2014-08-12T12:18:11-05:00 2013-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2012-10-01 592390209 Munroe Regional Health System Inc % JON KURTZ MUNR 3526223662 1121 SW 1st Avenue Suite Ocala FL 344710198 JON KURTZ 3526223662 2014-08-11 true 3362753394 2012 2015-11-30 17:44:51Z Munroe Regional Medical Center Stephen A Purves 1121 SW 1ST AVE OCALA FL 34471 465479820 false X www.MunroeRegional.com X 1983 FL TO IMPROVE THE HEALTH OF OUR COMMUNITY BY DELIVERING COMPASSIONATE, INNOVATIVE CARE THROUGH EXCEPTIONAL PEOPLE DOING EXTRAORDINARY WORKS. 13 11 3111 1655 855242 533074 1263505 515840 293214530 300038058 2392295 7745625 2230252 9206699 299100582 317506222 0 0 0 0 149479578 158958000 0 0 10398 149490319 153720738 298969897 312678738 130685 4827484 362383482 344589340 143201240 131136829 219182242 213452511 TO IMPROVE THE HEALTH OF OUR COMMUNITY BY DELIVERING COMPASSIONATE, INNOVATIVE CARE THROUGH EXCEPTIONAL PEOPLE DOING EXTRAORDINARY WORKS. false false 252998859 DAILY HOSPITAL & ANCILLARY SERVICES: DAILY HOSPITAL MEDICAL, NURSING CARE AND ROOM & BOARD. INCLUDES MEDICAL/SURGICAL, CARDIAC CARE, INTENSIVE CARE, PEDIATRIC, OBSTETRICS AND NEWBORN NURSERY SERVICES. SUPPORT SERVICES OTHER THAN ROUTINE MEDICAL/NURSING CARE THAT ARE PROVIDED TO HOSPITAL PATIENTS IN THE COURSE OF THEIR TREATMENT. EXAMPLES INCLUDE IMAGING SERVICES, SURGICAL & RECOVERY SERVICES, PHARMACY, LABORATORY, RESPIRATORY CARE, AND LABOR & DELIVERY. DURING FY 2013, 21,815 INPATIENT ADMISSIONS, 54,570 OUTPATIENT VISITS AND 24,293 NEWBORN DELIVERIES WERE TREATED AT MUNROE REGIONAL MEDICAL CENTER. 17028158 EMERGENCY & TRAUMA SERVICES: CARE FOR PATIENTS IN NEED OF EMERGENCY SERVICES 24 HOURS A DAY, 7 DAYS A WEEK. INCLUDES STATE OF THE ART EQUIPMENT AND THE ABILITY TO CARE FOR TRAUMA AND PEDIATRIC EMERGENCY PATIENTS, AS WELL AS, OTHER MEDICAL EMERGENCIES. THE TOTAL ED VISITS FOR FY 2013 WERE 106,821. 8669938 COST OF CHARITY CARE PROVIDED TO OUR PATIENTS. 278696955 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 true false false false false false false false false false false false false false false false true false false false true 262 0 true 3111 true true true false false false true true false false false false false X 13 11 true false false false false true false true true false false true true true true true true true true true true X JON KURTZ 3526223662 1121 SW 1ST AVE OCALA FL 34471 Brian O'Connor 5.0 X Larry Strack 5.0 X Joseph M Hanratty JD 5.0 X Jon M Kurtz 5.0 X David Cope 5.0 X Chuck Koch 5.0 X Joan Stearns 5.0 X Ravi Chandra MD 5.0 X 12900 Richard Bianculli 5.0 X Ron Ewers 5.0 X George Kirkland 5.0 X Edward King MD 5.0 X 27900 Ken Marino DPM 5.0 X Stephen A Purves 60.0 X 610617 0 70190 Richard D Mutarelli 60.0 X 647923 68885 Gary Paul Clark 60.0 X 564120 69383 Lon McPherson 60.0 X 391906 67708 John A Galat MD 40.0 X 658684 36164 David E Lammermeier MD 40.0 X 659838 38559 Sooyoung P Chung MD 40.0 X 660641 40887 Robert Craig Kuykendall MD 40.0 X 657868 39980 Kevin M Hoddinott MD 40.0 X 443004 17852 5335401 0 449608 93 false true false PRICEWATERHOUSECOOPERS LLP 10 TENTH STREET SUITE 1400 ATLANTA GA 30309 ACCOUNTING SERVICES 298922 MALLINCKRODT LLC PO BOX 905835 CHARLOTTE NC 28290 PHARMACEUTICAL SVCS 163360 IRENE BOYD INSTITUTE 113 NE 1ST STREET CHIEFLAND FL 32626 HEALTHCARE 149185 SANIJAX LLC 4503 IRVINGTON AVENUE SUITE 1 JACKSONVILLE FL 32210 TILE CLEANING SVCS 125085 MICHAEL GLOVERS LAWN SERVICE PO BOX 868 FAIRFIELD FL 32634 LAWN SERVICE 123995 30 320099 195741 515840 NET PATIENT SERVICE REVENUE 900099 299700174 299700174 KINDRED SERVICES 541900 217657 217657 LABORATORY SERVICES 541900 120227 120227 300038058 3764617 517358 3247259 0 0 991172 64494 0 926678 926678 926678 151890112 147909104 3981008 3981008 3981008 0 0 0 OTHER REVENUE 900099 7115876 7115876 JOINT VENTURE INVESTMENT INCOME 900099 1164145 1164145 8280021 317506222 299700174 855242 16434966 0 0 0 0 2214565 2214565 0 128015452 113193392 14822060 5466616 4751476 715140 14089786 12246567 1843219 9171581 7971759 1199822 0 1714621 1714621 297186 297186 82583 82583 0 226336 226336 0 183197 7027 173734 2436 70380545 67855492 2523674 1379 8645678 8645678 0 3865310 3767105 98205 0 0 257308 101819 155489 3853871 3853871 0 17240217 17240217 1284642 1284642 CONTRACTED SERVICES 20145633 16238420 3907213 FOOD AND DRUGS 15315934 14878165 431186 6583 PROFESSIONAL FEES 7023388 5992026 1031362 COMMUNITY BENEFIT 1232831 1232831 1971458 669299 1302159 312678738 278696955 33971385 10398 16638279 25074794 5634358 2158116 298214 0 40174843 41125423 0 0 0 0 0 0 6821649 6193711 5931491 5107890 371039598 230764410 148263373 140275188 110315641 103253546 6496036 6331344 0 0 0 0 21809598 15069328 362383482 344589340 35592651 31021424 0 0 0 0 84467272 84015601 0 0 0 0 548114 20247 0 0 22593203 16079557 143201240 131136829 X 214991657 209092163 4190585 4360348 0 0 219182242 213452511 362383482 344589340 4827484 -10557215 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 82583 82583 false Lobbying Schedule C, Part II-B, Line 1 Fees paid to a professional lobbyist. 9466421 9466421 210878334 115742850 95135484 145088589 111232356 33856233 5606254 3789204 1817050 140275188 0 OTHER LIABILITIES 1820536 SELF-INSURED LIABILITIES 8500000 COMPENSATED ABSENCES 5759021 16079557 X 306949007 -10557215 -10557215 317506222 317506222 312678738 312678738 312678738 true true true X true X true true true false true true 8669938 8669938 0.02770 8669938 8669938 0.02770 1349397 1349397 0.00430 589175 589175 0.00190 1938572 1938572 0.00620 10608510 10608510 0.03390 true 7984494 3593022 123485754 123336600 149154 X true true Ocala Healthcare Nursing & Rehab Facility 0.62500 Timberridge Imaging Medical Imaging Services 0.50000 Munroe Regional Home Home Health Services 0.49000 Medical Imaging Cntr Medical Imaging Services 0.33333 1 1 MUNROE REGIONAL MEDICAL CENTER

1121 SW 1ST AVENUE OCALA FL 34471

X X X MUNROE REGIONAL MEDICAL CENTER 1 true X X X X X X X X X 11 true true true X X X X X X true false true true 200. true 300. true X X true true X X X X X true false X X X X true X false false COMMUNITY BENEFIT REPORT Part I, Line 6a COMMUNITY OUTREACH AND SERVICES MUNROE REGIONAL PROVIDES QUALITY EMERGENCY, INPATIENT AND OUTPATIENT SERVICES TO THE COMMUNITY AS A WHOLE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN ADDITION, A VARIETY OF OTHER HEALTH SERVICES ARE OFFERED THAT ARE NOT STRICTLY ASSOCIATED WITH ACUTE CARE. THESE PROGRAMS ARE DESIGNED AS OUTREACH PROGRAMS TARGETING SMALLER GROUPS WITHIN THE COMMUNITY WHO HAVE SPECIAL NEEDS. MUNROE REGIONAL'S OUTREACH PROGRAMS FOCUS ON CONTRIBUTING KNOWLEDGE AND RESOURCES BACK TO THE COMMUNITY. IN 2013, MUNROE PLANNED AND DEVELOPED 36 PUBLIC EVENTS SUCH AS COMMUNITY PHYSICIAN LECTURES & EDUCATIONAL CLASSES, HEALTH EXPOS, SCREENINGS, ETC WITH AN ATTENDANCE OF 16,572. THIS IS SIGNIFICANT "GRASSROOTS" OUTREACH IN ORDER TO EDUCATE AND IMPROVE ACCESS TO HEALTHCARE. HEALTH RESOURCE LINE AS WELL AS ANSWERING QUESTIONS ON HEART CARE, EMERGENCY MEDICINE, DIABETES, NEUROSCIENCE, WOMEN'S HEALTH, AND YOUR OWN HEALTH ISSUES, MUNROE REGIONAL'S REGISTERED NURSE AND TRAINED ASSOCIATES ALSO PROVIDED PHYSICIAN REFERRAL INFORMATION. IN 2013, THE HEALTH RESOURCE LINE RECEIVED 15,344 CALLS FROM THE COMMUNITY. SUPPORT FOR THE REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO) HEALTHY OCALA, PROVIDING DATA CENTER FACILITIES AND OPERATIONAL SUPPORT FOR COMPUTER SYSTEM HOSTING. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST Part I, Line 7 The costing methodology used to calculate the amounts reported in the table were: 7a (c) Total Expense to Gross Revenue ratio derived from the 2012 Audited Financial Statements 7b (c) Cost to Charge Ratio was derived from the 2012 Cost Report 7b (f-i) Actual amounts paid BAD DEBT EXPENSE Part III, Line 4 The footnote (1)(p) disclosed in the audited financials included net bad debts measured by established charges of $41,307,989 and by costs of $7,984,494. The patient care cost was calculated by using total operating expense (including bad debts). The costing methodology was total expense to gross revenue ratio derived from the audited financial statements. Charity care (at cost) at Munroe Regional is defined as the cost of providing care to qualified individuals under federal poverty guidelines who have no insurance and are otherwise unable to pay. This amount includes only those individuals that completed a charity financial application and qualified for charity care. Bad debt represents the amounts that were expected from the individuals but not received. Individuals that may have qualified for charity care but did not apply for assistance are classified as bad debts. COMMUNITY BENEFIT Part III, Line 8 The Unreimbursed Medicare surplus of $149,154 was computed by the cost to charge ratio from the 2012 cost report. Munroe is committed to making a difference in the health of those living in our community. Through our dedication to caring for those in need of medical care, regardless of their ability to pay, we continue to build on a longstanding tradition of doing our part to advance quality healthcare throughout Marion County. As your community owned medical center, Munroe provides charity care for those unable to pay and absorbs these costs along with the expense of medical care that is inadequately reimbursed by governmental programs such as Medicare. In addition, Munroe has developed community benefit programs for the purpose of improving the health status of our community as a whole, as well as an emphasis on the underserved. The information on this page highlights the medical center's quantifiable community benefits to Marion County. DEBT COLLECTION POLICY Part III, Line 9 At the time of admission, the patients receive a financial assistance information letter and a collection form. The letter and collection form provides the patient with various financial options. If the patient is interested in financial assistance, a collection form is completed and the patient works with our customer service department to process the selected option. If the patient would like to apply for charity, an application is provided with instructions. Once the business office receives the completed charity application, a determination is made whether or not the patient is approved. Once the patient is approved for charity, the approval is applied to all open accounts either 6 months forward or 6 months back. Our program uses the Federal Poverty Levels (FPL) guidelines, family size and income. Income up to 200% may be used for a full charity write-off for the Munroe Charity program and incomes up to 300% of the FPL may be used for Munroe Catastrophic program. ENTITIES CONSULTED WHEN CONDUCTING CHNA SCHEDULE H, PART V, LINE 3 MUNROE CONSULTED THE FOLLOWING ENTITIES WHEN CONDUCTING ITS MOST RECENT CHNA: Ocala Health System Heart of Florida The Centers Dean Law Firm Well Florida Council Marion County Health Department Access to Healthcare Marion County Parks and Recreation Hospice of Marion County United Way Marion County Sheriff's Office CHNA CONDUCTED WITH OTHER HOSPITAL FACILITY SCHEDULE H, PART V, LINE 4 MUNROE'S CHNA WAS CONDUCTED WITH OCALA HEALTH SYSTEM. CHNA AVAILABLE TO THE PUBLIC SCHEDULE H, PART V, LINE 5 MUNROE MADE ITS CHNA REPORT WIDELY AVAILABLE THROUGH THE FOLLOWING WESBSITE: WWW.FLORIDAHEALTH.GOV NEEDS ASSESSMENT DESCRIPTION SCHEDULE H, PART VI, LINE 2 MUNROE REGIONAL MEDICAL CENTER IN PARTNERSHIP WITH SEVERAL COMMUNITY HEALTHCARE RELATED ORGANIZATIONS EMBARKED ON A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT THAT STARTED MAY 1, 2011. THE REPORT WAS SHARED WITH THE COMMUNITY IN SEPTEMBER 2012. A COPY OF THE REPORT AND SUPPORTING DOCUMENTATION CAN BE FOUND AT WWW.MUNROEREGIONAL.COM/COMMUNITYHEALTHNEEDSASSESSMENT. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE DESCRIPTION SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE DESCRIPTION SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION IS PROVIDED THROUGH VARIOUS MEANS THROUGHOUT THE ORGANIZATION. AT THE TIME OF ADMISSION, THE PATIENT RECEIVES A FINANCIAL ASSISTANCE INFORMATION LETTER AND A COLLECTION FORM FROM OUR FINANCIAL COUNSELORS. OUR FINANCIAL COUNSELORS EDUCATE THE PATIENT ON THE SEVERAL OPTIONS AVAILABLE AND ANSWER ANY QUESTIONS THE PATIENT MAY HAVE THAT TIME. PATIENT EDUCATION RELATED TO ELIGIBILITY FOR ASSISTANCE IS ALSO PROVIDED BY CALLING OUR CUSTOMER SERVICE DEPARTMENT, VISITING OURBUSINESS OFFICE AND ACCESSING THE INFORMATION PROVIDED ON OUR WEBSITE. IN ADDITION, DEPENDING ON THE SEQUENCE OF THE BILLING STATEMENT THE PATIENT RECEIVES MAY INCLUDE A PERSONAL REPRESENTATIVE'S NAME THAT CAN BE CONTACTED IF THE PATIENT HAS ANY OUESTIONS REGARDING THE NEED FOR ASSISTANCE. COMMUNITY INFORMATION DESCRIPTION SCHEDULE H, PART VI, LINE 4 Marion County, Florida, is located in north central Florida along Interstate-75 and spanning 1,652 square miles. Marion County boasts a mix of urban, suburban and rural areas. Marion County 2012 population was 340,012 (US Census Bureau and 2012 Nielsen Company): Age Males Females 0-17 35,520 33,322 18-24 12,403 11,710 25-34 17,185 16,854 35-54 40,329 42,240 55-74 42,795 49,290 75 & Over 16,930 20,804 Total 165,162 174,850 Ethnic Diversity 2012 Total Report Percent White 268,284 78.90% African American 42,315 12.45% American Indian/Alaskan Native 1,319 0.39% Asian 4,880 1.44% Native Hawaiian/Pacific Islander 161 0.05% Two or More Races 7,369 2.17% Some Other Race 10,498 3.09% OTHER INFORMATION Schedule H, Part VI, Line 5 & 6 MUNROE REGIONAL MEDICAL CENTER IS COMMITTED TO MEETING YOUR HEALTHCARE NEEDS AND HAS BEEN FOR OVER 116 YEARS. OUR MISSION HAS BEEN WOVEN INTO THE VERY FABRIC OF EVERYTHING WE DO AND WE CALL THIS THE MUNROE WAY. RECENT ACCOLADES AND AWARDS NATIONAL RESEARCH CORPORATION (NRC) CONSUMER CHOICE - NAMED MARION COUNTY'S MOST PREFERRED HOSPITAL. OVERALL QUALITY AND IMAGE AND BEST DOCTORS & NURSES FOR 11 CONSECUTIVE YEARS. ONE OF ONLY NINE HOSPITALS IN FLORIDA TO WIN 11 OR MORE CONSECUTIVE TIMES. SOCIETY OF CHEST PAIN CENTERS ONE OF ONLY 12% OF HOSPITALS IN THE UNITED STATES TO BE RECOGNIZED AS AN ACCREDITED CHEST PAIN CENTER AND THE FIRST ACCREDITED CHEST PAIN CENTER IN MARION COUNTY. AMERICAN ASSOCIATION OF CRITICAL CARE NURSES BEACON AWARD FOR EXCELLENCE -ONLY FOUR-TIME BEACON AWARD RECIPIENT IN THE STATE OF FLORIDA AND ONE OF ONLY SIX IN THE NATION TO RECEIVE THIS DISTINCTION FOUR OR MORE TIMES. AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY DESIGNATED A BARIATRIC CENTER OF EXCELLENCE. THE JOINT COMMISSION RECOGNIZED AS A PRIMARY STROKE CENTER. MUNROE WAS THE FIRST PRIMARY STROKE CENTER IN MARION COUNTY. RECEIVED GOLD SEAL OF APPROVAL FOR DIABETES OUTPATIENT SERVICES. AMERICAN HOSPITAL ASSOCIATION MOST WIRED IN HEALTHCARE - 2013 & 2014 OUR COMMITMENT TO SERVE OUR COMMUNITY DURING THESE BUSY TIMES WOULD NOT HAVE BEEN POSSIBLE WITHOUT THE TIRELESS EFFORTS OF OUR 2,500 ASSOCIATES, 450 PHYSICIANS, 1,700 VOLUNTEERS. MUNROE HAS AN OPEN MEDICAL STAFF WITH LIMITED EXCEPTIONS IN HIGHLY SPECIALIZED AREAS SUCH AS NEUROSURGERY & CARDIAC CARE. MUNROE HAS A SEVEN (7) MEMBER BOARD OF TRUSTEES. ALL "SURPLUS FUNDS" ARE UTILIZED OR ON HAND TO SUPPORT THE MISSION OF MUNROE REGIONAL AND ARE RE-INVESTED INTO THE FACILITIES, EQUIPMENT AND OPERATIONS. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 IN ADDITION TO THE STATE OF FLORIDA, A COMMUNITY BENEFIT REPORT WAS PROVIDED TO: MARION COUNTY BOARD OF COUNTY COMMISSIONERS UNITED STATES CONGRESSIONAL DELEGATION FOR THE STATE OF FLORIDA MARION COUNTY LEGISLATIVE DELEGATION MARION COUNTY CONSTITUTIONAL OFFICERS CITY OF OCALA FLORIDA HOSPITAL ASSOCIATION AMERICAN HOSPITAL ASSOCIATION FLORIDA TAX WATCH FLORIDA CHAMBER OF COMMERCE OCALA/MARION COUNTY CHAMBER X X X X X false false false true false true false false false Stephen A Purves 488446 0 0 0 122171 0 17000 0 53190 0 680807 0 0 0 Richard D Mutarelli 358169 0 289754 17000 51885 716808 0 Gary Paul Clark 318669 0 245451 17000 52383 633503 0 Lon McPherson 324763 0 67143 17000 50708 459614 0 John A Galat MD 580963 0 77721 0 36164 694848 0 David E Lammermeier MD 584169 0 75669 0 38559 698397 0 Sooyoung P Chung MD 583688 0 76953 0 40887 701528 0 Robert Craig Kuykendall MD 582199 0 75669 0 39980 697848 0 Kevin M Hoddinott MD 339578 44834 58592 0 17852 460856 0 ANNUAL INCENTIVE PLAN Munroe Regional's total compensation plan includes an annual incentive compensation program for all employees in a leadership position. Individual cash awards are linked to organizational goals: as well as individual performance goals based on pre-determined performance with metrics including quality & patient safety, operational improvement, and service line growth. A MARION COUNTY HOSPITAL DISTRICT 591159266 2007-04-17 61345000 REFUNDING AND IMPROVEMENT REVENUE false false false B MARION COUNTY HOSPITAL DISTRICT 591159266 2009-10-09 25425000 REVENUE REFUNDING BONDS false false false A 0 0 62390917 0 0 52020608 370309 0 0 10000000 0 0 false true true true B 500000 0 25425000 0 0 25425000 0 0 0 0 0 0 true false true true A false false false false false false 0 false false false false B false false false false false false 0 false false false false A false false false false 0 false false false 0 false false B false false true true RJ CAPITAL 22.2 false false false 0 false false A false B false TAX-EXEMPT BOND CUSIP# PART I, COLUMN C CUSIP#: 568787 SUFFIXES: EZ4, FA8, FB6, EW1, EX9, FC4, FD2, FEO TOTAL PROCEEDS OF ISSUE PART II, COLUMN E, LINE 3 THE PART I, COLUMN E "ISSUE PRICE" DOES NOT AGREE WITH THE PART II, LINE 3 "TOTAL PROCEEDS OF ISSUE" FOR CERTAIN BONDS DUE TO THE INCLUSION OF A PREMIUM AND AN UNDERWRITER'S DISCOUNT ON THE PROCEEDS ACCOUNTS. Elected Members of the Governing Board Part VI, Section A, line 7a SEVEN OF THE THIRTEEN MEMBERS OF THE GOVERNING BODY ARE APPOINTED BY THE MARION COUNTY COMMISSION. Board Review of Form 990 Part VI, Section B, line 11 DURING AUGUST OF 2014, MANAGEMENT DISTRIBUTED A DRAFT OF THE 2012 FORM 990 TO THE MCHD TRUSTEES. THE TRUSTEES REVIEWED THE FORM 990 AND CONTACTED THE EXECUTIVE DIRECTOR WITH ANY QUESTIONS REGARDING THE FORM 990. THE EXECUTIVE MANAGEMENT COMMITTEE APPROVED THE FORM 990 AND SUBMITTED IT TO THE APPROPRIATE AUTHORITIES. THE TRUSTEES WILL RATIFY THE FILING OF THE FORM 990 AT ITS TRUSTEE MEETING IN AUGUST 2014. Conflict of Interest Policy Part VI, Section B, line 12 MUNROE HAS ESTABLISHED COMPREHENSIVE BOARD/TRUSTEES AND ASSOCIATES CONFLICT OF INTEREST POLICIES THAT HAVE BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS (ASSOCIATES INCLUDE MUNROE'S OFFICERS, MANAGEMENT, COMMITTEE MEMBERS, TEAM MEMBERS AND EMPLOYEES). MUNROE IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH BOARD MEMBER AND ASSOCIATE TO ACT ETHICALLY IN CARRYING OUT MUNROE'S BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT IMPACT ITS BUSINESS, THUS THE BOARD/TRUSTEES AND ASSOCIATES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. MUNROE HAS SPECIFICALLY IDENTIFIED THE FOLLOWING AS A CONFLICT OF INTEREST FOR THE BOARD/TRUSTEES AND ASSOCIATES: 1) FOR THE BOARD AND TRUSTEES: A. DIRECT OR INDIRECT INVESTMENT IN, HOLDING INDEBTEDNESS OF, OR HAVING A COMPENSATION ARRANGEMENT WITH A HOSPITAL COMPETITOR; B. EMPLOYMENT BY, OR PARTICIPATION IN, THE ADMINISTRATION, MANAGEMENT, OR GOVERNANCE OF A HOSPITAL COMPETITOR. C. EMPLOYMENT BY, OR PRACTICE WITH, A MEDICAL GROUP PRACTICE THAT IS PRIMARILY OR SIGNIFICANTLY AFFILIATED WITH A HOSPITAL COMPETITOR; AND D. AFFILIATION WITH A HOSPITAL COMPETITOR THAT MAY REASONABLY GIVE RISE TO A CONCERN THAT THE INDIVIDUAL MAY NOT BE ENTIRELY IMPARTIAL AND DISINTERESTED IN MAKING DECISIONS IN THE BEST INTERESTS OF MUNROE. E. OTHER ANTI-COMPETITIVE ACTIVITIES. 2) FOR ASSOCIATES: A. COMPETING WITH MUNROE IN THE RENDERING OF SERVICES, HAVING A MATERIAL FINANCIAL INTEREST IN OR SERVING AS AN OFFICER, EMPLOYEE, AGENT, PARTNER, ASSOCIATE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR OR OTHER LEGAL REPRESENTATIVE OF, OR CONSULTANT TO; AN ENTITY OR INDIVIDUAL THAT COMPETES WITH MUNROE IN THE PROVISION OF SERVICES. B. ACCEPTING GIFTS, ENTERTAINMENT OR OTHER FAVORS FROM ANY INDIVIDUAL OR ENTITY THAT DOES OR IS SEEKING TO DO BUSINESS WITH, OR IS A COMPETITOR OF MUNROE. C. HAS RECEIVED, IS RECEIVING OR IS SEEKING TO RECEIVE A LOAN OR GRANT, OR TO SECURE OTHER FINANCIAL COMMITMENTS FROM MUNROE; OR UNDER CIRCUMSTANCES WHERE IT MIGHT BE INFERRED THAT SUCH ACTION WAS INTENDED TO INFLUENCE OR POSSIBLY WOULD INFLUENCE THE ASSOCIATE IN THE PERFORMANCE OF HIS OR HER DUTIES. THIS DOES NOT PRECLUDE THE ACCEPTANCE OF ITEMS OF NOMINAL OR INSIGNIFICANT VALUE (UNDER $50) OR ENTERTAINMENT OF NOMINAL OR INSIGNIFICANT VALUE (UNDER $50) WHICH ARE NOT RELATED TO ANY PARTICULAR TRANSACTION OR ACTIVITY OF MUNROE. MUNROE'S POLICY REQUIRES THAT THE ABOVE INDIVIDUALS DISCLOSE PARTICIPATION IN ACTIVITIES OR CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST ON AN ANNUAL BASIS OR IF AT ANY TIME SUCH INDIVIDUAL BECOMES AWARE OF CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER, AUDIT COMMITTEE AND THE BOARD, AS NECESSARY. Monitoring the Conflict of Interest Policy Part VI, Section B, line 12c THE ORGANIZATION HAS THE BOARD/TRUSTEES SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY AND THESE FORMS ARE TRACKED AND MONITORED. THE ORGANIZATION ALSO PROVIDES THE BOARD/TRUSTEE WITH ANNUAL EDUCATION THAT COVERS ALL COMPLIANCE AREAS INCLUDING CONFLICT OF INTEREST. FOR ASSOCIATES, THE ORGANIZATION PROVIDES ANNUAL EDUCATION ON CONFLICTS OF INTEREST (WHICH IS INCLUDED IN THE COMPLIANCE PROGRAM TRAINING) AND THEY SIGN-OFF THAT THEY HAVE READ AND UNDERSTAND THE COMPLIANCE PROGRAM (WHICH MANDATES THE DISCLOSURE OF ANY CONFLICT OF INTEREST). ANY ASSOCIATE CONFLICT OF INTEREST IS REPORTED TO THE CHIEF COMPLIANCE OFFICER FOR RESEARCH AND RESOLUTION. ADDITIONALLY, THE ORGANIZATION HAS A NEPOTISM POLICY THAT WE MONITOR AND ENFORCE. Compensation Review Part VI, Section B, line 15 MUNROE REGIONAL HEALTH SYSTEM'S BOARD OF DIRECTORS DESIGNATED THE COMPENSATION COMMITTEE OF THE BOARD TO BE RESPONSIBLE FOR ESTABLISHING COMPENSATION PRACTICES WHICH ARE REASONABLE AND DO NOT VIOLATE THE PRIVATE INUREMENT PROHIBITION . THE PRACTICES AND PROCESSES ARE DESIGNED TO AVOID ANY CLAIM FOR INTERMEDIATE SANCTIONS AND TO SATISFY THE REQUIREMENTS TO OBTAIN THE REBUTTABLE PRESUMPTION. IT IS THE DUTY OF THE BOARD TO ANNUALLY REVIEW BASE SALARY, SALARY INCREASE AND INCENTIVE COMPENSATION AWARDED TO THE CEO. THE COMPENSATION COMMITTEE COMPLETES THIS REVIEW WITH RECOMMENDATIONS TO THE FULL BOARD. THE CEO, IN CONSULTATION WITH THE COMPENSATION COMMITTEE ANNUALLY REVIEWS AND DETERMINES THE BASE SALARY, SALARY INCREASE AND INCENTIVE COMPENSATION AWARDED TO EACH MEMBER OF EXECUTIVE MANAGEMENT. Governing Documents Part VI, Section C, line 19 ALL GOVERNING BOARD DOCUMENTS INCLUDING BY LAWS AND ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC FOR INSPECTION. Community Outreach and Services Community Outreach MUNROE REGIONAL PROVIDES QUALITY EMERGENCY, INPATIENT AND OUTPATIENT SERVICES TO THE COMMUNITY AS A WHOLE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN ADDITION, A VARIETY OF OTHER HEALTH SERVICES ARE OFFERED THAT ARE NOT STRICTLY ASSOCIATED WITH ACUTE CARE. THESE PROGRAMS ARE DESIGNED AS OUTREACH PROGRAMS TARGETING SMALLER GROUPS WITHIN THE COMMUNITY WHO HAVE SPECIAL NEEDS. MUNROE REGIONAL'S OUTREACH PROGRAMS FOCUS ON CONTRIBUTING KNOWLEDGE AND RESOURCES BACK TO THE COMMUNITY. IN 2013, MUNROE PLANNED AND DEVELOPED 36 PUBLIC EVENTS SUCH AS COMMUNITY PHYSICIAN LECTURES & EDUCATIONAL CLASSES, HEALTH EXPOS, SCREENINGS, ETC WITH AN ATTENDANCE OF 16,572. THIS IS SIGNIFICANT "GRASSROOTS" OUTREACH IN ORDER TO EDUCATE AND IMPROVE ACCESS TO HEALTHCARE. HEALTH RESOURCE LINE AS WELL AS ANSWERING QUESTIONS ON HEART CARE, EMERGENCY MEDICINE, DIABETES, NEUROSCIENCE, WOMEN'S HEALTH, AND YOUR OWN HEALTH ISSUES, MUNROE REGIONAL'S REGISTERED NURSE AND TRAINED ASSOCIATES ALSO PROVIDED PHYSICIAN REFERRAL INFORMATION. IN 2013, THE HEALTH RESOURCE LINE RECEIVED 15,344 CALLS FROM THE COMMUNITY. SUPPORT FOR THE REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO) HEALTHY OCALA, PROVIDING DATA CENTER FACILITIES AND OPERATIONAL SUPPORT FOR COMPUTER SYSTEM HOSTING. MUNROE REGIONAL MEDICAL CENTER AUXILIARY 1121 SW 1st Ave Ocala FL 34471 591755349 VOLUNTEER SER FL 501(c)(3) 9 na false Ocala Healthcare Associates LLP Healthcare FL na RELATED 333186 4747770 false 0 false 0.62500 Timberridge Imaging Center LLP PO Box 6200 Ocala FL 34478 570978847 Medical Imagi FL na RELATED 345672 889468 false 0 false 0.50000 false false false false false false false false true false false false false false false false false true