2015-09-08T09:39:55-05:00 2014-12-31 430352985 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2014-01-01 273970823 FIVE RIVERS MEDICAL CENTER INC FIVE 8708926000 2801 MEDICAL CENTER DRIVE POCAHONTAS AR 72455 JOEY RADCLIFF CFO 8708926000 2015-08-10 true MARK DALLAS P00187265 6185291040 2015-09-08 2014 2016-04-25 22:37:26Z JOEY RADCLIFF 2801 MEDICAL CENTER DRIVE POCAHONTAS AR 72455 16125959 false X WWW.FIVERIVERSMC.COM X 2010 AR FIVE RIVERS MEDICAL CENTER SHALL BE DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITY AS ITS PRIMARY CARE PROVIDER THROUGH A NETWORK OF QUALITY SERVICES. 7 6 211 6 0 78118 117450 15689766 14629100 7700 -130599 65152 1379409 15840736 15995360 0 0 9233713 8994203 0 0 9033283 6350485 18266996 15344688 -2426260 650672 10488763 9785412 11941537 10587514 -1452774 -802102 X FIVE RIVERS MEDICAL CENTER SHALL BE DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITY AS ITS PRIMARY CARE PROVIDER THROUGH A NETWORK OF QUALITY SERVICES. false false 1884758 4858902 EMERGENCY DEPARTMENT - THE EMERGENCY DEPARTMENT AT FRMC TREATED OVER 6,100 PATIENTS IN 2014 AND IS A LEVEL 4 TRAUMA DESIGNATED ER. THE EMERGENCY DEPARTMENT STRIVES TO CONTINUALLY IMPROVE THE QUALITY OF EMERGENCY MEDICINE THAT IS PROVIDED TO THE COMMUNITY. 1523727 2623000 HOME HEALTH - THE HOME HEALTH DEPARTMENT AT FRMC HAD OVER 21,000 SKILLED NURSING, PHYSICAL THERAPY, AND SPEECH THERAPY VISITS IN 2014. FRMC HOME HEALTH PROVIDES EXCEPTIONAL AT HOME NURSING AND THERAPY TO SEVERAL COUNTIES IN THE AREA. 1151013 3905135 INPATIENT ACUTE AND BEHAVIORAL HEALTH UNITS - FRMC PROVIDES EXCELLENT ACUTE CARE THROUGH OUR HOSPITALIST PROGRAM. OUR GERIATRIC BEHAVIORAL HEALTH PROGRAM TREATS PATIENTS 65 AND OVER WITH VARYING BEHAVIORAL PROBLEMS. BOTH UNITS COMBINED ADMITED OVER 800 PATIENTS IN 2014. 5585995 4402291 LABORATORY AND OTHER PROGRAM EXPENSE 5585995 4402291 10145493 true true false true false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 41 0 true 211 true false false false false false false X 7 6 false false false false false false false true true false false true true true true true true true true false AR X FIVE RIVERS MEDICAL CENTER 8708926000 2801 MEDICAL CENTER DRIVE POCAHONTAS AR 72455 LUTHER LEWIS CEO 40.00 X X 143139 0 120 KYLE BALTZ CHAIRMAN 1.00 X 0 0 0 SCOTT TRAMMEL DIRECTOR 1.00 X 0 0 0 HAL S BARRE MD VICE CHAIR 1.00 X 0 0 0 JEROL SWAIM TREASURER 1.00 X 0 0 0 ALEXANDER BALTZ MD DIRECTOR 1.00 X 0 0 0 ANGELA CALDWELL SECRETARY 1.00 X 0 0 0 MANDY DOLLINS CNO 40.00 X 92703 0 10020 JOEY RADCLIFF CFO 40.00 X 66968 0 1378 JANE KUZAS PHYSICIAN 40.00 X 365050 0 9511 ROLANDO CHENG PHYSICIAN 40.00 X 263368 0 102 PHILLIP JANSEN PHYSICIAN 40.00 X 249930 0 5048 WILLIAM LEWIS PHYSICIAN 40.00 X 244599 0 7998 ROBERT HALL PHYSICIAN 40.00 X 201947 0 7997 1627704 42174 9 false true false CNB MEDICAL LLC PO DRAWER 1040 CLEVELAND MS 38732 HOSPITALIST 261430 STEPHEN KING MC 205 TIMBER HILLS DRIVE EL DORADO AR 71730 HOSPITALIST 159600 BKD LLP PO BOX 3667 LITTLE ROCK AR 72203 ACCOUNTING 134176 3 117450 117450 NET PATIENT SERVICE REVENUE 13786123 13786123 OTHER PROGRAM SERVICE REVENUE 842977 842977 14629100 130599 -130599 -130599 -130599 MEDICARE EHR INCENTIVE 1289950 1289950 OTHER MISC. REVENUE 75101 75101 CAFETERIA REVENUE 12345 12345 2013 877 1136 1379409 15995360 15789328 88582 X 314328 314328 7551879 5097518 2454361 576863 389383 187480 551133 372015 179118 86202 58186 28016 20680 13959 6721 123864 83608 40256 1820692 1228967 591725 10457 7058 3399 562567 379733 182834 405048 273407 131641 143357 96766 46591 472138 318693 153445 1038854 701226 337628 201392 135940 65452 MEDICAL SUPPLIES 937773 632997 304776 REPAIRS & MAINTENANCE 237721 160462 77259 OTHER 226895 153154 73741 DUES & SUBSCRIPTIONS 40356 27240 13116 22489 15181 7308 15344688 10145493 5199195 0 134251 240917 1788248 1457300 471268 539509 38316 68370 10843940 3531401 7992843 7312539 63837 166777 10488763 9785412 2763516 1900174 8631123 8437340 546898 250000 11941537 10587514 X -1452774 -802102 -1452774 -802102 10488763 9785412 650672 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1850 1850 false SCHEDULE C, PART IV FRMC IS A MEMBER OF THE ARKANSAS HOSPITAL ASSOCIATION, THE ORGANIZATION PAID DUES OF 9,252 TO AHA DURING 2014, 20% OF WHICH WAS RELATED TO LOBBYING. 174563 174563 5754199 1102295 4651904 4907743 2426451 2481292 7435 2655 4780 7312539 DUE TO THIRD-PARTY REIMBURSEMENT 250000 250000 15995360 15995360 15995360 15344688 15344688 15344688 true true X false true X true true false false 213500 213500 0.01390 1357151 621071 736080 0.04800 1570651 621071 949580 0.06190 3004944 2539177 465767 0.03040 3004944 2539177 465767 0.03040 4575595 3160248 1415347 0.09220 true 745121 387463 7020612 7374545 -353933 X true true 1 1 FIVE RIVERS MEDICAL CENTER 2801 MEDICAL CENTER DRIVE POCAHONTAS AR 72455 WWW.FIVERIVERSMC.COM X X X HOME HEALTH FIVE RIVERS MEDICAL CENTER 1 false false true X X X X X X X X 13 true false false true X WWW.FIVERIVERSMC.COM X false false true X 400.000000000000 X X X true true X X X X true X true X true X true X false false FACILITY 1, FIVE RIVERS MEDICAL CENTER - PART V, LINE 5 INTERVIEWS WITH NINE KEY INFORMANTS, AS WELL AS, ONE FOCUS GROUP, WERE CONDUCTED IN OCTOBER 2013. INFORMANTS WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. INTERVIEWS WERE CONDUCTED BY USING A STANDARD QUESTIONNAIRE. A SUMMARY OF THEIR OPINIONS WERE REPORTED WITHOUT JUDGING THE TRUTHFULNESS ORACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY, BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY, OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES, DELINEATION OF THE MOST IMPORTANT HEALTHCARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES. INTERVIEW DATA WAS INITIALLY RECORDED IN NARRATIVE FORM. INTERVIEWEES WERE ASSURED THAT PERSONAL IDENTIFIERS SUCH AS NAME OR ORGANIZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED IN THE REPORT. THE FOCUS GROUP WAS MADE UP OF MEMEBERS OF THE MEDICAL CENTER'S BOARD OF DIRECTORS AND MANAGEMENT. FOCUS GROUP PARTICIPANTS DISCUSSED THE SAME TOPICS AS THE INTERVIEWEES. AN INDEPENDANT CONSULTANT TOOK NOTES DURING THE DISCUSSION AND ANALYZED THE DATA FOR INCLUSION IN THE REPORT. FACILITY 1, FIVE RIVERS MEDICAL CENTER - PART V, LINE 11 EACH OF THE HEALTH NEEDS LISTED BELOW IS IMPORTANT AND IS BEING ADDRESSED IN PROGRAMS AND INITIATIVES OPERATED BY THE HOSPITAL. HOWEVER, THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE HEALTH NEEDS IDENTIFIED AS BEING ADDRESSED BY THE IMPLEMENTATION STRATEGY - ACCESS TO PRIMARY CARE, ACCESS TO RECREATIONAL FACILITIES, AGING ISSUES, CANCER, CEREBROVASCULAR DISEASES, CHILDREN IN POVERTY, DIABETES, HEART DISEASE, INADEQUATE SOCIAL SUPPORT, LIMITED ACCESS TO HEALTHY FOODS, LOW BIRTH WEIGHT, MOTOR VEHICLE CRASH DEATH RATE, OBESITY, POOR MENTAL HEALTH, POOR PHYSICAL HEALTH, PREVENTABLE HOSPITAL STAYS, SEXUALLY TRANSMITTED INFECTIONS, TEEN BIRTH RATE, TOBACCO USE, MEDICAL TRANSPORTATION. FACILITY 1, FIVE RIVERS MEDICAL CENTER - PART V, LINE 13B THE HOSPITAL ONLY PROVIDES DISCOUNTED CARE. IT DOES NOT PROVIDE FREE CARE. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS BAD DEBT IS THE UNPAID OBLIGATION FOR CARE BASED ON A HOSPITAL'S FULL ESTABLISHED RATES FOR PATIENTS WHO ARE UNWILLING TO PAY THEIR BILL. UNLIKE CHARITY CARE, BAD DEBT ARISES IN SITUATIONS WHERE THE PATIENT HAS EITHER NOT REQUESTED FINANCIAL ASSISTANCE OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS RECEIVABLE IS CLASSIFIED AS A BAD DEBT WHEN THE RECEIVABLE IS OVER 90 DAYS FROM DISCHARGE. AN ESTIMATE OF 52% WAS CALCULATED AS THE BAD DEBT EXPENSE THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE HOSPITAL WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION EFFOTS BEFORE MAKING AND DOCUMENTING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL MAY CONTRACT WITH EXTERNAL COLLECTION AGENCIES (AND TAKE OTHER ACTIONS AS NECESSARY) IN ORDER TO COLLECT ON DELINQUENT ACCOUNTS. PRIOR TO DOING SO, HOWEVER, THE HOSPITAL WILL TAKE THE FOLLOWING ACTIONS: SEND A STATEMENT TO THE PATIENT (AT THE PATIENT'S MOST CURRENTADDRESS ON FILE). NOTIFY THE PATIENT OF OUTSTANDING ACCOUNT(S) AND PROVIDING THE PATIENT WITH INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE. THIS INITIAL CONTACT WILL ALSO INCLUDE AN APPLICATION FOR FINANCIAL ASSISTANCE. SUCH INFORMATION WILL ALSO INCLUDE CONTACT INFORMATION FOR HOSPITAL STAFF MEMBERS WHO CAN ANSWER PATIENT QUESTIONS AND PROVIDE FURTHER INFORMATION AS NEEDED. AFTER NO LESS THAN FIFTEEN DAYS, THE ACCOUNT WILL BE TRANSFERRED FOR PROCESSING TO THE HOSPITAL'S EARLY OUT PROCESS, EITHER DIRECTLY THROUGH THE HOSPITAL OR THROUGH A THIRD PARTY CONTRACTOR. THE GOAL OF THE EARLY OUT PROCESS IS TO ESTABLISH A REASONABLE PAYMENT PLAN THAT THE PATIENT CAN MANAGE. IF THEY DO NOT QUALIFY FOR 100% FINANCIAL ASSISTANCE ALL PAYMENT PLAN PROPOSALS WILL BE CONSIDERED. THE PATIENT WILL RECEIVE AT LEAST TWO ADDITIONAL LETTERS (AT NO LESS THAN TWENTY DAY INTERVALS) REQUESTING PAYMENT AND NOTIFYING THE PATIENT OF THE POTENTIAL AVAILABILITY OF FINANCIAL ASSISTANCE AND STAFF CONTACT INFORMATION AS DESCRIBED ABOVE. THE PATIENT WILL ALSO RECEIVE A PHONE CALL DURING THE EARLY OUT PROCESS DURING WHICH THE PATIENT WILL BE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IF THE ACCOUNT REMAINS OUTSTANDING FOR A PERIOD OF TWENTY DAYS AFTER THE SECOND OF THE LETTERS REFERENCED ABOVE. THEN THE ACCOUNT MAY BE TURNED OVER TO COLLECTIONS. THE COLLECTION AGENCY WILL ALSO ATTEMPT TO WORK WITH THE PATIENT FOR A PERIOD OF NO LESS THAN THIRTY DAYS PRIOR TO TAKING ANY ADDITIONAL ACTIONS. ANY COLLECTION AGENCIES USED BY THE HOSPITAL WILL AGREE TO REFRAIN FROM ABUSIVE COLLECTION PRACTICES. BENCH WARRANTS, AND PROPERTY FORECLOSURES WILL NOT BE PART OF COLLECTION EFFORTS. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AT RATES HIGHER THAN THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERING SUCH CARE. FOR PURPOSES OF THIS POLLICY, "AMOUNTS GENERALLY BILLED" WILL BE DETERMINED BASED ON AVERAGING THE THREE LOWEST NEGOTIATED COMMERCIAL RATES FOR THOSE SERVICES AT THE HOSPITAL. THESE RATES WILL BE REVIEWED ANNUALLY. PART VI, LINE 2 - NEEDS ASSESSMENT FRMC COLLABORATES WITH OTHER LOCAL HEALTHCARE PROVIDERS TO ASSESS THE NEEDS OF THE COMMUNITY. FRMC ALSO PARTICIPATE IN ANNUAL HEALTH FAIRS TO GATHER FEEDBACK REGARDING HEALTH ISSUES. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL SENDS A STATEMENT TO THE PATIENT (AT THE PATIENT'S MOST CURRENT ADDRESS ON FILE), NOTIFYING THE PATIENT OF OUTSTANDING ACCOUNT(S) AND PROVIDES THE PATIENT WITH INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE. THIS INITIAL CONTACT WILL ALSO INCLUDE AN APPLICATION FOR FINANCIAL ASSISTANCE. SUCH INFORMATION WILL ALSO INCLUDE CONTACT INFORMATION FOR HOSPITAL STAFF MEMBERS WHO CAN ANSWER PATIENT QUESTIONS AND PROVIDE FURTHER INFORMATION AS NEEDED. THE GOAL OF THE HOSPITAL IS TO ESTABLISH A REASONABLE PAYMENT PLAN THAT THE PATIENT CAN MANAGE. IF THEY DO NOT QUALIFY FOR 100% FINANCIAL ASSISTANCE, ALL PAYMENT PLAN PROPOSALS WILL BE CONSIDERED. THE PATIENT WILL RECEIVE AT LEAST TWO ADDITIONAL LETTERS (AT NO LESS THAN TWENTY DAY INTERVALS) REQUESTING PAYMENT AND NOTIFYING THE PATIENT OF THE POTENTIAL AVAILABILITY OF FINANCIAL ASSISTANCE AND STAFF CONTACT INFORMATION AS DESCRIBED ABOVE. THE PATIENT WILL ALSO RECEIVE A PHONE CALL DURING THE PROCESS. DURING WHICH THE PATIENT WILL BE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. PART VI, LINE 4 - COMMUNITY INFORMATION THE HOSPITAL SERVES A SMALL, RURAL, DIVERSE COMMUNITY INCLUDING RANDOLPH COUNTY AND THE SURROUNDING COUNTIES. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH FRMC MAINTAINS AN OPEN MEDICAL STAFF AND THE GOVERNING BODY IS MADE UP OF VOLUNTARY LOCAL COMMUNITY MEMBERS ALONG WITH PHYSICIANS. THE HOSPITAL CARES FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND PROACTIVELY SEEKS TO ENROLL ALL ELIGIBLE PATIENTS INTO APPROPRIATE PROGRAMS TO IMPROVE ACCESS TO CARE. X true true X false false false true false true false false false JANE KUZAS PHYSICIAN 364342 708 9511 374561 ROLANDO CHENG PHYSICIAN 261395 1973 102 263470 PHILLIP JANSEN PHYSICIAN 249930 5048 254978 WILLIAM LEWIS PHYSICIAN 244020 579 7998 252597 ROBERT HALL PHYSICIAN 200119 1828 7997 209944 SCHEDULE J, PAGE 1, PART I, LINE 1A 1,740 IN COUNTRY CLUB DUES TO THE ROLLING HILLS COUNTRY CLUB FOR MR. LUTHER LEWIS. ALL PERSONAL AMOUNTS WERE PAID DIRECTLY BY MR. LEWIS. SCHEDULE J, PAGE 1, PART I, LINE 5A THE FOLLOWING INCENTIVE PAY MAY BE EARNED IN ADDITION TO THE BASE SALARY EARNED. INCENTIVE PAY WILL BE REVIEWED AND PAID AT EACH ANNUAL ANNIVERSARY DATE OF MR. LEWIS'S EMPLOYMENT. THE INCENTIVE PROGRAM WILL CONSIST OF THE FOLLOWING CONDITIONS: 1) ALL ACCOUNTS PAYABLE OF ANY KIND MUST BE CURRENT. ANY ACCOUNT PAST DUE MORE THAN 30 DAYS WILL NOT BE CONSIDERED CURRENT. MEETING THIS CONDIDTION WILL EARN INCENTIVE PAY OF 10,000 AND WILL GIVE MR. LEWIS THE OPPORTUNITY TO EARN ADDITIONAL INCENTIVE PAY. 2) POSITIVE NET INCOME OVER THE TRAILING TWELVE MONTH PERIOD PRECEDING ANY ANNIVERSARY DATE. THE TRAILING TWELVE MONTH NET INCOME CALCULATED ON THE INCOME STATEMENT BEING REVIEWED BY THE BOARD ON A MONTHLY BASIS WILL BE USED TO DETERMINE ANY EARNED INCENTIVE. MEETING BOTH CONDITION 1 AND CONDITION 2 WILL EARN ADDITIONAL INCENTIVE PAY OF 10,000. 3) ALL AGREED UPON QUALITY INDICATORS DETERMINED BY THE BOARD OF DIRECTORS MUST BE AT ACCEPTABLE LEVELS. MEETING CONDITIONS 1, 2, & 3 WILL EARN ADDITIONAL INCENTIVE PAY OF 10,000. 4) INCREASED NET REVENUES FOR THE TRAILING TWELVE MONTHS. NET REVENUES PRECEDING ANY ANNIVERSARY DATE WILL BE COMPARED TO THE TRAILING TWELVE MONTH NET REVENUES FROM THE PRIOR YEAR PERIOD. IF CONDITIONS 1, 2, & 3 HAVE ALL BEEN MET, THEN ANY NET REVENUE INCREASE UP TO 6.25% WILL BE MULTIPLIED BY THE BASE PAY AND PAID AS AN INCENTIVE. SUCH ADDITIONAL INCENTIVE SHALL NOT EXCEED 10,000 (160,000 X .0625 = 10,000) TOTAL INCENTIVE PAY FOR ALL CONDITIONS MAY NOT EXCEED 40,000. SCHEDULE J, PAGE 1, PART I, LINE 6A THE FOLLOWING INCENTIVE PAY MAY BE EARNED IN ADDITION TO THE BASE SALARY EARNED. INCENTIVE PAY WILL BE REVIEWED AND PAID AT EACH ANNUAL ANNIVERSARY DATE OF MR. LEWIS'S EMPLOYMENT. THE INCENTIVE PROGRAM WILL CONSIST OF THE FOLLOWING CONDITIONS: 1) ALL ACCOUNTS PAYABLE OF ANY KIND MUST BE CURRENT. ANY ACCOUNT PAST DUE MORE THAN 30 DAYS WILL NOT BE CONSIDERED CURRENT. MEETING THIS CONDIDTION WILL EARN INCENTIVE PAY OF 10,000 AND WILL GIVE MR. LEWIS THE OPPORTUNITY TO EARN ADDITIONAL INCENTIVE PAY. 2) POSITIVE NET INCOME OVER THE TRAILING TWELVE MONTH PERIOD PRECEDING ANY ANNIVERSARY DATE. THE TRAILING TWELVE MONTH NET INCOME CALCULATED ON THE INCOME STATEMENT BEING REVIEWED BY THE BOARD ON A MONTHLY BASIS WILL BE USED TO DETERMINE ANY EARNED INCENTIVE. MEETING BOTH CONDITION 1 AND CONDITION 2 WILL EARN ADDITIONAL INCENTIVE PAY OF 10,000. 3) ALL AGREED UPON QUALITY INDICATORS DETERMINED BY THE BOARD OF DIRECTORS MUST BE AT ACCEPTABLE LEVELS. MEETING CONDITIONS 1, 2, & 3 WILL EARN ADDITIONAL INCENTIVE PAY OF 10,000. 4) INCREASED NET REVENUES FOR THE TRAILING TWELVE MONTHS. NET REVENUES PRECEDING ANY ANNIVERSARY DATE WILL BE COMPARED TO THE TRAILING TWELVE MONTH NET REVENUES FROM THE PRIOR YEAR PERIOD. IF CONDITIONS 1, 2, & 3 HAVE ALL BEEN MET, THEN ANY NET REVENUE INCREASE UP TO 6.25% WILL BE MULTIPLIED BY THE BASE PAY AND PAID AS AN INCENTIVE. SUCH ADDITIONAL INCENTIVE SHALL NOT EXCEED 10,000 (160,000 X .0625 = 10,000) TOTAL INCENTIVE PAY FOR ALL CONDITIONS MAY NOT EXCEED 40,000. FORM 990, PAGE 2, PART III, LINE 4D LABORATORY AND OTHER PROGRAM EXPENSE FORM 990, PAGE 6, PART VI, LINE 11B THE CFO REVIEWS THE 990 BEFORE IT IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C EACH DIRECTOR SHALL, AT THEIR FIRST REGULAR BOARD MEETING OF THE CALENDAR YEAR, EXECUTE AND DELIVER TO THE SECRETARY, A CONFLICT OF INTEREST STATEMENT PURSUANT TO THE CORPORATION'S CONFLICT OF INTEREST POLICY. EACH DIRECTOR SHALL AT ALL TIMES, COMPLY FULLY WITH THE PROVISIONS OF THE CORPORATION'S CONFLICT OF INTEREST POLICY. FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION OF THE CEO AND OTHER OFFICERS IS DETERMINED USING COMPARABLE AHA WAGE DATA. THE BOARD OF DIRECTORS APPROVES THESE SALARIES. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF THE OTHER OFFICERS IS DETERMINED USING COMPARABLE AHA WAGE DATA. THE BOARD OF DIRECTORS APPROVES THESE SALARIES. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE NOT AVALIABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES 1,228,967 591,725 0