2012-11-15T11:01:50-06:00 2011-12-31 CROWE HORWATH LLP 330 E Jefferson Blvd PO Box 7 South Bend IN 466240007 990 2011-01-01 350868178 SOUTH BEND MEDICAL FOUNDATION INC SOUT 5742045291 530 North Lafayette Blvd South Bend IN 46601 ROBERT TOMEC MD 2012-11-15 true KENNETH J KEBER P00240883 5742323992 2011 2016-02-24 21:20:13Z ROBERT TOMEC MD 530 North Lafayette Blvd South Bend IN 46601 97754310 false X WWW.SBMF.ORG X 1946 IN SOUTH BEND MEDICAL FOUNDATION EXISTS FOR THE PURPOSE OF PROVIDING QUALITY AND COST EFFECTIVE LABORATORY AND BLOOD BANKING SERVICES TO HOSPITALS, PHYSICIANS, AND PATIENTS. 11 11 839 13 0 0 0 0 94079057 97034819 -56147 80602 533715 585608 94556625 97701029 0 2374760 0 0 46325689 46509524 0 0 0 47747382 46468237 94073071 95352521 483554 2348508 53079665 53629071 36874699 46010216 16204966 7618855 SOUTH BEND MEDICAL FOUNDATION EXISTS FOR THE PURPOSE OF PROVIDING QUALITY AND COST EFFECTIVE LABORATORY AND BLOOD BANKING SERVICES TO HOSPITALS, PHYSICIANS, AND PATIENTS. (CONTINUED IN SCHEDULE O). false false 79333517 2374760 97450509 SOUTH BEND MEDICAL FOUNDATION'S (SBMF) MORE THAN 750 EMPLOYEES PROVIDE A WIDE RANGE OF TOP-QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES FOR COMMUNITIES IN INDIANA, MICHIGAN, KENTUCKY, OHIO, AND ILLINOIS. BY WORKING TOGETHER WITH LOCAL HEALTH CARE PROVIDERS, SBMF PRESERVES THE CRITICAL RELATIONSHIP BETWEEN LABORATORY, PHYSICIAN AND PATIENT. UNLIKE MANY LARGE COMMERCIAL LABORATORIES, SBMF OFFERS ITS SERVICES 24 HOURS A DAY, 365 DAYS A YEAR. SBMF PERSONNEL ARE DEDICATED TO BEING A TRUSTED PHYSICIAN RESOURCE, HANDLING EVERYTHING FROM ROUTINE OUTPATIENT ORDERS TO PROVIDING INPATIENT SERVICES AT HOSPITAL AND OTHER HEALTH CARE FACILITIES THROUGHOUT THE REGION. SBMF'S COMMITMENT TO DELIVERING CONSISTENT, RELIABLE, QUALITY MEDICAL CARE HAS PLAYED AN INSTRUMENTAL ROLE IN HELPING THE FOUNDATION ACHIEVE ITS POSITION OF LEADERSHIP AMONG THE NATION'S DIAGNOSTIC LABORATORIES. THE ALTRUISTIC ACTIVITIES OF THE ORGANIZATION ARE INTENDED TO RELIEVE DISEASE, SUFFERING, AND CONSTRAINT. MANY SERVICES ARE PROVIDED AS CHARITY OR PRO BONO. THE AMOUNT OF CHARITY CARE, PROVIDED AT SBMF'S ESTABLISHED RATES, WAS APPROXIMATELY $775,500 FOR THE YEAR ENDED DECEMBER 31, 2011. 79333517 true false false true false false false false false true false false false true true true false false false false false false false false false false true true true false false false false false false false true false false false false false false false false false false true 78 0 true 839 true false false false false false false false false false false X 11 11 true false false false false false false true true false false true true true true true true true true true true IN X James B Myers 5742045206 118 W Edison Road Mishawaka IN 46545 MICHELLE A MIGLIORE DO 1.00 X X 0 0 0 STEPHEN F