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Asante
2650 Siskiyou Blvd
Medford, OR 97504
EIN: 930223960
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Three Rivers Medical Center500 Sw Ramsey Ave
Grants Pass, OR 97527
Grants Pass, OR 97527
3 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
(click a facility name to update Individual Facility Details panel)
| Bed count | 150 | Medicare provider number | 380002 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
AsanteDisplay data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
16.07%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 1,101,499,765 Total amount spent on community benefits as % of operating expenses$ 176,971,319 16.07 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 6,340,989 0.58 %Medicaid as % of operating expenses$ 85,813,605 7.79 %Costs of other means-tested government programs as % of operating expenses$ 20,107,722 1.83 %Health professions education as % of operating expenses$ 2,400,094 0.22 %Subsidized health services as % of operating expenses$ 52,234,611 4.74 %Research as % of operating expenses$ 30,913 0.00 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 9,604,480 0.87 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 438,905 0.04 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 14,930,320 1.36 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 2,015,593 13.50 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 551925367 including grants of $ 239200) (Revenue $ 703710252) "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. ARRMC WAS NAMED ONE OF THE TOP 100 HOSPITALS IN THE NATION BY IBM WATSON. IN ADDITION, THEY WERE NAMED ONE OF THE TOP 50 CARDIOVASCULAR HOSPITALS IN THE NATION. THEY ALSO RECEIVED A 5-STAR RATING FROM CMS. LEAPFROG AWARDED THE HOSPITAL WITH AN ""A"" SAFETY SCORE. THE HOSPITAL ALSO EARNED THE PATIENT SAFETY EXCELLENCE, PULMONARY CARE EXCELLENCE, BARIATRIC SURGERY EXCELLENCE, VASCULAR SURGERY EXCELLENCE, LABOR AND DELIVERY EXCELLENCE AND OBGYN EXCELLENCE AWARDS FROM HEALTHGRADES. HEALTHGRADES ALSO NAMED ARRMC AS ONE OF THE 100 BEST IN AMERICA FOR SPINE SURGERY. 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 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 2022, ARRMC ADMITTED 14,851 PATIENTS FOR A TOTAL OF 103,071 PATIENT DAYS. IT ALSO HAD OVER 600,933 TOTAL OUTPATIENT VISITS AND DELIVERED 1,646 BABIES. THE EMERGENCY ROOMS TREATED 48,220 PATIENTS. SURGICAL SERVICES PERFORMED 9,702 INPATIENT AND OUTPATIENT SURGERIES AT ARRMC. OTHER STATISTICS AT ARRMC INCLUDE 21,710 HOSPICE VISITS, 89,293 VISITS TO THE VARIOUS REHAB UNITS, AND OVER 165,154 VISITS TO IMAGING."
4B (Expenses $ 198690438 including grants of $ 0) (Revenue $ 255897193) "ASANTE'S SECOND LARGEST PROGRAM SERVICE ACCOMPLISHMENT BY EXPENSE IS THE OPERATION OF ASANTE THREE RIVERS MEDICAL CENTER (ATRMC), A 125 LICENSED BED HOSPITAL LOCATED IN GRANTS PASS, OREGON. ATRMC RECEIVED A GRADE ""A"" HOSPITAL SAFETY SCORE FROM LEAPFROG FOR THE SIXTH CONSECUTIVE YEAR. HEALTH GRADES NAMED THEM ONE OF THE 100 BEST HOSPITALS IN AMERICA FOR JOINT REPLACEMENT. HEALTHGRADES ALSO AWARDED THE HOSPITAL WITH PATIENT SAFETY EXCELLENCE. ADDITIONALLY, ATRMC RECEIVED A 5-STAR RATING FROM CMS. SOME OF THE KEY INPATIENT SERVICES AVAILABLE AT TRMC INCLUDE CANCER SERVICES, GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY, OBSTETRICS, ORTHOPEDICS, AND PEDIATRICS. SOME OF THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, CARDIOPULMONARY SERVICES, OUTPATIENT CARDIAC CATHERIZATION LAB, IMAGING AND VARIOUS THERAPIES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH. DURING FISCAL YEAR 22, ATRMC ADMITTED 6,498 INPATIENTS FOR A TOTAL OF 32,255 PATIENT DAYS. THEY ALSO DELIVERED 685 BABIES AND HAD OVER 288,000 OUTPATIENT VISITS. THE EMERGENCY ROOM SAW 45,321 PATIENTS AND THERE WERE 5,759 SURGERIES PERFORMED DURING THE YEAR. ATRMC'S REHAB DEPARTMENT HAD 24,645VISITS AND THE VARIOUS IMAGING DEPARTMENTS HAD OVER 85,000 VISITS."
4C (Expenses $ 57325728 including grants of $ 1000) (Revenue $ 77112303) "ASANTE'S THIRD LARGEST PROGRAM SERVICE ACCOMPLISHMENTS BY EXPENSE ARE THE OPERATION OF ASANTE ASHLAND COMMUNITY HOSPITAL (AACH), A 49 LICENSED BED HOSPITAL LOCATED IN ASHLAND, OREGON AND THE OPERATION OF THE CORPORATE DIVISION. AACH ALSO RECEIVED A 5-STAR RATING FORM CMS. THE HOSPITAL ALSO RECEIVED AN ""A"" SAFETY SCORE FROM LEAPFROG. ASANTE HEALTH SYSTEM WAS NAMED ONE OF THE ""15 TOP HEALTH SYSTEMS IN THE NATION"" FOR THE NINTH YEAR IN A ROW BY TRUVEN HEALTH ANALYTICS. IN ADDITION, ASANTE WAS NAMED BEST IN STATE EMPLOYER BY FORBES. KEY INPATIENT SERICES AVAILABLE AT ACH INCLUDE GENERAL MEDICINE, GENERAL SURGERY, GYNECOLOGY AND OBSTETRICS. SOME THE KEY OUTPATIENT SERVICES INCLUDE EMERGENCY SERVICES, AMBULATORY SURGERY, OUTPATIENT LAB TESTING, IMAGING AND VARIOUS THERAPIES. DURING FISCAL YEAR 22, AACH ADMITTED 1,383 INPATIENTS FOR A TOTAL OF 8,115 PATIENT DAYS. THEY DELIVERED 198 BABIES AND HAD OVER OVER 45,000 OUTPATIENT VISITS. THE EMERGENCY ROOM SAW 11,000 PATIENTS AND, THERE WERE 1,804 SURGERIES PERFORMED DURING THE YEAR. ASANTE'S CORPORATE DIVISION HAS MADE GENEROUS CASH DONATIONS TO NUMEROUS NON-PROFIT ORGANIZATIONS. THESE DONATIONS HELP SUPPORT A VARIETY OF LOCAL PROGRAMS, SUCH AS THE MASLOW PROJECT WHICH PROVIDES RESOURCES TO HOMELESS YOUTH TO THE ANNUAL PEAR BLOSSOM FESTIVAL TO ENCOURAGE HEALTH THROUGH MOVEMENT. OTHER NOTABLE DONATIONS INCLUDE LOCAL FOODBANKS, SEXUAL ASSAULT RESPONSE TEAMS, SUICIDE PREVENTION AND YOUTH CAMPS. OFTEN, INDIGENT AND MEDICAID PATIENTS WILL SHOW UP AT THE EMERGENCY ROOM IN NEED OF SPECIALIZED MEDICAL CARE. IN ORDER TO ASSURE THAT UNASSIGNED INDIGENT AND MEDICAID PATIENTS HAVE SPECIALIZED CARE AVAILABLE TO THEM, ASANTE CREATED SOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES (SOTES). SOTES CONTRACTS WITH LOCAL INDEPENDENT PHYSICIANS TO PROVIDE SPECIALIZED CARE TO THESE PATIENTS THROUGHOUT THEIR HOSPITAL STAY. THE PHYSICIAN BILLS SOTES, WHICH WILL REIMBURSE THE SPECIALIST AT MEDICARE RATES. SOTES OPERATES AT BREAKEVEN. EXPENSES ARE FULLY FUNDED AND REIMBURSED TO THE DOCTOR BY THE HOSPITALS."
