NORTHWEST MEDICAL CENTER ASSOCIATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST MEDICAL CENTER ASSOCIATION INC (EIN 44-0580870)
- Tax period
- 2012-04-01 to 2013-03-31
- Filed
- 2014-02-17
- IRS object ID
- 201420489349301287
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-17T15:14:01-06:00 | Timestamp |
| Tax Period End Date | 2013-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Walnut Suite 1700 | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 641062246 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440580870 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwest Medical Center Association Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JON DOOLITTLE | InCareOfName |
| Name Control | NORT | NameControl |
| Phone | 6607263941 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 NORTH COLLEGE ST | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | ALBANY | City |
| State | MO | State |
| ZIP Code | 64402 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JON DOOLITTLE | Name |
| Title | OFFICER | Title |
| Phone | 8162216300 | Phone |
| Date Signed | 2014-02-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael J Engle | Name |
| Phone | 8162216300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwest Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JON DOOLITTLE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 N COLLEGE ST | AddressLine1 |
| City | ALBANY | City |
| State | MO | State |
| ZIP Code | 64402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16103859 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NORTHWESTMEDICALCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1955 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | WITH THE HELP OF TRUSTED, INTEGRATED PARTNERS, NORTHWEST MED. CENTER SERVES AS A COMPASSIONATE, EFFICIENT HEALTH HOME THAT ENCOURAGES WELLNESS, RESTORES HEALTH, AND PROMOTES A SUPERIOR QUALITY OF LIFE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 196 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 43083 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1446 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 10633 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 12720 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15346004 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 15543335 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 202461 | InvestmentIncomePriorYear |
| Investment Income Current Year | 201083 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 269045 | OtherRevenuePriorYear |
| Other Revenue Current Year | 331261 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15828143 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16088399 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 30776 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 17457 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8822000 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9315519 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7358705 | OtherExpensePriorYear |
| Other Expenses Current Year | 7194377 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 16211481 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16527353 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -383338 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -438954 | RevenuesLessExpensesCY |
| Total Assets BOY | 17718033 | TotalAssetsBOY |
| Total Assets EOY | 17450290 | TotalAssetsEOY |
| Total Liabilities BOY | 2948132 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2991872 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14769901 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14458418 | NetAssetsOrFundBalancesEOY |
| Mission Description | WITH THE HELP OF TRUSTED, INTEGRATED PARTNERS, NORTHWEST MEDICAL CENTER SERVES AS A COMPASSIONATE, EFFICIENT HEALTH HOME THAT ENCOURAGES WELLNESS, RESTORES HEALTH, AND PROMOTES A SUPERIOR QUALITY OF LIFE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 3169891 | Expense |
| Grants | 17457 | Grants |
| Revenue | 3819520 | Revenue |
| Description | INPATIENT HOSPITAL CARE - OUR ACUTE CARE AND SWINGBED PROGRAM SAW A TOTAL OF 2,807 PATIENT DAYS. MEDICARE PATIENT DAYS CONSISTED OF 2,447 DAYS OR 87%. MEDICAID PATIENT DAYS WERE 83 DAYS OR 2%. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2133510 | Expense |
| Revenue | 2570748 | Revenue |
| Description | EMERGENCY SERVICES - TOTAL PATIENTS SEEN IN THE EMERGENCY ROOM WERE 3,024. OF THAT AMOUNT 31.5% OF PATIENTS SEEN WERE MEDICARE PATIENTS AND 23.1% WERE MEDICAID. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7632051 | Expense |
| Revenue | 9196150 | Revenue |
