2022-11-09T11:26:07-06:00 2021-12-31 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2021-01-01 452230827 Swisher Memorial Healthcare System % LUKE BREWER SWIS 8069953581 PO Box 808 Tulia TX 79088 LUKE BREWER CEO 9727028262 2022-05-15 true luke brewer 999009999 Jeanette Verrelli P00742631 9727028262 2 2021 2022-09-23 18:48:47Z LUKE BREWER 539 SE SECOND STREET TULIA TX 79088 14608197 false X WWW.SWISHERHOSPITAL.COM X 2011 TX TO PROVIDE QUALITY HEALTHCARE TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. 4 4 95 4 0 0 2135564 2575096 10764929 11911938 -56222 237 117685 120926 12961956 14608197 4863 6078 0 0 5319980 5323732 0 0 0 6060204 6940934 11385047 12270744 1576909 2337453 11057131 11170345 4251960 2027721 6805171 9142624 TO PROVIDE QUALITY HEALTHCARE TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. false false 10954704 6078 12004788 PROVIDED ACCESSIBLE AND QUALITY HEALTHCARE SERVICES TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. THE HOSPITAL HAD 24,055 ENCOUNTERS - 13,751 CLINIC, 2,044 ER, 174 INPATIENT, 10,080 OUTPATIENT, 50 SWING BED, 7 ASSISTED LIVING; 0 SURGERIES; 482 INPATIENT DAYS; 727 SWING BED DAYS. IN 2021, SWISHER MEMORIAL CONTINUED TO OFFER CHIROPRACTIC SERVICES ONCE A WEEK. THE MEDICAL ADVICE LINE THAT IS AVAILABLE 24/7 TO OUR PATIENTS AND COMMUNITY IS STILL RUNNING SMOOTHLY. SMHS WAS STILL UNABLE TO HOST THE ANNUAL COMMUNITY HEALTH FAIR DUE TO COVID. 10954704 true true false true false false false false false false true false false true true false false false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 20 0 true 95 true false false false false false false false false false false false false X 4 4 false false false false false false false true false false false true true true true true true true true false X LUKE BREWER 8069958268 539 SE SECOND STREET TULIA TX 79088 X CYNTHIA ARCHER PHYSICIAN ASSISTANT 40.0 0.0 X 218703 0 24165 LUKE BREWER CEO 40.0 0.0 X 199686 0 42400 KARA DYER PHYSICAL THERAPIST 40.0 0.0 X 173185 0 29033 KELLY MAXWELL CNO 40.0 0.0 X 155169 0 43027 SCOTT DYER PT DIRECTOR 40.0 0.0 X 168715 0 21450 KIMBERELY GEORGE PHYSICIAN 40.0 0.0 X 113370 0 41610 SHERRY THORNTON ASSISTED LIVING DIRECTOR 40.0 0.0 X 106803 0 44691 LIZZIE DUTTON CFO 40.0 0.0 X 108015 0 15838 CHARLOTTE O'DANIEL BOARD CHAIRMAN 1.0 0.0 X X 0 0 0 GWYN ANN SHANNON VICE CHAIRMAN 1.0 0.0 X X 0 0 0 KA WILFONG SECRETARY 1.0 0.0 X X 0 0 0 ALYSSA IRLBECK DIRECTOR 1.0 0.0 X 0 0 0 1243646 0 262214 8 false true false CERNER CORPORATION 2800 ROCKCREEK PKWY KANSAS CITY MO 64117 EHR SERVICES 335435 FORVIS LLP 510 N VALLEY MILLS DRIVE WACO TX 76710 ACCOUNTING SERVICES 137761 2 2575096 0 2575096 Patient Service Revenue 621110 10292796 10292796 Incentive Revenue 900099 1090954 1090954 Other Operating Revenue 900099 39708 39708 PHARMACY REVENUE 446110 488480 488480 11911938 237 237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Guest & Employee Meals 722514 27306 27306 Wellness Center Revenue 713940 5980 5980 Medical Records 561000 792 792 86848 86078 770 120926 14608197 12004788 28313 X 6078 6078 0 0 0 564136 282068 282068 0 3638510 3245798 392712 144550 134493 10057 664884 612611 52273 311652 260713 50939 0 186 186 137761 137761 0 0 0 1674794 1477569 197225 15649 4892 10757 193491 118845 74646 251242 241439 9803 0 1075740 1065678 10062 1065 1037 28 0 21110 14419 6691 31473 27540 3933 0 289564 253380 36184 75696 66307 9389 Bad Debt Expense 1545847 1545847 Medical Supplies 1534797 1534797 DUES & SUBSCRIPTIONS 22441 5703 16738 Repairs & Equipment 12295 7313 4982 57783 48177 9606 12270744 10954704 1316040 0 X 7289863 7429989 0 0 0 0 1018900 1219938 0 0 0 0 0 0 270429 276933 405455 58185 5167987 3654289 1544984 1513698 0 0 0 0 0 0 0 0 527500 671602 11057131 11170345 498308 643079 0 0 2483000 410863 0 0 0 0 0 0 509499 286646 0 0 761153 687133 4251960 2027721 X 6805171 9142624 0 0 6805171 9142624 11057131 11170345 2337453 X X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1120 1120 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: Dues Paid % Lobbying Lobbying THA $2,856 8.00% $228 AHA $5,828 10.00% $583 TORCH $3,085 10.00% $309 ---------------------------------------------------- Total $11,769 $1,120 1059595 749241 310354 4108392 2905048 1203344 1513698 DUE FROM 3RD PARTY PAYOR 599999 Other Asset 71603 671602 0 EST SELF-INSURANCE COSTS 150060 EST DUE TO THIRD-PARTY PAYORS 537073 687133 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: 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. true true X true X 300. true X true true true false true true 985484 491729 493755 0.04600 1191238 1649630 0.00000 2176722 2141359 493755 0.04600 72706 72706 0.00680 6078 6078 0.00060 78784 78784 0.00740 2255506 2141359 572539 0.05340 true 1545847 4406571 4604862 -198291 X true true 1 1 SWISHER MEMORIAL HEALTHCARE SYSTEM 539 SE SECOND STREET TULIA TX 79088 WWW.SWISHERHOSPITAL.COM 100122 X X X 1 SWISHER MEMORIAL HEALTHCARE SYSTEM 1 false false true X X X X X X X X X 21 true false false true X SEE PART V, SECTION C X true 21 true SEE PART V, SECTION C false true X 300. 300. X X X X X true true X X X true X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY: THE HOSPITAL COMPLETED INTERVIEWS AND FOCUS GROUPS WITH REPRESENTATIVES FROM VARIOUS AREAS OF THE COMMUNITY INCLUDING: BUSINESS AND INDUSTRY LEADERS, ELECTED CITY OFFICIALS, CITIZENS OF OUTLYING COMMUNITIES, SENIOR CITIZENS AND YOUNG ADULTS, REPRESENTATIVES OF THE LOCAL CHURCH, THE CHAMBER OF COMMERCE, AND BOARD MEMBERS OF THE DISTRICT. ADDITIONAL INTERVIEWS WITH THE HOSPITAL DIRECTORS, THE CEO AND THE CFO WERE CONDUCTED AS WELL. SCHEDULE H, PART V, SECTION B, LINE 7A & 10A CHNA AND IMPLEMENTATION STRATEGY AVAILABILITY: https://www.swisherhospital.com/getpage.php?name=Community_Health_Needs_As sessment&sub=About%20Us OUR CHNA IS AVAILABLE ANYTIME WHEN REQUESTED IN PERSON OR ON OUR WEBSITE; BOTH ARE FREE OF CHARGE. SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS IDENTIFIED IN CHNA: THE STRATEGY TO ADDRESS THE NEEDS IDENTIFIED IS POSTED ON THE HOSPITAL'S WEBSITE. THE HOSPITAL COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT IN EARLY 2021. THE NEW CHNA IDENTIFIED THAT IT NEEDED TO CONTINUE TO ADDRESS THE