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GRITMAN MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GRITMAN MEDICAL CENTER INC (EIN 82-0146328)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201213199349307116
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T18:40:17-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI CPA AND CONSULTANTSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line112 E ROWAN AVE SUITE 2AddressLine1
CitySPOKANECity
StateWAState
ZIP Code99207ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN820146328EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGRITNameControl
Phone2088824511Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 S MAIN STREETAddressLine1
CityMOSCOWCity
StateIDState
ZIP Code83843ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKARA BESSTName
TitleCEOTitle
Phone2088824511Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWIPFLI CPA AND CONSULTANTSName
PTINP00290700PTIN
Phone5094894524Phone
Date Prepared2012-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKARA BESSTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1700 S MAIN STREETAddressLine1
CityMOSCOWCity
StateIDState
ZIP Code83843ZIPCode
FieldValueIRS element (for citing)
Gross Receipts47499765GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GRITMAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1939YearFormation
State Legal DomicileIDStateLegalDomicile
Activity Or Mission DescriptionGRITMAN MEDICAL CENTER, INC., PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO PATIENTS IN MOSCOW, IDAHO, AND THE SURROUNDING AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees568TotalNbrEmployees
Total Nbr Volunteers605TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year562051ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year42383394ProgramServiceRevenuePriorYear
Program Service Revenue CY45595067ProgramServiceRevenueCY
Investment Income Prior Year1135880InvestmentIncomePriorYear
Investment Income Current Year-7779InvestmentIncomeCurrentYear
Other Revenue Prior Year387740OtherRevenuePriorYear
Other Revenue Current Year452130OtherRevenueCurrentYear
Total Revenue Prior Year44469065TotalRevenuePriorYear
Total Revenue Current Year46039418TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22052672SalariesEtcPriorYear
Salaries Etc Current Year23232691SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20303916OtherExpensePriorYear
Other Expenses Current Year21567738OtherExpensesCurrentYear
Total Expenses Prior Year42356588TotalExpensesPriorYear
Total Expenses Current Year44800429TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2112477RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1238989RevenuesLessExpensesCY
Total Assets BOY66657532TotalAssetsBOY
Total Assets EOY69586362TotalAssetsEOY
Total Liabilities BOY27553119TotalLiabilitiesBOY
Total Liabilities EOY29311661TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY39104413NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY40274701NetAssetsOrFundBalancesEOY
Mission DescriptionPEOPLE FOCUSED, COMMUNITY DRIVEN ORGANIZATION PROVIDING EXCELLENT AND COMPASSIONATE HEALTHCARE FOR THE PEOPLE OF OUR COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense37206932Expense
Revenue45595067Revenue
DescriptionGRITMAN MEDICAL CENTER AND ITS AFFILIATES ARE COMMITTED TO A POLICY OF NONDISCRIMINATION AND EQUAL OPPORTUNITY FOR ALL QUALIFIED APPLICANTS AND STAFF, WITHOUT REGARD TO RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, MARITAL STATUS, SEX, SEXUAL ORIENTATION, POLITICAL IDEOLOGY, RELIGION, ANCESTRY, THE PRESENCE OF ANY SENSORY, MENTAL OR PHYSICAL DISABILITY AND DIAGNOSIS. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF GRITMAN MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. FURTHERMORE, OUR MISSION IS TO SERVE THE COMMUNITY AND PROVIDE HEALTH CARE SERVICES AND EDUCATION, THEREBY KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL THE MEMBERS OF THE COMMUNITY.Description
Total Program Service Expense37206932TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096105NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees568NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledIDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LISA WOODBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2088832221TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 S MAIN STAddressLine1
CityMOSCOWCity
StateIDState
ZIP Code83843ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BJ SWANSON
BOARD CHAIR5.00X000
JANIE NIRK
VICE-CHAIR3.00X000
GREG MANN
TRUSTEE2.00X000
ROBIN WOODS
