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GRITMAN MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GRITMAN MEDICAL CENTER INC (EIN 82-0146328)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349308695
Schema version
2010v3.4
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)
Timestamp2011-11-15T16:29:04-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line112 E ROWAN STE 2AddressLine1
CitySPOKANECity
StateWAState
ZIP Code99207ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5094894524Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts44472890GrossReceipts
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 Employees581TotalNbrEmployees
Total Nbr Volunteers590TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year85353ContributionsGrantsPriorYear
Contributions Grants Current Year562051ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44590028ProgramServiceRevenuePriorYear
Program Service Revenue CY42383394ProgramServiceRevenueCY
Investment Income Prior Year94154InvestmentIncomePriorYear
Investment Income Current Year1135880InvestmentIncomeCurrentYear
Other Revenue Prior Year-76419OtherRevenuePriorYear
Other Revenue Current Year387740OtherRevenueCurrentYear
Total Revenue Prior Year44693116TotalRevenuePriorYear
Total Revenue Current Year44469065TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1029086GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21992418SalariesEtcPriorYear
Salaries Etc Current Year22052672SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20476558OtherExpensePriorYear
Other Expenses Current Year20303916OtherExpensesCurrentYear
Total Expenses Prior Year43498062TotalExpensesPriorYear
Total Expenses Current Year42356588TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1195054RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2112477RevenuesLessExpensesCY
Total Assets BOY65768963TotalAssetsBOY
Total Assets EOY66657532TotalAssetsEOY
Total Liabilities BOY28777027TotalLiabilitiesBOY
Total Liabilities EOY27553119TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY36991936NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39104413NetAssetsOrFundBalancesEOY
Mission DescriptionPEOPLE FOCUSED, COMMUNITY DRIVEN ORGANIZATION PROVIDING EXCELLENT AND COMPASSIONATE HEALTHCARE FOR THE PEOPLE OF OUR COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense34707058Expense
Revenue42383394Revenue
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 Expense34707058TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Attached0FinancialStmtAttached
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 Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096118NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees581NumberOfEmployees
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 Line1KARA BESSTBusinessNameLine1
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 (18 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
JOHN NORTON
TRUSTEE2.00X000
TERRY ARMSTRONG
BOARD REPRESENTATIVE2.00X000
GREG KIMBERLING
TRUSTEE2.00X000
DICK HEIMSCH
TRUSTEE2.00X000
WAYNE RUBYMD
TRUSTEE2.00X000
JEFF MARTIN
CEO40.0023667900X
KARA BESST
CFO40.00122229011018X
DEENA RAUCH
CNO40.00113561012502X
WILLIAM NASH
PHARMACY DIRECTOR40.0011379409702X
STEVEN REITZ
CRNA40.00239511015172X
MARIA BARKER
CRNA40.00234267018893X
DEBORAH MAURO-BENDER
CRNA40.0018428307263X
KANE FRANCETICH
CIO40.00108578015341X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1352902TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation89891TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
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 SERVICES1505231
CARDINAL HEALTH
3712 COLLECTION CENTER DRCHICAGOIL60693PHARMACEUTICALS744264
SPRENGER CONSTRUCTION INC
1341 TAMARACK STMOSCOWID83843CONSTRUCTION691602
QHR
105 CONTINENTAL PLBRENTWOODTN37027MANAGEMENT SERVICES584476
MCKESSON CORPORATION
335 INTERLOCKEN PARKWAYBLOOMFIELDCO80021INFORMATION SYSTEMS320131
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
All Other Contributions562051AllOtherContributions
Total Contributions562051TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE6211104161822641618226
OTHER REVENUE621110765168765168
FieldValueIRS element (for citing)
Total Program Service Revenue42383394TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1121705TotalRevenueColumn
Exclusion$1,121,705ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real387740Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real387740Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column387740TotalRevenueColumn
Exclusion$387,740ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other18000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3825Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other14175Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column14175TotalRevenueColumn
Exclusion$14,175ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column44469065TotalRevenueColumn
Related Or Exempt Function Income42383394RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,523,620ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total581047Total
Management And General581047ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17205502Total
Program Services16358804ProgramServices
Management And General846698ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4266123Total
Program Services3924833ProgramServices
Management And General341290ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total58298Total
Management And General58298ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total85983Total
Management And General85983ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3471544Total
Program Services2486099ProgramServices
Management And General985445ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total471970Total
Management And General471970ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4657288Total
Program Services4522896ProgramServices
Management And General134392ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1165730Total
Program Services1149122ProgramServices
Management And General16608ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total60867Total
Management And General60867ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1066809Total
Program Services29124ProgramServices
Management And General1037685ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2832059Total
Program Services299924ProgramServices
Management And General2532135ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total777077Total
Program Services777077ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR UNCOLLECT26922782692278
REPAIRS AND MAINTENANCE1430712142070410008
OTHER FEES1280453793349487104
MISCELLANEOUS OTHER EXP252848252848

