2022-05-16T08:39:58-05:00 2021-06-30 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2020-07-01 460228038 MADISON COMMUNITY HOSPITAL MADI 6052566551 323 SW 10TH ST MADISON SD 57042 TAMARA MILLER CEO 6052566551 2022-05-02 1 TAMARA MILLER 999009999 LAURIE HANSON CPA P00851848 6053391999 2022-05-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MADISON REGIONAL HEALTH SYSTEM TAMARA MILLER 323 SW 10TH ST MADISON SD 57042 38454353 0 X WWW.MADISONREGIONALHEALTH.ORG X 1955 SD PROVIDE HEALTH CARE SERVICES TO AREA RESIDENTS. 11 11 322 12 0 0 153276 7248656 30168650 30941858 258654 73811 144755 153386 30725335 38417711 0 0 0 0 16721319 16467158 0 0 0 14263469 12916929 30984788 29384087 -259453 9033624 58899676 56987593 42010357 31064651 16889319 25922942 X MADISON COMMUNITY HOSPITAL, D/B/A MADISON REGIONAL HEALTH SYSTEM SERVES AS A COMMUNITY HEALTH FOCAL POINT THROUGH THE PROVISION AND MAINTENANCE OF A PROGRESSIVE, EFFICIENT, AND WELL MANAGED HEALTHCARE INSTITUTION, COMMITTED TO QUALITY MEDICAL PRACTICE, AND HIGH ETHICAL STANDARDS.MADISON COMMUNITY HEALTH SYSTEM SERVES AS A COMMUNITY AND SERVICE AREA BASED PRIMARY CARE INSTITUTION WITH BASIC SECONDARY CARE SUPPORT SERVICES, AND FACILITIES PROVIDED TO MEET DEMONSTRATED NEEDS WHICH CAN BE MET WITHIN THE FINANCIAL AND RESOURCE CONSTRAINTS OF THE ORGANIZATION. 0 1 24123996 30941858 MADISON REGIONAL HEALTH SYSTEM (HOSPITAL) IS A 22-BED ACUTE CARE HOSPITAL LOCATED IN MADISON, SOUTH DAKOTA. FOR THE YEAR ENDED JUNE 30, 2021: ACUTE PATIENT DAYS =1,256; NEWBORN DAYS = 96; SKILLED DAYS =2,097; AND INTERMEDIATE DAYS =76. 24123996 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 0 0 0 0 1 12 0 1 322 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X TAMARA MILLER 6052566551 323 SW 10TH ST MADISON SD 57042 LAURA JOHNSON PRESIDENT 0.50 X X 0 0 0 ROBERT VAN LIERE VICE PRESIDENT 0.50 X X 0 0 0 ABBY OFTEDAL SECRETARY 0.50 X X 0 0 0 BETTY VANDERWERFF TREASURER 0.50 X X 0 0 0 DAN BROWN TRUSTEE 0.50 X 0 0 0 ROBIN SCHWEBACH TRUSTEE 0.50 X 0 0 0 LOIS NIEDERT TRUSTEE 0.50 X 0 0 0 LORI HANSEN TRUSTEE 0.50 X 0 0 0 DAN TALLEY TRUSTEE 0.50 X 0 0 0 CHRIS LEMAIR TRUSTEE 0.50 X 0 0 0 SANDY SCHWADER TRUSTEE 0.50 X 0 0 0 BRAD WILKENS TRUSTEE UNTIL 10/2020 0.50 X 0 0 0 TAMARA MILLER CEO 40.00 X 254928 0 25962 TERESA MALLETT CFO 40.00 X 131115 0 20001 ROBERT SUMMERER SURGEON 40.00 X 528731 0 35179 LAURA HOEFERT MD OF FAMILY MEDICINE 40.00 X 415488 0 28173 BENJAMIN LISCANO MD OF FAMILY MEDICINE 40.00 X 406363 0 35760 JUSTIN CLEM MD OF FAMILY MEDICINE 40.00 X 388863 0 36692 MITCHELL POPPENS PHYSICIAN ASSISTANT 40.00 X 305536 0 35516 2431024 0 217283 22 0 1 0 AVERA RADIOLOGY GROUP PO BOX 86370 SIOUX FALLS SD 57118 RADIOLOGIST PROFESSIONAL FEES 404085 SANFORD LABORATORIES PO BOX 5056 SIOUX FALLS SD 57117 LABORATORIES SERVICES 389044 MEDICAL SOLUTIONS PO BOX 310737 DES MOINES IA 50331 TRAVELING STAFF 342744 AGILITI HEALTHINC PO BOX 851313 MINNEAPOLIS MN 55485 BIO-MED SERVICES 324686 NATIONAL MEDICAL RESOURCES 2792 E BROADWAY AVE BISMARK ND 58501 LOCUMS PHYSICIANS 307983 8 7206707 41949 