FOUR NEEDS OF THE COMMUNITY IDENTIFIED IN THE 2017 CHNA: - AVAILABILITY OF LOCAL SPECIALISTS - CHRONIC DISEASE MANAGEMENT - COMMUNITY EDUCATION ON CHRONIC DISEASE, NUTRITION, AND HEALTHY LIFESTYLES - MARKETING OF THE HOSPITAL ALL NEEDS IDENTIFIED IN THE CHNA ARE BEING ADDRESSED BY THE HOSPITAL. THE HOSPITAL'S NEWEST PHYSICIAN SPECIALIZES IN PEDIATRIC CARE. WE ARE TRYING TO GET SPECIALISTS BACK IN, BUT COVID DETERRED MOST OF THAT. THE HEALTH NEEDS OF AN AGING POPULATION WERE DISCUSSED BY MANY. WE STILL HAVE THE ARCHITECTURAL PLANS FOR A NEW ASSISTED LIVING FACILITY, BUT ARE STILL ON HOLD FOR THAT PROJECT UNTIL FUNDING ALIGNS. WE HAVE IMPLEMENTED A CHRONIC CARE MANAGEMENT PROGRAM FOR OUR MEDICARE AGED POPULATION TO BETTER MANAGE THOSE CONDITIONS OF OUR AGING POPULATION. ADDRESSING MENTAL HEALTH, DRUG, AND ALCOHOL ABUSE WERE ALSO DISCUSSED DURING THE FOCUS GROUPS. THE HOSPITAL FACILITATED A TELEPSYCHIATRY OPPORTUNITY FOR AN EXTENDED PERIOD OF TIME, BUT HAD LITTLE TO NO USAGE OF IT. WE ARE EXPLORING OTHER OPPORTUNITIES TO BETTER CARE FOR THOSE PATIENTS IN NEED. SWISHER MEMORIAL HEALTHCARE SYSTEM CONTINUES TO OFFER COMMUNITY WIDE HEALTH FAIRS AND HAS HAD GREAT PARTICIPATION FROM THE COMMUNITY PRE-COVID. WE WILL CONTINUE TO OFFER EDUCATION ON DIABETES, NUTRITION, ALZHEIMER'S, AND DEMENTIA. THE HOSPITAL'S MARKETING EFFORTS ARE CONTINUING TO PAY OFF. WE WILL CONTINUE TO PROMOTE OUR SERVICES AND PROVIDERS. WE WILL CONTINUE TO BRING READING MATERIALS IN BOTH ENGLISH AND SPANISH, AS OVER 40% OF THE POPULATION IS HISPANIC. THE HOSPITAL PARTICIPATED IN A TORCH MARKETING PROJECT TO CREATE A NEW TRIFOLD DESIGN AND DEVELOPED NEW FACEBOOK/SOCIAL MEDIA MATERIAL ACCESS. SCHEDULE H, PART V, SECTION B, LINE 13H OTHER CRITERIA FOR FINANCIAL ASSISTANCE: THE OTHER ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS THE PATIENT'S HOUSEHOLD SIZE. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C FINANCIAL ASSISTANCE AVAILABILITY: THE FAP, THE FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: https://www.swisherhospital.com/getpage.php?name=Financial_Assistance&sub= Patient%20Info SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: AN ATB IS PROCESSED FOR INPATIENTS AND OUTPATIENTS BY CURRENT FINANCIAL CLASS MONTHLY. BASED ON THE HISTORICAL DATA, A SET PERCENTAGE IS ESTABLISHED AND THAT PERCENTAGE IS APPLIED AND ASSUMED UNCOLLECTIBLE. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE SYSTEM USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. IN ADDITION, THE ORGANIZATION PROVIDES CARE TO ALL PATIENTS REGARDLESS OF SOURCE OF PAYMENT; THEREFORE, COSTS TO PROVIDE CARE TO MEDICARE PATIENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT TO THE EXTENT COSTS EXCEED MEDICARE REIMBURSEMENT. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION PRACTICES: ONCE A PATIENT HAS QUALIFIED FOR OUR INDIGENT PROGRAM, NO ADDITIONAL COLLECTION EFFORTS ARE MADE ON THAT ACCOUNT. THERE ARE DIFFERENT LEVELS OF CHARITY THAT WE AWARD, MOST OF THE TIME 75-100%, AND WE DO TRY TO COLLECT ON THE REMAINING 25%. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: SWISHER MEMORIAL HEALTHCARE SYSTEM UTILIZES HCAHPS SURVEYS TO MEASURE THE PATIENTS' PERSPECTIVES AND SATISFACTION REGARDING HOSPITAL CARE. IN ADDITION, THE SYSTEM IS ACTIVE IN ALL OF ITS COMMUNITY SERVICE ORGANIZATIONS. THE CEO ATTENDS THESE SERVICE CLUB MEETINGS TO INVITE PATIENTS, THEIR FAMILIES, AND LOCAL CITIZENS TO SHARE THEIR CONCERNS ABOUT THE COMMUNITY'S NEEDS WITH THE ORGANIZATION. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND ON THE SYSTEM'S WEBSITE IN BOTH ENGLISH AND SPANISH AND DISCUSSED AT SERVICE ORGANIZATION MEETINGS IN OUR COMMUNITY. IT IS ALSO SHARED WITH VARIOUS GOVERNMENT AGENCIES SUCH AS HEALTH AND HUMAN SERVICES. FINALLY, ALL UNINSURED PATIENTS WHO ARE SEEN IN THE SYSTEM'S CLINIC OR EMERGENCY DEPARTMENT ARE REFERRED TO OUR PATIENT ADVOCATE WHO INVESTIGATES ALL POTENTIAL SOURCES OF ASSISTANCE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: SWISHER MEMORIAL HEALTHCARE SYSTEM SERVES ALL OF SWISHER COUNTY, TX AS WELL AS SOUTHERN RANDALL COUNTY, WESTERN BRISCOE COUNTY, AND EASTERN CASTRO COUNTY. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: OUR HOSPITAL CEO AND CNO MEET WITH LOCAL AND COUNTY GOVERNMENT OFTEN TO DISCUSS ANY ACTIONS THE SYSTEM AND/OR DISTRICT MAY BE ABLE TO PARTICIPATE IN, PERFORM, OFFER, OR ENCOURAGE WITHIN OUR COMMUNITY. ALSO, OUR QUALITY ASSURANCE/PERFORMANCE IMPROVEMENT/DISASTER PREPAREDNESS DIRECTOR AND TRAUMA COORDINATOR ARE ACTIVE WITH THE REGIONAL ADVISORY COUNCIL AND OTHER COMMUNITY PREPAREDNESS ACTIVITIES. OUR CLINIC OFFERS AN INFLUENZA VACCINATION CLINIC YEARLY, FOR A FLAT FEE, WITH THE OPTION TO BILL MEDICARE FOR MEDICARE PATIENTS. WE CONTINUE TO PROVIDE A MEDICAL ADVICE LINE TO OUR PATIENTS FREE OF CHARGE THROUGH THE 1115 WAIVER. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: ALTHOUGH THERE IS NOT A CONTROL OF GOVERNANCE, SWISHER MEMORIAL HEALTHCARE SYSTEM AND SWISHER MEMORIAL HOSPITAL DISTRICT DO COOPERATE IN PROVIDING HEALTH CARE TO THE COMMUNITY. AS HIGHLIGHTED IN THE SCHEDULE H, PART VI - PROMOTION OF COMMUNITY HEALTH, BOTH ENTITIES PARTICIPATE IN VARIOUS PROGRAMS AND CLINICS TO FURTHER THE HEALTH OF SWISHER COUNTY. SWISHER MEMORIAL HOSPITAL DISTRICT CONTRACTS OUT THE EMERGENCY SERVICES TO AMR. SWISHER MEMORIAL HEALTHCARE SYSTEM OFFERS A LEVEL 4 EMERGENCY DEPARTMENT, CRITICAL ACCESS HOSPITAL WITH TWENTY BEDS, AND TULIA RURAL HEALTH CLINIC THAT SERVICES THE MAJORITY OF SWISHER COUNTY. THE DISTRICT AND THE SYSTEM WORK TOGETHER COHESIVELY IN PROVIDING EXCELLENT CARE TO ALL PATIENTS THAT UTILIZE OUR SERVICES. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS Schedule H, Part I, Line 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - Asset level - MEDICAL INDIGENCY - INSURANCE STATUS - UNDERINSURANCE STATUS - Household size SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $1,545,847 WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN COLUMN (F). SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COSTS COMPUTED ON WORKSHEET 4 AND 8 WERE COMPUTED USING INTERNAL COST SYSTEMS. X X X false false false false false false false true false LUKE BREWER CEO 159994 0 32000 