ASHLAND COMMUNITY HEALTH SERVICES: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ASHLAND COMMUNITY HEALTH SERVICES (EIN 93-1213059)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-12
- IRS object ID
- 201642259349303134
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-12T14:09:11-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930623286 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AKT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5665 SW MEADOWS RD SUITE 200 | AddressLine1Txt |
| City | LAKE OSWEGO | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97035 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931213059 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASHLAND COMMUNITY HEALTH SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | DBA ASHLAND COMMUNITY HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASHL | BusinessNameControlTxt |
| Phone | 5417894549 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97504 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK HOCKING | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5417894549 | PhoneNum |
| Signature | 2016-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOYLYN M ANKENEY CPA | PreparerPersonNm |
| PTIN | P00366587 | PTIN |
| Phone | 5036204489 | PhoneNum |
| Preparation | 2016-08-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICK HOCKING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97504 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,167,028 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ASANTE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | ASANTE ASHLAND COMMUNITY HOSPITAL EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES IT SERVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 352 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,304 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,442 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,634,149 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,077,815 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,418 | PYInvestmentIncomeAmt |
| CY Investment Income | -$4,213 | CYInvestmentIncomeAmt |
| PY Other Revenue | $493,470 | PYOtherRevenueAmt |
| CY Other Revenue | $1,080,984 | CYOtherRevenueAmt |
| PY Total Revenue | $47,158,341 | PYTotalRevenueAmt |
| CY Total Revenue | $52,167,028 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,018 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $27,924,295 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $28,591,903 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,821,076 | PYOtherExpensesAmt |
| CY Other Expenses | $22,683,459 | CYOtherExpensesAmt |
| PY Total Expenses | $52,745,371 | PYTotalExpensesAmt |
| CY Total Expenses | $51,285,380 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,587,030 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $881,648 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,992,173 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,626,077 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $36,015,030 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,818,764 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,022,857 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$192,687 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ASANTE ASHLAND COMMUNITY HOSPITAL EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES IT SERVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $43,948,122 | ExpenseAmt |
| Grant | $10,018 | GrantAmt |
| Revenue | $51,108,338 | RevenueAmt |
| Desc | ASHLAND COMMUNITY HEALTHCARE SERVICES GREATEST PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ASANTE ASHLAND COMMUNITY HOSPITAL(AACH), A 49 LICENSED BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ASHLAND, OREGON. DURING THE PERIOD OF OCTOBER 1 2014 TO SEPTEMBER 30, 2015, AACH ADMITTED 1,575 INPATIENTS FOR A TOTAL OF 4,478 PATIENT DAYS. IT ALSO HAD 522 INPATIENT SURGERIES AND DELIVERED 269 BABIES. THE OUTPATIENT DEPARTMENTS ALSO PERFORMED 1,681 OUTPATIENT SURGERIES, 11,065 HOME HEALTH VISITS, AND 6,357 DAYS OF CARE AT IT'S HOSPICE DEPARTMENT. ADDITIONALLY, THERE WERE 9,020 EMERGENCY ROOM VISITS, 15,634 RADIOLOGY STUDIES, 4,761 PHYSICAL THERAPY SESSIONS, AND 3,790 WOUND CLINIC TREATMENTS. | Desc |