| Description | OUTPATIENT SERVICES - THERE WERE 17,362 OUTPATIENT VISITS. MEDICARE PATIENTS ACCOUNTED FOR 55.4% AND MEDICAID PATIENTS WERE 9.2%. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 12935452 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 50 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 196 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MO | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JON DOOLITTLE | NamePerson |
| Telephone Number | 6607263941 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 N COLLEGE | AddressLine1 |
| City | ALBANY | City |
| State | MO | State |
| ZIP Code | 64402 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| KEVIN HARDING | |||||||
| DIRECTOR/ CHAIR | 1.0 | X | X | ||||
| JOANN GIBBANY | |||||||
| DIRECTOR | 1.0 | X | |||||
| KIM FINDLEY | |||||||
| DIRECTOR | 1.0 | X | |||||
| MARY EWING | |||||||
| DIRECTOR | 1.0 | X | |||||
| NORMA HILL | |||||||
| DIRECTOR | 1.0 | X | |||||
| JIM HUMPHREY | |||||||
| DIRECTOR/ VICE CHAIR | 1.0 | X | X | ||||
| ROBERT MILLER | |||||||
| DIRECTOR | 1.0 | X | |||||
| SERENA NAYLOR | |||||||
| DIRECTOR | 1.0 | X | |||||
| ROBERT SMITH | |||||||
| DIRECTOR | 1.0 | X | |||||
| DR NASER SOGHRATI | |||||||
| ER PHYSICIAN | 75.0 | X | 314702 | 6393 | |||
| DR ANGELA MARTIN | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.0 | X | 240763 | 21549 | |||
| MATTHEW PEARL | |||||||
| DIRECTOR | 1.0 | X | |||||
| CRAIG THOMPSON | |||||||
| DIRECTOR | 1.0 | X | |||||
| BARBARA AXON | |||||||
| EXECUTIVE VICE PRESIDENT | 36.0 | X | 105641 | 12282 | |||
| DONNA WALTER | |||||||
| VP OF PATIENT CARE SERVICES | 40.0 | X | 96253 | 24306 | |||
| JAMES CROUCH | |||||||
| VP OF INFORMATION TECHNOLOGY | 40.0 | X | 101924 | 18987 | |||
| JON DOOLITTLE | |||||||
| PRESIDENT AND CEO | 40.0 | X | 130155 | 24986 | 0 | ||
| NATHAN BLACKFORD | |||||||
| COO | 40.0 | X | 106898 | 17931 | |||
| DR JACKIE MILLER | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.0 | 375232 | 10540 | X | |||
| DR KATIE DIAS | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.0 | 164258 | 15352 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1635826 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 152326 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| HAVE A NICE DAY ANESTHESIA | |
| ANESTHESIA SERVICES | 133020 |
| DR ARTURO TENORIO | |
| ER PHYSICIAN | 139945 |
| BKD LLP | |
| ACCOUNTING SERVICES | 119158 |
| HEARTLAND HEALTH | |
| CLINICAL SERVICES | 107155 |
| KPS LOCUMS LLC | |
| ER PHYSICIAN | 115837 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Fundraising Events | 6120 | FundraisingEvents |
| All Other Contributions | 6600 | AllOtherContributions |
| Total Contributions | 12720 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 15543335 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15543335 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 15543335 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 201083 | TotalRevenueColumn |
| Exclusion | $201,083 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7700 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7700 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7700 | TotalRevenueColumn |
| Exclusion | $7,700 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 32498 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 6120 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 15460 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17038 | TotalRevenueColumn |
| Exclusion | $17,038 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA | 811000 | 79184 | $79,184 | |
| VENDING MACHINE | 900099 | 1058 | $1,058 | |
| MISCELLANEOUS | 900099 | 226281 | $183,198 | 43083 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 226281 | TotalRevenueColumn |
| Unrelated Business Revenue | 43083 | UnrelatedBusinessRevenue |
| Exclusion | $183,198 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 306523 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16088399 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15543335 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 43083 | UnrelatedBusinessRevenue |
| Exclusion | $489,261 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17457 | Total |
| Program Services | 17457 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1523315 | Total |
| Program Services | 746591 | ProgramServices |
| Management And General | 776724 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61274 | Total |
| Program Services | 61274 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5704716 | Total |
| Program Services | 5185192 | ProgramServices |
| Management And General | 519524 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53198 | Total |
| Program Services | 43738 | ProgramServices |
| Management And General | 9460 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1488121 | Total |
| Program Services | 1116354 | ProgramServices |
| Management And General | 371767 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 484895 | Total |
| Program Services | 398667 | ProgramServices |
| Management And General | 86228 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152241 | Total |
| Management And General | 152241 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1644543 | Total |
| Program Services | 834227 | ProgramServices |
| Management And General | 810316 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21728 | Total |
| Program Services | 838 | ProgramServices |
| Management And General | 20890 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 885744 | Total |
| Program Services | 668665 | ProgramServices |
| Management And General | 217079 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 255234 | Total |
| Program Services | 174549 | ProgramServices |
| Management And General | 80685 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262698 | Total |
| Program Services | 211752 | ProgramServices |
| Management And General | 50946 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114472 | Total |
| Program Services | 88489 | ProgramServices |
| Management And General | 25983 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55896 | Total |
| Management And General | 55896 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 877897 | Total |
| Program Services | 693539 | ProgramServices |
| Management And General | 184358 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198513 | Total |
| Program Services | 156825 | ProgramServices |
| Management And General | 41688 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 899586 | 899586 | |
| REPAIRS AND MAINTENANCE | 783256 | 618036 | 165220 |
| EDUCATION | 16096 | 9315 | 6781 |
| MEDICAL SUPPLIES | 861842 | 861842 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164631 | Total |
| Program Services | 148516 | ProgramServices |
| Management And General | 16115 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16527353 | Total |
| Program Services | 12935452 | ProgramServices |
| Management And General | 3591901 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 584963 | BOY |
| EOY | 797659 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19313 | BOY |
| EOY | 21823 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3469775 | BOY |
| EOY | 3457808 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245264 | BOY |
| EOY | 292427 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171107 | BOY |
| EOY | 223392 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14285288 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8119585 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6684416 | BOY |
| EOY | 6165703 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1227176 | BOY |
| EOY | 2031519 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5316019 | BOY |
| EOY | 4459959 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17718033 | BOY |
| EOY | 17450290 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1054908 | BOY |
| EOY | 1453398 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1893224 | BOY |
| EOY | 1538474 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2948132 | BOY |
| EOY | 2991872 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11002130 | BOY |
| EOY | 10613997 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3635006 | BOY |
| EOY | 3711656 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132765 | BOY |
| EOY | 132765 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14769901 | BOY |
| EOY | 14458418 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17718033 | BOY |
| EOY | 17450290 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -438954 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 50821 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 76650 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $4,161 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 4161 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 132765 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 42003 | InvestmentEarningsOrLosses |
| Other Expenditures | 42003 | OtherExpenditures |
| End Of Year Balance | 132765 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 132765 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 6077 | InvestmentEarningsOrLosses |
| Other Expenditures | 6077 | OtherExpenditures |
| End Of Year Balance | 132765 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 132765 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 36702 | InvestmentEarningsOrLosses |
| Other Expenditures | 36702 | OtherExpenditures |