0 7692 0 8000 0 34400 0 242086 0 0 0 KELLY MAXWELL CNO 133775 0 17943 0 3451 0 7101 0 35926 0 198196 0 0 0 CYNTHIA ARCHER PHYSICIAN ASSISTANT 218012 0 691 0 0 0 11178 0 12987 0 242868 0 0 0 SCOTT DYER PT DIRECTOR 157793 0 4960 0 5962 0 8267 0 13183 0 190165 0 0 0 KARA DYER PHYSICAL THERAPIST 164898 0 3393 0 4894 0 8376 0 20657 0 202218 0 0 0 KIMBERELY GEORGE PHYSICIAN 108638 0 458 0 4274 0 5836 0 35774 0 154980 0 0 0 SHERRY THORNTON ASSISTED LIVING DIRECTOR 95244 0 2102 0 9457 0 5406 0 39285 0 151494 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: A PERCENTAGE OF INCENTIVE COMPENSATION REPORTED BY THE INDIVIDUALS LISTED ON PART VII, SECTION A IS CONTINGENT ON MEETING THE ANNUAL BUDGET. FORM 990, PART VI, SECTION A, LINE 8B DOCUMENTATION OF COMMITTEES ACTING ON BEHALF OF THE GOVERNING BODY: ANY ACTIONS OF THE COMMITTEES (MEDICAL STAFF, QAPI, NURSING) THAT ARE PART OF THE SYSTEM'S OPERATION ARE REPORTED BY THE CNO/CEO/CFO AT QUARTERLY BOARD MEETINGS. THERE ARE NO COMMITTEES OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE ORGANIZATION'S CEO REVIEWS THE RETURN PRIOR TO FILING. A COPY IS ALSO SENT OUT TO THE GOVERNING BODY FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: BOARD MEMBERS ARE POLLED ANNUALLY TO DETERMINE IF/WHERE CONFLICTS MAY OCCUR. DEBBIE GARZA OF THE HR DEPARMENT MONITORS COMPLIANCE, AND IF A MEMBER HAS A POSSIBLE CONFLICT THEY ABSTAIN FROM VOTING ON THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW: ALL KEY POSITIONS ARE EVALUATED IN COMPARISON TO THE TORCH ANNUAL SURVEY OF HOSPITAL SALARIES AND OTHER SOURCES. EVALUATIONS ARE CONDUCTED EACH YEAR ON COMPENSATION. ONCE THEY HAVE BEEN REVIEWED, WE TAKE IT TO THE BOARD FOR FURTHER REVIEW AND APPROVAL. THIS WAS DONE IN OCTOBER IN PRIOR YEARS AND PRESENTED TO THE BOARD AT THE OCTOBER BOARD MEETING. HOWEVER, WE HAVE SINCE MOVED ANNUAL REVIEWS AND RAISES TO BE CONDUCTED IN APRIL AND AWARDED IN MAY. ALL OF THE COMPENSATION APPROVAL IS DOCUMENTED IN THE BOARD MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2021 BY THE HOSPITAL CEO. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE BY REQUEST AT THE ORGANIZATION'S OFFICE. FORM 990, PART XII, LINE 2C RESPONSIBILITY FOR OVERSIGHT OF AUDIT: DUE TO THE SIZE OF THE BOARD, THERE IS NO COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. INSTEAD, THE FULL BOARD IS RESPONSIBLE. FORM 990, PART IV, LINE 12 & PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION HAS ANSWERED "NO" TO THE QUESTIONS REGARDING AN AUDIT IN PART IV, LINE 12A AND PART XII. THE ORGANIZATION IS IN THE PROCESS OF AN AUDIT OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2021. HOWEVER, AT THE TIME OF FILING THIS RETURN, THE AUDIT IS NOT YET COMPLETE. THE ORGANIZATION HAS ATTACHED A COPY OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019 TO THE 990 AND ANSWERED YES TO PART IV, LINE 20B. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:464915 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:346250 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:775835 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:87794