2012-09-13T10:06:13-05:00 2012-01-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2011-02-01 421374894 SIOUXLAND COMMUNITY HEALTH CENTER % MICHELLE STEPHAN SIOU 7122522477 1021 NEBRASKA STREET SIOUX CITY IA 511025410 MICHELLE STEPHAN 2012-07-27 true Brian D Todd 4178658701 2011 2016-02-24 21:20:13Z MICHELLE STEPHAN 1021 NEBRASKA STREET SIOUX CITY IA 51102 17160261 false X WWW.SLANDCHC.COM X 1991 IA TO BE A PATIENT-CENTERED MEDICAL HOME THAT IMPROVES THE PHYSICAL, DENTAL, AND BEHAVIORAL HEALTH OF THE SIOUXLAND COMMUNITY WHILE ELIMINATING ACCESS BARRIERS. 11 11 223 18 0 0 5189358 4775866 10881613 12368531 6307 5489 -10080 -3431 16067198 17146455 57110 75136 0 0 9194757 10661288 0 0 0 6495433 6501484 15747300 17237908 319898 -91453 17388280 17326791 8371564 8905516 9016716 8421275 X THE MISSION OF SIOUXLAND COMMUNITY HEALTH CENTER IS TO PROVIDE PRIMARY HEALTH CARE THAT ELIMINATES ACCESS BARRIERS AND IMPROVES THE HEALTH OF THE SIOUXLAND COMMUNITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 8289063 75136 7377789 SIOUXLAND CHC PROVIDES MEDICAL CARE SERVICES, INCLUDING: PRIMARY MEDICAL CARE, CHRONIC ILLNESS MANAGEMENT, PREVENTION, LABORATORY, RADIOLOGY, HIV/AIDS, BEHAVIORAL HEALTH, INTERPRETIVE, AND FINANCIAL ASSISTANCE. IN ADDITION, CARDIOVASCULAR, SURGERY, PODIATRY, NEPHROLOGY, ORTHOPAEDICS, PLASTIC SURGERY, AND OPTHALMOLOGY SERVICES ARE PROVIDED BY VOLUNTEER SPECIALIST PROVIDERS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 3659317 3257023 SIOUXLAND CHC PROVIDES GENERAL DENTAL SERVICES, INCLUDING: EXAMS, CLEANINGS, FILLINGS, ROOT CANALS, AND EXTRACTIONS. EMERGENCY SERVICES ARE ALSO AVAILABLE. FOR SITUATIONS THAT ARE BEYOND THE SCOPE OF THE GENERAL DENTRISTRY PRACTICE, REFERRAL SERVICES ARE AVAILABLE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 1947862 1733719 THE SIOUXLAND CHC PHARMACY SERVES AS A PHARMACY HOME FOR HEALTH CENTER PATIENTS WHILE OFFERING DISCOUNTED MEDICATIONS AND LINKAGE TO PATIENT ASSISTANCE PROGRAMS. CLINICAL PHARMACISTS ARE ALSO ON STAFF TO PROVIDE SERVICES THAT ARE INTEGRATED WITH THE PATIENTS PRIMARY MEDICAL CARE. THE CLINICAL PHARMACISTS REVIEW MEDICATIONS WITH PATIENTS TO ENSURE PATIENT SAFETY, HEALTH LITERACY, AND PROPER MANAGEMENT OF MEDICATIONS AND CHRONIC HEALTH CONDITIONS. 13896242 true true false true false false false false false true false false false true false true false false false false false false false true false false true false true true false false false false false false false false false false true false false false false false false false false false true 32 0 true 223 true false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false X MICHELLE STEPHAN 