2015-08-17T12:06:09-05:00 2014-09-30 BKD LLP 201 N Illinois Street Indianapolis IN 46204 990 2013-10-01 350877575 Gibson General Hospital Inc % GIBSON GENERAL HOSPITAL GIBS 8123853401 1808 SHERMAN DRIVE Suite PRINCETON IN 47670 RON HARRINGTON VP & CFO 8123853401 2015-08-17 true AARON D HERSHBERGER P00961884 8123853401 2013 2016-03-07 17:11:31Z EMMETT C SCHUSTER 1808 SHERMAN DRIVE PRINCETON IN 47670 57156442 false X WWW.GIBSONGENERAL.COM X 1947 IN THE MISSION OF GIBSON GENERAL HOSPITAL AND THE SKILLED NURSING FACILITY IS TO PROVIDE HIGH QUALITY, PATIENT- CENTERED, COST-EFFECTIVE CARE FOR THE PEOPLE IN OUR COMMUNITY. 16 15 461 60 0 0 51015 25549 56737922 56543924 161754 188924 191294 398045 57141985 57156442 49871 46674 0 0 18135169 18367729 0 0 0 39090076 39974582 57275116 58388985 -133131 -1232543 24741986 23111653 13280039 12500956 11461947 10610697 THE MISSION OF GIBSON GENERAL HOSPITAL AND THE SKILLED NURSING FACILITY IS TO PROVIDE HIGH QUALITY, PATIENT-CENTERED, COST-EFFECTIVE CARE FOR THE PEOPLE IN OUR COMMUNITY. false false 53231341 46674 56543924 THE HOSPITAL'S MISSION IS TO PROVIDE HIGH QUALITY COST EFFECTIVE HEALTHCARE, WHICH INCLUDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE RESIDENTS OF THE SURROUNDING TRI-STATE AREA. ALL EXPENSES RELATE TO COSTS ASSOCIATED WITH PROVIDING THESE SERVICES, AND MAINLY INCLUDE SALARIES AND WAGES TO STAFF AND SUPPLY COSTS. DURING THE YEAR THE HOSPITAL HAD 472 ADMISSIONS AND 45,456 OP VISITS INCLUDING ER VISITS. 53231341 true true false false false false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false true false false false false false false true false false false true 60 0 true 461 true false false false false false false false false false false X 16 15 false false false false false false false true true false false false true true true false true true true false IN X GIBSON GENERAL HOSPITAL 8123853401 1808 SHERMAN DRIVE PRINCETON IN 47670 X DR MICHAEL GREEN CHAIRMAN 1.0 1.0 X X 0 0 0 ROBERT GIBSON JR FIRST VICE CHAIRMAN 1.0 0.0 X X 0 0 0 MARION JOCHIM SECOND VICE CHAIRMAN 1.0 0.0 X X 0 0 0 DON HAUKE SECRETARY 1.0 0.0 X X 0 0 0 MIKE WOOD TREASURER 1.0 0.0 X X 0 0 0 BRUCE BRINK JR DO CHIEF OF STAFF 1.0 0.0 X X 0 0 0 GEORGE ANKENBRAND BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT HURST BOARD MEMBER 1.0 0.0 X 0 0 0 PHIL YOUNG BOARD MEMBER 1.0 0.0 X 0 0 0 STANLEY MADISON BOARD MEMBER 1.0 0.0 X 0 0 0 LARRY JOHNSON BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT KINKLE BOARD MEMBER 1.0 0.0 X 0 0 0 DR KRISHNA BOARD MEMBER 1.0 0.0 X 0 0 0 STEPHEN LANKFORD BOARD MEMBER - (JAN-SEP) 1.0 0.0 X 0 0 0 JERRY RICHARDSON - JAN-SEP BOARD MEMBER - FND. PRES. 1.0 1.0 X 0 0 0 SHERRI SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 EMMETT SCHUSTER CHIEF EXECUTIVE OFFICER 40.0 1.0 X 227005 0 22982 LORI PHILLIPS CHIEF NURSING OFFICER 40.0 0.0 X 147819 0 4195 RON HARRINGTON CHIEF FINANCIAL OFFICER 40.0 0.0 X 134962 0 27391 COREY POTTS CRNA 40.0 0.0 X 235200 0 29900 MARK CARPENTER PHYSICIAN 40.0 0.0 X 350015 0 20469 MICHELLE SNYDER PHYSICIAN 40.0 0.0 X 180892 0 17175 RICHARD CLARK PHYSICIAN 40.0 0.0 X 203160 0 27920 STEPHEN SHOEMAKER PHYSICIAN 40.0 0.0 X 227745 0 21217 1706798 0 171249 14 false true false ST MARY'S MEDICAL CENTER 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 HEALTHCARE 795327 BLAKE TITZER DO PC PO BOX 