 1926.
Part XIII, Line 4b - Other Adjustments:		bad debt expense netted with revenue on financial statements: 1854655.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	395	PersonsServed
Total Community Benefit Expense	762487	TotalCommunityBenefitExpense
Direct Offsetting Revenue	383837	DirectOffsettingRevenue
Net Community Benefit Expense	378650	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	389	PersonsServed
Total Community Benefit Expense	4172250	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4050385	DirectOffsettingRevenue
Net Community Benefit Expense	121865	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	784	PersonsServed
Total Community Benefit Expense	4934737	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4434222	DirectOffsettingRevenue
Net Community Benefit Expense	500515	NetCommunityBenefitExpense
Percent Of Total Expense	0.01060	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	6582	PersonsServed
Total Community Benefit Expense	273305	TotalCommunityBenefitExpense
Direct Offsetting Revenue	78400	DirectOffsettingRevenue
Net Community Benefit Expense	194905	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	9	PersonsServed
Total Community Benefit Expense	27974	TotalCommunityBenefitExpense
Net Community Benefit Expense	27974	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	7234142	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6346946	DirectOffsettingRevenue
Net Community Benefit Expense	887196	NetCommunityBenefitExpense
Percent Of Total Expense	0.01860	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	13023	TotalCommunityBenefitExpense
Net Community Benefit Expense	13023	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	6591	PersonsServed
Total Community Benefit Expense	7548444	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6425346	DirectOffsettingRevenue
Net Community Benefit Expense	1123098	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	22	NumberOfActivitiesOrPrograms
Persons Served	7375	PersonsServed
Total Community Benefit Expense	12483181	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10859568	DirectOffsettingRevenue
Net Community Benefit Expense	1623613	NetCommunityBenefitExpense
Percent Of Total Expense	0.03420	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	2252	TotalCommunityBuildingExpense
Net Community Building Expense	2252	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	2252	TotalCommunityBuildingExpense
Net Community Building Expense	2252	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$1,854,655	BadDebtExpenseAmount
Amount Attributable To	946235	AmountAttributableTo
Amount Reimbursed By Medicare	8602062	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9515193	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-913131	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND COMMUNITY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	280 MAPLE STREET	AddressLine1
City	ASHLAND	City
State	OR	State
ZIP Code	97520	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Bad Debt Footnote	Part III, Line 4: THE COST-TO-CHARGE RATIO AS PROVIDED BY MEDICARE WAS USED TO DETERMINE THE AMOUNT OF COST RELATED TO GROSS CHARGES WRITTEN OFF.PAYMENTS RECEIVED ON BAD DEBT ACCOUNTS ARE SUBTRACTED FROM BAD DEBT EXPENSE.CURRENTLY NO PROCESS IS IN PLACE TO DETERMINE IF A PATIENT WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY.PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ESTIMATED UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS. THE HOSPITAL MANAGES RECEIVABLES BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCE ACCOUNTS FOR UNCOLLECTIBLE AMOUNTS BASED ON A HISTORY OF PAST WRITE-OFFS AND COLLECTIONS. THE HOSPITAL DETERMINES PAST DUE ACCOUNTS BASED UPON CONTRACT TERMS.