2024-08-09T22:06:53-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-10-01 930223960 ASANTE ASAN 5417895590 2650 SISKIYOU BLVD MEDFORD OR 97504 HEATHER ROWENHORST CFO 5417895098 2024-08-06 1 1 KURT BENNION CPA P01469618 4252506100 2024-08-06 2022 2024-08-08 14:25:15Z TOM GESSEL 2650 SISKIYOU BLVD MEDFORD OR 97504 1266371453 0 X WWW.ASANTE.ORG X 1938 OR PROVIDE QUALITY HEALTHCARE SERVICES WITH COMPASSION TO THE COMMUNITIES WE SERVE. 14 13 6319 288 4232107 0 32044993 1578620 1038626328 1089570387 40338747 29179576 5084494 4721679 1116094562 1125050262 240200 226200 0 0 537132743 582484378 0 0 0 564126822 515205406 1101499765 1097915984 14594797 27134278 1797201731 1887298130 713688996 712617115 1083512735 1174681015 X ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 0 0 538230115 226200 742984688 ASANTE'S MAIN PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ASANTE ROGUE REGIONAL MEDICAL CENTER (ARRMC), A 378 LICENSED BED LEVEL II TRAUMA CENTER LOCATED IN MEDFORD, OREGON. DURING 2023, LEAPFROG AWARDED ASANTE ROGUE REGIONAL WITH AN "A" SAFETY SCORE. THE HOSPITAL ALSO RECEIVED AN AWARD FROM THE SOCIETY OF THORACIC SURGEONS FOR ASANTE CARDIOVASCULAR AND THORACIC SURGEONS' LOW MORTALITY RATE. KEY HOSPITAL INPATIENT SERVICES INCLUDE CANCER SERVICES, CARDIOVASCULAR SURGERY, AN INPATIENT CARDIAC CATHERIZATION LABORATORY, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, NEONATOLOGY, NEUROSCIENCES, OBSTETRICS, ORTHOPEDICS, PEDIATRICS, AND UROLOGY SERVICES. OTHER INPATIENT SERVICES INCLUDE BEHAVIORAL HEALTH, REHABILITATION, AND CRITICAL CARE SERVICES, INCLUDING THE REGION'S ONLY LEVEL 3 NEONATAL INTENSIVE CARE UNIT. KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LABORATORY TESTING AND DIAGNOSIS, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING, SLEEP SERVICES, HOSPICE, AND VARIOUS THERAPIES, INCLUDING BEHAVIORAL, OCCUPATIONAL, PHYSICAL, AND SPEECH. DURING FISCAL YEAR 2023, ASANTE ROGUE REGIONAL DISCHARGED 20,298 INPATIENT AND OBSERVATION PATIENTS, HAVING PROVIDED CARE FOR A TOTAL OF 111,932 PATIENT DAYS. THE EMERGENCY ROOM TREATED 50,717 PATIENTS. SURGICAL SERVICES PERFORMED 9,723 INPATIENT AND OUTPATIENT SURGERIES AND 1,521 BABIES WERE DELIVERED. ASANTE ROGUE REGIONAL PROVIDED 24,674 HOSPICE VISITS, 118,632 VISITS TO THE VARIOUS REHAB UNITS, 108,045 VISITS TO IMAGING AND 302,822 OUTPATIENT VISITS TO OTHER SPECIALTY SERVICE AREAS SUCH AS LABORATORY SERVICE, CARDIAC REHABILITATION, WOUND CARE, THE CARDIAC PACING CLINIC AND INFUSION. 190700230 0 280921282 ASANTE'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ASANTE THREE RIVERS MEDICAL CENTER (ATRMC), A 125 LICENSED BED LEVEL III TRAUMA CENTER LOCATED IN GRANTS PASS, OREGON. ASANTE THREE RIVERS RECEIVED A GRADE "A" HOSPITAL SAFETY SCORE FROM LEAPFROG FOR THE SEVENTH CONSECUTIVE YEAR. SOME OF THE KEY INPATIENT SERVICES AVAILABLE AT ASANTE THREE RIVERS INCLUDE CANCER SERVICES, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, OBSTETRICS AND ORTHOPEDICS. SOME OF THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, IMMEDIATE CARE, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, CARDIOPULMONARY SERVICES, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING AND VARIOUS THERAPIES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH. DURING FISCAL YEAR 2023, ASANTE THREE RIVERS DISCHARGED 9,505 INPATIENT AND OBSERVATION PATIENTS, HAVING PROVIDED CARE FOR A TOTAL OF 37,207 PATIENT DAYS. THE EMERGENCY ROOM SAW 42,940 PATIENTS AND IMMEDIATE CARE SAW 14,153. THERE WERE 5,558 INPATIENT AND OUTPATIENT SURGERIES PERFORMED OVER THE COURSE OF THE YEAR AND 707 BABIES WERE DELIVERED. ASANTE THREE RIVERS REHAB DEPARTMENT HAD 57,365 VISITS TO THE VARIOUS UNITS AND THE COMBINED IMAGING DEPARTMENTS HAD OVER 110,000 INPATIENT AND OUTPATIENT VISITS. ASANTE THREE RIVERS HAD 161,077 OUTPATIENT VISITS FOR OTHER SPECIALTY SERVICE AREAS SUCH AS LABORATORY SERVICE, CARDIAC REHABILITATION, WOUND CARE, CATHETERIZATION LAB AND INFUSION. 46452769 0 64701860 ASANTE'S THIRD LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ASANTE ASHLAND COMMUNITY HOSPITAL (AACH), A 49 LICENSED BED HOSPITAL LOCATED IN ASHLAND, OREGON. DURING FY23, ASANTE ASHLAND ATTAINED BOTH BABY-FRIENDLY AND AGE-FRIENDLY HEALTH SYSTEM DESIGNATIONS, SUCCESSFULLY CONCLUDING A MULTI-YEAR PURSUIT TO QUALIFY FOR EACH CERTIFICATION AND IN THE PROCESS, ENHANCING CARE FOR PATIENTS ACROSS THE LIFESPAN. KEY INPATIENT SERVICES AVAILABLE AT ASANTE ASHLAND INCLUDE GENERAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, UROLOGY, GYNECOLOGY AND OBSTETRICS. SOME OF THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, IMAGING AND VARIOUS THERAPIES. DURING FISCAL YEAR 2023, ASANTE ASHLAND DISCHARGED 1,764 INPATIENT AND OBSERVATION PATIENTS FOR A TOTAL OF 7,330 PATIENT DAYS. THEY DELIVERED 227 BABIES AND HAD 12,315 VISITS TO THE EMERGENCY DEPARTMENT. ASANTE ASHLAND PERFORMED 1,861 INPATIENT AND OUTPATIENT SURGERIES. THE HOSPITAL HAD OVER 36,000 OUTPATIENT VISITS TO OTHER SPECIALTY SERVICE AREAS SUCH AS RADIOLOGY, RESPIRATORY THERAPY AND PHYSICAL THERAPY. 775383114 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 574 0 1 6319 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 14 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 0 OR X X HEATHER ROWENHORST 5417895098 2650 SISKIYOU BLVD MEDFORD OR 97504 SCOTT KELLY PRESIDENT & CEO (THROUGH FEB 23) 40.00 2.00 X 1366502 0 34800 GREG WOJTAL CAFO 40.00 2.00 X 793799 0 41400 JAMES GREBOSKY CMO & ACH CEO 40.00 1.00 X 664614 0 42000 MICK ZDEBLICK RRMC CEO 40.00 0.00 X 640628 0 44800 LEE MILLIGAN MD FORMER OFFICER 0.00 0.00 X 662392 0 18300 WIN HOWARD TRMC CEO 40.00 0.00 X 495369 0 46800 DENNIE CONRAD CSO 40.00 0.00 X 476000 0 46800 KRISTEN ROY LEGAL OFFICER 40.00 0.00 X 477632 0 36800 KEVIN KELLEHER MDES ARM/ED DOCTOR 40.00 0.00 X 464568 0 49800 AMANDA KOTLER CNO 40.00 0.00 X 447977 0 50800 SOMNATH GHOSH RRMC VP MEDICAL AFFAIRS 40.00 0.00 X 476969 0 20200 DANIELLE HOLTZ MD MEDICAL DOCTOR 40.00 0.00 X 456552 0 36800 DAVID KINYON CIO 40.00 0.00 X 420051 0 39800 COURTNEY WILSON MD MDES RRMC/ED PROVIDER 40.00 0.00 X 378696 0 49800 SUE HAGAR MD MEDICAL DOCTOR & TRUSTEE 2.00 40.00 X 0 282418 49300 HEATHER ROWENHORST CFO 40.00 2.00 X 273290 0 16945 ROY VINYARD - INTERIM PRESIDENT & CEO, TRUSTEE (THRU 9/23) 40.00 2.00 X 137500 0 7875 TOM GESSEL ASANTE CEO 40.00 2.00 X 0 0 0 PETER ANGSTADT PHD BOARD CHAIR 2.00 0.00 X X 0 0 0 PATRICIA WINTEMUTE VICE CHAIRPERSON 2.00 2.00 X X 0 0 0 KATE LASKY SECRETARY 2.00 0.00 X X 0 0 0 STEVE ROE TREASURER 2.00 0.00 X X 0 0 0 KEN TRAUTMAN TREASURER (THROUGH 7/01/23) 2.00 0.00 X X 0 0 0 SUSAN BINETTE TRUSTEE 2.00 0.00 X 0 0 0 CAROL CHRISTLIEB TRUSTEE 2.00 0.00 X 0 0 0 NICOLE COWLEY MD TRUSTEE 2.00 0.00 X 0 0 0 STEPHEN GAMBEE TRUSTEE 2.00 0.00 X 0 0 0 BRIAN GROSS MD TRUSTEE 2.00 2.00 X 0 0 0 TRAVIS HAMLYN TRUSTEE (THROUGH 12/31/22) 2.00 2.00 X 0 0 0 MATTHEW EMIL HIESTERMAN TRUSTEE (THROUGH 12/31/22) 2.00 0.00 X 0 0 0 DON KANIA TRUSTEE (THROUGH 2/07/23) 2.00 0.00 X 0 0 0 GARY MCCALLA TRUSTEE 2.00 0.00 X 0 0 0 CHRISTINA MEDINA TRUSTEE 2.00 0.00 X 0 0 0 JOE PASTRANO MD TRUSTEE 2.00 0.00 X 0 0 0 DOUGLAS SCHMOR TRUSTEE 2.00 2.00 X 0 0 0 SANDRA SLATTERY TRUSTEE (THROUGH 6/01/23) 2.00 0.00 X 0 0 0 JONATHAN WOOD MD TRUSTEE (THROUGH 12/31/22) 2.00 0.00 X 0 0 0 8632539 282418 633020 1207 1 1 0 ANDERSEN CONSTRUCTION CO OF OR 6712 N CUTTER CIR PORTLAND OR 97217 CONSTRUCTION SERVICES 72192891 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET SUITE 420 OMAHA NE 68154 STAFFING SERVICES 69403373 SOUTHERN OREGON CARDIOLOGY LLC 520 MEDICAL CENTER 200 MEDFORD OR 97504 CARDIAC SERVICES 24107882 ANESTHESIA ASSOCIATES OF MEDFORD 842 E MAIN STREET MEDFORD OR 97504 PHYSICIAN SERVICES 19492654 HEMATOLOGY ONCOLOGY ASSOCIATES 3011 E BARNETT ROAD MEDFORD OR 97504 PHYSICIAN SERVICES 16662072 40 1217032 81496 280092 1578620 HOSPITAL SERVICES 621110 1071953431 1070990874 962557 OTHER OPERATING INCOME 900099 11665589 11665589 NUTRITION SERVICES 621990 4531046 4531046 JOINT VENTURE INCOME 621990 1420321 1420321 1089570387 18023718 18023718 1402462 0 1402462 1402462 1402462 133283393 7140862 124682501 4585896 8600892 2554966 11155858 11155858 15322344 12052794 3269550 3269550 MISCELLANEOUS INCOME 900099 49667 49667 49667 1125050262 1088607830 4232107 30631705 X 226200 226200 6150084 6150084 429233507 295153398 134080109 20364563 17019062 3345501 95040425 67085406 27955019 31695799 23176134 8519665 4653595 4653595 356848 356848 1359716 1359716 109942942 97754008 12188934 736166 15992 720174 4177439 801088 3376351 47819571 5343023 42476548 13009517 1155725 11853792 995156 511318 483838 374159 329043 45116 5817485 5817485 41179441 360611 40818830 1894019 9910 1884109 MEDICAL SUPPLIES 231563163 232270597 -707434 REPAIRS & MAINTENANCE 16774420 10179445 6594975 BAD DEBT EXPENSE 15936190 15936190 0 MINOR EQUIPMENT 8021203 3296915 4724288 10594376 3399333 7195043 1097915984 775383114 322532870 0 32504926 53083212 165926671 148950256 0 0 0 0 24258953 29874060 17368108 14599657 15960506 18758648 1337832308 596521546 652387272 741310762 594569155 606222405 6666585 6577842 12195 12195 287547360 267909093 1797201731 1887298130 45000417 43983881 318247 529955505 520223797 28661584 24855058 110071490 123236132 713688996 712617115 X 1083512735 1174681015 1083512735 1174681015 1797201731 1887298130 27134278 64034002 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 1 68479 0 0 1 49500 117979 0 PART II-B, LINE 1: ASANTE MAINTAINS MEMBERSHIPS IN THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL ASSOCIATION OF OREGON (HAO). DURING THE FISCAL YEAR, ASANTE PAID MEMBERSHIP DUES TO THE AHA AND HAO OF $92,047 AND $286,941 RESPECTIVELY. 32% OF AHA DUES AND 13.6% OF HAO DUES WENT FOR LOBBYING PURPOSES DURING CALENDAR YEAR 2023. THUS, ASANTE MADE INDIRECT LOBBYING EXPENDITURES OF $68,479 THROUGH ITS MEMBERSHIP DUES. ALSO, ASANTE PAID JOHN WATT AND ASSOCIATES (JWA) $49,500 FOR SPECIFIC ISSUES LOBBYING DURING THE TAX YEAR. JWA IS AN ADVOCATE FOR ASANTE AND SPECIALIZES IN BALLOT PROPOSITIONS AFFECTING THE HEALTHCARE INDUSTRY. 7635097 26000 306846 295064 7672879 7562672 25000 370297 322872 7635097 7035242 286934 402584 162088 7562672 6379534 882339 243395 470026 7035242 6085738 102373 472807 210613 6379534 0.07980 0.89930 0.02090 0 1 1 29564293 29564293 436290001 253458374 182831627 38551680 11305313 27246367 410935274 329544754 81390520 422491060 2213105 420277955 741310762 INTERCOMPANY RECEIVABLE 245785383 ASSETS RESTRICTED AS TO USE 112 OTHER ASSETS 22123598 267909093 SELF-INSURANCE RESERVE 22217853 REIMBURSEMENTS DUE TO GOVT AGENCIES & THIRD PARTIES 15587559 PAYROLL / BENEFITS PAYABLE 37633240 OTHER LIABILITIES 47797480 123236132 X PART V, LINE 4: THE ASANTE FOUNDATION, A 501(C)(3) ORGANIZATION, IS DIRECTLY RELATED TO AND CONTROLLED BY ASANTE. IT IS IDENTIFIED ON SCHEDULE R, PART II AS A RELATED TAX-EXEMPT ORGANIZATION. THE ASANTE FOUNDATION MAINTAINS THE ASSETS OF 15 DIFFERENT ENDOWMENTS WITH A NET WORTH OF OVER $26.0 MILLION. THE CORPUS OF THE ENDOWMENTS IS TO REMAIN INTACT AND INVESTED IN MARKETABLE SECURITIES AND OTHER FINANCIAL INSTRUMENTS. AT THE END OF EACH FISCAL YEAR, ANY INVESTMENT INCOME GENERATED FROM THE ENDOWMENTS IS RELEASED TO ASANTE. THE INCOME RECEIVED IS USED TO SUBSIDIZE NUMEROUS PROGRAMS, INCLUDING THE RRMC HOSPICE, PHYSICIAN AND NURSING EDUCATION, CHILDREN'S HEALTH, ONCOLOGY PROGRAMS, AND SUPPORT OF THE FRANCIS CHENEY AND THREE RIVERS FAMILY HOUSES. PART X, LINE 2: ASANTE HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) STATING THAT IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC), EXCEPT FOR UNRELATED BUSINESS INCOME. MANAGEMENT BELIEVES ASANTE IS OPERATED IN A MANNER THAT QUALIFIES FOR TAX-EXEMPT STATUS. INCOME TAXES ARE PROVIDED FOR THE TAX EFFECTS OF TRANSACTIONS RELATED TO ASANTE'S TAX-EXEMPT PURPOSE REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY ASANTE AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF ASANTE HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY ASANTE AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. ASANTE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, NO SUCH AUDITS ARE CURRENTLY IN PROCESS. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 9677226 2277271 7399955 0.00680 264331730 215007867 49323863 0.04560 60309556 47585547 12724009 0.01180 334318512 264870685 69447827 0.06420 62 11196 7305809 668000 6637809 0.00610 12 596 2834876 1625 2833251 0.00260 9 12452057 8394557 4057500 0.00380 3 232 149488 30000 119488 0.00010 8 306 473168 10200 462968 0.00040 94 12330 23215398 9104382 14111016 0.01300 94 12330 357533910 273975067 83558843 0.07720 1 15936190 2167321 237314801 318533467 -81218666 X 1 1 1 CVI MANAGEMENT CO LLC MANAGEMENT SERVICES 0.25000 0.00000 0.75000 2 CVI REAL PROPERTY PROPERTY MANAGEMENT 0.25000 0.00000 0.75000 3 SURGERY CENTER OF SOUTHERN OREGON OUTPATIENT SURGERIES 0.20000 0.00000 0.80000 3 1 ASANTE ROGUE REGIONAL MEDICAL CENTER 2825 E BARNETT ROAD MEDFORD OR 97504 WWW.ASANTE.ORG 14-0451 X X X 2 ASANTE THREE RIVERS MEDICAL CENTER 500 SW RAMSEY AVENUE GRANTS PASS OR 97527 WWW.ASANTE.ORG 14-1439 X X X 3 ASANTE ASHLAND COMMUNITY HOSPITAL 280 MAPLE STREET ASHLAND OR 97520 WWW.ASANTE.ORG 14-1445 X X X ASANTE ROGUE REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X SEE LINE 7D X X 1 22 1 WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 300.000000000000 400.000000000000 X X X 1 1 X X X 1 X SEE LINE 16J X SEE LINE 16J X SEE LINE 16J X X X X X X X 1 X 0 X X X X 1 X 0 0 ASANTE THREE RIVERS MEDICAL CENTER 2 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X SEE LINE 7D X X 1 22 1 WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 300.000000000000 400.000000000000 X X X 1 1 X X X 1 X SEE LINE 16J X SEE LINE 16J X SEE LINE 16J X X X X X X X 1 X 0 X X X X 1 X 0 0 ASANTE ASHLAND COMMUNITY HOSPITAL 3 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X SEE LINE 7D X X 1 22 1 WWW.ASANTE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 300.000000000000 400.000000000000 X X X 1 1 X X X 1 X SEE LINE 16J X SEE LINE 16J X SEE LINE 16J X X X X X X X 1 X 0 X X X X 1 X 0 0 ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE ROGUE REGIONAL MEDICAL CENTER, ASANTE ASHLAND COMMUNITY HOSPITAL AND ASANTE THREE RIVERS MEDICAL CENTER PARTNERED WITH PROVIDENCE MEDFORD MEDICAL CENTER TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2022. THE HOSPITALS CONDUCTED A COMMUNITY HEALTH SURVEY THAT RECEIVED 1,261 ENGLISH RESPONSES AND 62 SPANISH RESPONSES FROM WITHIN ASANTE'S PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, AS WELL AS A KEY INFORMANT SURVEY THAT RECEIVED 19 RESPONSES ACROSS THE TWO COUNTIES. AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, ASANTE AND PROVIDENCE ALSO CONTRACTED WITH THE REDE GROUP TO CONDUCT KEY INFORMANT STAKEHOLDER INTERVIEWS AND COMMUNITY LISTENING SESSIONS, ENGAGING A TOTAL OF 12 KEY INFORMANTS AND 68 COMMUNITY MEMBERS IN PROVIDING FEEDBACK ON COMMUNITY STRENGTHS, CHALLENGES AND PRIORITY HEALTH CONCERNS. THE HOSPITALS WORKED CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS TO ENSURE REPRESENTATION OF PEOPLE WITH A VARIETY OF IDENTITIES AND EXPERIENCES INCLUDING OLDER ADULTS, YOUNG PEOPLE, PEOPLE WHO IDENTIFY AS LGBTQIA+, HISPANIC/LATINX PEOPLE, PEOPLE OF COLOR, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE EXPERIENCING MENTAL ILLNESS AND SUBSTANCE USE CONCERNS. COMMUNITY ORGANIZATIONS WERE EXTENDED OPPORTUNITIES TO ENGAGE IN SEVERAL LEVELS OF PARTICIPATION, INCLUDING COORDINATION OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND SURVEYS AND COMMUNITY HEALTH SURVEY ADMINISTRATION VIA PAPER OR ELECTRONIC INSTRUMENT. DUE TO CONTINUING RAMIFICATIONS OF THE COVID PANDEMIC, INCLUDING STAFFING ISSUES AND INCREASED SERVICE DEMANDS, NOT ALL ORGANIZATIONS APPROACHED FOR PARTICIPATION THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WERE ABLE TO ALLOCATE STAFF TO PARTICIPATE. COMMUNITY ORGANIZATIONS WHO OFFERED DIRECT INPUT TO THE CHNA PROCESS WERE: ADDICTIONS RECOVERY CENTER, ASHLAND POLICE DEPARTMENT, CITY OF MEDFORD, GRANTS PASS POLICE DEPARTMENT, HEARTS WITH A MISSION, JACKSON COUNTY MENTAL HEALTH, JACKSON COUNTY PUBLIC HEALTH, LA CLINICA, MASLOW PROJECT, MEDFORD SCHOOL DISTRICT, NATIONAL ALLIANCE ON MENTAL HEALTH SOUTHERN OREGON, PATHWAY ENTERPRISES, ROGUE RETREAT, ROGUE RIVER SCHOOL DISTRICT, ROGUE VALLEY COUNCIL OF GOVERNMENTS (SENIOR AND DISABILITY SERVICES), ROGUE VALLEY TRANSPORTATION DISTRICT, ROGUE VALLEY FAMILY YMCA, SOUTHERN OREGON SUCCESS, UNITED COMMUNITY ACTION NETWORK AND UNITED WAY OF JACKSON COUNTY. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE THREE RIVERS MEDICAL CENTER, ASANTE ROGUE REGIONAL MEDICAL CENTER AND ASANTE ASHLAND COMMUNITY HOSPITAL PARTNERED WITH PROVIDENCE MEDFORD MEDICAL CENTER TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2022. THE HOSPITALS CONDUCTED A COMMUNITY HEALTH SURVEY THAT RECEIVED 1,261 ENGLISH RESPONSES AND 62 SPANISH RESPONSES FROM WITHIN ASANTE'S PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, AS WELL AS A KEY INFORMANT SURVEY THAT RECEIVED 19 RESPONSES ACROSS THE TWO COUNTIES. AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, ASANTE AND PROVIDENCE ALSO CONTRACTED WITH THE REDE GROUP TO CONDUCT KEY INFORMANT STAKEHOLDER INTERVIEWS AND COMMUNITY LISTENING SESSIONS, ENGAGING A TOTAL OF 12 KEY INFORMANTS AND 68 COMMUNITY MEMBERS IN PROVIDING FEEDBACK ON COMMUNITY STRENGTHS, CHALLENGES AND PRIORITY HEALTH CONCERNS. THE HOSPITALS WORKED CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS TO ENSURE REPRESENTATION OF PEOPLE WITH A VARIETY OF IDENTITIES AND EXPERIENCES INCLUDING OLDER ADULTS, YOUNG PEOPLE, PEOPLE WHO IDENTIFY AS LGBTQIA+, HISPANIC/LATINX PEOPLE, PEOPLE OF COLOR, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE EXPERIENCING MENTAL ILLNESS AND SUBSTANCE USE CONCERNS. COMMUNITY ORGANIZATIONS WERE EXTENDED OPPORTUNITIES TO ENGAGE IN SEVERAL LEVELS OF PARTICIPATION, INCLUDING COORDINATION OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND SURVEYS AND COMMUNITY HEALTH SURVEY ADMINISTRATION VIA PAPER OR ELECTRONIC INSTRUMENT. DUE TO CONTINUING RAMIFICATIONS OF THE COVID PANDEMIC, INCLUDING STAFFING ISSUES AND INCREASED SERVICE DEMANDS, NOT ALL ORGANIZATIONS APPROACHED FOR PARTICIPATION THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WERE ABLE TO ALLOCATE STAFF TO PARTICIPATE. COMMUNITY ORGANIZATIONS WHO OFFERED DIRECT INPUT TO THE CHNA PROCESS WERE: ADDICTIONS RECOVERY CENTER, ASHLAND POLICE DEPARTMENT, GRANTS PASS POLICE DEPARTMENT, JACKSON COUNTY PUBLIC HEALTH, LA CLINICA, MASLOW PROJECT, OPTIONS OF SOUTHERN OREGON, ROGUE RETREAT, ROGUE VALLEY COUNCIL OF GOVERNMENTS (SENIOR AND DISABILITY SERVICES), ROGUE VALLEY TRANSPORTATION DISTRICT, UNITED COMMUNITY ACTION NETWORK AND UNITED WAY OF JACKSON COUNTY. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ASANTE ASHLAND COMMUNITY HOSPITAL, ASANTE ROGUE REGIONAL MEDICAL CENTER AND ASANTE THREE RIVERS MEDICAL CENTER PARTNERED WITH PROVIDENCE MEDFORD MEDICAL CENTER TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2022. THE HOSPITALS CONDUCTED A COMMUNITY HEALTH SURVEY THAT RECEIVED 1,261 ENGLISH RESPONSES AND 62 SPANISH RESPONSES FROM WITHIN ASANTE'S PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, AS WELL AS A KEY INFORMANT SURVEY THAT RECEIVED 19 RESPONSES ACROSS THE TWO COUNTIES. AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, ASANTE AND PROVIDENCE ALSO CONTRACTED WITH THE REDE GROUP TO CONDUCT KEY INFORMANT STAKEHOLDER INTERVIEWS AND COMMUNITY LISTENING SESSIONS, ENGAGING A TOTAL OF 12 KEY INFORMANTS AND 68 COMMUNITY MEMBERS IN PROVIDING FEEDBACK ON COMMUNITY STRENGTHS, CHALLENGES AND PRIORITY HEALTH CONCERNS. THE HOSPITALS WORKED CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS TO ENSURE REPRESENTATION OF PEOPLE WITH A VARIETY OF IDENTITIES AND EXPERIENCES INCLUDING OLDER ADULTS, YOUNG PEOPLE, PEOPLE WHO IDENTIFY AS LGBTQIA+, HISPANIC/LATINX PEOPLE, PEOPLE OF COLOR, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE EXPERIENCING MENTAL ILLNESS AND SUBSTANCE USE CONCERNS. COMMUNITY ORGANIZATIONS WERE EXTENDED OPPORTUNITIES TO ENGAGE IN SEVERAL LEVELS OF PARTICIPATION, INCLUDING COORDINATION OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND SURVEYS AND COMMUNITY HEALTH SURVEY ADMINISTRATION VIA PAPER OR ELECTRONIC INSTRUMENT. DUE TO CONTINUING RAMIFICATIONS OF THE COVID PANDEMIC, INCLUDING STAFFING ISSUES AND INCREASED SERVICE DEMANDS, NOT ALL ORGANIZATIONS APPROACHED FOR PARTICIPATION THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WERE ABLE TO ALLOCATE STAFF TO PARTICIPATE. COMMUNITY ORGANIZATIONS WHO OFFERED DIRECT INPUT TO THE CHNA PROCESS WERE: ADDICTIONS RECOVERY CENTER, ASHLAND POLICE DEPARTMENT, CHILDREN'S ADVOCACY CENTER OF JACKSON COUNTY, CITY OF ASHLAND, GRANTS PASS POLICE DEPARTMENT, JACKSON COUNTY PUBLIC HEALTH, LA CLINICA, MASLOW PROJECT, ROGUE RETREAT, ROGUE VALLEY COUNCIL OF GOVERNMENTS (SENIOR AND DISABILITY SERVICES), ROGUE VALLEY TRANSPORTATION DISTRICT, UNITED COMMUNITY ACTION NETWORK AND UNITED WAY OF JACKSON COUNTY. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGON, ASANTE THREE RIVERS MEDICAL CENTER IN GRANTS PASS, OREGON AND PROVIDENCE MEDFORD MEDICAL CENTER IN MEDFORD, OREGON. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 6A: ASANTE ASHLAND COMMUNITY HOSPITAL IN ASHLAND, OREGON, ASANTE ROGUE REGIONAL MEDICAL CENTER IN MEDFORD, OREGON AND PROVIDENCE MEDFORD MEDICAL CENTER IN MEDFORD, OREGON. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: ASANTE ROGUE REGIONAL MEDICAL CENTER IN MEDFORD, OREGON, ASANTE THREE RIVERS MEDICAL CENTER IN GRANTS PASS, OREGON AND PROVIDENCE MEDFORD MEDICAL CENTER IN MEDFORD, OREGON. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS WHICH ARE NOT HOSPITAL FACILITIES: THE REDE GROUP IN PORTLAND, OREGON. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS WHICH ARE NOT HOSPITAL FACILITIES: THE REDE GROUP IN PORTLAND, OREGON. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS WHICH ARE NOT HOSPITAL FACILITIES: THE REDE GROUP IN PORTLAND, OREGON. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ONLINE ON ASANTE'S WEBSITE (SEE LINE 7A) AND AT HTTPS://WWW.ALLIN4HEALTH.ORG/RESOURCELIBRARY/INDEX/COLLECTION?ID=313755396756263310. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ONLINE ON ASANTE'S WEBSITE (SEE LINE 7A) AND AT HTTPS://WWW.ALLIN4HEALTH.ORG/RESOURCELIBRARY/INDEX/COLLECTION?ID=313755396756263310. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ONLINE ON ASANTE'S WEBSITE (SEE LINE 7A) AND AT HTTPS://WWW.ALLIN4HEALTH.ORG/RESOURCELIBRARY/INDEX/COLLECTION?ID=313755396756263310. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: DURING FY23 ASANTE ROGUE REGIONAL MEDICAL CENTER INVESTED OVER $7.5 MILLION TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO HEALTH CARE, BEYOND EXPENSES RELATED TO STANDARD CHARITY CARE AND SUBSIDIZED SERVICES. OTHER INVESTMENTS INCLUDED: HEALTH PROFESSIONS EDUCATION; CARE NAVIGATION FOR COMPLEX ILLNESS; AIDING IN THE RESOLUTION OF PERSONAL BARRIERS AROUND SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS; NO-COST LAB OUTREACH SERVICES FOR RESIDENTS OF SKILLED NURSING FACILITIES AND RESIDENTIAL TREATMENT CENTERS; AND A HOSPITAL-BASED OPIOID TREATMENT PROGRAM. ASANTE ROGUE REGIONAL ALSO PUT THE FINISHING TOUCHES ON ITS NEW PATIENT PAVILION, PREPARING TO EXPAND LOCALLY AVAILABLE SURGICAL CAPABILITIES AND TREATMENT OPTIONS FOR WOMEN AND CHILDREN WITH ITS WINTER 2024 OPENING.IN SUPPORT OF TWO OF OUR IDENTIFIED COMMUNITY HEALTH NEEDS: ACCESS TO HEALTH CARE AND CHRONIC CONDITIONS, ASANTE ROGUE REGIONAL INVESTED IN COMMUNITY HEALTH EDUCATION AROUND CARDIOVASCULAR HEALTH, STROKE, BREAST CANCER AWARENESS, MENTAL HEALTH, NUTRITION AND OVERALL HEALTH AND WELLBEING DURING FY23, CONTINUOUSLY FINE-TUNING ITS DELIVERY CHANNELS TO ENHANCE REACH AND BETTER MEET COMMUNITY NEED.DURING FY23, ASANTE ROGUE REGIONAL EXPANDED ON THE HOSPITAL BASED OPIOID TREATMENT STUDY IT HAS BEEN CONDUCTING IN CONCERT WITH OREGON HEALTH & SCIENCE UNIVERSITY. SPECIALIZED ORDER SETS FOR SCREENING AND TREATMENT DEVELOPED AT ASANTE ROGUE REGIONAL WERE SHARED WITH OTHER HOSPITALS AND HEALTH SYSTEMS THROUGHOUT THE STATE INCLUDING ASANTE THREE RIVERS MEDICAL CENTER AND ASANTE ASHLAND COMMUNITY HOSPITAL. THE STUDY CONTINUED TO SEE IMPROVED OUTCOMES FOR PATIENTS IMPACTED BY OPIOD USE DISORDER SEEKING HOSPITAL CARE FOR OTHER PRESENTING CONDITIONS, AND THE PROGRAM WAS EXPANDED TO BOTH ASANTE ASHLAND AND ASANTE THREE RIVERS. ASANTE ROGUE REGIONAL LAB OUTREACH CONTINUED TO FACILITATE NECESSARY LAB MONITORING FOR COMMUNITY MEMBERS PARTICIPATING IN RESIDENTIAL TREATMENT PROGRAMS.ASANTE ROGUE REGIONAL'S PREDOMINANT INVESTMENTS IN MENTAL HEALTH WERE CARRIED OUT THROUGH THE PROGRAMS AND SERVICES OF THE BEHAVIORAL HEALTH UNIT, WITH NEARLY $1.2 MILLION BENEFITTING COMMUNITY MEMBERS IN NEED OF BEHAVIORAL SUPPORT SERVICES DURING FY23. OTHER MENTAL HEALTH INVESTMENTS INCLUDED THE HOSPICE TRANSITIONS PROGRAM GEARED TO SUPPORTING COMMUNITY MEMBERS WITH TERMINAL ILLNESS, WHOSE CONDITIONS DO NOT YET WARRANT HOSPICE CARE, AND THE ASANTE HOSPICE BEREAVEMENT PROGRAM SUPPORTING COMMUNITY MEMBERS THROUGH THEIR GRIEVING PROCESS, REGARDLESS OF AFFILIATION WITH ASANTE.ASANTE ROGUE REGIONAL INVESTED IN PATIENT SUPPORT THROUGH ITS SOCIAL WORK, CARE NAVIGATION, CERTIFIED APPLICATION COUNSELING AND COMMUNITY RESOURCE COORDINATION ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 11: DURING FY23 ASANTE THREE RIVERS MEDICAL CENTER INVESTED NEARLY $1.7 MILLION TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO HEALTH CARE, BEYOND EXPENSES RELATED TO STANDARD CHARITY CARE AND SUBSIDIZED SERVICES. OTHER INVESTMENTS INCLUDED: HEALTH PROFESSIONS EDUCATION; CARE NAVIGATION FOR COMPLEX ILLNESS; AND AIDING IN THE RESOLUTION OF PERSONAL BARRIERS AROUND SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS. ASANTE THREE RIVERS INTRODUCED AN IMMEDIATE CARE SERVICE, EXPANDING OPTIONS AND ACCESS TO NON-EMERGENT CARE IN JOSEPHINE COUNTY. THE HOSPITAL ALSO IMPLEMENTED A HOSPITAL-BASED OPIOID TREATMENT PROGRAM BASED ON A RECENT STUDY CONDUCTED BY ASANTE ROGUE REGIONAL MEDICAL CENTER IN CONCERT WITH OREGON HEALTH & SCIENCE UNIVERSITY.ASANTE THREE RIVERS INVESTED IN COMMUNITY HEALTH EDUCATION AROUND CARDIOVASCULAR HEALTH, STROKE, BREAST CANCER AWARENESS, MENTAL HEALTH AND OVERALL HEALTH AND WELLBEING DURING FY23, FINE-TUNING ITS DELIVERY CHANNELS TO ENHANCE REACH AND BETTER MEET COMMUNITY NEED.ASANTE THREE RIVERS INVESTED IN PATIENT SUPPORT THROUGH ITS SOCIAL WORK, CARE NAVIGATION, CERTIFIED APPLICATION COUNSELING AND COMMUNITY RESOURCE COORDINATION ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: DURING FY23 ASANTE ASHLAND COMMUNITY HOSPITAL INVESTED OVER $400,000 TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO HEALTH CARE, BEYOND EXPENSES RELATED TO STANDARD CHARITY CARE. OTHER INVESTMENTS INCLUDED: HEALTH PROFESSIONS EDUCATION; CARE NAVIGATION FOR COMPLEX ILLNESS; AND AIDING IN THE RESOLUTION OF PERSONAL BARRIERS AROUND SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS.EXPANDING ACCESS TO CARE ACROSS THE LIFESPAN, ASANTE ASHLAND CONCLUDED TWO MULTIPLE YEAR ENDEAVORS TO ATTAIN SPECIALTY DESIGNATIONS DURING FY23, EARNING BOTH A BABY-FRIENDLY DESIGNATION AND ATTAINING AN AGE-FRIENDLY HEALTH SYSTEM CERTIFIATION. WHILE THE BABY-FRIENDLY DESIGNATION ENSURES AN ELEVATED LEVEL OF CARE FOR OUR COMMUNITY'S YOUNGEST MEMBERS, THE AGE-FRIENDLY DESIGNATION FOCUSES ON THE CARE OF PATIENTS OVER 65. GUIDED BY THE "4M'S," ASANTE ASHLAND STAFF MEMBERS ENSURE ATTENTION TO SAFE MEDICATION USE, CONTINUED MOBILITY, MAINTAINING MENTATION AND WHAT MATTERS TO EACH INDIVIDUAL. IN ADDITION TO THESE TWO IMPORTANT, DESIGNATIONS, THE HOSPITAL ALSO IMPLEMENTED A HOSPITAL-BASED OPIOID TREATMENT PROGRAM BASED ON A RECENT STUDY CONDUCTED BY ASANTE ROGUE REGIONAL MEDICAL CENTER IN CONCERT WITH OREGON HEALTH & SCIENCE UNIVERSITY.ASANTE ASHLAND INVESTED IN COMMUNITY HEALTH EDUCATION AROUND CARDIOVASCULAR HEALTH, STROKE, BREAST CANCER AWARENESS, MENTAL HEALTH AND OVERALL HEALTH AND WELLBEING DURING FY23, FINE-TUNING ITS DELIVERY CHANNELS TO ENHANCE REACH AND BETTER MEET COMMUNITY NEED.ASANTE ASHLAND INVESTED IN PATIENT SUPPORT THROUGH ITS SOCIAL WORK, CARE NAVIGATION, CERTIFIED APPLICATION COUNSELING AND COMMUNITY RESOURCE COORDINATION ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16J: IN ADDITION TO THE MEASURES TAKEN BY ASANTE ROGUE REGIONAL MEDICAL CENTER TO WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE POLICY ("FAP") DESCRIBED IN PART V, SECTION B, LINE 16A-I, THE HOSPITAL FACILITY CONSPICUOUSLY POSTS THE ENTIRE FAP ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. ADDITIONALLY, THE HOSPITAL FACILITY REFERS ELIGIBLE PATIENTS TO FINANCIAL COUNSELING TO HELP EXPLAIN THE POLICY AND PAYMENT OPTIONS, INCLUDING SETTING UP INTEREST-FREE PAYMENT PLANS AND OTHER PAYMENT SOLUTIONS. THE PATIENT FINANCIAL SERVICES DEPARTMENT CAN ALSO BE REACHED BY TELEPHONE AND DEPARTMENTAL STAFF CAN ANSWER QUESTIONS REGARDING THE FINANCIAL ASSISTANCE APPLICATION AND INSTRUCT PATIENTS OR THEIR FAMILY MEMBERS ON WHERE TO FIND AND HOW TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ONLINE AT HTTPS://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE/. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16J: IN ADDITION TO THE MEASURES TAKEN BY ASANTE THREE RIVERS MEDICAL CENTER TO WIDELY PUBLICIZE THE FINANCIAL ASSISSTANCE POLICY ("FAP") DESCRIBED IN PART V, SECTION B, LINE 16A-I, THE HOSPITAL FACILITY CONSPICUOUSLY POSTS THE ENTIRE FAP ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. ADDITIONALLY, THE HOSPITAL FACILITY REFERS ELIGIBLE PATIENTS TO FINANCIAL COUNSELING TO HELP EXPLAIN THE POLICY AND PAYMENT OPTIONS, INCLUDING SETTING UP INTEREST-FREE PAYMENT PLANS AND OTHER PAYMENT SOLUTIONS. THE PATIENT FINANCIAL SERVICES DEPARTMENT CAN ALSO BE REACHED BY TELEPHONE AND DEPARTMENTAL STAFF CAN ANSWER QUESTIONS REGARDING THE FINANCIAL ASSISTANCE APPLICATION AND INSTRUCT PATIENTS OR THEIR FAMILY MEMBERS ON WHERE TO FIND AND HOW TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ONLINE AT HTTPS://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE/. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: IN ADDITION TO THE MEASURES TAKEN BY ASANTE ASHLAND COMMUNITY HOSPITAL TO WIDELY PUBLICIZE THE FINANCIAL ASSISSTANCE POLICY ("FAP") DESCRIBED IN PART V, SECTION B, LINE 16A-I, THE HOSPITAL FACILITY CONSPICUOUSLY POSTS THE ENTIRE FAP ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. ADDITIONALLY, THE HOSPITAL FACILITY REFERS ELIGIBLE PATIENTS TO FINANCIAL COUNSELING TO HELP EXPLAIN THE POLICY AND PAYMENT OPTIONS, INCLUDING SETTING UP INTEREST-FREE PAYMENT PLANS AND OTHER PAYMENT SOLUTIONS. THE PATIENT FINANCIAL SERVICES DEPARTMENT CAN ALSO BE REACHED BY TELEPHONE AND DEPARTMENTAL STAFF CAN ANSWER QUESTIONS REGARDING THE FINANCIAL ASSISTANCE APPLICATION AND INSTRUCT PATIENTS OR THEIR FAMILY MEMBERS ON WHERE TO FIND AND HOW TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ONLINE AT HTTPS://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE/. ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 20E: NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE PRIOR TO DISCHARGE ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 20E: NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE PRIOR TO DISCHARGE ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 20E: NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE PRIOR TO DISCHARGE 1 1 - ROGUE VALLEY RX 2900 E BARNETT ROAD MEDFORD OR 97504 OUTPATIENT PHARMACY PART I, LINE 3C: UNINSURED AND UNDERINSURED PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FROM ASANTE IF (A) THE PATIENT COMPLETES ASANTE'S FINANCIAL ASSISTANCE PROGRAM APPLICATION AND PROVIDES ALL REQUIRED DOCUMENTATION, B) THE PATIENT'S HOUSEHOLD INCOME, ADJUSTED FOR FAMILY SIZE, IS NOT MORE THAN 400% OF THE FPL, SO LONG AS NO OTHER THIRD PARTY MAY BE LIABLE FOR THE COST OF SERVICES AND/OR SUPPLIES , AND (B) SERVICES PROVIDED ARE MEDICALLY NECESSARY INCLUDING BUT NOT LIMITED TO TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. EXCEPTIONS CAN BE MADE FOR CERTAIN NON-MEDICALLY NECESSARY SERVICES TO TREAT LIFE THREATENING ILLNESSES SUCH AS CANCER DIAGNOSES OR OTHER HIGH ACUITY SERVICES. THESE DETERMINATIONS ARE MADE BY ASANTE ON A CASE-BY-CASE BASIS. ASANTE DOES NOT REQUIRE PATIENTS TO SUBMIT INFORMATION REGARDING ASSETS; HOWEVER, IF THEY CHOOSE TO DO SO, ASANTE MAY TAKE THESE INTO CONSIDERATION IN GRANTING FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THE FOLLOWING SCENARIOS WHERE FINANCIAL ASSISTANCE IS NOT AVAILABLE:(A) SERVICES CONSIDERED NON-COVERED OR NOT MEDICALLY NECESSARY BY THE OREGON DEPARTMENT OF MEDICAL ASSISTANCE PROGRAMS (DMAP) PRIORITIZED LIST OF HEALTH SERVICES;(B) PATIENTS WHO HAVE INSURANCE BUT CHOOSE NOT TO UTILIZE THEIR COVERAGE;(C) ELECTIVE SURGERY OR PROCEDURES;(D) PATIENT COSTS THAT ARE COVERED BY OTHER AGENCIES (E.G. COMMUNITY/AGENCY FUNDED SUPPORT);(E) IF THE PATIENT FAILS TO RESPOND TO REQUESTS FROM HIS OR HER PRIMARY INSURER AS NECESSARY FOR THE INSURER TO ADJUDICATE A CLAIM FOR REIMBURSEMENT OF THE COST OF SERVICES; AND (F) IF THE PATIENT REFUSES OR FAILS TO PROVIDE INFORMATION CONCERNING ANY POTENTIAL THIRD- PARTY LIABILITY FOR THE COST OF SERVICES INCLUDING BUT NOT LIMITED TO: (A) INFORMATION ABOUT THE COORDINATION OF BENEFITS BETWEEN INSURERS THAT COVER THE PATIENT'S CARE; (B) ACCIDENT REPORTS; AND (C) THE PATIENT'S WORKERS' COMPENSATION CLAIMS OR BENEFITS. PART I, LINE 7: COST TO CHARGE RATIO IS USED TO CALCULATE COMMUNITY BENEFIT EXPENSES. PART I, LINE 7G: SUBSIDIZED SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIAC PACING CLINIC, RENAL DIALYSIS, GYNECOLOGIC ONCOLOGY, PEDIATRICS, PRE-OP, OUTPATIENT REHAB, SLEEP LAB AND WOUND OSTOMY CLINIC. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 15,936,190. PART III, LINE 2: COST-TO-CHARGE RATIO PART III, LINE 3: ASANTE ESTIMATES THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT FAILED TO COMPLETE AN APPLICATION, USING THE POVERTY RATE IN OUR SERVICE AREA AS PUBLISHED BY THE U.S. CENSUS BUREAU. IN 2022, U.S. CENSUS BUREAU DATA REPORTED 13.5% OF OUR COMMUNITY WAS AT OR BELOW THE FEDERAL POVERTY LEVEL, SO THAT PERCENTAGE OF BAD DEBT IS ASSUMED TO BE PART OF MISSED CHARITY CARE. PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON GROSS PATIENT CHARGES THAT HAVE BEEN WRITTEN OFF DUE TO NON-PAYMENT. PART III, LINE 8: CERTAIN GOVERNMENT SPONSORED HEALTH INSURANCE COMPANIES, SUCH MEDICAID AND STATE CHILDREN'S HEALTH INSURANCE PROGRAM, PAY A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR INSUREES. OREGON LAW IN ORS 442.601(2)(B) CONSIDERS THE DIFFERENCE BETWEEN THE EXPENSES AND REIMBURSEMENT WITH RESPECT TO MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM, AND OTHER PUBLICLY FUNDED HEALTH CARE PROGRAMS (OTHER THAN MEDICARE) PATIENTS TO BE COMMUNITY BENEFIT. CALCULATION: TOTAL MEDICARE PAYMENTS PER COST REPORT LESS TOTAL MEDICARE COSTS PER COST REPORT = UNRECOVERED MEDICARE COST PER COST REPORT. PART III, LINE 9B: IF THERE IS AN INDICATION THAT A PATIENT MAY BE UNABLE TO PAY THEIR BILL, A FINANCIAL QUESTIONNAIRE IS GIVEN OR SENT TO THE PATIENT. ON RECEIPT OF THE COMPLETED QUESTIONNAIRE, THE BUSINESS OFFICE WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT WITHIN 20 DAYS. ELIGIBILITY IS DETERMINED BASED UPON THE QUESTIONNAIRE AND ON FINANCIAL DOCUMENTS, SUCH AS TAX RETURNS, SSI STATEMENTS, PAYCHECK STUBS, AND FSA/HSA INFORMATION. THE PATIENT'S OTHER FINANCIAL OBLIGATIONS, NUMBER OF DEPENDENTS, ASSETS (IF VOLUNTARILY PROVIDED) AND OTHER FINANCIAL CIRCUMSTANCES ARE CONSIDERED. OFTEN, A PATIENT WILL NOT PROVIDE A FINANCIAL QUESTIONNAIRE, SO THE BUSINESS OFFICE WILL USE SOFT CREDIT CHECKS AND ZIP CODES+4 TO HELP DETERMINE ELIGIBILITY. THE PERCENTAGE OF FINANCIAL ASSISTANCE PROVIDED IS BASED UPON A SLIDING SCALE TABLE THAT UTILIZES THE PATIENT FAMILY'S INCOME AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES. PART VI, LINE 2: ASANTE'S FOUR PRIMARY SOURCES OF INPUT INCLUDE THE ENVIRONMENTAL ASSESSMENT, THE COMMUNITY HEALTH NEEDS ASSESSMENT, FORMAL CONVERSATIONS WITH OUR COLLABORATORS, AND IDENTIFIED STRATEGIC PLAN GAPS FROM THE PREVIOUS YEAR. PART VI, LINE 3: THE FINANCIAL ACCESS SPECIALISTS, CREDIT ANALYSTS, AND REGISTRATION PERSONNEL WORK WITH THE PATIENT EITHER AT THE TIME OF SCHEDULING, ARRIVAL AT THE HOSPITAL, OR DURING THE BILLING PROCESS. IF THE PATIENT DISCLOSES THEY WILL HAVE DIFFICULTY PAYING, WE ASSIST THEM APPLYING FOR THE OREGON HEALTH PLAN, FINANCIAL ASSISTANCE, OR A PAYMENT PLAN. PART VI, LINE 4: ASANTE SERVES A PRIMARY SERVICE AREA OF OREGON'S JACKSON AND JOSEPHINE COUNTIES, AS WELL AS A SECONDARY SERVICE AREA OF CURRY, DOUGLAS, KLAMATH AND LAKE COUNTIES IN SOUTHERN OREGON AND DEL NORTE, SISKIYOU AND MODOC COUNTIES IN NORTHERN CALIFORNIA. MEDFORD IS THE LARGEST POPULATION CENTER, WITH THE MAJORITY OF BOTH SERVICE AREAS CONSIDERED RURAL COMMUNITIES AND DESIGNATED EITHER AS A MEDICALLY UNDERSERVED AREA (JOSEPHINE, CURRY, LAKE, DEL NORTE, MODOC, SISKIYOU) OR A MEDICALLY UNDERSERVED POPULATION (JACKSON, KLAMATH, DOUGLAS). ASANTE OPERATES THREE HOSPITALS LOCATED IN THE PRIMARY SERVICE AREA: ASANTE ROGUE REGIONAL MEDICAL CENTER AND ASANTE ASHLAND COMMUNITY HOSPITAL IN JACKSON COUNTY AND ASANTE THREE RIVERS MEDICAL CENTER IN JOSEPHINE COUNTY. THERE IS ONE OTHER UNAFFILIATED HOSPITAL LOCATED IN JACKSON COUNTY AND SERVING THE PRIMARY SERVICE AREA. THE SECONDARY SERVICE AREA HAS 5 SMALLER UNAFFILIATED REGIONAL HOSPITALS: ONE CRITICAL ACCESS HOSPITAL AND A COASTAL LEVEL IV TRAUMA CENTER IN CURRY COUNTY, A LEVEL III TRAUMA CENTER IN KLAMATH COUNTY, A LEVEL III TRAUMA CENTER LOCATED IN DOUGLAS COUNTY AND ONE CRITICAL ACCESS HOSPITAL IN SISKIYOU. ASANTE ROGUE REGIONAL OFFERS THE ONLY LEVEL II TRAUMA CENTER IN THE PRIMARY AND SECONDARY SERVICE AREA.THE PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 308,903 PEOPLE ACROSS BOTH COUNTIES. AT THE TIME OF THE MOST RECENT CHNA THE TWO-COUNTY REGION WAS COMPRISED OF APPROXIMATELY 88% WHITE, WITH ROUGHLY 4% IDENTIFIED AS BI- OR MULTI-RACIAL, 1.3% ASIAN, 0.75% BLACK AND .30% PACIFIC ISLANDER. IN JACKSON COUNTY, 6% WERE IDENTIFIED DEMOGRAPHICALLY AS "OTHER," WITH 1.9% OF THAT DESIGNATION IN JOSEPHINE COUNTY. BETWEEN THE TWO COUNTIES APPROXIMATELY 11% WERE IDENTIFIED TO HAVE HISPANIC ETHNICITY, WITH JACKSON COUNTY HAVING A HIGHER CONCENTRATION. BOTH JACKSON AND JOSEPHINE COUNTIES HAD A DISTRIBUTION OF 51.1% FEMALE, 48.9% MALE AT THE TIME OF THE SURVEY. THE COUNTIES SHARE A SIMILAR DISTRIBUTION OF AGES, WITH JACKSON COUNTY SKEWING SLIGHTLY YOUNGER AND JOSEPHINE COUNTY SHOWING MORE CONCENTRATION OF ELDERS. THE LOWEST VOLUME GROUP IN BOTH COUNTIES IS THE 55-64 AGE RANGE, WITH 14.5% FOR JACKSON COUNTY AND 16.1% FOR JOSEPHINE COUNTY, RESPECTIVELY. JOSEPHINE COUNTY IS COMPRISED OF A HIGHER PERCENTAGE OF ELDERS WITH 24.7% OF RESIDENTS AGED BETWEEN 65 AND 85 COMPARED WITH 20.3% IN JACKSON COUNTY. 13.3% OF JACKSON COUNTY RESIDENTS AND 16.1% OF JOSEPHINE COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL.THE POPULATION OF THE SEVEN-COUNTY SECONDARY SERVICE AREA IS APPROXIMATELY 306,770. THIS AREA, SPREAD BETWEEN SOUTHERN OREGON AND NORTHERN CALIFORNIA IS COMPRISED OF APPROXIMATELY 74% WHITE, 13% HISPANIC, 1.6% ASIAN/PACIFIC ISLANDER AND 1.01% BLACK, WITH THE REMAINING CITIZENS IDENTIFYING AS OTHER RACES. THE SECONDARY SERVICE AREA HAS A DISTRIBUTION OF 49.8% FEMALE AND 50.2% MALE. THESE OUTLYING COUNTIES SHARE A SIMILAR DISTRIBUTION OF AGES WITH THE PRIMARY SERVICE AREA: SHOWING A GREATER CONCENTRATION OF ELDERS. THE LOWEST VOLUME GROUP IS THE 00-17 RANGE AT 18.97%. THE 18-44 AGE GROUP COMPRISES 29% OF THE POPULATION, WITH THE 65+ GROUP CLOSE BEHIND AT 28.3%. 45-64 YEAR OLDS COMPRISE ONLY 23.74% OF THE POPULATION OF THE SECONDARY SERVICE AREA. RESIDENTS OF THE SECONDARY SERVICE AREA LIVING BELOW POVERTY LEVEL RANGE FROM 12.4% IN CURRY COUNTY ON THE OREGON COAST TO 2O% IN MODOC COUNTY, CALIFORNIA. OVERALL, THE HIGHEST PERCENTAGE OF RESIDENTS LIVING BELOW THE POVERTY LEVEL ARE LOCATED IN THE EASTERN COUNTIES OF THE SECONDARY SERVICE AREA: LAKE (19.6%), KLAMATH (17.8%), MODOC (20%).BOTH THE PRIMARY AND SECONDARY SERVICE AREA HAVE A HIGH CONCENTRATION OF RESIDENTS RELYING ON MEDICARE OR MEDICAID INSURANCE. IN THE PRIMARY SERVICE AREA, JACKSON COUNTY HAD 41.7% OF THE POPULATION ENROLLED IN MEDICAID AND 26.3% ENROLLED IN MEDICARE. IN JOSEPHINE COUNTY, MEDICAID ACCOUNTED FOR 49.7% OF THE INSURED POPULATION, WITH ANOTHER 30.2% ENROLLED IN MEDICARE. OREGON COUNTIES IN THE SECONDARY SERVICE AREA AVERAGE 43.2% MEDICAID USE AND 32.15% MEDICARE. CALIFORNIA COUNTIES IN THE SECONDARY SERVICE AREA HAVE SLIGHTLY BETTER COVERAGE WITH ONLY 28.83% RECEIVING MEDICAID AND AN AVERAGE OF 13.7% ENROLLED IN MEDICARE. THESE REGIONAL TOTALS ARE NOT REFLECTIVE OF ASANTE'S ACTUAL PAYER MIX WHICH IS 21% MEDICAID, 55% MEDICARE FOR THE PRIMARY SERVICE AREA AND 17% MEDICAID, 56% MEDICARE FOR THE SECONDARY SERVICE