CRITICAL CARE SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CRITICAL CARE SERVICES INC (EIN 41-1518013)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-30
IRS object ID
201302739349300525
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-09-30T11:55:13-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411518013EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CRITICAL CARE SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCRITNameControl
Phone6126384900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13010 BROADWAY STREET NEAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554131768ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT SANNERUDName
TitleCFOTitle
Phone6126384900Phone
Date Signed2013-09-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKOREY BOELTERName
PTINP00775161PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1LIFE LINK IIIBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonEDWARD R EROENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13010 BROADWAY STREET NEAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554131768ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28429445GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIFELINKIII.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE EXCELLENT MEDICAL CARE AND TRANSPORTATION SERVICES FOR PATIENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees114TotalNbrEmployees
Total Nbr Volunteers19TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25657655ProgramServiceRevenuePriorYear
Program Service Revenue CY28180673ProgramServiceRevenueCY
Investment Income Prior Year272283InvestmentIncomePriorYear
Investment Income Current Year28101InvestmentIncomeCurrentYear
Other Revenue Prior Year-1531OtherRevenuePriorYear
Other Revenue Current Year84694OtherRevenueCurrentYear
Total Revenue Prior Year25928407TotalRevenuePriorYear
Total Revenue Current Year28293468TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8360892SalariesEtcPriorYear
Salaries Etc Current Year6764928SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17640573OtherExpensePriorYear
Other Expenses Current Year15630672OtherExpensesCurrentYear
Total Expenses Prior Year26001465TotalExpensesPriorYear
Total Expenses Current Year22395600TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-73058RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5897868RevenuesLessExpensesCY
Total Assets BOY12095755TotalAssetsBOY
Total Assets EOY16743615TotalAssetsEOY
Total Liabilities BOY3552007TotalLiabilitiesBOY
Total Liabilities EOY2301999TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8543748NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14441616NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF LIFE LINK III IS TO ACHIEVE EXCELLENCE IN PATIENT CARE AND TRANSPORTATION. WE ACCOMPLISH THIS BY SETTING, HOLDING AND ENHANCING THE STANDARD FOR EXCELLENCE IN PATIENT CARE, TRANSPORTATION AND INDUSTRY LEADERSHIP.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16532554Expense
Grants0Grants
Revenue24813169Revenue
DescriptionROTOR WING SERVICES - PROVIDES AIR TRANSPORTATION OF PATIENTS REQUIRING CRITICAL CARE AND EMERGENCY MEDICAL CARE IN HELICOPTERS CONFIGURED FOR MOBILE INTENSIVE CARE - 2,044 TRANSPORTS. LIFE LINK III PROVIDES HELICOPTER AIR MEDICAL TRANSPORTATION INCLUDING ON-SCENE EMERGENCY RESPONSE AND INTER-FACILITY TRANSPORT 24 HOURS A DAY, 365 DAYS PER YEAR. WITH HELICOPTER BASES THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, LIFE LINK III TRANSPORTS ALL TYPES OF CRITICALLY ILL OR INJURED PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1718330Expense