SECRETARY/TREASURER3.00X000
CHARLES JACOBSON MD
TRUSTEE2.00X000
BARBARA WELLS
TRUSTEE2.00X000
TERRY ARMSTRONG
BOARD REPRESENTATIVE2.00X000
GREG KIMBERLING
TRUSTEE2.00X000
DICK HEIMSCH
TRUSTEE2.00X000
WAYNE RUBYMD
TRUSTEE2.00X000
LISA WOOD
CFO40.0051730013191X
KARA BESST
CEO40.00162820044301X
DEENA RAUCH
CNO40.00117865013398X
KANE FRANCETICH
CIO40.00109933016175X
CONNIE OSBORN
CQO40.0090777015123X
WILLIAM NASH
PHARMACY DIRECTOR40.00117020011676X
STEVEN REITZ
CRNA40.00236757015829X
MARIA BODE
CRNA40.00237389015825X
DEBORAH MAURO-BENDER
CRNA40.00239591014817X
CHRISTINE SCHULTZ
PHARMACIST40.00112194016231X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1476076TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation176566TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MOSCOW EMERGENCY PHYSICIANS
1026 KASPER RDMOSCOWID83843ER SERVICES1447831
CARDINAL HEALTH
3712 COLLECTION CENTER DRCHICAGOIL60693PHARMACEUTICALS876880
MCKESSON CORPORATION
335 INTERLOCKEN PARKWAYBLOOMFIELDCO80021INFORMATION SYSTEMS876743
YELLOWSTONE INSURANCE EXCHANGE
4301 HILLSBORO PIKE SUITE 310NASHVILLETN37215INSURNACE685719
SMITH & NEPHEW ORTHO
PO BOX 785921PHILADELPHIAPA19178ORTHO SERVICES633919
FieldValueIRS element (for citing)
Number Of Contractors GT100 K36NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE6211104483613244836132
OTHER REVENUE621110618794618794
AUXILIARY REVENUE453220140141140141
FieldValueIRS element (for citing)
Total Program Service Revenue45595067TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column206975TotalRevenueColumn
Exclusion$206,975ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real452130Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real452130Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column452130TotalRevenueColumn
Exclusion$452,130ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1245593Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1460347Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-214754Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-214754TotalRevenueColumn
Exclusion-$214,754ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column46039418TotalRevenueColumn
Related Or Exempt Function Income45595067RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$444,351ExclusionAmount

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total18841519Total
Program Services17406912ProgramServices
Management And General1434607ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4391172Total
Program Services4057443ProgramServices
Management And General333729ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total240898Total
Management And General240898ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total69089Total
Management And General69089ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2087443Total
Program Services2084203ProgramServices
Management And General3240ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total455146Total
Program Services2077ProgramServices
Management And General453069ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5572332Total
Program Services5060044ProgramServices
Management And General512288ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1109094Total
Program Services1094600ProgramServices
Management And General14494ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total67576Total
Program Services67576ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total297088Total
Program Services168657ProgramServices
Management And General128431ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1058951Total
Program Services44707ProgramServices
Management And General1014244ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total134855Total
Management And General134855ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2927339Total
Program Services316637ProgramServices
Management And General2610702ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total805606Total
Program Services805606ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR UNCOLLECT30976673097667
REPAIRS AND MAINTENANCE1732556171104921507
OTHER FEES1046638778199268439
MISCELLANEOUS OTHER EXP865460511555353905

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total44800429Total
Program Services37206932ProgramServices
Management And General7593497ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1316360BOY
EOY1573832EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6915683BOY
EOY7944675EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1267947BOY
EOY1408861EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY445681BOY
EOY381802EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis71847730LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec33117618LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY37245995BOY
EOY38730112EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19465866BOY
EOY19547080EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY66657532BOY
EOY69586362EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5802830BOY
EOY7232490EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY20898539BOY
EOY20837621EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY851750BOY
EOY1241550EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27553119BOY
EOY29311661EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY39035712BOY
EOY40274701EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY68701BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39104413BOY
EOY40274701EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66657532BOY
EOY69586362EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1238989ReconcilationRevenueExpenses
Reconcilation Other Changes-68701ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,337OtherActivitiesAmount
Total Lobbying Expenditures IIB1337TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationEXPENSES PAID TO STRATEGIC HEALTHCARE ORGANIZATIONS WHOSE FOCUS IS STATE AND FEDERAL GOVERNMENT RELATIONS AND ADVOCACY EFFORTS ON BEHALF OF HOSPITAL ASSOCIATIONS.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5834645OtherCostOrOtherBasis
Book Value5834645BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16622744OtherCostOrOtherBasis
Depreciation6940844Depreciation
Book Value9681900BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis22491123OtherCostOrOtherBasis
Depreciation7601841Depreciation
Book Value14889282BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis26509825OtherCostOrOtherBasis
Depreciation18574933Depreciation
Book Value7934892BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis389393OtherCostOrOtherBasis
Book Value389393BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings38730112TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN SUBSIDIARIES779736
DEFERRED FINANCING COSTS, NET508146
INVESTMENT IN JOINT VENTURE202867
RECEIVABLE FROM THIRD-PARTY1167586
INTERNALLY DESIGNATED-ASSETS LIMITED AS TO USE15097409
HELD BY TRUSTEE-BOND RESERVE1232149
OTHER RECEIVABLE559187
FieldValueIRS element (for citing)
Total Book Value Other Assets19547080TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMDescription
Amount$1,241,550Amount
FieldValueIRS element (for citing)
Total Of Amounts1241550TotalOfAmounts
Total Revenue46039418TotalRevenue
Total Expenses44800429TotalExpenses
Excess Or Deficit For Year1238989ExcessOrDeficitForYear
Prior Period Adjustments-68701PriorPeriodAdjustments
Total Adjustments-68701TotalAdjustments
Excess Or Deficit Per FS1170288ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationGRITMAN MEDICAL CENTER INC. AND THE FOUNDATION ARE NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE MEDICAL CENTER AND FOUNDATION ARE ALSO EXEMPT FROM STATE TAXES ON RELATED INCOME. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OR THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE GRITMAN MEDICAL CENTER (THE MEDICAL CENTER) HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE MEDICAL CENTER IS ALSO ENGAGED, TO A LIMITED EXTENT, IN ACTIVITIES WHICH THE INTERNAL REVENUE SERVICE CONSIDERS UNRELATED TO THE MEDICAL CENTER'S EXEMPT PURPOSE AND, THEREFORE, TAXABLE. THESE ACTIVITIES, HOWEVER, HAVE RESULTED IN NET OPERATING LOSSES FOR INCOME TAX PURPOSES. THE MEDICAL CENTER DOES NOT PRESENTLY ANTICIPATE THAT A TAX BENEFIT FROM THESE NET OPERATING LOSSES WILL BE REALIZED IN THE FUTURE. ACCORDINGLY, ANY POTENTIAL DEFERRED TAX ASSET RESULTING FROM THE AVAILABILITY OF NET OPERATING LOSS CARRY-FORWARD IS OFFSET BY A VALUATION ALLOWANCE OF EQUAL AMOUNT. NO DEFERRED TAX ASSETS AND LIABILITIES HAVE BEEN RECOGNIZED SINCE NO OTHER DIFFERENCES EXIST BETWEEN THE FINANCIAL AND TAX BASES OF REPORTING THE MEDICAL CENTER'S ASSETS AND LIABILITIES. THE MEDICAL CENTER'S FEDERAL RETURNS FOR YEARS 2007 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE EXPIRATION OF THE STATUTES OF LIMITATIONS RELATED TO THE VARIOUS STATE INCOME TAX RETURNS THAT THE MEDICAL CENTER AND ITS SUBSIDIARIES FILE VARIES BY STATE. GENERALLY, THE MEDICAL CENTER'S VARIOUS STATE INCOME TAX RETURNS FOR TAX YEARS 2007 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY VARIOUS STATE TAXING AUTHORITIES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense693384TotalCommunityBenefitExpense
Net Community Benefit Expense693384NetCommunityBenefitExpense
Percent Of Total Expense0.01670PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4757381TotalCommunityBenefitExpense
Direct Offsetting Revenue4577299DirectOffsettingRevenue
Net Community Benefit Expense180082NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5450765TotalCommunityBenefitExpense
Direct Offsetting Revenue4577299DirectOffsettingRevenue
Net Community Benefit Expense873466NetCommunityBenefitExpense
Percent Of Total Expense0.02100PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served13234PersonsServed
Total Community Benefit Expense78258TotalCommunityBenefitExpense
Direct Offsetting Revenue4607DirectOffsettingRevenue
Net Community Benefit Expense73651NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served131PersonsServed
Total Community Benefit Expense437048TotalCommunityBenefitExpense
Net Community Benefit Expense437048NetCommunityBenefitExpense
Percent Of Total Expense0.01050PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense976590TotalCommunityBenefitExpense
Direct Offsetting Revenue700639DirectOffsettingRevenue
Net Community Benefit Expense275951NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Percent Of Total Expense0.00700PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served1PersonsServed
Total Community Benefit Expense27029TotalCommunityBenefitExpense
Net Community Benefit Expense27029NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs37NumberOfActivitiesOrPrograms
Persons Served13366PersonsServed
Total Community Benefit Expense1518925TotalCommunityBenefitExpense
Direct Offsetting Revenue705246DirectOffsettingRevenue
Net Community Benefit Expense813679NetCommunityBenefitExpense
Percent Of Total Expense0.02660PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs37NumberOfActivitiesOrPrograms
Persons Served13366PersonsServed
Total Community Benefit Expense6969690TotalCommunityBenefitExpense
Direct Offsetting Revenue5282545DirectOffsettingRevenue
Net Community Benefit Expense1687145NetCommunityBenefitExpense
Percent Of Total Expense0.04760PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served425PersonsServed
Total Community Building Expense18787TotalCommunityBuildingExpense
Net Community Building Expense18787NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served425PersonsServed
Total Community Building Expense18787TotalCommunityBuildingExpense
Net Community Building Expense18787NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,194,665BadDebtExpenseAmount
Amount Reimbursed By Medicare8658818AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9644923CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-986105MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 PALOUSE HEALTH PROPERTIES LLC
PROPERTY MANAGEMENT0.600000.40000
2 PALOUSE SURGERY CENTER LLC
OUTPATIENT SURGERY CENTER0.600000.40000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1700 S MAIN STREETAddressLine1
CityMOSCOWCity
StateIDState
ZIP Code83843ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1PALOUSE SURGERY CENTER LLCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12300 WEST A STREETAddressLine1
CityMOSCOWCity
StateIDState
ZIP Code83843ZIPCode
FieldValueIRS element (for citing)
Facility TypeGENERAL MEDICAL AND SURGERYFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: PART I, LINE 7: LINES 7A, B AND C WERE CALCULATED USING A COST TO CHARGE RATIO BASED ON TOTAL OPERATING EXPENSES LESS BAD DEBT DIVIDED BY GROSS PATIENT CHARGES.PART I, LINES 7E,F,G AND I WERE CALCULATED FROM GENERAL LEDGER ACTUAL COSTS.
PART I, LINE 7G: TWO RURAL CLINICS AND ADULT DAY HEALTH WERE INCLUDED IN LINE 7G.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3097667.
PART II: GRITMAN MEDICAL CENTER IS COMMITTED TO SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITY. WE ORGANIZE AND PARTNER WITH OTHERS IN OUR COMMUNITY, PARTICIPATE IN COMMUNITY EVENTS, AND PROVIDE USEFUL INFORMATION AND EDUCATE RESIDENTS YOUNG AND OLD ON WAYS TO IMPROVE THEIR HEALTH AND WELL BEING THROUGH PREVENTATIVE PROGRAMS. EXAMPLES INCLUDE FREE MONTHLY EDUCATIONAL CLASSES PRESENTED BY LOCAL EXPERTS ON TOPICS SUCH AS BICYCLING FITNESS, NUTRITION AND MEMORY WELLNESS. WE ORGANIZE AN ANNUAL FUN RUN EACH FEBRUARY TO ENCOURAGE HEART HEALTH. WE PARTNER WITH THE CITY OF MOSCOW, THE UNIVERSITY OF IDAHO TO SPONSOR A FALL TRIATHLON FOR CHILDREN AND ADULTS. WE OFFER A FREE "FIT AND FALL PROOF" CLASS SEVERAL TIMES WEEKLY TO HELP IMPROVE THE BALANCE OF SENIORS AND THUS REDUCE THE RISK OF FALLS. WE OFFER FREE SUPPORT GROUPS, FREE BLOOD PRESSURE CLINICS AND FREE SMOKING CESSATION COUNSELING.