| Total Program Service Expenses | $43,948,122 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | 0 | 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 | 0 | 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 | 0 | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 352 | 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 |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICK HOCKING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5417894549 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 SISKIYOU BLVD | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97504 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM THORNDIKE | |||||||||
| PAST CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALAN BINETTE MD | |||||||||
| CURRENT CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOUG GENTRY | |||||||||
| PAST CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS R MCGILLOWAY | |||||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RAY A COX | |||||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GAYLE BYRNE | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER ANGSTADT | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANNE GOLDEN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RONALD JONES MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHEN D ROE | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOUGLASS SCHMOR | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS M TUREK MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROY G VINYARD | |||||||||
| ASANTE CEO | 2.00 | Yes (X) | $0 | $1,260,716 | $350,278 | 40.00 | Yes (X) | ||
| JAMES M WRIGHT | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOUG DIEHL MD | |||||||||
| PAST CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALAN DEBOER | |||||||||
| PAST SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICK HOCKING | |||||||||
| ASANTE CFO | 1.00 | $0 | $444,811 | $143,825 | 40.00 | Yes (X) | |||
| SHEILA CLOUGH | |||||||||
| ASHLAND CEO | 40.00 | $247,275 | $0 | $101,731 | Yes (X) | ||||
| SUSAN MONTGOMERY | |||||||||
| VP PATIENT CARE | 40.00 | $176,971 | $0 | $94,081 | Yes (X) | ||||
| MICHELLE HOLLENBACK | |||||||||
| DIRECTOR OF NURSING | 40.00 | $161,575 | $0 | $53,791 | Yes (X) | ||||
| DENESE MONROE | |||||||||
| SURGERY RN | 40.00 | $141,972 | $0 | $51,406 | Yes (X) | ||||
| MICHAEL TONER | |||||||||
| PHARMACY MANAGER | 40.00 | $139,411 | $0 | $61,809 | Yes (X) | ||||
| ROD MALONE | |||||||||
| DIRECTOR OF SURGERY SERVICES | 40.00 | $131,215 | $0 | $43,415 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $998,419 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,705,527 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $900,336 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PARADIGM SPINE LLC | |||||
| 505 PARK AVENUE | NEW YORK | NY | 10022 | MEDICAL EQUIPMENT | $161,100 |
| SPINAL GRAFT TECHNOLOGIES | |||||
| 4340 SWINNEA RD | MEMPHIS | TN | 38118 | MEDICAL EQUIPMENT | $124,070 |
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA ST | OMAHA | NE | 68154 | MANAGEMENT SERVICES | $111,431 |
| WERFEN USA LLC | |||||
| 180 HARTWELL RD | BEDFORD | MA | 01730 | DIAGNOSTICS | $103,731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $12,442 | AllOtherContributionsAmt |
| Total Contributions | $12,442 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOSPITAL SERVICES | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $51,077,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,077,815 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,077,815 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,213 | TotalRevenueColumnAmt |
| Exclusion | -$4,213 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| OTHER REVENUE | 900099 | $856,781 | $856,781 | |
| CAFETERIA | 722210 | $193,680 | $193,680 | |
| SISKIYOU IMAGING | 621990 | $30,523 | $30,523 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,080,984 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,167,028 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,108,338 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,046,248 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,018 | TotalAmt |
| Program Services | $10,018 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,520 | TotalAmt |
| Program Services | $109,260 | ProgramServicesAmt |
| Management And General | $109,260 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,322,241 | TotalAmt |
