2016-10-20T12:46:21-05:00 2015-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2015-01-01 150346515 ALICE HYDE MEDICAL CENTER ALIC 5184833000 133 PARK STREET MALONE NY 12953 DOUGLAS DIVELLO PRESIDENT/CEO 5184833000 2016-09-26 1 MARY MADONIA P00405803 7168472651 2016-09-26 2015 2017-02-10 21:41:12Z DOUGLAS DIVELLO 133 PARK STREET MALONE NY 12953 90768342 0 X WWW.ALICEHYDE.COM X 1905 NY TO SERVE THE COMMUNITY THROUGH ACUTE, LONG TERM AND PRIMARY HEALTHCARE. 13 13 981 49 0 0 1687803 409448 69646523 81694870 881748 -9778 -126010 7735 72090064 82102275 0 0 0 0 43087518 49740595 0 0 81320 28470517 32767556 71558035 82508151 532029 -405876 73050537 68368603 42863341 43584505 30187196 24784098 ALICE HYDE MEDICAL CENTER WILL DISTINGUISH ITSELF AS A TRUSTED AND RESPECTED HEALTH CARE LEADER AND PROVIDER OF CHOICE, EXCEEDING EXPECTATIONS THROUGH SERVICE EXCELLENCE. 0 0 65209020 81694870 PATIENT CARE, GENERAL MEDICAL/SURGICAL HOSPITAL, PROVIDED INPATIENT SERVICES FOR 2,237 PEOPLE, OUTPATIENT SERVICES FOR 160,633 VISITS, AND PROVIDED 41,009 DAYS OF SKILLED NURSING FACILITY CARE. 65209020 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 981 1 0 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X SEAN CURTIN VP OF FINANCE 5184833000 133 PARK STREET MALONE NY 12953 MORDI REHANY MD DIRECTOR 10.00 X 0 0 0 WILLIAM BOND REV DIRECTOR 10.00 X 0 0 0 DANIEL CLARK CHAIRMAN 10.00 X X 0 0 0 WAYNE DUSO DIRECTOR 10.00 X 0 0 0 JERRY GRIFFIN DIRECTOR 10.00 X 0 0 0 BRYAN J HUGHES DIRECTOR 10.00 X 0 0 0 DEAN JOHNSTON TREASURER 10.00 X X 0 0 0 BENSON KELLY MD DIRECTOR 10.00 X 0 0 0 CRAIG LAVIGNE SECRETARY 10.00 X X 0 0 0 BRIAN MONNETTE VICE-CHAIRMAN 10.00 X X 0 0 0 PAUL KOEHLER DIRECTOR 10.00 X 0 0 0 SHARON NOREAULT DIRECTOR 10.00 X 0 0 0 KEVIN HART DIRECTOR 10.00 X 0 0 0 DOUG DIVELLO PRESIDENT/CEO 50.00 X 311533 0 10757 WILLIAM LATREILLE MD CHIEF MEDICAL OFFICER 50.00 X 331450 0 15570 SEAN CURTIN VP OF FINANCE 50.00 X 193522 0 5961 DRAGOS MACELARU MD PHYSICIAN 40.00 X 733058 0 10020 RAHUL GUPTA MD PHYSICIAN 40.00 X 443764 0 8550 ELEMER RAFFAI MD PHYSICIAN 40.00 X 787538 0 6092 RAYFORD PETROSKI MD PHYSICIAN 40.00 X 541319 0 9196 NIKALESH REDDY MD PHYSICIAN 40.00 X 398042 0 8550 3740226 0 74696 49 0 1 0 MEDICAL SVCS SUFFOLK COUNTY PO BOX 27701 ATLANTA GA 30384 EMERGENCY MEDICINE 1552151 APOGEE 2525 E CAMELBACK ROAD PHOENIX AZ 85016 HOSPITALIST PROFESSIONAL 1434606 PC CONSTRUCTION 193 TILLEY DRIVE SOUTH BURLINGTON VT 05403 CONSTRUCTION SERVICES 1088590 WEATHERBY LOCUMS 6440 MILLROC DRIVE SALT LAKE CITY UT 84121 LOCUMS SERVICES 647545 RLPS II 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTURAL SERVICES 126772 6 67711 226370 115367 409448 PATIENT CARE 622000 81694870 81694870 81694870 56570 56570 99212 80117 19095 19095 19095 8478359 8456136 88571 22223 -88571 -66348 -66348 29883 67711 41243 -11360 -11360 82102275 81694870 0 -2043 836505 836505 39721516 32935470 6743480 42566 1260731 1090222 170509 5380067 4519257 860810 2541776 2132115 406674 2987 307831 307831 202681 202681 58106 58106 2171664 1824198 347466 111020 98313 11591 1116 370911 312195 58716 1595633 1372513 223120 191687 157761 33786 140 120285 120285 4162607 4162607 774011 774011 DIRECT EXPENSES 12502626 10568482 1899633 34511 PHARMACEUTICALS 4212416 4212416 MEDICAL SUPPLIES & IMPL 3947452 3947452 UTILITIES 1143359 1143359 895267 895267 82508151 65209020 17217811 81320 1376728 1372608 11198732 9777916 670217 1129394 763246 716162 2215427 1876305 98800262 49934256 47918313 48866006 2577258 127845 6330616 2527762 0 1974605 73050537 68368603 14860220 14841664 26152869 26057459 816692 1201822 1033560 1483560 42863341 43584505 X 30003250 24600152 183946 183946 30187196 24784098 73050537 68368603 -405876 -118165 -4879057 0 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 58106 58106 0 PART II-B, LINE 1: THE ORGANIZATION RETAINS AN OUTSIDE LOBBYIST FOR CONTACT WITH STATE AND FEDERAL ELECTED OFFICIALS REGARDING HEALTH CARE ISSUES AND GRANT FUNDING OPPORTUNITIES. 183946 183946 183946 183946 183946 183946 183946 183946 183946 183946 1.00000 0 0 364054 364054 62461467 44814505 17646962 35831050 5119751 30711299 143691 143691 48866006 LINE OF CREDIT 1483560 1483560 X 82025355 -118165 41245 -76920 82102275 0 82102275 87428453 4879057 41245 4920302 82508151 0 82508151 PART X, LINE 2: THE MEDICAL CENTER IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND ACCORDINGLY, IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE MEDICAL CENTER ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH U.S. GAAP, WHICH REQUIRES THE RECOGNITION AND MEASUREMENT OF UNCERTAIN INCOME TAX POSITIONS THAT THE MEDICAL CENTER HAS TAKEN OR EXPECTS TO TAKE IN THE MEDICAL CENTER'S TAX FILINGS. THE MEDICAL CENTER HAS NOT RECORDED ANY AMOUNTS RELATING TO UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST REVENUE 41,245. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST REVENUE 41,245. GALA 38781 34281 4500 1829 8008 61 4625 GOLF BENEFIT 29926 22171 7755 75 4179 3033 1805 1 28887 11259 17628 2351 15277 97594 67711 29883 75 6008 11041 2412 21707 41243 -11360 1 1 1 X 1 X 1 1 1 0 1 1 1659650 1286170 373480 0.00450 24772439 14138739 10633700 0.12890 26432089 15424909 11007180 0.13340 67735 67735 0.00080 67735 67735 0.00080 26499824 15424909 11074915 0.13420 1 2242020 896808 16497024 17892651 -1395627 X 1 1 1 1 ALICE HYDE MEDICAL CENTER 133 PARK STREET MALONE NY 12953 ALICEHYDE.COM 1624000H X X X ALICE HYDE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 13 1 0 0 1 X WWW.ALICEHYDE.COM X 1 13 1 WWW.ALICEHYDE.COM 0 0 1 X 300.000000000000 X X X 1 1 X X X 1 X WWW.ALICEHYDE.COM X WWW.ALICEHYDE.COM X WWW.ALICEHYDE.COM X X X X 1 X X 1 X X X X X X 1 X 0 0 ALICE HYDE MEDICAL CENTER PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL RECEIVED INPUT FROM:JOSY DELANEY - ALICE HYDE COMMUNITY WELLNESSADIRONDACK MEDICAL HOME/PEDIATRIC OBESITY INITIATIVEADIRONDACK RURAL HEALTHCARE NETWORKADIRONDACK TOBACCO FREE NETWORKBREASTFEEDING COUNCIL OF MALONECANCER SERVICES PROGRAMEASTERN ADIRONDACK HEALTH CARE NETWORKMALONE COMPLETE STREETS PARTNERSHIPNORTH COUNTRY HEALTHCARE PROVIDERSNORTH COUNTRY HEALTHY HEART NETWORK ALICE HYDE MEDICAL CENTER PART V, SECTION B, LINE 11: ALICE HYDE MEDICAL CENTER'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED "PREVENTING CHRONIC DISEASE" AS THE MOST SIGNIFICANT NEED IN OUR AREA. WITHIN THAT PRIORITY AREA, WE SELECTED TWO FOCUS AREAS AND ASSOCIATED GOALS. OUR FIRST OBJECTIVE WAS TO REDUCE THE PERCENTAGE OF CHILDREN WHO ARE OBESE BY EXPANDING THE ROOF HEALTH CARE AND HEALTH SERVICE PROVIDERS IN OBESITY PREVENTION. TOWARDS THAT OBJECTIVE, WE HAVE IMPLEMENTED THE "LET'S GO! 5210" CAMPAIGN THROUGH THE MEDIA AND THROUGH OUR PEDIATRIC SERVICES. THE INITIATIVE IS DESIGNED TO SUPPORT THE PEDIATRICIAN AND HER STAFF IN TEACHING CHILDREN AND THEIR FAMILIES ABOUT HEALTHY EATING AND PHYSICAL ACTIVITY. WE HAVE ALSO IMPLEMENTED THE "GREAT BEGINNINGS NY: THE FUTURE STARTS WITH BREASTFEEDING" INITIATIVE IN ORDER TO INCREASE THE PERCENTAGE OF INFANTS BORN AT ALICE HYDE MEDICAL CENTER WHO ARE EXCLUSIVELY BREASTFED AT DISCHARGE. OUR SECOND OBJECTIVE WAS TO INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTION CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS. TOWARDS THAT OBJECTIVE, WE HAVE WORKED TO INCREASE THE PERCENTAGE OF ADULTS WITH PRE-DIABETES ATTENDING OUR CDC REGISTERED DIABETES PREVENTION PROGRAM. WE HAVE ENCOUNTERED SOME BARRIERS WITH ATTAINING PARTICIPANTS, BUT WE ARE WORKING TO IMPLEMENT A PROVIDER REFERRAL SYSTEM TO HELP OVERCOME THAT BARRIER. WE ALSO OFFER A DIABETES SELF-MANAGEMENT EDUCATION COURSE, WHICH IS CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION. WE HAVE ALSO BEGUN WORK ON OTHER AREAS OF NEED. WE HAVE DEVELOPED A WELL RECEIVED FALLS PREVENTION EXERCISE CLASS, AND ARE LOOKING TO EXPAND THAT INTO A MORE ROBUST FALLS PREVENTION PROGRAM. ANOTHER AREA OF NEED WAS THE PROMOTION OF MENTAL AND BEHAVIORAL HEALTH SERVICES. WE HAVE BEEN FOCUSING ON THE INTEGRATION OF BEHAVIORAL HEALTH INTO OUR PRIMARY CARE SERVICES, AND ARE PARTNERING WITH OTHER LOCAL AGENCIES TOWARD INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES. SUBSTANCE ABUSE WAS A TOPIC THAT ALSO RANKED HIGHLY IN OUR NEEDS ASSESSMENT. WE HAVE BEGUN WORK WITH ANOTHER COMMUNITY AGENCY THROUGH THE DSRIP PROCESS TO INCREASE ACCESS TO SUBSTANCE ABUSE SERVICES.ONE NEED THAT WAS REVEALED THROUGH THE CHNA, WHICH HAS NOT BEEN AS WELL ADDRESSED IS TOBACCO USE AND SECOND HAND SMOKE EXPOSURE. THIS WAS NOT TAKEN ON AS A TOP PRIORITY BECAUSE COMMUNITY PARTICIPANTS IN THE ASSESSMENT FELT THAT RESOURCES AND STAFF ARE ALREADY IN PLACE TO IMPLEMENT EVIDENCE BASED INTERVENTIONS. THERE ARE CURRENTLY TWO FUNDED PARTNERS WORKING ON THIS ISSUE IN FRANKLIN COUNTY. 1 1 - ALICE HYDE NURSING HOME 133 PARK STREET MALONE NY 12953 SKILLED NURSING FACILITY PART I, LINE 7: UTILIZED IRS WORKSHEETS FOR SCHEDULE H AND RATIO OF COST TO CHARGES. PART I, LN 7 COL(F): BAD DEBT WAS NOT INCLUDED IN CALCULATIONS IN SCHEDULE H, PART I, LINE 7. PART III, LINE 4: THE MEDICAL CENTER RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALITY FOR CHARITY CARE, THE MEDICAL CENTER RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). BASED UPON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PART III, LINE 8: THE MEDICARE BENEFICIARIES WHO ALICE HYDE PROVIDES SERVICES TO ARE PART OF OUR COMMUNITY OF MALONE, NEW YORK, AND THEREFORE, SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE SOURCE FOR THE COST METHODOLOGY IS THE 2015 MEDICARE COST REPORT.THE MEDICAL CENTER EXPERIENCED A SHORTFALL IN MEDICARE REVENUE OVER COSTS. DESPITE THIS SHORTFALL, THE MEDICAL CENTER CONTINUES TO PROVIDE QUALITY CARE TO THE COMMUNITY OF MALONE, NEW YORK. PART III, LINE 9B: THE CENTER PROVIDES CARE TO CLIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE CENTER'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE THESE AMOUNTS ARE NOT REPORTED IN NET OPERATING REVENUES OR IN PROVISIONS FOR DOUBTFUL ACCOUNTS. THE ESTIMATED COST OF PROVIDING UNCOMPENSATED CARE TO PATIENTS WAS APPROXIMATELY $1,719,253 FOR THE YEAR ENDED DECEMBER 31, 2015 ($1,290,444 - 2014), AS MEASURED UTILIZING A CALCULATED RATIO OF COSTS TO CHARGES. PART III, LINE #2 OUR BAD DEBT METHODOLOGY IS BASED ON HISTORICAL AMOUNTS WHICH WERE TYPICALLY 3.3% OF NET REVENUE. PART III, LINE #3 WE USE THE BAD DEBT EXPENSE AND ALLOCATE BASED ON THE ACTUAL WRITE-OFFS. PART VI, LINE 3: THE ALICE HYDE MEDICAL CENTER (AHMC) BELIEVES THAT FEAR OF A MEDICAL BILL SHOULD NOT PRECLUDE A RESIDENT OF ITS COMMUNITY FROM SEEKING OR OBTAINING ESSENTIAL HEALTH CARE SERVICES. TO HELP THOSE WHO ARE UNINSURED, AHMC PARTNERS WITH VARIOUS ORGANIZATIONS, INCLUDING THE FRANKLIN COUNTY DEPARTMENT OF SOCIAL SERVICES, PUBLIC HEALTH, FIDELIS, AND EXCELLUS, TO ENSURE ACCURATE INFORMATION AND RESOURCES ARE AVAILABLE THROUGHOUT THE COMMUNITY, INCLUDING A FACILITATED ENROLLMENT PROGRAM FOR ITS UNINSURED. THIS PROGRAM ASSISTS THE INDIVIDUAL IN APPLYING FOR STATE SPONSORED HEALTH INSURANCE, INCLUDING MEDICAID AND CHILD HEALTH PLUS. THE GOAL OF THIS INITIATIVE IS TO PROVIDE A CONVENIENT LOCATION FOR PATIENTS AND COMMUNITY MEMBERS TO ACCESS THE PROGRAM AND TO PROVIDE ASSISTANCE IN COMPLETING HEALTH INSURANCE APPLICATIONS. THESE GOALS ARE MET THROUGH A PATERNERSHIP BETWEEN AHMC AND ADIRONDACK HEALTH INSTITUTE. AHMC HAS AN EMPLOYEE DEDICATED TO FINANCIAL COUNSELING AND ASSISTANCE. PART VI, LINE 4: ALICE HYDE MEDICAL CENTER (AHMC) PRIMARILY SERVES TOWNS, VILLAGES, AND THE NATIVE AMERICAN RESERVATION IN FRANKLIN COUNTY. AHMC'S PRIMARY SERVICE AREA COVERS THE FOLLOWING TOWNS (BY ZIP CODE) - MALONE (12953), NORTH BANGOR (12966), CHATEAUGAY (12920), CONSTABLE (12926), BRUSHTON (12916), MOIRA (12957), BURKE (12917), FORT COVINGTON (12937), HOGANSBURG (13655), SAINT REGIS FALLS (12980), BOMBAY (12914), OWLS HEAD (12969), DICKINSON CENTER (12930). THE SECONDARY SERVICE AREAS SERVED BY AHMC INCLUDE CHURUBUSCO (12923), ELLENBURG CENTER (12934), NORTH LAWERENCE (12967), LYON MOUNTAIN (12955), NICHOLVILLE (12965). IN ADDITION, AHMC PROVIDES SERVICES TO THE INMATE POPULATION FOR THE FRANKLIN COUNTY JAIL AND THE CLINTON, FRANKLIN, UPSTATE, BAREHILL AND ALTONA CORRECTIONAL FACILITIES. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X 0 0 0 0 0 0 0 0 0 DOUG DIVELLO PRESIDENT/CEO 298033 0 13500 0 0 0 7950 0 2807 0 322290 0 0 0 WILLIAM LATREILLE MD CHIEF MEDICAL OFFICER 331450 0 0 0 0 0 7950 0 7620 0 347020 0 0 0 SEAN CURTIN VP OF FINANCE 191258 0 2264 0 0 0 5674 0 287 0 199483 0 0 0 DRAGOS MACELARU MD PHYSICIAN 533058 0 200000 0 0 0 7950 0 2070 0 743078 0 0 0 RAHUL GUPTA MD PHYSICIAN 443764 0 0 0 0 0 7950 0 600 0 452314 0 0 0 ELEMER RAFFAI MD PHYSICIAN 537538 0 250000 0 0 0 5192 0 900 0 793630 0 0 0 RAYFORD PETROSKI MD PHYSICIAN 491319 0 50000 0 0 0 7950 0 1246 0 550515 0 0 0 NIKALESH REDDY MD PHYSICIAN 398042 0 0 0 0 0 7950 0 600 0 406592 0 0 0 A FRANKLIN COUNTY CIVIC DEVELOPMENT CORP 800627350 35313PAA0 2013-10-31 27375000 CONSTRUCTION OF 135 BED SKILLED NURSING FACILITY. 0 0 0 A 27375000 1675004 6213316 65618 2015 0 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS WAYNE DUSO AND BRIAN MONETTE HAVE A FAMILY RELATIONSHIP. BOARD MEMBERS CRAIG LAVIGNE AND BRIAN MONETTE HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT OUTSIDE ACCOUNTING FIRM. IT IS PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE BOARD OF DIRECTORS. SPECIFICALLY, THE POLICY REQUIRES A DISCLOSURE OF ANY POTENTIAL CONFLICT TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN REFERS THE POTENTIAL CONFLICT TO THE AUDIT AND COMPLIANCE COMMITTEE TO REVIEW THE MATTER. THE AUDIT AND COMPLIANCE COMMITTEE REVIEWS THE PROPOSED TRANSACTION OR ARRANGEMENT TO DETERMINE IF REASONABLE ATLTERNATIVES TO THE PROPOSED TRANSACTION EXIST. BASED ON REVIEW, THE AUDIT AND COMPLIANCE COMMITTEE SHALL APPROVE OR DISAPPROVE THE TRANSACTION. ALL FINDINGS AND ACTIONS TAKEN BY THE AUDIT AND COMPLIANCE COMMITTEE ARE REPORTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED MEETING OF THE BOARD OF DIRECTORS. IN ADDITION, THE AUDIT AND COMPLIANCE COMMITTEE AND THE ORGANIZATION COMPLIANCE OFFICER IS RESPONSIBLE FOR REVIEWING AND RETAINING ANNUAL DISCLOSURE STATEMENTS COMPLETED BY EACH DIRECTOR, OFFICER, COMMITTEE MEMBER AND KEY EMPLOYEE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CEO ARE REVIEWED ANNUALLY. THE BOARD OF DIRECTORS REVIEWS IN DEPTH THE RECOMMENDATIONS OF THE PRESIDENT/CEO EVALUATION AND COMPENSATION COMMITTEE ("COMPENSATION COMMITTEE") REGARDING THE PRESIDENT/CEO'S COMPENSATION AND BENEFITS. THE PRESIDENT/CEO IS NOT PRESENT AT THIS MEETING OR ANY OTHER MEETING AT WHICH HIS COMPENSATION IS CONSIDERED. AS PART OF ITS REVIEW AND DISCUSSION, THE FULL BOARD OF DIRECTORS DISCUSSES THE DATA PREVIOUSLY REVIEWED BY THE COMPENSATION COMMITTEE. THIS DATA INCLUDES, BUT IS NOT LIMITED TO, COMPARABILITY DATA COMPILED BY YAFFEE AND COMPANY, INC. AS PROVIDED TO AHMC BY THE IROQUOIS HOSPITAL ASSOCIATION. SPECIFICALLY, THE COMPENSATION COMMITTEE REVIEWS THE DATA AND REPORTS THE RESULTS OF THIS REVIEW TO THE BOARD OF DIRECTORS, CONCERNING BASE SALARY AND TOTAL COMPENSATION FOR ALL THE OFFICERS AT FACILITIES LOCATED WITHIN THE RANGE FOR SIMILARY SITUATED OFFICERS. THE COMPENSATION COMMITTEE ALSO REVIEWS DATA COMPILED BY THE IROQUOIS HEALTHCARE ASSOCIATION, ROCHESTER REGIONAL HOSPITAL ASSOCIATION, AND WESTERN NEW YORK HOSPITAL ASSOCIATION RELATED TO COMPARABLE CEO INCENTIVE PLANS, LIFE INSURANCE (BASIC AND SUPPLEMENTAL), LONG TERM DISABILITY PLANS, SUPPLEMENTAL/EXECUTIVE RETIREMENT PLANS, CONTRACT LENGTH INFORMATION, SEVERANCE PAY INFORMATION AND PREREQUISITES SUMMARY. IT IS THEN DETERMINED WHETHER THE PRESIDENT/CEO'S PROPOSED CONTRACT IS REASONABLE AND COMPARABLE IN LIGHT OF THE AFOREMENTIONED INFORMATION. THE PROCESS FOR DETERMINING THE COMPENSATION FOR KEY EMPLOYEES OF THE ORGANIZATION INCLUDES A REVIEW OF EXECUTIVE COMPENSATION SURVEYS. THIS REVIEW IS COMPLETED BY THE HUMAN RESOURCES DIRECTOR AND THE PRESIDENT/CEO. COMPENSATION IS DETERMINED BASED ON THE SPECIFIC RESPONSIBILIES DELEGATED TO THE POSITION HELD BY THE KEY EMPLOYEE. FORM 990, PART VI, SECTION C, LINE 18 THE COMPLETED FORMS 1023, 990, AND 5500 FOR THE MEDICAL CENTER ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS FOR THE MEDICAL CENTER ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 2C THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR TO THE PROCESS THAT THE ORGANIZATION HAS IN PLACE FOR THE OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT.