2015-08-13T18:39:25-05:00 2014-09-30 930623286 AKT LLP 5665 SW MEADOWS RD SUITE 200 LAKE OSWEGO OR 97035 990 2013-10-01 930223960 ASANTE ASAN 5417894549 2650 SISKIYOU BLVD MEDFORD OR 97504 PAT HOCKING CAFO 5417894549 2015-08-12 1 JOYLYN M ANKENEY CPA P00366587 5036204489 2015-08-12 2013 2016-03-07 17:11:31Z PAT HOCKING 2650 SISKIYOU BLVD MEDFORD OR 97504 917872145 0 X WWW.ASANTE.ORG X 1938 OR ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 12 11 4173 565 2241778 -1500586 1063042 833065 525724917 537557261 27130555 47474223 -587363 11289261 553331151 597153810 183871 252697 0 0 258273120 268311381 0 0 0 242312602 231523685 500769593 500087763 52561558 97066047 929957663 943213574 426308857 365615404 503648806 577598170 X ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 0 0 323388513 409429336 ASANTE'S MAIN PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ROGUE REGIONAL MEDICAL CENTER (RRMC), A 378 LICENSED BED HOSPITAL LOCATED IN MEDFORD, OREGON. RRMC HAS BEEN NAMED ONE OF THE TOP 100 CARDIOVASCULAR HOSPITALS IN THE U.S. FIVE TIMES (2000-02, 2004, 2005). THE JOINT COMMISSION CERTIFIED RVMC AS A PRIMARY STROKE CENTER IN 2005, AND THE AMERICAN DIABETES ASSOC HAS ALSO AWARDED RVMC ITS RECOGNITION OF EXCELLENCE. RRMC ALSO EARNED THE GOLD PERFORMANCE ACHIEVEMENT AWARD IN CORONARY ARTERY DISEASE (CAD) FROM THE AMERICAN HEART ASSOC AND EARNED ACUMENTRA HEALTH'S "OUTSTANDING PERFORMANCE" AWARD FOR SURGICAL SITE INFECTION PREVENTION AND "EXCELLENT PERFORMANCE" AWARD FOR TREATING HEART FAILURE.KEY HOSPITAL INPATIENT SERVICES INCLUDE CANCER SERVICES, CARDIOVASCULAR SURGERY, AND INPATIENT CARDIAC CATHERIZATION LABORATORY, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, NEONATOLOGY, NEUROSCIENCES, OBSTETRICS, ORTHOPEDICS, PEDIATRICS, AND UROLOGY SERVICES. OTHER INPATIENT SERVICES INCLUDE BEHAVIORAL HEALTH, REHABILITATION, AND CRITICAL CARE SERVICES, INCLUDING THE REGION'S ONLY LEVEL 3 NEONATAL INTENSIVE CARE UNIT. KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LABORATORY TESTING AND DIAGNOSIS, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING, SLEEP SERVICES, HOSPICE, AND VARIOUS THERAPIES, INCLUDING BEHAVIORAL, OCCUPATIONAL, PHYSICAL, AND SPEECH.DURING FISCAL YEAR 2014, RRMC ADMITTED 15,473 PATIENTS FOR A TOTAL OF 73,873 PATIENT DAYS. IT ALSO HAD OVER 412,000 TOTAL OUTPATIENT VISITS AND DELIVERED 1,536 BABIES. THE EMERGENCY ROOMS TREATED 43,840 PATIENTS AND THE CHEMISTRY LABS PERFORMED OVER 1 MILLION TESTS. SURGICAL SERVICES PERFORMED 9,208 INPATIENT AND OUTPATIENT SURGERIES AT RRMC, INCLUDING 594 OPEN HEART AND 588 ORTHOPEDIC JOINT REPLACEMENTS. OTHER STATISTICS AT RRMC INCLUDE 17,507 HOSPICE VISITS, 54,092 VISITS TO THE VARIOUS REHAB UNITS, AND OVER 148,000 VISITS TO IMAGING. 104773806 132649949 ASANTE'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT BY EXPENSE IS THE OPERATION OF THREE RIVERS MEDICAL CENTER (TRMC), A 125 LICENSED BED HOSPITAL LOCATED IN GRANTS PASS, OREGON. TRMC ALSO HAS ITS SHARE OF SIGNIFICANT AWARDS AND RECOGNITIONS INCLUDING BEING DESIGNATED A BABY FRIENDLY HOSPITAL BY WHO AND UNICEF AND IS THE NATION'S FIRST MOTHER FRIENDLY HOSPITAL BY THE CENTER FOR IMPROVING MATERNITY SERVICES. THE AMERICAN DIABETES ASSOCIATION HAS ALSO DESIGNATED TRCH WITH IT'S "RECOGNITION OF EXCELLENCE". TRMC ALSO EARNED ACUMENTRA HEALTH'S "OUTSTANDING PERFORMANCE" AWARD FOR SURGICAL SITE INFECTION PREVENTION AND AN "EXCELLENT PERFORMANCE" AWARD FOR TREATING HEART FAILURE.SOME OF THE KEY INPATIENT SERVICES AVAILABLE AT TRMC INCLUDE CANCER SERVICES, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, OBSTETRICS, ORTHOPEDICS, AND PEDIATRICS. SOME OF THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, CARDIOPULMONARY SERVICES, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING AND VARIOUS THERAPIES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH.DURING THE FISCAL YEAR, TRMC ADMITTED 7,000 INPATIENTS FOR A TOTAL OF 22,351 PATIENT DAYS. IT ALSO DELIVERED 753 BABIES AND HAD OVER 227,000 OUTPATIENT VISITS. THE CHEMISTRY LAB PERFORMED NEARLY 500,000 TESTS AND THE EMERGENCY