2025-11-13T13:42:15-06:00 2024-12-31 393647910 WIPFLI ADVISORY LLC 170 N RADNOR-CHESTER RD SUITE 200 RADNOR PA 19087 990 2024-01-01 820146328 GRITMAN MEDICAL CENTER INC GRIT 2088824511 700 S MAIN STREET MOSCOW ID 83843 KARA BESST CEO 2088824511 2025-11-13 1 1 SOLOMON MARDAKHAEV P01806552 6105653930 2025-11-13 2024 2025-03-06 01:10:19Z KARA BESST 700 S MAIN STREET MOSCOW ID 83843 124216033 0 X WWW.GRITMAN.ORG X 1939 ID TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. 10 10 914 180 -432712 0 678736 3982349 109981607 111984863 1842727 2940085 667044 -34711 113170114 118872586 165088 78447 0 0 56400148 61708575 0 0 0 56842318 63321600 113407554 125108622 -237440 -6236036 134028419 146474031 77930784 96071501 56097635 50402530 X TO PROVIDE EXTRAORDINARY CARE TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. 0 0 104088740 78447 109308504 RADIOLOGY: GRITMAN'S COMPREHENSIVE IMAGING AND RADIOLOGY SERVICES ARE PROVIDED BY EXPERIENCED, COMPASSIONATE, BOARD-CERTIFIED TECHNOLOGISTS AND RADIOLOGISTS. WE ARE STAFFED 24 HOURS A DAY AND ALWAYS READY FOR YOUR EMERGENCY OR SCHEDULED IMAGING NEEDS. THE RADIOLOGY DEPARTMENT PROVIDES A VARIETY OF SERVICES INCLUDING CT SCANS, ECHOCARDIOGRAM, MRI, NUCLEAR MEDICINE, ULTRASOUND, 3D MAMMOGRAPHY, OSTEOPOROSIS SCREENING, AND X-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. 104088740 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 225 0 914 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X KARA BESST 2088832220 700 S MAIN STREET MOSCOW ID 83843 STEVE BUSCH BOARD VICE CHAIR 2.00 X X 0 0 0 LORI STINSON BOARD CHAIR 2.00 X X 0 0 0 RULA AWWAD-RAFFERTY TRUSTEE 2.00 X 0 0 0 TRICIA GEHRLEIN TRUSTEE 2.00 X 0 0 0 DICK HEIMSCH TRUSTEE 2.00 X 0 0 0 CHARLES JACOBSON MD TRUSTEE 2.00 X 0 0 0 MARLA KRAUT TRUSTEE 2.00 X 0 0 0 CHUCK MORRISON TRUSTEE 2.00 X 0 0 0 DR RAY PAZ TRUSTEE 2.00 X 0 0 0 BARBARA WELLS TRUSTEE 2.00 X 0 0 0 GRETTA JAROLIMEK CHIEF CLINICS OFFICER 40.00 X 219576 0 28597 MARIE TIMLIN CNO 40.00 X 203278 0 24714 JOHN BROWN MD CMO 20.00 X 188351 0 21220 CONNIE OSBORN CQO 40.00 X 173773 0 21726 CANDICE ALLEN ACNO 40.00 X 160242 0 28381 DANIELLE LYNAS CFO/CONTROLLER (THRU JAN 2024) 40.00 X 113809 0 14731 DANIELLE BREED ADMIN CHIEF OF STAFF, CORP. SEC. 40.00 X 110163 0 10428 CORY ZIMMERMAN CFO, TREASURER 40.00 X 61192 0 5489 KARA BESST CEO 40.00 X 0 0 0 MARVIN KYM MD PHYSICIAN 40.00 X 987802 0 21616 NICHOLAS B LEVINE MD PHYSICIAN 40.00 X 684465 0 14758 BRYAN SMITH MD PHYSICIAN 40.00 X 661161 0 23547 BRIAN NEWELL MD PHYSICIAN 40.00 X 513361 0 30340 CHRISTINA L CERVIERI MD PHYSICIAN 40.00 X 513753 0 18064 4590926 0 263611 98 0 1 1 PALOUSE SPECIALTIES 825 SE BISHOP BLVD STE 501 PULLMAN WA 99163 SURGICAL SERVICES 2721822 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 CONTRACTED LABOR SERVICES 1890778 MOSCOW EMERGENCY PHYSICIANS PLL 700 S MAIN STREET MOSCOW ID 83843 ER SERVICES 1847243 QHR HEALTH 1573 MALLORY LANE SUITE 200 BRENTWOOD TN 37027 CONTRACTED CONSULTING SERVICES 983776 PANHANDLE ANESTHESIA ASSOC OF MOSCOW PO BOX 9911 MOSCOW ID 83843 ANESTHESIA SERVICES 724565 27 119861 3830356 32132 3982349 NET PATIENT SERVICE REVENUE 621110 109308504 109308504 2676359 2676359 111984863 2179061 2179061 1051174 1085885 -34711 -34711 -432712 398001 4688304 330282 4257562 0 430742 330282 761024 761024 118872586 109308504 -432712 6014445 X 78447 78447 1385670 1190449 195221 49900622 47295757 2604865 7221261 6864524 356737 3201022 3033925 167097 333578 242026 91552 220185 159754 60431 130785 130785 14048581 10192888 3855693 272222 197510 74712 1110225 805519 304706 208039 150942 57097 15454 11213 4241 2556966 1034200 1522766 4525702 4394498 131204 1294152 938966 355186 MEDICAL SUPPLIES 23834548 17293054 6541494 REPAIRS AND MAINTENANCE 7755415 5626908 2128507 BAD DEBT EXPENSE 3357964 3357964 LOSS IN JOINT VENTURE 1976021 1976021 1681763 1220196 461567 125108622 104088740 21019882 0 198142 228404 119187 304869 20929716 35416582 2959002 3097529 1701088 626353 140398094 74283021 61672334 66115073 44480022 35018022 1968928 5667199 134028419 146474031 18265098 29289980 0 148237 45483124 44187390 3260391 3168475 10922171 19277419 77930784 96071501 X 56089299 50394194 8336 8336 56097635 50402530 134028419 146474031 -6236036 540931 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13581 13581 0 PART II-B, LINE 1: EXPENSES PAID TO STRATEGIC HEALTHCARE ORGANIZATIONS WHOSE FOCUS IS STATE AND FEDERAL GOVERNMENT RELATIONS AND ADVOCACY EFFORTS ON BEHALF OF HOSPITAL ASSOCIATIONS. AHA DUES - $9,766 STRATEGIC HEALTH CARE - $1,250 IHA DUES - $2,565 8201816 8201816 48611455 13834584 34776871 29234243 23693549 5540694 50986113 36754888 14231225 3364467 3364467 66115073 PAYABLE FOR THIRD-PARTY REIMBURSEMENT PROGRAMS 491746 LINE OF CREDIT 14735416 OPERATING LEASE OBLIGATIONS 4050257 19277419 X PART X, LINE 2: TO 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. 1 1 X 1 X 1 X 1 1 0 0 2052129 2052129 0.01640 10729239 10694644 34595 0.00030 12781368 10694644 2086724 0.01670 4 180 110358 110358 0.00090 188 188 0.00000 2299611 1288758 1010853 0.00810 4 180 2410157 1288758 1121399 0.00900 4 180 15191525 11983402 3208123 0.02570 1 29293772 29398314 -104542 X 1 1 1 PALOUSE HEALTH PROPERTIES LLC PROPERTY MANAGEMENT 0.64640 0.39150 2 PALOUSE SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.67530 0.38300 1 1 GRITMAN MEDICAL CENTER 700 S MAIN STREET MOSCOW ID 83843 WWW.GRITMAN.ORG 39 X X X X GRITMAN MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X HTTPS://WWW.GRITMAN.ORG/ABOUT/COMMUNITY/ X 1 19 1 HTTPS://WWW.GRITMAN.ORG/ABOUT/COMMUNITY/ 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X X X X X 1 X 0 X X X X 1 X 0 0 GRITMAN MEDICAL CENTER PART V, SECTION B, LINE 5: LOCAL EXPERT ADVISORS WERE SELECTED ACCORDING TO CRITERIA REQUIRED BY FEDERAL GUIDELINES AND REGULATIONS. THE HOSPITAL'S DESIRE IS TO REPRESENT THE REGION'S GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATION. GRITMAN MEDICAL CENTER PART V, SECTION B, LINE 11: THE METHODOLOGY USED IS PRIORITY RANKING FOR AREA HEALTH NEEDS RECOMMENDED BY LOCAL EXPERT ADVISORS TO ORGANIZE THE PURSUIT FOR LOCALLY AVAILABLE RESOURCES, AS WELL AS THE COMMUNITY NEEDS PRESENTED TO GRITMAN MEDICAL CENTER (GMC) THROUGHOUT EACH FISCAL YEAR. THE ASSESSMENT IS COMPLETED USING THE FOLLOWING LIST: IDENTIFIES THE RANK ORDER OF EACH IDENTIFIED SIGNIFICANT NEED IN THE COMMUNITY PRESENTS THE FACTORS CONSIDERED IN DEVELOPING THE RANKING ESTABLISHES A PROBLEM STATEMENT TO SPECIFY EACH PROBLEM IN THE COMMUNITY INDICATED BY THE USE OF THE SIGNIFICANT NEED TERM IDENTIFIES GMC CURRENT EFFORTS RESPONDING TO THE NEED INCLUDING ANY WRITTEN COMMENTS RECEIVED REGARDING PRIOR GMC IMPLEMENTATION ACTIONS ESTABLISHES THE IMPLEMENTATION STRATEGY PROGRAMS AND RESOURCES GMC WILL DEVOTE TO ATTEMPT TO ACHIEVE IMPROVEMENTS DOCUMENTS THE LEADING INDICATORS GMC WILL USE TO MEASURE PROGRESS PRESENTS THE LEADING INDICATORS GMC BELIEVES WILL INFLUENCE IN A POSITIVE FASHION PRESENTS THE LOCALLY AVAILABLE RESOURCES NOTED DURING THE DEVELOPMENT OF THIS REPORT TO BE CURRENTLY AVAILABLE TO RESPOND TO EACH NEED PRESENTED.GMC IS A CRITICAL ACCESS HOSPITAL IN MOSCOW, IDAHO THAT PROVIDES 25 ACUTE CARE BEDS. THE HOSPITAL IS ABLE TO PROVIDE ACCESS TO HEALTHCARE BY KEEPING ESSENTIAL SERVICES AVAILABLE IN ITS RURAL COMMUNITIES. THE NEXT CLOSEST FACILITIES ARE OUTSIDE THE SERVICE AREAS AND INCLUDE:PULLMAN REGIONAL HOSPITAL, PULLMAN, WA, 9 MILES (17 MINUTES) WHITMAN HOSPITAL & MEDICAL CENTER, COLFAX, WA, 25 MILES (37 MINUTES) ST. JOSEPH REGIONAL MEDICAL CENTER, LEWISTON, ID, 32 MILES (29 MINUTES) TRI-STATE MEMORIAL HOSPITAL, CLARKSTON, WA, 36 MILES (42 MINUTES) ALL STATISTICS ARE ASSESSED TO DETERMINE SIGNIFICANT NEEDS THAT ARE CALLED "LAGGING INDICATORS". THIS MEASURES RESULTS AFTER A PERIOD OF TIME WHILE CHARACTERIZING HISTORICAL PERFORMANCE. LAGGING INDICATORS TELL YOU NOTHING ABOUT HOW THE OUTCOMES WERE ACHIEVED. IN CONTRAST, THE GMC IMPLEMENTATION STRATEGY USES "LEADING INDICATORS." LEADING INDICATORS ANTICIPATE CHANGE IN THE LAGGING INDICATOR. LEADING INDICATORS FOCUS ON SHORT-TERM PERFORMANCE, AND IF ACCURATELY SELECTED, ANTICIPATE THE BROADER ACHIEVEMENT OF DESIRED CHANGE THAN THE LAGGING INDICATOR. IN THE QUORUM HEALTH RESOURCE APPLICATION, WHO PROVIDES CONSULTING SERVICES TO GMC, THE LEADING INDICATORS ALSO MUST BE WITHIN THE ABILITY OF THE HOSPITAL TO INFLUENCE AND MEASURE.IN A NUMBER OF WAYS, GRITMAN MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT COMMUNITY NEEDS THAT WERE IDENTIFIED FROM THE 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 CENTER PART 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/ 1 1 - PALOUSE SURGERY CENTER LLC 2300 WEST A STREET MOSCOW ID 83843 GENERAL MEDICAL AND SURGERY PART I, LINE 7: PART I, LINE 7: LINES 7A, B AND C WERE CALCULATED USING A COST TO CHARGE RATIO BASED ON TOTAL OPERATING EXPENSES LESS BAD DEBT DIVIDED BY GROSS PATIENT CHARGES.PART I, LINES 7E, F, G AND I WERE CALCULATED FROM GENERAL LEDGER ACTUAL COSTS. PART I, LINE 7G: FOUR HEALTH CLINICS WERE INCLUDED IN LINE 7G. THE COST OF THE CLINICS 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. 