2017-11-03T11:50:05-05:00 2017-01-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-02-01 421374894 SIOUXLAND COMMUNITY HEALTH CENTER % JAN ANDERSON CFO SIOU 7122522477 1021 NEBRASKA STREET SIOUX CITY IA 51105 MARI KAPTAIN-DAHLEN CEO 2017-05-31 true Krystal K Creach P00422601 4178658701 167.68.126.162 43032920173075000001 2017-11-03 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 1229F85F18D3C1C077FE1D0ACDD4751432A3774C 2016 2018-03-14 21:41:22Z MARI KAPTAIN-DAHLEN 1021 NEBRASKA STREET SIOUX CITY IA 51105 27390173 false X WWW.SLANDCHC.COM X 1991 IA TO BE A PATIENT-CENTERED MEDICAL HOME THAT IMPROVES THE PHYSICAL, DENTAL, AND BEHAVIORAL HEALTH OF THE SIOUXLAND COMMUNITY WHILE ELIMINATING ACCESS BARRIERS. 13 13 298 17 0 0 4731092 5776438 19656231 21582502 17781 31233 0 0 24405104 27390173 200643 357825 0 0 13951109 15876657 0 0 0 6969586 7818718 21121338 24053200 3283766 3336973 21596826 24827569 7575522 7247868 14021304 17579701 X WE SERVE OUR COMMUNITY TO BRING HEALING THROUGH OUR COMMITMENT TO CARE. false false 12508807 357825 13713521 PRIMARY AND SPECIALTY MEDICAL SERVICES FOR FY 2016, SCHC PROVIDED MEDICAL, PRENATAL, AND BEHAVIORAL HEALTH SERVICES FOR 72,655 PATIENT VISITS. SERVICES WERE PROVIDED BY SIX PRIMARY CARE PHYSICIANS, EIGHT PHYSICIAN ASSISTANTS, ELEVEN NURSE PRACTITIONERS, AND A VARIETY OF VOLUNTEER SPECIALTY PROVIDERS FROM THE SIOUXLAND COMMUNITY. SPECIALTY CARE VOLUNTEERS PROVIDED THE FOLLOWING CARE: CARDIOVASCULAR, SURGERY, PODIATRY, OPTOMETRY AND NEPHROLOGY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 3742405 4102834 DENTAL CARE SCHC EMPLOYED FIVE DENTISTS AND FOUR DENTAL HYGIENISTS TO PROVIDE ROUTINE DENTAL CARE AND TREATMENT TO PATIENTS AGES INFANTS TO ADULTS. EMERGENCY WALK-IN PATIENTS ARE ACCEPTED DAILY. THE DENTAL DEPARTMENT HAD 19,681 PATIENT VISITS DURING THE YEAR ENDING 1/31/17. 3435296 3766147 PHARMACY THE SCHC PHARMACY IS AVAILABLE TO ALL PATIENTS RECEIVING HEALTH CARE SERVICES AT THE HEALTH CENTER. THREE PHARMACISTS ARE ON STAFF TO OFFER MEDICATION COUNSELING FOR PRESCRIPTIONS. IN ADDITION, THE HEALTH CENTER EMPLOYED ONE FULL-TIME CLINICAL PHARMACIST TO ASSIST PATIENTS WITH CHRONIC MEDICAL CONDITIONS. SCHC IS A PARTICIPANT IN THE 340B DRUG PRICING PROGRAM AND ALSO OFFERS AN INDIGENT PROGRAM TO PROVIDE PRESCRIPTION ASSISTANCE TO QUALIFYING PATIENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 19686508 true true false true false false false false false false true false false false true false true false false false false false false false false false false true true true true false false false false false false false false false false true false false false false false false false false true 