| End Of Year Balance | 132765 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 132765 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 14604 | InvestmentEarningsOrLosses |
| Other Expenditures | 14604 | OtherExpenditures |
| End Of Year Balance | 132765 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 132765 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Other Expenditures | 0 | OtherExpenditures |
| End Of Year Balance | 132765 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41867 | OtherCostOrOtherBasis |
| Book Value | 41867 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7619459 | OtherCostOrOtherBasis |
| Depreciation | 3756042 | Depreciation |
| Book Value | 3863417 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6115303 | OtherCostOrOtherBasis |
| Depreciation | 4189836 | Depreciation |
| Book Value | 1925467 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 508659 | OtherCostOrOtherBasis |
| Depreciation | 173707 | Depreciation |
| Book Value | 334952 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6165703 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 117100 |
| INTEREST RECEIVABLE | 125203 |
| INTEREST IN TRUST ASSETS | 3711656 |
| ANNUITIES | 0 |
| DUE FROM THIRD PARTY PAYERS | 506000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4459959 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 15995645 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 50821 | NetUnrealizedGainsInvestments |
| Other Revenues | 15460 | OtherRevenues |
| Revenue Not Rptd F990 | 66281 | RevenueNotRptdF990 |
| Revenue Subtotal | 15929364 | RevenueSubtotal |
| Other Revenues Not Included | 159035 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 159035 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 16088399 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16535763 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 15460 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 15460 | ExpensesNotRptdF990 |
| Expenses Subtotal | 16520303 | ExpensesSubtotal |
| Other Expenses Not Included | 7050 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 7050 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 16527353 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USE OF ENDOWMENT FUNDS | SCHEDULE D, PART V, LINE 4 | THE ENDOWMENT IS USED FOR ANY AND ALL HOSPITAL EXPENSES OF ANY NATURE. |
| UNCERTAIN TAX POSITIONS DISCLOSURE | 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. |
| RECONCILIATION OF REVENUE PER AUDIT REPORT | SCHEDULE D, PART XI, LINES 2D & 4B | LINE 2D: SPECIAL EVENT EXPENSES $ 15,460 RENTAL EXPENSES $ NONE ---------- $ 15,460 LINE 4B: NET ASSETS RELEASED FROM RESTRICTION $ 151,985 UBI GROSS RECIEPTS $ 7,050 ---------- $ 159,035 |
| RECONCILIATION OF EXPENSES PER AUDIT REPORT | SCHEDULE D, PART XII, LINE 4B | LINE 2D: SPECIAL EVENT EXPENSES $ 15,460 RENTAL EXPENSES $ NONE ---------- $ 15,460 LINE 4B: UBI GROSS RECIEPTS $ 7,050 ---------- $ 159,035 $ 159,035 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 38618 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 6120 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 32498 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 100 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 245 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 1810 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 3314 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 9991 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 38618 | GrossReceiptsTotal |
| Charitable Contributions Total | 6120 | CharitableContributionsTotal |
| Gross Revenue Total Events | 32498 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 100 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 245 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 1810 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 3314 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 9991 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 15460 | DirectExpenseSummaryEvents |
| Net Income Summary | 17038 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1304649 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 986489 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 318160 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02040 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2310509 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1657572 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 652937 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04180 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3615158 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2644061 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 971097 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06220 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34069 