MITROS MD 1.00 X X 0 0 0 ALAN B ENGEL MD 1.00 X 0 0 0 BARBARA L WILLIAMS MD 1.00 X 0 0 0 BILAL ANSARI MD 1.00 X 0 0 0 BRIAN SUCHARETZA MD 1.00 X 0 0 0 CHARLES E PETERSON MD 1.00 X 0 0 0 DAVID E VAN RYN MD 1.00 X 0 0 0 FREDERICK J FERLIC MD 1.00 X 0 0 0 JOHN T RICE MD 1.00 X 0 0 0 JOSE A BUFILL MD 1.00 X 0 0 0 KURT H STIVER MD 1.00 X 0 0 0 STARLA D GRABER MD 1.00 X 0 0 0 ANN SULLIVAN 40.00 X 228760 0 37920 DIANE JANOWIAK 40.00 X 228094 0 26960 JAMES FRAIN 40.00 X 227788 0 38074 ROBERT KING 40.00 X 260760 0 28631 ROBERT TOMEC MD 40.00 X 389140 0 28984 WILLIAM KALINEY MD 40.00 X 388097 0 29926 ALFONSO CARDENAS MD 40.00 X 365598 0 28907 AMOBI EZENEKWE MD 40.00 X 241609 0 40199 BLAIR CHRENKA MD 40.00 X 233852 0 35904 BOBBIE SUTTON MD 40.00 X 275715 0 24422 C K KIM MD 40.00 X 366231 0 31858 DAVID JENTZ MD 40.00 X 366799 0 28266 DERRICK FORCHETTI MD 40.00 X 257422 0 32004 FRANCISCO DEOGRACIAS MD 40.00 X 355512 0 28656 FRED BUSSE MD 40.00 X 250011 0 28204 JAMES DYER MD 40.00 X 240679 0 14902 JOHN LANDGRAF MD 40.00 X 251376 0 25703 JOSEPH PRAHLOW MD 40.00 X 269119 0 34429 JOYCE SIMPSON MD 40.00 X 264602 0 16902 KRISTEN JACOBS MD 40.00 X 217148 0 33370 LUIS GALUP MD 40.00 X 368903 0 40969 NICOLE ANEST MD 40.00 X 222963 0 27858 NITA GERIG MD 40.00 X 287105 0 37825 ODETA LAPKUS MD 40.00 X 246896 0 29650 RICKY HOOVER MD 40.00 X 349916 0 38187 CARRIE ROBINSON 40.00 X 111340 0 30963 DEBORAH SUN 40.00 X 173146 0 31602 JANET AGLER 40.00 X 123342 0 26144 KAY BEAM 40.00 X 103236 0 4266 PRENTISS JONES 40.00 X 146909 0 22101 7812068 0 883786 31 true true false ASSOC REG AND UNIV PATHOLOGISTS PO BOX 27964 SALT LAKE CITY UT 84127 REFERENCE LAB 2268569 THERMO ASSET MANAGEMENT SERVICES INC PO BOX 712224 CINCINNATI OH 452712224 EQUIPMENT MAINTENANCE / REPAIR 922486 MICHIANA HEALTH INFORMATION NETWORK 220 W COLFAX AVENUE SUITE 300 SOUH BEND IN 46601 COMMUNITY BASED CLINICAL INFO SYSTEM 745630 CERNER CORPORATION PO BOX 412702 KANSA CITY MO 641172551 EQUIPMENT MAINTENANCE / REPAIR 545169 PARKVIEW PROFESSIONAL PROGRAMS PO BOX 2504 FORT WAYNE IN 46801 REFERENCE LAB 457370 17 0 NET OPERATING REVENUES 621500 97034819 97034819 0 0 0 0 97034819 60573 60573 0 0 0 0 0 73310 53281 0 20029 20029 20029 0 0 0 CLINICAL PATHOLOGY FEES 621500 415690 415690 MISCELLANEOUS 900099 93511 93511 TEACHING FEES 611430 76407 76407 0 0 0 0 585608 97701029 97450509 0 250520 72724 72724 2302036 2302036 0 0 7754243 6297881 1456362 0 27205200 21784125 5421075 841497 673787 167710 8471302 6782972 1688330 2237282 1794327 442955 0 68159 68159 88034 88034 750 750 0 0 1560005 933181 626824 0 3058640 1539564 1519076 0 0 1900103 1878106 21997 805352 691889 113463 0 0 816738 23126 793612 0 3750180 3288526 461654 788208 788208 MEDICAL LAB 20929842 20129064 800778 REFERENCE LAB 4321608 4321608 BAD DEBT 4013362 4013362 BUILDING EQUIPMENT/MAINTENANCE 3465333 