2013-08-15T17:05:04-05:00 2012-09-30 930623286 AKT LLP 5665 SW MEADOWS RD SUITE 200 LAKE OSWEGO OR 97035 990 2011-10-01 930223960 ASANTE ASAN 5417894103 2650 SISKIYOU BLVD MEDFORD OR 97504 PAT HOCKING 5417894103 2013-08-15 1 MARTIN MOLL P00524709 5036204489 2011 2016-02-25 16:41:14Z PAT HOCKING 2650 SISKIYOU BLVD MEDFORD OR 97504 694459932 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. 14 13 4140 717 2987079 0 2146309 1025889 495435559 508600061 20283185 22876134 1083829 -88403 518948882 532413681 355324 250389 0 0 253848662 252864441 0 0 0 221904141 227073739 476108127 480188569 42840755 52225112 744025680 896182781 387340635 441538072 356685045 454644709 X ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 0 0 311958394 155612 379480911 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 ASSOCIATION 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 2012, RRMC ADMITTED 14,510 PATIENTS FOR A TOTAL OF 68,334 PATIENT DAYS. IT ALSO HAD OVER 359,000 TOTAL OUTPATIENT VISITS AND DELIVERED 1,505 BABIES. THE EMERGENCY ROOMS TREATED 38,656 PATIENTS AND THE CHEMISTRY LABS PERFORMED OVER 1 MILLION TESTS. SURGICAL SERVICES PERFORMED 13,692 INPATIENT AND OUTPATIENT SURGERIES AT RRMC, INCLUDING 543 OPEN HEART AND 479 ORTHOPEDIC JOINT REPLACEMENTS. OTHER STATISTICS AT RRMC INCLUDE 18,742 HOSPICE VISITS, 58,421 VISITS TO THE VARIOUS REHAB UNITS AND OVER 107,000 VISITS TO IMAGING. 102180258 124296887 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 6,798 INPATIENTS FOR A TOTAL OF 21,113 PATIENT DAYS. IT ALSO DELIVERED 713 BABIES AND HAD OVER 214,000 OUTPATIENT VISITS. THE CHEMISTRY LAB PERFORMED NEARLY 480,000 TESTS AND THE EMERGENCY ROOM SAW 38,560 PATIENTS. THERE WERE OVER 5,700 SURGERIES PERFORMED DURING THE YEAR INCLUDING 515 TOTAL JOINT REPLACEMENTS. TRMC'S REHAB DEPARTMENT HAD 20,318 VISITS AND THE VARIOUS IMAGING DEPARTMENT HAD 98,130 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. 3964219 94777 4822263 ASANTE'S THIRD BIGGEST PROGRAM SERVICE BY EXPENSES IS ASANTE COMMUNITY SERVICES. ASANTE COMMUNITY SERVICES (ACS) IS A COMPILATION OF VARIOUS SERVICES AND AGENCIES THAT PROVIDE NUMEROUS PROGRAMS TO HELP CREATE AND MAINTAIN A HEALTHY ENVIRONMENT IN THE ROGUE VALLEY. ACS INCLUDES THE MEDFORD AND GRANTS PASS OCCUPATIONAL HEALTH SERVICES. AMONG THE SERVICES OFFERED BY THE OCCUPATIONAL HEALTH GROUPS ARE PRE-EMPLOYMENT HEALTH SCREENINGS AND PROFESSIONAL COUNSELING FOR INJURED WORKERS. ACS HAS PARTNERED WITH THE OREGON DEPT OF TRANSPORTATION TO PERFORM RANDOM DRUG AND ALCOHOL TESTING OF COMMERCIAL TRUCK DRIVERS. ASANTE COMMUNITY SERVICES ALSO INCLUDES THE ROGUE VALLEY RX, ASANTE HOME INFUSION SERVICES, AND THE COUMADIN CLINIC. FINALLY, ACS RUNS "LIFELINE", AN EMERGENCY MONITORING SERVICE, ALLOWING SENIORS TO CONTINUE TO LIVE INDEPENDENT LIFE STYLES.DURING THE LAST FISCAL YEAR, THE TWO OCCUPATIONAL HEALTH AGENCIES SAW 22,056 PATIENTS. THE ROGUE VALLEY RX FILLED 58,669 PRESCRIPTIONS, INCLUDING 3,606 CUSTOM PHARMACY COMPOUNDINGS, AND LIFELINE PROVIDED MONITORING TO 1,515 SENIORS.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 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 MEDICAID PATIENTS HAVE SPECIALIZED CARE AVAILABLE TO THEM, ASANTE CREATED SOUTHERN OREGON TRAUMA 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. 418102871 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 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 1 412 0 1 4140 1 1 1 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OR X X PAT HOCKING 5417894103 2650 SISKIYOU BLVD MEDFORD OR 97504 X WILLIAM D THORNDIKE JR 2.00 X X 0 0 0 ALAN BINETTE 2.00 X X 0 0 0 R RAY HEYSELL 2.00 X X 0 0 0 TIM ALFORD 2.00 X X 0 0 0 THOMAS R MCGILLOWAY 2.00 X X 0 0 0 DAVID ABDUN-NUR MD 2.00 X 0 0 0 GAYLE BYRNE 2.00 X 0 0 0 RAY A COX 2.00 X 0 0 0 KENT W DAUTERMAN MD 2.00 X 0 0 0 RONALD JONES MD 2.00 X 0 0 0 ALVIN SPEARS 2.00 X 0 0 0 JAMES M WRIGHT 2.00 X 0 0 0 CAROL CLARK-MAYFIELD 2.00 X 0 0 0 ROY VINYARD 40.00 X X 781687 0 450956 SCOTT KELLY 40.00 X 300782 0 110320 WIN HOWARD 40.00 X 272006 0 115512 KENT BROWN 40.00 X 356704 0 148478 GREG EDWARDS 40.00 X 252350 0 87940 MARVIN HAAS 40.00 X 392779 0 141278 MARK COLLINS 40.00 X 108575 0 63452 MARK HETZ 40.00 X 285531 0 102278 ROBERT THOMPSON 40.00 X 276434 0 86098 CHARLES CARMECI MD 40.00 X 873079 0 53426 DAVID FOLSOM MD 40.00 X 844127 0 61871 GEORGE WILKINSON MD 40.00 X 425596 0 35811 ROGER HALL MD 40.00 X 437157 0 24373 KENNETH BUCCINO MD 40.00 X 349165 0 73516 5955972 0 1555309 1126 0 1 0 SOUTHERN OREGON CARDIOLOGY LLC 520 MEDICAL CENTER DRIVE SUITE 200 MEDFORD OR 97504 CARDIAC SERVICES 1948955 CVISO MANAGEMENT CO LLC 520 MEDICAL CENTER DR MEDFORD OR 97504 CARDIAC SERVICES 1627771 SOUTHERN OREGON HOSPITALISTS PC 2640 E BARNETT RD E-333 MEDFORD OR 97504 HOSPITALISTS 1561438 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 LABORATORY SERVICES 1122901 WEST ASSETS MANAGEMENT PO BOX 2140 OMAHA NE 68103 MEDICAL BILLING SERVICES 906508 57 1025889 1025889 HOSPITAL SERVICES 622110 503777798 503777798 ASANTE COMM SVCS 621990 4096445 4096445 SOTES/CORP 621300 725818 725818 508600061 14647807 14647807 9883 9883 1447255 4522737 -3075482 -3075482 -3075482 161676439 200798 153564051 94742 8112388 106056 8218444 8218444 5077211 3864721 1212490 1212490 PATHOLOGY LAB 621500 996945 996945 LAB OUTREACH 621500 636377 636377 WORK HEALTH 624310 141267 141267 1774589 532413681 508600061 2987079 19800652 123502 123502 126887 126887 4333160 2166580 2166580 174641088 152693664 21947424 9438180 8173185 1264995 50291599 48981952 1309647 14160414 12310455 1849959 28878968 22435215 6443753 745924 111594 634330 263874 263874 64059 64059 1704447 1704447 5530035 2581181 2948854 395709 395709 11904561 5952280 5952281 15911768 12472362 3439406 477027 343024 134003 1317030 838087 478943 13020797 11718717 1302080 30113253 24337275 5775978 4130433 3718978 411455 PATIENT SUPPLIES 80294646 80294646 0 OTHER OPERATING EXPENSE 23402837 20771044 2631793 BAD DEBTS 4670548 4670548 0 EQUIPMENT RENTAL 1907000 1896935 10065 2340823 1384760 956063 480188569 418102871 62085698 0 17360337 17765661 68465142 80178786 4007990 1730723 3825839 4952209 4783684 5624029 636717721 359782918 254622147 276934803 368337262 464847305 22623279 44149265 744025680 896182781 28669773 36264610 317839352 341876852 2896870 2568968 37934640 60827642 387340635 441538072 X 356685045 454644709 356685045 454644709 744025680 896182781 X 52225112 45734552 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 52059 0 0 1 12000 64059 0 EXPLANATION OF LOBBYING ACTIVITIES: 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 2011, ASANTE PAID MEMBERSHIP DUES TO THE AHA AND OAHHS OF $65,887 AND $177,480 RESPECTIVELY. 20.20% OF OAHHS DUES AND 24.60% OF AHA DUES WENT FOR LOBBYING PURPOSES. THUS, ASANTE MADE INDIRECT LOBBYING EXPENDITURES OF $52,059 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. 