Grants0Grants
Revenue3277232Revenue
DescriptionFIXED WING SERVICES - PROVIDES AIR TRANSPORTATION OF PATIENTS REQUIRING CRITICAL CARE AND EMERGENCY MEDICAL CARE IN FIXED WING AIRCRAFT CONFIGURED FOR MOBILE INTENSIVE CARE - 231 TRANSPORTS. LIFE LINK III PROVIDES AIRPLANE AMBULANCE TRANSPORTATION THROUGHOUT THE UNITED STATES, AND INTERNATIONALLY, 24 HOURS A DAY, 365 DAYS PER YEAR. LIFE LINK III HAS A DEDICATED, MEDICALLY-CONFIGURED AIRPLANE READY AT ALL TIMES AND HAS ACCESS TO A FLEET OF OTHER AIRCRAFT FOR ADDITIONAL SUPPORT TO TRANSPORT ALL TYPES OF CRITICALLY ILL OR INJURED PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Grants0Grants
Revenue55752Revenue
DescriptionGROUND SERVICES - LIFE LINK III RECEIVED PAYMENTS IN EARLY 2012 RELATED TO ITS GROUND TRANSPORTATION SERVICES THAT WERE TERMINATED IN JUNE 2011.Description

Activity Other ActivityOther (3 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
38003034520COMMUNITY EDUCATION AND SAFETY - IN ADDITION TO THE COMMUNITY AND HEALTHCARE-RELATED EDUCATION AND SAFETY EVENTS, FOR 25 YEARS LIFE LINK III HAS PRESENTED THE TRAUMA TACTICS (SM) CONFERENCE. THE CONFERENCE ANNUALLY PROVIDES HIGH QUALITY CONTINUING EDUCATION WITH EXCEPTIONAL SPEAKERS AND SPECIAL GUESTS FOR 200+ EMERGENCY SERVICE AND FIRST RESPONDER PERSONNEL FROM MINNESOTA, WISCONSIN AND SURROUNDING STATES. TRAUMA TACTICS (SM) ENHANCES THE SKILLS OF PROVIDERS OF ALL LEVELS, FROM RESCUE AND PRE-HOSPITAL SITUATIONS TO TRANSPORT AND IN-HOSPITAL TREATMENT. LIFE LINK III'S AIRPLANE AND HELICOPTER MEDICAL TRANSPORTATION SERVICES ARE ACCREDITED BY THE COMMISSION ON ACCREDITATION OF MEDICAL TRANSPORT SYSTEMS (CAMTS), WHICH REFLECTS THE ORGANIZATION'S COMMITMENT TO MEETING OR EXCEEDING THE HIGHEST STANDARDS IN PATIENT CARE, QUALITY AND SAFETY. THERE WERE OVER 150 CAMTS ACCREDITED SERVICES NATIONALLY AT THE END OF 2012. LIFE LINK III IS ONE (1) OF 27 MEDICAL TRANSPORTATION SERVICES NATIONALLY AND INTERNATIONALLY THAT ARE CAMTS ACCREDITED FOR THE THREE MODES OF MEDICAL TRANSPORTATION: AIRPLANE, HELICOPTER AND CRITICAL CARE GROUND.LIFE LINK III PROVIDES OUTREACH EDUCATION AND TRAINING TO PRE-HOSPITAL AND HOSPITAL-BASED HEALTHCARE PROVIDERS COVERING SUCH TOPICS AS HELICOPTER LANDING ZONE SET UP, SCENE SAFETY, PATIENT TRANSPORT PREPARATION AND OTHER PATIENT CARE TOPICS. LIFE LINK III ACTIVELY PARTICIPATES WITH THE COMMUNITIES IT SERVES, INCLUDING PUBLIC, INFORMATIONAL, SCHOOL, INJURY PREVENTION AND COMMUNITY EVENTS. IN 2012 THE ORGANIZATION DONATED APPROXIMATELY 600 HOURS OF CLINICIAN TIME, 300 HOURS OF PILOT TIME AND 94 HOURS OF AIRCRAFT TIME FOR 132 SEPARATE COMMUNITY AND HEALTHCARE-RELATED EVENTS AND TRAININGS. THE 35 OUTREACH EDUCATION PROGRAMS TRAINED APPROXIMATELY 350 EMS AND COMMUNITY-BASED MEDICAL AND FIRST RESPONDERS.
FINANCIAL ASSISTANCE - LIFE LINK III MAINTAINS A PROGRAM CALLED COMMUNITY CARE. THIS PROGRAM PROVIDES CARE FOR THOSE WHO ARE UNINSURED OR UNABLE TO AFFORD THE COST OF SERVICES. WE MAINTAIN RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE UNDER THIS PROGRAM. APPLICANTS FOR OUR CHARITY CARE PROGRAM ARE REQUESTED TO PROVIDE CURRENT AND PRIOR YEAR INCOME INFORMATION. WE USE INCOME-BASED CRITERIA IN OUR DETERMINATION OF CHARITY CARE AND USE 200% OF THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN DETERMINING ELIGIBILITY. IN 2012, THE COST OF PROVIDING CARE TO PATIENTS UNDER THIS PROGRAM TOTALED APPROXIMATELY $227,000.
