2025-11-17T13:41:25-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-01-01 930910794 ONE COMMUNITY HEALTH ONEC 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 JENNIFER GRIFFITH CEO 5413866380 2025-11-14 1 1 KURT BENNION CPA P01469618 4252506100 2025-11-10 2024 2025-03-06 01:10:19Z JENNIFER GRIFFITH 849 PACIFIC AVENUE HOOD RIVER OR 97031 51844403 0 X ONECOMMUNITYHEALTH.ORG X 1986 OR TO ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 18 18 388 18 0 0 8844544 7797435 26376675 42684914 563009 661284 48006 58468 35832234 51202101 11010 36019 0 0 25570315 31572054 0 0 0 11281448 13634212 36862773 45242285 -1030539 5959816 38028713 48611893 15558317 20182902 22470396 28428991 X ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 1 0 31124365 36019 42684914 REFER TO SCHEDULE O FOR PROGRAM DESCRIPTIONONE COMMUNITY HEALTH SERVED OVER 24,400 INDIVIDUALS THROUGH 92,857 FACE-TO-FACE ENCOUNTERS AND 3,644 VIRTUAL VISITS IN 2024. RECOGNIZED AS A 5 STAR PATIENT-CENTERED PRIMARY CARE HOME BY THE OREGON HEALTH AUTHORITY, OUR INTEGRATED PRIMARY CARE MODEL STRIVES TO PROVIDE AN OUTSTANDING PATIENT EXPERIENCE AND EXCEPTIONAL CLINICAL RESULTS. OUR MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE TEAMS COMPRISED OF 273.03 FTE (FULL TIME EQUIVALENTS), 56.58 OF WHICH ARE LICENSED INDEPENDENT PROVIDERS. OCH'S PRIMARY CARE SERVICES INCLUDE:- MATERNITY AND NEWBORN CARE (PRENATAL CARE, DELIVERIES INCLUDING CAESAREAN SECTIONS, POSTPARTUM AND NEONATAL CARE, AND PREVENTIVE DIAGNOSTICS).- EVIDENCE BASED MEDICAL, DENTAL, AND BEHAVIORAL TREATMENT FOR ALL AGES.- LABORATORY SERVICES, MEDICATION ASSISTANCE, IMMUNIZATIONS FOR ALL AGES (INFANTS TO ADULTS), WELL-CHILD EXAMS, PATIENT CASE MANAGEMENT, CHRONIC CARE MANAGEMENT, CANCER AND OTHER DISEASE SCREENINGS, DEVELOPMENTAL SCREENINGS FOR CHILDREN, ACUPUNCTURE, AND FAMILY PLANNING SERVICES.- OUTREACH AND EDUCATION (PROMOTORAS DE SALUD), INTERPRETATION, MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID ADDICTIONS, CASE MANAGEMENT AND PEER SUPPORT SERVICES, DIABETES AND MATERNITY CARE COORDINATION, AND ACUPUNCTURE. SPECIAL PROGRAMS IN AREAS SUCH AS DIABETES EDUCATION AND CASE MANAGEMENT, PERINATAL, PREVENTATIVE HEALTH, AND OTHERS HAVE BECOME PART OF THE FABRIC OF ONE COMMUNITY HEALTH. THREE OF OUR PHYSICIANS ARE DESIGNATED CIVIL SURGEONS AND PROVIDE MEDICAL EXAMINATIONS FOR IMMIGRATION APPLICANTS.- OCH HAS ELIGIBILITY AND ENROLLMENT STAFF AT EACH OF ITS HEALTH CENTERS TO EDUCATE PATIENTS ON AFFORDABLE HEALTH INSURANCE OPTIONS.- WE PARTNER WITH PROVIDENCE HEALTH AND SERVICES IN PROVIDING A RURAL, PRIMARY CARE RESIDENCY PROGRAM.- BEHAVIORAL HEALTH AND NURSE INTERN PROGRAM AIMING TO ENHANCE RECRUITMENT EFFORTS, ESTABLISH ENDURING PARTNERSHIPS WITH LOCAL ORGANIZATIONS, AND ENHANCE THE OVERALL LEARNING EXPERIENCE ACROSS VARIOUS PROGRAMS.- ONE COMMUNITY HEALTH OPERATES SCHOOL-BASED HEALTH CENTERS IN HOOD RIVER COUNTY AND DUFUR THAT SERVES ALL CHILDREN AND TEENS WHO RESIDE IN THE HOOD RIVER COUNTY AND DUFUR SCHOOL DISTRICTS.- WE PARTNER WITH THE OREGON CHILD DEVELOPMENT COALITION (OCDC) TO PROVIDE PRIMARY CARE SERVICES TO THE CHILDREN OF SEASONAL FARMWORKERS DURING OREGON'S PEAK AGRICULTURAL MONTHS.- WE PARTNER WITH OREGON HEALTH & SCIENCE UNIVERSITY OPTHAMOLOGY DEPARTMENT TO PROVIDE VISION SCREENINGS- PROVIDE AT-HOME SUPPORT TO THE ELDERY THROUGH THE CONNECTED CARE PROGRAM.- WE OPERATE TWO MOBILE MEDICAL UNITS, "LA CLINICA AND "WYKANUSHPUM" TO INCREASE ACCESS FOR PATIENTS WITH TRANSPORTATION, ECONOMIC, AND OTHER BARRIERS TO CARE.- WE PARTNER AND COORDINATE WITH OUTSTANDING LOCAL PROVIDERS FOR BEHAVIORAL HEALTH CARE, PHYSICAL THERAPY, HOSPITAL CARE, MASSAGE THERAPY, AND MANY OTHER SPECIALTY AND SUBSPECIALTY SERVICES ACCORDING TO PATIENT NEEDS. WE INCREASINGLY COORDINATE WITH SOCIAL SERVICE ORGANIZATIONS FOR NEEDS SUCH AS HOUSING, EMPLOYMENT, FOOD INSECURITY, ETC.NOTABLE ACCOMPLISHMENTS IN CALENDAR YEAR 2024:- ONE COMMUNITY HEALTH EXPANSION - WASHINGTONTHE NORTHSHORE MEDICAL GROUP OFFICIALLY JOINED ONE COMMUNITY HEALTH ON JANUARY 1, 2024. THIS RESULTED IN AN INCREASE IN STAFFING BY 55 EMPLOYEES.- SCHOOL BASED HEALTH CENTER EXPANSION - DUFURONE COMMUNITY HEALTH OPENED A SECOND SCHOOL-BASED HEALTH CENTER AT THE DUFUR SCHOOL TO SUPPORT THE DUFUR COMMUNITY.- ONE COMMUNITY HEALTH'S CHANGES IN SCOPE WERE APPROVED BY BOTH OREGON AND WASHINGTON. THE APPROVAL RESULTED IN INCREASED CAPITATION AND PROSPECTIVE PAYMENT SYSTEM (PPS) RATES. OREGON SAW A 31.6% CAPITATION RATE INCREASE AND A 34.1% PPS RATE INCREASE. WASHINGTON SAW A 45.9% CAPITATION RATE INCREASE AND A 88.4% PPS RATE INCREASE.- OUR INTEGRATED MEDICATION-ASSISTED TREATMENT (IMAT) PROGRAM GREW TO OVER 300 PATIENTS.- PROVIDED $12.8 MILLION IN CHARITABLE AND DISCOUNTED CARE.- CONTINUED AS A TIER 5 PATIENT CENTER PRIMARY CARE HOME RATING FOR HOOD RIVER AND THE DALLES FACILITIES.- IN 2024, OUR PATIENT POPULATION GREW BY 7,732 UNIQUE PATIENTS.- IN 2024, OCH FOCUSED ON DIAGNOSTIC TESTS/SCREENING/PREVENTIVE SERVICES THAT INCLUDED HIV, HEP B, HEP C, COVID, PAP TESTING, IMMUNIZATIONS, AND SBIRT SCREENINGS FOR AT TOTAL OF 26,632 VISITS SERVING 21,197 PATIENTS.- IN 2024, OUR PERINATAL TEAM SUPPORTED 233 PATIENTS WITH APPOINTMENTS, LAB REVIEWS, TRIMESTER-SPECIFIC EDUCATION, AND CONNECTED FAMILIES TO RESOURCES.- IN 2024, WE ENROLLED AND OR RENEWED 3,994 MEDICAID PATIENTS. IN ADDITION TO ENROLLMENT/RENEWALS, OUR PATIENT CARE TEAM ASSISTED OVER 250 PATIENTS WITH WASHINGTON MARKET PLACE ENROLLMENTS, THE MEDICARE SAVINGS PROGRAM, LOW INCOME SUBSIDIES, AND LOW INCOME HOUSING ENERGY ASSISTANCE PROGRAMS.- IN SEPTEMBER 2024, OCH WAS AWARDED $600K UNDER A BEHAVIORAL HEALTH EXPANSION GRANT TO SUPPORT BEHAVIORAL HEALTH PROGRAM.- IN DECEMBER 2024, OCH WAS AWARDED $500K AN EXANDED HOURS GRANT TO SUPPORT OUR EXPANSION EFFORTS.- THROUGH THE STELLAR PERFORMANCE OF OUR GRANT TEAM IN 2024, WE WERE AWARDED A TOTAL OF $1.8M IN UNBUDGETED GRANTS TO SUPPORT OUR OUTREACH, SCHOOL-BASED, CONNECTED CARE, VACCINES, POPULATION HEALTH, AND MOBILE MEDICAL PROGRAMS. 31124365 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 54 0 1 388 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 OR X RENEROSE HINKLE 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 JENNIFER GRIFFITH CEO 40.00 X 367654 0 29352 CONSTANCE SERRA MEDICAL DIRECTOR 40.00 X 275624 0 26060 RENEROSE HINKLE CHIEF FINANCIAL OFFICER 40.00 X 282635 0 13846 GREGORY PARKER PHYSICIAN 40.00 X 247667 0 42443 KATHLEEN MCKENNA PHYSICIAN 40.00 X 240445 0 21493 MIRIAM FAUTH PHYSICIAN 38.00 X 223040 0 28802 ROY LABERGE MEDICAL DIRECTOR 40.00 X 223847 0 17431 ANGELA MICHALEK CHIEF STRATEGY OFFICER 40.00 X 186817 0 39817 COLIN ROBINSON CHIEF TECHNOLOGY OFFICER 40.00 X 188087 0 18756 HARLEY DAVIDSON COO (THROUGH AUGUST 2024) 40.00 X 174742 0 27784 CYNTHIA ROBERTSON CHIEF OPERATING OFFICER 40.00 X 179327 0 12975 TESSA WALLACE BEHAVIORAL HEALTH DIRECTOR 40.00 X 135264 0 36618 EMILY HIGGINS VP OF PEOPLE & CULTURE 40.00 X 134422 0 31791 MAXIMILLIAN JANASIK CEO (THROUGH JANUARY 2024) 40.00 X 31965 0 4098 IAN CHANDLER CHAIR & BOARD MEMBER 1.00 X X 0 0 0 MARK THOMAS VICE CHAIR & CHAIR 1.00 X X 0 0 0 SUZANNE CROSS SECRETARY & VICE CHAIR 1.00 X X 0 0 0 JONATHAN KARA BOARD MEMBER & SECRETARY 1.00 X X 0 0 0 SHAWN WHALEN TREASURER 1.00 X X 0 0 0 ELIZUR BELLO BOARD MEMBER 1.00 X 0 0 0 MARIA CASTRO BOARD MEMBER 1.00 X 0 0 0 TIFFANY DAVIS BOARD MEMBER 1.00 X 0 0 0 YESENIA DERAS BOARD MEMBER 1.00 X 0 0 0 REYNA FONTE BOARD MEMBER 1.00 X 0 0 0 TROY FROSTAD BOARD MEMBER 1.00 X 0 0 0 CHARLES HOGUE BOARD MEMBER 1.00 X 0 0 0 HABACUC JARA BOARD MEMBER 1.00 X 0 0 0 BUCK JONES BOARD MEMBER 1.00 X 0 0 0 AMY KLEE BOARD MEMBER 1.00 X 0 0 0 SHANON SALDIVAR BOARD MEMBER 1.00 X 0 0 0 JANE SHARPE BOARD MEMBER 1.00 X 0 0 0 COLLEEN WAHTO BOARD MEMBER 1.00 X 0 0 0 2891536 0 351266 69 0 1 0 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 BILLING AND DATA SERVICES 1479557 CONVERGENCE NETWORKS 4252 SE INTL WAY STE A MILWAUKIE OR 97222 COMPUTER SERVICES AND SUPPORT 475914 SCRIBE-X NORTHWEST PO BOX 6590 PORTLAND OR 97228 REMOTE MEDICAL SCRIBE SERVICES 376977 ENCORE ONE LLC DBA CBM SYSTEMS 7409 SW TECH CENTER DR 100 TIGARD OR 97223 JANITORIAL SERVICES 225401 4 6561894 1235541 662594 7797435 PATIENT SERVICE REVENUE 621110 38575231 38575231 PHARMACY 456110 4109683 4109683 42684914 512077 512077 7909 0 7909 7909 7909 791509 642302 149207 149207 149207 MISCELLANEOUS REVENUE 900099 50559 50559 50559 51202101 42684914 0 719752 36019 36019 1965346 670438 1294908 23251040 18546400 4704640 770376 555858 214518 3543423 2954779 588644 2041869 1450470 591399 53408 53408 74512 74512 299675 299675 1270229 561185 709044 2167938 59121 2108817 1523324 133614 1389710 91027 59987 31040 39744 6642 33102 265809 265809 911530 92098 819432 252731 -2273 255004 SUPPLIES 5155467 5019158 136309 MISCELLANEOUS EXPENSES 622441 238807 383634 BAD DEBT EXPENSE 368400 368400 EQUIPMENT 215111 114606 100505 322866 259056 63810 45242285 31124365 14117920 0 7804676 11689999 784535 796085 1813452 2435837 1558455 3306795 573184 479864 27866210 7143965 20843231 20722245 4610075 4882918 41105 4298150 38028713 48611893 2626979 3453537 326183 77330 12605155 12377478 0 4274557 15558317 20182902 X 22131821 27914318 338575 514673 22470396 28428991 38028713 48611893 5959816 -1221 0 X X 0 1 X 1 1 1 X 11465158 9565894 7767224 8844544 7797435 45440255 11465158 9565894 7767224 8844544 7797435 45440255 45440255 78164 77459 202440 556931 519986 1434980 9543 -2487 13714 48006 50559 119335 46994570 124634588 0.96690 0.97370 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME PART II, COLUMN C: THE AMOUNTS REPORTED IN PART II, COLUMN C ARE FOR A SHORT PERIOD THAT BEGAN ON FEBRUARY 1, 2022 AND ENDED ON DECEMBER 31, 2022. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1533370 1533370 20806898 4171483 16635415 284628 15098 269530 5125415 2957384 2168031 115899 115899 20722245 BUILDING LEASE DEPOSITS 42305 RIGHT-OF-USE LEASE ASSETS 4255845 4298150 RIGHT-OF-USE LEASE LIABILITIES 4274557 4274557 X 49607090 -1221 239712 238491 49368599 1833502 1833502 51202101 45113597 239712 239712 44873885 368400 368400 45242285 PART X, LINE 2: UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, OCH IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF DECEMBER 31, 2024, AND 2023, OCH HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. MANAGEMENT EVALUATED OCH'S TAX POSITIONS AND CONCLUDED THAT OCH HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 368,400. GRANTS AND CONTRIBUTIONS FOR CAPITAL PURCHASES 369,306. GRANTS AND CONTRIBUTIONS WITH DONOR RESTRICTIONS 1,095,796. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 368,400. 1 THE NEXT DOOR 402 22ND AVENUE N NASHVILLE TN 37203 432001774 501(C)(3) 25481 0 INCREASING ACCESS AND EQUITY TO SUBSTANCE USE DISORDER TREATMENT AND BEHAVIORAL HEALTH SERVICES 1 0 PART I, LINE 2: PRIOR TO MAKING A CONTRIBUTION TO ANOTHER ORGANIZATION, WE CONFIRM THAT THEY ARE EITHER A QUALIFIED CHARITY OR A GOVERNMENT AGENCY. SINCE CONTRIBUTIONS ARE INTENDED FOR GENERAL OPERATING SUPPORT, NO FURTHER FOLLOW-UP IS CONDUCTED REGARDING USE OF THE FUNDS. X X X 0 0 0 1 0 0 0 0 0 JENNIFER GRIFFITH CEO 317364 0 50290 0 0 0 15525 0 13827 0 397006 0 0 0 CONSTANCE SERRA MEDICAL DIRECTOR 260400 0 15224 0 0 0 12291 0 13769 0 301684 0 0 0 RENEROSE HINKLE CHIEF FINANCIAL OFFICER 236635 0 46000 0 0 0 12719 0 1127 0 296481 0 0 0 GREGORY PARKER PHYSICIAN 223511 0 24156 0 0 0 11033 0 31410 0 290110 0 0 0 KATHLEEN MCKENNA PHYSICIAN 219837 0 20608 0 0 0 10736 0 10757 0 261938 0 0 0 MIRIAM FAUTH PHYSICIAN 206260 0 16780 0 0 0 9924 0 18878 0 251842 0 0 0 ROY LABERGE MEDICAL DIRECTOR 197692 0 26155 0 0 0 9836 0 7595 0 241278 0 0 0 ANGELA MICHALEK CHIEF STRATEGY OFFICER 156815 0 30002 0 0 0 8407 0 31410 0 226634 0 0 0 COLIN ROBINSON CHIEF TECHNOLOGY OFFICER 158085 0 30002 0 0 0 8464 0 10292 0 206843 0 0 0 HARLEY DAVIDSON COO (THROUGH AUGUST 2024) 131768 0 42974 0 0 0 6844 0 20940 0 202526 0 0 0 CYNTHIA ROBERTSON CHIEF OPERATING OFFICER 179327 0 0 0 0 0 5380 0 7595 0 192302 0 0 0 TESSA WALLACE BEHAVIORAL HEALTH DIRECTOR 134014 0 1250 0 0 0 5208 0 31410 0 171882 0 0 0 EMILY HIGGINS VP OF PEOPLE & CULTURE 134422 0 0 0 0 0 5530 0 26261 0 166213 0 0 0 PART I, LINE 5 THE ORGANIZATION HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN FOR THE CEO, CFO, CPO, CIO, CTO AND COO. THE CEO'S GOALS AND TIERED ACHIEVEMENT TARGETS PER GOAL ARE SET EACH YEAR BY THE BOARD AND THE CFO, CPO, CIO, CTO AND COO'S GOALS AND TIERED ACHIEVEMENT TARGETS PER GOAL ARE SET EACH YEAR BY THE CEO. AT THE END OF THE FISCAL YEAR, RESULTS ARE COMPARED TO ACHIEVEMENT TARGETS TO DETERMINE THE PAYOUT. DURING THE YEAR ENDED DECEMBER 31, 2024, THE CEO'S MEASURES INCLUDED FINANCIAL STEWARDSHIP, GROWTH, EMPLOYEE ENGAGEMENT, AND EMPLOYEE COMPENSATION AND THE CFO, CPO, AND COO'S MEASURES ARE SPECIFIC TO EACH POSITION BUT INCLUDED CATEGORIES SUCH AS DIVERSITY, EMPLOYEE ENGAGEMENT, EMPLOYEE COMPENSATION, FINANCIAL STEWARDSHIP, GROWTH, PATIENT CARE RATE, PERFORMANCE MANAGEMENT, SCHEDULING EFFICIENCY. X 7818 662594 INVOICE PRICE 0 0 0 0 PART I, COLUMN (B): AMOUNTS REPORTED IN PART I, COLUMN B REPRESENT THE NUMBER OF DONATED ITEMS RECEIVED DURING THE YEAR. FORM 990, PART III, LINE 2 DURING 2024, OCH (A) OPENED A SCHOOL-BASED HEALTH CENTER AT DUFUR SCHOOL, EXPANDING SERVICES IN WASCO COUNTY; (B) PURCHASED NORTHSHORE MEDICAL GROUP PRIVATE PRACTICES SERVING WHITE SALMON AND STEVENSON, WASHINGTON; AND (C) EXPANDED SERVICES IN KLICKITAT AND SKAMANIA COUNTIES. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THE PAST CHAIRPERSON, IF THEY ARE STILL A MEMBER OF THE BOARD OF DIRECTORS, AND IS CHAIRED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE REPRESENTS THE BOARD OF DIRECTORS BETWEEN REGULAR BOARD MEETINGS WHENEVER NECESSARY. THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS EXCEPT REGARDING DECISIONS THAT REQUIRE A MAJORITY VOTE OF THE BOARD OF DIRECTORS, OR AS OTHERWISE SPECIFICALLY PROHIBITED BY THE BOARD OF DIRECTORS. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ON BEHALF OF THE BOARD ARE FULLY REPORTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED MEETING. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED IN JANUARY 2024 TO (A) CHANGE OCH'S FISCAL YEAR-END TO DECEMBER 31; (B) CHANGE THE ALLOWED NUMBER OF OCH BOARD MEMBERS TO 9 - 25; (C) REMOVE THE REQUIREMENT THAT BOARD MEMBERS RESIDE IN OCH'S SERVICE AREA; (D) CLARIFY THAT OCH'S CEO IS AN EX OFFICIO NON-VOTING MEMBER OF THE BOARD OF DIRECTORS; (E) CHANGE BOARD OFFICER TERMS TO TWO YEARS; (F) CLARIFY THE EXECUTIVE COMMITTEE'S RESPONSIBILITIES AND COMPOSITION; AND (G) UPDATE THE BOARD'S CONFLICT OF INTEREST POLICY AND PROCEDURES. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CFO, CEO AND THE BOARD'S FINANCE COMMITTEE AND A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C FULL DISCLOSURE, BY NOTICE IN WRITING, SHALL BE MADE BY THE INTERESTED PARTIES TO THE FULL BOARD OF DIRECTORS IN ALL CONFLICTS OF INTEREST AND PERCEIVED CONFLICTS OF INTEREST. FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO, THE BOARD SHALL VOTE TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKE ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT ONE COMMUNITY HEALTH'S