2015-11-16T09:31:06-06:00 2014-12-31 350921680 CROWE HORWATH LLP 330 E Jefferson Blvd PO Box 7 South Bend IN 466240007 990 2014-01-01 350868178 South Bend Medical Foundation Inc SOUT 5742045291 530 North Lafayette Blvd South Bend IN 46601 Joyce Simpson MD PRESIDENT/EXECUTIVE VP 2015-11-16 true KENNETH J KEBER P00240883 5742323992 2014 2016-02-25 16:41:14Z Joyce Simpson MD 530 North Lafayette Blvd South Bend IN 46601 95901736 false X www.sbmf.org X 1946 IN South Bend Medical Foundation exists for the purpose of providing quality and cost effective laboratory and blood banking services to hospitals, physicians, and patients. 12 11 846 14 0 0 1736 2032 99699838 94707654 655611 185550 852057 965357 101209242 95860593 3154999 2594948 0 0 45890395 43619228 0 0 0 51377496 50720424 100422890 96934600 786352 -1074007 51455515 46470813 34700809 38491594 16754706 7979219 South Bend Medical Foundation exists for the purpose of providing quality and cost effective laboratory and blood banking services to hospitals, physicians, and patients. (Continued in Schedule O). false false 81848930 2594948 95336976 SOUTH BEND MEDICAL FOUNDATION'S (SBMF) MORE THAN 750 EMPLOYEES PROVIDE A WIDE RANGE OF TOP-QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES FOR COMMUNITIES IN INDIANA, MICHIGAN, KENTUCKY, OHIO, AND ILLINOIS. BY WORKING TOGETHER WITH LOCAL HEALTH CARE PROVIDERS, SBMF PRESERVES THE CRITICAL RELATIONSHIP BETWEEN LABORATORY, PHYSICIAN AND PATIENT. UNLIKE MANY LARGE COMMERCIAL LABORATORIES, SBMF OFFERS ITS SERVICES 24 HOURS A DAY, 365 DAYS A YEAR. SBMF PERSONNEL ARE DEDICATED TO BEING A TRUSTED PHYSICIAN RESOURCE, HANDLING EVERYTHING FROM ROUTINE OUTPATIENT ORDERS TO PROVIDING INPATIENT SERVICES AT HOSPITAL AND OTHER HEALTH CARE FACILITIES THROUGHOUT THE REGION. SBMF'S COMMITMENT TO DELIVERING CONSISTENT, RELIABLE, QUALITY MEDICAL CARE HAS PLAYED AN INSTRUMENTAL ROLE IN HELPING THE FOUNDATION ACHIEVE ITS POSITION OF LEADERSHIP AMONG THE NATION'S DIAGNOSTIC LABORATORIES. (CONTINUED IN SCHEDULE O) 81848930 true false false 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 false false false false false false false true false false false false false false false false false true 74 0 true 846 true false false false false false false false false false false X 12 11 true false false false false false false true true false false true true true true true true true true false IN X James B Myers 5742045206 118 W Edison Road Mishawaka IN 46545 John T Rice MD Chair 1.00 X X 0 0 0 Sloan S Shah MD Vice Chair 1.00 X X 0 0 0 Bilal Ansari MD Chair (through June 2014) / Board member 1.00 X X 0 0 0 CHARLES E PETERSON MD Vice Chair (through June 2014) 1.00 X X 0 0 0 Henry Kim MD Board Member 1.00 X 0 0 0 Richard H Seall MD Board Member 1.00 X 0 0 0 Daniel E Scherb MD BOARD MEMBER 1.00 X 0 0 0 BRIAN SUCHARETZA MD Board Member 1.00 X 0 0 0 Samuel Borrelli MD Board Member 1.00 X 0 0 0 Mark A Thompson MD Board Member 1.00 X 0 0 0 Walter H Halloran MD BOARD MEMBER 1.00 X 0 0 0 ERIC D KNAPP DO BOARD MEMBER 1.00 X 0 0 0 ALAN B ENGEL MD Board Member (through June 2014) 1.00 X 0 0 0 Robert Tomec MD President/Executive VP 40.00 X 359242 0 21938 Joyce Simpson MD VICE PRESIDENT/EXECUTIVE VP 40.00 X 283308 0 9344 Robert King Senior VP 40.00 X 264017 0 17801 Ann Sullivan VP of Finance 40.00 X 229765 0 27407 THOMAS LIDDELL VP - INFORMATION SYSTEMS 40.00 X 219634 0 27295 James Frain VP of Human Resources 40.00 X 229667 0 27396 Diane Janowiak VP of Central