2014-03-13T18:36:51-05:00 2013-04-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2012-05-01 910565546 HARRISON MEDICAL CENTER HARR 3607446507 2520 CHERRY AVENUE BREMERTON WA 983104270 FORREST G EHLINGER 3607446507 2014-03-13 1 SARA ELIZABETH J HYRE P00235495 4254544919 2014-02-19 2012 2015-11-30 17:44:51Z SCOTT BOSCH 2520 CHERRY AVENUE BREMERTON WA 983104270 436414239 0 X WWW.HARRISONMEDICAL.ORG X 1918 WA HARRISON MAKES A POSITIVE DIFFERENCE IN PEOPLE'S LIVES THROUGH EXCEPTIONAL HEALTH CARE. THE RESIDENTS OF KITSAP PENINSULA AND ADJACENT AREAS HAVE ACCESS TO ACUTE MEDICAL AND SURGICAL SERVICES INCLUDING EMERGENCY, ONCOLOGY AND CARDIO VASCULAR SERVICES. ADDITIONALLY, HARRISON PROVIDES OUTPATIENT SERVICES, IN-HOME HEALTH AND PEDIATRIC REHABILITATION AND OPERATES URGENT CARE AND PRIMARY CARE FACILITIES IN BOTH PORT ORCHARD AND BELFAIR AND PRIMARY CARE FACILITIES IN POULSBO AND FORKS. 15 13 2682 512 2144542 1174536 724684 953555 362821898 355196445 27767 7208789 40271 3334724 363614620 366693513 435761 534246 0 0 175206176 178757303 0 0 0 179990843 169036973 355632780 348328522 7981840 18364991 389256468 440826933 177187442 210860225 212069026 229966708 X HARRISON MEDICAL CENTER PROVIDES ACUTE MEDICAL AND SURGICAL SERVICES, EMERGENCY SERVICES AND A RANGE OF GENERAL AND SPECIALIZED SERVICES TO RESIDENTS OF THE KITSAP PENINSULA AND ADJACENT AREAS. 0 0 262704816 534246 355196445 DURING THE FISCAL YEAR ENDED APRIL 30, 2013, THE MEDICAL CENTER EXPERIENCED 13,466 HOSPITAL INPATIENT ADMISSIONS REPRESENTING 55,645 DAYS OF CARE TO ADULTS AND PEDIATRIC PATIENTS. SERVICES PROVIDED INCLUDED 69,149 EMERGENCY ROOM VISITS, 11,178 SURGERY PATIENTS INCLUDING 246 OPEN HEART CASES, 1,882 BIRTHS INCLUDING 3,613 DAYS OF CARE, 22,233 HOME HEALTH VISITS, 35,272 URGENT CARE VISITS, AND 36,476 PRIMARY CARE VISITS. HARRISON PROVIDES NEEDED MEDICAL CARE TO INDIGENT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CENTER HAS ESTABLISHED CRITERIA FOR DETERMINING WHETHER A PATIENT IS ELIGIBLE FOR CHARITY CARE. THE AMOUNT OF PATIENT REVENUES FOREGONE FOR CHARITY CARE PROVIDED BY HARRISON FOR THE FISCAL YEAR ENDED APRIL 30, 2013 AMOUNTED TO $26,820,776.ALL FINANCIAL SURPLUSES FROM OPERATIONS ARE USED TO FURTHER THE CHARITABLE PURPOSES OF THE MEDICAL CENTER. THESE SURPLUSES ARE USED TO HELP FUND NEW HEALTH SERVICE PROGRAMS IN THE FUTURE AND FUND NEW AND REPLACEMENT EQUIPMENT AND FACILITIES.COMMUNITY HEALTH EDUCATION:HARRISON MEDICAL CENTER VALUES THE RELATIONSHIPS WE MAINTAIN WITH THE COMMUNITY AND COMMUNITY ORGANIZATIONS. THE MEDICAL CENTER HAS A LONG-STANDING COMMITMENT TO PROMOTE COMMUNITY EDUCATION IN THE HEALTH CARE AREA. THE COMMITMENT IS DEMONSTRATED THROUGH AN ACTIVE PROGRAM OF CLASSES DIRECTED AT THE COMMUNITY-AT-LARGE AND SPECIALIZED CLASSES DIRECTED AT PERSONS WITH SPECIAL NEEDS. THESE COMMUNITY EDUCATIONAL SERVICES ARE PROVIDED BY STAFF OR TRAINED PROFESSIONALS WHO ARE EMPLOYEES OF THE MEDICAL CENTER. THERE ARE NUMEROUS COMMUNITY BASED SUPPORT GROUPS, WHICH MEET AT HARRISON ON A REGULAR BASIS USING THE MEDICAL CENTER'S MEETING ROOMS AT NO CHARGE. THE FACILITATORS OF THESE GROUPS ARE OFTEN STAFF AND TRAINED PROFESSIONALS OF THE MEDICAL CENTER.HEALTH-RELATED VOLUNTEER SERVICE OF HARRISON MEDICAL CENTER EMPLOYEES:MANY OF HARRISON'S EMPLOYEES SERVE AS COMMUNITY SOCIAL SERVICE ORGANIZATION BOARD MEMBERS AS WELL AS DONATING THEIR TIME TO INDIVIDUAL HEALTH AGENCY PROJECTS. EMPLOYEES OF HARRISON REGULARLY CONTRIBUTE THEIR OWN TIME TO SUPPORT VARIOUS COMMUNITY FUNDRAISING EVENTS SUCH AS AMERICAN HEART ASSOCIATION HEART WALK, MARCH OF DIMES WALK-A-THON, MS WALK-A-THON, ALZHEIMER'S MEMORY WALK, AMERICAN CANCER SOCIETY RELAY FOR LIFE, CYSTIC FIBROSIS GREAT STRIDES WALK, KITSAP COUNTY AIDS WALK AND UNITED WAY DAY OF CARING. THE MEDICAL CENTER ALSO CONTRIBUTES TO THESE CAUSES BY PROVIDING EVENT MEALS FOR THE VOLUNTEERS AND PAID TIME FOR EMPLOYEES DURING REGULAR WORKING HOURS TO ORGANIZE THE EVENTS.HEALTH-RELATED SERVICE OF HARRISON MEDICAL CENTER VOLUNTEERS:HARRISON'S VOLUNTEERS ARE INVOLVED IN A PROGRAM THAT PROVIDES PATIENTS AND THEIR FAMILIES WITH COMPLEMENTARY THERAPIES DURING THEIR STAY AT THE MEDICAL CENTER. THESE THERAPIES INCLUDE HAND MASSAGE, THERAPEUTIC ART, BOOK AND BEVERAGE CART SERVICE, SERVICE PET ROUNDING, AND THERAPEUTIC MUSIC, SUCH AS HARP, ACOUSTIC GUITAR, FLUTE AND PIANO.TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS:HARRISON MEDICAL CENTER CONTINUES TO SERVE AS A CLINICAL SITE FOR STUDENTS IN NURSING, PHYSICAL THERAPY, MEDICAL RECORDS, RADIOLOGY, PHARMACY, SOCIAL WORK, AND DIETARY PROGRAMS AND A NON-CLINICAL SITE FOR STUDENTS IN MATERIALS MANAGEMENT. STUDENTS ARE ON-SITE AND UNDER HARRISON'S DIRECTION FOR SERVICE FOR SEVERAL THOUSAND HOURS EACH YEAR.COMMUNITY HEALTHCARE INFORMATION:HARRISON MEDICAL CENTER HAS DEVELOPED AN INTERNET WEB SITE AND PROVIDES THE COMMUNITY WITH AREAS TO LOOK UP HOSPITAL PROGRAMS AND SERVICES, COMMUNITY AND HEALTHCARE NEWS. IT ALSO CONTAINS A PHYSICIAN DATABASE THAT IS USEFUL TO INDIVIDUALS WHO ARE CHOOSING A PHYSICIAN. THE MEDICAL AND HEALTHCARE CONSUMER LIBRARIES MAINTAINED BY HARRISON MEDICAL CENTER ARE RESOURCES FOR HEALTH PROFESSIONALS AND THE PUBLIC IN OUR COMMUNITY. OUR MEDICAL LIBRARY WORKS IN COOPERATION WITH THE REGIONAL PUBLIC LIBRARY, NAVY HOSPITAL AND COMMUNITY COLLEGE LIBRARY TO PROVIDE HEALTHCARE INFORMATION FOR AREA RESIDENTS. 262704816 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 1 189 0 1 2682 1 1 1 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X FORREST G EHLINGER 3607446507 2520 CHERRY AVENUE BREMERTON WA 98310 DAVID A VETERANE 2.00 0.00 X X 0 0 0 JAMES T CIVILLA 2.00 0.00 X X 0 0 0 JAMES L SMALLEY 2.00 0.00 X X 0 0 0 GLEN CARLSON MD 2.00 0.00 X X 28187 0 0 FRED BARRETT 2.00 0.00 X 0 0 0 GRIFFITH BLACKMON MD MP 2.00 0.00 X 0 0 0 CARL CRAMER 2.00 0.00 X 0 0 0 MARY GARGUILE 2.00 0.00 X 0 0 0 RUTH HANSTEN RN PHD FACHE 2.00 0.00 X 0 0 0 GREGORY S HENDERSON MD PHD 2.00 0.00 X 0 0 0 LINDA STREISSGUTH AICP 2.00 0.00 X 0 0 0 RONALD MUHLEMAN 2.00 0.00 X 0 0 0 KELLY R NELSON CPA 2.00 2.00 X 0 0 0 JOAN SORIANO 2.00 0.00 X 0 0 0 RICK TIFT 2.00 2.00 X 0 0 0 JOHN WALLEN 2.00 0.00 X 0 0 0 ADAR PALIS 50.00 0.00 X 402509 0 63641 PATRICIA COCHRELL 50.00 0.00 X 332586 0 62679 FORREST G EHLINGER 50.00 0.00 X 299647 0 49957 SCOTT W BOSCH 50.00 0.00 X 572462 0 199295 GORDON CROMWELL 50.00 0.00 X 133770 0 0 MARIEL KAGAN 50.00 0.00 X 377434 0 53273 MALCOLM W WINTER 40.00 0.00 X 826019 0 35456 RONALD ROBERT REIMER 40.00 0.00 X 852873 0 30359 DENNIS MICHAEL WILLERFORD 40.00 0.00 X 726415 0 38771 JOSEPH LOWELL JOHNSON 40.00 0.00 X 568746 0 37766 ROBERT C KING 40.00 2.00 X 559835 0 40716 CYNTHIA MAY 50.00 0.00 X 254987 0 32284 SANDON K SAFFIER 0.00 0.00 X 371829 0 33508 6307299 0 677705 206 1 1 0 CLARO GROUP LLC 70 W MADISON ST SUITE 4800 CHICAGO IL 60602 CONSULTING 5573829 SOUND PHYSICIANS 1123 PACIFIC AVE TACOMA WA 98402 EMERGENCY PHYSICIAN CALL COVERAGE 2007692 FOCUSONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 68103 TEMPORARY STAFFING 1913960 ADVANCED MEDICAL IMAGING LLC PO BOX 2629 PORT ORCHARD WA 98366 IMAGING SERVICES 1847093 S&S SECURITY SERVICES PO BOX 459 BELFAIR WA 98528 FACILITY SECURITY SERVICES 1682596 76 854221 91294 8040 152114 953555 PATIENT REVENUE 622110 197678709 196210196 1468513 MEDICARE/MEDICAID 622110 157517736 157517736 355196445 4307930 676029 3631901 131910 0 131910 131910 131910 69385303 3236282 66692911 3027815 2692392 208467 2900859 2900859 EHR PAYMENTS 900099 3202814 3202814 3202814 366693513 353727932 2144542 9867484 534246 534246 2146982 2146982 138514546 114638097 23876449 6733080 5493578 1239502 18168330 14940703 3227627 13194365 10765396 2428969 806637 806637 84171 84171 44481 44481 303373 35662 267711 34922385 19413505 15508880 1050254 39034 1011220 5413368 3303298 2110070 6484325 784388 5699937 6433152 5226510 1206642 604415 169491 434924 4636023 4636023 19996521 10476241 9520280 2510857 297497 2213360 MEDICAL SUPPLIES/EQUIP 67644048 67644048 BUSINESS TAXES 9134227 9134227 EQUIP RENT/MAINTENANCE 4935632 1611297 3324335 UNRELATED BUS INC TAXES 155000 155000 3878104 2695802 1182302 348328522 262704816 85623706 0 21209330 17072202 2855627 2663188 50825110 52821834 3002844 3002844 3524278 3552752 3530061 3743829 326642690 181878399 128186898 144764291 146749690 180133166 10025778 22689222 19346852 10383605 389256468 440826933 46097078 51170229 84444927 116302448 46645437 43387548 177187442 210860225 X 197362806 224624070 12720122 3340770 1986098 2001868 212069026 229966708 389256468 440826933 X 18364991 9879824 -10347133 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 44481 44481 0 PART IV, SUPPLEMENTAL INFORMATION: PART II-B, LINE 1(I), LOBBYING ACTIVITIES: A PORTION OF THE MEMBERSHIP DUES PAID TO WASHINGTON STATE HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION WERE EXPENDED FOR LOBBYING ACTIVITIES. 5497226 6832354 12329580 78677919 37049621 41628298 203363410 140136283 63227127 32271781 4692495 27579286 144764291 INVESTMENT IN JOINT VENTURES 834767 F ALTERNATIVE INVESTMENTS 13301207 F REAL ESTATE FUND 8553248 F 22689222 ACCRUED PENSION LIABILITY 32942038 RESERVE FOR PROFESSIONAL LIABILITY CLAIMS 8968236 DEFERRED GAIN FROM SALE OF FACILITIES 490732 CAPITAL LEASE 986542 43387548 365429810 9879824 -11143527 -1263703 366693513 0 366693513 347532128 0 347532128 796394 796394 348328522 PART XI, LINE 2D - OTHER ADJUSTMENTS: EXPENSES GROUPED WITH REVENUES ON FINANCIAL STATEMENTS -515,410. INVESTMENT FEES GROUPED WITH REVENUES ON FINANCIAL STATEMENTS -280,984. CHANGE IN OBLIGATIONS UNDER PENSION PLAN -1,244,462. CHANGE IN INTEREST IN HARRISON MEDICAL CENTER FOUNDATION -9,102,671. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES GROUPED WITH REVENUES ON FINANCIAL STATEMENTS 515,410. INVESTMENT FEES GROUPED WITH REVENUES ON FINANCIAL STATEMENTS 280,984. 1 1 X 1 X 1 X 1 1 1 0 0 7713254 0 7713254 0.02210 41085681 21278787 19806894 0.05690 13352560 7824769 5527791 0.01590 62151495 29103556 33047939 0.09490 12 3855 321704 21500 300204 0.00090 4 385 157722 0 157722 0.00050 8 5720 131575 360 131215 0.00040 24 9960 611001 21860 589141 0.00180 24 9960 62762496 29125416 33637080 0.09670 0 0 18740 0 18740 0.00010 0 3176 168968 1264 167704 0.00050 0 20 6599 0 6599 0.00000 0 455240 14100 0 14100 0.00000 0 5000 14980 0 14980 0.00000 0 0 1126949 531333 595616 0.00170 463436 1350336 532597 817739 0.00230 1 24293903 112916274 130364821 -17448547 X 1 1 1 1 HARRISON MEDICAL CENTER

