2025-01-21T14:14:48-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 930910794 ONE COMMUNITY HEALTH ONEC 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 MAX JANASIK CEO 5413866380 2025-01-21 1 1 KURT BENNION CPA P01469618 4252506100 2025-01-21 2023 2024-10-15 13:58:12Z JENNIFER GRIFFITH 849 PACIFIC AVENUE HOOD RIVER OR 97031 36391832 0 X ONECOMMUNITYHEALTH.ORG X 1986 OR TO ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 13 13 338 14 0 0 7767224 8844544 20904842 26376675 142933 563009 13714 48006 28828713 35832234 7620 11010 0 0 20612851 25570315 0 0 0 7830385 11281448 28450856 36862773 377857 -1030539 38904645 38028713 15591929 15558317 23312716 22470396 ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 0 0 24628398 11010 26376675 REFER TO SCHEDULE O FOR PROGRAM DESCRIPTIONONE COMMUNITY HEALTH SERVED OVER 16,668 INDIVIDUALS THROUGH 63,787 FACE-TO-FACE ENCOUNTERS AND 1,784 VIRTUAL VISITS IN 2023. RECOGNIZED AS A 5 STAR PATIENT-CENTERED PRIMARY CARE HOME BY THE OREGON HEALTH AUTHORITY, OUR INTEGRATED PRIMARY CARE MODEL STRIVES TO PROVIDE AN OUTSTANDING PATIENT EXPERIENCE AND EXCEPTIONAL CLINICAL RESULTS. OUR MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE TEAMS COMPRISED OF 186.7 FTE (FULL TIME EQUIVALENTS), 42.14 OF WHICH ARE LICENSED INDEPENDENT PROVIDERS. OCH'S PRIMARY CARE SERVICES INCLUDE:- MATERNITY AND NEWBORN CARE (PRENATAL CARE, DELIVERIES INCLUDING CAESAREAN SECTIONS, POSTPARTUM AND NEONATAL CARE, AND PREVENTIVE DIAGNOSTICS).- EVIDENCE BASED MEDICAL, DENTAL, AND BEHAVIORAL TREATMENT FOR ALL AGES.- LABORATORY SERVICES, MEDICATION ASSISTANCE, IMMUNIZATIONS FOR ALL AGES (INFANTS TO ADULTS), WELL-CHILD EXAMS, PATIENT CASE MANAGEMENT, CHRONIC CARE MANAGEMENT, CANCER AND OTHER DISEASE SCREENINGS, DEVELOPMENTAL SCREENINGS FOR CHILDREN, ACUPUNCTURE, AND FAMILY PLANNING SERVICES.- OUTREACH AND EDUCATION (PROMOTORAS DE SALUD), INTERPRETATION, MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID ADDICTIONS, CASE MANAGEMENT AND PEER SUPPORT SERVICES, DIABETES AND MATERNITY CARE COORDINATION, AND ACUPUNCTURE. SPECIAL PROGRAMS IN AREAS SUCH AS DIABETES EDUCATION AND CASE MANAGEMENT, PERINATAL, PREVENTATIVE HEALTH, AND OTHERS HAVE BECOME PART OF THE FABRIC OF ONE COMMUNITY HEALTH. THREE OF OUR PHYSICIANS ARE DESIGNATED CIVIL SURGEONS AND PROVIDE MEDICAL EXAMINATIONS FOR IMMIGRATION APPLICANTS.- OCH HAS ELIGIBILITY AND ENROLLMENT STAFF AT EACH OF ITS HEALTH CENTERS TO EDUCATE PATIENTS AND COMMUNITY MEMBERS ON AFFORDABLE HEALTH INSURANCE OPTIONS.- WE PARTNER WITH PROVIDENCE HEALTH AND SERVICES IN PROVIDING AN INTEGRATED, RURAL, PRIMARY CARE RESIDENCY PROGRAM.- BEHAVIORAL HEALTH AND NURSE INTERN PROGRAM AIMING TO ENHANCE RECRUITMENT EFFORTS, ESTABLISH ENDURING PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, AND ENHANCE THE OVERALL LEARNING EXPERIENCE ACROSS VARIOUS PROGRAMS.- ONE COMMUNITY HEALTH OPERATES THE ONLY SCHOOL-BASED HEALTH CENTER IN HOOD RIVER COUNTY THAT SERVES ALL CHILDREN AND TEENS WHO RESIDE IN THE HOOD RIVER COUNTY SCHOOL DISTRICT.- WE PARTNER WITH THE OREGON CHILD DEVELOPMENT COALITION (OCDC) TO PROVIDE PRIMARY CARE SERVICES TO THE CHILDREN OF MIGRANT AND SEASONAL FARMWORKERS DURING OREGON'S PEAK AGRICULTURAL MONTHS.- PROVIDE AT-HOME SUPPORT TO THE ELDERY THROUGH THE CONNECTED CARE PROGRAM.- WE OPERATE TWO MOBILE MEDICAL UNITS, "LA CLINICA AND "WYKANUSHPUM" TO INCREASE ACCESS FOR THOSE COMMUNITY MEMBERS WITH TRANSPORTATION, ECONOMIC, AND OTHER BARRIERS TO CARE.- PARTNERSHIP WITH OREGON HEALTH AND SCIENCE UNIVERSITY'S KNIGHT CANCER INSTITUTE AND THE OREGON RURAL PRACTICE RESEARCH NETWORK TO PARTICIPATE AS A STUDY SITE IN A NATIONWIDE PATHFINDER II MULTI-CANCER EARLY DETECTION TEST RESEARCH. THE OCH SITE ENROLLED 268 PARTICIPANTS, HELPING OHSU TO BE THE HIGHEST PARTICIPATING ORGANIZATION OUT OF 19 ACROSS THE UNITED STATES. ADDITIONALLY, OCH ENROLLED MORE PARTICIPANTS THAN 11 OTHER SITES WITH A MORE DIVERSE PATIENT POPULATION CONTRIBUTING TO GREATER EQUITY IN RESEARCH.- WE PARTNER AND COORDINATE WITH OUTSTANDING LOCAL PROVIDERS FOR BEHAVIORAL HEALTH CARE, PHYSICAL THERAPY, HOSPITAL CARE, MASSAGE THERAPY, AND MANY OTHER SPECIALTY AND SUBSPECIALTY SERVICES ACCORDING TO PATIENT NEEDS. WE INCREASINGLY COORDINATE WITH COMMUNITY BASED SOCIAL SERVICE ORGANIZATIONS FOR NEEDS SUCH AS HOUSING, EMPLOYMENT, FOOD INSECURITY, ETC.WE ARE PROUD TO CONTINUE OUR MISSION OF ADVANCING HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. NOTABLE ACCOMPLISHMENTS IN CALENDAR YEAR 2023:- IN 2023, OCH CONTINUED ITS FOCUS ON VACCINE EQUITY AND ADMINISTERED 3,181 COVID VACCINES, WITH 67% OF THOSE GOING TO PEOPLE THAT IDENTIFY AS A RACE OTHER THAN WHITE. MOREOVER, HOOD RIVER COUNTY MAINTAINED ITS STATUS AS THE NUMBER ONE VACCINATED COUNTY IN THE STATE AND WASCO COUNTY WAS RANKED 10TH. - OUR INTEGRATED MEDICATION-ASSISTED TREATMENT (IMAT) PROGRAM GREW TO OVER 200 PATIENTS.- CELEBRATING OUR 10TH YEAR AS A CLINICAL SITE FOR THE PROVIDENCE HOOD RIVER RURAL RESIDENCY PROGRAM.- RECEIVED THE OREGON RURAL QUALITY EXCELLENCE AWARD FOR OUR QUALITY IMPROVEMENT EFFORTS.- RECEIVED A 2023 TOP WORKPLACE AWARD FROM THE OREGONIAN/OREGONLIVE FOR OUR THIRD CONSECUTIVE YEAR.- PROVIDED $6.5 MILLION IN CHARITABLE AND DISCOUNTED CARE.- IN APRIL 2023, WE HELPED ENROLL AND/OR RENEW OVER 3,500 MEDICAID PATIENTS.- IN MAY AND JULY 2023, UPGRADED TO TIER 5 PATIENT CENTER PRIMARY CARE HOME RATING FOR HOOD RIVER AND THE DALLES FACILITIES, RESPECTIVELY.