ROOM SAW 38,518 PATIENTS. THERE WERE 6,427 SURGERIES PERFORMED DURING THE YEAR INCLUDING 523 TOTAL JOINT REPLACEMENTS. TRMC'S REHAB DEPARTMENT HAD 23,105 VISITS AND THE VARIOUS IMAGING DEPARTMENT HAD 107,287 VISITS.RENEWING A STRONG COMMITMENT TO REMAIN ON THE LEADING EDGE OF TECHNOLOGY, A NEW 3-TESLA MRI SCANNER, THE MOST POWERFUL MRI AVAILABLE IN THE WORLD, IS NOW IN USE AT TRMC. 4454287 252697 5639395 ASANTE'S CORPORATE DIVISION HAS MADE GENEROUS CASH DONATIONS TO NUMEROUS NON-PROFIT ORGANIZATIONS. THESE DONATIONS HELP SUPPORT LOCAL SCHOOLS AND OTHER YOUTH ACTIVITIES, SUCH AS LITTLE LEAGUE AND DRUG FREE GRAD NIGHTS AT LOCAL HIGH SCHOOLS. THE CORPORATE DIVISION HAS ALSO MADE SIGNIFICANT CONTRIBUTIONS TO NATIONALLY RECOGNIZED MEDICAL ASSOCIATIONS, SUCH AS THE AMERICAN RED CROSS AND DIABETES ASSOCIATIONS. OTHER CONTRIBUTIONS HAVE BEEN MADE TO HEALTH ORGANIZATIONS THAT ASSIST THE LOCAL SPANISH SPEAKING POPULATION, AND OTHERS HAVE BEEN MADE TO ORGANIZATIONS THAT ASSIST LOCAL SENIORS.OFTEN, INDIGENT AND MEDICAID PATIENTS WILL SHOW UP AT THE EMERGENCY ROOM IN NEED OF SPECIALIZED MEDICAL CARE. IN ORDER TO ASSURE THAT UNASSIGNED INDIGENT AND MEDICAIDPATIENTS HAVE SPECIALIZED CARE AVAILABLE TO THEM, ASANTE CREATED SOUTHERN OREGONTRAUMA AND EMERGENCY SERVICES (SOTES). SOTES CONTRACTS WITH LOCAL INDEPENDENT PHYSICIANS TO PROVIDE SPECIALIZED CARE TO THESE PATIENTS THROUGHOUT THEIR HOSPITAL STAY. THE PHYSICIAN BILLS SOTES, WHICH WILL REIMBURSE THE SPECIALIST AT MEDICARE RATES. SOTES OPERATES AT BREAKEVEN. EXPENSES ARE FULLY FUNDED AND REIMBURSED TO THE DOCTOR BY THE HOSPITALS. 432616606 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 475 0 1 4173 1 1 1 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OR X X PATRICK HOCKING 5417894549 2650 SISKIYOU BLVD MEDFORD OR 97504 WILLIAM D THORNDIKE JR FORMER CHAIRPERSON 2.00 X 0 0 0 ALAN BINETTE CHAIRPERSON 2.00 X X 0 0 0 TIM ALFORD TRUSTEE 2.00 X 0 0 0 THOMAS R MCGILLOWAY TREASURER 2.00 X X 0 0 0 DAVID ABDUN-NUR MD TRUSTEE 2.00 X 0 0 0 GAYLE BYRNE TRUSTEE 2.00 X 0 0 0 RAY A COX SECRETARY 2.00 X X 0 0 0 KENT W DAUTERMAN MD TRUSTEE 2.00 X 0 0 0 RONALD JONES MD TRUSTEE 2.00 X 0 0 0 ALVIN SPEARS TRUSTEE 2.00 X 0 0 0 JAMES M WRIGHT TRUSTEE 2.00 X 0 0 0 ROY VINYARD PRESIDENT & CEO 40.00 X X 902421 0 427573 ANNE GOLDEN TRUSTEE 2.00 X 0 0 0 STEPHEN D ROE VICE CHAIRPERSON 2.00 X X 0 0 0 THOMAS M TUREK MD TRUSTEE 2.00 X 0 0 0 SCOTT KELLY RRMC CEO 40.00 X 474699 0 123351 WIN HOWARD TRMC CEO 40.00 X 387236 0 138018 MARVIN HAAS AACH CEO 40.00 X 479574 0 133562 PATRICK HOCKING CURRENT CFO 40.00 X 333538 0 136827 GREG EDWARDS PEOPLE OFFICER 40.00 X 345385 0 140431 MARK HETZ CH INFO OFFICER 40.00 X 358486 0 117111 ROBERT THOMPSON QUALITY OFFICER 40.00 X 512728 0 193040 JAMES GIESEN MEDICAL DOCTOR 40.00 X 386332 0 81643 MICHAEL MCCASKILL MEDICAL DOCTOR 40.00 X 386056 0 77109 JAMES GREBOSKY MEDICAL DOCTOR 40.00 X 380970 0 112647 JEFF WAJDA MEDICAL DOCTOR 40.00 X 378597 0 122723 DREW OLDROYD MEDICAL DOCTOR 40.00 X 370829 0 75362 KENT BROWN FORMER HOSP CEO 40.00 X 211685 0 62774 5908536 0 1942171 266 1 1 0 SOUTHERN OREGON CARDIOLOGY LLC 520 MEDICAL CENTER DRIVE SUITE 200 MEDFORD OR 97504 CARDIAC SERVICES 4959276 CVISO MANAGEMENT CO LLC 520 MEDICAL CENTER DR MEDFORD OR 97504 CARDIAC SERVICES 2941802 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 LABORATORY SERVICES 1380350 STAR DIALYSIS LLC 201 W L STREET GRANTS PASS OR 97526 DIALYSIS SERVICES 1102971 SO OREGON NEUROSURGICAL & SPINE ASSOC 2900 STATE ST MEDFORD OR 97504 NEURO SERVICES 680760 5 833065 833065 HOSPITAL SERVICES 622110 537557261 536418294 1138967 537557261 13663653 13663653 1484875 4119075 -2634200 -2634200 -2634200 346566485 117654 312815957 57612 33750528 60042 33810570 60042 33750528 4828502 3725691 1102811 1102811 NUTRITION SERVICES 621990 8425098 8425098 GAIN ON BOND DEFEASANCE 900099 1580306 1580306 JV INCOME 621990 1389516 1389516 1425730 1425730 12820650 597153810 547718680 2241778 46360287 209843 209843 42854 42854 5969212 2984606 2984606 185770659 161685916 24084743 9908575 8515511 1393064 51649203 49680773 1968430 15013732 12913302 2100430 23724189 20710141 3014048 806194 103167 703027 225041 225041 62242 62242 2248526 2248526 6071881 2493937 3577944 432601 432601 12181672 6090836 6090836 21052654 15526819 5525835 402143 270526 131617 933215 608713 324502 12341364 11149172 1192192 35667653 27161549 8506104 3769033 3190316 578717 PATIENT SUPPLIES 91708696 91708696 BAD DEBTS 12052547 12052547 OTHER OPERATING EXPENSE 4646056 2961128 1684928 EQUIPMENT RENTAL 1709850 1698570 11280 1488128 857684 630444 500087763 432616606 67471157 0 9415022 43542485 89447043 77243458 3209063 1316012 6602829 5677389 3757936 5513362 736311542 430805903 302400657 305505639 481001454 479301795 34123659 25113434 929957663 943213574 14768521 13218311 329716928 33200000 2195978 237578406 79627430 81618687 426308857 365615404 X 503648806 577598170 503648806 577598170 929957663 943213574 X 97066047 -4407017 -18709666 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 50242 0 0 1 12000 62242 0 PART II-B, LINE 1: ASANTE MAINTAINS MEMBERSHIPS IN THE AMERICAN HOSPITAL ASSOC (AHA) AND OREGON ASSOC OF HOSPITALS AND HEALTHCARE SYSTEMS (OAHHS). DURING TAX YEAR 2013, ASANTE PAID MEMBERSHIP DUES TO THE AHA AND OAHHS OF $79,558 AND $179,043 RESPECTIVELY. 17.93% OF OAHHS DUES AND 22.80% OF AHA DUES WENT FOR LOBBYING PURPOSES. THUS, ASANTE MADE INDIRECT LOBBYING EXPENDITURES OF $50,242 THROUGH ITS MEMBERSHIP DUES. ALSO, ASANTE PAID JOHN WATT AND ASSOCIATES (JWA) $12,000 FOR SPECIFIC ISSUES LOBBYING DURING THE TAX YEAR. JWA IS AN ADVOCATE FOR ASANTE AND SPECIALIZES IN BALLOT PROPOSITIONS AFFECTING THE HEALTHCARE INDUSTRY. 18901661 320785 181774 141353 19262867 18536029 268729 163135 66232 18901661 18306191 104176 162870 37198 18536039 17929742 215695 169689 8935 18306191 17945515 28150 109554 153477 17929742 0.79830 0.19600 0.00570 0 1 1 12959946 8876730 21836676 329919030 157524273 172394757 7440269 5951646 1488623 367039705 267329984 99709721 10075862 10075862 305505639 SELF INSURANCE RESERVE 7620352 REIMBURSEMENT DUE GOVT AGENCIES & 3RD PARTIES 526287 OTHER CURRENT LIABILITIES 18282261 LONG TERM LIABILITIES 19891276 PAYROLL/BENEFITS PAYABLE 25517965 CURRENT PORTION LT DEBT 9780546 81618687 X 688523265 110841787 110841787 577681478 2248526 17223806 19472332 597153810 622360620 137998073 137998073 484362547 15725216 15725216 500087763 PART V, LINE 4: THE ASANTE FOUNDATION, A 501(C)(3) ORGANIZATION, IS DIRECTLY RELATED TO AND CONTROLLED BY ASANTE. IT IS IDENTIFIED ON SCHEDULE R, PART II AS A RELATED TAX-EXEMPT ORGANIZATION. THE ASANTE FOUNDATION MAINTAINS THE ASSETS OF 14 DIFFERENT ENDOWMENTS WITH A NET WORTH OF OVER $18.9 MILLION. THE CORPUS OF THE ENDOWMENTS IS TO REMAIN INTACT AND INVESTED IN MARKETABLE SECURITIES AND OTHER FINANCIAL INSTRUMENTS. AT THE END OF EACH FISCAL YEAR, ANY INVESTMENT INCOME GENERATED FROM THE ENDOWMENTS IS RELEASED TO ASANTE. THE INCOME RECEIVED IS USED TO SUBSIDIZE NUMEROUS PROGRAMS, INCLUDING THE RRMC HOSPICE, PHYSICIAN AND NURSING EDUCATION, CHILDREN'S HEALTH, ONCOLOGY PROGRAMS, AND SUPPORT OF THE FRANCIS CHENEY AND THREE RIVERS FAMILY HOUSES. PART X, LINE 2: IT IS THE OPINION OF BOTH THE MANAGEMENT OF ASANTE AND KPMG THAT NO UNCERTAIN TAX POSITIONS WERE TAKEN DURING THE FISCAL YEAR. THIS OPINION IS STATED IN THE FOOTNOTES OF THE AUDITED CONSOLIDATED FINANCIAL STATMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ASANTE FOUNDATION INVESTMENT INCOME 1,987,500. OPERATING INCOME FROM AFFILIATES INCLUDED IN CONSOLIDATED FINANCIAL STMT 75,059,272. PROVIDER TAX NETTED WITH REVENUE FOR TAX RETURN 28,160,475. AFFILIATE INVESTMENT REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STMT 1,908,849. COST OF GOODS SOLD NETTED WITH REVENUE 3,725,691. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STMT 15,725,216. FOUNDATION NONOPERATING LOSS INCLUDED IN CONSOLIDATED FINANCIAL STMT 1,498,590. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON INVESTMENTS 4,580,599. AFFILIATE OPERATING EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STMT 101,531,308. PROVIDER TAX NETTED WITH REVENUE FOR TAX RETURN 28,160,475. COST OF GOODS SOLD NETTED WITH REVENUE 3,725,691. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 15,725,216. SCHEDULE D PART XI, XII AND XIII THE FINANCIAL STATEMENTS AND SCHEDULES OF ASANTE ARE AUDITED BY THE ACCOUNTING FIRM OF KPMG. THEY ARE COMPILED ON A CONSOLIDATED BASIS. THE CONSOLIDATED FINANCIAL STATEMENTS AND SCHEDULES CONTAIN FINANCIAL INFORMATION ABOUT ENTITIES WITHIN ASANTE THAT ARE NOT INCLUDED ON THE ASANTE FORM 990. FINANCIAL INFORMATION ABOUT THE ASANTE FOUNDATION, ASANTE PHYSICIANS PARTNERS, SOUTHERN OREGON INSURANCE COMPANY, AND ASANTE ASHLAND COMMUNITY HOSPITAL ARE INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS BUT, SINCE EACH OF THOSE ENTITIES RETAIN THEIR OWN TAX IDENTIFICATION NUMBER, THEY FILE THEIR OWN SEPARATE FORM 990. THUS, THEIR FINANCIAL INFORMATION IS EXCLUDED FROM THE ASANTE FORM 990 AND ARE INCLUDED AS RECONCILING ITEMS ON SCHEDULE D. ON THE ASANTE FORM 990, SCHEDULE D, PARTS XI, XII, AND XIII, WE HAVE RECONCILED THE TOTAL REVENUES, TOTAL EXPENSES, AND NET ASSETS TO THE CONSOLIDATED STATEMENT OF OPERATIONS ON THE AUDITED FINANCIAL STATEMENTS. IN MANY CASES, THE FINANCIAL INFORMATION OF THESE OTHER ENTITIES IS CONTAINED WITHIN THE REVENUE, EXPENSES, AND NET ASSETS ITEMS IN THE FINANCIAL STATEMENT AND MAY NOT BE READILY DISTINGUISHED ON THE FINANCIAL STATEMENT LINE ITEMS. 1 1 X 1 X 1 X 1 1 0 1 1 82251 14247732 14247732 0.02850 68102 115995325 53906209 62089116 0.12420 150353 130243057 53906209 76336848 0.15270 41683 6741592 963528 5778064 0.01160 5653 5653 0.00000 257635 26117 231518 0.00050 209843 209843 0.00040 41683 7214723 989645 6225078 0.01250 192036 137457780 54895854 82561926 0.16520 3 26250 26250 0.00010 5 26571 26571 0.00010 2 12000 12000 0.00000 10 64821 64821 0.00020 1 12052547 146611802 171837528 -25225726 X 1 1 1 SISKIYOU IMAGING RADIOLOGY & IMAGING SVC 0.33330 0.33330 2 CVI MANAGEMENT CO LLC MANAGEMENT SERVICES 0.25000 0.75000 3 CVI REAL PROPERTY PROPERTY MANAGEMENT 0.25000 0.75000 4 SOUTHERN OREGON LINEN SVCS LINEN PROCESSING 0.34000 5 HEALTH FUTURE LLC SUPPLIES PURCHASING 0.14300 6 GRANTS PASS SURGICAL CENTER OUTPATIENT SURGERIES 0.35000 0.65000 7 SURGERY CENTER OF SO OREGON OUTPATIENT SURGERIES 0.20000 0.80000 8 LHC HOME HEALTH 0.25000 9 ACCENTCARE HOME HEALTH 0.10000 2 1 ROGUE REGIONAL MEDICAL CENTER 2825 E BARNETT ROAD MEDFORD OR 97504 X X X 2 THREE RIVERS MEDICAL CENTER 500 SW RAMSEY AVE GRANTS PASS OR 97527 X X X ROGUE REGIONAL MEDICAL CENTER 1 1 X X X X X X X X 13 1 1 1 X X X X X X X X 1 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X 1 1 X X X X X 1 0 X X X X 1 X 0 0 THREE RIVERS MEDICAL CENTER 2 1 X X X X X X X X 13 1 1 1 X X X X X X X X 1 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X 1 1 X X X X X 1 0 X X X X 1 X 0 0 ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 3: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACTS REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE PARTNERED WITH PROFESSIONAL RESEARCH CONSULTANTS, INC. TO COMPLETE 600 COMMUNITY SURVEYS IN FISCAL YEAR 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 XPERIENCES AND PERCEPTIONS OF THE TOP HEALTH CONCERNS IN OUR COMMUNITY. ALSO REQUIRED IS THE DEVELOPMENT AND EXECUTION OF AN IMPLEMENTATION STRATEGY TO ADDRESS THESE CONCERNS. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 3: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACTS REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE PARTNERED WITH PROFESSIONAL RESEARCH CONSULTANTS, INC. TO COMPLETE 600 COMMUNITY SURVEYS IN FISCAL YEAR 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. ALSO REQUIRED IS THE DEVELOPMENT AND EXECUTION OF AN IMPLEMENTATION STRATEGY TO ADDRESS THESE CONCERNS. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 4: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGONTHREE RIVERS MEDICAL CENTER IN GRANTS PASS, OREGON THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 4: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGONROGUE REGIONAL MEDICAL CENTER IN GRANTS PASS, OREGON ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 14G: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 14G: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16E: ROGUE REGIONAL MEDICAL CENTER'S "POLICY" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16E: THREE RIVERS MEDICAL CENTER'S "POLICY" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 20D: THE DISCOUNT ROGUE REGIONAL MEDICAL CENTER OFFERS IS BASED ON A SLIDING FEE SCHEDULE DETERMINED BY AN EMERGENCY PATIENT'S LEVEL OF INCOME. A DISCOUNT OF UP TO 100% IS POSSIBLE IF THE PHYSICIAN DETERMINES THAT A PROCEDURE IS "MEDICALLY NECESSARY". THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 20D: THE DISCOUNT THREE RIVERS MEDICAL CENTER OFFERS IS BASED ON A SLIDING FEE SCHEDULE DETERMINED BY AN EMERGENCY PATIENT'S LEVEL OF INCOME. A DISCOUNT OF UP TO 100% IS POSSIBLE IF THE PHYSICIAN DETERMINES THAT A PROCEDURE IS "MEDICALLY NECESSARY". 1 ROGUE VALLEY RX 2900 E BARNETT ROAD MEDFORD OR 97504 OUTPATIENT PHARMACY PART II, COMMUNITY BUILDING ACTIVITIES: IN FISCAL 2014, ASANTE'S CONTRIBUTION TO COMMUNITY HEALTH IMPROVEMENTS ADVOCACYINCLUDES $2,000 TO THE JACKSON COUNTY CHILD ABUSE TASKFORCE, $500 TO THE FAMILY NURTURING CENTER, AND $750 TO HEARTS WITH A MISSION. IN ADDITION, ASANTE CONTRIBUTED $26,250 TO VARIOUS COMMUNITY ORGANIZATIONS, INCLUDING THE BOYS AND GIRLS CLUBS AND YMCA OF MEDFORD, THE GRANTS PASS AND MEDFORD CHAMBER OF COMMERCE, THE JACKSONVILLE BRITT FESTIVAL, AND THE OREGON SHAKESPEAREAN FESTIVAL.ASANTE ALSO CONTIBUTED $9,821 TO LOCAL CHAMBERS OF COMMERCE TO HELP BUILD LEADERSHIP AMONG BUSINESSES IN THE COMMUNITY. PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON GROSS PATIENT CHARGES THAT HAVE BEEN WRITTEN OFF DUE TO NON-PAYMENT. PART III, LINE 8: CERTAIN GOVERNMENT SPONSORED HEALTH INSURANCE COMPANIES, SUCH AS MEDICARE AND MEDICAID, PAY A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR INSUREES. IN MOST CASES, THE AMOUNT PAID DOES NOT EVEN COVER THE EXPENSES OF RENDERING SERVICES. ASANTE CONSIDERS THE DIFFERENCE BETWEEN THE EXPENSES OF RENDERING SERVICES TO MEDICARE AND MEDICAID PATIENTS, AND THE AMOUNT OF NET REIMBURSEMENT FROM THESE GOVERNMENT SPONSORED INSURANCE COMPANIES A COMMUNITY BENEFIT. CALCULATION: TOTAL MEDICARE PAYMENTS PER COST REPORT LESS TOTAL MEDICARE COSTS PER COST REPORT = UNRECOVERED MEDICARE COST PER COST REPORT. PART III, LINE 9B: IF THERE IS AN INDICATION THAT A PATIENT MAY BE UNABLE TO PAY THEIR BILL, A FINANCIAL QUESTIONNAIRE IS GIVEN OR SENT TO THE PATIENT. ON RECEIPT OF THE COMPLETED QUESTIONNAIRE, THE BUSINESS OFFICE WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT WITHIN 20 DAYS. ELIGIBILITY IS DETERMINED BASED UPON THE QUESTIONNAIRE AND ON FINANCIAL DOCUMENTS, SUCH AS TAX RETURNS, SSI STATEMENTS, PAYCHECK STUBS, AND FSA/HSA INFORMATION. THE PATIENT'S OTHER FINANCIAL OBLIGATIONS, NUMBER OF DEPENDENTS, ASSETS AND OTHER FINANCIAL CIRCUMSTANCES ARE CONSIDERED. OFTEN, A PATIENT WILL NOT PROVIDE A FINANCIAL QUESTIONNAIRE, SO THE BUSINESS OFFICE WILL USE SOFT CREDIT CHECKS AND ZIP CODES+4 TO HELP DETERMINE ELIGIBILITY. THE PERCENTAGE OF FINANCIAL ASSISTANCE PROVIDED IS BASED UPON A SLIDING SCALE TABLE THAT UTILIZES THE PATIENT FAMILY'S INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES. PART VI, LINE 2: ASANTE'S FIVE PRIMARY SOURCES OF INPUT INCLUDE THE COMMUNITY LEADERS FORUM, THE ENVIRONMENTAL ASSESSMENT, THE COMMUNITY ASSESSMENT SURVEY, FORMAL CONVERSATIONS WITH OUR COLLABORATORS, AND IDENTIFIED STRATEGIC PLAN GAPS FROM THE PREVIOUS YEAR. PART VI, LINE 3: THE FINANCIAL ACCESS SPECIALISTS, CREDIT ANALYSTS, AND REGISTRATION PERSONNEL WORK WITH THE PATIENT EITHER AT THE TIME OF SCHEDULING, ARRIVAL AT THE HOSPITAL, OR DURING THE BILLING PROCESS. IF THE PATIENT DISCLOSES THEY WILL HAVE DIFFICULTY PAYING, WE ASSIST THEM APPLYING FOR THE OREGON HEALTH PLAN, FINANCIAL ASSISTANCE, OR A PAYMENT PLAN. BASED UPON INCOME AND EXPENSES, A PATIENT MAY BE ELIGIBLE FOR CHARITY CARE WRITE-OFF OF BETWEEN 10% AND 100% OF THEIR BILL. PART VI, LINE 4: THE MOST NOTABLE FACT ABOUT THE DEMOGRAPHICS OF OUR SERVICE AREA IS THAT WE HAVE A RATHER ELDERLY