2013-11-15T08:17:32-06:00 2012-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2012-01-01 200586022 GRITMAN MEDICAL CENTER FOUNDATION INC GRIT 2088824511 700 S MAIN ST MOSCOW ID 83843 MICHELLE SPAIN 2088824511 2013-11-15 1 TERRI REXRODE CPA MST P00096513 9206620016 2013-11-15 2012 2016-02-25 16:41:14Z MICHELLE SPAIN 700 S MAIN ST MOSCOW ID 83843 368567 0 X WWW.GRITMAN.ORG/FOUNDATION-ABOUT.ASPX X 2003 ID TO SUPPORT AND PROMOTE THE MISSION OF GRITMAN MEDICAL CENTER, A HOSPITAL ORGANIZED UNDER SECTION 501(C)(3), INCLUDING FACILITATING SOURCES OF SUPPORT OUTSIDE OF PATIENT FEES TO SUPPLEMENT THE GROWING NEEDS AND EQUIPMENT DUE TO IMPROVEMENTS IN TECHNOLOGY AND MEDICAL SERVICES AND PROVIDING COMMUNITY SERVICE, EDUCATION AND OUTREACH PROGRAMS TO THE PUBLIC REGARDING HEALTHCARE ISSUES. 15 13 0 121 0 0 304754 234060 0 0 11029 65144 53187 59085 368970 358289 0 202627 0 0 110847 146143 0 0 0 195257 31544 306104 380314 62866 -22025 1659774 1866178 0 188470 1659774 1677708 THE FOUNDATION COORDINATES EFFORTS TO ASSIST THE HOSPITAL IN SPECIFIC EQUIPMENT PURCHASES, AWARDING SCHOLARSHIPS FOR DEGREES IN THE MEDICAL FIELD, AND RAISING AWARENESS FOR RELATED HEALTH-CARE ISSUES. 0 0 380314 202627 THE FOUNDATION COORDINATES EFFORTS TO ASSIST THE HOSPITAL IN SPECIFIC EQUIPMENT PURCHASES, AWARDING SCHOLARSHIPS FOR DEGREES IN THE MEDICAL FIELD, AND RAISING AWARENESS FOR RELATED HEALTH CARE ISSUES. 380314 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 ID X PRESTON BECKER 2088832220 700 SOUTH MAIN MOSCOW ID 83843 NANCY LYLE 2.00 X 0 0 0 BARBARA BULL 1.00 X 0 0 0 JUSTIN MINDEN 1.00 40.00 X 0 75797 21385 DONALD BERRY 1.00 X 0 0 0 BJ SWANSON 1.00 X 0 0 0 BRIAN FREI 1.00 40.00 X 0 92774 10554 TERRY ARMSTRONG 1.00 X 0 0 0 CINDY BARNHART 1.00 X 0 0 0 GREG KIMBERLING 1.00 X 0 0 0 JOANNE EVANS 1.00 X 0 0 0 CONNIE ESSER 1.00 X 0 0 0 MICHELLE SPAIN 2.00 X X 0 0 0 PAM HAYS 1.00 X X 0 0 0 AARON RANISATE 1.00 X X 0 0 0 JANE PETERSON GOETSCHEL 1.00 X X 0 0 0 HEIDI LINEHAN 0.00 40.00 X 0 79990 18196 0 248561 50135 0 0 0 0 0 234060 234060 65144 65144 69363 10278 59085 59085 358289 0 0 124229 183377 183377 19250 19250 115766 115766 30377 30377 1151 1151 2436 2436 9531 9531 7947 7947 MISCELLANEOUS 10479 10479 380314 380314 0 0 193292 291416 33209 1466482 1541553 1659774 1866178 188470 0 188470 X 1365923 1304785 293851 268204 104719 1659774 1677708 1659774 1866178 -22025 82429 -42470 0 X X 0 1 X 1 0 X 228822 1213354 616567 304754 234060 2597557 228822 1213354 616567 304754 234060 2597557 2597557 1721 547 61256 11029 65144 139697 2737254 131640 0.94900 0.96070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 293851 218544 139472 372923 0.28080 0.71920 0 0 0 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE FUNDS OF $104,719 WERE DONATED TO THE FOUNDATION FOR USE OF HEALTHCARE SCHOLARSHIPS. OTHER INTENDED USES OF FUNDS INCLUDE HELPING HANDS, LIGHT A CANDLE, AND OTHER PURPOSES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: 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. MANAGEMENT DOES NOT BELIEVE THE GRITMAN MEDICAL CENTER FOUNDATION, INC. HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE MEDICAL CENTER IS ALSO ENGAGED, TO A LIMITED EXTENT, IN ACTIVITIES WHICH THE INTERNAL REVENUE SERVICE CONSIDERS UNRELATED TO THE MEDICAL CENTERS 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 BASIS 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 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PINK TEA 35535 35535 5751 OPEN YOUR HEART 21442 21442 1394 2 12386 12386 3133 69363 69363 10278 10278 59085 1 GRTIMAN MEDICAL CENTER 700 S MAIN STREET MOSCOW ID 83843 820146328 501(C)(3) 38067 GENERAL OPERATIONS 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: WHEN GRANT FUNDS ARE RECEIVED THEY ARE PLACED IN THEIR OWN FUND ACCOUNT AND TRACKED TO MAKE SURE THEY ARE SPENT IN ACCORDANCE WITH THE GRANT. SCHEDULE I, PART III NO GRANTS OVER $5,000 WERE PAID OUT TO INDIVIDUALS DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS GRITMAN MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A GRITMAN MEDICAL CENTER HAS THE POWER TO FIX THE NUMBER OF THE FOUNDATION'S BOARD OF DIRECTORS, APPROVE THE SLATE OF THE DIRECTORS, AND REMOVE SUCH DIRECTORS AT ANY TIME WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7B GRITMAN MEDICAL HAS THE POWER TO: -ADOPT OR CHANGE THE MISSION, PHILOSOPHY, VALUES OR FUNDAMENTAL POLICIES RELATED THERETO -TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS -TO APPROVE THE DISSOLUTION AND/OR LIQUIDATION -TO APPROVE THE CONSOLIDATION OR MERGER -TO APPROVE ANY ANNUAL OR LONG-TERM STRATEGIC PLAN AND ANT SIGNIFICANT DEVIATION THERE FROM FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST STATEMENT ANNUALLY. BOARD CONFLICTS ARE REVIEWED BY THE GRITMAN MEDICAL CENTER CEO AND THE CONFLICTED MEMBER ABSTAINS FROM VOTING. THROUGH THE HOSPITAL BUDGETING PROCESS ALL SALARIES ARE REVIEWED AND APPROVED BY CEO AND CFO AND THE HOSPITAL BOARD OF DIRECTORS WITH THE APPROVAL OF THE BUDGET. WE ALSO USE COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990,PART VI, SECTION B, LINES 13 AND 14: THE FOUNDATION HAS ADOPTED THE WRITTEN WHISTLEBLOWER POLICY AND WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY OF GRITMAN MEDICAL CENTER, A RELATED PARTY. FORM 990, PART VI, LINE 15 THROUGH THE HOSPITAL BUDGETING PROCESS ALL SALARIES ARE REVIEWED AND APPROVED BY CEO AND CFO AND THE GRITMAN MEDICAL CENTER, A RELATED PARTY, BOARD OF DIRECTORS WITH THE APPROVAL OF THE BUDGET. WE ALSO USE COMPARABILITY DATA. FORM 990, PART XII, LINE 2C: REQUESTS FOR PROPOSALS ARE SENT OUT TO MULTIPLE AUDITING FIRMS EVERY 3 YEARS. THE CEO, CFO, AND BOARD MEMBERS LOOK OVER THE PROPOSALS AND CHOOSE THE APPROPRIATE ACCOUNTING FIRM TO CONDUCT THE AUDIT. GRITMAN MEDICAL CENTER 700 S MAIN STREET MOSCOW ID 83843 820146328 GENERAL ACUTE CARE HOSPITAL ID 501(C)3 LINE 3 N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0