2011-11-15T16:29:04-06:00 2010-12-31 WIPFLI LLP 12 E ROWAN STE 2 SPOKANE WA 99207 990 2010-01-01 820146328 GRITMAN MEDICAL CENTER GRIT 2088824511 700 S MAIN STREET MOSCOW ID 83843 KARA BESST 2088824511 2011-11-15 1 5094894524 2010 2016-03-07 17:11:31Z KARA BESST 700 S MAIN STREET MOSCOW ID 83843 44472890 0 X WWW.GRITMAN.ORG X 1939 ID GRITMAN MEDICAL CENTER, INC., PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO PATIENTS IN MOSCOW, IDAHO, AND THE SURROUNDING AREA. 10 10 581 590 0 0 85353 562051 44590028 42383394 94154 1135880 -76419 387740 44693116 44469065 1029086 0 0 0 21992418 22052672 0 0 0 20476558 20303916 43498062 42356588 1195054 2112477 65768963 66657532 28777027 27553119 36991936 39104413 PEOPLE FOCUSED, COMMUNITY DRIVEN ORGANIZATION PROVIDING EXCELLENT AND COMPASSIONATE HEALTHCARE FOR THE PEOPLE OF OUR COMMUNITY. 0 0 34707058 42383394 GRITMAN 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. 34707058 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 118 0 1 581 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 ID X KARA BESST 2088832221 700 S MAIN ST MOSCOW ID 83843 BJ SWANSON 5.00 X 0 0 0 JANIE NIRK 3.00 X 0 0 0 GREG MANN 2.00 X 0 0 0 ROBIN WOODS 3.00 X 0 0 0 CHARLES JACOBSON MD 2.00 X 0 0 0 JOHN NORTON 2.00 X 0 0 0 TERRY ARMSTRONG 2.00 X 0 0 0 GREG KIMBERLING 2.00 X 0 0 0 DICK HEIMSCH 2.00 X 0 0 0 WAYNE RUBYMD 2.00 X 0 0 0 JEFF MARTIN 40.00 X 236679 0 0 KARA BESST 40.00 X 122229 0 11018 DEENA RAUCH 40.00 X 113561 0 12502 WILLIAM NASH 40.00 X 113794 0 9702 STEVEN REITZ 40.00 X 239511 0 15172 MARIA BARKER 40.00 X 234267 0 18893 DEBORAH MAURO-BENDER 40.00 X 184283 0 7263 KANE FRANCETICH 40.00 X 108578 0 15341 1352902 0 89891 9 0 1 0 MOSCOW EMERGENCY PHYSICIANS 1026 KASPER RD MOSCOW ID 83843 ER SERVICES 1505231 CARDINAL HEALTH 3712 COLLECTION CENTER DR CHICAGO IL 60693 PHARMACEUTICALS 744264 SPRENGER CONSTRUCTION INC 1341 TAMARACK ST MOSCOW ID 83843 CONSTRUCTION 691602 QHR 105 CONTINENTAL PL BRENTWOOD TN 37027 MANAGEMENT SERVICES 584476 MCKESSON CORPORATION 335 INTERLOCKEN PARKWAY BLOOMFIELD CO 80021 INFORMATION SYSTEMS 320131 26 562051 562051 NET PATIENT SERVICE RE 621110 41618226 41618226 OTHER REVENUE 621110 765168 765168 42383394 1121705 1121705 387740 387740 387740 387740 18000 3825 14175 14175 14175 44469065 42383394 0 1523620 581047 581047 17205502 16358804 846698 4266123 3924833 341290 58298 58298 85983 85983 3471544 2486099 985445 471970 471970 4657288 4522896 134392 1165730 1149122 16608 60867 60867 1066809 29124 1037685 2832059 299924 2532135 777077 777077 PROVISION FOR UNCOLLECT 2692278 2692278 REPAIRS AND MAINTENANCE 1430712 1420704 10008 OTHER FEES 1280453 793349 487104 MISCELLANEOUS OTHER EXP 252848 252848 42356588 34707058 7649530 0 1818376 1316360 7150315 6915683 1293498 1267947 440650 445681 71692971 34446976 36784860 37245995 18281264 19465866 65768963 66657532 5474947 5802830 23302080 20898539 0 851750 28777027 27553119 X 36972794 39035712 19142 68701 36991936 39104413 65768963 66657532 2112477 0 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5663 5663 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: EXPENSES PAID TO STRATEGIC HEALTHCARE ORGANIZATIONS WHOSE FOCUS IS STATE AND FEDERAL GOVERNMENT RELATIONS AND ADVOCACY EFFORTS ON BEHALF OF HOSPITAL ASSOCIATIONS. 221304 38959 260263 5408059 5408059 15637958 6623389 9014569 22258590 6457573 15801017 26339922 21366014 4973908 2048442 2048442 37245995 INVESTMENT IN SUBSIDIARIES 887606 DEFERRED FINANCING COSTS, NET 531873 INVESTMENT IN JOINT VENTURE 232866 RECEIVABLE FROM THIRD-PARTY 700000 INTERNALLY DESIGNATED-ASSETS LIMITED AS TO USE 15223401 HELD BY TRUSTEE-BOND RESERVE 1237930 OTHER RECEIVABLE 652190 19465866 PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAM 851750 851750 44469065 42356588 2112477 2112477 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. 1 1 X 1 X 1 X 1 1 1 0 1 0 801001 801001 0.02020 5054730 4611100 443630 0.01120 5855731 4611100 1244631 0.03140 25 7950 289819 10758 279061 0.00700 9 408 463699 463699 0.01170 3 0 971035 712749 258286 0.00650 0 0 0 3 1 12944 12944 0.00030 40 8359 1737497 723507 1013990 0.02550 40 8359 7593228 5334607 2258621 0.05690 2 225 17299 17299 0.00040 2 225 17299 17299 0.00040 1 1343962 0 10391720 10288832 102888 X 1 1 1 PALOUSE HEALTH PROPERTIES LLC PROPERTY MANAGEMENT 0.60000 0.40000 2 PALOUSE SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.60000 0.40000 1 1 GRITMAN MEDICAL CENTER

700 S MAIN STREET MOSCOW ID 83843

X X X NOT REQUIRED 1 1 PALOUSE SURGERY CENTER LLC

2300 WEST A STREET MOSCOW ID 83843

GENERAL MEDICAL AND SURGERY 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. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 GRITMAN MEDICAL CENTER DOES NOT FILE A STATE COMMUNITY BENEFIT REPORT. X X X 0 0 0 0 0 0 0 0 0 JEFF MARTIN 236679 0 0 0 0 0 0 0 0 0 236679 0 0 0 STEVEN REITZ 239511 0 0 0 0 0 4853 0 10319 0 254683 0 0 0 MARIA BARKER 234267 0 0 0 0 0 9602 0 9291 0 253160 0 0 0 DEBORAH MAURO-BENDER 184283 0 0 0 0 0 2588 0 4675 0 191546 0 0 0 SUPPLEMENTAL INFORMATION PART III NAME OF UNRELATED ORGANIZATION: QHR AMOUNT OF COMPENSATION: $236,679 NAME OF INDIVIDUAL RECIEVING COMPENSATION: JEFF MARTIN, CEO IDAHO HEALTH FACILITIES AUTHORITY 826051863 45129UAV6 2003-06-01 18545000 NEW HOSPITAL WING 0 0 0 1880000 18904302 1237930 281940 17384432 2003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C 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 15 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 C, LINE 19 FINANCIAL INFORMATION IS MADE AVAILABLE AT GRITMAN'S ANNUAL BOARD MEETING IN MAY OF EACH YEAR, WHICH IS OPEN TO THE PUBLIC. PRIOR YEAR PROCESS FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR. GRITMAN MEDICAL CENTER FOUNDATION 700 S MAIN STREET MOSCOW ID 83843 200586022 HOSPITAL SUPPORT ID 501(C)(3) 7 N/A 0 PALOUSE SURGERY CENTER LLC 2300 WEST A STREET MOSCOW ID 83843 810593962 OUTPATIENT SURGERY CENTER ID GRITMAN MEDICAL CENTER RELATED 336959 528586 0 0 0.60000 PALOUSE HEALTH PROPERTIES LLC 2300 WEST A STREET MOSCOW ID 83843 810593963 PROPERTY MANAGEMENT ID GRITMAN MEDICAL CENTER RELATED 24600 281688 0 0 0.60000 PALOUSE SURGEONS LLC 825 SE BISHOP SUITE 130 PULLMAN WA 99163 202369734 GENERAL SURGERY ID PALOUSE SURGEON'S LLC RELATED -449529 11545 0 0 0.40000 INLAND NW RENAL CARE GROUP - GRITMAN MEDICAL CENTER LLC 920 WINTER STREET WALTHAM WA 024511457 261845298 DIALYSIS SERVICES ID GRITMAN MEDICAL CENTER RELATED -115824 71860 0 0 0.30000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PALOUSE SURGERY CENTER LLC R 420000 ACTUAL CASH PALOUSE HEALTH PROPERTIES LLC R 41595 ACTUAL CASH