2015-03-27T14:59:37-05:00 2014-06-30 BKD LLP 14241 DALLAS PKWY SUITE 1100 DALLAS TX 75254 990 2013-07-01 720995809 Union General Hospital % WILLIAM ADCOCK UNIO 3183689751 PO Box 398 Suite Farmerville LA 71241 WILLIAM ADCOCK CFO 3183689751 2015-05-15 true jeanette verrelli P00742631 3183689751 2013 2016-03-07 17:11:31Z EVALYN ORMOND PO BOX 398 FARMERVILLE LA 71241 14806697 false X WWW.UNIONGEN.ORG X 1983 LA to provide acute care hospital services in the farmerville area. 7 7 145 7 0 0 1323792 2964086 12814226 11765978 7435 7623 98991 69010 14244444 14806697 14043 17056 0 0 5279650 5528879 0 0 0 8077925 8266113 13371618 13812048 872826 994649 9367992 10175742 1418444 1284140 7949548 8891602 X IT IS THE MISSION OF UNION GENERAL HOSPITAL TO DELIVER THE BEST POSSIBLE HEALTH CARE AVAILABLE AND SERVE THE DEDICATED PEOPLE OF UNION PARISH AND THE SURROUNDING AREAS. false true 11662695 17056 11794686 PROVIDED ACUTE CARE HOSPITAL SERVICES TO INDIVIDUALS IN THE FARMERVILLE AREA; INDIVIDUALS SERVED AMOUNTED TO 2,115 PATIENT DAYS AND 5,723 EMERGENCY ROOM VISITS. THE LABORATORY PERFORMED 33,270 TESTS AND 33,165 ECG, RADIOLOGY, ULTRASOUND, CT, OT, RT, ST, AND PT PROCEDURES WERE PERFORMED. THE RURAL HEALTH CLINICS LOGGED 11,210 VISITS. 11662695 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 true false false false false false false false false true 87 0 true 145 true false false false false false false false false false false X 7 7 false true false false false false false true true false false true true true true true true true true false X X WILLIAM ADCOCK 3183687096 115 HODGE WATSON RD CALHOUN LA 71225 X TIM TETTLETON PRESIDENT 1.0 0.0 X X 0 0 0 BESSIE WARREN SECRETARY 1.0 0.0 X X 0 0 0 JOHN ELLIS DIRECTOR 1.0 0.0 X 0 0 0 EDDYE JO ALBRITTON DIRECTOR 1.0 0.0 X 0 0 0 DANIEL HUNTER JR DIRECTOR 1.0 0.0 X 0 0 0 RALPH KELLEY DIRECTOR 1.0 0.0 X 0 0 0 DANNY SMITH DIRECTOR 1.0 0.0 X 0 0 0 EVALYN ORMOND CONTRACTED CEO 40.0 0.0 X 0 0 2015 WILLIAM ADCOCK CFO 40.0 0.0 X 149057 0 6499 DARRA JUNG Director of Nursing 40.0 0.0 X 108714 0 5543 HOLLY CORLEY MD PHYSICIAN 40.0 0.0 X 220361 0 7036 SHEREE HICKS PHARMACIST 40.0 0.0 X 162634 0 4005 LYNETTE WADE NP NURSE PRACTITIONER 40.0 0.0 X 104694 0 4235 745460 0 29333 5 false true false HEALTHCARE MANAGEMENT SYSTEMS 2739 MOMENTUM PLACE CHICAGO IL 60689 IT Services 1064328 OMEGA DIAGNOSTICS LLC 2915 MISSOURI AVE SHREVEPORT LA 71109 LABORATORY 1024915 CORRECT CARE INC 17438 HARDHAT DRIVE COVINGTON LA 70435 E.R. STAFFING 976759 LINCOLN HEALTHCARE LLC 1817 NORTHPOINTE LANE RUSTON LA 71273 THERAPY SERVICES 811805 CHARLES PERRY CONSTRUCTION 206 BOWER ROAD MONROE LA 71203 CONSTRUCTION 202920 7 2911491 52595 43397 2964086 NET PATIENT SERVICE REVENUE 621110 11750304 11750304 EHR INCENTIVE REVENUE 900099 15674 15674 11765978 5547 5547 0 0 0 0 0 2076 2076 2076 2076 0 0 0 CAFETERIA AND VENDING SALES 722210 40302 40302 MEDICAL RECORDS 561000 8789 8789 UTILITIES DISTRICT REIMBURSEMENT 900099 1496 1496 18423 18423 69010 14806697 11794686 47925 X 17056 17056 0 0 0 281443 224290 57153 0 4490531 3642801 847730 43442 43442 370666 300691 69975 342797 278083 64714 0 7718 7718 74342 74342 0 0 0 3629744 3324636 305108 84766 5975 78791 270703 133314 137389 183339 183339 0 362705 304318 