PATIENT RECEIVABLES AND CREDIT POLICY - PATIENT ACCOUNTS RECEIVABLE ARE UNCOLLATERALIZED PATIENT OBLIGATIONS THAT ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. THESE OBLIGATIONS ARE PRIMARILY FROM LOCAL RESIDENTS, MOST OF WHOM ARE INSURED UNDER THIRD-PARTY PAYORS ON THE PATIENTS' BEHALF. OR, IF THE PATIENT IS UNINSURED, THE PATIENT RECEIVES AN AUTOMATIC DISCOUNT EQUAL TO THE DISCOUNT GIVEN THE ORGANIZATIONS LARGEST THIRD PARTY PAYER, THEN THAT PATIENT IS BILLED DIRECTLY. ONCE CLAIMS ARE SETTLED WITH THE PRIMARY PAYER, ANY SECONDARY INSURANCE IS BILLED AND PATIENTS ARE BILLED FOR COPAY AND DEDUCTIBLE AMOUNTS THAT ARE PATIENTS' RESPONSIBILITY. PAYMENTS ON PATIENT ACCOUNTS RECEIVABLE ARE APPLIED TO THE SPECIFIC CLAIM IDENTIFIED ON THE REMITTANCE ADVICE OR STATEMENT. LIFE LINK III DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS.PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS COLLECTION HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, A PROVISION FOR BAD DEBTS AND CHARITABLE CARE. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.PATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEET NET OF CONTRACTUAL ADJUSTMENTS AND AN ALLOWANCE FOR DOUBTFUL ACCOUNTS.IT IS UNKNOWN HOW MUCH BAD DEBT EXPENSE, IF ANY, REASONABLY COULD BE ATTRIBUTABLE TO PERSON WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR COMMUNITY CARE PROGRAM.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp38003TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev34520TotalOfOtherProgramServiceRev
Total Program Service Expense18288887TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109664NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees114NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBERT SANNERUD CFONamePerson
Telephone Number6126384900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13010 BROADWAY STREET NEAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554131768ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JIM DAVIS
DIRECTOR1.00X000
JOHN DOHERTY
PAST CHAIR2.00X000
DR DAVID DRIES
DIRECTOR1.00X000
DR STEVEN EYER
DIRECTOR1.00X000
JOHN FOLSTAD
CHAIR2.00X000X
DR RJ FRASCONE
DIRECTOR AND CMO2.00X000X
DR WILLIAM HEEGAARD
DIRECTOR & CLINICAL COUNCIL VICE CHR.1.00X000
MICHAEL HARRISTHAL
DIRECTOR1.00X000
JO ANN HOAG
VICE CHAIR2.00X000X
BILL JACKSON
DIRECTOR1.00X000
GREG KLUGHERZ
DIRECTOR1.00X000
DR ANDREA LAMPLAND
DIRECTOR1.00X000
DAVID LEACH
DIRECTOR1.00X000
GRETCHEN LEITERMAN
DIRECTOR1.00X000
JIM LESTE
DIRECTOR1.00X000
MICHAEL MCAVOY
DIRECTOR1.00X000
DAVID MILLER
DIRECTOR1.00X000
JEFFREY PETERSON
SECRETARY/TREASURER2.00X000X
JAMES WUELLNER
DIRECTOR1.00X000
EDWARD R EROE
PRESIDENT AND CEO40.00X215472016023X
ROBERT A SANNERUD
CFO40.00129235032978X
KRISTIN BRAND
MARKETING DIRECTOR40.0010553503699X
STACEY BREWERS
REGISTERED NURSE36.00108364012842X
WILLIAM SCHNEIDER
REGISTERED NURSE36.00108987022903X
KEITH VELASKI
REGISTERED NURSE36.00102595029248X
FieldValueIRS element (for citing)
Total Reportable Comp From Org770188TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation117693TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AIR METHODS CORPORATION
7211 SOUTH PEORIAENGLEWOODCO80112AIRCRAFT, PILOTS AND MECHANICS7911639
CLUB JET CHARTER LLC
17957 BEARPATH TRAILEDEN PRAIRIEMN55347AIRCRAFT, PILOTS AND MECHANICS1427987
ETTEL & FRANZ CO
2222 ROBBINS STREETST PAULMN55114ROOFING336789
FAEGRE BAKER DANIELS LLP
90 SOUTH SEVENTH STREET SUITE 2200MINNEAPOLISMN55402LEGAL SERVICES288331
K&E CONSULTING INC
1541 OAKVIEW COURTLINO LAKEMN55038TECHNOLOGY SUPPORT AND MAINTENANCE236715
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROTOR WING SERVICE6219102481316924813169
FIXED WING SERVICE62191032772323277232
GROUND SERVICE6219105575255752
EDUCATION SERVICES5419003452034520
FieldValueIRS element (for citing)
Total Program Service Revenue28180673TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37093TotalRevenueColumn
Exclusion$37,093ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real84694Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real84694Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column84694TotalRevenueColumn
Exclusion$84,694ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other126985Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other135977Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-8992Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-8992TotalRevenueColumn
Exclusion-$8,992ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28293468TotalRevenueColumn
Related Or Exempt Function Income28180673RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$112,795ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total393708Total
Management And General393708ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5261859Total
Program Services3677003ProgramServices
Management And General1584856ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total632546Total
Program Services518927ProgramServices
Management And General113619ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total476815Total
Program Services301210ProgramServices
Management And General175605ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total126913Total
Management And General126913ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68727Total
Management And General68727ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total544543Total
Management And General544543ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total123867Total
Management And General123867ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total177785Total
Program Services74594ProgramServices
Management And General103191ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total108050Total
Management And General108050ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10005443Total
Program Services9804235ProgramServices
Management And General201208ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total855522Total
Program Services775044ProgramServices
Management And General80478ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total137798Total
Program Services80753ProgramServices
Management And General57045ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total21177Total
Management And General21177ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total471004Total
Program Services157593ProgramServices
Management And General313411ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total70761Total
Program Services30627ProgramServices
Management And General40134ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE23940382394038
MINNESOTA CARE TAX258079258079
MEDICAL SUPPLIES185809185809
MISCELLANEOUS811563097550181

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22395600Total
Program Services18288887ProgramServices
Management And General4106713ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-185571BOY
EOY141421EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4326556BOY
EOY7945405EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2723989BOY
EOY3169095EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY361268BOY
EOY185137EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY101170BOY
EOY91301EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY248317BOY
EOY251079EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8251461LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5004989LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2801101BOY
EOY3246472EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1718925BOY
EOY1713705EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12095755BOY
EOY16743615EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2288893BOY
EOY1899499EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2628BOY
EOY2500EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1260486BOY
EOY400000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3552007BOY
EOY2301999EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8543748BOY
EOY14441616EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8543748BOY
EOY14441616EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12095755BOY
EOY16743615EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses5897868ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22734194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28544066CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31794384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25622576CurrentTaxYearMinus1Year
Current Tax Year28146153CurrentTaxYear
Total136841373Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22734194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28544066CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31794384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25622576CurrentTaxYearMinus1Year
Current Tax Year28146153CurrentTaxYear
Total136841373Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509136841373PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years101852CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61183CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53317CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100881CurrentTaxYearMinus1Year
Current Tax Year121786CurrentTaxYear
Total439019Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years101852CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61183CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53317CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100881CurrentTaxYearMinus1Year
Current Tax Year121786CurrentTaxYear
Total439019Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2750CurrentTaxYearMinus4Years
Total2750Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59275CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28392CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18974CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35079CurrentTaxYearMinus1Year
Total141720Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22898071CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28633641CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31866675CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25758536CurrentTaxYearMinus1Year
Current Tax Year28267939CurrentTaxYear
Total137424862Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99580PublicSupportPercentage509
Prior Year Support Percentage0.99510PriorYearSupportPercentage
Investment Income Percentage0.00320InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00340PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OUTREACH AND OTHER EDUCATION SERVICESGeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$7,288OtherActivitiesAmount
Total Lobbying Expenditures IIB7288TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationLOBBYING EXPENSES IDENTIFIED AS A PERCENTAGE OF MEMBERSHIP DUES FOR AMERICAN AMBULANCE ASSOCIATION, MINNESOTA AMBULANCE ASSOCIATION, MINNESOTA SAFETY COUNCIL , ASSOCIATION FOR CRITICAL CARE TRANSPORT (ACCT) AND HELICOPTER ASSOCIATION INTERNATIONAL (HAI).Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis300000OtherCostOrOtherBasis
Book Value300000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3030125OtherCostOrOtherBasis
Depreciation1097619Depreciation
Book Value1932506BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis68187OtherCostOrOtherBasis
Depreciation40776Depreciation
Book Value27411BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4848913OtherCostOrOtherBasis
Depreciation3862358Depreciation
Book Value986555BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4236OtherCostOrOtherBasis
Depreciation4236Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3246472TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt25781057TotRevenueEtcAuditedFinclStmt
Other Revenues-2394038OtherRevenues
Revenue Not Rptd F990-2394038RevenueNotRptdF990
Revenue Subtotal28175095RevenueSubtotal
Other Revenues Not Included118373OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt118373RevenueNotRptdOnFinStmt
Total Revenue Per Form99028293468TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19967042TotExpensesEtcAuditedFinclStmt
Other Expenses Included-34520OtherExpensesIncluded
Expenses Not Rptd F990-34520ExpensesNotRptdF990
Expenses Subtotal20001562ExpensesSubtotal
Other Expenses Not Included2394038OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2394038ExpensesNotRptdOnFinStmt
Total Expenses Per Form99022395600TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. IT IS ALSO EXEMPT FROM STATE INCOME TAXES PURSUANT TO SIMILAR PROVISIONS IN THE MINNESOTA STATUTES. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION'S FEDERAL RETURNS FOR TAX YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS -2,394,038.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INTEREST INCOME 37,093. INCOME FROM DISCONTINUED OPERATIONS 55,752. LOSS ON SALE OF EQUIPMENT -8,992. EDUCATION INCOME 34,520.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EDUCATION INCOME -34,520.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 2,394,038.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EDWARD R EROE
PRESIDENT AND CEO2154720000012690147540231495000
ROBERT A SANNERUD
CFO1235000573500038140291640162213000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, VICE-CHAIR, SECRETARY, PRESIDENT, CHIEF MEDICAL OFFICER AND THE IMMEDIATE PAST CHAIR. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION IN BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO ACT ON ANY MATTER REQUIRING SUPERMAJORITY VOTE OR ANY PROHIBITED ACTIONS AS DEFINED IN THE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 4THE BYLAWS WERE AMENDED IN JUNE 2012. THE NUMBER OF DIRECTORS APPOINTED BY EACH MEMBER WAS DECREASED FROM TWO TO ONE.