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: OVER THE PAST 20 YEARS, THE POPULATION OF ASHLAND HAS AGED CONSIDERABLY AS THE CITY HAS GAINED THE REPUTATION AS A DESIRABLE "RETIREMENT" COMMUNITY. THIS IS EVIDENCED BY THE CLOSURE OF TWO OF THE CITY'S FIVE ELEMENTARY SCHOOLS WITHIN THE PAST TEN YEARS AND THE SIGNIFICANT INCREASE IN THE PERCENTAGE OF THE HOSPITAL'S REVENUE THROUGH THE MEDICARE PROGRAM FROM 40% IN 2003-2004 TO 55% TODAY. THIS SHIFT IN PAYOR MIX HAS HAD A SIGNIFICANT NEGATIVE IMPACT ON THE HOSPITAL'S FINANCIAL PERFORMANCE, RESULTING IN A NEGATIVE OPERATING MARGIN OF APPROXIMATELY 2.5% YEAR-TO-DATE AS OF FEBRUARY 2011.WHILE THE INCREASED RELIANCE ON REIMBURSEMENT THROUGH THE MEDICARE PROGRAM HAS CREATED FINANCIAL STRESS FOR THE ORGANIZATION, THE HOSPITAL REMAINS COMMITTED TO ITS MISSION OF MEETING THE HEALTH CARE NEEDS OF ITS COMMUNITY. IN 2008, THE HOSPITAL CREATED THE ACH CENTER FOR INTERNAL MEDICINE, A PROVIDER-BASED INTERNAL MEDICINE CLINIC, TO ADDRESS THE LACK OF ACCESS TO PRIMARY CARE FOR MEDICARE RECIPIENTS. DESPITE THE ENHANCED REIMBURSEMENT FROM MEDICARE AS A PROVIDER-BASED MODEL, THE CLINIC OPERATES AT A LOSS. SIMILARLY, THE HOSPITAL PROVIDES HOME HEALTH AND HOSPICE SERVICES, BOTH AT NEGATIVE MARGIN, YET BOTH VALUABLE SERVICES TO THE COMMUNITY. OTHER OF THE HOSPITAL'S SERVICES HEAVILY DEPENDENT ON REIMBURSEMENT THROUGH THE MEDICARE PROGRAM, SUCH AS ORTHOPEDIC JOINT REPLACEMENT AND RETINA SURGERY, RESULT IN NEGATIVE MARGINS BUT CONTINUE TO BE PROVIDED BY THE HOSPITAL BECAUSE THEY ARE CONSIDERED VITAL TO "THE OVERALL HEALTH OF PATIENTS, THEIR FAMILIES AND THE COMMUNITY" CONSISTENT WITH THE HOSPITAL'S MISSION.	ShortfallAsCommunityBenefit
Needs Assessment	Part VI, Line 2: Ashland Community Hospital assesses the health care needs of the community it serves through its planning processes, including the long-range strategic plan, medical staff development plan, marketing plan and program/business planning. Planning inputs include:- service area demographics including population and age projections- medical staff interview findings- medical staff composition, practice patterns and age to project provider needs by specialty- current and historical service volumes and trends- community perception survey data- market share analysis - competitor positions- patient survey data- community input through the Board of Directors- focus groups of former patients and community members	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: Ashland Community Hospital educates patientS whom might be eligible for financial assistance in a number of ways. There are signs posted in admitting areas that advise patients of our charity care policy. OHP applications are given to anyone under the age of 18 WHO processES through our E.R. BILLING Statements advise patients that they may be eligible for financial assistance and the phone number to contact for further information. Meetings are held at local physician offices to inform them of our financial assistance programs so they may pass the information along to their patients. Patients are also notified of financial options when speaking with our Patient Accounts Office.	PatientEducationAssistance
Community Information	Part VI, Line 4: Ashland Community Hospital is a 49-bed acute care community hospital located in Ashland, Oregon, a community of approximately 20,000 residents located in the southern-most part of the state, approximately 15 miles from the California border. Founded in 1907, Ashland Community Hospital exists today as a private, non-profit 501(C)(3) corporation. Governance of the organization is provided by a 13-member Board of Directors, appointed by the Ashland City Council, who volunteer their time and expertise on behalf of the community. The Hospital is accredited by DNV Healthcare Inc and is certified for participation in the Medicare Program.Ashland Community Hospital provides a wide range of health care and related services as deemed appropriate in accordance with the hospital's mission, vision and strategic plans, available resources, community need, federal and state law and regulation, and professional practice standards. These services include inpatient and outpatient care, emergency care, diagnostic and treatment services, home health and hospice care, and health outreach services. Ashland Community Hospital defines its primary service areas as the communities of Ashland and Talent and areas south to the California border, comprised of postal zip codes 97520 and 97540, with a population of approximately 35,000. The secondary service area includes the communities of Phoenix and Medford north of Ashland, with postal zip codes 97504, 97501 and 97535 and a population of approximately 92,000. The hospital draws from a broader geographic area for certain specialty services not widely available, including comprehensive wound care and retina surgery.The population of the hospital's primary service area is projected to increase by approximately 6.3% over the five year period 2009-2014. Similarly, the population of the secondary service area is projected to increase by 6.7% over the same period. Almost 50% of the population growth in both the primary and secondary service areas is projected to occur in the 65+ age cohort. The significant increase in the portion of the hospital's total revenue deriving from the Medicare Program, from approximately 40% of gross revenue in 2004 to 52% in 2011, supports these projections.	CommunityInformation
Community Building Activities	Part VI, Line 5: -ECONOMIC DEVELOPMENT: IN LATE 2009, THE CITY OF ASHLAND CREATED AN ECONOMIC DEVELOPMENT COMMITTEE TO BRING TOGETHER BUSINESS LEADERS AND COMMUNITY REPRESENTATIVES FOR THE PURPOSE OF CREATING A COMPREHENSIVE DEVELOPMENT STRATEGY FOR THE CITY. MEMBERS OF THE COMMITTEE WERE APPOINTED BY THE MAYOR. THE COMMITTEE IS CHAIRED BY A MEMBER OF ASHLAND CITY COUNCIL, AND STAFF SUPPORT IS PROVIDED BY CITY PLANNING DEPARTMENT STAFF.THE CHARGE TO THE ECONOMIC DEVELOPMENT COMMITTEE INCLUDED: REVIEW OF CURRENT COUNCIL GOALS RELATED TO ECONOMIC DEVELOPMENT; CONSIDERATION OF CITY GOVERNMENT'S ROLE IN ECONOMIC DEVELOPMENT; IDENTIFICATION OF OVERALL GOALS FOR ECONOMIC DEVELOPMENT; AND IDENTIFICATION OF SPECIFIC ACTIONS/TACTICS TO REACH IDENTIFIED GOALS.THE ECONOMY OF ASHLAND IS LARGELY DRIVEN BY TOURISM, BASED ON THE PRESENCE OF THE OREGON SHAKESPEARE FESTIVAL, AND TO A LESSER EXTENT BY THE AVAILABILITY OF A WIDE RANGE OF OUTDOOR ACTIVITIES SUCH AS SKIING, WHITE WATER RAFTING AND FISHING. THESE ARE SEASONAL ACTIVITIES SUPPORTING RELATIVELY LOW-PAID, SEASONAL, SERVICE SECTOR JOBS. THE GOAL OF CITY ECONOMIC DEVELOPMENT EFFORTS IS TO DIVERSIFY THE ECONOMY, REDUCE SEASONAL FLUCTUATION IN ECONOMIC ACTIVITY, AND CREATE A STABLE BASE OF HIGHER-WAGE PROFESSIONAL AND TECHNICAL JOBS.ASHLAND COMMUNITY HOSPITAL IS THE CITY'S THIRD LARGEST EMPLOYER. THE HOSPITAL IS BOTH A SIGNIFICANT CONTRIBUTOR TO AND RELIANT ON THE CITY'S ECONOMIC WELL BEING. SINCE A HEALTHY AND SUSTAINABLE ECONOMY IS CRITICAL TO THE HEALTH AND WELL BEING OF ANY COMMUNITY, THE HOSPITAL CONTRIBUTES TO THE CITY'S COMMUNITY DEVELOPMENT EFFORTS AS PART OF ITS LARGER MISSION OF IMPROVING THE OVERALL HEALTH OF THE COMMUNITY.-COMMUNITY SUPPORT: BEREAVEMENT SUPPORT GROUPS ARE OFFERED TO THE MEMBERS OF OUR COMMUNITY THAT HAVE SUFFERED THE LOSS OF A LOVED ONE THROUGH DEATH. THE GOAL OF THIS TYPE OF SUPPORT IS TO ASSIST THEM TO RECONCILE THEIR LOSS, PROCESS THEIR GRIEF AND GENTLY RESUME THEIR NORMAL DAILY ACTIVITIES.-COALITION BUILDING: THE JEFFERSON REGIONAL ALLIANCE IS A COLLABORATION OF REGIONAL COMMUNITY LEADERS FROM ALL SECTORS ACTING IN A LEADERSHIP ROLE TO IMPROVE THE HEALTH AND HEALTH CARE RESOURCES OF SOUTHERN OREGONIANS.	CommunityBuildingActivities
Other Information	Part VI, Line 6: As a non-profit, mission driven organization, Ashland Community Hospital is committed to the provision of compassionate, high-quality care that improves the overall health of patients, their families and the community and to the furtherance of its exempt purpose. 1. The Hospital maintains a current Strategic Plan to guide the long-term strategic direction of the hospital to best meet the needs of the community. 2. The Hospital's Medical Staff is open to any physician or allied health provider who is licensed in the State of Oregon and able to demonstrate current competence.3. The Hospital has created a Medical Staff Development Plan to define the number and types of physicians needed to meet community need. The Plan is updated on a regular basis. 