2020-11-05T09:11:17-06:00 2019-12-31 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2019-01-01 452230827 Swisher Memorial Healthcare System % LUKE BREWER SWIS 8069953581 PO BOX 808 TULIA TX 79088 LUKE BREWER CEO 9727028262 2020-11-16 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 70234720203105000000 2020-11-05 P E3F9B7EA3642DF85E71955FB87B428800731A9FD EB976710118F518B8933A72D91D1D85239D99EDA 2019 2021-01-29 14:40:06Z LUKE BREWER 539 SE SECOND STREET TULIA TX 79088 12029457 false X WWW.SWISHERHOSPITAL.COM X 2011 TX TO PROVIDE QUALITY HEALTHCARE TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. 4 4 107 4 0 0 98629 94660 10751785 11789751 6424 6337 147384 138709 11004222 12029457 5720 7432 0 0 4842229 4795242 0 0 0 5570921 6406350 10418870 11209024 585352 820433 5945115 6704901 1537286 1476639 4407829 5228262 X TO PROVIDE QUALITY HEALTHCARE TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. false false 9808331 7432 11847322 PROVIDED ACCESSIBLE AND QUALITY HEALTHCARE SERVICES TO THE CITIZENS OF SWISHER COUNTY AND THE SURROUNDING AREAS. THE HOSPITAL HAD 23,997 ENCOUNTERS - 14,605 CLINIC, 1,979 ER, 166 INPATIENT, 9,123 OUTPATIENT, 77 SWING BED, 6 ASSISTED LIVING; 0 SURGERIES; 486 INPATIENT DAYS; 949 SWING BED DAYS. IN 2019, SWISHER MEMORIAL CONTINUED TO OFFER CHIROPRACTIC SERVICES ONCE A WEEK. THE MEDICAL ADVICE LINE THAT IS AVAILABLE 24/7 TO OUR PATIENTS AND COMMUNITY ISSTILL RUNNING SMOOTHLY. SMHS HOSTED ITS 5TH ANNUAL COMMUNITY WIDE HEALTH FAIR. THE HEALTH FAIR INCLUDED HEALTH EDUCATION, HEALTH SCREENINGS, INFLUENZA AND PNEUMONIA VACCINATIONS, AND MORE. 9808331 true true false true false false false false false false true false false true true false true 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 19 0 107 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 235910 0 21907 LUKE BREWER CEO 40.0 0.0 X 171476 0 41263 SCOTT DYER PT DIRECTOR 40.0 0.0 X 169074 0 28670 KARA DYER PHYSICAL THERAPIST 40.0 0.0 X 173356 0 18501 KELLY MAXWELL CNO 40.0 0.0 X 138590 0 41811 Amanda Fernandez registered nurse 40.0 0.0 X 113965 0 15777 CHARLOTTE O'DANIEL SECRETARY 1.0 0.0 X X 0 0 0 KA WILFONG DIRECTOR 1.0 0.0 X 0 0 0 RAY DE LOS SANTOS PRESIDENT 1.0 0.0 X X 0 0 0 GWYN ANN SHANNON DIRECTOR 1.0 0.0 X 0 0 0 TORI MARNELL DIRECTOR, END: 08/19 1.0 0.0 X 0 0 0 JORY RUNNELS PRESIDENT, END: 08/19 1.0 0.0 X X 0 0 0 1002371 0 167929 7 false true false CERNER CORPORATION 2800 ROCKCREEK PKWY KANSAS CITY KS 64117 EHR SERVICES 308886 US FOODSERVICE PO BOX 840450 DALLAS TX 75284 DIETARY SERVICES 126042 BKD LLP 510 N VALLEY MILLS DRIVE WACO TX 76710 ACCOUNTING SERVICES 107348 3 9660 85000 94660 Patient Service Revenue 621110 9695350 9695350 Incentive Revenue 900099 1406726 1406726 OTHER OPERATING REVENUE 900099 238053 238053 PHARMACY 446110 449622 449622 11789751 6337 6337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Guest & Employee Meals 722514 78481 78481 Wellness Center Revenue 713940 20840 20840 Medical Records 561000 2107 2107 37281 34624 2657 138709 12029457 11847322 87475 X 7432 7432 0 0 0 212739 106369 106370 0 3474901 2997612 477289 146093 123572 22521 666846 564783 102063 294663 249763 44900 0 2345 2345 107348 107348 0 0 0 1509905 1305134 204771 21892 2224 19668 225772 124457 101315 256876 247575 9301 0 1066821 1047823 18998 15397 10217 5180 0 13190 7251 5939 65902 52379 13523 0 414401 329368 85033 69586 57756 11830 Bad Debt Expense 1104627 1104627 Medical Supplies 1407908 1407908 Dues And Subscriptions 22551 2982 19569 Repairs & maintenance 8072 6688 1384 93757 52411 41346 11209024 9808331 1400693 0 1070606 1746558 0 0 0 0 1121836 1318996 0 0 0 0 0 0 207170 208615 798195 1314871 4687318 3085046 1925897 1602272 0 0 0 0 0 0 0 0 821411 513589 5945115 6704901 523548 484791 0 0 0 0 0 0 0 0 0 0 923678 747204 0 0 90060 244644 1537286 1476639 X 4407829 5228262 0 0 4407829 5228262 5945115 6704901 820433 X X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2774 2774 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: Dues Paid % Lobbying Lobbying THA $2,677 8.31% $222 AHA $8,993 21.78% $1,959 TORCH $5,930 10.00% $593 ---------------------------------------------------- Total $17,600 $2,774 1059595 697392 362203 3570656 2350094 1220562 57067 37560 19507 1602272 Due from 3rd Party payer 441986 Other Asset 71603 513589 0 PAYABLE TO HOSPITAL DISTRICT 19584 Est Self-Insurance Costs 225060 244644 12116415 1276245 -1104627 171618 11944797 84660 84660 12029457 11380642 1276245 1276245 10104397 1104627 1104627 11209024 SCHEDULE D, PART XI, LINE 2D Reconciliation of revenue per audited financial statements with return: Bad Debt Expense $(1,104,627) Schedule D, Part XI, Line 4b RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Contribution for acquisition of Property & Equipment $84,660 Schedule D, Part XII, Line 4b Reconciliation of expenses per audited financial statements with return: Bad Debt Expense $1,104,627 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 false 926740 926740 0.09170 899265 1597341 1826005 1597341 926740 0.09170 89311 89311 0.00880 7432 7432 0.00070 96743 96743 0.00950 1922748 1597341 1023483 0.10120 true 1104627 4716804 4930800 -213996 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 17 true false false true X SEE PART V, SECTION C X true 17 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 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, SCHOOL SUPERINTENDENT, SCHOOL NURSES, ELECTED CITY OFFICIALS, HOSPITAL AUXILIARY EMPLOYEES, CITIZENS OF OUTLYING COMMUNITIES, SENIOR CITIZENS AND YOUNG ADULTS, HOME HEALTH REPRESENTATIVES, 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 11 NEEDS IDENTIFIED IN CHNA: THE STRATEGY TO ADDRESS THE NEEDS IDENTIFIED IS INCLUDED IN THE CHNA WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. THE HOSPITAL COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT IN MAY 2017. THE 2017 CHNA IDENTIFIED THAT IT NEEDED TO CONTINUE TO ADDRESS THE FOUR NEEDS OF THE COMMUNITY IDENTIFIED IN THE 2014 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, AND WE HAVE FOUR SPECIALISTS COME IN MONTHLY - AN ORTHOPEDIC SURGEON, CARDIOLOGIST, AND AN OBSTETRICIAN, AND A GI PHYSICIAN. 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. 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. 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 Availability of Financial Assistance Information: The Hospital's financial assistance policy, application and plain language summary can be found at the following site: http://www.swisherhospital.com/getpage.php?name=Financial_Assistance&sub=F inancial+Assistance SCHEDULE H, PART V, SECTION B Compliance with 501r: Swisher Memorial Healthcare System identified a couple areas where it was not yet fully compliant with the final 501r regulations. The hospital realized the most recent implementation strategy was not on the hospitals website. Once this was identified, the hospital uploaded the document. Swisher Memorial Healthcare System personnel are working diligently to maintain compliance and will correct any additional failures to comply as they are identified. Top management will monitor the website annually to confirm the hospital continues to stay compliant with the widely publicized requirements under 501r. SCHEDULE H, PART V, SECTION B, LINE 7A & 10 CHNA & Implementation Strategy MADE AVAILABLE: THE HOSPITAL'S MOST RECENT CHNA and implementation strategy CAN BE FOUND AT THE FOLLOWING WEBSITE: http://www.swisherhospital.com/getpage.php?name=Community_Health_Needs_Ass 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 $1,104,627 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). X X X false false false false false false false true false LUKE BREWER CEO 140321 0 22501 0 8654 0 7016 0 34247 0 212739 0 0 0 KELLY MAXWELL CNO 124731 0 13859 0 0 0 6930 0 34881 0 180401 0 0 0 SCOTT DYER PT DIRECTOR 165894 0 3180 0 0 0 8183 0 20487 0 197744 0 0 0 KARA DYER PHYSICAL THERAPIST 167366 0 444 0 5546 0 8390 0 10111 0 191857 0 0 0 CYNTHIA ARCHER Physician Assistant 235248 0 662 0 0 0 11796 0 10111 0 257817 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 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 2019 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 IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:532680 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:239817 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:638123 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:99285