2520 CHERRY AVENUE BREMERTON WA 98310

X X X RURAL HEALTHCARE CLINIC HARRISON MEDICAL CENTER 1 1 X X X X X X X X 10 1 0 1 X X X X X X X X X X X 0 0 1 1 100.000000000000 1 300.000000000000 1 X X 1 1 X X X X 1 0 1 X 1 0 26 OLYMPIC PROFESSIONAL BUILDING

2600 CHERRY AVENUE SUITE 203 BREMERTON WA 98310

IV OPTIMUM CLINIC HARRISON HEALTH PARTNERS

1225 CAMPBELL WAY SUITE 101 BREMERTON WA 98310

THORACIC AND VASCULAR CENTER HARRISON HEALTH PARTNERS

19500 10TH AVE SUITE 100 POULSBO WA 98370

HEMATOLOGY AND ONCOLOGY HARRISON HOME HEALTH

4205 WHEATON WAY SUITE A BREMERTON WA 98310

HOME HEALTH SERVICES HARRISON BELFAIR URGENT & PRIMARY CARE

21 NE ROMANCE HILL ROAD BELFAIR WA 98528

PRIMARY & URGENT CARE HARRISON PORT ORCHARD URGENTPRIMARY

450 S KITSAP BLVD PORT ORCHARD WA 98366

PRIMARY & URGENT CARE HARRISON HEALTH PARTNERS

2771 HEMLOCK SUITE 100 BREMERTON WA 98310

CARDIAC ANESTHESIOLOGY AND CARDIOTHORACIC SURGERY HARRISON HEALTH PARTNERS

2601 CHERRY AVE SUITE 315 BREMERTON WA 98310

FAMILY MEDICINE, ENDOCRINOLOGY, INTERNAL MEDICINE, INFECTIOUS DISEASE HARRISON HEALTH PARTNERS

2500 CHERRY AVE SUITE 302 BREMERTON WA 98310

UROLOGY & GENERAL SURGERY HARRISON HEALTH PARTNERS

2600 CHERRY AVE SUITE 201 BREMERTON WA 98301

PLASTIC & RECONSTRUCTIVE SURGERY HARRISON HEALTH PARTNERS

461 G STREET SW FORKS WA 98331

FAMILY MEDICINE HARRISON HEALTH AND WELLNESS

3909 NW RANDALL WAY SUITE 201 SILVERDALE WA 98383

CARDIOPULMONARY REHAB, OUTPATIENT REHAB, NUTRITION COUNSELING, MASSAGE HARRISON HEALTH PARTNERS

1225 CAMPBELL WAY SUITE 201 BREMERTON WA 98310

PULMONARY & SLEEP MEDICINE HARRISON HEALTH PARTNERS

2720 CLARE AVE SUITE A BREMERTON WA 98310

HEMATOLOGY AND ONCOLOGY HARRISON HEALTH PARTNERS

2600 CHERRY AVENUE SUITE 202 BREMERTON WA 98310

ORTHOPEDIC SURGERY HARRISON HEALTH PARTNERS

199717 SEVENTH AVE NE SUITE 210 POULSBO WA 98370

PULMONARY & SLEEP MEDICINE HARRISON HEALTH PARTNERS

360 KNECHTEL WAY NE SUITE 403 BAINBRIDGE ISLAND WA 98110

INTERNAL MEDICINE & ADULT PRIMARY CARE HARRISON HEALTH PARTNERS

2709 HEMLOCK ST BREMERTON WA 98310

CARDIOVASCULAR CONSULTANTS HARRISON HEALTH PARTNERS

834 SHERIDAN ST PORT TOWNSEND WA 98368

CARDIOVASCULAR CONSULTANTS & CARDIAC ULTRASOUND HARRISON HEALTH PARTNERS

1274 7TH ST PORT TOWNSEND WA 98368

CARDIOVASCULAR CONSULTANTS CLINIC HARRISON HEALTH PARTNERS

565 EUREKA WAY SEQUIM WA 98382

DERMATOLOGY HARRISON HEALTH PARTNERS

9633 LEVIN ROAD SUITE 103 SILVERDALE WA 98383

MENTAL HEALTH HARRISON HEALTH PARTNERS

9927 MICKELBERRY RD SUITE 131 SILVERDALE WA 98383

FAMILY MEDICINE & DERMATOLOGY HARRISON WOUND CARE

742 LEBO BLVD SUITE A BREMERTON WA 98310

WOUND CARE, HYPERBARIC MEDICINE & INFUSION CENTER HARLOW MEDICAL BUILDING

1780 NW MYHRE RD SILVERDALE WA 98383

HOSPITAL PHARM, PED REHAB CLINIC, HOSPITAL LAB, BREAST CARE, GEN SURGERY HARRISON HEALTH PARTNERS

22180 OLYMPIC COLLEGE 102-104 201 POULSBO WA 98370

INTERNAL MED, ADULT CARE, CARDIOVASCULAR CONSULT, RHEUMATOLOGY & UROLOGY PART I, L7 COL(F): BAD DEBT EXPENSE IS RECORDED BASED ON A REVIEW OF OUTSTANDING ACCOUNTS RECEIVABLE BALANCES BY AGE AND FINANCIAL CLASS. BASED ON HISTORICAL CLOSED CASE DATA, AN ESTIMATED WRITE OFF AMOUNT IS CALCULATED AND A RESERVE IS ESTABLISHED ON THE BALANCE SHEET FOR THIS ESTIMATE. THE RESERVE IS COMPARED WITH THE PRIOR PERIOD RESERVE AND THE NECESSARY INCREASE IS BOOKED AS AN EXPENSE FOR THE PERIOD. BALANCES FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE HANDLED SEPARATELY. PART II: HARRISON MEDICAL CENTER VALUES THE RELATIONSHIPS IT MAINTAINS WITH THE COMMUNITY AND COMMUNITY ORGANIZATIONS. THERE ARE NUMEROUS COMMUNITY BASED SUPPORT GROUPS, WHICH MEET AT HARRISON ON A REGULAR BASIS USING THE MEDICAL CENTER'S MEETING ROOMS AT NO CHARGE. THE FACILITATORS OF THESE GROUPS ARE OFTEN TRAINED PROFESSIONALS OF THE MEDICAL CENTER. THESE GROUPS INCLUDE DIABETES SUPPORT FOR CHILDREN AND PARENTS, ALZHEIMER'S SUPPORT GROUP, SMOKING CESSATION SUPPORT GROUP, AMPUTEE SUPPORT, LUPUS SUPPORT, WOMEN'S CARDIAC HEALTH & CANCER PROGRAM, CANCER EDUCATION SUPPORT, LOOK GOOD AND FEEL BETTER SUPPORT, SLEEP APNEA SUPPORT, BETTER BREATHERS CLUB, PARKINSON'S, STROKE SUPPORT GROUP, SURVIVOR'S OF SUICIDE SUPPORT GROUP, THERAPEUTIC YOGA SUPPORT, HEARING SUPPORT GROUP, OVARIAN/GYNECOLOGICAL CANCER SUPPORT, BARIATRIC SURGERY SUPPORT, COMPASSIONATE FRIENDS SUPPORT, BREAST CANCER SUPPORT, TRAUMATIC BRAIN INJURY SUPPORT, WOMEN WITH CANCER SUPPORT, MEN'S CANCER SUPPORT GROUP, PERINATAL LOSS SUPPORT GROUP, HEART AND VASCULAR SUPPORT, KIDS CARE SUPPORT, LAP-BAND SUPPORT, ANCHOR SENIOR SUPPORT, AND ORTHOPEDIC SUPPORT.HARRISON MEDICAL CENTER'S SOCIAL WORKERS PROVIDE OVER 250 HOURS PER YEAR OF ASSISTANCE TO COMMUNITY MEMBERS WITH QUESTIONS REGARDING SERVICES OUTSIDE OF HMC AND ANOTHER 300 HOURS PER YEAR OF ASSISTANCE TO HELP PATIENTS' ACCESS AVAILABLE SERVICES WITHIN HARRISON. SOCIAL WORKERS FREQUENTLY ARRANGE TRANSPORTATION FOR PATIENTS AND THEIR FAMILIES WHO LACK RESOURCES, PROCURE URGENTLY REQUIRED DISCHARGE MEDICATIONS TO LOW INCOME PATIENTS, PROVIDE SOCIAL WORK SERVICES FOR UNBILLED OUTPATIENT COUNSELING FOR RADIATION ONCOLOGY AND REHAB PATIENTS, AND THE SOCIAL WORK DIRECTOR SPENDS VOLUNTEER TIME EACH MONTH WORKING WITH COMMUNITY GROUPS ON MUTUAL PROJECTS AND SERVING ON VARIOUS COMMUNITY BOARDS.HARRISON MEDICAL CENTER RECRUITS PHYSICIANS TO FILL UNMET NEEDS IN THE COMMUNITY. ANALYSIS OF THE NUMBER AND TYPE OF PHYSICIANS AND MID-LEVEL PROVIDERS IS USED TO EVALUATE ACCESS TO PRIMARY AND SPECIALTY CARE PROVIDERS IN THE COMMUNITY. WHERE GAPS EXIST, HARRISON WORKS WITH OUR PHYSICIAN PARTNERS TO RECRUIT NEW PROVIDERS TO MEET THE GAPS IDENTIFIED BY THE ANALYSIS. PART III, LINE 4: HARRISON MEDICAL CENTER SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. WHILE PROCESSES AND PROCEDURES ARE IN PLACE TO COLLECT PAYMENTS FROM INDIVIDUALS AND INSURERS AS APPROPRIATE, SOME PATIENTS ARE UNABLE TO PAY AND DO NOT HAVE ADEQUATE INSURANCE COVERAGE OR ACCESS TO SERVICES TO ASSIST WITH THIS PAYMENT. THESE PATIENT ACCOUNTS ARE TREATED EITHER AS