FORM 990, PART VI, SECTION A, LINE 6THERE IS ONLY ONE CLASS OF MEMBER - NON-PROFIT HEALTHCARE ORGANIZATIONS. LIFE LINK III OPERATES AS A CONSORTIUM WITH NINE MEMBERS INCLUDING: ALLINA HEALTH SYSTEM; CHILDREN'S HEALTH CARE; HENNEPIN HEALTHCARE SYSTEM, INC.; REGIONS HOSPITAL; FAIRVIEW HEALTH SERVICES; CENTRACARE HEALTH SYSTEM; SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS; ST. LUKE'S HOSPITAL OF DULUTH, INC.; AND ESSENTIA - ST. MARY'S MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7AALL MEMBERS ARE ENTITLED TO APPOINT ONE PERSON TO THE BOARD OF DIRECTORS AND UPON DISSOLUTION OF THE ORGANIZATION, SHARE EQUALLY IN ANY SURPLUS OF PROPERTY.
FORM 990, PART VI, SECTION B, LINE 11THE RETURN IS REVIEWED IN DETAIL BY THE CHIEF FINANCIAL OFFICER (CFO). THE CFO PROVIDES A DRAFT OF THE FORM TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. THE BOARD OF DIRECTORS THEN RECEIVES A FINAL DRAFT AND APPROVES PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE AND SIGN THE CONFLICT OF INTEREST STATEMENT. THE SIGNED STATEMENTS REMAIN ON FILE WITH THE ORGANIZATION'S CEO FOR THE CALENDAR FISCAL YEAR. CONFLICTS ARE REVIEWED AND DETERMINED BY THE CEO IN CONJUNCTION WITH THE EXECUTIVE COMMITTEE. PERSONS WITH A CONFLICT ARE REQUIRED TO DISCLOSE AND REFRAIN FROM VOTING ON MATTERS WHERE THAY HAVE A CONFLICT. ACTUAL CONFLICTS ARE NOTED IN MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION FOR THE CEO WAS ESTABLISHED AS PART OF A NATIONAL SEARCH FOR A CEO IN 2010. THE SEARCH COMMITTEE OF THE BOARD OF DIRECTORS RELIED ON AN OUTSIDE NATIONAL RECRUITMENT FIRM TO GATHER RELEVANT MARKET DATA TO ESTABLISH COMPENSATION COMPARABLES, DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, THE 2010 HHRAM EXECUTIVE COMPENSATION SURVEY (MOST RECENT AVAILABLE AT THE TIME OF THE SEARCH), AND IN CONSIDERATION OF THE NEEDS OF THE ORGANIZATION CONSISTENT WITH THE DIRECTION OF THE BOARD WERE ALL USED TO ARRIVE AT THE COMPENSATION FOR THE CEO. IN 2012, THE PROCESS OF REVIEWING THE CEO'S COMPENSATION INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. FOR ALL OTHER OFFICERS AND KEY EMPLOYEES, THE DIRECTOR OF HUMAN RESOURCES IDENTIFIES AND OBTAINS COMPENSATION SURVEYS, INDUSTRY AND MARKET DATA, AND OTHER EXTERNAL COMPETITIVE INFORMATION SOURCES FOR EVALUATION. THIS INFORMATION IS EVALUATED AND CONSIDERED IN THE CONTEXT OF THE JOB DESCRIPTION, POSITION SKILLS AND EXPERIENCE REQUIREMENTS BY THE DIRECTOR OF HUMAN RESOURCES AND THE CEO TO ESTABLISH A RANGE TO BE USED FOR COMPENSATION AND DEVELOPING COMPENSATION RANGES TO BE USED DURING A HIRING PROCESS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE IN THE CARE OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER AND ARE AVAILABLE FOR INSPECTION UPON REQUEST AT THE ORGANIZATION'S OFFICE DURING NORMAL BUSINESS HOURS.

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