BEST INTEREST. BOTH VOTES SHALL BE BY A MAJORITY VOTE WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR, EVEN IF THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM PROVIDED THAT AT LEAST ONE CONSENTING DIRECTOR IS DISINTERESTED. AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE OF THE BOARD OF DIRECTORS, OR OF ANY COMMITTEE OR SUBCOMMITTEE THEREOF IN WHICH THE SUBJECT OF DISCUSSION IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE MAY BE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST. THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION; HOWEVER, THEY MUST LEAVE THE MEETING DURING THE DISCUSSION AND VOTE BY THE BOARD AND/OR OFFICERS. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS, UTILIZING MARKET STUDIES OF COMPARABLE ORGANIZATIONS' WAGE SCALES. THE COMPENSATION OF OTHER OFFICERS IS INITIALLY SET BY THE CHIEF EXECUTIVE OFFICER, BUT THEY ARE ALSO REVIEWED BY THE BOARD OF DIRECTORS AS PART OF THE ANNUAL BUDGETING PROCESS. ONE COMMUNITY HEALTH'S COMPENSATION PHILOSOPHY ALIGNS COMPENSATION IN SUPPORT OF OUR MISSION, VISION, VALUES, AND OPERATIONAL STRATEGIES. PAY IS ESTABLISHED BY QUALIFICATIONS SET FORTH IN JOB DESCRIPTIONS, THE RANGE OF PAY FOR ALL JOB CATEGORIES USING MARKET SURVEY SOURCES, AND A PROCESS FOR PAY INCREASES. THE CHIEF EXECUTIVE OFFICER IN COOPERATION WITH KEY EMPLOYEES IS RESPONSIBLE FOR OVERSIGHT OF THE DEVELOPMENT, REVIEW, AND REVISION OF THE PAY STRUCTURE. THE BOARD OF DIRECTORS REVIEWS, APPROVES OR RECOMMENDS MODIFICATIONS TO THE PAY STRUCTURE PRESENTED. A COMPREHENSIVE SALARY SURVEY IS COMPLETED EVERY TWO YEARS TO ASSESS UPDATING BASE RATES FOR POSITIONS. OTHER FORMS OF COMPENSATION SUCH AS BONUSES, INCREASES, AND HEALTH INSURANCE ARE REVIEWED ANNUALLY WITH RECOMMENDATIONS MADE TO THE BOARD OF DIRECTORS DURING THE BUDGET PROCESS FOR APPROVAL. THE CEO'S COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY, ALTHOUGH THE LAST MARKET COMPARISON WAS COMPLETED IN 2024. THE ORGANIZATION HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN FOR THE CEO, CFO, CSO, CTO, COO, AND VP OF PEOPLE & CULUTRE. THE CEO'S GOALS AND TIERED ACHEIVEMENT TARGETS PER GOAL ARE SET EACH YEAR BY THE BOARD ADN THE CFO, CSO, CTO, COO, AND VP OF PEOPLE & CULUTRE GOALS AND TIERED ACHIEVEMENT TARGETS PER GOAL ARE SET EACH YEAR BY THE CEO. AT THE END OF THE FISCAL YEAR, RESULTS ARE COMPARED TO ACHIEVEMENT TARGETS TO DETERMINE THE PAYOUT. DURING THE YEAR ENDED DECEMBER 31, 2024, THE CEO'S MEASURES INCLUDED FINANCIAL STEWARDSHIP, GROWTH, EMPLOYEE ENGAGEMENT, AND EMPLOYEE COMPENSATION AND THE CFO, CSO, CTO, COO, AND VP OF PEOPLE & CULTURE'S MEASURES ARE SPECIFIC TO EACH POSITION BUT INCLUDED CATEGORIES SUCH AS DIVERSITY, EMPLOYEE ENGAGEMENT, EMPLOYEE COMPENSATON, FINANCIAL STEWARDSHIP, GROWTH, PATIENT CARE RATE, PERFORMANCE MANAGEMENT, AND SCHEDULING EFFICIENCY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS OPEN TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE AUTHORITY AND PROCESS FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR.