2019-12-26T12:25:19-06:00 2019-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2018-07-01 850292834 HIDALGO MEDICAL SERVICES % AMANDA FROST HIDA 5755428384 530 E DEMOSS STREET LORDSBURG NM 88045 AMANDA FROST CFO 2019-12-16 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920200075000001 2019-12-26 P 942234542CD988598FD3000625E41F9421148FC1 942234542CD988598FD3000625E41F9421148FC1 2018 2020-09-23 17:36:50Z AMANDA FROST 530 E DEMOSS STREET LORDSBURG NM 88045 20515555 false X WWW.HMSNM.ORG X 1982 NM HMS IS A NON-PROFIT HEALTH CARE AND COMMUNITY DEVELOPMENT ORGANIZATION THAT IMPROVES THE QUALITY OF LIFE OF THE PEOPLE OF HIDALGO COUNTY AND SOUTHWESTERN NEW MEXICO. 13 13 278 15 0 4896067 5360905 15150809 15115877 29299 30462 0 3627 20076175 20510871 163978 1500 0 0 13653194 14655854 0 0 0 6525077 6932218 20342249 21589572 -266074 -1078701 15850443 15819222 2309446 3356926 13540997 12462296 X HIDALGO MEDICAL SERVICES POSITIVELY IMPACTS THE HEALTH, WELL-BEING AND QUALITY OF LIFE FOR THOSE WE SERVE PROVIDING COMPREHENSIVE, INTEGRATED, AFFORDABLE HEALTHCARE AND EDUCATION OF PATIENTS AND HEALTHCARE PROFESSIONALS. false true 5542961 9075307 HIDALGO MEDICAL SERVICES PROVIDES COMPREHENSIVE PRIMARY HEALTH CARE SERVICES TO THE PEOPLE OF GRANT AND HIDALGO COUNTIES IN NEW MEXICO. PRIMARY CARE IS DEFINED AS THE FIRST POINT OF ENTRY INTO THE HEALTH CARE SYSTEM FOR PREVENTIVE AND BASIC, NON-EMERGENCY, DIAGNOSTIC AND TREATMENT SERVICES. THESE SERVICES INCLUDE ADMITTING AND FOLLOWING HOSPITALIZED PATIENTS IN SILVER CITY, PROVIDING PRENATAL CARE AND DELIVERY SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 3256928 2683000 HIDALGO MEDICAL SERVICES PROVIDES SELECTIVE MENTAL HEALTH SERVICES WITHIN THE CONTEXT OF EXISTING NETWORKS OF CARE IN THE TWO COUNTY REGION. OUR SERVICES CAN BE UNDERSTOOD WITHIN THREE CATEGORIES: INTEGRATED BEHAVIORAL HEALTHCARE; PSYCHOTHERAPY SERVICES; AND PREVENTIVE CARE. ALL SERVICES ARE PROVIDED BY LICENSED PROFESSIONALS WITHIN THE MENTAL HEALTH FIELD (SOCIAL WORKERS, COUNSELORS, PSYCHOLOGISTS AND PSYCHIATRIC NURSE PRACTITIONERS). SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 1964925 2251120 HIDALGO MEDICAL SERVICES HAS DENTAL LOCATIONS AT OUR PRIMARY CARE CLINICS IN LORDSBURG AND SILVER CITY. COMPREHENSIVE PREVENTIVE DENTAL SERVICES ARE PROVIDED BY LICENSED DENTISTS AND DENTAL HYGIENISTS AT BOTH LOCATIONS. HMS DENTISTS PRACTICE COMPREHENSIVE DENTAL SERVICES ACCORDING TO THE SCOPE OF PRACTICE OF INDIVIDUAL DENTISTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 1449878 1500 1106450 12214692 true true false true false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 60 0 true 278 true false false false false false false false false false false false false X 13 13 true false false false false false false true true false false true true true true true true true true false NM X AMANDA FROST 5755428384 530 E DEMOSS STREET LORDSBURG NM 88045 CARMEN ACOSTA CHAIRMAN 2.0 0.0 X X 0 0 0 WILLIAM WALTER VICE-CHAIR 2.0 0.0 X X 0 0 0 KATY ESTRADA TREASURER 2.0 0.0 X X 0 0 0 BILL ROGERS MEMBER 2.0 0.0 X 0 0 0 BARBARA GUBER SECRETARY 2.0 0.0 X X 0 0 0 MAGDALENO MANZANAREZ MEMBER END 12/2018 2.0 0.0 X 0 0 0 BARBARA TRUJILLO MEMBER 2.0 0.0 X 0 0 0 JOE MAZURKIEWICZ MEMBER 2.0 0.0 X 0 0 0 PRISCILLA PEREA MEMBER END 05/2019 2.0 0.0 X 0 0 0 BETSY WARD MEMBER 2.0 0.0 X 0 0 0 FRANK CHAIRES MEMBER 2.0 0.0 X 0 0 0 PAM ARCHIBALD MEMBER 2.0 0.0 X 0 0 0 RON HALL MEMBER BEG 03/2019 2.0 0.0 X 0 0 0 ARTHUR CLARK SMITH MEMBER BEG 03/2019 2.0 0.0 X 0 0 0 SAGUARA COMPTON MEMBER BEG 03/2019 2.0 0.0 X 0 0 0 DARRICK NELSON CMO 40.0 0.0 X 265894 0 21100 JAMES HOY CFO END 06/2019 40.0 0.0 X 159884 0 4285 DAN OTERO CEO 40.0 0.0 X 191289 0 17231 AMANDA FROST PROGRAM DIRECTOR/CFO BEG 06/19 40.0 0.0 X 94917 0 3519 JAMES WYATT LINES CHIEF DENTAL OFFICER 40.0 0.0 X 171772 0 14665 FORREST HENRY MD PHYSICIAN 40.0 0.0 X 207902 0 13765 VIRGINIA HERNANDEZ MD PHYSICIAN 40.0 0.0 X 193563 0 6411 BRIAN ETHERIDGE PHYSICIAN 40.0 0.0 X 213467 0 21016 ANNIE LEE PHYSICIAN 40.0 0.0 X 178455 0 12513 BRANDON FERGUSON MD PHYSICIAN 40.0 0.0 X 152925 0 8345 1830068 0 122850 17 false true false GENOA HEALTHCARE LLC 707 S GRADY WAY SUITE 700 RENTON WA 98057 TELEPSYCHIATRY SERV. 180581 THE RECOVERY AND MANAGEMENT CENTER 118 W 13TH STREET SILVER CITY NM 88061 SUBS ABUSE TREATMENT 162880 BKD LLP PO BOX 1190 SPRINGFIELD MO 658011190 AUDIT/TAX/CONSULTING 122681 NM CLEANING AND JANITORIAL SERVICES 504 D ST HURLEY NM 88043 JANITORAL SERVICES 108076 4 4919243 441662 15850 5360905 Net Patient Service Revenue 624100 11920754 11920754 Pharmacy 624100 1665908 1665908 State, RPHCA, and Other Contract Revenue 624100 1400032 1400032 Other Revenue 624100 129183 129183 15115877 12046 12046 0 0 0 0 0 23100 4684 18416 18416 18416 0 0 0 0 0 0 0 0 0 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 3627 3627 3627 20510871 15115877 34089 1500 1500 0 0 0 846120 473431 372689 0 11648641 7258579 4390062 208659 116309 92350 1046146 515720 530426 906288 545098 361190 0 181110 181110 144976 144976 0 0 0 1339586 1036448 303138 269354 269354 1553193 556833 996360 265447 265447 0 266808 226787 40021 130153 91202 38951 0 179297 136556 42741 64172 64172 0 630353 575898 54455 255166 55163 200003 MEDICAL SUPPLIES & DRUGS 424167 424167 LICENSES, DUES, SUBSCRIPTIONS 198731 54715 144016 BAD DEBT EXPENSE 146286 146286 MEETING EXPENSE 75238 75238 808181 808181 21589572 12214692 9374880 0 1392209 1202152 1014994 1019326 503010 734220 1365734 1285423 0 0 0 0 0 0 0 0 141548 139194 15656900 4488552 11280253 11168348 0 0 0 203627 0 0 2778 1445 149917 65487 15850443 15819222 1101148 1168191 0 0 0 357159 0 0 0 0 0 0 1208298 1831576 0 0 0 0 2309446 3356926 X 13494962 12425203 46035 37093 0 0 13540997 12462296 15850443 15819222 -1078701 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 1500 false false true 1500 false SCHEDULE C, PART II-B, LINE 1 (F) LOBBYING ACTIVITY: THE ORGANIZATION MADE A $1,500 DONATION TO THE GRANT COUNTY PROSPECTORS, A LOCAL LEGISLATIVE ACTION COMMITTEE. SCHEDULE C, PART II-B, LINE 1 (I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAID DUES TO NACHC AND NMPCA. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. 38020 704199 742219 11175613 2054989 9120624 1148501 365594 782907 2500839 2067969 432870 89728 89728 11168348 20604951 249840 -95412 154428 20450523 60348 60348 20510871 21674710 249840 -18416 231424 21443286 146286 146286 21589572 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ ( 146,286) PROVISION FOR UNCOLLECTIBLE ACCOUNTS 50,874 NET ASSETS RELEASED FROM RESTRICTION ----------- $ ( 95,412) SCHEDULE D, PART XI, LINE 4B Amounts included on Form 990, Part VIII, line 12, but not on line 1: $ 18,416 GAIN ON DISPOSAL OF PROPERTY AND EQUIPMENT 41,932 TEMPORARILY RESTRICTED CONTRIBUTION REVENUE ------------- $ 60,348 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ ( 18,416) GAIN ON DISPOSAL OF PROPERTY AND EQUIPMENT SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 146,286 PROVISION FOR UNCOLLECTIBLE ACCOUNTS X true true X X X false false false false false false false true false DARRICK NELSON CMO 265894 0 0 0 0 0 9035 0 12065 0 286994 0 0 0 JAMES HOY CFO END 06/2019 158730 0 1154 0 0 0 3532 0 753 0 164169 0 0 0 DAN OTERO CEO 191289 0 0 0 0 0 6832 0 10399 0 208520 0 0 0 FORREST HENRY MD PHYSICIAN 195002 0 12900 0 0 0 0 0 13765 0 221667 0 0 0 VIRGINIA HERNANDEZ MD PHYSICIAN 183563 0 10000 0 0 0 0 0 6411 0 199974 0 0 0 BRIAN ETHERIDGE PHYSICIAN 203467 0 10000 0 0 0 6987 0 14029 0 234483 0 0 0 JAMES WYATT LINES CHIEF DENTAL OFFICER 171772 0 0 0 0 0 5714 0 8951 0 186437 0 0 0 ANNIE LEE PHYSICIAN 173455 0 5000 0 0 0 6184 0 6329 0 190968 0 0 0 BRANDON FERGUSON MD PHYSICIAN 132225 0 20700 0 0 0 0 0 8345 0 161270 0 0 0 SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE: JAMES WYATT LINES RECEIVED TAXABLE HOUSING ALLOWANCE ADDED TO HIS PAYCHECK FOR LIVING IN RURAL AREA. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS FOR OFFICERS OR DIRECTORS: IN ADDITION TO BASE COMPENSATION, INDIVIDUALS ARE ELIGIBLE TO RECEIVE PERFORMANCE BONUS COMPENSATION BASED ON MEETING A LIST OF ESTABLISHED GOALS AND INITIATIVES. FORM 990, PART III, LINE 3 CHANGES TO PROGRAM SERVICE: HMS CEASED THE OPERATIONS OF THE BAYARD CLINIC AND HAVE ADDED A MOBILE UNIT IN ITS PLACE. FORM 990, PART III, LINE 4A PRIMARY HEALTH CARE SERVICES: HMS EMPLOYS BOARD-ELIGIBLE AND CERTIFIED FAMILY PRACTICE PHYSICIANS, CERTIFIED PHYSICIANS ASSISTANTS AND FAMILY NURSE PRACTITIONERS TO SERVE OUR PATIENTS. HMS ALSO PROVIDES THE FOLLOWING ANCILLARY SERVICES: LABORATORY SERVICES - LABORATORY SERVICES ARE REGULATED BY MEDICARE THROUGH THE CLINICAL LABORATORY IMPROVEMENT ACT (CLIA). AT RURAL LOCATIONS, HMS OFFERS CLIA WAIVED LAB SERVICES WHICH ARE A LIMITED AND DEFINED SET OF LAB SERVICES THAT CAN BE DIN-HOUSE. FOR OTHER TESTS, HMS PROVIDES MODERATE COMPLEXITY LAB SERVICES AT ITS CLINIC IN SILVER CITY. THE MAJORITY OF LAB SERVICES CAN BE PROVIDED WITHIN HMS, WHICH CAN SPEED UP THE RESULTS PROCESS AND PROVIDE BETTER PATIENT CARE. LAB SPECIMENS ARE SENT DAILY VIA GRANT COUNTY'S CORRE CAMINOS PUBLIC TRANSPORTATION SYSTEM WHICH IS FUNDED, IN PART, BY HMS. SOME INSURANCE COMPANIES REQUIRE THAT CERTAIN LABS BE SENT TO CERTAIN LABORATORIES IN ALBUQUERQUE OR ELSEWHERE, FOR WHICH HMS WILL MAKE ARRANGEMENTS. HMS ALSO PARTNERS WITH GILA REGIONAL MEDICAL CENTER (GRMC) IN SILVER CITY FOR MORE COMPLICATED LAB PROCESSES. X-RAY SERVICES - BASIC X-RAY SERVICES ARE PROVIDED AT HMS LOCATIONS IN SILVER CITY AND LORDSBURG. ALL OTHER RADIOLOGIC OR OTHER PROCEDURES SUCH AS MAGNETIC RESONANCE IMAGING (MRI) ARE TYPICALLY REFERRED TO GRMC. PATIENT CHOICE IS ALWAYS A CONSIDERATION. PHARMACY - THERE ARE THREE WAYS THAT HMS CAN ASSIST PATIENTS WITH PHARMACY SERVICES BEYOND THE SIMPLE PRESCRIPTION. 1. MEDICATION ASSISTANCE PROGRAM: MANY PHARMACEUTICAL COMPANIES OFFER FREE MEDICATIONS TYPICALLY TO CHRONICALLY ILL PATIENTS WHO QUALIFY FINANCIALLY. THE HMS FAMILY SUPPORT PROGRAM ASSISTS ALL PEOPLE WHO QUALIFY WITH THIS SERVICE, WHETHER THEY ARE HMS PATIENTS OR NOT. THE FAMILY SUPPORT MEDICATION ASSISTANCE PROGRAM (MAP) IS ALSO SUPPORTED BY A NUMBER OF COMMUNITY VOLUNTEERS. 2. 340B PRESCRIPTIONS: HMS HAS ACCESS TO A LIMITED NUMBER OF PRESCRIPTIONS THROUGH THE 340B PROGRAM AND THE WALGREENS PHARMACY IN SILVER CITY. THE PROGRAM ALLOWS HMS TO PURCHASE MEDICATIONS AT FEDERAL DRUG PRICES, REDUCING THE PATIENT'S COST. THE PATIENT MUST BE A PATIENT OF HMS, REFERRED ONLY BY HMS PROVIDERS AND BE ELIGIBLE TO THE HMS SLIDING SCALE PROGRAM. 3. EMERGENCY COVERAGE IN HIDALGO COUNTY: HMS COLLABORATES WITH THE HIDALGO COUNTY AMBULANCE SERVICE FOR EMERGENCY SERVICE NEEDS. THE CLINIC IN LORDSBURG WILL SEE MINOR EMERGENCIES, E.G. SUTURES (STITCHES AND BREAKS). FOR GRANT COUNTY PATIENTS, HMS UTILIZES LOCAL AMBULANCE SERVICES FOR EMERGENCIES. HMS PHYSICIANS SHARE AFTER HOURS CALL WITH OTHER LOCAL PHYSICIANS IN A CALL TEAM AND ARE ABLE TO ATTEND PATIENTS THAT ARE REQUIRED TO GO THE HOSPITAL ER IN SILVER CITY. FORM 990, PART III, LINE 4B MENTAL HEALTH SERVICES: INTEGRATED BEHAVIORAL HEALTH CARE: MENTAL HEALTH PROFESSIONALS ARE AVAILABLE TO ASSIST PRIMARY CARE PROVIDERS IDENTIFY AND APPROPRIATELY RESPOND TO EMOTIONAL, BEHAVIORAL AND MENTAL FACTORS THAT IMPACT THE MEDICAL CARE OF PATIENTS. THIS ALLOWS MENTAL HEALTH PROVIDERS TO SEE PATIENTS IN THE EXAM ROOM IN ORDER TO MAKE A QUICK ASSESSMENT AND PROVIDE A BRIEF, SUPPORTIVE INTERVENTION OR A REFERRAL TO COUNSELING OR PSYCHOTHERAPY SERVICES, EITHER WITHIN HMS OR TO ONE OF THE OTHER AGENCIES PROVIDING A DIFFERENT LEVEL OF CARE WITHIN THE COMMUNITY. QUALIFIED MENTAL HEALTH PROVIDERS (E.G. PSYCHIATRIC NURSE PRACTITIONERS) MAY ALSO CONSULT WITH PRIMARY CARE PROVIDERS ON APPROPRIATE MEDICATIONS FOR THE PRESENTING CONCERNS. THE GOAL OF THE BEHAVIORAL HEALTH CARE CONSULT ARE BOTH TO ENSURE THE PROPER, CULTURALLY COMPETENT STRATEGY FOR HEALTH CARE IS AGREED UPON BETWEEN PROVIDER AND PATIENT, AND TO HELP THE PATIENT IDENTIFY AND CHANGE ASPECTS OF THEIR LIFE WHICH MAY INTERFERE WITH MAINTAINING THEIR HEALTH AND QUALITY OF LIFE. PSYCHOTHERAPY SERVICES: HMS MENTAL HEALTH PROFESSIONALS PROVIDE SHORT-TERM AND MEDIUM-TERM INDIVIDUAL AND GROUP COUNSELING AND PSYCHOTHERAPY SERVICES TO HMS PATIENTS. SUCH SERVICES ARE PRINCIPALLY DESIGNED FOR MODERATE TO MEDIUM LEVEL DIFFICULTIES IN LIVING ENCOUNTERED BY PATIENTS. THOSE DEALING WITH SEVERE OR CHRONIC MENTAL HEALTH CHALLENGES WOULD MOST LIKELY BE REFERRED TO OTHER AGENCIES IN THE REGION FOR A MORE APPROPRIATE LEVEL OF CARE. HMS EMPLOYS STRENGTH-BASED PSYCHOTHERAPEUTIC STRATEGIES THAT ARE VALIDATED EMPIRICALLY FOR THE POPULATIONS SERVED. HMS MAINTAINS AN UNYIELDING COMMITMENT TO THE HIGHEST ETHICAL AND PROFESSIONAL STANDARDS IN THE DELIVERY OF THESE SERVICES. PREVENTIVE CARE: HMS MENTAL HEALTH PROFESSIONALS RECOGNIZE THAT MENTAL HEALTH PROBLEMS ARE FREQUENTLY SYMPTOMS OF LESS THAN HEALTHY STANDARDS OF LIVING WITHIN A GIVEN COMMUNITY. THUS HMS IS COMMITTED TO WORKING WITH OTHERS DEDICATED TO IMPROVING THE CONDITIONS OF LIFE IN OUR COMMUNITIES BY PARTICIPATING IN HEALTH FAIRS, CONDUCTING WORKSHOPS AND SPEAKING TO COMMUNITY GROUPS ON ISSUES RELATED TO THE MENTAL AND EMOTIONAL WELL BEING OF THE COMMUNITY. FURTHER, HMS IS ALSO COMMITTED TO CONTRIBUTING TO COMMUNITY RESPONSE PLANS TO EVENTS AND CONDITIONS WHICH ARE RECOGNIZED AS RISK FACTORS FOR EMOTIONAL AND MENTAL WELL-BEING. FORM 990, PART III, LINE 4C DENTAL SERVICES: IN ADDITION TO PREVENTIVE DENTAL SERVICES, HMS DENTISTS PROVIDE DIAGNOSTIC AND RESTORATIVE DENTAL CARE AND CAN MEET MOST ORAL SURGERY NEEDS OF PATIENTS, INCLUDE FILLINGS, EXTRACTIONS, AND PARTIAL OR FULL PROSTHETICS. PANOREX (PANORAMA) X-RAY SERVICES ARE AVAILABLE AT BOTH LOCATIONS. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: HIDALGO MEDICAL SERVICES PROVIDES SUPPORTIVE SERVICES THROUGH OUR FAMILY SUPPORT SERVICES DEPARTMENT. SUPPORTIVE SERVICES INCLUDE A REGISTERED DIETITIAN AND CERTIFIED DIABETES EDUCATOR; AND ASSISTING PATIENTS IN ACCESSING RESOURCES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH (I.E. TRANSPORTATION, FOOD, HOUSING), INSURANCE ENROLLMENT, SLIDING FEE ENROLLMENT, AND OUTREACH AND EDUCATION. WE SUPPORT THE NEEDS OF OUR SENIOR POPULATION AS THE PROVIDER OF SENIOR SERVICES IN SOUTHWEST NEW MEXICO, OVERSEEING FIVE SENIOR CENTERS THAT PROVIDE CONGREGATE MEALS, HOME DELIVERED MEALS, AND TRANSPORTATION. HMS ALSO PROVIDES THE FOLLOWING SERVICES: - MEDICAID/MEDICARE ENROLLMENT - CHRONIC DISEASE PREVENTION AND MANAGEMENT CLASSES - SMOKING CESSATION ASSISTANCE - FREE OR LOW COST MEDICATIONS FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP: BOARD MEMBERS KATY ESTRADA AND FRANK CHAIRES HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY MANAGEMENT. THE FORM 990 IS REVIEWED BY THE CFO AND THEN PROVIDED TO THE BOARD OF DIRECTORS AT A BOARD MEETING BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: POLICIES AND PROCEDURES WILL BE PREPARED IN HMS'S FUNCTIONAL DEPARTMENTS, INCLUDING PERSONNEL, COMPLIANCE, FINANCIAL, QUALITY IMPROVEMENT, CLINICAL, AND OPERATIONAL. PARTICULAR ATTENTION WILL BE GIVEN TO AREAS OF POTENTIAL RISK IDENTIFIED IN THE RESULTS OF AN AUDIT OR RELEVANT RISK AREAS IDENTIFIED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF INSPECTOR GENERAL AND OTHER FEDERAL AND STATE GOVERNMENT AGENCIES. THE COMPLIANCE COORDINATOR, MEMBERS OF SENIOR MANAGEMENT, AND/OR EMPLOYEES, WORKING IN THE RELEVANT DEPARTMENT MAY BE INVOLVED IN DRAFTING, REVIEWING, OR OTHERWISE, WITH RESPECT TO THE PROPOSED POLICY AND PROCEDURE. ONCE A DRAFT OR REVISION IS COMPLETE, THE COMPLIANCE COORDINATOR WILL REVIEW THE DRAFT TO ENSURE THAT THE POLICY COMPLIES WITH ALL APPLICABLE LAWS AND REGULATIONS. THE COMPLIANCE COORDINATOR WILL DISTRIBUTE COPIES OF THE PROPOSED POLICY AND PROCEDURE TO THE QUALITY IMPROVEMENT "QI" COMMITTEE. THE POLICY AND PROCEDURE WILL BE REVIEWED AND APPROVED BY THE QI COMMITTEE, AND THEN THE POLICY CHANGES WILL BE PRESENTED TO THE HMS BOARD OF DIRECTORS, FOR REVIEW AND/OR APPROVAL. AFTER THE REVIEW AND APPROVAL OF THE PROPOSED POLICY AND PROCEDURE, A FINAL DRAFT, INDICATING APPROVAL OF THE POLICY AND THE EFFECTIVE DATE, WILL BE PREPARED. NEWLY APPROVED POLICIES AND PROCEDURES WILL BE DISTRIBUTED TO ALL AFFECTED HMS AFFILIATES, AND INCORPORATED INTO HMS'S EDUCATION AND TRAINING EFFORTS. THE COMPLIANCE COORDINATOR WILL PROMPTLY DISTRIBUTE THE NEW/REVISED POLICY AND PROCEDURE TO THE RELEVANT INDIVIDUALS AND REQUIRE ATTESTATION FROM EACH RECIPIENT. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW: THE BOARD OF DIRECTORS USED COMPARATIVE STATE DATA TO APPROVE A REVISED SALARY MATRIX FOR THE ENTIRE ORGANIZATION ON 12/21/2017. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.