| Program Services | $16,580,363 | ProgramServicesAmt |
| Management And General | $1,741,878 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,573,427 | TotalAmt |
| Program Services | $4,138,636 | ProgramServicesAmt |
| Management And General | $434,791 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,084,484 | TotalAmt |
| Program Services | $3,696,176 | ProgramServicesAmt |
| Management And General | $388,308 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,393,231 | TotalAmt |
| Program Services | $1,260,778 | ProgramServicesAmt |
| Management And General | $132,453 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,920 | TotalAmt |
| Management And General | $2,920 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $888,570 | TotalAmt |
| Program Services | $444,285 | ProgramServicesAmt |
| Management And General | $444,285 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $673 | TotalAmt |
| Management And General | $673 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $746,348 | TotalAmt |
| Program Services | $373,174 | ProgramServicesAmt |
| Management And General | $373,174 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $691,956 | TotalAmt |
| Program Services | $622,760 | ProgramServicesAmt |
| Management And General | $69,196 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,564 | TotalAmt |
| Program Services | $66,051 | ProgramServicesAmt |
| Management And General | $16,513 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,486 | TotalAmt |
| Program Services | $39,589 | ProgramServicesAmt |
| Management And General | $9,897 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,788 | TotalAmt |
| Program Services | $288,709 | ProgramServicesAmt |
| Management And General | $32,079 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,015,766 | TotalAmt |
| Program Services | $3,007,883 | ProgramServicesAmt |
| Management And General | $3,007,883 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,022,969 | TotalAmt |
| Program Services | $1,820,672 | ProgramServicesAmt |
| Management And General | $202,297 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $782,930 | TotalAmt |
| Program Services | $704,637 | ProgramServicesAmt |
| Management And General | $78,293 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT SUPPLIES | $7,291,470 | $7,291,470 | |
| PURCHASED SERVIVES | $1,824,060 | $1,641,654 | $182,406 |
| REPAIRS AND MAINTENANCE | $803,846 | $723,461 | $80,385 |
| BAD DEBT | $801,684 | $801,684 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $357,429 | TotalAmt |
| Program Services | $326,862 | ProgramServicesAmt |
| Management And General | $30,567 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,285,380 | TotalAmt |
| Program Services | $43,948,122 | ProgramServicesAmt |
| Management And General | $7,337,258 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $600,370 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,369,000 | BOYAmt |
| EOY | $6,651,980 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,092 | BOYAmt |
| EOY | $463,917 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,648 | BOYAmt |
| EOY | $363,626 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,951 | BOYAmt |
| EOY | $99,973 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,744,827 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,023,521 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,704,843 | BOYAmt |
| EOY | $25,721,306 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $743,380 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,259 | BOYAmt |
| EOY | $724,905 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,992,173 | BOYAmt |
| EOY | $34,626,077 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,013,520 | BOYAmt |
| EOY | $2,424,508 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,503,486 | BOYAmt |
| EOY | $7,506,596 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,498,024 | BOYAmt |
| EOY | $24,887,660 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,015,030 | BOYAmt |
| EOY | $34,818,764 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,172,034 | BOYAmt |
| EOY | -$249,420 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,177 | BOYAmt |
| EOY | $56,733 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,022,857 | BOYAmt |
| EOY | -$192,687 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,992,173 | BOYAmt |
