GOOD SHEPHERD HEALTH CARE SYSTEM: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD HEALTH CARE SYSTEM (EIN 93-0425580)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201121369349303152
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T13:17:42-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5601 Green Valley Drive Ste 700 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554371145 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930425580 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Health Care System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GOOD | NameControl |
| Phone | 5416673400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1 |
| City | Hermiston | City |
| State | OR | State |
| ZIP Code | 97838 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dennis Burke | Name |
| Title | President/CEO | Title |
| Phone | 5416673400 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kim Hunwardsen CPA | Name |
| Phone | 9529446166 | Phone |
| Date Prepared | 2011-05-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Dennis Burke | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1 |
| City | Hermiston | City |
| State | OR | State |
| ZIP Code | 97838 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 78150825 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.gshealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | Hospital and health care services | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 594 | TotalNbrEmployees |
| Total Nbr Volunteers | 150 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 505306 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 61052 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 69685685 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 75922610 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1816807 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2167163 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 68374184 | TotalRevenuePriorYear |
| Total Revenue Current Year | 78150825 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 421351 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 457373 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30805746 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33556015 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29873019 | OtherExpensePriorYear |
| Other Expenses Current Year | 31440262 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 61100116 | TotalExpensesPriorYear |
| Total Expenses Current Year | 65453650 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7274068 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12697175 | RevenuesLessExpensesCY |
| Total Assets BOY | 88154494 | TotalAssetsBOY |
| Total Assets EOY | 104457653 | TotalAssetsEOY |
| Total Liabilities BOY | 25221217 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 29941258 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 62933277 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 74516395 | NetAssetsOrFundBalancesEOY |
| Mission Description | To provide compassionate, high quality, and accessible health care and to promote a healthy community | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 61328457 | Expense |
| Grants | 457373 | Grants |
| Revenue | 75922610 | Revenue |
| Description | Good Shepherd Health Care System (GSHCS) served 2,076 inpatients and 41,237 outpatients in fiscal year 2009-10, as well as 15,386 patients in our Emergency Center. Although reimbursement for services rendered is critical to the operations and stability of Good Shepherd Health Care System, not all individuals have the ability to purchase essential medical services. In recognition of this, during 2009-10 Good Shepherd wrote off to collection 6,039,214 valued at charges foregone as bad debt. Direct charity care to our community amounted to an additional 5,283,254, valued at charges foregone. GSHCS provides care to persons covered by governmental programs at deeply discounted rates. Recognizing its mission to the community, services were provided to both Medicare and Medicaid patients. The unreimbursed value of providing care to these patients during fiscal year 2009-10 was 24,311,284 valued at charges foregone.Our Emergency Center is open around-the-clock to all community members, visitors, and travelers, without regard to one's ability to pay. | Description |
| Total Program Service Expense | 61328457 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 132 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 594 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jan Peter | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5416673416 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1 |
| City | Hermiston | City |
| State | OR | State |
| ZIP Code | 97838 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Steve Eldrige | ||||||||
| Chair | 2.00 | X | X | 0 | 0 | 0 | ||
| Nancy Mabry | ||||||||
| Vice Chair | 2.00 | X | X | 0 | 0 | 0 | ||
| Barbara Place | ||||||||
| Secretary | 2.00 | X | X | 0 | 0 | 0 | ||
| Bill Elfering | ||||||||
| Treasurer | 2.00 | X | X | 0 | 0 | 0 | ||
| Bob Carlson | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Richard Lindner | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Tricia Fenley | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Dr Derek Earl | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Sue Daggett | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Tom Wamsley | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Dr Winn Gregory | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Glenn Chowning | ||||||||
| Director | 2.00 | X | 0 | 0 | 0 | |||
| Dennis E Burke | ||||||||
| President/CEO | 40.00 | X | 337695 | 0 | 48793 | |||
| William Alsdurf | ||||||||
| VP/CFO | 40.00 | X | 190492 | 0 | 25728 | |||
| David T Hughes | ||||||||
| VP/COO | 40.00 | 169447 | 0 | 16636 | X | |||
| Dr Gary V Trupp | ||||||||
| Physician | 40.00 | 298606 | 0 | 27227 | X | |||
| Dr Frederick G Tinio | ||||||||
| Physician | 40.00 | 237253 | 0 | 27630 | X | |||
| Dr Kim A Peterson | ||||||||
| ER Physician | 40.00 | 173347 | 0 | 5945 | X | |||
| Michael S Bergman | ||||||||
| CRNA | 40.00 | 225997 | 0 | 23036 | X | |||
| Josh S Jackson | ||||||||
| CRNA | 40.00 | 209813 | 0 | 18115 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1842650 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 193110 | TotalOtherCompensation |
| Number Individuals GT100 K | 37 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Rick Burrill | |||||
| 610 NW 11th Street | Hermiston | OR | 97838 | Physical Therapy | 1028739 |
| McCormick Construction Co | |||||
| 422 SW 6th | Pendleton | OR | 97801 | Construction | 894865 |
| Tualitin Imaging | |||||
| 6464 SW Boreland Rd | Tualitin | OR | 97062 | Imaging Services | 739350 |
| Weatherby Locums | |||||
| PO Box 972633 | Dallas | TX | 75397 | Physician Services | 389618 |
| Gilliland Construction | |||||
| 80601 N Ott Rd | Hermiston | OR | 97838 | Construction | 295794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| All Other Contributions | 61052 | AllOtherContributions |
| Total Contributions | 61052 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net patient services | 622110 | 74469649 | 74469649 |
| Other revenue | 900099 | 669510 | 669510 |
| Cafeteria | 900099 | 520688 | 520688 |
| Daycare | 900099 | 262763 | 262763 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 75922610 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1557131 | TotalRevenueColumn |
| Exclusion | $1,557,131 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 565870 | Securities |
| Other | 44162 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 565870 | Securities |
| Other | 44162 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 610032 | TotalRevenueColumn |
| Exclusion | $610,032 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 78150825 | TotalRevenueColumn |
| Related Or Exempt Function Income | 75922610 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,167,163 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450000 | Total |
| Program Services | 450000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7373 | Total |
| Program Services | 7373 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 792978 | Total |
| Management And General | 792978 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25894109 | Total |
| Program Services | 24527631 | ProgramServices |
| Management And General | 1366478 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 980298 | Total |
| Program Services | 948084 | ProgramServices |
| Management And General | 32214 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4269188 | Total |
| Program Services | 3988951 | ProgramServices |
| Management And General | 280237 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1619442 | Total |
| Program Services | 1493126 | ProgramServices |
| Management And General | 126316 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54824 | Total |
| Management And General | 54824 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55514 | Total |
| Management And General | 55514 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159218 | Total |
| Management And General | 159218 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8891022 | Total |
| Program Services | 7976108 | ProgramServices |
| Management And General | 914914 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110901 | Total |
| Program Services | 100734 | ProgramServices |
| Management And General | 10167 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9987045 | Total |
| Program Services | 9789818 | ProgramServices |
| Management And General | 197227 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 686580 | Total |
| Program Services | 686580 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205466 | Total |
| Program Services | 169922 | ProgramServices |
| Management And General | 35544 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99562 | Total |
| Management And General | 99562 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 447281 | Total |
| Program Services | 447281 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3848063 | Total |
| Program Services | 3848063 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 685420 | Total |
| Program Services | 685420 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Bad Debts | 6039214 | 6039214 |
| Miscellaneous | 170152 | 170152 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65453650 | Total |
| Program Services | 61328457 | ProgramServices |
| Management And General | 4125193 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4605317 | BOY |
| EOY | 1291757 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8737160 | BOY |
| EOY | 9790119 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3031819 | BOY |
| EOY | 5370439 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1185546 | BOY |
| EOY | 1365994 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 529489 | BOY |
| EOY | 700641 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 72629883 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31831403 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37585741 | BOY |
| EOY | 40798480 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31642989 | BOY |
| EOY | 41528157 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 836433 | BOY |
| EOY | 3612066 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88154494 | BOY |
| EOY | 104457653 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5219054 | BOY |
| EOY | 5663653 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15630877 | BOY |
| EOY | 14945496 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4371286 | BOY |
| EOY | 9332109 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25221217 | BOY |
| EOY | 29941258 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62658573 | BOY |
| EOY | 74228136 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 274704 | BOY |
| EOY | 288259 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62933277 | BOY |
| EOY | 74516395 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88154494 | BOY |
| EOY | 104457653 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1949405 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 741457 | OtherCostOrOtherBasis |
| Book Value | 2690862 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39313077 | OtherCostOrOtherBasis |
| Depreciation | 13061136 | Depreciation |
| Book Value | 26251941 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28916670 | OtherCostOrOtherBasis |
| Depreciation | 17850603 | Depreciation |
| Book Value | 11066067 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1709274 | OtherCostOrOtherBasis |
| Depreciation | 919664 | Depreciation |
| Book Value | 789610 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 40798480 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Estimated cost report settlements payable | $175,104 |
| Investment in subsidiary | $9,157,005 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9332109 | TotalOfAmounts |
| Total Revenue | 78150825 | TotalRevenue |
| Total Expenses | 65453650 | TotalExpenses |
| Excess Or Deficit For Year | 12697175 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 148097 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | -726072 | PriorPeriodAdjustments |
| Other | -$536,082 | OtherAmount |
| Total Adjustments | -1114057 | TotalAdjustments |
| Excess Or Deficit Per FS | 11583118 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 80042876 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 148097 | NetUnrealizedGainsInvestments |
| Other Revenues | 2160066 | OtherRevenues |
| Revenue Not Rptd F990 | 2308163 | RevenueNotRptdF990 |
| Revenue Subtotal | 77734713 | RevenueSubtotal |
| Investment Expenses Not Included | 159218 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 256894 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 416112 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 78150825 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 67357808 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2513376 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2513376 | ExpensesNotRptdF990 |
| Expenses Subtotal | 64844432 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 159218 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 450000 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 609218 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 65453650 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The Hospital has adopted the provisions of FASB Accounting Standards Codification Topic AS 740-10 (previously Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes), on July 1, 2009. The implementation of this standard had no impact on the financial statements. As of both the date of adoption, and as of June 30, 2010, the unrecognized tax benefit accrual was zero. The Hospital will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred. The Hospital is no longer subject to Federal tax examinations by tax authorities for years before 2006 and state examinations for years before 2006. |
| Part XI, Line 8 - Other Adjustments: | Intercompany Interest income eliminated on financial statements: -536082. | |
| Part XII, Line 2d - Other Adjustments: | Revenues of consolidated subsidiary: 2610066. Charitable donations reclass to expenses: -450000. | |
| Part XII, Line 4b - Other Adjustments: | Interest income eliminated for financial statements: 243339. Contributions recorded in fund balance for financial statements: 13555. | |
| Part XIII, Line 2d - Other Adjustments: | Expenses of consolidated subsidiary: 2513376. | |
| Part XIII, Line 4b - Other Adjustments: | Charitable donations reclass to expenses: 450000. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2722669 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2722669 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04630 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9083851 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11489583 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -2405732 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11806520 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11489583 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 316937 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04630 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 264752 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 96594 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 168158 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 258650 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 258650 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 450000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 450000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 973402 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 96594 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 876808 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01500 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12779922 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11586177 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1193745 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06130 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,112,245 | BadDebtExpenseAmount |
| Amount Attributable To | 293020 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 12114798 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12760675 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -645877 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicy |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Health Care System | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1 |
| City | Hermiston | City |
| State | OR | State |
| ZIP Code | 97838 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
| Other | clinic | Other |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: The organization provides discounts on a sliding scale from 10% to 100% based on an individual's income level. | IncomeBasedCriteria |
| Costing Method Used | Part I, Line 7: The charity care included in Part I, Line 7a is based on the cost to charge ratio using Worksheet 2.The unreimbursed Medicaid in Part I, Line 7b is based on gross charges and claims from the Medicaid cost report.The community health services, education and contributions in Part I, Lines 7e, 7f and 7i are based on actual expenses. | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: The amount of bad debt expense removed from the denominator of the calculation on Part 1, Line 7, column f was $6,039,214. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: Footnote to the organization's financial statements that describes bad debt expense:Receivables arising from revenues from services to patients are reduced by an allowance for uncollectible accounts and contractual adjustments based on experience, third-party contractual reimbursement arrangements, and any unusual circumstances which may affect the ability of patients to meet their obligations. Accounts deemed uncollectible are charged against the allowance for uncollectible accounts. Receivables are stated in the balance sheet less such allowances.The bad debt expense was converted to cost using the cost to charge ratio calculated using Worksheet 2.The organization estimates the amount of bad debt attributable to charity patients to be 293,020. This estimate is based on an overall charity care percentage of gross revenue. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Medicare allowable cost is based on the Medicare cost report. The Medicare cost report is completed based on the rules & regulations set forth by CMS. The organization believes the entire shortfall should be considered community benefit as they provide services to Medicare patients knowing they will not recover the entire cost of the services. However, they continue to provide these services as the elderly are considered a charitable class. | ShortfallAsCommunityBenefit |
| Needs Assessment | Part VI, Line 2: Our community healthcare needs assessment process has five components that are conducted every other year:1. The ongoing collection and evaluation of community feedback from patient surveys and comment forms.2. Patient and community-member healthcare needs focus groups.3. A healthcare needs survey completed by employers and other community leaders.4. A formal telephone survey.5. A demographic study conducted by the Oregon Office of Rural Health. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Our financial counselors inform and educate the people we serve with respect to charity care and governmental assistance programs. All patients and responsible parties, where possible, are apprised of the availability of financial counseling services at the time and point of service. We have arranged our patient flow to maximize the convenience of visiting our financial counselors as part of the Good Shepherd treatment regime. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Good Shepherd Health Care System (GSHCS) is the corporate name for an organization made up of several entities, including Good Shepherd Medical Center, Vange John Memorial Hospice, TLC Home Health, Good Shepherd Medical Group, Good Shepherd Clinic Pharmacy, Good Shepherd Medical Foundation, and Good Shepherd Community Health Foundation. Good Shepherd serves a core population of almost 50,000 people in the city of Hermiston, Oregon and in 14 outlying smaller towns within a rough 50-mile radius. This population is largely rural, with agriculture dominating industrial enterprises.The average household income in Hermiston is $34,834.15.9% of residents have incomes below federal poverty guidelines.28.1% of residents identify as non-white Hispanic ethnicity, with a sizable number of Spanish-primary speakers.We are a Critical Access Hospital, and the primary healthcare resource for our community. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Good Shepherd maintains open active, affiliate, and courtesy medical staffs, with privileges available to all qualified and interested physicians in the communities we serve. GSHCS is governed by a twelve-member Board of Trustees. The Board is comprised of independent representatives of the community, with an emphasis on maintaining a true cross-section of core population communities within its membership.We operate a fully-staffed 24-hour emergency room, available to the public regardless of ability to pay.Our twelve-member Board of Trustees reserves positions for all interested community members. All of our trustees reside in our service area. Good Shepherd operates two CareVans, a complimentary transportation service for our community members. Our CareVans transport hundreds of community members to and from medical appointments each month.Our surplus funds are used to fund community health education classes, as well as funding building and equipment upgrades to maintain the highest quality healthcare for our community. Surplus funds are also applied to ongoing professional education among our clinical staff to remain current in the best practices of modern healthcare.Good Shepherd operates two foundations that provide funds to appropriate community groups and activities, as well as providing scholarship funds to local residents establishing or furthering healthcare-related education.We live our mission to promote a healthy community. Good Shepherd is the host and driving force behind the Good Shepherd Wellness Coalition, a grass-roots group of community leaders that identify, analyze, and address pressing healthcare issues in the community. We maintain a dialogue with the people we serve through a biweekly radio show, with an emphasis on wellness and preventative care.Good Shepherd hosts an annual Family Health and Fitness Day, with free access to healthcare professionals, free screenings, and a wealth of health and wellness information available to the public.We are active in community health-related activities, including the American Cancer Society's Relay for Life, the March of Dimes' March for Babies, and the Umatilla County Fair, where we provide health information and healthcare-related giveaways. | OtherInformation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Community Health Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1 |
| City | Hermiston | City |
| State | OR | State |
| ZIP Code | 97838 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 931170546 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 450000 | AmountOfCashGrant |
| Purpose Of Grant | Community Support | PurposeOfGrant |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Scholarships | TypeOfGrant |
| Number Of Recipients | 14 | NumberOfRecipients |
| Amount Of Cash Grant | 7373 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Grants are awarded to employees to help further their education in a field that would potentially benefit the organization in the future once the employee has completed their education. Each employee must report back with a grade report showing their progress/completion of their course of study. Grants are also awarded to Good Shepherd Community Health Foundation, a related organization which is tax exempt under Section 501(c)(3). | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dennis E Burke | |||||||||||||
| 240605 | 0 | 22500 | 0 | 74590 | 0 | 26631 | 0 | 22223 | 0 | 386549 | 0 | 0 | 0 |
| William Alsdurf | |||||||||||||
| 156841 | 0 | 18651 | 0 | 15000 | 0 | 9482 | 0 | 16308 | 0 | 216282 | 0 | 0 | 0 |
| David T Hughes | |||||||||||||
| 148572 | 0 | 13371 | 0 | 7504 | 0 | 0 | 0 | 16698 | 0 | 186145 | 0 | 0 | 0 |
| Dr Gary V Trupp | |||||||||||||
| 293535 | 0 | 5071 | 0 | 0 | 0 | 12250 | 0 | 15039 | 0 | 325895 | 0 | 0 | 0 |
| Dr Frederick G Tinio | |||||||||||||
| 229168 | 0 | 8085 | 0 | 0 | 0 | 14427 | 0 | 13266 | 0 | 264946 | 0 | 0 | 0 |
| Dr Kim A Peterson | |||||||||||||
| 168347 | 0 | 5000 | 0 | 0 | 0 | 0 | 0 | 5945 | 0 | 179292 | 0 | 0 | 0 |
| Michael S Bergman | |||||||||||||
| 215197 | 0 | 0 | 0 | 10800 | 0 | 0 | 0 | 23098 | 0 | 249095 | 0 | 0 | 0 |
| Josh S Jackson | |||||||||||||
| 209813 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18178 | 0 | 227991 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4a | ReturnReference |
| Explanation | Dennis Burke - 50,379 The President is eligible for benefits under a nonqualified deferred compensation plan. He receives annual contributions into the plan equal to 11% of his base wage. The amounts in the plan vest annually. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Banner Bank | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 911645638 | IssuerEIN |
| Date Issued | 2007-08-29 | DateIssued |
| Issue Price | 17786918 | IssuePrice |
| Description Of Purpose | new construction, expansion and major equipment purchases | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 17786918 | TotalProceeds |
| Amount Unspent | 3973397 | AmountUnspent |
| Capital Expenditures | 13813521 | CapitalExpenditures |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 1 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Credits Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Company is owned 100% by a board member | Relationship |
| Amount Of Transaction | 391761 | AmountOfTransaction |
| Description Of Transaction | Charges for collection services | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | All members of the community who make contributions to the organization are eligible to become members of the organization if approved by the Board of Directors. Membership does not include any voting rights. |
| Form 990, Part VI, Section B, line 11 | The return is reviewed by the CFO and Controller and presented on a high level to the Board of Directors. A final copy is made available to the Board before filing. |
| Form 990, Part VI, Section B, line 12c | All officers, directors, and key employees with conflicts are expected to disclose conflicts of interest on a voluntary basis and refrain from discussion and/or voting on related matters as necessary. |
| Form 990, Part VI, Section B, line 15a | The CEO's compensation is approved by the compensation committee of the Board of Directors based on survey information. The compensation of other officers or key employees is determined by the CEO based on survey information. |
| Form 990, Part VI, Section C, line 19 | These documents are not available to the general public. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Good Shepherd Community Health Foundation | |||||||||
| 610 NW 11th Street | Hermiston | OR | 97838 | 931170546 | fundraising | OR | 501(c)(3) | 11a | N/A |
| Good Shepherd Medical Foundation | |||||||||
| 610 NW 11th Street | Hermiston | OR | 97838 | 930844485 | fundraising | OR | 501(c)(3) | 7 | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Medical Service Corp | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 NW 11th Street | AddressLine1 |
| City | Hermiston | City |
| State | OR | State |
| ZIP Code | 97838 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930688940 | EIN |
| Primary Activity | retail pharmacy | PrimaryActivity |
| Legal Domicile State | OR | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 2610066 | ShareOfTotalIncome |
| Share Of EOY Assets | 2328178 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Good Shepherd Medical Service Corp | |
| A | 200000 |
| Good Shepherd Medical Service Corp | |
| N | 343006 |
| Good Shepherd Community Health Foundation | |
| B | 450000 |