2014-12-01T11:19:19-06:00 2014-01-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-02-01 421374894 SIOUXLAND COMMUNITY HEALTH CENTER % JAN ANDERSON SIOU 7122522477 1021 NEBRASKA STREET Suite SIOUX CITY IA 511025410 MARI KAPTAIN-DAHLEN CHIEF EXECUTIVE OFFICER 7122522477 2014-11-12 true Brian D Todd P00422601 7122522477 2013 2015-11-30 17:44:51Z MARI KAPTAIN-DAHLEN 1021 NEBRASKA STREET SIOUX CITY IA 51102 19667722 false X WWW.SLANDCHC.COM X 1991 IA TO BE A PATIENT-CENTERED MEDICAL HOME THAT IMPROVES THE PHYSICAL, DENTAL, AND BEHAVIORAL HEALTH OF THE SIOUXLAND COMMUNITY WHILE ELIMINATING ACCESS BARRIERS. 13 13 254 16 0 0 5264888 5693098 13623385 13962776 5620 7583 2799 752 18896692 19664209 74134 66750 0 0 11446412 12530743 0 0 0 7045576 7755760 18566122 20353253 330570 -689044 17612730 16608595 8698853 8091277 8913877 8517318 X TO BE A PATIENT-CENTERED MEDICAL HOME THAT IMPROVES THE PHYSICAL, DENTAL, AND BEHAVIORAL HEALTH OF THE SIOUXLAND COMMUNITY WHILE ELIMINATING ACCESS BARRIERS. false false 10461583 66750 9105679 PRIMARY AND SPECIALTY MEDICAL SERVICES IN FY 2013, SCHC PROVIDED MEDICAL SERVICES TO 19,070 PATIENTS (10% INCREASE FROM 2012). MEDICAL SERVICES WERE PROVIDED BY EIGHT PRIMARY CARE PHYSICIANS, EIGHT PHYSICIAN ASSISTANTS, FOUR NURSE PRACTITIONERS, AND A VARIETY OF VOLUNTEER SPECIALTY PROVIDERS FROM THE SIOUXLAND COMMUNITY. SPECIALTY CARE VOLUNTEERS PROVIDE THE FOLLOWING CARE: CARDIOVASCULAR, SURGERY, ORTHOPEDICS, PODIATRY, OPHTHALMOLOGY, PLASTIC SURGERY AND NEPHROLOGY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 3103719 2701452 DENTAL CARE SCHC EMPLOYED FOUR AND A HALF FULL-TIME DENTISTS AND TWO DENTAL HYGIENISTS IN 2013 TO PROVIDE ROUTINE DENTAL CARE AND TREATMENT, ESPECIALLY FOR CHILDREN & INFANTS THROUGH AGE 21. ADULT EMERGENCY WALK-IN PATIENTS ARE ACCEPTED DAILY. THE DENTAL DEPARTMENT ALSO PROVIDES PRENATAL ORAL HEALTH EDUCATION, A MONTHLY BABY DAY CLINIC AND DENTAL OUTREACH. THE DENTAL DEPARTMENT SERVED 9,078 PATIENTS IN 2013 (3.1% INCREASE FROM 2012). 2476637 2155645 PHARMACY THE SCHC PHARMACY IS AVAILABLE TO ALL PATIENTS RECEIVING HEALTH CARE SERVICES AT THE HEALTH CENTER. THREE PHARMACISTS ARE ON STAFF TO OFFER MEDICATION COUNSELING FOR PRESCRIPTIONS. IN ADDITION, THE HEALTH CENTER EMPLOYS TWO FULL-TIME CLINICAL PHARMACISTS TO ASSIST PATIENTS WITH THEIR CHRONIC MEDICAL CONDITIONS. SCHC IS A PARTICIPANT IN THE 340B DRUG PRICING PROGRAM AND ALSO OFFERS AN INDIGENT PROGRAM TO PROVIDE PRESCRIPTION ASSISTANCE TO QUALIFYING PATIENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 16041939 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 false true false true true false false false false false false false false false false true false false false false false false false false true 26 0 true 254 true false false false false false false false false false false X 13 13 false false true false false false false true true false false false true true true true true true false false X JAN ANDERSON 7122522477 1021 NEBRASKA STREET SIOUX CITY IA 51102 COREY WRENN PRESIDENT ENDING 