2016-11-11T08:54:58-06:00 2016-03-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2015-04-01 201244058 FERRELL HOSPITAL COMMUNITY FOUNDATION FERR 6182733361 1201 PINE STREET ELDORADO IL 62930 JOSEPH HOHENBERGER CFO 6182733361 2016-11-02 1 JEFF PARKER P00970069 3149254300 2015 2017-02-10 21:41:12Z ALISA COLEMAN 1201 PINE STREET ELDORADO IL 62930 18963734 0 X WWW.FERRELLHOSP.ORG X 2004 IL OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE. 10 8 221 20 0 0 115846 542094 16347058 18274123 13047 7830 543409 139567 17019360 18963614 0 0 0 0 8184228 9040809 0 0 0 8031620 8470315 16215848 17511124 803512 1452490 7158746 8149677 6210166 5748607 948580 2401070 X OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 17215407 18274123 MEDICAL CARE IS PROVIDED TO OUTPATIENTS AND INPATIENTS FOR SURGERY AND OTHER DIAGNOSTIC SERVICES AND EDUCATION. QUALITY HEALTHCARE IS PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. THIS YEAR, FERRELL HOSPITAL COMMUNITY FOUNDATION PROVIDED CHARITY CARE WITH CHARGES OF APPROXIMATELY $322,000. ADDITIONALLY, FERRELL HOSPITAL COMMUNITY FOUNDATION OFFERS VARIOUS BENEFITS TO THE COMMUNITY INCLUDING BUT NOT LIMITED TO CPR/FIRST AID, PARTICIPATION IN THE SALINE COUNTY HEALTH COALITION, PARTICIPATION IN THE HEALTH FAIRS AT LOCAL HIGH SCHOOLS AND COLLEGES, POISON PREVENTION AND HEALTH CARE CAREER PRESENATIONS TO LOCAL SCHOOLS, PROVIDE TOURS OF THE HOSPITAL, HOLD FLU VACCINATION CLINICS, PERIODIC BLOOD PRESSURE AND GLUCOSE SCREENINGS, SPEAKING ENGAGEMENTS FOR COMMUNITY ORGANIZATIONS, CO-SPONSOR THE KIDNEY MOBILE, SPONSOR THE LOCAL HIGH SCHOOL SENIOR PROM, PARTICIPATE IN THE RELAY FOR LIFE, SPONSOR FUNCTIONS AT THE LOCAL SENIOR CITIZENS CENTER, HOLD WELLNESS WORKSHOPS, PROVIDE A TRAINER FOR THE LOCAL HIGH SCHOOL SPORTS TEAMS, PROVIDE FIRST AID KITS FOR LOCAL SPORTS TEAMS, PROVIDE CLOTHING FOR DOMESTIC ABUSE VICTIMS AND FINALLY PARTICIPATE IN THE SAFE HAVEN PROGRAM. 17215407 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 18 0 221 1 0 0 0 0 0 0 0 0 0 0 X 10 8 1 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X JOSEPH HOHENBERGER 6182733361 1201 PINE STREET ELDORADO IL 62930 CLIFFORD EUGENE MORRIS CHAIRMAN 5.00 X X 0 0 0 E T SEELY VICE-CHAIRMAN 5.00 X X 0 0 0 ALBERT BLEDIG MD BOARD MEMBER / PHYSICIAN 40.00 X 176372 0 3274 BILL JONES BOARD MEMBER 2.00 X 0 0 0 NATE OLDHAM MD BOARD MEMBER / PHYSICIAN 60.00 X 262558 0 11123 JASON KASIAR BOARD MEMBER 2.00 X 0 0 0 BARB DEVOUS SECRETARY 2.00 X X 0 0 0 NIKKI ROSER BOARD MEMBER 2.00 X 0 0 0 SHAWN MCCOY BOARD MEMBER 2.00 X 0 0 0 JAMES PORTER BOARD MEMBER 2.00 X 0 0 0 ALISA COLEMAN CEO 50.00 X 0 0 0 JOSEPH HOHENBERGER CFO 50.00 X 0 0 0 ELLIOTT PARTRIDGE MD PHYSICIAN 40.00 X 278928 0 7389 DALLAS C BASINGER PHARMACIST 40.00 X 121491 0 8559 JOSEPH A JACKSON MD PHYSICIAN 50.00 X 123908 0 4055 963257 0 34400 5 0 1 0 REGIONAL EMERGENCY DEPT STAFFING LLC 600 MARY ST EVANSVILLE IN 47747 EMERGENCY ROOM PHYSICIANS, MANAGEMENT FE 1416198 PROGRESSIVE HEALTH OF INDIANNA LLC PO BOX 6890 EVANSVILLE IN 47719 PHYSICAL AND OCCUPATIONAL THERAPIST 380109 MEDHOST OF TENNESSEE INC 6550 CAROTHERS PARKWAY FRANKLIN TN 37067 DATA PROCESSING 320655 RANDY WIENTJES CRBA MA 3042 LAKEVIEW DR METROPOLIS IL 62960 ANESTHESIOLOGY 208284 DIAGNOSTIC SHARED SERVICES INC 2650 EASPOINT PARKWAY LOUISVILLE KY 40223 MRI SERVICES 192372 8 28058 514036 542094 INPATIENT & OUTPATIENT SVC 624110 17721488 17721488 340B REVENUE 624110 489778 489778 EHR INCENTIVE PAYMENT 624110 42500 42500 EMR REVENUE 624110 20357 20357 18274123 7830 7830 23303 120 23183 23183 23183 HIGH PERFORMANCE BONUS 624110 65816 65816 EMP CAFETERIA 624110 25320 25320 REBATES 624110 15187 15187 10061 10061 116384 18963614 18274123 0 147397 X 474922 458067 16855 7089339 7086369 2970 69700 69517 183 889976 887643 2333 516872 515517 1355 120000 120000 3846775 3574754 272021 38838 38838 1042473 1042473 239955 239955 75195 75195 213933 213933 635584 635584 143496 143496 BAD DEBTS 877280 877280 DRUGS 613811 613811 MISC/PROVIDER TAX 465721 465721 FOOD 82391 82391 74863 74863 17511124 17215407 295717 0 247262 58349 465896 1462433 2900851 2935132 4410 0 240091 236525 327016 228639 8535311 5306712 2973220 3228599 7158746 8149677 2246973 1721809 3963193 4026798 6210166 5748607 X 948580 2401070 948580 2401070 7158746 8149677 1452490 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 7449 7449 0 PART II-B, LINE 1: ORGANIZATION PAYS DUES TO IHA ANNUALLY. 39% OF THESE DUES ARE USED FOR LOBBYING ACTIVITIES. 180412 180412 2992816 1270907 1721909 44285 39355 4930 5225581 3996450 1229131 92217 92217 3228599 X 18086334 0 18086334 877280 877280 18963614 16633844 0 16633844 877280 877280 17511124 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATIONS'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE HOSPITAL INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE HOSPITAL IS NOT AWARE OF ANY ACTIVITES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND IS NOT AWARE OF ANY ACTIVITES THAT ARE SUBJECT TO TAX ON UNREALTED BUSINESS INCOME OR EXCISE OR OTHER TAXES. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS RECLASSED 877,280. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS RECLASSED 877,280. 1 1 1 X 1 X 100.000000000000 1 1 0 1 1 147960 147960 0.00890 4384702 2916952 1467750 0.08820 4532662 2916952 1615710 0.09710 4532662 2916952 1615710 0.09710 1 877820 322072 6785737 8105339 -1319602 X 1 1 1 1 FERRELL HOSPITAL COMMUNITY FOUNDATION 1201 PINE STREET ELDORADO IL 62930 FERRELLHOSP.ORG 0005363 X X X X FERRELL HOSPITAL COMMUNITY 0 0 1 X X X X X X X X X X 15 1 0 0 1 X FERRELLHOSP.ORG X 1 15 1 FERRELLHOSP.ORG 0 0 1 X 100.000000000000 100.000000000000 X X X X X 1 1 X X X 1 X FERRELLHOSP.ORG X X X X 1 X 0 X X X X 1 X 0 0 FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 3J: POTENTIAL INFORMATION GAPS WERE DISCUSSED RELATED TO RESIDENTS LIVING IN POVERTY IN ELDORADO AND CARMI AND THE FERRELL HOPITAL PRIMARY SERVICE AREA. FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 5: THIS ASSESSMENT HAS EXPLORED THE INSULAR NEEDS OF THE IDENTIFIED GROUPS BY SPECIFICALLY SEEKING INPUT FROM PERSONS WITH KNOWLEDGE OF THE SPECIFIC HEALTH CONCERNS. INPUT WAS ALSO SOUGHT FROM MEMBERS OF THE COMMUNITY CHARGED PROFESSIONALLY WITH ADVANCING THE HEALTH AND EDUCATION OF THE COMMUNITY AND ALL ITS MEMBERS INCLUDING SCHOOL OFFICIALS DEALING DAILY WITH YOUTH AND FAMILIES. THOSE CONSULTED INCLUDE HOSPITAL EXECUTIVE STAFF AND AN INTERNAL WORKING GROUP. THE FOCUS GROUP AND INTERVIEW PARTICIPANTS INCLUDE ANDREA MAY, RN COMMUNITY NURSE LIAISON, TONYA ASHFORD, RN DIRECTOR, JERRY DOUG WATSON, JUNE CSERNY, BSN AUXILIARY PRESIDENT, LISA ANDERSON, RB CHIEF NURSE EXECUTIVE, MARTHA VAUGHN, BSN MEDSURG DIRECTOR, JACQUE TRIPP, RN EMERGENCY DEPARTMENT SUPERVISOR, ANGIE HAMPTON, EXECUTIVE DIRECTOR, JAMIE BYRD, OVERSIGHT AND PLANNING COMMITTEE, TOM CLORE, PRESIDENT, FLECTHER JOHNSON, REAL ESTATE BROKER, GINA SIRACH, MSN DEAN OF NURSING, JIM MORSE, CITY COUNCIL REPRESENTIVE. FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 11: HOSPITAL PERSONNEL AND COMMUNITY ADVISORS MEET TO EVALUATE THE FINDINGS IN THE CHNA AND ASSESS THE PERFORMANCE OF THE HOSPITAL IN EACH OF THE TARGETED AREAS. MANAGEMENT MONITORS PROGRESS AND DEVOTES RESOURSES TO THE ACCOMPLISHMENT OF IDENTIFIED PLANS TO MEET THE NEEDS IDENTIFIED. FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 22D: THE HOSPITAL CHARGES THE SAME AMOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE FOR FAP ELIGIBLE PATIENTS AND ALL OTHER PATIENTS. 2 1 - FERRELL HOSPITAL FAMILY PRACTICE 1036 MAPLE STREET EL DORADO IL 62930 RURAL HEALTH CLINIC 3 - LOCUST STREET CLINIC 1407 LOCUST STREET EL DORADO IL 62930 RURAL HEALTH CLINIC PART I, LINE 7: THE HOSPITAL USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A OF PART 1 OF SCHEDULE H PART III, LINE 2: THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT AFTER 120 DAYS. PART III, LINE 3: FINANCIAL ASSISTANCE COUNSELORS ARE IN PLACE TO CONTACT ANY PATIENT EXPRESSING INTEREST IN THE PROGRAM. PROCEDURES ARE IN PLACE TO MAKE DETERMINATIONS OF ALL PATIENTS ELIGIBILITY AND TO PROVIDE THE APPROPRIATE ASSISTANCE. PART III, LINE 4: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABL AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT AFTER 120 DAYS. AT MARCH 31, 2016 AND 2015, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $637,000 AND $627,000, RESPECTIVELY. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS AN AVERAGE OF 80 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT MARCH 31, 2016 AND 2015. IN ADDITION, THE HOSPITAL'S SELF-PAY WRITE-OFFS DECREASED APPROXIMATELY $194,000 TO $877,000 FOR FISCAL YEAR 2016 FROM $1,071,000 FOR FISCAL YEAR 2015. PART III, LINE 8: MEDICARE ALLOWABLE COSTS INCLUDE AMOUNTS FROM THE FISCAL YEAR 2016 COST REPORT FOR MEDICARE INPATIENT MEDICARE SWING BED ROUTINE AND ANCILLARY MEDICARE OUTPATIENT AND THE RURAL HEALTH CLINIC IN ADDITION PROFESSIONAL FEES FOR EMERGENCY ROOM AND MAMMOGRAMS AS REPORTED ON THE 2015 FISCAL YEAR PSR WAS INCLUDED AFTER APPLYING THE OVERALL HOSPITAL COST TO CHARGE RATIO FROM THE 2016 FISCAL YEAR COST REPORT. PART III, LINE 9B: FERRELL HOSPITAL COMMUNITY FOUNDATION PROVIDES ASSISTANCE TO MEET THE NEEDS OF THE UNINSURED PATIENTS TO WHICH THEY SERVE. FOR THOSE PATIENTS WHO ARE EXPECTED TO QUALIFY UNDER THEIR FINANCIAL ASSISTANCE POLICY, THE HOSPITAL ASSIGNS THE FINANCIAL CARRIER FOR CHARITY CARE AT THE TIME OF THE REQUEST FOR THE HEALTH ASSISTANCE PROGRAM (HAP) APPLICATION. ONCE ASSIGNED, SEVERAL PROCEDURES ARE IN PLACE TO COMPLETE THE PROCESS INCLUDING INVESTIGATION FOR ANY OTHER AVAILABLE FUNDING SOURCES SUCH AS MEDICAID AND INCOME VERIFICATION. THOSE THAT COMPLETE THE HAP ACCURATELY AND QUALIFY UNDER THE HOSPITALS POLICY RECEIVE FREE OR DISCOUNTED CARE. PART VI, LINE 2: INVOLVEMENT IN COMMUNITY ORGANIZATIONS, INCLUDING CHURCHES, CIVIC GROUPS AND PROFESSIONAL ORGANIZATIONS. PART VI, LINE 3: OUR FINANCIAL ASSISTANCE PROGRAM IS ON THE FRONT PAGE OF OUR FERRELL HOSPITAL INTERNET AND HAS THE FORMS ALSO LISTED FOR THE PATIENT TO PRINT OFF IF NEEDED. THE CONTACT PHONE NUMBER OF OUR FINANCIAL COUNSELOR IS ALSO LISTED ALONG WITH HIS/HER WORK HOURS. THERE ARE FERRELL HOSPITAL FINANCIAL ASSISTANCE BROCHURES IN THE LOBBY AREAS OF THE HOSPITAL. ALL SELF PAY PATIENTS IN THE HOSPITAL ARE VISITED BY THE FINANCIAL COUNSELOR AND GIVEN THE NECESSARY PAPERWORK IF THE PATIENT REQUESTS IT. IF THE FINANCIAL COUNSELOR DOES NOT GET TO SEE THE PATIENT OR FAMILY THEN A LETTER IS MAILED ALONG WITH THE APPLICATION TO THE PATIENT. UPON REGISTRATION OF THE PATIENT THE REGISTRATION STAFF ALWAYS INFORMS THE PATIENT OF THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS AND GIVES THEM A BROCHURE. IF THE PATIENT WANTS TO TALK TO THE FINANCIAL COUNSELOR THEN THAT PERSON IS CALLED. PART VI, LINE 4: THE MAJORITY OF FERRELL HOSPITAL PATIENTS RESIDE IN SALINE, GALLATIN, WHITE AND HAMILTON COUNTIES. WE ALSO SEE SEVERAL PATIENTS FROM POPE AND HARDIN COUNTIES. OUR FACILITIES ARE LOCATED IN SALINE AND GALLATIN COUNTIES. THE UNEMPLOYMENT RATE AND POVERTY RATE OF THESE COUNTIES IS HIGHER THAN THE NATIONAL AVERAGE AND VERY CLOSE TO THE STATE OF ILLINOIS AVERAGE. THE PAYER MIX IS HEAVILY MEDICAID / MEDICARE DEPENDENT. PART VI, LINE 7, REPORTS FILED WITH STATES IL X X X 0 0 0 0 0 0 0 0 0 ALBERT BLEDIG MD BOARD MEMBER / PHYSICIAN 176372 0 0 0 0 0 0 0 3274 0 179646 0 0 0 NATE OLDHAM MD BOARD MEMBER / PHYSICIAN 226238 0 0 0 36320 0 0 0 11123 0 273681 0 0 0 ELLIOTT PARTRIDGE MD PHYSICIAN 278928 0 0 0 0 0 0 0 7389 0 286317 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 DR. ALBERT BLEDIG AND BILL JONES HAVE A BUSINESS RELATIONSHIP. GENE MORRIS AND DR. NATE OLDHAM HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 ON DECEMBER 29, 2015, THE HOSPITAL TERMINATED THE MANAGEMENT AGREEMENT WHICH WENT INTO EFFECT MARCH 13, 2014 AND SUBSEQUENTLY ENTERED INTO ANOTHER MANAGEMENT AGREEMENT EFFECTIVE JANUARY 1, 2016. MANAGEMENT SERVICES PROVIDED TO THE HOSPITAL CONSIST OF MANAGEMENT PERSONNEL INCLUDING A CEO AND CFO, FACILITY PLANNING, STRATEGIC PLANNING, RECRUITING, AND SEVERAL OTHER SUPPORT AND OVERSIGHT SERVICES. THE INITIAL TERM OF THE AGREEMENT IS FOR A FIVE YEAR PERIOD, WHICH CAN BE EXTENDED BEYOND THE INITIAL FIVE YEAR PERIOD IF SO DESIRED. THE AGREEMENT CAN BE TERMINATED BY EITHER PARTY WITH A ONE HUNDRED EIGHTY DAY NOTICE WITHOUT RECOURSE SUBSEQUENT TO THE INITIAL FIVE YEAR TERM OF THE AGREEMENT. IF THE AGREEMENT IS TERMINATED BY THE HOSPITAL WITHIN THE INITIAL FIVE YEAR TERM, THE HOSPITAL WILL BE ASSESSED A PENALTY IN THE AMOUNT OF $500,000 TO BE PAYABLE TO THE MANAGEMENT SERVICE ORGANIZATION. THE HOSPITAL WILL REIMBURSE THE MANAGEMENT SERVICE PROVIDER THE ACTUAL COST OF PROVIDING THE MANAGEMENT SERVICES ON A MONTHLY BASIS. FOR THE YEARS ENDED MARCH 31, 2016 AND 2015, MANAGEMENT FEES INCURRED WERE $120,000 AND $104,163, RESPECTIVELY. DURING THE 2015 CALENDAR YEAR, THE FOLLOWING INDIVIDUALS WERE COMPENSATED BY THE MANAGEMENT SERVICE PROVIDER IN THE FOLLOWING AMOUNTS: ALISA COLEMAN, CHIEF EXECUTIVE OFFICER: $100,270 JOSEPH HOHENBERGER, CHIEF FINANCIAL OFFICER: $118,884 FORM 990, PART VI, SECTION A, LINE 4 THE NUMBER OF DIRECTORS TO CONSTITUTE THE BOARD IS TEN DIRECTORS, TWO OF WHOM (THE "DEACONESS DIRECTORS") WILL BE APPOINTED BY DEACONESS REGIONAL HEALTHCARE NETWORK ILLINOIS, LLC AND THE OTHER EIGHT OF WHOM WILL BE COMMUNITY MEMBERS WHO ARE NOT DEACONESS DIRECTORS WHO WILL BE ELECTED BY THOSE FERRELL DIRECTORS THEN IN OFFICE WHOSE TERMS ARE NOT EXPIRING. DEACONESS DIRECTORS SHALL BE APPOINTED FOR A TERM OF ONE YEAR WITH NO LIMIT ON THE NUMBER OF TERMS. DEACONESS ILLINOIS SHALL HAVE THE RIGHT TO TERMINATE ITS RELATIONSHIP WITH THE CORPORATION AND TO WITHDRAW FROM PARTICIPATION ON THE CORPORATION'S BOARD, UPON SIXTY DAYS NOTICE TO THE CORPORATION, IN THE EVENT OF (I) ANY BREACH OF THE TERMS SET FORTH IN THAT CERTAIN CONTRIBUTION AGREEMENT BY AND BETWEEN DEACONESS ILLINOIS AND THE CORPORATION, OR (II) ANY TERMINATION OF THE MANAGEMENT AGREEMENT FOR ANY REASON. A MINIMUM OF SIX DIRECTORS, INCLUDING AT LEAST ONE DEACONESS DIRECTOR, EITHER BEING PHYSICALLY PRESENT OR PARTICIPATING ELECTRONICALLY CONSTITUTES A QUORUM FOR THE PURPOSE OF ANY MEETING. THE AMENDED BY-LAWS ALSO ADDED A SECTION REGARDING ACTIONS REQUIRING A SUPERMAJORITY VOTE OF ALL SERVING DIRECTORS, INCLUDING AT LEASE ONE DEACONESS DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11 THE CEO AND CFO REVIEW THE COMPLETED FORM 990 AS PREPARED BY THE PAID PREPARER FOR COMPLETENESS AND ACCURACY. THE BOARD CHAIR AND THE CEO AND CFO SUBMIT THE FORM TO THE BOARD FOR FINAL APPROVAL IMMEDIATELY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C COPIES OF THE CONFLICT OF INTEREST POLICY ARE PROVIDED TO EACH DIRECTOR, OFFICER AND MANAGEMENT PERSON AT LEAST ONCE PER YEAR, WITH THE REQUIREMENT THAT THEY COMPLETE A CERTIFICATE WHICH CONFIRMS THAT THEY UNDERSTAND THIS POLICY, AGREE TO COMPLY, INDICATE ANY KNOWN CONFLICTS, AND HAVE NO KNOWLEDGE OF ANY ADDITIONAL VIOLATIONS OF THE POLICY. ANY PERSON WITH A CONFLICT IS REQUIRED TO COMPLETE A SPECIFIC DISCLOSURE NOTICE. FORM 990, PART VI, SECTION B, LINE 15 CEO SALARY WAS DETERMINED BY COMPARISON WITH PRIOR PERSONS EMPLOYED IN POSITION, INDUSTRY COMPARISONS, RELATIVE EXPERIENCE AND KNOWLEDGE. CEO SALARY WAS APPROVED BY ENTIRE BOARD. ALL DELIBERATIONS INCLUDED IN BOARD MINUTES. THIS PROCESS WAS LAST COMPLETED IN 2015. CFO SALARY DETERMINED AND APPROVED IN SAME MANNER AS CEO. ALL OTHER EXECUTIVE SALARIES APPROVED BY EXECUTIVE MANAGEMENT AND ANALYZED BASED ON INDUSTRY COMPARATIVE DATA AND POSITION DESCRIPTIONS, COMMENSURATE EXPERIENCE, EXPERTISE AND TRAINING. THIS PROCESS WAS LAST COMPLETED IN 2015. FORM 990, PART VI, SECTION C, LINE 19 FERRELL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 TAX RETURNS ARE AVAILABLE TO THE PUBLIC BY REQUEST MADE TO ADMINISTRATION. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,429,376. MANAGEMENT AND GENERAL EXPENSES 272,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,701,397. MAINT SERV CONTRACTS: PROGRAM SERVICE EXPENSES 145,378. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,378. FORM 990, PAGE 12, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM PROIR YEAR.