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Grande Ronde Hospital Inc
La Grande, OR 97850
| Bed count | 49 | Medicare provider number | 381321 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
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 $ 131,131,493 Total amount spent on community benefits as % of operating expenses$ 6,979,591 5.32 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,580,894 1.21 %Medicaid as % of operating expenses$ 2,536,585 1.93 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 1,723,512 1.31 %Subsidized health services as % of operating expenses$ 392,133 0.30 %Research as % of operating expenses$ 0 0 %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.$ 720,568 0.55 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 25,899 0.02 %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$ 792,665 0.60 %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$ 753,032 95.00 %- 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
- 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 $ 114844653 including grants of $ 2975) (Revenue $ 131774253) GRANDE RONDE HOSPITAL, INC. (GRH) IS DEDICATED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE LOCAL COMMUNITY THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL, 24-HOUR EMERGENCY DEPARTMENT, FAMILY BIRTHING CENTER, HOME HEALTH PROGRAMS, AND 11 OUTPATIENT PRIMARY AND SPECIALTY CARE CLINICS. GRH ALSO OPERATES A TELEMEDICINE PROGRAM WHICH ENABLES PATIENTS TO OBTAIN THE SERVICES OF SPECIALISTS SUCH AS ICU INTENSIVISTS, CARDIOLOGISTS, NEONATOLOGISTS, AND DERMATOLOGISTS, WHICH HELPS REDUCE PATIENT TRAVEL FOR THESE SERVICES. DURING THE TAX YEAR, GRH SERVED 468 INPATIENTS, 41,166 OUTPATIENTS, 12,508 EMERGENCY PATIENTS. ADDITIONALLY, GRH RECORDED 99,380 VISITS TO ITS PROVIDER-BASED CLINICS. CONTINUATION ON SCHEDULE O.
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Facility Information
FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED ON PAGE 6 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBISITE.
FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 5 IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL BY UTILIZING A COMMITTEE BENEFIT SUBCOMMITTEE (CBSC) WHICH IS A GROUP COMPOSED OF COMMUNITY STAKEHOLDERS REPRESENTING BOTH HOSPITAL AND COMMUNITY INTERESTS IN THE CHNA PROCESS. THE GROUP INCLUDES INDIVIDUALS WITH BACKGROUNDS IN PUBLIC HEALTH, GOVERNMENT, THE NON-PROFIT SECTOR, BUSINESS, HOSPITAL ADMINISTRATION MEMBERS, AND LONG-STANDING MEMBERS OF THE COMMUNITY. THE CBSC PROVIDED INPUT INTO THE CHNA PROCESS FROM START TO FINISH. THE CBSC PUT TOGETHER A COMMUNITY BENEFIT HEALTH NEEDS ASSESSMENT TASK FORCE TO PROVIDE INPUT FOR THE CONTENT OF THE ASSESSMENT TOOL (SURVEY). THIS TASK FORCE WAS COMPRISED OF 25 COMMUNITY MEMBERS FROM THROUGHOUT UNION COUNTY, WITH REPRESENTATION FROM 20 PUBLIC, PRIVATE, GOVERNMENT AND FAITH- BASED ENTITIES INCLUDING, BUT NOT LIMITED TO, THE CENTER FOR HUMAN DEVELOPMENT (UNION COUNTY PUBLIC HEALTH DEPARTMENT), NE OREGON AREA HEALTH EDUCATION CENTER, COMMUNITY CONNECTION OF NORTHEAST OREGON, AND UNION COUNTY CARE PROGRAM. IN ORDER TO MAINTAIN COMPLETE OBJECTIVITY THROUGHOUT THE SURVEY DEVELOPMENT AND IMPLEMENTATION PROCESS, THE CBSC ENGAGED THE SERVICES OF THE HOSPITAL COUNCIL OF NORTHWEST OHIO (HCNO) TO GUIDE THE ASSESSMENT PROCESS, ADMINISTER THE SURVEY, AND COMPILE THE RESULTS. THE HCNO ALSO INTEGRATED SOURCES OF PRIMARY AND SECONDARY DATA IN THE FINAL RESULTS.
FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 11 THERE WERE THREE HEALTH CARE NEEDS IDENTIFIED BY THE CHNA. THE HOSPITAL HAS AN IMPLEMENTATION STRATEGY AND ASSOCIATED COMMUNITY BENEFIT PLAN WITH OBJECTIVES TO ADDRESS THE THREE NEEDS IDENTIFIED.
FACILITY 1, GRANDE RONDE HOSPITAL, INC. - PART V, LINE 24 PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE RECEIVE DISCOUNTED CARE FOR MEDICALLY NECESSARY TREATMENT. SERVICES PROVIDED THAT ARE DETERMINED AS ELECTIVE OR MEDICALLY UNNECESSARY MAY BE CHARGED AT FULL PRICE. MEDICAL NECESSITY IS DETERMINED THROUGH AN INTERNAL COMMITTEE WHICH USES MEDICAID SERVICES AS THE BASIS FOR ALLOWABLE SERVICES.
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Supplemental Information
SCHEDULE H, PART I, LINE 7 THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES, LESS NON-PATIENT CARE ACTIVITIES AND TOTAL COMMUNITY BENEFIT EXPENSES) FOR LINES 7A AND 7B. THE COSTS ON LINE 7E, 7F AND 7I INCLUDE THE DIRECT AND INDIRECT COSTS AS ALLOWED FOR IN WORKSHEETS 4, 5 AND 8. LINE 7G UTILIZED A COST-TO-CHARGE RATIO USING THE MEDICARE COST REPORT AS FILED.
SCHEDULE H, PART II THE HOSPITAL DONATED MONEY, TIME, AND SPACE TO VARIOUS LOCAL NON-PROFIT AGENCIES.
SCHEDULE H, PART III, LINE 2 THE HOSPITAL USED THE RATIO OF PATIENT CARE COSTS-TO-CHARGES TO DETERMINE THE COST OF BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 3 THE ESTIMATED AMOUNT OF BAD DEBT THAT IS ATTRIBUTED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS EQUAL TO THE AVERAGE OF ACTUAL DISCOUNTS ON FULLY EXECUTED PATIENT ACCOUNTS WITH FINANCIAL ASSISTANCE. THE RATE FOR THE TAX YEAR IS 95%. THE RATIONALE FOR APPLYING THE SAME AVERAGE DISCOUNT AMOUNT TO BAD DEBT IS DUE TO THE FACT THAT MULTIPLE FINANCIAL APPLICATIONS ARE SENT TO THE FINANCIAL GUARANTOR PRIOR TO DETERMINING BAD DEBT STATUS. THEREFORE, IF ALL APPLICATIONS WERE TO BE RETURNED, THE EXPERIENCE RATE IS ESTIMATED TO BE SIMILAR. NO BAD DEBT WAS CLASSIFIED AS A COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 12 BEGINNING ON PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8 ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR.
SCHEDULE H, PART VI, LINE 2 THE BOARD ESTABLISHED A COMMUNITY BENEFIT SUBCOMMITTEE TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL BY UTILIZING A COMMUNITY BENEFIT SUBCOMMITTEE (CBSC) WHICH IS A GROUP COMPOSED OF COMMUNITY STAKEHOLDERS REPRESENTING BOTH HOSPITAL AND COMMUNITY INTERESTS IN THE CHNA PROCESS. THE GROUP INCLUDES INDIVIDUALS WITH BACKGROUNDS IN PUBLIC HEALTH, GOVERNMENT, THE NON-PROFIT SECTOR, BUSINESS, CHURCHES, HOSPITAL ADMINISTRATION MEMBERS, AND LONG-STANDING MEMBERS OF THE COMMUNITY. THE CBSC PROVIDED INPUT INTO THE CHNA PROCESS FROM START TO FINISH. THE COMMUNITY BENEFIT PLAN PROGRESS REPORT IS UPDATED ANNUALLY. THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL UNDER THE 'IN THIS SECTION' HEADING: HTTP://WWW.GRH.ORG/COMMUNITY-BENEFIT/
SCHEDULE H, PART VI, LINE 3 PATIENTS ARE INFORMED OF THE HOSPITALS FINANCIAL ASSISTANCE PROGRAM VERBALLY AT ADMISSION AS WELL AS THROUGH LITERATURE PROVIDED IN THE ADMITTING AREAS OF PATIENT CARE FACILITIES. IN ADDITION, ALL ACCOUNTS SUBSTANTIALLY PAST DUE ARE CONTACTED AND ENCOURAGED TO FILL OUT A FINANCIAL ASSISTANCE APPLICATION PROVIDED THROUGH THE MAIL ALONG WITH A FOLLOW UP TELEPHONE CALL.
SCHEDULE H, PART VI, LINE 4 GRANDE RONDE HOSPITAL, INC. IS LOCATED IN UNION COUNTY, OREGON, WHICH IS ISOLATED BY MOUNTAIN RANGES IN BOTH FREEWAY DIRECTIONS. THE MOUNTAIN PASSES ARE FREQUENTLY CLOSED DURING THE WINTER. GRANDE RONDE HOSPITAL IS LOCATED 42 MILES AWAY AND 50 MILES AWAY FROM ITS TWO CLOSEST HOSPITALS. THE CLOSEST REFERRAL HOSPITAL IS 87 MILES AWAY. THE HOSPITAL ALSO REFERS CARE TO BOISE, IDAHO, AND PORTLAND, OREGON, WHICH ARE 3 AND 4 HOURS AWAY, RESPECTIVELY. THE APPROXIMATE POPULATION BASE FOR THE HOSPITAL'S PRIMARY SERVICE AREA IS 25,810 WITH A REGIONAL SERVICE AREA OF 49,650. FOR THE PRIMARY SERVICE AREA OF UNION COUNTY, THE AGE IN YEARS OF THE POPULATION IS 5.8% UNDER 5, 16.5% BETWEEN 5-17, 58.5% BETWEEN 18-64 AND 18.8% OVER 65. THE RACIAL MAKEUP OF THE COUNTY IS 92.2% WHITE, 0.8% AFRICAN AMERICAN, 1.1% NATIVE AMERICAN OR ALASKA NATIVE 1.0% ASIAN, 1.0% PACIFIC ISLANDER, AND 2.7% FROM TWO OR MORE RACES. ADDITIONALLY, THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY 46,228 WITH 17.4% OF THE POPULATION LIVING BELOW THE POVERTY LEVEL.
SCHEDULE H, PART VI, LINE 5 "GRANDE RONDE HOSPITAL, INC. HAS A 13 MEMBER BOARD OF TRUSTEES THAT GOVERNS ITS ACTIVITIES. OF THOSE 13 MEMBERS, 10 ARE FROM THE COMMUNITY AT LARGE. THE REMAINING 3 MEMBERS ARE THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE PROFESSIONAL STAFF PRESIDENT, AND THE CHIEF MEDICAL INFORMATION OFFICER. THE 10 COMMUNITY MEMBERS USE THEIR UNIQUE EXPERIENCE AND ABILITIES TO LEAD THE HOSPITAL IN DIRECTIONS THAT SUPPORT THE NEEDS OF THE COMMUNITY. THE STATED MISSION OF THE ORGANIZATION IS AS FOLLOWS: ""GRANDE RONDE HOSPITAL AND CLINICS WILL ENSURE ACCESS TO HIGH- QUALITY, COST-EFFECTIVE HEALTH CARE IN A SAFE, CUSTOMER-FRIENDLY ENVIRONMENT FOR ALL THOSE IN NEED OF OUR SERVICES."""
SCHEDULE H, PART VI, LINE 6 THE HOSPITAL IS AFFILIATED WITH SAINT ALPHONSUS HEALTH SYSTEM WHICH IS A MEMBER OF THE TRINITY HEALTHCARE SYSTEM IN A NON-MANAGEMENT CAPACITY. THE AFFILIATION IS FOR THE BENEFIT OF IMPROVING HEALTHCARE AND PROVIDING ACCESS TO AFFORDABLE SPECIALIZED CARE TO THE RURAL COMMUNITY.
SCHEDULE H, PART VI, LINE 7 OREGON