- IN SUMMER 2023, OPENED THE DALLES EXPRESS CLINIC TO ADDRESS THE NEED FOR ACUTE CARE ACCESS.- IN SEPTEMBER 2023, LAUNCHED A DENTAL APPRENTICESHIP PROGRAM.- IN APRIL 2023, AWARDED $450K FROM THE NATIONAL COUNCIL ON AGING GRANT FOR VACCINATING VULNERABLE POPULATIONS.- IN OCTOBER 2023, AWARDED $170K FROM LAMFROM FOUNDATION TO ASSIST WITH PHARMACEUTICAL SERVICES.- IN DECEMBER 2023, AWARDED $450K FROM THE USDA FOR TECHNICAL INFRASTRUCTURE.TOTAL NUMBER OF ONE COMMUNITY HEALTH PATIENTS IN 2023:16,668GENDER CHARACTERISTICS- FEMALE: 5,221 (31.3%)- MALE: 3,714 (22.3%)- TRANSGENDER MAN/TRANSGENDER MALE/TRANSMASCULINE: 38 (.20%)- TRANSGENDER WOMAN/TRANSGENDER FEMALE/TRANSFEMININE: 26 (.20%)- OTHER: 91 (.50%)- CHOSE NOT TO DISCLOSE: 120 (.70%)- UNKNOWN: 7,458 (44.7%)ETHNICITY- WHITE NON-HISPANIC/LATINO: 8,147 (48.8%)- WHITE HISPANIC/LATINO: 5,657 (33.9%)- ASIAN: 60 (.35%)- PACIFIC ISLANDER: 23 (.13%)- BLACK/AFRICAN AMERICAN 64 (0.38%)- AMERICAN INDIAN/ALASKA NATIVE 158 (.94%)- MORE THAN ONE RACE 102 (0.61%)- UNREPORTED: 2,457 (14.7%)THIRD PARTY COVERAGE- UNINSURED: 2,144 (12.8%)- MEDICAID: 8,815 (52.8%)- MEDIMEDI: 706 (4.2%)- PRIVATE INSURANCE: 4,003 (24%)- MEDICARE: 1,697 (10.1%)- OTHER PUBLIC HEALTH INS: 9 (0.05%)SELECTED CHARACTERISTICS- MIGRANT/SEASONAL WORKERS: 4,099 (24.5%)- HOMELESS: 169 (1%)- SCHOOL-BASED SERVICE SITE: 426 (2.5%)- VETERANS: 182 (1.1%) 24628398 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 64 0 338 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 OR X ROSE HINKLE 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 MAXIMILLIAN JANASIK CEO 40.00 X 435283 0 43411 JENNIFER GRIFFITH CHIEF PEOPLE OFFICER 40.00 X 305764 0 26318 HARLEY DAVIDSON CHIEF OPERATING OFFICER 40.00 X 247800 0 39836 CONSTANCE SERRA LEAD PHYSICIAN 40.00 X 241200 0 29348 RENEROSE HINKLE CFO 40.00 X 249168 0 9622 GREGORY PARKER PHYSICIAN - PRIMARY CARE 40.00 X 219800 0 38531 MIRIAM FAUTH PHYSICIAN - PRIMARY CARE 38.00 X 210450 0 27964 KATHLEEN MCKENNA PHYSICIAN - PRIMARY CARE 40.00 X 217801 0 20246 REBECCA FLAIZ DENTIST 40.00 X 189342 0 18361 ANGELA MICHALEK CHIEF INNOVATION OFFICER 40.00 X 150009 0 35373 COLIN ROBINSON CHIEF TECHNOLOGY OFFICER 40.00 X 150009 0 16737 IAN CHANDLER CHAIR 1.00 X X 0 0 0 MARK THOMAS VICE CHAIR 1.00 X X 0 0 0 AMY KLEE SECRETARY & BOARD MEMBER 1.00 X X 0 0 0 SUZANNE CROSS BOARD MEMBER & SECRETARY 1.00 X X 0 0 0 SHAWN WHALEN TREASURER 1.00 X X 0 0 0 ELIZUR BELLO BOARD MEMBER 1.00 X 0 0 0 MARIA CASTRO BOARD MEMBER 1.00 X 0 0 0 TIFFANY DAVIS BOARD MEMBER 1.00 X 0 0 0 YESENIA DERAS BOARD MEMBER 1.00 X 0 0 0 REYNA FONTE BOARD MEMBER 1.00 X 0 0 0 BUCK JONES BOARD MEMBER 1.00 X 0 0 0 JONATHAN KARA BOARD MEMBER 1.00 X 0 0 0 BILL NOONAN BOARD MEMBER (THROUGH MARCH 2023) 1.00 X 0 0 0 SHANON SALDIVAR BOARD MEMBER 1.00 X 0 0 0 2616626 0 305747 43 0 1 0 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 BILLING AND DATA SERVICES 1586058 CONVERGENCE NETWORK 4252 SE INTL WAY SUITE A MILWAUKIE OR 97222 COMPUTER SERVICES AND SUPPORT 541599 SCRIBE-X NORTHWEST PO BOX 6590 PORTLAND OR 972286590 REMOTE MEDICAL SCRIBE SERVICES 418885 ROBERT HALF 222 SW COLUMBIA STREET SUITE 100 PORTLAND OR 97201 FINANCE & ACCOUNTING SERVICES 230543 MILLENIUM BUILDING SERVICES 5909 N CUTTER CIRCLE PORTLAND OR 97217 JANITORIAL SERVICES 171211 7 7557669 1286875 956358 8844544 PATIENT SERVICE REVENUE 621110 23935852 23935852 PHARMACY 456110 2440823 2440823 26376675 556931 556931 565676 559598 6078 6078 6078 MISCELLANEOUS REVENUE 900099 48006 48006 48006 35832234 26376675 0 611015 11010 11010 1538034 397810 1140224 18446759 14571922 3874837 633614 461730 171884 3323011 2587145 735866 1628897 1231927 396970 39837 2406 37431 112908 112908 302506 302506 1540067 573059 967008 201840 11658 190182 100622 13417 87205 1495671 9349 1486322 789690 89723 699967 82400 52592 29808 99355 35671 63684 262499 262499 1145345 34442 1110903 118351 27593 90758 SUPPLIES 3629901 3533253 96648 MISCELLANEOUS EXPENSES 510329 259793 250536 BAD DEBT EXPENSE 310674 310674 EQUIPMENT 190866 113960 76906 348587 299264 49323 36862773 24628398 12234375 0 8011568 7804676 992506 784535 1966009 1813452 1562568 1558455 491595 573184 27044140 6200909 21672727 20843231 4207672 4610075 0 41105 38904645 38028713 2418358 2626979 96354 326183 13077217 12605155 15591929 15558317 X 23312716 22131821 338575 23312716 22470396 38904645 38028713 -1030539 276526 -88307 0 X X 0 1 X 1 1 1 X 5543425 11465158 9565894 7767224 8844544 43186245 5543425 11465158 9565894 7767224 8844544 43186245 43186245 172394 78164 77459 202440 556931 1087388 11541 9543 -2487 13714 48006 80317 44353950 94824423 0.97370 0.98180 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME PART II, COLUMN D: THE AMOUNTS REPORTED IN PART II, COLUMN D ARE FOR A SHORT PERIOD THAT BEGAN ON FEBRUARY 1, 2022 AND ENDED ON DECEMBER 31, 2022. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1533370 1533370 20365320 3587164 16778156 284628 866 283762 4474039 2612879 1861160 386783 386783 20843231 X 35641810 276526 344900 621426 35020384 811850 811850 35832234 36896999 344900 344900 36552099 310674 310674 36862773 PART X, LINE 2: UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, OCH IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF DECEMBER 31, 2023, OCH HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. MANAGEMENT EVALUATED OCH'S TAX POSITIONS AND CONCLUDED THAT OCH HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 310,674. GRANTS AND CONTRIBUTIONS FOR CAPITAL PURCHASES 162,601. GRANTS AND CONTRIBUTIONS WITH DONOR RESTRICTIONS 338,575. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 310,674. 1 PART I, LINE 2: PRIOR TO MAKING A CONTRIBUTION TO ANOTHER ORGANIZATION, WE CONFIRM THAT THEY ARE EITHER A QUALIFIED CHARITY OR A GOVERNMENT AGENCY. SINCE CONTRIBUTIONS ARE INTENDED FOR GENERAL OPERATING SUPPORT, NO FURTHER FOLLOW-UP IS CONDUCTED REGARDING USE OF THE FUNDS. X X X 0 0 0 1 0 0 0 0 0 MAXIMILLIAN JANASIK CEO 306537 0 128746 0 0 0 14850 0 28561 0 478694 0 0 0 JENNIFER GRIFFITH CHIEF PEOPLE OFFICER 251451 0 54313 0 0 0 11645 0 14673 0 332082 0 0 0 HARLEY DAVIDSON CHIEF OPERATING OFFICER 210000 0 37800 0 0 0 11151 0 28685 0 287636 0 0 0 CONSTANCE SERRA LEAD PHYSICIAN 241200 0 0 0 0 0 10809 0 18539 0 270548 0 0 0 RENEROSE HINKLE CFO 230000 0 19168 0 0 0 8625 0 997 0 258790 0 0 0 GREGORY PARKER PHYSICIAN - PRIMARY CARE 219800 0 0 0 0 0 9846 0 28685 0 258331 0 0 0 MIRIAM FAUTH PHYSICIAN - PRIMARY CARE 210450 0 0 0 0 0 9425 0 18539 0 238414 0 0 0 KATHLEEN MCKENNA PHYSICIAN - PRIMARY CARE 217801 0 0 0 0 0 9767 0 10479 0 238047 0 0 0 REBECCA FLAIZ DENTIST 182046 0 7296 0 0 0 8374 0 9987 0 207703 0 0 0 ANGELA MICHALEK CHIEF INNOVATION OFFICER 150009 0 0 0 0 0 6750 0 28623 0 185382 0 0 0 COLIN ROBINSON CHIEF TECHNOLOGY OFFICER 150009 0 0 0 0 0 6750 0 9987 0 166746 0 0 0 PART I, LINE 5 THE ORGANIZATION HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN FOR THE CEO, CFO, CPO, CIO, CTO AND COO. THE CEO'S GOALS AND TIERED ACHIEVEMENT TARGETS PER GOAL ARE SET EACH YEAR BY THE BOARD AND THE CFO, CPO, CIO, CTO AND COO'S GOALS AND TIERED ACHIEVEMENT TARGETS PER GOAL ARE SET EACH YEAR BY THE CEO. AT THE END OF THE FISCAL YEAR, RESULTS ARE COMPARED TO ACHIEVEMENT TARGETS TO DETERMINE THE PAYOUT. DURING THE YEAR ENDED DECEMBER 31, 2023, THE CEO'S MEASURES INCLUDED FINANCIAL STEWARDSHIP, GROWTH, EMPLOYEE ENGAGEMENT, AND EMPLOYEE COMPENSATION AND THE CFO, CPO, AND COO'S MEASURES ARE SPECIFIC TO EACH POSITION BUT INCLUDED CATEGORIES SUCH AS DIVERSITY, EMPLOYEE ENGAGEMENT, EMPLOYEE COMPENSATION, FINANCIAL STEWARDSHIP, GROWTH, PATIENT CARE RATE, PERFORMANCE MANAGEMENT, SCHEDULING EFFICIENCY. X 15042 956358 INVOICE PRICE 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THE PAST CHAIRPERSON, IF THEY ARE STILL A MEMBER OF THE BOARD OF DIRECTORS, AND IS CHAIRED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE REPRESENTS THE BOARD OF DIRECTORS BETWEEN REGULAR BOARD MEETINGS WHENEVER NECESSARY. THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS EXCEPT REGARDING DECISIONS THAT REQUIRE A MAJORITY VOTE OF THE BOARD OF DIRECTORS, OR AS OTHERWISE SPECIFICALLY PROHIBITED BY THE BOARD OF DIRECTORS. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ON BEHALF OF THE BOARD ARE FULLY REPORTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED MEETING. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CFO, CEO AND THE BOARD'S FINANCE COMMITTEE AND A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C FULL DISCLOSURE, BY NOTICE IN WRITING, SHALL BE MADE BY THE INTERESTED PARTIES TO THE FULL BOARD OF DIRECTORS IN ALL CONFLICTS OF INTEREST AND PERCEIVED CONFLICTS OF INTEREST. FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO THE BOARD SHALL VOTE TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKE ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT ONE COMMUNITY HEALTH'S BEST INTEREST. BOTH VOTES SHALL BE BY A MAJORITY VOTE WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR, EVEN IF THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM PROVIDED THAT AT LEAST ONE CONSENTING DIRECTOR IS DISINTERESTED. AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE OF THE BOARD OF DIRECTORS, OR OF ANY COMMITTEE OR SUBCOMMITTEE THEREOF IN WHICH THE SUBJECT OF DISCUSSION IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE MAY BE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST. THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION; HOWEVER, THEY MUST LEAVE THE MEETING DURING THE DISCUSSION AND VOTE BY THE BOARD AND/OR OFFICERS. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS, UTILIZING MARKET STUDIES OF COMPARABLE ORGANIZATIONS' WAGE SCALES. THE COMPENSATION OF OTHER OFFICERS IS INITIALLY SET BY THE CHIEF EXECUTIVE OFFICER, BUT THEY ARE ALSO REVIEWED BY THE BOARD OF DIRECTORS AS PART OF THE ANNUAL BUDGETING PROCESS. ONE COMMUNITY HEALTH'S COMPENSATION PHILOSOPHY ALIGNS COMPENSATION IN SUPPORT OF OUR MISSION, VISION, VALUES, AND OPERATIONAL STRATEGIES. PAY IS ESTABLISHED BY QUALIFICATIONS SET FORTH IN JOB DESCRIPTIONS, THE RANGE OF PAY FOR ALL JOB CATEGORIES USING MARKET SURVEY SOURCES, AND A PROCESS FOR PAY INCREASES. THE CHIEF EXECUTIVE OFFICER IN COOPERATION WITH KEY EMPLOYEES IS RESPONSIBLE FOR OVERSIGHT OF THE DEVELOPMENT, REVIEW, AND REVISION OF THE PAY STRUCTURE. THE BOARD OF DIRECTORS REVIEWS, APPROVES OR RECOMMENDS MODIFICATIONS TO THE PAY STRUCTURE PRESENTED. A COMPREHENSIVE SALARY SURVEY IS COMPLETED EVERY THREE YEARS TO ASSESS UPDATING BASE RATES FOR POSITIONS. OTHER FORMS OF COMPENSATION SUCH AS BONUSES, INCREASES, AND HEALTH INSURANCE ARE REVIEWED ANNUALLY WITH RECOMMENDATIONS MADE TO THE BOARD OF DIRECTORS DURING THE BUDGET PROCESS FOR APPROVAL. THE CEO'S COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY, ALTHOUGH THE LAST MARKET COMPARISON WAS COMPLETED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS OPEN TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE AUTHORITY AND PROCESS FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR.