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GRITMAN MEDICAL CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
GRITMAN MEDICAL CENTER INC (EIN 82-0146328)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202523179349307242
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T13:42:15-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN393647910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1170 N RADNOR-CHESTER RD SUITE 200AddressLine1Txt
CityRADNORCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN820146328EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGRITBusinessNameControlTxt
Phone2088824511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 S MAIN STREETAddressLine1Txt
CityMOSCOWCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83843ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKARA BESSTPersonNm
Person TitleCEOPersonTitleTxt
Phone2088824511PhoneNum
Signature2025-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSOLOMON MARDAKHAEVPreparerPersonNm
PTINP01806552PTIN
Phone6105653930PhoneNum
Preparation2025-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKARA BESSTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 S MAIN STREETAddressLine1Txt
CityMOSCOWCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83843ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$124,216,033GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GRITMAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateIDLegalDomicileStateCd
Activity Or MissionTO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee914TotalEmployeeCnt
Total Volunteers180TotalVolunteersCnt
Total Gross UBI-$432,712TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$678,736PYContributionsGrantsAmt
CY Contributions Grants$3,982,349CYContributionsGrantsAmt
PY Program Service Revenue$109,981,607PYProgramServiceRevenueAmt
CY Program Service Revenue$111,984,863CYProgramServiceRevenueAmt
PY Investment Income$1,842,727PYInvestmentIncomeAmt
CY Investment Income$2,940,085CYInvestmentIncomeAmt
PY Other Revenue$667,044PYOtherRevenueAmt
CY Other Revenue-$34,711CYOtherRevenueAmt
PY Total Revenue$113,170,114PYTotalRevenueAmt
CY Total Revenue$118,872,586CYTotalRevenueAmt
PY Grants And Similar Paid$165,088PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$78,447CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$56,400,148PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$61,708,575CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$56,842,318PYOtherExpensesAmt
CY Other Expenses$63,321,600CYOtherExpensesAmt
PY Total Expenses$113,407,554PYTotalExpensesAmt
CY Total Expenses$125,108,622CYTotalExpensesAmt
PY Revenues Less Expenses-$237,440PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,236,036CYRevenuesLessExpensesAmt
Total Assets BOY$134,028,419TotalAssetsBOYAmt
Total Assets EOY$146,474,031TotalAssetsEOYAmt
Total Liabilities BOY$77,930,784TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,071,501TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$56,097,635NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$50,402,530NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$104,088,740ExpenseAmt
Grant$78,447GrantAmt
Revenue$109,308,504RevenueAmt
DescRADIOLOGY: 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-RAY.EMERGENCY 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 195,000 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 PROSTRATE HEALTH INDEX TESTING. WE OFFER A FULL-SERVICE MICROBIOLOGY DEPARTMENT.Desc
Total Program Service Expenses$104,088,740TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document225IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee914EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKARA BESSTPersonNm
Phone2088832220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 S MAIN STREETAddressLine1Txt
CityMOSCOWCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83843ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVE BUSCH
BOARD VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
LORI STINSON
BOARD CHAIR2.00Yes (X)Yes (X)$0$0$0
RULA AWWAD-RAFFERTY
TRUSTEE2.00Yes (X)$0$0$0
TRICIA GEHRLEIN
TRUSTEE2.00Yes (X)$0$0$0
DICK HEIMSCH
TRUSTEE2.00Yes (X)$0$0$0
CHARLES JACOBSON MD
TRUSTEE2.00Yes (X)$0$0$0
MARLA KRAUT
TRUSTEE2.00Yes (X)$0$0$0
CHUCK MORRISON
TRUSTEE2.00Yes (X)$0$0$0
DR RAY PAZ
TRUSTEE2.00Yes (X)$0$0$0
BARBARA WELLS
TRUSTEE2.00Yes (X)$0$0$0
GRETTA JAROLIMEK
CHIEF CLINICS OFFICER40.00Yes (X)$219,576$0$28,597
MARIE TIMLIN
CNO40.00Yes (X)$203,278$0$24,714
JOHN BROWN MD
CMO20.00Yes (X)$188,351$0$21,220
CONNIE OSBORN
CQO40.00Yes (X)$173,773$0$21,726
CANDICE ALLEN
ACNO40.00Yes (X)$160,242$0$28,381
DANIELLE LYNAS
CFO/CONTROLLER (THRU JAN 2024)40.00Yes (X)$113,809$0$14,731
DANIELLE BREED
ADMIN CHIEF OF STAFF, CORP. SEC.40.00Yes (X)$110,163$0$10,428
CORY ZIMMERMAN
CFO, TREASURER40.00Yes (X)$61,192$0$5,489
KARA BESST
CEO40.00Yes (X)$0$0$0
MARVIN KYM MD
PHYSICIAN40.00$987,802$0$21,616Yes (X)
NICHOLAS B LEVINE MD
PHYSICIAN40.00$684,465$0$14,758Yes (X)
BRYAN SMITH MD
PHYSICIAN40.00$661,161$0$23,547Yes (X)
BRIAN NEWELL MD
PHYSICIAN40.00$513,361$0$30,340Yes (X)
CHRISTINA L CERVIERI MD
PHYSICIAN40.00$513,753$0$18,064Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,590,926TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$263,611TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K98IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PALOUSE SPECIALTIES
825 SE BISHOP BLVD STE 501PULLMANWA99163SURGICAL SERVICES$2,721,822
MEDICAL SOLUTIONS LLC
PO BOX 850737MINNEAPOLISMN55485CONTRACTED LABOR SERVICES$1,890,778
MOSCOW EMERGENCY PHYSICIANS PLL
700 S MAIN STREETMOSCOWID83843ER SERVICES$1,847,243
QHR HEALTH
1573 MALLORY LANE SUITE 200BRENTWOODTN37027CONTRACTED CONSULTING SERVICES$983,776
PANHANDLE ANESTHESIA ASSOC OF MOSCOW
