2018-11-13T09:07:52-06:00 2017-12-31 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2017-01-01 550491651 SUMMERSVILLE REGIONAL MEDICAL CENTER SUMM 3048722891 400 FAIRVIEW HEIGHTS ROAD SUMMERSVILLE WV 266519308 ROBIN ECKHART INTERIM CFO 3048722891 2018-11-08 1 J RYAN LINDSAY P01835061 3043459400 207.192.238.246 2018-11-08 14:31:47 ES P A01AD637FF7855F41293BC21A078314BEC370AE6 3BE2FC0D76539B41D6A3D7BFAD748AE12C47ECDC 2017 2019-02-21 02:37:17Z KAREN BOWLING 400 FAIRVIEW HEIGHTS ROAD SUMMERSVILLE WV 266519308 53138441 0 X WWW.SUMMERSVILLEREGIONAL.ORG X MUNICIPAL/PUBLIC WORK 1968 WV SUMMERSVILLE REGIONAL MEDICAL CENTER PROVIDES ACUTE CARE SERVICES THROUGH 53 LICENSES BEDS INCLUDING INTENSIVE CARE UNIT, MEDICIAL/SURGERY, OB AN SWING BED. IN ADDITION THERE ARE 52 EXTENDED CARE BEDS PROVIDING LONG TERM CARE SERVICES TO THE RESIDENTS. SUMMERSVILLE REGIONAL MEDICAL CENTER OPERATES AN EMERGENCY ROOM TAKING ALL PATIENTS REGARDLESS OF INSURANCE IN CONJUNCTION WITH A REGIONAL MEDICAL CENTER APPROACH, CONNECTING PATIENTS TO TERTIARY CARE FACILITIES AS NECESSARY FOR SERVICES. ANCILLARY DIAGNOSTIC SERVICES ARE ALSO PROVIDED INCLUDING LAB, X-RAY, CT, MRI, ULTRASOUND, PT/OT, NUCLEAR MEDICINE, SURGERY, AND EMERGENCY ROOM. PHYSICIAN CLINICS INCLUDE RURAL HEALTH CLINICS, SURGERY PRACTICE, WOMEN'S HEALTH PRACTICE AND ORTHOPEDICS PRACTICE. 16 14 713 30 0 0 2345 0 57095650 50692502 1608 4190 1701306 2377746 58800909 53074438 0 0 0 0 29681361 28257018 0 0 0 30064572 25860737 59745933 54117755 -945024 -1043317 25648039 23406895 20843525 19645698 4804514 3761197 X ABOVE ALL ELSE, SUMMERSVILLE REGIONAL MEDICAL CENTER IS COMMITTED TO THE CARE AND IMPROVEMENT OF HUMAN LIFE. IN RECOGNITION OF THIS COMMITMENT, WE WILL STRIVE TO DELIVER QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITIES WE SERVE 0 0 46541265 53070248 THE HOSPITAL PROVIDED 25,887 INPATIENT DAYS OF CARE AS FOLLOWS 5,744 ACUTE INTENSIVE CARE, 2,678 SWING BED AND 17,465 LONG-TERM CARE. OTHER SERVICES PROVIDED INCLUDE 62,189 OUTPATIENT PROCEDURES, 18,020 EMERGENCY ROOM VISITS AND 39,882 RURAL HEALTH CLINIC VISITS. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FOREGONE FOR CHARITY DURING THE YEAR AMOUNTED TO 502,641 FOR HOSPITAL SERVICES. THE LEVEL OF FINANCIAL ASSISTANCE PROVIDED BY THE HOSPITAL HAS DECREASED OVER THE LAST COUPLE OF YEARS DUE TO THE FACT THAT THE STATE OF WEST VIRGINIA EXPANDED MEDICAID. WITH THE MEDICAID EXPANSION, INDIVIDUALS WITH INCOME AT 138% OF THE POVERTY GUIDELINES ARE NOW ELIGIBLE FOR MEDICAID. PRIOR TO THE MEDICAID EXPANSION, THE LEVEL OF INCOME TO QUALIFY FRO MEDICAID WAS MUCH LOWER. 