POPULATION, BOTH IN OUR PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, BUT ALSO OUR SECONDARY SERVICE AREA OF NORTHERN CALIFORNIA AND SOUTHERN OREGON. IN FISCAL 2013, PATIENTS 65+ ACCOUNTED FOR 38.26% AND 46.60% OF ADMISSIONS AT RRMC AND TRMC RESPECTIVELY.FOR THE NEXT 20 YEARS, THE 65+ AGE GROUP IS FORECAST TO BE THE FASTEST GROWING SEGMENT OF THE POPULATION. IN ADDITION, THE OVERALL POPULATION GROWTH OF OUR PRIMARY SERVICE AREA IS ALSO FORECAST TO AVERAGE 1% PER YEAR FOR THE NEXT 30 YEARS. PART VI, LINE 5: ALONG WITH PROVIDING QUALITY HEALTHCARE, ASANTE FURTHERS ITS EXEMPT PURPOSE AND FULFILLS ITS MISSION TO THE COMMUNITY BY PROVIDING OR SUBSIDIZING NUMEROUS CLASSES, SUPPORT GROUPS, HEALTH FAIRS, AND SELF-HELP PROGRAMS. THESE PROGRAMS ARE AT NO OR LOW COST TO THE PUBLIC. THE ASANTE COMMUNITY HEALTH EDUCATION PROGRAM IS AN ONGOING, NO COST PROGRAM, OPEN TO ALL COMMUNITY MEMBERS. IN FY 2014, OVER 30 COMMUNITY HEALTH EDUCATION CLASSES WERE OFFERED AT RRMC AND TRMC. ON AVERAGE, ATTENDANCE WELL EXCEEDED 75 PEOPLE AT EACH EVENT. ASANTE ALSO PROMOTES AND EXTENDS PATIENT CARE BY PROVIDING SPACE AND MATERIALS TO APPROXIMATELY 30 SUPPORT GROUPS. ASANTE HOSPICE, RVMC AND TRMC CANCER SERVICES, AND RVMC/TRMC WOMEN AND CHILDREN'S SERVICES PROVIDE STAFF, RESOURCES AND ORGANIZATIONAL SUPPORT FOR VARIOUS WELL-ATTENDED SUPPORT GROUPS AND DEDICATIONAL EVENTS, SUCH AS "CANCER SURVIVOR'S DAY". MANY OTHER SUPPORT GROUPS ARE COMMUNITY-LED, BUT LOGISTICALLY SUPPORTED BY ASANTE HEALTH SYSTEM AND AFFILIATED CLINICAL STAFF MEMBERS. THE SMULLIN HEALTH EDUCATION CENTER HOUSES COMMUNITY AND HEALTHCARE RELATED EVENTS. ALONG WITH THE ASANTE COMMUNITY HEALTH EDUCATION PROGRAM AND SUPPORT GROUPS, SMULLIN HOSTED OVER 250 EVENTS. OPERATIONALLY, ASANTE HEALTH SYSTEM SUPPORTS THESE EVENTS BY PROVIDING SALAIRES, BENEFITS, SUPPLIES AND CLASSROOM SPACE. ADDITIONALLY, ASANTE IS THE SOLE SUPPORT OF THE FRANCIS CHENEY FAMILY PLACE AND THE THREE RIVERS FAMILY HOUSE. MUCH LIKE THE RONALD MCDONALD HOUSE, THESE HOUSES PROVIDE LOW-COST TEMPORARY LODGING FOR FAMILIES OF PATIENTS AT RVMC OR TRMC. DONATIONS ARE ACCEPTED, BUT NO ONE IS DENIED LODGING FOR AN INABILITY TO CONTRIBUTE.ASANTE HEALTH SYSTEM HAS SEVERAL CLINICAL DEPARTMENTS THAT PROVIDE NON-BILLED SERVICES TO COMMUNITY MEMBERS. THESE DEPARTMENTS INCLUDE THE STERILE PROCESSING DEPARTMENT, IMAGING DEPARTMENT, RRMC/TRMC PHARMACIES (BOTH HOSPITAL AND RETAIL), SOCIAL SERVICES, RESOURCE MANAGEMENT, SENIOR TRANSPORTATION, AND THE SUPPORTIVE CARE TEAM. RRMC ALSO PROVIDES FREE LAB WORK TO THE PATIENTS OF THE COMMUNITY HEALTH CENTERS. THE ASANTE HEALTH SYSTEM STRIVES TO MEET THEIR ON-GOING MISSION: ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. PART VI, LINE 6: ASANTE IS A COMMUNITY OWNED AND GOVERNED NOT-FOR-PROFIT HEALTH SYSTEM PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO MORE THAN 550,000 RESIDENTS IN NINE COUNTIES THROUGHOUT SOUTHERN OREGON AND NORTHERN CALIFORNIA. THE SYSTEM WAS FORMED IN 1995 TO INCLUDE ROGUE REGIONAL MEDICAL CENTER (RRMC) IN MEDFORD, AND THREE RIVERS MEDICAL CENTER (TRMC) IN GRANTS PASS. IN 2003, ASANTE FORMED ASANTE COMMUNITY SERVICES, WHICH PROVIDES LIFELINE AND RUNS THE OUTPATIENT PHARMACY. PART VI, LINE 7, REPORTS FILED WITH STATES OR 1 MEDFORD CHAMBER OF COMMERCE 101 E 8TH STREET MEDFORD OR 97501 930197580 501(C)(3) 9821 CASH SUPPORT LOCAL CHAMBER OF COMMERCE SENIOR VAN TRANSPORTATION 1300 42854 COST FREE VAN RIDES TO MED APPTS PART I, LINE 2: ONCE AN APPLICANT HAS BEEN APPROVED FOR GRANT FUNDS, THE GRANT AGREEMENT SPECIFIES THAT ALL GRANT MONIES ARE TO BE SPENT FOR ONLY THE PURPOSE SPELLED OUT IN THE APPLICATION. THE COUNTY CONNECTIONS COMMITTEE MUST KNOW WHERE THE DONATED MONEY WILL BE ALLOCATED, AND IF A FUNDRAISING EVENT, HOW THE RAISED MONEY WILL BE ALLOCATED. USUALLY, A DETAILED BUDGET OF THE GRANTEE'S CURRENT YEAR IS REQUIRED, AS WELL AS ANY REPORTS OR MINUTES FROM PREVIOUS EVENTS. SCHEDULE I, PART I, LINE 2 WHEN ASANTE RECEIVES A REQUEST FOR GRANT FUNDS FROM AN OUTSIDE ORGANIZATION, THE REQUEST IS REVIEWED BY EITHER THE JACKSON COUNTY OR JOSEPHINE COUNTY COMMUNITY CONNECTIONS COMMITTEE. THE APPLICANT MUST FILL OUT AN APPLICATION FORM AND PROVIDE SUPPORTING DOCUMENTS OR EVENT MATERIALS. TO BE SELECTED, THE ORGANIZATION MUST MEET THE FOLLOWING CRITERIA: 1)THE GRANT MUST SUPPORT STRATEGIC INITIATIVES, 2)IT MUST HAVE A DIRECT IMPACT ON THE HEALTHCARE OF THE COMMUNITY, 3)THE ORGANIZATION MUST BE A NOT-FOR-PROFIT HEALTH, HUMAN SERVICES, OR EDUCATION RELATED ORGANIZATION, 4)THE ORGANIZATION COLLABORATES WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS AND, 5)THE GRANT MUST BE A RELATION BUILDING OPPORTUNITY. 