| EOY | $34,626,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $881,648 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$10,511 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$40,967 | 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 | 0 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $2,604 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,475 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,079 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PART II-B, LINE 1, LOBBYING ACTIVITIES: EXPLANATION: ASHLAND HOSPITAL MAINTAINS MEMBERSHIPS IN THE AMERICAN HOSPITAL ASSOC (AHA) AND OREGON ASSOC OF HOSPITALS AND HEALTHCARE SYSTEMS (OAHHS). DURING TAX YEAR 2014, ASHLAND HOSPITAL PAID MEMBERSHIP DUES TO THE AHA AND OAHHS OF $4,038 AND $9,387 RESPECTIVELY 17.93% OF OAHHS DUES AND 22.80% OF AHA DUES WENT FOR LOBBYING PURPOSES. THUS, ASHLAND HOSPITAL MADE INDIRECT LOBBYING EXPENDITURES OF $2,604 THROUGH ITS MEMBERSHIP DUES. ALSO, ASHLAND HOSPITAL PAID JOHN WATT AND ASSOCIATES (JWA) $2,475 FOR SPECIFIC ISSUES LOBBYING DURING THE TAX YEAR. JWA IS AN ADVOCATE FOR ASANTE AND SPECIALIZES IN BALLOT PROPOSITIONS AFFECTING THE HEALTHCARE INDUSTRY. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,161,560 | OtherCostOrOtherBasisAmt |
| Book Value | $5,161,560 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,030,894 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,576,795 | DepreciationAmt |
| Book Value | $14,454,099 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,358,221 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,446,726 | DepreciationAmt |
| Book Value | $5,911,495 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $194,152 | OtherCostOrOtherBasisAmt |
| Book Value | $194,152 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,721,306 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFINED BENEFIT PLAN | $21,909,835 |
| OTHER LIABILITIES | $565,506 |
| SELF INSURANCE RESERVE | $341,000 |
| ASBETOS ABATEMENT | $1,218,835 |
| PAYROLL/BENEFITS PAYABLE | $852,484 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,887,660 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART XII LINE 2B | FormAndLineReferenceDesc |
| Explanation | IT IS THE OPINION OF BOTH THE MANAGEMENT OF ASHLAND HOSPITAL AND KPMG THAT NO UNCERTAIN TAX POSITIONS WERE TAKEN DURING THE FISCAL YEAR. THIS OPINION IS STATED IN THE FOOTNOTES OF THE AUDITED CONSOLIDATED FINANCIAL STATMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| 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) |
|---|---|---|
| Persons Served | 4237 | PersonsServedCnt |
| Total Community Benefit Expns | $555,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $555,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 599 | PersonsServedCnt |
| Total Community Benefit Expns | $962,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $566,981 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $395,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4836 | PersonsServedCnt |
| Total Community Benefit Expns | $1,517,532 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $566,981 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $950,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01880 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2582 | PersonsServedCnt |
| Total Community Benefit Expns | $282,358 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,187 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $265,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,375 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,375 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,018 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,018 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2582 | PersonsServedCnt |
| Total Community Benefit Expns | $297,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,187 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $280,564 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7418 | PersonsServedCnt |
