Community Benefit Insight - Tax-exempt hospital

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Good Shepherd Health Care System

Good Shepherd Medical Center

610 Nw Eleventh Street
Hermiston, OR 97838

Bed count	49	Medicare provider number	381325	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 930425580

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

28.03%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 3,925,039 2.69 %
Medicaid as % of operating expenses	$ 4,321,038 2.96 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 549,315 0.38 %
Subsidized health services as % of operating expenses	$ 30,356,255 20.77 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 1,532,908 1.05 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 281,603 0.19 %
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	$ 801,798 0.55 %
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	$ 0 0 %

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:
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.
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.
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.

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 $ 129439260 including grants of $ 323268) (Revenue $ 153110842)
GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS) SERVED 1,781 INPATIENTS OVER 6,808 PATIENT DAYS, 72,863 OUTPATIENTS, AND 22,441 PATIENTS IN OUR EMERGENCY CENTER DURING FISCAL YEAR 2021-2022. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF GSHCS, NOT ALL INDIVIDUALS HAVE THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. GSHCS PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT DEEPLY DISCOUNTED RATES AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $2,984,815 WRITTEN OFF AS BAD DEBT, AND AN ADDITIONAL $9,047,261 OF DIRECT CHARITY CARE TO OUR COMMUNITY. RECOGNIZING OUR MISSION TO THE COMMUNITY, SERVICES WERE ALSO PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS DURING THE YEAR WAS $77,910,151. THE UNREIMBURSED AMOUNTS ARE VALUED AT CHARGES FOREGONE. OUR EMERGENCY CENTER IS OPEN AROUND-THE-CLOCK TO ALL COMMUNITY MEMBERS, VISITORS, AND TRAVELERS, WITHOUT REGARD TO ONE'S ABILITY TO PAY.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

GOOD SHEPHERD HEALTH CARE SYSTEM
PART V, SECTION B, LINE 5: THE NEEDS ASSESSMENT WAS ENVISIONED, DESIGNED, AND EXECUTED BY COMMUNITY LEADERS AND MEMBERS REPRESENTING HEALTHCARE, PUBLIC HEALTH, LAW ENFORCEMENT, EDUCATION, AND SOCIAL SERVICES. THE ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH ST. ANTHONY HOSPITAL IN PENDLETON, OR. THE ASSESSMENT PROCESS INCLUDED REGULAR CONSULTATION WITH THE LOCAL CHILD DEVELOPMENT COALITION AND COUNTY PUBLIC HEALTH DEPARTMENTS. TWO SURVEY INSTRUMENTS WERE USED IN THIS ASSESSMENT: ONE FOR ADULTS 19YEARSOFAGE AND OLDER AND ONE FOR PARENTS OF CHILDREN AGES 0 THROUGH 11. A TOTAL OF 1,200 ADULT AND 2,400 PARENT SURVEYS WERE MAILED TO RESIDENTS OF UMATILLA COUNTY.

GOOD SHEPHERD HEALTH CARE SYSTEM
PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH ST. ANTHONY HOSPITAL LOCATED IN PENDLETON, OR.

GOOD SHEPHERD HEALTH CARE SYSTEM
PART V, SECTION B, LINE 6B: THE CHNA WAS ALSO CONDUCTED WITH OREGON CHILD DEVELOPMENT COALITION, UMATILLA COUNTY PUBLIC HEALTH, AND HOSPITAL COUNCIL OF NORTHWEST OHIO.

GOOD SHEPHERD HEALTH CARE SYSTEM
PART V, SECTION B, LINE 7D: THE CHNA WAS WAS MADE WIDELY AVAILABLE THROUGH A NEWSPAPER ARTICLE PROVIDING A SYNOPSIS OF THE ASSESSMENT'S FINDINGS, PUBLIC FORUMS DISCUSSING THE ASSESSMENT'S FINDINGS, AS WELL AS AVAILABLE ON OUR WEBSITE.

GOOD SHEPHERD HEALTH CARE SYSTEM
PART V, SECTION B, LINE 11: THE MOST RECENT CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS ALONG WITH SERVICES, PROGRAMS, AND RESOURCES AVAILABLE TO RESPOND TO THESE NEEDS INCLUDE:ACCESS TO SERVICES SOCIAL DETERMINANT OF HEALTH/HEALTH EQUITY:WE WILL CONTINUE OFFERING URGENT CARE SERVICES, CONNEXIONS PROGRAM (CASE MANAGEMENT AND RESOURCE REFERRAL), HERMISTON HIGH SCHOOL WELLNESS CLINIC, MEMBERSHIP IN THE LOCAL COMMUNITY ADVISORY COUNCIL (LCAC) AND SUPPORT OF LCAC OBJECTIVES. WE WILL IMPLEMENT NEW STRATEGIES INCLUDING COMMUNITY EDUCATION ON APPROPRIATE USE OF THE EMERGENCY DEPARTMENT, URGENT CARE, AND PRIMARY CARE PROVIDERS (PCPS), INCREASE EFFORTS TO RECRUIT HEALTHCARE PROVIDERS TO MEET THE GROWING POPULATION AND MAKE URGENT CARE SERVICES MORE ACCESSIBLE.OBESITY/CHRONIC DISEASE:WE WILL CONTINUE OFFERING BMI MEASUREMENTS AT COMMUNITY SCREENING EVENTS, ENCOURAGING COMMUNITY PARTNERS TO PROMOTE HEALTHY GARDENING AND FOOD CHOICES, CONTINUE TO PROMOTE COMMUNITY-BASED EXERCISE AND FITNESS EDUCATION OPPORTUNITIES. WE WILL IMPLEMENT NEW STRATEGIES INCLUDING NORTHEAST OREGON PRESCRIPTION TRAILS PROGRAM, SUGAR SWEETENED BEVERAGE EDUCATION AT 75% OF COMMUNITY OUTREACH EVENTS, FEASIBILITY ANALYSIS OF METABOLIC AND BARIATRIC PROGRAM, AND CREATION OF COMMUNITY CANCER PREVENTION STRATEGIC PLAN.VIOLENCE:WE WILL CONTINUE OFFERING SAFE COMMUNITIES PARTICIPATION AND START BY BELIEVING CAMPAIGN. WE WILL IMPLEMENT NEW STRATEGIES INCLUDING COLLABORATE WITH DOMESTIC VIOLENCE SERVICES TO HOST ONE IN HER SHOES EVENT ON SITE ANNUALLY, INTEGRATE ABUSE SCREENING QUESTIONNAIRE INTO EPIC, EXPANSION OF AWARENESS AND SCOPE OF START BY BELIEVING CAMPAIGN LED BY SANE TEAM.BEHAVIORAL HEALTH:WE WILL CONTINUE OFFERING SAFE COMMUNITIES AND DEVELOPMENTAL ADOLESCENT RESIDENTIAL TREATMENT (DART) PARTICIPATION, MEMBERSHIP IN THE LOCAL COMMUNITY ADVISORY COUNCIL (LCAC), SUPPORT OF LCAC OBJECTIVES, TOBACCO TREATMENT SPECIALIST (TTS) COUNSELING, AND COMMUNITY TOBACCO EDUCATION AND EVENTS. WE WILL IMPLEMENT NEW STRATEGIES INCLUDING ENSURING UNIFORM COMPLIANCE WITH GSHCS POLICIES REGARDING PRESCRIPTION DRUG MONITORING PROGRAM (PDMP) DASHBOARD USAGE BEFORE PRESCRIBING OPIOIDS OR OTHER ADDICTIVE PRESCRIPTIONS, ENSURING UNIFORM COMPLIANCE WITH GSHCS POLICIES REGARDING REQUIRING DOCTOR/PATIENT AGREEMENT WHEN ON LONG-TERM OPIOID PRESCRIPTIONS, OBTAINING ONE GSHCS EMPLOYED MEDICATION ASSISTED TREATMENT (MAT) PROVIDER, TRAINING SELECT GSHCS STAFF IN NALOXONE ADMINISTRATION, CREATING ONSITE SAFE MEDICATION DISPOSAL SITE, AND DISTRIBUTING ACCURATE INFORMATION ON DRUGS AT VARIOUS COMMUNITY EVENTS.THE HOSPITAL DOES NOT HAVE ADEQUATE RESOURCES TO SOLVE ALL THE PROBLEMS IDENTIFIED. SOME ISSUES ARE BEYOND THE MISSION OF THE HOSPITAL AND ACTION IS BEST SUITED FOR A RESPONSE BY OTHERS OR WILL REQUIRE PERSONAL ACTIONS BY INDIVIDUALS RATHER THAN THE RESPONSE OF AN ORGANIZATION. WE VIEW THE ABOVE STRATEGIES FOR HOW WE, ALONG WITH OTHER ORGANIZATIONS AND AGENCIES, CAN COLLABORATE TO BRING THE BEST EACH HAS TO OFFER TO ADDRESS THE MORE PRESSING IDENTIFIED NEEDS.

GOOD SHEPHERD HEALTH CARE SYSTEM
PART V, SECTION B, LINE 16J: A SUMMARY OF THE FAP IS DISTRIBUTED IN UNEMPLOYMENT OFFICES AND OTHER AREAS IN THE COMMUNITY THAT TARGET THE ELIGIBLE POPULATION. A SUMMARY IS ALSO AVAILABLE AT LOCAL PHYSICIAN OFFICES, ADMISSIONS OFFICES, AND SENT WITH BILLING INVOICES. ALSO, UPON DISCHARGE, A PATIENT FINANCIAL REPRESENTATIVE MEETS WITH PATIENTS TO DISCUSS THEIR ABILITY TO PAY FOR SERVICES. INCLUDED AS PART OF THIS DISCUSSION IS A SUMMARY OF THE FAP.

GOOD SHEPHERD HEALTH CARE SYSTEM
PART V, SECTION B, LINE 20E: SCHEDULE H, PART V, SECTION B, LINE 20A: THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECA'S)

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LN 7 COL(F):
BAD DEBT EXPENSE IS INCLUDED IN NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES UNDER THE ACCOUNTING FOR CONTRACTUAL ARRANGEMENTS SECTION AND IN NOTE 5: PATIENT ACCOUNTS RECEIVABLE.

PART II, COMMUNITY BUILDING ACTIVITIES:
N/A

PART III, LINE 2:
THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON SCHEDULE H, PART III, LINE 2 INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE.

PART III, LINE 3:
MANAGEMENT CONSIDERS HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION. THE ESTIMATE OF BAD DEBT ATTRIBUTABLE TO CHARITY PATIENTS IS BASED ON AN OVERALL CHARITY CARE PERCENTAGE OF GROSS REVENUE.

PART III, LINE 4:
BAD DEBT EXPENSE EXPLANATIONS ARE INCLUDED IN NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES UNDER THE ACCOUTING FOR CONTRACTUAL ARRANGEMENTS SECTION AND IN NOTE 5: PATIENT ACCOUNTS RECEIVABLE.

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. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES & REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. GSHCS PROVIDES SERVICES TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THEY WILL NOT RECOVER ALL THE COSTS ASSOCIATED WITH PROVIDING THESE SERVICES. PROVIDING THESE SERVICES IS ESSENTIAL TO THESE PATIENTS AND THE COMMUNITY AND INCREASES THEIR ACCESS TO HEALTHCARE SERVICES.

PART III, LINE 9B:
THE ORGANIZATIONS COLLECTION PROCEDURES REQUIRE A FINANCIAL ADVISOR TO WORK WITH ANY PATIENT WHO IS IDENTIFIED AS POTENTIALLY BEING ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SENDING THE ACCOUNT TO COLLECTION. IF DURING THE COURSE OF THE COLLECTION PROCESS THE COLLECTION AGENCY DETERMINES AN ACCOUNT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, IT IS REFERRED BACK TO THE HOSPITAL FOR FURTHER DISCUSSION WITH THE PATIENT OR FOR WRITE OFF. ALL FURTHER COLLECTION ACTION IS CEASED.

PART VI, LINE 2:
GOOD SHEPHERD HEALTH CARE SYSTEM HAS PARTNERED WITH ST. ANTHONY HOSPITAL, UMATILLA COUNTY HEALTH DEPARTMENTS, AND OREGON CHILD DEVELOPMENT COALITION, AND CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO TO CONDUCT AN UMATILLA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. OUR COMMUNITY HEALTHCARE NEEDS ASSESSMENT PROCESS HAS FIVE COMPONENTS THAT ARE CONDUCTED EVERY THIRD YEAR:1. THE ONGOING COLLECTION AND EVALUATION OF COMMUNITY FEEDBACK FROM PATIENT SURVEYS AND COMMENT FORMS.2. PATIENT AND COMMUNITY MEMBER HEALTHCARE NEEDS FOCUS GROUPS.3. A HEALTHCARE NEEDS SURVEY COMPLETED BY EMPLOYERS AND OTHER COMMUNITY LEADERS.4. A FORMAL TELEPHONE SURVEY.5. A DEMOGRAPHIC STUDY CONDUCTED BY THE OREGON OFFICE OF RURAL HEALTH.HARD COPIES OF THE LATEST COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE UPON REQUEST WITHOUT CHARGE AND ALSO POSTED ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: HTTP://WWW.GSHEALTH.ORG/COMMUNITYBENEFITHARD COPIES OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH IMPLEMENTATION PLAN IS AVAILABLE UPON REQUEST WITHOUT CHARGE AND ALSO POSTED ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL:HTTP://WWW.GSHEALTH.ORG/COMMUNITYBENEFIT

PART VI, LINE 3:
OUR FINANCIAL COUNSELORS INFORM AND EDUCATE THE PEOPLE WE SERVE WITH RESPECT TO CHARITY CARE AND GOVERNMENTAL ASSISTANCE PROGRAMS. ALL PATIENTS AND RESPONSIBLE PARTIES, WHERE POSSIBLE, ARE APPRISED OF THE AVAILABILITY OF FINANCIAL COUNSELING SERVICES AT THE TIME AND POINT OF SERVICE. WE HAVE ARRANGED OUR PATIENT FLOW TO MAXIMIZE THE CONVENIENCE OF VISITING OUR FINANCIAL COUNSELORS AS PART OF THE GOOD SHEPHERD TREATMENT REGIME. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS PROVIDED IN WRITING TO THE PATIENTS UPON REQUEST, AND WHEN THE HOSPITAL IS ABLE TO IDENTIFY A POTENTIAL FAP ELIGIBLE INDIVIDUAL UPON ADMISSIONS.

PART VI, LINE 4:
GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS) IS THE CORPORATE NAME FOR AN ORGANIZATION MADE UP OF SEVERAL ENTITIES, INCLUDING GOOD SHEPHERD MEDICAL CENTER, VANGE JOHN MEMORIAL HOSPICE, GOOD SHEPHERD HOME HEALTH, GOOD SHEPHERD MEDICAL GROUP, AND GOOD SHEPHERD CLINIC PHARMACY. GOOD SHEPHERD SERVES A CORE POPULATION OF ALMOST 50,000 PEOPLE IN THE CITY OF HERMISTON, OREGON AND IN 14 OUTLYING SMALLER TOWNS WITHIN A ROUGH 50-MILE RADIUS. THIS POPULATION IS LARGELY RURAL, WITH AGRICULTURE DOMINATING INDUSTRIAL ENTERPRISES. THE AVERAGE HOUSEHOLD INCOME IN HERMISTON IS 35,865. 17.1% OF RESIDENTS HAVE INCOMES BELOW FEDERAL POVERTY GUIDELINES. 31.3% OF RESIDENTS IDENTIFY AS NONWHITE HISPANIC ETHNICITY, WITH A SIZABLE NUMBER OF SPANISH PRIMARY SPEAKERS.

PART VI, LINE 5:
GOOD SHEPHERD MAINTAINS OPEN, ACTIVE, AFFILIATE, AND COURTESY MEDICAL STAFFS, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED AND INTERESTED PHYSICIANS IN THE COMMUNITIES WE SERVE. GSHCS IS GOVERNED BY A TWELVE MEMBER BOARD OF TRUSTEES. THE BOARD IS COMPRISED OF INDEPENDENT REPRESENTATIVES OF THE COMMUNITY, WITH AN EMPHASIS ON MAINTAINING A TRUE CROSS-SECTION OF CORE POPULATION COMMUNITIES WITHIN ITS MEMBERSHIP. OUR SURPLUS FUNDS ARE USED TO FUND COMMUNITY HEALTH EDUCATION CLASSES, AS WELL AS FUNDING BUILDING AND EQUIPMENT UPGRADES TO MAINTAIN THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY. SURPLUS FUNDS ARE ALSO APPLIED TO ONGOING PROFESSIONAL EDUCATION AMONG OUR CLINICAL STAFF TO REMAIN CURRENT IN THE BEST PRACTICES OF MODERN HEALTHCARE.WE OPERATE A FULLY STAFFED 24-HOUR EMERGENCY ROOM, AVAILABLE TO THE PUBLIC REGARDLESS OF ABILITY TO PAY.WE LIVE OUR MISSION TO PROMOTE A HEALTHY COMMUNITY. GOOD SHEPHERD IS THE HOST AND DRIVING FORCE BEHIND THE GOOD SHEPHERD WELLNESS COALITION, A GRASSROOTS GROUP OF COMMUNITY LEADERS THAT IDENTIFY, ANALYZE, AND ADDRESS PRESSING HEALTHCARE ISSUES IN THE COMMUNITY.WE MAINTAIN A DIALOGUE WITH THE PEOPLE WE SERVE THROUGH A BIWEEKLY RADIO SHOW, WITH AN EMPHASIS ON WELLNESS AND PREVENTATIVE CARE.GOOD SHEPHERD HOSTS AN ANNUAL FAMILY HEALTH AND FITNESS DAY, WITH FREE ACCESS TO HEALTHCARE PROFESSIONALS, FREE SCREENINGS, AND A WEALTH OF HEALTH AND WELLNESS INFORMATION AVAILABLE TO THE PUBLIC.WE ARE ACTIVE IN COMMUNITY HEALTH RELATED ACTIVITIES, INCLUDING THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, THE MARCH OF DIMES' MARCH FOR BABIES, AND THE UMATILLA COUNTY FAIR, WHERE WE PROVIDE HEALTH INFORMATION AND HEALTHCARE RELATED GIVEAWAYS.

PART VI, LINE 6:
N/A

PART VI, LINE 7, REPORTS FILED WITH STATES
OR

Operating expenses	$ 146,171,090
Total amount spent on community benefits as % of operating expenses	$ 40,966,158 28.03 %