46541265 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 713 1 0 0 0 0 0 0 0 0 X 16 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 X ROBIN ECKHART INTERIM CFO 3048722891 400 FAIRVIEW HEIGHTS ROAD SUMMERSVILLE WV 266519308 STEPHEN BOONE RPH CHAIR 3.00 X X 0 0 0 GARY WITHEE VICE CHAIR 3.00 X X 0 0 0 SAUNDRA KINSER SECRETARY 3.00 X X 0 0 0 BRUCE TALLAMY TREASURER 3.00 X X 0 0 0 BRIAN JOHNSON TRUSTEE 3.00 X 0 0 0 ROBERT SHAFER TRUSTEE 3.00 X 0 32000 0 MIKE STEADHAM TRUSTEE 3.00 X 0 0 0 BANDY MULLINS MD CHEIF OF STAFF/TRUSTEE 40.00 X 712448 0 37522 KENNETH BAKER TRUSTEE 3.00 X 0 0 0 JAMES MARSH TRUSTEE 3.00 X 0 0 0 JAMES EPLING TRUSTEE 3.00 X 0 0 0 JUDY SENTZ TRUSTEE 3.00 X 0 0 0 KEVIN BROWN DDS TRUSTEE 3.00 X 0 0 0 MARK SHIFFLETT TRUSTEE 3.00 X 0 0 0 JAY BORRELL TRUSTEE 3.00 X 0 0 0 GREG TUCKER TRUSTEE 3.00 X 0 0 0 KAREN FIDUCIA FACHE CEO TERMINATED 6/15/2018 40.00 X 0 0 0 TIM HOWARD CFO 5/6/2017 - 6/15/2018 40.00 X 0 0 0 KAREN BOWLING CEO AS OF 6/15/2018 40.00 X 0 0 0 JOE BARNES CFO TERMINATED 5/5/2017 40.00 X 68670 0 5500 ROBIN ECKHART INTERIM CFO AS OF 7/1/2018 40.00 X 0 0 0 DAVID MERIWETHER PHYSICIAN 40.00 X 571900 0 35379 BENJAMIN HENSLEY PHYSICIAN 40.00 X 583693 0 37733 STANLEY MORRIS PHYSICIAN 40.00 X 529788 0 35178 JONATHAN DALE PHYSICIAN 40.00 X 391143 0 36492 MICHAEL TAYLOR PHYSICIAN 40.00 X 432789 0 37908 3290431 32000 225712 26 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75001 LOCUM PHYSICIANS 1066567 QHR 1573 MALLORY LANE SUITE 200 BRENTWOOD TN 37027 CONSULTING 771049 CLINICAL COLLEAGUES INC PO BOX 824246 PHILADELPHIA PA 19477 PHYSICIANS 600814 COMPREHENSIVE PHARMACY SERVICES PO BOX 638316 CINCINNATI OH 45201 PHARMACY MANAGEMENT 327533 FLAHERTY SENSABAUGH & BONASSO PO BOX 3843 CHARLESTON WV 25338 LEGAL SERVICES 243173 5 PATIENT SERVICE REVENUE 622110 50692502 50692502 50692502 4190 4190 149459 64003 85456 85456 85456 PHARMACY 446110 1253390 1253390 CAFETERIA SALES 722210 109678 109678 REFUNDS AND REBATES 900099 106285 106285 822937 822937 2292290 53074438 52984792 0 89646 824140 749970 74170 23235034 18842547 4392487 265048 215841 49207 2458627 2002176 456451 1474169 1200485 273684 73337 73337 36274 36274 4943294 4025557 917737 56757 46220 10537 657693 535590 122103 1176845 958360 218485 48931 39847 9084 253445 253445 1577076 1284287 292789 722255 588166 134089 MEDICAL SUPPLIES 8585309 8585309 BAD DEBT 4421987 4421987 PROVIDER TAX 1390373 1390373 REPAIRS AND MAINTENANCE 1305244 1062922 242322 611917 591628 20289 54117755 46541265 7576490 0 2045 2045 555051 952394 5481992 5249685 211000 132405 1777429 1845684 303991 340630 46182356 33984300 13632702 12198056 3683829 2685996 25648039 23406895 10704562 10121505 9637290 9247546 501673 276647 20843525 19645698 X 4794700 3751483 9814 9714 4804514 3761197 25648039 23406895 -1043317 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 2400 2400 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP FEES TO THE AMERICAN HOSPITAL ASSOCIATION AND WV AMERICAN HOSPITAL ASSOCIATION, WHICH PARTICIPATES IN LOBBYING ACTIVITIES. THE AMOUNT REPORTED ABOVE REPRESENTS THE PORTION OF THE DUES ALLOCATED FOR LOBBYING ACTIVITIES. 288183 288183 22164208 12549788 9614420 1303456 858950 444506 22426509 20575562 1850947 12198056 THIRD PARTY PAYOR SETTLEMENTS 2553016 MISCELLANEOUS 58994 OTHER RECEIVABLES 73986 2685996 OTHER DEBT 276647 276647 48213813 64003 64003 48149810 4924628 4924628 53074438 49257130 64003 64003 49193127 4924628 4924628 54117755 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE NETTED WITH INCOME ON FORM 990 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH INCOME ON FINANCIAL STATEMENTS 4,421,987 CHARITY CARE EXPENSE NETTED WITH INCOME ON FINANCIAL STATEMENTS 502,641 PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE NETTED WITH INCOME ON FORM 990 PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH INCOME ON FINANCIAL STATEMENTS 4,421,987 CHARITY CARE EXPENSE NETTED WITH INCOME ON FINANCIAL STATEMENTS 502,641 1 1 X 1 X 1 X 1 1 0 0 171956 171956 13418183 9906937 3511246 0.06490 13590139 10078893 3511246 0.06490 13590139 10078893 3511246 0.06490 4421987 11361286 11347548 13738 X 1 1 SUMMERSVILLE RURAL HEALTH CLINIC 400 FAIRVIEW HEIGHTS ROAD SUMMERSVILLE WV 26651 X X X LONG TERM NURSING CARE SUMMERSVILLE REGIONAL MEDICAL CENTER 6 0 0 1 X X X X X X X X 15 1 0 0 1 X URL FOR CHNA HTTP://SUMMERSVILLEREGIONAL.ORG/WP-CONTENT/UPLOADS/2017/08/COM X 1 15 1 SEE PART V PAGE 8 FOR URL 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 FOR URL X SEE PART V, PAGE 8 FOR URL X SEE PART V, PAGE 8 FOR URL X X X 1 X 0 X X 1 X 0 0 SUMMERSVILLE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: INPUT FOR COMPLETION OF THE CHNA WAS OBTAINED FROM PUBLIC HEALTH OFFICIALS, LOCAL HEALTH DEPARTMENTS AND AGENCIES, PUBLICLY ELECTED OFFICIALS, RELIGIOUS OFFICIALS, LONG-TERM CARE AND WORK SHELTER EXECUTIVES, AND REPRESENTATIVES OF OUR MEMBERS OF CHRONIC DESEASE GROUPS OR ORGANIZATIONS. SUMMERSVILLE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: FINANCIAL CONSTRAINTS PREVENT THE HOSPITAL FROM ADDRESSING ALL NEEDS. PART V, SECTION B, LINE 5 INPUT FOR COMPLETION OF THE CHNA WAS OBTAINED FROM PUBLIC HEALTH OFFICIALS, LOCAL HEALTH DEPARTMENTS AND AGENCIES, PUBLICALLY ELECTED OFFICIALS, RELIGIOUS OFFICIALS, LONG-TERM CARE AND WORK SHELTER EXECUTIVES, AND REPRESENTATIVES OF OR MEMBERS OF CHRONIC DISEASE GROUPS OR ORGANIZATIONS. PART V, SECTION B, LINE 10A URL FOR IMPLEMENTATION STRATEGY: HTTP://SUMMERSVILLEREGIONAL.ORG/WP-CONTENT/UPLOADS/2017/08/COMMUNITY-NEEDS-ASSESSMENTS-2015_201512221209.PDF PART V, SECTION B, LINE 16A URL FOR FAP: HTTP://SUMMERSVILLEREGIONAL.ORG/WP-CONTENT/UPLOADS/2017/10/FAP-POLICY-REVISED-2017.PDF PART V, SECTION B, LINE 16B URL FOR FAP APPLICATION: HTTP://SUMMERSVILLEREGIONAL.ORG/WP-CONTENT/UPLOADS/2017/10/FAP-APP-2017.PDF PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY URL 1 1 - SUMMERSVILLE REGIONAL RURAL HEALTH CLINI 400 FAIRVIEW HEIGHTS ROAD SUMMERSVILLE WV 26651 RURAL HEALTH CLINIC PART I, LINE 7: CHARITY CARE AT COST AND UNREIMBURSED MEDICAID ARE COMPUTED USING THE COST TO CHARGE RATIO METHOD IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $4,421,987. PART III, LINE 2: BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON HISTROCIAL COLLECTION EXPERIENCE TO DETERMINE COLLECTABILITY. MANAGEMENT ALSO REVIEWS TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE. PART III, LINE 8: THE ORGANIZATION USED THE MEDICARE COST REPORT INFORMATION FOR REVENUES AND EXPENSES. THE ORGANIZATION DOES NOT CONSIDER THIS TO BE A COMMUNITY BENEFIT EXPENSE DUE TO FLUCTUATIONS IN REIMBURSEMENTS RELATED TO MEDICARE AUDITS. PART VI, LINE 2: TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY SERVED, THE HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY 3 YEARS. THE DATA OBTAINED FROM THE RESEARCH IS TEN UTILIZED TO IMPLEMENT A STRATEGY TO PROVIDE ADDITIONAL SERVICES AND/OR IMPROVE CURRENT SERVICES TO BETTER SERVE THE NEEDS OF THE COMMUNITY. PART VI, LINE 3: TO EDUCATE PATIENTS REGARDING THE FINANCIAL ASSESTANCE AVAILABLE, THE HOSPITAL PROVIDES A COPY OF THE FINANCIAL ASSISTANCE APPLICATION AND POLICY ON THEIR WEBSITE. PART VI, LINE 4: WE ARE A SMALL RURAL HOSPITAL WHICH IS SURROUNDED BY CRITICAL ACCESS HOSPITALS AND ALSO THE ONLY REMAINING HOSPITAL IN NICHOLAS COUNTY AS THE OTHER HOSPITAL CLOSED IN BANKRUPTCY IN 2008. WE HAVE A GROUP OF VOLUNTEERS WHO ARE ABLE TO GAIN CHARITABLE SUPPORT IN ORDER TO ENCOURAGE CHARITABLE DONATIONS BY PROVIDING ACTIVITIES THROUGHOUT OUR FACILITY AND THROUGH THE STATE OF WEST VIRGINIA NIPS PROGRAMS THAT WERE NOT PREVIOUSLY AVAIABLE TO OUR COMMUNITY. AS OF 2015, THE POPULATION OF NICHOLAS COUNTY IS ESTIMATED TO 25,979. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2015 IS $41,753 VESUS A MEDIAN OF $43,153 FOR THE WHOLE STATE OF WEST VIRGINIA. AS ESTIMATED 19.2% OF RESIDENTS LIVED BELOW THE POVERTY LEVEL IN 2009 WHILE 7.7% WERE ESTIMATED TO LIVE BELOW 50% OF THE POVERTY LEVEL. PART VI, LINE 5: THE HOSPITAL OPERATED THREE PRIMARY CARE CLINICS, TWO OF WHICH ARE LOCATED IN RICHWOOD, WEST VIRGINIA AND ANSTED, WEST VIRGINIA. BOTH RICHWOOD AND ANSTED ARE LOCATED IN VERY RURAL AREAS WITH VERY SMALL POPULATIONS. DURING 2015, BOTH OF THESE CLINICS LOST A TOTAL OF APPROXIMATELY $750,000. THE HOSPITAL ALSO PROVIDES OBSTETRICAL AND GYNOCOLOGY SERVICES TO PATIENTS OF SUMMERSVILLE, WEST VIRGINIA AND THE SURROUNDING AREAS. THE VAST MAJORITY OF THE PATIENTS QUALIFY FOR MEDICAID (70%), AND A LARGE PERCENTAGE OF THE BABIES BORN IN THE UNIT HAVE HEALTH PROBLEMS SUCH AS DRUG ADDICTION. DURING 2015, THE HOSPITAL LOST APPROXIMATELY 1.0 MILLION OPERATING THIS PROGRAM. AS YOU CAN TELL, THESES ARE VERY HIGH RISK REGNANCIES WITH WOMEN WITH VERY LOW INCOME AND LIMITED ABILITY TO TRAVEL TO LARGER CITIES TO RECEIVE THESE SERVICES. THE HOSPITAL PROVIDES 24/7 EMERGENCY ROOM SERVICES TO THE PATIENTS RESIDING IN THE HOSPITAL'S SERVICE AREA. DUE TO THE LOW NUMBER OF PATIENTS BEING SERVED, AND THE PAYOR MIX OF THE PATIENTS THE HOSPITAL DOES TREAT, THE HOSPITAL HAS TO PROVIDE A SUBSIDY TO THE PHYSICIAN GROUP WHO STAFFS THE EMERGENCY ROOM. DURING FY 2015, THE HOSPITAL'S EMERGENCY ROOM PHYSICIAN COST WAS APPROXIMATELY $1,350,000. EVEN THOUGH THE AFFORDABLE CARE ACT WAS SUPPOSED TO ENCOURAGE MEDICAID PATIENTS TO PRIMARY CARE CLINICS, THIS HAS NOT BEEN AS SUCCESSFUL AS THE UNDUSTRY HAD HOPED. CONSEQUENTLY, THE EMERGENCY ROOM STILL TREATS A LARGE NUMBER OF MEDICAID PATIENTS. OUR BOARD OF DIRECTORS ALL RESIDE IN OUR PRIMARY CARE AREA OF NICHOLAS COUNTY, WEST VIRGINIA. THE BOARD IS COMPRISE OF SMALL BUSINESS, UNION, LOW INCOME, MEMBERS AT LARGE, MEDICAL STAFF DIRECTOR, AND THE MAYOR OF THE CITY OF SUMMERSVILLE. BOARD MEMBERS ARE NOT EMPLOYEES, CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS. WE EXTEND MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNNITY OR PROVIDERS WHO HAVE A VISITING CLINIC IN OUR COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED BACK INTO THE ORGANIZATION THROUGH CAPITAL EXPENDITURE PROJECTS, OR PAYMENT ON EXISTING DEBT, WHICH HAS BEEN SECURED ON A TAX-FREE BASIS. OUR EMERGENCY ROOM IS AVAILABLE TO ALL CLIENTS REGARDLESS OF ABILITY TO PAY. PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF THE HEALTH CARE SYSTEM. 