GOOD SHEPHERD HEALTH CARE SYSTEM: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD HEALTH CARE SYSTEM (EIN 93-0425580)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-10
- IRS object ID
- 201621319349301357
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-10T10:19:44-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930425580 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Health Care System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 5416673400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1Txt |
| City | Hermiston | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97838 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dennis Burke | PersonNm |
| Person Title | President/CEO | PersonTitleTxt |
| Phone | 5416673400 | PhoneNum |
| Signature | 2016-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2016-05-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dennis Burke | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1Txt |
| City | Hermiston | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97838 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $98,414,047 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.gshealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | Hospital and health care services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 715 | TotalEmployeeCnt |
| Total Volunteers | 127 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $125,663 | PYContributionsGrantsAmt |
| CY Contributions Grants | $186,830 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $83,761,041 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $92,218,289 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,321,534 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,890,689 | CYInvestmentIncomeAmt |
| PY Other Revenue | $119,592 | PYOtherRevenueAmt |
| CY Other Revenue | $118,239 | CYOtherRevenueAmt |
| PY Total Revenue | $88,327,830 | PYTotalRevenueAmt |
| CY Total Revenue | $98,414,047 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $313,800 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $252,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,975,186 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,390,666 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,244,427 | PYOtherExpensesAmt |
| CY Other Expenses | $33,195,723 | CYOtherExpensesAmt |
| PY Total Expenses | $74,533,413 | PYTotalExpensesAmt |
| CY Total Expenses | $77,838,889 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,794,417 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,575,158 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $147,108,147 | TotalAssetsBOYAmt |
| Total Assets EOY | $162,828,971 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,262,394 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,767,727 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $132,845,753 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $149,061,244 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide compassionate, high quality, and accessible health care and to promote a healthy community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $71,866,847 | ExpenseAmt |
| Grant | $252,500 | GrantAmt |
| Revenue | $92,218,289 | RevenueAmt |
| Desc | Good Shepherd Health Care System (GSHCS) served 1,842 inpatients over 4,854 patient-days and 51,304 outpatients in fiscal year 2014-15, as well as 19,626 patients in our Emergency Center. Although reimbursement for services rendered is critical to the operations and stability of GSHCS, not all individuals have the ability to purchase essential medical services. In recognition of this, during FY 2014-15 GSHCS wrote off to collection $1,929,398 valued at charges foregone as bad debt. Direct charity care to our community amounted to an additional $2,707,097, valued at charges foregone. GSHCS provides care to persons covered by governmental programs at deeply discounted rates. Recognizing its mission to the community, services were provided to both Medicare and Medicaid patients. The unreimbursed value of providing care to these patients during fiscal year 2014-15 was $46,156,377, valued at charges foregone.Our Emergency Center is open around-the-clock to all community members, visitors, and travelers, without regard to one's ability to pay. | Desc |
| Total Program Service Expenses | $71,866,847 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 190 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 715 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jan Peter | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5416673416 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1Txt |
| City | Hermiston | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97838 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Steve Eldrige | ||||||||
| Chair | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Nancy Mabry | ||||||||
| Vice Chair | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dr Derek Earl | ||||||||
| Secretary | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Tom Wamsley | ||||||||
| Treasurer | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Bob Carlson | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Arnell Eynon | ||||||||
| Director (partial year) | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Sue Daggett | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Rachel Archer | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Gabino Gispert | ||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Richard Lindner | ||||||||
| Director (partial year) | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Tricia Fenley | ||||||||
| Director (partial year) | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Dennis E Burke | ||||||||
| President/CEO | 40.00 | 0.00 | Yes (X) | $374,894 | $0 | $52,186 | ||