3/13 1.0 X X JENNIFER GOMEZ DIRECTOR 1.0 X MARI KAPTAIN-DAHLEN DIR END 5/13/CEO BEG 5/13 40.0 X X 72486 0 0 BIBI JAURON DIRECTOR 1.0 X JOAN KELLY DIRECTOR 1.0 X GEORGE BOYKIN DIRECTOR ENDING 7/13 1.0 X NANCY METCALF DIRECTOR/PRESIDENT BEG 3/13 1.0 X X OMAR SUAREZ DIRECTOR 1.0 X KELLEY MCCARTHY DIRECTOR 1.0 X DAVID OLSON TREASURER 1.0 X X CHAD MARKHAM VICE PRESIDENT 1.0 X X PERLA ALACORN-FLORY SECRETARY BEGINNING 5/13 1.0 X X ANDREA BUCKLEY DIRECTOR 1.0 X JOHNNY TUREAUD DIRECTOR BEGINNING 6/13 1.0 X DONA PRINCE DIRECTOR BEGINNING 11/13 1.0 X GEORGE MCGARY DIRECTOR BEGINNING 6/13 1.0 X MICHELLE STEPHAN RN BSN CEO ENDING 5/13 40.0 X 169094 0 9844 JAN ANDERSON CPA MBA CFO 40.0 X 133600 0 21973 MICHAEL PIPLANI MD CMO BEGINNING 1/14 40.0 X 0 0 0 JOSHUA SALANDER COO BEGINNING 4/13 40.0 X 90509 0 15728 THOR SWANSON MD HIV MEDICAL DIRECTOR 40.0 X 206932 0 32157 KRISTI WALZ MD PHYSICIAN 40.0 X 224548 0 31551 GARY HATTAN MD PHYSICIAN 40.0 X 222180 0 31702 STEPHEN PALLONE MD PHYSICIAN 40.0 X 192378 0 29060 DAVID FALDMO PA PHYSICIAN ASSISTANT 40.0 X 192348 0 31419 MARIA TUDOR MD PHYSICIAN 40.0 X 238197 0 20932 1742272 0 224366 24 false true false INCONCERT CARE INC COMPUTER SERVICES 229372 MERCY MEDICAL CENTER SIOUX CITY LABORATORY 221120 TARGETED STRATEGIC PROJECTS CONSTRUCTION MGT 212540 FELDESMAN TUCKER LEIFER FIDELL LEGAL 185250 BKD LLP AUDIT/TAX/CONSULTING 155745 6 1010 4875 4416613 1270600 1364059 5693098 NET PATIENT SERVICE REVENUE 624100 13634277 13634277 EHR INCENTIVE REVENUE 624100 246500 246500 OTHER REVENUE 624100 81999 81999 13962776 7583 7583 0 0 0 0 0 0 4265 4875 3513 752 752 0 0 0 19664209 13962776 8335 66750 66750 0 0 0 792707 257244 535463 0 9671309 7910041 1761268 353855 290353 63502 963027 783073 179954 749845 602744 147101 0 202802 202802 138247 138247 0 0 0 1242627 1193032 49595 156615 28234 128381 387930 127915 260015 79792 57062 22730 0 154594 35626 118968 73528 17740 55788 0 152074 95586 56488 309403 309403 0 743862 580626 163236 34788 34788 BAD DEBT 1158473 1158473 MEDICAL SUPPLIES & DRUGS 2821016 2821016 LICENSES, DUES, SUBSCRIPTIONS 75283 16424 58859 RECRUITING & RETENTION 12021 12021 12705 12705 20353253 16041939 4311314 0 3796 193131 3649428 2248005 239598 522183 1492732 1221770 0 0 0 0 0 0 424205 304771 315224 132875 15594900 3689040 11487747 11905860 0 0 0 0 0 0 0 0 0 80000 17612730 16608595 1156776 1341285 0 0 0 0 6001516 5719168 0 0 0 0 0 0 284584 157332 1255977 873492 8698853 8091277 X 8530432 8273680 383445 243638 0 0 8913877 8517318 17612730 16608595 -689044 292485 X false true X true true true X 4932289 5189538 4775866 5264888 5693098 25855679 0 0 4932289 5189538 4775866 5264888 5693098 25855679 0 25855679 10863 6307 5939 5620 7583 36312 0 0 25891991 60258922 0.99860 0.86795 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAID DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE IOWA PRIMARY CARE ASSOCIATION. A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. 