0 0 0 0 0 0 0 0 0 BANDY MULLINS MD CHEIF OF STAFF/TRUSTEE 409656 0 302792 0 0 0 22050 0 15472 0 749970 0 0 0 DAVID MERIWETHER PHYSICIAN 404900 0 167000 0 0 0 22050 0 13329 0 607279 0 0 0 BENJAMIN HENSLEY PHYSICIAN 383594 0 200099 0 0 0 22050 0 15683 0 621426 0 0 0 STANLEY MORRIS PHYSICIAN 449853 0 79935 0 0 0 22050 0 13128 0 564966 0 0 0 JONATHAN DALE PHYSICIAN 328505 0 62638 0 0 0 22050 0 14442 0 427635 0 0 0 MICHAEL TAYLOR PHYSICIAN 175509 0 257280 0 0 0 28050 0 9858 0 470697 0 0 0 PART 1, LINE 3 THE INTERIM CEO AND INTERIM CFO ARE EMPLOYEES OF COMPANIES CONTRACTED TO PROVIDE MANAGEMENT AND CONSULTING SERVICES TO THE HOSPITAL. A CITY OF SUMMERSVILLE BUILDING COMMISSION 550716940 2006-09-29 7750000 DEBT REFUNDING AND HOSPITAL IMPROVEMENTS 0 0 0 B CITY OF SUMMERSVILLE BUILDING COMMISSION 550716940 2008-03-03 5000000 HOSPITAL FACILITIES 0 0 0 A 2532019 7750000 3843860 3906140 0 1 1 1 B 1041072 5000000 5000000 0 1 1 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL ENTERED INTO AN AGREEMENT WITH QUORUM HEALTH RESOURCES, LLC (QHR) TO PROVIDE CONSULTING SERVICES AND AN INTERIM CEO AND CFO FOR THE HOSPITAL. THE CEO AND CFO ARE EMPLOYEES OF QHR. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD REVIEWS AND APPROVES THE 990 FORM BEFORE IT IS FILED WITH THE IRS. IF THIS CANNOT BE ACCOMPLISHED AT A REGULARLY SCHEDULED MEETING, A SPECIAL MEETING WILL BE HELD TO UPHOLD THIS BOARD ACTION FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS REQUIRE A BOARD MEMBER WITH A CONFLICT TO EXCUSE THEMSELVES FROM THE DISCUSSION AND BOARDROOM IF A MATTER OF DISCUSSION AND VOTING WOULD BE A CONFLICT OF INTEREST WITH THEM INDIVIDUALLY. STATEMENTS COMPLETED BY OTHER BOARD MEMBERS ARE REVIEWED BY THE CHAIRMAN. THE VICE-CHAIRMAN REVIEWS THE CHAIRMAN'S CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST BY PERSONS. THEY ARE NOT POSTED ON THE WEBSITE AT THE PRESENT TIME. THIS HAS BEEN DISCUSSED IN PUBLIC SESSION OF THE BOARD MEETINGS. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OF THE ORGANIZATION ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS REQUIRE A BOARD MEMBER WITH A CONFLICT TO EXCUSE THEMSELVES FROM THE DISCUSSION AND BOARDROOM IF A MATTER OF DISCUSSION AND VOTING WOULD BE A CONFLICT OF INTEREST WITH THEM INDIVIDUALLY. STATEMENTS COMPLETED BY OTHER BOARD MEMBERS ARE REVIEWED BY THE CHAIRMAN. THE VICE-CHAIRMAN REVIEWS THE CHAIRMAN'S CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST BY PERSONS. THEY ARE NOT POSTED ON THE WEBSITE AT THE PRESENT TIME. THIS HAS BEEN DISCUSSED IN PUBLIC SESSION OF THE BOARD MEETINGS. SUMMERSVILLE BUILDING COMMISSION 400 FAIRVIEW HEIGHTS ROAD SUMMERSVILLE WV 26651 550716940 BUILDING COMMISSION WV 501(C)(3) LINE 6 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0