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GOOD SHEPHERD HEALTH CARE SYSTEM: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD HEALTH CARE SYSTEM (EIN 93-0425580)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-06
IRS object ID
202501269349301215
Schema version
2023v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-06T08:40:06-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1170 N RADNOR-CHESTER RD SUITE 200AddressLine1Txt
CityRADNORCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930425580EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone5416673400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 NW 11TH STREETAddressLine1Txt
CityHERMISTONCityNm
State AbbreviationORStateAbbreviationCd
ZIP97838ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonART MATHISENPersonNm
Person TitleCEOPersonTitleTxt
Phone5416673400PhoneNum
Signature2025-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSOLOMON MARDAKHAEVPreparerPersonNm
PTINP01806552PTIN
Phone6105653930PhoneNum
Preparation2025-04-17PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerART MATHISENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 NW 11TH STREETAddressLine1Txt
CityHERMISTONCityNm
State AbbreviationORStateAbbreviationCd
ZIP97838ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$204,209,421GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GSHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPASSIONATE, HIGH QUALITY, AND ACCESSIBLE HEALTH CARE AND TO PROMOTE A HEALTHY COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1063TotalEmployeeCnt
Total Volunteers85TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$270,888PYContributionsGrantsAmt
CY Contributions Grants$78,502CYContributionsGrantsAmt
PY Program Service Revenue$177,536,060PYProgramServiceRevenueAmt
CY Program Service Revenue$192,217,616CYProgramServiceRevenueAmt
PY Investment Income$8,173,140PYInvestmentIncomeAmt
CY Investment Income$7,616,796CYInvestmentIncomeAmt
PY Other Revenue$2,198,519PYOtherRevenueAmt
CY Other Revenue$2,873,935CYOtherRevenueAmt
PY Total Revenue$188,178,607PYTotalRevenueAmt
CY Total Revenue$202,786,849CYTotalRevenueAmt
PY Grants And Similar Paid$265,271PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$315,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$83,844,319PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$102,419,573CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$252,828CYTotalFundraisingExpenseAmt
PY Other Expenses$84,588,273PYOtherExpensesAmt
CY Other Expenses$89,034,763CYOtherExpensesAmt
PY Total Expenses$168,697,863PYTotalExpensesAmt
CY Total Expenses$191,769,336CYTotalExpensesAmt
PY Revenues Less Expenses$19,480,744PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,017,513CYRevenuesLessExpensesAmt
Total Assets BOY$301,564,716TotalAssetsBOYAmt
Total Assets EOY$342,727,444TotalAssetsEOYAmt
Total Liabilities BOY$32,397,048TotalLiabilitiesBOYAmt
Total Liabilities EOY$47,346,225TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$269,167,668NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$295,381,219NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE COMPASSIONATE, HIGH QUALITY, AND ACCESSIBLE HEALTH CARE AND TO PROMOTE A HEALTHY COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$169,728,081ExpenseAmt
Grant$315,000GrantAmt
Revenue$192,217,616RevenueAmt
DescGOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS) SERVED 1,855 INPATIENTS OVER 6,330 PATIENT DAYS, 83,221 OUTPATIENTS, AND 25,000 PATIENTS IN OUR EMERGENCY DEPARTMENT DURING FISCAL YEAR 2023-2024. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF GSHCS, NOT ALL INDIVIDUALS HAVE THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. GSHCS PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT DEEPLY DISCOUNTED RATES AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $5,328,248 WRITTEN OFF AS BAD DEBT, AND AN ADDITIONAL $7,828,630 OF CHARITY CARE TO OUR COMMUNITY. RECOGNIZING OUR MISSION TO THE COMMUNITY, SERVICES WERE ALSO PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS DURING THE YEAR WAS $111,670,382. THE UNREIMBURSED AMOUNTS ARE VALUED AT CHARGES FOREGONE. OUR EMERGENCY CENTER IS OPEN AROUND-THE-CLOCK TO ALL COMMUNITY MEMBERS, VISITORS, AND TRAVELERS, WITHOUT REGARD TO ONE'S ABILITY TO PAY.Desc
Total Program Service Expenses$169,728,081TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document145IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1063EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JONATHAN EDWARDSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5416673400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 NW 11TH STREETAddressLine1Txt
CityHERMISTONCityNm
