2021-11-05T07:14:40-05:00 2020-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2020-01-01 820146328 GRITMAN MEDICAL CENTER INC GRIT 2088824511 700 S MAIN STREET MOSCOW ID 83843 DANIELLE LYNAS CFO 2088824511 2021-11-04 1 DANIELLE LYNAS 999009999 TERRI REXRODE CPA MST P00096513 9206620016 2021-11-04 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KARA BESST 700 S MAIN STREET MOSCOW ID 83843 86182781 0 X WWW.GRITMAN.ORG X 1939 ID TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. 10 10 778 29 -124533 0 8779 2403348 74696665 80836181 689999 1036269 -306506 -75046 75088937 84200752 430763 348653 0 0 40946006 39101401 0 0 0 36071603 41571158 77448372 81021212 -2359435 3179540 90219124 94057321 42967112 40851572 47252012 53205749 X TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. 1 0 69365114 348653 78196385 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. 69365114 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 144 0 778 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X DANIELLE LYNAS 2088832220 700 S MAIN STREET MOSCOW ID 83843 PRANABH SHRESTHA MD PHYSICIAN 40.00 X 343173 0 7848 CHRISTOPHER STANDLEY MD PHYSICIAN 40.00 X 308038 0 12881 MUSA MODAD MD PHYSICIAN 40.00 X 268318 0 13436 JULIE LYON MD PHYSICIAN 40.00 X 163226 0 877 DEBORAH MAURO-BENDER CRNA 40.00 X 146450 0 3877 ROBERT KENDRICK CNO 40.00 X 166310 0 11103 DANIELLE LYNAS CFO 40.00 X 156549 0 16837 SCOTT NELSON CXO 40.00 X 142188 0 16769 KANE FRANCETICH CIO 40.00 X 139884 0 14412 JOHN BROWN MD CMO 40.00 X 139854 0 13328 CONNIE OSBORN CQO 40.00 X 136152 0 12987 KARA BESST CEO 40.00 X 0 0 0 KRAIG WHITE BOARD CHAIR 2.00 X X 0 0 0 LORI STINSON BOARD VICE-CHAIRMAN 2.00 X X 0 0 0 ROBIN WOODS TRUSTEE 2.00 X X 0 0 0 BARBARA WELLS TRUSTEE 2.00 X X 0 0 0 RULA AWWAD-RAFFERTY TRUSTEE 2.00 X 0 0 0 STEVE BUSCH TRUSTEE 2.00 X 0 0 0 DICK HEIMSCH TRUSTEE 2.00 X 0 0 0 CHARLES JACOBSON MD TRUSTEE 2.00 X 0 0 0 JANIE NIRK TRUSTEE 2.00 X 0 0 0 AARON RANISATE TRUSTEE 2.00 X 0 0 0 2110142 0 124355 47 0 1 1 CARDINAL HEALTH 411 INC 3712 COLLECT CENTER DRIVE CHICAGO IL 60693 PHARMACEUTICALS 5762048 SMITH & NEPHEW ORTHO PO BOX 785921 PHILADELPHIA PA 19178 ORTHO SERVICES 2017519 MOSCOW EMERGENCY PHYSICANS PLLC 700 S MAIN STREET MOSCOW ID 83843 ER SERVICES 1740700 CARDINAL HEALTH PO BOX 100316 PASAENDA CA 91189 MEDICAL PRODUCTS & SERVICES 1151916 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 IT SERVICES 695415 62 8528 2067068 327752 2403348 NET PATIENT SERVICE REVENUE 621110 78196385 78196385 CAFETERIA REVENUE 900099 403766 403766 EDUCATIONAL CLASS REVENUE 900099 149782 149782 GIFT SHOP REVENUE 900099 63805 63805 2022443 72997 1949446 80836181 606448 606448 1906983 1982029 -75046 -75046 -197530 122484 229373 200448 0 0 229373 200448 429821 429821 84200752 78196385 -124533 3725552 348653 348653 966374 792987 173387 29912988 26683080 3229908 8222039 8046510 175529 141120 141120 610644 521861 88783 7784953 6806526 978427 708338 29662 678676 16892417 15720331 1172086 1482337 1482337 232694 163182 69512 592760 592760 2237975 2237975 553450 553450 REPAIRS AND MAINTENANCE 4610842 2819742 1791100 LOSS IN JOINT VENTURE 2582526 2582526 BAD DEBT EXPENSE 2396178 2396178 DUES AND SUBSCRIPTIONS 151506 65981 85525 593418 103899 489519 81021212 69365114 11656098 0 869695 4985258 122492 100881 12855966 11145450 2116178 2425459 832347 1111141 106317601 60392183 48029523 45925418 22343235 25809977 3049688 2553737 90219124 94057321 8958392 7227637 726084 3446047 16850000 16850000 14809100 1696606 1623536 11631282 42967112 40851572 X 47243676 53197413 8336 8336 47252012 53205749 90219124 94057321 3179540 2774197 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4738 4738 0 PART II-B, LINE 1: 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 7861638 7861638 35752107 13293472 22458635 26337033 15922314 10414719 35169137 31176397 3992740 1197686 1197686 45925418 PAYABLE FOR THIRD-PARTY REIMBURSEMENT PROGRAMS 7744878 PROVIDER RELIEF FUNDS 3886404 11631282 X 86461237 2774197 -2396178 378019 86083218 -1882466 -1882466 84200752 80507500 1882466 1882466 78625034 2396178 2396178 81021212 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. 1 1 X 1 X 1 X 1 1 1 1 0 1152244 1152244 0.01450 7504177 10499966 0 0.00000 8656421 10499966 1152244 0.01450 9 168 146857 146857 0.00180 2 57 50230 50230 0.00060 4 2666650 1303849 1362801 0.01710 15 225 2863737 1303849 1559888 0.01950 15 225 11520158 11803815 2712132 0.03400 1 2396178 15656189 15856297 -200108 X 1 1 1 PALOUSE HEALTH PROPERTIES LLC PROPERTY MANAGEMENT 0.64640 0.39150 2 PALOUSE SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.67530 0.38300 1 1 GRITMAN MEDICAL CENTER 700 S MAIN STREET MOSCOW ID 83843 WWW.GRITMAN.ORG 39 X X X X GRITMAN MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X HTTPS://GRITMAN.ORG/ X 1 19 1 SEE PART V, SECTION B, LINE 16J 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X X X X X 1 X 0 X X X 1 X 0 0 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 1 1 - PALOUSE SURGERY CENTER LLC 2300 WEST A STREET MOSCOW ID 83843 GENERAL MEDICAL AND SURGERY 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. 1 GRITMAN MEDICAL CENTER FOUNDATION INC 700 S MAIN STREET MOSCOW ID 83843 200586022 501(C)(3) 348653 OPERATING EXPENSES 1 0 PART I, LINE 2: 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. X X X 0 0 0 0 0 0 0 0 0 PRANABH SHRESTHA MD PHYSICIAN 343173 0 0 0 0 0 162 0 7686 0 351021 0 0 0 CHRISTOPHER STANDLEY MD PHYSICIAN 308038 0 0 0 0 0 162 0 12719 0 320919 0 0 0 MUSA MODAD MD PHYSICIAN 268318 0 0 0 0 0 162 0 13274 0 281754 0 0 0 JULIE LYON MD PHYSICIAN 163226 0 0 0 0 0 162 0 715 0 164103 0 0 0 DEBORAH MAURO-BENDER CRNA 146450 0 0 0 0 0 162 0 3715 0 150327 0 0 0 ROBERT KENDRICK CNO 166310 0 0 0 0 0 135 0 10968 0 177413 0 0 0 DANIELLE LYNAS CFO 156549 0 0 0 0 0 162 0 16675 0 173386 0 0 0 SCOTT NELSON CXO 142188 0 0 0 0 0 162 0 16607 0 158957 0 0 0 KANE FRANCETICH CIO 139884 0 0 0 0 0 162 0 14250 0 154296 0 0 0 JOHN BROWN MD CMO 139854 0 0 0 0 0 162 0 13166 0 153182 0 0 0 SCHEDULE J, PART II KARA BESST, CEO, RECEIVED COMPENSATION OF $282,395 AND BENEFITS OF $69,829 FROM AN UNRELATED ORGANIZATION, QUORUM HEALTH RESOURCES. A IDAHO HEALTH FACILITIES AUTHORITY 826051863 45129UBP8 2016-10-28 16850000 REFINANCE 2003 BONDS, NEW BUILDING 0 0 0 A 16850000 164360 3115000 13570640 2016 1 0 1 1 A 0 0 0 0 0 0 1 A 1 0 0 0 0 0 A 0 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. 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