7122522477 1021 NEBRASKA STREET SIOUX CITY IA 51102 X JIM SPENCER 1.0 X X 0 0 0 RONDA KEENAN RN MS 1.0 X 0 0 0 COREY WRENN 1.0 X X 0 0 0 ALICE KELLY FERDIG 1.0 X 0 0 0 JENNIFER GOMEZ 1.0 X 0 0 0 MARY KAPTAIN-DAHLEN 1.0 X 0 0 0 BIBI JAURON 1.0 X 0 0 0 MARIA RUNDQUIST 1.0 X 0 0 0 JOAN KELLY 1.0 X X 0 0 0 GEORGE BOYKIN 1.0 X 0 0 0 NANCY METCALF 1.0 X 0 0 0 OMAR SUAREZ 1.0 X 0 0 0 GARY BURTON 1.0 X 0 0 0 JOSEPH WRIGHT 1.0 X 0 0 0 KELLEY MCCARTHY 1.0 X 0 0 0 CURTIS HANSON 1.0 X 0 0 0 MICHELLE STEPHAN RN BSN 40.0 X 142907 0 31556 BRADLEY WHITSELL 40.0 X 17166 0 1251 JAN ANDERSON CPA MBA 40.0 X 74023 0 9577 KRISTI WALZ MD 40.0 X 215845 0 28597 RYAN MCKENNA MD 40.0 X 188322 0 30317 THOR SWANSON MD 40.0 X 208057 0 26277 GARY HATTAN MD 40.0 X 205414 0 27740 JULIA HEATON MD 40.0 X 170449 0 19805 JONATHAN TAYLOR MD 40.0 X 168235 0 17438 BRENDA HAUSMAN-MILLER DDS 40.0 X 166475 0 27088 DAVID FALDMO pa 40.0 X 168979 0 27252 1725872 0 246898 16 false true false INCONCERT CARE INC COMPUTER SERVICES 159723 BKD LLP AUDIT/TAX/CONSULTING 120707 2 12390 3366207 1397269 1350071 4775866 PATIENT SERVICES 624100 11955834 11955834 OTHER REVENUE 624100 412697 412697 12368531 5939 5939 0 0 450 -450 -450 -450 9925 12390 13356 -3431 -3431 0 0 0 17146455 12368531 2058 75136 75136 0 0 0 1009521 723434 286087 0 7941885 6446561 1495324 258062 206527 51535 808495 623315 185180 643325 515869 127456 0 27301 27301 119776 119776 0 0 0 700250 691850 8400 58723 5984 52739 353459 186743 166716 111306 78619 32687 0 166058 103076 62982 68782 17304 51478 0 156082 80769 75313 323115 323115 0 654349 513878 140471 29498 29498 BAD DEBT 1175422 1175422 LICENSES, DUES & SUBSCRIPTIONS 73374 5794 67580 RECRUITING 24232 24232 MEDICAL SUPPLIES & DRUGS 2445961 2445961 13796 13796 17237908 13896242 3341666 0 260354 287788 2654989 3249368 315613 169167 1154141 1269612 0 0 0 0 0 0 270243 340289 236561 288077 14032012 2309522 12331379 11722490 0 0 0 0 0 0 0 0 165000 0 17388280 17326791 1015436 1107395 0 0 0 0 6525640 6270112 0 0 0 0 0 0 0 0 830488 1528009 8371564 8905516 X 8786368 8105188 230348 316087 0 0 9016716 8421275 17388280 17326791 X -91453 -503988 X false true true X true true X 5215284 4465931 4932289 5189538 4775866 24578908 5215284 4465931 4932289 5189538 4775866 24578908 2859911 21718997 276223 102968 10863 6307 5939 402300 24981208 49417590 0.86941 0.85588 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAID DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE IOWA PRIMARY CARE ASSOCIATION. A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. 1197727 1197727 10550128 1317903 9232225 1898427 859801 1038626 385730 131818 253912 11722490 0 INTEREST RATE SWAP 1328009 EST AMT DUE TO 3RD PARTY 200000 1528009 17146455 17237908 -91453 -503988 -503988 -595441 16670055 13782 -497521 -483739 17153794 -7339 -7339 17146455 17265496 13782 13806 27588 17237908 17237908 UNCERTAIN TAX POSITIONS 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. OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT $(497,521) DONATED AUCTION ITEMS ( 6,467) ---------- $(503,988) OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XII, LINE 2D CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT $(497,521) OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B SPECIAL EVENT EXPENSES $(13,356) LOSS ON SALE OF FIXED ASSETS (450) DONATED AUCTION ITEMS 6,467 --------- $( 7,339) OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XIII, LINE 2D SPECIAL EVENT EXPENSES $13,356 LOSS ON SALE OF FIXED ASSETS 450 --------- $13,806 FALL DINNER 19315 10865 8450 4399 200 7707 0 19315 10865 8450 4399 200 7707 12306 -3856 true NEBRASKA AIDS PROJECT 250 S 77TH ST STE A OMAHA NE 68114 470786622 501(C)(3) 75136 HIV PART B & HUD HOUSING 1 0 MONITORING OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 NEBRASKA AIDS PROJECT CONTINUED TO BE A SUBCONTRACTED AGENCY IN ORDER TO PROVIDE CONTRACTUAL HIV/AIDS SERVICES IN SOUTHWEST IA. THEY WERE CHOSEN ON THE BASIS OF PRIOR EXPERIENCE WITH WORKING WITH TARGETED POPULATION, AND STAFF CREDENTIALS/EXPERIENCE. THE AGENCY SUBMITS MONTHLY FINANCIAL REPORTS WITH EXPENSE DOCUMENTATION AND TIME TRACKING IN ORDER TO BE REIMBURSED. THEY ALSO SUBMIT THEIR ANNUAL AUDIT FOR REVIEW AND AN ON-SITE MONITORING REVIEW IS PERFORMED ANNUALLY. X X X false false false false false false false true false MICHELLE STEPHAN RN BSN 126298 0 16500 0 109 0 7645 0 23911 0 174463 0 0 0 KRISTI WALZ MD 211708 0 0 0 4137 0 10883 0 17714 0 244442 0 0 0 GARY HATTAN MD 204440 0 0 0 974 0 10346 0 17394 0 233154 0 0 0 JULIA HEATON MD 170042 0 0 0 407 0 8548 0 11257 0 190254 0 0 0 JONATHAN TAYLOR MD 164077 0 0 0 4158 0 0 0 17438 0 185673 0 0 0 BRENDA HAUSMAN-MILLER DDS 149702 0 13600 0 3173 0 8700 0 18388 0 193563 0 0 0 DAVID FALDMO pa 156145 0 10000 0 2834 0 8603 0 18649 0 196231 0 0 0 RYAN MCKENNA MD 168145 0 13600 0 6577 0 9655 0 20662 0 218639 0 0 0 THOR SWANSON MD 207689 0 0 0 368 0 10653 0 15624 0 234334 0 0 0 NON-FIXED PAYMENTS SCHEDULE J, PART 1, LINE 7 THE BONUSES PAID TO EMPLOYEES ARE COMPUTED BASED ON PERFORMANCE, SUBJECT TO THE DISCRETION OF THE CEO. BONUSES ARE ALSO COMPUTED IF THE EMPLOYEE IS "CAPPED" ON THEIR SALARY RANGE. THE CEO OF THE ORGANIZATION ALSO RECEIVED A BONUS THIS YEAR. THE BOARD OF DIRECTORS DETERMINES WHETHER A BONUS WILL BE PAID TO THE CEO DURING THE ANNUAL PERFORMANCE EVALUATION. WOODBURY