7248656 PATIENT SERVICE REVENUE 624210 29427460 29427460 PHARMACY REVENUE 621110 1251055 1251055 MEALS 621110 151456 151456 111887 111887 30941858 110453 110453 153386 0 153386 153386 153386 36642 -36642 -36642 -36642 38417711 30941858 0 227197 432101 432101 13713541 11770345 1943196 610626 521190 89436 631360 482192 149168 1079530 900431 179099 1599797 540661 1059136 74352 74352 1259511 936076 323435 416143 416143 38212 38212 48346 44838 3508 910428 787692 122736 2806562 2359438 447124 242914 242914 MEDICAL SUPPLIES 4809242 4809242 OUTREACH 493938 493938 MAINTENANCE AND REPAIRS 23598 23598 193886 193886 29384087 24123996 5260091 0 21578146 23410605 4696385 3938812 523174 538989 254078 359291 43262888 18041906 26450712 25220982 5280672 3416400 116509 102514 58899676 56987593 2663537 2685792 4291471 0 28386140 27881081 2499000 0 4170209 497778 42010357 31064651 X 16840827 25840255 48492 82687 16889319 25922942 58899676 56987593 9033624 0 X 0 1 X 1 0 X 523611 523611 25554358 7334673 18219685 13764572 9147705 4616867 3420347 1559528 1860819 25220982 ESTIMATED THIRD PARTY PAYOR 497778 497778 X 38454353 0 38454353 -36642 -36642 38417711 29420730 0 29420730 -36642 -36642 29384088 PART X, LINE 2: THE SYSTEM BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE SYSTEM WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE SYSTEM HAS DETERMINED THAT IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT SYSTEM BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF GAIN/LOSS ON SALE FOR 990 -36,642. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF LOSS ON SALE FOR 990 -36,642. 1 1 X 1 X 1 X 1 1 0 0 131000 131000 0.00450 676002 624821 51181 0.00170 807002 624821 182181 0.00620 5152 5152 0.00020 7963182 6135678 1827504 0.06220 7968334 6135678 1832656 0.06240 8775336 6760499 2014837 0.06860 1 1847836 182936 10518496 10414353 104143 X 1 1 1 1 MADISON COMMUNITY HOSPITAL 323 SW 10TH ST MADISON SD 57042 WWW.MADISONREGIONALHEALTH.ORG 49870 X X X MADISON COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE PART V SECTION C X 1 18 1 SEE PART V SECTION C 0 1 X 150.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X X 1 X 0 X X X X 1 X 0 0 MADISON COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: MADISON REGIONAL HEALTH SYSTEM (MRHS) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH ASSISTANCE FROM EIDE BAILLY, LLP, AN ACCOUNTING AND CONSULTING FIRM SPECIALIZING IN FINANCIAL, OPERATIONAL, AND HEALTH-NEED CONSULTING WITH HEALTHCARE ORGANIZATIONS. QUALITATIVE AND QUANTITATIVE INFORMATION FROM LOCAL, STATE, AND FEDERAL SOURCES, AND INPUT FROM PERSONS THAT REPRESENT A BROAD RANGE OF INTERESTS IN THE COMMUNITY, PERSONS WITH PUBLIC HEALTH KNOWLEDGE AND EXPERTISE, AND PERSONS REPRESENTING MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS WAS USED IN DEVELOPING THE REPORT. MADISON COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED DURING THE 2018 TAX YEAR. THE FOLLOWING COMMUNITY HEALTH AREAS WERE IDENTIFIED AND THE FOLLOWING ACTIONS ARE BEING TAKEN BY THE HOSPITAL.MENTAL AND BEHAVIORAL HEALTH EDUCATION, ACCESS AND AFFORDABILITY-CONTINUING RELATIONSHIP WITH COMMUNITY COUNSELING SERVICES IN MADISON.-EXPLORING SERVICE CAPABILITY TO BETTER MEET CUSTOMER NEEDS-RESEARCHING UNIVERSITY OF SOUTH DAKOTA'S EMERGENCY DEPARTMENT PSYCHIATRY RESIDENCY TELEMEDICINE PROGRAM.-EXPLORING PRESCRIBER OUTREACH SERVICES WHICH WOULD FURTHER INCREASE CAPACITY AND CAPABILITY TO MEET MENTAL AND BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY.-BRINGING MORE AWARENESS TO AVAILABLE MENTAL AND BEHAVIORAL HEALTH RESOURCES IN THE COMMUNITY AND PROVIDING MORE EDUCATION AROUND WHAT PEOPLE CAN DO TO MAINTAIN MENTAL AND BEHAVIORAL HEALTH.-IN ADDITION TO THE ABOVE, THE HOSPITAL ADDED MENTAL/BEHAVIORAL HEALTH SERVICES THROUGH TELEHEALTH IN FY2021.POSTACUTE CARE, LONGTERM CARE, AND THE SENIOR LIVING CONTINUUM-CONTINUING TO OFFER HOME HEALTH SERVICES ALONG WITH SWING BED PROGRAMMING THAT INCLUDES SKILLED AND INTERMEDIATE CARE.-CONTINUING TO COLLABORATE WITH BETHEL LUTHERAN HOME, A NURSING HOME IN MADISON, SD THAT OFFERS A CONTINUUM OF CARE INCLUDING INDEPENDENT LIVING, ASSISTED LIVING, AND SKILLED NURSING.-ENHANCING MARKETING EFFORTS AROUND WHAT SERVICES ARE OFFERED AND AVAILABLE IN THE COMMUNITY TO EXPAND THE COMMUNITY'S KNOWLEDGE OF AVAILABLE RESOURCES AND THE PRESENCE OF A FULL CONTINUUM OF SENIOR SERVICES.SPECIALTY SERVICES ACCESS, AWARENESS, RECRUITING, AND GAPS-CONTINUING TO PROMOTE SPECIALTY SERVICES THAT ARE OFFERED LOCALLY.-CONTINUING RECRUITMENT EFFORTS FOR REPLACEMENT AND ADDITIONAL SPECIALTY PROVIDERS.-INCREASING AWARENESS AROUND OTOLARYNGOLOGY AND FAMILY MEDICINE.-IN ADDITION TO THE ABOVE, THE HOSPITAL ACTIVELY RECRUITED A FAMILY PRACTICE PHYSICIAN, ADDED ADDITIONAL OUTREACH AND TELEMEDICINE PROGRAMS, AND IMPLEMENTED A TELEHEALTH PLATFORM IN FY2021.DIABETES AND OBESITY RELATED HEALTH ISSUES: AWARENESS, EDUCATION, SERVICES AND NEW PROGRAMMING-FOCUSING ON EDUCATION AND AWARENESS IN THE COMMUNITY, SPECIFICALLY AROUND THE RECENTLY DEVELOPED ROBUST DIABETES PREVENTION PROGRAM (DPP).-DIABETIC EDUCATOR STAFF PARTICIPATE IN MARKETING EFFORTS ALONG WITH MRHS STAFF TO BOOST COMMUNITY AWARENESS AND PARTICIPATION.IN ADDITION TO THE ABOVE, IN FY2021 THE HOSPITAL ADDED CASE MANAGEMENT SERVICES TO SEVERAL POPULATIONS WITH CHRONIC CARE NEEDS.AFFORDABILITY, AN IDENTIFIED NEED, WILL NOT BE ADDRESSED AT THIS TIME. MRHS IS NOT EQUIPPED TO ADDRESS ISSUES RELATED TO INSURANCE PREMIUMS, DEDUCTIBLES, AND COPAYS. MRHS IS A LOW COST PROVIDER AND DOES HAVE AN INCOME BASED FINANCIAL ASSISTANCE PROGRAM WHICH CAN BE ACCESSED IN PERSON OR ON MRHS' WEBSITE.MANY OF THESE ACTIVITIES ARE CONTINUATIONS OF ACTIVITIES THE HOSPITAL HAS BEEN CONDUCTING RELATED TO THE PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT. MADISON COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: HOUSEHOLD SIZE MADISON COMMUNITY HOSPITAL PART V, SECTION B, LINE 24: THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY. PART V. SECTION B, LINE 7A THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ATHTTPS://MADISONREGIONALHEALTH.ORG/ABOUT-US/#COMMUNITY-HEALTH-NEEDS PART V. SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST AND ATHTTPS://MADISONREGIONALHEALTH.ORG/ABOUT-US/#COMMUNITY-HEALTH-NEEDS PART V. SECTION B, LINE 16A-16C THE FAP, FAP APPLICATIOIN AND FAP PLAIN LANGUAGE SUMMARY ARE AVAILABLE ATHTTPS://MADISONREGIONALHEALTH.ORG/PATIENT-VISITOR-GUIDE/#FINANCIAL-ASSISTANCE PART I, LINE 3C: PRESUMPTIVE ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY MAY BE USED IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7B AND LINE 7G WERE DETERMINED USING THE MEDICAID AND MEDICARE COST REPORTS, RESPECTIVELY. LINE 7E WAS DETERMINED USING THE GENERAL LEDGER. PART I, LINE 7G: LINE 7G INCLUDES PROVIDER BASED CLINIC REVENUE OF $4,368,646, EXPENSE OF $4,853,487, FOR A NET COMMUNITY BENEFIT OF $484,841. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS 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 IN 2020. THEREFORE 9.9% OF IMPLICIT PRICE CONCESSIONS CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS FOUND ON PAGE 10 AND 11 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR THE FISCAL YEAR ENDING 06/30/2021.MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY. PART III, LINE 9B: ACCOUNTS THAT MEET THE CRITERIA FOR THE FINANCIAL ASSISTANCE POLICY WILL BE WRITTEN OFF IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS THAT DO NOT MEET THE CRITERIA FOR FINANCIAL ASSISTANCE WILL PROCEED THROUGH THE COLLECTION PROCESS. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT AN ACCOUNT IN COLLECTION BELONGS TO A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT WILL BE REMOVED FROM COLLECTION AND RETURNED TO THE HOSPITAL FOR RESOLUTION. PART VI, LINE 2: MADISON REGIONAL HEALTH SYSTEM CONDUCTS PATIENT SURVEYS OF MANY LEVELS OF CARE. MRHS HAS MANY WORKING COMMITTEES THAT DISCUSS THE NEEDS OF THE COMMUNITY (ANTIBIOTIC STEWARDSHIP, OPIOID EPIDEMIC COMMITTEE, ETC). PART VI, LINE 3: A SUMMARY OF THE FACILITY'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE HOSPITAL'S WEBSITE, ATTACHED TO BILLING INVOICES, POSTED IN THE EMERGENCY ROOM OR WAITING ROOMS, POSTED IN THE ADMISSIONS OFFICE, GIVEN TO PATIENTS ON ADMISSION, AND UPON REQUEST. DISCHARGE PLANNING PERSONNEL IN THE BUSINESS OFFICE COUNSEL PATIENTS UPON ADMISSION AND THROUGH THE DISCHARGE PLANNING PROCESS ON MEDICAID, COUNTY WELFARE PROGRAMS, CHARITY CARE, ETC. FINANCIAL ASSISTANCE PROGRAMS ARE DETAILED EITHER IN PERSON OR THROUGH A BROCHURE THAT EXPLAINS THE HOSPITAL'S FINANCIAL ASSISTANCE AND PAYMENT REQUIREMENTS. COVERED VS NON-COVERED CHARGES ARE DISCUSSED WITH THE PATIENT. A PATIENT ASSESSMENT, INCLUDING A DISCUSSION ON FINANCIAL RESPONSIBILITIES, CONCERNS, AND GOVERNMENT PROGRAMS, IS COMPLETED ON EACH INPATIENT BY DISCHARGE PLANNING. A FINANCIAL COUNSELOR MEETS ONE-ON-ONE WITH PATIENTS PRIOR TO DISCHARGE TO GO OVER INSURANCE COVERAGE AND WHAT TO EXPECT ONCE INSURANCE IS PROCESSED. PART VI, LINE 4: MADISON REGIONAL HEALTH SYSTEM IS THE ONLY HOSPITAL IN THE SERVICE AREA. EIGHT PHYSICIANS AND FOUR PHYSICIAN EXTENDERS PRACTICE IN THE COMMUNITY. THE SERVICE AREA FOR MRHS INCLUDES 14 ZIP CODE COMMUNITIES THAT ARE WITHIN A 2-MILE RADIUS OF THE HOSPITAL. IT INCLUDES ALL OF LAKE COUNTY AND PORTIONS OF BROOKINGS, KINGSBURY, MINER, MOODY, MCCOOK AND MINNEHAHA COUNTIES. TOTAL SERVICE AREA POPULATION IS APPROXIMATELY 32,000. ESTIMATED MEDIAN HOUSEHOLD INCOME IS $62,843 ACCORDING TO THE U.S CENSUS BUREAU. PART VI, LINE 5: THE GOVERNING BODY OF MRHS IS COMPRISED OF COMMUNITY MEMBERS, NONE OF WHOM ARE EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED TO IMPROVE PATIENT CARE AND FACILITIES. THE HOSPITAL OPERATES AN EMERGENCY ROOM WHICH IS AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS THROUGH RESIDENCIES AND INTERNSHIPS FOR NURSING STUDENTS, THERAPY STUDENTS, PHYSICIANS AND PHYSICIAN'S EXTENDERS. THE HOSPITAL PARTICIPATES IN SEVERAL GOVERNMENT SPONSORED HEALTH PROGRAMS, INCLUDING BUT NOT LIMITED TO: MEDICARE, MEDICAID, VA, TRI-CARE, AND ALL-WOMEN-COUNT. THE HOSPITAL OFFERS VOLUNTEER OPPORTUNITIES TO MEMBERS OF THE COMMUNITY. X X X X 0 0 0 1 0 0 0 0 0 ROBERT SUMMERER SURGEON 528731 0 0 0 0 0 14250 0 21726 0 564707 0 0 0 LAURA HOEFERT MD OF FAMILY MEDICINE 389958 0 0 0 25530 0 14250 0 15085 0 444823 0 0 0 BENJAMIN LISCANO MD OF FAMILY MEDICINE 406363 0 0 0 0 0 14250 0 22672 0 443285 0 0 0 JUSTIN CLEM MD OF FAMILY MEDICINE 361915 0 0 0 26948 0 14250 0 23498 0 426611 0 0 0 MITCHELL POPPENS PHYSICIAN ASSISTANT 305536 0 0 0 0 0 14250 0 22069 0 341855 0 0 0 TAMARA MILLER CEO 225695 0 29233 0 0 0 13002 0 14144 0 282074 0 0 0 TERESA MALLETT CFO 131115 0 0 0 0 0 6837 0 13848 0 151800 0 0 0 PART I, LINE 5 CEO BONUS IS CALCULATED BASED ON REVENUE GROWTH AND EBITA. HER BONUS FOR 2020 WAS $29,233 FORM 990, PART III, LINE 3 THE ORGANIZATION CEASED THE OPERATION OF URGENT CARE. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL HAVE THE BOARD PRESIDENT AS ITS CHAIRMAN AND FOUR APPOINTED MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE FACILITY DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF TRUSTEES AND THAT IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CHIEF FINANCIAL OFFICER REVIEW THE 990 IN DETAIL. AFTER THEIR REVIEW, THE 990 IS PROVIDED TO EACH BOARD MEMBER. THE CEO PRESENTS THE 990 TO THE BOARD OF DIRECTORS AT THE MEETING HELD PRIOR TO ITS FILING IF SO REQUESTED BY ANY BOARD MEMBER. WHETHER PRESENTED IN A BOARD MEETING OR NOT, THE 990 IS NOT FILED UNTIL EACH BOARD MEMBER HAS BEEN GIVEN A COPY OF IT AND GIVEN AMPLE TIME TO REVIEW IT. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND OFFICERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THE BOARD WILL REVIEW ACTUAL CONFLICTS AND MAKE DETERMINATIONS WHETHER A CONFLICT EXISTS. THE RESTRICTIONS ARE IMPOSED ON A CASE BY CASE BASIS BASED ON THE BOARD'S DETERMINATION. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION AND BENEFITS ARE REVIEWED ON AN ANNUAL BASIS IN EXECUTIVE SESSION AT THE BOARD OF TRUSTEE MEETING. THE BOARD OF TRUSTEES APPROVES THE SALARY AND BENEFITS COMPENSATION. SDAHO SALARY SURVEY AND OTHER FACILITY 990'S ARE USED TO DETERMINE CEO'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.