PART III, LINE 4: THE MEDICAL CENTER AND SURGERY CENTER REPORT PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER AND SURGERY CENTER PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER AND SURGERY CENTER BILL THIRD PARTY PAYERS DIRECTLY AND BILL THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. THE RECEIVABLES ARE NON-INTEREST BEARING. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
PART III, LINE 8: INFORMATION WAS FROM GRITMAN MEDICAL CENTER'S 2011 COST REPORT.
PART III, LINE 9B: GRITMAN MEDICAL CENTER DOES NOT COLLECT FROM PATIENTS INITIALLY KNOWN TO QUALIFY FOR CHARITY CARE. IF A PATIENT IN COLLECTIONS IS LATER DETERMINED TO QUALIFY FOR CHARITY CARE, GRITMAN MEDICAL CENTER CEASES COLLECTION EFFORTS FOR THAT PATIENT.
PART V, SECTION B, LINE 13G: GRITMAN HAS 1.5 FULL-TIME FINANCIAL COUNSELOR(S) TO INFORM AND EDUCATE PATIENTS. ONE FINANCIAL COUNSELOR WORKS WITH PATIENTS WHO VISIT US THROUGH OUREMERGENCY DEPARTMENT. AFTER A PATIENT IS SEEN IN THE ED, THE COUNSELOR WILL SHARE INFORMATION ON ALL AVAILABLE PAYMENT OPTIONS INCLUDING COUNTY ASSISTANCEAND OUR CHARITY CARE. IF THE PATIENT CANNOT PAY, THE PATIENT IS GIVEN OUR CHARITY CARE FORM AND IF NEEDED CAN ASSIST IN FILLING OUT THE FORM.OUR CASE MANAGEMENT STAFF REFER PATIENTS TO OUR FINANCIAL COUNSELORS, AS WELL, IF PATIENTS EXPRESS INTEREST OR NEED IN RECEIVING BILLING INFORMATION.OUR FINANCIAL POLICY IS AVAILABLE ON OUR WEBSITE AND IN BROCHURE FORM.GRITMAN MEDICAL CENTER
PART V, SECTION B, LINE 15E: LEGAL ACTION MAY BE USED AS PART OF THE COLLECTION PROCESS.GRITMAN MEDICAL CENTER
PART V, SECTION B, LINE 19D: THEY ARE BILLED AT THE CHARGE RATE, HOWEVER CAN GET THE PROMPT PAY DISCOUNT OF 15% IF PAYMENT IS MADE WITHIN 20 DAYS OF RECEIVING THEIR BILL.GRITMAN MEDICAL CENTER
PART VI, LINE 2: IN AUGUST 2009, QHR STRATEGY GROUP PERFORMED A MARKET ASSESSMENT FOR GRITMAN MEDICAL CENTER. INCLUDED IN THE ASSESSMENT IS DATA FOR IDAHO PUBLIC HEALTH DISTRICT #2 WHICH INCLUDES LATAH COUNTY (AMONG OTHERS)FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND DESIGNED TO ESTIMATE THE PREVALENCE OF RISK FACTORS FOR MAJOR CAUSES OF MORBIDITY AND MORTALITY IN THE UNITED STATES. ALSO INCLUDED IN THE QHR ASSESSMENT IS INFORMATION GATHERED FROM AN ONLINE COMMUNITY HEALTHCARE SURVEY. BECAUSE OUR PRIMARY SERVICE AREA INCLUDES MANY SMALL RURAL TOWNS, THE GRITMAN COMMUNITY RELATIONS TEAM TRAVELED TO THE TOWNS, SETTING UP THE SURVEY IN THE LOCAL LIBRARIES SO THAT THOSE WITHOUT COMPUTER AND ONLINE ACCESS COULD PARTICIPATE. IN 2011, A STRATEGIC PLANNING ASSESSMENT WAS PERFORMED, WHICH INCLUDED AN ANALYSIS OF POTENTIAL COMMUNITY NEEDS OF VARIOUS SERVICE LINES.