1197727 1197727 10550128 2220100 8330028 2784655 1468940 1315715 1062390 1062390 11905860 0 INTEREST RATE SWAP 873492 873492 18963016 292485 21475 -1018666 -704706 19667722 -3513 -3513 19664209 19219768 21475 3513 24988 19194780 1158473 1158473 20353253 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 BAD DEBT EXPENSE $( 1,158,473) DECREASE IN TEMPORARILY RESTRICTED NET ASSETS 139,807 ------------ $( 1,018,666) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 SPECIAL EVENT EXPENSES $( 3,513) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 SPECIAL EVENT EXPENSES $ 3,513 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 BAD DEBT EXPENSE $ 1,158,473 true NEBRASKA AIDS PROJECT 250 S 77TH ST STE A OMAHA NE 68114 470786622 501(C)(3) 66750 HIV PART B & HUD HOUSING 1 SCHEDULE I, PART I, LINE 2 MONITORING OF GRANT FUNDS NEBRASKA AIDS PROJECT CONTINUED TO BE A SUBCONTRACTED AGENCY IN ORDER TO PROVIDE CONTRACTUAL HIV/AIDS SERVICES IN SOUTHWEST IA. THEY WERE CHOSEN ON THE BASIS OF PRIOR EXPERIENCE WITH WORKING WITH TARGETED POPULATION, AND STAFF CREDENTIALS/EXPERIENCE. THE AGENCY SUBMITS MONTHLY FINANCIAL REPORTS WITH EXPENSE DOCUMENTATION AND TIME TRACKING IN ORDER TO BE REIMBURSED. THEY ALSO SUBMIT THEIR ANNUAL AUDIT FOR REVIEW AND AN ON-SITE MONITORING REVIEW IS PERFORMED ANNUALLY. X X X false false false false false false false true false MICHELLE STEPHAN RN BSN CEO ENDING 5/13 169094 0 0 0 0 0 3763 0 6081 0 178938 0 0 0 KRISTI WALZ MD PHYSICIAN 215467 0 1039 0 8042 0 11273 0 20278 0 256099 0 0 0 GARY HATTAN MD PHYSICIAN 211305 0 10825 0 50 0 11129 0 20573 0 253882 0 0 0 STEPHEN PALLONE MD PHYSICIAN 191103 0 1225 0 50 0 9862 0 19198 0 221438 0 0 0 DAVID FALDMO PA PHYSICIAN ASSISTANT 180566 0 8816 0 2966 0 9756 0 21663 0 223767 0 0 0 JAN ANDERSON CPA MBA CFO 132467 0 1083 0 50 0 6795 0 15178 0 155573 0 0 0 THOR SWANSON MD HIV MEDICAL DIRECTOR 205301 0 1581 0 50 0 10459 0 21698 0 239089 0 0 0 MARIA TUDOR MD PHYSICIAN 218252 0 1104 0 18841 0 11893 0 9039 0 259129 0 0 0 SCHEDULE J, PART 1, LINE 7 NON-FIXED PAYMENTS THE BONUSES PAID TO EMPLOYEES ARE COMPUTED BASED ON PERFORMANCE, SUBJECT TO THE DISCRETION OF THE CEO. BONUSES ARE ALSO COMPUTED IF THE EMPLOYEE IS "CAPPED" ON THEIR SALARY RANGE. A WOODBURY COUNTY IOWA 426005221 2007-09-25 7000000 CONSTRUCTION OF NEW FACILITY A 0 0 7000000 0 0 0 100000 0 0 6900000 0 0 2009 false false true true A false false false false 0 true false false true A false false false true true true WELLS FARGO 20. false false false 0 false false A true SCHEDULE K, PART IV, LINE 2C NO REBATE DUE THE COMPUTATION WAS PERFORMED AS OF 9/25/2012. X 10 1363378 FMV X CONCERT TICKETS 1 681 FMV false false false SCHEDULE M, PART I, LINE 20, COLUMN (B) NUMBER OF CONTRIBUTIONS THE ORGANIZATION RECEIVED DRUGS AND MEDICAL SUPPLIES FROM 10 DIFFERENT DONORS THROUGHOUT THE YEAR. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION SIOUXLAND COMMUNITY HEALTH CENTER IS A NONPROFIT ORGANIZATION DEDICATED TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY AND SUPPORTS THE PHILOSOPHY OF THE PATIENT-CENTERED MEDICAL HOME. OUR MISSION IS TO BE A PATIENT-CENTERED MEDICAL HOME THAT IMPROVES THE PHYSICAL, DENTAL, AND BEHAVIORAL HEALTH OF THE SIOUXLAND COMMUNITY WHILE ELIMINATING ACCESS BARRIERS. OUR VALUES INCLUDE COMMITMENT, ADVANCEMENT, RESPECT, EXCELLENCE, AND SUPPORT. FORM 990, PART III, LINE 4 PROGRAM SERVICES SIOUXLAND COMMUNITY HEALTH CENTER (SCHC) IS DEDICATED TO MEETING THE HEALTHCARE NEEDS OF THE SIOUXLAND AND IS A LEVEL THREE PATIENT CENTERED MEDICAL HOME. SCHC OFFERS THE FOLLOWING SERVICES: PRIMARY AND SPECIALTY MEDICAL SERVICES, LABORATORY, RADIOLOGY, HIV/AIDS AND HEPATITIS CARE, BEHAVIORAL HEALTH, PHARMACY, AND DENTAL SERVICES. SCHC PROVIDES FINANCIAL ASSISTANCE TO THE UNINSURED AND UNDERINSURED TO ELIMINATE ACCESS BARRIERS. IN 2013, SCHC SERVED 24,536 PATIENTS (5% INCREASE FROM 2012). FORM 990, PART III, LINE 4A PROGRAM SERVICE ACTIVITY #1 LABORATORY SIOUXLAND COMMUNITY HEALTH CENTER CURRENTLY CONDUCTS OVER 90% OF ITS LABORATORY TESTS ONSITE AND IS A MODERATE COMPLEX LABORATORY. FOR THOSE TESTS NOT PERFORMED ONSITE, THEY ARE SENT TO A REFERENCE LABORATORY WHERE THE MAJORITY OF TEST RESULTS ARE RETURNED WITHIN 24 HOURS. CONDUCTING THE MAJORITY OF TESTS ONSITE ENSURES RAPID TURNAROUND FOR DIAGNOSIS AND MONITORING OF CHRONIC MEDICAL CONDITIONS. THE LABORATORY IS ACCREDITED BY THE JOINT COMMISSION. IN 2013, THE LABORATORY PERFORMED 276,991 TESTS. RADIOLOGY SCHC ALSO CONDUCTS RADIOLOGY SERVICES. IT PERFORMED 8,590 TESTS IN 2013. HIV/AIDS AND HEPATITIS THE HIV TEAM SERVES THE TRI-STATE SIOUXLAND AREA, AS WELL AS 18 NORTHWEST IOWA COUNTIES. APPROXIMATELY 40% OF PATIENTS RECEIVING HIV/AIDS CARE LIVE IN RURAL AREAS. IN ADDITION TO MEDICAL CARE, THE HIV TEAM COORDINATES DENTAL CARE, CASE MANAGEMENT, TRANSPORTATION, AND HOUSING ASSISTANCE. IN 2013, THE HIV TEAM SERVED 130. FINANCIAL SERVICES TO ENSURE PATIENTS HAVE ACCESS TO CARE AT AN AFFORDABLE RATE, SCHC OFFERS A SLIDING FEE DISCOUNT TO PATIENTS BASED ON INCOME ELIGIBILITY AND ACCEPTS MEDICAID (TITLE 19), MEDICARE (TITLE 18), HAWK-I (STATE CHIP) AND MOST PRIVATE INSURANCES. IN 2013, 26% OF PATIENTS RECEIVING CARE WERE UNINSURED, 42% HAD COVERAGE BY MEDICAID/HAWK-I, 12% HAD MEDICARE COVERAGE, AND 20% FROM OTHER PAYERS. FORM 990, PART III, LINE 4C PROGRAM SERVICE ACTIVITY #3 THE HEALTH CENTER EMPLOYS AN INDIGENT PROGRAM COORDINATOR TO ASSIST WITH ELIGIBILITY DETERMINATION. THE SCHC PHARMACY ALSO PARTICIPANTS IN OTHER PHARMACEUTICAL ASSISTANCE PROGRAMS TO ENSURE PATIENTS HAVE ACCESS TO NEEDED PRESCRIPTION DRUGS. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS THE BYLAWS WERE AMENDED DURING THE YEAR. SIGNIFICANT CHANGES WERE: -THE MISSION STATEMENT WAS CONDENSED TO STATE THE FOLLOWING: TO BE A PATIENT-CENTERED MEDICAL HOME THAT IMPROVES THE PHYSICAL, DENTAL, AND BEHAVIORAL HEALTH OF THE SIOUXLAND COMMUNITY WHILE ELIMINATING ACCESS BARRIERS. - THE RANGE OF NUMBER OF MEMBERS CHANGED FROM 9-15 TO 9-25, WHO AS A GROUP, REPRESENT THE INDIVIDUALS BEING OR TO BE SERVED IN TERMS OF DEMOGRAPHIC FACTORS. -THE CEO MAY SERVE ONLY AS A NON-VOTING, EX-OFFICIO MEMBER OF THE BOARD. -THE TERM OF OFFICE CHANGED FROM NO MORE THAN 2 CONSECUTIVE THREE YEAR TERMS IN ADDITION TO PARTIAL TERMS TO NO MORE THAN 3 CONSECUTIVE FOUR YEAR TERMS WITH NO PARTIAL TERMS ALLOWED. -THE POWER OF FILLING VACANCIES CHANGED FROM THE NOMINATING COMMITTEE PROCESS TO THE BOARD DEVELOPMENT COMMITTEE PROCESS. THE ONE APPOINTED TO FILL A VACANCY WILL NOT ASSUME ANY UNEXPIRED PORTION OF THE PREVIOUS TERM. -THE ACT OF MAJORITY WAS ADDED TO STATE THAT UNLESS A GREATER NUMBER IS REQUIRED BY LAW, THE ACT OF A MAJORITY OF MEMBERS AT A MEETING WHERE THERE IS A QUORUM WILL BE THE ACT OF THE BOARD. -ATTENDANCE RULES WERE CHANGED FROM 3 UNEXCUSED ABSENCES IN SUCCESSION OR 4 UNEXCUSED ABSENCES IN A 12 MONTH PERIOD TO 4 CONSECUTIVE ABSENCES OR 3 UNEXCUSED ABSENCES IN A 12 MONTH PERIOD FROM REGULARLY SCHEDULED MEETINGS TO BE CAUSE FOR MEMBER STATUS TO BE REVIEWED RATHER THAN AUTOMATIC DISMISSAL. -THE REMOVAL OF A MEMBER BY A 2/3 VOTE OF THE ENTIRE BOARD WITH A 7 DAY WRITTEN NOTICE WAS ADDED. -THE REQUIREMENT OF A SIGNED STATEMENT REGARDING CONFIDENTIALITY AND CONFLICT AND DISCLOSURE OF INTEREST/AFFILIATION FORMS WAS ADDED TO THE CONFLICT OF INTEREST POLICY. - THE POWER OF MEMBERS TO DETERMINE THE DUTIES AND RESPONSIBILITIES OF OFFICERS FROM TIME TO TIME WAS ADDED. -THE ELECTION OF OFFICERS FOR A 2 YEAR TERM WAS ADDED. -THE POWER OF MEMBERS TO FILL AN OFFICER VACANCY FOR THE REMAINDER OF THE TERM WAS ADDED. -THE RESPONSIBILITY FOR REVIEWING FINANCIAL REPORTS MONTHLY, DEVELOPING INVESTMENT STRATEGIES, AND MONITORING OVERALL FINANCIAL WELFARE WAS ADDED TO THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CEO AND CFO REVIEW THE RETURN PRIOR TO ITS SUBMISSION. A COPY OF THE 990 WILL BE DISTRIBUTED TO THE EXECUTIVE COMMITTEE MEMBERS PRIOR TO IT BEING FILED, WHILE ALL BOARD MEMBERS WILL RECEIVE A COPY OF THE 990 AFTER IT HAS BEEN FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY A CONFLICT OF INTEREST POLICY IS STATED IN THE EMPLOYEE HANDBOOK. PER THE BYLAWS, IF A QUESTION CONCERNING A CONFLICT OF INTEREST FOR ANY DIRECTOR IS RAISED, A WRITTEN SECRET BALLOT MAY BE USED BY THE REMAINING DIRECTORS TO DETERMINE IF SUCH CONFLICT OF INTEREST EXISTS. SHOULD A CONFLICT OF INTEREST, PECUNIARY OR OTHERWISE, BE DETERMINED FOR ANY DIRECTOR, SUCH DIRECTOR SHALL BE EXCLUDED FROM VOTING ON THAT SUBJECT MATTER. A SIMPLE, AFFIRMATIVE MAJORITY OF THOSE PRESENT SHALL RULE. IN ALL EVENTS, A DIRECTOR SHALL DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW THE CEO'S COMPENSATION WAS EVALUATED IN 2013, BY THE BOARD OF DIRECTORS, USING A PEER REVIEW. EACH YEAR A SALARY ANALYSIS IS DONE USING DATA OBTAINED LOCALLY AND REGIONALLY. THIS ANALYSIS IS COMPILED AND A RECOMMENDATION IS TAKEN TO THE BOARD. THE ANALYSIS/RECOMMENDATIONS ARE GROUPED BY TITLE OF THE POSITION. THE CEO'S YEARLY EVALUATION IS PREPARED BY THE BOARD AND THE SCORE IS CALCULATED TO DETERMINE THE CURRENT YEAR SALARY. THE SAME PROCESS IS FOLLOWED FOR THE KEY EMPLOYEES, THE ONLY DIFFERENCE BEING THAT THE CEO DOES THE REVIEW. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE PROVIDED TO INQUIRING PARTIES UPON REQUEST.