GRITMAN MEDICAL CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- GRITMAN MEDICAL CENTER INC (EIN 82-0146328)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-05
- IRS object ID
- 202123099349300967
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-05T07:14:40-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 543072237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820146328 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRITMAN MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRIT | BusinessNameControlTxt |
| Phone | 2088824511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 S MAIN STREET | AddressLine1Txt |
| City | MOSCOW | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83843 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIELLE LYNAS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2088824511 | PhoneNum |
| Signature | 2021-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DANIELLE | PersonFirstNm |
| Person Last | LYNAS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRI REXRODE CPA MST | PreparerPersonNm |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | PhoneNum |
| Preparation | 2021-11-04 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KARA BESST | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 S MAIN STREET | AddressLine1Txt |
| City | MOSCOW | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $86,182,781 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GRITMAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1939 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 778 | TotalEmployeeCnt |
| Total Volunteers | 29 | TotalVolunteersCnt |
| Total Gross UBI | -$124,533 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,779 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,403,348 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $74,696,665 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $80,836,181 | CYProgramServiceRevenueAmt |
| PY Investment Income | $689,999 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,036,269 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$306,506 | PYOtherRevenueAmt |
| CY Other Revenue | -$75,046 | CYOtherRevenueAmt |
| PY Total Revenue | $75,088,937 | PYTotalRevenueAmt |
| CY Total Revenue | $84,200,752 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $430,763 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $348,653 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,946,006 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,101,401 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $36,071,603 | PYOtherExpensesAmt |
| CY Other Expenses | $41,571,158 | CYOtherExpensesAmt |
| PY Total Expenses | $77,448,372 | PYTotalExpensesAmt |
| CY Total Expenses | $81,021,212 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,359,435 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,179,540 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $90,219,124 | TotalAssetsBOYAmt |
| Total Assets EOY | $94,057,321 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $42,967,112 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $40,851,572 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $47,252,012 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,205,749 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $69,365,114 | ExpenseAmt |
| Grant | $348,653 | GrantAmt |
| Revenue | $78,196,385 | RevenueAmt |
| Desc | RADIOLOGY: GRITMAN'S COMPREHENSIVE IMAGING AND RADIOLOGY SERVICES ARE PROVIDED BY EXPERIENCED, COMPASSIONATE, BOARD-CERTIFIED TECHNOLOGISTS AND RADIOLOGISTS. WE ARE STAFFED 24 HOURS A DAY AND ALWAYS READY FOR YOUR EMERGENCY OR SCHEDULED IMAGING NEEDS. THE RADIOLOGY DEPARTMENT PROVIDES A VARIETY OF SERVICES INCLUDING CT SCANS, ECHOCARDIOGRAM, MRI, NUCLEAR MEDICINE, ULTRASOUND, 3D MAMMOGRAPHY, OSTEOPOROSIS SCREENING, AND X-RAYEMERGENCY SERVICES: GRITMAN'S EMERGENCY SERVICES ARE ALWAYS OPEN AND READY TO HANDLE A WIDE RANGE OF MEDICAL AND TRAUMA CASES. OUR EMERGENCY PHYSICIANS, NURSES AND TECHNICIANS HAVE ALL GONE THROUGH EXTENSIVE TRAINING TO PROVIDE IMMEDIATE, COMPREHENSIVE AND SOPHISTICATED EMERGENCY CARE. WE ACCEPT ALL PATIENTS, REGARDLESS OF ABILITY TO PAY.LAB: THE GRITMAN MEDICAL CENTER LABORATORY PERFORMS MORE THAN 140,000 TESTS EACH YEAR. WE ARE THE ONLY LABORATORY ON THE PALOUSE TO PROVIDE IN-HOUSE, AUTOMATED BLOOD BANK SERVICES WITH ANTIBODY IDENTIFICATION AND PHENOTYPING. WE'RE ALSO THE ONLY LAB IN THE PACIFIC NORTHWEST TO OFFER PROSTATE HEALTH INDEX TESTING. WE OFFER A FULL-SERVICE MICROBIOLOGY DEPARTMENT. | Desc |
| Total Program Service Expenses | $69,365,114 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 144 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 778 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIELLE LYNAS | PersonNm |
| Phone | 2088832220 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 S MAIN STREET | AddressLine1Txt |
| City | MOSCOW | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83843 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| PRANABH SHRESTHA MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $343,173 | $0 | $7,848 | ||
| CHRISTOPHER STANDLEY MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $308,038 | $0 | $12,881 | ||
| MUSA MODAD MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $268,318 | $0 | $13,436 | ||
| JULIE LYON MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $163,226 | $0 | $877 | ||
| DEBORAH MAURO-BENDER | |||||||
| CRNA | 40.00 | Yes (X) | $146,450 | $0 | $3,877 | ||
| ROBERT KENDRICK | |||||||
| CNO | 40.00 | $166,310 | $0 | $11,103 | Yes (X) | ||
| DANIELLE LYNAS | |||||||
| CFO | 40.00 | $156,549 | $0 | $16,837 | Yes (X) | ||
| SCOTT NELSON | |||||||
| CXO | 40.00 | $142,188 | $0 | $16,769 | Yes (X) | ||
| KANE FRANCETICH | |||||||
| CIO | 40.00 | $139,884 | $0 | $14,412 | Yes (X) | ||
| JOHN BROWN MD | |||||||
| CMO | 40.00 | $139,854 | $0 | $13,328 | Yes (X) | ||
| CONNIE OSBORN | |||||||
| CQO | 40.00 | $136,152 | $0 | $12,987 | Yes (X) | ||
| KARA BESST | |||||||
| CEO | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| KRAIG WHITE | |||||||
| BOARD CHAIR | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| LORI STINSON | |||||||
| BOARD VICE-CHAIRMAN | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ROBIN WOODS | |||||||
| TRUSTEE | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| BARBARA WELLS | |||||||
| TRUSTEE | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| RULA AWWAD-RAFFERTY | |||||||
| TRUSTEE | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| STEVE BUSCH | |||||||
| TRUSTEE | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| DICK HEIMSCH | |||||||
| TRUSTEE | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| CHARLES JACOBSON MD | |||||||
| TRUSTEE | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| JANIE NIRK | |||||||
| TRUSTEE | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| AARON RANISATE | |||||||
| TRUSTEE | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,110,142 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $124,355 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 47 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARDINAL HEALTH 411 INC | |||||
| 3712 COLLECT CENTER DRIVE | CHICAGO | IL | 60693 | PHARMACEUTICALS | $5,762,048 |
| SMITH & NEPHEW ORTHO | |||||
| PO BOX 785921 | PHILADELPHIA | PA | 19178 | ORTHO SERVICES | $2,017,519 |
| MOSCOW EMERGENCY PHYSICANS PLLC | |||||
| 700 S MAIN STREET | MOSCOW | ID | 83843 | ER SERVICES | $1,740,700 |
| CARDINAL HEALTH | |||||
| PO BOX 100316 | PASAENDA | CA | 91189 | MEDICAL PRODUCTS & SERVICES | $1,151,916 |
| ALLSCRIPTS HEALTHCARE LLC | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 60673 | IT SERVICES | $695,415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 62 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $8,528 | RelatedOrganizationsAmt |
| Government Grants | $2,067,068 | GovernmentGrantsAmt |
| All Other Contributions | $327,752 | AllOtherContributionsAmt |
| Total Contributions | $2,403,348 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $78,196,385 | $78,196,385 | |
| CAFETERIA REVENUE | 900099 | $403,766 | $403,766 | |
| EDUCATIONAL CLASS REVENUE | 900099 | $149,782 | $149,782 | |
| GIFT SHOP REVENUE | 900099 | $63,805 | $63,805 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,022,443 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $72,997 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,949,446 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $80,836,181 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $606,448 | TotalRevenueColumnAmt |
| Exclusion | $606,448 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,906,983 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,982,029 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$75,046 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$75,046 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$197,530 | UnrelatedBusinessRevenueAmt |
| Exclusion | $122,484 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $229,373 | SecuritiesAmt |
| Other | $200,448 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $229,373 | SecuritiesAmt |
| Other | $200,448 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $429,821 | TotalRevenueColumnAmt |
| Exclusion | $429,821 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,200,752 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $78,196,385 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$124,533 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,725,552 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,653 | TotalAmt |
| Program Services | $348,653 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $966,374 | TotalAmt |
| Program Services | $792,987 | ProgramServicesAmt |
| Management And General | $173,387 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,912,988 | TotalAmt |
| Program Services | $26,683,080 | ProgramServicesAmt |
| Management And General | $3,229,908 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,222,039 | TotalAmt |
| Program Services | $8,046,510 | ProgramServicesAmt |
| Management And General | $175,529 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,120 | TotalAmt |
| Management And General | $141,120 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $610,644 | TotalAmt |
| Program Services | $521,861 | ProgramServicesAmt |
| Management And General | $88,783 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,784,953 | TotalAmt |
| Program Services | $6,806,526 | ProgramServicesAmt |
| Management And General | $978,427 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,338 | TotalAmt |
| Program Services | $29,662 | ProgramServicesAmt |
| Management And General | $678,676 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,892,417 | TotalAmt |
| Program Services | $15,720,331 | ProgramServicesAmt |
| Management And General | $1,172,086 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,482,337 | TotalAmt |
| Program Services | $1,482,337 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,694 | TotalAmt |
| Program Services | $163,182 | ProgramServicesAmt |
| Management And General | $69,512 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,760 | TotalAmt |
| Program Services | $592,760 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,237,975 | TotalAmt |
| Program Services | $2,237,975 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $553,450 | TotalAmt |
| Program Services | $553,450 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | $4,610,842 | $2,819,742 | $1,791,100 |
| LOSS IN JOINT VENTURE | $2,582,526 | $2,582,526 | |
| BAD DEBT EXPENSE | $2,396,178 | $2,396,178 | |
| DUES AND SUBSCRIPTIONS | $151,506 | $65,981 | $85,525 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,418 | TotalAmt |
| Program Services | $103,899 | ProgramServicesAmt |
| Management And General | $489,519 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,021,212 | TotalAmt |
| Program Services | $69,365,114 | ProgramServicesAmt |
| Management And General | $11,656,098 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869,695 | BOYAmt |
| EOY | $4,985,258 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,492 | BOYAmt |
| EOY | $100,881 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,855,966 | BOYAmt |
| EOY | $11,145,450 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,116,178 | BOYAmt |
| EOY | $2,425,459 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $832,347 | BOYAmt |
| EOY | $1,111,141 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $106,317,601 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $60,392,183 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,029,523 | BOYAmt |
| EOY | $45,925,418 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,343,235 | BOYAmt |
| EOY | $25,809,977 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,049,688 | BOYAmt |
| EOY | $2,553,737 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,219,124 | BOYAmt |
| EOY | $94,057,321 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,958,392 | BOYAmt |
| EOY | $7,227,637 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $726,084 | BOYAmt |
| EOY | $3,446,047 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,850,000 | BOYAmt |
| EOY | $16,850,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,809,100 | BOYAmt |
| EOY | $1,696,606 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,623,536 | BOYAmt |
| EOY | $11,631,282 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,967,112 | BOYAmt |
| EOY | $40,851,572 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,243,676 | BOYAmt |
| EOY | $53,197,413 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,336 | BOYAmt |
| EOY | $8,336 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,252,012 | BOYAmt |
| EOY | $53,205,749 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,219,124 | BOYAmt |
| EOY | $94,057,321 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,179,540 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,774,197 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,738 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,738 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | EXPENSES PAID TO STRATEGIC HEALTHCARE ORGANIZATIONS WHOSE FOCUS IS STATE AND FEDERAL GOVERNMENT RELATIONS AND ADVOCACY EFFORTS ON BEHALF OF HOSPITAL ASSOCIATIONS. IHA DUES - $1,971 AHA DUES - $1,517 STRATEGIC HEALTH CARE - $1,250 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,861,638 | OtherCostOrOtherBasisAmt |
| Book Value | $7,861,638 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,752,107 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,293,472 | DepreciationAmt |
| Book Value | $22,458,635 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,337,033 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,922,314 | DepreciationAmt |
| Book Value | $10,414,719 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,169,137 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,176,397 | DepreciationAmt |
| Book Value | $3,992,740 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,197,686 | OtherCostOrOtherBasisAmt |
| Book Value | $1,197,686 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $45,925,418 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYABLE FOR THIRD-PARTY REIMBURSEMENT PROGRAMS | $7,744,878 |
| PROVIDER RELIEF FUNDS | $3,886,404 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,631,282 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $86,461,237 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,774,197 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,396,178 | OtherRevenueAmt |
| Revenue Not Reported | $378,019 | RevenueNotReportedAmt |
| Revenue Subtotal | $86,083,218 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$1,882,466 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$1,882,466 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $84,200,752 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $80,507,500 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,882,466 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,882,466 | ExpensesNotReportedAmt |
| Expenses Subtotal | $78,625,034 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,396,178 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,396,178 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $81,021,212 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE MEDICAL CENTER DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF 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 FINANCIAL STATEMENTS. THE MEDICAL CENTER RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE -2,396,178. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -1,982,029. CAFETERIA 99,563. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 1,982,029. CAFETERIA REVENUE -99,563. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 2,396,178. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | Yes (1) | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,152,244 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,152,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01450 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,504,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,499,966 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,656,421 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,499,966 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,152,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01450 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 168 | PersonsServedCnt |
| Total Community Benefit Expns | $146,857 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $146,857 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 57 | PersonsServedCnt |
| Total Community Benefit Expns | $50,230 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,666,650 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,303,849 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,362,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01710 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 225 | PersonsServedCnt |
| Total Community Benefit Expns | $2,863,737 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,303,849 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,559,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01950 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 225 | PersonsServedCnt |
| Total Community Benefit Expns | $11,520,158 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,803,815 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,712,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03400 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,396,178 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $15,656,189 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,856,297 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$200,108 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 PALOUSE HEALTH PROPERTIES LLC | ||
| PROPERTY MANAGEMENT | 0.64640 | 0.39150 |
| 2 PALOUSE SURGERY CENTER LLC | ||
| OUTPATIENT SURGERY CENTER | 0.67530 | 0.38300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRITMAN MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 S MAIN STREET | AddressLine1Txt |
| City | MOSCOW | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GRITMAN.ORG | WebsiteAddressTxt |
| State License | 39 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRITMAN MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://GRITMAN.ORG/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION B, LINE 16J | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION B, LINE 16J | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION B, LINE 16J | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION B, LINE 16J | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GRITMAN MEDICAL CENTER | PART V, SECTION B, LINE 5: LOCAL EXPERT ADVISORS WERE SELECTED ACCORDING TO CRITERIA REQUIRED BY FEDERAL GUIDELINES AND REGULATIONS. THE HOSPITAL'S DESIRE IS TO REPRESENT THE REGION'S GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATION. |
| GRITMAN MEDICAL CENTER | PART V, SECTION B, LINE 11: THE METHODOLOGY USED IS PRIORITY RANKING FOR AREA HEALTH NEEDS RECOMMENDED BY LOCAL EXPERT ADVISORS TO ORGANIZE THE PURSUIT FOR LOCALLY AVAILABLE RESOURCES, AS WELL AS THE COMMUNITY NEEDS PRESENTED TO GRITMAN MEDICAL CENTER (GMC) THROUGHOUT EACH FISCAL YEAR. THE ASSESSMENT IS COMPLETED USING THE FOLLOWING LIST: IDENTIFIES THE RANK ORDER OF EACH IDENTIFIED SIGNIFICANT NEED IN THE COMMUNITY PRESENTS THE FACTORS CONSIDERED IN DEVELOPING THE RANKING ESTABLISHES A PROBLEM STATEMENT TO SPECIFY EACH PROBLEM IN THE COMMUNITY INDICATED BY THE USE OF THE SIGNIFICANT NEED TERM IDENTIFIES GMC CURRENT EFFORTS RESPONDING TO THE NEED INCLUDING ANY WRITTEN COMMENTS RECEIVED REGARDING PRIOR GMC IMPLEMENTATION ACTIONS ESTABLISHES THE IMPLEMENTATION STRATEGY PROGRAMS AND RESOURCES GMC WILL DEVOTE TO ATTEMPT TO ACHIEVE IMPROVEMENTS DOCUMENTS THE LEADING INDICATORS GMC WILL USE TO MEASURE PROGRESS PRESENTS THE LEADING INDICATORS GMC BELIEVES WILL INFLUENCE IN A POSITIVE FASHION PRESENTS THE LOCALLY AVAILABLE RESOURCES NOTED DURING THE DEVELOPMENT OF THIS REPORT TO BE CURRENTLY AVAILABLE TO RESPOND TO EACH NEED PRESENTED.GMC IS A CRITICAL ACCESS HOSPITAL IN MOSCOW, IDAHO THAT PROVIDES 25 ACUTE CARE BEDS. THE HOSPITAL IS ABLE TO PROVIDE ACCESS TO HEALTHCARE BY KEEPING ESSENTIAL SERVICES AVAILABLE IN ITS RURAL COMMUNITIES. THE NEXT CLOSEST FACILITIES ARE OUTSIDE THE SERVICE AREAS AND INCLUDE:PULLMAN REGIONAL HOSPITAL, PULLMAN, WA, 9 MILES (17 MINUTES) WHITMAN HOSPITAL & MEDICAL CENTER, COLFAX, WA, 25 MILES (37 MINUTES) ST. JOSEPH REGIONAL MEDICAL CENTER, LEWISTON, ID, 32 MILES (29 MINUTES) TRI-STATE MEMORIAL HOSPITAL, CLARKSTON, WA, 36 MILES (42 MINUTES) ALL STATISTICS ARE ASSESSED TO DETERMINE SIGNIFICANT NEEDS THAT ARE CALLED "LAGGING INDICATORS". THIS MEASURES RESULTS AFTER A PERIOD OF TIME WHILE CHARACTERIZING HISTORICAL PERFORMANCE. LAGGING INDICATORS TELL YOU NOTHING ABOUT HOW THE OUTCOMES WERE ACHIEVED. IN CONTRAST, THE GMC IMPLEMENTATION STRATEGY USES "LEADING INDICATORS." LEADING INDICATORS ANTICIPATE CHANGE IN THE LAGGING INDICATOR. LEADING INDICATORS FOCUS ON SHORT-TERM PERFORMANCE, AND IF ACCURATELY SELECTED, ANTICIPATE THE BROADER ACHIEVEMENT OF DESIRED CHANGE THAN THE LAGGING INDICATOR. IN THE QUORUM HEALTH RESOURCE APPLICATION, WHO PROVIDES CONSULTING SERVICES TO GMC, THE LEADING INDICATORS ALSO MUST BE WITHIN THE ABILITY OF THE HOSPITAL TO INFLUENCE AND MEASURE.IN A NUMBER OF WAYS, GRITMAN MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT COMMUNITY NEEDS THAT WERE IDENTIFIED FROM THE INITIALLY CONDUCTED CHNA IN 2013. IN 2020, GRITMAN CARRIED OUT THE THIRD YEAR OF ITS NEW STRATEGIC PLAN. A BIG PART OF THE STRATEGIC PLAN AND PRIORITIZATION OF INITIATIVES WERE DRIVEN BY THE NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA. ADDITIONALLY, GRITMAN CREATES AN ANNUAL MANAGEMENT PLAN DETAILING SPECIFIC INITIATIVES TO BE ADDRESSED EACH YEAR; AGAIN, UTILIZING DATA AND INFORMATION FROM THE MOST RECENTLY FILED CHNA FOR THE MANAGEMENT PLANS OF 2020 AS A BASIS FOR PRIORITIZING INITIATIVES. GMC'S STRATEGY HAS BEEN TO GAINFULLY ADDRESS THE TOP 5 IDENTIFIED COMMUNITY NEEDS BASED ON PUBLIC FEEDBACK DURING THE INITIAL CHNA. FOLLOWING ARE WAYS IN WHICH GRITMAN IS ADDRESSING THOSE TOP 5 COMMUNITY HEALTH NEEDS.I. IN RESPONSE TO THE FIRST IDENTIFIED NEED (MENTAL HEALTH/SUICIDE) GRITMAN MEDICAL CENTER HAS DONE THE FOLLOWING: SAFE ROOM AVAILABLE IN ED FOR PATIENTS PRESENTING WITH MENTAL HEALTH ISSUES EMPLOYEE ASSISTANCE PROGRAM AVAILABLE TO GMC EMPLOYEES AND FAMILY MEMBERS THAT INCLUDES FOUR FREE VISITS TO MENTAL HEALTH PROFESSIONALS PER TOPIC PER YEAR GMC HOSTS AND IS REPRESENTED ON MULTI-AGENCY COMMUNITY BEHAVIORAL HEALTH TEAM THAT HELPS EXPEDITE CARE, FACILITATE PLACEMENT, AND ORGANIZE COMMUNITY-WIDE PLANS AND SOLUTIONS GMC WORKS WITH LATAH RECOVERY CENTER WHO PROVIDES RESOURCES, CLASSES, AND COACHING TO HELP PEOPLE IN RECOVERY GMC SUPPORTS LOCAL ORGANIZATIONS THAT PROVIDE SERVICES AND RESOURCES TO HELP THE HOMELESS POPULATION BECOME SUSTAINABLE PARTICIPATING IN A MULTI-HOSPITAL FOCUS GROUP TO RESEARCH ADDITIONAL FACILITIES AND SERVICES FOR PATIENTS AWAITING TRANSFER TO ACUTE CARE INTAKE FORM INCLUDES SCREENING QUESTIONS REGARDING MENTAL HEALTH AND SUBSTANCE ABUSE FOLLOWING POSITIVE SCREENING, PROVIDER WILL ADDRESS AND CONNECT PATIENT TO NEEDED RESOURCES OFFERING ADULT AND ADOLESCENT TRAINING PROGRAMS AIMED AT IDENTIFYING INDIVIDUALS AT RISK OF SUICIDE AND FUTURE COMMUNITY MEMBER TRAINING OPPORTUNITIES ARE BEING CONSIDERED AS AN AREA OF FOCUS CRISIS INTERVENTION TRAINING OCCURS YEARLY FOR FIRST RESPONDERS (EMS/POLICE) PROVIDE "SAFE SITTER AND "SAFE AT HOME" TRAINING FOR CHILDREN AND TEENS CASE MANAGER, COUNSELORS AND PSYCHIATRIST WORK TOGETHER TO ASSIST PATIENTS IN CRISIS II. IN REGARDS TO THE SECOND IDENTIFIED NEED (SUBSTANCE ABUSE) GRITMAN MEDICAL CENTER HAS DONE THE FOLLOWING: EMPLOYEE ASSISTANCE PROGRAM AVAILABLE TO GMC EMPLOYEES AND FAMILY MEMBERS THAT INCLUDES FOUR FREE VISITS TO MENTAL HEALTH PROFESSIONALS PER TOPIC PER YEAR GMC WORKS WITH LATAH RECOVERY CENTER, WHICH PROVIDES RESOURCES, CLASSES, AND COACHING TO HELP PEOPLE IN RECOVERY IN-HOUSE RESOURCES AVAILABLE TO PROVIDE MATERIALS AND EDUCATION AND RESOURCES FOR SUBSTANCE ABUSE ISSUESIII. IN REGARDS TO THE THIRD IDENTIFIED NEED (PHYSICIANS) GRITMAN MEDICAL CENTER HAS DONE THE FOLLOWING: ACTIVELY RECRUITING FOR PSYCHIATRIST, PEDIATRICIAN, ENT, ONCOLOGIST, FAMILY PRACTICE, ORTHOPEDIC SURGEONS, PAIN MANAGEMENT, AND NURSE PRACTITIONERS WWAMI RURAL MEDICINE SCHOLARSHIP PROGRAM PROVIDED THROUGH HOSPITAL FOUNDATION TO ENCOURAGE NEW MEDICAL GRADUATES TO PRACTICE IN THE AREA PALOUSE SURGEONS AND PALOUSE SPECIALTIES PARTNERSHIPS WITH PULLMAN REGIONAL HOSPITAL AND WHITMAN HOSPITAL AND MEDICAL GROUP TO EMPLOY SPECIALTY PHYSICIANS TO PROVIDE COVERAGE IN LATAH AND WHITMAN COUNTIES WORK WITH LOCAL PRACTICES TO RECRUIT PHYSICIANS TO THE AREA TRAVELING SPECIALTIES AVAILABLE FOR PEDIATRICS, CARDIOLOGY, NEPHROLOGY, ASTHMA/ALLERGY, NEUROSURGEON, ONCOLOGY AND HEMATOLOGY CME PROGRAM PROVIDES ADDITIONAL TRAINING AND EDUCATION TO PROVIDERS PROVIDING SPECIALIZED TRAINING FOR PEDIATRIC HOSPITALISTS INCLUDING NEONATAL RESUSCITATION, STABLE, ACLS, PALS, AND NRP SCHOLARSHIPS FOR LOCAL STUDENTS INTERESTED IN PURSUING A MEDICAL/HEALTHCARE DEGREE AND PRACTICING IN THE AREA ARE AS FOLLOWS: JANET CHISHOLM MARTIN HEALTHCARE SCHOLARSHIP, L. CLAY BOYD MEMORIAL HEALTHCARE SCHOLARSHIP, CHANDA MORRIS SCHOLARSHIP, MAURINE CHERRINGTON SCHOLARSHIP, THE BESST FAMILY SCHOLARSHIP AND THE MIDGE PRESOL SCHOLARSHIP CLINICAL AND SIMULATION LAB EXPERIENCE OPPORTUNITIES FOR FIRST AND SECOND YEAR MEDICAL STUDENTS ESTABLISHED A PHYSICIAN ENGAGEMENT TEAM TO ADDRESS PHYSICIAN NEEDS SPECIALIZED SITE VISITS FOR PHYSICIANS BEING RECRUITED RECRUITED TWO INTERNAL MEDICINE, PEDIATRIC/INTERNAL MEDICINE/ED, WOUND CARE/INTERNAL MEDICINE, ENT, UROLOGIST AND FAMILY PRACTICE PHYSICIANS. WORKED WITH LOCAL PRACTICE TO RECRUIT TWO FAMILY PRACTICE PHYSICIANSIV. IN REGARDS TO THE FOURTH IDENTIFIED NEED (AFFORDABILITY/ACCESSIBILITY) GRITMAN MEDICAL CENTER HAS DONE THE FOLLOWING: ACTIVELY RECRUITING FOR PSYCHIATRIST, PEDIATRICIAN, ENT, ONCOLOGIST, FAMILY PRACTICE, ORTHOPEDIC SURGEONS, GENERAL SURGEONS, PAIN MANAGEMENT AND NURSE PRACTITIONERS WWAMI RURAL MEDICINE SCHOLARSHIP PROGRAM PROVIDED THROUGH HOSPITAL FOUNDATION TO ENCOURAGE NEW MEDICAL GRADUATES TO PRACTICE IN THE AREA PALOUSE SURGEONS AND PALOUSE SPECIALTIES PARTNERSHIPS WITH PULLMAN REGIONAL HOSPITAL AND WHITMAN HOSPITAL AND MEDICAL GROUP TO EMPLOY SPECIALTY PHYSICIANS TO PROVIDE COVERAGE IN LATAH AND WHITMAN COUNTIES TRAVELING SPECIALTIES AVAILABLE PEDIATRICS, CARDIOLOGY, NEPHROLOGY, ASTHMA/ALLERGY, NEUROSURGEON, ONCOLOGY AND HEMATOLOGY CME PROGRAM PROVIDES ADDITIONAL TRAINING AND EDUCATION TO PROVIDERS TELE-STROKE TECHNOLOGY, IN PARTNERSHIP WITH PROVIDENCE SACRED HEART MEDICAL CENTER, ALLOWS LOCAL CARE TEAM TO COLLABORATE WITH SPECIALISTS AT SACRED HEART TO QUICKLY DIAGNOSE AND TREAT STROKE PATIENTS HELPED GET LOCAL PHARMACIES TO PARTICIPATE IN THE 340B PROGRAM BOSOM BUDDIES PROGRAM PROVIDES FREE MAMMOGRAMS TO ANYONE IN NEED PARTICIPATE IN MULTIPLE HEALTH FAIRS PROVIDING HEALTH AND WELLNESS INFORMATION AS WELL AS FREE SCREENINGS FOR BLOOD PRESSURE, WOUND CARE ASSESSMENTS, AND MASSAGE PROVIDE DISCOUNTED WELLNESS LABS DIABETES WELLNESS CLASSES HOSTED ON SITE AND FREE TO PUBLIC, FREE FIT & FALL PROOF CLASS, DISCOUNTED OSTEOPOROSIS FITNESS GROUP, MOTHERHOOD CONNECTIONS (NEW MOTHER SUPPORT GROUP) AND CANCER RESOURCE CENTER GRITMAN HAS A VAN SERVICE THAT PROVIDES SHUTTLE SERVICES TO APPOINTMENTS. |
| GRITMAN MEDICAL CENTER | PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGY FOR CHNAHTTPS://GRITMAN.ORG/WP-CONTENT/UPLOADS/2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFPART V, SECTION B, LINE 16A - FINANCIAL ASSISTANCE POLICYHTTPS://GRITMAN.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/HTTPS://GRITMAN.ORG/WP-CONTENT/UPLOADS/8311-3401-FINANCIAL-ASSISTANCE-POLICY.PDFPART V, SECTION B, LINE 16B - FINANCIAL ASSISTANCE APPLICATIONHTTPS://GRITMAN.ORG/WP-CONTENT/UPLOADS/FINANCIAL-ASSISTANCE-APPLICATION.PDFPART V, SECTION B, LINE 16C - FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARYHTTPS://GRITMAN.ORG/WP-CONTENT/UPLOADS/FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE-SUMMAR.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - PALOUSE SURGERY CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 WEST A STREET | AddressLine1Txt |
| City | MOSCOW | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | GENERAL MEDICAL AND SURGERY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | PART I, LINE 7: LINES 7A, B AND C WERE CALCULATED USING A COST TO CHARGE RATIO BASED ON TOTAL OPERATING EXPENSES LESS BAD DEBT DIVIDED BY GROSS PATIENT CHARGES.PART I, LINES 7E,F,G AND I WERE CALCULATED FROM GENERAL LEDGER ACTUAL COSTS. |
| PART I, LINE 7G: | FOUR HEALTH CLINICS WERE INCLUDED IN LINE 7G. THE COST OF THE CLINICS WAS $1,526,884. |
| 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 $ 1,435,311. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | IN 2020, GRITMAN FULFILLED ITS MISSION TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES THROUGH 1,146 INPATIENT ADMISSIONS,3,605 PATIENT DAYS AND 136,253 OUTPATIENT VISITS. THROUGH OUR POTLATCH AND KENDRICK RURAL CLINICS, WE PROVIDED 9,106 OFFICE VISITS. ALSO, IN 2020, THE HOSPITALPROVIDED $1.7 MILLION IN UNREIMBURSED CHARITY CARE. ADDITIONALLY, GRITMAN SERVED AS A CLINIC SITE FOR AREA SCHOOLS OF NURSING WITH PARTNERSHIP THROUGH WALLAWALLA COMMUNITY COLLEGE, LEWIS-CLARK STATE COLLEGE AND OTHER AREA COLLEGES. WE ALSO PROVIDE A SPACE AND LEARNING CENTER FOR THE WWAMI PROGRAM. |
| PART III, LINE 2: | THIS AMOUNT IS CALCULATED USING THE COST-TO-CHARGE RATIO APPLIED AGAINST CHARGES LESS BAD DEBT RECOVERIES. |
| PART III, LINE 4: | FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE MEDICAL CENTER RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. |
| PART III, LINE 8: | INFORMATION WAS FROM GRITMAN MEDICAL CENTER'S 2020 COST REPORT. |
| PART III, LINE 9B: | GRITMAN MEDICAL CENTER DOES NOT COLLECT FROM PATIENTS INITIALLY KNOWN TO QUALIFY FOR CHARITY CARE. IF A PATIENT IN COLLECTIONS IS LATER DETERMINED TO QUALIFY FOR CHARITY CARE, GRITMAN MEDICAL CENTER CEASES COLLECTION EFFORTS FOR THAT PATIENT. |
| PART VI, LINE 2: | GRITMAN MEETS QUARTERLY WITH THE GENERAL MEMBERSHIP BOARD TO HEAR ABOUT WHAT THE COMMUNITY NEEDS. WE ALSO EVALUATE DATA FROM IDAHO PUBLIC HEALTH DISTRICT #2 WHICH INCLUDES INFORMATION ON LATAH COUNTY (AMONGOTHERS) FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND DESIGNED TO ESTIMATE THEPREVALENCE OF RISK FACTORS FOR MAJOR CAUSES OF MORBIDITY AND MORTALITY IN THE UNITED STATES. |
| PART VI, LINE 3: | GRITMAN HAS 2 FULL-TIME EQUIVALENT FINANCIAL COUNSELOR(S) TO INFORM AND EDUCATE PATIENTS. IF THE PATIENT CANNOT PAY, THE PATIENT IS GIVEN OUR CHARITY CARE FORM AND IF NEEDED CAN ASSIST IN FILLING OUT THE FORM.OUR CASE MANAGEMENT STAFF REFERS PATIENTS TO OUR FINANCIAL COUNSELORS, AS WELL, IF PATIENTS EXPRESS INTEREST OR NEED IN RECEIVING BILLING INFORMATION.OUR FINANCIAL POLICY IS AVAILABLE ON OUR WEBSITE AND IN BROCHURE FORM. |
| PART VI, LINE 4: | GRITMAN MEDICAL CENTER IS A NOT-FOR-PROFIT; COMMUNITY-OWNED HOSPITAL IN A RURAL/AGRICULTURAL AREA OF NORTH IDAHO CALLED THE PALOUSE. GRITMAN MEDICAL CENTER HAS BEEN A PART OF THE COMMUNITY FOR MORE THAN 120 YEARS. THE PRIMARY SERVICE AREA FOR GRITMAN MEDICAL CENTER IS LATAH COUNTY. LATAH COUNTY IS 2000 SQUARE MILES WITH APPROXIMATELY 40,108 PEOPLE AS OF 2019. LATAH COUNTY IS COMPOSED OF MOSCOW, THE COUNTY SEAT AND 10 SMALL TOWNS WHICH HAVE BEEN HARD-HIT BY THE DECLINING NATURAL RESOURCE INDUSTRIES. AS OF 2018, 9.3% OF THE PERSONS UNDER 65 IN LATAH COUNTY ARE WITHOUT HEALTH INSURANCE. THERE IS WIDE VARIATION IN MEDIAN AGE IN OUR SERVICE AREA: 5.5% ARE PERSONS UNDER 5 YEARS; 19% ARE PERSONS UNDER 18 YEARS; AND 13.5% ARE PERSONS 65 YEARS AND OVER. MEDIAN HOUSEHOLD INCOME FOR 2014-2018 WAS $45,466. AS OF 2018, 12.7% OF OUR POPULATION LIVES BELOW THE POVERTY LEVEL.GRITMAN IS IN A HIGHLY COMPETITIVE MARKET WITH FOUR OTHER HOSPITALS LOCATED WITHIN 35 MILES. ALL BUT ONE IS A CRITICAL ACCESS HOSPITAL. |
| PART VI, LINE 5: | IN 2019, GRITMAN FULFILLED ITS MISSION TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES THROUGH 1,305 INPATIENT ADMISSIONS, 4,135 PATIENT DAYS AND 134,519 OUTPATIENT VISITS. THROUGH OUR POTLATCH AND KENDRICK RURAL CLINICS, WE PROVIDED 8,444 OFFICE VISITS. ALSO, IN 2019, THE HOSPITAL PROVIDED $1.9 MILLION IN UNREIMBURSED CHARITY CARE. ADDITIONALLY, GRITMAN SERVED AS A CLINIC SITE FOR AREA SCHOOLS OF NURSING WITH PARTNERSHIP THROUGH WALLA WALLA COMMUNITY COLLEGE, LEWIS-CLARK STATE COLLEGE AND OTHER AREA COLLEGES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRITMAN MEDICAL CENTER FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 S MAIN STREET | AddressLine1Txt |
| City | MOSCOW | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 200586022 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $348,653 | CashGrantAmt |
| Purpose Of Grant | OPERATING EXPENSES | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | WHEN GRANT FUNDS ARE RECEIVED THEY ARE PLACED IN THEIR OWN FUND ACCOUNT AND TRACKED TO MAKE SURE THEY ARE SPENT IN ACCORDANCE WITH THE GRANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRANABH SHRESTHA MD | ||||||||||||||
| PHYSICIAN | $343,173 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $7,686 | $0 | $351,021 | $0 | $0 | $0 |
| CHRISTOPHER STANDLEY MD | ||||||||||||||
| PHYSICIAN | $308,038 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $12,719 | $0 | $320,919 | $0 | $0 | $0 |
| MUSA MODAD MD | ||||||||||||||
| PHYSICIAN | $268,318 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $13,274 | $0 | $281,754 | $0 | $0 | $0 |
| JULIE LYON MD | ||||||||||||||
| PHYSICIAN | $163,226 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $715 | $0 | $164,103 | $0 | $0 | $0 |
| DEBORAH MAURO-BENDER | ||||||||||||||
| CRNA | $146,450 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $3,715 | $0 | $150,327 | $0 | $0 | $0 |
| ROBERT KENDRICK | ||||||||||||||
| CNO | $166,310 | $0 | $0 | $0 | $0 | $0 | $135 | $0 | $10,968 | $0 | $177,413 | $0 | $0 | $0 |
| DANIELLE LYNAS | ||||||||||||||
| CFO | $156,549 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $16,675 | $0 | $173,386 | $0 | $0 | $0 |
| SCOTT NELSON | ||||||||||||||
| CXO | $142,188 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $16,607 | $0 | $158,957 | $0 | $0 | $0 |
| KANE FRANCETICH | ||||||||||||||
| CIO | $139,884 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $14,250 | $0 | $154,296 | $0 | $0 | $0 |
| JOHN BROWN MD | ||||||||||||||
| CMO | $139,854 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $13,166 | $0 | $153,182 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART II | FormAndLineReferenceDesc |
| Explanation | KARA BESST, CEO, RECEIVED COMPENSATION OF $282,395 AND BENEFITS OF $69,829 FROM AN UNRELATED ORGANIZATION, QUORUM HEALTH RESOURCES. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO HEALTH FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 826051863 | BondIssuerEIN |
| CUSIP | 45129UBP8 | CUSIPNum |
| Bond Issued | 2016-10-28 | BondIssuedDt |
| Issue Price | $16,850,000 | IssuePriceAmt |
| Purpose | REFINANCE 2003 BONDS, NEW BUILDING | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $16,850,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $164,360 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $3,115,000 | CapitalExpendituresAmt |
| Other Spent Proceeds | $13,570,640 | OtherSpentProceedsAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | IN RESPONSE TO THE PANDEMIC, GRITMAN RESPONDED IN MANY WAYS TO HELP PROVIDE FOR OUR COMMUNITY. WE OPENED A COVID TESTING SITE, PROVIDED SPACE AND RESOURCES TO BE ABLE TO TEST THOUSANDS OF STUDENTS. WE ALSO SET UP VACCINE CLINICS TO HELP ORCHESTRATE GETTING THE COVID-19 VACCINES OUT TO MEMBERS OF OUR COMMUNITY. |
| FORM 990, PART VI, SECTION B, LINE 11B | GRITMAN MEDICAL CENTER'S CFO PRESENTS A COPY OF THE FORM 990 TO THE BOARD FOR REVIEW PRIOR TO SIGNATURE OF THE RETURN BY THE ORGANIZATION'S CEO. |
| FORM 990, PART VI, SECTION B, LINE 12C | POTENTIAL CONFLICTS ARE REQUIRED TO BE DISCLOSED TO THE BOARD THROUGHOUT THE YEAR. LEGAL COUNSEL REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST AND THEN DETERMINES IF A CONFLICT OF INTEREST IS PRESENT. IT IS THE POLICY OF GRITMAN MEDICAL CENTER THAT ANY BOARD MEMBER WITH AN UNDISCLOSED CONFLICT OF INTEREST MAY BE SUBJECT TO IMMEDIATE TERMINATION FROM SERVICE ON THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S CEO IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES (QHR) AS SUCH, THEIR PAY RATE IS DETERMINED BY QHR. QHR PERFORMS A COMPENSATION SURVEY TO DETERMINE THE CEO'S COMPENSATION, THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS ALL CONTRACTS WITH QHR TO DETERMINE REASONABLE SALARIES. GRITMAN HAS FIVE OTHER SENIOR ADMINISTRATIVE STAFF, THE CHIEF FINANCIAL OFFICER (CFO), THE CHIEF NURSING OFFICER (CNO), THE CHIEF QUALITY OFFICER (CQO), THE CHEIF EXPERIENCE OFFICER (CXO) AND THE CHIEF INFORMATION OFFICER (CIO) EACH YEAR PRIOR TO THE ANNUAL PAY INCREASE THEIR POSITIONS ARE REVIEWED BY THE HUMAN RESOURCES DIRECTOR. THEIR SALARY GRADE MINIMUM AND MAXIMUM RATES AS WELL AS THEIR ACTUAL PAID RATES ARE COMPARED TO STATE AND REGIONAL SALARY SURVEY DATA TO DETERMINE THEIR RELATIONSHIP TO OUR EXTERNAL MARKET IN ADDITION TO THE EXTERNAL COMPARISON. WE ENSURE WE HAVE INTERNAL EQUITY BASED ON THEIR SALARY GRADE LEVEL, YEARS OF EXPERIENCE AND HOW THEIR RESPONSIBILITIES COMPARE TO THOSE IN OTHER POSITIONS. ALL PAY INCREASES ARE REVIEWED AND APPROVED BY THE CEO. THE PAY INCREASES ARE THEN INCORPORATED INTO THE ANNUAL BUDGET WHICH IS APPROVED BY THE BOARD OF DIRECTORS. SALARY DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED THE PAY INCREASE ARE NOT APPROVED UNTIL THE ANNUAL BUDGET IS APPROVED BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL INFORMATION IS MADE AVAILABLE AT GRITMAN'S ANNUAL COMMUNITY MEETING EACH YEAR, WHICH IS OPEN TO THE PUBLIC. |
| FORM 990, PART XII, LINE 2C: | REQUESTS FOR PROPOSALS ARE SENT OUT TO MULTIPLE AUDITING FIRMS EVERY 3 YEARS. THE CEO, CFO, AND BOARD MEMBERS LOOK OVER THE PROPOSALS AND THE BOARD VOTES ON THE ACCOUNTING FIRM TO CONDUCT THE AUDIT. THIS PROCESS HAS NOT CHANGED. |
| FORM 990, PART X, LINE 20 | BEGINNING OF THE YEAR TAX-EXEMPT BOND LIABILITIES WAS UPDATED TO PROPERLY REFLECT TAX-EXEMPT BONDS OUTSTANDING. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRITMAN MEDICAL PARK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 S WASHINGTON | AddressLine1Txt |
| City | MOSCOW | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | REAL ESTATE RENTALS | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Total Income | $2,918 | TotalIncomeAmt |
| End Of Year Assets | $21,605,004 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRITMAN MEDICAL CENTER | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRITMAN MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 S MAIN STREET | AddressLine1Txt |
| City | MOSCOW | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200586022 | EIN |
| Primary Activities | HOSPITAL SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRITMAN MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALOUSE SURGERY CENTER LLC | |||||||||||||
| 2300 WEST A STREET | MOSCOW | ID | 83843 | 810593962 | OUTPATIENT SURGERY CENTER | ID | GRITMAN MEDICAL CENTER | RELATED | $13,645 | $405,192 | 0 | 0 | 0.67520 |
| PALOUSE HEALTH PROPERTIESLLC | |||||||||||||
| 2300 WEST A STREET | MOSCOW | ID | 83843 | 810593963 | PROPERTY MANAGEMENT | ID | GRITMAN MEDICAL CENTER | RELATED | $61,045 | $272,571 | 0 | 0 | 0.64640 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GRITMAN MEDICAL CENTER FOUNDATION INC | ||
| B | $266,563 | ACTUAL |
| GRITMAN MEDICAL CENTER FOUNDATION INC | ||
| C | $266,563 | ACTUAL |
Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALOUSE SURGEONS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 SE BISHOP BOULEVARD SUITE 601 | AddressLine1Txt |
| City | PULLMAN | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99163 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202369734 | EIN |
| Primary Activities | SURGERY CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Predominate Income | RELATED | PredominateIncomeDesc |
| All Partners C3 S | Yes (1) | AllPartnersC3SInd |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.40000 | OwnershipPct |