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 34069 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17457 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17457 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 51526 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 51526 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3666684 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2644061 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1022623 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06550 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17457 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17457 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17457 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17457 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $899,586 | BadDebtExpenseAmount |
| Amount Attributable To | 359834 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 7218854 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 7366455 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -147601 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 NORTH COLLEGE ST | AddressLine1 |
| City | ALBANY | City |
| State | MO | State |
| ZIP Code | 64402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.NORTHWESTMEDICAL.ORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 13 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 125. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| NMC CLINIC EAST | ||||
| 1607 EAST HWY 136 | ALBANY | MO | 64402 | PHYSICIAN CLINIC |
| NMC CLINIC WEST | ||||
| 402 EAST HWY 136 | ALBANY | MO | 64402 | PHYSICIAN CLINIC |
| NMC HOME HEALTH AGENCY | ||||
| 1607 EAST HWY 136 | ALBANY | MO | 64402 | HOME HEALTH AGENCY |
| NMC GRANT CITY CLINIC | ||||
| 16 WEST 4TH STREET | GRANT CITY | MO | 64456 | PHYSICIAN CLINIC |
| STANBERRY RURAL HEALTH CLINIC | ||||
| 202 EAST MAIN STREET | STANBERRY | MO | 64489 | RURAL HEALTH CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SCHEDULE H, PART I, LINE 7, COLUMN F | THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $899,586 | |
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO. | |
| COMMUNITY BUILDING ACTIVITIES | WE HAVE A BOARD OF DIRECTORS THAT IS MADE UP OF 12 VOLUNTEERS OF THE COMMUNITY. EVERY DECISION WE MAKE IS BASED ON HOW IT EFFECTS THE COMMUNITY. WE GIVE DONATIONS AND CHARITY CARE TO AID IN LOCAL NEEDS. BECAUSE WE ARE A SMALL RURAL HOSPITAL AND ARE ONE OF THE LARGEST EMPLOYERS IN THE AREA, EVERYTHING WE DO EFFECTS THE BUILDING OF THE COMMUNITY AROUND US. | SCHEDULE H, PART II |
| BAD DEBT EXPENSE | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE IS ESTIMATED AT 40% OF BAD DEBT EXPENSE BASED ON HISTRORICAL DATA. | SCHEDULE H, PART III, LINE 3 |
| BAD DEBT EXPENSE | Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. Our bad debt is figured on the allowance method, therefore, anything outstanding in the aging buckets would be included in the allowance calculation. This also means that there will be people who are currently in the process of submitting charity care paperwork that are included in the bad debt number. | SCHEDULE H, PART III, LINE 4 |
| MEDICARE SHORTFALL | SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. | SCHEDULE H, PART III, LINE 8 |
| COLLECTION PRACTICES | IF THE PATIENT QUALIFIES FOR CHARITY CARE THEN WE WRITE OFF THEIR BILL TO CHARITY CARE. THOSE PATIENTS NO LONGER OWE THE HOSPITAL WHAT IS OWED FOR THOSE PATIENT VISITS. | SCHEDULE H, PART III, LINE 9B |
| COMMUNITY HEALTH NEEDS ASSESSMENT AVAILABILITY | BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND AT: http://northwestmedicalcenter.org/news-and-events/community-health-needs-a ssessment/ | SCHEDULE H, PART V, LINE 5A |
| SCHEDULE H, PART V, LINES 6D, 6E & 7 | THE HOSPITAL IS IN THE PROCESS OF PARTICIPATING IN THE EXECUTION OF THE COMMUNITY WIDE PLAN, INCLUDING A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS, AND ADDRESSING THE THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. | |
| NEEDS ASSESSMENT | NORTHWEST MEDICAL CENTER COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSED ON ACCESS TO CARE, THE HEALTH BEHAVIORS OF INDIVIDUALS IN OUR COMMUNITY, SOCIAL/ECONOMIC FACTORS THAT IMPACT CARE AS WELL AS ENVIRONMENTAL QUALITY AND SAFETY. | SCHEDULE H, PART VI, LINE 2 |
| PATIENT EDUCATION OF ELGIBILITY FOR ASSISTANCE | OUR SOCIAL WORKER PERSONALLY VISITS WITH PATIENTS TO DISCUSS WITH THEM ALL OF THEIR OPTIONS AND WILL HELP IN ANY WAY TO FILL OUT PAPERWORK AND FILE IT WITH THE APPROPRIATE AGENCY, IF NECESSARY. WE HAVE A DESIGNATED PERSON IN FINANCIAL PATIENT SERVICES TO HELP IN SETTING UP PAYMENTS, GIVING OUT CHARITY CARE PACKETS, FOLLOWING UP ON MISSING OR INCOMPLETE FORMS, AND TO ANSWER ANY AND ALL QUESTIONS PERTAINING TO OUR CHARITY CARE POLICY. | SCHEDULE H, PART VI, LINE 3 |