PO BOX 9911MOSCOWID83843ANESTHESIA SERVICES$724,565
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K27CntrctRcvdGreaterThan100KCnt
Related Organizations$119,861RelatedOrganizationsAmt
Government Grants$3,830,356GovernmentGrantsAmt
All Other Contributions$32,132AllOtherContributionsAmt
Total Contributions$3,982,349TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$109,308,504TotalRevenueColumnAmt
Related Or Exempt Func Income$109,308,504RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,676,359TotalRevenueColumnAmt
Exclusion$2,676,359ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$111,984,863TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,179,061TotalRevenueColumnAmt
Exclusion$2,179,061ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,051,174RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,085,885RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$34,711RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$34,711TotalRevenueColumnAmt
Unrelated Business Revenue-$432,712UnrelatedBusinessRevenueAmt
Exclusion$398,001ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,688,304SecuritiesAmt
Other$330,282OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,257,562SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$430,742SecuritiesAmt
Other$330,282OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$761,024TotalRevenueColumnAmt
Exclusion$761,024ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,872,586TotalRevenueColumnAmt
Related Or Exempt Func Income$109,308,504RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$432,712UnrelatedBusinessRevenueAmt
Exclusion$6,014,445ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$78,447TotalAmt
Program Services$78,447ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,385,670TotalAmt
Program Services$1,190,449ProgramServicesAmt
Management And General$195,221ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$49,900,622TotalAmt
Program Services$47,295,757ProgramServicesAmt
Management And General$2,604,865ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,221,261TotalAmt
Program Services$6,864,524ProgramServicesAmt
Management And General$356,737ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,201,022TotalAmt
Program Services$3,033,925ProgramServicesAmt
Management And General$167,097ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$333,578TotalAmt
Program Services$242,026ProgramServicesAmt
Management And General$91,552ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$220,185TotalAmt
Program Services$159,754ProgramServicesAmt
Management And General$60,431ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$130,785TotalAmt
Management And General$130,785ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,048,581TotalAmt
Program Services$10,192,888ProgramServicesAmt
Management And General$3,855,693ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$272,222TotalAmt
Program Services$197,510ProgramServicesAmt
Management And General$74,712ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,110,225TotalAmt
Program Services$805,519ProgramServicesAmt
Management And General$304,706ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$208,039TotalAmt
Program Services$150,942ProgramServicesAmt
Management And General$57,097ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,454TotalAmt
Program Services$11,213ProgramServicesAmt
Management And General$4,241ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,556,966TotalAmt
Program Services$1,034,200ProgramServicesAmt
Management And General$1,522,766ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,525,702TotalAmt
Program Services$4,394,498ProgramServicesAmt
Management And General$131,204ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,294,152TotalAmt
Program Services$938,966ProgramServicesAmt
Management And General$355,186ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$23,834,548$17,293,054$6,541,494
REPAIRS AND MAINTENANCE$7,755,415$5,626,908$2,128,507
BAD DEBT EXPENSE$3,357,964$3,357,964
LOSS IN JOINT VENTURE$1,976,021$1,976,021

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,681,763TotalAmt
Program Services$1,220,196ProgramServicesAmt
Management And General$461,567ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$125,108,622TotalAmt
Program Services$104,088,740ProgramServicesAmt
Management And General$21,019,882ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$198,142BOYAmt
EOY$228,404EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$119,187BOYAmt
EOY$304,869EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,929,716BOYAmt
EOY$35,416,582EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,959,002BOYAmt
EOY$3,097,529EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,701,088BOYAmt
EOY$626,353EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$140,398,094LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$74,283,021LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$61,672,334BOYAmt
EOY$66,115,073EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$44,480,022BOYAmt
EOY$35,018,022EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,968,928BOYAmt
EOY$5,667,199EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$134,028,419BOYAmt
EOY$146,474,031EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,265,098BOYAmt
EOY$29,289,980EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$148,237EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,483,124BOYAmt
EOY$44,187,390EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,260,391BOYAmt
EOY$3,168,475EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,922,171BOYAmt
EOY$19,277,419EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,930,784BOYAmt
EOY$96,071,501EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,089,299BOYAmt