CHARITY CARE (FINANCIAL ASSISTANCE) IF THE PATIENT MEETS CERTAIN FINANCIAL QUALIFICATIONS OUTLINED IN THE CHARITY CARE/FINANCIAL ASSISTANCE POLICY. IF THE PATIENT DOES NOT MEET THOSE FINANCIAL QUALIFICATIONS AND IS UNABLE TO PAY, THE ACCOUNT IS TREATED AS BAD DEBT. FROM AN ACCOUNTING PERSPECTIVE, THESE ACCOUNTS ARE TREATED DIFFERENTLY ON THE INCOME STATEMENT AND BALANCE SHEET. CHARITY CARE (FINANCIAL ASSISTANCE) EXPENSE IS RECORDED AT THE TIME THE FINANCIAL ASSISTANCE APPLICATION IS PROCESSED. THE AMOUNT RECORDED AS CHARITY CARE IS DETERMINED BY THE LEVEL OF FINANCIAL ASSISTANCE THAT IS APPROVED BASED ON INCOME CRITERIA ESTABLISHED IN THE POLICY. HARRISON MEDICAL CENTER UTILIZES THE POVERTY GUIDELINES AS OUTLINED ON THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES WEBSITE AT WWW.ASPE.HHS.GOV/POVERTY/INDEX.SHTML. THE AMOUNT APPLIED TO A PATIENT'S ACCOUNT IS IDENTIFIED AS FINANCIAL ASSISTANCE AND IS NOT PURSUED FROM THE APPLICANT/PATIENT.CHARITY CARE - THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA, UNDER ITS CHARITY CARE POLICY, WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE. THE COSTS THE MEDICAL CENTER INCURRED TO PROVIDE CHARITY CARE WERE APPROXIMATELY $7,533,000 AND $6,771,000 FOR THE YEARS ENDED APRIL 30, 2013 AND 2012, RESPECTIVELY. THE MEDICAL CENTER HAS ESTIMATED THESE COSTS BY MULTIPLYING ITS RATIO OF COSTS TO GROSS CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CHARITY CARE.THE MISSION OF HARRISON MEDICAL CENTER IS "TO MAKE A POSITIVE DIFFERENCE IN PEOPLE'S LIVES THROUGH EXCEPTIONAL HEALTH CARE." IN ORDER TO ENSURE THE FUTURE OF THIS MISSION WITHIN OUR COMMUNITY WE MUST REMAIN FINANCIALLY HEALTHY BY RECEIVING APPROPRIATE PAYMENT FOR THE SERVICES WE PROVIDE. IN ADDITION, OUR FINANCIAL ASSISTANCE PRACTICES WILL ALWAYS COMPLY WITH WASHINGTON STATE LAWS AND REGULATIONS AND BE CONSISTENT WITH BEST PRACTICES OF OTHER MEDICAL CENTERS. TO OBTAIN CURRENT FINANCIAL ASSISTANCE GUIDELINES THE WEBSITE USED IS HTTP://WWW.ASPE.HHS.GOV/POVERTY/INDEX.SHTML.IT IS THE GOAL THAT EACH PATIENT WHO INDICATES FINANCIAL DIFFICULTY IN PAYING FOR HEALTHCARE SERVICES IS FULLY AND FAIRLY EVALUATED AND OFFERED APPROPRIATE FINANCIAL ASSISTANCE. HARRISON IS ALSO OBLIGATED TO PURSUE OUTSTANDING BALANCES FOR THE DEDUCTIBLES OR CO-INSURANCE AMOUNTS REQUIRED BY A THIRD PARTY PAYER ON PATIENT ACCOUNTS FAIRLY AND CONSISTENTLY.GOALS OF OUR FINANCIAL ASSISTANCE POLICY:1. HARRISON IS COMMITTED TO NEVER DENY NECESSARY MEDICAL CARE BASED ON THE INABILITY TO PAY.2. HARRISON WILL PROVIDE A WRITTEN NOTICE TO ALL PATIENTS INFORMING THEM ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.3. HARRISON WILL ACTIVELY SUPPORT PATIENTS IN THEIR EFFORTS TO OBTAIN APPROPRIATE FINANCIAL ASSISTANCE.4. UNCOMPENSATED HEALTHCARE WILL NEVER BE DENIED BASED UPON RACE, CREED, COLOR, SEX, NATIONAL ORIGIN, SEXUAL ORIENTATION, DISABILITY, AGE OR SOURCE OF INCOME.5. UNDER ALL CIRCUMSTANCES THE COLLECTION PRACTICES OF HARRISON ENTITIES WILL BE PERFORMED PROFESSIONALLY AND CONSISTENT WITH OUR MISSION AND THE FEDERAL FAIR DEBT COLLECTION PRACTICES ACT.6. HARRISON WILL COMPLY WITH OR EXCEED THE STATE OF WASHINGTON LEGISLATIVE DIRECTIVES ENACTED BY RCW 70.170.060 AND ANY UPDATES.7. HARRISON WILL ABIDE BY AND COMPLY WITH THE RULES AND MONITORING OF THE DEPARTMENT OF HEALTH.8. HARRISON WILL MAINTAIN A COLLECTION PROCEDURE WHICH DEFINES ACCOUNT PARAMETERS FOR REFERRAL TO COLLECTIONS BASED ON ALPHA PREFIX AND PLACEMENT OF LIENS.9. THE FINANCE COMMITTEE OF THE BOARD WILL RECEIVE AN ANNUAL REPORT SUMMARIZING OUR COLLECTION ACTIVITY.SPECIFIC POLICY GUIDELINES:1. HARRISON WILL COMPLY WITH THE STATE DEPARTMENT OF HEALTH ACCOUNTING RULES OF UNIFORM PROCEDURES, DATA REQUIREMENTS AND CRITERIA FOR IDENTIFYING PATIENTS RECEIVING FINANCIAL ASSISTANCE.2. ASSISTANCE WILL BE PROVIDED IN ACCESSING ENTITLEMENT PROGRAMS SUCH AS STATE MEDICAL ASSISTANCE AND CRIME VICTIMS.3. THE AMOUNT OF DISCOUNT RELATED TO THE INDIGENT CARE AFTER MEDICARE PAYMENT WILL BE IDENTIFIED.4. PROCEDURES WILL BE IN PLACE TO INFORM THE PUBLIC ABOUT AVAILABLE FINANCIAL ASSISTANCE.5. HARRISON WILL SUBMIT ANNUAL REPORTS REQUESTED BY THE DEPARTMENT OF HEALTH.6. APPLICATION FOR FINANCIAL ASSISTANCE WILL BE WRITTEN WITH SUPPORTING DOCUMENTATION.7. FAILURE TO COMPLY WITH OUTREACH SERVICES PROTOCOL WILL RESULT IN THE DENIAL OF FINANCIAL ASSISTANCE. PART III, LINE 8: HARRISON USES THE MEDICARE COST REPORT TO ALIGN REVENUE WITH EXPENSES FOR EACH ESTABLISHED MEDICARE DEFINED COST CENTER BY USING THE STEP-DOWN METHOD OF COST ALLOCATION. HOSPITAL GENERAL LEDGER DEPARTMENTS ARE GROUPED INTO MEDICARE-DEFINED COST CENTERS. EXPENSES ARE OFFSET BY OTHER OPERATING REVENUES TO EXCLUDE SERVICES UNRELATED TO PATIENT CARE. KEY STATISTICS ARE USED TO ALLOCATE THE COSTS TO THE MAJOR FUNCTION SERVICES. ADJUSTMENTS TO CREATE A BETTER MATCHING OF REVENUES AND COSTS ARE PERFORMED AS NEEDED. NON-PATIENT INCOME IS OFFSET AGAINST THE ASSOCIATED NON-PATIENT CARE EXPENSES ASSOCIATED WITH THE SERVICES. IN ADDITION, PROFESSIONAL SERVICES PROVIDED BY PHYSICIANS ARE EXCLUDED. ONCE THE GENERAL LEDGER HAS BEEN ADJUSTED FOR THE RECLASSIFICATIONS AND INCOME OFFSETS, THE EXPENSES ARE ALLOCATED USING THE STEP-DOWN METHOD. THE STEP-DOWN METHOD ALLOCATES THE COST OF EACH COST CENTER, AS WELL AS THE COSTS STEPPED DOWN TO IT, TO THE MAJOR FUNCTIONAL SERVICES.OVERHEAD, CAPITAL COSTS, DEPRECIATION, AND INTEREST ARE ALLOCATED BASED ON COST CENTER KEY STATISTICS. IN THE STEP-DOWN ALLOCATION PROCESS, COSTS WILL ACCUMULATE FROM PREVIOUSLY STEPPED DOWN COST CENTERS. THE ACCUMULATED COST FOR EACH COST CENTER WILL BE STEPPED DOWN USING ITS SPECIFIC STATISTIC. THE NEXT GROUP OF COST CENTERS TO BE ALLOCATED IS THE ANCILLARY COST CENTERS, WHICH ARE STEPPED DOWN BASED ON GROSS CHARGES PROVIDED TO EACH FUNCTIONAL SERVICE. THE FINAL RESULT PROVIDES FULLY ALLOCATED COSTS TO THE MAJOR FUNCTIONAL SERVICES, SUCH AS MEDICAL SURGICAL INPATIENTS, OBSTETRICS AND EMERGENCY DEPARTMENTS.HARRISON MEDICAL CENTER CONSIDERS THE MEDICARE SHORTFALL TO BE COMMUNITY BENEFIT. THE IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NON-PROFIT HOSPITALS, STATES THAT PROVISION OF SERVICES TO PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE PROVISION OF CARE TO THE ELDERLY AND THE MEDICARE SHORTFALLS ASSOCIATED WITH PROVIDING THAT CARE MUST BE ABSORBED BY THE HOSPITAL. MEDICARE REVENUE ACCOUNTS FOR APPROXIMATELY 50% OF THE TOTAL HOSPITAL REVENUE FOR HARRISON. IF THE SHORTFALL FOR THESE SERVICES ARE NOT PROVIDED BY THE HARRISON AND OTHER TAX EXEMPT HOSPITALS, OTHER COMMUNITY RESOURCES WOULD BE NEEDED TO PROVIDE CARE TO THE ELDERLY. PART III, LINE 9B: HARRISON MEDICAL CENTER'S DEBT COLLECTION POLICY APPLIES TO BOTH PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND TO PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY A MEDICAL BILL BUT DON'T QUALIFY FOR MEDICAL ASSISTANCE PROGRAMS. SINCE THE PROVISION OF CARE IS NOT DEPENDENT ON ONE'S ABILITY TO PAY, HARRISON WILL PROVIDE FREE CARE TO PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE PATIENT OR GUARANTOR MUST PROVIDE THE FOLLOWING INFORMATION IN ORDER FOR HARRISON TO DETERMINE IF THE PATIENT QUALIFIES FOR ASSISTANCE AND AT WHAT LEVEL:A. A COMPLETED HARRISON MEDICAL CENTER FINANCIAL ASSISTANCE APPLICATION.B. MOST CURRENT W-2 WITHHOLDING STATEMENTS.C. MOST RECENT FEDERAL AND STATE INCOME TAX FORMS.D. PROOF OF INCOME (PAYCHECK STUBS, UNEMPLOYMENT CHECK STUBS, LETTER FROM EMPLOYER, STATEMENT OF MONTHLY SOCIAL SECURITY BENEFITS, ETC.)E. IF SELF-EMPLOYED, A PROFIT AND LOSS STATEMENT MUST BE PROVIDED.F. DOCUMENTATION REGARDING APPROVAL OR DENIAL OF UNEMPLOYMENT BENEFITS, WORKERS COMPENSATION, OR (STATE) DEPARTMENT OF HUMAN SERVICES.G. CHECKING AND SAVINGS ACCOUNT STATEMENTS FOR THE PAST 3 MONTHS.CONSIDERATION FOR FINANCIAL ASSISTANCE (CHARITY CARE) IS BASED ON THE FINANCIAL STATUS OF THE PATIENT AND GUARANTOR IN COMPARISON WITH THE MOST CURRENT U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL INCOME POVERTY GUIDELINES AND THAT ALL OTHER SOURCES OF PAYMENT HAVE BEEN EXHAUSTED. HARRISON MEDICAL CENTER PART V, SECTION B, LINE 3: HARRISON IS ONE OF FOUR SPONSORS, ALONG WITH THE KITSAP COUNTY PUBLIC HEALTH DISTRICT, THE UNITED WAY OF KITSAP COUNTY, AND THE KITSAP COMMUNITY FOUNDATION, OF THE KITSAP COUNTY HEALTH PRIORITIES (KCHP) PROJECT WHICH ASSESSES THE OVERALL HEALTH NEEDS FOR THE COMMUNITY AND IDENTIFIES THOSE AREAS IN WHICH WE CAN MAKE THE MOST SIGNIFICANT DIFFERENCE WITH LIMITED RESOURCES. THIS PROJECT IS SUPPORTED BY AT LEAST 37 DIFFERENCE AGENCIES PROVIDING CARE IN THE COUNTY.IN THIS PROJECT, WE SOLICITED INPUT FROM HEALTHCARE AND COMMUNITY LEADERS DIRECTLY, AND INVITED MEMBERS OF THE COMMUNITY VIA PUBLIC ANNOUNCEMENTS IN THE LOCAL NEWSPAPERS. WE USED AN OUTSIDE FACILITATOR TO SUPPORT MULTIPLE INPUT SESSIONS WITH THIS GROUP OVER THE NEXT SEVERAL MONTHS. THROUGH THIS PROCESS, WE ULTIMATELY IDENTIFIED OUR TOP HEALTH PRIORITIES FOR THE COUNTY.PARTICIPANTS IN THIS PROCESS INCLUDED THE MAYOR OF BREMERTON, A KITSAP COUNTY COMMISSIONER, PENINSULA COMMUNITY HEALTH SERVICES, KITSAP MENTAL HEALTH, THE KITSAP COUNTY PUBLIC HEALTH DISTRICT, THE UNITED WAY, THE YMCA, THE DEPARTMENT OF SOCIAL AND HEALTH SERVICES, KITSAP REGIONAL COORDINATING COUNCIL, HOUSING KITSAP, KITSAP COMMUNITY RESOURCES, OLYMPIC EDUCATIONAL SERVICE, THE NAVAL HOSPITAL, HARRISON MEDICAL CENTER, COMMUNITY LEADERS, AND INDIVIDUALS INTERESTED IN PUBLIC HEALTH. HARRISON MEDICAL CENTER PART V, SECTION B, LINE 5C: THIS ASSESSMENT IS AVAILABLE TO THE PUBLIC VIA A WEBSITE THAT HAS BEEN ADVERTISED IN THE LOCAL NEWSPAPER. THERE IS ALSO A LINK ON THE HARRISON WEBSITE, WWW.HARRISONMEDICAL.ORG/HOME/KITSAP-HEALTH-PRIORITIES. IT HAS BEEN COMMUNICATED TO ALL STAFF AT HARRISON, THE UNITED WAY AND THEIR AGENCIES, AND THE KITSAP HEALTH DISTRICT.THIS SITE HAS INFORMATION AVAILABLE WHICH OUTLINES THE PRIORITY SETTING PROCESS, AND LISTS THE SPECIFIC PRIORITIES AND TEAM ACTION PLANS DESIGNED TO ADDRESS THEM. IT ALSO MAKES AVAILABLE TO THE PUBLIC ALL OF THE WORKING DATA AND REPORTS WHICH WERE USED TO HELP IDENTIFY THE COMMUNITY NEED. HARRISON MEDICAL CENTER PART V, SECTION B, LINE 6I: AS A RESULT OF THE ASSESSMENT PROCESS, THERE WERE FIVE TOP PRIORITIES IDENTIFIED. FOUR OF THOSE PRIORITIES ARE BEING ADDRESSED BY COMMUNITY TEAMS CREATED SPECIFICALLY TO DEFINE AND IMPLEMENT STRATEGIES FOR IMPROVEMENT. THE FIFTH PRIORITY IS BEING ADDRESSED BY A COMMUNITY NON-PROFIT ALREADY ENGAGED IN THAT WORK. HARRISON IS A PARTICIPANT IN EACH OF THESE TEAMS AND IS THE LARGEST CONTRIBUTOR TO ALL OF THEM.THE TEAMS MEET INDIVIDUALLY ON AN AD-HOC BASIS AND THEN COLLECTIVELY, THEY MEET QUARTERLY TO DISCUSS THEIR PROGRESS. THE RESULTS OF THEIR EFFORTS ARE THEN SHARED WITH THE KITSAP COMMUNITY ON AN ANNUAL BASIS. HARRISON MEDICAL CENTER PART V, SECTION B, LINE 7: THE HOSPITAL DID NOT DIRECTLY ADDRESS THE HEALTH PRIORITY ASSOCIATED WITH THE EXPANSION OF LIVING WAGE JOBS IN THE COMMUNITY. WE DID PARTICIPATE AT THE BOARD LEVEL WITH THE KITSAP ECONOMIC DEVELOPMENT ALLIANCE. HARRISON MEDICAL CENTER PART V, SECTION B, LINE 11: FEDERAL POVERTY GUIDELINE: 100% = 100% DISCOUNTFEDERAL POVERTY GUIDELINE: 200% = 52% DISCOUNTFEDERAL POVERTY GUIDELINE: 300% = 38% DISCOUNT HARRISON MEDICAL CENTER PART V, SECTION B, LINE 20D: THE HARRISON MEDICAL CENTER FINANCIAL ASSISTANCE POLICY PROVIDED FOR FREE CARE OR CARE AT REDUCED RATES TO PATIENTS WHO QUALIFIED UNDER THE POLICY. A PATIENT QUALIFIED UNDER THE POLICY FOR A SLIDING FEE DISCOUNT IF THE PATIENT'S INCOME WAS BETWEEN 100% AND 300% OF THE FEDERAL POVERTY GUIDELINES ADJUSTED FOR HOUSEHOLD SIZE. THE DISCOUNT WAS CALCULATED AS FOLLOWS:FEDERAL POVERTY LEVEL: 100% = DISCOUNT: 100%FEDERAL POVERTY LEVEL: 200% = DISCOUNT: 52%FEDERAL POVERTY LEVEL: 300% = DISCOUNT: 38% HARRISON MEDICAL CENTER PART V, SECTION B, LINE 21: THE STATEMENT IN THE FOLLOWING PARAGRAPH REGARDING THE HARRISON MEDICAL CENTER FINANCIAL ASSISTANCE POLICY WAS INCLUDED IN AN AMENDED RETURN FOR TAX YEAR 2011, WHICH WILL BE FILED IN JANUARY, 2014. THIS POLICY CHANGE MENTIONED BELOW WAS IMPLEMENTED IN JUNE, 2013 (TAX YEAR 2013).SUBSEQUENT TO FILING ITS FORM 990, HARRISON MEDICAL CENTER CALCULATED ITS AMOUNT GENERALLY BILLED UNDER THE PROPOSED RULES FOR IRC SECTION 501(R)(5) AND DETERMINED THAT THE PERCENTAGE DISCOUNT IT SHOULD HAVE APPLIED TO PATIENTS WHO QUALIFIED UNDER THE FINANCIAL ASSISTANCE POLICY TO BE AT LEAST 65%. HARRISON MEDICAL CENTER SUBSEQUENTLY AMENDED ITS FINANCIAL ASSISTANCE POLICY TO INCREASE ITS DISCOUNT TO BE AT LEAST 65% OF ITS CHARGES. PART VI, LINE 2: HARRISON MEDICAL CENTER'S ASSESSMENT OF THE COMMUNITY'S HEALTH CARE NEEDS IS DATA DRIVEN, FACTORING A NUMBER OF CONSIDERATIONS. THE ORGANIZATION REVIEWS MARKET SHARE DATA BY VARIOUS CLINICAL DEFINITIONS TO UNDERSTAND WHICH PATIENTS ARE LEAVING THE COMMUNITY FOR CARE. WE ALSO RANDOMLY SURVEY OUR COMMUNITY EVERY TWO TO THREE YEARS TO ASSIST IN DETERMINING IF THERE IS AN UNMET NEED WITHIN THE COMMUNITY. OUR PHYSICIAN WORKFORCE PLAN IDENTIFIES SHORTAGES OF PHYSICIANS BY SPECIALTY AND REGION. DEMOGRAPHIC DATA IS ANALYZED ALONG WITH HISTORICAL USE RATES TO DETERMINE FUTURE CHANGES IN HEALTH CARE NEEDS. ALSO, DATA FROM THE CDC'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) IS REVIEWED TO UNDERSTAND CHANGES IN THE OVERALL HEALTH STATUS AND RISK FACTORS FOR VARIOUS DISEASES SUCH AS SMOKING AND OBESITY. FINALLY, HARRISON IS A SPONSOR OF, AND PARTICIPATES IN, THE KITSAP COUNTY HEALTH PRIORITIES PROJECT WHICH ASSESSES THE OVERALL HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIES THOSE AREAS IN WHICH WE CAN MAKE THE MOST SIGNIFICANT DIFFERENCE IN OUR COMMUNITY WITH LIMITED RESOURCES. IN RESPONSE TO THE PRELIMINARY KITSAP COMMUNITY HEALTH NEEDS ASSESSMENT, WORKING WITH THE KITSAP HEALTH DISTRICT AND THE KITSAP UNITED WAY, ACCESS TO AFFORDABLE HEALTHY FOOD AND A SAFE ENVIRONMENT FOR FITNESS WAS IDENTIFIED AS ONE OF THE MAIN HEALTH NEEDS IN OUR COMMUNITY. THE NEW YMCA IN SILVERDALE WAS AN EXCELLENT MATCH REGARDING AFFORDABLE FITNESS OPTIONS. HARRISON WAS ONE OF MANY SIGNIFICANT SPONSORS OF THE NEW BUILDING. OUR COMMITMENT OF OVER $3 MILLION OVER TEN YEARS ALLOWS US TO BE INVOLVED IN THE COMMUNITY IN A LONG-TERM MANNER AND ENSURE THE NEED IS FULFILLED. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE AVAILABLE AT EACH HARRISON MEDICAL CENTER LOCATION. CONSISTENT WITH OUR POLICY, PATIENTS THAT DO PRESENT FOR SERVICES AS SELF PAY OR INSURED ARE OFFERED AN OPPORTUNITY TO APPLY FOR OUR FINANCIAL ASSISTANCE PROGRAM. APPLICATIONS ARE AVAILABLE IN BOTH ENGLISH AND SPANISH, WHILE INTERPRETERS ARE OFFERED AT NO COST TO HELP PROVIDE INFORMATION TO OTHER NON-ENGLISH SPEAKING FAMILIES. THIS SAME INFORMATION IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE. DURING THE PREVIOUS YEAR, HARRISON MEDICAL CENTER PROCESSED OVER 13,000 FINANCIAL ASSISTANCE APPLICATIONS. ONCE AN APPLICATION IS RECEIVED, OUR FINANCIAL ASSISTANCE SPECIALIST REVIEWS THE APPLICATION AND CONTACTS THE PATIENT FOR ADDITIONAL INFORMATION IF NEEDED. WE ALSO HAVE PATIENT ACCOUNTS SPECIALISTS AVAILABLE TO MEET WITH PATIENTS AND/OR THEIR FAMILIES TO HELP COMPLETE THE APPLICATION IF NEEDED. IF THE APPLICANT DOES NOT QUALIFY FOR OTHER STATE PROGRAMS THEN THE APPLICATION WILL BE PROCESSED AND APPROVED BASED UPON FEDERAL POVERTY GUIDELINES. PART VI, LINE 4: HARRISON'S PRIMARY MARKET AREA, KITSAP COUNTY, HAS A POPULATION IN EXCESS OF 250,000, WITH OVER 14 PERCENT OF THE COUNTY'S RESIDENTS 65 YEARS OF AGE OR OLDER. HARRISON'S SECONDARY MARKET IS CLALLAM, JEFFERSON, AND NORTH MASON COUNTIES. HARRISON MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THIS POLICY EXTENDS OUTSIDE THE BOUNDARIES OF OUR HOSPITALS AND INTO OUR URGENT CARES AND PHYSICIAN PRACTICES. IT IS ALSO OUR POLICY TO NOT PROVIDE FINANCIAL ASSISTANCE IN THE RECRUITMENT OF ANY PHYSICIAN INTO A PRIVATE PRACTICE UNLESS THEY AGREE TO ABIDE BY THE SAME POLICY. PART VI, LINE 5: IN ADDITION, HARRISON MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY IN MANY WAYS. HARRISON'S OPEN MEDICAL STAFF PRACTICES IN SIX LOCATIONS THROUGHOUT KITSAP, CLALLAM & MASON COUNTIES; PROVIDES PRIMARY AND URGENT CARE AS WELL AS ADVANCED SPECIALTY CARE. FOR THE PAST EIGHT YEARS, HARRISON HAS SPONSORED THE KITSAP COUNTY MEDICAL SOCIETY FOUNDATION'S FAMILY FUN RUN. THE EVENT MARKS THE CULMINATION OF A TWO-MONTH PROGRAM, ENCOURAGING SCHOOL CHILDREN TO EXERCISE AND MAKE HEALTHY NUTRITION CHOICES. IN AN EFFORT TO "LEAD BY EXAMPLE", OUR DIETARY AND FRESH START PROGRAMS CREATED A WELLNESS PROGRAM FOR EMPLOYEES. THE PROGRAM OFFERS GROUP EXERCISE CLASSES, PERSONALIZED DIETARY AND ACTIVITY PLANS, ONLINE COMMUNITY FORUMS, AND HEALTH SCREENINGS ALL MEANT TO ENABLE EMPLOYEES TO LEAD HEALTHIER LIVES. HARRISON ALSO OFFERS A NURSING RESIDENCY PROGRAM DESIGNED TO AID THE TRANSITION OF NURSING STUDENTS TO STAFF NURSES PROVIDING CARE FOR PATIENTS AT THE BEDSIDE. FURTHER, HARRISON OFFERS A MULTITUDE OF HEALTH EDUCATION AND SUPPORT CLASSES FOR THE COMMUNITY. 1 HARRISON MEDICAL CENTER FOUNDATION 750 LEBO BOULEVARD BREMERTON WA 98310 911197626 501(C)(3) 294826 0 N/A N/A PROVIDE SALARIES & BENEFITS FOR FOUNDATION STAFF AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 25000 8249 BOOK SUPPLIES, SERVICES AND FOOD SPONSORSHIP KIDS DISCOVERY MUSEUM 301 RAVINE LANE BAINBRIDGE ISLAND WA 98110 300167480 501(C)(3) 11000 0 N/A N/A MUSEUM SPONSORSHIP KITSAP COUNTY MEDICAL SOCIETY PO BOX 490 SILVERDALE WA 98383 237087265 501(C)(6) 7500 0 N/A N/A FAMILY FUN RUN, NUTRITION FITNESS FUN RUN & KITSAP CO FIRE & ICE SPONSORSHIP KITSAP CANCER SERVICES PO BOX 974 POULSBO WA 98370 710900525 501(C)(3) 7000 0 N/A N/A GOLF CHALLENGE & SWEETHEART DINNER FUNDRAISER SPONSORSHIP BAINBRIDGE ISLAND DOWNTOWN ASSOCIATION 120 MADRONE LANE N SUITE 203 BAINBRIDGE ISLAND WA 98110 911390519 501(C)(3) 6659 0 N/A N/A EVENT SPONSORSHIPS UNITED WAY OF KITSAP COUNTY 645 4TH ST SUITE 100 BREMERTON WA 98337 910623990 501(C)(3) 0 14177 BOOK BOX LUNCHES & PROMO MATERIALS ASSISTANCE WITH DAY OF CARING; PROMOTIONAL MATERIALS TO ENCOURAGE SUPPORT AMERICAN CANCER SOCIETY 718 LEBO BLVD BREMERTON WA 98310 841316555 501(C)(3) 0 8410 BOOK VOLUNTEER TIME ASSIST WITH RELAY FOR LIFE PANCAKE BREAKFAST 7 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SUPPORT IS PROVIDED TO HARRISON MEDICAL CENTER FOUNDATION IN THE FORM OF SALARIES AND BENEFITS FOR SEVERAL STAFF MEMBERS. HARRISON MEDICAL CENTER REVIEWS THE RECORDS AND PREPARES THE FINANCIAL STATEMENTS OF THE FOUNDATION. WHEN CONSIDERING FINANCIAL DONATIONS TO OTHER ORGANIZATIONS, HARRISON MEDICAL CENTER FOCUSES ON THREE AREAS: HEALTH AND WELLNESS PROGRAMS THAT ENHANCE OPPORTUNITIES FOR FAMILIES IN KITSAP COUNTY; SPORTS PROGRAMS THAT SUPPORT HEALTHY, ACTIVE LIFESTYLES; AND BUSINESS DEVELOPMENT OPPORTUNITIES THAT EXPAND THE WELLNESS COMPONENT OF OUR SERVICES. WE BELIEVE OUR EMPLOYEES ARE THE BEST RESOURCE WE CAN OFFER OUR COMMUNITIES AND THEREFORE WE ALSO SUPPORT ORGANIZATIONS IN WHICH THEY ARE ACTIVE VOLUNTEERS. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 ADAR PALIS 311988 0 22134 0 68387 0 42050 0 21591 0 466150 0 24556 0 PATRICIA COCHRELL 309472 0 22134 0 980 0 42670 0 20009 0 395265 0 0 0 FORREST G EHLINGER 277677 0 19635 0 2335 0 39169 0 10788 0 349604 0 0 0 SCOTT W BOSCH 512091 0 49226 0 11145 0 181286 0 18009 0 771757 0 0 0 MARIEL KAGAN 260693 0 17993 0 98748 0 37914 0 15359 0 430707 0 5099 0 MALCOLM W WINTER 779531 0 45507 0 981 0 12350 0 23106 0 861475 0 0 0 RONALD ROBERT REIMER 767731 0 83638 0 1504 0 12350 0 18009 0 883232 0 0 0 DENNIS MICHAEL WILLERFORD 708936 0 16954 0 525 0 12350 0 26421 0 765186 0 0 0 JOSEPH LOWELL JOHNSON 551569 0 16197 0 980 0 12350 0 25416 0 606512 0 0 0 ROBERT C KING 496408 0 63085 0 342 0 17250 0 23466 0 600551 0 0 0 CYNTHIA MAY 182480 0 9710 0 62797 0 9907 0 22377 0 287271 0 0 0 SANDON K SAFFIER 88797 0 18921 0 264111 0 8974 0 24534 0 405337 0 60975 0 PART I, LINE 1A COMPANION TRAVEL IS AVAILABLE TWICE A YEAR FOR THE CEO'S SPOUSE, PER THE EMPLOYMENT AGREEMENT, AND IS TREATED AS TAXABLE COMPENSATION. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT FROM THE ORGANIZATION: CYNTHIA MAY = $37,396 (SIX MONTHS SALARY FOLLOWING EMPLOYEE'S LAST DAY OF EMPLOYMENT PAID IN EQUAL SEMI-MONTHLY INSTALLMENTS), SANDON K. SAFFIER = $165,625 (ONE YEAR BASE SALARY FOLLOWING EMPLOYEE'S LAST DAY OF EMPLOYMENT PAID IN EQUAL SEMI-MONTHLY INSTALLMENTS). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MARIEL KAGAN = $5,099, ADAR PALIS = $24,556, SANDON K. SAFFIER = $60,975. ALL AMOUNTS WERE RECEIVED FROM THEIR CAPITAL ACCUMULATION ACCOUNTS. PART I, LINE 6 DEFERRED COMPENSATION: AS PART OF THE EXECUTIVE BENEFITS PACKAGE AVAILABLE TO EXECUTIVES AND ONE PHYSICIAN, THERE IS A PROVISION THAT A CERTAIN PERCENTAGE OF THEIR ANNUAL BASE COMPENSATION CAN BE USED FOR THE PURCHASE OF ADDITIONAL BENEFITS (E.G., LIFE INSURANCE, LONG TERM CARE INSURANCE, ETC.) OR BE DEFERRED AS AN AT RISK (SUBJECT TO RISK RULES, AS DEFINED). NO PART OF THIS ADDITIONAL BENEFIT IS PREDICATED ON THE EARNINGS OF HARRISON MEDICAL CENTER. AT RISK COMPENSATION: AN AT RISK COMPENSATION PLAN IS ALSO IN PLACE FOR SENIOR EXECUTIVES (VICE PRESIDENT LEVEL AND THE CEO). THIS PLAN, WHICH PLACES A PORTION OF EACH EXECUTIVE'S OVERALL COMPENSATION AT RISK, IS PREMISED ON A SERIES OF GOALS THAT RANGE FROM QUALITY TO FINANCIAL PERFORMANCE. WHILE A TRIGGER DOES EXIST IN THE PLAN THAT THE OPERATING BUDGET FOR THE FISCAL YEAR MUST BE MET, NO PART OF THE INCENTIVE IS COMPUTED AS A PERCENTAGE OF OPERATING INCOME. THE TARGETS ARE ADJUSTED EACH YEAR BY THE BOARD OF DIRECTORS, DEPENDENT ON THE ORGANIZATIONAL OBJECTIVES FOR THE YEAR. PART I, LINE 7 PHYSICIANS ROBERT C. KING, JOSEPH LOWELL JOHNSON, RONALD ROBERT REIMER, DENNIS MICHAEL WILLERFORD AND MALCOLM W. WINTER RECEIVED PAYMENTS PURSUANT TO THE PHYSICIAN PRODUCTIVITY INCENTIVE PLAN. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART II, COLUMN (B)(III): OTHER REPORTABLE COMPENSATION INCLUDES AMOUNTS OF PAID TIME OFF THAT WERE CASHED IN, BUT MAY HAVE BEEN EARNED IN A PRIOR YEAR. A WA HEALTH CARE FACILITIES AUTHORITY 2010 SERIES 911108929 2010-04-29 30000000 SEE PART VI 0 0 0 B WA HEALTH CARE FACILITIES AUTHORITY 2012 SERIES 911108929 2012-06-28 35000000 SEE PART VI 0 0 0 A 1020000 30000000 600000 28016152 1383848 2013 0 0 0 1 B 35000000 918104 531528 20549766 13918706 2013 0 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 FORM 990, SCHEDULE K: DESCRIPTION OF PURPOSE 2010 SERIES: FUNDS TO PAY FOR COSTS OF CONSTRUCTING, REMODELING AND EQUIPPING A DEDICATED CARDIOVASCULAR CENTER, DIETARY SERVICES, AND OTHER CAMPUS FACILITY IMPROVEMENTS. 2012 SERIES: FUNDS TO PAY FOR CONSTRUCTION OF A NEW ORTHOPAEDIC HOSPITAL AND SEVERAL CAPITAL IMPROVEMENT/REMODELING PROJECTS. FORM 990, SCHEDULE K: ALL HARRISON MEDICAL CENTER OUTSTANDING BONDS ARE BEING REPAID ON NOVEMBER 14, 2013, AS A RESULT OF AFFILIATION WITH FRANCISCAN HEALTH SYSTEMS AND CATHOLIC HEALTH INITIATIVES. PATHOLOGY ASSOC OF KITSAP COUNTY SEE PART V 962484 SEE PART V 0 KITSAP CHEST CONSULTANTS SEE PART V 296521 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: PATHOLOGY ASSOCIATES OF KITSAP COUNTY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:PARTNERSHIP MORE THAN 5% OWNED BY GREGORY HENDERSON, MD, TRUSTEE(D) DESCRIPTION OF TRANSACTION: ANATOMIC PATHOLOGY SERVICES AGREEMENTAND LAB DIRECTOR SERVICES(A) NAME OF PERSON: KITSAP CHEST CONSULTANTS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:PARTNERSHIP MORE THAN 5% OWNED BY GRIFFITH BLACKMON, MD, TRUSTEE(D) DESCRIPTION OF TRANSACTION: MANAGEMENT FEES AND ICU CALL COVERAGECONTRACT X EQUIPMENT 1 95907 FAIR MARKET VALUE X VENDOR PMTS 22 56207 FAIR MARKET VALUE 0 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: PART I, COLUMN (B): THE NUMBER OF CONTRIBUTORS IN SCHEDULE M, PART I, COLUMN (B) REPRESENTS THE NUMBER OF DONATIONS DURING THE YEAR. FORM 990, PART I, LINE 6 VOLUNTEER RESOURCES RECRUITS, ORIENTS, PLACES, TRAINS AND SUPPORTS VOLUNTEERS FROM 14 TO OVER 90 YEARS OF AGE. PEOPLE VOLUNTEER BECAUSE THEY VALUE SERVICE, TO GAIN WORK EXPERIENCE, MEET JUNIOR/HIGH SCHOOL REQUIREMENTS, MEET CRITERIA FOR COLLEGE APPLICATIONS OR PROGRAMS, OR FOR CAREER EXPLORATION. WE COORDINATE WITH SCHOOLS AND LOCAL ORGANIZATIONS IN ORDER TO PROVIDE OPPORTUNITIES FOR THEIR CLIENTS AND FOR THOSE WITH SPECIAL NEEDS. DURING THE FISCAL YEAR, MAY 1, 2012 THROUGH APRIL 30, 2013, VOLUNTEER RESOURCES SUPPORTED APPROXIMATELY 400 VOLUNTEERS AND JOB SHADOWS WITH 175-225 ACTIVE VOLUNTEERS EACH MONTH. CURRENTLY, ONE HALF OF NEW VOLUNTEERS ARE VOLUNTEERING TO MEET SCHOOL REQUIREMENTS TO ENHANCE THEIR WORK EXPERIENCE. IN-HOSPITAL VOLUNTEERS ARE PROJECTED TO DONATE OVER 46,000 HOURS OF SERVICE THROUGHOUT HARRISON AND ITS HEALTHPARTNERS' CLINICS. VOLUNTEERS WILL ALSO BE INTEGRATED INTO THE NEW ORTHOPEDIC CENTER IN SILVERDALE. VOLUNTEERS WERE PLACED AND/OR COMPLETED OVER 3,000 WORK ORDERS FOR OVER 50 DEPARTMENTS OR LOCATIONS: BELFAIR PRIMARY CARE/URGENT CARE, BEREAVEMENT SUPPORT GROUPS, BIO MED, BUSINESS/COMMUNITY DEVELOPMENT, COMMUNICATIONS, COMPLEMENTARY THERAPIES, DIABETES CENTER, DIETARY/CULINARY, EDUCATION SERVICES, EMERGENCY DEPARTMENT, EMERGENCY PREPAREDNESS, EMPLOYEE HEALTH, ENVIRONMENTAL SERVICES, FACILITIES, FINANCE, FOUNDATION, GIFT SHOPS (AUXILIARY), INFORMATION TECHNOLOGY, SOUTH KITSAP PRIMARY CARE/URGENT CARE, BREMERTON & FORKS PRIMARY CARE, HOME HEALTH, HUMAN RESOURCES, INFECTION PREVENTION, MARKETING, MATERIALS MANAGEMENT, MEDICAL SERVICES, MEDICAL IMAGING, NURSING ADMINISTRATION, NURSING UNITS (ALL), PALLIATIVE CARE, PATIENT ACCOUNTS, PATIENT ADVOCACY, POULSBO ONCOLOGY CLINIC, PUBLIC RELATIONS, PRE ADMIT, QUALITY, RADIATION ONCOLOGY, REGISTRATION, REHABILITATION (ALL AREAS), SECURITY, SLEEP CLINIC, SPIRITUAL CARE (ALL INPATIENT AREAS), SURGERY (INPATIENT AND SAME DAY SURGERY), PHARMACY, AND TELECOMMUNICATIONS. VOLUNTEER RESOURCES CONTINUES TO SUPPORT NEW OPPORTUNITIES INCLUDING THE "MENDING HEARTS PROGRAM" THAT MATCHES PAST HEART PATIENTS AS VOLUNTEERS WITH PATIENTS UNDERGOING THE SAME TYPES OF SURGERIES. YOUTH ARE ALSO PLACED IN DEPARTMENTS IN SERVICE ROLES APPROPRIATE FOR THEIR AGE SUCH AS ESCORTING, HELPING IN THE GIFT SHOP OR WITH SPECIAL PROJECTS AND EVENTS. ACCESS TO HARRISON FOR PREVOCATIONAL AND VOCATIONAL ACTIVITIES IS IN HIGH DEMAND. OUR GOAL IS TO PROVIDE ALL COMMUNITY PARTNERS AND THEIR DIVERSE/SPECIAL NEEDS CUSTOMERS OR STUDENTS EQUAL ACCESS FOR THESE OPPORTUNITIES. OUTREACH AND PARTNERSHIPS ARE ONGOING WITH VOCATIONAL REHABILITATIONS AND THEIR CONTRACTED VENDORS: GOODWILL, KITSAP COUNTY HIGH SCHOOL DISTRICTS, CARES OF WASHINGTON, EASTER SEALS, ABLE OPPORTUNITIES, AND KITSAP COUNTY DIVISION OF DEVELOPMENTAL DISABILITIES. DURING THIS YEAR, 25 JUNIOR AND HIGH SCHOOL STUDENTS, 12 YOUTH AND ADULTS WITH DEVELOPMENTAL DISABILITIES, AND 15 SENIOR PROGRAM CLIENTS SERVED AS VOLUNTEERS IN ORDER TO OBTAIN ASSESSMENTS, JOB TRAINING, WORK EXPERIENCE, COMPLETE INFORMAL INTERNSHIPS, INDEPENDENT EMPLOYMENT PLANS OR COMMUNITY ACCESS PROGRAMS. IN ADDITION, OLYMPIC COLLEGE AND OTHER LEARNING INSTITUTIONS PLACE VOLUNTEERS IN AREAS FOR CREDIT INCLUDING REHABILITATION, MUSIC THERAPY, MEDICAL ASSISTING, ETC. EXAMPLES OF VOLUNTEER TASKS INCLUDE PROVIDING CUSTOMER SERVICE BY GREETING AND ESCORTING PATIENTS AND VISITORS, BEING COMMUNICATION LIAISONS, STAFFING RECEPTION DESKS, MAKING PHONE CALLS, PROVIDING CLERICAL AND COMPUTER ASSISTANCE, STAFFING SPECIAL EVENTS, ASSISTING NURSES IN CLINICAL AREAS, STOCKING SUPPLIES, GIVING TOURS, PICKING UP SHRED AND RECYCLE, AND PROVIDING COMPLEMENTARY THERAPIES INCLUDING HAND RUBS, MUSIC, DOG THERAPY, AND "ART IN THE LOBBY" DEMONSTRATIONS. VOLUNTEERS ALSO COMPLETE THOUSANDS OF WORK ORDERS WHICH INCLUDE COPYING, COLLATING, ART PROJECTS, SPECIAL PROJECTS, AND MAKING THOUSANDS OF PATIENT CHARTS, DISCHARGE PACKETS, AND EMERGENCY PREPAREDNESS SUPPLY PACKETS THAT ARE DISTRIBUTED THROUGHOUT HARRISON. THE LATEST REPORT FROM THE INDEPENDENT SECTOR ESTIMATES THE AVERAGE DOLLAR VALUE OF VOLUNTEER TIME AT $22.14 NATIONALLY AND $22.69 FOR WASHINGTON STATE. NOTE THE MINIMUM WAGE PLUS 15% INCREASE SUGGESTED BY HUMAN RESOURCES COMES TO OVER A $500,000 INVISIBLE REVENUE STREAM. BY ANY COUNT, THESE FIGURES HELP US MEASURE THE BROADER CONTRIBUTION OF VOLUNTEERS WHO DEDICATE THEIR TIME, TALENTS, AND ENERGY TO MAKING A POSITIVE DIFFERENCE AT HARRISON. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER TO ENSURE ACCURACY AND COMPLETENESS OF DATA. ONCE THEIR REVIEW IS COMPLETE, THE FORM 990 IS SHARED WITH THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS RECEIVES AN ELECTRONIC COPY OF THE FORM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE ANNUALLY REQUIRED TO ACKNOWLEDGE RECEIPT OF THE MEDICAL CENTER'S CURRENT CONFLICT OF INTEREST POLICY AND COMPLETE AND SUBMIT PROVIDED QUESTIONNAIRES. MEDICAL CENTER COUNSEL REVIEWS THE SUBMITTED QUESTIONNAIRES AND PROVIDES A FORMAL REPORT BACK TO THE BOARD. IN THE EVENT OF A CONFLICT OF INTEREST, THE INDIVIDUAL MEETS WITH THE EXECUTIVE COMMITTEE TO DISCUSS THE MATTER AND DETERMINE THE APPROPRIATE RESPONSE. FORM 990, PART VI, SECTION B, LINE 15 CONSULTANTS ARE RETAINED BY THE CHAIRMAN OF THE BOARD FOR THE EXPRESS PURPOSE OF SETTING EXECUTIVE COMPENSATION AND OPINING AS TO ITS COMPARABILITY AND REASONABLENESS. CONSULTANTS MAY USE A VARIETY OF RESOURCES TO MAKE THIS DETERMINATION INCLUDING SURVEYS, INFORMATION FROM OTHER ORGANIZATIONS' FORM 990, AND VARIOUS COMPARATIVE DATA. THIS REVIEW PROCESS IS TYPICALLY DONE ANNUALLY FOR THE EXECUTIVE STAFF AND KEY EMPLOYEES. IN FISCAL YEAR 2013, THE BOARD DID NOT ENGAGE AN OUTSIDE INDEPENDENT CONSULTANT TO REVIEW EXECUTIVE AND KEY EMPLOYEE COMPENSATION LEVELS; EXECUTIVE AND KEY EMPLOYEE COMPENSATION WAS REVIEWED BY THE BOARD'S EXECUTIVE COMMITTEE. THE LAST INDEPENDENT CONSULTANT SALARY REVIEW WAS ON 4/10/2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN OBLIGATIONS UNDER PENSION PLAN -1,244,462. CHANGE IN INTEREST IN HARRISON MEDICAL CENTER FOUNDATION -9,102,671. HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVENUE BREMERTON WA 98310 911197626 RAISES & MANAGES CHARITABLE GIFTS FOR HARRISON MEDICAL CENTER WA 501(C)(3) LINE 7 HARRISON MEDICAL CENTER 0 0 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 1