2026-05-05T11:57:24-04:00 2025-06-30 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-07-01 930425580 GOOD SHEPHERD HEALTH CARE SYSTEM GOOD 5416673400 610 NW 11TH STREET HERMISTON OR 97838 ARTHUR MATHISEN CEO 5416673400 2026-04-19 true true RIKKI PATCH P01472231 5092420874 2026-05-05 2024 2025-03-06 01:10:19Z ARTHUR MATHISEN 610 NW 11TH STREET HERMISTON OR 97838 252705059 false X WWW.GSHEALTH.ORG X 1953 OR TO PROVIDE COMPASSIONATE, HIGH QUALITY, AND ACCESSIBLE HEALTH CARE AND TO PROMOTE A HEALTHY COMMUNITY. 12 11 1060 65 0 78502 301207 192217616 233297188 7616796 10370821 2873935 3200233 202786849 247169449 315000 435715 0 102419573 135980378 0 269838 89034763 92956264 191769336 229372357 11017513 17797092 342727444 387543772 47346225 57255833 295381219 330287939 X TO PROVIDE COMPASSIONATE, HIGH QUALITY, AND ACCESSIBLE HEALTH CARE AND TO PROMOTE A HEALTHY COMMUNITY. false false 193925665 435715 233297188 GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS) SERVED 2,227 INPATIENTS OVER 7,266 PATIENT DAYS, 97,473 OUTPATIENTS, AND 25,732 PATIENTS IN OUR EMERGENCY CENTER DURING FISCAL YEAR 2024-2025. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF GSHCS, NOT ALL INDIVIDUALS HAVE THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. GSHCS PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT DEEPLY DISCOUNTED RATES AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 4,413,162 WRITTEN OFF AS BAD DEBT, AND AN ADDITIONAL 6,721,925 OF DIRECT CHARITY CARE TO OUR COMMUNITY. (SEE CONTINUATION ON SCHEDULE O) 193925665 true true false true false false false false false false true false true false false true false true false false false false false false false false true true true true true false false false false false false false true false false false false false true true true false false true 208 0 true 1060 true false false false false false false false false false false false false X 12 11 false false false false false false false true true false false true true true true true true true true false OR X JONATHAN EDWARDS 5416673400 610 NW 11TH STREET HERMISTON OR 97838 ANN RUST SURGEON 40.00 X 1183098 0 149174 DAVID MACCABEE SURGEON 40.00 X 1148864 0 106936 JAMES WHITTUM ORTHOPEDIC S 40.00 X 886714 0 127900 FADI AKOUM NEPHROLOGIST 40.00 X 916954 0 75856 TAYLOR DELAMARTER HOSPITALIST 40.00 X 732463 0 38078 ARTHUR MATHISEN CEO 40.00 X 574094 0 85949 JONATHAN EDWARDS COO/CFO 40.00 X 439465 0 115665 JON LORENCE CHAIRMAN 2.00 X X 0 0 0 STEVE ELDRIGE VICE CHAIR 2.00 X X 0 0 0 ARNELL EYNON SECRETARY 2.00 1.00 X X 0 0 0 NANCY MABRY TREASURER 2.00 X X 0 0 0 SUE DAGGETT TRUSTEE 2.00 X 0 0 0 KRISTEN COLLER TRUSTEE 2.00 1.00 X 0 0 0 BOB CARLSON TRUSTEE 2.00 X 0 0 0 DR DEREK EARL TRUSTEE 2.00 X 0 0 0 LISA MITTELSDORF TRUSTEE 2.00 1.00 X 0 0 0 JEFF WENHOLZ TRUSTEE 2.00 X 0 0 0 JACLYN JENKINS TRUSTEE 2.00 X 0 0 0 ROBERT LONGORIA TRUSTEE 2.00 X 0 0 0 5881652 699558 384 false true false AMERGIS HEALTHCARE 7223 LEE DEFOREST DR COLUMBIA MD 21046 TEMP STAFFING 4615526 TUALATIN IMAGING 7427 SW COHO CT STE 200 TUALATIN OR 97062 DIAG. IMAGING 2830402 ELITE ROBOTIC SURGICAL CONSULTANTS PO BOX 2286 REDONDO BEACH CA 90278 UROLOGY SVS. 2434808 C&C PROFESSIONALS LLC 2381 NW VALLEY VIEW DR HERMISTON OR 97838 PEDIATRIC SVS. 1914916 VACO 5501 VIRGINIA WAY BRENTWOOD TN 37027 TEMP STAFFING 1632950 54 12500 56215 232492 301207 PATIENT SERVICE REVENUE 624100 233297188 233297188 233297188 8696549 8696549 7169882 40000 5535610 1634272 40000 1674272 1674272 CAFETERIA 722514 1064771 1064771 OTHER INCOME 900099 829500 829500 CATERING 722320 757318 757318 548644 548644 3200233 247169449 233297188 13571054 X 330250 330250 105465 105465 1343382 1343382 103498967 90567623 12771665 159679 5011590 4502061 499875 9654 17524562 14681822 2834288 8452 8601877 7743510 825542 32825 468856 468856 145768 145768 443692 443692 42927734 31857689 11060847 9198 881570 8063 871469 2038 1592688 1099884 460394 32410 908638 908638 1841025 1606459 228838 5728 449416 405555 43036 825 372491 316302 56177 12 1316181 1316181 7665905 6878440 782404 5061 1129592 663849 465743 MEDICAL SUPPLIES & DRUGS 28741486 28741486 RECRUITMENT 1618985 1359446 259539 OTHER SUPPLIES 1415686 1294741 120945 DUES AND SUBSCRIPTIONS 207465 67590 137280 2595 829086 379249 448476 1361 229372357 193925665 35176854 269838 10426505 9472491 175392 47696295 50769207 4355479 4880949 4277296 3842157 177678215 93208085 67470757 84470130 183172511 204538829 2254537 930000 14287260 19385453 9740818 8125150 342727444 387543772 18889338 26365161 23574001 30890672 4882886 47346225 57255833 X 294759795 329865670 621424 422269 295381219 330287939 342727444 387543772 X 17797092 12805187 4503596 -199155 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14954 14954 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 21318892 21318892 98059935 53215493 44844442 51816167 39992592 11823575 6483221 6483221 84470130 INVESTMENT IN SUBSIDIARY 19385453 F 19385453 X SCHEDULE D, PAGE 3, PART X GSHCS AND THE FOUNDATION ARE EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE FROM FEDERAL INCOME TAXES EXCEPT FOR UNRELATED BUSINESS INCOME. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. GSHCS AND THE FOUNDATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2025 AND 2024, GSHCS AND THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X true X true true false true true 2352674 2352674 0.01030 43251914 43251914 45604588 43251914 2352674 0.01030 7237 2278231 107528 2170703 0.00950 99 1515292 6808 1508484 0.00660 85494165 40253803 45240362 0.19720 325250 325250 0.00140 7336 89612938 40368139 49244799 0.21470 7336 135217526 83620053 51597473 0.22500 true 1544607 24194 57835761 61301026 -3465265 X true true 1 1 GOOD SHEPHERD HEALTH CARE SYSTEM GOOD SHEPHERD HEALTH CARE SYSTEM 610 NW 11TH STREET HERMISTON OR 97838 WWW.GSHEALTH.ORG/CHNA 055598-6 X X X X GOOD SHEPHERD HEALTH CARE SYSTEM GOOD SHEPHERD HEALTH CARE SYSTEM 1 false false true X X X X X X X X X X 24 true false false true X WWW.GSHEALTH.ORG/CHNA X X true 24 true WWW.GSHEALTH.ORG/CHNA false true X 200.000000000000 400.000000000000 X X true true X X X X true X WWW.GSHEALTH.ORG/PAYING-FOR-YOUR-CARE X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X true X false X X X X true X false false FACILITY 1, GOOD SHEPHERD HEALTH CARE SYSTEM - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED BEGINNING ON PAGE 14 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, GOOD SHEPHERD HEALTH CARE SYSTEM - PART V, LINE 5 THE CHNA WAS COMPLETED IN 2024. IN CONDUCTING THE ASSESSMENT, GOOD SHEPHERD HEALTH CARE SYSTEM TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. A TOTAL OF 566 SURVEYS WERE COMPLETED USING TWO METHODS: RANDOM-SAMPLE SURVEYS AND COMMUNITY OUTREACH SURVEYS. TO GATHER INPUT FROM KEY INFORMANTS (INDIVIDUALS WITH A BROAD INTEREST IN COMMUNITY HEALTH), AN ONLINE KEY INFORMANT SURVEY WAS ALSO CONDUCTED AS PART OF THE PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY GOOD SHEPHERD HEALTH CARE SYSTEM. THIS LIST INCLUDED REPRESENTATIVES FROM 24 COMMUNITY ORGANIZATIONS AND STAKEHOLDERS, INCLUDING PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTHCARE PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. FACILITY 1, GOOD SHEPHERD HEALTH CARE SYSTEM - PART V, LINE 7D THE CHNA WAS MADE WIDELY AVAILABLE THROUGH GOOD SHEPHERD HEALTH CARE SYSTEM'S WEBSITE. PAPER COPIES ARE ALSO AVAILABLE THROUGHOUT GOOD SHEPHERD'S FACILITY, UPON REQUEST. FACILITY 1, GOOD SHEPHERD HEALTH CARE SYSTEM - PART V, LINE 11 THE MOST RECENT CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: ACCESS TO HEALTH CARE SERVICES, CANCER, DIABETES, DISABLING CONDITIONS, HOUSING, INFANT HEALTH AND FAMILY PLANNING, INJURY AND VIOLENCE, MENTAL HEALTH, NUTRITION, PHYSICAL ACTIVITY AND WEIGHT, RESPIRATORY DISEASE, SUBSTANCE USE, AND TOBACCO USE. THE BOARD DETERMINED THAT THE IMPLEMENTATION PROGRAM WOULD FOCUS EXCLUSIVELY ON THE MOST SIGNIFICANT HEALTH NEED: IMPROVING ACCESS TO HEALTH CARE SERVICES. TO ADDRESS THIS PRIORITY, THE HOSPITAL HAS DEVELOPED SEVERAL KEY STRATEGIES, INCLUDING INCREASING ACCESS TO CARE, OPTIMIZING TELECOMMUNICATIONS, ALIGNING CURRENT AND FUTURE RECRUITMENT NEEDS WITH THE MASTER FACILITIES PLAN, DEVELOPING THE MORROW COUNTY EXPANSION, AND EXPANDING MYCHART UTILIZATION. THROUGH THESE INITIATIVES, GOOD SHEPHERD AIMS TO ENHANCE ACCESS TO HEALTH CARE SERVICES AND EFFECTIVELY ADDRESS ITS MOST CRITICAL COMMUNITY HEALTH NEED. WHILE THE REMAINING IDENTIFIED HEALTH NEEDS ARE RECOGNIZED AS IMPORTANT TO THE OVERALL WELL-BEING OF THE COMMUNITY, THEY DO NOT HAVE FORMAL, COMPREHENSIVE IMPLEMENTATION PLANS AT THIS TIME. THE HOSPITAL HAS PRIORITIZED ALLOCATING ITS RESOURCES, STAFFING, AND STRATEGIC EFFORTS TOWARD IMPROVING ACCESS TO HEALTH CARE SERVICES, AS IT BELIEVES THIS AREA WILL HAVE THE GREATEST OVERALL IMPACT AND MAY ALSO HELP ADDRESS OTHER HEALTH NEEDS INDIRECTLY. MANAGEMENT WILL CONTINUE TO MONITOR THESE ADDITIONAL HEALTH PRIORITIES AND MAY INCORPORATE TARGETED INITIATIVES OR EXPAND FUTURE IMPLEMENTATION EFFORTS AS RESOURCES ALLOW AND COMMUNITY NEEDS EVOLVE. FACILITY 1, GOOD SHEPHERD HEALTH CARE SYSTEM - PART V, LINE 16J A SUMMARY OF THE FAP IS DISTRIBUTED IN UNEMPLOYMENT OFFICES AND OTHER AREAS IN THE COMMUNITY THAT TARGET THE ELIGIBLE POPULATION. A SUMMARY IS ALSO AVAILABLE AT LOCAL PHYSICIAN OFFICES, ADMISSIONS OFFICES, AND SENT WITH BILLING INVOICES. ALSO, UPON DISCHARGE, A PATIENT FINANCIAL REPRESENTATIVE MEETS WITH PATIENTS TO DISCUSS THEIR ABILITY TO PAY FOR SERVICES. INCLUDED AS PART OF THIS DISCUSSION IS A SUMMARY OF THE FAP. FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND WIDELY AVAILABLE ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.GSHEALTH.ORG/PAYING-FOR-YOUR-CARE A PLAIN LANGUAGE SUMMARY OF THE FAP WAS ALSO WIDELY AVAILABLE ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.GSHEALTH.ORG/PUB/GSHCS-CHARITY-CARE-POLICY.PDF FACILITY 1, GOOD SHEPHERD HEALTH CARE SYSTEM - PART V, LINE 20E THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECA'S). 3 GOOD SHEPHERD MEDICAL GROUP 610 NW 11TH STREET HERMISTON OR 97838 CLINIC VANGE JOHN MEMORIAL HOSPICE 610 NW 11TH STREET HERMISTON OR 97838 HOSPICE GOOD SHEPHERD HOME HEALTH 610 NW 11TH STREET HERMISTON OR 97838 HOME HEALTH SCHEDULE H, PART I, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL ALSO USES THE FOLLOWING FACTORS TO DETERMINE FREE OR DISCOUNTED CARE: ASSET LEVEL AND MEDICAL INDIGENCY. SCHEDULE H, PART III, LINE 2 THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON SCHEDULE H, PART III, LINE 2 INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE. SCHEDULE H, PART III, LINE 3 MANAGEMENT CONSIDERS HISTORICAL WRITE-OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION. THE ESTIMATE OF BAD DEBT ATTRIBUTABLE TO CHARITY PATIENTS IS BASED ON AN OVERALL CHARITY CARE PERCENTAGE OF GROSS REVENUE. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 5 ON PAGE 15 OF THE AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE PROVISION FOR BAD DEBTS. SCHEDULE H, PART III, LINE 8 GOOD SHEPHERD PROVIDES SERVICES TO MEDICARE PATIENTS EVEN THOUGH THERE IS A SHORTFALL BECAUSE ACCESS TO HEALTHCARE AND INDIVIDUAL'S HEALTH IS IMPORTANT. THE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. BOTH THE TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. SCHEDULE H, PART III, LINE 9B THE HOSPITAL'S COLLECTION PROCEDURES REQUIRE A FINANCIAL ADVISOR TO WORK WITH ANY PATIENT WHO IS IDENTIFIED AS POTENTIALLY BEING ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SENDING THE ACCOUNT TO COLLECTION. IF DURING THE COURSE OF THE COLLECTION PROCESS THE COLLECTION AGENCY DETERMINES AN ACCOUNT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, IT IS REFERRED BACK TO THE HOSPITAL FOR FURTHER DISCUSSION WITH THE PATIENT OR FOR WRITE-OFF. ALL FURTHER COLLECTION ACTION IS CEASED. SCHEDULE H, PART VI, LINE 2 GOOD SHEPHERD HEALTH CARE SYSTEM CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR MORROW AND UMATILLA COUNTIES. THE ASSESSMENT INCLUDED INPUT FROM REPRESENTATIVES OF 24 COMMUNITY ORGANIZATIONS AND STAKEHOLDERS, REFLECTING A BROAD RANGE OF HEALTH, SOCIAL SERVICE, AND COMMUNITY-BASED ORGANIZATIONS. OUR COMMUNITY HEALTHCARE NEEDS ASSESSMENT PROCESS HAS FIVE COMPONENTS THAT ARE CONDUCTED EVERY THIRD YEAR: 1. THE ONGOING COLLECTION AND EVALUATION OF COMMUNITY FEEDBACK FROM PATIENT SURVEYS AND COMMENT FORMS. 2. PATIENT AND COMMUNITY MEMBER HEALTHCARE NEEDS INPUT, INCLUDING KEY INFORMANT AND COMMUNITY OUTREACH EFFORTS. 3. A HEALTHCARE NEEDS SURVEY COMPLETED BY EMPLOYERS AND OTHER COMMUNITY LEADERS. 4. A FORMAL TELEPHONE AND ONLINE COMMUNITY HEALTH SURVEY. 5. A DEMOGRAPHIC AND SECONDARY DATA STUDY USING PUBLIC HEALTH AND OTHER RELEVANT DATA SOURCES. HARD COPIES OF THE LATEST COMMUNITY HEALTH NEEDS ASSESSMENT ARE AVAILABLE UPON REQUEST WITHOUT CHARGE AND ALSO POSTED ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: HTTP://WWW.GSHEALTH.ORG/CHNA HARD COPIES OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH IMPLEMENTATION PLAN ARE AVAILABLE UPON REQUEST WITHOUT CHARGE AND ALSO POSTED ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: HTTP://WWW.GSHEALTH.ORG/CHNA SCHEDULE H, 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 REGIMEN. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS PROVIDED IN WRITING TO THE PATIENTS UPON REQUEST, AND WHEN THE HOSPITAL IS ABLE TO IDENTIFY A POTENTIAL FAP-ELIGIBLE INDIVIDUAL UPON ADMISSIONS. SCHEDULE H, 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, GOOD SHEPHERD HOME HEALTH, GOOD SHEPHERD MEDICAL GROUP, AND GOOD SHEPHERD CLINIC PHARMACY. GOOD SHEPHERD SERVES A CORE POPULATION OF ALMOST 80,000 PEOPLE IN THE CITY OF HERMISTON, OREGON, AND IN MANY OUTLYING SMALLER TOWNS WITHIN A ROUGHLY 50-MILE RADIUS. THIS POPULATION IS LARGELY RURAL, WITH AGRICULTURE DOMINATING INDUSTRIAL ENTERPRISES. 12.4% OF RESIDENTS HAVE INCOMES BELOW FEDERAL POVERTY GUIDELINES. 30.1% OF RESIDENTS IDENTIFY AS NONWHITE HISPANIC ETHNICITY, WITH A SIZABLE NUMBER OF SPANISH PRIMARY SPEAKERS. SCHEDULE H, PART VI, LINE 5 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. 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. WE OPERATE A FULLY STAFFED 24-HOUR EMERGENCY ROOM, AVAILABLE TO THE PUBLIC REGARDLESS OF ABILITY TO PAY. 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. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 OREGON true GOOD SHEPHERD COM HEALTH FOUND 610 NW 11TH STREET HERMISTON OR 97838 931170546 501C3 260250 FINANCIAL SUPPORT BLUE MOUNTAIN COMMUNITY COLLEGE 975 SE COLUMBIA DRIVE HERMISTON OR 97838 930506536 GOV 65000 NURSING PROGRAM 2 SCHOLARSHIPS 15 105465 SCHEDULE I, PAGE 1, PART I, LINE 2 REQUESTS FOR FINANCIAL ASSISTANCE ARE APPROVED BY THE BOARD PRIOR TO DISBURSEMENT. ORGANIZATIONS RECEIVING AN AWARD MUST SIGN AN AGREEMENT CONFIRMING THAT THE FUNDS WILL BE USED FOR THE PURPOSE OUTLINED IN THEIR GRANT APPLICATION BEFORE ANY FUNDS ARE DISTRIBUTED. GRANTS AWARDED TO GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION, A RELATED ORGANIZATION THAT IS TAX-EXEMPT UNDER SECTION 501(C)(3), ARE REQUIRED TO SUBMIT REGULAR REPORTS UNTIL ALL FUNDS HAVE BEEN SPENT. THESE REPORTS ARE REVIEWED DURING FOUNDATION MEETINGS, WHICH ARE ATTENDED BY BOARD MEMBERS WHO SERVE ON BOTH THE HOSPITAL AND FOUNDATION BOARDS. THERE ARE NO REPORTING REQUIREMENTS FOR THE OTHER ORGANIZATIONS LISTED ON SCHEDULE I TO SUBMIT REPORTS TO THE HOSPITAL. X true true X X X X false false false false false false false true false ANN RUST SURGEON 1125136 56950 1012 109904 39270 1332272 DAVID MACCABEE SURGEON 1091567 56285 1012 98361 8575 1255800 JAMES WHITTUM ORTHOPEDIC SURGEON 811660 74226 828 104034 23866 1014614 FADI AKOUM NEPHROLOGIST 814816 101126 1012 53500 22356 992810 TAYLOR DELAMARTER HOSPITALIST 709121 22511 831 23000 15078 770541 ARTHUR MATHISEN CEO 480582 92500 1012 53500 32449 660043 JONATHAN EDWARDS COO/CFO 371714 66739 1012 70101 45564 555130 SCHEDULE J, PAGE 1, PART I, LINE 1A HOUSING AND ALLOWANCE, ANN RUST, INCLUDED IN TAXABLE COMPENSATION. HOUSING AND ALLOWANCE, DAVID MACCABEE, INCLUDED IN TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 7 AT THE END OF THE FISCAL YEAR THE BOARD DETERMINES THE AMOUNT OF FUNDS THAT WILL BE DISBURSED FOR BONUSES BASED ON THE ACHIEVEMENT OF SPECIFIED GOALS. MANAGEMENT THEN DETERMINES THE PERCENTAGE OF BONUSES ALLOCATED TO EACH LEVEL AND EACH INDIVIDUAL. THE HOSPITAL MAY ALSO PAY THE CEO A DISCRETIONARY ANNUAL BONUS IN AN AMOUNT TO BE DETERMINED BY THE BOARD OR COMMITTEE BASED UPON THE CEO'S ANNUAL REVIEW. NANCY MABRY BOARD MEMBER 485335 COLLECTION SERVICES false SCHEDULE L, PART V PART IV, LINE 1: CREDITS INC. IS A COLLECTION SERVICE AGENCY USED BY GSHCS WHICH IS CONTROLLED BY A BOARD MEMBER. FORM 990, PART III RECOGNIZING OUR MISSION TO THE COMMUNITY, SERVICES WERE ALSO PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS DURING THE YEAR WAS 154,877,728. THE UNREIMBURSED AMOUNTS ARE 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. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE CFO AND CONTROLLER WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE FORM 990. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, 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. THESE DISCLOSURES ARE REVIEWED AND DETERMINED TO EXIST OR NOT TO EXIST BY THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO'S COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BASED ON SURVEY INFORMATION. THIS PROCESS IS COMPLETED ANNUALLY IN THE MONTH OF MAY. THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED BY THE CEO BASED ON SURVEY INFORMATION. THIS PROCESS IS COMPLETED ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, SECTION B, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES 31,857,689 11,060,847 9,198 FORM 990, PART XI, LINE 9 NET ASSETS RELEASED FROM RESTRICTION -199,155 GOOD SHEPHERD COM HEALTH FOUND 610 NW 11TH STREET HERMISTON OR 97838 931170546 FUNDRAISE OR 501C3 7 GSHCS true GOOD SHEPHERD MEDICAL SERVICE CORP 610 NW 11TH STREET HERMISTON OR 97838 930688940 PHARMACY OR GSHCS C CORP 11863011 13368842 1.00000 true true true true false false false false false false false true false false true true true false false false GOOD SHEPHERD MEDICAL SERVICE CORP A 1331802 CASH GOOD SHEPHERD COM HEALTH FOUND B 260250 CASH GOOD SHEPHERD MEDICAL SERVICE CORP K 599334 CASH GOOD SHEPHERD COM HEALTH FOUND O 194907 CASH GOOD SHEPHERD COM HEALTH FOUND P 54578 CASH