PART VI, LINE 3: GRITMAN HAS 1.5 FULL-TIME FINANCIAL COUNSELOR(S) TO INFORM AND EDUCATE PATIENTS. OUR FINANCIAL COUNSELOR WORKS WITH PATIENTS WHO VISIT US THROUGH THE FACILITY. THE FINANCIAL COUNSELORS MONITOR OUR CENSUS REPORTS AND REACHES OUT TO OUR SELF-PAY PATIENTS AND INFORMS THEM OF OUR CHARITY CARE OPTIONS AND COUNTY ASSISTANCE PROGRAMS AND HELPS THE PATIENTS AS NEEDED. THEY ALSO HELP PATIENTS WHO RECEIVED THEIR BILL AND INFORM US TEHY DO NOT HAVE MEANS OF PAYING.OUR CASE MANAGEMENT STAFF REFER PATIENTS TO OUR FINANCIAL COUNSELORS, AS WELL, IF PATIENTS EXPRESS INTEREST OR NEED IN RECEIVING BILLING INFORMATION.
PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR GRITMAN MEDICAL CENTER IS LATAH COUNTY. LATAH COUNTY IS 2,000 SQUARE MILES WITH 35,867 PEOPLE. LATAH COUNTY IS COMPOSED OF MOSCOW, THE COUNTY SEAT AND 10 SMALL TOWNS WHICH HAVE BEEN HARD-HIT BY THE DECLINING NATURAL RESOURCE INDUSTRIES. THERE IS A WIDE VARIATION IN THE MEDIAN AGE IN THE SERVICE AREA.GRITMAN IS IN A HIGHLY COMPETITIVE MARKET WITH FOUR OTHER HOSPITALS BEING JUST 30 MINUTES AWAY. ALL BUT ONE ARE CRITICAL ACCESS HOSPITALS.
PART VI, LINE 5: GRITMAN'S BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA. GRITMAN EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. GRITMAN APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KARA BESST
1628200000000443010207121000
STEVEN REITZ
2367570000048010110280252586000
MARIA BODE
237389000009603062220253214000
DEBORAH MAURO-BENDER
239591000009603052140254408000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationNAME OF UNRELATED ORGANIZATION: QHR AMOUNT OF COMPENSATION: $214,550 NAME OF INDIVIDUALS RECIEVING COMPENSATION: KARA BESST, CEO, LISA WOOD, CFOExplanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IDAHO HEALTH FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN826051863IssuerEIN
CUSIP Number45129UAV6CUSIPNumber
Date Issued2003-06-01DateIssued
Issue Price18545000IssuePrice
Description Of PurposeNEW HOSPITAL WINGDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1880000AmountRetired
Total Proceeds18904302TotalProceeds
Amount In Reserve Fund1237930AmountInReserveFund
Issuance Costs From Proceeds281940IssuanceCostsFromProceeds
Capital Expenditures17384432CapitalExpenditures
Year Of Subst Completion2003YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE GRITMAN MEDICAL CENTER CFO WILL PRESENT A COPY OF THE FORM 990 TO THE BOARD FOR REVIEW PRIOR TO SIGNATURE OF THE RETURN BY THE ORGANIZATION'S CEO.
