2024-03-04T13:25:35-05:00 2023-04-30 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2022-05-01 930505325 GRANDE RONDE HOSPITAL INC GRAN 5419638421 PO BOX 3290 LA GRANDE OR 97850 ROBERT SEYMOUR CFO 5419638421 2024-02-29 true ROBERT SEYMOUR 999009999 false THOMAS DINGUS P00951009 5092420874 2024-03-04 2022 2023-04-26 12:10:37Z JEREMY DAVIS PO BOX 3290 LA GRANDE OR 97850 153360153 false X WWW.GRH.ORG X 1962 OR GRANDE RONDE HOSPITAL AND CLINICS WILL ENSURE ACCESS TO HIGH QUALITY, COST-EFFECTIVE HEALTH CARE IN A SAFE AND CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES. 13 10 934 11 68210 848941 334941 131774253 141865423 3496347 5801660 4124894 2159131 140244435 150161155 2975 2630 0 81652605 84321478 0 328015 49475913 55906581 131131493 140230689 9112942 9930466 170999445 229068407 26375080 74662917 144624365 154405490 X GRANDE RONDE HOSPITAL AND CLINICS WILL ENSURE ACCESS TO HIGH QUALITY, COST-EFFECTIVE HEALTH CARE IN A SAFE AND CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES. false false 123105610 2630 141797213 GRANDE RONDE HOSPITAL, INC. (GRH) IS DEDICATED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE LOCAL COMMUNITY THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL, 24-HOUR EMERGENCY DEPARTMENT, FAMILY BIRTHING CENTER, HOME HEALTH PROGRAMS, AND 11 OUTPATIENT PRIMARY AND SPECIALTY CARE CLINICS. GRH ALSO OPERATES A TELEMEDICINE PROGRAM WHICH ENABLES PATIENTS TO OBTAIN THE SERVICES OF SPECIALISTS SUCH AS ICU INTENSIVISTS, CARDIOLOGISTS, NEONATOLOGISTS, AND DERMATOLOGISTS, WHICH HELPS REDUCE PATIENT TRAVEL FOR THESE SERVICES. DURING THE TAX YEAR, GRH SERVED 338 INPATIENTS, 41,738 OUTPATIENTS AND 13,449 EMERGENCY PATIENTS. ADDITIONALLY, GRH RECORDED 97,886 VISITS TO ITS PROVIDER-BASED CLINICS. CONTINUATION ON SCHEDULE O. 123105610 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true false false true 147 0 true 934 true true true false false false false false false false false false false false X 13 10 false false false false false false false true true false false true true true true true true true true false OR X GRANDE RONDE HOSPITAL INC 5419638421 900 SUNSET DRIVE LA GRANDE OR 97850 BENJAMIN OLSON PHYSICIAN 40.00 X 825861 0 42180 ADAM HEISINGER PHYSICIAN 40.00 X 778190 0 36420 ARIE TROUW PHYSICIAN 40.00 X 766118 0 47689 STEVEN PINTHER PHYSICIAN 40.00 X 719651 0 42180 ROBERT MCCARTHY PHYSICIAN 40.00 X 632360 0 27092 JEREMY DAVIS TRUSTEE/CEO 40.00 X X 406196 0 47689 BLAKE GORNOWICZ TRUSTEE/PHYS 40.00 X 365014 0 42180 ROBERT SEYMOUR CFO 40.00 X 293245 0 38905 STEPHEN MCLEAN CHAIR 1.00 X X 0 0 0 SAM KIMBALL VICE CHAIR 1.00 X X 0 0 0 JARED ROGERS SECRETARY 1.00 X X 0 0 0 SUZANNE HOPPER TRUSTEE 1.00 X 0 0 0 MIKE BILLMAN TRUSTEE 1.00 X 0 0 0 DEBRA BELL TRUSTEE 1.00 X 0 0 0 MICHAEL HETRICK TRUSTEE 1.00 X 0 0 0 PATTY OLSON-LINDSEY TRUSTEE 1.00 X 0 0 