2014-11-05T14:20:01-06:00 2013-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2013-01-01 273970823 FIVE RIVERS MEDICAL CENTER INC % FIVE RIVERS MEDICAL CENTER FIVE 8708926000 2801 MEDICAL CENTER DRIVE Suite POCAHONTAS AR 72455 JOEY RADCLIFF CFO 5013721040 2014-10-28 true AMBER SHERRILL P00748683 5013721040 2013 2015-11-30 17:44:51Z JOEY RADCLIFF 2801 MEDICAL CENTER DRIVE POCAHONTAS AR 72455 15845736 false X WWW.FIVERIVERSMC.COM X 2010 AR FIVE RIVERS MEDICAL CENTER SHALL BE DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITY AS ITS PRIMARY CARE PROVIDER THROUGH A NETWORK OF QUALITY SERVICES. 7 6 217 6 0 0 342274 78118 18096453 15689766 46309 7700 108023 65152 18593059 15840736 0 0 0 0 9438793 9233713 0 0 0 8234265 9033283 17673058 18266996 920001 -2426260 12930606 10488763 11957120 11941537 973486 -1452774 X FIVE RIVERS MEDICAL CENTER SHALL BE DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITY AS ITS PRIMARY CARE PROVIDER THROUGH A NETWORK OF QUALITY SERVICES. false false 1690830 4793765 EMERGENCY DEPARTMENT- THE EMERGENCY DEPARTMENT AT FRMC TREATED JUST OVER 5,800 PATIENTS IN 2013 AND IS A LEVEL 4 TRAUMA DESIGNATED ER. THE EMERGENCY DEPARTMENT STRIVES TO CONTINUALLY IMPROVE THE QUALITY OF EMERGENCY MEDICINE THAT IS PROVIDED TO OUR COMMUNITY. 1379628 2443667 HOME HEALTH- THE HOME HEALTH DEPARTMENT AT FRMC HAD OVER 22,300 SKILLED NURSING, PHYSICAL THERAPY, AND SPEECH THERAPY VISITS IN 2013. FRMC HOME HEALTH PROVIDES EXCEPTIONAL AT HOME NURSING AND THERAPY TO SEVERAL COUNTIES IN OUR COMMUNITY. 2507400 4947910 INPATIENT ACUTE AND BEHAVIORAL HEALTH UNITS- FRMC PROVIDES EXCELLENT ACUTE INPATIENT CARE THROUGH OUR HOSPITALIST PROGRAM. OUR GERIATRIC BEHAVIORAL HEALTH PROGRAM TREATS PATIENTS 65 AND OVER WITH VARYING BEHAVIORAL PROBLEMS. BOTH UNITS COMBINED ADMITTED OVER 750 PATIENTS IN 2013. 7029467 3504424 LABORATORY AND OTHER PROGRAM EXPENSES 7029467 3504424 12607325 true true false true false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false true false false false false false false false false false false false false true 49 0 true 217 true false false false false false false false false false false X 7 6 false false false false false false false true true false false true true true true true true true true false AR X FIVE RIVERS MEDICAL CENTER 8708926000 2801 MEDICAL CENTER DRIVE POCAHONTAS AR 72455 X LUTHER LEWIS CEO 40.0 X X 149845 0 285 HAL S BARRE DIRECTOR 1.0 X 0 0 0 GARY CROCKER DIRECTOR 1.0 X 0 0 0 JEROL SWAIM DIRECTOR 1.0 X 0 0 0 TERRY DICKSON CHAIRMAN 1.0 X X 0 0 0 ALEX BALTZ DIRECTOR 1.0 X 0 0 0 ANGIE CALDWELL DIRECTOR 1.0 X 0 0 0 JOEY RADCLIFF CFO 40.0 X 67320 0 1575 MANDY DOLLINS CNO 40.0 X 94655 0 7234 JANE KUZAS PHYSICIAN 40.0 X 369501 0 6895 RITU GOTHWAL PHYSICIAN 32.0 X 182329 0 0 ROBERT HALL PHYSICIAN 36.0 X 160941 0 4239 GINGER BALTZ NURSE ANEST 40.0 X 178774 0 1229 SCOTT LEWIS PHYSICIAN 40.0 X 241707 0 5877 1445072 0 27334 10 false true false DIVERSIFIED CLINICAL SERVICES PO BOX 636981 CINCINATTI OH 45263 WOUND CARE MGMT 223160 APOGEE 2525 E CAMELBACK ROAD STE 1100 PHOENIX AZ 85016 HOSPITALIST MGMT 220552 ROBERT HALL 14808 HWY P POPLAR BLUFF MO 63901 ER PHYSICIAN 150211 BKD LLP PO BOX 3667 