2023-05-15T15:42:30-05:00 2022-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2021-07-01 862701018 HENRY COUNTY HEALTH CENTER INC HENR 3193853141 407 S WHITE STREET MT PLEASANT IA 52641 DAVID MUHS CFO 3193853141 2023-05-15 1 DAVID MUHS 999009999 WENDY R COOLEY CPA P01523804 4023302660 2023-05-15 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z X TERESA COLGAN 407 S WHITE STREET MT PLEASANT IA 52641 42818304 0 X HTTPS://WWW.GREATRIVERHEALTH.ORG/HENRY-COUNTY-HEA X 2021 IA HENRY COUNTY HEALTH CENTER IS COMMITTED TO ENHANCING THE HEALTH OF INDIVIDUALS AND OUR COMMUNITIES THROUGH HIGH QUALITY, EFFECTIVE AND EFFICIENT SERVICES. 7 6 0 40 0 0 4609874 36067916 13599 2069607 42760996 0 0 18430169 0 0 20874232 39304401 3456595 8730020 3167059 5562961 HENRY COUNTY HEALTH CENTER IS COMMITTED TO ENHANCING THE HEALTH OF INDIVIDUALS AND OUR COMMUNITIES THROUGH HIGH QUALITY, EFFECTIVE AND EFFICIENT SERVICES. 0 0 33298334 37599812 HENRY COUNTY HEALTH CENTER, INC., HAS ENTERED INTO A HOSPITAL LEASE AGREEMENT WHERE IT WILL LEASE ALL OF THE FACILITIES AND OPERATIONS, EXCEPT THE AMBULANCE SERVICE, OF HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOSPITAL, A COUNTY HOSPITAL ORGANIZED UNDER IOWA CODE CHAPTER 347. HENRY COUNTY HEALTH CENTER, INC. WILL MANAGE AND OPERATE HEALTH CARE ORGANIZATIONS. THIS WILL INCLUDE OPERATING THE 74 BED CRITICAL ACCESS HOSPITAL THAT FEATURES 25 ACUTE CARE BEDS ALONG WITH A 49 BED LONG-TERM CARE FACILITY, PARK PLACE. HENRY COUNTY HEALTH CENTER, INC. WILL ALSO MANAGE AND OPERATE A CLINICAL/GROUP PRACTICE LOCATED ON THE GROUNDS OF THE HOSPITAL AND FOUR RURAL HEALTH CLINICS IN THE SURROUNDING RURAL COMMUNITIES AND PROVIDE COMMUNITY HEALTH EDUCATION FOR THE COMMUNITY. 33298334 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X DAVID MUHS 3193853141 407 S WHITE STREET MT PLEASANT IA 52641 MATT WENZEL DIRECTOR 0.50 39.50 X 0 1109111 58133 DAVID FILE CHAIRPERSON 0.50 0.00 X X 0 0 0 MIKE PATTEN VICE CHAIRPERSON 0.50 0.00 X X 0 0 0 SARA BETH SCHURR SECRETARY 0.50 0.00 X X 0 0 0 WHITNEY ROGERS DIRECTOR 0.50 0.00 X 0 0 0 DR DEWAYNE FRAZIER DIRECTOR 0.50 0.00 X 0 0 0 DR JOEL RYON DIRECTOR 0.50 0.00 X 0 0 0 DR FRED FRANK DIRECTOR THRU 01/22 0.50 0.00 X 0 0 0 ROBB GARDNER CEO 40.00 0.00 X 0 0 0 DAVID MUHS CFO 40.00 0.00 X 0 0 0 0 1109111 58133 0 0 1 1 WAPITI MEDICAL GROUP 107 FLYNN DRIVE SUITE 600 MILBANK SD 57252 EMERGENCY ROOM SERVICES 1385919 MEDICAL SOLUTIONS 1010 N 102ND ST SUITE 300 OMAHA NE 68114 CONTRACTED LABOR 770131 PSYCHIATRIC MEDICAL CARE LLC 8 CADILLAC DRIVE 230 BRENTWOOD TN 37027 MEDICAL PHYSICIAN 461736 LOCUMTENENES PO BOX 405547 ATLANTA GA 30384 MEDICAL PHYSICIAN 418575 MUTUAL CONSULTING 1221 S GEAR AVE WEST BURLINGTON IA 52655 MANAGEMENT SERVICES 417445 7 4208689 401185 4609874 COMMERCIAL AND SELF PAY REVENUE 621400 19938495 19938495 NET MEDICARE REVENUE 621400 15717427 15717427 NET MEDICAID REVENUE 621400 219051 219051 ALL OTHER PATIENT SERVICE REVENUE 621400 96621 96621 340B REVENUE 621400 327 327 95995 95995 36067916 13599 