4. The Hospital's Physician Recruitment Support Program provides financial assistance for new physicians establishing practices within the community, within the constraints of federal law and regulation.5. In 2008, the Hospital established the Ashland Center for Internal Medicine to address access issues for Medicare patients. Additional physicians were added to the clinic in 2010 and 2011.6. The Hospital maintains a physician hospitalist program to support the availability of in-patient care, at a net cost of approximately $600,000 per year. 7. Hospital governance is provided by a 13-member Board of Directors, appointed by the Ashland City Council. Directors are members of the hospital's service area and receive no compensation for their services.8. Through the Hospital and its Foundation, funds are used to support a variety of health and related community organizations and activities including La Clinica Del Valle, Community Health Center, the Children's Advocacy Center, and the Hearts and Vines Foundation.9. The Hospital operates health clinics in middle schools and high schools in Ashland and Talent.10. Through funding, in-kind contributions, and/or staff participation the Hospital supports a variety of community activities such as the 4th of July Celebration and Holiday Festival of lights.11. Through its Employee Volunteer Recognition Program, the Hospital provides grants to non-profit organizations with which employees volunteer.12. The Hospital's Tuition Reimbursement Program provides employees up to $2,500 per school year for tuition, books and fees, thereby supporting the development of needed health care professionals.13. The Hospital supports a monthly Medical Education Program for members of the Medical Staff.14. The Hospital's charity care program provides financial assistance to assist with medical expenses.15. The Hospital participates in the VOLPACT Program, a patient financial aide program sponsored by the Jackson County Medical Society.	OtherInformation
Reports Filed With States	OR	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mark Marchetti
197923	0	0	0	2782	0	8946	0	16184	0	225835	0	0	0
PAMELA ATOR MD
172853	0	0	0	24180	0	9466	0	269	0	206768	0	0	0
BETH LEONE MD
171312	0	0	0	1670	0	4995	0	6746	0	184723	0	0	0
DAVID CANDELARIA MD
168845	0	0	0	963	0	7489	0	12148	0	189445	0	0	0
KARIN KUHL MD
141520	0	0	0	1663	0	7044	0	201	0	150428	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ASHLAND ANESTHESIA ASSOCIATES (AAA)
AAA IS OWNED 1/3 BY DOUGLAS DIEHL, MD, A HOSPITAL BOARD MEMBER	560073	AAA PROVIDES ANESTHESIA SERVICES TO THE HOSPITAL.	0
HILLVIEW PROPERTIESHULL PROPERTIES
ENTITIES OWNED BY LINDA BUTLER, A HOSPITAL BOARD MEMBER	62347	THE HOSPITAL RENTS PROPERTY FROM THESE ENTITIES.	0
AREBI GARSA
OFFICER AND INDEPENDENT CONTRACTOR	420760	MR. GARSA IS THE HOSPITAL CFO AS A CONTRACT EMPLOYEE. TRANSACTION AMOUNT REPRESENTS FEES PAID TO MR. GARSA DURING THE TAX YEAR FOR SERVICES PERFORMED IN THE CAPACITY OF CFO.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 2	STEVE MINER AND DAVE BERNARD, BOTH BOARD MEMBERS, HAVE A BUSINESS RELATIONSHIP.
Form 990, Part VI, Section A, line 4	THE HOSPITAL'S BYLAWS WERE REVISED IN DECEMBER 2009. SIGNIFICANT CHANGES INCLUDE INCREASING THE NUMBER OF BOARD MEMBERS FROM 12 TO 13; MAKING THE CEO AND PAST CHIEF OF STAFF VOTING MEMBERS OF THE BOARD; PUTTING IN A BOARD MEETING ATTENDANCE REQUIREMENT; AND ADJUSTING SOME COMMITTEES.
Form 990, Part VI, Section A, line 6	THE ORGANIZATION HAS ONE MEMBER.
Form 990, Part VI, Section A, line 7a	THE ORGANIZATION'S MEMBER HAS THE AUTHORITY AND RESPONSIBILITY TO APPOINT, AND REMOVE FOR CAUSE, THE ORGANIZATION'S DIRECTORS.
Form 990, Part VI, Section B, line 11	The Finance committee reviews Form 990 and a copy is sent out to the full board prior to filing.
Form 990, Part VI, Section B, line 12c	THE ORGANIZATION ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY DOING AN ANNUAL REVIEW OF THE POLICY AND OBTAINING NEW ACKNOWLEDGEMENT SIGNATURES ON THE POLICY. THE ORGANIZATION FOLLOWS UP ON ANY POTENTIAL CONFLICT AS NEEDED.
Form 990, Part VI, Section B, line 15	The CEO's compensation is determined by the Board of Directors. The VP of Human Resources gathers wage and benefit data from the Oregon Hospital Association salary survey (wage watch) and the Northwest Hospital Executive Survey conducted by Olney Associates, Inc. The data is provided to the Board Chair and reviewed by the Executive Committee. The Board then determines the compensation for the CEO. Compensation for the organization's officers and key employees is based on the Oregon Hospital Association salary survey (wage watch) and local surveys. The VP of Human Resources makes a recommendation to the CEO for all adjustments to salary ranges.
Form 990, Part VI, Section C, line 19	THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC.