2024-09-24T10:53:45-05:00 2023-12-31 621199757 LBMC PC PO BOX 1869 BRENTWOOD TN 370241869 990 2023-01-01 620983550 ALIVE HOSPICE INC ALIV 6153271085 1718 PATTERSON STREET NASHVILLE TN 37203 JOSEPH HAMPE COO/INTERIM CEO 6153271085 2024-09-23 1 0 JULIE DUNKIN P00742923 6153774600 2024-09-23 2023 2024-08-08 14:25:15Z JOSEPH HAMPE 1718 PATTERSON STREET NASHVILLE TN 37203 39695472 0 X WWW.ALIVEHOSPICE.ORG X 1975 TN ALIVE HOSPICE, INC. PROVIDES LOVING CARE TO PEOPLE WITH LIFE-THREATENING ILLNESSES, SUPPORT TO THEIR FAMILIES AND SERVICE TO THE COMMUNITY IN A SPIRIT OF ENRICHING LIVES. DURING 2023, THE ORGANIZATION INCURRED EXPENSES OF $1,736,000 FOR FINANCIAL ASSISTANCE TO PATIENTS WHO WERE OTHERWISE UNABLE TO PAY. 18 18 441 420 0 0 4542484 2433973 34926560 35644300 4044828 559642 65129 77695 43579001 38715610 0 0 0 0 26486305 27755758 0 0 600170 11397573 14458570 37883878 42214328 5695123 -3498718 43227458 40071594 3592008 3467654 39635450 36603940 X SEE SCHEDULE O 0 0 31565195 35722145 ALIVE HOSPICE SERVES THOSE WHO HAVE A LIMITED LIFE EXPECTANCY (REGARDLESS OF ILLNESS OR AGE) AND LIVE WITHIN THE AGENCY'S 12-COUNTY SERVICE AREA. ALIVE HOSPICE PROVIDED END-OF-LIFE CARE TO 4,864 PATIENTS DURING 2023.ONLY ALIVE HOSPICE PROVIDES THIS UNPARALLELED SCOPE OF SERVICES: IN-HOME HOSPICE SERVICES; INPATIENT RESIDENTIAL CARE AT ITS 30-BED ALIVE HOSPICE RESIDENCE NASHVILLE FACILITY; INPATIENT RESIDENTIAL CARE AT ITS 16-BED ALIVE HOSPICE MURFREESBORO FACILITY; INPATIENT HOSPICE CARE AT OTHER HOSPITALS THROUGHOUT MIDDLE TENNESSEE; FULL-TIME MEDICAL DIRECTORS (PHYSICIANS) ON STAFF; ALIVE GRIEF SUPPORT SERVICES, COUNSELING AND SUPPORT FOR THOSE WHO HAVE EXPERIENCED LOSS; INDIVIDUALIZED, INTERDISCIPLINARY CARE TEAMS - 24 HOUR, 7 DAYS-A-WEEK; AND ACCESSIBILITY TO HIGHLY SKILLED CLINICAL STAFF.HOME CARE SERVICES:THE MAJORITY OF ALIVE HOSPICE'S PATIENTS ARE SERVED IN THEIR HOMES. HOME HOSPICE CARE SERVICES ARE DESIGNED TO EASE PAIN, ALLEVIATE SYMPTOMS, AND PROVIDE SUPPORT TO THE PATIENTS AND THEIR CAREGIVERS. IN ADDITION TO THESE SERVICES PROVIDED BY OUR SKILLED TEAM, WE PROVIDE MEDICAL EQUIPMENT AND SUPPLIES, MEDICATION AND CAREGIVER TRAINING. ALIVE HOSPICE SERVED 3,111 PATIENTS IN THEIR HOMES DURING 2023.INPATIENT HOSPICE CARE:OUR INPATIENT FACILITIES ALLOW CARE TO BE PROVIDED FOR PATIENTS WHO ARE UNABLE TO BE CARED FOR AT HOME OR MAY BE EXPERIENCING A MEDICAL CRISIS.- ALIVE HOSPICE RESIDENCE NASHVILLE (1,532 PATIENTS WERE SERVED IN 2023)- INPATIENT CARE PROVIDED BY ALIVE HOSPICE AT YOUR LOCAL HOSPITALS - ALIVE HOSPICE RESIDENCE MURFREESBORO (619 PATIENTS WERE SERVED IN 2023). ALIVE MONARCHS:ALIVE HOSPICE HAS A LONG TRADITION OF SERVING PATIENTS OF ALL AGES WHO FACE LIFE THREATENING ILLNESSES. ALIVE MONARCHS IS ONE OF THE FEW HOSPICE CARE PROVIDERS FOR PERINATAL AND PEDIATRIC PATIENTS IN THE NATION. THE BEAUTIFUL MONARCH BUTTERFLY INSPIRED THE NAME OF ALIVE HOSPICE'S PEDIATRIC PROGRAM. BUTTERFLIES, WHICH ARE CLOSELY ASSOCIATED WITH HOSPICE CARE, SIGNIFY HOPE, THE BEAUTY OF LIFE AND THE CELEBRATION OF THOSE WE LOVE. A TOTAL OF 36 PEDIATRIC PATIENTS AND THEIR FAMILIES RECEIVED CARE IN 2023.PALLIATIVE CARE:ALIVE HOSPICE PROVIDED HOSPITAL BASED PALLIATIVE CARE SERVICES FOR THOSE WHO ARE NOT IN NEED OF HOSPICE CARE, BUT WHO DO HAVE INCURABLE AND PROGRESSIVE DISEASES. PALLIATIVE CARE ADDRESSES THE SYMPTOMS OF A DISEASE REGARDLESS OF LIFE EXPECTANCY, WHILE HOSPICE CARE ADDRESSES THOSE SYMPTOMS WHEN THE PATIENT'S LIFE EXPECTANCY CAN BE THOUGHT OF IN MONTHS RATHER THAN YEARS. A TOTAL OF 25,228 PALLIATIVE CARE VISITS WERE COMPLETED IN 2023.ALIVE GRIEF SUPPORT SERVICES:GRIEF IS A NATURAL PROCESS AND ALIVE GRIEF SUPPORT SERVICES IS A COMPREHENSIVE PROGRAM THAT ADDRESSES THE NEEDS THAT ARISE FOLLOWING THE DEATH OF A LOVED ONE. ALIVE GRIEF SUPPORT SERVICES PROVIDES BEREAVEMENT CARE FOR PATIENTS' FAMILY MEMBERS AND THE COMMUNITY AT LARGE. OUR SERVICES ARE DESIGNED TO MEET THE BEREAVEMENT NEEDS OF CHILDREN AND ADULTS WHO HAVE EXPERIENCED THE RECENT DEATH OF SOMEONE SIGNIFICANT.ALIVE GRIEF SUPPORT SERVICES UTILIZE PROFESSIONAL GRIEF COUNSELORS AND TRAINED VOLUNTEERS TO GUIDE INDIVIDUALS THROUGH THE PROCESS OF MOURNING. THIS ASSISTANCE IS AVAILABLE IN BOTH INDIVIDUAL COUNSELING SESSIONS AND GROUP SETTINGS FOR ANY BEREAVED PERSON, REGARDLESS OF THE NATURE OF THE DEATH. GRIEF COUNSELING HELPS ADULTS, CHILDREN, AND FAMILIES COPE WITH DEATH AND GRIEF AS THEY FACE THE LOSS OF LOVED ONES.DURING 2023, ALIVE GRIEF CENTER SERVED 3,269 UNIQUE PARTICPANTS ACROSS ALL PROGRAMS. WE HOSTED 343 GROUP SESSIONS, 2,730 INDIVIDUAL COUNSELING SESSIONS, 1 CAMP AND 1 FAMILY RETREAT. WE GREW ALIVE'S SCHOOL BASED PROGRAM SERVING 7 DISTRICTS. WE PROVIDED 103 SCHOOL GROUP SESSIONS; AND 12 STAFF TRAININGS SERVING 168 ADULTS AND 45 YOUTH. CHARITY CARE:IN ADDITION, ALIVE HOSPICE HAS A POLICY OF PROVIDING CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. CHARITY CARE EXPENSES WERE $1,736,000 FOR THE YEAR ENDED DECEMBER 31, 2023. 31565195 1 1 0 1 0 0 0 1 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 99 0 1 441 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 TN X JOSEPH HAMPE 6153271085 1718 PATTERSON STREET NASHVILLE TN 37203 BETH WORKMAN BOARD MEMBER 1.00 X 0 0 0 GEORGE HUDDLESTON JR BOARD MEMBER 1.00 X 0 0 0 MARY FLIPSE CHAIR 1.00 X X 0 0 0 MICHAEL PAYNE TREASURER 1.00 X X 0 0 0 MIKE EDGEWORTH MD BOARD MEMBER 1.00 X 0 0 0 REV KELLY MILLER SMITH BOARD MEMBER 1.00 X 0 0 0 ROBERT TAYLOR MD SECRETARY 1.00 X X 0 0 0 JORDAN KENDIG BOARD MEMBER 1.00 X 0 0 0 KERI MCINNIS BOARD MEMBER 1.00 X 0 0 0 NICK BIRREN BOARD MEMBER 1.00 X 0 0 0 EDWARD JACKSON BOARD MEMBER 1.00 X 0 0 0 CT STEVENS BOARD MEMBER 1.00 X 0 0 0 DENISE ALPER BOARD MEMBER 1.00 X 0 0 0 LYNN BARTON BOARD MEMBER 1.00 X 0 0 0 DAVID BARTON BOARD MEMBER 1.00 X 0 0 0 REGGIE FORD BOARD MEMBER 1.00 X 0 0 0 CLAIRE HALTON BOARD MEMBER 1.00 X 0 0 0 SUSAN SIMONS BOARD MEMBER 1.00 X 0 0 0 DAVID MCRAY CHIEF MEDICAL OFFICER 40.00 X 276720 0 42895 FRAN DOEHRING CHIEF NURSING OFFICER 40.00 X 222188 0 13416 JOSEPH HAMPE CHIEF OPERATING OFFICER 40.00 X 329681 0 29257 ANH MEADOWS TEAM MEDICAL DIRECTOR 40.00 X 246803 0 19540 LAURA THARPE TEAM MEDICAL DIRECTOR 40.00 X 251434 0 18130 JOEL SHACKSON TEAM MEDICAL DIRECTOR 40.00 X 199265 0 13084 ANGELA WARFIELD REGISTERED NURSE ON CALL 40.00 X 189008 0 19185 DESHAY BIGGERSTAFF REGISTERED NURSE 40.00 X 188207 0 4271 KIMBERLY GOESSELE PRESIDENT/CEO (FORMER) 40.00 X 403005 0 37495 2306311 0 197273 44 1 1 0 BASS BERRY SIMS PLC 150 THIRD AVE SOUTH NASHVILLE TN 37201 LEGAL SERVICES 1319503 HEALTHCARE SUPPORT STAFFING LLC 101 SOUTHHALL LANE STE 100 MAITLAND FL 32751 CONTRACT LABOR 1034082 CONSOLIDATED MEDICAL STAFFING PO BOX 17983 MEMPHIS TN 38187 CONTRACT LABOR 657896 FRANTZ BUILDING SERVICES INC PO BOX 2001 OWENSBORO KY 42302 JANITORIAL SERVICES & SUPPLIES 338937 MEDICAL SOLUTIONS LLC 1010 N 102ND ST SUITE 300 OMAHA NE 68114 CONTRACT LABOR 331538 14 56401 2377572 2433973 PATIENT SERVICE REVENUE 623000 35644300 35644300 35644300 513532 513532 1025822 150 979862 0 45960 150 46110 150 45960 MISCELLANEOUS REVENUE 900099 77695 77695 77695 38715610 35722145 0 559492 2503584 1920906 547243 35435 20904581 16052450 4557282 294849 113172 87900 23595 1677 2572987 1935621 599586 37780 1661434 1300704 337593 23137 1354829 1354568 261 80983 80983 24779 8443 16336 1195283 133232 1039051 23000 258317 1846 254471 2000 623634 372522 154908 96204 809808 614722 182586 12500 1839021 1470539 367104 1378 957 21 906 30 34107 25285 6856 1966 23352 13045 10307 981107 773689 202065 5353 493855 390459 95910 7486 DIRECT PATIENT CARE 4951752 4914537 37215 MEDICAL SUPPLIES 625639 625639 FLEET MANAGEMENT 452669 422139 29575 955 DUES & SUBSCRIPTIONS 219063 83880 90273 44910 489415 430661 57812 942 42214328 31565195 10048963 600170 260203 263630 12636242 8714053 480189 242417 4147345 5312180 102282 103737 316114 363838 30948589 14017925 17565315 16930664 6518307 7113538 1200 1200 554293 554293 645968 472044 43227458 40071594 3079167 3133232 512841 334422 3592008 3467654 X 37634412 34544974 2001038 2058966 39635450 36603940 43227458 40071594 -3498718 467208 0 X X 0 1 X 1 0 X 2665413 4388404 3059978 4542484 2433973 17090252 31155175 32940979 32414072 34926560 35644300 167081086 1889 1320 0 0 0 3209 33822477 37330703 35474050 39469044 38078273 184174547 81305 41530 124889 63645 54179 365548 0 81305 41530 124889 63645 54179 365548 183808999 144877 92282 84267 234913 513532 1069871 144877 92282 84267 234913 513532 1069871 93184 74204 488638 65129 77695 798850 34060538 37497189 36046955 39769086 38669500 186043268 0.98800 0.99060 0.00580 0.00370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 PART II-B, LINE 1: THE ORGANIZATION INDIRECTLY INFLUENCED LEGISLATION THROUGH ITS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO) FOR CALENDAR YEAR 2023. APPROXIMATELY 2.18% OF THE ORGANIZATION'S MEMBERSHIP DUES PAYMENT GOES TOWARDS LOBBYING EFFORTS. X DISPLAYED ON PREMISES 0 1590379 124441 1714820 1920976 -330597 1590379 1853829 67147 1920976 1772308 3000 78521 1853829 1645579 3000 123729 1772308 0.00000 0.69640 0.30360 0 0 5565683 5565683 18833692 8874693 9958999 1131098 795683 335415 5395702 4347549 1048153 22414 22414 16930664 RIGHT OF USE LEASE LIABILITY 334422 334422 X 39131014 467208 467208 38663806 24779 27025 51804 38715610 42162524 0 42162524 24779 27025 51804 42214328 PART III, LINE 4: THE ORGANIZATION MAINTAINS A COLLECTION OF ART THAT IS DISPLAYED IN THE HOSPICE PATIENTS' ROOMS AND ON THE ORGANIZATION'S PROPERTY TO ADD A PEACEFUL NATURE TO THE ENVIORNMENT. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3), AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2023 AND 2022, THE ORGANIZATION HAS ACCRUED NO INTEREST AND NO PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. IT IS THE ORGANIZATION'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION FILES A U.S. FEDERAL INFORMATION TAX RETURN. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS NEGATIVE EXPENSE TO INCOME 27,025. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS NEGATIVE EXPENSE TO INCOME 27,025. X X X X 1 0 0 0 0 0 0 0 0 KIMBERLY GOESSELE PRESIDENT/CEO (FORMER) 234307 0 72229 0 96469 0 10711 0 26784 0 440500 0 0 0 JOSEPH HAMPE CHIEF OPERATING OFFICER 289573 0 40108 0 0 0 13372 0 15885 0 358938 0 0 0 DAVID MCRAY CHIEF MEDICAL OFFICER 267070 0 9650 0 0 0 12741 0 30154 0 319615 0 0 0 LAURA THARPE TEAM MEDICAL DIRECTOR 251434 0 0 0 0 0 3797 0 14333 0 269564 0 0 0 ANH MEADOWS TEAM MEDICAL DIRECTOR 246803 0 0 0 0 0 3779 0 15761 0 266343 0 0 0 FRAN DOEHRING CHIEF NURSING OFFICER 213356 0 8832 0 0 0 12271 0 1145 0 235604 0 0 0 JOEL SHACKSON TEAM MEDICAL DIRECTOR 199265 0 0 0 0 0 1209 0 11875 0 212349 0 0 0 ANGELA WARFIELD REGISTERED NURSE ON CALL 186508 0 2500 0 0 0 932 0 18253 0 208193 0 0 0 DESHAY BIGGERSTAFF REGISTERED NURSE 183207 0 5000 0 0 0 2762 0 1509 0 192478 0 0 0 FORM 990, PART III, LINE 1: OUR MISSION ALIVE HOSPICE, INC PROVIDES LOVING CARE TO PEOPLE WITH LIFE-THREATENING ILLNESSES, SUPPORT TO THEIR FAMILIES, AND SERVICE TO THE COMMUNITY IN A SPIRIT OF ENRICHING LIVES. OUR VISION - TO BE RECOGNIZED AS EXPERT PROVIDERS OF HOSPICE CARE, PALLIATIVE CARE, MANAGEMENT OF ADVANCED DISEASE, AND GRIEF SUPPORT, AND TO BE THE AGENCY OF CHOICE FOR THE PROVISION OF THESE SERVICES - TO BE RECOGNIZED AS INNOVATORS AND LEADERS IN ALL ASPECTS OF END-OF-LIFE RESOURCES - TO INFLUENCE THE PERCEPTIONS WITHIN THE COMMUNITY AND AMONG MEDICAL PROFESSIONALS SO THAT THE END OF LIFE IS ACCEPTED AS A MEANINGFUL COMPONENT OF THE HUMAN EXPERIENCE. OUR VALUES - WE BELIEVE DEATH TO BE A NATURAL PART OF LIFES JOURNEY - WE BELIEVE IN HONESTY AND INTEGRITY IN ALL WE SAY AND DO - WE BELIEVE IN COMPASSION TO THOSE WE SERVE AND TO EACH OTHER - WE BELIEVE IN RESPECT AND DIGNITY FOR ALL - WE VALUE COMPETENT, KNOWLEDGEABLE STAFF MOTIVATED TO ACHIEVE PERSONAL AND PROFESSIONAL GROWTH - WE BELIEVE IN ACCOUNTABILITY TO SOCIETY, OUR COMMUNITY, AND EACH OTHER - WE BELIEVE IN RESPONSIBLE STEWARDSHIP OF THE RESOURCES WITH WHICH WE HAVE BEEN ENTRUSTED - WE BELIEVE IN THE CONTINUOUS PURSUIT OF ORGANIZATIONAL EXCELLENCE - WE BELIEVE IN TEAMWORK TO ACHIEVE OUR VISION, MISSION, AND TO SUPPORT OUR VALUES. FORM 990, PART VI, SECTION A, LINE 1A THE CORPORATION SHALL HAVE AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE CORPORATION AND SUCH MEMBERS AS RECOMMENDED BY THE CHAIR AND VOTED UPON BY THE BOARD. AS PER CORPORATE BY-LAWS, THE EXECUTIVE COMMITTEE SHALL MEET AT ANY TIME WHEN THE DIRECTORS ARE NOT IN SESSION AND SHALL HAVE THE FULL AUTHORITY OF THE BOARD OF DIRECTORS TO MANAGE THE AFFAIRS OF THE CORPORATION PROVIDED THAT NO ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE IN CONFLICT WITH ANY ACTION TAKEN BY THE BOARD OF THE DIRECTORS, AND THE EXECUTIVE COMMITTEE MAY NOT TAKE ANY ACTION PROHIBITED BY THE TENNESSEE CODE ANNOTATED SECTION 48-58-206. FORM 990, PART VI, SECTION A, LINE 4 DURING 2023, ALIVE HOSPICE, INC UPDATED BOTH THE BYLAWS AND THE CHARTER FOR THE FOLLOWING ITEMS: THE BYLAWS WERE UPDATED FOR ARTICLE IV BOARD OF DIRECTORS, SECTION 10-DIRECTOR EMERITUS TO STATE THAT THE DIRECTOR EMERITUS POSITION MUST BE APPROVED BY THE BOARD AND TO SHOW THAT THE TERM SHALL BE NO LONGER THAN 2 YEARS. ARTICLE VI-OFFICERS OF THE CORPORATION-SECTION 7, DUTIES OF OFFICERS, PART B REGARDING THE VICE CHAIRPERSON WAS UPDATED TO ADD: IN THE EVENT THE VICE CHAIRPERSON IS UNAVAILABLE TO SERVE DURING ANY VACANCY IN THE POSITION OF CHAIRPERSON, THE CHAIR OF THE GOVERNANCE COMMITTEE SHALL HAVE ALL POWERS AND DUTIES OF THE CHAIRPERSON DURING THE CHAIRPERSON'S ABSENCE, DISABILITY, OR DISQUALIFICATION, OR DURING ANY VACANCY IN THE POSITION OF CHAIRPERSON. ARTICLE VII MAJOR CORPORATE ACTIONS OF THE CHARTER WAS ALSO UPDATED TO STATE THAT NOTICE OF ANY MEETING WHERE ONE OR MORE OF THE MAJOR CORPORATE ACTIONS DESCRIBED IN THIS ARTICLE VII WILL BE VOTED ON SHALL BE PROVIDED TO EACH DIRECTOR AT LEAST SEVEN (7) DAYS PRIOR TO THE MEETING. THE NOTICE SHALL INCLUDE A DESCRIPTION OF THE MAJOR CORPORATE ACTION THAT WILL BE VOTED ON AT THE MEETING. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FULL FORM 990 WAS PROVIDED TO EVERY BOARD MEMBER FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C FOR THE DECEMBER 31, 2023 YEAR-END, THE BOARD MEMBERS SIGNED THE CONFLICT OF INTEREST POLICY STATING THAT THEY HAVE READ AND UNDERSTOOD THE POLICY. EACH FORM IS REVIEWED BY THE EXECUTIVE OFFICE MANAGER FOR COMPLETION AND TO DETERMINE IF ANY POTENTIAL CONFLICTS OF INTEREST EXIST. IF A POTENTIAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CEO AND BOARD CHAIR ARE NOTIFIED, AND IT IS THEN REPORTED TO THE EXECUTIVE COMMITTEE. IF A CONFLICT EXISTS WITH A VOTING BOARD MEMBER, THEN THAT BOARD MEMBER MUST RECUSE THEMSELVES FROM VOTING ON THAT PARTICULAR BUSINESS TRANSACTION. ALSO, THERE IS AN AGENDA ITEM AT EVERY BOARD MEETING ON DECLARATIONS OF CONFLICT OF INTEREST. THE BOARD CHAIR WOULD ASK BOARD MEMBERS PRESENT IF THERE IS A POTENTIAL CONFLICT OF INTEREST, AND THIS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE 2023 ANNUAL REPORT, WHICH INCLUDES THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, IS AVAILABLE ON THE ALIVE HOSPICE WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC AND NOT REQUIRED TO BE MADE AVAILABLE PURSUANT TO IRC 6104. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.