1 X X X X X 1 1 0 0 0 0 0 1 0 ROY VINYARD PRESIDENT & CEO 618863 0 191735 0 91823 0 383691 0 43882 0 1329994 0 0 0 SCOTT KELLY RRMC CEO 331647 0 86010 0 57042 0 94504 0 28847 0 598050 0 0 0 WIN HOWARD TRMC CEO 265373 0 66780 0 55083 0 95136 0 42882 0 525254 0 0 0 MARVIN HAAS AACH CEO 318318 0 120068 0 41188 0 96988 0 36574 0 613136 0 0 0 PATRICK HOCKING CURRENT CFO 267853 0 10720 0 54965 0 94077 0 42750 0 470365 0 0 0 GREG EDWARDS PEOPLE OFFICER 230574 0 58297 0 56514 0 101535 0 38896 0 485816 0 0 0 MARK HETZ CH INFO OFFICER 249619 0 53853 0 55014 0 93379 0 23732 0 475597 0 0 0 ROBERT THOMPSON QUALITY OFFICER 331360 0 76045 0 105323 0 161123 0 31917 0 705768 0 0 0 JAMES GIESEN MEDICAL DOCTOR 368663 0 17669 0 0 0 38300 0 43343 0 467975 0 0 0 MICHAEL MCCASKILL MEDICAL DOCTOR 371776 0 14280 0 0 0 38300 0 38809 0 463165 0 0 0 JAMES GREBOSKY MEDICAL DOCTOR 320770 0 42700 0 17500 0 72834 0 39813 0 493617 0 0 0 JEFF WAJDA MEDICAL DOCTOR 295088 0 40015 0 43494 0 99294 0 23429 0 501320 0 0 0 DREW OLDROYD MEDICAL DOCTOR 353774 0 17055 0 0 0 32800 0 42562 0 446191 0 0 0 KENT BROWN FORMER HOSP CEO 0 0 0 0 211685 0 54973 0 7801 0 274459 0 0 0 PART I, LINES 4A-B SEVERANCE COMPENSATION WAS PAID TO KENT BROWN AND INCLUDED IN TOTAL REPORTABLE COMPENSATION ON HIS W-2. TOTAL SEVERANCE INCLUDED ON HIS 2013 W-2 WAS $122,917. ASANTE 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, 2014, THERE WAS $260,199 CONTRIBUTED TO MR. VINYARD'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THIS AMOUNT IS INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II. ASANTE 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, 2014, THERE WAS $10, 306 CONTRIBUTED FOR MR. HOCKING AND $95,807 CONTRIBUTED FOR MR. VINYARD. THESE AMOUNTS WERE INCLUDED IN DEFERRED COMPENSATION REPORTED IN PART II. PART I, LINE 7 TWO OF THE FIVE HIGHEST PAID NON-EXECUTIVE EMPLOYEES, MOSTLY CARDIAC SURGEONS, ARE PAID A BASE SALARY AND THEN RECEIVE PRODUCTIVITY COMPENSATION BASED ON RELATIVE VALUE UNITS (RVU'S). EACH RVU IS $40. TOTAL COMPENSATION IS DETERMINED BY MULTIPLYING THE RVU'S BY $40. A HOSP AUTH OF MEDFORD OR 521378932 584283FL4 2010-02-17 239059650 FINANCE HOSPITAL EXPANSION 0 0 0 B STATE OF OREGON 936001787 NONEAVAIL 2011-12-29 30000000 FINANCE ELEC MED REC SOFTWARE 0 0 0 A 14550000 239059650 3511327 2680107 31041115 201827101 2011 1 0 1 1 B 11306678 30000000 192035 17112860 2013 0 0 1 1 A 0 0 1 1 1 1 0.00200 0.00200 0 0 1 B 0 0 0 1 1 0.00050 0.00050 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART IV, LINE 2C LAST ARBITRAGE CALCULATION WAS FEBRUARY 24, 2014 FORM 990, PART VI, SECTION B, LINE 11 POLICY SUMMARY: THE FEDERAL FORMS 990 AND 990-T ARE FEDERALLY MANDATED LEGAL DOCUMENTS THAT ARE HIGHLY REGULATED. WITHIN ASANTE, THEY ARE TO BE PREPARED BY PERSONNEL IN THE ACCOUNTING DEPARTMENT. ADDITIONAL ASSISTANCE WILL BE PROVIDED BY PERSONNEL IN THE MARKETING, COMPLIANCE, AND EXECUTIVE DEPARTMENTS. BEFORE FINAL SUBMISSION OF THE DOCUMENTS, THEY ARE TO HAVE ASANTE BOARD REVIEW. POLICY DETAILS: 1. WHEN FINAL AUDITED FINANCIAL INFORMATION IS AVAILABLE, ACCOUNTING PERSONNEL WILL COMPILE THE NEEDED INFORMATION TO PREPARE THE APPROPRIATE RETURNS FOR THE PRIOR FISCAL YEAR. 2. AS NEEDED, ACCOUNTING WILL FILE ALL APPROPRIATE EXTENSIONS ON A TIMELY BASIS. HOWEVER, THE FINAL SUBMISSION CAN NEVER BE EXTENDED PAST AUGUST 15TH OF THE YEAR FOLLOWING THE FISCAL YEAR BEING FILED. 3. IN ADDITION TO NORMAL PREPARATION, ACCOUNTING PERSONNEL WILL COORDINATE WITH PERSONNEL IN MARKETING, COMPLIANCE, AND POSSIBLY THE EXECUTIVE DEPARTMENTS IN PREPARING THE VARIOUS SCHEDULES NEEDED TO COMPLETE THE RETURN. ALL WORK PAPERS ARE TO BE RETAINED IN A PERMANENT FILE. 4. WHEN ALL NECESSARY INFORMATION HAS BEEN COMPILED, IT IS TO BE LOADED INTO APPROPRIATE TAX SOFTWARE. 5. WHEN COMPLETED, A DRAFT RETURN WILL BE REVIEWED BY THE CHIEF ADMINISTRATIVE AND FINANCE OFFICER. AFTER THE REVIEW, ACCOUNTING WILL CLEAR ALL REVIEW NOTES AND COMMENTS. 6. ONCE REVIEWED BY THE CAFO, AN ADDITIONAL REVIEW WILL BE PERFORMED BY AN OUTSIDE CPA FIRM. ACCOUNTING WILL AGAIN CLEAR ANY ADDITIONAL REVIEW NOTES AND COMMENTS SUBMITTED BY THE OUTSIDE CPA. 7. THE CHIEF EXECUTIVE OFFICER AND MEMBERS OF THE BOARD OF DIRECTORS WILL LOOK OVER THE FINAL SET OF RETURNS AND MAKE FURTHER COMMENTS AND CORRECTIONS, AS IS APPROPRIATE. 8. ONCE ALL REVIEWS AND CORRECTIONS ARE MADE, THE CAFO WILL SIGN ALL APPROPRIATE RETURNS FOR FILING. 9. ALL RETURNS WILL THEN BE FILED EITHER ELECTRONICALLY OR PAPER COPY WITH THE APPROPRIATE GOVERNMENT AGENCY. A COPY OF EACH RETURN IS TO BE KEPT IN THE ACCOUNTING DEPARTMENT AND A COPY OF THE 990 AND 990-T WILL BE KEPT AT CORPORATE HEADQUARTERS FOR PUBLIC DISPLAY AND COPYING, AS REQUESTED. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ASANTE MAILS TO ALL ASANTE MANAGEMENT, KEY EMPLOYEES, AND BOARD MEMBERS A CONFLICT OF INTEREST QUESTIONAIRE TO COMPLY WITH ASANTE'S CONFLICT OF INTEREST POLICY# 400-LD-034 AND 036. THE PURPOSE OF THE POLICY IS TO PROTECT ASANTE'S INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF A BOARD MEMBER OR OFFICER OF THE CORPORATION. IN ADDITION, ALL ASANTE EMPLOYEES HAVE AN OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS TO THEIR SUPERVISOR. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR ADMINISTERING, MONITORING, AND INVESTIGATING ANY POSSIBLE CONFLICTS AND MAKE AN ANNUAL REPORT TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES. THE REVIEW COMPARES THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES WITH COMPENSATION DATA FOR JOB INCUMBENTS IN COMPARABLE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND SCOPE. THE DATA IS PROVIDED AND PRESENTED TO THE COMPENSATION COMMITTEE BY AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE SETS THE ACTUAL ANNUAL CASH COMPENSATION FOR THE CEO AND SALARY RANGES FOR THE OTHER KEY EMPLOYEES. THE COMMITTEE ALSO SETS TOTAL COMPENSATION OPPORTUNITY FOR THE CEO AND EACH OF THE KEY EMPLOYEES, CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. MINUTES OF THE COMMITTEE DELIBERATIONS AND DECISIONS ARE RECORDED AND MAINTAINED. THE MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS COMPLETED IN 2012. FORM 990, PART VI, SECTION C, LINE 19 CURRENTLY, ASANTE DOES NOT MAKE AVAILABLE TO THE GENERAL PUBLIC COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR ITS FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9: ACCUMULATED EARNINGS ADJUSTMENT DONATED CAPITAL 371,823. EQUITY TRANSFERS TO AFFILIATES -19,081,489. ASANTE COMMUNITY SERVICES LLC 731 BLACK OAK DRIVE MEDFORD OR 97504 571181175 MEDICAL BILLING OR ASANTE ASANTE THREE RIVERS MEDICAL CENTER LLC 731 BLACK OAK DRIVE MEDFORD OR 97504 571181758 MEDICAL BILLING OR ASANTE ASANTE FOUNDATION 2650 SISKIYOU BLVD MEDFORD OR 97504 936087366 FUNDRAISING OR 501(C)(3) LINE 11A, I ASANTE 1 SOUTHERN OREGON INSURANCE COMPANY 745 FORT STREET SUITE 800 HONOLULU HI 96813 201578637 CAPTIVE INSURANCE HI 501(C)(3) LINE 11A, I ASANTE 1 ASANTE PHYSICIAN PARTNERS 2650 SISKIYOU BLVD MEDFORD OR 97504 383849354 PHYSICIAN GROUP OR 501(C)(3) LINE 3 ASANTE 1 ASANTE ASHLAND COMMUNITY HOSPITAL 2650 SISKIYOU BLVD MEDFORD OR 97504 931213059 HOSPITAL OR 501(C)(3) LINE 3 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 ASANTE FOUNDATION C 833065 CASH ASANTE FOUNDATION O 813502 CASH SOUTHERN OREGON INSURANCE COMPANY O 87000 CASH SOUTHERN OREGON INSURANCE COMPANY Q 676091 CASH ASANTE PHYSICIAN PARTNERS B 20211687 EQUITY TRANSFER ASANTE ASHLAND COMMUNITY HOSPITAL B 3868988 EQUITY TRANSFER ASANTE ASHLAND COMMUNITY HOSPITAL D 7730010 LOAN GUARANTEE ASANTE ASHLAND COMMUNITY HOSPITAL O 16752017 CASH