45 0 true 298 true false false false false false false false false false false X 13 13 false false true false false false false true true false false true true true true true true true false false X JAN ANDERSON CFO 7122522477 1021 NEBRASKA STREET SIOUX CITY IA 51105 JENNIFER GOMEZ SECRETARY 1.0 0.0 X X 0 0 0 BIBI JAURON DIRECTOR 1.0 0.0 X 0 0 0 JOAN KELLY DIRECTOR ENDING 12/16 1.0 0.0 X 0 0 0 NANCY METCALF DIRECTOR ENDING 06/16 1.0 0.0 X 0 0 0 OMAR SUAREZ DIRECTOR 1.0 0.0 X 0 0 0 KELLEY MCCARTHY DIRECTOR 1.0 0.0 X 0 0 0 DAVID OLSON PRESIDENT 1.0 0.0 X X 0 0 0 CHAD MARKHAM DIRECTOR 1.0 0.0 X 0 0 0 ANDREA BUCKLEY VICE PRESIDENT 1.0 0.0 X X 0 0 0 DONA PRINCE TREASURER 1.0 0.0 X X 0 0 0 AMY SLEVIN DIRECTOR 1.0 0.0 X 0 0 0 JAY ROSENBERG DIRECTOR 1.0 0.0 X 0 0 0 FRANK LAMERE DIRECTOR 1.0 0.0 X 0 0 0 JACOB HARLAN DIRECTOR ENDING 07/16 1.0 0.0 X 0 0 0 JEFFREY DEAN MD DIRECTOR 1.0 0.0 X 0 0 0 JENNIFER BURKHART DIRECTOR 1.0 0.0 X 0 0 0 MARI KAPTAIN-DAHLEN CEO 40.0 0.0 X 201034 0 10648 JAN ANDERSON CPA MBA CFO 40.0 0.0 X 165210 0 26995 MICHAEL PIPLANI MD CMO 40.0 0.0 X 273072 0 17192 BRENDA HAUSMAN-MILLER MD CO-DENTAL DIRECTOR 40.0 0.0 X 207350 0 34911 DAVID FALDMO PA QUALITY DIRECTOR 40.0 0.0 X 247595 0 39594 RYAN BALLER DDS CO-DENTAL DIRECTOR 40.0 0.0 X 207252 0 37135 SHELBY PETERSEN CLINIC OPERATIONS DIRECTOR 40.0 0.0 X 108509 0 19409 KRISTI WALZ MD PHYSICIAN 40.0 0.0 X 255929 0 36925 GARY HATTAN MD PHYSICIAN 40.0 0.0 X 248548 0 37841 DANIELLE ROSENKRANS MD PHYSICIAN 32.0 0.0 X 187697 0 27065 MARY MCGOWAN NURSE PRACTITIONER 40.0 0.0 X 172309 0 34560 ANN PICK NURSE PRACTITIONER 40.0 0.0 X 176729 0 28059 2451234 0 350334 28 false true false INCONCERT CARE INC URBANDALE IA 50322 COMPUTER SERVICES 417199 BKD LLP SPRINGFIELD MO 65806 AUDIT/TAX/CONSULTING 134569 SIOUXLAND MEDICAL ED FOUNDAITON SIOUX CITY IA 51104 PHYSICIANS-PRENATAL 364346 QUEST DIAGNOSTICS ST LOUIS MO 63150 LAB TESTING 194116 LF NOLL INC SIOUX CITY IA 51101 COLLECTION SERVICES 100813 5 5586907 189531 561177 5776438 NET PATIENT SERVICE REVENUE 624100 20743924 20743924 EHR INCENTIVE REVENUE 624100 467500 467500 OTHER REVENUE 624100 371078 371078 21582502 31233 31233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27390173 21582502 31233 263928 263928 93897 93897 0 0 1595906 1192019 403887 0 11774933 9620884 2154049 451879 370390 81489 1149065 929334 219731 904874 731908 172966 0 43820 43820 117985 117985 0 0 0 1473235 1342488 130747 101756 101756 633287 351681 281606 111225 88660 22565 0 305133 248078 57055 40694 36824 3870 0 262161 172690 89471 255292 4114 251178 0 787963 639702 148261 45311 35423 9888 MEDICAL SUPPLIES & DRUGS 2705934 2705934 BAD DEBT 811593 811593 LICENSES, DUES, SUBSCRIPTIONS 77282 46961 30321 RECRUITING & RETENTION 33883 33883 12164 12164 24053200 19686508 4366692 0 103860 188448 6917998 10197428 1232624 1082038 1487836 1770382 0 0 0 0 0 0 201975 199212 75390 116746 16837334 5678352 11476143 11158982 0 0 1000 14333 0 0 0 0 100000 100000 21596826 24827569 1644443 1861081 0 0 0 0 5051219 4728350 0 0 0 0 0 0 0 0 879860 658437 7575522 7247868 X 13901077 17446901 120227 132800 0 0 14021304 17579701 21596826 24827569 3336973 221424 X false true X true true true X 5264888 5693098 4424315 4731092 5776438 25889831 0 0 5264888 5693098 4424315 4731092 5776438 25889831 1389682 24500149 5620 7583 8401 19427 31233 72264 0 0 25962095 86798906 0.94369 0.91343 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAID DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE IOWA PRIMARY CARE ASSOCIATION. A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. 1271327 1271327 12556349 3825772 8730577 2933021 1852580 1080441 76637 76637 11158982 0 INTEREST RATE SWAP 658437 658437 26793781 221424 6350 -264716 -36942 26830723 559450 559450 27390173 23247957 6350 6350 23241607 811593 811593 24053200 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: $ (811,593) BAD DEBT EXPENSE 546,877 NET ASSETS RELEASED FROM RESTRICTION ----------- $ (264,716) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 559,450 TEMPORARILY RESTRICTED CONTRIBUTIONS SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 811,593 BAD DEBT EXPENSE true NEBRASKA AIDS PROJECT 250 S 77TH STREET SUITE A OMAHA NE 68114 470786622 501(C)(3) 209228 HIV CASE MANAGE JACKSON RECOVERY CENTERS 800 5TH STREET SIOUX CITY IA 51101 391900255 501(C)(3) 54700 BEHAVIOR CASE MANAGE 2 HEALTH INSURANCE PREMIUMS 23 93897 SCHEDULE I, PART I, LINE 2 MONITORING OF GRANT FUNDS: NEBRASKA AIDS PROJECT CONTINUED TO BE A SUBCONTRACTED AGENCY IN ORDER TO PROVIDE CONTRACTUAL HIV/AIDS SERVICES IN SOUTHWEST IA. THEY WERE CHOSEN ON THE BASIS OF PRIOR EXPERIENCE WITH WORKING WITH TARGETED POPULATION, AND STAFF CREDENTIALS/EXPERIENCE. THE AGENCY SUBMITS MONTHLY FINANCIAL REPORTS WITH EXPENSE DOCUMENTATION AND TIME TRACKING IN ORDER TO BE REIMBURSED. THEY ALSO SUBMIT THEIR ANNUAL AUDIT FOR REVIEW AND AN ON-SITE MONITORING REVIEW IS PERFORMED ANNUALLY. JACKSON RECOVERY CENTERS WAS SELECTED TO BE A SUBCONTRACTED AGENCY TO PROVIDE ON-SITE BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES. JACKSON RECOVERY CENTERS WAS SELECTED BASED ON PRIOR EXPERIENCE WITH WORKING WITH THE TARGETED POPULATION. JACKSON RECOVERY CENTERS STAFF MAINTAINS TIME AND EFFORT RECORDS AND SUBMITS MONTHLY INVOICES FOR SERVICES. STAFF ARE SUPERVISED AND EVALUATED BY THE HEALTH CENTER CHIEF MEDICAL OFFICER. SCHEDULE I, PART III, LINE 1 GRANTS FOR THE BENEFIT OF INDIVIDUALS: SIOUXLAND COMMUNITY HEALTH CENTER PAID FOR PATIENT HEALTH INSURANCE PREMIUMS THROUGH WELLMARK BLUE CROSS BLUE SHIELD OF IOWA DURING THE YEAR IN ACCORDANCE WITH HIV GRANT FUNDING RECEIVED FROM THE STATE OF IOWA. HIV PATIENT CARE STAFF CONFIRM PATIENT ELIGIBILITY FOR PREMIUM PAYMENTS BASED ON PATIENT HEALTH STATUS AND PHYSICAL ADDRESS, AND MONITOR THE AVAILABILITY OF SUCH FUNDS MONTHLY THROUGH BUDGETARY REPORTS. HEALTH INSURANCE PREMIUM INVOICE DOCUMENTATION IS MAINTAINED BY THE ORGANIZATION. X X X X false false false false false false false true false MARI KAPTAIN-DAHLEN CEO 176553 0 17000 0 7481 0 9954 0 694 0 211682 0 0 0 JAN ANDERSON CPA MBA CFO 156386 0 2000 0 6824 0 8605 0 18390 0 192205 0 0 0 MICHAEL PIPLANI MD CMO 265466 0 2000 0 5606 0 13702 0 3490 0 290264 0 0 0 KRISTI WALZ MD PHYSICIAN 243303 0 9790 0 2836 0 13187 0 23738 0 292854 0 0 0 GARY HATTAN MD PHYSICIAN 244006 0 1690 0 2852 0 12443 0 25398 0 286389 0 0 0 DANIELLE ROSENKRANS MD PHYSICIAN 180063 0 1000 0 6634 0 9739 0 17326 0 214762 0 0 0 MARY MCGOWAN NURSE PRACTITIONER 150965 0 21150 0 194 0 9093 0 25467 0 206869 0 0 0 ANN PICK NURSE PRACTITIONER 156825 0 19100 0 804 0 9169 0 18890 0 204788 0 0 0 BRENDA HAUSMAN-MILLER MD CO-DENTAL DIRECTOR 193120 0 11550 0 2680 0 10826 0 24085 0 242261 0 0 0 DAVID FALDMO PA QUALITY DIRECTOR 205332 0 35300 0 6963 0 12909 0 26685 0 287189 0 0 0 RYAN BALLER DDS CO-DENTAL DIRECTOR 185025 0 14410 0 7817 0 10883 0 26252 0 244387 0 0 0 SHELBY PETERSEN CLINIC OPERATIONS DIRECTOR 102434 0 2000 0 4075 0 4645 0 14764 0 127918 0 0 0 SCHEDULE J, PART 1, LINE 7 NON-FIXED PAYMENTS: THE BONUSES PAID TO EMPLOYEES ARE COMPUTED BASED ON PERFORMANCE, SUBJECT TO THE DISCRETION OF THE BOARD OF DIRECTORS. A WOODBURY COUNTY IOWA 426005221 2007-09-25 7000000 CONSTRUCTION OF NEW FACILITY false false false A 2217528 0 7000000 0 0 0 100000 0 0 6900000 0 0 2009 false false true true A false false false false 0.00000 0.00000 0.00000 true false false true A false false false true true true WELLS FARGO 20. false false false 0 false false A true SCHEDULE K, PART IV, LINE 2C NO REBATE DUE: THE COMPUTATION WAS PERFORMED AS OF 11/25/2012. X 750 FMV X 4 560127 FMV X CHRISTMAS TREE 1 300 FMV false true false SCHEDULE M, PART I, LINE 20, COLUMN (B) NUMBER OF CONTRIBUTIONS: THE NUMBERS ENTERED IN COLUMN B REPRESENT THE NUMBER OF DONORS WHO CONTRIBUTED THESE ITEMS DURING THE YEAR. FORM 990, PART III, LINE 4 PROGRAM SERVICES: SIOUXLAND COMMUNITY HEALTH CENTER (SCHC) IS DEDICATED TO MEETING THE HEALTHCARE NEEDS OF THE SIOUXLAND AREA AND IS A LEVEL THREE PATIENT CENTERED MEDICAL HOME. SCHC OFFERS THE FOLLOWING SERVICES: PRIMARY AND SPECIALTY MEDICAL SERVICES, LABORATORY, RADIOLOGY, HIV/AIDS AND HEPATITIS CARE, BEHAVIORAL HEALTH, PHARMACY, AND DENTAL SERVICES. SCHC PROVIDES FINANCIAL ASSISTANCE TO THE UNINSURED AND UNDERINSURED TO ELIMINATE ACCESS BARRIERS. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACTIVITY #1: LABORATORY SIOUXLAND COMMUNITY HEALTH CENTER CURRENTLY CONDUCTS APPROXIMATELY 91% OF ITS LABORATORY TESTS ONSITE AND IS A MODERATE COMPLEX LABORATORY. FOR THOSE TESTS NOT PERFORMED ONSITE, THEY ARE SENT TO A REFERENCE LABORATORY WHERE THE MAJORITY OF TEST RESULTS ARE RETURNED WITHIN 24 HOURS. CONDUCTING THE MAJORITY OF TESTS ONSITE ENSURES RAPID TURNAROUND FOR DIAGNOSIS AND MONITORING OF CHRONIC MEDICAL CONDITIONS. THE LABORATORY WAS ACCREDITED BY CLIA FOR THE YEAR ENDING 1/31/17, THE LABORATORY PERFORMED 319,690 TESTS. RADIOLOGY SCHC ALSO CONDUCTS RADIOLOGY SERVICES. IT PERFORMED 3,507 EXAMS FOR THE YEAR ENDING 1/31/17. HIV/AIDS AND HEPATITIS THE HIV TEAM SERVES THE TRI-STATE SIOUXLAND AREA, AS WELL AS 20 NORTHWEST IOWA COUNTIES, 3 COUNTIES IN NEBRASKA, AND ONE COUNTY IN SOUTH DAKOTA. APPROXIMATELY 48% OF PATIENTS RECEIVING HIV/AIDS CARE LIVE IN RURAL AREAS. IN ADDITION TO MEDICAL CARE, THE HIV TEAM COORDINATES DENTAL CARE, CASE MANAGEMENT, TRANSPORTATION, AND HOUSING ASSISTANCE. FOR THE FISCAL YEAR ENDING 1/31/17, THE HIV TEAM SERVED 152 PATIENTS. FINANCIAL SERVICES TO ENSURE PATIENTS HAVE ACCESS TO CARE AT AN AFFORDABLE RATE, SCHC OFFERS A SLIDING FEE DISCOUNT TO PATIENTS BASED ON INCOME ELIGIBILITY AND ACCEPTS MEDICAID (TITLE 19), MEDICARE (TITLE 18), HAWK-I (STATE CHIP) AND MOST PRIVATE INSURANCES. IN 2016, 14% OF PATIENTS RECEIVING CARE WERE UNINSURED, 48% HAD COVERAGE BY MEDICAID/HAWK-I, 13% HAD MEDICARE COVERAGE, AND 25% HAD COVERAGE BY OTHER PAYERS. SCHC EMPLOYED FOUR CERTIFIED APPLICATION COUNSELORS TO ASSIST INDIVIDUALS WITH ENROLLMENT IN THE HEALTH INSURANCE EXCHANGE. FORM 990, PART III, LINE 4C PROGRAM SERVICE ACTIVITY #3: THE SCHC PHARMACY ALSO PARTICIPATES IN OTHER PHARMACEUTICAL ASSISTANCE PROGRAMS TO ENSURE PATIENTS HAVE ACCESS TO NEEDED PRESCRIPTION DRUGS. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES: THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE ORGANIZATION'S BYLAWS DURING THE FISCAL YEAR: 5.4 OFFICERS, PRESIDENT (BOARD CHAIR) UPON IMMEDIATE COMPLETION OF HIS/HER TERM(S) AS BOARD PRESIDENT (CHAIR), THE PRESIDENT WILL SERVE A ONE-YEAR APPOINTMENT AS AN EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE TO ENSURE THE CONTINUITY IN THE PRESIDENT (CHAIR) ROLE. 5.8 OFFICERS, REMOVAL OF OFFICER AN OFFICER MAY BE REMOVED AT ANY TIME BY AN AFFIRMATIVE TWO-THIRDS (2/3) VOTE OF THE ENTIRE BOARD, PROVIDED THAT SEVEN (7) DAYS' ADVANCE WRITTEN NOTICE SETTING FORTH THE DATE, TIME AND PLACE OF THE VOTE ON REMOVAL HAS BEEN GIVEN TO ALL BOARD MEMBERS AND THE OFFICER SUBJECT TO REMOVAL. THE OFFICER SUBJECT TO REMOVAL SHALL BE GIVEN AN OPPORTUNITY TO BE HEARD BY THE BOARD PRIOR TO THE VOTE. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CEO AND CFO REVIEW THE RETURN BEFORE IT IS PRESENTED TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE APPROVES THE RETURN, AND THE FINANCE COMMITTEE CHAIR MAKES A RECOMMENDATION TO THE BOARD FOR APPROVAL OF THE FORM 990 FOR FILING WITH THE IRS. BOARD MEMBERS RECEIVE THE FORM 990 AS HARD COPIES (MAILED OR HAND-DELIVERED) OR ELECTRONIC FILES (SENT VIA E-MAIL). FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: A CONFLICT OF INTEREST POLICY IS STATED IN THE EMPLOYEE HANDBOOK. PER THE BYLAWS, IF A QUESTION CONCERNING A CONFLICT OF INTEREST FOR ANY DIRECTOR IS RAISED, A WRITTEN SECRET BALLOT MAY BE USED BY THE REMAINING DIRECTORS TO DETERMINE IF SUCH CONFLICT OF INTEREST EXISTS. SHOULD A CONFLICT OF INTEREST, PECUNIARY OR OTHERWISE, BE DETERMINED FOR ANY DIRECTOR, SUCH DIRECTOR SHALL BE EXCLUDED FROM VOTING ON THAT SUBJECT MATTER. A SIMPLE, AFFIRMATIVE MAJORITY OF THOSE PRESENT SHALL RULE. IN ALL EVENTS, A DIRECTOR SHALL DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION REVIEW: THE CEO'S COMPENSATION WAS EVALUATED IN 2016 BY THE EXECUTIVE BOARD OF DIRECTORS USING A COMPREHENSIVE CEO PERFORMANCE EVALUATION TOOL. THE EXECUTIVE BOARD ASSESSED THE CEO'S INDIVIDUAL PERFORMANCE, THE ORGANIZATION'S PERFORMANCE, AND WHETHER THE CEO ACCOMPLISHED THE MUTUALLY AGREED UPON OBJECTIVES FOR THE FISCAL YEAR BEING REVIEWED. THE HR DIRECTOR CONDUCTS AN IN-DEPTH SALARY ANALYSIS ON A BI-ANNUAL BASIS WITH A CURSORY ANALYSIS DURING THE ALTERNATE YEARS. THE DATA USED IS OBTAINED LOCALLY, REGIONALLY, AND NATIONALLY. THIS ANALYSIS IS COMPILED AND A RECOMMENDATION IS TAKEN TO THE EXECUTIVE BOARD. THE CEO'S ANNUAL PERFORMANCE EVALUATION IS CALCULATED BY THE EXECUTIVE BOARD TO DETERMINE THE CURRENT YEAR SALARY, AND THE SALARY ANALYSIS IS COMPARED TO ENSURE THAT THE SALARY IS APPROPRIATE FOR THE POSITION AND PERFORMANCE. FORM 990, PART VI, SECTION B, LINE 15B OTHER OFFICER COMPENSATION REVIEW: THE CFO'S AND THE CMO'S COMPENSATION WAS EVALUATED IN 2016 BY THE CEO USING A COMPREHENSIVE PERFORMANCE EVALUATION TOOL. THE CEO ASSESSED THE CFO'S AND THE CMO'S INDIVIDUAL PERFORMANCE, THE ORGANIZATION'S PERFORMANCE, AND WHETHER THE CFO AND THE CMO ACCOMPLISHED THE MUTUALLY AGREED UPON OBJECTIVES FOR THE FISCAL YEAR BEING REVIEWED. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE PROVIDED TO INQUIRING PARTIES UPON REQUEST.