1 GRITMAN MEDICAL CENTER FOUNDATION INC 700 S MAIN STREET MOSCOW ID 83843 200586022 501(C)(3) 7909 0 OPERATING EXPENSES UNIVERSITY OF IDAHO 875 PERIMETER DR MOSCOW ID 83843 826000945 501(C)(3) 21083 0 PLEDGED DONATION - OPERATIONS 2 0 PART I, LINE 2: WHEN GRANT FUNDS ARE RECEIVED THEY ARE PLACED IN THEIR OWN FUND ACCOUNT AND TRACKED TO MAKE SURE THEY ARE SPENT IN ACCORDANCE WITH THE GRANT. X X X 0 0 0 0 0 0 0 1 0 MARVIN KYM MD PHYSICIAN 536538 0 179757 0 271507 0 0 0 21616 0 1009418 0 0 0 NICHOLAS B LEVINE MD PHYSICIAN 552500 0 15000 0 116965 0 0 0 14758 0 699223 0 0 0 BRYAN SMITH MD PHYSICIAN 429827 0 31813 0 199521 0 0 0 23547 0 684708 0 0 0 BRIAN NEWELL MD PHYSICIAN 406677 0 35000 0 71684 0 0 0 30340 0 543701 0 0 0 CHRISTINA L CERVIERI MD PHYSICIAN 339231 0 50000 0 124522 0 0 0 18064 0 531817 0 0 0 GRETTA JAROLIMEK CHIEF CLINICS OFFICER 214959 0 0 0 4617 0 0 0 28597 0 248173 0 0 0 MARIE TIMLIN CNO 187760 0 0 0 15518 0 0 0 24714 0 227992 0 0 0 JOHN BROWN MD CMO 183572 0 388 0 4391 0 0 0 21220 0 209571 0 0 0 CONNIE OSBORN CQO 157425 0 0 0 16348 0 0 0 21726 0 195499 0 0 0 CANDICE ALLEN ACNO 151519 0 0 0 8723 0 0 0 28381 0 188623 0 0 0 PART I, LINE 7 SCHEDULE 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 II KARA BESST, CEO, RECEIVED COMPENSATION OF $413,861 AND BENEFITS OF $106,776 FROM AN UNRELATED ORGANIZATION, OVATION HEALTHCARE (FORMERLY QUORUM HEALTH RESOURCES). A IDAHO HEALTH FACILITIES AUTHORITY 826051863 45129UBP8 2016-10-28 16850000 REFINANCE 2003 BONDS, NEW BUILDING 0 0 0 B IDAHO HEALTH FACILITIES AUTHORITY 826051863 2022-07-07 30595420 BOARD APPROVED CAPITAL PROJECTS 0 0 0 A 3139262 16850000 164360 3115000 13570640 2016 1 0 1 1 B 118768 30595420 293488 2988031 27313901 2024 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 1 0 0 0 0 0 B 1 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION B, LINE 11B GRITMAN MEDICAL CENTER'S CFO PRESENTS A COPY OF THE FORM 990 TO THE BOARD FOR REVIEW PRIOR TO SIGNATURE OF THE RETURN BY THE ORGANIZATION'S CEO OR CFO. FORM 990, PART VI, SECTION B, LINE 12C POTENTIAL CONFLICTS ARE REQUIRED TO BE DISCLOSED TO THE BOARD THROUGHOUT THE YEAR. LEGAL COUNSEL REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST AND THEN DETERMINES IF A CONFLICT OF INTEREST IS PRESENT. IT IS THE POLICY OF GRITMAN MEDICAL CENTER THAT ANY BOARD MEMBER WITH AN UNDISCLOSED CONFLICT OF INTEREST MAY BE SUBJECT TO IMMEDIATE TERMINATION FROM SERVICE ON THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S CEO IS AN EMPLOYEE OF 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 19 FINANCIAL INFORMATION IS MADE AVAILABLE AT GRITMAN'S ANNUAL COMMUNITY MEETING EACH YEAR, WHICH IS OPEN TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACTED 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. GRITMAN MEDICAL PARK LLC 700 S WASHINGTON MOSCOW ID 83843 REAL ESTATE RENTALS ID -432712 5800139 GRITMAN MEDICAL CENTER GRITMAN MEDICAL CENTER FOUNDATION 700 S MAIN STREET MOSCOW ID 83843 200586022 HOSPITAL SUPPORT ID 501(C)(3) LINE 7 GRITMAN MEDICAL CENTER 1 PALOUSE SURGERY CENTER LLC 2300 WEST A STREET MOSCOW ID 83843 810593962 OUTPATIENT SURGERY CENTER ID GRITMAN MEDICAL CENTER RELATED -133060 1255148 0 0 0.69550 PALOUSE HEALTH PROPERTIESLLC 2300 WEST A STREET MOSCOW ID 83843 810593963 PROPERTY MANAGEMENT ID GRITMAN MEDICAL CENTER RELATED 107378 1786120 0 0 0.68680 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GRITMAN MEDICAL CENTER FOUNDATION INC C 119861 ACTUAL PALOUSE SURGEONS LLC 825 SE BISHOP BOULEVARD SUITE 601 PULLMAN WA 99163 202369734 SURGERY CENTER WA RELATED 1 0 1 0.40000