LITTLE ROCK AR 72203 ACCOUNTING SERVICES 120389 FRAN DUKE PO BOX 234 NEWARK AR 72562 ER PHYSICIAN 114927 5 78118 78118 PATIENT SERVICE REVENUE 621110 14879028 14879028 OTHER PROGRAM SERVICE REVENUE 621110 810738 810738 15689766 0 0 0 0 0 0 12700 5000 7700 7700 0 0 7700 0 0 0 CAFETERIA REVENUE 900099 26114 26114 PHARMACY SALES 900099 1696 1696 MEDICAL RECORDS/ABSTRACT 900099 1661 1661 35681 35681 65152 15840736 15689766 0 72852 0 0 0 0 320914 320914 0 7589783 5123729 2466054 0 0 0 0 0 610096 411865 198231 712920 481280 231640 0 713223 481484 231739 28029 18922 9107 100046 67539 32507 0 0 0 1394650 941504 453146 11800 7966 3834 849112 573221 275891 471061 318005 153056 0 433779 292837 140942 153531 103646 49885 0 0 385598 260310 125288 0 1074174 725156 349018 203594 137443 66151 BAD DEBT 1514972 1514972 MEDICAL SUPPLIES 966939 652763 314176 REPAIRS & MAINTENANCE 365237 246565 118672 EDUCATION AND TRAINING 28721 19389 9332 338817 228729 110088 18266996 12607325 5659671 0 2225 134251 0 0 0 0 3569217 1788248 0 0 0 0 0 0 497688 471268 104524 38316 10512193 2519350 8663652 7992843 0 0 0 0 0 0 0 0 93300 63837 12930606 10488763 2521909 2763516 0 0 0 0 0 0 0 0 0 0 0 0 9435211 8631123 0 546898 11957120 11941537 X 973486 -1452774 0 0 0 0 973486 -1452774 12930606 10488763 -2426260 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1522 1522 false FORM 990, SCHEDULE C, PART II-B, LINE 1i FRMC IS A MEMBER OF THE ARKANSAS HOSPITAL ASSOCIATION. THE ORGANIZATION PAID DUES OF $8,953 TO AHA DURING 2013, 17% OF WHICH WAS RELATED TO LOBBYING. 174563 174563 5506218 741847 4764371 310728 42085 268643 4511724 1731898 2779826 8960 3520 5440 7992843 0 DUE TO THIRD PARTY PAYERS 546898 546898 14325764 14325764 1514972 1514972 15840736 16752024 16752024 1514972 1514972 18266996 FORM 990, 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. FORM 990, SCHEDULE D, PART XI, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $1,514,972 FORM 990, SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $1,514,972 true true X false true X true true false false 416289 416289 0.02490 1472734 952678 520056 0.03100 1889023 952678 936345 0.05590 7109780 5279392 1830388 0.10930 7109780 5279392 1830388 0.10930 8998803 6232070 2766733 0.16520 true 1514972 357563 5918992 8492291 -2573299 X true true 1 1 FIVE RIVERS MEDICAL CENTER 2801 MEDICAL CENTER DRIVE POCAHONTAS AR 72455 WWW.FIVERIVERSMC.COM AR4720 X X X FIVE RIVER MEDICAL CENTER 1 true X X X X X X X X 13 true false true X WWW.FIVERIVERSMC.COM X X X X X false false true false true 400. true X X X true true X X X X true false X true X false false FORM 990, SCHEDULE H, PART V, LINE 10 THE ORGANIZATION ONLY PROVIDES DISCOUNTED CARE. IT DOES NOT PROVIDE FREE CARE. FORM 990, SCHEDULE H, PART V, LINE 7 EACH OF THE HEALTH NEEDS LISTED BELOW IS IMPORTANT AND IS BEING ADDRESSED IN PROGRAMS AND INITIATIVES OPERATED BY THIS HOSPITAL. HOWEVER, THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN, DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE HEALTH NEEDS IDENTIFIED AS BEING ADDRESSED BY THE IMPLEMENTATION STRATEGY. -ACCESS TO PRIMARY CARE -ACCESS TO RECREATIONAL FACILITIES -AGING ISSUES -CANCER -CEREBROVASCULAR DISEASES -CHILDREN IN POVERTY -DIABETES -HEART DISEASE -INADEQUATE SOCIAL SUPPORT -LIMITED ACCESS TO HEALTHY FOODS -LOW BIRTH WEIGHT -MOTOR VEHICLE CRASH DEATH RATE -OBESITY -POOR MENTAL HEALTH -POOR PHYSICAL HEALTH -PREVENTABLE HOSPITAL STAYS -SEXUALLY TRANSMITTED INFECTIONS -TEEN BIRTH RATE -TOBACCO USE -MEDICAL TRANSPORTATION FORM 990, SCHEDULE H, PART V, LINE 3 INTERVIEWS WITH NINE KEY INFORMANTS, AS WELL AS ONE FOCUS GROUP, WERE CONDUCTED IN OCTOBER 2013. INFORMANTS WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED BY BKD PERSONNEL USING A STANDARD QUESTIONNAIRE. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: -HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY. -BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY. -OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES. -DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES. INTERVIEW DATA WAS INITIALLY RECORDED IN NARRATIVE FORM. INTERVIEWEES WERE ASSURED THAT PERSONAL IDENTIFIERS SUCH AS NAME OR ORGANIZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED IN THE REPORT. THE FOCUS GROUP WAS MADE UP OF MEMBERS OF THE MEDICAL CENTER'S BOARD OF DIRECTORS AND MANAGEMENT, AND THE DISCUSSION WAS LED BY BKD PERSONNEL. FOCUS GROUP PARTICIPANTS DISCUSSED THE SAME TOPICS AS THE INTERVIEWEES. BKD PERSONNEL TOOK NOTES DURING THE DISCUSSION AND ANALYZED THE DATA FOR INCLUSION IN THE REPORT. FORM 990, SCHEDULE H, PART III, LINE 4 BAD DEBT IS THE UNPAID OBLIGATION FOR CARE, BASED ON A HOSPITAL'S FULL ESTABLISHED RATES, FOR PATIENTS WHO ARE UNWILLING TO PAY THEIR BILL. UNLIKE CHARITY CARE, BAD DEBT ARISES IN SITUATIONS WHERE THE PATIENT HAS EITHER NOT REQUESTED FINANCIAL ASSISTANCE OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS RECEIVABLE IS CLASSIFIED AS BAD DEBT WHEN THE RECEIVABLE IS OVER 90 DAYS FROM DISCHARGE. A CONSERVATIVE ESTIMATE OF 25% WAS CALCULATED AS THE BAD DEBT EXPENSE THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. FORM 990, SCHEDULE H, PART VI, LINE 2 FRMC COLLABORATES WITH OTHER LOCAL HEALTHCARE PROVIDERS TO ASSESS THE NEEDS OF OUR COMMUNITY. WE ALSO PARTICIPATE IN ANNUAL HEALTH FAIRS TO GATHER FEEDBACK REGARDING HEALTH ISSUES. FORM 990, SCHEDULE H, PART VI, LINE 3 PATIENTS ARE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL SENDS A STATEMENT TO THE PATIENT (AT THE PATIENT'S MOST CURRENT ADDRESS ON FILE), NOTIFYING THE PATIENT OF OUTSTANDING ACCOUNT(S) AND PROVIDES THE PATIENT WITH INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE. THIS INITIAL CONTACT WILL ALSO INCLUDE AN APPLICATION FOR FINANCIAL ASSISTANCE. SUCH INFORMATION WILL ALSO INCLUDE CONTACT INFORMATION FOR HOSPITAL STAFF MEMBERS WHO CAN ANSWER PATIENT QUESTIONS AND PROVIDE FURTHER INFORMATION AS NEEDED. THE GOAL OF THE HOSPITAL IS TO ESTABLISH A REASONABLE PAYMENT PLAN THAT THE PATIENT CAN MANAGE, IF THEY DO NOT QUALIFY FOR 100% FINANCIAL ASSISTANCE. ALL PAYMENT PLAN PROPOSALS WILL BE CONSIDERED. THE PATIENT WILL RECEIVE AT LEAST TWO (2) ADDITIONAL LETTERS (AT NO LESS THAN TWENTY (20) DAY INTERVALS) REQUESTING PAYMENT AND NOTIFYING THE PATIENT OF THE POTENTIAL AVAILABILITY OF FINANCIAL ASSISTANCE AND STAFF CONTACT INFORMATION AS DESCRIBED ABOVE. THE PATIENT WILL ALSO RECEIVE A PHONE CALL DURING THE PROCESS DURING WHICH THE PATIENT WILL BE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. FORM 990, SCHEDULE H, PART VI, LINE 4 THE ORGANIZATION SERVES A SMALL, RURAL, DIVERSE COMMUNITY INCLUDING RANDOLPH COUNTY AND SURROUNDING COUNTIES. FORM 990, SCHEDULE H, PART VI, LINE 5 FRMC MAINTAINS AN OPEN MEDICAL STAFF AND THE GOVERNING BODY IS MADE UP OF VOLUNTARY LOCAL COMMUNITY MEMBERS ALONG WITH PHYSICIANS. THE ORGANIZATION CARES FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND PROACTIVELY SEEKS TO ENROLL ALL ELIGIBLE PATIENTS INTO APPROPRIATE PROGRAMS TO IMPROVE ACCESS TO CARE. FORM 990, SCHEDULE H, PART VI, LINE 7 THE ORGANIZATION DOES NOT FILE A COMMUNITY BENEFIT REPORT. FORM 990, SCHEDULE H, PART III, LINE 9B THE HOSPITAL WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION EFFORTS BEFORE MAKING AND DOCUMENTING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL MAY CONTRACT WITH EXTERNAL COLLECTION AGENCIES (AND TAKE OTHER ACTIONS AS NECESSARY) IN ORDER TO COLLECT ON DELINQUENT ACCOUNTS. PRIOR TO DOING SO, HOWEVER, THE HOSPITAL WILL TAKE THE FOLLOWING ACTIONS: SEND A STATEMENT TO THE PATIENT (AT THE PATIENT'S MOST CURRENT ADDRESS ON FILE), NOTIFYING THE PATIENT OF OUTSTANDING ACCOUNT(S) AND PROVIDING THE PATIENT WITH INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE. THIS INITIAL CONTACT WILL ALSO INCLUDE AN APPLICATION FOR FINANCIAL ASSISTANCE. SUCH INFORMATION WILL ALSO INCLUDE CONTACT INFORMATION FOR HOSPITAL STAFF MEMBERS WHO CAN ANSWER PATIENT QUESTIONS AND PROVIDE FURTHER INFORMATION AS NEEDED. AFTER NO LESS THAN FIFTEEN (15) DAYS, THE ACCOUNT WILL BE TRANSFERRED FOR PROCESSING TO THE HOSPITAL'S EARLY OUT PROCESS, EITHER DIRECTLY THROUGH THE HOSPITAL OR THROUGH A THIRD PARTY CONTRACTOR. THE GOAL OF THE EARLY OUT PROCESS IS TO ESTABLISH A REASONABLE PAYMENT PLAN THAT THE PATIENT CAN MANAGE, IF THEY DO NOT QUALIFY FOR 100% FINANCIAL ASSISTANCE. ALL PAYMENT PLAN PROPOSALS WILL BE CONSIDERED. THE PATIENT WILL RECEIVE AT LEAST TWO (2) ADDITIONAL LETTERS (AT NO LESS THAN TWENTY (20) DAY INTERVALS) REQUESTING PAYMENT AND NOTIFYING THE PATIENT OF THE POTENTIAL AVAILABILITY OF FINANCIAL ASSISTANCE AND STAFF CONTACT INFORMATION AS DESCRIBED ABOVE. THE PATIENT WILL ALSO RECEIVE A PHONE CALL DURING THE EARLY OUT PROCESS DURING WHICH THE PATIENT WILL BE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. IF THE ACCOUNT REMAINS OUTSTANDING FOR A PERIOD OF TWENTY (20) DAYS AFTER THE SECOND OF THE LETTERS REFERENCED ABOVE DURING THE EARLY OUT PROCESS, THEN THE ACCOUNT MAY BE TURNED OVER TO COLLECTIONS. THE COLLECTION AGENCY WILL ALSO ATTEMPT TO WORK WITH THE PATIENT FOR A PERIOD OF NO LESS THAN THIRTY (30) DAYS PRIOR TO TAKING ANY ADDITIONAL ACTIONS. ANY COLLECTION AGENCIES USED BY THE HOSPITAL WILL AGREE TO REFRAIN FROM ABUSIVE COLLECTION PRACTICES. BENCH WARRANTS AND PROPERTY FORECLOSURES WILL NOT BE PART OF COLLECTION EFFORTS. LIMITATION ON CHARGES PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AT RATES HIGHER THAN THE AMOUNTS GENERALLY BILLED TO PATIENTS WHO HAVE INSURANCE COVERING SUCH CARE. FOR PURPOSES OF THIS POLICY, "AMOUNTS GENERALLY BILLED" WILL