FORM 990, PART VI, SECTION B, LINE 12CPOTENTIAL CONFLICTS ARE REQUIRED TO BE DISCLOSED TO THE BOARD THROUGHOUT THE YEAR. LEGAL COUNSEL REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST PRESENT AND THEN DETERMINES IF A CONFLICT OF INTEREST IS PRESENT. IT IS THE POLICY OF GRITMAN MEDICAL CENTER THAT ANY BOARD MEMBER WITH AN UNDISCLOSED CONFLICT OF INTEREST MAY BE SUBJECT TO IMMEDIATE TERMINATION FROM SERVICE ON THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15FORM 990, PART VI, SECTION B, LINE 12: THE ORGANIZATIONS CEO & CFO, ARE EMPLOYEES OF QUORUM HEALTH RESOURCES (QHR). AS SUCH, THEIR PAY RATE IS DETERMINED BY QHR. QHR PERFORMS A COMPENSATION SURVEY TO DETERMINE THE CEO & CFOS COMPENSATION. THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS ALL CONTRACTS WITH QHR TO DETERMINE REASONABLE SALARIES. GRITMAN HAS THREE OTHER SENIOR ADMINISTRATIVE STAFF, THE CHIEF NURSING OFFICER (CNO), THE CHIEF QUALITY OFFICER (CQO), AND THE CHIEF INFORMATION OFFICER (CIO). EACH YEAR PRIOR TO THE ANNUAL PAY INCREASE THEIR POSITIONS ARE REVIEWED BY THE HUMAN RESOURCES DIRECTOR. THEIR SALARY GRADE MINIMUM AND MAXIMUM RATES AND THEIR ACTUAL PAID RATE ARE COMPARED TO STATE AND REGIONAL SALARY SURVEY DATA TO DETERMINE THEIR RELATIONSHIP TO OUR EXTERNAL MARKET. IN ADDITION TO THE EXTERNAL COMPARISON, WE ENSURE WE HAVE INTERNAL EQUITY BASED ON THEIR SALARY GRADE LEVEL, YEARS OF EXPERIENCE AND HOW THEIR RESPONSIBILITIES COMPARE TO THOSE IN OTHER POSITIONS. ALL PAY INCREASES ARE REVIEWED AND APPROVED BY THE CEO. THE PAY INCREASES ARE THEN INCORPORATED INTO THE ANNUAL BUDGET WHICH IS APPROVED BY THE BOARD OF DIRECTORS. SALARY DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED. THE PAY INCREASE ARE NOT APPROVED UNTIL THE ANNUAL BUDGET IS APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL INFORMATION IS MADE AVAILABLE AT GRITMAN'S ANNUAL BOARD MEETING IN MAY OF EACH YEAR, WHICH IS OPEN TO THE PUBLIC.
FORM 990, PART XI, LINE 5:PRIOR PERIOD ADJUSTMENT RELATED TO TEMPORARILY RESTRICTED NET ASSETS -68,701. TOTAL TO FORM 990, PART XI, LINE 5: -68,701.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHERE HAVE BEEN NO CHANGES FROM PRIOR YEAR.PRIOR YEAR PROCESS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTER FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 S MAIN STREETAddressLine1
CityMOSCOWCity
StateIDState
ZIP Code83843ZIPCode
FieldValueIRS element (for citing)
EIN200586022EIN
Primary ActivitiesHOSPITAL SUPPORTPrimaryActivities
Legal Domicile StateIDLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GRITMAN MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
PALOUSE SURGERY CENTER LLC
2300 WEST A STREETMOSCOWID83843810593962OUTPATIENT SURGERY CENTERIDGRITMAN MEDICAL CENTERRELATED143274450857000.60000
PALOUSE HEALTH PROPERTIESLLC
2300 WEST A STREETMOSCOWID83843810593963PROPERTY MANAGEMENTIDGRITMAN MEDICAL CENTERRELATED60752331596000.60000
PALOUSE SURGEONS LLC
825 SE BISHOP SUITE 130PULLMANWA99163202369734GENERAL SURGERYIDPALOUSE SURGEON'S LLCRELATED-54804850744000.40000
INLAND NW RENAL CARE GROUP LLC
920 WINTER STREETWALTHAMWA024511457261845298DIALYSIS SERVICESIDGRITMAN MEDICAL CENTERRELATED34455135723000.30000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PALOUSE SURGERY CENTER LLC
R162000ACTUAL CASH
PALOUSE HEALTH PROPERTIES LLC
R24000ACTUAL CASH
INLAND NORTHWEST RENAL CARE GROUP LLC
R41000ACTUAL CASH
PALOUSE SURGEONS LLC
Q-546200ACTUAL CASH
INLAND NORTHWEST RENAL CARE GROUP LLC
I10265ACTUAL CASH
PALOUSE SURGEONS LLC
I3291ACTUAL CASH