Lab Operations 40.00 X 226054 0 19805 Odeta Lapkus MD Pathologist 40.00 X 252116 0 25227 Nita Gerig MD Pathologist 32.00 X 264508 0 19945 Derrick Forchetti MD Pathologist 40.00 X 256721 0 27854 David Jentz MD Pathologist 40.00 X 338002 0 21938 Bobbie Sutton MD Pathologist 40.00 X 280918 0 21938 John Landgraf MD Pathologist 40.00 X 258709 0 21852 James Dyer MD Pathologist 40.00 X 245993 0 12003 Joseph Prahlow MD Pathologist 40.00 X 269858 0 27827 William Kaliney MD Pathologist 40.00 X 223575 0 21541 Ricky Hoover MD Pathologist 40.00 X 323669 0 28176 Francisco Deogracias MD Pathologist 40.00 X 216534 0 21549 Kristen Jacobs MD Pathologist 24.00 X 200653 0 17787 Fred Busse MD Pathologist 40.00 X 254868 0 21842 Luis Galup MD Pathologist 40.00 X 386394 0 14184 Amobi Ezenekwe MD Pathologist 40.00 X 246061 0 27781 C K Kim MD Pathologist 40.00 X 218830 0 21340 Blair Chrenka MD Pathologist 40.00 X 231846 0 17508 Nicole Anest MD Pathologist 40.00 X 227595 0 18501 PRENTISS JONES DIRECTOR - TOXICOLOGY 40.00 X 150676 0 19818 Kay Beam Director, Information Technology, Database Management 40.00 X 109047 0 2615 QING LI DIRECTOR - NEW TEST DEVELOPMENT 40.00 X 131437 0 17966 James B Myers Manager, Accounting 40.00 X 105081 0 26661 Brett Colter Director, General Laboratory Operations 40.00 X 101922 0 11033 7106700 0 617872 30 true true false ASSOC REG AND UNIV PATHOLOGISTS PO BOX 27964 SALT LAKE CITY UT 84127 REFERENCE LAB 3348673 THERMO ASSET MANAGEMENT SERVICES INC 120 BISHOPS WAY BROOKFIELD WI 53005 EQUIPMENT MAINTENANCE / REPAIR 812921 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 EQUIPMENT MAINTENANCE / REPAIR 775874 MICHIANA HEALTH INFORMATION NETWORK 220 W COLFAX AVE SUITE 300 SOUH BEND IN 46601 COMMUNITY BASED CLINICAL INFO SYSTEM 727903 INDIANA UNIVERISTY MEDICAL GENETICS 975 W WALNUT ST 1B-130 INDIANAPOLIS IN 462025251 REFERENCE LAB 428607 21 X 2032 2032 Net operating revenues 621500 94707654 94707654 0 0 0 0 94707654 155693 155693 0 0 71000 41143 0 29857 29857 29857 Clinical Pathology Fees 621500 629322 629322 Teaching Fees 611430 76407 76407 Records Retreival Fees 900099 5455 5455 254173 0 0 254173 965357 95860593 95336976 0 521585 183775 183775 2411173 2411173 7660320 5819221 1841099 26699294 21809529 4889765 163799 137081 26718 6828025 5574540 1253485 2267790 1829504 438286 66607 66607 75791 75791 2001579 1049050 952529 0 2406655 1317824 1088831 1997101 1813772 183329 96798 59914 36884 533211 1496 531715 3522394 3140020 382374 771510 116522 654988 Medical Lab 23873530 23197693 675837 Reference Lab 4570678 4570678 Bad Debt 4065833 4065833 Building Equipment/Maintenance 4157245 2659839 1497406 2581492 2091466 490026 0 96934600 81848930 15085670 0 750 1250 7205574 3490177 12336442 12679569 0 0 1638673 1365902 1419645 1087074 97160991 70333321 27921495 26827670 0 809890 911741 123046 107430 51455515 46470813 9997427 9019103 9585000 8470000 0 15118382 21002491 34700809 38491594 X 16754706 7979219 16754706 7979219 51455515 46470813 X -1074007 323560 -8025040 X false true X true false X 429028 1736 2032 432796 94079057 97034819 99026282 99699838 94707654 484547650 195040 169918 170096 383067 336035 1254156 94274097 97204737 99625406 100084641 95045721 486234602 0 0 15082 0 0 15082 0 0 0 0 0 0 0 0 15082 0 0 15082 486219520 -69086 60573 123674 302005 155693 572859 -69086 60573 123674 302005 155693 572859 338675 415690 497425 468990 629322 2350102 94543686 97681000 100246505 100855636 95830736 489157563 0.9940 0.9951 0.0012 0.0006 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - CLINICAL PATHOLOGY FEES, COLUMN A - 338675.0, COLUMN B - 415690.0, COLUMN C - 451445.0, COLUMN D - 468990.0, COLUMN E - 629322.0, COLUMN F - 2304122.0; DESCRIPTION - FUNDRAISING GROSS RECEIPTS, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 45980.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 45980.0; 1115906 1115906 43465561 28869390 14596171 812628 553034 259594 51752808 40910897 10841911 14088 14088 26827670 Capital lease obligation 12326 Fair value of interest rate swap 1049142 Accrued pension and postretirement benefits 19941023 21002491 X 85747940 323560 -8025040 -7701480 93449420 2411173 2411173 95860593 94523427 0 0 94523427 2411173 2411173 96934600 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Foundation is a not-for-profit organization pursuant to Section 501(c)(3) of the Internal Revenue Code and is exempt from federal and state income taxes pursuant to Section 501(a). Accordingly, no provision for income taxes is reflected in the Foundation's financial statements. The Foundation is subject to examination by federal and state taxing authorities for the years ended December 31, 2011 through 2014. The Foundation follows guidance issued by the Financial Accounting Standards Board with respect to accounting for uncertainty in income taxes. A tax position is a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Management has determined that there is no liability for uncertain tax positions and does not expect this to change over the next 12 months. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 PENSION AND POSTRETIREMENT BENEFIT-RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - -8025040 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Financial assistance - 2411173 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Financial assistance - 2411173 true 100 BLACK MEN OF GREATER SOUTH BEND INC 2043 SOUTH BEND AVE PMB 345 SOUTH BEND IN 46637 270295842 501(C)(3) 7000 0 GENERAL ASSISTANCE AMERICAN CANCER SOCIETY 130 RED COACH DRIVE MISHAWAKA IN 46545 131788491 501(C)(3) 6500 0 GENERAL ASSISTANCE CAMERON HOSPITAL FOUNDTION INC 416 EAST MAUMEE ANGOLA IN 46703 351722087 501(C)(3) 16800 0 GENERAL ASSISTANCE NORTHERN INDIANA HISTORICAL SOCIETY (CENTER FOR HISTORY) 808 W WASHINGTON STREET SOUTH BEND IN 46601 351124156 501(C)(3) 5000 0 GENERAL ASSISTANCE ELKHART GENERAL HOSPITAL FOUNDATION INC 600 EAST BLVD ELKHART IN 46514 356061200 501(C)(3) 10000 0 GENERAL ASSISTANCE INDIANA UNIVERSITY FOUNDATION PO BOX 500 BLOOMINGTON IN 47402 356018940 501(C)(3) 5500 0 GENERAL ASSISTANCE LAKELAND HEALTH FOUNDATION NILES 1234 NAPIER AVENUE ST JOSPEH MI 49085 383130558 501(C)(3) 10000 0 GENERAL ASSISTANCE LOGAN COMMUNITY RESOURCES INC 2505 EAST JEFFERSON BLVD SOUTH BEND IN 46615 350965639 501(C)(3) 10000 0 GERERAL ASSISTANCE THE FOUNDATION OF ST JOSEPH HEALTH SYSTEM 707 EAST CEDAR STREET SUITE 175 SOUTH BEND IN 46617 351654543 501(C)(3) 27500 0 GENERAL ASSISTANCE UNITED WAY OF ST JOSEPH COUNTY INC 3517 EAST JEFFERSON BLVD SOUTH BEND IN 46615 351063368 501(C)(3) 11000 0 GENERAL ASSISTANCE CANCER SOCIETY OF ST JOSEPH COUNTY 919 EAST JEFFERSON SOUTH BEND IN 46617 350872359 501(C)(3) 26000 0 GENERAL ASSISTANCE 11 0 PATIENT MEDICAL ASSISTANCE 0 1864654 BOOK VALUE FREE OR REDUCED MEDICAL CARE TIME OF SERVICE DISCOUNTS 0 546519 BOOK VALUE DISCOUNT PROVIDED AT TIME OF PAYMENT Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds South Bend Medical Foundation (SBMF) provides funding to other community not-for-profit organizations. Generally, these are unrestricted contributions that the receiving organization can use to further their mission and programs at their discretion. The use of these contributions is not monitored. SBMF also provides assistance to individuals in the form of free or reduced fee medical care at various locations throughout the communities served. These individuals meet SBMF's charity care eligibility requirements, or the requirements of the referring health care provider. Determination and monitoring of charity care is performed on a case-by-case basis. SBMF also provides discounts for payment at time of service to patients who do not have government provided insurance coverage or do not wish to have a claim filed with their commercial insurance carrier. There is no actual exchange of funds, as the discounts are credited directly to the patients' accounts. Time of service discounts are monitored at the organization level, in the aggregate. Schedule I, Part III, Column (b) NUMBER OF RECIPIENTS CURRENTLY, SOUTH BEND MEDICAL FOUNDATION DOES NOT HAVE AN EFFECTIVE WAY TO TRACK THE UNDUPLICATED NUMBER OF PATIENTS THAT RECEIVE FREE OR REDUCED CARE AND TIME OF SERVICE DISCOUNTS. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. South Bend Medical Foundation (SBMF) provides funding to other community not-for-profit organizations. Generally, these are unrestricted contributions that the receiving organization can use to further their mission and programs at their discretion. The use of these contributions is not monitored. SBMF also provides assistance to individuals in the form of free or reduced fee medical care at various locations throughout the communities served. These individuals meet SBMF's charity care eligibility requirements, or the requirements of the referring health care provider. Determination and monitoring of charity care is performed on a case-by-case basis. SBMF also provides discounts for payment at time of service to patients who do not have government provided insurance coverage or do not wish to have a claim filed with their commercial insurance carrier. There is no actual exchange of funds, as the discounts are credited directly to the patients' accounts. Time of service discounts are monitored at the organization level, in the aggregate. X X X X true true false false false false false false false Robert Tomec MD President/Executive VP 357889 0 0 0 1353 0 2600 0 19338 0 381180 0 0 0 Joyce Simpson MD VICE PRESIDENT/EXECUTIVE VP 283308 0 0 0 0 0 2600 0 6744 0 292652 0 0 0 Robert King Senior VP 249422 0 0 0 14595 0 500 0 17301 0 281818 0 0 0 Ann Sullivan VP of Finance 228484 0 0 0 1281 0 2304 0 25103 0 257172 0 0 0 THOMAS LIDDELL VP - INFORMATION SYSTEMS 218491 0 0 0 1143 0 2232 0 25063 0 246929 0 0 0 James Frain VP of Human Resources 228484 0 0 0 1183 0 2293 0 25103 0 257063 0 0 0 Diane Janowiak VP of Central Lab Operations 226054 0 0 0 0 0 2304 0 17501 0 245859 0 0 0 Odeta Lapkus MD Pathologist 252116 0 0 0 0 0 0 0 25227 0 277343 0 0 0 Nita Gerig MD Pathologist 263153 0 0 0 1355 0 2600 0 17345 0 284453 0 0 0 Derrick Forchetti MD Pathologist 256721 0 0 0 0 0 2599 0 25255 0 284575 0 0 0 David Jentz MD Pathologist 336692 0 0 0 1310 0 2600 0 19338 0 359940 0 0 0 Bobbie Sutton MD Pathologist 280976 0 0 0 -58 0 2600 0 19338 0 302856 0 0 0 John Landgraf MD Pathologist 257402 0 0 0 1307 0 2563 0 19289 0 280561 0 0 0 James Dyer MD Pathologist 244733 0 0 0 1260 0 1840 0 10163 0 257996 0 0 0 Joseph Prahlow MD Pathologist 268551 0 0 0 1307 0 2600 0 25227 0 297685 0 0 0 William Kaliney MD Pathologist 223443 0 0 0 132 0 2203 0 19338 0 245116 0 0 0 Ricky Hoover MD Pathologist 322314 0 0 0 1355 0 2600 0 25576 0 351845 0 0 0 Francisco Deogracias MD Pathologist 215179 0 0 0 1355 0 2161 0 19388 0 238083 0 0 0 Kristen Jacobs MD Pathologist 199573 0 0 0 1080 0 2027 0 15760 0 218440 0 0 0 Fred Busse MD Pathologist 253559 0 0 0 1309 0 2550 0 19292 0 276710 0 0 0 Luis Galup MD Pathologist 0 0 0 0 386394 0 2600 0 11584 0 400578 0 0 0 Amobi Ezenekwe MD Pathologist 244754 0 0 0 1307 0 2554 0 25227 0 273842 0 0 0 C K Kim MD Pathologist 217475 0 0 0 1355 0 2152 0 19188 0 240170 0 0 0 Blair Chrenka MD Pathologist 231728 0 0 0 118 0 0 0 17508 0 249354 0 0 0 Nicole Anest MD Pathologist 226395 0 0 0 1200 0 877 0 17624 0 246096 0 0 0 PRENTISS JONES DIRECTOR - TOXICOLOGY 150676 0 0 0 0 0 1525 0 18293 0 170494 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Luis Galup, M.D. received severance payments totaling $386,394, per the terms of his employment contract, during the year ended December 31, 2014. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The organization has a supplemental nonqualified retirement plan that was designed to replace retirement benefits lost by individuals due to 1998 changes in pension laws and a redesign of the pension plan to maximize benefits for lower compensated employees. The organization's board of directors elected to freeze this plan, and therefore no benefits were provided during 2014. MICHIANA HEMATOLOGY ONCOLOGY PC (MHO) B. ANSARI (SBMF BOARD MEMBER) IS AN OFFICER/DIRECTOR OF MHO. 109309 SBMF MADE $109,309 IN PAYMENTS (AT FMV) TO MHO FOR RENTAL OF SPACE false Form 990, Part III, Line 1 ORGANIZATION'S MISSION (CONTINUED FROM PART III) TO FULFILL OUR MISSION WE SHALL: (I) PROVIDE THE HOSPITALS WE SERVICE WITH THE HIGHEST QUALITY LABORATORY RESOURCES AND--TAKING INTO ACCOUNT THAT LENGTH OF STAY IS CRUCIAL FOR INPATIENT CARE--WITH THE SHORTEST RESPONSE TIME WHILE ACHIEVING A HIGH DEGREE OF COST EFFECTIVENESS. (II) PROVIDE OUR PHYSICIAN CUSTOMERS WITH THE HIGHEST QUALITY LABORATORY RESULTS UTILIZING THE LATEST TECHNOLOGY AND MAKING AVAILABLE TO THEM READILY ACCESSIBLE CONSULTATIVE OPPORTUNITIES IN THE MEDICAL AND ADMINISTRATIVE ASPECTS OF THEIR PRACTICES. (III) CREATE AND MAINTAIN A WORK ENVIRONMENT WHERE EMPLOYEES CAN GROW PERSONALLY AND PROFESSIONALLY WITH COMPENSATION AND BENEFIT SYSTEMS THAT ARE COMPETITIVE, EQUITABLE AND COST EFFECTIVE AS WELL AS AN ENVIRONMENT WHERE EMPLOYEES ARE PROVIDED STABLE EMPLOYMENT AND EACH INDIVIDUAL IS TREATED WITH RESPECT AND DIGNITY. (IV) PROVIDE TO THE PATIENT POPULATION IN THE COMMUNITIES WE SERVE READILY ACCESSIBLE, REASONABLY PRICED LABORATORY SERVICES, WITH AS WIDE A SCOPE AND VARIETY AS POSSIBLE TO MEET ALL THEIR NEEDS LOCALLY. (V) RECOGNIZING OUR SOCIAL RESPONSIBILITIES TO THE COMMUNITY, PROVIDE SERVICES WITHIN OUR MEANS TO THOSE LESS FORTUNATE, AND SUPPORT PUBLIC AND PRIVATE EFFORTS DIRECTED TO IMPROVE OUR HEALTH CARE ENVIRONMENT. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED FROM PART III) THE ALTRUISTIC ACTIVITIES OF THE ORGANIZATION ARE INTENDED TO RELIEVE DISEASE, SUFFERING, AND CONSTRAINT. MANY SERVICES ARE PROVIDED AS CHARITY OR PRO BONO. THE AMOUNT OF CHARITY CARE, PROVIDED AT SBMF'S ESTABLISHED RATES, WAS APPROXIMATELY $851,000 FOR THE YEAR ENDED DECEMBER 31, 2014. Form 990, Part VI, Line 1a Delegate broad authority to a committee The administrative committee shall consist of the officers of the corporation. Subject to the control of the board of directors, the administrative committee shall have full authority to act for and on behalf of the corporation and exercise all of the powers of the board of directors that may be lawfully delegated by such board to such committee except, however, the administrative committee shall have no power to donate any part of the assets of the corporation. The administrative committee shall receive status reports on other committee activities and discuss items of interest to the group as a whole or to individual officers for the performance of their duties. The administrative committee shall keep minutes of its meetings. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons BOB SUTTON (HUSBAND OF BOBBIE SUTTON) AND FRED BUSSE - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body Prior to November 16, 2015, each board member was provided a copy of the return for their review and instructed to submit any questions or comments to the VP of Finance. After comments and questions are reviewed, the return was completed and filed with the IRS on or before November 16, 2015. Form 990, Part VI, Line 12c Conflict of interest policy Annual conflict of interest questionnaires are completed by all board members, officers, key employees, and highest compensated employees. The organization's Vice President of Finance and tax advisers review all responses to determine whether or not a potential or actual conflict of interest exists. If an actual conflict of interest is determined to exist, persons with a conflict are recused from voting on the conflicting issue. Form 990, Part VI, Line 15a Process to establish compensation of top management official On an annual basis, the organization's compensation committee reviews and approves compensation for the President/Executive Vice President, as well as other officers, administrators, and professional staff, including key employees. The committee reviews current salaries and pay structures against various sources of comparability data, including: the College of American Pathology Pathologists Compensation Survey; pathology compensation data for pathologists, which outlines pathology and physician salaries by specialty, provided from Merritt Hawkins and Associates; the Guidestar National Compensation Report; and compensation reported on local area hospitals' Forms 990. After reviewing the comparability data, the committee discusses the current economy and financial position of the organization to determine the amount of any compensation increases and/or decreases, if any, that will be given. This process is documented in the compensation committee's meeting minutes. Form 990, Part VI, Line 15b Process to establish compensation of other employees See narrative for Form 990, Part VI, Section B, Line 15a. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, conflict of interest policies, and governing documents are not required disclosures pursuant to IRC Section 6104. These documents are not made available to the public. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous - Total Revenue: 254173, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 254173; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION AND POSTRETIREMENT BENEFIT-RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - -8025040;