0 NICK HUELTER TRUSTEE 1.00 1.00 X 0 0 0 BOB COULTER TRUSTEE 1.00 X 0 0 0 BILL GAMBLE TRUSTEE 1.00 X 0 0 0 4786635 324335 126 false true false BOUTEN CONSTRUCTION CO PO BOX 3507 SPOKANE WA 99220 CONSTRUCTION 11569650 PETERSEN KOLBERG & ASSOCIATES 6969 SW HAMPTON ST PORTLAND OR 972238560 CONTRACTOR 3203166 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 STAFFING 2335427 SIGNATURE STAFF RESOURCES 1460 TL TOWNSEND DR 104 ROCKWALL TX 75032 STAFFING 1269012 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 STAFFING 821726 45 109632 222309 3000 334941 NET PATIENT SERVICE REVENUE 624100 134690327 134690327 PROVIDER TAX REVENUE 624100 6995675 6995675 EDUCATION & OTHER PATIENT REV 624100 111211 111211 COSMETIC CLINIC REVENUE 480000 68210 68210 141865423 5798059 5798059 46602 16763 29839 29839 29839 3165570 1416 3163385 2185 1416 3601 3601 34307 18850 15457 15457 340B PHARMACY REVENUE 900099 1304476 1304476 CAFETERIA REVENUE 722320 323341 323341 REBATES & DISCOUNTS 900099 280246 280246 205772 205772 2113835 150161155 141797213 68210 7960791 X 2630 2630 1215659 411130 804529 66468444 59250439 7113683 104322 2563337 2289101 271262 2974 9624589 8133444 1459402 31743 4449449 3861771 579715 7963 278151 278151 388490 388490 295116 9963 285153 17968997 15434427 2458111 76459 229165 229165 2425109 1718898 677059 29152 1563856 1298016 264970 870 79820 58338 21458 24 451428 306078 144311 1039 23786 23786 4658634 3859045 798341 1248 1503898 1038251 465647 MEDICAL SUPPLIES & DRUGS 16945582 16945582 PROVIDER TAXES 6995362 6995362 REPAIRS & MAINTENANCE 582964 535032 47665 267 1516223 958103 486166 71954 140230689 123105610 16797064 328015 45826919 14985124 8553745 58640463 17353431 17905813 615284 356011 2313998 2555119 1620968 1753714 148324711 77058012 45066999 71266699 36199100 42790357 2030000 2030000 11419001 16785107 170999445 229068407 16263232 22389337 238458 222421 51181205 9873390 869954 26375080 74662917 X 144624365 154405490 144624365 154405490 170999445 229068407 X 9930466 -94508 -54833 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 38707 38707 123092103 123130810 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 218363 12897 38707 269967 250000 250000 250000 250000 1000000 1500000 218363 12897 38707 269967 SCHEDULE C, PART I-A, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. THE HOSPITAL ALSO UTILIZED A CONSULTANT TO PERFORM ISSUE ADVOCACY RELATED TO CONGRESSIONAL POLICY DEVELOPMENT. 1776551 1776551 60711092 34308642 26402450 48618454 38682025 9936429 37218614 4067345 33151269 71266699 THIRD-PARTY SETTLEMENTS 7912803 OTHER RECEIVABLES 4014294 PROVIDER TAX SETTLEMENT RECEIVABLE 2221259 BENEFICIAL INTEREST IN OCF 1191663 OPERATING LEASE RIGHT-OF-USE ASSET 860317 340B RECEIVABLE 512635 ACCRUED INTEREST RECEIVABLE 72136 16785107 OPERATING LEASE LIABILITIES 869954 869954 X SCHEDULE D, PAGE 3, PART X THE HOSPITAL, FOUNDATION, AND AUXILIARY ARE ORGANIZED AS OREGON NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOSPITAL, FOUNDATION, AND AUXILIARY ARE ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THEY ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. SIMILARLY, THE HOSPITAL, FOUNDATION, AND AUXILIARY ARE EXEMPT FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS OF STATE LAWS. true true true X 3.000000000000 true X true true false true true 1155170 1155170 0.00820 34856620 32940122 1916498 0.01370 36011790 32940122 3071668 0.02190 732941 8500 724441 0.00520 876955 43200 833755 0.00590 704118 365790 338328 0.00240 39182 39182 0.00030 2353196 417490 1935706 0.01380 38364986 33357612 5007374 0.03570 true 1793666 1650173 41359719 41823339 -463620 X true false 1 1 GRANDE RONDE HOSPITAL INC 900 SUNSET DRIVE LA GRANDE OR 97850 WWW.GRH.ORG/COMMUNITY-BENEFIT/ X X X X GRANDE RONDE HOSPITAL INC 1 false false true X X X X X X X X X X 22 true false false true X WWW.GRH.ORG/COMMUNITY-BENEFIT/ X true 22 true WWW.GRH.ORG/COMMUNITY-BENEFIT/ false true X 300.000000000000 400.000000000000 X X true true X X X X true X WWW.GRH.ORG X WWW.GRH.ORG X WWW.GRH.ORG X X X X X X true X false X X X X true X X false true FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED ON PAGE 6 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 5 IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL BY UTILIZING A COMMITTEE BENEFIT SUBCOMMITTEE (CBSC) WHICH IS A GROUP COMPOSED OF COMMUNITY STAKEHOLDERS REPRESENTING BOTH HOSPITAL AND COMMUNITY INTERESTS IN THE CHNA PROCESS. THE GROUP INCLUDES INDIVIDUALS WITH BACKGROUNDS IN PUBLIC HEALTH, GOVERNMENT, THE NON-PROFIT SECTOR, BUSINESS, HOSPITAL ADMINISTRATION MEMBERS, AND LONG-STANDING MEMBERS OF THE COMMUNITY. THE CBSC PROVIDED INPUT INTO THE CHNA PROCESS FROM START TO FINISH. THE CBSC PUT TOGETHER A COMMUNITY BENEFIT HEALTH NEEDS ASSESSMENT TASK FORCE TO PROVIDE INPUT FOR THE CONTENT OF THE ASSESSMENT TOOL (SURVEY). THIS TASK FORCE WAS COMPRISED OF 25 COMMUNITY MEMBERS FROM THROUGHOUT UNION COUNTY, WITH REPRESENTATION FROM 20 PUBLIC, PRIVATE, GOVERNMENT AND FAITH-BASED ENTITIES INCLUDING, BUT NOT LIMITED TO, THE CENTER FOR HUMAN DEVELOPMENT (UNION COUNTY PUBLIC HEALTH DEPARTMENT), NE OREGON AREA HEALTH EDUCATION CENTER, COMMUNITY CONNECTION OF NORTHEAST OREGON, AND UNION COUNTY SAFE COMMUNITIES COALITION. IN ORDER TO MAINTAIN COMPLETE OBJECTIVITY THROUGHOUT THE SURVEY DEVELOPMENT AND IMPLEMENTATION PROCESS, THE CBSC ENGAGED THE SERVICES OF THE HOSPITAL COUNCIL OF NORTHWEST OHIO (HCNO) TO GUIDE THE ASSESSMENT PROCESS, ADMINISTER THE SURVEY, AND COMPILE THE RESULTS. THE HCNO ALSO INTEGRATED SOURCES OF PRIMARY AND SECONDARY DATA IN THE FINAL RESULTS. FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 11 THERE WERE THREE HEALTH CARE NEEDS IDENTIFIED BY THE CHNA. THE HOSPITAL HAS AN IMPLEMENTATION STRATEGY AND ASSOCIATED COMMUNITY BENEFIT PLAN WITH OBJECTIVES TO ADDRESS THE THREE NEEDS IDENTIFIED. FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 24 PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE RECEIVE DISCOUNTED CARE FOR MEDICALLY NECESSARY TREATMENT. SERVICES PROVIDED THAT ARE DETERMINED AS ELECTIVE OR MEDICALLY UNNECESSARY MAY BE CHARGED AT FULL PRICE. MEDICAL NECESSITY IS DETERMINED THROUGH AN INTERNAL COMMITTEE WHICH USES MEDICAID SERVICES AS THE BASIS FOR ALLOWABLE SERVICES. 11 GRH REGIONAL MEDICAL CLINIC 506 4TH STREET LA GRANDE OR 97850 OUTPATIENT CLINIC GRH REGIONAL MEDICAL PLAZA 710 SUNSET DRIVE LA GRANDE OR 97850 OUTPATIENT CLINIC GRH NEUROLOGY CLINIC 700 SUNSET DRIVE LA GRANDE OR 97850 OUTPATIENT CLINIC GRH SLEEP CLINIC 701 SUNSET DRIVE LA GRANDE OR 97850 OUTPATIENT CLINIC GRH ELGIN CLINIC 570 8TH STREET ELGIN OR 97827 OUTPATIENT CLINIC GRH UNION CLINIC 142 E DEARBORN STREET UNION OR 97883 OUTPATIENT CLINIC GRH HOME CARE 909 ADAMS AVENUE LA GRANDE OR 97850 HOME HEALTH & HOSPICE GRH DERMATOLOGY 700 SUNSET DRIVE LA GRANDE OR 97850 OUTPATIENT CLINIC GRH WOUND CARE 700 SUNSET DRIVE LA GRANDE OR 97850 OUTPATIENT CLINIC GRH THERAPY & SPORTS MEDICINE 610 SUNSET DRIVE LA GRANDE OR 97850 OUTPATIENT CLINIC GRH URGENT CARE CLINIC 10303 S WALTON ROAD LA GRANDE OR 97850 OUTPATIENT CLINIC SCHEDULE H, PART I, LINE 7 THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES, LESS NON-PATIENT CARE ACTIVITIES AND TOTAL COMMUNITY BENEFIT EXPENSES) FOR LINES 7A AND 7B. THE COSTS ON LINE 7E, 7F AND 7I INCLUDE THE DIRECT AND INDIRECT COSTS AS ALLOWED FOR IN WORKSHEETS 4, 5 AND 8. LINE 7G UTILIZED A COST-TO-CHARGE RATIO USING THE MEDICARE COST REPORT AS FILED. SCHEDULE H, PART III, LINE 2 THE HOSPITAL USED THE RATIO OF PATIENT CARE COSTS-TO-CHARGES TO DETERMINE THE COST OF BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 THE ESTIMATED AMOUNT OF BAD DEBT THAT IS ATTRIBUTED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS EQUAL TO THE AVERAGE OF ACTUAL DISCOUNTS ON FULLY EXECUTED PATIENT ACCOUNTS WITH FINANCIAL ASSISTANCE. THE RATE FOR THE TAX YEAR IS 95%. THE RATIONALE FOR APPLYING THE SAME AVERAGE DISCOUNT AMOUNT TO BAD DEBT IS DUE TO THE FACT THAT MULTIPLE FINANCIAL APPLICATIONS ARE SENT TO THE FINANCIAL GUARANTOR PRIOR TO DETERMINING BAD DEBT STATUS. THEREFORE, IF ALL APPLICATIONS WERE TO BE RETURNED, THE EXPERIENCE RATE IS ESTIMATED TO BE SIMILAR. NO BAD DEBT WAS CLASSIFIED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 15 BEGINNING ON PAGE 20 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. SCHEDULE H, PART VI, LINE 2 THE BOARD ESTABLISHED A COMMUNITY BENEFIT SUBCOMMITTEE TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL BY UTILIZING A COMMUNITY BENEFIT SUBCOMMITTEE (CBSC) WHICH IS A GROUP COMPOSED OF COMMUNITY STAKEHOLDERS REPRESENTING BOTH HOSPITAL AND COMMUNITY INTERESTS IN THE CHNA PROCESS. THE GROUP INCLUDES INDIVIDUALS WITH BACKGROUNDS IN PUBLIC HEALTH, GOVERNMENT, THE NON-PROFIT SECTOR, BUSINESS, CHURCHES, HOSPITAL ADMINISTRATION MEMBERS, AND LONG-STANDING MEMBERS OF THE COMMUNITY. THE CBSC PROVIDED INPUT INTO THE CHNA PROCESS FROM START TO FINISH. THE COMMUNITY BENEFIT PLAN PROGRESS REPORT IS UPDATED ANNUALLY. THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL UNDER THE 'IN THIS SECTION' HEADING: HTTP://WWW.GRH.ORG/COMMUNITY-BENEFIT/ SCHEDULE H, PART VI, LINE 3 PATIENTS ARE INFORMED OF THE HOSPITALS FINANCIAL ASSISTANCE PROGRAM VERBALLY AT ADMISSION AS WELL AS THROUGH LITERATURE PROVIDED IN THE ADMITTING AREAS OF PATIENT CARE FACILITIES. IN ADDITION, ALL ACCOUNTS SUBSTANTIALLY PAST DUE ARE CONTACTED AND ENCOURAGED TO FILL OUT A FINANCIAL ASSISTANCE APPLICATION PROVIDED THROUGH THE MAIL ALONG WITH A FOLLOW UP TELEPHONE CALL. SCHEDULE H, PART VI, LINE 4 GRANDE RONDE HOSPITAL, INC. IS LOCATED IN UNION COUNTY, OREGON, WHICH IS ISOLATED BY MOUNTAIN RANGES IN BOTH FREEWAY DIRECTIONS. THE MOUNTAIN PASSES ARE FREQUENTLY CLOSED DURING THE WINTER. GRANDE RONDE HOSPITAL IS LOCATED 42 MILES AWAY AND 50 MILES AWAY FROM ITS TWO CLOSEST HOSPITALS. THE CLOSEST REFERRAL HOSPITAL IS 87 MILES AWAY. THE HOSPITAL ALSO REFERS CARE TO BOISE, IDAHO, AND PORTLAND, OREGON, WHICH ARE 3 AND 4 HOURS AWAY, RESPECTIVELY. THE APPROXIMATE POPULATION BASE FOR THE HOSPITAL'S PRIMARY SERVICE AREA IS 25,810 WITH A REGIONAL SERVICE AREA OF 49,650. FOR THE PRIMARY SERVICE AREA OF UNION COUNTY, THE AGE IN YEARS OF THE POPULATION IS 5.8% UNDER 5, 16.5% BETWEEN 5-17, 58.5% BETWEEN 18-64 AND 18.8% OVER 65. THE RACIAL MAKEUP OF THE COUNTY IS 92.2% WHITE, 0.8% AFRICAN AMERICAN, 1.1% NATIVE AMERICAN OR ALASKA NATIVE 1.0% ASIAN, 1.0% PACIFIC ISLANDER, AND 2.7% FROM TWO OR MORE RACES. ADDITIONALLY, THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY 46,228 WITH 17.4% OF THE POPULATION LIVING BELOW THE POVERTY LEVEL. SCHEDULE H, PART VI, LINE 5 GRANDE RONDE HOSPITAL, INC. HAS A 13 MEMBER BOARD OF TRUSTEES THAT GOVERNS ITS ACTIVITIES. OF THOSE 13 MEMBERS, 11 ARE FROM THE COMMUNITY AT LARGE. THE REMAINING 2 MEMBERS ARE THE PRESIDENT/CHIEF EXECUTIVE OFFICER, AND THE PROFESSIONAL STAFF PRESIDENT. THE 11 COMMUNITY MEMBERS USE THEIR UNIQUE EXPERIENCE AND ABILITIES TO LEAD THE HOSPITAL IN DIRECTIONS THAT SUPPORT THE NEEDS OF THE COMMUNITY. THE STATED MISSION OF THE ORGANIZATION IS AS FOLLOWS: "GRANDE RONDE HOSPITAL AND CLINICS WILL ENSURE ACCESS TO HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES." SCHEDULE H, PART VI, LINE 6 THE HOSPITAL IS AFFILIATED WITH SAINT ALPHONSUS HEALTH SYSTEM WHICH IS A MEMBER OF THE TRINITY HEALTHCARE SYSTEM IN A NON-MANAGEMENT CAPACITY. THE AFFILIATION IS FOR THE BENEFIT OF IMPROVING HEALTHCARE AND PROVIDING ACCESS TO AFFORDABLE SPECIALIZED CARE TO THE RURAL COMMUNITY. SCHEDULE H, PART VI, LINE 7 OREGON X X X X X false false false false false false false true false BENJAMIN OLSON PHYSICIAN 648609 177252 15250 26930 868041 ADAM HEISINGER PHYSICIAN 570310 207880 15250 21170 814610 ARIE TROUW PHYSICIAN 587190 75832 103096 15250 32439 813807 STEVEN PINTHER PHYSICIAN 596830 112321 10500 15250 26930 761831 ROBERT MCCARTHY PHYSICIAN 455422 150938 26000 15250 11842 659452 JEREMY DAVIS TRUSTEE/CEO 348336 57860 15250 32439 453885 BLAKE GORNOWICZ TRUSTEE/PHYSICIAN 312908 42939 9167 15250 26930 407194 ROBERT SEYMOUR CFO 250416 42829 14662 24243 332150 SCHEDULE J, PAGE 1, PART I, LINE 7 CERTAIN PROVIDER CONTRACTS ALLOW FOR BONUSES IF THEIR RELATIVE VALUE UNITS CHARGED EXCEED CERTAIN STANDARDS. BONUSES ARE ALSO PROVIDED TO MOST PROVIDERS WHO EXCEED CERTAIN QUALITY AND PATIENT SATISFACTION METRICS. A THE HOSPITAL FACILITY AUTHORITY OF UNION COUNTY OREGON 521412321 906420CJ1 2022-07-21 52210753 (I) PAY THE COSTS OF ALL OR A PORTION OF THE CONSTRUCTION, ACQUISITION, DEVELOPMENT, IMPROVEMENT, RE false false false A 52210753 32027934 1111111 935625 18156982 false false false true A false false false false false false true A false true false true false false false false true A true PURPOSE OF ISSUE DESCRIPTION THE HOSPITAL FACILITY AUTHORITY OF (I) PAY THE COSTS OF ALL OR A PORTION OF THE CONSTRUCTION, ACQUISITION, DEVELOPMENT, IMPROVEMENT, RENOVATION, AND EQUIPPING OF THE PROJECTS; (II) PAY COSTS OF ISSUING THE BONDS, INCLUDING UNDERWRITING DISCOUNT; AND (III) PAY INTEREST ON THE BONDS THROUGH APRIL 2024, WHICH IS EXPECTED TO BE PRIOR TO THE PROJECTS BEING PLACED IN SERVICE. DATE REBATE COMPUTATION PERFORMED THE HOSPITAL FACILITY AUTHORITY OF 04/30/23 SARAH VENEGAS FAMILY MEMBER 99389 EMPLOYMENT false MOLLY GORNOWICZ FAMILY MEMBER 36456 EMPLOYMENT false RED CROSS DRUGSTORE >35% OWNED 108090 OWNED BY BOB COULTER false FORM 990, PART III DURING THE TAX YEAR, GRH WAS ABLE TO PROVIDE CHARITY CARE SERVICES TO THOSE WHO COULD NOT OTHERWISE AFFORD NECESSARY MEDICAL CARE. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 1,991,672 IN CHARITY CARE FOR THE YEAR ENDED APRIL 30, 2023. ADDITIONALLY, GRH PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS AVAILABLE ON THE HOSPITAL'S WEB SITE AND UPON REQUEST. THE REPORT PROVIDES ADDITIONAL DETAILS REGARDING ITS SERVICES AND ACTIVITIES. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A REVISED DRAFT IS THEN REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO SIGNS OFF ON THE FORM 8879-TE AND THE RETURN IS E-FILED BY THE PREPARER. FORM 990, PAGE 6, PART VI, LINE 12C EACH CURRENT MANAGER AND EACH CURRENT AND FORMER OFFICER, TRUSTEE, DIRECTOR, AND KEY EMPLOYEE ARE REQUIRED TO COMPLETE A DISCLOSURE STATEMENT IDENTIFYING ANY POSSIBLE CONFLICT OF INTEREST EACH FISCAL YEAR. THE FORMS ARE REVIEWED BY THE CORPORATION'S COMPLIANCE OFFICER. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, A DISINTERESTED PERSON OR COMMITTEE IS APPOINTED BY THE BOARD OF TRUSTEES TO INVESTIGATE ALTERNATIVES TO THE BUSINESS TRANSACTION OR ARRANGEMENT IF A REASONABLE ALTERNATIVE IS NOT ATTAINABLE, A DECISION MADE AS TO WHETHER THE ARRANGEMENT IS FAIR AND REASONABLE AND CORPORATION'S BEST INTEREST, AND THEREFORE WHETHER OR NOT TO ENTER INTO THE BUSINESS TRANSACTION IN CONFORMITY WITH SUCH DETERMINATIONS. FORM 990, PAGE 6, PART VI, LINE 15A THE HOSPITAL BOARD OF TRUSTEES APPOINTS INDEPENDENT INDIVIDUAL TRUSTEES TO THE CONTRACT AND COMPENSATION COMMITTEE. THE COMMITTEE COORDINATES THE PROCESS TO ESTABLISH REASONABLE COMPENSATION FOR THE PRESIDENT/CEO, CFO, AND EXECUTIVES. THE COMMITTEE ANNUALLY EVALUATES THE COMPENSATION OF THESE INDIVIDUALS AS COMPARED TO FAIR MARKET VALUE. AN INDEPENDENT THIRD-PARTY CONSULTANT IS HIRED EVERY 3 YEARS TO CONDUCT A FULL SALARY AND BENEFIT SURVEY OF COMPARABLE ORGANIZATIONS AND RECOMMEND COMPENSATION RANGES FOR THESE INDIVIDUALS. A MARKET UPDATE IS DONE IN INTERVENING YEARS. THE COMMITTEE ANALYZES THE RESULTS OF THE THIRD-PARTY SURVEY AND/OR MARKET UPDATE REPORT AND DECIDES ON A RECOMMENDED COMPENSATION PACKAGE FOR THE PRESIDENT/CEO AND CFO. SALARY RANGES ARE SET FOR OTHER EXECUTIVES. THESE RECOMMENDATIONS ARE THEN PRESENTED TO THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE HOSPITAL'S FORM 1023 AND THREE MOST RECENT FORM 990'S ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST, WHICH CAN BE MADE EITHER IN PERSON, BY U.S. MAIL, FAX, EMAIL, OR BY PRIVATE DELIVERY SERVICE. ADDITIONALLY, THE FORM 990 IS AVAILABLE AT WWW.GUIDESTAR.COM. THE HOSPITAL DOES NOT MAKE AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, OR FINANCIAL STATEMENTS, ALTHOUGH LIMITED FINANCIAL INFORMATION IS PROVIDED TO THE PUBLIC ON THE HOSPITAL'S WEB SITE, WWW.GUIDESTAR.COM, IRS.GOV, AND THE OREGON DEPARTMENT OF JUSTICE CHARITABLE ACTIVITIES WEBSITE. FORM 990, PART IX, LINE 11G CONTRACT SERVICES 14,563,616 2,110,054 76,459 340B FEES 870,811 0 0 COLLECTIONS 0 197,310 0 CONSULTANTS 0 150,747 0 TOTAL 15,434,427 2,458,111 76,459 FORM 990, PART XI, LINE 9 CHANGE IN BENEFICIAL INTEREST IN OCF -54,833 GRANDE RONDE HOSPITAL FOUNDATION 900 SUNSET DRIVE LA GRANDE OR 97850 931174357 SUPPORT OR C3 12A N/A true GRANDE RONDE HOSPITAL AUXILIARY INC 900 SUNSET DRIVE LA GRANDE OR 97850 237090684 SUPPORT OR C3 12A N/A true false true true false false false false false false false false false true true true false true false false GRANDE RONDE HOSPITAL FOUNDATION C 109632 GAAP ACCOUNTING GRANDE RONDE HOSPITAL FOUNDATION O 135749 GAAP ACCOUNTING GRANDE RONDE HOSPITAL FOUNDATION Q 178328 GAAP ACCOUNTING