58387 71844 52411 19433 0 94428 28655 65773 750 750 0 974537 974537 132099 68099 64000 BAD DEBT EXPENSE 1728122 1728122 MEDICAL SUPPLIES 565148 565148 DUES & SUBSCRIPTIONS 33200 4215 28985 COLLECTIONS 38782 64 38718 13886 10280 3606 13812048 11662695 2149353 0 2397130 3495040 350910 387755 0 0 1578713 783722 0 0 0 0 0 0 168161 178494 72739 81676 12176985 8321571 4092685 3855414 0 0 0 0 0 0 0 0 707654 1393641 9367992 10175742 788199 814452 0 0 0 0 0 0 0 0 0 0 0 0 0 0 630245 469688 1418444 1284140 X 7607503 8602152 342045 289450 0 0 7949548 8891602 9367992 10175742 X 994649 -52595 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X true false false false false false true 4096 false false false 4096 false schedule c, part ii-b, line 1f grants to other organizations for lobbying purposes: THE HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES %LOBBYING $LOBBYING RURAL HOSPITAL COALITION $ 11,191 7% $ 783 LA Hospital Association 10,489 31% 3,252 NATIONAL RURAL HEALTH ASSOC 1,225 5% 61 LA RURAL HEALTH ASSOC 700 0% 0 ------------------------------------------- TOTAL $ 23,605 $ 4,096 0 146797 146797 0 4558728 3278744 1279984 0 7298316 4957583 2340733 0 173144 85244 87900 3855414 DUE FROM THIRD-PARTY PAYER 1345919 OTHER RECEIVABLES 2438 EMPLOYEE RECEIVABLES 7639 DUE FROM CARDINAL HEALTHCARE 36000 UTILITY DEPOSITS 1645 1393641 0 CAPITAL LEASE OBLIGATION 106635 DUE TO THIRD-PARTY PAYER 363053 469688 X 13078575 -1728122 -1728122 14806697 14806697 12083926 12083926 1728122 1728122 13812048 schedule d, part x, line 2 liability for uncertain tax positions: The Hospital has been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, the Hospital is subject to federal income tax on any unrelated business taxable income. The Hospital files tax returns in the U.S. federal jurisdiction. With a few exceptions, the Hospital is no longer subject to U.S. federal examinations by tax authorities for years before 2011. schedule d, part xi, line 2d reconciliation of revenue per audited financial statements with return: bad debt expense $(1,728,122) schedule d, part xii, line 4b reconciliation of expense per audited financial statements with return: bad debt expense $ 1,728,122 true true X true X true X true true false true true 25583 25583 0.00210 2584093 2430784 153309 0.01270 2609676 2430784 178892 0.01480 2454 21197 21197 0.00180 3935 3935 0.00030 2454 25132 25132 0.00210 2454 2634808 2430784 204024 0.01690 732 4582 4582 0.00040 271 9708 9708 0.00080 581 14764 14764 0.00120 210 5490 5490 0.00050 1794 34544 34544 0.00290 true 1728122 4808337 4864399 -56062 X true true 1 1 union general hospital 901 james ave farmerville LA 71241 www.uniongen.org 146 X X X union general hospital 1 true X X X X X X X X 12 true false true X see part V, section c X X X X X true false true true 200. true 200. true X X X true true X X true false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 REPRESENTATIVES FROM THE COMMUNITY: THE HOSPITAL'S CHIEF EXECUTIVE OFFICER DEVELOPED A STEERING COMMITTEE MADE UP OF VARIOUS OFFICERS AND LEADERS WITHIN THE HOSPITAL. THE COMMITTEE IDENTIFIED COMMUNITY LEADERS AND STAKEHOLDERS TO INTERVIEW DURING THE ASSESSMENT THAT REPRESENTED VARIOUS ORGANIZATIONS AND PROFESSIONS WITHIN THE