2023-03-06T10:51:43-06:00 2022-09-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2021-10-01 273128197 HIGHLAND-CLARKSBURG HOSPITAL INC HIGH 3049693100 3 HOSPITAL PLAZA CLARKSBURG WV 26301 WHITNEY PATTERSON CFO 3049693100 2023-03-03 1 WHITNEY PATTERSON 999009999 J RYAN LINDSAY P01835061 3043459400 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z VICTORIA JONES 3 HOSPITAL PLAZA CLARKSBURG WV 26301 20699138 0 X WWW.HIGHLANDCLARKSBURGHOSPITAL.COM X 2010 WV HIGHLAND-CLARKSBURG HOSPITAL'S MISSION IS TO PROVIDE QUALITY BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADOLESCENTS, AND ADULTS IN A CARING ENVIRONMENT. 7 6 369 6 0 0 2815344 215603 18591032 20277352 -58128 0 190187 206183 21538435 20699138 0 0 0 0 13647174 11753598 0 0 0 6854934 8388111 20502108 20141709 1036327 557429 41222764 41312199 32102333 31634339 9120431 9677860 TO PROVIDE PSYCHIATRIC CARE TO ADULTS AND CHILDREN. 0 0 14076211 20363137 HIGHLAND-CLARKSBURG HOSPITAL, INC. (HCHI) IS A NON-PROFIT ORGANIZATION WHICH BEGAN OPERATIONS IN 2011 TO DEVELOP AND OPERATE A BEHAVIORAL HEALTH HOSPITAL IN HARRISON COUNTY, WV. HCHI BEGAN GENERATING OPERATING REVENUES AFTER OCTOVER 29, 2013, THE DATE OF THE JOINT COMMISSION ACCREDIDATION. THE HOSPITAL PROVIDES PSYCHIATRIC CARE TO NORTH CENTRAL WEST VIRGINIA AND SURROUNDING COMMUNITIES. THE FACILITY HAS 115 INPATIENT BEDS SERVING CHILDREN, ADOLESCENTS AND ADULTS. 14076211 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 369 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X WHITNEY PATTERSON CFO 3049693143 3 HOSPITAL PLAZA CLARKSBURG WV 26301 JILL RICE CHAIRMAN 1.00 X X 0 0 0 SHAWN MILLER VICE CHAIRMAN 1.00 X X 0 0 0 DUSTIN FRESHOUR TREASURER 1.00 X X 0 0 0 JONATHON FISCHER SECRETARY 1.00 X X 0 0 0 JOE ELLIOTT BOARD MEMBER 1.00 X 0 0 0 LYNDON AUVIL BOARD MEMBER 1.00 X 0 0 0 VICTORIA JONES CHIEF EXECUTIVE OFFICER 40.00 X X 171410 0 539 WHITNEY PATTERSON CHIEF FINANCIAL OFFICER 40.00 X 132131 0 27329 TONI B GOODYKOONTZ MD CHIEF MEDICAL OFFICER 40.00 X 476799 0 503 CAITLIN CORBITT PSYCHIATRIST 40.00 X 196324 0 974 GREGORY ROCK DIRECTOR OF PHARMACY 40.00 X 151295 0 30041 VANESSA DEFAZIO DIRECTOR OF HUMAN RESOURCES 40.00 X 105113 0 23493 JULIE BOZARTH CHIEF NURSING OFFICER 40.00 X 125209 0 9662 JORDAN GWINN NURSE PRACTIONER 40.00 X 129296 0 27291 NICOLE MILLS CLINICAL MANAGER 40.00 X 117433 0 12405 1605010 0 132237 10 0 1 0 MAXIM 900 VIRGINIA ST E SUITE 500 CHARLESTON WV 25301 STAFFING & RECRUITING 1189762 REINHART 226 EAST VIEW DRIVE MT PLEASANT PA 15666 FOOD SERVICES 389315 ALPHA TECH PO BOX 1114 SCOTT DEPOT WV 25560 IT CONSULTING 353978 AMERISOURCE BERGEN 27550 NETWORK PLACE CHICAGO IL 60673 PHARMACEUTICAL DISTRIBUTION 253136 EXPRESS SCRIPTS 1110 MAIN STREET WHEELING WV 26003 PHARMACY 167007 5 211519 4084 215603 PATIENT SERVICES 622110 20277352 20277352 20277352 118558 0 118558 118558 118558 1840 0 1840 1840 REBATES & OTHER 900099 44748 44748 COMMISSARY REVENUE 722514 22898 22898 OTHER 900099 18139 18139 85785 20699138 20363137 0 120398 X 1015340 787584 227756 8487975 6583992 1903983 950 737 