2016-11-09T11:56:27-06:00 2015-12-31 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2015-01-01 350892672 REID HOSPITAL & HEALTH CARE SERVICES INC % CHRISTOPHER D KNIGHT REID 7659833000 1100 REID PARKWAY RICHMOND IN 473741908 CHRISTOPHER D KNIGHT CFO 7659833037 2016-11-02 true Aaron Hershberger P00961884 5136218300 2015 2017-02-10 21:41:12Z CRAIG KINYON 1100 REID PARKWAY RICHMOND IN 47374 355419772 false X WWW.REIDHEALTH.ORG X 1902 IN OUR MISSION IS TO SERVE PEOPLE BY ENHANCING GENERAL HEALTH, WELL-BEING AND QUALITY OF LIFE BY PROVIDING QUALITY HEALTH CARE & EDUCATION THAT WILL MEET CURRENT & FUTURE NEEDS. 18 11 2278 300 2935901 -195280 606452 799345 358222175 352974910 19046026 -8178880 12870384 12497474 390745037 358092849 325817 351702 0 0 117718005 122361114 0 0 0 207259717 202180341 325303539 324893157 65441498 33199692 822655033 855555879 249167659 257010262 573487374 598545617 X WHOLENESS IN BODY, MIND, AND SPIRIT IS BASIC TO FULFILLMENT OF HUMAN POTENTIAL. REID HOSPITAL AND HEALTH CARE SERVICES, INC. AND ITS PEOPLE WORK WITH OTHERS TO ENHANCE WHOLENESS FOR ALL THOSE WE SERVE. THIS MISSION IS CARRIED OUT BY SERVING THE PEOPLE OF A MULTI-COUNTY SERVICE AREA IN REFERENCE TO THEIR CURRENT AND FUTURE NEEDS FOR HEALTH CARE SERVICES. OUR MAJOR FUNCTIONS ARE TO: 1.) PROVIDE A BROADLY DEFINED RANGE OF HEALTH CARE SERVICES THAT: A.) ADDRESS COMMUNITY AND SERVICE AREA NEEDS, B.) CAN BE OFFERED IN A HIGH QUALITY MANNER, AND C.) PROVIDE COST-EFFECTIVE VALUE; 2.) SUPPORT, ALONE OR COLLABORATIVELY, EDUCATIONAL EFFORTS DIRECTED TOWARD: A.) ENTRY LEVEL PREPARATION OF HEALTH CARE WORKERS, B.) LIFE-LONG LEARNING FOR THOSE SERVING IN HEALTH CARE, AND C.) ENHANCE HEALTHY LIFESTYLES AND CHOICES IN THE PEOPLE WE SERVE; AND 3.) INITIATE, PARTICIPATE, OR COOPERATIVELY SUPPORT COMMUNITY EFFORTS THAT ENHANCE THE GENERAL HEALTH STATUS, WELL-BEING AND TOTAL QUALITY OF LIFE IN OUR COMMUNI false false 298584002 351702 352974910 THE MISSION OF REID HOSPITAL & HEALTH CARE SERVICES, INC. IS TO SERVE THE PEOPLE OF A MULTI-COUNTY SERVICE AREA IN REFERENCE TO THEIR CURRENT AND FUTURE NEEDS FOR HEALTH CARE SERVICES. IN FURTHERANCE OF THIS MISSION, REID HOSPITAL & HEALTH CARE SERVICES, INC. PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. DURING 2015, REID HOSPITAL & HEALTH CARE SERVICES, INC. ADMITTED APPROXIMATELY 12,114 PATIENTS FOR IN-PATIENT SERVICES REPRESENTING 56,098 PATIENT DAYS; 696 BIRTHS REPRESENTING 2,060 NEWBORN PATIENT DAYS AND PERFORMED APPROXIMATELY 2,357 IN-PATIENT SURGERIES. IN ADDITION, REID HOSPITAL & HEALTH CARE SERVICES, INC. RECEIVED OVER 303,000 OUT-PATIENT ENCOUNTERS FOR NON-EMERGENCY DIAGNOSTIC AND TREATMENT SERVICES INCLUDING 10,555 AMBULATORY SURGERIES AND 11,300 HOME HEALTH ENCOUNTERS. REID HOSPITAL & HEALTH CARE SERVICES, INC. OFFERS EMERGENCY SERVICES 24 HOURS PER DAY, 365 DAYS EACH YEAR. IN 2015, OVER 46,100 PATIENTS WERE TREATED THROUGH EMERGENCY SERVICES. IN KEEPING WITH REID HOSPITAL & HEALTH CARE SERVICES, INC.'S COMMITMENT TO SERVE ALL MEMBERS OF OUR MULTI-COUNTY SERVICE AREA, REID HOSPITAL & HEALTH CARE SERVICES, INC. PROVIDES HEALTHCARE TO THE ELDERLY AND DISABLED COVERED UNDER MEDICARE AND MEDICAID PROGRAMS AT OR BELOW COST. IN ADDITION, REID HOSPITAL & HEALTH CARE SERVICES, INC. HAS ESTABLISHED A FINANCIAL ASSISTANCE POLICY FOR THE POOR WHO DO NOT HAVE THE MEANS TO PAY FOR SERVICES. FOR 2015, THE TOTAL VALUE OF UNCOMPENSATED CARE AT COST FOR THE ELDERLY AND DISABLED WAS $14.8 MILLION AND FINANCIAL ASSISTANCE FOR THE POOR WAS $18.9 MILLION. TO ENSURE MEMBERS OF OUR SERVICE COMMUNITY HAVE ADEQUATE ACCESS AND RESOURCES AVAILABLE TO MEET THEIR HEALTHCARE NEEDS, REID HOSPITAL & HEALTH CARE SERVICES, INC. HAS UNDERTAKEN A DELIBERATE PHYSICIAN RECRUITMENT PROGRAM CONSISTENT WITH IRS GUIDANCE. THIS PROGRAM PROVIDES ASSURANCE THAT OUR SERVICE COMMUNITY HAS ADEQUATE AND QUALIFIED PHYSICIAN RESOURCES COVERING A VARIETY OF SPECIALTY AREAS. THE COST OF FUNDING THIS RECRUITMENT EFFORT WAS $615,841 FOR 2015. IN ADDITION, REID HOSPITAL & HEALTH CARE SERVICES, INC. IS COMMITTED TO INITIATING, PARTICIPATING IN, OR COOPERATIVELY SUPPORTING COMMUNITY EFFORTS THAT ENHANCE THE GENERAL HEALTH STATUS, WELL-BEING AND TOTAL QUALITY OF LIFE IN OUR SERVICE COMMUNITY. 298584002 true true false true false false false false false true true true false false true true false true false false false false false false false false true true true false true true false false false false false false false true true true false false false false true true false false false true 247 0 true 2278 true true true false false false false false false false false false X 18 11 true false false false false false false true true false false true true true true true true true true true false IN X CHRISTOPHER D KNIGHT 7659833000 1100 REID PARKWAY RICHMOND IN 47374 CRAIG KINYON PRESIDENT AND CEO-BOARD MEMBER 37.5 12.5 X X 616010 0 69653 KAREN CLARK BOARD MEMBER 2.0 0.0 X 0 0 0 JON FORD BOARD MEMBER-CHAIR 2.0 0.0 X 0 0 0 TOM HILKERT BOARD MEMBER 2.0 0.0 X 0 0 0 GREG JANZOW BOARD MEMBER 2.0 0.0 X 0 0 0 PAUL LINGLE BOARD MEMBER-1ST V. CHAIR 2.0 0.0 X 0 0 0 JIM TANNER BOARD MEMBER 2.0 0.0 X 0 0 0 JOHN MCBRIDE BOARD MEMBER-TREASURER 2.0 0.0 X 0 0 0 EDITH PERKINS BOARD MEMBER 2.0 0.0 X 0 0 0 WILLIAM QUIGG BOARD MEMBER 2.0 0.0 X 0 0 0 ALAN SPEARS BOARD MEMBER 2.0 0.0 X 0 0 0 ALEASIA STEWART BOARD MEMBER 2.0 0.0 X 0 0 0 BONITA WASHINGTON-LACEY BOARD MEMBER-SECRETARY 2.0 0.0 X 0 0 0 MARK HARRINGTON BOARD MEMBER 2.0 0.0 X 0 0 0 PATRICK ANDERSON MD BOARD MEMBER 2.0 48.0 X 0 400773 23908 ROHIT BAWA MD BOARD MEMBER 2.0 48.0 X 0 809861 41853 PHILLIP SCOTT DO BOARD MEMBER 2.0 48.0 X X 0 286557 38901 JANET MECKLEY MD BOARD MEMBER 2.0 48.0 X 0 147646 12501 BRENDA CARTWRIGHT VP CNO 50.0 0.0 X 238637 0 43295 ANGELA DICKMAN VICE PRESIDENT 50.0 0.0 X 191125 0 36745 JENNIFER EHLERS VP CQO 50.0 0.0 X 190868 0 29596 THOMAS HUTH MD VP MEDICAL AFFAIRS 50.0 0.0 X 323807 0 56460 RANDALL KIRK VP/FOUNDATION PRESIDENT 50.0 0.0 X 163376 0 47548 CHRISTOPHER KNIGHT VP CFO 50.0 0.0 X 275641 0 64136 SCOTT RAUCH VICE PRESIDENT 50.0 0.0 X 198516 0 40179 BRADLEY HESTER DIRECTOR OF PHARMACY 50.0 0.0 X 172917 0 36154 LUANNE CHRISTOFARO EXECUTIVE DIRECTOR OF NURSING 50.0 0.0 X 156029 0 27945 TIMOTHY LOVE DIRECTOR OF INFO SERVICES 50.0 0.0 X 144842 0 28773 THOMAS MURRAY DIRECTOR OF MUSCULOSKELETAL 50.0 0.0 X 152210 0 16399 PAMELA HICKS DIRECTOR OF REVENUE CYCLE 50.0 0.0 X 146587 0 11546 2970565 1644837 625592 44 false true false AMERISOURCEBERGEN DRUG CORP 6305 LA SALLE DRIVE LOCKBOURNE OH 431379260 PHARMACY SUPPLIER 26076938 SHOOK CONSTRUCTION COMPANY 4977 NORTHCUTT PLACE DAYTON OH 45413 CONSTRUCTION 7293757 SENECA MEDICAL 85 SHAFFER PARK DRIVE TIFFIN OH 44883 MEDICAL SUPPLIER 6326756 SIEMENS MEDICAL SOLUTIONS INC 51 VALLEY STREAM PARKWAY MALVERN PA 19355 INFORMATION SYSTEMS 5527445 BIOMET INC 6866 HAWTHORNE PARK INDIANAPOLIS IN 46220 MEDICAL SUPPLIER 3353333 169 744170 55175 799345 Net Patient Care Revenue 621990 352974910 352974910 352974910 -5505803 -5505803 0 0 3644175 3644175 0 3644175 3644175 -2562641 -110436 2562641 110436 -2673077 -2673077 0 0 0 MISCELLANEOUS 621110 8087629 2170231 5917398 Engineering 541900 302723 302723 Housekeeping 812900 462947 462947 8853299 358092849 352974910 2935901 1382693 351702 351702 0 0 0 2585592 2362973 222619 0 89677385 81956162 7721223 6873873 6282033 591840 17160630 15683100 1477530 6063634 5541555 522079 0 382799 349840 32959 459827 420236 39591 0 0 0 54308950 49632949 4676001 3138921 2868660 270261 8662843 7916972 745871 0 0 6419980 5867220 552760 518792 474124 44668 0 330701 302228 28473 5954619 5441926 512693 0 25643422 23435523 2207899 2348343 2146151 202192 Supplies 63917189 58413919 5503270 Bad Debts 18976350 18976350 Maintenance Contracts 8941739 8171855 769884 Dues, Licenses, and Fees 1060686 969361 91325 1115180 1019163 96017 324893157 298584002 26309155 0 9035 8791 10628606 15315446 0 0 249542885 295748976 0 0 0 0 24845502 24164168 7268351 7538516 4350791 4250998 479101215 242167716 242086831 236933499 140931395 132898029 100420829 99595458 0 0 0 0 42570808 39101998 822655033 855555879 27832317 31773630 0 0 0 0 170480000 178453469 0 0 0 0 0 0 0 0 50855342 46783163 249167659 257010262 X 544740672 570114759 28580909 28265065 165793 165793 573487374 598545617 822655033 855555879 X 33199692 -13130527 4989078 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 600 false true 33899 34499 false false SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES REID HOSPITAL & HEALTH CARE SERVICES, INC. IS A MEMBER OF CERTAIN TRADE ORGANIZATIONS WHICH ENGAGE IN LOBBYING ACTIVITIES. THIS AMOUNT REFLECTS THE PORTION OF THE DUES USED FOR SUCH ACTIVITIES. SCHEDULE C, PART II-B, LINE 1B LOBBYING ACTIVITIES BY PAID STAFF DURING THE YEAR, SEVERAL LETTERS WERE WRITTEN TO STATE REPRESENTATIVES EXPLAINING THE IMPACT OF SPECIFIC LEGISLATION TO REID HOSPITAL & HEALTH CARE SERVICES, INC. THE ESTIMATED AMOUNT EXPENDED BY THE ORGANIZATION WAS $600. THIS AMOUNT REFLECTS AN ESTIMATE OF LABOR COST FOR THIS ACTIVITY. 165793 165793 165793 165793 165793 165793 159990 5803 165793 159990 159990 1.00000 false true true 13419665 13419665 142322407 45638751 96683656 7303048 3457871 3845177 253738747 166593108 87145639 62317348 26477986 35839362 236933499 Aurora Lmtd Partnership 15674932 F Saville Row 2485387 F Morgan Stanley Smith Barney 56158685 F Goelzer Investment Fund 6385756 F FOUNDRY PARTNERS LLC CUSTODY 4779060 F ENTRUST CAPITAL DIVERSIFIED 5425073 F PRIVATE ADVISORS HEDGED EQUITY 8686565 F 99595458 0 Pension and Benefits 23258218 Derivative Liability 20512945 Est Third Party Settlements 3012000 46783163 X SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE REID HOSPITAL & HEALTH CARE SERVICES, INC. HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, REID HOSPITAL & HEALTH CARE SERVICES, INC. IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. REID HOSPITAL & HEALTH CARE SERVICES, INC. AND ITS CONTROLLED SUBSIDIARIES FILE TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, REID HOSPITAL & HEALTH CARE SERVICES, INC. AND ITS CONTROLLED SUBSIDIARIES ARE NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. SCHEDULE D, PART V, LINE 4 USE OF ENDOWMENT FUNDS AT DECEMBER 31, 2015 AND 2014, THE REID HOSPITAL AND HEALTH CARE SERVICES FOUNDATION HAD PERMANENTLY RESTRICTED NET ASSETS OF $165,793 AND $165,793, RESPECTIVELY. THE INCOME FROM THIS FUND IS EXPENDABLE TO SUPPORT THE ACUTE REHABILITATION UNIT AND THE SPEECH, OUTPATIENT, AND PHYSICAL THERAPY SERVICES FOR REID HOSPITAL & HEALTH CARE SERVICES, INC. THESE NET ASSETS HAVE BEEN CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OF DONOR-IMPOSED RESTRICTIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS AND THE PROVISIONS OF THE STATE OF INDIANA ENACTED VERSION OF THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT. true true X true X true X true true true false true true 18976394 18976394 0.06200 45451970 30651708 14800262 0.04840 64428364 30651708 33776656 0.11040 1594746 1594746 0.00520 69569 69569 0.00020 1356182 1356182 0.00440 3020497 3020497 0.00980 67448861 30651708 36797153 0.12020 7716 7716 3816 3816 11532 11532 true 18976349 760000 88900652 103939015 -15038363 X true true ROSE LLC OUTPATIENT SURGICAL SERVICES 0.55 0.06 0.45 REID MOB LLC REAL ESTATE OWNERSHIP 0.65 0.02 0.35 REID MSO LLC MGMT SERVICES 0.11 0.08 0.89 1 1 REID HOSPITAL & HEALTH CARE SERVICES 1100 REID PARKWAY RICHMOND IN 47374 WWW.REIDHEALTH.ORG 005044 X X X OUTPATIENT SURGERY CENTER REID HOSPITAL & HEALTH CARE SERVICES 1 false false true X X X X X X X X X 13 true false false true X WWW.REIDHEALTH.ORG X true 13 true WWW.REIDHEALTH.ORG false false true X 150. 300. X X X X X true true X X X X true X WWW.REIDHEALTH.ORG X WWW.REIDHEALTH.ORG X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CHNA COMMUNITY INPUT A PRECISE AND CAREFULLY EXECUTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF THE RESULTS GATHERED IN A CHNA. TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODLOGY,ONE THAT INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS, WAS EMPLOYED. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 750 INDIVIDUALS AGE 18 OR OLDER IN THE REID HOSPITAL & HEALTH CARE SERVICES, INC. SERVICE AREA. ONCE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE REID HOSPITAL & HEALTH CARE SERVICES, INC. SERVICE AREA AS A WHOLE. AS PART OF THE CHNA TWO FOCUS GROUPS WERE HELD. PARTICIPANTS INCLUDED 21 LOCAL KEY INFORMANTS: PHYSICIANS, A PUBLIC HEALTH REPRESENTATIVE, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. SCHEDULE H, PART V, SECTION B, LINE 11 COMMUNITY HEALTH NEEDS THE FOLLOWING COMMUNITY HEALTH NEEDS, IDENTIFIED IN REID HOSPITAL & HEALTH CARE SERVICES, INC.'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, WERE ADDRESSED IN AN IMPLEMENTATION STRATEGY TO ADDRESS EACH COMMUNITY HEALTH NEED IDENTIFIED AND EXECUTING THE STRATEGY. A COMMUNITY BENEFIT SECTION IS INCLUDED WITHIN OPERATIONAL PLANS AND MONITORED BY THE CONTINUUM OF CARE COMMITTEE. PROVISIONS ARE BUDGETED EACH YEAR FOR SERVICES THAT ADDRESS THE IDENTIFIED NEEDS. THE FOLLOWING COMMUNITY HEALTH NEEDS REPRESENT RECOMMENDED AREAS OF INTERVENTION, BASED ON THE FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (PRESENTED ALPHABETICALLY, RATHER THAN IN ORDER OF IMPORTANCE): ACCESS TO HEALTH SERVICES CANCER CHRONIC DISABLING CONDITIONS CHRONIC KIDNEY DISEASE DEMENTIAS, INCLUDING ALZHEIMER'S DISEASE DIABETES HEART DISEASE & STROKE INJURY & VIOLENCE PREVENTION MATERNAL/INFANT HEALTH & FAMILY PLANNING MENTAL HEALTH & MENTAL DISORDERS NUTRITION, PHYSICAL ACTIVITY & WEIGHT RESPIRATORY DISEASES SUBSTANCE ABUSE THE FOLLOWING COMMUNITY HEALTH NEEDS, IDENTIFIED IN REID HOSPITAL & HEALTH CARE SERVICES, INC.'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, WERE NOT ADDRESSED IN ITS IMPLEMENTATION PLAN. INJURY AND VIOLENCE PREVENTION COMPONENTS OF THIS NEED INCLUDED DEATH RELATED TO UNINTENTIONAL INJURY OR MOTOR VEHICLE ACCIDENTS AND PREVALENCE OF FIREARMS IN HOMES. THIS NEED IS CURRENTLY BEING ADDRESSED BY OTHER COMMUNITY AGENCIES THROUGH SAFETY AWARENESS CAMPAIGNS. IT WAS NOT FELT THAT REID HOSPITAL & HEALTH CARE SERVICES, INC. WOULD BE ABLE TO EFFECTIVELY IMPACT THIS NEED THROUGH HOSPITAL EFFORTS, NOR THAT THE ORGANIZATION HAD THE EXPERTISE TO ADDRESS THE ISSUES. FOR THIS REASON, THERE WAS LITTLE CONSIDERATION FOR THIS IDENTIFIED NEED IN THE COMMUNITY BENEFIT PLAN. RESPIRATORY DISEASES THIS SPECIFIC NEED WAS RANKED AS THE LOWEST PRIORITY BY THE CONTINUUM OF CARE SUB-COMMITTEE. THIS NEED IS COMPRISED OF DEATHS RELATED TO CHRONIC LOWER RESPIRATORY DISEASE AND THE PREVALENCE OF CHRONIC LUNG DISEASE. DUE TO THE HIGH IMPACT OF SMOKING ON THIS PROBLEM, IT WAS FELT BEST TO FOCUS EFFORTS ON WELLNESS PROMOTION THROUGH SMOKING CESSATION EDUCATION INCLUDED IN THE COMMUNITY BENEFIT PLAN. SCHEDULE H, PART V, SECTION B, LINE 22D DETERMINATION OF AMOUNT TO CHARGE FAP-ELIGIBLE INDIVIDUALS REID HOSPITAL & HEALTH CARE SERVICES, INC. UTILIZED THE AMOUNT GENERALLY BILLED CALCULATION AS DESCRIBED IN SECTION 501(R) OF THE INTERNAL REVENUE CODE. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE THE AMOUNT REPORTED ON PART III, LINE 2 IS CALCULATED BASED ON TOTAL BAD DEBT EXPENSE BASED ON CHARGES. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE AN ALLOCATION PERCENTAGE WAS CALCULATED USING FY2015 BAD DEBT EXPENSE AND BAD DEBT ATTRIBUTED TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY. THIS PERCENTAGE WAS THEN APPLIED TO FY2015 BAD DEBT EXPENSE TO CALCULATE THE AMOUNT REPORTED ON LINE 3. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE REID HOSPITAL & HEALTH CARE SERVICES, INC. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, REID HOSPITAL & HEALTH CARE SERVICES, INC. ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, REID HOSPITAL & HEALTH CARE SERVICES, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), REID HOSPITAL & HEALTH CARE SERVICES, INC. RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, SECTION B, LINE 8 MEDICARE REID HOSPITAL & HEALTH CARE SERVICES, INC. BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE OUR MISSION IS TO PROMOTE QUALITY HEALTHCARE AND HEALTH EDUCATION IN OUR SERVICE COMMUNITY REGARDLESS OF ONE'S ABILITY TO PAY. WE DO NOT LIMIT THE CARE AVAILABLE TO ANY PATIENTS, INCLUDING THOSE COVERED UNDER THE MEDICARE PROGRAM. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS BELOW COST. TAX-EXEMPT HOSPITALS ARE EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT A NEEDS ASSESSMENT IS CONDUCTED EVERY 3 YEARS IN ACCORDANCE WITH STATE AND FEDERAL REQUIREMENTS. THE LAST NEEDS ASSESSMENT OF REID HOSPITAL & HEALTH CARE SERVICES, INC.'S SERVICE AREA WAS CONDUCTED IN 2013. THE RESULTS OF THE NEEDS ASSESSMENT ARE POSTED ON REID HOSPITAL & HEALTH CARE SERVICES, INC.'S WEBSITE SO THAT COMMUNITY MEMBERS AND ORGANIZATIONS MAY USE THE INFORMATION AS NEEDED. FORMAL AND INFORMAL MEETINGS ARE HELD WITH COMMUNITY STAKEHOLDERS TO SEEK THEIR INPUT ON THE RESULTS. PROFESSIONAL RESEARCH CONSULTANTS CONDUCTED THE NEEDS ASSESSMENT AND PROVIDED A COMPARISON TO THE 2010 NEEDS ASSESSMENT RESULTS. THE NEXT NEEDS ASSESSMENT WILL BE CONDUCTED IN 2016 AND WILL COMPLY WITH ALL REQUIREMENTS FOR COMMUNITY HEALTH NEEDS ASSESSMENTS UNDER THE AFFORDABLE CARE ACT AND CORRESPONDING REGULATIONS. IN ADDITION, ALL INDEPENDENT AND NON-INDEPENDENT VOTING MEMBERS OF THE BOARD ARE REQUIRED TO RESIDE WITHIN REID HOSPITAL & HEALTH CARE SERVICES, INC.'S SERVICE AREA. THE DISTINCTION IS IMPORTANT BECAUSE THEY ARE INVOLVED AND BETTER AWARE OF THE HEALTH NEEDS OF THE COMMUNITY REID HOSPITAL & HEALTH CARE SERVICES, INC. SERVES. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE REID HOSPITAL & HEALTH CARE SERVICES, INC. STAFF INFORMS ALL PATIENTS, AS THEY ARE ADMITTED, OF THE VARIOUS ASSISTANCE PROGRAMS AVAILABLE TO HELP THEM PAY THEIR BILL. WE HAVE COMMUNITY EDUCATION INITIATIVES (THAT INCLUDE THE DISTRIBUTION OF FLYERS AND CARDS IN PUBLIC PLACES, INSERTS IN BILLS, AND FLYERS FOR CHURCHES THAT PROMOTE THE PATIENT ADVOCATE PROGRAM) ASKING PEOPLE TO CONTACT A PATIENT ADVOCATE IF THEY, OR A LOVED ONE, DOES NOT HAVE HEALTH COVERAGE. REID HOSPITAL & HEALTH CARE SERVICES, INC. USES TARGETED ADVERTISEMENTS IN AN EFFORT TO REACH PEOPLE BEFORE THEY ARE IN NEED OF CARE AND TO CONNECT THEM WITH OUR PATIENT ADVOCATES TO HELP DETERMINE ELIGIBILITY FOR INSURANCE COVERAGE. WE HAVE CONTRACTED WITH A THIRD PARTY VENDOR THAT SPECIALIZES IN HELPING PEOPLE WITH THE APPLICATION PROCESS FOR VARIOUS PROGRAMS. IN ADDITION, WE PROVIDE INFORMATION ABOUT FINANCIAL ASSISTANCE IN OUR MONTHLY STATEMENTS. WE CURRENTLY PROMOTE FREE SCREENING SERVICES DIRECTED TO SELF PAY PATIENTS. THOSE WHO RESPOND MAKE AN APPOINTMENT WITH OUR PATIENT ADVOCATES THEN RECEIVE THEIR FREE WELLNESS LAB TEST. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION REID HOSPITAL & HEALTH CARE SERVICES, INC. SERVES FIVE (5) COUNTIES IN INDIANA (WAYNE, UNION, RANDOLPH, HENRY, AND FAYETTE) AND TWO (2) COUNTIES IN OHIO (PREBLE AND DARKE). SINCE 2005, THE POPULATION GROWTH OF THE SERVICE AREA HAS REMAINED FLAT. HOWEVER, SENIOR CITIZENS 65 AND OLDER WILL REPRESENT A LARGER PERCENTAGE OF THE POPULATION ACROSS THE SERVICE AREA. ACCORDING TO THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (NEEDS ASSESSMENT), 34.8% OF INDIVIDUALS WITHIN REID HOSPITAL & HEALTH CARE SERVICES, INC.'S SERVICE AREA EARN LESS THAN 200% OF THE FEDERAL POVERTY LEVEL. THE NEEDS ASSESSMENT ALSO INDICATES THAT ACCESS TO HEALTH CARE IS BETTER IN REID HOSPITAL & HEALTH CARE SERVICES, INC.'S SERVICE AREA THAN FOUND NATIONALLY FOR SEVERAL TESTED BARRIERS: 1.) DIFFICULTY FINDING A PHYSICIAN, 2.) APPOINTMENT AVAILABILITY, 3.) CONVENIENCE OF OFFICE HOURS, AND 4.) TRANSPORTATION. WITHIN REID HOSPITAL & HEALTH CARE SERVICES, INC.'S SERVICE AREA, THE NUMBER OF ADULTS AGED 18-64 WITHOUT HEALTH INSURANCE COVERAGE HAS INCREASED SIGNIFICANTLY OVER THE PAST DECADE. THE ECONOMY HAS AFFECTED THE LOCAL BUSINESS CLIMATE AND MANY ADULTS HAVE EITHER LOST INSURANCE ALTOGETHER OR HAVE SEEN A DECREASE IN BENEFITS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH REID HOSPITAL & HEALTH CARE SERVICES, INC. SERVES AS A CORNERSTONE FOR THE COMMUNITY BY PROVIDING MANY AREAS OF OUTREACH AND COMMUNITY SERVICE. EXEMPT EMPLOYEES SERVE ON LOCAL BOARDS SUCH AS THE BOYS AND GIRLS CLUB, GIRLS, INC., UNITED WAY, ACHIEVA RESOURCES, THE CHAMBER OF COMMERCE, COMMUNITIES IN SCHOOLS, BIRTH TO FIVE, HEADSTART HEALTH AND EDUCATION ADVISORY COUNCIL AND MANY OTHER CIVIC ORGANIZATIONS. A COMMUNITY BENEFIT PAYROLL BUDGET IS ESTABLISHED EACH YEAR TO ALLOW HOURLY EMPLOYEES TO SERVE IN THE COMMUNITY (DURING WORKING HOURS) ON PROJECTS SUCH AS HABITAT FOR HUMANITY. AS OF 2015, A TOTAL OF 225 AED'S (AUTOMATED EXTERNAL DEFIBRILLATORS) WERE PLACED IN LOCAL SCHOOLS, NOT FOR PROFIT ORGANIZATIONS, FIRE AND POLICE, AND EMS SERVICES, TO SUPPORT THE HEALTH OF THE COMMUNITY. REID HOSPITAL & HEALTH CARE SERVICES, INC. ALSO PROVIDES ASSISTANCE TO THESE PUBLIC DEPARTMENTS WITH CERTIFICATION AND RENEWAL OF REQUIRED AMERICAN HEART ASSOCIATION COURSES SUCH AS BLS (BASIC LIFE SUPPORT), ACLS (ADVANCED CARDIAC LIFE SUPPORT), AND PALS (PEDIATRIC ADVANCED LIFE SUPPORT). SUSTAINING A WELL-EDUCATED HEALTH CARE WORK FORCE IS PART OF THE OUTREACH OF REID HOSPITAL & HEALTH CARE SERVICES, INC. MEDICAL GRAND ROUNDS ARE OFFERED WEEKLY AND ARE OPEN TO ALL PHYSICIANS IN THE COMMUNITY. EACH YEAR REID HOSPITAL & HEALTH CARE SERVICES, INC., IVY TECH COMMUNITY COLLEGE AND INDIANA UNIVERSITY-EAST CAMPUS COLLABORATE ON A HEALTH CAREER CAMP WHICH PROVIDES HIGH SCHOOL STUDENTS AN OPPORTUNITY TO PARTICIPATE IN NURSING AND ALLIED HEALTH ACTIVITIES. STUDENTS FROM THE 7-COUNTY SERVICE AREA ARE INVITED TO ATTEND. THERE ARE SOCIAL DETERMINANTS OF HEALTH AND READING IS ONE OF THOSE ELEMENTS REID HOSPITAL & HEALTH CARE SERVICES, INC. HAS CHOSEN TO SUPPORT. EACH YEAR THE THIRD GRADE READING ACADEMY WORKS WITH CHILDREN WHO ARE NOT READING AT GRADE LEVEL AND SPEND THE SUMMER IMPROVING THEIR READING SKILLS. REID HOSPITAL & HEALTH CARE SERVICES, INC. HAS SUPPORTED THIS NOT FOR PROFIT ORGANIZATION SINCE IT BEGAN. THE GOVERNING BOARD OF REID HOSPITAL & HEALTH CARE SERVICES, INC. AND ESPECIALLY THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD GUIDE THE OUTREACH TO THE COMMUNITY TO MAKE CERTAIN THAT REID HOSPITAL & HEALTH CARE SERVICES, INC. SERVES THE PATIENTS AND THE COMMUNITY WITH EQUAL CARE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY BOTH A COST ACCOUNTING SYSTEM AND COST-TO-CHARGE RATIO ARE USED TO CALCULATE AMOUNTS REPORTED ON PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO IS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE $18,976,350 OF BAD DEBT EXPENSE IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A (TOTAL FUNCTIONAL EXPENSES), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED IN SUBSIDIZED HEALTH SERVICES. SCHEDULE H, PART III, SECTION B, LINE 9B COLLECTION PRACTICES ANY INDICATION OF A PATIENTS INABILITY TO PAY FOR SERVICES IS TREATED AS A REQUEST FOR CHARITY CARE. THIS REQUEST CAN BE MADE BY, OR ON BEHALF OF AN INDIVIDUAL SEEKING SERVICE. REID HOSPITAL & HEALTH CARE SERVICES, INC.'S COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ANY COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK TO A COUNSELOR FOR ASSISTANCE AND REVIEW. true BIRTH-TO-FIVE INC PO BOX 1815 RICHMOND IN 47375 351843800 501(C)(3) 16875 PROGRAMMING SUPPORT COMMUNITIES IN SCHOOLS OF WAYNE CNTY INC PO BOX 1784 RICHMOND IN 47375 352132872 501(c)(3) 18750 PROGRAMMING SUPPORT DIPLOMAS 380 HUB ETCHISON PKWY RICHMOND IN 47374 263582802 501(c)(3) 5400 PROGRAMMING SUPPORT HOPE PREGNANCY CENTER 531 N CENTRAL AVE SUITE 6 CONNERSVILLE IN 47331 352029028 501(c)(3) 23000 PROGRAMMING SUPPORT INFORMATION & REFERRAL NETWORK INC 3901 MERIDIAN ST SUITE 300 INDIANAPOLIS IN 46208 311216792 501(c)(3) 12500 SUPPORT FOR RESOUCRE CALL CENTER VICTORY LANE CAMP INC 2023 S MEMORIAL DR NEW CASTLE IN 47362 455088581 501(c)(3) 10000 PROGRAMMING SUPPORT ACHIEVA RESOURCES CORPORATION INC 800 MENDLESON DR RICHMOND IN 47374 351005528 501(c)(3) 37425 SUPPORT FOR GUARDIANSHIP PROGRAM BOYS & GIRLS CLUB OF WAYNE COUNTY IN INC 1717 SOUTH L STREET RICHMOND IN 47374 351065715 501(c)(3) 45000 PROGRAMMING SUPPORT SHEPHERDS WAY CHRISTIAN MINISTRIES INC 6512 US 27 SOUTH RICHMOND IN 47374 371431060 501(c)(3) 17909 PROGRAMMING SUPPORT OPEN ARMS MINISTRIES 401 E MAIN ST RICHMOND IN 47374 300583053 501(c)(3) 7500 EMERGENCY SUPPORT FOR FAMILIES CHILDREN'S JUSTICE AND ADVOCACY CNTR INC PO BOX 2195 RICHMOND IN 47374 161637581 501(c)(3) 15000 PROGRAMMING SUPPORT RANDOLPH COUNTY VETERANS SHELTER INC 325 S OAK ST SUITE 101 WINCHESTER IN 47394 462943028 501(c)(3) 17250 PROGRAMMING SUPPORT WHOLE FAMILY COMMUNITY INITIATIVE INC 322 SUMMIT AVE CONNERSVILLE IN 47331 204798593 501(c)(3) 47970 STAFFING SUPPORT YOUTH AS RESOURCES PO BOX 94 RICHMOND IN 47375 351147323 501(c)(3) 7500 SUPPORT OF YOUTH EDUCATION YWCA OF RICHMOND INDIANA 15 SOUTH 11TH ST RICHMOND IN 47374 350868959 501(c)(3) 20000 PROGRAMMING SUPPORT CHAMBER CENTER FOR EXCELLENCE INC 33 SOUTH 7TH ST RICHMOND IN 47374 300498404 501(c)(3) 11403 PROGRAMMING SUPPORT INTERFAITH MISSION CENTER INC 306 N 19TH ST RICHMOND IN 47374 351805444 501(c)(3) 7623 PROGRAMMING SUPPORT GATEWAY CHURCH OF RICHMOND INC 3361 SR 227 NORTH RICHMOND IN 47374 311119115 501(c)(3) 12262 PROGRAMMING SUPPORT GIRLS INCORPORATED OF WAYNE COUNTY 121 NORTH 10TH ST RICHMOND IN 47374 237188644 501(c)(3) 5520 SUPPORT FOR FITNESS PROGRAM CITY OF RICHMOND 50 NORTH 5TH ST RICHMOND IN 47374 356001174 CITY - RICHMOND 7500 SUPPORT FOR JUKO RICHMOND FRIENDS SCHOOL INC 607 W MAIN ST RICHMOND IN 47374 351267045 501(c)(3) 13500 PROGRAMMING SUPPORT CARDINAL GREENWAY INC PO BOX 2411 RICHMOND IN 47375 351885151 501(c)(3) 25795 PROGRAMMING SUPPORT 22 SCHEDULE I, PART I, LINE 2 ORGANIZATION PROCEDURES FOR MONITORING THE COMMUNITY BENEFIT GRANT PROGRAM OF REID HOSPITAL & HEALTH CARE SERVICES, INC. DEMONSTRATES THE COMMITMENT OF THE ORGANIZATION TO COMMUNITY SERVICE THROUGH FUNDING ORGANIZATIONS WITHIN THE REID HOSPITAL & HEALTH CARE SERVICES, INC. SERVICE AREA WHICH FUNCTION TO MEET AN IDENTIFIED HEALTH NEED OR NEEDS AND/OR REDUCE A GOVERNMENT BURDEN THROUGH THEIR EFFORTS OR PROGRAMS. GRANT APPLICATIONS ARE ACCEPTED ELECTRONICALLY VIA WEB APPLICATION ON A QUARTERLY BASIS. UPON SUBMISSION OF A GRANT BY A COMMUNITY ORGANIZATION, A REPRESENTATIVE FROM REID HOSPITAL & HEALTH CARE SERVICES, INC.'S COMMUNITY BENEFIT DEPARTMENT MAY CONDUCT A SITE VISIT TO GAIN FURTHER KNOWLEDGE OF THE ORGANIZATION AND PROGRAM TO BE FUNDED. ALL GRANT APPLICATIONS ARE REVIEWED AND SCORED BY THE COMMUNITY BENEFIT DEPARTMENT MEMBERS. SCORING FACTORS INCLUDE THE ABILITY OF THE ORGANIZATION OR PROGRAM TO: - IMPROVE COMMUNITY HEALTH - ADVANCE HEALTH KNOWLEDGE THROUGH EDUCATION - ADVANCE HEALTH KNOWLEDGE THROUGH RESEARCH - RELIEVE A GOVERNMENT BURDEN - FOCUS ON ONE OF THE TOP PRIORITIZED HEALTH NEEDS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDING: - IMPROVING ACCESS TO CARE - IMPACTING PHYSICAL ACTIVITY, NUTRITION, AND/OR WELLNESS - IMPACTING MENTAL HEALTH AND OR SUBSTANCE ABUSE - FOCUS ON ANOTHER IDENTIFIED HEALTH NEED THE SCORES ARE THEN DISCUSSED AND AVERAGED FOR AN OVERALL SCORE OF THE GRANT REQUEST. THESE REQUESTS AND SCORE SHEETS ARE THEN REVIEWED BY THE COMMUNITY BENEFIT COMMITTEE FOR APPROVAL AND MODIFICATIONS TO THE AWARDED AMOUNTS ARE DETERMINED. FOR AWARDS EXCEEDING $15,000, THE GRANT REQUEST MUST BE SUBMITTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS ARE REQUIRED TO SUBMIT QUARTERLY REPORTS DETAILING: - THE PROJECT FUNDED - THE NUMBER OF PEOPLE AND TARGET POPULATION SERVED - HOW THE FUNDS WERE UTILIZED - OUTCOMES OF THE ORGANIZATION/PROGRAM TO DATE ATTEMPTS WILL BE MADE BY THE COMMUNITY BENEFIT TEAM MEMBERS TO CONTACT ORGANIZATIONS WHO FAIL TO SUBMIT REPORTS IN AN EFFORT TO RESOLVE THE DEFICIENCY. FAILURE TO SUBMIT QUARTERLY REPORTS BY AN ORGANIZATION MAY JEOPARDIZE THE OPPORTUNITY FOR FUTURE COMMUNITY BENEFIT GRANT FUNDING TO THAT ORGANIZATION. LIKEWISE, ORGANIZATIONS WHO FAIL TO DEMONSTRATE POSITIVE COMMUNITY IMPACT MAY FORFEIT FURTHER FUNDING OPPORTUNITY. X X X X false true false false false false false false false CRAIG KINYON PRESIDENT AND CEO-BOARD MEMBER 562120 0 1563 0 52327 0 37645 0 32008 0 685663 0 BRENDA CARTWRIGHT VP CNO 219544 0 938 0 18155 0 22236 0 21059 0 281932 0 ANGELA DICKMAN VICE PRESIDENT 170917 0 938 0 19270 0 17583 0 19162 0 227870 0 JENNIFER EHLERS VP CQO 164917 0 1563 0 24388 0 17422 0 12174 0 220464 0 THOMAS HUTH MD VP MEDICAL AFFAIRS 305479 0 625 0 17703 0 27478 0 28982 0 380267 0 RANDALL KIRK VP/FOUNDATION PRESIDENT 161016 0 1250 0 1110 0 15540 0 32008 0 210924 0 CHRISTOPHER KNIGHT VP CFO 274193 0 0 0 1448 0 34023 0 30113 0 339777 0 SCOTT RAUCH VICE PRESIDENT 177718 0 1563 0 19235 0 18552 0 21627 0 238695 0 PATRICK ANDERSON MD BOARD MEMBER 0 363950 0 16195 0 20628 0 11395 0 12513 0 424681 ROHIT BAWA MD BOARD MEMBER 0 484104 0 306125 0 19632 0 11395 0 30458 0 851714 PHILLIP SCOTT DO BOARD MEMBER 0 275529 0 7714 0 3314 0 10919 0 27982 0 325458 JANET MECKLEY MD BOARD MEMBER 0 146816 0 0 0 830 0 0 0 12501 0 160147 BRADLEY HESTER DIRECTOR OF PHARMACY 157316 0 1563 0 14038 0 7483 0 28671 0 209071 0 LUANNE CHRISTOFARO EXECUTIVE DIRECTOR OF NURSING 153293 0 1563 0 1173 0 6836 0 21109 0 183974 0 TIMOTHY LOVE DIRECTOR OF INFO SERVICES 129360 0 1563 0 13919 0 6414 0 22359 0 173615 0 THOMAS MURRAY DIRECTOR OF MUSCULOSKELETAL 145719 0 938 0 5553 0 6601 0 9798 0 168609 0 PAMELA HICKS DIRECTOR OF REVENUE CYCLE 145825 0 0 0 762 0 1642 0 9904 0 158133 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OFFICERS OF REID HOSPITAL & HEALTH CARE SERVICES, INC. PARTICIPATE IN A 457F NONQUALIFIED RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN. AMOUNTS PROVIDED REPRESENT CURRENT YEAR CONTRIBUTIONS TO THE PLAN. - CRAIG KINYON $17,500 - BRENDA CARTWRIGHT $17,020 - ANGELA DICKMAN $18,000 - JENNIFER EHLERS $18,000 - THOMAS HUTH, M.D. $16,500 - SCOTT RAUCH $18,000 A HOSPITAL AUTHORITY OF RICHMOND 351867077 2012-12-17 80130000 REFUND 2005A BONDS ISSUED 4/20/05 false false false B HOSPITAL AUTHORITY OF RICHMOND 351867077 764791AK5 2015-02-24 91990000 REFUND 2009A BONDS ISSUED 3/31/09 false false false A 5895000 0 80130000 0 0 0 0 0 0 0 80130000 0 true false true true B 0 0 104156808 0 0 0 952946 0 0 0 0 0 true false true true A false false false false 0 false false 0.00000 false true B false false false false 0 false false false true A false true false false false false 0 false 0 false true B false false false false true false 0 false 0 false true A true B true CLAUDIA ANDERSON FAMILY OF BOARD MEMBER 54522 EMPLOYED FAMILY MEMBER false SCOTT HOFFER FAMILY OF BOARD MEMBER 57384 EMPLOYED FAMILY MEMBER false JACLYN SMITH FAMILY OF OFFICER 28056 EMPLOYED FAMILY MEMBER false WILLIAM EHLERS FAMILY OF OFFICER 14920 EMPLOYED FAMILY MEMBER false JONATHON COOL FAMILY OF OFFICER 47575 EMPLOYED FAMILY MEMBER false WILLIAM CARTWRIGHT FAMILY OF OFFICER 24130 EMPLOYED FAMILY MEMBER false AMANDA BRINKER FAMILY OF OFFICER 21144 EMPLOYED FAMILY MEMBER false PAUL LINGLE BOARD MEMBER 208756 CONSULTING & BROKERAGE FEES false WILLIAM DUCEY MD FAMILY OF OFFICER 477213 EMPLOYED FAMILY MEMBER false JACQUELINE SCOTT FAMILY OF BOARD MEMBER 46721 EMPLOYED FAMILY MEMBER false SCHEDULE L, PART IV TRANSACTIONS WITH INTERESTED PERSONS CLAUDIA ANDERSON, FAMILY MEMBER OF PATRICK ANDERSON, WHO IS A BOARD MEMBER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL & HEALTH CARE SERVICES, INC. SHE EARNED $54,522 IN COMPENSATION DURING CALENDAR YEAR 2015. SCOTT HOFFER, FAMILY MEMBER OF JON FORD, WHO IS A BOARD MEMBER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL & HEALTH CARE SERVICES, INC. HE EARNED $57,384 IN COMPENSATION DURING CALENDAR YEAR 2015. JACLYN SMITH, FAMILY MEMBER OF CRAIG KINYON, WHO IS AN OFFICER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL & HEALTH CARE SERVICES, INC. SHE EARNED $28,056 IN COMPENSATION DURING CALENDAR YEAR 2015. WILLIAM EHLERS, FAMILY MEMBER OF JENNIFER EHLERS, WHO IS AN OFFICER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL & HEALTH CARE SERVICES, INC. HE EARNED $14,920 IN COMPENSATION DURING CALENDAR YEAR 2015. JONATHON COOL, FAMILY MEMBER OF BRENDA CARTWRIGHT, WHO IS AN OFFICER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL & HEALTH CARE SERVICES, INC. HE EARNED $47,575 IN COMPENSATION DURING CALENDAR YEAR 2015. WILLIAM CARTWRIGHT, FAMILY MEMBER OF BRENDA CARTWRIGHT, WHO IS AN OFFICER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL & HEALTH CARE SERVICES, INC. HE EARNED $24,130 IN COMPENSATION DURING CALENDAR YEAR 2015. AMANDA BRINKER, FAMILY MEMBER OF SCOTT RAUCH, WHO IS AN OFFICER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID HOSPITAL & HEALTH CARE SERVICES, INC. SHE EARNED $21,144 IN COMPENSATION DURING CALENDAR YEAR 2015. PAUL LINGLE, WHO IS A BOARD MEMBER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS A REAL ESTATE BROKER AND REPRESENTS REID HOSPITAL & HEALTH CARE SERVICES, INC. IN ALL OF ITS REAL ESTATE TRANSACTIONS. THIS BUSINESS RELATIONSHIP HAS BEEN APPROVED BY THE BOARD OF DIRECTORS. MR. LINGLE IS EXCUSED FROM ANY BOARD BUSINESS THAT COULD RESULT IN A CONFLICT OF INTEREST. THE COMPENSATION PAID TO MR. LINGLE IS BASED ON FAIR MARKET VALUE AND CONSISTENT WITH THE INDUSTRY. TOTAL FEES OF $208,756 WERE PAID FOR CONSULTING SERVICES, BROKERAGE FEES RECEIVED BY LINGLE REAL ESTATE FOR PROPERTY PURCHASED BY REID HOSPITAL & HEALTH CARE SERVICES, INC., LEASE PAYMENTS FOR PROPERTY LEASED TO REID HOSPITAL & HEALTH CARE SERVICES, INC., AND PROPERTY MANAGEMENT SERVICES BY LINGLE MANAGEMENT CO. WILLIAM DUCEY, FAMILY MEMBER OF SCOTT RAUCH, WHO IS AN OFFICER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID PHYSICIAN ASSOCIATES, INC. HE EARNED $477,213 IN COMPENSATION DURING CALENDAR YEAR 2015. JACQUELINE SCOTT, FAMILY MEMBER OF PHILLIP SCOTT, WHO IS A BOARD MEMBER OF REID HOSPITAL & HEALTH CARE SERVICES, INC., IS EMPLOYED BY REID PHYSICIAN ASSOCIATES, INC. SHE EARNED $46,721 IN COMPENSATION DURING CALENDAR YEAR 2015. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP REID HOSPITAL & HEALTH CARE SERVICES, INC. CEO, CRAIG KINYON, AND REID HOSPITAL & HEALTH CARE SERVICES, INC. BOARD MEMBER, JOHN MCBRIDE, HAVE A BUSINESS RELATIONSHIP THROUGH WEST END BANK. MORE SPECIFICALLY, MR. KINYON SERVES ON THE BOARD OF DIRECTORS OF WEST END BANK, AND MR. MCBRIDE IS THE PRESIDENT OF WEST END BANK. THERE WERE NO TRANSACTIONS BETWEEN REID HOSPITAL AND HEALTH CARE SERVICES, INC. AND WEST END BANK DURING 2015. FORM 990, PART VI, SECTION B, LINE 11B POLICIES THIS FORM 990 WAS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM AND LEGAL COUNSEL BEFORE BEING PRESENTED TO MANAGEMENT FOR REVIEW. FOLLOWING MANAGEMENT'S REVIEW, THE FORM 990 WAS PRESENTED TO THE BOARD FOR FINAL REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C POLICIES EVERY YEAR ALL KEY EMPLOYEES, OFFICERS, AND DIRECTORS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST RELATING TO REID HOSPITAL & HEALTH CARE SERVICES, INC. AND ITS SUBSIDIARIES. THIS INFORMATION IS REVIEWED BY THE ORGANIZATION'S ADMINSTRATIVE STAFF AND INTERNAL AUDITOR. DURING THE YEAR, EACH KEY EMPLOYEE AND OFFICER IS REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST ISSUE WHEN IT OCCURS. THE BOARD OF DIRECTORS IS ASKED IF THERE ARE ANY CONFLICT OF INTEREST ISSUES BEFORE EACH AND EVERY BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15A POLICIES THE MISSION OF REID HOSPITAL & HEALTH CARE SERVICES, INC. IS TO SERVE THE PEOPLE OF A MULTI-COUNTY SERVICE AREA IN REFERENCE TO THEIR CURRENT AND FUTURE NEEDS FOR HEALTH CARE SERVICES. THE GOVERNING BOARD IS VESTED WITH THE ULTIMATE RESPONSIBILITY AND AUTHORITY FOR THE SUCCESSFUL FULFILLMENT OF THIS MISSION. THE GOVERNING BOARD OF REID HOSPITAL & HEALTH CARE SERVICES, INC. EXERCISES A FIDUCIARY RESPONSIBILITY ON BEHALF OF THE SERVICE AREA AND PEOPLE WE SERVE. WHILE REID HOSPITAL & HEALTH CARE SERVICES, INC. IS A PRIVATE, NON-PROFIT ORGANIZATION, THE BOARD IS COMMITTED TO A CONCEPT OF GOVERNANCE THAT SEES AS HAVING A PUBLIC MISSION AND OUTLOOK. REID HOSPITAL & HEALTH CARE SERVICES, INC.'S GOVERNING BOARD MAINTAINS AN ONGOING COMMITMENT TO QUALITY AND EXCELLENCE. IT IS THE BELIEF OF THE BOARD THAT THE PEOPLE WE SERVE DESERVE NOTHING LESS. TO COMMIT TO A LESSER STANDARD OR TO BE ACCEPTING OF LESSER PERFORMANCE WOULD BE AN ULTIMATE BREACH OF OUR REASON FOR EXISTENCE. THE COMMITMENT TO QUALITY AND EXCELLENCE STEMS FROM A REALIZATION OF THE STEWARDSHIP INVOLVED IN GOVERNING AND PRESERVING A VITAL HEALTH CARE RESOURCE FOR THE PEOPLE OF A SIX-COUNTY AREA IN EAST CENTRAL INDIANA AND WESTERN OHIO. THIS STEWARDSHIP AND SENSE OF RESPONSIBILITY EXTENDS TO A REALIZATION THAT REID HOSPITAL & HEALTH CARE SERVICES, INC. IS THE LARGEST EMPLOYER IN WAYNE COUNTY. THIS BOARD'S ULTIMATE AUTHORITY AND RESPONSIBILITY INCLUDES ALL ASPECTS OF THE OPERATION: QUALITY OF SERVICES RENDERED, QUALITY OF ITS MEDICAL STAFF, QUALITY OF ITS LEADERSHIP AND OTHER FINANCIAL, LEGAL, ETHICAL, AND OPERATIONAL CONSIDERATIONS. AS A SERVICE TEAM PROVIDING HUMAN SERVICES, REID HOSPITAL & HEALTH CARE SERVICES, INC.'S PEOPLE (GOVERNING AND FOUNDATION BOARDS, MEDICAL STAFF, EMPLOYEES AND VOLUNTEERS) REPRESENT THE SINGLE MOST IMPORTANT ASSET POSSESSED BY THE ORGANIZATION. MORE THAN ANY OTHER FACTOR (BUILDINGS, EQUIPMENT, TECHNOLOGY, ETC.), THE QUALITY OF REID HOSPITAL & HEALTH CARE SERVICES, INC.'S HUMAN RESOURCES DETERMINES THE QUALITY OF SERVICES ULTIMATELY PROVIDED TO ITS PATIENTS AND FAMILIES. THIS COMMITMENT TO QUALITY AND THE STEWARDSHIP OF HUMAN RESOURCES SERVICES ARE THE FOUNDATION FOR REID HOSPITAL & HEALTH CARE SERVICES, INC.'S EMPLOYEE RELATIONS POSTURE. THIS APPLIES TO ALL ASPECTS OF EMPLOYEE RELATIONS AT ALL LEVELS. A COMPENSATION PHILOSOPHY THAT ATTRACTS AND RETAINS QUALIFIED, HIGH QUALITY COMMITTED EMPLOYEES AT ALL LEVELS IS IN THE BEST INTEREST OF REID HOSPITAL & HEALTH CARE SERVICES, INC. AND THOSE WE SERVE. THE CHIEF EXECUTIVE OFFICER (PRESIDENT AND CEO), SELECTED AND APPOINTED BY THE GOVERNING BOARD, IS CHARGED WITH THE RESPONSIBILITY OF DEVELOPING AND ADMINISTERING A COMPENSATION PLAN THAT REFLECTS THE PREVIOUSLY STATED PHILOSOPHY AND MISSION. THE CEO IS ACCOUNTABLE TO THE GOVERNING BOARD IN THIS REGARD, JUST AS HE/SHE IS ACCOUNTABLE IN ALL OTHER AREAS. THE FOLLOWING PHILOSOPHY AND GUIDELINES AFFIRM THE BOARD'S COMMITMENT IN REFERENCE TO DEVELOPING A REASONABLE AND APPROPRIATE COMPENSATION PACKAGE FOR THE CEO AND EXECUTIVE STAFF. EXECUTIVE COMPENSATION PHILOSOPHY, GUIDELINES, AND PRACTICES: AN EFFECTIVE EXECUTIVE COMPENSATION PROGRAM ADDRESSES A NUMBER OF GOALS. THESE GOALS INCLUDE: 1.) THE ABILITY TO ATTRACT AN INDIVIDUAL WHO IS HIGHLY QUALIFIED BY REASON OF PROFESSIONAL EDUCATION, PAST EXPERIENCE, AND PERSONAL CHARACTERISTICS; 2.) APPROPRIATE RECOGNITION OF PERFORMANCE (POSITIVE OR NEGATIVE); 3.) MAINTENANCE OF MOTIVATION FOR FURTHER PERFORMANCE AT A LEVEL OF EXCELLENCE; 4.) RETENTION (WHEN DESIRED) OF LEADERSHIP EXPERTISE; AND 5.) FAIRNESS. IT IS IMPORTANT TO NOTE THAT THE ISSUE OF FAIRNESS RELATES TO THE COMMUNITY, THE ORGANIZATION AND TO THE INDIVIDUAL. THAT IS, THE GOAL OF THE BOARD WILL NOT BE TO MINIMIZE COST PER SE. CONVERSELY, THE EXPECTATIONS OF THE CEO SHOULD NOT BE TO MAXIMIZE INCOME AS A SINGLE OBJECTIVE. THE GOAL OF BOTH PARTIES WILL BE TO ACHIEVE A COMPENSATION PACKAGE THAT IS FAIR TO THE COMMUNITY, FAIR TO THE ORGANIZATION, AND FAIR TO THE INDIVIDUAL. THE EXECUTIVE COMMITTEE OF THE GOVERNING BOARD, COMPRISED JON FORD, BILL QUIGG, TOM HOLKERT, PAUL LINGLE, EDITH PERKINS, JOHN MCBRIDE, GREG JANZOW AND BONITA WASHINGTON-LACEY, IS THE DESIGNATED COMPENSATION COMMITTEE AND HAS THE RESPONSIBILITY TO SET AND APPROVE CHANGES IN THE CEO'S COMPENSATION PACKAGE. THE COMPENSATION PACKAGE IS REVIEWED ANNUALLY AND ADJUSTED (IF WARRANTED) BASED ON REVIEW, ASSESSMENT AND EVALUATION OF ALL OF THE FOLLOWING FACTORS: 1.) AN ANNUAL PERFORMANCE REVIEW, CONDUCTED BY THE EXECUTIVE COMMITTEE WITH INPUT INVITED FROM THE FULL GOVERNING BOARD PRIOR TO THE REVIEW, WHICH IS SUMMARIZED IN WRITTEN FORM AND SHARED WITH THE ENTIRE BOARD VIA MINUTES OF THE EXECUTIVE COMMITTEE; 2.) THE GENERAL INCREASE (EXCLUDING MERIT) APPROVED BY THE GENERAL BOARD FOR HOURLY EMPLOYEES; 3.) COMPARISON OF COMPENSATION LEVELS AT HOSPITALS OF SIMILAR SIZE AND COMPLEXITY (USING TOTAL REVENUE, NUMBER OF EMPLOYEES AND/OR BED SIZE AS THE BASIS FOR THE SIMILARITY WHENEVER POSSIBLE), WITH THE GENERAL GOAL OF REMAINING WITHIN THE UPPER PORTION OF THE THIRD QUARTILE (50TH TO 75TH PERCENTILE) OF THESE HOSPITALS, ALTHOUGH OCCASSIONAL VARIATIONS ABOVE AND BELOW THIS RANGE WILL OCCUR; AND 4.) COMPARISON, IF AVAILABLE, OF THE MOST RELEVANT PERCENTAGE INCREASES AT OTHER HOSPITALS OF SIMILAR SIZE AND COMPLEXITY (AS DEFINED ABOVE). THE COMPARISON MENTIONED IN ITEMS #3 AND #4 SHALL UTILIZE DATA OBTAINED FROM COMPENSATION SURVEYS SEEN AS LEGITIMATE, STATISTICALLY VALID, AND GENERALLY ACCEPTED. THE SPECIFIC COMPARATIVE SURVEYS USED IN ANY GIVEN YEAR WILL BE OUTLINED IN THE COMMITTEE MINUTES OR EXHIBITS. EXAMPLES OF THIS TYPE OF BONA FIDE SURVEY INCLUDE: 1.) THE ANNUAL INDIANA HOSPITAL & HEALTH ASSOCIATION SURVEY; 2.) WILLIAM MERCER, INC. HEALTH NETWORK SURVEY; 3.) SULLIVAN COTTER & ASSOCIATES SURVEY; 4.) THE ANNUAL MANAGEMENT SCIENCE ASSOCIATION SURVEY; 5.) CLARK CONSULTING; AND 6.) WATSON WYATT. AFTER REVIEW AND EVALUATION OF THE FOUR FACTORS MENTIONED ABOVE, THE EXECUTIVE COMMITTEE SHALL ENACT WHATEVER ADJUSTMENTS ARE DEEMED APPROPRIATE. THESE DISCUSSIONS, CONCLUSIONS, AND ACTIONS WILL BE FULLY DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMMITTEE. ALSO DOCUMENTED, WILL BE A RECORD OF THOSE PRESENT FOR THE EVALUATION REVIEW DISCUSSION, AS WELL AS THOSE PRESENT FOR RESULTING COMMITTEE ACTIONS RELATING TO COMPENSATION. THROUGH THE PROCEDURES DESCRIBED ABOVE, REID HOSPITAL & HEALTH CARE SERVICES, INC. ENSURES THAT COMPENSATION FOR ITS CEO AND OTHER EXECUTIVE STAFF IS APPROVED IN ADVANCE BY AN AUTHORIZED BODY ENTIRELY COMPOSED OF INDIVIDUALS WITHOUT A CONFLICT OF INTEREST, THAT THIS AUTHORIZED BODY OBTAINS AND RELIES UPON APPROPRIATE DATA AS TO COMPARABILITY, AND THAT THE AUTHORIZED BODY ADEQUATELY AND TIMELY DOCUMENTS THE BASIS FOR ITS DETERMINATION. BY THUS TAKING THE STEPS NECESSARY FOR THESE COMPENSATION DECISIONS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, REID HOSPITAL & HEALTH CARE SERVICES, INC. ENDEAVORS TO SATISFY THE STANDARDS ADVOCATED BY THE INTERNAL REVENUE SERVICE FOR APPROVING EXECUTIVE COMPENSATION. FORM 990, PART VI, SECTION B, LINE 15B POLICIES THE CHIEF EXECUTIVE OFFICER (PRESIDENT AND CEO), SELECTED AND APPOINTED BY THE GOVERNING BOARD, IS CHARGED WITH THE RESPONSIBILITY OF DEVELOPING AND ADMINISTERING A COMPENSATION PLAN THAT REFLECTS THE PHILOSOPHY AND MISSION OF THE ORGANIZATION. THE CEO IS ACCOUNTABLE TO THE GOVERNING BOARD IN THIS REGARD JUST AS HE/SHE IS ACCOUNTABLE IN ALL OTHER AREAS. THE COMPENSATION IS SHARED WITH THE EXECUTIVE COMMITTEE FOR AWARENESS, CONSULTATION, AND DIALOGUE. FORM 990, PART VI, SECTION C, LINE 19 DISCLOSURE THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AS AN ATTACHMENT TO FORM 990 AT WWW.GUIDESTAR.ORG OR UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN FUND BALANCE CHANGE IN PENSION: $4,612,836 TRANSFER FROM AFFILIATES: ($52,084) CHANGE IN FOUNDATION VALUE: $428,326 REID ANESTHESIALLC 1100 RIED PARKWAY RICHMOND IN 47374 ANESTHESIA IN 6487085 1261814 NA REID HOSP AND HEALTH CARE SRVC FDN INC 1100 REID PARKWAY RICHMOND IN 47374 237440530 SUPPORT IN 501(C)3 11D NA false REID PHYSICIAN ASSOCIATES INC 1100 REID PARKWAY RICHMOND IN 47374 263086555 OPERATIONS IN 501(C)3 9 REID HOSP false ROSE LLC 1100 REID PARKWAY RICHMOND IN 47374 202844915 SURGERY CENTER IN REID HOSP RELATED 11778691 2253189 false false 0.55000 REID MOB LLC 1100 REID PARKWAY RICHMOND IN 47374 202191433 REAL ESTATE IN REID HOSP RELATED 3189709 15504740 false false 0.65217 false false true true false false false false false true true false true false true false true false false REID HOSPITAL & HEALTH CARE SRVCS FDN C 744170 ACTUAL REID MOB LLC D 1653695 ACTUAL REID MOB LLC J 280860 ACTUAL REID MOB LLC K 1653695 ACTUAL REID OUTPATIENT SURGERY & ENDOSCOPY M 12824526 ACTUAL REID OUTPATIENT SURGERY & ENDOSCOPY O 7240133 ACTUAL REID HOSPITAL & HEALTH CARE SRVCS FDN Q 138152 ACTUAL