13599 437207 57308 379899 379899 379899 EMPLOYEE BENEFIT CREDIT 900099 1531896 1531896 CAFETERIA 900099 156679 156679 CATERING 900099 1133 1133 1689708 42760996 37599812 0 551310 X 14109817 12573529 1536288 4320352 3347403 972949 158 158 22936 22936 10120584 8496847 1623737 357331 259891 97440 1933443 1734599 198844 2498 2498 145863 145863 MEDICAL SUPPLIES & EQUI 2940830 2940830 PHARMACY 1927422 1927422 LEASES & RENTALS 1798758 579377 1219381 BAD DEBT EXPENSE 826827 826827 797582 609111 188471 39304401 33298334 6006067 0 2476 2121696 3944436 947715 248524 0 1465173 0 8730020 1395954 0 1771105 0 3167059 X 5562961 0 5562961 0 8730020 X 3456595 2106366 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6887 6887 0 PART II-B, LINE 1: HENRY COUNTY HEALTH CENTER PAYS ASSOCIATION DUES TO THE IOWA HOSPITAL ASSOCIATION (IHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA). PORTIONS OF THE ASSOCIATION DUES ARE EXPENDED BY THE ASSOCIATIONS FOR LOBBYING PURPOSES. 0 THIRD-PARTY SETTLEMENTS 349237 RECEIVABLE FROM HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOPSITAL 1115936 1465173 DUE TO SOUTHEAST IOWA REGIONAL MEDICAL CENTER 454143 DUE TO HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOSPITAL 1316962 1771105 X PART X, LINE 2: THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE HEALTH CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2022, THE HEALTH CENTER HAS NO UNCERTAIN TAX POSITIONS ACCRUED. 1 1 X 1 X 1 X 1 1 0 0 109939 109939 0.00280 286121 219051 67070 0.00170 396060 219051 177009 0.00450 9116 0 9116 0.00020 0 0 9116 9116 0.00020 405176 219051 186125 0.00470 0 826827 85163 15276525 15216602 59923 X 1 1 1 1 HENRY COUNTY HEALTH CENTER INC 407 S WHITE ST MT PLEASANT IA 52641 WWW.GREATRIVERHEALTH.ORG/HENRY-COUNTY- 440047H X X X X HENRY COUNTY HEALTH CENTER INC 1 1 1 0 0 1 X 200.000000000000 300.000000000000 X X X 0 1 X X X X 1 X HTTPS://WWW.GREATRIVERHEALTH.ORG/PATIENTS-VISITORS/ X HTTPS://WWW.GREATRIVERHEALTH.ORG/PATIENTS-VISITORS/ X HTTPS://WWW.GREATRIVERHEALTH.ORG/PATIENTS-VISITORS/ X X X X X 1 X 0 X X X X 1 X 0 0 HENRY COUNTY HEALTH CENTER, INC. PART V, SECTION B, LINE 2: HENRY COUNTY HEALTH CENTER, INC., RECEIVED TAX EXEMPT STATUS AS A 501(C)(3) IN MARCH 2021 AND ENTERED INTO A HOSPITAL LEASE AGREEMENT WHERE IT LEASES ALL OF THE FACILITIES AND OPERATIONS, EXCEPT THE AMBULANCE SERVICE, OF HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOSPITAL, A COUNTY HOSPITAL ORGANIZED UNDER IOWA CODE CHAPTER 347. HENRY COUNTY HEALTH CENTER, INC. MANAGES AND OPERATES HEALTH CARE ORGANIZATIONS. THIS INCLUDES OPERATING THE 74-BED CRITICAL ACCESS HOSPITAL THAT FEATURES 25 ACUTE CARE BEDS ALONG WITH A 49-BED LONG-TERM CARE FACILITY, PARK PLACE. HENRY COUNTY HEALTH CENTER, INC. ALSO MANAGES AND OPERATES A CLINICAL/GROUP PRACTICE LOCATED ON THE GROUNDS OF THE HOSPITAL AND FOUR RURAL HEALTH CLINICS IN THE SURROUNDING RURAL COMMUNITIES AND PROVIDES COMMUNITY HEALTH EDUCATION FOR THE COMMUNITY. 