| Total Community Benefit Expns | $1,815,283 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $584,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,231,115 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02440 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $360,803 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $53,399 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $10,062,202 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,493,102 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,430,900 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 SISKIYOU IMAGING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | IMAGING SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.33000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | ASHLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 280 MAPLE STREET | AddressLine1Txt |
| City | ASHLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97520 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ASHLANDHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 14-1445 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASHLAND COMMUNITY HOSPITAL | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.ASANTE.ORG/APP/FILES/PUBLIC/2053/2014-COMMUNITY-HEALTH-NEEDS-ASS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE AND ASHLAND COMMUNITY HOSPITAL PARTNERED WITH PROFESSIONAL RESEARCH CONSULTANTS, INC. TO COMPLETE 600 COMMUNITY SURVEYS IN FISCAL YEAR 2013. THAT YEAR, WE ALSO HELD A FOCUS GROUP COMPRISED OF 7 KEY COMMUNITY LEADERS FROM JACKSON AND JOSEPHINE COUNTIES. THE FOCUS GROUP DISCUSSED THE INDIVIDUAL LEADERS' EXPERIENCES AND PERCEPTIONS OF THE TOP HEALTH CONCERNS IN OUR COMMUNITY. |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6A: ROGUE REGIONAL MEDICAL CENTER OF MEDFORD, OREGONTHREE RIVERS MEDICAL CENTER OF GRANTS PASS, OREGON |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: KEY INFORMANTS INCLUDE PARTNERSHIPS WITH LOCAL LAW ENFORCEMENT AND COMMUNITY-BASED ORGANIZATIONS; OTHER COLLABORATIVES INCLUDE SOUTHERN OREGON SUCCESS AND THE UNITED WAY. |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: IDENTIFIED HEALTH NEEDS THE TOP FIVE HEALTH NEEDS IDENTIFIED BY BOTH SURVEY AND FOCUS GROUP PARTICIPANTS ARE:1.MENTAL/BEHAVIORAL HEALTH2.SUBSTANCE ABUSE TREATMENT3.ACCESS TO HEALTHCARE4.HEALTH EDUCATION5.OBESITYIMPLEMENTATION STRATEGYASANTE WILL ADDRESS THE TOP IDENTIFIED COMMUNITY HEALTH NEEDS IN THE FOLLOWING WAYS:1.MENTAL/BEHAVIORAL HEALTH 1.CONTINUE TO PROVIDE HIGH-QUALITY CARE TO BEHAVIORAL HEALTH PATIENTS AT ASANTE ROGUE REGIONAL MEDICAL CENTER, WHICH HOUSES THE ONLY INPATIENT BEHAVIORAL HEALTH UNIT IN SOUTHERN OREGON2.PARTNER WITH THE JACKSON COUNTY HEALTH DEPARTMENT TO BUILD ONE OF THE ONLY FULL-SERVICE TREATMENT FACILITIES IN OREGON FOR CHILDREN SUFFERING FROM AUTISM3.DEVELOP PRIMARY CARE BEHAVIORAL HEALTH TEAMS TO COORDINATE THE CARE OF PATIENTS PRIOR TO THEIR NEED FOR INPATIENT CARE2.SUBSTANCE ABUSE TREATMENT 1.CONTINUE TO WORK WITH LOCAL PROVIDERS SUCH AS THE ADDICTIONS RECOVERY CENTER TO COORDINATE CARE2.CONTINUE TO WORK WITH THE JACKSON COUNTY HEALTH DEPARTMENT TO PROVIDE COMMUNITY AWARENESS REGARDING THE GROWING PROBLEM OF OPIOID ABUSE IN SOUTHERN OREGON3.ENGAGE IN A REGION-WIDE OPIOID PROGRAM TO COORDINATE AND STANDARDIZE THE PROVIDER RESPONSE FOR POTENTIAL ABUSERS4.SERVE AS A MAJOR CORPORATE PARTNER FOR THE SOUTHERN OREGON METH PROJECT, A PUBLIC AWARENESS/EDUCATION CAMPAIGN SPONSORED BY KOBI NBC-53.ACCESS TO HEALTHCARE 1.BUILD A GROUP OF 60 TO 80 EMPLOYED PRIMARY CARE PHYSICIANS BY THE YEAR 2016 THROUGH ASANTE PHYSICIAN PARTNERS; MANY OF THESE PROVIDERS WILL OFFER AFTER-HOURS AND WEEKEND WALK-IN CLINICS2.PROVIDE ACCESS TO URGENT CARE IN GRANTS PASS IN THE ASANTE CENTER FOR OUTPATIENT HEALTH ON THE CAMPUS OF ASANTE THREE RIVERS MEDICAL CENTER BEGINNING AUGUST OF 20144.HEALTH EDUCATION 1.PROVIDE FOUR NO-COST COMMUNITY HEALTH EDUCATION PRESENTATIONS EACH YEAR TO BE HELD IN MEDFORD, ASHLAND, AND GRANTS PASS2.OFFER COMMUNITY COOKING AND NUTRITION CLASSES IN GRANTS PASS AT THE DEMONSTRATION KITCHEN LOCATED IN THE ASANTE CENTER FOR OUTPATIENT HEALTH ON THE CAMPUS OF ASANTE THREE RIVERS MEDICAL CENTER BEGINNING AUGUST 20143.DEVELOP A PATIENT CENTERED MEDICAL HOME MODEL IN WHICH PATIENT EDUCATION AND ENGAGEMENT IN THEIR HEALTHCARE IS A CRITICAL SUCCESS FACTOR5.OBESITY 1.CONTINUE OUR PARTNERSHIP WITH OREGON SURGICAL SPECIALISTS TO PROVIDE WEIGHT LOSS SURGERY AT THE SOUTHERN OREGON BARIATRIC CENTER, INCLUDING MAKING IT AVAILABLE FOR ALL 10,000 LIVES COVERED BY ASANTE'S HEALTHCARE COVERAGE PLAN2.INCORPORATE NUTRITION AND WEIGHT MANAGEMENT INFORMATION IN COMMUNITY HEALTH EDUCATION PRESENTATIONS WHEN APPROPRIATE |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 16I: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE ASANTE BUSINESS OFFICE FOR A FINANCIAL ASSISTANCE APPLICATION. |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 18D: ASHLAND COMMUNITY HOSPITAL'S "POLICY" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES AND GARNISH WAGES BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST. |
| ASHLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 22D: THE DISCOUNT ASHLAND COMMUNITY HOSPITAL OFFERS IS SIMILAR TO THAT OF COMMERCIAL INSURANCE PLANS. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: | HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ |
| ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: | HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ |
| ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: | HTTP://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE/ |
| 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 |
|---|---|---|---|---|
| CENTER FOR INTERNAL MEDICINE | ||||
| 530 CATALINA STREET | ASHLAND | OR | 97520 | INTERNAL MEDCINE CLINIC |
| CENTER FOR FAMILY MEDICINE | ||||
| 628 N MAIN STREET | ASHLAND | OR | 97520 | FAMILY MEDICINE CLINIC |
| CENTER FOR FAMILY MEDICINE | ||||
| 49 TALENT AVE | TALENT | OR | 97540 | FAMILY MEDICINE CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | COST TO CHARGE RATIO |
| PART III, LINE 3: | PERCENTAGE OF THE POPULATION THAT WOULD QUALIFY FOR CHARITY CARE ACCORDING TO POVERTY RATE FROM CENSUS BUREAU, 14.8% POVERTY RATE IN 2014, THAT PERCENTAGE OF BAD DEBT IS ASSUMED TO BE PART OF MISSED CHARITY CARE. |
| PART III, LINE 4: | BAD DEBTS RESULT WHEN A PATIENT WHO HAS BEEN DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES IS UNWILLING TO SETTLE THE CLAIM OR DOES NOT PROVIDE FINANCIAL INFORMATION TO ACCESS CAPACITY. |
| PART III, LINE 8: | CERTAIN GOVERNMENT SPONSORED HEALTH INSURANCE COMPANIES, SUCH AS MEDICARE AND MEDICAID, PAY A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR INSUREES. IN MOST CASES, THE AMOUNT PAID DOES NOT EVEN COVER THE EXPENSES OF RENDERING SERVICES. ASHLAND COMMUNITY HOSPITAL CONSIDERS THE DIFFERENCE BETWEEN THE EXPENSES OF RENDERING SERVICES TO MEDICARE AND MEDICAID PATIENTS AND THE AMOUNT OF NET REIMBURSEMENT FROM THESE GOVERNMENT SPONSORED INSURANCE COMPANIES A COMMNUITY BENEFIT. CALCULATION: TOTAL MEDICARE PAYMENTS PER COST REPORT LESS TOTAL MEDICARE COSTS PER COST REPORT = UNRECOVERED MEDICARE COST PER COST REPORT. |
| PART III, LINE 9B: | IF THERE IS AN INDICATION THAT A PATIENT MAY BE UNABLE TO PAY THEIR BILL, A FINANCIAL QUESTIONNAIRE IS GIVEN OR SENT TO THE PATIENT. ON RECEIPT OF THE COMPLETED QUESTIONNAIRE, THE BUSINESS OFFICE WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT WITHIN 20 DAYS. ELIGIBILITY IS DETERMINED BASED UPON THE QUESTIONNAIRE AND ON FINANCIAL DOCUMENTS, SUCH AS TAX RETURNS, SSI STATEMENTS, PAYCHECK STUBS, AND FSA/HSA INFORMATION. THE PATIENT'S OTHER FINANCIAL OBLIGATIONS, NUMBER OF DEPENDENTS, ASSETS AND OTHER FINANCIAL CIRCUMSTANCES ARE CONSIDERED. OFTEN, A PATIENT WILL NOT PROVIDE A FINANCIAL QUESTIONNAIRE, SO THE BUSINESS OFFICE WILL USE SOFT CREDIT CHECKS AND ZIP CODES+4 TO HELP DETERMINE ELIGIBILITY. THE PERCENTAGE OF FINANCIAL ASSISTANCE PROVIDED IS BASED UPON A SLIDING SCALE TABLE THAT UTILIZES THE PATIENT FAMILY'S INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES. |
| PART III, SECTION B | UNREIMBURSED COSTS FROM THE MEDICARE PROGRAM (USING THE MEDICARE COST REPORT). |
| PART V | DURING THE PERIOD OF OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015, ASANTE ASHLAND COMMUNITY HOSPITAL WAS COMPRISED OF A FULL SERVICE ACUTE CARE HOSPITAL, AN INTERNAL MEDICINE CLINIC AND TWO FAMILY MEDICINE CLINICS. |
| PART VI, LINE 2: | ASHLAND COMMUNITY HOSPITAL'S PRIMARY SOURCES OF INPUT INCLUDE THE COMMUNITY LEADERS FORUM, FORMAL CONVERSATIONS WITH OUR COLLABORATORS, IDENTIFIED STRATEGIC PLAN GAPS, AND ENVIRONMENTAL AND COMMUNITY ASSESSMENT SURVEYS FROM MEMBERS OF THE COMMUNITY. |
| PART VI, LINE 3: | THE FINANCIAL ACCESS SPECIALISTS, CREDIT ANALYSTS, AND REGISTRATION PERSONNEL WORK WITH THE PATIENT EITHER AT THE TIME OF SCHEDULING, ARRIVAL AT THE HOSPITAL, OR DURING THE BILLING PROCESS. IF THE PATIENT DISCLOSES THEY WILL HAVE DIFFICULTY PAYING, WE ASSIST THEM APPLYING FOR THE OREGON HEALTH PLAN, FINANCIAL ASSISTANCE, OR A PAYMENT PLAN. BASED UPON INCOME AND EXPENSES, A PATIENT MAY BE ELIGIBLE FOR CHARITY CARE WRITE-OFF OF BETWEEN 10% AND 100% OF THEIR BILL. |
| PART VI, LINE 4: | THE POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA IS PROJECTED TO INCREASE BY APPROXIMATELY 6.5% OVER THE FIVE YEAR PERIOD OF 2010-2015. SIMILARLY, THE POPULATION OF THE SECONDARY SERVICE AREA IS PROJECTED TO INCREASE BY 6.9% OVER THE SAME PERIOD. ALMOST 50% OF THE POPULATION GROWTH IN BOTH THE PRIMARY AND SECONDARY SERVICE AREAS IS PROJECTED TO OCCUR IN THE 65+ AGE COHORT. THE SIGNIFICANT INCREASE IN THE PORTION OF THE HOSPITAL'S TOTAL REVENUE DERIVED FROM THE MEDICARE PROGRAM INCREASED FROM APPROXIMATELY 40% OF GROSS REVENUE IN 2005 TO 50.4% IN 2015. |
| PART VI, LINE 5: | ALONG WITH PROVIDING QUALITY HEALTHCARE, ASANTE ASHLAND COMMUNITY HOSPITAL FURTHERS ITS EXEMPT PURPOSE AND FULFILLS ITS MISSION TO THE COMMUNITY BY PROVIDING OR SUBSIDIZING NUMEROUS CLASSES, SUPPORT GROUPS, HEALTH FAIRS, AND SELF-HELP PROGRAMS. THESE PROGRAMS ARE AT NO OR LOW COST TO THE PUBLIC. |
| PART VI, LINE 6: | FOUNDED IN 1996, ASANTE ASHLAND COMMUNITY HOSPITAL IS A COMMUNITY OWNED AND GOVERNED NOT-FOR-PROFIT ACUTE CARE HOSPITAL PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO MORE THAN 550,000 RESIDENTS IN NINE COUNTIES THROUGHOUT SOUTHERN OREGON AND NORTHERN CALIFORNIA. SINCE MERGING WITH ASANTE, THE HOSPITAL TODAY IS AFFILITATED WITH ROGUE REGIONAL MEDICAL CENTER (RRMC) IN MEDFORD, OREGON AND THREE RIVERS MEDICAL CENTER (TRMC) IN GRANTS PASS, OREGON. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OR |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROY G VINYARD | ||||||||||||||
| ASANTE CEO | $0 | $639,165 | $0 | $358,988 | $0 | $262,563 | $0 | $306,163 | $0 | $44,115 | $0 | $1,610,994 | $0 | $0 |
| PATRICK HOCKING | ||||||||||||||
| ASANTE CFO | $0 | $321,039 | $0 | $60,531 | $0 | $63,241 | $0 | $100,176 | $0 | $43,649 | $0 | $588,636 | $0 | $0 |
| SHEILA CLOUGH | ||||||||||||||
| ASHLAND CEO | $212,335 | $0 | $0 | $0 | $34,940 | $0 | $73,344 | $0 | $28,387 | $0 | $349,006 | $0 | $0 | $0 |
| SUSAN MONTGOMERY | ||||||||||||||
| VP PATIENT CARE | $151,871 | $0 | $0 | $0 | $25,100 | $0 | $67,230 | $0 | $26,851 | $0 | $271,052 | $0 | $0 | $0 |
| MICHELLE HOLLENBACK | ||||||||||||||
| DIRECTOR OF NURSING | $150,914 | $0 | $10,201 | $0 | $460 | $0 | $32,664 | $0 | $21,127 | $0 | $215,366 | $0 | $0 | $0 |
| DENESE MONROE | ||||||||||||||
| SURGERY RN | $141,472 | $0 | $500 | $0 | $0 | $0 | $22,310 | $0 | $29,096 | $0 | $193,378 | $0 | $0 | $0 |
| MICHAEL TONER | ||||||||||||||
| PHARMACY MANAGER | $127,853 | $0 | $6,645 | $0 | $4,913 | $0 | $31,346 | $0 | $30,463 | $0 | $201,220 | $0 | $0 | $0 |
| ROD MALONE | ||||||||||||||
| DIRECTOR OF SURGERY SERVICES | $113,244 | $0 | $6,204 | $0 | $11,767 | $0 | $13,709 | $0 | $29,706 | $0 | $174,630 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE SALARY RANGE OF THE CEO IS SET BY THE ASANTE COMPENSATION COMMITTEE AND IS APPROVED BY THE ASANTE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE ACTUAL SALARY IS SET BY THE ASANTE CEO. |
| PART I, LINE 4B | ASANTE, THE PARENT CORPORATION OF ASHLAND COMMUNITY HOSPITAL, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR ROY VINYARD, THE ASANTE CEO. THIS PLAN STATES HE IS TO RECEIVE FIXED PAYMENTS AT PRE-DETERMINED INTERVAL FROM ASANTE IF HE IS EMPLOYED BY ASANTE AS CEO AT THE TIME OF VESTING. MR. VINYARD HAS THE AUTHORITY TO DIRECT HOW HIS PLAN ASSETS ARE TO BE INVESTED. IF MR. VINYARD IS NOT EMPLOYED AS CEO BY ASANTE FOR ANY REASON PRIOR TO VESTING, HE WILL NOT HAVE CLAIM TO THE FUNDS. FOR THE FISCAL YEAR ENDED SEPT 30, 2015, THERE WAS $263,250 CONTRIBUTED TO MR. VINYARD'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THIS AMOUNT IS NOT INCLUDED IN HIS REPORTED COMPENSATION UNTIL PAID OUT. ASANTE, THE PARENT CORPORATION OF ASHLAND COMMUNITY HOSPITAL, HAS AN EXECUTIVE RESTORATION PLAN WHICH INCLUDES ASANTE CFO PATRICK HOCKING AND ASANTE CEO ROY VINYARD. . THIS PLAN STATES FIXED PAYMENTS WILL BE RECEIVED AT PRE-DETERMINED INTERVALS FROM ASANTE IF STILL EMPLOYED BY ASANTE IN THEIR CURRENT ROLL AT THE TIME OF VESTING. IF EMPLOYMENT TERMINATES BY ASANTE FOR ANY REASON PRIOR TO VESTING,THEY WILL NOT HAVE CLAIM TO THE FUNDS. FOR THE FISCAL YEAR ENDED SEPT 30, 2015, THERE WAS $10,305.79 CONTRIBUTED FOR MR. HOCKING AND $95,806.85 CONTRIBUTED FOR MR. VINYARD. THESE AMOUNTS WERE INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FEDERAL FORM 990 IS A FEDERALLY MANDATED LEGAL DOCUMENT THAT IS HIGHLY REGULATED. WITHIN ASHLAND COMMUNITY HEALTHCARE SERVICES, THEY ARE TO BE PREPARED BY PERSONNEL IN THE ASANTE ACCOUNTING DEPARTMENT. ASANTE IS THE PARENT CORPORATION OF ASHLAND COMMUNITY HEALTHCARE SERVICES. ADDITIONAL ASSISTANCE WILL BE PROVIDED BY PERSONNEL IN THE ASANTE MARKETING, COMPLIANCE, AND EXECUTIVE DEPARTMENTS. BEFORE FINAL SUBMISSION OF THE DOCUMENTS, THEY ARE TO HAVE ASHLAND COMMUNITY HEALTHCARE SERVICES BOARD REVIEW. POLICY DETAILS: 1. WHEN FINAL AUDITED FINANCIAL INFORMATION IS AVAILABLE, ACCOUNTING PERSONNEL WILL COMPILE THE NEEDED INFORMATION TO PREPARE THE APPROPRIATE RETURNS FOR THE PRIOR FISCAL YEAR. 2. AS NEEDED, ACCOUNTING WILL FILE ALL APPROPRIATE EXTENSIONS ON A TIMELY BASIS. HOWEVER, THE FINAL SUBMISSION CAN NEVER BE EXTENDED PAST AUGUST 15TH OF THE YEAR FOLLOWING THE FISCAL YEAR BEING FILED. 3. IN ADDITION TO NORMAL PREPARATION, ACCOUNTING PERSONNEL WILL COORDINATE WITH PERSONNEL IN MARKETING, COMPLIANCE, AND POSSIBLY THE EXECUTIVE DEPARTMENTS IN PREPARING THE VARIOUS SCHEDULES NEEDED TO COMPLETE THE RETURN. ALL WORK PAPERS ARE TO BE RETAINED IN A PERMANENT FILE. 4. WHEN ALL NECESSARY INFORMATION HAS BEEN COMPILED, IT IS TO BE LOADED INTO APPROPRIATE TAX SOFTWARE. 5. WHEN COMPLETED, A DRAFT RETURN WILL BE REVIEWED BY THE ASANTE CHIEF ADMINISTRATIVE AND FINANCE OFFICER. AFTER THE REVIEW, ACCOUNTING WILL CLEAR ALL REVIEW NOTES AND COMMENTS. 6. ONCE REVIEWED BY THE CAFO, AN ADDITIONAL REVIEW WILL BE PERFORMED BY AN OUTSIDE CPA FIRM. ACCOUNTING WILL AGAIN CLEAR ANY ADDITIONAL REVIEW NOTES AND COMMENTS SUBMITTED BY THE OUTSIDE CPA. 7. THE ACHS CHIEF EXECUTIVE OFFICER AND MEMBERS OF THE BOARD OF DIRECTORS WILL LOOK OVER THE FINAL SET OF RETURNS AND MAKE FURTHER COMMENTS AND CORRECTIONS, AS IS APPROPRIATE. 8. ONCE ALL REVIEWS AND CORRECTIONS ARE MADE, THE ASANTE CAFO WILL SIGN ALL APPROPRIATE RETURNS FOR FILING. 9. ALL RETURNS WILL THEN BE FILED EITHER ELECTRONICALLY OR PAPER COPY WITH THE APPROPRIATE GOVERNMENT AGENCY. A COPY OF EACH RETURN IS TO BE KEPT IN THE ACCOUNTING DEPARTMENT AND A COPY OF THE 990 WILL BE KEPT AT THE ASANTE CORPORATE HEADQUARTERS FOR PUBLIC DISPLAY AND COPYING, AS REQUESTED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL ASHLAND COMMUNITY HOSPITAL MANAGERS, KEY EMPLOYEES, AND BOARD MEMBERS ARE REQUIRED TO FILE A CONFLICT OF INTEREST QUESTIONAIRE. THE PURPOSE OF THE QUESTIONAIRE IS THE PROTECT THE HOSPITAL'S INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THE MIGHT BENEFIT THE PRIVATE INTERESTS OF A BOARD MEMBER OR OFFICER OF THE COMPANY. IN ADDITION, ALL EMPLOYEES OF THE HOSPITAL HAVE AN OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS TO THEIR SUPERVISOR. THE ASANTE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR ADMINISTERING, MONITORING, AND INVESTIGATING ANY POSSIBLE CONFLICTS AND MAKE AN ANNUAL REPORT TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | DONATED EQUITY 47,315. DONATED CAPITAL -88,282. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ASANTE | |||||||||
| 2650 SISKIYOU BLVD | MEDFORD | OR | 97504 | 930223960 | HOSPITAL/HEALTHCARE | OR | 501(C)(3) | LINE 10 | 0 |
| ASHLAND COMMUNITY HOSPITAL FOUNDATION | |||||||||
| 280 MAPLE STREET | ASHLAND | OR | 97520 | 930691238 | SUPPORT ASHLAND COMM HOSP | OR | 501(C)(3) | LINE 11B, II | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISKIYOU IMAGING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 278 MAPLE STREET | AddressLine1Txt |
| City | ASHLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97520 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 753006992 | EIN |
| Primary Activities | IMAGING SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASANTE HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $60,332 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $141,395 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.33330 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | Yes (1) | 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 | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASANTE | ||
| E | $7,407,259 | CASH |
| ASANTE | ||
| O | $18,540,761 | CASH |
| ASHLAND COMMUNITY HOSPITAL FOUNDATION | ||
| C | $12,442 | CASH |
| ASANTE | ||
| Q | $257,602 | CASH |