COMMUNITY. THESE INDIVIDUALS INCLUDED: THE SUPERINTENDENT OF THE UNION PARISH SCHOOL SYSTEM, THE MAYOR OF THE CITY, A PRIEST FROM OUR LADY PERPETUAL HEALTH CATHOLIC CHURCH, A CANCER CONTROL OFFICER FROM AHEC, A MINISTER FROM BLOOMING GROVE BAPTIST CHURCH, A NURSE FROM THE UNION PARISH HEALTH UNIT, A DIRECTOR ON THE COUNCIL OF AGING, A CHILD SAFETY COORDINATOR FROM THE CHILDREN'S COALITION, A PHYSICIAN FROM THE HOSPITAL AND A BUSINESS OWNER ON UNION GENERAL'S BOARD OF DIRECTORS. ADDITIONALLY, THE UNION GENERAL COMMUNITY HEALTH NEEDS SURVEY OBTAINED INPUT FROM VARIOUS MEMBERS OF THE COMMUNITY IN FOCUS GROUP MEETINGS. SCHEDULE H, PART V, SECTION B, LINE 5A CHNA & IMPLEMENTATION STRATEGY: THE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: http://uniongen.org/Implementation%20Strategy-Final.pdf SCHEDULE H, PART V, SECTION B, LINE 12I BASIS FOR AMOUNTS CHARGED TO PATIENTS: THE PATIENT MUST BE A RESIDENT OF UNION PARISH. FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS RECEIVING INPATIENT OR EMERGENCY CARE. SCHEDULE H, PART V, SECTION B, LINE 14g NOTIFICATION OF FINANCIAL ASSISTANCE POLICY: DURING THE SCREENING PROCESS, PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOTIFIED OF THE POLICY. SCHEDULE H, PART V, SECTION B, LINES 16, 17 & 18 ACTIONS FOR NON-PAYMENT: NEITHER UNION GENERAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY UGH, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART V, SECTION B, LINE 20D DETERMINATION OF AMOUNTS BILLED: GROSS CHARGES ARE BILLED TO ALL PATIENTS REGARDLESS OF AVAILABILITY OF INSURANCE COVERAGE, BUT PATIENTS ELIGIBLE UNDER FAP WILL RECEIVE DISCOUNT OF CHARGES TO ZERO. PATIENTS ELIGIBLE UNDER FAP WILL THEREFORE NEVER BE CHARGED MORE THAN RATES CHARGED TO THOSE WITH INSURANCE. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $1,728,122 WAS INCLUDED ON FORM 990, PART IX LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE BAD DEBT EXPENSE OF $1,728,122 ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED FROM THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT AS A COMMUNITY BENEFIT: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for Doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Hospitals allowance for doubtful accounts for self-pay patients increased from 79% of selfpay accounts receivable at June 30, 2013, to 87% of self-pay accounts receivable at June 30, 2014. In addition, the Hospitals write-offs increased approximately $990,000 from approximately $1,322,000 for the year ended June 30, 2013, to approximately $2,312,000 for the year ended June 30, 2014. The increase in the allowance for doubtful accounts for self-pay patients was the result of negative trends experienced in the collection of amounts from self-pay patients in fiscal year 2014. SCHEDULE H, PART III, SECTION B, LINE 8 Costing methodology: THE HOSPITAL USED MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICARE 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 PROVISIONS ON COLLECTION PRACTICES: ALL PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION WHILE AT UGH REGARDING GOVERNMENTAL ASSISTANCE AND ARE ADVISED TO MAKE AN APPOINTMENT WITH A CERTIFIED MEDICAID ENROLLMENT CENTER TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. THOSE PATIENTS ARE ALSO INFORMED THAT THEY MAY BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE PROGRAM. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE HOSPITAL HAS WORKED WITH OTHER COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL HAS COMPLETED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT WITH ASSISTANCE FROM AN OUTSIDE FIRM. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION WHILE AT UGH REGARDING GOVERNMENTAL ASSISTANCE AND ARE ADVISED TO MAKE AN APPOINTMENT WITH A CERTIFIED MEDICAID ENROLLMENT CENTER TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. THOSE PATIENTS ARE INFORMED THAT THEY MAY BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE PROGRAM. ALSO, ALL INPATIENTS WITHOUT THIRD PARTY COVERAGE ARE VISITED DURING THEIR HOSPITAL STAY AND SENT INFORMATION. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: UNION GENERAL IS LOCATED IN Union Parish, a large sprawling rural community made up of 876.99 square miles of rolling hills and tall pine trees. 27.9% of the population is below 200% of the federal poverty guidelines. There is no public transportation in the parish and the total parish population is 22,721 (US Census 2010). Union Parish is a federally designated Medically Underserved Area (MUA) and a Health Professional Shortage Area (HPSA). Median household income is approximately $35,828 (Census 2010). THE COMMUNITY'S MORTALITY RATE IS NEARLY TWICE THE NATIONAL RATE DUE TO THE LACK OF EDUCATION PROGRAMS, THE HIGH RATE OF UNDIAGNOSED DISEASE, AS WELL AS POVERTY AND ISOLATION ASSOCIATED WITH THE RURAL UNDERSERVED PARISH POPULATIONS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: UNION GENERAL HOSPITAL SERVES AS A MEDICAID ENROLLMENT CENTER FOR UNION PARISH, PROVIDES FLU SHOT CLINICS TO THE COMMUNITY AND PARTICIPATES IN HEALTH FAIRS LOCALLY. THE HOSPITAL ALSO PARTICIPATES IN CAREER FAIRS AT LOCAL COLLEGES FOR HEALTHCARE STUDENTS, REACHING OVER 200 STUDENTS, AS WELL AS SERVING AS A CLINICAL SITE FOR LPNS, RADIOLOGY, PHLEBOTOMY AND NURSE PRACTITIONERS. UGH PARTNERS WITH AHEC TO ENCOURAGE LOCAL YOUTH TO PURSUE HEALTHCARE CAREERS. UGH IS INVOLVED WITH LOCAL BUSINESSES TO BRING HEALTH AWARENESS AND SCREENING TO THE PUBLIC THROUGH RELAY FOR LIFE, AHA'S GO RED CAMPAIGN, UNITED WAY FUNDRAISER AND BY HOSTING AN ANNUAL BREAST CANCER AWARENESS DAY FOR THE COMMUNITY. UNION GENERAL PROMOTES BETTER HEALTH THROUGH AN EMPLOYEE WELLNESS PROGRAM THAT WILL BE EXPANDED TO LOCAL EMPLOYERS. UGH PARTNERS WITH LSU MAMMO VAN TO PROVIDE FREE MAMMOGRAMS, PELVIC EXAMS, PAP SMEARS AND COLON SCREENING FOR THE SERVICE AREA. THE HOSPITAL PROVIDED HAND WASHING INSTRUCTION FOR ELEMENTARY SCHOOL KIDS AND FOR NURSING HOME STAFF AND RESIDENTS, AS WELL AS PROVIDED BLOOD SUGAR AND BLOOD PRESSURE SCREENING FOR LOCAL BUSINESSES. UGH PARTICIPATED IN THE TOWN OF FARMERVILLE'S TOY DRIVE FOR NEEDY CHILDREN, ALONG WITH SPONSORED LOCAL 4-H PROJECTS. UGH EMPLOYEES ARE VERY INVOLVED WITH LOCAL ORGANIZATIONS, SUCH AS AN ALZHEIMER'S SUPPORT GROUP, COUNCIL ON AGING, NURSING HOME COUNCILS AND OTHERS. ALL PROPERTY OWNED BY UNION GENERAL IS DESIGNATED TOBACCO-FREE. UGH OPERATES UNDER A BOARD OF DIRECTORS, WHICH IS COMPRISED OF REPRESENTATIVE MEMBERS OF THE COMMUNITY. IT MAINTAINS AN OPEN MEDICAL STAFF AND OPERATES 24/7 EMERGENCY ROOM STAFFED WITH ON-SITE PHYSICIANS. A NEW PHYSICIAN OFFICE BUILDING HAS BEEN BUILT TO HELP RECRUIT NEW PHYSICIANS TO THE AREA. UGH PROVIDES FOOD AND LODGING FOR MEDICAL STUDENTS WHO SHADOW LOCAL PHYSICIANS, AS WELL AS PROVIDES AN EMPLOYEE THAT ASSISTS THE COMMUNITY BY TAKING MEDICAID APPLICATIONS TO RESIDENT'S HOMES. UGH ALSO PROVIDES MEETING SPACE TO THE LOCAL CHAMBER OF COMMERCE. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: N/A SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: LOUISIANA X X false false false false false false false false false WILLIAM ADCOCK CFO 149057 0 0 0 0 0 4213 0 2286 0 155556 0 0 0 HOLLY CORLEY MD PHYSICIAN 220361 0 0 0 0 0 4620 0 2416 0 227397 0 0 0 SHEREE HICKS PHARMACIST 162634 0 0 0 0 0 3182 0 823 0 166639 0 0 0 X Software 1 43397 FMV 0 false true false Form 990, part III, line 3 cease conducting program services: The hospital operated a second hospital-based rural health clinic in Marion, Louisiana, which closed on January 30, 2014. FORM 990, PART VI, section a, line 3 DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON: THE HOSPITAL HAS ENTERED INTO A CONTRACT FOR ADMINISTRATIVE SERVICES WITH IASIS GLENWOOD REGIONAL MEDICAL CENTER, WHICH AUTOMATICALLY RENEWS EACH YEAR. THIS CONTRACT REQUIRES THAT THE MANAGEMENT COMPANY PROVIDE PERSONNEL TO PERFORM DUTIES AS THE HOSPITAL ADMINISTRATOR. FEES PAID APPROXIMATED $15,280 A MONTH. Per IRS guidance, no compensation paid by iasis is shown on part vii for this individual: Evalyn Ormond $ 184,560 FORM 990, PART VI, section b, line 11B PROCESS TO REVIEW THE FORM 990: THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF FINANCIAL STATEMENTS. BOTH THE CEO AND CFO REVIEW THE RETURN and provide a copy to the entire board of directors PRIOR TO FILING. FORM 990, PART VI, section b, line 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. ALL EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST. FORM 990, PART VI, section b, lines 15A & 15b REVIEW OF CEO AND CFO OFFICIAL COMPENSATION: INFORMATION WAS OBTAINED FROM THE SPRING 2014 LA SALARY SURVEY DONE BY THE GREATER NEW ORLEANS SOCIETY FOR H/R ADMIN AND PRESENTED TO THE UGH BOARD FOR REVIEW AND DISCUSSION. SALARIES FOR THESE POSITIONS WERE ADJUSTED BASED UPON RECOMMENDATION AND APPROVAL BY THE BOARD OF DIRECTORS. form 990, part vi, section c, line 19 availability of documents: The organization makes its governing documents, conflict of interest policy and financial statements available upon request. FORM 990, PART VII, SECTION A CONTRACTED CEO POSITION: THE POSITION OF CEO IS CONTRACTED THROUGH iasis GLENWOOD REGIONAL MEDICAL CENTER, AN UNRELATED ORGANIZATION. UNION GENERAL HOSPITAL REIMBURSES GLENWOOD FOR THE CEO'S SALARY. THIS INDIVIDUAL IS LISTED ON PART VII, SECTION A OF FORM 990, ALONG WITH THE AMOUNT OF BENEFITS PAID DIRECTLY By UNION GENERAL. form 990, part ix, line 11g Other fees for services: Purchased Medical Services $ 2,567,796 Physician Fees 1,028,406 Maintenance Agreements 23,288 Physician Recruiting 9,601 Contract Labor 653 ----------------- total $ 3,629,744 form 990, part xi, line 9 other changes in net assets: net assets released from restriction $(52,595)