EOY$50,394,194EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,336BOYAmt
EOY$8,336EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,097,635BOYAmt
EOY$50,402,530EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$134,028,419BOYAmt
EOY$146,474,031EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$6,236,036ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$540,931NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$13,581OtherActivitiesAmt
Total Lobbying Expenditures$13,581TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationEXPENSES PAID TO STRATEGIC HEALTHCARE ORGANIZATIONS WHOSE FOCUS IS STATE AND FEDERAL GOVERNMENT RELATIONS AND ADVOCACY EFFORTS ON BEHALF OF HOSPITAL ASSOCIATIONS. AHA DUES - $9,766 STRATEGIC HEALTH CARE - $1,250 IHA DUES - $2,565ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,201,816OtherCostOrOtherBasisAmt
Book Value$8,201,816BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,611,455OtherCostOrOtherBasisAmt
Depreciation$13,834,584DepreciationAmt
Book Value$34,776,871BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,234,243OtherCostOrOtherBasisAmt
Depreciation$23,693,549DepreciationAmt
Book Value$5,540,694BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,986,113OtherCostOrOtherBasisAmt
Depreciation$36,754,888DepreciationAmt
Book Value$14,231,225BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,364,467OtherCostOrOtherBasisAmt
Book Value$3,364,467BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$66,115,073TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PAYABLE FOR THIRD-PARTY REIMBURSEMENT PROGRAMS$491,746
LINE OF CREDIT$14,735,416
OPERATING LEASE OBLIGATIONS$4,050,257
FieldValueIRS element (for citing)
Total Liability$19,277,419TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE MEDICAL CENTER AND FOUNDATION DETERMINE 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 CONSOLIDATED FINANCIAL STATEMENTS. THE MEDICAL CENTER RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS. FEDERAL RETURNS FOR THE TAX YEARS 2021 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,052,129TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,052,129NetCommunityBenefitExpnsAmt
Total Expense0.01640TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,729,239TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,694,644DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,595NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,781,368TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,694,644DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,086,724NetCommunityBenefitExpnsAmt
Total Expense0.01670TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served180PersonsServedCnt
Total Community Benefit Expns$110,358TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$110,358NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$188TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$188NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,299,611TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,288,758DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,010,853NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served180PersonsServedCnt
Total Community Benefit Expns$2,410,157TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,288,758DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,121,399NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served180PersonsServedCnt
Total Community Benefit Expns$15,191,525TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,983,402DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,208,123NetCommunityBenefitExpnsAmt
Total Expense0.02570TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Reimbursed By Medicare$29,293,772ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$29,398,314CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$104,542MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PALOUSE HEALTH PROPERTIES LLC
PROPERTY MANAGEMENT0.646400.39150
2 PALOUSE SURGERY CENTER LLC
OUTPATIENT SURGERY CENTER0.675300.38300
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 S MAIN STREETAddressLine1Txt
CityMOSCOWCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83843ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.GRITMAN.ORGWebsiteAddressTxt
State License39StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.GRITMAN.ORG/ABOUT/COMMUNITY/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.GRITMAN.ORG/ABOUT/COMMUNITY/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION B, LINE 16JFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION B, LINE 16JFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION B, LINE 16JFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GRITMAN MEDICAL CENTERPART 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 CENTERPART 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 CONDUCTED CHNA IN 2019. IN 2022, GRITMAN CARRIED OUT THE SECOND YEAR OF ITS 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 2022 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 CENTERPART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16A - FINANCIAL ASSISTANCE POLICYHTTPS://WWW.GRITMAN.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16B - FINANCIAL ASSISTANCE APPLICATIONHTTPS://WWW.GRITMAN.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/PART V, SECTION B, LINE 16C - FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARYHTTPS://WWW.GRITMAN.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - PALOUSE SURGERY CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 WEST A STREETAddressLine1Txt
CityMOSCOWCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83843ZIPCd
FieldValueIRS element (for citing)
FacilityGENERAL MEDICAL AND SURGERYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 WERE ALL REIMBURSED THIS YEAR.