130 INGLEFIELD IN 47618 HEALTHCARE 401616 PHILOMINA THURUTHUMALY 1707 BRENTWOOD DRIVE PRINCETON IN 47670 ANESTHESIOLOGY 325000 ROCHE DIAGNOSTICS CORP PO BOX 660367 DALLAS TX 75266 HEALTHCARE 232517 GOOD SAMARITIAN HOSPITAL 520 SOUTH SEVENTH STREET VINCENNES IN 47591 HEALTHCARE 132955 15 1203 24346 25549 PATIENT SERVICES 621110 56189023 56189023 CAFETERIA SALES 722210 169110 169110 MANAGEMENT FEES 541610 80288 80288 INCENTIVE INCOME 900099 45350 45350 CAPITAL MAINTENANCE INCOME 811000 23100 23100 37053 37053 56543924 188924 188924 0 44332 44332 353713 353713 0 353713 353713 0 0 0 0 0 57156442 56543924 586969 46674 46674 0 0 0 564354 508585 55769 0 0 14089395 12697133 1392262 233438 156787 76651 2468152 1931098 537054 1012390 911494 100896 0 146907 1800 145107 58450 58450 0 0 19491 19491 4698936 3235821 1463115 261511 261511 2748687 2704975 43712 0 0 2112162 1741317 370845 0 0 0 266949 253602 13347 0 1229725 1168239 61486 477675 272832 204843 CONTRACTUAL DISC. & ALLOW. 22333809 22333809 UNCOLLECTIBLE ACCOUNTS 3716513 3716513 PROVIDER TAX 1015702 1015702 COLLECTION EXPENSE 128455 128455 759610 406505 353105 58388985 53231341 5157644 0 1775 1775 2421753 1004463 0 0 3263137 3252311 0 0 0 0 529179 337281 709189 667977 247314 459983 33723476 21041791 12802315 12681685 4674238 4613415 0 0 0 0 0 0 93086 92763 24741986 23111653 2361219 2307439 0 0 0 0 10523018 9656022 0 0 0 0 85629 37567 0 0 310173 499928 13280039 12500956 X 11413547 10558766 0 0 48400 51931 11461947 10610697 24741986 23111653 -1232543 381293 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 421244 421244 19332051 10141398 9190653 13532478 10744734 2787744 437703 155659 282044 12681685 0 DUE TO MEDICARE 499928 499928 35203926 381293 381293 34822633 22333809 22333809 57156442 36055176 36055176 22333809 22333809 58388985 SCHEDULE D, PART X FIN 48 DISCLOSURE: 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. SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE: CONTRACTUAL DISCOUNTS & ALLOWANCES = $22,333,809 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES: CONTRACTUAL DISCOUNTS & ALLOWANCES = $22,333,809 true true X true X true X 100 true true true false true true 1522121 1522121 0.02780 4558127 4024007 534120 0.00980 6080248 4024007 2056241 0.03760 14518 5755 8763 0.00020 14518 5755 8763 0.00020 6094766 4029762 2065004 0.03780 true 3716513 1096620 5965736 5311304 654432 X true true 1 1 GIBSON GENERAL HOSPITAL INC 1808 SHERMA DRIVE PRINCETON IN 47670 X X GIBSON GENERAL HOSPITAL INC 1 true X X X X X X X X 12 true false true X WWW.GIBSONGENERAL.COM X X X X X false false true true 100 true 100 true X X true true X true X X true X X X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 INPUT FROM PERSONS WHO REPRESEMT THE COMMUNITY: THE HOSPITAL HAD ON-LINE SURVEYS, COMMUNITY FORUMS, AND DIRECT MAILINGS TO PEOPLE IN THE COMMUNITY FOR INPUT, FEEDBACK, AND SUGGESTIONS. THE HOSPITAL RECEIVED INPUT FROM THE FOLLOWING INDIVIDUALS DURING COMMUNITY FORUMS: LORI PHILLIPS, MARION JOCHIM, MICHAEL GREEN, PHD, MRS. NORA NIXON, TODD BRYANT, RON HARRINGTON, SHERRI STOKES, STANLEY MADISON, JANICE UTLEY, RANDY WILLIS, SHELLY SNYDER, SHANE MATTHEWS, PEGGY H SLAYPYN, JASON BRADSHAW, DR. JIM SPILLER, KERRY RYAN, ANGELA BRYANT, RACHEL MATTHEWS, JERRY TILE, DOUG MEINING, DEENA DODD, ALLISON ORWIG, LAURA CARLSON. SCHEDULE H, PART V, SECTION B, LINE 7 NEEDS IDENTIFIED: AFTER REVIEW OF THE SURVEY GIVEN, THE HOSPITAL IS PRIORITIZING THE ITEMS FROM THE COMMUNITY INPUT AND EVALUATING THE RESOURCES NEEDED TO ADDRESS THE TOP COMMUNITY NEEDS. OBESITY AND ASSISTED LIVING ARE TWO AREAS THAT THE HOSPITAL DOES NOT HAVE THE RESOURCES CURRENTLY TO MEET THE COMMUNITY CONCERNS AND NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. 