State AbbreviationORStateAbbreviationCd
ZIP97838ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SUE DAGGETT
BOARD CHAIR(THRU OCT 2023)2.00Yes (X)Yes (X)$0$0$0
JON LORENCE
BOARD CHAIR (FROM NOV 2023)2.00Yes (X)Yes (X)$0$0$01.00
STEVE ELDRIGE
VICE CHAIR (FROM NOV 2023)2.00Yes (X)Yes (X)$0$0$0
NANCY MABRY
TREASURER (FROM NOV 2023)2.00Yes (X)Yes (X)$0$0$0
BILL ELFERING
TREASURER (THRU OCT 2023)2.00Yes (X)Yes (X)$0$0$01.00
TOM WAMSLEY
SECRETARY (THRU OCT 2023)2.00Yes (X)Yes (X)$0$0$01.00
ARNELL EYNON
SECRETARY2.00Yes (X)Yes (X)$0$0$01.00
RACHEL ARCHER
DIRECTOR (THRU OCT 2023)2.00Yes (X)$0$0$0
BOB CARLSON
DIRECTOR2.00Yes (X)$0$0$0
KRISTEN COLLER
DIRECTOR2.00Yes (X)$0$0$01.00
DR DEREK EARL
DIRECTOR2.00Yes (X)$0$0$0
JACLYN JENKINS
DIRECTOR2.00Yes (X)$0$0$0
ROBERT LONGORIA
DIRECTOR2.00Yes (X)$0$0$0
LISA MITTELSDORF
DIRECTOR2.00Yes (X)$0$0$02.00
JEFF WENHOLZ
DIRECTOR2.00Yes (X)$0$0$0
JONATHAN EDWARDS
COO/CFO40.00Yes (X)$266,266$0$51,217
JAN PETER
CFO (THRU FEB 2024)40.00Yes (X)$287,614$0$43,092
ART MATHISEN
CHIEF EXECUTIVE OFFICER40.00Yes (X)$287,717$0$7,302
EMMETT SCHUSTER
INTERIM CEO (THRU JULY 2023)40.00Yes (X)$0$0$0
JIM SCHLENKER
COO (THRU SEP 2023)40.00$262,863$0$36,621Yes (X)
ANN RUST
SURGEON40.00$1,150,065$0$87,511Yes (X)
DAVID MACCABEE
SURGEON40.00$955,912$0$64,879Yes (X)
JAMES WHITTUM
ORTHOPEDIC SURGEON40.00$866,691$0$49,796Yes (X)
JEREMY ANDERSON
ORTHOPEDIC SURGEON40.00$758,680$0$52,517Yes (X)
MARQUES JOHNSON
SURGEON40.00$720,877$0$79,381Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,556,685TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$472,316TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K242IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AMERGIS HEALTHCARE
7223 LEE DEFOREST DRCOLUMBIAMD21046TEMP STAFFING$4,615,526
TUALATIN IMAGING
7427 SW COHO CT STE 200TUALATINOR97062DIAGNOSTIC IMAGING READING$2,830,402
ELITE ROBOTIC SURGICAL CONSULTANTS
PO BOX 2286REDONDO BEACHCA90278UROLOGY PROFESSIONAL FEES$2,434,808
C&C PROFESSIONALS LLC
2381 NW VALLEY VIEW DRHERMISTONOR97838PEDIATRIC PROFESSIONAL FEES$1,914,916
VACO
5501 VIRGINIA WAYBRENTWOODTN37027TEMP STAFFING$1,632,950
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K54CntrctRcvdGreaterThan100KCnt
Related Organizations$30,246RelatedOrganizationsAmt
Government Grants$23,755GovernmentGrantsAmt
All Other Contributions$24,501AllOtherContributionsAmt
Total Contributions$78,502TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$192,217,616TotalRevenueColumnAmt
Related Or Exempt Func Income$192,217,616RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$192,217,616TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,422,290TotalRevenueColumnAmt
Exclusion$6,422,290ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,617,078OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,422,572OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,194,506OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,194,506TotalRevenueColumnAmt
Exclusion$1,194,506ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA722514$936,548$936,548
CATERING REVENUE722320$618,360$618,360
DAYCARE900099$384,782$384,782

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$934,245TotalRevenueColumnAmt
Exclusion$934,245ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,873,935OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$202,786,849TotalRevenueColumnAmt
Related Or Exempt Func Income$192,217,616RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,490,731ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$315,000TotalAmt
Program Services$315,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,463,098TotalAmt
Management And General$1,463,098ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$79,833,364TotalAmt
Program Services$69,737,906ProgramServicesAmt
Management And General$9,924,130ManagementAndGeneralAmt
Fundraising$171,328FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,772,050TotalAmt
Program Services$3,316,392ProgramServicesAmt
Management And General$447,511ManagementAndGeneralAmt
Fundraising$8,147FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,495,999TotalAmt
Program Services$9,889,420ProgramServicesAmt
Management And General$1,582,284ManagementAndGeneralAmt
Fundraising$24,295FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,855,062TotalAmt
Program Services$5,029,182ProgramServicesAmt
Management And General$813,524ManagementAndGeneralAmt
Fundraising$12,356FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$650,374TotalAmt
Management And General$650,374ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$164,342TotalAmt
Management And General$164,342ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$784,032TotalAmt
Management And General$784,032ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$40,353,716TotalAmt
Program Services$38,627,557ProgramServicesAmt
Management And General$1,708,925ManagementAndGeneralAmt
Fundraising$17,234FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$585,428TotalAmt
Program Services$280,208ProgramServicesAmt
Management And General$304,220ManagementAndGeneralAmt
Fundraising$1,000FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$112,316TotalAmt
Program Services$53,758ProgramServicesAmt
Management And General$58,366ManagementAndGeneralAmt
Fundraising$192FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,598,641TotalAmt
Program Services$3,274,791ProgramServicesAmt
Management And General$323,850ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,354,749TotalAmt
Program Services$2,089,833ProgramServicesAmt
Management And General$263,977ManagementAndGeneralAmt
Fundraising$939FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$867,298TotalAmt
Program Services$415,122ProgramServicesAmt
Management And General$450,695ManagementAndGeneralAmt
Fundraising$1,481FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,885,624TotalAmt
Program Services$1,646,620ProgramServicesAmt
Management And General$238,144ManagementAndGeneralAmt
Fundraising$860FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,322,091TotalAmt
Program Services$7,180,867ProgramServicesAmt
Management And General$1,137,115ManagementAndGeneralAmt
Fundraising$4,109FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$922,277TotalAmt
Program Services$568,799ProgramServicesAmt
Management And General$353,478ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$24,845,344$24,638,936$200,459$5,949
MINOR EQUIPMENT$1,868,387$1,841,109$26,831$447
RECRUITMENT$1,435,183$686,933$745,799$2,451
DUES AND SUBSCRIPTIONS$283,405$135,648$147,273$484

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,556TotalAmt
Fundraising$1,556FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$191,769,336TotalAmt
Program Services$169,728,081ProgramServicesAmt
Management And General$21,788,427ManagementAndGeneralAmt
Fundraising$252,828FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,011,330BOYAmt
EOY$9,472,491EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,774,707BOYAmt
EOY$47,696,295EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,227,192BOYAmt
EOY$4,355,479EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,732,726BOYAmt
EOY$4,277,296EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$153,109,740LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$85,638,983LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$69,914,273BOYAmt
EOY$67,470,757EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$162,665,924BOYAmt
EOY$183,172,511EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,820,257BOYAmt
EOY$2,254,537EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,419,743BOYAmt
EOY$14,287,260EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,998,564BOYAmt
EOY$9,740,818EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$301,564,716BOYAmt
EOY$342,727,444EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,011,120BOYAmt
EOY$18,889,338EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,125,536BOYAmt
EOY$23,574,001EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,260,392BOYAmt
EOY$4,882,886EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,397,048BOYAmt
EOY$47,346,225EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$268,455,896BOYAmt
EOY$294,759,795EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$711,772BOYAmt
EOY$621,424EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$269,167,668BOYAmt
EOY$295,381,219EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$301,564,716BOYAmt
EOY$342,727,444EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$11,017,513ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$15,196,038NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$13,554OtherActivitiesAmt
Total Lobbying Expenditures$13,554TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,785,909OtherCostOrOtherBasisAmt
Book Value$8,785,909BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$94,351,493OtherCostOrOtherBasisAmt
Depreciation$51,586,878DepreciationAmt
Book Value$42,764,615BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,391,682OtherCostOrOtherBasisAmt
Depreciation$34,052,105DepreciationAmt
Book Value$9,339,577BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,580,656OtherCostOrOtherBasisAmt
Book Value$6,580,656BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$67,470,757TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED LIABILITIES$4,270,368
LEASE OBLIGATIONS - FINANCING$612,518
FieldValueIRS element (for citing)
Total Liability$4,882,886TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationIN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,986,364TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,986,364NetCommunityBenefitExpnsAmt
Total Expense0.02080TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,805,628TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,819,019DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,986,609NetCommunityBenefitExpnsAmt
Total Expense0.03120TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,791,992TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,819,019DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,972,973NetCommunityBenefitExpnsAmt
Total Expense0.05200TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served29949PersonsServedCnt
Total Community Benefit Expns$2,556,314TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$168,471DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,387,843NetCommunityBenefitExpnsAmt
Total Expense0.01250TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served105PersonsServedCnt
Total Community Benefit Expns$1,298,200TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,124DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,286,076NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,893,644TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,923,332DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,970,312NetCommunityBenefitExpnsAmt
Total Expense0.09370TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$389,996TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$389,996NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served30054PersonsServedCnt
Total Community Benefit Expns$48,138,154TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,103,927DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,034,227NetCommunityBenefitExpnsAmt
Total Expense0.11490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served30054PersonsServedCnt
Total Community Benefit Expns$94,930,146TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,922,946DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,007,200NetCommunityBenefitExpnsAmt
Total Expense0.16690TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$530,708TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$131,732DirectOffsettingRevenueAmt
Net Community Benefit Expns$398,976NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$657,373TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,693DirectOffsettingRevenueAmt
Net Community Benefit Expns$639,680NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,188,081TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$149,425DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,038,656NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,436,606BadDebtExpenseAmt
Reimbursed By Medicare$47,479,594ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$48,218,199CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$738,605MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD HEALTH CARE SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 NW 11TH STREETAddressLine1Txt
CityHERMISTONCityNm
State AbbreviationORStateAbbreviationCd
ZIP97838ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.GSHEALTH.ORGWebsiteAddressTxt
State License055598-6StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.GSHEALTH.ORG/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.GSHEALTH.ORG/CHNAStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.GSHEALTH.ORG/PAYING-FOR-YOUR-CAREFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.GSHEALTH.ORG/PAYING-FOR-YOUR-CAREFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.GSHEALTH.ORG/PUB/GSHCS-CHARITY-CARE-POLICY-2016.PDFFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GOOD SHEPHERD HEALTH CARE SYSTEMPART V, SECTION B, LINE 5: THE CHNA WAS COMPLETED IN DECEMBER 2021 AND WAS CONDUCTED IN PARTNERSHIP WITH ST. ANTHONY HOSPITAL IN PENDLETON, OR. THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. 829 TOTAL SURVEYS WERE COMPLETED THROUGH 2 MECHANISMS: RANDOM-SAMPLE SURVEYS AND COMMUNITY OUTREACH SURVEYS. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY GOOD SHEPHERD HEALTH CARE SYSTEM AND CHI ST. ANTHONY HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS.
GOOD SHEPHERD HEALTH CARE SYSTEMPART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH ST. ANTHONY HOSPITAL LOCATED IN PENDLETON, OR.
GOOD SHEPHERD HEALTH CARE SYSTEMPART V, SECTION B, LINE 7D: THE CHNA WAS MADE WIDELY AVAILABLE THROUGH BOTH GOOD SHEPHERD HEALTH CARE SYSTEM'S WEBSITE AND ST. ANTHONY HOSPITAL'S WEBSITE. PAPER COPIES ARE ALSO AVAILABLE THROUGHOUT GOOD SHEPHERD'S FACILITY, UPON REQUEST. HTTPS://WWW.GSHEALTH.ORG/WP-CONTENT/UPLOADS/UMATILLA_COUNTY_CHNA_2021_REVISED.PDF
GOOD SHEPHERD HEALTH CARE SYSTEMPART V, SECTION B, LINE 11: THE MOST RECENT CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS ALONG WITH SERVICES, PROGRAMS, AND RESOURCES AVAILABLE TO RESPOND TO THESE NEEDS INCLUDE:ACCESS TO SERVICES SOCIAL DETERMINANT OF HEALTH/HEALTH EQUITY:WE WILL CONTINUE OFFERING URGENT CARE SERVICES, CONNEXIONS PROGRAM (CASE MANAGEMENT AND RESOURCE REFERRAL), MEMBERSHIP IN THE LOCAL COMMUNITY ADVISORY COUNCIL (LCAC) AND SUPPORT OF LCAC OBJECTIVES. WE WILL IMPLEMENT NEW STRATEGIES INCLUDING COMMUNITY EDUCATION ON APPROPRIATE USE OF THE EMERGENCY DEPARTMENT, URGENT CARE, AND PRIMARY CARE PROVIDERS (PCPS), INCREASE EFFORTS TO RECRUIT HEALTHCARE PROVIDERS TO MEET THE GROWING POPULATION AND MAKE URGENT CARE SERVICES MORE ACCESSIBLE.OBESITY/CHRONIC DISEASE:WE WILL CONTINUE OFFERING BMI MEASUREMENTS AT COMMUNITY SCREENING EVENTS, ENCOURAGING COMMUNITY PARTNERS TO PROMOTE HEALTHY GARDENING AND FOOD CHOICES, CONTINUE TO PROMOTE COMMUNITY-BASED EXERCISE AND FITNESS EDUCATION OPPORTUNITIES. WE WILL IMPLEMENT NEW STRATEGIES INCLUDING NORTHEAST OREGON PRESCRIPTION TRAILS PROGRAM, SUGAR SWEETENED BEVERAGE EDUCATION AT 75% OF COMMUNITY OUTREACH EVENTS, FEASIBILITY ANALYSIS OF METABOLIC AND BARIATRIC PROGRAM, AND CREATION OF COMMUNITY CANCER PREVENTION STRATEGIC PLAN.VIOLENCE:WE WILL CONTINUE OFFERING SAFE COMMUNITIES PARTICIPATION AND START BY BELIEVING CAMPAIGN. WE WILL IMPLEMENT NEW STRATEGIES INCLUDING COLLABORATE WITH DOMESTIC VIOLENCE SERVICES TO HOST ONE IN HER SHOES EVENT ON SITE ANNUALLY, INTEGRATE ABUSE SCREENING QUESTIONNAIRE INTO EPIC, AND EXPANSION OF AWARENESS AND SCOPE OF THE START BY BELIEVING CAMPAIGN LED BY SANE TEAM.BEHAVIORAL HEALTH:WE WILL CONTINUE OFFERING SAFE COMMUNITIES AND DEVELOPMENTAL ADOLESCENT RESIDENTIAL TREATMENT (DART) PARTICIPATION, MEMBERSHIP IN THE LOCAL COMMUNITY ADVISORY COUNCIL (LCAC), SUPPORT OF LCAC OBJECTIVES, TOBACCO TREATMENT SPECIALIST (TTS) COUNSELING, AND COMMUNITY TOBACCO EDUCATION AND EVENTS. WE WILL IMPLEMENT NEW STRATEGIES INCLUDING ENSURING UNIFORM COMPLIANCE WITH GSHCS POLICIES REGARDING PRESCRIPTION DRUG MONITORING PROGRAM (PDMP) DASHBOARD USAGE BEFORE PRESCRIBING OPIOIDS OR OTHER ADDICTIVE PRESCRIPTIONS, ENSURING UNIFORM COMPLIANCE WITH GSHCS POLICIES REGARDING REQUIRING DOCTOR/PATIENT AGREEMENT WHEN ON LONG-TERM OPIOID PRESCRIPTIONS, OBTAINING ONE GSHCS EMPLOYED MEDICATION ASSISTED TREATMENT (MAT) PROVIDER, TRAINING SELECT GSHCS STAFF IN NALOXONE ADMINISTRATION, CREATING ONSITE SAFE MEDICATION DISPOSAL SITE, AND DISTRIBUTING ACCURATE INFORMATION ON DRUGS AT VARIOUS COMMUNITY EVENTS.THE HOSPITAL DOES NOT HAVE ADEQUATE RESOURCES TO SOLVE ALL THE PROBLEMS IDENTIFIED. SOME ISSUES ARE BEYOND THE MISSION OF THE HOSPITAL AND ACTION IS BEST SUITED FOR A RESPONSE BY OTHERS OR WILL REQUIRE PERSONAL ACTIONS BY INDIVIDUALS RATHER THAN THE RESPONSE OF AN ORGANIZATION. WE VIEW THE ABOVE STRATEGIES FOR HOW WE, ALONG WITH OTHER ORGANIZATIONS AND AGENCIES, CAN COLLABORATE TO BRING THE BEST EACH HAS TO OFFER TO ADDRESS THE MORE PRESSING IDENTIFIED NEEDS.
GOOD SHEPHERD HEALTH CARE SYSTEMPART V, SECTION B, LINE 16J: A SUMMARY OF THE FAP IS DISTRIBUTED IN UNEMPLOYMENT OFFICES AND OTHER AREAS IN THE COMMUNITY THAT TARGET THE ELIGIBLE POPULATION. A SUMMARY IS ALSO AVAILABLE AT LOCAL PHYSICIAN OFFICES, ADMISSIONS OFFICES, AND SENT WITH BILLING INVOICES. ALSO, UPON DISCHARGE, A PATIENT FINANCIAL REPRESENTATIVE MEETS WITH PATIENTS TO DISCUSS THEIR ABILITY TO PAY FOR SERVICES. INCLUDED AS PART OF THIS DISCUSSION IS A SUMMARY OF THE FAP.
GOOD SHEPHERD HEALTH CARE SYSTEMPART V, SECTION B, LINE 20E: SCHEDULE H, PART V, SECTION B, LINE 20A: THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECA'S)
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - GOOD SHEPHERD MEDICAL GROUP
610 NW 11TH STREETHERMISTONOR97838CLINIC
2 - VANGE JOHN MEMORIAL HOSPICE
610 NW 11TH STREETHERMISTONOR97838HOSPICE
3 - GOOD SHEPHERD HOME HEALTH
610 NW 11TH STREETHERMISTONOR97838HOME HEALTH

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LN 7 COL(F):BAD DEBT EXPENSE IS INCLUDED IN NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES UNDER THE ACCOUNTING FOR CONTRACTUAL ARRANGEMENTS SECTION AND IN NOTE 5: PATIENT ACCOUNTS RECEIVABLE.
PART II, COMMUNITY BUILDING ACTIVITIES:N/A
PART III, LINE 2:THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON SCHEDULE H, PART III, LINE 2 INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE.
PART III, LINE 3:MANAGEMENT CONSIDERS HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION. THE ESTIMATE OF BAD DEBT ATTRIBUTABLE TO CHARITY PATIENTS IS BASED ON AN OVERALL CHARITY CARE PERCENTAGE OF GROSS REVENUE.
PART III, LINE 4:BAD DEBT EXPENSE EXPLANATIONS ARE INCLUDED IN NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES UNDER THE ACCOUNTING FOR CONTRACTUAL ARRANGEMENTS SECTION AND IN NOTE 5: PATIENT ACCOUNTS RECEIVABLE.
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. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES & REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. GSHCS PROVIDES SERVICES TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THEY WILL NOT RECOVER ALL THE COSTS ASSOCIATED WITH PROVIDING THESE SERVICES. PROVIDING THESE SERVICES IS ESSENTIAL TO THESE PATIENTS AND THE COMMUNITY AND INCREASES THEIR ACCESS TO HEALTHCARE SERVICES.
PART III, LINE 9B:THE ORGANIZATIONS COLLECTION PROCEDURES REQUIRE A FINANCIAL ADVISOR TO WORK WITH ANY PATIENT WHO IS IDENTIFIED AS POTENTIALLY BEING ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SENDING THE ACCOUNT TO COLLECTION. IF DURING THE COURSE OF THE COLLECTION PROCESS THE COLLECTION AGENCY DETERMINES AN ACCOUNT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, IT IS REFERRED BACK TO THE HOSPITAL FOR FURTHER DISCUSSION WITH THE PATIENT OR FOR WRITE OFF. ALL FURTHER COLLECTION ACTION IS CEASED.
PART VI, LINE 2:GOOD SHEPHERD HEALTH CARE SYSTEM HAS PARTNERED WITH ST. ANTHONY HOSPITAL, UMATILLA COUNTY HEALTH DEPARTMENTS, AND OREGON CHILD DEVELOPMENT COALITION, AND CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO TO CONDUCT AN UMATILLA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. OUR COMMUNITY HEALTHCARE NEEDS ASSESSMENT PROCESS HAS FIVE COMPONENTS THAT ARE CONDUCTED EVERY THIRD YEAR:1. THE ONGOING COLLECTION AND EVALUATION OF COMMUNITY FEEDBACK FROM PATIENT SURVEYS AND COMMENT FORMS.2. PATIENT AND COMMUNITY MEMBER HEALTHCARE NEEDS FOCUS GROUPS.3. A HEALTHCARE NEEDS SURVEY COMPLETED BY EMPLOYERS AND OTHER COMMUNITY LEADERS.4. A FORMAL TELEPHONE SURVEY.5. A DEMOGRAPHIC STUDY CONDUCTED BY THE OREGON OFFICE OF RURAL HEALTH.HARD COPIES OF THE LATEST COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE UPON REQUEST WITHOUT CHARGE AND ALSO POSTED ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: HTTP://WWW.GSHEALTH.ORG/COMMUNITYBENEFITHARD COPIES OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH IMPLEMENTATION PLAN IS AVAILABLE UPON REQUEST WITHOUT CHARGE AND ALSO POSTED ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL:HTTP://WWW.GSHEALTH.ORG/COMMUNITYBENEFIT
PART VI, LINE 3:OUR FINANCIAL COUNSELORS INFORM AND EDUCATE THE PEOPLE WE SERVE WITH RESPECT TO CHARITY CARE AND GOVERNMENTAL ASSISTANCE PROGRAMS. ALL PATIENTS AND RESPONSIBLE PARTIES, WHERE POSSIBLE, ARE APPRISED OF THE AVAILABILITY OF FINANCIAL COUNSELING SERVICES AT THE TIME AND POINT OF SERVICE. WE HAVE ARRANGED OUR PATIENT FLOW TO MAXIMIZE THE CONVENIENCE OF VISITING OUR FINANCIAL COUNSELORS AS PART OF THE GOOD SHEPHERD TREATMENT REGIMEN. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS PROVIDED IN WRITING TO THE PATIENTS UPON REQUEST, AND WHEN THE HOSPITAL IS ABLE TO IDENTIFY A POTENTIAL FAP ELIGIBLE INDIVIDUAL UPON ADMISSIONS.
PART VI, LINE 4:GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS) IS THE CORPORATE NAME FOR AN ORGANIZATION MADE UP OF SEVERAL ENTITIES, INCLUDING GOOD SHEPHERD MEDICAL CENTER, VANGE JOHN MEMORIAL HOSPICE, GOOD SHEPHERD HOME HEALTH, GOOD SHEPHERD MEDICAL GROUP, AND GOOD SHEPHERD CLINIC PHARMACY. GOOD SHEPHERD SERVES A CORE POPULATION OF ALMOST 75,000 PEOPLE IN THE CITY OF HERMISTON, OREGON AND IN MANY OUTLYING SMALLER TOWNS WITHIN A ROUGH 50-MILE RADIUS. THIS POPULATION IS LARGELY RURAL, WITH AGRICULTURE DOMINATING INDUSTRIAL ENTERPRISES. THE AVERAGE HOUSEHOLD INCOME IN HERMISTON IS 35,865. 17.1% OF RESIDENTS HAVE INCOMES BELOW FEDERAL POVERTY GUIDELINES. 31.3% OF RESIDENTS IDENTIFY AS NONWHITE HISPANIC ETHNICITY, WITH A SIZABLE NUMBER OF SPANISH PRIMARY SPEAKERS.
PART VI, LINE 5:GOOD SHEPHERD MAINTAINS OPEN, ACTIVE, AFFILIATE, AND COURTESY MEDICAL STAFFS, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED AND INTERESTED PHYSICIANS IN THE COMMUNITIES WE SERVE. GSHCS IS GOVERNED BY A TWELVE MEMBER BOARD OF TRUSTEES. THE BOARD IS COMPRISED OF INDEPENDENT REPRESENTATIVES OF THE COMMUNITY, WITH AN EMPHASIS ON MAINTAINING A TRUE CROSS-SECTION OF CORE POPULATION COMMUNITIES WITHIN ITS MEMBERSHIP. OUR SURPLUS FUNDS ARE USED TO FUND COMMUNITY HEALTH EDUCATION CLASSES, AS WELL AS FUNDING BUILDING AND EQUIPMENT UPGRADES TO MAINTAIN THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY. SURPLUS FUNDS ARE ALSO APPLIED TO ONGOING PROFESSIONAL EDUCATION AMONG OUR CLINICAL STAFF TO REMAIN CURRENT IN THE BEST PRACTICES OF MODERN HEALTHCARE.WE OPERATE A FULLY STAFFED 24-HOUR EMERGENCY ROOM, AVAILABLE TO THE PUBLIC REGARDLESS OF ABILITY TO PAY.WE MAINTAIN A DIALOGUE WITH THE PEOPLE WE SERVE THROUGH A BIWEEKLY RADIO SHOW, WITH AN EMPHASIS ON WELLNESS AND PREVENTATIVE CARE.GOOD SHEPHERD HOSTS AN ANNUAL FAMILY HEALTH AND FITNESS DAY, WITH FREE ACCESS TO HEALTHCARE PROFESSIONALS, FREE SCREENINGS, AND A WEALTH OF HEALTH AND WELLNESS INFORMATION AVAILABLE TO THE PUBLIC.WE ARE ACTIVE IN COMMUNITY HEALTH RELATED ACTIVITIES, INCLUDING THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, THE MARCH OF DIMES' MARCH FOR BABIES, AND THE UMATILLA COUNTY FAIR, WHERE WE PROVIDE HEALTH INFORMATION AND HEALTHCARE RELATED GIVEAWAYS.
PART VI, LINE 6:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESOR

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION
610 NW 11TH STREETHERMISTONOR97838931170546501(C)(3)$250,000$0FINANCIAL SUPPORT
BLUE MOUNTAIN COMMUNITY COLLEGE
975 SE COLUMBIA DRIVEHERMISTONOR97838930506536GOV$65,000$0NURSING PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationREQUESTS FOR FINANCIAL ASSISTANCE ARE APPROVED BY THE BOARD PRIOR TO DISBURSEMENT. ANY ORGANIZATION RECEIVING AN AWARD MUST SIGN AN AGREEMENT BEFORE THE FUNDS ARE DISPERSED STATING THE FUNDS WILL BE USED FOR THE STATED PURPOSE AS LISTED IN THEIR GRANT APPLICATION. GRANTS AWARDED TO GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION, A RELATED ORGANIZATION WHICH IS TAX EXEMPT UNDER SECTION 501(C)(3), ARE REQUIRED TO SUBMIT REGULAR REPORTS UNTIL ALL FUNDS HAVE BEEN SPENT. THESE REPORTS ARE REVIEWED AT THE FOUNDATION MEETINGS OF WHICH BOARD MEMBERS WHO SERVE ON BOTH THE HOSPITAL AND THE FOUNDATION BOARDS ATTEND. THERE ARE NO REPORTING REQUIREMENTS REQUIRED TO BE SENT TO THE HOSPITAL FROM THE OTHER ORGANIZATIONS LISTED ON SCHEDULE I.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANN RUST
SURGEON$1,053,301$0$90,312$0$6,452$0$61,575$0$25,936$0$1,237,576$0$0$0
DAVID MACCABEE
SURGEON$871,547$0$80,776$0$3,589$0$64,879$0$0$0$1,020,791$0$0$0
JAMES WHITTUM
ORTHOPEDIC SURGEON$781,325$0$84,569$0$797$0$23,119$0$26,677$0$916,487$0$0$0
JEREMY ANDERSON
ORTHOPEDIC SURGEON$723,388$0$34,495$0$797$0$26,156$0$26,361$0$811,197$0$0$0
MARQUES JOHNSON
SURGEON$646,213$0$70,092$0$4,572$0$79,381$0$0$0$800,258$0$0$0
JAN PETER
CFO (THRU FEB 2024)$256,660$0$29,797$0$1,157$0$27,374$0$15,718$0$330,706$0$0$0
JONATHAN EDWARDS
COO/CFO$227,853$0$26,567$0$11,846$0$16,789$0$34,428$0$317,483$0$0$0
JIM SCHLENKER
COO (THRU SEP 2023)$235,540$0$25,691$0$1,632$0$9,956$0$26,665$0$299,484$0$0$0
ART MATHISEN
CHIEF EXECUTIVE OFFICER$161,931$0$32,500$0$93,286$0$0$0$7,302$0$295,019$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHOUSING AND ALLOWANCE, ANN RUST, INCLUDED IN TAXABLE COMPENSATION. HOUSING AND ALLOWANCE, DAVID MACCABEE, INCLUDED IN TAXABLE COMPENSATION.
PART I, LINE 7AT THE END OF THE FISCAL YEAR THE BOARD DETERMINES THE AMOUNT OF FUNDS THAT WILL BE DISBURSED FOR BONUSES BASED ON THE ACHIEVEMENT OF SPECIFIED GOALS. MANAGEMENT THEN DETERMINES THE PERCENTAGE OF BONUSES ALLOCATED TO EACH LEVEL AND EACH INDIVIDUAL. THE HOSPITAL MAY ALSO PAY THE CEO A DISCRETIONARY ANNUAL BONUS IN AN AMOUNT TO BE DETERMINED BY THE BOARD OR COMMITTEE BASED UPON THE CEO'S ANNUAL REVIEW.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonNANCY MABRYPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBERRelationshipDescriptionTxt
Transaction$382,074TransactionAmt
TransactionCOLLECTIONS SERVICETransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 1:FormAndLineReferenceDesc
ExplanationCREDITS INC. IS A COLLECTION SERVICE AGENCY USED BY GSHCS WHICH IS CONTROLLED 100% BY A BOARD MEMBER.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS), A RELATED ORGANIZATION AND HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING COMMON BOARD MEMBERS OF GSHCS AND THE FOUNDATION: TOM WAMSLEY, BILL ELFERING, LISA MITTLESDORF, KRISTEN COLLER AND JON LORENCE.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO THE CFO AND CONTROLLER WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE FORM 990. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 990, THE CEO SIGNS THE FORM 8879EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES WITH CONFLICTS ARE EXPECTED TO DISCLOSE CONFLICTS OF INTEREST ON A VOLUNTARY BASIS AND REFRAIN FROM DISCUSSION AND/OR VOTING ON RELATED MATTERS AS NECESSARY. THESE DISCLOSURES ARE REVIEWED AND DETERMINED TO EXIST OR NOT TO EXIST BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BASED ON SURVEY INFORMATION. THIS PROCESS IS COMPLETED ANNUALLY IN THE MONTH OF MAY. THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED BY THE CEO BASED ON SURVEY INFORMATION. THIS PROCESS IS COMPLETED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GTEMP STAFFING: PROGRAM SERVICE EXPENSES 16,677,476. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,677,476. PROVIDER EDUCATION: PROGRAM SERVICE EXPENSES 78,238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,238. PURCHASED 340B SERVICES: PROGRAM SERVICE EXPENSES 402,954. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 402,954. PURCHASED EDUCATION: PROGRAM SERVICE EXPENSES 258,471. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 258,471. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 11,610,260. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,610,260. CONSULTING: PROGRAM SERVICE EXPENSES 1,757,815. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,757,815. COLLECTIONS: PROGRAM SERVICE EXPENSES 382,074. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 382,074. OTHER SERVICES: PROGRAM SERVICE EXPENSES 7,460,269. MANAGEMENT AND GENERAL EXPENSES 1,708,925. FUNDRAISING EXPENSES 17,234. TOTAL EXPENSES 9,186,428.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD COMMUNITY HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 NW 11TH STREETAddressLine1Txt
CityHERMISTONCityNm
State AbbreviationORStateAbbreviationCd
ZIP97838ZIPCd
FieldValueIRS element (for citing)
EIN931170546EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD MEDICAL SERVICE CORPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 NW 11TH STREETAddressLine1Txt
CityHERMISTONCityNm
State AbbreviationORStateAbbreviationCd
ZIP97838ZIPCd
FieldValueIRS element (for citing)
EIN930688940EIN
Primary ActivitiesPHARMACYPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$10,015,992ShareOfTotalIncomeAmt
Share Of EOY Assets$12,968,869ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GOOD SHEPHERD MEDICAL SERVICE CORP
A$1,243,279CASH
GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION
B$324,996CASH
GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION
O$159,025CASH
GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION
P$67,125CASH
GOOD SHEPHERD MEDICAL SERVICE CORP
K$328,390CASH