AREA ACROSS ITS THREE HOSPITALS. IN THE PRIMARY SERVICE AREA, 6.31% OF JACKSON COUNTY RESIDENTS AND 7.72% OF JOSEPHINE COUNTY RESIDENTS ARE UNINSURED. THE PERCENTAGE OF UNINSURED RESIDENTS IN THE SECONDARY SERVICE AREA RANGES FROM 5.32% IN OREGON'S COASTAL CURRY COUNTY TO 8.69% IN MODOC COUNTY, CALIFORNIA, WITH AN AVERAGE OF 6.28% ACROSS THE PRIMARY AND SECONDARY SERVICE AREA COMBINED. ACROSS ASANTE, ROUGHLY 1% OF PATIENTS SERVED ARE UNINSURED AS REFLECTED BOTH IN CENSUS COUNTS AND NET RECEIVABLE PERCENTAGES. PART VI, LINE 5: ASANTE'S RECENT EXPANSIONS TO ITS MEDICAL FACILITIES AND CANCER CENTERS AT BOTH ASANTE ROGUE REGIONAL MEDICAL CENTER AND ASANTE THREE RIVERS MEDICAL CENTER, A NEW PATIENT PAVILION AT ASANTE ROGUE REGIONAL, AN EXPANDED EMERGENCY DEPARTMENT AT ASANTE THREE RIVERS AND NEW UROLOGY SURGERY CAPABILITIES AT ASANTE ASHLAND COMMUNITY HOSPITAL HAVE INCREASED THE ABILITY OF COMMUNITY MEMBERS TO SEEK COMPREHENSIVE HEALTH CARE CLOSER TO HOME. RECENT PROGRAMMATIC EXPANSIONS, INCLUDING THE ADDITION OF IMMEDIATE CARE AT ASANTE THREE RIVERS AND THE IMPLEMENTATION OF HOSPITAL-BASED OPIOID TREATMENT PROTOCOLS HAVE ENHANCED THE CARE AVAILABLE FOR COMMUNITY MEMBERS IN NEED OF THOSE SERVICES. SPECIALTY CREDENTIALS, SUCH AS THE BABY-FRIENDLY DESIGNATIONS AT ALL THREE HOSPITALS' FAMILY BIRTH CENTERS AND AN AGE-FRIENDLY HEALTH SYSTEM DESIGNATION FOR ASANTE ASHLAND COMMUNITY HOSPITAL, HAVE BROUGHT COMMUNITY RECOGNITION AND REASSURANCE FOR THE HIGH-QUALITY CARE BEING OFFERED FOR OUR COMMUNITY ACROSS THE LIFE SPAN. EMBEDDED SOCIAL WORKERS AND COMMUNITY RESOURCE COORDINATORS AID VULNERABLE COMMUNITY IN ADDRESSING INDIVIDUAL SOCIAL DETERMINANTS OF HEALTH. ASANTE AIDS EMERGING CERTIFIED AND CREDENTIALED HEALTH CARE PROFESSIONALS IN ATTAINING THE SKILLS AND CLINICAL EXPERIENCE NECESSARY TO ATTAIN THEIR LICENSES. ASANTE HOSPITALS INVEST THOUSANDS OF HOURS IN THE MENTORSHIP, TRAINING AND SUPPORT OF STUDENTS SEEKING CERTIFICATION IN HEALTH CARE PROFESSIONS FROM ENTRY LEVEL MEDICAL TECHNICIAN AND NURSING CERTIFICATIONS THROUGH ADVANCED PRACTITIONER CREDENTIALING AS REQUIRED FOR NPS, DOS AND MDS. THE ASANTE BOARD IS COMPRISED OF PERSONS WHO RESIDE IN ASANTE'S PRIMARY SERVICE AREA; THE MAJORITY OF WHOM ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR THEIR FAMILY MEMBERS. EXCEPTIONS HAVE BEEN NOTED UNDER SCHEDULE L, PART IV PER ANNUAL CONFLICT OF INTEREST SELF-DISCLOSURE. ASANTE EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MANY OF ITS DEPARTMENTS AND SPECIALTIES. SOME DEPARTMENTS ARE CLOSED, MEANING THAT PRIVILEGES ARE RESTRICTED TO EMPLOYED OR CONTRACTED PHYSICIANS. THESE INCLUDE: EMERGENCY, HOSPITALISTS, RADIOLOGY, PATHOLOGY, EMPLOYEE/OCCUPATIONAL HEALTH AND THE INTENSIVE CARE UNIT. AT THIS TIME, ALL OTHERS ARE OPEN TO QUALIFIED, CREDENTIALED PROVIDERS WHO MEET ETHICS AND QUALITY STANDARDS. ASANTE, SIMILAR TO EVERY OTHER HEALTH CARE PROVIDER, IS IN THE PROCESS OF RECOVERING FINANCIALLY. ASANTE CONTINUES TO MAKE MEANINGFUL INVESTMENTS IN COMMUNITY HEALTH ACROSS MULTIPLE FACETS OF COMMUNITY AND PATIENT CARE INCLUDING THE COMPLETION OF PLANNED PATIENT PAVILION EXPANSION IN 2024. ONCE THE ORGANIZATION REGAINS ITS FINANCIAL FOOTING, IT WILL BE ABLE TO EVALUATE HOW SURPLUS FUNDS CAN BE INVESTED TO FURTHER EXPAND ON IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION, AND RESEARCH THROUGHOUT ASANTE. PART VI, LINE 6: ASANTE IS A COMMUNITY-OWNED AND -GOVERNED NOT-FOR-PROFIT HEALTH SYSTEM PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO MORE THAN 550,000 RESIDENTS IN NINE COUNTIES THROUGHOUT SOUTHERN OREGON AND NORTHERN CALIFORNIA. THE SYSTEM WAS FORMED IN 1995 TO INCLUDE ASANTE ROGUE REGIONAL MEDICAL CENTER (ARRMC) IN MEDFORD, AND ASANTE THREE RIVERS MEDICAL CENTER (ATRMC) IN GRANTS PASS. IN 2013, ASANTE ASHLAND COMMUNITY HOSPITAL (AACH) IN ASHLAND WAS AQUIRED TO BETTER SERVE JACKSON COUNTY. PART VI, LINE 7, REPORTS FILED WITH STATES OR 1 ACCESS FOOD BANK 3630 AVIATION WAY MEDFORD OR 97504 930665396 501(C)(3) 20000 0 N/A N/A SUPPORT JACKSON COUNTY FOOD BANK JOSEPHINE COUNTY FOOD BANK PO BOX 250 GRANTS PASS OR 97528 471904505 501(C)(3) 20000 0 N/A N/A SUPPORT JOSEPHINE COUNTY FOOD BANK JACKSON COUNTY SART 2305 ASHLAND STREET ASHLAND OR 97520 810650183 501(C)(3) 55000 0 N/A N/A TRAINING AND PROVISION OF SEXUAL ASSUALT RESPONSE TEAM (SART) YMCA OF MEDFORD OREGON 522 W SIXTH STREET MEDFORD OR 97501 930391645 501(C)(3) 15000 0 N/A N/A ENCOURAGE FITNESS FOR COMMUNITY MEMBERS OF ALL AGES ASANTE FOUNDATION 229 BARTLETT STREET MEDFORD OR 97504 936087366 501(C)(3) 35000 0 N/A N/A OREGON WINE EXPERIENCE, RESTRICTED TO SUPPORT OF THE NEW PAVILION AT ARRMC LA CLINICA DE VALLE 730 BIDDLE ROAD MEDFORD OR 97504 943096772 501(C)(3) 50000 0 N/A N/A KIDS HEALTH CONNECTION / SCHOOL HEALTH CLINICS OREGON CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY PO BOX 55424 PORTLAND OR 97238 943198757 501(C)(6) 6000 0 N/A N/A MEDICAL PROFESSIONAL CONTINUING EDUCATION CONFERENCE SUPPORT UNITED WAY OF JACKSON COUNTY 60 HAWTHORNE STREET MEDFORD OR 97504 930576632 501(C)(3) 8000 0 N/A N/A KOBI "IN THIS TOGETHER" SUICIDE AWARENESS & PREVENTION CAMPAIGN 7 1 PART I, LINE 2: WHEN ASANTE RECEIVES A REQUEST FOR GRANT FUNDS FROM AN OUTSIDE ORGANIZATION, THE REQUEST IS REVIEWED BY EITHER THE JACKSON COUNTY OR JOSEPHINE COUNTY COMMUNITY CONNECTIONS COMMITTEE. THE APPLICANT MUST FILL OUT AN APPLICATION FORM AND PROVIDE SUPPORTING DOCUMENTS OR EVENT MATERIALS. TO BE SELECTED, THE ORGANIZATION MUST MEET THE FOLLOWING CRITERIA: 1)THE GRANT MUST SUPPORT STRATEGIC INITIATIVES, 2)IT MUST HAVE A DIRECT IMPACT ON THE HEALTHCARE OF THE COMMUNITY, 3)THE ORGANIZATION MUST BE A NOT-FOR-PROFIT HEALTH, HUMAN SERVICES, OR EDUCATION RELATED ORGANIZATION, 4 )THE ORGANIZATION COLLABORATES WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS AND, 5)THE GRANT MUST BE A RELATION BUILDING OPPORTUNITY. ONCE AN APPLICANT HAS BEEN APPROVED FOR GRANT FUNDS, THE GRANT AGREEMENT SPECIFIES THAT ALL GRANT MONIES ARE TO BE SPENT FOR ONLY THE PURPOSE SPELLED OUT IN THE APPLICATION. THE COUNTY CONNECTIONS COMMITTEE MUST KNOW WHERE THE DONATED MONEY WILL BE ALLOCATED, AND IF A FUNDRAISING EVENT, HOW THE RAISED MONEY WILL BE ALLOCATED. USUALLY, A DETAILED BUDGET OF THE GRANTEE'S CURRENT YEAR IS REQUIRED, AS WELL AS ANY REPORTS OR MINUTES FROM PREVIOUS EVENTS. X X X X X 0 1 0 0 0 0 0 0 0 SCOTT KELLY PRESIDENT & CEO (THROUGH FEB 23) 959231 0 346800 0 60471 0 18300 0 16500 0 1401302 0 0 0 GREG WOJTAL CAFO 549943 0 156900 0 86956 0 18300 0 23100 0 835199 0 0 0 JAMES GREBOSKY CMO & ACH CEO 501914 0 158700 0 4000 0 18300 0 23700 0 706614 0 0 0 MICK ZDEBLICK RRMC CEO 490763 0 147300 0 2565 0 18300 0 26500 0 685428 0 0 0 LEE MILLIGAN MD FORMER OFFICER 242309 0 133800 0 286283 0 18300 0 0 0 680692 0 0 0 WIN HOWARD TRMC CEO 368341 0 124050 0 2978 0 18300 0 28500 0 542169 0 0 0 DENNIE CONRAD CSO 322127 0 106200 0 47673 0 18300 0 28500 0 522800 0 0 0 KRISTEN ROY LEGAL OFFICER 399741 0 77500 0 391 0 18300 0 18500 0 514432 0 0 0 KEVIN KELLEHER MDES ARM/ED DOCTOR 434457 0 30111 0 0 0 18300 0 31500 0 514368 0 0 0 AMANDA KOTLER CNO 285071 0 60200 0 102706 0 18300 0 32500 0 498777 0 0 0 SOMNATH GHOSH RRMC VP MEDICAL AFFAIRS 379509 0 96876 0 584 0 18300 0 1900 0 497169 0 0 0 DANIELLE HOLTZ MD MEDICAL DOCTOR 431691 0 24861 0 0 0 18300 0 18500 0 493352 0 0 0 DAVID KINYON CIO 288401 0 47700 0 83950 0 18300 0 21500 0 459851 0 0 0 COURTNEY WILSON MD MDES RRMC/ED PROVIDER 355382 0 23314 0 0 0 18300 0 31500 0 428496 0 0 0 SUE HAGAR MD MEDICAL DOCTOR & TRUSTEE 0 272918 0 9500 0 0 0 18300 0 31000 0 331718 0 0 HEATHER ROWENHORST CFO 273290 0 0 0 0 0 16945 0 0 0 290235 0 0 0 PART I, LINE 4B ASANTE HAS AN EXECUTIVE RESTORATION PLAN WHICH INCLUDES PRESIDENT & CEO SCOTT KELLY, ATRMC CEO WIN HOWARD, ARRMC MICK ZDEBLICK, CSO DENNIE CONRAD, CMO JAMES GREBOSKY, MD, CNO AMANDA KOTLER, CIO DAVID KINYON, CLO KRISTEN ROY, AND CAFO GREG WOJTAL. THIS PLAN STATES FIXED PAYMENTS WILL BE RECEIVED AT PRE-DETERMINED INTERVALS FROM ASANTE IF STILL EMPLOYED BY ASANTE IN THEIR CURRENT ROLE AT THE TIME OF VESTING. IF EMPLOYMENT TERMINATES BY ASANTE FOR ANY REASON PRIOR TO VESTING, THEY WILL NOT HAVE CLAIM TO THE FUNDS. SELECT EXECUTIVES AGREED TO PARTICIPATE IN CAP-EX IN PLACE OF A TRADITIONAL SERP. SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION. A THE HOSPITAL FACILITIES AUTHORITY OF THE CITY OF MEDFORD OR 521378932 794458FX2 2020-07-21 524570640 SEE PART VI 0 0 0 A 524657357 1923423 314603311 208130623 1 0 0 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 1 0 0 0 1 A 0 PART I, COLUMN F: THE BONDS WERE ISSUED TO PAY COSTS OF IMPROVEMENTS TO THE BORROWER'S HOSPITAL FACILITIES, AND CURRENT REFUND A PORTION OF THE ISSUER'S OUTSTANDING HOSPITAL REVENUE BONDS, SERIES 2010 AND SERIES 2005A (REISSUED) ORIGINALLY ISSUED ON FEBRUARY 17, 2010 AND ALL OF THE ISSUER'S HOSPITAL REVENUE BONDS, SERIES 2002B ORIGINALLY ISSUED ON FEBRUARY 5, 2002. PART II, LINE 3: THE AMOUNT DIFFERS FROM THE ISSUE PRICE IN PART I, COLUMN E DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2B: THE REFUNDING PORTION OF BONDS HAS MET THE 6-MONTH EXPENDITURE EXCEPTION TO REBATE. ROY VINYARD FORMER ASANTE CEO SEE PART V X 3000000 5458812 0 1 1 5458812 VISTA PATHOLOGY VISTA PATHOLOGY IS OWNED BY ALLISON LOUDERMILK 789564 CONSULTING SERVICES 0 ADROIT CONSTRUCTION ADROIT CONSTRUCTION IS 50% OWNED BY TOM WALKER 11286541 CONSTRUCTION SERVICES 0 ROGUE DISPOSAL ROGUE DISPOSAL IS OWNED BY JUDY GAMBEE. JUDY AND STEPHEN GAMBEE ARE RELATED 1250112 SANITATION AND RECYCLING 0 PART II, COLUMN C: ASANTE PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN--NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, ASANTE RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR ASANTE. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD ASANTE RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY. CASD WORKS AS FOLLOWS. ASANTE DEPOSITS FUNDS INTO A CASH VALUE LIFE INSURANCE POLICY ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT ASANTE'S RECOVERY RIGHTS. AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY ASANTE ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE. ANY REMAINING DEATH PROCEEDS ARE AVAILABLE TO BE PAID TO THE EXECUTIVE'S BENEFICIARY. FORM 990, PART VI, SECTION B, LINE 11B THE FEDERAL FORMS 990 AND 990-T ARE FEDERALLY MANDATED LEGAL DOCUMENTS THAT ARE HIGHLY REGULATED. BEFORE FINAL SUBMISSION OF THE FORM 990, IT WAS REVIEWED BY THE DIRECTOR OF FINANCE, THE CFO, AND THE ASANTE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ASANTE MAILS TO ALL ASANTE MANAGEMENT, KEY EMPLOYEES, AND BOARD MEMBERS A CONFLICT-OF-INTEREST QUESTIONNAIRE TO COMPLY WITH ASANTE'S CONFLICT OF INTEREST POLICY. THE PURPOSE OF THE POLICY IS TO PROTECT ASANTE'S INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF A BOARD MEMBER OR OFFICER OF THE CORPORATION. IN ADDITION, ALL ASANTE EMPLOYEES HAVE AN OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS TO THEIR SUPERVISOR. THE CHIEF COMPLIANCE OFFICER IS RESPONSIBLE FOR ADMINISTERING, MONITORING, AND INVESTIGATING ANY POSSIBLE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES. THE REVIEW COMPARES THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES WITH COMPENSATION DATA FOR JOB INCUMBENTS IN COMPARABLE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND SCOPE. AT LEAST EVERY THREE YEARS, THE REVIEW IS CONDUCTED AND PRESENTED TO THE COMPENSATION COMMITTEE BY AN OUTSIDE CONSULTANT, CHOSEN BY THE COMPENSATION COMMITTEE. ON ALTERNATE YEARS, THE GENERAL MARKET MOVEMENT IS CONSIDERED AND THE REVIEW IS COMPLETED AND PRESENTED BY THE HUMAN RESOURCES EXECUTIVE. THE COMPENSATION COMMITTEE SETS THE ACTUAL ANNUAL CASH COMPENSATION FOR THE CEO AND SALARY RANGES FOR THE OTHER KEY EMPLOYEES. THE COMMITTEE ALSO SETS TOTAL COMPENSATION OPPORTUNITY FOR THE CEO AND EACH OF THE KEY EMPLOYEES, CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. MINUTES OF THE COMMITTEE DELIBERATIONS AND DECISIONS ARE RECORDED AND MAINTAINED. THE MOST RECENT EXECUTIVE COMPENSATION REVIEW BY AN OUTSIDE CONSULTANT WAS COMPLETED IN SEPTEMBER 2023 WITH RECOMMENDATIONS PRESENTED TO THE CEO IN DECEMBER 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH EMMA AND AS A COMPONENT OF FILED FORMS 990. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 97,754,008. MANAGEMENT AND GENERAL EXPENSES 12,188,934. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,942,942. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. ASANTE ASHLAND COMMUNITY HOSPITAL 280 MAPLE STREET MEDFORD OR 97520 815427847 HEALTHCARE SERVICES OR 66998000 47760000 ASANTE ASANTE THREE RIVERS MEDICAL CENTER LLC 500 SW RAMSEY AVENUE GRANTS PASS OR 97527 571181758 HEALTHCARE SERVICES OR 275640000 12946000 ASANTE ASANTE COMMUNITY SERVICES LLC 2650 SISKIYOU BLVD MEDFORD OR 97504 571181752 HEALTHCARE SERVICES OR 0 0 ASANTE HEALTH ALLIANCE OF SOUTHERN OREGON 2650 SISKIYOU BLVD MEDFORD OR 97504 371768822 MANAGE/IMPROVE POPULATION HEALTH OR 2590000 5095000 ASANTE SOUTHERN OREGON TRAUMA & EMERGENCY SERVICES 2650 SISKIYOU BLVD MEDFORD OR 97504 542085981 HEALTHCARE SERVICES OR 250000 -2728000 ASANTE ASANTE PHYSICIAN PARTNERS 2650 SISKIYOU BLVD MEDFORD OR 97504 383849354 PHYSICIAN GROUP OR 501(C)(3) LINE 3 ASANTE 1 ASANTE FOUNDATION 229 BARTLETT STREET MEDFORD OR 97504 936087366 FUNDRAISING OR 501(C)(3) LINE 12A, I ASANTE 1 SOUTHERN OREGON INSURANCE COMPANY 745 FORT STREET SUITE 800 HONOLULU HI 96813 201578637 CAPTIVE INSURANCE HI 501(C)(3) LINE 12B, II ASANTE 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 ASANTE FOUNDATION C 1217032 CASH ASANTE FOUNDATION O 1388095 CASH ASANTE PHYSICIAN PARTNERS O 59973522 CASH SOUTHERN OREGON INSURANCE COMPANY P 2652027 CASH