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42356588Total
Program Services34707058ProgramServices
Management And General7649530ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1818376BOY
EOY1316360EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7150315BOY
EOY6915683EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1293498BOY
EOY1267947EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY440650BOY
EOY445681EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis71692971LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec34446976LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY36784860BOY
EOY37245995EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18281264BOY
EOY19465866EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY65768963BOY
EOY66657532EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5474947BOY
EOY5802830EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY23302080BOY
EOY20898539EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY851750EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28777027BOY
EOY27553119EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY36972794BOY
EOY39035712EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19142BOY
EOY68701EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36991936BOY
EOY39104413EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65768963BOY
EOY66657532EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2112477ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

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$5,663OtherActivitiesAmount
Total Lobbying Expenditures IIB5663TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I: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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance221304BeginningOfYearBalance
Investment Earnings Or Losses38959InvestmentEarningsOrLosses
End Of Year Balance260263EndOfYearBalance

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5408059OtherCostOrOtherBasis
Book Value5408059BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15637958OtherCostOrOtherBasis
Depreciation6623389Depreciation
Book Value9014569BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis22258590OtherCostOrOtherBasis
Depreciation6457573Depreciation
Book Value15801017BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis26339922OtherCostOrOtherBasis
Depreciation21366014Depreciation
Book Value4973908BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2048442OtherCostOrOtherBasis
Book Value2048442BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37245995TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN SUBSIDIARIES887606
DEFERRED FINANCING COSTS, NET531873
INVESTMENT IN JOINT VENTURE232866
RECEIVABLE FROM THIRD-PARTY700000
INTERNALLY DESIGNATED-ASSETS LIMITED AS TO USE15223401
HELD BY TRUSTEE-BOND RESERVE1237930
OTHER RECEIVABLE652190
FieldValueIRS element (for citing)
Total Book Value Other Assets19465866TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMDescription
Amount$851,750Amount
FieldValueIRS element (for citing)
Total Of Amounts851750TotalOfAmounts
Total Revenue44469065TotalRevenue
Total Expenses42356588TotalExpenses
Excess Or Deficit For Year2112477ExcessOrDeficitForYear
Excess Or Deficit Per FS2112477ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ORGANIZATIONS USE OF THE ENDOWMENT FUNDS IS PER THE DONOR SPECIFICATIONS EITHER FOR HEALTHCARE SCHOLARSHIPS OR MEDICAL EQUIPMENT PURCHASES WITHIN THE HOSPITAL.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:GRITMAN 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 OF 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. 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 CENTERS ASSETS AND LIABILITIES. THE MEDICAL CENTER RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS. FEDERAL RETURNS FOR THE TAX YEARS 2006 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.

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 Report1AnnualCommunityBenefitReport
Report Publically Available0ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense801001TotalCommunityBenefitExpense
Net Community Benefit Expense801001NetCommunityBenefitExpense
Percent Of Total Expense0.02020PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5054730TotalCommunityBenefitExpense
Direct Offsetting Revenue4611100DirectOffsettingRevenue
Net Community Benefit Expense443630NetCommunityBenefitExpense
Percent Of Total Expense0.01120PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5855731TotalCommunityBenefitExpense
Direct Offsetting Revenue4611100DirectOffsettingRevenue
Net Community Benefit Expense1244631NetCommunityBenefitExpense
Percent Of Total Expense0.03140PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served7950PersonsServed
Total Community Benefit Expense289819TotalCommunityBenefitExpense
Direct Offsetting Revenue10758DirectOffsettingRevenue
Net Community Benefit Expense279061NetCommunityBenefitExpense
Percent Of Total Expense0.00700PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served408PersonsServed
Total Community Benefit Expense463699TotalCommunityBenefitExpense
Net Community Benefit Expense463699NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense971035TotalCommunityBenefitExpense
Direct Offsetting Revenue712749DirectOffsettingRevenue
Net Community Benefit Expense258286NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served1PersonsServed
Total Community Benefit Expense12944TotalCommunityBenefitExpense
Net Community Benefit Expense12944NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs40NumberOfActivitiesOrPrograms
Persons Served8359PersonsServed
Total Community Benefit Expense1737497TotalCommunityBenefitExpense
Direct Offsetting Revenue723507DirectOffsettingRevenue
Net Community Benefit Expense1013990NetCommunityBenefitExpense
Percent Of Total Expense0.02550PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs40NumberOfActivitiesOrPrograms
Persons Served8359PersonsServed
Total Community Benefit Expense7593228TotalCommunityBenefitExpense
Direct Offsetting Revenue5334607DirectOffsettingRevenue
Net Community Benefit Expense2258621NetCommunityBenefitExpense
Percent Of Total Expense0.05690PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served225PersonsServed
Total Community Building Expense17299TotalCommunityBuildingExpense
Net Community Building Expense17299NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served225PersonsServed
Total Community Building Expense17299TotalCommunityBuildingExpense
Net Community Building Expense17299NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,343,962BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare10391720AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare10288832CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall102888MedicareSurplusOrShortfall

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 Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

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 (11 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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.BAD DEBT EXPENSE OF $2,692,278 WAS REMOVED FROM THE DENOMINATOR TO DETERMINE THE NET COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSE REPORTED ON SCHEDULE H, PART I, LINE 7.
PART I, LINE 7G: TWO RURAL CLINICS WERE INCLUDED IN LINE 7G.
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 2010 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 COLLIECTIONS IS LATER DETERMINED TO QUALIFY FOR CHARITY CARE, GRITMAN MEDICAL CENTER CEASES COLLECTION EFFORTS FOR THAT PATIENT.
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.
PART VI, LINE 3: GRITMAN HAS 1.5 FULL-TIME FINANCIAL COUNSELOR(S) TO INFORM AND EDUCATE PATIENTS. ONE FINANCIAL COUNSELOR WORKS WITH PATIENTS WHO VISIT US THROUGH OUR EMERGENCY DEPARTMENT. AFTER A PATIENT IS SEEN IN THE ED, THE COUNSELOR WILL SHARE INFORMATION ON ALL AVAILABLE PAYMENT OPTIONS INCLUDING COUNTY ASSISTANCE AND OUR CHARITY CARE. IF THE PATIENT CANNOT PAY, THE PATIENT IS GIVEN OUR CHARITY CARE FORM AND, IF NEEDED, CAN BE ASSISTED 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.A FINANCIAL POLICY BROCHURE FOR PATIENTS IS CURRENTLY BEING DEVELOPED.
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 AHVE BEEN HARD-HIT BY THE DECLINING NATURAL RESOURCE INDUSTRIES. THERE IS A WIDE VARIATION IN THE MDEDIAN 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 6: 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.
GRITMAN MEDICAL CENTER DOES NOT FILE A STATE COMMUNITY BENEFIT REPORT.STATE FILING OF COMMUNITY BENEFIT REPORTPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
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
JEFF MARTIN
236679000000000236679000
STEVEN REITZ
2395110000048530103190254683000
MARIA BARKER
234267000009602092910253160000
DEBORAH MAURO-BENDER
184283000002588046750191546000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationNAME OF UNRELATED ORGANIZATION: QHR AMOUNT OF COMPENSATION: $236,679 NAME OF INDIVIDUAL RECIEVING COMPENSATION: JEFF MARTIN, CEOExplanation

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 (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
POTENTIAL CONFLICTS ARE REQUIRED TO BE DISCLOSED TO THE BOARD THROUGHOUT THE YEAR. THE BOARD CHAIRPERSON, IN CONFERENCE WITH THE CEO, WILL DETERMINE WHETHER A POTENTIAL 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 12C
THE ORGANIZATION'S CEO, IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES (QHR). AS SUCH, HIS PAY RATE IS DETERMINED BY QUORUM. QHR PERFORMS A COMPENSATION SURVEY TO DETERMINE THE CEO'S COMPENSATION. THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS ALL CONTRACTS WITH QUORUM TO DETERMINE REASONABLE SALARIES. GRITMAN HAS THREE OTHER SENIOR ADMINISTRATIVE STAFF, THE CHIEF FINANCIAL OFFICER (CFO) , THE CHIEF NURSING OFFICER (CNO), AND THE CHIEF QUALITY OFFICER (CQO). 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 TEHIR 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 DECISIOTNS ARE DOCUMENTED. THE PAY INCREASES ARE NOT APROVED UNTIL THE ANNUAL BUDGET IS APROVED BY THE BOARD.FORM 990, PART VI, SECTION B, LINE 15
FINANCIAL INFORMATION IS MADE AVAILABLE AT GRITMAN'S ANNUAL BOARD MEETING IN MAY OF EACH YEAR, WHICH IS OPEN TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
PRIOR YEAR PROCESSTHERE HAVE BEEN NO CHANGES FROM PRIOR YEAR.FORM 990, PART XII, LINE 2C

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 NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

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 CENTERRELATED336959528586000.60000
PALOUSE HEALTH PROPERTIES LLC
2300 WEST A STREETMOSCOWID83843810593963PROPERTY MANAGEMENTIDGRITMAN MEDICAL CENTERRELATED24600281688000.60000
PALOUSE SURGEONS LLC
825 SE BISHOP SUITE 130PULLMANWA99163202369734GENERAL SURGERYIDPALOUSE SURGEON'S LLCRELATED-44952911545000.40000
INLAND NW RENAL CARE GROUP - GRITMAN MEDICAL CENTER LLC
920 WINTER STREETWALTHAMWA024511457261845298DIALYSIS SERVICESIDGRITMAN MEDICAL CENTERRELATED-11582471860000.30000
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 Orgs0RentalOfFacilitiesToOtherOrgs
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 Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PALOUSE SURGERY CENTER LLC
R420000ACTUAL CASH
PALOUSE HEALTH PROPERTIES LLC
R41595ACTUAL CASH