PART II, COMMUNITY BUILDING ACTIVITIES:IN 2024, GRITMAN FULFILLED ITS MISSION TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES THROUGH 1007 INPATIENT ADMISSIONS, 3,449 PATIENT DAYS AND 160,262 OUTPATIENT VISITS. THROUGH OUR POTLATCH, TROY, AND KENDRICK RURAL CLINICS, WE PROVIDED 5,418 OFFICE VISITS. ALSO, IN 2024 THE HOSPITAL PROVIDED $1,180,000 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. WE ALSO PROVIDE A SPACE AND LEARNING CENTER FOR THE WWAMI PROGRAM.
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 2023 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 (AMONG OTHERS) FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND DESIGNED TO ESTIMATE THE PREVALENCE 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 42,055 PEOPLE AS OF 2024. 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 2023, 7.3% OF THE PERSONS UNDER 65 IN LATAH COUNTY ARE WITHOUT HEALTH INSURANCE. THERE IS WIDE VARIATION IN MEDIAN AGE IN OUR SERVICE AREA: 5.1% ARE PERSONS UNDER 5 YEARS; 19.4% ARE PERSONS UNDER 18 YEARS; AND 15.1% ARE PERSONS 65 YEARS AND OVER. MEDIAN HOUSEHOLD INCOME FOR 2018-2022 WAS $62,258. AS OF 2023, 16.1% 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 2024, GRITMAN FULFILLED ITS MISSION TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES THROUGH 1007 INPATIENT ADMISSIONS, 3,449 PATIENT DAYS AND 160,262 OUTPATIENT VISITS. THROUGH OUR POTLATCH, TROY, AND KENDRICK RURAL CLINICS, WE PROVIDED 5,418 OFFICE VISITS. ALSO, IN 2024 THE HOSPITAL PROVIDED $1,180,000 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. WE ALSO PROVIDE A SPACE AND LEARNING CENTER FOR THE WWAMI PROGRAM.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
GRITMAN MEDICAL CENTER FOUNDATION INC
700 S MAIN STREETMOSCOWID83843200586022501(C)(3)$7,909$0OPERATING EXPENSES
UNIVERSITY OF IDAHO
875 PERIMETER DRMOSCOWID83843826000945501(C)(3)$21,083$0PLEDGED DONATION - OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationWHEN 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

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARVIN KYM MD
PHYSICIAN$536,538$0$179,757$0$271,507$0$0$0$21,616$0$1,009,418$0$0$0
NICHOLAS B LEVINE MD
PHYSICIAN$552,500$0$15,000$0$116,965$0$0$0$14,758$0$699,223$0$0$0
BRYAN SMITH MD
PHYSICIAN$429,827$0$31,813$0$199,521$0$0$0$23,547$0$684,708$0$0$0
BRIAN NEWELL MD
PHYSICIAN$406,677$0$35,000$0$71,684$0$0$0$30,340$0$543,701$0$0$0
CHRISTINA L CERVIERI MD
PHYSICIAN$339,231$0$50,000$0$124,522$0$0$0$18,064$0$531,817$0$0$0
GRETTA JAROLIMEK
CHIEF CLINICS OFFICER$214,959$0$0$0$4,617$0$0$0$28,597$0$248,173$0$0$0
MARIE TIMLIN
CNO$187,760$0$0$0$15,518$0$0$0$24,714$0$227,992$0$0$0
JOHN BROWN MD
CMO$183,572$0$388$0$4,391$0$0$0$21,220$0$209,571$0$0$0
CONNIE OSBORN
CQO$157,425$0$0$0$16,348$0$0$0$21,726$0$195,499$0$0$0
CANDICE ALLEN
ACNO$151,519$0$0$0$8,723$0$0$0$28,381$0$188,623$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7SCHEDULE J, PART II, COLUMN (B)(II) REPORTS DISCRETIONARY INCENTIVE AMOUNTS THAT WERE APPROVED BY THE BOARD BASED UPON PERFORMANCE. OFFICERS AND KEY EMPLOYEES ARE REIMBURSED PURSUANT TO APPROVAL BY A SUPERVISOR (OR BOARD) WHO EXERCISES DISCRETION.
SCHEDULE J, PART IIKARA BESST, CEO, RECEIVED COMPENSATION OF $413,861 AND BENEFITS OF $106,776 FROM AN UNRELATED ORGANIZATION, OVATION HEALTHCARE (FORMERLY QUORUM HEALTH RESOURCES).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
IDAHO HEALTH FACILITIES AUTHORITY
A82605186345129UBP82016-10-28$16,850,000REFINANCE 2003 BONDS, NEW BUILDING000
IDAHO HEALTH FACILITIES AUTHORITY
B8260518632022-07-07$30,595,420BOARD APPROVED CAPITAL PROJECTS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,139,262$16,850,000$164,360$3,115,000$13,570,6402016Yes (1)0Yes (1)Yes (1)
B$118,768$30,595,420$293,488$2,988,031$27,313,9012024000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AYes (1)00000
BYes (1)00000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BGRITMAN 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 OR CFO.
FORM 990, PART VI, SECTION B, LINE 12CPOTENTIAL 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 15THE ORGANIZATION'S CEO IS AN EMPLOYEE OF OVATION HEALTHCARE (FORMERLY QHR) AS SUCH, THEIR PAY RATE IS DETERMINED BY OVATION HEALTHCARE. OVATION PERFORMS A COMPENSATION SURVEY TO DETERMINE THE CEO'S COMPENSATION, THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS ALL CONTRACTS WITH OVATION 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 CHIEF CLINIC OFFICER (CCO) AND THE ASSISTANT CHIEF NURSING OFFICER (ACNO) 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 19FINANCIAL INFORMATION IS MADE AVAILABLE AT GRITMAN'S ANNUAL COMMUNITY MEETING EACH YEAR, WHICH IS OPEN TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACTED SERVICES - PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 5,681,053. MANAGEMENT AND GENERAL EXPENSES 2,148,989. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,830,042. CONTRACTED SERVICES - CONSULTANTS & MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 2,412,064. MANAGEMENT AND GENERAL EXPENSES 912,418. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,324,482. OTHER FEES: PROGRAM SERVICE EXPENSES 2,099,771. MANAGEMENT AND GENERAL EXPENSES 794,286. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,894,057.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL PARK LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 S WASHINGTONAddressLine1Txt
CityMOSCOWCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83843ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesREAL ESTATE RENTALSPrimaryActivitiesTxt
Legal Domicile StateIDLegalDomicileStateCd
Total Income-$432,712TotalIncomeAmt
End Of Year Assets$5,800,139EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTERBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTER FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 S MAIN STREETAddressLine1Txt
CityMOSCOWCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83843ZIPCd
FieldValueIRS element (for citing)
EIN200586022EIN
Primary ActivitiesHOSPITAL SUPPORTPrimaryActivitiesTxt
Legal Domicile StateIDLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
PALOUSE SURGERY CENTER LLC
2300 WEST A STREETMOSCOWID83843810593962OUTPATIENT SURGERY CENTERIDGRITMAN MEDICAL CENTERRELATED-$133,060$1,255,148000.69550
PALOUSE HEALTH PROPERTIESLLC
2300 WEST A STREETMOSCOWID83843810593963PROPERTY MANAGEMENTIDGRITMAN MEDICAL CENTERRELATED$107,378$1,786,120000.68680
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTER FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$119,861InvolvedAmt
Method Of Amount DeterminationACTUALMethodOfAmountDeterminationTxt

Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PALOUSE SURGEONS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 SE BISHOP BOULEVARD SUITE 601AddressLine1Txt
CityPULLMANCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99163ZIPCd
FieldValueIRS element (for citing)
EIN202369734EIN
Primary ActivitiesSURGERY CENTERPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Predominate IncomeRELATEDPredominateIncomeDesc
All Partners C3 SYes (1)AllPartnersC3SInd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.40000OwnershipPct