2066471 1398862 901923 740768 161155 0 95352521 79333517 16019004 0 0 855 850 9062803 11644739 11333965 11361378 1439582 1756111 1188618 1240012 93017482 66037295 29381047 26980187 0 0 480611 490286 192184 155508 53079665 53629071 8185225 8208104 12445000 11565000 0 16244474 26237112 36874699 46010216 X 16204966 7618855 16204966 7618855 53079665 53629071 X 2348508 -10934619 X false true true X false X 0 94299025 92391025 94545973 94079057 97034819 472349899 193765 238981 195040 169918 797704 0 0 94299025 92584790 94784954 94274097 97204737 473147603 0 0 0 0 0 0 0 0 473147603 844996 60887 -108281 -69086 60573 789089 0 844996 60887 -108281 -69086 60573 789089 0 496466 353784 334004 338675 415690 1938619 95640487 92999461 95010677 94543686 97681000 475875311 0.99430 0.99380 0.00170 0.00190 X OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - CLINICAL PATHOLOGY FEES, COLUMN A - 496466, COLUMN B - 353784, COLUMN C - 334004, COLUMN D - 338675, COLUMN E - 415690, COLUMN F - 1938619;, false false false false false true 750 false false false 750 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 LINE 1F: DURING 2011, SOUTH BEND MEDICAL FOUNDATION PAID $750 TO THE INDIANA ASSOCIATION OF PATHOLOGISTS (IAP) FOR LOBBYING EFFORTS IN SUPPORT OF DIRECT BILLING LEGISLATION FOR ANATOMIC PATHOLOGY SERVICES. 982468 982468 46775322 25409131 21366191 912078 417469 494609 44334114 40210695 4123419 13500 13500 26980187 0 ACCRUED PENSION AND POSTRETIREMENT BENEFITS 23698207 FAIR VALUE OF INTEREST RATE SWAP 2339046 CAPITAL LEASE OBLIGATION 199859 26237112 97701029 95352521 2348508 -97912 -10836707 -10934619 -8586111 80493173 -97912 0 -97912 80591085 17109944 17109944 97701029 89079284 0 0 89079284 6273237 6273237 95352521 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES PURSUANT TO SECTION 501(A). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FOUNDATION'S FINANCIAL STATEMENTS. THE FOUNDATION IS SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR THE YEARS ENDED DECEMBER 31, 2008 THROUGH 2011. THE FOUNDATION FOLLOWS GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD WITH RESPECT TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. A TAX POSITION IS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. MANAGEMENT HAS DETERMINED THAT THERE IS NO LIABILITY FOR UNCERTAIN TAX POSITIONS AND DOES NOT EXPECT THIS TO CHANGE OVER THE NEXT TWELVE MONTHS. true ECONOMIC DEVELOPMENT CORPORATION OF ELKHART COUNTY 102 W LINCOLN AVE ROOM/SUITE 210 GOSHEN IN 46526 351973845 501(C)(3) 6000 0 N/A N/A GENERAL PROGRAM SUPPORT INDIANA UNIVERSITY FOUNDATION PO BOX 500 BLOOMINGTON IN 47204 356018940 501(C)(3) 5000 0 N/A N/A SUPPORT IU SCHOOL OF MEDICINE-SOUTH BEND MARCH OF DIMES - INDIANA CHAPTER 136 EAST MARKET STREET SUITE 500 INDIANAPOLIS IN 46204 131846366 501(C)(3) 5000 0 N/A N/A GENERAL PROGRAM SUPPORT THE FOUNDATION OF ST JOSEPH REGIONAL MEDICAL CENTER 837 EAST CEDAR STREET NO 350 SOUTH BEND IN 466172069 351654543 501(C)(3) 9320 0 N/A N/A GENERAL PROGRAM SUPPORT 4 0 PATIENT MEDICAL ASSISTANCE 0 1762621 BOOK VALUE FREE OR REDUCED MEDICAL CARE TIME OF SERVICE DISCOUNTS 0 539415 BOOK VALUE DISCOUNT PROVIDED AT TIME OF PAYMENT Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 SOUTH BEND MEDICAL FOUNDATION (SBMF) PROVIDES FUNDING TO OTHER COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS. GENERALLY, THESE ARE UNRESTRICTED CONTRIBUTIONS THAT THE RECEIVING ORGANIZATION CAN USE TO FURTHER THEIR MISSION AND PROGRAMS AT THEIR DISCRETION. THE USE OF THESE CONTRIBUTIONS IS NOT MONITORED. SBMF ALSO PROVIDES ASSISTANCE TO INDIVIDUALS IN THE FORM OF FREE OR REDUCED FEE MEDICAL CARE AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITIES SERVED. THESE INDIVIDUALS MEET SBMF'S CHARITY CARE ELIGIBILITY REQUIREMENTS, OR THE REQUIREMENTS OF THE REFERRING HEALTH CARE PROVIDER. DETERMINATION AND MONITORING OF CHARITY CARE IS PERFORMED ON A CASE-BY-CASE BASIS. SBMF ALSO PROVIDES DISCOUNTS FOR PAYMENT AT TIME OF SERVICE TO PATIENTS WHO DO NOT HAVE GOVERNMENT PROVIDED INSURANCE COVERAGE OR DO NOT WISH TO HAVE A CLAIM FILED WITH THEIR COMMERCIAL INSURANCE CARRIER. THERE IS NO ACTUAL EXCHANGE OF FUNDS, AS THE DISCOUNTS ARE CREDITED DIRECTLY TO THE PATIENTS' ACCOUNTS. TIME OF SERVICE DISCOUNTS ARE MONITORED AT THE ORGANIZATION LEVEL, IN THE AGGREGATE. NUMBER OF RECIPIENTS SCHEDULE I, PART III, COLUMN (B) CURRENTLY, SOUTH BEND MEDICAL FOUNDATION DOES NOT HAVE AN EFFECTIVE WAY TO TRACK THE UNDUPLICATED NUMBER OF PATIENTS THAT RECEIVE FREE OR REDUCED CARE AND TIME OF SERVICE DISCOUNTS. X true true X X X X false true false false false false false false false NICOLE ANEST MD 220304 0 51 0 2608 0 3468 0 24390 0 250821 0 0 0 FRED BUSSE MD 245786 0 53 0 4172 0 4853 0 23350 0 278214 0 0 0 ALFONSO CARDENAS MD 361715 0 51 0 3832 0 6022 0 22885 0 394505 0 0 0 BLAIR CHRENKA MD 225912 0 51 0 7889 0 2286 0 33618 0 269755 0 0 0 FRANCISCO DEOGRACIAS MD 350750 0 51 0 4711 0 5771 0 22885 0 384168 0 0 0 JAMES DYER MD 237786 0 54 0 2839 0 2345 0 12557 0 255581 0 0 0 AMOBI EZENEKWE MD 238825 0 54 0 2730 0 4866 0 35333 0 281808 0 0 0 DERRICK FORCHETTI MD 257011 0 51 0 360 0 4648 0 27356 0 289426 0 0 0 JAMES FRAIN 225068 0 51 0 2669 0 4590 0 33483 0 265861 0 0 0 LUIS GALUP MD 361849 0 53 0 7000 0 6040 0 34928 0 409871 0 0 0 NITA GERIG MD 284179 0 51 0 2875 0 5316 0 32509 0 324930 0 0 0 RICKY HOOVER MD 345983 0 51 0 3883 0 5890 0 32297 0 388104 0 0 0 KRISTEN JACOBS MD 213996 0 51 0 3101 0 4355 0 29015 0 250518 0 0 0 DIANE JANOWIAK 226843 0 53 0 1198 0 4135 0 22825 0 255054 0 0 0 DAVID JENTZ MD 362866 0 51 0 3883 0 6027 0 22240 0 395066 0 0 0 PRENTISS JONES 146858 0 51 0 0 0 2635 0 19466 0 169010 0 0 0 WILLIAM KALINEY MD 381478 0 51 0 6568 0 6045 0 23881 0 418023 0 0 0 C K KIM MD 361469 0 51 0 4711 0 6027 0 25831 0 398089 0 0 0 ROBERT KING 249364 0 51 0 11345 0 4829 0 23802 0 289391 0 0 0 JOHN LANDGRAF MD 248286 0 51 0 3039 0 4853 0 20850 0 277079 0 0 0 ODETA LAPKUS MD 246305 0 51 0 540 0 2416 0 27234 0 276546 0 0 0 JOSEPH PRAHLOW MD 266222 0 51 0 2846 0 4966 0 29463 0 303548 0 0 0 JOYCE SIMPSON MD 264041 0 51 0 509 0 4994 0 11908 0 281504 0 0 0 ANN SULLIVAN 225068 0 51 0 3641 0 4436 0 33483 0 266679 0 0 0 DEBORAH SUN 173096 0 51 0 0 0 3478 0 28124 0 204749 0 0 0 BOBBIE SUTTON MD 274834 0 54 0 828 0 5185 0 19237 0 300138 0 0 0 ROBERT TOMEC MD 383494 0 51 0 5595 0 6203 0 22781 0 418124 0 0 0 Health or social club dues or initiation fees Schedule J, Part I, Line 1a THE ORGANIZATION INCLUDES THE PERSONAL USE OF SOCIAL CLUB DUES IN TAXABLE COMPENSATION FOR THE ORGANIZATION'S VICE PRESIDENT OF FINANCE AND VICE PRESIDENT OF CENTRAL LAB OPERATIONS. PERSONAL USE IS DETERMINED BY SIGNED ACKNOWLEDGEMENT OF EACH OFFICER. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE ORGANIZATION HAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THAT WAS DESIGNED TO REPLACE RETIREMENT BENEFITS LOST BY INDIVIDUALS DUE TO 1998 CHANGES IN PENSION LAWS AND A REDESIGN OF THE PENSION PLAN TO MAXIMIZE BENEFITS FOR LOWER COMPENSATED EMPLOYEES. THE ORGANIZATION'S BOARD OF DIRECTORS ELECTED TO FREEZE THIS PLAN, AND THEREFORE NO BENEFITS WERE PROVIDED DURING 2011. MICHIANA HEALTH INFORMATION NETWORK LLC (MHIN) R. TOMEC AND R. KING, SBMF OFFICERS, ARE MHIN BOARD MEMBERS. 696000 SBMF OWNS AN INTEREST IN MHIN, A JOINT VENTURE THAT MAINTAINS A COMMUNITY-BASED MEDICAL INFORMATION SYSTEM AND CLINICAL DATA DEPOSITORY. SBMF PURCHASED SERVICES AT FMV FROM MHIN DURING 2011. false COMMUNITY OCCUPATIONAL MEDICINE (COM) D.VAN RYN, A PARTIAL YEAR SBMF BOARD MEMBER, IS A BOARD MEMBER AND PARTIAL OWNER OF COM. 144061 COM REFERS LAB TESTING TO SBMF, WHICH IS BILLED THROUGH A 3RD PARTY INSURANCE PROVIDER false Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a THE ADMINISTRATIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE CORPORATION. SUBJECT TO THE CONTROL OF THE BOARD OF DIRECTORS, THE ADMINISTRATIVE COMMITTEE SHALL HAVE FULL AUTHORITY TO ACT FOR AND ON BEHALF OF THE CORPORATION AND EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS THAT MAY BE LAWFULLY DELEGATED BY SUCH BOARD TO SUCH COMMITTEE EXCEPT, HOWEVER, THE ADMINISTRATIVE COMMITTEE SHALL HAVE NO POWER TO DONATE ANY PART OF THE ASSETS OF THE CORPORATION. THE ADMINISTRATIVE COMMITTEE SHALL RECEIVE STATUS REPORTS ON OTHER COMMITTEE ACTIVITIES AND DISCUSS ITEMS OF INTEREST TO THE GROUP AS A WHOLE OR TO INDIVIDUAL OFFICERS FOR THE PERFORMANCE OF THEIR DUTIES. THE ADMINISTRATIVE COMMITTEE SHALL KEEP MINUTES OF ITS MEETINGS. Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 BOB SUTTON (HUSBAND OF BOBBIE SUTTON) AND FRED BUSSE - BUSINESS RELATIONSHIP, ANA CARDENAS (WIFE OF ALFONSO CARDENAS) AND JOHN JACOBS (HUSBAND OF KRISTEN JACOBS) - BUSINESS RELATIONSHIP, DAVID VAN RYN AND JOHN RICE - BUSINESS RELATIONSHIP Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b PRIOR TO NOVEMBER 15, 2012, EACH BOARD MEMBER WAS PROVIDED A COPY OF THE RETURN FOR THEIR REVIEW AND INSTRUCTED TO SUBMIT ANY QUESTIONS OR COMMENTS TO THE VP OF FINANCE. AFTER COMMENTS AND QUESTIONS ARE REVIEWED, THE RETURN WAS COMPLETED AND FILED WITH THE IRS ON OR BEFORE NOVEMBER 15, 2012. Conflict of interest policy Form 990, Part VI, Section B, Line 12c ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE COMPLETED BY ALL BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES. THE ORGANIZATION'S VICE PRESIDENT OF FINANCE AND TAX ADVISERS REVIEW ALL RESPONSES TO DETERMINE WHETHER OR NOT A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF AN ACTUAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, PERSONS WITH A CONFLICT ARE RECUSED FROM VOTING ON THE CONFLICTING ISSUE. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a ON AN ANNUAL BASIS, THE ORGANIZATION'S COMPENSATION COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR THE PRESIDENT/EXECUTIVE VICE PRESIDENT, AS WELL AS OTHER OFFICERS, ADMINISTRATORS, AND PROFESSIONAL STAFF, INCLUDING KEY EMPLOYEES. THE COMMITTEE REVIEWS CURRENT SALARIES AND PAY STRUCTURES AGAINST VARIOUS SOURCES OF COMPARABILITY DATA, INCLUDING: THE COLLEGE OF AMERICAN PATHOLOGY PATHOLOGISTS COMPENSATION SURVEY; PATHOLOGY COMPENSATION DATA FOR PATHOLOGISTS, WHICH OUTLINES PATHOLOGY AND PHYSICIAN SALARIES BY SPECIALTY, PROVIDED FROM MERRITT HAWKINS AND ASSOCIATES; THE GUIDESTAR NATIONAL COMPENSATION REPORT; AND COMPENSATION REPORTED ON LOCAL AREA HOSPITALS' FORMS 990. AFTER REVIEWING THE COMPARABILITY DATA, THE COMMITTEE DISCUSSES THE CURRENT ECONOMY AND FINANCIAL POSITION OF THE ORGANIZATION TO DETERMINE THE AMOUNT OF ANY COMPENSATION INCREASES AND/OR DECREASES, IF ANY, THAT WILL BE GIVEN. THIS PROCESS IS DOCUMENTED IN THE COMPENSATION COMMITTEE'S MEETING MINUTES. THE COMPENSATION REVIEW COMMITTEE MET APRIL 26, 2011 AND REPORTED AT THE MAY BOARD OF DIRECTOR'S MEETING. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b SEE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 WHEN REQUESTS FOR THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE, THE DATA IS PROVIDED ON SITE. WHEN REQUESTS FOR THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE, THE PERSON IS REFERRED TO WWW.IRS.GOV, WHERE COPIES ARE AVAILABLE. THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC ON SITE. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -97912; PENSION AND POSTRETIREMENT BENEFIT - RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - -10836707;