2025-08-12T09:32:53-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-10-01 930223960 ASANTE ASAN 5417895590 2650 SISKIYOU BLVD MEDFORD OR 97504 HEATHER ROWENHORST CFO 5417895098 2025-08-08 1 1 KURT BENNION CPA P01469618 4252506100 2025-07-25 2023 2025-03-06 01:10:19Z TOM GESSEL 2650 SISKIYOU BLVD MEDFORD OR 97504 1572028471 0 X WWW.ASANTE.ORG X 1938 OR PROVIDE QUALITY HEALTHCARE SERVICES WITH COMPASSION TO THE COMMUNITIES WE SERVE. 14 10 6505 265 -1025023 0 1578620 29505822 1089570387 1309761269 29179576 38753640 4721679 -72062 1125050262 1377948669 226200 102809 0 0 582484378 651858624 0 0 0 515205406 577180553 1097915984 1229141986 27134278 148806683 1887298130 2154496624 712617115 710079393 1174681015 1444417231 X ASANTE EXISTS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE MANNER, VALUED BY THE COMMUNITIES WE SERVE. 0 0 634549852 102809 932243479 ASANTE'S MAIN PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ASANTE ROGUE REGIONAL MEDICAL CENTER (ARRMC), A 378 LICENSED BED HOSPITAL LOCATED IN MEDFORD, OREGON. DURING FISCAL YEAR 2024, ASANTE ROGUE REGIONAL OPENED ITS NEW PATIENT PAVILION, EXPANDING AND ENHANCING SERVICES WITH NEW, MODERN FACILITIES ACROSS SERVICE LINES AND ESTABLISHING THE OLSRUD FAMILIY WOMEN'S AND CHILDREN'S HOSPITAL TO ENHANCE CHILDREN'S HEALTH CARE IN OUR REGION. KEY HOSPITAL INPATIENT SERVICES INCLUDE CANCER SERVICES, CARDIOVASCULAR SURGERY, AND 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 OBSTETRIC EMERGENCY CARE AND THE REGION'S ONLY LEVEL 3 NEONATAL INTENSIVE CARE UNIT, THE FIRST ON THE WEST COAST TO OFFER COUPLET CARE. 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 2024, ASANTE ROGUE REGIONAL DISCHARGED 20,787 INPATIENT AND OBSERVATION PATIENTS, HAVING PROVIDED CARE FOR THE EQUIVALENT OF 226,903 PATIENT DAYS. THE EMERGENCY ROOM TREATED 50,739 PATIENTS. SURGICAL SERVICES PERFORMED 10,120 INPATIENT AND OUTPATIENT SURGERIES AND 1,590 BABIES WERE DELIVERED. THE NICU DISCHARGED 434 PATIENTS AND PEDIATRICS DISCHARGED 599 PATIENTS. ASANTE ROGUE REGIONAL PROVIDED 27,171 HOSPICE VISITS, 115,067 VISITS TO PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES, AND ANOTHER 17,898 TO RESPIRATORY THERAPY. 169,079 OUTPATIENT VISITS TO IMAGING, 10,597 TO CATH AND VASCULAR LABS AND 333,295 OUTPATIENT VISITS TO OTHER SPECIALTY SERVICE AREAS SUCH AS THE CANCER CENTER CLINIC, LABORATORY SERVICES, CARDIAC REHABILITATION, WOUND CARE, THE CARDIAC PACING CLINIC, THE SLEEP CLINIC AND INFUSION SERVICES. ASANTE ROGUE REGIONAL RECEIVED A 5-STAR RATING FROM CMS DURING FY24. THE HOSPITAL ALSO RECEIVED NOTICE OF SEVERAL ADDITIONAL AWARDS THAT REQUIRE LICENSING IN ORDER TO PUBLICIZE. THOSE AWARDS RECOGNIZED ROGUE REGIONAL'S EXCELLENCE IN SAFETY, CARDIAC CARE AND THORACIC SURGERY. 192376041 0 299848669 ASANTE'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE OPERATION OF ASANTE THREE RIVERS MEDICAL CENTER (ATRMC), A 125 LICENSED BED LEVEL II TRAUMA CENTER LOCATED IN GRANTS PASS, OREGON. 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 2024, ASANTE THREE RIVERS DISCHARGED 10,040 INPATIENT AND OBSERVATION PATIENTS, HAVING PROVIDED CARE FOR AN EQUIVALENT OF 40,024 PATIENT DAYS. THE EMERGENCY ROOM SAW 45,492 PATIENTS AND IMMEDIATE CARE SAW 20,738 PATIENTS. THERE WERE 1,452 INPATIENT AND 4,146 OUTPATIENT SURGERIES PERFORMED OVER THE COURSE OF THE YEAR, AS WELL AS 5,601 TOTAL ENDOSCOPIES. DURING FY24, 661 BABIES WERE DELIVERED. ASANTE THREE RIVERS REHAB DEPARTMENT HAD 50,570 VISITS TO PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. THE COMBINED IMAGING DEPARTMENTS HAD OVER 110,000 INPATIENT AND OUTPATIENT VISITS WHILE RESPIRATORY THERAPY HAD 11,415 VISITS. THE CANCER CENTER HAD 16,938 OUTPATIENT VISITS. ASANTE THREE RIVERS HAD 163,894 OUTPATIENT VISITS FOR OTHER SPECIALTY SERVICE AREAS SUCH AS LABORATORY SERVICE, CARDIAC REHABILITATION, WOUND CARE, CATHETERIZATION LAB, SLEEP LAB AND INFUSION SERVICES. ASANTE THREE RIVERS RECEIVED A 5-STAR RATING FROM CMS DURING FY24. THE HOSPITAL ALSO RECEIVED NOTICE OF AN ADDITIONAL AWARD RECOGNIZING ASANTE THREE RIVERS' EXCELLENCE IN SAFETY. THAT AWARD REQUIRED LICENSING IN ORDER TO PUBLICIZE BY NAME. 43973445 0 77001023 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. KEY INPATIENT SERVICES AVAILABLE AT ASANTE ASHLAND INCLUDE GENERAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, UROLOGY, GYNECOLOGY AND OBSTETRICS. SOME THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, IMAGING, RESPIRATORY TESTING AND VARIOUS THERAPIES. DURING FISCAL YEAR 2024, ASANTE ASHLAND DISCHARGED 2,018 INPATIENT AND OBSERVATION PATIENTS FOR AN EQUIVALENT OF 8,708 TOTAL PATIENT DAYS. THEY DELIVERED 229 BABIES AND HAD 13,529 VISITS TO THE EMERGENCY DEPARTMENT. ASANTE ASHLAND PERFORMED 2,170 INPATIENT AND OUTPATIENT SURGERIES AND 631 ENDOSCOPIES. THE HOSPITAL HAD 7,548 VISITS TO RESPIRATORY THERAPY, 29,843 VISITS TO RADIOLOGY AND OVER 40,000 OUTPATIENT VISITS TO OTHER SPECIALTY AREAS SUCH AS WOUND CARE, LABORATORY SERVICE AND PHYSICAL THERAPY. 870899338 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 1 1 0 0 0 0 1 1 1 1 0 0 1 641 0 1 6505 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 14 10 0 0 1 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 FORMER CEO 0.00 40.00 X 1066070 0 38422 JAMES GREBOSKY SR. VP AND CMO 40.00 1.00 X 857376 0 50961 SOMNATH GHOSH VP MEDICAL AFFAIRS 40.00 0.00 X 744834 0 21886 ROY VINYARD INTERIM PRESIDENT & CEO 40.00 2.00 X 743318 0 19800 KEVIN KELLEHER MD ES ARM/ED DOCTOR 40.00 0.00 X 562533 0 53852 KRISTEN ROY JD SR VP & CLO, GEN. COUNSEL, LEGAL RELATIONS 40.00 0.00 X 575690 0 37893 WIN HOWARD SR. VP AND CAO 40.00 0.00 X 538103 0 49346 ERIC LOELIGER MD VP MEDICAL AFFAIRS 0.00 41.00 X 514206 0 54579 TOM GESSEL ASANTE PRESIDENT AND CEO 40.00 2.00 X 561236 0 5770 HOLLY NICKERSON DNP VP QUALITY AND PATIENT SAFETY 40.00 0.00 X 482895 0 38163 ADAM WURSTLE MD EMERGENCY MEDICINE 40.00 0.00 X 443635 0 53636 DAVID KINYON SR. VP AND CIO 40.00 0.00 X 438802 0 47859 DENNIE CONRAD SR. VP AND CSO 40.00 0.00 X 427824 0 49274 DANIELLE HOLTZ MD MEDICAL DOCTOR 40.00 0.00 X 400040 0 40328 COURTNEY WILSON MD MEDICAL DOCTOR 40.00 0.00 X 377451 0 52436 ERIC JENSEN MD EMERGENCY MEDICINE 40.00 0.00 X 375041 0 53336 HEATHER ROWENHORST SR. VP AND CFO 40.00 2.00 X 367777 0 56900 SUE HAGAR MD MEDICAL DOCTOR & TRUSTEE 2.00 40.00 X 0 369200 54744 AMANDA KOTLER SR. VP AND CNO 40.00 0.00 X 352758 0 54086 NICOLE COWLEY DO TRUSTEE 40.00 0.00 X 0 340890 53792 GREG WOJTAL FORMER CAFO 0.00 X 372290 0 30169 STACI SPARKS RN VP NURSING ARRMC, ATRMC AND AACH 40.00 0.00 X 272441 0 38799 MICK ZDEBLICK FORMER ARRMC CEO 40.00 0.00 X 277012 0 3869 ANGIE SIMONSON SR. VP OPERATIONS 40.00 1.00 X 200000 0 0 WHITNEY MURPHY VP OPERATIONS ARRMC AND AACH 40.00 0.00 X 135824 0 8649 JENNIFFER LIGONS EXEC ASST TO CEO, ASST SECRETARY 2.00 0.00 X 103326 0 34375 PETER ANGSTADT PHD BOARD CHAIR 2.00 2.00 X X 0 0 0 PATRICIA WINTEMUTE VICE CHAIR 2.00 1.00 X X 0 0 0 KATE LASKY SECRETARY 2.00 0.00 X X 0 0 0 STEVE ROE TREASURER 2.00 2.00 X X 0 0 0 SUSAN BINETTE TRUSTEE 2.00 2.00 X 0 0 0 CAROL CHRISTLIEB 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 0.00 X 0 0 0 JOAN MCBEE TRUSTEE (AS OF JANUARY 2024) 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 TOM WALKER TRUSTEE 2.00 0.00 X 0 0 0 11190482 710090 1002924 1433 1 1 0 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET SUITE 420 OMAHA NE 68154 NURSING SERVICES 61029969 ANDERSEN CONSTRUCTION CO OF OR 6712 N CUTTER CIR PORTLAND OR 97217 CONSTRUCTION SERVICES 52489622 SOUTHERN OREGON CARDIOLOGY LLC 520 MEDICAL CENTER DR 200 MEDFORD OR 97504 CARDIAC SERVICES 24647095 ANESTHESIA ASSOCIATES OF MEDFORD 842 E MAIN STREET MEDFORD OR 97504 PHYSICIAN SERVICES 20299853 HEMATOLOGY ONCOLOGY ASSOCIATES 3011 E BARNETT ROAD MEDFORD OR 97504 PHYSICIAN SERVICES 13158016 58 29319619 70000 116203 29505822 HOSPITAL SERVICES 621110 1273695203 1273027105 668098 OTHER OPERATING INCOME 900099 29830275 29830275 NUTRITION SERVICES 621990 4698384 4698384 JOINT VENTURE INCOME 621990 1537407 1537407 1309761269 19752565 19752565 1534759 0 1534759 1534759 1534759 199405479 612132 181016536 0 18388943 612132 19001075 19001075 11370145 13063266 -1693121 -1693121 MISCELLANEOUS INCOME 900099 86300 86300 86300 1377948669 1309093171 -1025023 40374699 102809 102809 8851090 8851090 683340 683340 479371955 329446945 149925010 21705250 18963084 2742166 105669599 78562217 27107382 35577390 26082678 9494712 4700050 4700050 393940 393940 54000 54000 1180581 1180581 85801580 73101724 12699856 480760 3000 477760 3452337 656092 2796245 51648341 5206787 46441554 15243342 1321465 13921877 907248 564482 342766 416055 347125 68930 12500648 1248894 11251754 50996799 360798 50636001 5301938 2391174 2910764 MEDICAL SUPPLIES 248651869 249676989 -1025120 PROVIDER TAXES 71800733 71800733 REPAIRS & MAINTENANCE 14051876 10186033 3865843 MINOR EQUIPMENT 6245670 3287276 2958394 3352786 -3591548 6944334 1229141986 870899338 358242648 0 53083212 55772102 148950256 231355764 0 29874060 27495298 14599657 15106810 18758648 18162891 1388663940 647126798 741310762 741537142 606222405 696679620 24021457 6577842 6916415 12195 12195 267909093 337436930 1887298130 2154496624 43983881 43817313 318247 520223797 508263928 24855058 25586990 123236132 132411162 712617115 710079393 X 1174681015 1432851276 11565955 1174681015 1444417231 1887298130 2154496624 X 148806683 96846346 20603187 3480000 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 72860 0 0 1 54000 126860 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 $94,117 AND $301,288 RESPECTIVELY. 39% OF AHA DUES AND 12% OF HAO DUES WENT FOR LOBBYING PURPOSES DURING CALENDAR YEAR 2024. THUS, ASANTE MADE INDIRECT LOBBYING EXPENDITURES OF $72,860 THROUGH ITS MEMBERSHIP DUES. ALSO, ASANTE PAID JOHN WATT AND ASSOCIATES (JWA) $54,000 FOR SPECIFIC ISSUES LOBBYING DURING THE TAX YEAR. JWA IS AN ADVOCATE FOR ASANTE AND SPECIALIZES IN GOVERNMENT RELATIONS STRATEGY. 7672879 25000 383115 352848 7728146 7635097 26000 306846 295064 7672879 7562672 25000 370297 322872 7635097 7035242 286934 402584 162088 7562672 6379534 882339 243395 470026 7035242 0.07920 0.89790 0.02290 0 1 1 29039293 29039293 484282032 268126329 216155703 368612772 21034656 347578116 469179879 355037694 114142185 37549964 2928119 34621845 741537142 INTERCOMPANY RECEIVABLE 312953413 ASSETS RESTRICTED AS TO USE 126 OTHER ASSETS 24483391 337436930 SELF-INSURANCE RESERVE 26426904 REIMBURSEMENTS DUE TO GOVT AGENCIES & THIRD PARTIES 19351008 PAYROLL / BENEFITS PAYABLE 44519824 OTHER LIABILITIES 42113426 132411162 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, 2024, 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 16288478 4133622 12154856 0.00980 266641261 235890921 30750340 0.02490 59368390 56061104 3307286 0.00270 342298129 296085647 46212482 0.03740 5486073 679181 4806892 0.00390 3607406 1625 3605781 0.00290 15813445 8154792 7658653 0.00620 0 0 0.00000 276976 62750 214226 0.00020 25183900 8898348 16285552 0.01320 367482029 304983995 62498034 0.05060 1 -7404921 -1007069 260779313 326711387 -65932074 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: ASANTE ROGUE REGIONAL INVESTED OVER $6 MILLION DOLLARS DURING FY24 IN PROGRAMS AND INITIATIVES DIRECTLY ADDRESSING ACCESS TO CARE AND ANOTHER $2.2 MILLION IN PROGRAMS AND INITIATIVES MORE SPECIFICALLY ADDRESSING CHRONIC CONDITIONS. ASANTE ROGUE REGIONAL'S PREDOMINANT INVESTMENTS IN MENTAL HEALTH ARE CARRIED OUT THROUGH THE PROGRAMS AND SERVICES OF THE BEHAVIORAL HEALTH UNIT, WITH NEARLY $3.1 MILLION BENEFITING COMMUNITY MEMBERS IN NEED OF BEHAVIORAL SUPPORT SERVICES DURING FY24. HIGHLY INDICATIVE OF ASANTE ROGUE REGIONAL'S COMMITMENT TO, AND INVESTMENT IN THESE NEEDS, IS ITS NEW PATIENT PAVILION WITH EMBEDDED OLSRUD FAMILY WOMEN'S AND CHILDREN'S HOSPITAL. YEARS IN PLANNING AND DEVELOPMENT IN DIRECT RESPONSE TO OUR REGION'S GROWING NEEDS, THIS IMPORTANT EXPANSION IMMEDIATELY ENHANCED ACCESS TO SURGICAL, CARDIOVASCULAR AND INTENSIVE CARE, AND WOMEN'S AND CHILDREN'S HEALTH CARE, UPON ITS OPENING IN FY24. ASANTE EMPLOYS CERTIFIED APPLICATION COUNSELORS AS WELL AS PARTNERING WITH OREGON DEPARTMENT OF HUMAN SERVICES TO PROVIDE AN ON-SIGHT INTAKE WORKER AT ASANTE ROGUE REGIONAL. OVER 5,000 COMMUNITY MEMBERS WERE SUPPORTED THROUGH THEIR INSURANCE APPLICATION AND NAVIGATION PROCESSES DURING FY24 THROUGH THESE PROGRAMS. ASANTE ROGUE REGIONAL ALSO INVESTED NEARLY $1.1 MILLION DOLLARS IN CARE NAVIGATION AND SOCIAL WORK SUPPORT FOR VULNERABLE PATIENTS DURING FY24, WITH OVER $170,000 INVESTED IN DIRECT SUPPORT COSTS RELATED TO GUARDIANSHIP, TRANSPORTATION, TRANSITIONAL HOUSING AFTER HOSPITALIZATION AND OTHER PERSONAL HEALTH-RELATED SOCIAL NEEDS ESSENTIAL TO FACILITATING HEALING. ONLINE COMMUNITY HEALTH EDUCATION ALLOWS ASANTE PHYSICIANS TO PROVIDE MEANINGFUL, RELEVANT HEALTH EDUCATION FOR COMMUNITY MEMBERS SEEKING INFORMATION AND SUPPORT. ANOTHER WAY ASANTE ROGUE REGIONAL ADDRESSES IDENTIFIED HEALTH NEEDS IN THE LARGER COMMUNITY IS THROUGH THE BEREAVEMENT PROGRAM OPERATED BY ASANTE HOSPICE. DURING FY24, ASANTE HOSPICE BEREAVEMENT COORDINATORS SUPPORTED 814 COMMUNITY MEMBERS THROUGH THE GRIEVING PROCESS. ONE OF ASANTE ROGUE REGIONAL'S PROMINENT ONGOING INVESTEMENT IS HEALTH PROFESSIONS EDUCATION. FY24, 481 INDIVIDUALS SEEKING LICENSURE IN HEALTH-RELATED AND CLINICAL PROFESSIONS COMPLETED THEIR REQUIRED SUPERVISED CLINICAL EXPERIENCES AT ASANTE ROGUE REGIONAL. ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 11: ASANTE THREE RIVERS INVESTED OVER $1.9 MILLION DOLLARS TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO CARE IN FY24 AND ANOTHER $1.3 MILLION IN PROGRAMS MORE DIRECTLY ADDRESSING CHRONIC CONDITIONS. NEARLY $500,000 OF THE $1.9 MILLION INVESTED IN ACCESS TO CARE WAS INVESTED IN NURSE NAVIGATION AND SOCIAL WORK PROGRAMS FOR VULNERABLE PATIENTS DURING FY24, WITH JUST UNDER $145,000 OF THAT TOTAL DEDICATED TO NURSE NAVIGATION AND SOCIAL WORK FOR PATIENTS ENGAGED WITH CANCER SERVICES. ASANTE THREE RIVERS EMPLOYS AN ARRAY OF PROFESSIONALS WHOSE PRIMARY FOCUS IS TO SUPPORT VULNERABLE COMMUNITY MEMBERS. JUST OVER $150,000 WAS INVESTED IN THE EMPLOYMENT OF CERTIFIED APPLICATION COUNSELORS TO ASSIST UNINSURED AND UNDERINSURED INDIVIDUALS IN ATTAINING HEALTH CARE COVERAGE, THUS INCREASING VULNERABLE COMMUNITY MEMBERS' ACCESS TO ONGOING CARE FOR CHRONIC CONDITIONS AS WELL AS PREVENTIVE, EMERGENT AND NON-EMERGENCY CARE. OVER 2,000 COMMUNITY MEMBERS WERE SUPPORTED THROUGH THEIR INSURANCE APPLICATION AND NAVIGATION PROCESSES DURING FY24. ASANTE THREE RIVERS PROVIDED 783 PEOPLE WITH 1,565 NIGHTS OF LOW-TO-NO-COST ACCOMMODATION WHILE SEEKING CARE FOR THEMSELVES OR A FAMILY MEMBER AT OUR FACILITIES THROUGH THE GRANTS PASS FAMILY HOUSE. ASANTE THREE RIVERS ALSO PROVIDED APPROXIMATELY 300 NIGHTS OF SUPPORTED CARE OR TRANSITIONAL SHELTER FOR COMMUNITY MEMBERS WHO WERE NOT ILL ENOUGH TO REMAIN IN THE HOSPITAL BUT NEEDED A MORE SUPPORTIVE EXPERIENCE TO FACILITATE FURTHER HEALING BEFORE RETURNING HOME AFTER HOSPITALIZATION. ASANTE INVESTED OVER $160,000 IN TRANSPORTATION, TEMPORARY OR TRANSITIONAL SHELTER, ADULT FOSTER CARE, GUARDIANSHIP, CAREGIVING, HOME MONITORING AND THE PURCHASE OF MEDICAL EQUIPMENT TO SUPPORT VULNERABLE INDIVIDUALS' HEALTH CARE GOALS DURING FY24. IN ADDITION TO THIS, ASANTE THREE RIVERS FACILIATED NEARLY $23,000 IN ASANTE FOUNDATION COMPASSATION FUNDS TO ADDRESS HOUSING, UTILITY, MEDICAL EQUIPMENT AND OTHER HEALTH-RELATED SOCIAL NEEDS OVER THE COURSE OF THE YEAR.ASANTE THREE RIVERS INVESTED NEARLY $700,000 IN SUPERVISED CLINICAL LICENSURE EXPERIENCES REQUIRED OF THOSE SEEKING LICENSURE AS DOCTORS, NURSES, TECHNICIANS AND MEDICAL SUPPORT PERSONNEL. DURING FY24, 191 INDIVIDUALS COMPLETED THEIR REQUIRED SUPERVISED CLINICAL EXPERIENCES AT ASANTE THREE RIVERS. ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: ASANTE ASHLAND INVESTED OVER $250,000 TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO CARE IN FY24. MORE THAN $25,000 WAS INVESTED IN THE EMPLOYMENT OF CERTIFIED APPLICATION COUNSELORS TO ASSIST UNINSURED AND UNDERINSURED INDIVIDUALS IN ATTAINING HEALTH CARE COVERAGE. OVER $40,000 WAS INVESTED IN SOCIAL WORK SUPPORT SERVICES FOR COMMUNITY MEMBERS MANAGING CHRONIC CONDITIONS WHILE NAVIGATING ASPECTS OF REGULAR LIFE THAT HAVE BEEN MADE MORE CHALLENGING BY THE PRESENCE OF CHRONIC ILLNESS. ADDRESSING BOTH ACCESS TO CARE AND CHRONIC CONDITIONS, ASANTE ASHLAND ENGAGED IN COMMUNITY OUTREACH AND EDUCATION THROUGH ONLINE OFFERINGS AND A CONTINUATION OF A LONGSTANDING PARTNERSHIP WITH THE OSHER LIFELONG LEARNING INSTITUTE (OLLI AT SOU). THESE OPPORTUNITIES ALLOWED ASANTE PHYSICIANS TO PROVIDE MEANINGFUL, RELEVANT HEALTH EDUCATION FOR COMMUNITY MEMBERS SEEKING INFORMATION AND SUPPORT FOR EMERGING AND CHRONIC HEALTH CONDITIONS. WITH AN FY24 INVESTMENT EXCEEDING $200,000, ONE OF ASANTE ASHLAND'S MOST SIGNIFICANT INVESTMENTS IN ACCESS TO CARE WAS THE PROVISION OF SUPERVISED CLINICAL LICENSURE EXPERIENCES REQUIRED OF DOCTORS, ADVANCED PROVIDERS, NURSES, TECHNICIANS AND MEDICAL SUPPORT PERSONNEL ENTERING HEALTH CARE PROFESSIONS. PROVIDING THESE ESSENTIAL CLINICAL EXPERIENCES ENSURES OUR COMMUNITY'S ONGOING ACCESS TO HIGHLY TRAINED AND QUALIFIED HEALTH CARE PROFESSIONALS. 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 ADVOCATES AND PATIENT FINANCIAL SOLUTIONS SPECIALISTS 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 IN BOTH ENGLISH AND SPANISH 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 ADVOCATES AND PATIENT FINANCIAL SOLUTIONS SPECIALISTS 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 IN BOTH ENGLISH AND SPANISH 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 ADVOCATES AND PATIENT FINANCIAL SOLUTIONS SPECIALISTS 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 IN BOTH ENGLISH AND SPANISH AT HTTPS://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE/. 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. JULY 1, 2024, OREGON STATE LAW REGARDING PRESUMPTIVE ELIGIBILITY WENT INTO EFFECT. IN ACCORDANCE WITH STATE LAW, ASANTE PRESCREENS ALL PATIENTS WITH ESTIMATED OUT-OF-POCKET EXPENSES GREATER THAN OR EQUAL TO $500 AND ALL UNINSURED PATIENTS, INCLUDING SELF-PAY, FOR PRESUMPTIVE ELIGIBILITY FOR FINANCIAL ASSISTANCE, AS WELL AS OTHER PATIENTS PERMITTED BY OR REQUIRED UNDER STATE LAW. PATIENTS ARE DETERMINED TO BE PRESUMPTIVELY ELIGIBLE FOR FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY SERVICES IF THEIR HOUSEHOLD INCOME IS EQUAL TO OR LESS THAN 400% OF THE FEDERAL POVERTY LEVEL (FPL) BASED ON THE PATIENT'S HOUSEHOLD SIZE. WHEN DETERMINING PRESUMPTIVE ELIGIBILITY, ASANTE DOES NOT TAKE INTO ACCOUNT HOUSEHOLD ASSETS OR ANY ASSESSMENT, EVALUATION, OR SCORE THAT PREDICTS THE PATIENT'S PROPENSITY OR ABILITY TO PAY, SUCH THEIR CREDIT SCORE. PATIENTS WHO ARE NOT FOUND ELIGIBLE THROUGH THE PRESUMPTIVE ELIGIBILITY PROCESS AFTER REVIEWING HOUSEHOLD INCOME AND FAMILY SIZE, MAY STILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH ASANTE'S STANDARD FINANCIAL ASSISTANCE APPLICATION PROCESS . A PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH THE FINANCIAL ASSISTANCE APPLICATION PROCESS 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/ 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, PEDIATRIC INFUSION, PRE-OP, OUTPATIENT REHAB, SLEEP LAB, SWING BEDS AND WOUND 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 $ -7,404,921. 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 2024, U.S. CENSUS BUREAU DATA REPORTED 13.85% 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 A PATIENT IS DETERMINED TO BE ELIGIBLE FOR 100% FINANCIAL ASSISTANCE (EITHER THROUGH PRESUMPTIVE SCREENING OR THROUGH THE APPLICATION PROCESS), THEN ALL COLLECTIONS ARE CEASED AT THE TIME OF DETERMINATION. IF A PATIENT IS ELIGIBLE FOR 65% FINANCIAL ASSISTANCE, THEN COLLECTIONS CEASE FOR ALL AMOUNTS COVERED BY THE FINANCIAL ASSISTANCE AWARD. IF AN ACCOUNT WAS REFERRED OUT TO A THIRD-PARTY COLLECTION AGENCY AND THE PATIENT SUBSEQUENTLY WAS DETERMINED TO ELIGIBLE FOR FINANCIAL ASSISTANCE FOR SUCH SERVICES, THEN THE THIRD-PARTY COLLECTION AGENCY WOULD SUSPEND ALL COLLECTION ACTIVITY. 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 ADVOCATES AND PATIENT FINANCIAL SOLUTIONS SPECIALISTS 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. IF THE PATIENT HAS NOT ALREADY QUALIFIED FOR ASSISTANCE THROUGH THE PRESUMPTIVE ELIGIBILITY PROCESS AND DISCLOSES THEY WILL HAVE DIFFICULTY PAYING, WE ASSIST THEM APPLYING FOR THE OREGON HEALTH PLAN, FINANCIAL ASSISTANCE OR A PAYMENT PLANASANTE'S FINANCIAL ASSISTANCE POLICY, IN ENGLISH AND SPANISH, IS PHYSICALLY POSTED IN NUMEROUS PLACES THROUGHOUT THE ORGANIZATION, AND IS AVAILABLE AT HTTPS://WWW.ASANTE.ORG/PATIENTS-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE/. THE WEBSITE ALSO INCLUDES A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND VARIOUS PROGRAMS. 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). BOTH JACKSON AND JOSEPHINE COUNTY, AS WELL AS OREGON COUNTIES IN THE SECONDARY SERVICE AREA, ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS IN PRIMARY AND MENTAL HEALTH CARE, CITING FACTORS SUCH AS LOW-INCOME AND MIGRANT FARMWORKER (JACKSON COUNTY). GEOGRAPHIC LIMITATIONS AND HIGH NEED ARE HIGHLIGHTED FOR MENTAL HEALTH CARE IN THE SECONDARY SERVICE AREAS SURROUNDING JACKSON AND JOSEPHINE COUNTY.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 309,607 PEOPLE ACROSS BOTH COUNTIES. AT THE TIME OF THE MOST RECENTLY COMPLETED 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 . US CENSUS DEMOGRAPHIC INFORMATION FOR 2024 INDICATED 12.6% OF JACKSON COUNTY RESIDENTS AND 15.1% OF JOSEPHINE COUNTY RESIDENTS WERE LIVING BELOW THE FEDERAL POVERTY LEVEL. THE POPULATION OF THE SEVEN-COUNTY SECONDARY SERVICE AREA IS APPROXIMATELY 291,659. THIS AREA, SPREAD BETWEEN SOUTHERN OREGON AND NORTHERN CALIFORNIA, IS COMPRISED OF APPROXIMATELY 87% WHITE (77%, WHITE, NON-HISPANIC), 12.8% HISPANIC, 1.9% ASIAN/PACIFIC ISLANDER AND 1.3% BLACK, WITH THE REMAINING CITIZENS IDENTIFYING AS OTHER RACES. THE SECONDARY SERVICE AREA HAS AN AVERAGE DISTRIBUTION OF 49.3% FEMALE AND 50.7% MALE. THESE OUTLYING COUNTIES SHARE A SIMILAR DISTRIBUTION OF AGES WITH THE PRIMARY SERVICE AREA: SHOWING A GREATER CONCENTRATION OF ELDERS. RESIDENTS OF THE SECONDARY SERVICE AREA LIVING BELOW POVERTY LEVEL RANGE FROM 13.8% IN DEL NORTE COUNTY IN NORTHERN CALIFORNIA TO 2O.1% IN MODOC COUNTY, CALIFORNIA. OVERALL, THE HIGHEST PERCENTAGE OF RESIDENTS LIVING BELOW THE POVERTY LEVEL ARE FOUND IN THE EASTERN COUNTIES OF THE SECONDARY SERVICE AREA: LAKE (17%), KLAMATH (19.3%), MODOC (20.1%) AND IN NORTHERN CALIFORNIA'S SISKIYOU COUNTY (17.1%).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 41.2% OF THE POPULATION ENROLLED IN MEDICAID AND 26.5% ENROLLED IN MEDICARE. IN JOSEPHINE COUNTY, MEDICAID ACCOUNTED FOR 49.4% OF THE INSURED POPULATION, WITH ANOTHER 30.6% ENROLLED IN MEDICARE. OREGON COUNTIES IN THE SECONDARY SERVICE AREA AVERAGE 42.7% MEDICAID USE AND 32.3% MEDICARE. CALIFORNIA COUNTIES IN THE SECONDARY SERVICE AREA HAVE SLIGHTLY BETTER COVERAGE WITH ONLY 31.9% RECEIVING MEDICAID AND AN AVERAGE OF 18.5% ENROLLED IN MEDICARE. THESE REGIONAL TOTALS ARE NOT REFLECTIVE OF ASANTE'S ACTUAL PAYER MIX WHICH IS APPROXIMATELY 21% MEDICAID, 55% MEDICARE ACROSS ITS THREE HOSPITALS. IN THE PRIMARY SERVICE AREA, 7.7% OF JACKSON COUNTY RESIDENTS AND 7.8% OF JOSEPHINE COUNTY RESIDENTS ARE UNINSURED. THE PERCENTAGE OF UNINSURED RESIDENTS IN THE OREGON COUNTIES OF THE SECONDARY SERVICE AREA RANGES FROM 6.9% IN DOUGLAS COUNTY TO 10% IN LAKE, WITH THE CALIFORNIA'S SECONDARY SERVICE AREA COUNTIES AVERAGING 8.1%. ACROSS ASANTE, BETWEEN 1% AND 2% 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 FACILITIESEXPANSES TO THE CANCER CENTERS AT BOTH ASANTE ROGUE REGIONAL MEDICAL CENTER AND ASANTE THREE RIVERS MEDICAL CENTER, A NEW PATIENT PAVILION AND EMBEDDED WOMEN'S AND CHILDREN'S HOSPITAL AT ASANTE ROGUE REGIONAL, AN EXPANDED EMERGENCY DEPARTMENT AT ASANTE THREE RIVERS, AND EXPANDED SERVICES AT ASANTE ASHLAND COMMUNITY HOSPITAL INCLUDING UROLOGY SURGERY CAPABILITIES AND RESPIRATORY THERAPIESHAVE INCREASED THE ABILITY OF COMMUNITY MEMBERS TO SEEK COMPREHENSIVE HEALTH CARE CLOSER TO HOME. RECENT PROGRAMMATIC EXPANSIONS, INCLUDING THE ADDITION OF IMMEDIATE CARE SERVICES AT BOTH ASANTE ROGUE REGIONAL AND ASANTE THREE RIVERS AND THE IMPLEMENTATION OF HOSPITAL-BASED OPIOID TREATMENT PROTOCOLS AT ALL THREE HOSPITALS 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 CARE NAVIGATION TEAM MEMBERS AID VULNERABLE COMMUNITY IN ADDRESSING INDIVIDUAL HEALTH-RELATED SOCIAL NEEDS AND 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 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 600,000 RESIDENTS IN NINE COUNTIES THROUGHOUT SOUTHERN OREGON AND NORTHERN CALIFORNIA. THE SYSTEM WAS FORMED IN 1995 TO INCLUDE ROGUE REGIONAL MEDICAL CENTER (ARRMC) IN MEDFORD, AND THREE RIVERS MEDICAL CENTER (ATRMC) IN GRANTS PASS. IN 2013, ASHLAND COMMUNITY HOSPITAL (AACH) IN ASHLAND WAS ACQUIRED TO BETTER SERVE JACKSON COUNTY. PART VI, LINE 7, REPORTS FILED WITH STATES OR 1 JACKSON COUNTY SART 2305 ASHLAND STREET ASHLAND OR 97520 810650183 501(C)(3) 55000 0 TRAINING AND PROVISION OF SEXUAL ASSUALT RESPONSE TEAM (SART) NURSES TO PROVIDE FREE EXAMINATIONS, EMOTIONAL SUPPORT AND EVIDENCE COLLECTION IN JACKSON AND JOSEPHINE COUNTY ROGUE VALLEY FAMILY YMCA 522 W SIXTH STREET MEDFORD OR 97501 930391645 501(C)(3) 10000 0 ENCOURAGE FITNESS FOR COMMUNITY MEMBERS OF ALL AGES WITH RESTRICTION FOR CHILD AND YOUTH PROGRAMS SUPPORTING MENTAL HEALTH GHOST TREE INVITATIONAL 1574 COBURG ROAD SUITE 206 EUGENE OR 97401 320202371 501(C)(3) 7500 0 SOUTHERN OREGON CLASSIC WAS AN ANNUAL FUNDRAISER WHOSE PROCEED BENEFITTED ASANTE FOUNDATION AND CASA OF JACKSON COUNTY SUPPORTING COMMUNITY NEEDS AROUND ACCESS TO CARE AND MENTAL HEALTH. 3 0 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 FORMER CEO 1061168 0 0 0 4902 0 19800 0 18622 0 1104492 0 0 0 JAMES GREBOSKY SR. VP AND CMO 853376 0 0 0 4000 0 19160 0 31801 0 908337 0 0 0 SOMNATH GHOSH VP MEDICAL AFFAIRS 661991 0 81697 0 1146 0 19800 0 2086 0 766720 0 0 0 ROY VINYARD INTERIM PRESIDENT & CEO 743318 0 0 0 0 0 19800 0 0 0 763118 0 0 0 KEVIN KELLEHER MD ES ARM/ED DOCTOR 524003 0 38530 0 0 0 20276 0 33576 0 616385 0 0 0 KRISTEN ROY JD SR VP & CLO, GEN. COUNSEL, LEGAL RELATIONS 565299 0 10000 0 391 0 20275 0 17618 0 613583 0 0 0 WIN HOWARD SR. VP AND CAO 535125 0 0 0 2978 0 19800 0 29546 0 587449 0 0 0 ERIC LOELIGER MD VP MEDICAL AFFAIRS 492364 0 20000 0 1842 0 20354 0 34225 0 568785 0 0 0 TOM GESSEL ASANTE PRESIDENT AND CEO 461236 0 100000 0 0 0 0 0 5770 0 567006 0 0 0 HOLLY NICKERSON DNP VP QUALITY AND PATIENT SAFETY 482668 0 0 0 227 0 7760 0 30403 0 521058 0 0 0 ADAM WURSTLE MD EMERGENCY MEDICINE 428771 0 14864 0 0 0 19800 0 33836 0 497271 0 0 0 DAVID KINYON SR. VP AND CIO 437793 0 0 0 1009 0 19800 0 28059 0 486661 0 0 0 DENNIE CONRAD SR. VP AND CSO 422787 0 0 0 5037 0 19800 0 29474 0 477098 0 0 0 DANIELLE HOLTZ MD MEDICAL DOCTOR 374846 0 25194 0 0 0 19800 0 20528 0 440368 0 0 0 COURTNEY WILSON MD MEDICAL DOCTOR 354811 0 22640 0 0 0 19800 0 32636 0 429887 0 0 0 ERIC JENSEN MD EMERGENCY MEDICINE 351198 0 23843 0 0 0 20952 0 32384 0 428377 0 0 0 HEATHER ROWENHORST SR. VP AND CFO 367509 0 0 0 268 0 19800 0 37100 0 424677 0 0 0 SUE HAGAR MD MEDICAL DOCTOR & TRUSTEE 0 329200 0 40000 0 0 0 19800 0 34944 0 423944 0 0 AMANDA KOTLER SR. VP AND CNO 342394 0 10000 0 364 0 19800 0 34286 0 406844 0 0 0 NICOLE COWLEY DO TRUSTEE 0 301449 0 39441 0 0 0 19800 0 33992 0 394682 0 0 GREG WOJTAL FORMER CAFO 368362 0 0 0 3928 0 17019 0 13150 0 402459 0 0 0 STACI SPARKS RN VP NURSING ARRMC, ATRMC AND AACH 262208 0 10000 0 233 0 12398 0 26401 0 311240 0 0 0 MICK ZDEBLICK FORMER ARRMC CEO 277012 0 0 0 0 0 1389 0 2480 0 280881 0 0 0 ANGIE SIMONSON SR. VP OPERATIONS 200000 0 0 0 0 0 0 0 0 0 200000 0 0 0 PART I, LINE 4B ASANTE HAS AN EXECUTIVE RESTORATION PLAN WHICH INCLUDES PRESIDENT & CEO TOM GESSEL, SVP & CAO WIN HOWARD, ARRMC CEO MICK ZDEBLICK, SVP & CSO DENNIE CONRAD, SVP & CMO JAMES GREBOSKY, MD, SVP & CNO AMANDA KOTLER, CIO DAVID KINYON, SVP & CLO KRISTEN ROY, JD, SVP & CFO HEATHER ROWENHORST, ARRMC & AACH VP OF OPERATIONS WHITNEY MURPHY, ARRMC, ATRMC & AACH VP OF NURSING STACI SPARKS, VP OF OPERATIONS & MEDICAL OFFICER ERIC LOELIGER, MD, VPMA SOMNATH GHOSH, MD, AND VP OF QUALITY & PATIENT SAFETY HOLLY NICKERSON, DNP, SVP STRATEGY & OPERATIONS ANGIE SIMONSON, FORMER CAFO GREG WOJTAL, FORMER PRESIDENT & CEO SCOTT KELLY AND FORMER INTERIM CEO ROY VINYARD. 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. DURING CALENDAR YEAR 2023, THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO THE PLAN: SCOTT KELLY - $22,500 GREG WOJTAL - $16,500 JAMES GREBOSKY - $22,500 MICK ZDEBLICK - $1,200 WIN HOWARD - $22,100 ERIC LOELIGER, MD - $2,800 KRISTEN ROY - $8,800 DENNIE CONRAD - $13,874 DANIELLE HOLTZ, MD - $22,500 AMANDA KOTLER - $22,500 DAVID KINYON - $22,500 SUE HAGAR, MD - $3,510 TOM GESSEL - $13,454 HEATHER ROWENHORST - $20,600 NICOLE COWLEY, MD - $7,750 ADAM WURSTLE - $19,500 DURING CALENDAR YEAR 2023, THE FOLLOWING AMOUNTS WERE DISTRIBUTED OUT OF THE PLAN: SCOTT KELLY - $67,340 GREG WOJTAL - $88,856 JAMES GREBOSKY - $309,457 MICK ZDEBLICK - $254,454 KRISTEN ROY - $147,839 DENNIE CONRAD - $44,971 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 2024 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 5735204 0 1 1 5735204 ADROIT CONSTRUCTION ADROIT CONSTRUCTION IS 50% OWNED BY TOM WALKER, TRUSTEE 2799063 CONSTRUCTION 0 ROBERT KONING SON-IN-LAW OF JOAN MCBEE, TRUSTEE 193252 EMPLOYEE COMPENSATION 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.- ARE DIVIDED BETWEEN ASANTE AND THE EXECUTIVE'S BENEFICIARY.- WERE AVAILABLE TO BE PAID TO THE EXECUTIVE'S BENEFICIARY. HOWEVER, THE EXECUTIVE DECIDED TO MAKE A GIFT OF THE EXCESS PROCEEDS TO ASANTE TO PROVIDE ADDITIONAL FUNDING FOR ASANTE'S CHARITABLE ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD, AS WELL AS THE PRESIDENT AND CEO. THE EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD (I) WHEN EXPRESSLY GRANTED IN THE BYLAWS AND (II) WHEN EXPRESSLY GRANTED BY THE BOARD TO THE EXECUTIVE COMMITTEE BY RESOLUTION OF A MAJORITY VOTE BY THE BOARD. THE EXECUTIVE COMMITTEES HAS THE FOLLOWING ONGOING DUTIES: A. MEDICAL STAFF - THE BOARD DELEGATES TO THE EXECUTIVE COMMITTEE THE AUTHORITY TO MAKE DECISIONS FOR ALL HOSPITALS WITH RESPECT TO MEDICAL STAFF APPOINTMENT, REAPPOINTMENT, AND THE GRANTING, RENEWAL, AND MODIFICATION OF CLINICAL PRIVILEGES IN THE CIRCUMSTANCES SET FORTH BELOW. B. GOVERNANCE/BOARD AFFAIRS - THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR OVERALL GOVERNANCE, PERFORMANCE, AND INDIVIDUAL BOARD MEMBER CONTRIBUTION BY OVERSEEING AND MAKING RECOMMENDATIONS TO THE BOARD WITH RESPECT TO BYLAWS REVIEW AND REVISION; BOARD, OFFICER, AND BOARD COMMITTEE NOMINATIONS; BOARD EDUCATION; NEW BOARD MEMBER ORIENTATION; AND BOARD SELF-EVALUATION. C. ANNUAL PERFORMANCE OF PRESIDENT AND CEO - THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR COORDINATING THE ANNUAL PERFORMANCE REVIEW OF THE PRESIDENT AND CEO. D. EXECUTIVE COMPENSATION - THE EXECUTIVE COMMITTEE REVIEWS AND RECOMMENDS TO THE BOARD ACTIONS WITH RESPECT TO ASANTE'S EXECUTIVE COMPENSATION PHILOSOPHY AND ADEQUACY OF COMPENSATION PLANS AND PROGRAMS FOR EXECUTIVES, INCLUDING THE PRESIDENT AND CEO. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE AMENDED IN JANUARY 2024 (A) TO CREATE AN EXECUTIVE COMMITTEE; (B) TO ASSIGN TO THE EXECUTIVE COMMITTEE THE RESPONSIBILITIES AND AUTHORITIES OF THE GOVERNANCE/BOARD AFFAIRS COMMITTEE, EXECUTIVE COMPENSATION COMMITTEE, INDIVIDUAL HOSPITAL QUALITY COMMITTEES, AND INDIVIDUAL HOSPITAL APPOINTMENT COMMITTEES; (C) TO DISSOLVE THOSE OTHER COMMITTEES; AND (D) TO CLARIFY THAT THE PRESIDENT AND CEO HAS VOTING RIGHTS ON ALL COMMITTEES UNLESS THEY HAVE A CONFLICT OF INTEREST. 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 INTERIM DIRECTOR OF FINANCE, THE CFO AND THE ASANTE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ASANTE ELECTRONICALLY SURVEYS 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 THROUGH JANUARY 2024, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWED THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES. IN JANUARY 2024, THIS RESPONSIBILITY WAS TRANSFERRED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. 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 EXECUTIVE COMMITTEE BY AN OUTSIDE CONSULTANT, CHOSEN BY THE EXECUTIVE COMMITTEE. ON ALTERNATE YEARS, THE GENERAL MARKET MOVEMENT IS CONSIDERED AND THE REVIEW IS COMPLETED AND PRESENTED BY THE HUMAN RESOURCES EXECUTIVE. THE EXECUTIVE 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 2024 WITH RECOMMENDATIONS PRESENTED TO THE CEO IN OCTOBER 2024. 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 XI, LINE 9: CHANGE IN INVESTMENT IN ASANTE FOUNDATION 3,480,000. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 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