213 1571445 1218946 352499 677888 525827 152061 69404 69404 76791 76791 78894 78894 2327136 2134534 192602 25722 25722 238586 158463 80123 1203843 457382 746461 20760 7524 13236 1037493 327458 710035 1310819 443264 867555 348429 132338 216091 HEALTHCARE PROVIDER TAX 508336 508336 0 FOOD PREP 363506 338928 24578 MEDICAL SUPPLIES 303462 303462 0 REPAIRS & MAINTENANCE 221682 69968 151714 253248 77468 175780 20141709 14076211 6065498 0 49259 612682 2769072 3046069 67322 69160 265983 369117 48413910 11249149 38027942 37164761 43186 50410 41222764 41312199 1671586 2077056 211519 272244 30219228 29285039 32102333 31634339 X 9120431 9677860 9120431 9677860 41222764 41312199 557429 0 X X 0 1 X 1 0 X 300000 300000 46761763 10044418 36717345 28026 27987 39 1324121 1176744 147377 37164761 X 20699138 0 20699138 0 20699138 20141709 0 20141709 0 20141709 PART X, LINE 2: HCHI IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE STATUTES RELATING TO NOT-FOR-PROFIT ORGANIZATIONS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE MANAGEMENT OF HCHI TO EVALUATE TAX POSITIONS TAKEN BY HCHI. MANAGEMENT HAS EVALUATED HCHI'S TAX POSITIONS AND DID NOT BECOME AWARE OF ANY COURSE OF ACTION ON SERVICES OR EVENTS THAT MIGHT ADVERSELY AFFECT THE ENTITY'S TAX STATUS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 0 508336 508336 0.02520 184403 184403 692739 184403 508336 0.02520 692739 184403 508336 0.02520 4604 4604 0.00020 4604 4604 0.00020 1 0 1 1 1 1 HIGHLAND-CLARKSBURG HOSPITAL 3 HOSPITAL PLAZA CLARKSBURG WV 26301 X INPATIENT MENTAL HEALTH HIGHLAND-CLARKSBURG HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/HEALTHASSESSMENT/ X 1 20 1 HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/HEALTHASSESSMENT/ 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X X 1 X HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY X HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY X HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY X X X X X 1 X 0 X X X 1 X 0 0 HIGHLAND-CLARKSBURG HOSPITAL PART V, SECTION B, LINE 5: INTERVIEWS WERE CONDUCTED WITH INTERNAL AND EXTERNAL STAKEHOLDERS AND INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: HARRISON CLARKSBURG HEALTH DEPARTMENT, HEALTH ACCESS INC. (FREE CLINIC), HARRISON COUNTY CHILD ADVOCACY CENTER, PRESTON COUNTY BOARD OF EDUCATION, STATE OF WV LEGISLATURE, HARRISON COUNTY CHAMBER OF COMMERCE, THE CULTURAL FOUNDATION, CLARKSBURG MISSION, A RETIRED TEACHER, AND A HOSPITAL ADMINISTRATION CONSULTANT. PART I, LN 7 COL(F): BAD DEBT EXPENSE IS RECORDED IN ACCORDANCE WITH ASC 606 (ASU 2014-09). IN ACCORDANCE WITH THE STANDARD, THE ORGANIZATION RECORDS IMPLICIT PRICE CONCESSIONS, WHICH ARE ANALOGOUS TO WHAT WAS PREVIOUSLY REFERRED TO AS BAD DEBT. WHILE THE PROVISIONS OF ASC 606 CHANGED THE ACCOUNTING TREATMENT OF BAD DEBT, THE ECONOMIC SUBSTANCE OF THE UNDERLYING TRANSACTIONS HAVE NOT CHANGED. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT: EXPONENT ADVERTISING FOR MENTAL HEALTH AWARENESS AND DRUNK DRIVING PREVENTION; UGLY SWEATER 5K FOR MENTAL HEALTH AWARENESS; HOSTING WVHA SAFETY COMMITTEE MEETINGSCOMMUNITY HEALTH IMPROVEMENT ADVOCACY: 2 BLOOD DRIVES DURING THE YEAR; COAT DRIVES AND BACKPACK PROGRAMS AT HCHI; CHRISTMAS PRESENTS FOR PATIENTS + PATIENT ART SHOW; EDUCATIONAL CONFERENCES PART III, LINE 2: BAD DEBT EXPENSE IS RECORDED IN ACCORDANCE WITH ASC 606 (ASU 2014-09). IN ACCORDANCE WITH THE STANDARD, THE ORGANIZATION RECORDS IMPLICIT PRICE CONCESSIONS, WHICH ARE ANALOGOUS TO WHAT WAS PREVIOUSLY REFERRED TO AS BAD DEBT AND ARE REPORTED ON PART III, LINE 2. WHILE THE PROVISIONS OF ASC 606 CHANGED THE ACCOUNTING TREATMENT OF BAD DEBT, THE ECONOMIC SUBSTANCE OF THE UNDERLYING TRANSACTIONS HAVE NOT CHANGED. PART III, LINE 4: HCHI RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICE RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, HCHI RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF HCHI'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS HCHI RECORDS A SIGNIFICANT PROVISION FOR IMPLICIT P.C. RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PART III, LINE 9B: FORMER PATIENTS WITH DELINQUENT PRIVATE PAY ACCOUNTS WILL BE NOTIFIED AND GIVEN THE OPTION OF PAYING THE ACCOUNT IN FULL OR PARTICIPATING IN A PREDEFINED MONTHLY PAYMENT PLAN. FORMER PATIENTS WILL BE NOTIFIED OF THEIR FINANCIAL OBLIGATION FOR SERVICES RENDERED BY RECEIVING MONTHLY STATEMENTS WITH BALANCE DUE. FORMER PATIENTS WHO DID NOT WISH TO APPLY DURING THEIR HOSPITALIZATION WILL BE GIVEN ANOTHER OPPORTUNITY TO APPLY FOR CHARITY CARE OR SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAM DURING THE COLLECTION PROCESS. ALL PRIVATE PAY ACCOUNTS WILL BE REVIEWED TO DETERMINE THE LAST DATE OF PAYMENT. THE COLLECTION SPECIALIST WILL ATTEMPT TO CONTACT THE DEBTOR BY PHONE TO SETUP A PAYMENT ARRANGEMENT. THE COLLECTION SPECIALIST WILL ALSO REMIND THE PATIENT OR RESPONSIBLE PARTY OF THE HOSPITAL CHARITY CARE AND SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAMS. THE COLLECTION SPECIALIST WILL DOCUMENT ALL CONVERSATIONS WITH THE DEBTOR IN THE PATIENT'S BILLING DATABASE. IF THE PATIENT SHOULD APPLY FOR THE CHARITY CARE OR SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAMS WITHIN 240 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT, AND IT IS DETERMINED THAT THE PATIENT QUALIFIES FOR ONE OF THE ASSISTANCE PROGRAMS, THE HOSPITAL'S COLLECTION REPRESENTATIVE WILL CONTACT THE COLLECTION AGENCY AND INSTRUCT THAT THE ACCOUNT BE REMOVED FROM COLLECTION AND THAT THE CREDIT BUREAU BE NOTIFIED TO REMOVE THE BALANCE FROM THE PATIENT'S CREDIT REPORT. PART VI, LINE 2: WE RECOGNIZE THAT MEDICAL CARE, PUBLIC HEALTH, AND SOCIAL SERVICES MUST WORK TOGETHER TO CREATE AN ENVIRONMENT WHERE EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. MOREOVER, HEALTH IS ABOUT MORE THAN ONLY HEALTHCARE; IT IS DRIVEN BY MANY OTHER FACTORS LIKE HOUSING, EDUCATION, AND TRANSPORTATION. THIS IS ESPECIALLY TRUE FOR PEOPLE WITH UNMET HEALTH AND SOCIAL NEEDS. THE SOCIAL SERVICES DESIGNED TO HELP ARE OFTEN SEPARATED FROM MEDICAL SERVICES AND PUBLIC HEALTH PROGRAMS TASKED WITH IMPROVING HEALTH. ADDRESSING