BE DETERMINED BASED ON AVERAGING THE THREE (3) LOWEST NEGOTIATED COMMERCIAL RATES FOR THOSE SERVICES AT THE HOSPITAL. THESE RATES WILL BE REVIEWED ANNUALLY. FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE OF $1,514,972 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. X true true X false false false true false true false false false LUTHER LEWIS CEO 149845 0 0 0 0 0 0 0 285 0 150130 0 0 0 JANE KUZAS PHYSICIAN 357351 0 0 0 12150 0 0 0 6895 0 376396 0 0 0 RITU GOTHWAL PHYSICIAN 182329 0 0 0 0 0 0 0 0 0 182329 0 0 0 ROBERT HALL PHYSICIAN 160941 0 0 0 0 0 0 0 4239 0 165180 0 0 0 GINGER BALTZ NURSE ANEST 178774 0 0 0 0 0 0 0 1229 0 180003 0 0 0 SCOTT LEWIS PHYSICIAN 241707 0 0 0 0 0 0 0 5877 0 247584 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A $1,740 IN COUNTRY CLUB DUES TO THE ROLLING HILLS COUNTRY CLUB FOR LUTHER LEWIS. ALL PERSONAL AMOUNTS WERE PAID DIRECTLY BY LUTHER LEWIS. FORM 990, SCHEDULE J, PART I, LINES 5A & 6A THE FOLLOWING INCENTIVE PAY MAY BE EARNED IN ADDITION TO THE BASE SALARY. EARNED INCENTIVE PAY WILL BE REVIEWED AND PAID AT EACH ANNUAL ANNIVERSARY DATE OF MR. LEWIS'S EMPLOYMENT. THE INCENTIVE PROGRAM WILL CONSIST OF THE FOLLOWING: CONDITION 1: ALL ACCOUNTS PAYABLE OF ANY KIND MUST BE CURRENT. ANY ACCOUNT PAST DUE MORE THAN 30 DAYS WILL NOT BE CONSIDERED CURRENT. MEETING THIS CONDITION WILL EARN INCENTIVE PAY OF $10,000 AND WILL GIVE MR. LEWIS THE OPPORTUNITY TO EARN ADDITIONAL INCENTIVE PAY. CONDITION 2: POSITIVE NET INCOME OVER THE TRAILING TWELVE MONTH PERIOD PRECEDING ANY ANNIVERSARY DATE. THE TRAILING TWELVE MONTH NET INCOME CALCULATED ON THE INCOME STATEMENT BEING REVIEWED BY THE BOARD ON A MONTHLY BASIS WILL BE USED TO DETERMINE ANY EARNED INCENTIVE. MEETING BOTH CONDITION 1 AND CONDITION 2 WILL EARN ADDITIONAL INCENTIVE PAY OF $10,000. CONDITION 3: ALL AGREED UPON QUALITY INDICATORS DETERMINED BY THE BOARD OF DIRECTORS MUST BE AT ACCEPTABLE LEVELS. MEETING CONDITIONS 1, 2, & 3 WILL EARN ADDITIONAL INCENTIVE PAY OF $10,000. CONDITION 4: INCREASED NET REVENUES. TRAILING TWELVE MONTH NET REVENUES PRECEDING ANY ANNIVERSARY DATE WILL BE COMPARED TO THE TRAILING TWELVE MONTH NET REVENUES FROM THE PRIOR YEAR PERIOD. IF CONDITIONS 1, 2, & 3 HAVE ALL BEEN MET, THEN ANY NET REVENUE INCREASE UP TO 6.25% WILL BE MULTIPLIED BY THE BASE PAY AND PAID AS AN INCENTIVE. SUCH ADDITIONAL INCENTIVE SHALL NOT EXCEED $10,000 ($160,000 X .0625 = $10,000). TOTAL INCENTIVE PAY FOR ALL CONDITIONS MAY NOT EXCEED $40,000. JOEY RADCLIFF CFO 1367 EDUCATIONAL ASSISTANCE TUITION PAYMENTS MANDY DOLLINS CNO 8868 EDUCATIONAL ASSISTANCE TUITION PAYMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE COMPENSATION FOR THE CEO AND OTHER OFFICERS IS DETERMINED USING COMPARABLE AHA WAGE DATA. THE BOARD OF DIRECTORS APPROVES THE CEO'S SALARY. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR SHALL, AT THEIR FIRST REGULAR MEETING OF THE BOARD OF DIRECTORS OF EACH CALENDAR YEAR, EXECUTE AND DELIVER TO THE SECRETARY, A CONFLICT OF INTEREST STATEMENT PURSUANT TO THE CORPORATION'S CONFLICT OF INTEREST POLICY. EACH DIRECTOR SHALL, AT ALL TIMES, COMPLY FULLY WITH THE PROVISIONS OF THE CORPORATION'S CONFLICT OF INTEREST POLICY.