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
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 11: WHILE THE 2022 CHNA IDENTIFIED ACCESS TO HEALTH CARE, CHRONIC CONDITION AND MENTAL HEALTH AS THE KEY AREAS OF FOCUS FOR THE NEXT THREE-YEAR CYCLE, ASANTE ROGUE REGIONAL MEDICAL CENTER'S FY22 PROGRAM YEAR WAS GOVERNED BY THE 2019 CHNA NEEDS: ACCESS TO HEALTH CARE SERVICES, SUBSTANCE USE, MENTAL HEALTH, CARDIOVASCULAR DISEASE AND STROKE, AND INFANT HEALTH. WHILE CONTINUING TO SUPPORT THE COMMUNITY COLLECTIVELY NAVIGATE A THIRD YEAR OF THE COVID-19 PANDEMIC, ASANTE ROGUE REGIONAL MEDICAL CENTER INVESTED NEARLY $34 MILLION TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO HEALTH CARE, BEYOND 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 MEDICALLY FRAGILE, HOME-BOUND COMMUNITY MEMBERS AND RESIDENTS OF SKILLED NURSING FACILITIES. ASANTE ROGUE REGIONAL CENTER ALSO OPENED ITS HEIMANN CANCER CENTER, EXPANDING LOCALLY AVAILABLE TREATMENT OPTIONS AND REDUCING THE NEED FOR COMMUNITY MEMBERS TO TRAVEL OUT OF THE AREA FOR COMPLEX CANCER CARE.ASANTE INVESTED IN COMMUNITY HEALTH EDUCATION AROUND CARDIOVASCULAR HEALTH AND STROKE DURING FY22, EXPANDING THE EXISTING PROGRAM TO INCLUDE WEBINARS AND A COMMUNITY-FACING HEALTH BLOG.ASANTE ROGUE REGIONAL MEDICAL CENTER PARTICIPATED IN A HOSPITAL BASED OPIOID TREATMENT STUDY IN PARTERNSHIP WITH OREGON HEALTH & SCIENCE UNIVERSITY, BRINGING WORLD-CLASS PROFESSIONAL TRAINING ON OPIOID USE TO PROVIDERS IN OUR COMMUNITY; ESTABLISHING NEW ORDER SETS FOR SCREENING AND TREATMENT AND FACILITATING IMPROVED OUTCOMES FOR PATIENTS IMPACTED BY OPIOD USE DISORDER BUT SEEKING HOSPITAL CARE FOR OTHER PRESENTING CONDITIONS. ASANTE ROGUE REGIONAL LAB OUTREACH FACILITATED NECESSARY LAB MONITORING FOR COMMUNITY MEMBERS PARTICIPATING IN RESIDENTIAL TREATMENT PROGRAMS. ASANTE ROGUE REGIONAL MEDICAL CENTER'S PREDOMINANT INVESTMENTS IN MENTAL HEALTH WERE CARRIED OUT THROUGH THE PROGRAMS AND SERVICES OF THE BEHAVIORAL HEALTH UNIT, WITH MORE THAN $1 MILLION BENEFITTING COMMUNITY MEMBERS IN NEED OF BEHAVIORAL SUPPORT SERVICES DURING FY22. OTHER INVESTMENTS INCLUDED THE HOSPICE TRANSITIONS PROGRAM FOR COMMUNITY MEMBERS WITH TERMINAL ILLNESS WHO DO NOT YET MEET QUALIFICATIONS FOR HOSPICE CARE AND THE BEREAVEMENT PROGRAM OPERATED THROUGH ASANTE HOSPICE TO AID COMMUNITY MEMBERS THROUGH THEIR GRIEVING PROCESS. THROUGHOUT ASANTE, EMBEDDED LICENSED CLINICAL SOCIAL WORKERS OFFERED INDIVIDUAL AND GROUP SUPPORT FOR PATIENTS NAVIGATING CHALLENGING HEALTH DIAGNOSES IN TANDEM WITH DIFFICULT LIFE CIRCUMSTANCES. ASANTE HAS ALSO INVESTED IN COMMUNITY RESOURCE COORDINATORS TO PROVIDE SUPPORT ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS IN ALIGNMENT WITH NEW OREGON STATE GUIDELINES. ASANTE ROGUE REGIONAL MEDICAL CENTER'S MULTI-DISCIPLINARY OBSTETRIC RESPONSE TEAM WAS CREATED TO ASSIST PREGNANT WOMEN IN MEDICAL DISTRESS AND THOSE WITH PREGNANCY-RELATED EMERGENCIES. DURING FY22, ASANTE ROGUE REGIONAL MEDICAL CENTER ACHIEVED A BABY-FRIENDLY DESIGNATION AND MADE SIGNIFICANT PROGRESS TOWARD THE COMPLETION OF A NEW HOSPITAL WING WHICH WILL INCLUDE A WOMEN'S AND CHILDREN'S HOSPITAL. THE PREVIOUSLY REFERENCED HOSPITAL BASED OPIOID TREATMENT STUDY INCORPORATED SUPPORT FOR PREGNANT WOMEN NAVIGATING ADDICTION.
ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 11: WHILE THE 2022 CHNA IDENTIFIED ACCESS TO HEALTH CARE, CHRONIC CONDITION AND MENTAL HEALTH AS THE KEY AREAS OF FOCUS FOR THE NEXT THREE-YEAR CYCLE, ASANTE THREE RIVERS MEDICAL CENTER'S FY22 PROGRAM YEAR WAS GOVERNED BY THE 2019 CHNA NEEDS: ACCESS TO HEALTH CARE SERVICES, SUBSTANCE USE, MENTAL HEALTH, CARDIOVASCULAR DISEASE AND STROKE, AND INFANT HEALTH. WHILE CONTINUING TO SUPPORT THE COMMUNITY COLLECTIVELY NAVIGATE A THIRD YEAR OF THE COVID-19 PANDEMIC, ASANTE THREE RIVERS MEDICAL CENTER INVESTED OVER $12.2 MILLION TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO HEALTH CARE, BEYOND 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 MEDICAL CENTER ALSO EXPANDED SERVICES AT ITS SPEARS CANCER CENTER, EXPANDING LOCALLY AVAILABLE TREATMENT OPTIONS AND REDUCING THE NEED FOR COMMUNITY MEMBERS TO TRAVEL OUT OF THE AREA FOR COMPLEX CANCER CARE.ASANTE THREE RIVERS MEDICAL CENTER INVESTED IN COMMUNITY HEALTH EDUCATION AROUND CARDIOVASCULAR HEALTH AND STROKE DURING FY22, EXPANDING THE EXISTING EDUCATIONAL PRINT INSERTIONS IN LOCAL NEWSPAPERS TO INCLUDE WEBINARS AND A COMMUNITY-FACING HEALTH BLOG.ASANTE THREE RIVERS MEDICAL CENTER EMPLOYS LICENSED CLINICAL SOCIAL WORKERS WHO OFFER INDIVIDUAL AND GROUP SUPPORT FOR PATIENTS NAVIGATING CHALLENGING HEALTH DIAGNOSES IN TANDEM WITH DIFFICULT LIFE CIRCUMSTANCES. THE HOSPITAL HAS ALSO INVESTED IN COMMUNITY RESOURCE COORDINATORS TO PROVIDE SUPPORT ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR VULNERABLE COMMUNITY MEMBERS IN ALIGNMENT WITH NEW OREGON STATE GUIDELINES.
ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: WHILE THE 2022 CHNA IDENTIFIED ACCESS TO HEALTH CARE, CHRONIC CONDITION AND MENTAL HEALTH AS THE KEY AREAS OF FOCUS FOR THE NEXT THREE-YEAR CYCLE, ASANTE ASHLAND COMMUNITY HOSPITAL'S FY22 PROGRAM YEAR WAS GOVERNED BY THE 2019 CHNA NEEDS: ACCESS TO HEALTH CARE SERVICES, SUBSTANCE USE, MENTAL HEALTH, CARDIOVASCULAR DISEASE AND STROKE, AND INFANT HEALTH. WHILE CONTINUING TO SUPPORT THE COMMUNITY COLLECTIVELY NAVIGATE A THIRD YEAR OF THE COVID-19 PANDEMIC, ASANTE ASHLAND COMMUNITY HOSPITAL INVESTED MORE THAN $400,000 TOWARD PROGRAMS AND INITIATIVES ADDRESSING ACCESS TO HEALTH CARE, BEYOND 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. DURING FY22, ASANTE ASHLAND COMMUNITY HOSPITAL MADE SIGNIFICANT PROGRESS IN ITS AGE-FRIENDLY INITIATIVES TO IMPROVE CARE FOR OUR COMMUNITY'S ELDER POPULATION.DURING FY22, ASANTE ASHLAND COMMUNITY HOSPITAL BEGAN EXPLORATION OF A HOSPITAL BASED OPIOID USE DISORDER PROGRAM FOR HOPEFUL IMPLEMENTATION IN FY23 OR 24.RECOGNIZING THE CLOSE AFFILIATION BETWEEN MENTAL HEALTH AND STABILITY WITH SOCIAL DETERMINANTS OF HEALTH, ASANTE INVESTED IN RESOURCE COORDINATORS TO PROVIDE SUPPORT FOR VULNERABLE COMMUNITY MEMBERS IN ALIGNMENT WITH NEW OREGON STATE GUIDELINES.ASANTE ASHLAND COMMUNITY HOSPITAL INVESTED IN COMMUNITY HEALTH EDUCATION AROUND CARDIOVASCULAR HEALTH AND STROKE DURING FY22, EXPANDING THE EXISTING PROGRAM TO INCLUDE WEBINARS AND A COMMUNITY-FACING HEALTH BLOG.DURING FY22 ASANTE ASHLAND COMMUNITY HOSPITAL MADE SIGNIFICANT PROGRESS TOWARD ATTAINING A BABY-FRIENDLY DESIGNATION FOR THE HOSPITAL.
ASANTE ROGUE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16J: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION.
ASANTE THREE RIVERS MEDICAL CENTER PART V, SECTION B, LINE 16J: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION.
ASANTE ASHLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: PARTIAL INFORMATION, BUT NOT THE ENTIRE POLICY, ABOUT APPLYING FOR FINANCIAL AID IS PRINTED ON THE PATIENT'S BILLING STATEMENT. THE ENTIRE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE ASANTE WEBSITE AT WWW.ASANTE.ORG. THE ENTIRE POLICY IS ALSO ON POSTERS IN THE PATIENT REGISTRATION DEPARTMENT. IF A PATIENT WISHES TO APPLY FOR FINANCIAL AID, THEY ARE DIRECTED TO CALL THE HOSPITAL FOR A FINANCIAL ASSISTANCE APPLICATION.
ASANTE ROGUE REGIONAL MEDICAL CENTER "PART V, SECTION B, LINE 18E: ASANTE ROGUE REGIONAL MEDICAL CENTER'S ""POLICY"" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST."
ASANTE THREE RIVERS MEDICAL CENTER "PART V, SECTION B, LINE 18E: ASANTE THREE RIVERS MEDICAL CENTER'S ""POLICY"" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST."
ASANTE ASHLAND COMMUNITY HOSPITAL "PART V, SECTION B, LINE 18E: ASANTE ASHLAND COMMUNITY HOSPITAL'S ""POLICY"" IS TO ALLOW THIRD PARTIES TO PERFORM LAWSUITS, PLACE LIENS ON RESIDENCES, AND GARNISH WAGES, BUT ONLY AS A FINAL RESORT. HOWEVER, THE ASANTE BUSINESS OFFICE IS AUTHORIZED TO PLACE A VOLUNTARY LIEN ON A PATIENTS RESIDENCE ON CERTAIN RARE CIRCUMSTANCES. THE PATIENT MUST APPROVE THE VOLUNTARY LIEN FIRST."
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
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Supplemental Information
Schedule H (Form 990) Part VI
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 FINANCIAL RESOURCES ARE AVAILABLE, 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. 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 AND EMERGENCY SERVICES, WHICH INCLUDES SOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES (SOTES) AND DISASTER EMERGENCY (COVID-19) DEPARTMENTS.
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 $ 14,930,320.
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, 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 AS MEDICARE AND MEDICAID, PAY A SIGNIFICANTLY REDUCED AMOUNT FOR MEDICAL SERVICES RENDERED TO THEIR INSUREES. OREGON LAW IN ORS 442.200 (2) CONSIDERS THE DIFFERENCE BETWEEN THE EXPENSES AND REIMBURSEMENT WITH RESPECT TO MEDICARE AND MEDICAID 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 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 FIVE PRIMARY SOURCES OF INPUT INCLUDE THE COMMUNITY LEADERS FORUM, THE ENVIRONMENTAL ASSESSMENT, THE COMMUNITY ASSESSMENT SURVEY, 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. BASED UPON INCOME AND EXPENSES, A PATIENT MAY BE ELIGIBLE FOR CHARITY CARE WRITE-OFF OF BETWEEN 10% AND 100% OF THEIR BILL.
PART VI, LINE 4: THE MOST NOTABLE FACT ABOUT THE DEMOGRAPHICS OF OUR SERVICE AREA IS THAT WE HAVE A RATHER ELDERLY POPULATION, BOTH IN OUR PRIMARY SERVICE AREA OF JACKSON AND JOSEPHINE COUNTIES, BUT ALSO OUR SECONDARY SERVICE AREA OF NORTHERN CALIFORNIA AND SOUTHERN OREGON. IN FISCAL 2020, PATIENTS 65+ ACCOUNTED FOR 54.08%, 52.74% AND 53.78% OF ADMISSIONS AT ACH, RRMC AND TRMC RESPECTIVELY. FOR THE NEXT 20 YEARS, THE 65+ AGE GROUP IS FORECAST TO BE THE FASTEST GROWING SEGMENT OF THE POPULATION. IN ADDITION, THE OVERALL POPULATION GROWTH OF OUR PRIMARY SERVICE AREA IS ALSO FORECAST TO AVERAGE 1 % PER YEAR FOR THE NEXT 30 YEARS.
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 ROGUE REGIONAL MEDICAL CENTER (RRMC) IN MEDFORD, AND THREE RIVERS MEDICAL CENTER (TRMC) IN GRANTS PASS. IN 2013, ASHLAND COMMUNITY HOSPITAL (ACH) IN ASHLAND WAS AQUIRED TO BETTER SERVE JACKSON COUNTY.
PART VI, LINE 7, REPORTS FILED WITH STATES OR