THIS CHALLENGE HAS ONLY GROWN MORE URGENT IN THE WAKE OF THE CORONA VIRUS 2019 (COVID-19) PANDEMIC, OCCURRING AS WE CONDUCTED OUR COMMUNITY HEALTH NEEDS ASSESSMENT. PART VI, LINE 3: IT IS THE POLICY OF HIGHLAND-CLARKSBURG HOSPITAL TO MAKE FINANCIAL COUNSELING SERVICES AVAILABLE TO ALL PATIENTS, INCLUDING INFORMATION ABOUT CHARITY CARE AND SLIDING SCALE DISCOUNT POLICIES THAT ARE AVAILABLE TO QUALIFIED INDIVIDUALS. FINANCIAL COUNSELING IS NOT CONSIDERED A CONDITION OF ADMISSION. PATIENTS WHO PRESENT THEMSELVES FOR EMERGENCY EXAMINATION OR TREATMENT WILL BE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. THE PATIENT WILL BE GIVEN THE OPPORTUNITY TO REQUEST A PATIENT ADVOCATE, DESIGNEE OR FAMILY MEMBER TO ASSIST IN THE FINANCIAL COUNSELING DISCUSSIONS. FINANCIAL COUNSELING MAY OCCUR AT ANY TIME FROM ADMISSION TO DISCHARGE AS LONG AS THE PATIENT'S CARE IS NOT INTERFERED WITH AND THE PATIENT CONSENTS TO THE DISCUSSIONS.PATIENTS WITH NO THIRD PARTY REIMBURSEMENT SOURCE WILL BE INFORMED OF PAYMENT RESPONSIBILITY PRIOR TO ADMISSION. PATIENTS WILL BE OFFERED THE SERVICES OF HOSPITAL'S DESIGNATED FINANCIAL COUNSELOR TO APPLY FOR OTHER FORMS OF ASSISTANCE SUCH AS WV MEDICAID OR OBTAINING COVERAGE THROUGH THE HEALTHCARE MARKET PLACE. PART VI, LINE 4: THE HOSPITAL IS LOCATED IN CLARKSBURG, A NORTH CENTRAL CITY OF WEST VIRGINIA, FOUR HOURS WEST OF WASHINGTON D.C., AND LESS THAN TWO HOURS SOUTH OF PITTSBURGH, PENNSYLVANIA. OUR PRIMARY REFERRAL AREA SERVES AS OUR FOCUS AND INCLUDES BERKELEY, HARRISON, KANAWHA, MARION, MONONGALIA, NICHOLAS, OHIO, PRESTON, RANDOLPH, AND WOOD COUNTIES, CONSISTING OF 40% OF THE ENTIRE STATE'S POPULATION (APPROX 700,000 PEOPLE). OUR REFERRAL AREA AND THE STATE OF WEST VIRGINIA ARE ABOUT 91% WHITE AND ABOUT 5% BLACK COMPARED TO THE REST OF THE US, WHICH IS 73% WHITE AND 13% BLACK. THE NUMBER OF PEOPLE REPRESENTING MULTIPLE RACIAL GROUPS, HISPANIC, ASIAN, AND PACIFIC ISLANDER, IS UNDER 3 % IN WEST VIRGINIA. (US CENSUS BUREAU, 2019) ALTHOUGH SOME GROUPS ARE UNDER-REPRESENTED IN WEST VIRGINIA, HIGHLAND-CLARKSBURG HOSPITAL IS READY TO ACCOMMODATE MEMBERS OF ANY GROUP AND HAS ACCESS TO TRANSLATORS FOR LANGUAGES OTHER THAN ENGLISH AND THE DEAF. WHERE ONCE THE MEDIAN AGE OF A WEST VIRGINIA RESIDENT WAS NEARLY IDENTICAL TO THE MEDIAN AGE IN THE U.S., WEST VIRGINIA'S MEDIAN AGE IN 2013 WAS FOUR YEARS GREATER THAN THE U.S. (43.0 YEARS COMPARED TO 38.9 YEARS). BY 2056 THE POPULATION OF U.S. ADULTS AGED 65 AND OLDER IS PROJECTED TO BECOME MORE SIGNIFICANT THAN THE POPULATION AGED 17 YEARS AND YOUNGER. THE WEST VIRGINIA HEALTH STATISTICS CENTER EXPECTS THAT THIS EVENT WILL OCCUR ABOUT 2029 FOR WEST VIRGINIA, MUCH EARLIER THAN FOR THE REST OF THE COUNTRY. TO PROVIDE SERVICES FOR AN OLDER POPULATION, WE MUST BE KNOWLEDGEABLE ABOUT GERIATRIC ISSUES, SERVICES, AND SOLUTIONS AND WORK WITH OUR PARTNERS TO EFFECTIVELY ASSIST THIS AGE GROUP. IN OUR AREA AND WEST VIRGINIA, THE PERCENTAGE OF SINGLE PARENT HOUSEHOLDS IS APPROXIMATELY 34%, WHILE THE US'S BEST IS AT 20%. (UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, 2020) OUR SURVEY RESPONDENTS RATED THE IMPORTANCE OF CHILD ABUSE AND NEGLECT AT 61%, THE SECOND MOST CRUCIAL ISSUE IN OUR AREA. THIS HIGH PERCENTAGE SHOWS OUR CONCERN FOR CHILDREN. WE WORK WITH OUR PARTNERS TO MEET THE NEEDS OF OUR FAMILIES, PARTICULARLY SINGLE-PARENT FAMILIES, INCLUDING EARLY CHILDHOOD HOME VISITING PROGRAMS, GROUP PARENTING PROGRAMS, CRISIS PHONE LINES, FATHER INVOLVEMENT PROGRAMS, AND SOCIAL SERVICE COORDINATION. WEST VIRGINIA IS ONE OF THE MOST IMPOVERISHED STATES IN THE COUNTRY. MEDIAN HOUSEHOLD INCOME IS 23% BELOW THAT OF THE NATION. PER CAPITA INCOME IN WEST VIRGINIA IS ALMOST 20% LOWER THAN THE REST OF THE COUNTRY. MORE THAN 22% OF WEST VIRGINIA FAMILIES WITH RELATED CHILDREN UNDER AGE 18 HAVE AN INCOME BELOW THE POVERTY LEVEL COMPARED TO 18% FOR THE NATION, FIGURE 5. MORE THAN 60% OF WEST VIRGINIA FAMILIES WITH A FEMALE HEAD OF HOUSEHOLD WITH RELATED CHILDREN UNDER AGE FIVE YEARS HAVE INCOMES BELOW THE POVERTY LEVEL COMPARED TO 46.3% FOR THE UNITED STATES. ACCORDING TO THE BUREAU FOR LABOR STATISTICS, APPROXIMATELY 16% OF WEST VIRGINIA HOUSEHOLDS UTILIZED THE FOOD STAMP/SNAP PROGRAM IN THE LAST 12 MONTHS, COMPARED TO 13% NATIONALLY. GIVEN THIS SIZEABLE, LOW-INCOME POPULATION, SERVICE PROVIDERS SHOULD OFFER THEIR SERVICES IN WAYS THAT MAKE IT EASY TO ACCESS THEIR PROGRAMS. THIS INCLUDES FRIENDLY, WELCOMING OFFICE LOCATIONS ON PUBLIC TRANSPORTATION ROUTES, DURING NON-TRADITIONAL HOURS, AT EASILY ACCESSIBLE SITES, INCLUDING THE HOME. HIGHLAND-CLARKSBURG HOSPITAL IS ON THE BUS ROUTE, WITH A REMODELED BUILDING THAT INVITES HEALING. X X X 0 0 0 0 0 0 0 0 0 TONI B GOODYKOONTZ MD CHIEF MEDICAL OFFICER 476799 0 0 0 0 0 0 0 503 0 477302 0 0 0 CAITLIN CORBITT PSYCHIATRIST 196324 0 0 0 0 0 0 0 974 0 197298 0 0 0 GREGORY ROCK DIRECTOR OF PHARMACY 151295 0 0 0 0 0 0 0 30041 0 181336 0 0 0 VICTORIA JONES CHIEF EXECUTIVE OFFICER 171410 0 0 0 0 0 0 0 539 0 171949 0 0 0 WHITNEY PATTERSON CHIEF FINANCIAL OFFICER 132131 0 0 0 0 0 0 0 27329 0 159460 0 0 0 JORDAN GWINN NURSE PRACTIONER 129296 0 0 0 0 0 0 0 27291 0 156587 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PROVIDED IN DRAFT FORM TO THE BOARD OF DIRECTORS TO REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE QUALITY CONTROL DIRECTOR KEEPS A COPY OF THE POLICY ON FILE, WITH ALL BOARD MEMBERS SIGNING A COPY EVERY YEAR. ALSO, AS SITUATIONS ARISE, BOARD MEMBERS WILL EXCUSE THEMSELVES FROM ANY VOTE THAT MAY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR THE CEO, CMO, AND CFO USING A SEPARATE FINANCE COMMITTEE AND COMPARATIVE DATA. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZING DOCUMENTS AND THE FORM 990 ARE AVAILABLE THROUGH DIRECT INQUIRY OF THE FISCAL OFFICE OF THE ORGANIZATION FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH DIRECT INQUIRY OF THE FISCAL OFFICE OF THE ORGANIZATION FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 2,134,534. MANAGEMENT AND GENERAL EXPENSES 192,602. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,327,136. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED.