2023-08-14T13:24:14-05:00 2022-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-10-01 930223960 ASANTE ASAN 5417895590 2650 SISKIYOU BLVD MEDFORD OR 97504 HEATHER ROWENHORST CFO 5417895098 2023-08-07 1 HEATHER ROWENHORST XXX-XX-XXXX KURT BENNION CPA P01469618 4252506100 2023-08-04 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ROY VINYARD 2650 SISKIYOU BLVD MEDFORD OR 97504 1126526528 0 X WWW.ASANTE.ORG X 1938 OR PROVIDE QUALITY HEALTHCARE SERVICES WITH COMPASSION TO THE COMMUNITIES WE SERVE. 15 14 6488 4682 5242450 0 16633691 32044993 975543262 1038626328 71095006 40338747 3728568 5084494 1067000527 1116094562 400200 240200 0 0 545461461 537132743 0 0 0 405399916 564126822 951261577 1101499765 115738950 14594797 2030793202 1797201731 799275071 713688996 1231518131 1083512735 X ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 0 0 551925367 239200 703710252 ASANTE'S MAIN PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ASANTE ROGUE REGIONAL MEDICAL CENTER (ARRMC), A 378 LICENSED BED HOSPITAL LOCATED IN MEDFORD, OREGON. ARRMC WAS NAMED ONE OF THE TOP 100 HOSPITALS IN THE NATION BY IBM WATSON. IN ADDITION, THEY WERE NAMED ONE OF THE TOP 50 CARDIOVASCULAR HOSPITALS IN THE NATION. THEY ALSO RECEIVED A 5-STAR RATING FROM CMS. LEAPFROG AWARDED THE HOSPITAL WITH AN "A" SAFETY SCORE. THE HOSPITAL ALSO EARNED THE PATIENT SAFETY EXCELLENCE, PULMONARY CARE EXCELLENCE, BARIATRIC SURGERY EXCELLENCE, VASCULAR SURGERY EXCELLENCE, LABOR AND DELIVERY EXCELLENCE AND OBGYN EXCELLENCE AWARDS FROM HEALTHGRADES. HEALTHGRADES ALSO NAMED ARRMC AS ONE OF THE 100 BEST IN AMERICA FOR SPINE SURGERY. KEY HOSPITAL INPATIENT SERVICES INCLUDE CANCER SERVICES, CARDIOVASCULAR SURGERY, AND INPATIENT CARDIAC CATHERIZATION LABORATORY, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, NEONATOLOGY, NEUROSCIENCES, OBSTETRICS, ORTHOPEDICS, PEDIATRICS, AND UROLOGY SERVICES. OTHER INPATIENT SERVICES INCLUDE BEHAVIORAL HEALTH, REHABILITATION, AND CRITICAL CARE SERVICES, INCLUDING THE REGION'S ONLY LEVEL 3 NEONATAL INTENSIVE CARE UNIT. KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LABORATORY TESTING AND DIAGNOSIS, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING, SLEEP SERVICES, HOSPICE, AND VARIOUS THERAPIES, INCLUDING BEHAVIORAL, OCCUPATIONAL, PHYSICAL, AND SPEECH. DURING FISCAL YEAR 2022, ARRMC ADMITTED 14,851 PATIENTS FOR A TOTAL OF 103,071 PATIENT DAYS. IT ALSO HAD OVER 600,933 TOTAL OUTPATIENT VISITS AND DELIVERED 1,646 BABIES. THE EMERGENCY ROOMS TREATED 48,220 PATIENTS. SURGICAL SERVICES PERFORMED 9,702 INPATIENT AND OUTPATIENT SURGERIES AT ARRMC. OTHER STATISTICS AT ARRMC INCLUDE 21,710 HOSPICE VISITS, 89,293 VISITS TO THE VARIOUS REHAB UNITS, AND OVER 165,154 VISITS TO IMAGING. 198690438 0 255897193 ASANTE'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT BY EXPENSE IS THE OPERATION OF ASANTE THREE RIVERS MEDICAL CENTER (ATRMC), A 125 LICENSED BED HOSPITAL LOCATED IN GRANTS PASS, OREGON. ATRMC RECEIVED A GRADE "A" HOSPITAL SAFETY SCORE FROM LEAPFROG FOR THE SIXTH CONSECUTIVE YEAR. HEALTH GRADES NAMED THEM ONE OF THE 100 BEST HOSPITALS IN AMERICA FOR JOINT REPLACEMENT. HEALTHGRADES ALSO AWARDED THE HOSPITAL WITH PATIENT SAFETY EXCELLENCE. ADDITIONALLY, ATRMC RECEIVED A 5-STAR RATING FROM CMS. SOME OF THE KEY INPATIENT SERVICES AVAILABLE AT TRMC INCLUDE CANCER SERVICES, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, OBSTETRICS, ORTHOPEDICS, AND PEDIATRICS. SOME OF THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, CARDIOPULMONARY SERVICES, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING AND VARIOUS THERAPIES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH. DURING FISCAL YEAR 22, ATRMC ADMITTED 6,498 INPATIENTS FOR A TOTAL OF 32,255 PATIENT DAYS. THEY ALSO DELIVERED 685 BABIES AND HAD OVER 288,000 OUTPATIENT VISITS. THE EMERGENCY ROOM SAW 45,321 PATIENTS AND THERE WERE 5,759 SURGERIES PERFORMED DURING THE YEAR. ATRMC'S REHAB DEPARTMENT HAD 24,645VISITS AND THE VARIOUS IMAGING DEPARTMENTS HAD OVER 85,000 VISITS. 57325728 1000 77112303 ASANTE'S THIRD LARGEST PROGRAM SERVICE ACCOMPLISHMENTS BY EXPENSE ARE THE OPERATION OF ASANTE ASHLAND COMMUNITY HOSPITAL (AACH), A 49 LICENSED BED HOSPITAL LOCATED IN ASHLAND, OREGON AND THE OPERATION OF THE CORPORATE DIVISION. AACH ALSO RECEIVED A 5-STAR RATING FORM CMS. THE HOSPITAL ALSO RECEIVED AN "A" SAFETY SCORE FROM LEAPFROG. ASANTE HEALTH SYSTEM WAS NAMED ONE OF THE "15 TOP HEALTH SYSTEMS IN THE NATION" FOR THE NINTH YEAR IN A ROW BY TRUVEN HEALTH ANALYTICS. IN ADDITION, ASANTE WAS NAMED BEST IN STATE EMPLOYER BY FORBES. KEY INPATIENT SERICES AVAILABLE AT ACH INCLUDE GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY AND OBSTETRICS. SOME THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, IMAGING AND VARIOUS THERAPIES. DURING FISCAL YEAR 22, AACH ADMITTED 1,383 INPATIENTS FOR A TOTAL OF 8,115 PATIENT DAYS. THEY DELIVERED 198 BABIES AND HAD OVER OVER 45,000 OUTPATIENT VISITS. THE EMERGENCY ROOM SAW 11,000 PATIENTS AND, THERE WERE 1,804 SURGERIES PERFORMED DURING THE YEAR. ASANTE'S CORPORATE DIVISION HAS MADE GENEROUS CASH DONATIONS TO NUMEROUS NON-PROFIT ORGANIZATIONS. THESE DONATIONS HELP SUPPORT A VARIETY OF LOCAL PROGRAMS, SUCH AS THE MASLOW PROJECT WHICH PROVIDES RESOURCES TO HOMELESS YOUTH TO THE ANNUAL PEAR BLOSSOM FESTIVAL TO ENCOURAGE HEALTH THROUGH MOVEMENT. OTHER NOTABLE DONATIONS INCLUDE LOCAL FOODBANKS, SEXUAL ASSAULT RESPONSE TEAMS, SUICIDE PREVENTION AND YOUTH CAMPS. OFTEN, INDIGENT AND MEDICAID PATIENTS WILL SHOW UP AT THE EMERGENCY ROOM IN NEED OF SPECIALIZED MEDICAL CARE. IN ORDER TO ASSURE THAT UNASSIGNED INDIGENT AND MEDICAID PATIENTS HAVE SPECIALIZED CARE AVAILABLE TO THEM, ASANTE CREATED SOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES (SOTES). SOTES CONTRACTS WITH LOCAL INDEPENDENT PHYSICIANS TO PROVIDE SPECIALIZED CARE TO THESE PATIENTS THROUGHOUT THEIR HOSPITAL STAY. THE PHYSICIAN BILLS SOTES, WHICH WILL REIMBURSE THE SPECIALIST AT MEDICARE RATES. SOTES OPERATES AT BREAKEVEN. EXPENSES ARE FULLY FUNDED AND REIMBURSED TO THE DOCTOR BY THE HOSPITALS. 807941533 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 647 0 6488 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 14 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 OR X X HEATHER ROWENHORST 5417895098 2650 SISKIYOU BLVD MEDFORD OR 97504 SCOTT KELLY PRESIDENT & CEO 40.00 2.00 X 1665840 0 33733 GREG WOJTAL CAFO 40.00 2.00 X 753363 0 40467 SOMNATH GHOSH RRMC VP MEDICAL AFFAIRS 40.00 0.00 X 737571 0 19108 JAMES GREBOSKY CMO & ACH CEO 40.00 1.00 X 690479 0 41117 WIN HOWARD TRMC CEO 40.00 0.00 X 649745 0 45657 MICK ZDEBLICK RRMC CEO 40.00 0.00 X 638224 0 43571 LEE MILLIGAN MD CIO (THROUGH JULY 2022) 40.00 0.00 X 578495 0 45386 DENNIE CONRAD CSO 40.00 0.00 X 494803 0 44709 KRISTEN ROY LEGAL OFFICER 40.00 0.00 X 460260 0 35309 COURTNEY WILSON MD MDES RRMC/ED PROVIDER 40.00 0.00 X 443435 0 48206 DANIELLE HOLTZ MD MEDICAL DOCTOR 40.00 0.00 X 423016 0 35555 KEVIN KELLEHER MDES ARM/ED DOCTOR 40.00 0.00 X 404929 0 48445 AMANDA KOTLER CNO 40.00 0.00 X 357895 0 48905 SUE HAGAR MD MEDICAL DOCTOR 2.00 40.00 X 0 348692 47374 DAVID KINYON CIO 40.00 0.00 X 283054 0 17400 DOUGLAS SCHMOR CHAIRPERSON 2.00 2.00 X X 0 0 0 PETER ANGSTADT PHD VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 KEN TRAUTMAN TREASURER 2.00 0.00 X X 0 0 0 PATRICIA WINTERMUTE SECRETARY 2.00 2.00 X X 0 0 0 CAROL CHRISTLIEB TRUSTEE 2.00 0.00 X 0 0 0 STEPHEN GAMBEE TRUSTEE 2.00 0.00 X 0 0 0 ANNE GOLDEN TRUSTEE (THROUGH DECEMBER 2021) 2.00 2.00 X 0 0 0 BRIAN GROSS MD TRUSTEE 2.00 2.00 X 0 0 0 TRAVIS HAMLYN TRUSTEE 2.00 2.00 X 0 0 0 MATTHEW EMIL HIESTERMAN TRUSTEE 2.00 0.00 X 0 0 0 DON KANIA TRUSTEE 2.00 0.00 X 0 0 0 KATE LASKY TRUSTEE 2.00 0.00 X 0 0 0 CHRISTINA MEDINA TRUSTEE 2.00 0.00 X 0 0 0 JOE PASTRANO MD TRUSTEE 2.00 0.00 X 0 0 0 STEPHEN ROE TRUSTEE (THROUGH DECEMBER 2021) 2.00 2.00 X 0 0 0 SANDRA SLATTERY TRUSTEE 2.00 0.00 X 0 0 0 THOMAS TUREK MD TRUSTEE (THROUGH DECEMBER 2021) 2.00 0.00 X 0 0 0 JONATHAN WOOD MD TRUSTEE 2.00 0.00 X 0 0 0 8581109 348692 594942 1184 0 1 0 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET SUITE 420 OMAHA NE 68154 STAFFING SERVICES 129197522 SOUTHERN OREGON CARDIOLOGY LLC 520 MEDICAL CENTER 200 MEDFORD OR 97504 CARDIAC SERVICES 21624725 ANESTHESIA ASSOCIATES OF MEDFORD 842 E MAIN STREET MEDFORD OR 97504 PHYSICIAN SERVICES 19492654 HEMATOLOGY ONCOLOGY ASSOCIATES 2828 E BARNETT ROAD MEDFORD OR 97504 PHYSICIAN SERVICES 16662072 SOUTHERN OREGON HOSPITALISTS 2640 E BARNETT ROAD MEDFORD OR 97504 PHYSICIAN SERVICES 7602509 34 9287686 10805104 11952203 32044993 HOSPITAL SERVICES 621110 1014247357 1012340777 1906580 OTHER OPERATING INCOME 900099 19213602 19213602 NUTRITION SERVICES 621990 3635007 3635007 JOINT VENTURE INCOME 621990 1530362 1530362 1038626328 21542023 21542023 1740572 0 1740572 1740572 1740572 18872790 10460 0 86526 18872790 -76066 18796724 18796724 13681310 10345440 3335870 3335870 MISCELLANEOUS INCOME 900099 8052 8052 8052 1116094562 1036719748 5242450 42087371 X 240200 240200 6863504 6863504 395073506 273037919 122035587 18981971 16468926 2513045 86761189 63048618 23712571 29452573 21529187 7923386 5398279 5398279 406498 406498 128618 128618 1680232 1680232 188135763 181932373 6203390 702727 5500 697227 4651470 708209 3943261 46592388 3569579 43022809 12055331 1349126 10706205 863345 405616 457729 203966 141156 62810 4227861 4227861 42443373 726630 41716743 652939 652939 MEDICAL SUPPLIES 214335146 212899888 1435258 BAD DEBT EXPENSE 14930320 14930320 REPAIRS & MAINTENANCE 14065746 9245897 4819849 FOOD 5338523 822677 4515846 7314297 5199480 2114817 1101499765 807941533 293558232 0 115625404 32504926 22205306 0 146857497 165926671 0 0 23877193 24258953 16208709 17368108 17619928 15960506 1210580632 558193360 505504016 652387272 770218264 594569155 5617774 6666585 12195 12195 407046916 287547360 2030793202 1797201731 37530803 45000417 535733089 529955505 34439991 28661584 191571188 110071490 799275071 713688996 X 1231518131 1083512735 1231518131 1083512735 2030793202 1797201731 14594797 -162600193 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 74618 0 0 1 54000 128618 0 PART II-B, LINE 1: ASANTE MAINTAINS MEMBERSHIPS IN THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND OREGON ASSOCIATION OF HOSPITALS AND HEALTHCARE SYSTEMS (OAHHS). DURING THE FISCAL YEAR, ASANTE PAID MEMBERSHIP DUES TO THE AHA AND OAHHS OF $92,047 AND $271,102 RESPECTIVELY. 14.12% OF OAHHS DUES AND 22.73% OF AHA DUES WENT FOR LOBBYING PURPOSES. THUS, ASANTE MADE INDIRECT LOBBYING EXPENDITURES OF $74,618 THROUGH ITS MEMBERSHIP DUES. ALSO, ASANTE PAID JOHN WATT AND ASSOCIATES (JWA) $54,000 FOR SPECIFIC ISSUES LOBBYING DURING THE TAX YEAR. 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THE ASANTE FOUNDATION MAINTAINS THE ASSETS OF 15 DIFFERENT ENDOWMENTS WITH A NET WORTH OF OVER $26.0 MILLION. THE CORPUS OF THE ENDOWMENTS IS TO REMAIN INTACT AND INVESTED IN MARKETABLE SECURITIES AND OTHER FINANCIAL INSTRUMENTS. AT THE END OF EACH FISCAL YEAR, ANY INVESTMENT INCOME GENERATED FROM THE ENDOWMENTS IS RELEASED TO ASANTE. THE INCOME RECEIVED IS USED TO SUBSIDIZE NUMEROUS PROGRAMS, INCLUDING THE RRMC HOSPICE, PHYSICIAN AND NURSING EDUCATION, CHILDREN'S HEALTH, ONCOLOGY PROGRAMS, AND SUPPORT OF THE FRANCIS CHENEY AND THREE RIVERS FAMILY HOUSES. PART X, LINE 2: ASANTE HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) STATING THAT IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC), EXCEPT FOR UNRELATED BUSINESS INCOME. MANAGEMENT BELIEVES ASANTE IS OPERATED IN A MANNER THAT QUALIFIES FOR TAX-EXEMPT STATUS. INCOME TAXES ARE PROVIDED FOR THE TAX EFFECTS OF TRANSACTIONS RELATED TO ASANTE'S TAX-EXEMPT PURPOSE REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY ASANTE AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF ASANTE HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY ASANTE AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. 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THE HOSPITALS CONDUCTED A COMMUNITY HEALTH SURVEY THAT RECEIVED 1,261 ENGLISH RESPONSES AND 62 SPANISH RESPONSES FROM WITHIN ASANTE'S PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, AS WELL AS A KEY INFORMANT SURVEY THAT RECEIVED 19 RESPONSES ACROSS THE TWO COUNTIES. AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, ASANTE AND PROVIDENCE ALSO CONTRACTED WITH THE REDE GROUP TO CONDUCT KEY INFORMANT STAKEHOLDER INTERVIEWS AND COMMUNITY LISTENING SESSIONS, ENGAGING A TOTAL OF 12 KEY INFORMANTS AND 68 COMMUNITY MEMBERS IN PROVIDING FEEDBACK ON COMMUNITY STRENGTHS, CHALLENGES AND PRIORITY HEALTH CONCERNS. THE HOSPITALS WORKED CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS TO ENSURE REPRESENTATION OF PEOPLE WITH A VARIETY OF IDENTITIES AND EXPERIENCES INCLUDING OLDER ADULTS, YOUNG PEOPLE, PEOPLE WHO IDENTIFY AS LGBTQIA+, HISPANIC/LATINX PEOPLE, PEOPLE OF COLOR, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE EXPERIENCING MENTAL ILLNESS AND SUBSTANCE USE CONCERNS. COMMUNITY ORGANIZATIONS WERE EXTENDED OPPORTUNITIES TO ENGAGE IN SEVERAL LEVELS OF PARTICIPATION, INCLUDING COORDINATION OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND SURVEYS AND COMMUNITY HEALTH SURVEY ADMINISTRATION VIA PAPER OR ELECTRONIC INSTRUMENT. DUE TO CONTINUING RAMIFICATIONS OF THE COVID PANDEMIC, INCLUDING STAFFING ISSUES AND INCREASED SERVICE DEMANDS, NOT ALL ORGANIZATIONS APPROACHED FOR PARTICIPATION THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WERE ABLE TO ALLOCATE STAFF TO PARTICIPATE. COMMUNITY ORGANIZATIONS WHO OFFERED DIRECT INPUT TO THE CHNA PROCESS WERE: ADDICTIONS RECOVERY CENTER, ASHLAND POLICE DEPARTMENT, CITY OF MEDFORD, GRANTS PASS POLICE DEPARTMENT, HEARTS WITH A MISSION, JACKSON COUNTY MENTAL HEALTH, JACKSON COUNTY PUBLIC HEALTH, LA CLINICA, MASLOW PROJECT, MEDFORD SCHOOL DISTRICT, NATIONAL ALLIANCE ON MENTAL HEALTH SOUTHERN OREGON, PATHWAY ENTERPRISES, ROGUE RETREAT, ROGUE RIVER SCHOOL DISTRICT, ROGUE VALLEY COUNCIL OF GOVERNMENTS (SENIOR AND DISABILITY SERVICES), ROGUE VALLEY TRANSPORTATION DISTRICT, ROGUE VALLEY FAMILY YMCA, SOUTHERN OREGON SUCCESS, UNITED COMMUNITY ACTION NETWORK AND UNITED WAY OF JACKSON COUNTY. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE THREE RIVERS MEDICAL CENTER, ASANTE ROGUE REGIONAL MEDICAL CENTER AND ASANTE ASHLAND COMMUNITY HOSPITAL PARTNERED WITH PROVIDENCE MEDFORD MEDICAL CENTER TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2022. THE HOSPITALS CONDUCTED A COMMUNITY HEALTH SURVEY THAT RECEIVED 1,261 ENGLISH RESPONSES AND 62 SPANISH RESPONSES FROM WITHIN ASANTE'S PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, AS WELL AS A KEY INFORMANT SURVEY THAT RECEIVED 19 RESPONSES ACROSS THE TWO COUNTIES. AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, ASANTE AND PROVIDENCE ALSO CONTRACTED WITH THE REDE GROUP TO CONDUCT KEY INFORMANT STAKEHOLDER INTERVIEWS AND COMMUNITY LISTENING SESSIONS, ENGAGING A TOTAL OF 12 KEY INFORMANTS AND 68 COMMUNITY MEMBERS IN PROVIDING FEEDBACK ON COMMUNITY STRENGTHS, CHALLENGES AND PRIORITY HEALTH CONCERNS. THE HOSPITALS WORKED CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS TO ENSURE REPRESENTATION OF PEOPLE WITH A VARIETY OF IDENTITIES AND EXPERIENCES INCLUDING OLDER ADULTS, YOUNG PEOPLE, PEOPLE WHO IDENTIFY AS LGBTQIA+, HISPANIC/LATINX PEOPLE, PEOPLE OF COLOR, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE EXPERIENCING MENTAL ILLNESS AND SUBSTANCE USE CONCERNS. COMMUNITY ORGANIZATIONS WERE EXTENDED OPPORTUNITIES TO ENGAGE IN SEVERAL LEVELS OF PARTICIPATION, INCLUDING COORDINATION OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND SURVEYS AND COMMUNITY HEALTH SURVEY ADMINISTRATION VIA PAPER OR ELECTRONIC INSTRUMENT. DUE TO CONTINUING RAMIFICATIONS OF THE COVID PANDEMIC, INCLUDING STAFFING ISSUES AND INCREASED SERVICE DEMANDS, NOT ALL ORGANIZATIONS APPROACHED FOR PARTICIPATION THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WERE ABLE TO ALLOCATE STAFF TO PARTICIPATE. COMMUNITY ORGANIZATIONS WHO OFFERED DIRECT INPUT TO THE CHNA PROCESS WERE: ADDICTIONS RECOVERY CENTER, ASHLAND POLICE DEPARTMENT, GRANTS PASS POLICE DEPARTMENT, JACKSON COUNTY PUBLIC HEALTH, LA CLINICA, MASLOW PROJECT, OPTIONS OF SOUTHERN OREGON, ROGUE RETREAT, ROGUE VALLEY COUNCIL OF GOVERNMENTS (SENIOR AND DISABILITY SERVICES), ROGUE VALLEY TRANSPORTATION DISTRICT, UNITED COMMUNITY ACTION NETWORK AND UNITED WAY OF JACKSON COUNTY. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE ASHLAND COMMUNITY HOSPITAL, ASANTE ROGUE REGIONAL MEDICAL CENTER AND ASANTE THREE RIVERS MEDICAL CENTER PARTNERED WITH PROVIDENCE MEDFORD MEDICAL CENTER TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2022. THE HOSPITALS CONDUCTED A COMMUNITY HEALTH SURVEY THAT RECEIVED 1,261 ENGLISH RESPONSES AND 62 SPANISH RESPONSES FROM WITHIN ASANTE'S PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, AS WELL AS A KEY INFORMANT SURVEY THAT RECEIVED 19 RESPONSES ACROSS THE TWO COUNTIES. AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, ASANTE AND PROVIDENCE ALSO CONTRACTED WITH THE REDE GROUP TO CONDUCT KEY INFORMANT STAKEHOLDER INTERVIEWS AND COMMUNITY LISTENING SESSIONS, ENGAGING A TOTAL OF 12 KEY INFORMANTS AND 68 COMMUNITY MEMBERS IN PROVIDING FEEDBACK ON COMMUNITY STRENGTHS, CHALLENGES AND PRIORITY HEALTH CONCERNS. THE HOSPITALS WORKED CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS TO ENSURE REPRESENTATION OF PEOPLE WITH A VARIETY OF IDENTITIES AND EXPERIENCES INCLUDING OLDER ADULTS, YOUNG PEOPLE, PEOPLE WHO IDENTIFY AS LGBTQIA+, HISPANIC/LATINX PEOPLE, PEOPLE OF COLOR, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE EXPERIENCING MENTAL ILLNESS AND SUBSTANCE USE CONCERNS. COMMUNITY ORGANIZATIONS WERE EXTENDED OPPORTUNITIES TO ENGAGE IN SEVERAL LEVELS OF PARTICIPATION, INCLUDING COORDINATION OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND SURVEYS AND COMMUNITY HEALTH SURVEY ADMINISTRATION VIA PAPER OR ELECTRONIC INSTRUMENT. DUE TO CONTINUING RAMIFICATIONS OF THE COVID PANDEMIC, INCLUDING STAFFING ISSUES AND INCREASED SERVICE DEMANDS, NOT ALL ORGANIZATIONS APPROACHED FOR PARTICIPATION THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WERE ABLE TO ALLOCATE STAFF TO PARTICIPATE. COMMUNITY ORGANIZATIONS WHO OFFERED DIRECT INPUT TO THE CHNA PROCESS WERE: ADDICTIONS RECOVERY CENTER, ASHLAND POLICE DEPARTMENT, CHILDREN'S ADVOCACY CENTER OF JACKSON COUNTY, CITY OF ASHLAND, GRANTS PASS POLICE DEPARTMENT, JACKSON COUNTY PUBLIC HEALTH, LA CLINICA, MASLOW PROJECT, ROGUE RETREAT, ROGUE VALLEY COUNCIL OF GOVERNMENTS (SENIOR AND DISABILITY SERVICES), ROGUE VALLEY TRANSPORTATION DISTRICT, UNITED COMMUNITY ACTION NETWORK AND UNITED WAY OF JACKSON COUNTY. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGON, ASANTE THREE RIVERS MEDICAL CENTER IN GRANTS PASS, OREGON AND PROVIDENCE MEDFORD MEDICAL CENTER IN MEDFORD, OREGON. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 6A: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGON, ASANTE ROGUE REGIONAL MEDICAL CENTER IN MEDFORD, OREGON AND PROVIDENCE MEDFORD MEDICAL CENTER IN MEDFORD, OREGON. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: ASANTE ROGUE REGIONAL MEDICAL CENTER IN MEDFORD, OREGON, ASANTE THREE RIVERS MEDICAL CENTER IN GRANTS PASS, OREGON AND PROVIDENCE MEDFORD MEDICAL CENTER IN MEDFORD, OREGON. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS WHICH ARE NOT HOSPITAL FACILITIES: THE REDE GROUP IN PORTLAND, OREGON. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS WHICH ARE NOT HOSPITAL FACILITIES: THE REDE GROUP IN PORTLAND, OREGON. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS WHICH ARE NOT HOSPITAL FACILITIES: THE REDE GROUP IN PORTLAND, OREGON. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: WHILE THE 2022 CHNA IDENTIFIED ACCESS TO HEALTH CARE, CHRONIC CONDITION AND MENTAL HEALTH AS THE KEY AREAS OF FOCUS FOR THE NEXT THREE-YEAR CYCLE, ASANTE ROGUE REGIONAL MEDICAL CENTER'S FY22 PROGRAM YEAR WAS GOVERNED BY THE 2019 CHNA NEEDS: ACCESS TO HEALTH CARE SERVICES, SUBSTANCE USE, MENTAL HEALTH, CARDIOVASCULAR DISEASE AND STROKE, AND INFANT HEALTH. WHILE CONTINUING TO SUPPORT THE COMMUNITY COLLECTIVELY NAVIGATE A THIRD YEAR OF THE COVID-19 PANDEMIC, ASANTE ROGUE REGIONAL MEDICAL CENTER INVESTED NEARLY $34 MILLION TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO HEALTH CARE, BEYOND STANDARD CHARITY CARE AND SUBSIDIZED SERVICES. OTHER INVESTMENTS INCLUDED: HEALTH PROFESSIONS EDUCATION; CARE NAVIGATION FOR COMPLEX ILLNESS; AIDING IN THE RESOLUTION OF PERSONAL BARRIERS AROUND SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS; NO-COST LAB OUTREACH SERVICES FOR MEDICALLY FRAGILE, HOME-BOUND COMMUNITY MEMBERS AND RESIDENTS OF SKILLED NURSING FACILITIES. ASANTE ROGUE REGIONAL CENTER ALSO OPENED ITS HEIMANN CANCER CENTER, EXPANDING LOCALLY AVAILABLE TREATMENT OPTIONS AND REDUCING THE NEED FOR COMMUNITY MEMBERS TO TRAVEL OUT OF THE AREA FOR COMPLEX CANCER CARE.ASANTE INVESTED IN COMMUNITY HEALTH EDUCATION AROUND CARDIOVASCULAR HEALTH AND STROKE DURING FY22, EXPANDING THE EXISTING PROGRAM TO INCLUDE WEBINARS AND A COMMUNITY-FACING HEALTH BLOG.ASANTE ROGUE REGIONAL MEDICAL CENTER PARTICIPATED IN A HOSPITAL BASED OPIOID TREATMENT STUDY IN PARTERNSHIP WITH OREGON HEALTH & SCIENCE UNIVERSITY, BRINGING WORLD-CLASS PROFESSIONAL TRAINING ON OPIOID USE TO PROVIDERS IN OUR COMMUNITY; ESTABLISHING NEW ORDER SETS FOR SCREENING AND TREATMENT AND FACILITATING IMPROVED OUTCOMES FOR PATIENTS IMPACTED BY OPIOD USE DISORDER BUT SEEKING HOSPITAL CARE FOR OTHER PRESENTING CONDITIONS. ASANTE ROGUE REGIONAL LAB OUTREACH FACILITATED NECESSARY LAB MONITORING FOR COMMUNITY MEMBERS PARTICIPATING IN RESIDENTIAL TREATMENT PROGRAMS. ASANTE ROGUE REGIONAL MEDICAL CENTER'S PREDOMINANT INVESTMENTS IN MENTAL HEALTH WERE CARRIED OUT THROUGH THE PROGRAMS AND SERVICES OF THE BEHAVIORAL HEALTH UNIT, WITH MORE THAN $1 MILLION BENEFITTING COMMUNITY MEMBERS IN NEED OF BEHAVIORAL SUPPORT SERVICES DURING FY22. OTHER INVESTMENTS INCLUDED THE HOSPICE TRANSITIONS PROGRAM FOR COMMUNITY MEMBERS WITH TERMINAL ILLNESS WHO DO NOT YET MEET QUALIFICATIONS FOR HOSPICE CARE AND THE BEREAVEMENT PROGRAM OPERATED THROUGH ASANTE HOSPICE TO AID COMMUNITY MEMBERS THROUGH THEIR GRIEVING PROCESS. THROUGHOUT ASANTE, EMBEDDED LICENSED CLINICAL SOCIAL WORKERS OFFERED INDIVIDUAL AND GROUP SUPPORT FOR PATIENTS NAVIGATING CHALLENGING HEALTH DIAGNOSES IN TANDEM WITH DIFFICULT LIFE CIRCUMSTANCES. ASANTE HAS ALSO INVESTED IN COMMUNITY RESOURCE COORDINATORS TO PROVIDE SUPPORT ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS IN ALIGNMENT WITH NEW OREGON STATE GUIDELINES. ASANTE ROGUE REGIONAL MEDICAL CENTER'S MULTI-DISCIPLINARY OBSTETRIC RESPONSE TEAM WAS CREATED TO ASSIST PREGNANT WOMEN IN MEDICAL DISTRESS AND THOSE WITH PREGNANCY-RELATED EMERGENCIES. DURING FY22, ASANTE ROGUE REGIONAL MEDICAL CENTER ACHIEVED A BABY-FRIENDLY DESIGNATION AND MADE SIGNIFICANT PROGRESS TOWARD THE COMPLETION OF A NEW HOSPITAL WING WHICH WILL INCLUDE A WOMEN'S AND CHILDREN'S HOSPITAL. THE PREVIOUSLY REFERENCED HOSPITAL BASED OPIOID TREATMENT STUDY INCORPORATED SUPPORT FOR PREGNANT WOMEN NAVIGATING ADDICTION. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 11: WHILE THE 2022 CHNA IDENTIFIED ACCESS TO HEALTH CARE, CHRONIC CONDITION AND MENTAL HEALTH AS THE KEY AREAS OF FOCUS FOR THE NEXT THREE-YEAR CYCLE, ASANTE THREE RIVERS MEDICAL CENTER'S FY22 PROGRAM YEAR WAS GOVERNED BY THE 2019 CHNA NEEDS: ACCESS TO HEALTH CARE SERVICES, SUBSTANCE USE, MENTAL HEALTH, CARDIOVASCULAR DISEASE AND STROKE, AND INFANT HEALTH. WHILE CONTINUING TO SUPPORT THE COMMUNITY COLLECTIVELY NAVIGATE A THIRD YEAR OF THE COVID-19 PANDEMIC, ASANTE THREE RIVERS MEDICAL CENTER INVESTED OVER $12.2 MILLION TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO HEALTH CARE, BEYOND STANDARD CHARITY CARE AND SUBSIDIZED SERVICES. OTHER INVESTMENTS INCLUDED: HEALTH PROFESSIONS EDUCATION; CARE NAVIGATION FOR COMPLEX ILLNESS; AND AIDING IN THE RESOLUTION OF PERSONAL BARRIERS AROUND SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS. ASANTE THREE RIVERS MEDICAL CENTER ALSO EXPANDED SERVICES AT ITS SPEARS CANCER CENTER, EXPANDING LOCALLY AVAILABLE TREATMENT OPTIONS AND REDUCING THE NEED FOR COMMUNITY MEMBERS TO TRAVEL OUT OF THE AREA FOR COMPLEX CANCER CARE.ASANTE THREE RIVERS MEDICAL CENTER INVESTED IN COMMUNITY HEALTH EDUCATION AROUND CARDIOVASCULAR HEALTH AND STROKE DURING FY22, EXPANDING THE EXISTING EDUCATIONAL PRINT INSERTIONS IN LOCAL NEWSPAPERS TO INCLUDE WEBINARS AND A COMMUNITY-FACING HEALTH BLOG.ASANTE THREE RIVERS MEDICAL CENTER EMPLOYS LICENSED CLINICAL SOCIAL WORKERS WHO OFFER INDIVIDUAL AND GROUP SUPPORT FOR PATIENTS NAVIGATING CHALLENGING HEALTH DIAGNOSES IN TANDEM WITH DIFFICULT LIFE CIRCUMSTANCES. THE HOSPITAL HAS ALSO INVESTED IN COMMUNITY RESOURCE COORDINATORS TO PROVIDE SUPPORT ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS IN ALIGNMENT WITH NEW OREGON STATE GUIDELINES. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: WHILE THE 2022 CHNA IDENTIFIED ACCESS TO HEALTH CARE, CHRONIC CONDITION AND MENTAL HEALTH AS THE KEY AREAS OF FOCUS FOR THE NEXT THREE-YEAR CYCLE, ASANTE ASHLAND COMMUNITY HOSPITAL'S FY22 PROGRAM YEAR WAS GOVERNED BY THE 2019 CHNA NEEDS: ACCESS TO HEALTH CARE SERVICES, SUBSTANCE USE, MENTAL HEALTH, CARDIOVASCULAR DISEASE AND STROKE, AND INFANT HEALTH. WHILE CONTINUING TO SUPPORT THE COMMUNITY COLLECTIVELY NAVIGATE A THIRD YEAR OF THE COVID-19 PANDEMIC, ASANTE ASHLAND COMMUNITY HOSPITAL INVESTED MORE THAN $400,000 TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO HEALTH CARE, BEYOND STANDARD CHARITY CARE AND SUBSIDIZED SERVICES. OTHER INVESTMENTS INCLUDED: HEALTH PROFESSIONS EDUCATION; CARE NAVIGATION FOR COMPLEX ILLNESS; AND AIDING IN THE RESOLUTION OF PERSONAL BARRIERS AROUND SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS. DURING FY22, ASANTE ASHLAND COMMUNITY HOSPITAL MADE SIGNIFICANT PROGRESS IN ITS AGE-FRIENDLY INITIATIVES TO IMPROVE CARE FOR OUR COMMUNITY'S ELDER POPULATION.DURING FY22, ASANTE ASHLAND COMMUNITY HOSPITAL BEGAN EXPLORATION OF A HOSPITAL BASED OPIOID USE DISORDER PROGRAM FOR HOPEFUL IMPLEMENTATION IN FY23 OR 24.RECOGNIZING THE CLOSE AFFILIATION BETWEEN MENTAL HEALTH AND STABILITY WITH SOCIAL DETERMINANTS OF HEALTH, ASANTE INVESTED IN RESOURCE COORDINATORS TO PROVIDE SUPPORT FOR VULNERABLE COMMUNITY MEMBERS IN ALIGNMENT WITH NEW OREGON STATE GUIDELINES.ASANTE ASHLAND COMMUNITY HOSPITAL INVESTED IN COMMUNITY HEALTH EDUCATION AROUND CARDIOVASCULAR HEALTH AND STROKE DURING FY22, EXPANDING THE EXISTING PROGRAM TO INCLUDE WEBINARS AND A COMMUNITY-FACING HEALTH BLOG.DURING FY22 ASANTE ASHLAND COMMUNITY HOSPITAL MADE SIGNIFICANT PROGRESS TOWARD ATTAINING A BABY-FRIENDLY DESIGNATION FOR THE HOSPITAL. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16J: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16J: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 18E: ASANTE ROGUE REGIONAL MEDICAL CENTER'S "POLICY" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 18E: ASANTE THREE RIVERS MEDICAL CENTER'S "POLICY" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 18E: ASANTE ASHLAND COMMUNITY HOSPITAL'S "POLICY" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 20E: NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE PRIOR TO DISCHARGE ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 20E: NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE PRIOR TO DISCHARGE ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 20E: NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE PRIOR TO DISCHARGE 1 1 - ROGUE VALLEY RX 2900 E BARNETT ROAD MEDFORD OR 97504 OUTPATIENT PHARMACY PART I, LINE 3C: UNINSURED AND UNDERINSURED PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FROM ASANTE IF (A) THE PATIENT COMPLETES ASANTE'S FINANCIAL ASSISTANCE PROGRAM APPLICATION AND PROVIDES ALL REQUIRED DOCUMENTATION, (B) THE PATIENT'S HOUSEHOLD INCOME, ADJUSTED FOR FAMILY SIZE, IS NOT MORE THAN 400% OF THE FPL, SO LONG AS NO OTHER FINANCIAL RESOURCES ARE AVAILABLE, AND (B) SERVICES PROVIDED ARE MEDICALLY NECESSARY INCLUDING BUT NOT LIMITED TO TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. EXCEPTIONS CAN BE MADE FOR CERTAIN NON-MEDICALLY NECESSARY SERVICES TO TREAT LIFE THREATENING ILLNESSES SUCH AS CANCER DIAGNOSES OR OTHER HIGH ACUITY SERVICES. THESE DETERMINATIONS ARE MADE BY ASANTE ON A CASE BY CASE BASIS. IT IS IMPORTANT TO NOTE THE FOLLOWING SCENARIOS WHERE FINANCIAL ASSISTANCE IS NOT AVAILABLE: (A) SERVICES CONSIDERED NON-COVERED OR NOT MEDICALLY NECESSARY BY THE OREGON DEPARTMENT OF MEDICAL ASSISTANCE PROGRAMS (DMAP) PRIORITIZED LIST OF HEALTH SERVICES;(B) PATIENTS WHO HAVE INSURANCE BUT CHOOSE NOT TO UTILIZE THEIR COVERAGE;(C) ELECTIVE SURGERY OR PROCEDURES;(D) PATIENT COSTS THAT ARE COVERED BY OTHER AGENCIES (E.G. COMMUNITY/AGENCY FUNDED SUPPORT);(E) IF THE PATIENT FAILS TO RESPOND TO REQUESTS FROM HIS OR HER PRIMARY INSURER AS NECESSARY FOR THE INSURER TO ADJUDICATE A CLAIM FOR REIMBURSEMENT OF THE COST OF SERVICES; AND(F) IF THE PATIENT REFUSES OR FAILS TO PROVIDE INFORMATION CONCERNING ANY POTENTIAL THIRD- PARTY LIABILITY FOR THE COST OF SERVICES INCLUDING BUT NOT LIMITED TO: (A) INFORMATION ABOUT THE COORDINATION OF BENEFITS BETWEEN INSURERS THAT COVER THE PATIENT'S CARE; (B) ACCIDENT REPORTS; AND (C) THE PATIENT'S WORKERS' COMPENSATION CLAIMS OR BENEFITS. PART I, LINE 7: COST TO CHARGE RATIO IS USED TO CALCULATE COMMUNITY BENEFIT EXPENSES. PART I, LINE 7G: SUBSIDIZED SERVICES INCLUDE BEHAVIORAL HEALTH AND EMERGENCY SERVICES, WHICH INCLUDES SOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES (SOTES) AND DISASTER EMERGENCY (COVID-19) DEPARTMENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 14,930,320. PART III, LINE 2: COST-TO-CHARGE RATIO PART III, LINE 3: ASANTE ESTIMATES THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT FAILED TO COMPLETE AN APPLICATION USING THE POVERTY RATE IN OUR SERVICE AREA AS PUBLISHED BY THE U.S. CENSUS BUREAU. IN 2022, 13.5% OF OUR COMMUNITY WAS AT OR BELOW THE FEDERAL POVERTY LEVEL, SO THAT PERCENTAGE OF BAD DEBT IS ASSUMED TO BE PART OF MISSED CHARITY CARE. PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON GROSS PATIENT CHARGES THAT HAVE BEEN WRITTEN OFF DUE TO NON-PAYMENT. PART III, LINE 8: CERTAIN GOVERNMENT SPONSORED HEALTH INSURANCE COMPANIES, SUCH AS MEDICARE AND MEDICAID, PAY A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR INSUREES. OREGON LAW IN ORS 442.200 (2) CONSIDERS THE DIFFERENCE BETWEEN THE EXPENSES AND REIMBURSEMENT WITH RESPECT TO MEDICARE AND MEDICAID PATIENTS TO BE COMMUNITY BENEFIT. CALCULATION: TOTAL MEDICARE PAYMENTS PER COST REPORT LESS TOTAL MEDICARE COSTS PER COST REPORT = UNRECOVERED MEDICARE COST PER COST REPORT. PART III, LINE 9B: IF THERE IS AN INDICATION THAT A PATIENT MAY BE UNABLE TO PAY THEIR BILL, A FINANCIAL QUESTIONNAIRE IS GIVEN OR SENT TO THE PATIENT. ON RECEIPT OF THE COMPLETED QUESTIONNAIRE, THE BUSINESS OFFICE WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT WITHIN 20 DAYS. ELIGIBILITY IS DETERMINED BASED UPON THE QUESTIONNAIRE AND ON FINANCIAL DOCUMENTS, SUCH AS TAX RETURNS, SSI STATEMENTS, PAYCHECK STUBS, AND FSA/HSA INFORMATION. THE PATIENT'S OTHER FINANCIAL OBLIGATIONS, NUMBER OF DEPENDENTS, ASSETS AND OTHER FINANCIAL CIRCUMSTANCES ARE CONSIDERED. OFTEN, A PATIENT WILL NOT PROVIDE A FINANCIAL QUESTIONNAIRE, SO THE BUSINESS OFFICE WILL USE SOFT CREDIT CHECKS AND ZIP CODES+4 TO HELP DETERMINE ELIGIBILITY. THE PERCENTAGE OF FINANCIAL ASSISTANCE PROVIDED IS BASED UPON A SLIDING SCALE TABLE THAT UTILIZES THE PATIENT FAMILY'S INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES. PART VI, LINE 2: ASANTE'S FIVE PRIMARY SOURCES OF INPUT INCLUDE THE COMMUNITY LEADERS FORUM, THE ENVIRONMENTAL ASSESSMENT, THE COMMUNITY ASSESSMENT SURVEY, FORMAL CONVERSATIONS WITH OUR COLLABORATORS, AND IDENTIFIED STRATEGIC PLAN GAPS FROM THE PREVIOUS YEAR. PART VI, LINE 3: THE FINANCIAL ACCESS SPECIALISTS, CREDIT ANALYSTS, AND REGISTRATION PERSONNEL WORK WITH THE PATIENT EITHER AT THE TIME OF SCHEDULING, ARRIVAL AT THE HOSPITAL, OR DURING THE BILLING PROCESS. IF THE PATIENT DISCLOSES THEY WILL HAVE DIFFICULTY PAYING, WE ASSIST THEM APPLYING FOR THE OREGON HEALTH PLAN, FINANCIAL ASSISTANCE, OR A PAYMENT PLAN. BASED UPON INCOME AND EXPENSES, A PATIENT MAY BE ELIGIBLE FOR CHARITY CARE WRITE-OFF OF BETWEEN 10% AND 100% OF THEIR BILL. PART VI, LINE 4: THE MOST NOTABLE FACT ABOUT THE DEMOGRAPHICS OF OUR SERVICE AREA IS THAT WE HAVE A RATHER ELDERLY POPULATION, BOTH IN OUR PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, BUT ALSO OUR SECONDARY SERVICE AREA OF NORTHERN CALIFORNIA AND SOUTHERN OREGON. IN FISCAL 2020, PATIENTS 65+ ACCOUNTED FOR 54.08%, 52.74% AND 53.78% OF ADMISSIONS AT ACH, RRMC AND TRMC RESPECTIVELY. FOR THE NEXT 20 YEARS, THE 65+ AGE GROUP IS FORECAST TO BE THE FASTEST GROWING SEGMENT OF THE POPULATION. IN ADDITION, THE OVERALL POPULATION GROWTH OF OUR PRIMARY SERVICE AREA IS ALSO FORECAST TO AVERAGE 1 % PER YEAR FOR THE NEXT 30 YEARS. PART VI, LINE 6: ASANTE IS A COMMUNITY-OWNED AND -GOVERNED NOT-FOR-PROFIT HEALTH SYSTEM PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO MORE THAN 550,000 RESIDENTS IN NINE COUNTIES THROUGHOUT SOUTHERN OREGON AND NORTHERN CALIFORNIA. THE SYSTEM WAS FORMED IN 1995 TO INCLUDE ROGUE REGIONAL MEDICAL CENTER (RRMC) IN MEDFORD, AND THREE RIVERS MEDICAL CENTER (TRMC) IN GRANTS PASS. IN 2013, ASHLAND COMMUNITY HOSPITAL (ACH) IN ASHLAND WAS AQUIRED TO BETTER SERVE JACKSON COUNTY. PART VI, LINE 7, REPORTS FILED WITH STATES OR 1 ACCESS FOOD BANK 3630 AVIATION WAY MEDFORD OR 97504 930665396 501(C)(3) 20000 0 N/A N/A SUPPORT JACKSON COUNTY FOOD BANK. JOSEPHINE COUNTY FOOD BANK PO BOX 250 GRANTS PASS OR 97528 471904505 501(C)(3) 20000 0 N/A N/A SUPPORT JOSEPHINE COUNTY FOOD BANK. JACKSON COUNTY SART 2305 ASHLAND STREET ASHLAND OR 97520 810650183 501(C)(3) 45000 0 N/A N/A TRAINING AND PROVISION OF SEXUAL ASSUALT RESPONSE TEAM (SART) NURSES TO PROVIDE FREE EXAMINATIONS, EMOTIONAL SUPPORT AND EVIDENCE COLLECTION. YMCA OF MEDFORD OREGON 522 W SIXTH STREET MEDFORD OR 97501 930391645 501(C)(3) 15000 0 N/A N/A ENCOURAGE FITNESS FOR COMMUNITY MEMEBERS OF ALL AGES. ASANTE FOUNDATION 229 BARTLETT STREET MEDFORD OR 97504 936087366 501(C)(3) 27500 0 N/A N/A OREGON WINE EXPERIENCE LA CLINICA DE VALLE 730 BIDDLE ROAD MEDFORD OR 97504 943096772 501(C)(3) 50000 0 N/A N/A KIDS HEALTH CONNECTION / SCHOOL HEALTH CLINICS AMERICAN RED CROSS 1174 PROGRESS DRIVE 102 MEDFORD OR 97504 530196605 501(C)(3) 15000 0 N/A N/A MATCH FOR TRANSIT VAN REPLACEMENT AMERICAN HEART ASSOCIATION 60 HAWTHORNE STREET MEDFORD OR 97504 135613797 501(C)(3) 10000 0 N/A N/A GO RED FOR WOMEN REGIONAL SPONSORSHIP 8 0 PART I, LINE 2: WHEN ASANTE RECEIVES A REQUEST FOR GRANT FUNDS FROM AN OUTSIDE ORGANIZATION, THE REQUEST IS REVIEWED BY EITHER THE JACKSON COUNTY OR JOSEPHINE COUNTY COMMUNITY CONNECTIONS COMMITTEE. THE APPLICANT MUST FILL OUT AN APPLICATION FORM AND PROVIDE SUPPORTING DOCUMENTS OR EVENT MATERIALS. TO BE SELECTED, THE ORGANIZATION MUST MEET THE FOLLOWING CRITERIA: 1)THE GRANT MUST SUPPORT STRATEGIC INITIATIVES, 2)IT MUST HAVE A DIRECT IMPACT ON THE HEALTHCARE OF THE COMMUNITY, 3)THE ORGANIZATION MUST BE A NOT-FOR-PROFIT HEALTH, HUMAN SERVICES, OR EDUCATION RELATED ORGANIZATION, 4 )THE ORGANIZATION COLLABORATES WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS AND, 5)THE GRANT MUST BE A RELATION BUILDING OPPORTUNITY. ONCE AN APPLICANT HAS BEEN APPROVED FOR GRANT FUNDS, THE GRANT AGREEMENT SPECIFIES THAT ALL GRANT MONIES ARE TO BE SPENT FOR ONLY THE PURPOSE SPELLED OUT IN THE APPLICATION. THE COUNTY CONNECTIONS COMMITTEE MUST KNOW WHERE THE DONATED MONEY WILL BE ALLOCATED, AND IF A FUNDRAISING EVENT, HOW THE RAISED MONEY WILL BE ALLOCATED. USUALLY, A DETAILED BUDGET OF THE GRANTEE'S CURRENT YEAR IS REQUIRED, AS WELL AS ANY REPORTS OR MINUTES FROM PREVIOUS EVENTS. X X X X X 0 1 0 0 0 0 0 0 0 SCOTT KELLY PRESIDENT & CEO 862750 0 341103 0 461987 0 17400 0 16333 0 1699573 0 0 0 GREG WOJTAL CAFO 515158 0 160812 0 77393 0 17400 0 23067 0 793830 0 0 0 SOMNATH GHOSH RRMC VP MEDICAL AFFAIRS 623161 0 114106 0 304 0 17400 0 1708 0 756679 0 0 0 JAMES GREBOSKY CMO & ACH CEO 524105 0 162692 0 3682 0 17400 0 23717 0 731596 0 0 0 WIN HOWARD TRMC CEO 402853 0 127113 0 119779 0 17400 0 28257 0 695402 0 0 0 MICK ZDEBLICK RRMC CEO 484261 0 150937 0 3026 0 17400 0 26171 0 681795 0 0 0 LEE MILLIGAN MD CIO (THROUGH JULY 2022) 439499 0 136988 0 2008 0 17400 0 27986 0 623881 0 0 0 DENNIE CONRAD CSO 343727 0 108775 0 42301 0 17400 0 27309 0 539512 0 0 0 KRISTEN ROY LEGAL OFFICER 380482 0 79090 0 688 0 17400 0 17909 0 495569 0 0 0 COURTNEY WILSON MD MDES RRMC/ED PROVIDER 400610 0 42170 0 655 0 17400 0 30806 0 491641 0 0 0 DANIELLE HOLTZ MD MEDICAL DOCTOR 403611 0 18755 0 650 0 17400 0 18155 0 458571 0 0 0 KEVIN KELLEHER MDES ARM/ED DOCTOR 384460 0 20469 0 0 0 17400 0 31045 0 453374 0 0 0 AMANDA KOTLER CNO 290774 0 66566 0 555 0 17400 0 31505 0 406800 0 0 0 SUE HAGAR MD MEDICAL DOCTOR 0 293692 0 55000 0 0 0 17400 0 29974 0 396066 0 0 DAVID KINYON CIO 228624 0 52802 0 1628 0 17400 0 0 0 300454 0 0 0 PART I, LINE 4B ASANTE HAS AN EXECUTIVE RESTORATION PLAN WHICH INCLUDES CIO LEE MILLIGAN, MD, PRESIDENT & CEO SCOTT KELLY, ATRMC CEO WIN HOWARD, ARRMC MICK ZDEBLICK, CHIEF MEDICAL OFFICER AND ACH CEO JAMES GREBOSKY, MD, CAFO GREG WOJTAL, AND CSO DENNIE CONRAD. THIS PLAN STATES FIXED PAYMENTS WILL BE RECEIVED AT PRE-DETERMINED INTERVALS FROM ASANTE IF STILL EMPLOYED BY ASANTE IN THEIR CURRENT ROLL AT THE TIME OF VESTING. IF EMPLOYMENT TERMINATES BY ASANTE FOR ANY REASON PRIOR TO VESTING, THEY WILL NOT HAVE CLAIM TO THE FUNDS. SELECT EXECUTIVES AGREED TO PARTICIPATE IN CAP-EX IN PLACE OF A TRADITIONAL SERP. SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION. A THE HOSPITAL FACILITIES AUTHORITY OF THE CITY OF MEDFORD OR 521378932 794458FX2 2020-07-21 524570640 SEE PART VI 0 0 0 A 524608629 1923423 258089817 208130623 56464765 1 0 0 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 1 0 0 0 1 A 0 PART I, COLUMN F: THE BONDS WERE ISSUED TO PAY COSTS OF IMPROVEMENTS TO THE BORROWER'S HOSPITAL FACILITIES, AND CURRENT REFUND A PORTION OF THE ISSUER'S OUTSTANDING HOSPITAL REVENUE BONDS, SERIES 2010 AND SERIES 2005A (REISSUED) ORIGINALLY ISSUED ON FEBRUARY 17, 2010 AND ALL OF THE ISSUER'S HOSPITAL REVENUE BONDS, SERIES 2002B ORIGINALLY ISSUED ON FEBRUARY 5, 2002. PART II, LINE 3: THE AMOUNT DIFFERS FROM THE ISSUE PRICE IN PART I, COLUMN E DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2B: THE REFUNDING PORTION OF BONDS HAS MET THE 6-MONTH EXPENDITURE EXCEPTION TO REBATE. ROY VINYARD FORMER ASANTE CEO SEE PART V X 3000000 5944468 0 1 1 5944468 VISTA PATHOLOGY VISTA PATHOLOGY IS OWNED BY ALLISON LOUDERMILK 892171 CONSULTING SERVICES 0 ADROIT CONSTRUCTION ADROIT CONSTRUCTION IS 50% OWNED BY TOM WALKER 20849617 CONSTRUCTION SERVICES 0 PART II, COLUMN C: THE EO PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN--NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, THE EO RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST.THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE EO. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD THE EO RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY. CASD WORKS AS FOLLOWS. THE EO DEPOSITS FUNDS INTO A CASH VALUE LIFE INSURANCE POLICY ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT THE EO'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY THE EO ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE. ANY REMAINING DEATH PROCEEDS ARE AVAILABLE TO BE PAID TO THE EXECUTIVE'S BENEFICIARY. FORM 990, PART VI, SECTION B, LINE 11B THE FEDERAL FORMS 990 AND 990-T ARE FEDERALLY MANDATED LEGAL DOCUMENTS THAT ARE HIGHLY REGULATED. BEFORE FINAL SUBMISSION OF THE FORM 990, IT WAS REVIEWED BY THE SUPERVISOR OF FINANCE, DIRECTOR OF FINANCE AND CAFO. AFTER SUBMISSION, THE FINAL RETURNS WILL BE PRESENTED TO THE ASANTE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ASANTE MAILS TO ALL ASANTE MANAGEMENT, KEY EMPLOYEES, AND BOARD MEMBERS A CONFLICT OF INTEREST QUESTIONAIRE TO COMPLY WITH ASANTE'S CONFLICT OF INTEREST POLICY. THE PURPOSE OF THE POLICY IS TO PROTECT ASANTE'S INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF A BOARD MEMBER OR OFFICER OF THE CORPORATION. IN ADDITION, ALL ASANTE EMPLOYEES HAVE AN OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS TO THEIR SUPERVISOR. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR ADMINISTERING, MONITORING, AND INVESTIGATING ANY POSSIBLE CONFLICTS AND MAKING AN ANNUAL REPORT TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES. THE REVIEW COMPARES THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES WITH COMPENSATION DATA FOR JOB INCUMBENTS IN COMPARABLE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND SCOPE. AT LEAST EVERY THREE YEARS, THE REVIEW IS CONDUCTED AND PRESENTED TO THE COMPENSATION COMMITTEE BY AN OUTSIDE CONSULTANT, CHOSEN BY THE COMPENSATION COMMITTEE. ON ALTERNATE YEARS, THE GENERAL MARKET MOVEMENT IS CONSIDERED AND THE REVIEW IS COMPLETED AND PRESENTED BY THE HUMAN RESOURCES EXECUTIVE. THE COMPENSATION COMMITTEE SETS THE ACTUAL ANNUAL CASH COMPENSATION FOR THE CEO AND SALARY RANGES FOR THE OTHER KEY EMPLOYEES. THE COMMITTEE ALSO SETS TOTAL COMPENSATION OPPORTUNITY FOR THE CEO AND EACH OF THE KEY EMPLOYEES, CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. MINUTES OF THE COMMITTEE DELIBERATIONS AND DECISIONS ARE RECORDED AND MAINTAINED. THE MOST RECENT EXECUTIVE COMPENSATION REVIEW BY AN OUTSIDE CONSULTANT WAS COMPLETED IN 2021. THE HUMAN RESOURCES EXECUTIVE PROVIDED THE UPDATED RECOMMENDATIONS IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH EMMA AND AS A COMPONENT OF FILED FORMS 990. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 181,932,373. MANAGEMENT AND GENERAL EXPENSES 6,203,390. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 188,135,763. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. ASANTE ASHLAND COMMUNITY HOSPITAL 280 MAPLE STREET MEDFORD OR 97520 815427847 HEALTHCARE SERVICES OR 81611895 49163646 ASANTE ASANTE THREE RIVERS MEDICAL CENTER LLC 500 SW RAMSEY AVENUE GRANTS PASS OR 97527 571181758 HEALTHCARE SERVICES OR 262633628 70895196 ASANTE ASANTE COMMUNITY SERVICES LLC 2650 SISKIYOU BLVD MEDFORD OR 97504 571181752 HEALTHCARE SERVICES OR 0 0 ASANTE HEALTH ALLIANCE OF SOUTHERN OREGON 2620 E BARNETT ROAD MEDFORD OR 97504 371768822 MANAGE/IMPROVE POPULATION HEALTH OR 13100992 783813 ASANTE SOUTHERN OREGON TRAUMA & EMERGENCY SERVICES 2650 SISKIYOU BLVD MEDFORD OR 97504 542085981 HEALTHCARE SERVICES OR 281403 17378 ASANTE ASANTE PHYSICIAN PARTNERS 2650 SISKIYOU BLVD MEDFORD OR 97504 383849354 PHYSICIAN GROUP OR 501(C)(3) LINE 3 ASANTE 1 ASANTE FOUNDATION 229 BARTLETT STREET MEDFORD OR 97504 936087366 FUNDRAISING OR 501(C)(3) LINE 12A, I ASANTE 1 SOUTHERN OREGON INSURANCE COMPANY 745 FORT STREET SUITE 800 HONOLULU HI 96813 201578637 CAPTIVE INSURANCE HI 501(C)(3) LINE 12B, II ASANTE 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 ASANTE FOUNDATION C 9287686 CASH ASANTE FOUNDATION O 1385302 CASH ASANTE PHYSICIAN PARTNERS O 62333203 CASH SOUTHERN OREGON INSURANCE COMPANY P 2394486 CASH