COUNTY IOWA 426005221 2007-09-25 7000000 CONSTRUCTION OF NEW FACILITY false false false 0 0 7000000 0 0 0 100000 0 0 6900000 0 0 2009 false false true true false false false false 0.00000 0.00000 0.00000 true false true true WELLS FARGO 20. false false false 0 false false X X 1213 FMV X 93 1341916 FMV X AUCTION ITEMS 66 6467 FMV X INVITATIONS 1 475 FMV 0 false false false NUMBER OF CONTRIBUTIONS SCHEDULE M, PART I, LINES 20, 25 & 26, COLUMN (B) THE ORGANIZATION RECEIVED DRUGS AND MEDICAL SUPPLIES 93 SEPARATE TIMES THROUGHOUT THE YEAR. ADDITIONALLY, THE ORGANIZATION RECEIVED 66 ITEMS DONATED FOR ITS SILENT AUCTIONS RELATED TO ITS SPECIAL EVENTS, AND ONE DONOR PROVIDED INVITATIONS FOR THE ORGANIZATION. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 SIOUXLAND COMMUNITY HEALTH CENTER IS A NONPROFIT ORGANIZATION DEDICATED TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY AND SUPPORTS THE PHILOSOPHY OF THE PATIENT-CENTERED MEDICAL HOME. OUR MISSION IS TO BE A PATIENT-CENTERED MEDICAL HOME THAT IMPROVES THE PHYSICAL, DENTAL, AND BEHAVIORAL HEALTH OF THE SIOUXLAND COMMUNITY WHILE ELIMINATING ACCESS BARRIERS. OUR VALUES INCLUDE COMMITMENT, ADVANCEMENT, RESPECT, EXCELLENCE, AND SUPPORT. PROGRAM SERVICES FORM 990, PART III, LINE 4 SIOUXLAND COMMUNITY HEALTH CENTER (SCHC) PROVIDES VITAL PRIMARY HEALTH CARE SERVICES TO CITIZENS OF THE COMMUNITY WHO ARE IN NEED OF A HEALTH CARE HOME. THESE SERVICES INCLUDE: PRIMARY MEDICAL CARE, DENTAL CARE, LABORATORY, PHARMACY, HIV/AIDS & HEPATITIS PROGRAM, SOCIAL, INTERPRETIVE, AND FINANCIAL SERVICES. 22,137 PATIENTS WERE SERVED IN FISCAL YEAR 01/31/2012. PROGRAM SERVICE ACTIVITY #1 FORM 990, PART III, LINE 4A PRIMARY MEDICAL CARE ELEVEN MEDICAL PROVIDER TEAMS ARE ON STAFF TO ENSURE ACCESS TO A MEDICAL HOME, OR PLACE OF CONSISTENT AND CONTINUED CARE FOR ALL PATIENTS SERVED AT SCHC. IN ADDITION TO PRIMARY MEDICAL CARE, COMMUNITY PROVIDERS SPECIALIZING IN CARDIOVASCULAR, SURGERY, PODIATRY, AND OPHTHALMOLOGY VOLUNTEER SERVICES AT THE HEALTH CENTER. AS A PARTICIPANT IN THE FEDERAL HEALTH DISPARITIES COLLABORATIVES, A NATIONAL EFFORT TO ELIMINATE DISPARITIES AND IMPROVE SERVICE DELIVERY SYSTEMS, SCHC OFFERS A RESOURCE FOR CHRONIC ILLNESS MANAGEMENT AND PREVENTION. FOCUS AREAS FOR THESE COLLABORATIVES INCLUDE CARDIOVASCULAR, DIABETES, ASTHMA, AND DEPRESSION. IN ADDITION TO THESE COLLABORATIVES, A SMOKING CESSATION PROGRAM BEGAN IN JANUARY 2008. FOR CHILDREN FROM BIRTH THROUGH AGE 18, SIOUXLAND CHC OFFERS MANY SERVICES TO ENSURE HEALTHY STARTS AND PROPER DEVELOPMENT. SERVICES FOR CHILDREN INCLUDE VISION AND HEARING SCREENING, HEIGHT AND WEIGHT CHECKS, EYE EXAMS AND VACCINATIONS. BLOOD LEAD POISONING PREVENTION IS ALSO A PART OF THE CHILD HEALTH PROGRAM. LABORATORY SERVICES CURRENTLY, 93% OF ALL LABORATORY TESTS ARE PERFORMED ONSITE. THIS ENSURES A RAPID TURNAROUND FOR DIAGNOSIS AND MONITORING OF CHRONIC ILLNESS. THE SCHC LABORATORY IS CERTIFIED UNDER THE CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) TO ENSURE QUALITY SERVICES. HIV/AIDS AND HEPATITIS PROGRAM THE HEALTH CENTER IS THE ONLY COMPREHENSIVE PROVIDER OF HIV CARE WITHIN A 100 MILE RADIUS. THE HIV TEAM AT SCHC SERVES THE TRI-STATE SIOUXLAND AREA AS WELL AS 18 NORTHWEST IOWA COUNTIES AS APPROXIMATELY 40% OF PATIENTS RECEIVING HIV/AIDS CARE LIVE IN RURAL AREAS. CARE FOR HIV/AIDS AND HEPATITIS AT SCHC IS A COMPREHENSIVE APPROACH. SERVICES INCLUDE PRIMARY MEDICAL CARE, DENTAL SERVICES, CASE MANAGEMENT, TRANSPORTATION AND HOUSING ASSISTANCE, AND LINKAGE TO OTHER SUPPORT AND SOCIAL SERVICES. IN 2009, THE HIV TEAM SERVED 117 PATIENTS. SOCIAL SERVICES THE SIOUXLAND CHC SOCIAL SERVICES TEAM LINKS PATIENTS TO NEEDED SERVICES AND RESOURCES. CASE MANAGEMENT, TRANSPORTATION ASSISTANCE, FINANCIAL SERVICES, AND SHORT-TERM MENTAL HEALTH COUNSELING SERVICES ARE OFFERED TO ENSURE THAT ALL PATIENT NEEDS ARE MET. TO HELP ELIMINATE BARRIERS TO CARE, THE SOCIAL SERVICES DEPARTMENT COLLABORATES WITH SEVERAL PARTNERS IN THE COMMUNITY INCLUDING THE CENTER, COUNCIL ON SEXUAL ASSAULT AND DOMESTIC VIOLENCE (CSADV), THE DEPARTMENT OF HUMAN SERVICES (DHS), HAVEN HOUSE, JACKSON RECOVERY CENTERS, SIOUXLAND AGING, WESTSIDE RESOURCE CENTER, AND WOMEN AWARE. INTERPRETIVE SERVICES TO FOSTER CULTURAL COMPETENCY AND PROVIDE PATIENT-FOCUSED CARE, SCHC EMPLOYS A TEAM OF INTERPRETERS. WHILE PROVIDING LANGUAGE TRANSLATION FOR SPANISH, VIETNAMESE, FRENCH, AND SOMALI, AN AT&T LANGUAGE LINE IS UTILIZED FOR TRANSLATION THAT IS NOT OFFERED ONSITE. THESE SERVICES ARE VALUED TO HELP MEET THE DIVERSE NEEDS OF THE COMMUNITY. FINANCIAL SERVICES TO PROVIDE ACCESS TO QUALITY AND AFFORDABLE HEALTHCARE, SIOUXLAND CHC OFFERS A SLIDING FEE DISCOUNT TO PATIENTS BASED ON INCOME ELIGIBILITY AND ACCEPTS MEDICAID (TITLE 19), MEDICARE (TITLE 18), HAWK-I (STATE CHIP), AND ALL PRIVATE INSURANCES. IN ADDITION TO FINANCIAL COUNSELORS, A DEPARTMENT OF HEALTH SERVICES OUTSTATION WORKER IS ONSITE TO ASSIST WITH ELIGIBILITY DETERMINATION AND APPLICATION PROCESSES. PROGRAM SERVICE ACTIVITY #2 FORM 990, PART III, LINE 4B DENTAL CARE THE NUMBER OF PATIENTS SERVED IN THE DENTAL CLINIC IS GROWING EXPONENTIALLY. SPECIAL EFFORTS ARE IN PLACE TO RESPOND TO THE ORAL HEALTH NEEDS OF THE COMMUNITY, ESPECIALLY CHILDREN. THREE DENTAL PROVIDERS ARE ON STAFF TO ENSURE ACCESS TO DENTAL CARE. IN 2009, THE DENTAL TEAM BEGAN