5 1 - PARK PLACE ELDER LIVING 401 S VAN BUREN ST MT PLEASANT IA 52641 NURSING HOME CARE 2 - HCHC - MT PLEASANT CLINIC 407 S WHITE ST STE 103 MT PLEASANT IA 52641 PROVIDER HEALTH CLINIC 3 - HCHC - WINFIELD CLINIC 110 W PINE ST WINFIELD IA 52659 PROVIDER HEALTH CLINIC 4 - HCHC - WAYLAND CLINIC 227 W MAIN ST WAYLAND IA 52654 PROVIDER HEALTH CLINIC 5 - HCHC - NEW LONDON CLINIC 111 W WASHINGTON ST NEW LONDON IA 52645 PROVIDER HEALTH CLINIC PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $826,827. PART III, LINE 2: THE HEALTH CENTER DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HEALTH CENTER'S POLICY, AND OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE HEALTH CENTER DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. THE HEALTH CENTER DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH VARIOUS CLASSES OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL. 10.3% CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. HOWEVER, PAGES 8 THROUGH 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS INCLUDE FOOTNOTES TITLED "PATIENT RECEIVABLES" "PATIENT SERVICE REVENUE", AND "PATIENT FINANCIAL ASSISTANCE". PART III, LINE 8: THERE IS NO SHORTFALL REPORTED DURING THE YEAR, THEREFORE NO AMOUNT IS TREATED AS A COMMUNITY BENEFIT. "MEDICARE ALLOWABLE COSTS OF CARE" WAS CALCULATED FROM INFORMATION IN THE MEDICARE COST REPORT D & E WORKSHEETS, OR PS&R. PART III, LINE 9B: EACH PATIENT RECEIVES CARE REGARDLESS OF THE ABILITY TO PAY. ANY PATIENT CAN APPLY FOR FINANCIAL ASSISTANCE PRIOR TO OR AFTER RECEIVING A STATEMENT FOR SERVICES. THERE ARE NO COLLECTION EFFORTS WHILE AN INDIVIDUAL IS IN THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. THE HOSPITAL WILL NOT PURSUE EXTRAORDINARY COLLECTION ACTIVITIES ON PATIENTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST STATEMENT AND PROVIDES PATIENTS 240 DAYS TO APPLY FOR ASSISTANCE. PART VI, LINE 2: THE ORGANIZATION WORKS WITH PHYSICIANS, THE HEALTH DEPARTMENT, AND OTHER HEALTH CARE PROVIDERS IN THE COMMUNITY TO DETERMINE THE HEALTH CARE NEEDS OF THE COMMUNITY. PART VI, LINE 3: GREAT RIVER HEALTH SYSTEM ADVISES PATIENTS AND THEIR FAMILIES OF THE FINANCIAL ASSISTANCE POLICY THROUGH THE FOLLOWING MEANS:- DIRECT PATIENT CONTACT, IN PERSON, OR BY PHONE.- AT THE POINT OF REGISTRATION AT ALL CLINIC AND HOSPITAL LOCATIONS.- IN THE EMERGENCY DEPARTMENT DURING REGISTRATION OR DISCHARGE.- ON THE BACK OF PATIENT STATEMENTS.- ONLINE AT HTTPS://GREATRIVERHEALTH.ORG AND HTTPS://HCHC.ORG- THE POLICY AND APPLICATION ARE DOWN LOADABLE AND PRINTABLE.- PUBLIC AGENCIES AND NOT-FOR-PROFIT AGENCIES SERVING THE COMMUNITY MEMBER WHO ARE LIKELY TO USE FINANCIAL ASSISTANCE. PART VI, LINE 4: HENRY COUNTY HEALTH CENTER, INC., ENTERED INTO A HOSPITAL LEASE AGREEMENT WHERE IT LEASES ALL OF THE FACILITIES AND OPERATIONS, EXCEPT THE AMBULANCE SERVICE, OF HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOSPITAL, A COUNTY HOSPITAL ORGANIZED UNDER IOWA CODE CHAPTER 347. HENRY COUNTY HEALTH CENTER, INC. MANAGES AND OPERATES HEALTH CARE ORGANIZATIONS. THIS INCLUDES OPERATING THE 74-BED CRITICAL ACCESS HOSPITAL THAT FEATURES 25 ACUTE CARE BEDS ALONG WITH A 49-BED LONG-TERM CARE FACILITY, PARK PLACE. HENRY COUNTY HEALTH CENTER, INC. ALSO MANAGES AND OPERATES A CLINICAL/GROUP PRACTICE LOCATED ON THE GROUNDS OF THE HOSPITAL AND FOUR RURAL HEALTH CLINICS IN THE SURROUNDING RURAL COMMUNITIES AND PROVIDE COMMUNITY HEALTH EDUCATION FOR THE COMMUNITY.LOCATED IN SOUTHEAST IOWA, MOUNT PLEASANT IS AT THE CROSSROADS OF U.S. HIGHWAY 218 AND U.S. 34. HENRY COUNTY HAS 11 CITIES AND MORE THAN 20,000 PEOPLE. THE MEDIAN HOUSEHOLD INCOME IN HENRY COUNTY IS $52,428. THIS IS LOWER THAN THE STATE MEDIAN ($58,580) AND NATIONAL MEDIAN ($60,293). ELEVEN PERCENT OF ALL RESIDENTS AND 15% OF CHILDREN UNDER THE AGE OF 18 LIVE IN HOUSEHOLDS EARNING LESS THAN THE FEDERAL POVERTY LEVEL. ACCORDING TO THE UNITED WAY'S ALICE REPORT, THE HOUSEHOLD SURVIVAL INCOME LEVEL FOR A SINGLE ADULT IN HENRY COUNTY IS $20,352 AND FOR A FAMILY OF FOUR IS $57,072. THIS IS MUCH HIGHER THAN THE FEDERAL POVERTY LEVEL WHICH IS $12,760 FOR A SINGLE PERSON AND $26,000 FOR A FAMILY OF FOUR. FORTY-ONE PERCENT OF HOUSEHOLDS IN HENRY COUNTY HAVE INCOMES BELOW THE SURVIVABLE WAGE AS DEFINED BY UNITED WAY. 51.6% OF THE POPULATION IS MALE AND 48.4% OF THE POPULATION IS FEMALE. NINETEEN PERCENT OF THE POPULATION IS 65 YEARS OR OLDER WHICH IS HIGHER THAN IOWA'S OVERALL RATE OF 17.1%. THERE IS A LOWER PERCENTAGE OF YOUNG PEOPLE LIVING IN HENRY COUNTY (21.6%) COMPARED TO IOWA (23.2%). ACCORDING TO THE U.S. CENSUS 2019 ESTIMATES, HENRY COUNTY IS 92% WHITE, 2.8% BLACK OR AFRICAN AMERICAN, 0.4% AMERICAN INDIAN AND ALASKA NATIVE, 2.6% ASIAN, AND 1.7% TWO OR MORE RACES. IN ADDITION, 5% OF THE POPULATION OF HENRY COUNTY IS ESTIMATED TO BE HISPANIC OR LATINO. PART VI, LINE 5: THE BOARD MEMBERS LIVE IN THE HOSPITAL SERVICE AREA AND USE THE FACILITY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. HENRY COUNTY HEALTH CENTER USES SURPLUS FUNDS TO INVEST IN HOSPITAL EQUIPMENT AND IMPROVEMENTS. 0 0 0 0 0 0 0 0 0 MATT WENZEL DIRECTOR 0 856956 0 248615 0 3540 0 14500 0 43633 0 1167244 0 0 PART I, LINE 3 ROBB GARDNER WAS PAID BY AN UNRELATED ORGANIZATION, MUTUAL CONSULTING, FOR HIS POSITION AS CEO. MUTUAL CONSULTING USES APPROVAL BY THE BOARD IN DETERMINING HIS COMPENSATION. SCHEDULE J, PART II: ROBB GARDNER WAS PAID BY AN UNRELATED ORGANIZATION, MUTUAL CONSULTING, FOR HIS POSITION AS CEO. TOTAL COMPENSATION AND BENEFITS PAID TO MR. GARDNER FOR 2021 WAS $249,976. DAVID MUHS WAS PAID BY AN UNRELATED ORGANIZATION, HENRY COUNTY SOLDIERS & SAILORS MEMORIAL HOSPITAL, FOR HIS POSITION AS CFO. TOTAL COMPENSATION AND BENEFITS PAID TO MR. MUHS FOR 2021 WAS $233,546. FORM 990, PART VI, SECTION A, LINE 3 EXECUTIVES AND EMPLOYEES OF GREAT RIVER HEALTH SYSTEM, INC., MANAGE THE ACTIVITIES OF THE HENRY COUNTY HEALTH CENTER, INC. FORM 990, PART VI, SECTION A, LINE 6 GREAT RIVER HEALTH SYSTEM, INC., AN IOWA NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF HENRY COUNTY HEALTH CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A GREAT RIVER HEALTH SYSTEM, INC. HAS THE POWER TO ELECT OR REMOVE THE BOARD OF DIRECTORS OR ANY OTHER MEMBER OF THE BOARD OF DIRECTORS OF THE HOSPITAL OR ANY AFFILIATE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B GREAT RIVER HEALTH SYSTEM, INC. RESERVES THE FOLLOWING POWERS AT ITS SOLE DISCRETION: - ELECT OR REMOVE THE BOARD OF DIRECTORS OR ANY OTHER MEMBER OF THE BOARD OF DIRECTORS OF THE HOSPITAL AND ANY AFFILIATED ORGANIZATION; - AMEND THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE HOSPITAL; - DISSOLVE THE HOSPITAL OR MERGER OF THE HOSPITAL WITH ANY OTHER CORPORATE ENTITY; - APPROVE STRATEGIC OR OTHER BUSINESS PLANS FOR THE HOSPITAL; - APPROVE CAPITAL AND OPERATING BUDGETS OF THE HOSPITAL; - APPROVE ANY INDEBTEDNESS INCURRED BY THE HOSPITAL; - TRANSFER, SALE OR CLOSURE OF ANY FACILITY, DEPARTMENT OR FUNCTION OF THE HOSPITAL; - APPROVE ANY CHARITABLE DISBURSEMENT, WHETHER INTERNAL OR EXTERNAL, IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000.00) MADE BY THE HOSPITAL OR ANY FOUNDATION ENTITY ASSOCIATED WITH HOSPITAL; - THE SALE, DISPOSITION OR ANY ENCUMBRANCE (OTHER THAN ROUTINE LEASE TRANSACTIONS) OF ANY REAL ESTATE OWNED BY THE HOSPITAL OR ANY AFFILIATED ORGANIZATION; - ADOPT, AMEND, OR TERMINATE EMPLOYEE BENEFIT PROGRAMS OR PLANS; - APPOINT OR TERMINATE THE CHIEF EXECUTIVE OFFICER OF THE HOSPITAL OR ANY AFFILIATED ORGANIZATION; - APPROVE THE ELECTION OF ANY OFFICER OR CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE HOSPITAL OR ANY AFFILIATED ORGANIZATION; - TO TAKE ANY OTHER ACTION NECESSARY DEEMED IN THE BEST INTERESTS OF GRHS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS MUST ANNUALLY DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. BOARD MEMBERS MUST EXCUSE THEMSELVES FROM VOTING IN MATTERS IN WHICH THEY HAVE A PERSONAL INTEREST. THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED BY USING SEVERAL DATA COMPARISONS. THE REVIEW ALSO LOOKS AT INTERNAL EQUITY TO ENSURE A POSITION IS NOT OUT-OF-LINE WITH OTHER SIMILAR POSITIONS. THIS IS COMPLETED BY THE HUMAN RESOURCE DEPARTMENT, WITH THE SYSTEM CEO'S APPROVAL, ALONG WITH THE SYSTEM BOARD APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 3,375,191. MANAGEMENT AND GENERAL EXPENSES 1,623,737. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,998,928. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,121,656. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,121,656. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM SOUTHEAST IOWA REGIONAL MEDICAL CENTER 2,106,366. FORM 990, PAGE 12, PART XII, LINE 2C: THE BOARD OF DIRECTORS HAS THE RESPONSIBILITY OF SELECTING THE INDEPENDENT ACCOUNTANT TO COMPLETE THE AUDIT WORK. UPON CONCLUSION OF THE AUDIT, THE AUDITING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE BOARD OF DIRECTORS. GREAT RIVER HEALTH SYSTEM INC 1221 SOUTH GEAR AVENUE WEST BURLINGTON IA 52655 421193185 SUPPORT GREAT RIVER MEDICAL CENTER IA 501(C)(3) LINE 12B, II N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1