5 STAR ONE REHAB 1808 SHERMAN DRIVE PRINCETON IN 47670 PHYSICAL THERAPY OCCUPATIONAL THERAPY SPEECH THERAPY PHYSICIAN OUTPATIENT CLINICS 1808 SHERMAN DRIVE PRINCETON IN 47670 SUBSIDIZED CARE PHYSICIAN PRACTICES HOPE HOUSE 1808 SHERMAN DRIVE PRINCETON IN 47670 GERIATRIC CONSULTING MEDICATION MANAGEMENT LIFESTYLES DIABETES CENTER 1808 SHERMAN DRIVE PRINCETON IN 47670 DIABETES EDUCATION COUNSELING GGH - SKILLED NURSING FACILITY 1808 SHERMAN DRIVE PRINCETON IN 47670 SKILLED NURSING REHAB CENTER SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: $3,716,513 OF BAD DEBT EXPENSE IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A (TOTAL FUNCTIONAL EXPENSES), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. SCHEDULE H, PART III, SECTION A, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBTS: ACCOUNTS ARE BILLED TO THE APPROPRIATE INSURANCE AND ONCE PAYMENT IS RECEIVED AND THE BALANCE AMOUNT IS THE PATIENT'S RESPONSIBILITY, THE ACCOUNTS ARE SENT LETTERS FOR THE BALANCE DUE. IF NOT PAID WITHIN 30 DAYS, ACCOUNTS ARE SENT TO COLLECTIONS TO WORK BASED ON LAST NAME ON THE ACCOUNT. IF THE ACCOUNT IS NOT PAID WITHIN 150 DAYS, THE ACCOUNT IS SENT BACK TO HOSPITAL AND THEN THE ACCOUNT IS WRITTEN OFF AS UNCOLLECTIBLE. SCHEDULE H, PART III, SECTION A, LINE 3 AND 4 DESCRIPTION OF BAD DEBT EXPENSE AND METHODOLOGY: THE HOSPITAL DOES NOT PURSUE COLLECTION AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT REVENUE. CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE COST OF CHARITY CARE IS ESTIMATED BY APPLYING THE RATIO OF COST TO GROSS CHARGES TO THE GROSS UNCOMPENSATED CHARGES. Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility 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 a contractual allowance, 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 was approximately 77% and 80% of self-pay accounts receivable at September 30, 2014 and 2013, respectively. This slight decrease was the result of improvement experienced in the collection of amounts from self-pay patients in fiscal year 2014 and 2013. SCHEDULE H, PART III, SECTION B, LINE 8 TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT: THE GIBSON GENERAL HOSPITAL IS A CAH AND IS REIMBURSED 101% OF MEDICARE ALLOWABLE COSTS FOR INPATIENT SERVICES, SWING BED, AND OUTPATIENT PART B SERVICES. THE REVENUE SHORTFALL ABOVE IS THE DIFFERENCE BETWEEN THE ALLOWABLE COST FOR THE SKILLED NURSING FACILITY AND THE PPS REIMBURSEMENT ALLOWED FOR THAT SKILLED NURSING FACILITY. SCHEDULE H, PART III, SECTION B, LINE 9B ORGANIZATION COLLECTION POLICY: COLLECTION PRACTICES ARE APPLIED TO ALL PATIENTS AT GIBSON GENERAL HOSPITAL. PRIORITIZING THE ITEMS FROM THE COMMUNITY INPUT AND EVALUATING THE RESOURCES NEEDED TO ADDRESS THE TOP COMMUNITY NEEDS. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: ON-LINE SURVEYS, COMMUNITY MEETINGS AND MAILING OF SURVEY INFORMATION. THE HOSPITAL USES THIS INFORMATION TO PREPARE THE CHNA. CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE COST OF CHARITY CARE IS ESTIMATED BY APPLYING THE RATIO OF COST TO GROSS CHARGES TO THE GROSS UNCOMPENSATED CHARGES. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL HAS POSTERS IN THE CENTRAL REGISTRATION AND ER WAITING AREA INFORMING PATIENTS THAT WE SEE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND ALSO PROVIDE FINANCIAL ASSISTANCE TO UNINSURED AND UNDERINSURED. IN COMPLIANCE WITH EMTALA ALL ER PATIENTS ARE SEEN BY A PRACTITIONER PRIOR TO SOLICIATION OF FINANCIAL ASSISTANCE OR INSURANCE INFORMATION. ALL PATIENTS WHO DO NOT HAVE INSURANCE AND PATIENTS WHO HAVE BALANCES AFTER INSURANCE ARE CONTACTED BY OUR PATIENT FINANCIAL COUNSELOR BY MAIL WITH A FINANCIAL ASSISTANCE APPLICATION. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES GIBSON COUNTY, INDIANA, SW PIKE COUNTY AND POSEY COUNTY, INDIANA. GIBSON COUNTY HAS A POPULATION DENSITY OF 66/SQ. MILE. SW PIKE COUNTY HAS A POPULATION DENSITY OF 38/SQ. MILE. GIBSON GENERAL HOSPITAL HAS TWO LARGE COMPETING HEALTHCARE SYSTEMS 35 MILES TO THE SOUTH. TRADITIONALLY, GGH HAS BEEN RELIED UPON AS A SAFETY NET HOSPITAL FOR OLDER PATIENTS, LOW-INCOME PATIENTS AND PATIENTS WITH LIMITED MEANS TO TRAVEL TO THE LARGER CITY OF EVANSVILLE,INDIANA. MUCH OF GIBSON COUNTY IS RURAL WITH AGRICULTURE AND COAL MINING AS PRIMARY INDUSTRIES. GIBSON COUNTY DOES ENJOY SOME ECONOMIC BENEFIT FROM TOYOTA MANUFACTURING OF INDIANA. IN ADDITION, APPROX. 75 - 80% OF GGH'S PATIENT POPULATION IS FUNDED BY MEDICARE, MEDICAID AND OR OTHER GOVT. SUBSIDIZED PLANS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL PARTICIPATES IN MANY ORGANIZATIONS AND ACTIVITIES DESIGNED TO IMPROVE THE HEALTH AND WELFARE OF THE SURROUNDING COMMUNITY. IN ADDITION TO PARTICIPATION ON VARIOUS BOARDS AND CIVIC ORGANIZATIONS FOCUSED ON ECONOMIC DEVELOPMENT, GGH LEADERSHIP PARTICIPATES IN THE INDIANA PATIENT SAFETY COALITION, THE DEPARTMENT OF HOMELAND SECURITY DISTRICT 10 EMERGENCY PREPAREDNESS AND NATIONAL INCIDENT MANAGEMENT SAFETY PROGRAMS. AS MEMBERS OF THE INDIANA RURAL HEALTH ASSOCIATION AND THE INDIANA STATE RURAL HEALTH NETWORK, GGH PARTICIPATES IN PROGRAMS DESIGNED TO ASSIST RURAL HEALTHCARE ORGANIZATIONS STATEWIDE AND HAS ASSISTED IN OBTAINING AND IMPLEMENTING COMMUNICATION, INFORMATION SHARING AND OTHER ACTIVITIES TO IMPROVE ACCESS TO HEALTHCARE IN GIBSON COUNTY AND THE SURROUNDING AREAS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: GIBSON GENERAL HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. THE HOSPITAL DOES PARTICIPATE IN SEVERAL COALITIONS AND COOPERATIVES WITH OTHER PROVIDERS AND OFTEN COLLABORATES WITH THE LARGER SYSTEMS IN THE EVANSVILLE AREA TO PROVIDE ACCESS TO SERVICES THE HOSPITAL CANNOT PROVIDE SUCH AS CARDIAC AND NEUROLOGICAL SURGERY. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: INDIANA true GIBSON GENERAL HEALTH FOUNDATION INC 1808 SHERMAN DRIVE PRINCETON IN 47670 350950175 501(C)(3) 46674 SUPPORT MISSION & ASSIST WITH PAYMENT OF EXPENSES 1 SCHEDULE I, PART I, LINE 2 MONITORING USE OF FUNDS: THE HOSPITAL MONITORS THE USE OF THE FUNDS PROVIDED TO THE FOUNDATION BY HAVING THE FOUNDATION SUBMIT INVOICES FOR APPROVAL. THE HOSPITAL THEN PAYS THE INVOICES ON THE FOUNDATION'S BEHALF AND PROVIDES THE FOUNDATION WITH COPIES OF THESE PAYMENTS. X X X false false false false false false false false false COREY POTTS CRNA 235200 0 0 0 0 0 3397 0 26503 0 265100 0 0 0 MARK CARPENTER PHYSICIAN 350015 0 0 0 0 0 5100 0 15369 0 370484 0 0 0 MICHELLE SNYDER PHYSICIAN 180892 0 0 0 0 0 3640 0 13535 0 198067 0 0 0 RICHARD CLARK PHYSICIAN 203160 0 0 0 0 0 0 0 27920 0 231080 0 0 0 STEPHEN SHOEMAKER PHYSICIAN 227745 0 0 0 0 0 0 0 21217 0 248962 0 0 0 EMMETT SCHUSTER CHIEF EXECUTIVE OFFICER 227005 0 0 0 0 0 3519 0 19463 0 249987 0 0 0 LORI PHILLIPS CHIEF NURSING OFFICER 147819 0 0 0 0 0 2986 0 1209 0 152014 0 0 0 RON HARRINGTON CHIEF FINANCIAL OFFICER 134962 0 0 0 0 0 0 0 27391 0 162353 0 0 0 A CITY OF PRINCETON 356001169 2008-12-01 2500000 RENOVATIONS - ER DEPARTMENT false false false B CITY OF PRINCETON 356001169 2007-10-01 2096000 ENERGY CONSERVATION PROJECT false false false C CITY OF PRINCETON 356001169 2005-06-01 7100000 CAPITAL IMPROVEMENTS false false false A 0 0 2500000 0 0 0 31500 0 0 2500000 0 0 2009 false false true true B 0 0 2096000 0 0 0 0 0 0 2002380 0 0 2008 false false true true C 0 0 7100000 0 0 0 55566 0 0 3146250 0 0 2009 false true true true A false false false false 0 false false false false B false false false false 0 false false false false C false false false false 0 false false false false A false true true false 0 false 0 false true B false true true false 0 false 0 false true C false true true false 0 false 0 false true A true B true C true LEANN COOPER SEE PART V 40598 COMPENSATION PAID BY GGH false SCHEDULE L, PART IV, LINE 1B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: LEANN COOPER IS THE EXECUTIVE DIRECTOR OF GIBSON GENERAL HEALTH FOUNDATION AND IS THE DAUGHTER OF CHAIRMAN OF THE BOARD, DR. MICHAEL GREEN. THE HOSPITAL REIMBURSES THE GIBSON GENERAL HEALTH FOUNDATION FOR THE SALARY OF THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES IS INFORMED OF THE NEED TO AND DUE DATE FOR FILING THE FORM 990 AND THAT IT IS AVAILABLE FOR INSPECTION AND REVIEW AT ANY TIME BY CONTACTING THE CFO OR THE CEO. THE CFO AND CEO DO A DETAIL OF THE RETURN BEFORE IT IS FILED. THE FORM 990 IS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CEO OR A COMPLIANCE OFFICER REVIEWS THE SIGNED STATEMENTS. ANY BOARD MEMBER WHO HAS A CONFLICT OF INTEREST RECUSES HIMSELF OR HERSELF FROM VOTING ON THE RELATED ISSUE. FORM 990, PART VI, SECTION B, LINE 15A REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: THE CEO'S COMPENSATION IS REVIEWED ANNUALLY AND APPROVED BY THE BOARD OF TRUSTEES COMPENSATION COMMITTEE. THE COMMITTEE USES A COMPENSATION CONSULTANT, COMPENSATION SURVEY, AND COMPARATIVE DATA FROM SIMILAR ORGANIZATIONS TO DETERMINE THE CEO'S COMPENSATION. THE LAST REVIEW WAS COMPLETED IN 2014. FORM 990, PART VI, QUESTION 15B REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: OFFICER COMPENSATION IS REVIEWED ANNUALLY BY THE CEO. COMPENSATION SURVEYS ARE USED IN DETERMINING OFFICER COMPENSATION. THE LAST REVIEWS WERE CONDUCTED IN 2014. FORM 990, PART IV, QUESTION 19 AVAILABILITY OF GOVERNING DOCUMENTS, C.O.I. POLICY, AND F/S: GIBSON GENERAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE INDIANA STATE DEPARTMENT OF HEALTH WEBSITE. GIBSON GENERAL HEALTH FOUNDATION INC 1808 SHERMAN DRIVE PRINCETON IN 47670 350950175 SUPPORT IN 501 (C)(3) 11-TYPE III NA false false true true false false false false false false false false false false true true false false false false