OUTREACH EFFORTS TO SCHOOLS AND OTHER COMMUNITY BASED AGENCIES AS A PROACTIVE APPROACH FOR LINKING CHILDREN TO A DENTAL HOME. IN ADDITION, THE I-SMILE PROGRAM UTILIZES A DENTAL HYGIENIST TO PROVIDE OUTREACH, EDUCATION, AND ORAL HEALTH SCREENINGS IN VARIOUS COMMUNITY SETTINGS. WHILE BUILDING COMMUNITY PARTNERSHIPS, THE I-SMILE PROGRAM FOCUSES ON SECURING DENTAL HOMES FOR CHILDREN UP TO AGE 14. THE MONTHLY BABY DAYS CLINIC CONTINUES TO BE A UNIQUE SERVICE OFFERED AT THE SCHC DENTAL CLINIC. TARGETED AT YOUNG CHILDREN FROM BIRTH THROUGH AGE 2, PARENTS HAVE AN OPPORTUNITY TO BRING THEIR CHILD TO THE CLINIC TO LEARN ABOUT EARLY DENTAL CARE AND PREVENTION OF BABY BOTTLE TOOTH DECAY. A COLLABORATION WITH MERCY MEDICAL CENTER IS ALSO IN PLACE TO HELP ADDRESS THE ORAL HEALTH NEEDS IN THE COMMUNITY. IN 2009, SIOUXLAND CHC AND MERCY CONTINUED TO PARTNER ON AN INITIATIVE TO ESTABLISH DENTAL HOMES FOR PATIENTS SEEKING CARE AT THE EMERGENCY ROOM FOR ORAL HEALTH PROBLEMS. THIS PROJECT, WHICH IS PARTIALLY FUNDED BY THE TRINITY HEALTH FOUNDATION, HELPS REDUCE COSTLY BURDENS AND BARRIERS TO CARE. REVIEW OF THE FORM 990 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CEO AND CFO REVIEW THE RETURN PRIOR TO ITS SUBMISSION. A COPY OF THE 990 WILL BE DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO IT BEING FILED. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY IS STATED IN THE EMPLOYEE HANDBOOK. PER THE BYLAWS, IF A QUESTION CONCERNING A CONFLICT OF INTEREST FOR ANY DIRECTOR IS RAISED, A WRITTEN SECRET BALLOT MAY BE USED BY THE REMAINING DIRECTORS TO DETERMINE IF SUCH CONFLICT OF INTEREST EXISTS. SHOULD A CONFLICT OF INTEREST, PECUNIARY OR OTHERWISE, BE DETERMINED FOR ANY DIRECTOR, SUCH DIRECTOR SHALL BE EXCLUDED FROM VOTING ON THAT SUBJECT MATTER. A SIMPLE, AFFIRMATIVE MAJORITY OF THOSE PRESENT SHALL RULE. IN ALL EVENTS, A DIRECTOR SHALL DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B THE CEO'S COMPENSATION WAS EVALUATED IN 2011, BY THE BOARD OF DIRECTORS, USING A PEER REVIEW. EACH YEAR A SALARY ANALYSIS IS DONE USING DATA OBTAINED LOCALLY AND REGIONALLY. THIS ANALYSIS IS COMPILED AND A RECOMMENDATION IS TAKEN TO THE BOARD. THE ANALYSIS/RECOMMENDATIONS ARE GROUPED BY TITLE OF THE POSITION. THE CEO'S YEARLY EVALUATION IS PREPARED BY THE BOARD AND THE SCORE IS CALCULATED TO DETERMINE THE CURRENT YEAR SALARY. THE SAME PROCESS IS FOLLOWED FOR THE KEY EMPLOYEES, THE ONLY DIFFERENCE BEING THAT THE CEO DOES THE REVIEW. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE PROVIDED TO INQUIRING PARTIES UPON REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT $(497,521) DONATED AUCTION ITEMS ( 6,467) ---------- $(503,988)