2018-08-14T16:49:51-05:00 2017-09-30 930623286 ALDRICH CPAS AND ADVISORS LLP 5665 SW MEADOWS RD SUITE 200 LAKE OSWEGO OR 97035 990 2016-10-01 930223960 ASANTE ASAN 5417894103 2650 SISKIYOU BLVD MEDFORD OR 97504 GREG WOJTAL CAFO 5417894103 2018-08-08 1 JOYLYN M ANKENEY CPA P00366587 5036204489 2018-08-07 2016 2022-09-23 18:48:47Z GREG WOJTAL 2650 SISKIYOU BLVD MEDFORD OR 97504 1275622530 0 X WWW.ASANTE.ORG X 1938 OR ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 13 12 5021 12 1806230 -571125 1164479 995872 635114871 643441996 12081776 44077981 22071533 15349705 670432659 703865554 212068 234323 0 0 346684762 367742801 0 0 0 251167500 263218612 598064330 631195736 72368329 72669818 1057412618 1171131040 382157071 392303425 675255547 778827615 X ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 0 0 394076314 480291463 ASANTE'S MAIN PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ASANTE ROGUE REGIONAL MEDICAL CENTER (ARRMC), A 378 LICENSED BED HOSPITAL LOCATED IN MEDFORD, OREGON. ARRMC HAS BEEN NAMED ONE OF THE TOP 100 HOSPITALS IN THE NATION FIVE YEARS IN A ROW (2012-2017). THE HOSPITAL HAS ALSO BEEN RATED A FIVE-STAR HOSPITAL BY CMS, THE HIGHEST RATING POSSIBLE. THEY EARNED A GRADE "A" HOSPITAL SAFETY SCORE FROM LEAPFROG FOR SECOND CONSECUTIVE YEAR. THE HOSPITAL ALSO EARNED THE CRITICAL CARE EXCELLENCE AND JOINT REPLACEMENT EXCELLENCE AWARDS FROM HEALTHGRADES. ARRMC IS ALSO NO.1 IN THE NATION FOR MEDICAL EXCELLENCE IN INTERVENTIONAL CORONARY CARE AND NO.1 IN OREGON FOR PATIENT SAFETY AND MEDICAL EXCELLENCE FOR HEART ATTACK TREATMENT BY CARECHEX.KEY HOSPITAL INPATIENT SERVICES INCLUDE CANCER SERVICES, CARDIOVASCULAR SURGERY, AND INPATIENT CARDIAC CATHERIZATION LABORATORY, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, NEONATOLOGY, NEUROSCIENCES, OBSTETRICS, ORTHOPEDICS, PEDIATRICS, AND UROLOGY SERVICES. OTHER INPATIENT SERVICES INCLUDE BEHAVIORAL HEALTH, REHABILITATION, AND CRITICAL CARE SERVICES, INCLUDING THE REGION'S ONLY LEVEL 3 NEONATAL INTENSIVE CARE UNIT. KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LABORATORY TESTING AND DIAGNOSIS, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING, SLEEP SERVICES, HOSPICE, AND VARIOUS THERAPIES, INCLUDING BEHAVIORAL, OCCUPATIONAL, PHYSICAL, AND SPEECH.DURING FISCAL YEAR 2017, RRMC ADMITTED 17,792 PATIENTS FOR A TOTAL OF 84,290 PATIENT DAYS. IT ALSO HAD OVER 470,000 TOTAL OUTPATIENT VISITS AND DELIVERED 1,570 BABIES. THE EMERGENCY ROOMS TREATED 49,653 PATIENTS AND THE CHEMISTRY LABS PERFORMED OVER 1.5 MILLION TESTS. SURGICAL SERVICES PERFORMED 9,246 INPATIENT AND OUTPATIENT SURGERIES AT RRMC. OTHER STATISTICS AT RRMC INCLUDE 22,070 HOSPICE VISITS, 28,110 VISITS TO THE VARIOUS REHAB UNITS, AND OVER 110,000 VISITS TO IMAGING. 141702494 172703853 ASANTE'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT BY EXPENSE IS THE OPERATION OF ASANTE THREE RIVERS MEDICAL CENTER (ATRMC), A 125 LICENSED BED HOSPITAL LOCATED IN GRANTS PASS, OREGON. ATRMC ALSO RECEIVED A GRADE "A" HOSPITAL SAFETY SCORE FROM LEAPFROG FOR THE SECOND CONSECUTIVE YEAR. THEY WERE ALSO AWARDED THE "PATHWAY TO EXCELLENCE" FROM THE AMERICAN NURSES CREDENTIALING CENTER AND RATED A FIVE-STAR HOSPITAL BY CMS, THE HIGHEST RATING POSSIBLE. SOME OF THE KEY INPATIENT SERVICES AVAILABLE AT TRMC INCLUDE CANCER SERVICES, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, OBSTETRICS, ORTHOPEDICS, AND PEDIATRICS. SOME OF THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, CARDIOPULMONARY SERVICES, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING AND VARIOUS THERAPIES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH.DURING THE FISCAL YEAR, TRMC ADMITTED 7,562 INPATIENTS FOR A TOTAL OF 27,538 PATIENT DAYS. THEY ALSO DELIVERED 789 BABIES AND HAD OVER 217,000 OUTPATIENT VISITS. THE CHEMISTRY LAB PERFORMED NEARLY 580,000 TESTS AND THE EMERGENCY ROOM SAW 39,741 PATIENTS. THERE WERE 8,430 SURGERIES PERFORMED DURING THE YEAR. TRMC'S REHAB DEPARTMENT HAD 34,877 VISITS AND THE VARIOUS IMAGING DEPARTMENT HAD 94,577 VISITS. 5407617 234323 6590684 ASANTE HEALTH SYSTEM WAS NAMED ONE OF THE "15 TOP HEALTH SYSTEMS IN THE NATION" FOR THE SIXTH YEAR IN A ROW BY TRUVEN HEALTH ANALYTICS. ASANTE'S CORPORATE DIVISION HAS MADE GENEROUS CASH DONATIONS TO NUMEROUS NON-PROFIT ORGANIZATIONS. THESE DONATIONS HELP SUPPORT LOCAL SCHOOLS AND OTHER YOUTH ACTIVITIES, SUCH AS LITTLE LEAGUE AND DRUG FREE GRAD NIGHTS AT LOCAL HIGH SCHOOLS. THE CORPORATE DIVISION HAS ALSO MADE SIGNIFICANT CONTRIBUTIONS TO NATIONALLY RECOGNIZED MEDICAL ASSOCIATIONS, SUCH AS THE AMERICAN RED CROSS AND DIABETES ASSOCIATIONS. OTHER CONTRIBUTIONS HAVE BEEN MADE TO HEALTH ORGANIZATIONS THAT ASSIST THE LOCAL SPANISH SPEAKING POPULATION, AND OTHERS HAVE BEEN MADE TO ORGANIZATIONS THAT ASSIST LOCAL SENIORS.OFTEN, INDIGENT AND MEDICAID PATIENTS WILL SHOW UP AT THE EMERGENCY ROOM IN NEED OF SPECIALIZED MEDICAL CARE. IN ORDER TO ASSURE THAT UNASSIGNED INDIGENT AND MEDICAID PATIENTS HAVE SPECIALIZED CARE AVAILABLE TO THEM, ASANTE CREATED SOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES (SOTES). SOTES CONTRACTS WITH LOCAL INDEPENDENT PHYSICIANS TO PROVIDE SPECIALIZED CARE TO THESE PATIENTS THROUGHOUT THEIR HOSPITAL STAY. THE PHYSICIAN BILLS SOTES, WHICH WILL REIMBURSE THE SPECIALIST AT MEDICARE RATES. SOTES OPERATES AT BREAKEVEN. EXPENSES ARE FULLY FUNDED AND REIMBURSED TO THE DOCTOR BY THE HOSPITALS. 541186425 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 257 0 1 5021 0 1 1 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X GREG WOJTAL 5417894549 2650 SISKIYOU BLVD MEDFORD OR 97504 STEPHEN D ROE CHAIRPERSON 2.00 X X 0 0 0 THOMAS R MCGILLOWAY TRUSTEE 2.00 X X 0 0 0 RAY A COX TREASURER 2.00 X X 0 0 0 RONALD JONES MD TRUSTEE 2.00 X 0 0 0 ROY VINYARD PRESIDENT & CEO 40.00 X X 1076322 0 235257 ANNE GOLDEN SECRETARY 2.00 X 0 0 0 DOUGLASS SCHMOR VICE CHAIRPERSON 2.00 X X 0 0 0 THOMAS M TUREK MD TRUSTEE 2.00 X 0 0 0 PETER ANGSTADT TRUSTEE 2.00 X 0 0 0 LEE MILLIGAN MD TRUSTEE 1.00 40.00 X 0 333908 64900 SANDRA SLATTERY TRUSTEE 2.00 X 0 0 0 KEN TRAUTMAN TRUSTEE 2.00 X 0 0 0 LINDA GANIM TRUSTEE 2.00 X 0 0 0 SCOTT KELLY RRMC CEO 40.00 X 664945 0 128992 WIN HOWARD TRMC CEO 40.00 X 421599 0 129448 PATRICK HOCKING - THRU 13117 CFO - RETIRED 40.00 X 656449 0 244142 JAMES GREBOSKY CHIEF QUAL&SAFE OFFICER 40.00 X 520743 0 134458 GREG WOJTAL CFO AS OF 1/31/17 40.00 X 0 0 0 GREG EDWARDS PEOPLE OFFICER 40.00 X 372315 0 135657 MARK HETZ CH INFO OFFICER 40.00 X 396372 0 126317 JOHN BONK MEDICAL DOCTOR 40.00 X 414420 0 54823 MICHAEL MCCASKILL MEDICAL DOCTOR 40.00 X 447810 0 56456 JENNIFER HALL MEDICAL DOCTOR 40.00 X 371125 0 61898 JOSHUA COTT MEDICAL DOCTOR 40.00 X 391024 0 70316 ERIC LOELIGER MEDICAL DOCTOR 40.00 X 361649 0 116811 6094773 333908 1559475 355 0 1 0 SOUTHERN OREGON CARDIOLOGY LLC 520 MEDICAL CENTER DRIVE SUITE 200 MEDFORD OR 97504 CARDIAC SERVICES 4967920 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA ST STE 420 OMAHA NE 68154 MANAGEMENT SERVICES 1807031 SOUTHERN OREGON HOSPITALISTS 2640 E BARNETT RD MEDFORD OR 97504 PHYSICIAN SERVICES 1107654 CVISO MANAGEMENT COMPANY LLC 520 MEDICAL CENTER DRIVE SUITE 150 MEDFORD OR 97504 PHYSICIAN SERVICES 980284 EDWARDS LIFESCIENCES LLC ONE EDWARDS WAY IRVINE CA 92614 CHRONIC DISEASE MNGMNT 698449 8 995872 995872 HOSPITAL SERVICES 622110 643441996 642229619 1212377 643441996 13164635 13164635 1943485 4420518 -2477033 -2477033 -2477033 593146268 123496 562356418 0 30789850 123496 30913346 123496 30789850 5573893 4980040 593853 593853 OTHER OPERATING INCOME 900099 12920825 12920825 NUTRITION SERVICES 621990 4070229 4070229 JV INCOME 621990 241831 241831 17232885 703865554 659586000 1806230 41477452 234323 234323 4312932 2156466 2156466 269958698 233698511 36260187 13044394 11189941 1854453 60771023 55340273 5430750 19655754 17216328 2439426 2081654 60265 2021389 422329 422329 105947 105947 1565456 1565456 10531993 4804019 5727974 888205 888205 15677024 7838512 7838512 16945781 14663864 2281917 1346558 890877 455681 8440736 7585362 855374 40126507 29544201 10582306 2997535 2439339 558196 PATIENT SUPPLIES 105491564 105491564 PURCHASED SERVICES 35582753 29017218 6565535 BAD DEBTS 14414732 14414732 OTHER OPERATING EXPENSE 4011820 2603307 1408513 2588018 1997323 590695 631195736 541186425 90009311 0 50197909 5177740 79007337 112361883 12192538 15542783 7541291 7977416 7275899 8946754 902820346 554223176 337894132 348597170 538324733 593313782 24978779 79213512 1057412618 1171131040 16273351 10586828 32425000 31850000 231847568 209672838 101611152 140193759 382157071 392303425 X 675255547 778827615 675255547 778827615 1057412618 1171131040 X 72669818 18571688 12330562 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 54647 0 0 1 51300 105947 0 PART II-B, LINE 1: ASANTE MAINTAINS MEMBERSHIPS IN THE AMERICAN HOSPITAL ASSOC (AHA) AND OREGON ASSOC OF HOSPITALS AND HEALTHCARE SYSTEMS (OAHHS). DURING TAX YEAR 2016, ASANTE PAID MEMBERSHIP DUES TO THE AHA AND OAHHS OF $79,698 AND $203,432 RESPECTIVELY. 18.39% OF OAHHS DUES AND 22.98% OF AHA DUES WENT FOR LOBBYING PURPOSES. THUS, ASANTE MADE INDIRECT LOBBYING EXPENDITURES OF $54,647 THROUGH ITS MEMBERSHIP DUES. ALSO, ASANTE PAID JOHN WATT AND ASSOCIATES (JWA) $51,300 FOR SPECIFIC ISSUES LOBBYING DURING THE TAX YEAR. JWA IS AN ADVOCATE FOR ASANTE AND SPECIALIZES IN BALLOT PROPOSITIONS AFFECTING THE HEALTHCARE INDUSTRY. 19768780 1025379 712656 470828 21035987 19809910 65967 149912 257009 19768780 19262867 369173 213139 35278 19809910 18901661 320785 181774 141353 19262867 18536029 268729 163135 66232 18901661 0.73880 0.24670 0.01450 0 1 1 13611701 14232579 27844280 392683626 202066493 190617133 975012 429699 545313 454958059 345584175 109373884 26359369 6142809 20216560 348597170 INVEST IN HEALTHCARE VENTURES 5550065 INTERCOMPANY RECEIVABLES 59803395 OTHER ASSETS 13860052 79213512 SELF INSURANCE RESERVE 7707208 REIMBURSEMENT DUE GOVT AGENCIES & 3RD PARTIES 3659030 OTHER CURRENT LIABILITIES 34058919 LONG TERM LIABILITIES 42672507 PAYROLL/BENEFITS PAYABLE 36379456 CURRENT PORTION LT DEBT 15716639 140193759 X 848763603 162024674 162024674 686738929 1565456 15561169 17126625 703865554 820659250 205024683 205024683 615634567 15561169 15561169 631195736 PART V, LINE 4: THE ASANTE FOUNDATION, A 501(C)(3) ORGANIZATION, IS DIRECTLY RELATED TO AND CONTROLLED BY ASANTE. IT IS IDENTIFIED ON SCHEDULE R, PART II AS A RELATED TAX-EXEMPT ORGANIZATION. THE ASANTE FOUNDATION MAINTAINS THE ASSETS OF 14 DIFFERENT ENDOWMENTS WITH A NET WORTH OF OVER $18.4 MILLION. THE CORPUS OF THE ENDOWMENTS IS TO REMAIN INTACT AND INVESTED IN MARKETABLE SECURITIES AND OTHER FINANCIAL INSTRUMENTS. AT THE END OF EACH FISCAL YEAR, ANY INVESTMENT INCOME GENERATED FROM THE ENDOWMENTS IS RELEASED TO ASANTE. THE INCOME RECEIVED IS USED TO SUBSIDIZE NUMEROUS PROGRAMS, INCLUDING THE RRMC HOSPICE, PHYSICIAN AND NURSING EDUCATION, CHILDREN'S HEALTH, ONCOLOGY PROGRAMS, AND SUPPORT OF THE FRANCIS CHENEY AND THREE RIVERS FAMILY HOUSES. PART X, LINE 2: IT IS THE OPINION OF BOTH THE MANAGEMENT OF ASANTE AND KPMG THAT NO UNCERTAIN TAX POSITIONS WERE TAKEN DURING THE FISCAL YEAR. THIS OPINION IS STATED IN THE FOOTNOTES OF THE AUDITED CONSOLIDATED FINANCIAL STATMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ASANTE FOUNDATION INVESTMENT INCOME 1,812,307. OPERATING INCOME FROM AFFILIATES INCLUDED IN CONSOLIDATED FINANCIAL STMT 120,389,883. PROVIDER TAX NETTED WITH REVENUE FOR TAX RETURN 33,485,000. AFFILIATE INVESTMENT REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STMT 1,357,444. COST OF GOODS SOLD NETTED WITH REVENUE 4,980,040. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STMT 15,561,169. FOUNDATION NONOPERATING LOSS INCLUDED IN CONSOLIDATED FINANCIAL STMT PART XII, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON INVESTMENTS 20,151,678. AFFILIATE OPERATING EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STMT 146,407,965. PROVIDER TAX NETTED WITH REVENUE FOR TAX RETURN 33,485,000. COST OF GOODS SOLD NETTED WITH REVENUE 4,980,040. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 15,561,169. SCHEDULE D PART XI, XII AND XIII THE FINANCIAL STATEMENTS AND SCHEDULES OF ASANTE ARE AUDITED BY THE ACCOUNTING FIRM OF KPMG. THEY ARE COMPILED ON A CONSOLIDATED BASIS. THE CONSOLIDATED FINANCIAL STATEMENTS AND SCHEDULES CONTAIN FINANCIAL INFORMATION ABOUT ENTITIES WITHIN ASANTE THAT ARE NOT INCLUDED ON THE ASANTE FORM 990. FINANCIAL INFORMATION ABOUT THE ASANTE FOUNDATION, ASANTE PHYSICIANS PARTNERS, SOUTHERN OREGON INSURANCE COMPANY, AND ASANTE ASHLAND COMMUNITY HOSPITAL ARE INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS BUT, SINCE EACH OF THOSE ENTITIES RETAIN THEIR OWN TAX IDENTIFICATION NUMBER, THEY FILE THEIR OWN SEPARATE FORM 990. THUS, THEIR FINANCIAL INFORMATION IS EXCLUDED FROM THE ASANTE FORM 990 AND ARE INCLUDED AS RECONCILING ITEMS ON SCHEDULE D. ON THE ASANTE FORM 990, SCHEDULE D, PARTS XI, XII, AND XIII, WE HAVE RECONCILED THE TOTAL REVENUES, TOTAL EXPENSES, AND NET ASSETS TO THE CONSOLIDATED STATEMENT OF OPERATIONS ON THE AUDITED FINANCIAL STATEMENTS. IN MANY CASES, THE FINANCIAL INFORMATION OF THESE OTHER ENTITIES IS CONTAINED WITHIN THE REVENUE, EXPENSES, AND NET ASSETS ITEMS IN THE FINANCIAL STATEMENT AND MAY NOT BE READILY DISTINGUISHED ON THE FINANCIAL STATEMENT LINE ITEMS. 1 1 X 1 X 1 X 1 1 0 1 1 100388 10109077 10109077 0.01600 123884 156329258 71554562 84774696 0.13430 13318 21697006 16575833 5121173 0.00810 237590 188135341 88130395 100004946 0.15840 9048 4033027 353807 3679220 0.00580 2400842 23300 2377542 0.00380 12281836 8887834 3394002 0.00540 0 0 795915 795915 0.00130 9048 19511620 9264941 10246679 0.01630 246638 207646961 97395336 110251625 0.17470 49848 49848 0.00010 77027 24222 52805 0.00010 126875 24222 102653 0.00020 1 14414732 2522578 174463467 217326575 -42863108 X 1 1 1 SISKIYOU IMAGING RADIOLOGY & IMAGING SVC 0.33330 0.33330 2 CVI MANAGEMENT CO LLC MANAGEMENT SERVICES 0.25000 0.75000 3 CVI REAL PROPERTY PROPERTY MANAGEMENT 0.25000 0.75000 4 SOUTHERN OREGON LINEN SVCS LINEN PROCESSING 0.39900 5 HEALTH FUTURE LLC SUPPLIES PURCHASING 0.16700 7 SURGERY CENTER OF SO OREGON OUTPATIENT SURGERIES 0.20000 0.80000 8 LHC HOME HEALTH 0.25000 9 ACCENTCARE HOME HEALTH 0.10000 10 PROPEL HEALTH POPULATION HEALTH 0.21360 11 WOMEN'S CENTER WOMEN'S IMAGING 0.50000 2 1 ROGUE REGIONAL MEDICAL CENTER 2825 E BARNETT ROAD MEDFORD OR 97504 WWW.ASANTE.ORG 14-0451 X X X 2 THREE RIVERS MEDICAL CENTER 500 SW RAMSEY AVE GRANTS PASS OR 97527 WWW.ASANTE.ORG 14-1439 X X X ROGUE REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTP://WWW.ASANTE.ORG/APP/FILES/PUBLIC/2053/2016-COMMUNITY-HEALTH-NEEDS-ASS X 1 16 1 HTTP://WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X X X X X X 1 0 X X X X 1 X 0 0 THREE RIVERS MEDICAL CENTER 2 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTP://WWW.ASANTE.ORG/APP/FILES/PUBLIC/2053/2016-COMMUNITY-HEALTH-NEEDS-ASS X 1 16 1 HTTP://WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ X X X X X X 1 0 X X X X 1 X 0 0 ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE AND ASHLAND COMMUNITY HOSPITAL PARTNERED WITH PROFESSIONAL RESEARCH CONSULTANTS, INC. TO COMPLETE 600 COMMUNITY SURVEYS IN FISCAL YEAR 2017. THAT YEAR, WE ALSO HELD A FOCUS GROUP COMPRISED OF 7 KEY COMMUNITY LEADERS FROM JACKSON AND JOSEPHINE COUNTIES. THE FOCUS GROUP DISCUSSED THE INDIVIDUAL LEADERS' EXPERIENCES AND PERCEPTIONS OF THE TOP HEALTH CONCERNS IN OUR COMMUNITY. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE PARTNERED WITH PROFESSIONAL RESEARCH CONSULTANTS, INC. TO COMPLETE 600 COMMUNITY SURVEYS IN FISCAL YEAR 2017. THAT YEAR, WE ALSO HELD A FOCUS GROUP COMPRISED OF 7 KEY COMMUNITY LEADERS FROM JACKSON AND JOSEPHINE COUNTIES. THE FOCUS GROUP DISCUSSED THE INDIVIDUAL LEADERS' EXPERIENCES AND PERCEPTIONS OF THE TOP HEALTH CONCERNS IN OUR COMMUNITY. ALSO REQUIRED IS THE DEVELOPMENT AND EXECUTION OF AN IMPLEMENTATION STRATEGY TO ADDRESS THESE CONCERNS. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGONTHREE RIVERS MEDICAL CENTER IN GRANTS PASS, OREGON THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 6A: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGONROGUE REGIONAL MEDICAL CENTER IN MEDFORD, OREGON ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: ACCESSALLCAREALLIED SOLUTIONSASHLAND EMERGENCY FOOD BANKASHLAND FIRE & RESCUEASHLAND GRACE POINT CHURCHASHLAND HIGH SCHOOLASHLAND SCHOOL DISTRICTBOYS & GIRLS CLUBS OF THE ROGUE VALLEYCASA OF JACKSON AND JOSEPHINE COUNTIESCENTRAL POINT SCHOOL DISTRICT 6CHILDREN'S ADVOCACY CENTER OF JACKSON COUNTYCITY COUNCILCITY OF ASHLANDCITY OF EAGLE POINTCITY OF JACKSONVILLECITY OF MEDFORDCITY OF TALENTCOMMUNITY VOLUNTEER NETWORKCOMPASS HOUSE EASTWOOD BAPTIST CHURCH FOOD & FRIENDS: MEALS ON WHEELSGORDON ELWOOD FOUNDATION GRANTS PASS CITY COUNCIL GRANTS PASS DAILY COURIER GRANTS PASS DEPARTMENT OF PUBLIC SAFETY GRANTS PASS FAMILY YMCA GRANTS PASS FIRE RESCUE GRANTS PASS SCHOOL DISTRICT GRANTS PASS SCHOOL DISTRICT 7 HABITAT FOR HUMANITY HEARTS WITH A MISSION HIGHLAND ELEMENTARY SCHOOL HOUSING AUTHORITY OF JACKSON COUNTY JACKSON CARE CONNECT JACKSON COUNTY BOARD OF COMMISSIONERS JACKSON COUNTY HEALTH AND HUMAN SERVICES JACKSON COUNTY LIBRARY JACKSON COUNTY MENTAL HEALTH JACKSON COUNTY PUBLIC HEALTH JEFFERSON REGIONAL HEALTH ALLIANCE JEROME PRAIRIE BIBLE CHURCH JOSEPHINE COUNTY JOSEPHINE COUNTY BOARD OF COMMISSIONERS JOSEPHINE COUNTY FOUNDATION JOSEPHINE COUNTY PUBLIC HEALTH JOSEPHINE COUNTY SCHOOL SYSTEM JOSEPHINE HOUSING COUNCIL JWA PUBLIC AFFAIRS KAIROS KTVL TV LA CLINICALAW ENFORCEMENTLINCOLN ELEMENTARY SCHOOL MAIL TRIBUNE MASLOW PROJECT MEDFORD FIRE-RESCUE MEDFORD PARKS AND RECREATION MEDFORD POLICE DEPARTMENT MEDFORD SCHOOL DISTRICT MERCY FLIGHTS MOUNT ASHLAND ASSOCIATION NAMI NORTH MEDFORD HIGH SCHOOL ONTRACK, INC. OPTIONS FOR SOUTHERN OREGON OREGON COMMUNITY FOUNDATION OREGON HEALTH AUTHORITY OREGON SHAKESPEARE FESTIVAL OSU EXTENSION SERVICES OUR LADY OF THE MOUNTAIN CATHOLIC CHURCH PRIMECARE, INC. ROGUE COMMUNITY COLLEGE ROGUE COMMUNITY HEALTH ROGUE VALLEY COUNCIL OF GOVERNMENTS ROGUE VALLEY FAMILY YMCA ROGUE VALLEY METROPOLITAN PLANNING ORGANIZATION SISKIYOU COMMUNITY HEALTH CENTER SOREDI (SOUTHERN OREGON REGIONAL ECONOMIC DEVELOPMENT, INC.) SOUTHERN OREGON GOODWILL INDUSTRIES ST. MARY'S SCHOOLCOMMUNICATION STRATEGIES THE ARC OF JACKSON COUNTY THE CHAMBER OF MEDFORD/JACKSON COUNTY THE SALVATION ARMY, MEDFORD UNITED COMMUNITY ACTION NETWORK UCANUNITED WAY OF JACKSON COUNTY WORKSOURCE ROGUE VALLEY THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 6B: ACCESSALLCAREALLIED SOLUTIONSASHLAND EMERGENCY FOOD BANKASHLAND FIRE & RESCUEASHLAND GRACE POINT CHURCHASHLAND HIGH SCHOOLASHLAND SCHOOL DISTRICTBOYS & GIRLS CLUBS OF THE ROGUE VALLEYCASA OF JACKSON AND JOSEPHINE COUNTIESCENTRAL POINT SCHOOL DISTRICT 6CHILDREN'S ADVOCACY CENTER OF JACKSON COUNTYCITY COUNCILCITY OF ASHLANDCITY OF EAGLE POINTCITY OF JACKSONVILLECITY OF MEDFORDCITY OF TALENTCOMMUNITY VOLUNTEER NETWORKCOMPASS HOUSE EASTWOOD BAPTIST CHURCH FOOD & FRIENDS: MEALS ON WHEELSGORDON ELWOOD FOUNDATION GRANTS PASS CITY COUNCIL GRANTS PASS DAILY COURIER GRANTS PASS DEPARTMENT OF PUBLIC SAFETY GRANTS PASS FAMILY YMCA GRANTS PASS FIRE RESCUE GRANTS PASS SCHOOL DISTRICT GRANTS PASS SCHOOL DISTRICT 7 HABITAT FOR HUMANITY HEARTS WITH A MISSION HIGHLAND ELEMENTARY SCHOOL HOUSING AUTHORITY OF JACKSON COUNTY JACKSON CARE CONNECT JACKSON COUNTY BOARD OF COMMISSIONERS JACKSON COUNTY HEALTH AND HUMAN SERVICES JACKSON COUNTY LIBRARY JACKSON COUNTY MENTAL HEALTH JACKSON COUNTY PUBLIC HEALTH JEFFERSON REGIONAL HEALTH ALLIANCE JEROME PRAIRIE BIBLE CHURCH JOSEPHINE COUNTY JOSEPHINE COUNTY BOARD OF COMMISSIONERS JOSEPHINE COUNTY FOUNDATION JOSEPHINE COUNTY PUBLIC HEALTH JOSEPHINE COUNTY SCHOOL SYSTEM JOSEPHINE HOUSING COUNCIL JWA PUBLIC AFFAIRS KAIROS KTVL TV LA CLINICALAW ENFORCEMENTLINCOLN ELEMENTARY SCHOOL MAIL TRIBUNE MASLOW PROJECT MEDFORD FIRE-RESCUE MEDFORD PARKS AND RECREATION MEDFORD POLICE DEPARTMENT MEDFORD SCHOOL DISTRICT MERCY FLIGHTS MOUNT ASHLAND ASSOCIATION NAMI NORTH MEDFORD HIGH SCHOOL ONTRACK, INC. OPTIONS FOR SOUTHERN OREGON OREGON COMMUNITY FOUNDATION OREGON HEALTH AUTHORITY OREGON SHAKESPEARE FESTIVAL OSU EXTENSION SERVICES OUR LADY OF THE MOUNTAIN CATHOLIC CHURCH PRIMECARE, INC. ROGUE COMMUNITY COLLEGE ROGUE COMMUNITY HEALTH ROGUE VALLEY COUNCIL OF GOVERNMENTS ROGUE VALLEY FAMILY YMCA ROGUE VALLEY METROPOLITAN PLANNING ORGANIZATION SISKIYOU COMMUNITY HEALTH CENTER SOREDI (SOUTHERN OREGON REGIONAL ECONOMIC DEVELOPMENT, INC.) SOUTHERN OREGON GOODWILL INDUSTRIES ST. MARY'S SCHOOLCOMMUNICATION STRATEGIES THE ARC OF JACKSON COUNTY THE CHAMBER OF MEDFORD/JACKSON COUNTY THE SALVATION ARMY, MEDFORD UNITED COMMUNITY ACTION NETWORK UCANUNITED WAY OF JACKSON COUNTY WORKSOURCE ROGUE VALLEY ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: IDENTIFIED HEALTH NEEDS THE TOP TWELVE HEALTH NEEDS IDENTIFIED BY BOTH SURVEY AND FOCUS GROUP PARTICIPANTS ARE:1. ACCESS TO HEAL CARE SERVICES 2. MENTAL HEALTH & SUBSTANCE ABUSE 3. HEART DISEASE AND STROKE 4. INFANT HEALTH AND FAMILY PLANNING 5. DIABETES 6. NUTRITION 7. RESPIRATORY DISEASES 8. CANCER 9. DISABILITY AND HEALTH 10. INJURY AND VIOLENCE PREVENTION 11. TOBACCO USE 12. DEMENTIAS, INCLUDING ALZHEIMER'S DISEASEIMPLEMENTATION STRATEGYEACH OF THE INITIATIVES AND ACTIONS BELOW AS THEY RELATE TO THE TOP 12 COMMUNITY HEALTH NEEDS (ONLY 8 ARE LISTED DUE TO SPACE CONSTRAINTS) CATEGORIES AS IDENTIFIED IN THE CHNA WILL BE FULFILLED OR IMPLEMENTED BY: O ASANTE O ASANTE ASHLAND COMMUNITY HOSPITAL (AACH) O ASANTE ROGUE REGIONAL MEDICAL CENTER (ARRMC) O ASANTE THREE RIVERS MEDICAL CENTER (ATRMC) O ASANTE PHYSICIAN PARTNERS (APP) 1. ACCESS TO HEALTH CARE SERVICES CURRENT: - INCREASED THE NUMBER OF APP PROVIDERS - HIRED CERTIFIED APPLICATION COUNSELORS TO HELP INCREASE ACCESS TO CARE FOR OHP PATIENTS - OPENED THE TRANSITIONAL CARE CLINIC AT ATRMC - ADDED AN URGENT CARE LOCATION IN MEDFORD - SPONSORED ROGUE COMMUNITY COLLEGE HEALTH PROFESSIONALS CURRICULUM PROGRAMS FOR STUDENTS - PROVIDED FUNDING FOR THE SCHOOL NURSE PROGRAM IN THE ASHLAND AND PHOENIX-TALENT SCHOOL DISTRICTS - ADDED DISCHARGE PLANNERS AND CASE MANAGERS AT ARRMC TO REDUCE READMISSION RATES - IMPLEMENTED A NURSE TRIAGE PROGRAM AT THE CONTACT CENTER FOR SELECT APP CLINICS - ADDED 24/7 ACCESS TO TELE-INTENSIVISTS FOR ICU PATIENTS AT ATRMC AND AACH - SPONSORED THE HOLMES PARK HOUSE HOSPICE CARE FACILITY - SPONSORED THE ST. VINCENT DE PAUL DENTAL VAN - SPONSORED THE ROGUE VALLEY SOROPTIMIST WINE WALK FOR WOMEN'S HEALTH TO BENEFIT PREVENTION, DETECTION, TREATMENT AND SUPPORT SERVICES FOR UNINSURED AND UNDER-INSURED WOMEN AND CHILDREN FUTURE: - EXPAND THE USE OF TELEMEDICINE CAPABILITIES FOR APP PROVIDERS - RECRUIT AND HIRE ADDITIONAL APP PROVIDERS - OPEN AN URGENT CARE CLINIC IN WHITE CITY AND EXPLORE URGENT CARE OPPORTUNITIES IN CENTRAL POINT - OPEN ADDITIONAL RETAIL HEALTH CARE CLINICS WITHIN ASANTE'S SERVICE AREA - EXPAND THE NURSE TRIAGE PROGRAM FOR ALL APP PRIMARY CARE CLINICS 2. MENTAL HEALTH & SUBSTANCE ABUSE CURRENT: - ADDED FOUR BEHAVIORAL HEALTH "SWING" ROOMS IN THE ARRMC EMERGENCY DEPARTMENT - REMODELED AND ADDED ONE ROOM TO THE PSYCHIATRIC CRISIS UNIT IN THE ARRMC EMERGENCY DEPARTMENT TO ACCOMMODATE PATIENTS OF ALL AGES - ADOPTED THE TRAUMA-INFORMED CARE MODEL - CREATED THE COMFORT ROOM IN THE BEHAVIORAL HEALTH UNIT AT ARRMC - PAINTED THE PSYCHIATRIC CARE ROOMS AT ATRMC TO A MORE SOOTHING COLOR - INCREASED THE NUMBER OF APP BEHAVIORAL HEALTH STAFF MEMBERS - ADDED LICENSED CLINICAL SOCIAL WORKERS TO APP FAMILY PRACTICE CLINICS AS PART OF THE MEDICAL HOME MODEL OF CARE - PROVIDED FINANCIAL SUPPORT TO COMPASS HOUSE FOR TRANSITIONAL CARE FROM HOSPITAL TO HOME - SPONSORED THE NATIONAL ALLIANCE ON MENTAL ILLNESS MARCH 4 HOPE, REESTABLISHING ASANTE'S RELATIONSHIP WITH NAMI OF SOUTHERN OREGON- PARTNERED WITH NAMI OF SOUTHERN OREGON TO CREATE A QUARTERLY COMMUNITY MENTAL HEALTH LECTURE SERIES - PROVIDED FINANCIAL COMMITMENT TO SUPPORT THE CRISIS RESOLUTION CENTER IN MEDFORD - PROVIDED ONGOING FINANCIAL SUPPORT FOR THE GRANTS PASS SOBERING CENTER - PROVIDED FINANCIAL SUPPORT FOR ADDICTIONS RECOVERY CENTER'S MEDICALLY-MONITORED DETOXIFICATION CENTER - PARTNERED WITH ASHLAND POLICE DEPARTMENT, ON TRACK AND AACH TO CREATE A DRUG-SURRENDER PROGRAM FOR PEOPLE WITH CHEMICAL DEPENDENCY FUTURE: - RENOVATE THE BEHAVIORAL HEALTH UNIT AND INCREASE THE NUMBER OF BEDS FROM 18 TO 24 - OFFER TELEMEDICINE CONSULTS AND EVALUATIONS FOR MENTAL HEALTH PATIENTS 3. HEART DISEASE AND STROKE CURRENT: - PRIMARY FINANCIAL SPONSOR OF THE PULSEPOINT HEART ATTACK NOTIFICATION APP IN JACKSON AND JOSEPHINE COUNTIES - ESTABLISHED A CO-MANAGEMENT AGREEMENT WITH SOUTHERN OREGON CARDIOLOGY - REDUCED CLINICAL VARIATION AND STANDARDIZED SUPPLY COSTS IN THE CATH LAB AT ARRMC - PARTNERED WITH OHSU FOR TELESTROKE AT ATRMC - RECEIVED ACUTE STROKE READY CERTIFICATION AT ATRMC BY OUR ACCREDITING AGENCY, DNV GL (DET NORSKE VERITAS GERMANISCHER LLOYD) - PROMOTED NATIONAL HEART MONTH ACTIVITIES AND EDUCATION - SUPPORTED MENDED HEARTS PEER-TO-PEER SUPPORT GROUP - REINSTATED SEVERAL CATH LABS AT ARRMC TO ACCOMMODATE INCREASED PATIENT VOLUMES - ADDED A TRANSCATHETER AORTIC VALVE REPLACEMENT PROGRAM AT ARRMC AS LEADING EDGE HEART CARE FOR PATIENTS - EXPANDED THE SCOPE OF CARDIAC REHABILITATION SERVICES AT ARRMC - SPONSORED THE AMERICAN COLLEGE OF CARDIOLOGY OREGON CARDIOVASCULAR SYMPOSIUM AND NURSING HEART FAILURE CONFERENCE - CONSISTENTLY MET QUALITY AND SAFETY CRITERIA TO BE AWARDED THE AMERICAN HEART ASSOCIATION MISSION: LIFELINE RECEIVING CENTER GOLD PLUS RECOGNITION - CONSISTENTLY MET QUALITY AND SAFETY CRITERIA TO BE AWARDED THE AMERICAN HEART ASSOCIATION MISSION: LIFELINE GOLD PLUS STEMI RECOGNITION FUTURE: - SUPPORT THE RECRUITMENT OF ADDITIONAL NEUROSURGEONS TO SOUTHERN OREGON - ATTAIN LEVEL II TRAUMA CENTER STATUS AT ARRMC 4. INFANT HEALTH AND FAMILY PLANNING CURRENT: - HIRED MATERNAL FETAL MEDICINE PROVIDERS - CREATED A MIDWIFERY PROGRAM AT APP AND AACH - MAINTAINED THE ONLY REGIONAL NEONATAL INTENSIVE CARE UNIT (NICU) - PURCHASED AN ISOLETTE TRANSPORTER FOR FRAGILE INFANTS - HIRED SIX PEDIATRIC HOSPITALISTS - DEVELOPED A FORMAL PEDIATRIC HOSPITALIST PROGRAM - HIRED A PEDIATRIC ONCOLOGIST - RENOVATED THE PEDIATRIC UNIT AT ARRMC - PARTNERED WITH OHSU TO PROVIDE TELEMEDICINE FOR PEDIATRIC INPATIENTS - IMPLEMENTED OHSU ROTATING CLINICS FOR PEDIATRIC PATIENTS - IMPLEMENTED QUIET TIME IN THE NICU AND SPECIAL CARE NURSERY TO PROMOTE HEALING - RENOVATED AND EXPANDED THE FAMILY BIRTH CENTER AT AACH - ADDED THREE PEDIATRIC CARE ROOMS AT ATRMC FUTURE: - DEVELOP AN OBSTETRICAL LABORIST SERVICE AT ARRMC 5. DIABETES CURRENT: - BUILT A DEMONSTRATION KITCHEN AT ASANTE CENTER FOR OUTPATIENT HEALTH FOR DIABETES NUTRITION EDUCATION - ESTABLISHED A DIABETES CARE CENTER AND NUTRITION SERVICES IN MEDFORD AND GRANTS PASS - ADDED INPATIENT CONSULTS FOR PEOPLE WITH DIABETES - ESTABLISHED BLOOD GLUCOSE MONITORING CLINICS - HIRED AN APP ENDOCRINOLOGIST 6. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT CURRENT: - BUILT A DEMONSTRATION KITCHEN AT ASANTE CENTER FOR OUTPATIENT HEALTH FOR COOKING CLASSES AND DIABETES NUTRITION EDUCATION - PARTNERED WITH SOUTHERN OREGON BARIATRIC CENTER AND OREGON SURGICAL SPECIALISTS - HIRED INPATIENT AND OUTPATIENT NUTRITION COUNSELORS - HELD ANNUAL EMPLOYEE FITNESS AND WEIGHT MANAGEMENT CHALLENGES - SPONSORED THE ANNUAL PEAR BLOSSOM RUN AND WALK - SPONSORED SEVERAL COMMUNITY SPORTING EVENTS TO SUPPORT LOCAL SCHOOL AND YOUTH PROGRAMS - SPONSORED THE HEALTHY FOOD FESTIVAL IN GRANTS PASS - SPONSORED THE ACCESS FOOD SHARE PROGRAM - SPONSORED THE FRIENDS OF JOSEPHINE COUNTY FOOD BANK - DONATED FOOD TO HEARTS WITH A MISSION FOR HOMELESS YOUTH - SPONSORED BLUE ZONES PROJECT IN GRANTS PASS FOR HEALTHIER, MORE ACTIVE LIVING - SPONSORED THE ASHLAND HIGH SCHOOL SPORTS PROGRAM AND ATHLETIC TRAINERS TO ENSURE PLAYER SAFETY - SPONSORED THE ASHLAND CHAMBER OF COMMERCE COMMUNITY-WIDE HEALTH AND WELLBEING INITIATIVE FUTURE: - ADD COMPREHENSIVE PRIMARY CARE PLUS (CPC+) AS PART OF THE MEDICAL HOME MODEL OF CARE 7. RESPIRATORY DISEASES CURRENT: - REMODELED AND EXPANDED CARDIOPULMONARY SERVICES AT ARRMC - HIRED SEVEN PULMONOLOGISTS AND TWO PULMONARY NURSE PRACTITIONERS TO APP - EXPANDED CARDIOPULMONARY TESTING SERVICES TO AACH - IMPLEMENTED A PROCESS TO SCHEDULE DISCHARGED PATIENTS WITH PNEUMONIA AND RESPIRATORY ISSUES TO AN APP PULMONOLOGIST - IMPLEMENTED A ROTATING APP PULMONOLOGIST IN GRANTS PASS - IMPLEMENTED TELEMEDICINE PULMONARY INTENSIVISTS CONSULTS AT ALL THREE HOSPITALS - ADDED A SLEEP LAB PROGRAM AT ATRMC FUTURE: - OFFER LUNG CANCER SCREENING CLINICS - RECRUIT ADDITIONAL PULMONOLOGISTS TO APP 8. CANCER CURRENT: - ESTABLISHED A GYNECOLOGIC CANCER SUPPORT GROUP - HIRED A PEDIATRIC ONCOLOGIST - PARTNERED WITH OHSU TO BRING A CANCER SPECIALIST/SURGEON TO ARRMC EACH MONTH - PROMOTED NATIONAL BREAST CANCER AWARENESS MONTH ACTIVITIES AND EDUCATION - HIRED AN ONCOLOGY NURSE NAVIGATOR FOR ALL CANCER-TYPES - EXPANDED THE BREAST CANCER NURSE NAVIGATOR PROGRAM TO JOSEPHINE COUNTY - ADDED 3-D MAMMOGRAPHY TO ALL THREE IMAGING CENTERS - ADDED BREAST MRI CAPABILITY AT ARRMC - REMODELED THE SPEARS CANCER CENTER AND UPGRADED WITH A NEW LINEAR ACCELERATOR FUTURE: - RECRUIT AN EAR, NOSE AND THROAT PHYSICIAN TO DO NECK AND THROAT CANCER SURGERIES - PROVIDE DIRECT INFUSION INTERVENTION FOR CHEMO PATIENTS - OFFER LUNG CANCER SCREENING CLINICS - BUILD AN ONCOLOGY MEDICAL OFFICE TO PROVIDE COMPREHENSIVE CANCER SERVICES THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 11: IDENTIFIED HEALTH NEEDS THE TOP TWELVE HEALTH NEEDS IDENTIFIED BY BOTH SURVEY AND FOCUS GROUP PARTICIPANTS ARE:1. ACCESS TO HEAL CARE SERVICES 2. MENTAL HEALTH & SUBSTANCE ABUSE 3. HEART DISEASE AND STROKE 4. INFANT HEALTH AND FAMILY PLANNING 5. DIABETES 6. NUTRITION 7. RESPIRATORY DISEASES 8. CANCER 9. DISABILITY AND HEALTH 10. INJURY AND VIOLENCE PREVENTION 11. TOBACCO USE 12. DEMENTIAS, INCLUDING ALZHEIMER'S DISEASEIMPLEMENTATION STRATEGYEACH OF THE INITIATIVES AND ACTIONS BELOW AS THEY RELATE TO THE TOP 12 COMMUNITY HEALTH NEEDS (ONLY 8 ARE LISTED DUE TO SPACE CONSTRAINTS) CATEGORIES AS IDENTIFIED IN THE CHNA WILL BE FULFILLED OR IMPLEMENTED BY: O ASANTE O ASANTE ASHLAND COMMUNITY HOSPITAL (AACH) O ASANTE ROGUE REGIONAL MEDICAL CENTER (ARRMC) O ASANTE THREE RIVERS MEDICAL CENTER (ATRMC) O ASANTE PHYSICIAN PARTNERS (APP) 1. ACCESS TO HEALTH CARE SERVICES CURRENT: -INCREASED THE NUMBER OF APP PROVIDERS - HIRED CERTIFIED APPLICATION COUNSELORS TO HELP INCREASE ACCESS TO CARE FOR OHP PATIENTS - OPENED THE TRANSITIONAL CARE CLINIC AT ATRMC - ADDED AN URGENT CARE LOCATION IN MEDFORD - SPONSORED ROGUE COMMUNITY COLLEGE HEALTH PROFESSIONALS CURRICULUM PROGRAMS FOR STUDENTS - PROVIDED FUNDING FOR THE SCHOOL NURSE PROGRAM IN THE ASHLAND AND PHOENIX-TALENT SCHOOL DISTRICTS - ADDED DISCHARGE PLANNERS AND CASE MANAGERS AT ARRMC TO REDUCE READMISSION RATES - IMPLEMENTED A NURSE TRIAGE PROGRAM AT THE CONTACT CENTER FOR SELECT APP CLINICS - ADDED 24/7 ACCESS TO TELE-INTENSIVISTS FOR ICU PATIENTS AT ATRMC AND AACH - SPONSORED THE HOLMES PARK HOUSE HOSPICE CARE FACILITY - SPONSORED THE ST. VINCENT DE PAUL DENTAL VAN - SPONSORED THE ROGUE VALLEY SOROPTIMIST WINE WALK FOR WOMEN'S HEALTH TO BENEFIT PREVENTION, DETECTION, TREATMENT AND SUPPORT SERVICES FOR UNINSURED AND UNDER-INSURED WOMEN AND CHILDREN FUTURE: - EXPAND THE USE OF TELEMEDICINE CAPABILITIES FOR APP PROVIDERS - RECRUIT AND HIRE ADDITIONAL APP PROVIDERS - OPEN AN URGENT CARE CLINIC IN WHITE CITY AND EXPLORE URGENT CARE OPPORTUNITIES IN CENTRAL POINT - OPEN ADDITIONAL RETAIL HEALTH CARE CLINICS WITHIN ASANTE'S SERVICE AREA - EXPAND THE NURSE TRIAGE PROGRAM FOR ALL APP PRIMARY CARE CLINICS 2. MENTAL HEALTH & SUBSTANCE ABUSE CURRENT: - ADDED FOUR BEHAVIORAL HEALTH "SWING" ROOMS IN THE ARRMC EMERGENCY DEPARTMENT - REMODELED AND ADDED ONE ROOM TO THE PSYCHIATRIC CRISIS UNIT IN THE ARRMC EMERGENCY DEPARTMENT TO ACCOMMODATE PATIENTS OF ALL AGES - ADOPTED THE TRAUMA-INFORMED CARE MODEL - CREATED THE COMFORT ROOM IN THE BEHAVIORAL HEALTH UNIT AT ARRMC - PAINTED THE PSYCHIATRIC CARE ROOMS AT ATRMC TO A MORE SOOTHING COLOR - INCREASED THE NUMBER OF APP BEHAVIORAL HEALTH STAFF MEMBERS - ADDED LICENSED CLINICAL SOCIAL WORKERS TO APP FAMILY PRACTICE CLINICS AS PART OF THE MEDICAL HOME MODEL OF CARE - PROVIDED FINANCIAL SUPPORT TO COMPASS HOUSE FOR TRANSITIONAL CARE FROM HOSPITAL TO HOME - SPONSORED THE NATIONAL ALLIANCE ON MENTAL ILLNESS MARCH 4 HOPE, REESTABLISHING ASANTE'S RELATIONSHIP WITH NAMI OF SOUTHERN OREGON - PARTNERED WITH NAMI OF SOUTHERN OREGON TO CREATE A QUARTERLY COMMUNITY MENTAL HEALTH LECTURE SERIES - PROVIDED FINANCIAL COMMITMENT TO SUPPORT THE CRISIS RESOLUTION CENTER IN MEDFORD - PROVIDED ONGOING FINANCIAL SUPPORT FOR THE GRANTS PASS SOBERING CENTER - PROVIDED FINANCIAL SUPPORT FOR ADDICTIONS RECOVERY CENTER'S MEDICALLY-MONITORED DETOXIFICATION CENTER - PARTNERED WITH ASHLAND POLICE DEPARTMENT, ON TRACK AND AACH TO CREATE A DRUG-SURRENDER PROGRAM FOR PEOPLE WITH CHEMICAL DEPENDENCY FUTURE: - RENOVATE THE BEHAVIORAL HEALTH UNIT AND INCREASE THE NUMBER OF BEDS FROM 18 TO 24 - OFFER TELEMEDICINE CONSULTS AND EVALUATIONS FOR MENTAL HEALTH PATIENTS 3. HEART DISEASE AND STROKE CURRENT: - PRIMARY FINANCIAL SPONSOR OF THE PULSEPOINT HEART ATTACK NOTIFICATION APP IN JACKSON AND JOSEPHINE COUNTIES - ESTABLISHED A CO-MANAGEMENT AGREEMENT WITH SOUTHERN OREGON CARDIOLOGY - REDUCED CLINICAL VARIATION AND STANDARDIZED SUPPLY COSTS IN THE CATH LAB AT ARRMC - PARTNERED WITH OHSU FOR TELESTROKE AT ATRMC - RECEIVED ACUTE STROKE READY CERTIFICATION AT ATRMC BY OUR ACCREDITING AGENCY, DNV GL (DET NORSKE VERITAS GERMANISCHER LLOYD) - PROMOTED NATIONAL HEART MONTH ACTIVITIES AND EDUCATION - SUPPORTED MENDED HEARTS PEER-TO-PEER SUPPORT GROUP - REINSTATED SEVERAL CATH LABS AT ARRMC TO ACCOMMODATE INCREASED PATIENT VOLUMES - ADDED A TRANSCATHETER AORTIC VALVE REPLACEMENT PROGRAM AT ARRMC AS LEADING EDGE HEART CARE FOR PATIENTS - EXPANDED THE SCOPE OF CARDIAC REHABILITATION SERVICES AT ARRMC - SPONSORED THE AMERICAN COLLEGE OF CARDIOLOGY OREGON CARDIOVASCULAR SYMPOSIUM AND NURSING HEART FAILURE CONFERENCE - CONSISTENTLY MET QUALITY AND SAFETY CRITERIA TO BE AWARDED THE AMERICAN HEART ASSOCIATION MISSION: LIFELINE RECEIVING CENTER GOLD PLUS RECOGNITION - CONSISTENTLY MET QUALITY AND SAFETY CRITERIA TO BE AWARDED THE AMERICAN HEART ASSOCIATION MISSION: LIFELINE GOLD PLUS STEMI RECOGNITION FUTURE: - SUPPORT THE RECRUITMENT OF ADDITIONAL NEUROSURGEONS TO SOUTHERN OREGON - ATTAIN LEVEL II TRAUMA CENTER STATUS AT ARRMC 4. INFANT HEALTH AND FAMILY PLANNING CURRENT: - HIRED MATERNAL FETAL MEDICINE PROVIDERS - CREATED A MIDWIFERY PROGRAM AT APP AND AACH - MAINTAINED THE ONLY REGIONAL NEONATAL INTENSIVE CARE UNIT (NICU) - PURCHASED AN ISOLETTE TRANSPORTER FOR FRAGILE INFANTS - HIRED SIX PEDIATRIC HOSPITALISTS - DEVELOPED A FORMAL PEDIATRIC HOSPITALIST PROGRAM - HIRED A PEDIATRIC ONCOLOGIST - RENOVATED THE PEDIATRIC UNIT AT ARRMC - PARTNERED WITH OHSU TO PROVIDE TELEMEDICINE FOR PEDIATRIC INPATIENTS - IMPLEMENTED OHSU ROTATING CLINICS FOR PEDIATRIC PATIENTS - IMPLEMENTED QUIET TIME IN THE NICU AND SPECIAL CARE NURSERY TO PROMOTE HEALING - RENOVATED AND EXPANDED THE FAMILY BIRTH CENTER AT AACH - ADDED THREE PEDIATRIC CARE ROOMS AT ATRMC FUTURE: - DEVELOP AN OBSTETRICAL LABORIST SERVICE AT ARRMC 5. DIABETES CURRENT: - BUILT A DEMONSTRATION KITCHEN AT ASANTE CENTER FOR OUTPATIENT HEALTH FOR DIABETES NUTRITION EDUCATION - ESTABLISHED A DIABETES CARE CENTER AND NUTRITION SERVICES IN MEDFORD AND GRANTS PASS - ADDED INPATIENT CONSULTS FOR PEOPLE WITH DIABETES - ESTABLISHED BLOOD GLUCOSE MONITORING CLINICS - HIRED AN APP ENDOCRINOLOGIST 6. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT CURRENT: - BUILT A DEMONSTRATION KITCHEN AT ASANTE CENTER FOR OUTPATIENT HEALTH FOR COOKING CLASSES AND DIABETES NUTRITION EDUCATION - PARTNERED WITH SOUTHERN OREGON BARIATRIC CENTER AND OREGON SURGICAL SPECIALISTS - HIRED INPATIENT AND OUTPATIENT NUTRITION COUNSELORS - HELD ANNUAL EMPLOYEE FITNESS AND WEIGHT MANAGEMENT CHALLENGES - SPONSORED THE ANNUAL PEAR BLOSSOM RUN AND WALK - SPONSORED SEVERAL COMMUNITY SPORTING EVENTS TO SUPPORT LOCAL SCHOOL AND YOUTH PROGRAMS - SPONSORED THE HEALTHY FOOD FESTIVAL IN GRANTS PASS - SPONSORED THE ACCESS FOOD SHARE PROGRAM - SPONSORED THE FRIENDS OF JOSEPHINE COUNTY FOOD BANK - DONATED FOOD TO HEARTS WITH A MISSION FOR HOMELESS YOUTH - SPONSORED BLUE ZONES PROJECT IN GRANTS PASS FOR HEALTHIER, MORE ACTIVE LIVING - SPONSORED THE ASHLAND HIGH SCHOOL SPORTS PROGRAM AND ATHLETIC TRAINERS TO ENSURE PLAYER SAFETY - SPONSORED THE ASHLAND CHAMBER OF COMMERCE COMMUNITY-WIDE HEALTH AND WELLBEING INITIATIVE FUTURE: - ADD COMPREHENSIVE PRIMARY CARE PLUS (CPC+) AS PART OF THE MEDICAL HOME MODEL OF CARE 7. RESPIRATORY DISEASES CURRENT: - REMODELED AND EXPANDED CARDIOPULMONARY SERVICES AT ARRMC - HIRED SEVEN PULMONOLOGISTS AND TWO PULMONARY NURSE PRACTITIONERS TO APP - EXPANDED CARDIOPULMONARY TESTING SERVICES TO AACH - IMPLEMENTED A PROCESS TO SCHEDULE DISCHARGED PATIENTS WITH PNEUMONIA AND RESPIRATORY ISSUES TO AN APP PULMONOLOGIST - IMPLEMENTED A ROTATING APP PULMONOLOGIST IN GRANTS PASS - IMPLEMENTED TELEMEDICINE PULMONARY INTENSIVISTS CONSULTS AT ALL THREE HOSPITALS - ADDED A SLEEP LAB PROGRAM AT ATRMC FUTURE: - OFFER LUNG CANCER SCREENING CLINICS - RECRUIT ADDITIONAL PULMONOLOGISTS TO APP 8. CANCER CURRENT: - ESTABLISHED A GYNECOLOGIC CANCER SUPPORT GROUP - HIRED A PEDIATRIC ONCOLOGIST - PARTNERED WITH OHSU TO BRING A CANCER SPECIALIST/SURGEON TO ARRMC EACH MONTH - PROMOTED NATIONAL BREAST CANCER AWARENESS MONTH ACTIVITIES AND EDUCATION - HIRED AN ONCOLOGY NURSE NAVIGATOR FOR ALL CANCER-TYPES - EXPANDED THE BREAST CANCER NURSE NAVIGATOR PROGRAM TO JOSEPHINE COUNTY - ADDED 3-D MAMMOGRAPHY TO ALL THREE IMAGING CENTERS - ADDED BREAST MRI CAPABILITY AT ARRMC - REMODELED THE SPEARS CANCER CENTER AND UPGRADED WITH A NEW LINEAR ACCELERATOR FUTURE: - RECRUIT AN EAR, NOSE AND THROAT PHYSICIAN TO DO NECK AND THROAT CANCER SURGERIES - PROVIDE DIRECT INFUSION INTERVENTION FOR CHEMO PATIENTS - OFFER LUNG CANCER SCREENING CLINICS - BUILD AN ONCOLOGY MEDICAL OFFICE TO PROVIDE COMPREHENSIVE CANCER SERVICES ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16J: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16J: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 18E: ROGUE REGIONAL MEDICAL CENTER'S "POLICY" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 18E: THREE RIVERS MEDICAL CENTER'S "POLICY" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 20E: NOTIFY INDIVIDUALS OF FAP PRIOR TO DISCHARGE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 20E: NOTIFY INDIVIDUALS OF FAP PRIOR TO DISCHARGE 1 1 - ROGUE VALLEY RX 2900 E BARNETT ROAD MEDFORD OR 97504 OUTPATIENT PHARMACY PART I, LINE 7: COST TO CHARGE RATIO IS USED TO CALCULATE BENEFIT EXPENSES. PART I, LINE 7G: SUBSIDIZED SERVICES INCLUDE BEHAVIORAL HEALTH AND SOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: IN FISCAL 2016, ASANTE'S CONTRIBUTION TO COMMUNITY HEALTH IMPROVEMENTS ADVOCACY INCLUDES $1,000 TO THE JACKSON COUNTY CHILD ABUSE TASKFORCE, $50,000 TO KIDS HEALTH CONNECT, AND $4,000 TO HEARTS WITH A MISSION. IN ADDITION, ASANTE CONTRIBUTED OVER $50,000 TO VARIOUS COMMUNITY ORGANIZATIONS, INCLUDING THE BOYS AND GIRLS CLUBS AND YMCA OF MEDFORD, THE JACKSONVILLE BRITT FESTIVAL, AND THE OREGON SHAKESPEAREAN FESTIVAL.ASANTE ALSO CONTIBUTED $42,031 TO LOCAL CHAMBERS OF COMMERCE TO HELP BUILD LEADERSHIP AMONG BUSINESSES IN THE COMMUNITY. PART III, LINE 2: COST TO CHARGE RATIO PART III, LINE 3: PERCENTAGE OF THE POPULATION THAT WOULD QUALIFY FOR CHARITY CARE ACCORDING TO POVERTY RATE FROM CENSUS BUREAU, 17.5% POVERTY RATE IN 2016, THAT PERCENTAGE OF BAD DEBT IS ASSUMED TO BE PART OF MISSED CHARITY CARE. PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON GROSS PATIENT CHARGES THAT HAVE BEEN WRITTEN OFF DUE TO NON-PAYMENT. PART III, LINE 8: CERTAIN GOVERNMENT SPONSORED HEALTH INSURANCE COMPANIES, SUCH AS MEDICARE AND MEDICAID, PAY A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR INSUREES. IN MOST CASES, THE AMOUNT PAID DOES NOT EVEN COVER THE EXPENSES OF RENDERING SERVICES. ASANTE CONSIDERS THE DIFFERENCE BETWEEN THE EXPENSES OF RENDERING SERVICES TO MEDICARE AND MEDICAID PATIENTS, AND THE AMOUNT OF NET REIMBURSEMENT FROM THESE GOVERNMENT SPONSORED INSURANCE COMPANIES A COMMUNITY BENEFIT. CALCULATION: TOTAL MEDICARE PAYMENTS PER COST REPORT LESS TOTAL MEDICARE COSTS PER COST REPORT = UNRECOVERED MEDICARE COST PER COST REPORT. PART III, LINE 9B: IF THERE IS AN INDICATION THAT A PATIENT MAY BE UNABLE TO PAY THEIR BILL, A FINANCIAL QUESTIONNAIRE IS GIVEN OR SENT TO THE PATIENT. ON RECEIPT OF THE COMPLETED QUESTIONNAIRE, THE BUSINESS OFFICE WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT WITHIN 20 DAYS. ELIGIBILITY IS DETERMINED BASED UPON THE QUESTIONNAIRE AND ON FINANCIAL DOCUMENTS, SUCH AS TAX RETURNS, SSI STATEMENTS, PAYCHECK STUBS, AND FSA/HSA INFORMATION. THE PATIENT'S OTHER FINANCIAL OBLIGATIONS, NUMBER OF DEPENDENTS, ASSETS AND OTHER FINANCIAL CIRCUMSTANCES ARE CONSIDERED. OFTEN, A PATIENT WILL NOT PROVIDE A FINANCIAL QUESTIONNAIRE, SO THE BUSINESS OFFICE WILL USE SOFT CREDIT CHECKS AND ZIP CODES+4 TO HELP DETERMINE ELIGIBILITY. THE PERCENTAGE OF FINANCIAL ASSISTANCE PROVIDED IS BASED UPON A SLIDING SCALE TABLE THAT UTILIZES THE PATIENT FAMILY'S INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES. PART III, SECTION B UNREIMBURSED COSTS FROM THE MEDICARE PROGRAM (USING THE MEDICARE COST REPORT). PART VI, LINE 2: ASANTE'S FIVE PRIMARY SOURCES OF INPUT INCLUDE THE COMMUNITY LEADERS FORUM, THE ENVIRONMENTAL ASSESSMENT, THE COMMUNITY ASSESSMENT SURVEY, FORMAL CONVERSATIONS WITH OUR COLLABORATORS, AND IDENTIFIED STRATEGIC PLAN GAPS FROM THE PREVIOUS YEAR. PART VI, LINE 3: THE FINANCIAL ACCESS SPECIALISTS, CREDIT ANALYSTS, AND REGISTRATION PERSONNEL WORK WITH THE PATIENT EITHER AT THE TIME OF SCHEDULING, ARRIVAL AT THE HOSPITAL, OR DURING THE BILLING PROCESS. IF THE PATIENT DISCLOSES THEY WILL HAVE DIFFICULTY PAYING, WE ASSIST THEM APPLYING FOR THE OREGON HEALTH PLAN, FINANCIAL ASSISTANCE, OR A PAYMENT PLAN. BASED UPON INCOME AND EXPENSES, A PATIENT MAY BE ELIGIBLE FOR CHARITY CARE WRITE-OFF OF BETWEEN 10% AND 100% OF THEIR BILL. PART VI, LINE 4: THE MOST NOTABLE FACT ABOUT THE DEMOGRAPHICS OF OUR SERVICE AREA IS THAT WE HAVE A RATHER ELDERLY POPULATION, BOTH IN OUR PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, BUT ALSO OUR SECONDARY SERVICE AREA OF NORTHERN CALIFORNIA AND SOUTHERN OREGON. IN FISCAL 2015, PATIENTS 65+ ACCOUNTED FOR 38.26% AND 46.60% OF ADMISSIONS AT RRMC AND TRMC RESPECTIVELY.FOR THE NEXT 20 YEARS, THE 65+ AGE GROUP IS FORECAST TO BE THE FASTEST GROWING SEGMENT OF THE POPULATION. IN ADDITION, THE OVERALL POPULATION GROWTH OF OUR PRIMARY SERVICE AREA IS ALSO FORECAST TO AVERAGE 1% PER YEAR FOR THE NEXT 30 YEARS. PART VI, LINE 5: ALONG WITH PROVIDING QUALITY HEALTHCARE, ASANTE FURTHERS ITS EXEMPT PURPOSE AND FULFILLS ITS MISSION TO THE COMMUNITY BY PROVIDING OR SUBSIDIZING NUMEROUS CLASSES, SUPPORT GROUPS, HEALTH FAIRS, AND SELF-HELP PROGRAMS. THESE PROGRAMS ARE AT NO OR LOW COST TO THE PUBLIC. THE ASANTE COMMUNITY HEALTH EDUCATION PROGRAM IS AN ONGOING, NO COST PROGRAM, OPEN TO ALL COMMUNITY MEMBERS. IN FY 2016, OVER 30 COMMUNITY HEALTH EDUCATION CLASSES WERE OFFERED AT RRMC AND TRMC. ON AVERAGE, ATTENDANCE WELL EXCEEDED 75 PEOPLE AT EACH EVENT. ASANTE ALSO PROMOTES AND EXTENDS PATIENT CARE BY PROVIDING SPACE AND MATERIALS TO APPROXIMATELY 30 SUPPORT GROUPS. ASANTE HOSPICE, RVMC AND TRMC CANCER SERVICES, AND RVMC/TRMC WOMEN AND CHILDREN'S SERVICES PROVIDE STAFF, RESOURCES AND ORGANIZATIONAL SUPPORT FOR VARIOUS WELL-ATTENDED SUPPORT GROUPS AND DEDICATIONAL EVENTS, SUCH AS "CANCER SURVIVOR'S DAY". MANY OTHER SUPPORT GROUPS ARE COMMUNITY-LED, BUT LOGISTICALLY SUPPORTED BY ASANTE HEALTH SYSTEM AND AFFILIATED CLINICAL STAFF MEMBERS. THE SMULLIN HEALTH EDUCATION CENTER HOUSES COMMUNITY AND HEALTHCARE RELATED EVENTS. ALONG WITH THE ASANTE COMMUNITY HEALTH EDUCATION PROGRAM AND SUPPORT GROUPS, SMULLIN HOSTED OVER 250 EVENTS. OPERATIONALLY, ASANTE HEALTH SYSTEM SUPPORTS THESE EVENTS BY PROVIDING SALAIRES, BENEFITS, SUPPLIES AND CLASSROOM SPACE. ADDITIONALLY, ASANTE IS THE SOLE SUPPORT OF THE FRANCIS CHENEY FAMILY PLACE AND THE THREE RIVERS FAMILY HOUSE. MUCH LIKE THE RONALD MCDONALD HOUSE, THESE HOUSES PROVIDE LOW-COST TEMPORARY LODGING FOR FAMILIES OF PATIENTS AT RVMC OR TRMC. DONATIONS ARE ACCEPTED, BUT NO ONE IS DENIED LODGING FOR AN INABILITY TO CONTRIBUTE.ASANTE HEALTH SYSTEM HAS SEVERAL CLINICAL DEPARTMENTS THAT PROVIDE NON-BILLED SERVICES TO COMMUNITY MEMBERS. THESE DEPARTMENTS INCLUDE THE STERILE PROCESSING DEPARTMENT, IMAGING DEPARTMENT, RRMC/TRMC PHARMACIES (BOTH HOSPITAL AND RETAIL), SOCIAL SERVICES, RESOURCE MANAGEMENT, SENIOR TRANSPORTATION, AND THE SUPPORTIVE CARE TEAM. RRMC ALSO PROVIDES FREE LAB WORK TO THE PATIENTS OF THE COMMUNITY HEALTH CENTERS. THE ASANTE HEALTH SYSTEM STRIVES TO MEET THEIR ON-GOING MISSION: ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. PART VI, LINE 6: ASANTE IS A COMMUNITY OWNED AND GOVERNED NOT-FOR-PROFIT HEALTH SYSTEM PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO MORE THAN 550,000 RESIDENTS IN NINE COUNTIES THROUGHOUT SOUTHERN OREGON AND NORTHERN CALIFORNIA. THE SYSTEM WAS FORMED IN 1995 TO INCLUDE ROGUE REGIONAL MEDICAL CENTER (RRMC) IN MEDFORD, AND THREE RIVERS MEDICAL CENTER (TRMC) IN GRANTS PASS. IN 2003, ASANTE FORMED ASANTE COMMUNITY SERVICES, WHICH PROVIDES LIFELINE AND RUNS THE OUTPATIENT PHARMACY. PART VI, LINE 7, REPORTS FILED WITH STATES OR 1 COMPASS HOUSE 37 NORTH IVY ST MEDFORD OR 97501 501(C)(3) 60000 CASH SUPPORT REHAB FACILITY FOR THOSE WITH HISTORY OF MENTAL ILLNESS. KID'S HEALTH CONNECTION 1307 W MAIN ST MEDFORD OR 97501 501(C)(3) 50000 CASH SUPPORT PROGRAM THAT PROVIDES KIDS WITH HEALTH CARE IN THEIR SCHOOLS JACKSON COUNTY SART 2305 ASHLAND ST ASHLAND OR 97520 501(C)(3) 40000 SUPPORT LOCAL SEXUAL ASSAULT RESPONSE TEAM. GRANTS PASS SOBERING CENTER 1010 SW FOUNDRY ST GRANTS PASS OR 97526 501(C)(3) 10000 SUPPORT DRUG AND ALCOHOL ABUSE INITIATIVE. 4 PART I, LINE 2: ONCE AN APPLICANT HAS BEEN APPROVED FOR GRANT FUNDS, THE GRANT AGREEMENT SPECIFIES THAT ALL GRANT MONIES ARE TO BE SPENT FOR ONLY THE PURPOSE SPELLED OUT IN THE APPLICATION. THE COUNTY CONNECTIONS COMMITTEE MUST KNOW WHERE THE DONATED MONEY WILL BE ALLOCATED, AND IF A FUNDRAISING EVENT, HOW THE RAISED MONEY WILL BE ALLOCATED. USUALLY, A DETAILED BUDGET OF THE GRANTEE'S CURRENT YEAR IS REQUIRED, AS WELL AS ANY REPORTS OR MINUTES FROM PREVIOUS EVENTS. SCHEDULE I, PART I, LINE 2 WHEN ASANTE RECEIVES A REQUEST FOR GRANT FUNDS FROM AN OUTSIDE ORGANIZATION, THE REQUEST IS REVIEWED BY EITHER THE JACKSON COUNTY OR JOSEPHINE COUNTY COMMUNITY CONNECTIONS COMMITTEE. THE APPLICANT MUST FILL OUT AN APPLICATION FORM AND PROVIDE SUPPORTING DOCUMENTS OR EVENT MATERIALS. TO BE SELECTED, THE ORGANIZATION MUST MEET THE FOLLOWING CRITERIA: 1)THE GRANT MUST SUPPORT STRATEGIC INITIATIVES, 2)IT MUST HAVE A DIRECT IMPACT ON THE HEALTHCARE OF THE COMMUNITY, 3)THE ORGANIZATION MUST BE A NOT-FOR-PROFIT HEALTH, HUMAN SERVICES, OR EDUCATION RELATED ORGANIZATION, 4)THE ORGANIZATION COLLABORATES WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS AND, 5)THE GRANT MUST BE A RELATION BUILDING OPPORTUNITY. 1 X X X X X 0 1 0 0 0 0 0 0 0 ROY VINYARD PRESIDENT & CEO 680027 0 238134 0 158161 0 196157 0 39100 0 1311579 0 0 0 LEE MILLIGAN MD TRUSTEE 0 300296 0 27735 0 5877 0 39900 0 25000 0 398808 0 0 SCOTT KELLY RRMC CEO 441141 0 144531 0 79273 0 111500 0 17492 0 793937 0 0 0 WIN HOWARD TRMC CEO 295219 0 67850 0 58530 0 100300 0 29148 0 551047 0 0 0 PATRICK HOCKING - THRU 13117 CFO - RETIRED 389153 0 87679 0 179617 0 214872 0 29270 0 900591 0 0 0 JAMES GREBOSKY CHIEF QUAL&SAFE OFFICER 430489 0 90254 0 0 0 107100 0 27358 0 655201 0 0 0 GREG EDWARDS PEOPLE OFFICER 251745 0 54421 0 66149 0 108858 0 26799 0 507972 0 0 0 MARK HETZ CH INFO OFFICER 274042 0 61711 0 60619 0 98460 0 27857 0 522689 0 0 0 JOHN BONK MEDICAL DOCTOR 398033 0 16387 0 0 0 33900 0 20923 0 469243 0 0 0 MICHAEL MCCASKILL MEDICAL DOCTOR 430166 0 17644 0 0 0 39900 0 16556 0 504266 0 0 0 JENNIFER HALL MEDICAL DOCTOR 352841 0 18284 0 0 0 33900 0 27998 0 433023 0 0 0 JOSHUA COTT MEDICAL DOCTOR 366895 0 24129 0 0 0 42546 0 27770 0 461340 0 0 0 ERIC LOELIGER MEDICAL DOCTOR 313495 0 0 0 48154 0 88164 0 28647 0 478460 0 0 0 PART I, LINE 4B ASANTE HAS AN EXECUTIVE RESTORATION PLAN WHICH INCLUDES ASANTE VP& CHIEF MEDICAL INFORMATION OFFICER LEE MILLIGAN, MD, ASANTE CFO PATRICK HOCKING, ARRMC CEO SCOTT KELLY, ATRMC CEO WIN HOWARD, CIO MARK HETZ AND ASANTE CEO ROY VINYARD. THIS PLAN STATES FIXED PAYMENTS WILL BE RECEIVED AT PRE-DETERMINED INTERVALS FROM ASANTE IF STILL EMPLOYED BY ASANTE IN THEIR CURRENT ROLL AT THE TIME OF VESTING. IF EMPLOYMENT TERMINATES BY ASANTE FOR ANY REASON PRIOR TO VESTING,THEY WILL NOT HAVE CLAIM TO THE FUNDS. FOR THE FISCAL YEAR ENDED SEPT 30, 2017, THERE WAS $18,000 EACH CONTRIBUTED FOR DR. MILLIGAN, MR. HOCKING, MR. KELLY, MR. HOWARD, MR. HETZ AND MR. VINYARD. THESE AMOUNTS WERE INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II. A HOSP AUTH OF MEDFORD OR 521378932 584283FL4 2010-02-17 239059650 FINANCE HOSPITAL EXPANSION 0 0 0 B STATE OF OREGON 936001787 NONEAVAIL 2011-12-29 30000000 FINANCE ELEC MED REC SOFTWARE 0 0 0 A 45495000 239059650 3511327 2680107 31041115 201827101 2011 1 0 1 1 B 24512617 30000000 192035 29807965 2013 0 0 1 1 A 0 0 1 1 1 1 0.00250 0.00250 0 0 1 B 0 0 0 1 1 0.00100 0.00100 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HOSP AUTH OF MEDFORD OR DATE THE REBATE COMPUTATION WAS PERFORMED: 02/16/2017 ISSUER NAME: STATE OF OREGON DATE THE REBATE COMPUTATION WAS PERFORMED: 02/16/2017 PART IV LINE 2C ARBITRAGE REBATE CLACULATION PERFORMED BY BLX ON FEB 16, 2017. NO REBATE LIABILITY DUE. FORM 990, PART VI, SECTION B, LINE 11B POLICY SUMMARY: THE FEDERAL FORMS 990 AND 990-T ARE FEDERALLY MANDATED LEGAL DOCUMENTS THAT ARE HIGHLY REGULATED. WITHIN ASANTE, THEY ARE TO BE PREPARED BY PERSONNEL IN THE ACCOUNTING DEPARTMENT. ADDITIONAL ASSISTANCE WILL BE PROVIDED BY PERSONNEL IN THE MARKETING, COMPLIANCE, AND EXECUTIVE DEPARTMENTS. BEFORE FINAL SUBMISSION OF THE DOCUMENTS, THEY ARE TO HAVE ASANTE BOARD REVIEW. POLICY DETAILS: 1. WHEN FINAL AUDITED FINANCIAL INFORMATION IS AVAILABLE, ACCOUNTING PERSONNEL WILL COMPILE THE NEEDED INFORMATION TO PREPARE THE APPROPRIATE RETURNS FOR THE PRIOR FISCAL YEAR. 2. AS NEEDED, ACCOUNTING WILL FILE ALL APPROPRIATE EXTENSIONS ON A TIMELY BASIS. HOWEVER, THE FINAL SUBMISSION CAN NEVER BE EXTENDED PAST AUGUST 15TH OF THE YEAR FOLLOWING THE FISCAL YEAR BEING FILED. 3. IN ADDITION TO NORMAL PREPARATION, ACCOUNTING PERSONNEL WILL COORDINATE WITH PERSONNEL IN MARKETING, COMPLIANCE, AND POSSIBLY THE EXECUTIVE DEPARTMENTS IN PREPARING THE VARIOUS SCHEDULES NEEDED TO COMPLETE THE RETURN. ALL WORK PAPERS ARE TO BE RETAINED IN A PERMANENT FILE. 4. WHEN ALL NECESSARY INFORMATION HAS BEEN COMPILED, IT IS TO BE LOADED INTO APPROPRIATE TAX SOFTWARE. 5. WHEN COMPLETED, A DRAFT RETURN WILL BE REVIEWED BY THE CHIEF ADMINISTRATIVE AND FINANCE OFFICER. AFTER THE REVIEW, ACCOUNTING WILL CLEAR ALL REVIEW NOTES AND COMMENTS. 6. ONCE REVIEWED BY THE CAFO, AN ADDITIONAL REVIEW WILL BE PERFORMED BY AN OUTSIDE CPA FIRM. ACCOUNTING WILL AGAIN CLEAR ANY ADDITIONAL REVIEW NOTES AND COMMENTS SUBMITTED BY THE OUTSIDE CPA. 7. THE CHIEF EXECUTIVE OFFICER AND MEMBERS OF THE BOARD OF DIRECTORS WILL LOOK OVER THE FINAL SET OF RETURNS AND MAKE FURTHER COMMENTS AND CORRECTIONS, AS IS APPROPRIATE. 8. ONCE ALL REVIEWS AND CORRECTIONS ARE MADE, THE CAFO WILL SIGN ALL APPROPRIATE RETURNS FOR FILING. 9. ALL RETURNS WILL THEN BE FILED EITHER ELECTRONICALLY OR PAPER COPY WITH THE APPROPRIATE GOVERNMENT AGENCY. A COPY OF EACH RETURN IS TO BE KEPT IN THE ACCOUNTING DEPARTMENT AND A COPY OF THE 990 AND 990-T WILL BE KEPT AT CORPORATE HEADQUARTERS FOR PUBLIC DISPLAY AND COPYING, AS REQUESTED. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ASANTE MAILS TO ALL ASANTE MANAGEMENT, KEY EMPLOYEES, AND BOARD MEMBERS A CONFLICT OF INTEREST QUESTIONAIRE TO COMPLY WITH ASANTE'S CONFLICT OF INTEREST POLICY# 400-LD-034 AND 036. THE PURPOSE OF THE POLICY IS TO PROTECT ASANTE'S INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF A BOARD MEMBER OR OFFICER OF THE CORPORATION. IN ADDITION, ALL ASANTE EMPLOYEES HAVE AN OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS TO THEIR SUPERVISOR. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR ADMINISTERING, MONITORING, AND INVESTIGATING ANY POSSIBLE CONFLICTS AND MAKE AN ANNUAL REPORT TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES. THE REVIEW COMPARES THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES WITH COMPENSATION DATA FOR JOB INCUMBENTS IN COMPARABLE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND SCOPE. THE DATA IS PROVIDED AND PRESENTED TO THE COMPENSATION COMMITTEE BY AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE SETS THE ACTUAL ANNUAL CASH COMPENSATION FOR THE CEO AND SALARY RANGES FOR THE OTHER KEY EMPLOYEES. THE COMMITTEE ALSO SETS TOTAL COMPENSATION OPPORTUNITY FOR THE CEO AND EACH OF THE KEY EMPLOYEES, CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. MINUTES OF THE COMMITTEE DELIBERATIONS AND DECISIONS ARE RECORDED AND MAINTAINED. THE MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS COMPLETED IN 2012. FORM 990, PART VI, SECTION C, LINE 19 CURRENTLY, ASANTE DOES NOT MAKE AVAILABLE TO THE GENERAL PUBLIC COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR ITS FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9: PRIOR YEAR EQUITY TRANSFER ADJUSTMENT -71,882. DONATED CAPITAL 405,569. NET ASSET TRANSFER FROM ASHLAND 11,996,875. ASANTE COMMUNITY SERVICES LLC 731 BLACK OAK DRIVE MEDFORD OR 97504 571181175 MEDICAL BILLING OR ASANTE ASANTE THREE RIVERS MEDICAL CENTER LLC 731 BLACK OAK DRIVE MEDFORD OR 97504 571181758 MEDICAL BILLING OR ASANTE ASANTE FOUNDATION 2650 SISKIYOU BLVD MEDFORD OR 97504 936087366 FUNDRAISING OR 501(C)(3) LINE 12A, I ASANTE 1 SOUTHERN OREGON INSURANCE COMPANY 745 FORT STREET SUITE 800 HONOLULU HI 96813 201578637 CAPTIVE INSURANCE HI 501(C)(3) LINE 12A, I ASANTE 1 ASANTE PHYSICIAN PARTNERS 2650 SISKIYOU BLVD MEDFORD OR 97504 383849354 PHYSICIAN GROUP OR 501(C)(3) LINE 3 ASANTE 1 ASANTE ASHLAND COMMUNITY HOSPITAL 2650 SISKIYOU BLVD MEDFORD OR 97504 931213059 HOSPITAL OR 501(C)(3) LINE 3 ASANTE 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 ASANTE FOUNDATION C 995872 CASH ASANTE FOUNDATION O 574616 CASH ASANTE ASHLAND COMMUNITY HOSPITAL O 20463995 CASH ASANTE ASHLAND COMMUNITY HOSPITAL S 11996875 BOOK VALUE