| Jan D Peter | ||||||||
| VP/CFO | 40.00 | 0.00 | Yes (X) | $212,825 | $0 | $40,887 | ||
| Jim Schlenker | ||||||||
| VP/COO (Mar-June) | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| David T Hughes | ||||||||
| VP/COO (Jul-Jan) | 40.00 | 0.00 | Yes (X) | $197,688 | $0 | $0 | ||
| Dr Olga Stobart | ||||||||
| Hospitalist | 40.00 | 0.00 | $380,286 | $0 | $10,400 | Yes (X) | ||
| Dr Mark Donnelly | ||||||||
| Physician - ER Doctor | 40.00 | 0.00 | $341,201 | $0 | $34,691 | Yes (X) | ||
| Dr Thomas J Holt | ||||||||
| Physician - Urologist | 40.00 | 0.00 | $362,460 | $0 | $28,431 | Yes (X) | ||
| Dr Kim A Peterson | ||||||||
| Physician - ER Doctor | 40.00 | 0.00 | $315,125 | $0 | $24,808 | Yes (X) | ||
| Dr Leonidez De Guzman | ||||||||
| Physician - IM | 40.00 | 0.00 | $279,844 | $0 | $24,940 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,464,323 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $216,343 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| McCormack Construction Corp | |||||
| 422 SW 6th | Pendleton | OR | 97801 | Construction | $6,110,512 |
| Rehab Associates | |||||
| 600 NW 11th St Ste E31 | Hermiston | OR | 97838 | Physical Therapy | $1,281,020 |
| Tualatin Imaging | |||||
| 6464 SW Boreland Rd Suite A-4 | Tualitin | OR | 97062 | Diagnostic Imaging | $1,147,824 |
| Peterson Kolberg & Associates | |||||
| 6969 SW Hampton | Portland | OR | 97223 | Architecture | $931,249 |
| Medical Doctor Assoc Inc | |||||
| PO Box 277185 | Atlanta | GA | 30384 | Locum Doctors | $472,304 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $21,388 | RelatedOrganizationsAmt |
| All Other Contributions | $165,442 | AllOtherContributionsAmt |
| Total Contributions | $186,830 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Services | 622110 | $89,129,282 | $89,129,282 |
| Other Supporting Revenue | 900099 | $1,814,294 | $1,814,294 |
| Cafeteria | 900099 | $568,605 | $568,605 |
| Income from Subsidiary | 446110 | $452,593 | $452,593 |
| Daycare | 900099 | $253,515 | $253,515 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $92,218,289 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,412,388 | TotalRevenueColumnAmt |
| Exclusion | $2,412,388 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $118,239 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $118,239 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $118,239 | TotalRevenueColumnAmt |
| Exclusion | $118,239 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,470,015 | SecuritiesAmt |
| Other | $8,286 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,470,015 | SecuritiesAmt |
| Other | $8,286 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,478,301 | TotalRevenueColumnAmt |
| Exclusion | $3,478,301 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,414,047 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92,218,289 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,008,928 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,500 | TotalAmt |
| Program Services | $252,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $913,871 | TotalAmt |
| Management And General | $913,871 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,872,004 | TotalAmt |
| Program Services | $33,067,590 | ProgramServicesAmt |
| Management And General | $1,804,414 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,501,624 | TotalAmt |
| Program Services | $1,423,924 | ProgramServicesAmt |
| Management And General | $77,700 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,980,466 | TotalAmt |
| Program Services | $4,722,757 | ProgramServicesAmt |
| Management And General | $257,709 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,122,701 | TotalAmt |
| Program Services | $1,967,418 | ProgramServicesAmt |
| Management And General | $155,283 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,406 | TotalAmt |
| Management And General | $34,406 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,144 | TotalAmt |
| Management And General | $60,144 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,828 | TotalAmt |
| Management And General | $134,828 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,598,956 | TotalAmt |
| Program Services | $8,443,702 | ProgramServicesAmt |
| Management And General | $2,155,254 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,953 | TotalAmt |
| Program Services | $130,112 | ProgramServicesAmt |
| Management And General | $13,841 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,748,890 | TotalAmt |
| Program Services | $9,567,986 | ProgramServicesAmt |
| Management And General | $180,904 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $763,447 | TotalAmt |
| Program Services | $763,447 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,941 | TotalAmt |
| Program Services | $329,498 | ProgramServicesAmt |
| Management And General | $54,443 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,245 | TotalAmt |
| Management And General | $129,245 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,604 | TotalAmt |
| Program Services | $4,604 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,568,178 | TotalAmt |
| Program Services | $4,568,178 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,579 | TotalAmt |
| Program Services | $550,579 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $3,788,437 | $3,788,437 |
| Bad Debts | $1,929,398 | $1,929,398 |
| Taxes & Licenses | $121,671 | $121,671 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,046 | TotalAmt |
| Program Services | $235,046 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,838,889 | TotalAmt |
| Program Services | $71,866,847 | ProgramServicesAmt |
| Management And General | $5,972,042 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,122,733 | BOYAmt |
| EOY | $5,403,892 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,019,309 | BOYAmt |
| EOY | $13,039,528 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,056,234 | BOYAmt |
| EOY | $13,056,234 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,233,847 | BOYAmt |
| EOY | $2,257,778 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,388,640 | BOYAmt |
| EOY | $1,287,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $112,257,632 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $52,551,788 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,747,247 | BOYAmt |
| EOY | $59,705,844 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,147,316 | BOYAmt |
| EOY | $69,996,948 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,000 | BOYAmt |
| EOY | $630,000 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,567,963 | BOYAmt |
| EOY | -$6,120,557 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,330,784 | BOYAmt |
| EOY | $3,571,923 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,108,147 | BOYAmt |
| EOY | $162,828,971 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,493,670 | BOYAmt |
| EOY | $8,856,142 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,357 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,198,367 | BOYAmt |
| EOY | $4,911,585 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,262,394 | BOYAmt |
| EOY | $13,767,727 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,312,481 | BOYAmt |
| EOY | $148,500,712 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,272 | BOYAmt |
| EOY | $560,532 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,845,753 | BOYAmt |
| EOY | $149,061,244 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,108,147 | BOYAmt |
| EOY | $162,828,971 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $20,575,158 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,354,482 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$5,185 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,860,961 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $951,448 | OtherCostOrOtherBasisAmt |
| Book Value | $3,812,409 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,688,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,402,748 | DepreciationAmt |
| Book Value | $25,285,278 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,598,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,800,140 | DepreciationAmt |
| Book Value | $10,798,244 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,158,813 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,348,900 | DepreciationAmt |
| Book Value | $19,809,913 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $59,705,844 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated 3rd party payor settlements | $1,383,024 |
| Capital Lease Obligations | $3,528,561 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,911,585 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $96,070,061 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$2,161,387 | OtherRevenueAmt |
| Revenue Not Reported | -$2,161,387 | RevenueNotReportedAmt |
| Revenue Subtotal | $98,231,448 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $134,828 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $47,771 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $182,599 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $98,414,047 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $75,522,163 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $75,522,163 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $134,828 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $2,181,898 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,316,726 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $77,838,889 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | GSHCS is organized as an Oregon non-profit corporation and has been recognized by the Internal Revenue Services (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). GSHCS is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, GSHCS is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. GSHCS has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report its unrelated business taxable income. The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The Hospital's federal Form 990 and 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2012. |
| Part XI, Line 2d - Other Adjustments: | Grants to Other Organizations recorded in Revenue on the F/S -252,500. Net Assets released from Restrictions recorded in Revenue on the F/S 20,511. Provisions for Bad Debt recorded in Revenue on the F/S -1,929,398. |
| Part XI, Line 4b - Other Adjustments: | Contributions recorded in Net Assets on the F/S 47,771. |
| Part XII, Line 4b - Other Adjustments: | Grants to Other Organizations recorded in Revenue on the F/S 252,500. Provisions for Bad Debt recorded in Revenue on the F/S 1,929,398. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 138.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 275.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,377,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,377,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,469,659 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,077,519 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $392,140 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,846,659 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,077,519 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,769,140 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2169 | ActivitiesOrProgramsCnt |
| Persons Served | 10000 | PersonsServedCnt |
| Total Community Benefit Expns | $585,691 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $117,420 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $468,271 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $239,661 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,573 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $233,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $252,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $252,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2169 | ActivitiesOrProgramsCnt |
| Persons Served | 10000 | PersonsServedCnt |
| Total Community Benefit Expns | $1,077,852 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,993 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $953,859 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2169 | ActivitiesOrProgramsCnt |
| Persons Served | 10000 | PersonsServedCnt |
| Total Community Benefit Expns | $21,924,511 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,201,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,722,999 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03590 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,929,398 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $62,234 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,710,771 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,640,156 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$929,385 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Health Care System | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1Txt |
| City | Hermiston | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97838 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.gshealth.org | WebsiteAddressTxt |
| State License | 055598-6 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Health Care System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://gshcs.net/pub/gschf-chna.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 138.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 275.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://gshcs.net/pub/gshcs-charity-care-policy.pdf | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://gshcs.net/pub/gshcs-charity-care-policy.pdf | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Good Shepherd Health Care System | Part V, Section B, Line 5: The needs assessment was envisioned, designed, and executed by dozens of community leaders and members representing healthcare, public health, law enforcement, education, and social services. The assessment was conducted in partnership with St. Anthony Hospital in Pendleton, OR. The assessment process included regular consultation with the local Healthy Communities Coalition, a grass-roots advisory committee comprised of 35 community members of diverse background and professions. |
| Good Shepherd Health Care System | Part V, Section B, Line 6a: The CHNA was conducted with St. Anthony Hospital, Pendleton, OR. |
| Good Shepherd Health Care System | Part V, Section B, Line 7d: The CHNA was made widely available through a newspaper article providing a synopsis of the assessment's findings, as well as public forums discussing the assessment's findings. |
| Good Shepherd Health Care System | Part V, Section B, Line 11: The following prioritized health needs were determined by CHNAs for Umatilla and Morrow counties, along with their current mitigation strategies:1. Obesity: Healthy Communities Coalition provided nutritional guideline presentations in schools and workplaces, along with ad hoc community nutrition classes.2. Mental Health: Good Shepherd will provide corporate support (friendship lease of land) for Lifeways acute inpatient mental health center in Hermiston (groundbreaking started in summer of 2014).3. Alcohol/drug addiction: Supported recruitment of additional mental health practitioners with addiction mitigation expertise. Established pain clinic with pain control specialist at Good Shepherd.4. Diabetes: Continued active diabetes education program, open to the public without restrictions on ability to pay.5. Tobacco use: Not currently addressed by Good Shepherd in deference to public health programs in place. Good Shepherd regularly offers tobacco cessation classes and support. |
| Good Shepherd Health Care System | Part V, Section B, Line 16i: A summary of the FAP is distributed in unemployment offices and other areas in the community that target the eligible population. A summary is also available at local physician offices, admissions offices, and sent with billings invoices. Also, upon discharge, a patient financial representative meets with patients to discuss their ability to pay for services. Included as part of this discussion is a summary of the FAP. |
| Schedule H, Part V, Section B, Line 10a: | http://www.co.umatilla.or.us/health/main/Health_Improvement_Plan.pdf |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Good Shepherd Health Care System Part V, Section B, line 16a website: | http://gshcs.net/pub/gshcs-charity-care-policy.pdf |
| Good Shepherd Health Care System Part V, Section B, line 16c website: | http://gshcs.net/pub/gshcs-charity-care-policy.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Good Shepherd Medical Group | ||||
| 610 NW 11th Street | Hermiston | OR | 97838 | Clinic |
| Vange John Memorial Hospice | ||||
| 610 NW 11th Street | Hermiston | OR | 97838 | Hospice |
| TLC Home Health | ||||
| 610 NW 11th Street | Hermiston | OR | 97838 | Home Health |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The state posts the community benefit report online. |
| Part I, Line 7: | The charity care included in Part I, Line 7a is calculated by multiplying the ratio of cost to gross charges for the hospital by the gross uncompensated charges associated with providing charity care to its patients. The community health services, education and contributions in Part I, Lines 7e, 7f and 7i are based on actual expenses. |
| Part I, Ln 7 Col(f): | The amount of bad debt expense removed from the denominator of the calculation on Part 1, Line 7, column f was $1,929,398. |
| Part III, Line 2: | Bad debt on line 2 is reported at charges. |
| Part III, Line 3: | Management considers historical write off and recovery information in determining the estimated bad debt provision. The organization estimates the amount of bad debt attributable to charity patients to be $62,234. This estimate is based on an overall charity care percentage of gross revenue. |
| Part III, Line 4: | Footnote from organization's financial statements: The footnote that describes bad debt expense is found on page 9 of the attached audit report. |
| Part III, Line 8: | Medicare allowable cost is based on the Medicare cost report. The Medicare cost report is completed based on the rules & regulations set forth by Centers for Medicare and Medicaid Services.Good Shepherd Health Care System provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the Medicare shortfall is considered a community benefit. |
| Part III, Line 9b: | The organization's collection procedures requires a financial advisor to work with any patient who is identified as potentially being eligible for financial assistance prior to sending the account to collection. If during the course of the collection process the collection agency determines an account may be eligible for financial assistance, it is referred back to the hospital for further discussion with the patient or for write off. All further collection action is ceased. |
| Part VI, Line 2: | Good Shepherd Health Care System has formed the Healthy Communities Coalition made up of St. Anthony's, Umatilla and Morrow County Health Department personal and other community supporting agencies and contracted with the Hospital Council of Northwest Ohio to conduct a Umatilla and Morrow Counties Community Health Needs Assessment. |
| Part VI, Line 3: | Our financial counselors inform and educate the people we serve with respect to charity care and governmental assistance programs. All patients and responsible parties, where possible, are apprised of the availability of financial counseling services at the time and point of service. We have arranged our patient flow to maximize the convenience of visiting our financial counselors as part of the Good Shepherd treatment regime.In addition, the financial assistance policy is provided in writing to the patients upon request, and when the Hospital is able to identify a potential FAP-eligible individual upon admissions. |
| Part VI, Line 4: | Good Shepherd Health Care System (GSHCS) is the corporate name for an organization made up of several entities, including Good Shepherd Medical Center, Vange John Memorial Hospice, TLC Home Health, Good Shepherd Medical Group, Good Shepherd Clinic Pharmacy, and Good Shepherd Community Health Foundation. Good Shepherd serves a core population of almost 50,000 people in the city of Hermiston, Oregon and in 14 outlying smaller towns within a rough 50-mile radius. This population is largely rural, with agriculture dominating industrial enterprises.The average household income in Hermiston is $35,354.15.5% of residents have incomes below federal poverty guidelines.34.9% of residents identify as non-white Hispanic ethnicity, with a sizable number of Spanish-primary speakers. |
| Part VI, Line 5: | Good Shepherd maintains open active, affiliate, and courtesy medical staffs, with privileges available to all qualified and interested physicians in the communities we serve. GSHCS is governed by a twelve-member board of trustees. The board is comprised of independent representatives of the community, with an emphasis on maintaining a true cross-section of core population communities within its membership.Our surplus funds are used to fund community health education classes, as well as funding building and equipment upgrades to maintain the highest quality healthcare for our community. Surplus funds are also applied to ongoing professional education among our clinical staff to remain current in the best practices of modern healthcare. We operate a fully-staffed 24-hour emergency room, available to the public regardless of ability to pay. Good Shepherd operates a foundation that provides funds to appropriate community groups and activities, as well as providing scholarship funds to local residents establishing or furthering healthcare-related education. We live our mission to promote a healthy community. Good Shepherd is the host and driving force behind the Good Shepherd Wellness Coalition, a grass-roots group of community leaders that identify, analyze, and address pressing healthcare issues in the community.We maintain a dialogue with the people we serve through a biweekly radio show, with an emphasis on wellness and preventative care.Good Shepherd hosts an annual Family Health and Fitness Day, with free access to healthcare professionals, free screenings, and a wealth of health and wellness information available to the public.We are active in community health-related activities, including the American Cancer Society's Relay for Life, the March of Dimes' March for Babies, and the Umatilla County Fair, where we provide health information and healthcare-related giveaways. |
| Part VI, Line 7, Reports Filed With States | OR |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Community Health Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1Txt |
| City | Hermiston | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97838 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 931170546 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $250,000 | CashGrantAmt |
| Purpose Of Grant | Annual Tithe | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Grants are awarded to Good Shepherd Community Health Foundation, a related organization which is tax exempt under Section 501(c)(3). Any organization receiving an award must sign an agreement before the funds are dispursed stating the funds will be used for the stated purpose as listed in their grant application. They are also asked to submit regular reports until all funds have been spent. These reports are reviewed at the Foundation meetings of which board members who serve on both the Hospital and the Foundation Boards attend. There are no reporting requirements required to be sent to the Hospital from the other organizations listed on Schedule I. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dennis E Burke | ||||||||||||||
| President/CEO | $276,184 | $0 | $30,000 | $0 | $68,710 | $0 | $27,225 | $0 | $25,561 | $0 | $427,680 | $0 | $0 | $0 |
| Jan D Peter | ||||||||||||||
| VP/CFO | $177,046 | $0 | $18,971 | $0 | $16,808 | $0 | $15,294 | $0 | $26,193 | $0 | $254,312 | $0 | $0 | $0 |
| David T Hughes | ||||||||||||||
| VP/COO (Jul-Jan) | $130,167 | $0 | $30 | $0 | $67,491 | $0 | $0 | $0 | $0 | $0 | $197,688 | $0 | $0 | $0 |
| Dr Olga Stobart | ||||||||||||||
| Hospitalist | $369,683 | $0 | $1,000 | $0 | $9,603 | $0 | $0 | $0 | $10,400 | $0 | $390,686 | $0 | $0 | $0 |
| Dr Mark Donnelly | ||||||||||||||
| Physician - ER Doctor | $340,066 | $0 | $1,135 | $0 | $0 | $0 | $13,307 | $0 | $21,984 | $0 | $376,492 | $0 | $0 | $0 |
| Dr Thomas J Holt | ||||||||||||||
| Physician - Urologist | $332,172 | $0 | $30,288 | $0 | $0 | $0 | $16,717 | $0 | $11,715 | $0 | $390,892 | $0 | $0 | $0 |
| Dr Kim A Peterson | ||||||||||||||
| Physician - ER Doctor | $314,125 | $0 | $1,000 | $0 | $0 | $0 | $0 | $0 | $24,808 | $0 | $339,933 | $0 | $0 | $0 |
| Dr Leonidez De Guzman | ||||||||||||||
| Physician - IM | $263,844 | $0 | $16,000 | $0 | $0 | $0 | $13,307 | $0 | $12,233 | $0 | $305,384 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4a | In the calendar year ending 12/31/14, David Hughes received severance payments of $37,500. |
| Part I, Line 7 | At the end of the fiscal year the Board determines the amount of funds that will be disbursed for bonuses based on the acheivement of specified goals. Management then determines the percentage of bonuses allocated to each level and each individual. In regards to the CEO the Hospital may pay the CEO a discretionary annual bonus in an amount to be determined by the Board or Committee based upon CEO's annual review. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Credits Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Company is owned 100% by board member Nancy Mabry | RelationshipDescriptionTxt |
| Transaction | $1,596,777 | TransactionAmt |
| Transaction | Charges for collection services | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | The Executive Committee consists of the Board Chairman, Secretary, Medical Staff President, and one or more Trustees selected by the Chairman. The Board meets twice a year. |
| Form 990, Part VI, Section B, line 11 | The return is reviewed by the CFO and Controller and presented on a high level to the Board of Directors. A final copy is provided to the Board before filing. |
| Form 990, Part VI, Section B, line 12c | All officers, directors, and key employees with conflicts are expected to disclose conflicts of interest on a voluntary basis and refrain from discussion and/or voting on related matters as necessary. These disclosures are reviewed and determined to exist or not to exist by the Board of Directors. |
| Form 990, Part VI, Section B, line 15a | The CEO's compensation is approved by the compensation committee of the Board of Directors based on survey information. This process is completed annually in the month of October. The compensation of other officers or key employees is determined by the CEO based on survey information. This process is completed annually on the anniversary date of the individual's hire date. |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy and financial statements are available upon request. |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 3,996,926. Management and general expenses 1,677,704. Fundraising expenses 0. Total expenses 5,674,630. Professional Fees: Program service expenses 3,513,584. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,513,584. Contract Labor/Temp Staff: Program service expenses 385,714. Management and general expenses 0. Fundraising expenses 0. Total expenses 385,714. Collection Expenses: Program service expenses 547,478. Management and general expenses 0. Fundraising expenses 0. Total expenses 547,478. Recruiting Fees: Program service expenses 0. Management and general expenses 477,550. Fundraising expenses 0. Total expenses 477,550. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Community Health Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1Txt |
| City | Hermiston | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97838 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931170546 | EIN |
| Primary Activities | Fundraising | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 11a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Health Care System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Medical Service Corp | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1Txt |
| City | Hermiston | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97838 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930688940 | EIN |
| Primary Activities | Rental & Retail Pharmacy | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $2,698,567 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $9,556,701 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Good Shepherd Medical Service Corp | ||
| A | $425,725 | book value |
| Good Shepherd Community Health Foundation | ||
| B | $250,000 | book value |