18992161 104176 162870 37198 19222009 18615713 215694 169689 8935 18992161 18631486 28150 109554 153477 18615713 18858075 9192 -234001 1780 18631486 0.79700 0.16870 0.03430 0 1 1 12959946 8283673 21243619 291863172 128241446 163621726 7838849 5768741 2070108 268755145 225772731 42982414 47016936 47016936 276934803 SELF INSURANCE RESERVE 29168785 PROVIDER TAX PAYABLE 5132230 REIMBURSEMENT DUE GOVT AGENCIES 3432184 OTHER CURRENT LIABILITIES 6476587 LONG TERM LIABILITIES 13540308 457B LIABILITY 3077548 60827642 532413681 480188569 52225112 45260711 -6218367 39042344 91267456 590604089 45260711 14634144 59894855 530709234 1704447 1704447 532413681 499336632 20852510 20852510 478484122 1704447 1704447 480188569 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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 $19.2 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 RVMC HOSPICE, PHYSICIAN AND NURSING EDUCATION, CHILDREN'S HEALTH, ONCOLOGY PROGRAMS, AND SUPPORT OF THE FRANCIS CHENEY AND THREE RIVERS FAMILY HOUSES. PART XI, LINE 8 - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 1,315,304. OPERATING EXPENSES FROM AFFILIATES -22,447,577. REVENUE FROM AFFILIATES 11,069,952. UNREALIZED GAINS FROM AFFILIATES 3,843,954. TOTAL TO SCHEDULE D, PART XI, LINE 8: -6,218,367. PART XII, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT INCOME FROM AFFILIATES 786,470. INCOME FROM AFFILIATES 8,688,416. NET ASSETS RELEASED FROM RESTRICTION 1,315,304. UNREALIZED GAINS FROM AFFILIATES 3,843,954. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM AFFILITAES 20,009,576. FOUNDATION OPERATING LOSS 842,934. 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 THE ROGUE VALLEY SLEEP LAB ARE INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS, EACH OF THOSE ENTITIES ARE SEPARATE ENTITIES FOR TAX PURPOSES AND 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. THE RECONCILIATION HERE ON SCHEDULE D RECONCILES TO THE INCREASE IN UNRESTRICTED NET ASSETS ON THE CONSOLIDATED STATEMENT OF OPERATIONS. THE RECONCILIATION OF NET ASSETS ON PART XI OF FORM 990 INCLUDES ONLY ASANTE INFORMATION, IT DOES NOT INCLUDE THE OTHER ENTITIES INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENT AS NOTED ABOVE. FOR THIS REASON THE RECONCILIATION AT PART XI AND THE RECONCILIATION ON SCHEDULE D DIFFER SUBSTANTIALLY. 1 1 X 1 X 1 X 1 1 0 1 1 38651 26271693 26271693 0.05470 74251 86594264 44417441 42176823 0.08780 2039 8483620 5482155 3001465 0.00630 114941 121349577 49899596 71449981 0.14880 41683 13235181 2591409 10643772 0.02220 52500 52500 0.00010 342554 188263 154291 0.00030 221662 221662 0.00050 41683 13851897 2779672 11072225 0.02310 156624 135201474 52679268 82522206 0.17190 8 17650 17650 0.00000 3 11075 11075 0.00000 11 28725 28725 1 1683705 126969404 161598570 -34629166 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 8 ROGUE VALLEY SLEEP CENTER SLEEP DISORDER SVCS 0.51000 0.49000 9 SURGERY CENTER OF SO OREGON OUTPATIENT SURGERIES 0.20000 0.80000 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 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 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 X 0 0 2 ASANTE WORK HEALTH

781 S BLACK OAK DRIVE MEDFORD OR 97504

WORK HEALTH FACILITY ROGUE VALLEY RX

2900 E BARNETT ROAD MEDFORD OR 97504

OUTPATIENT PHARMACY PART II: IN FISCAL 2012, ASANTE'S CONTRIBUTION TO COMMUNITY HEALTH IMPROVEMENTS ADVOCACY INCLUDES $7,775 TO THE CHILDREN'S ADVOCATY CENTER, $2,500 TO THE FAMILY NURTURING CENTER, AND $800 TO THE OREGON ANTI-CRIME ALLIANCE. IN ADDITION, ASANTE CONTRIBUTED $17,650 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 SHAKESPEAREANFESTIVAL. 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. CALCULATION: (BAD DEBTS AT FORGONE REVENUE AMOUNT) X (OPERATING EXPENSES EXCLUDING BAD DEBTS) / (GROSS REVENUE)) = BAD DEBT EXPENSE AT COST 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. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13G: 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 13G: 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 15E: 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 15E: 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 16E: IF OTHER ACTIONS HAVE PROVEN INEFFECTIVE, ASANTE WILL ATTEMPT TO GARNISH WAGES. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16E: IF OTHER ACTIONS HAVE PROVEN INEFFECTIVE, ASANTE WILL ATTEMPT TO GARNISH WAGES. ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 19D: THE DISCOUNT ROGUE REGIONAL MEDICAL CENTER OFFERS IS SIMILAR TO THAT OF COMMERCIAL INSURANCE PLANS. THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 19D: THE DISCOUNT THREE RIVERS MEDICAL CENTER OFFERS IS SIMILAR TO THAT OF COMMERCIAL INSURANCE PLANS. 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 2011, PATIENTS 65+ ACCOUNTED FOR 38.77% AND 49.13% 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 2012, OVER 40 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 TRCH CANCER SERVICES, AND RVMC/TRCH 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 400 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 TRCH. 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, RVMC/TRCH PHARMACIES (BOTH HOSPITAL AND RETAIL), SOCIAL SERVICES, RESOURCE MANAGEMENT, SENIOR TRANSPORTATION, AND THE SUPPORTIVE CARE TEAM. RVMC 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 OCCUPATIONAL HEALTH AND PHYSICIAN SERVICES. REPORTS FILED WITH STATES PART VI, LINE 7 OR 1 CHILDREN'S ADVOCACY CENTER 816 W 10TH STREET MEDFORD OR 97501 943079497 501(C)(3) 7775 SUPPORT CHILD ABUSE AND ADVOCACY CENTER MEDFORD CHAMBER OF COMMERCE 101 E 8TH STREET MEDFORD OR 97501 930197580 501(C)(3) 5100 SUPPORT CHAMBER OF COMMERCE SOUTHERN OREGON UNIVERSITY 1250 SISKIYOU BLVD ASHLAND OR 97520 237030910 501(C)(3) 50000 SUPPORT SCHOOL OF NURSING 37 54 CLOTHES TO INDIGENT PATIENTS 80 800 COST CLOTHES PROVIDED TO INDIGENT PATIENTS FREE RX TO INDIGENT PATIENTS 2800 73356 COST FREE PRESCRIPTION DRUGS SENIOR VAN TRANSPORTATION 1655 52731 COST FREE VAN RIDES TO MED APPTS PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. 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 559653 0 187424 0 34610 0 251063 0 199893 0 1232643 0 69787 0 SCOTT KELLY 230056 0 61029 0 9697 0 72709 0 37611 0 411102 0 11487 0 WIN HOWARD 206567 0 56134 0 9305 0 78901 0 36611 0 387518 0 7656 0 KENT BROWN 293117 0 63587 0 0 0 114409 0 34069 0 505182 0 22181 0 GREG EDWARDS 190741 0 61609 0 0 0 56471 0 31469 0 340290 0 0 0 MARVIN HAAS 296511 0 77395 0 18873 0 126578 0 14700 0 534057 0 30041 0 MARK COLLINS 97276 0 9407 0 1892 0 38500 0 24952 0 172027 0 0 0 MARK HETZ 218015 0 53458 0 14058 0 79493 0 22785 0 387809 0 12936 0 ROBERT THOMPSON 276434 0 0 0 0 0 63300 0 22798 0 362532 0 0 0 CHARLES CARMECI MD 33476 0 839603 0 0 0 16500 0 36926 0 926505 0 0 0 DAVID FOLSOM MD 4524 0 839603 0 0 0 22000 0 39871 0 905998 0 0 0 GEORGE WILKINSON MD 6597 0 418999 0 0 0 16430 0 19381 0 461407 0 0 0 ROGER HALL MD 21495 0 415662 0 0 0 0 0 24373 0 461530 0 0 0 KENNETH BUCCINO MD 314395 0 15899 0 18871 0 33000 0 40516 0 422681 0 0 0 PART I, LINE 7 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. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART II SHOWS THE COMPENSATION OF THE OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF ASANTE, AS WELL AS THE COMPENSATION OF THE TOP 5 HIGHEST PAID EMPLOYEES. COLUMNS BI, BII AND BIII DISPLAYS THE AMOUNTS ACTUALLY PAID TO THESE PEOPLE AS WHAT SHOWS UP ON THEIR FORM W-2 ON DECEMBER 31,2011. COLUMNS C AND D INCLUDE AMOUNTS ACCRUED, BUT UNPAID DURING THE FISCAL YEAR, WITH COLUMN E BEING TOTAL COMPENSATION REPORTED FOR FORM 990 PURPOSES. COLUMN F INCLUDES AMOUNTS THAT HAD BEEN REPORTED AS ACCRUED BUT UNPAID COMPENSATION ON PRIOR YEAR FORM 990 TAX RETURNS, BUT PAID-OUT DURING THE CURRENT YEAR. THE HOSPITAL AUTHORITY OF MEDFORD OR 521378932 584283FL4 2010-02-17 239059650 FINANCE HOSPITAL EXPANSION 0 0 0 STATE OF OREGON 936001787 NONEAVAIL 2011-12-29 30000000 FINANCE ELEC MED REC SOFTWARE 0 0 0 7060000 239059650 3511327 2680107 31041115 201827101 2011 1 0 1 1 2686368 30000000 192035 17112860 12655105 2013 0 0 0 1 0 0 1 1 1 1 0.00200 0.00200 1 0 0 0 1 1 0.00050 0.00050 1 0 0 0 0 0 1 0 0 0 0 0 1 X 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 VII - COMPENSATION EXPLANATION ALAN BINETTE, MD DR. ALAN BINETTE HAS ADMITTING PRIVILEGES AT ROGUE REGIONAL MEDICAL CENTER. HE IS ALSO A MEMBER OF THE HOSPITAL'S MEDICAL STAFF, BUT IS NOT AN EMPLOYEE OF ASANTE. HIS MEMBERSHIP ON THE ASANTE BOARD IS VOLUNTARY AND HE IS REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. DAVID ABDUN-NUR, MD DR. DAVID ABDUN-NUR HAS ADMITTING PRIVILEGES AT THREE RIVERS MEDICAL CENTER. HE IS ALSO A MEMBER OF THE HOSPITAL'S MEDICAL STAFF, BUT IS NOT AN EMPLOYEE OF ASANTE. HIS MEMBERSHIP ON THE ASANTE BOARD IS VOLUNTARY AND HE IS REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. KENT W. DAUTERMAN, MD DR KENT DAUTERMAN IS A PRACTICING PHYSICIAN AND HAS ADMITTING PRIVILEGES AT BOTH THREE RIVERS COMMUNITY HOSPITAL AND ROGUE REGIONAL MEDICAL CENTER. HE IS ALSO ON THE MEDICAL STAFF OF BOTH HOSPITALS, BUT IS NOT A PAID EMPLOYEE OF ASANTE. HIS MEMBERSHIP ON THE ASANTE BOARD IS VOLUNTARY AND HE IS REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. RONALD JONES, MD DR. RONALD JONES HAS ADMITTING PRIVILEGES AT ROGUE REGIONAL MEDICAL CENTER. HE IS ALSO A MEMBER OF THE HOSPITAL'S MEDICAL STAFF, BUT IS NOT AN EMPLOYEE OF ASANTE. HIS MEMBERSHIP ON THE ASANTE BOARD IS VOLUNTARY AND HE IS REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. ROY VINYARD ROY VINYARD IS THE PRESIDENT AND CEO OF ASANTE AND IS ALSO A VOTING MEMBER OF THE BOARD OF DIRECTORS. SINCE MR. VINYARD IS A PAID EMPLOYEE OF ASANTE, HE IS CONSIDERED NOT TO BE AN INDEPENDANT VOTING MEMBER OF THE GOVERNING BOARD. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 45,260,711. ACCUMULATED EARNINGS ADJUSTMENT -1,285,653. DONATED CAPITAL 1,295,565. EQUITY IN JOINT VENTURES 463,929. TOTAL TO FORM 990, PART XI, LINE 5: 45,734,552. 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) 509(A)(3) #1 ASANTE 1 SOUTHERN OREGON INSURANCE COMPANY 745 FORT STREET SUITE 800 HONOLULU HI 96813 201578637 CAPTIVE INSURANCE HI 501(C)(3) 509(A)(3) #1 ASANTE 1 ASANTE PHYSICIAN PARTNERS 2650 SISKIYOU BLVD MEDFORD OR 97504 383849354 PHYSICIAN GROUP OR 501(C)(3) 509(A)(3) #1 ASANTE 1 ROGUE VALLEY SLEEP CENTER 555 BLACK OAK DRIVE SUITE 300 MEDFORD OR 97504 731733282 SLEEP STUDY OR ASANTE RELATED 89454 102940 0 1 0.51000 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1