| COMMUNITY INFORMATION | NMC is located in Albany, MO and operates clinics in Albany, Grant City, and Stanberry. Its primary service area includes Northwest Missouri communities located in Gentry, Harrison, Nodaway, and Worth Counties with the majority of business serving residents in Gentry and Worth Counties. According to the 2010 U.S. Census, the service area included in NMCs primary service area is approximately 10,500 residents. | SCHEDULE H, PART VI, LINE 4 |
| PROMOTION OF COMMUNITY HEALTH | WE HAVE A BOARD OF DIRECTORS THAT IS MADE UP OF 12 VOLUNTEERS OF THE COMMUNITY AND 2 DOCTORS. EVERY DECISION WE MAKE IS BASED ON HOW IT EFFECTS THE COMMUNITY. WE GIVE DONATIONS AND CHARITY CARE TO AID IN LOCAL NEEDS. BECAUSE WE ARE A SMALL RURAL HOSPITAL AND ARE ONE OF THE LARGEST EMPLOYERS IN THE AREA, EVERYTHING WE DO EFFECTS THE BUILDING OF THE COMMUNITY AROUND US. WE HAVE ANNUAL HEALTH FAIRS AND SPORTS PHYSICALS AT ALL OUR AREA CLINICS. WE HAVE ALWAYS SUPPORTED LOCAL BUSINESSES AND SCHOOLS AS WELL AS ASSOCIATIONS. | SCHEDULE H, PART VI, LINE 5 |
| STATE FILING OF COMMUNITY BENEFIT REPORT | MISSOURI | SCHEDULE H, PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | MONITORING OF GRANTS | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE RECIPIENTS OF THE GRANTS REQUEST AN EXACT AMOUNT OF FUNDS THAT IS SUPPORYED BY DOCUMENTATION THEY PROVIDE THE HOSPITAL. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR NASER SOGHRATI | ||||||||||||||
| ER PHYSICIAN | 314702 | 0 | 0 | 5814 | 579 | 321095 | 0 | |||||||
| DR ANGELA MARTIN | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | 240763 | 0 | 0 | 0 | 21549 | 262312 | 0 | |||||||
| DR JACKIE MILLER | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | 375232 | 0 | 0 | 1900 | 8640 | 385772 | 0 | |||||||
| JON DOOLITTLE | ||||||||||||||
| PRESIDENT AND CEO | 130155 | 0 | 0 | 3131 | 21855 | 155141 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| DR KATIE DIAS | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | 164258 | 0 | 0 | 0 | 15352 | 179610 | 0 | 0 | 0 | 0 | 0 | |||
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SEE SCHEDULE L PART V | NamePerson |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | (A) SARAH FOUNTAIN (B) SARAH FOUNTAIN IS THE LABORATORY MANAGER AT NORTHWEST MEDICAL CENTER, AND IS THE DAUGHTER OF RHONDA SCHNEIDER WHO IS A BOARD MEMBER OF NORTHWEST MEDICAL CENTER. (C) $60,321 (D) SALARY FOR LABORATORY MANAGER SERVICES (E) NO | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, SECTION A, LINES 7A AND 7B | LINE 7A: OUR HOSPITAL HAS MEMBERS OF THE HOSPITALS ASSOCIATION THAT VOTE ON THE BOARD MEMBERS EVERY YEAR IN AUGUST. THEY ARE NOT PAID AND ARE PEOPLE FROM THE COMMUNITY WHO PAY $10 PER PERSON (WHICH IS USED AS A DONATION) THAT WILL VOTE ON THE NOMINATED BOARD MEMBERS THAT WERE PICKED BY THE NOMINATIONS COMMITTEE WHICH IS MADE UP OF CURRENT BOARD MEMBERS. LINE 7B: THE VOTE BY THE ASSOCIATION ON THE NOMINATIONS FOR NEW BOARD MEMBERS BY THE NOMINATIONS COMMITTEE IS THE ONLY DECISIONS SUBJECT TO APPROVAL BY MEMBERS, STOCKHOLDERS, OR OTHER PERSONS. |
| REVIEW OF THE 990 | FORM 990, PART VI, SECTION B, LINE 11B | WE DISTRIBUTE THE 990 VIA EMAIL TO THE BOARD MEMBERS. THEY REVIEW IT AND RELAY ANY ISSUES OR QUESTIONS. THE CEO AND CFO BOTH REVIEW IT AS WELL. IF THERE ARE ANY CORRECTIONS, THE PREPARING COMPANY IS NOTIFIED. UPON ALL AGREEMENT, THE 990 IS APPROVED FOR SUBMISSION. |
| MONITORING OF CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C | EVERY YEAR ALL OFFICERS AND BOARD MEMBERS HAVE TO READ AND SIGN A CONFLICT OF INTEREST STATEMENT STATING THEY UNDERSTAND WHAT THEY CAN AND CANNOT DO AND HOW THE REPORTING PROCESS IS HANDLED. IF THERE ARE ISSUES, ALL CONFLICTS OF INTEREST ARE REPORTED THROUGH THE CORPORATE COMPLIANCE COMMITTEE FOR INVESTIGATION BY WHICH A RESOLUTION WILL BE SUGGESTED TO THE GOVERNING BODY. ANY BOARD MEMBER THAT HAS A CONFLICT OF INTEREST DOES NOT VOTE ON THE ISSUE. |
| COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINES 15A & 15B | LINE 15A: THE CEO'S COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE ON A YEARLY BASIS. THE EXECUTIVE COMMITTEE COMES UP WITH THE COMPENSATION PLAN AND GIVES THAT PLAN TO THE HUMAN RESOURCES DIRECTOR UPON APPROVAL FROM THE CHAIRMAN OF THE BOARD. LINE 15B: THE CEO REVIEWS ALL OTHER OFFICER'S COMPENSATION AND SHARES WITH THE HUMAN RESOURCES DIRECTOR ANY CHANGES. |
| AVAILABIILITY OF DOCUMENTS | FORM 990, PART VI, SECTION C, LINES 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ALL OF THESE DOCUMENTS ARE LOCATED IN ADMINISTRATION. |
| RECONCILIATION OF NET ASSETS | FORM 990, PART XI, LINE 5 | NET GAIN ON INTEREST IN TRUST ASSETS $ 228,635 NET ASSETS RELEASED FROM RESTRICTION $ (151,985) ------------ $ 76,650 |