2014-11-10T15:16:29-06:00 2013-12-31 450250958 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2013-01-01 810232121 BOZEMAN DEACONESS HEALTH SERVICES BOZE 4065855000 915 HIGHLAND BOULEVARD BOZEMAN MT 59715 GORDON DAVIDSON CFO/VP OF FINANCE 4065855000 2014-10-28 1 KIM HUNWARDSEN CPA P00484560 6122536500 2014-10-28 2013 2015-11-30 17:44:51Z GORDON DAVIDSON 915 HIGHLAND BOULEVARD BOZEMAN MT 59715 216331426 0 X WWW.BOZEMANDEACONESS.ORG X 1911 MT TO IMPROVE COMMUNITY HEALTH AND QUALITY OF LIFE FOR RESIDENTS AND VISITORS OF THE BOZEMAN, MT AREA. 11 10 1843 261 1425401 -445063 5147781 5517925 189866074 204688052 3596072 4805775 384534 414407 198994461 215426159 723800 358000 0 0 85703925 90896957 0 0 0 94685237 100008076 181112962 191263033 17881499 24163126 325034056 347818522 88587723 86474925 236446333 261343597 X TO IMPROVE COMMUNITY HEALTH AND QUALITY OF LIFE. 0 0 48300202 45483067 BOZEMAN DEACONESS HEALTH GROUP CONSISTS OF OUR DEPARTMENTS THAT PROVIDE PHYSICIAN SERVICES TO OUTPATIENTS. THE NUMBER OF MEDICARE AND MEDICAID PATIENTS SEEN IN 2013 REMAINED FAIRLY CONSISTENT AT ABOUT 44% OF TOTAL VISITS. REVENUE FOR THESE PATIENTS AND UNINSURED PATIENTS TOTALED 48% OF ALL CLINIC REVENUE. TOTAL OPERATING REVENUES WERE $45,483,067 WITH ASSOCIATED OPERATING EXPENSES OF $48,300,202. THE LOSS OF $2,817,135 IS REFLECTIVE OF OUR COMMITMENT TO PROVIDE ACCESS TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 21957800 52910236 BOZEMAN DEACONESS SURGICAL SERVICES STRIVES TO OFFER A WIDE ARRAY OF SURGICAL OPTIONS USING STATE OF THE ART TECHNOLOGY. OF THE 5,698 INPATIENT AND OUTPATIENT SURGERIES, ABOUT ONE THIRD WERE MEDICARE AND MEDICAID PATIENTS, WHICH COMPRISED 41% ($21,922,090) OF TOTAL REVENUE FROM THESE SERVICES ($52,910,236). OVER 61% OF THE MEDICARE/MEDICAID REVENUES WERE UNREIMBURSED ($13,417,016) AND WRITTEN OFF, ALONG WITH ANOTHER $5,874,579 FROM OTHER PAYORS. OUR OPERATING ROOM ALSO RECORDED $15,908,977 IN OPERATING EXPENSES PLUS ANOTHER $6,048,823 OF INDIRECT OVERHEAD. 9368409 17676626 THE EMERGENCY ROOM AT BOZEMAN DEACONESS HOSPITAL IS ONE OF THE BUSIEST DEPARTMENTS IN OUR ORGANIZATION, WITH JUST OVER 25,000 VISITS IN 2013. APPROXIMATELY 32% OF THESE VISITS WERE FROM MEDICARE AND MEDICAID PATIENTS, COMPRISING $6,076,495 OF THE $17,676,626 OF THE GROSS REVENUE. OVER 61% OF THE MEDICARE/MEDICAID REVENUE WERE UNREIMBURSED ($3,704,780) AND WRITTEN OFF, ALONG WITH ALMOST 37% OF THE REMAINING REVENUE ($4,325,287). DIRECT AND INDIRECT EXPENSES INCURRED IN SUPPORTING THE OPERATION OF THIS EMERGENCY ROOM ACCUMULATED TO $9,368,409. 73195007 358000 88618123 BOZEMAN DEACONESS HEALTH SERVICES OPERATES AN 86 BED HOSPITAL FACILITY (HOSPITAL), ALONG WITH A 43 UNIT ASSISTED LIVING HOME AND A 115 UNIT INDEPENDENT LIVING HOME (HILLCREST SENIOR LIVING OR HSL). ALL PATIENT AND RESIDENT SERVICE REVENUE IS USED TO PROVIDE HEALTH CARE SERVICES, HEALTH CARE PROMOTION, AND HEALTH CARE EDUCATION TO BOZEMAN AND THE SURROUNDING COMMUNITIES. 73195007 358000 88618123 152821418 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 189 0 1 1843 1 1 1 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 1 X GORDON DAVIDSON 4065851036 915 HIGHLAND BLVD BOZEMAN MT 59715 TERRY CUNNINGHAM CHAIR 1.00 X X 0 0 0 JULIE JACKSON 1ST VICE CHAIR 1.00 X X 0 0 0 BRIAN BROWN 2ND VICE CHAIR 1.00 X X 0 0 0 JOHN MURDOCH SECRETARY 1.00 X X 0 0 0 JOHN ROBBINS MD TREASURER/DOCTOR 50.00 X X 127304 0 47964 KERRI BROWN TRUSTEE 1.00 X 0 0 0 KATIE DAUGHENBAUGH TRUSTEE 1.00 X 0 0 0 JAYNEE GROSETH TRUSTEE (THRU 6/30/13) 1.00 X 0 0 0 LEN LUTZ TRUSTEE (THRU 6/30/13) 1.00 X 0 0 0 REV DAVE MCCONNELL TRUSTEE 1.00 X 0 0 0 DENNIS MUNSON TRUSTEE 1.00 X 0 0 0 KERRY PETITT TRUSTEE 1.00 X 0 0 0 ROBERT WATSON TRUSTEE 1.00 X 0 0 0 KEVIN PITZER CEO/PRESIDENT 50.00 X 336456 0 11553 GORDON DAVIDSON CFO/VP FINANCE/INTERIM CEO 50.00 X 395182 0 54879 ELIZABETH LEWIS SENIOR VP OPERATIONS/LEGAL 50.00 X 275626 0 52088 HUGH HETHERINGTON MD DOCTOR 50.00 X 582822 0 58069 ANNE CASTILLO MD DOCTOR 50.00 X 570163 0 15847 JACK HENSOLD MD DOCTOR 50.00 X 513185 0 55380 DANE SOBEK MD DOCTOR 50.00 X 631944 0 54345 BLAIR ERB MD DOCTOR 50.00 X 672992 0 36643 JOHN NORDWICK FORMER CEO/PRESIDENT 0.00 X 148472 0 12403 4254146 0 399171 96 1 1 0 ABSAROKA EMERGENCY PHYSICIANS 1184 N 15TH STREET SUITE 1 BOZEMAN MT 59715 ER PHYSICIANS FEE 3846269 MC BUILDERS JV 1203 S CHURCH BOZEMAN MT 59715 CONSTRUCTION 3375366 ARBOR MEDIC PO BOX 10305 BOZEMAN MT 59715 LANDSCAPING/LAWN/SNOW REMOVAL 842036 SOFTSCRIPT INC 1801 W OLYMPIC BLVD PASADENA CA 911991599 TRANSCRIPTION SERVICES 745553 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 554809146 REFERENCE LAB 661254 39 3778702 1739223 5517925 PATIENT SERVICE REVENU 622110 185315627 184897046 418581 RESIDENT SERVICE REVEN 623000 5644827 5644827 PHARMACY REVENUE 446110 3370091 3005139 364952 CAFETERIA REVENUE 722210 1379600 1379600 8977907 8429070 548837 204688052 2807880 -54 2807934 1211691 797284 414407 414407 93085 321322 2027802 78076 0 107983 2027802 -29907 1997895 1997895 215426159 203355682 1425401 5127151 358000 358000 1306394 175730 1130664 72744414 58884506 13859908 3382632 2742300 640332 8263558 6588142 1675416 5199959 4131628 1068331 145326 145326 81596 81596 49026 49026 524832 524832 16266776 8651824 7614952 1059232 254707 804525 3736728 1161503 2575225 2569417 425658 2143759 404954 269917 135037 269969 179944 90025 2192767 2192767 14054719 14054719 1576069 462604 1113465 MEDICAL SUPPLIES 37755180 37683957 71223 PROVISION FOR BAD DEBTS 9572008 9572008 EQUIPMENT RENT & MAINTE 7794042 4699518 3094524 TAXES & LICENSES 1394432 84988 1309444 561003 246998 314005 191263033 152821418 38441615 0 28992288 46722702 24171929 27284960 374082 212160 5505814 5924431 1733947 2039452 248625524 123168656 122398170 125456868 96277961 95319096 3089376 3297355 17009133 16441997 9718401 10713626 15762955 14405875 325034056 347818522 22728234 24690316 54896740 52254809 866191 522909 10096558 9006891 88587723 86474925 X 228739587 254995499 6102205 4739605 1604541 1608493 236446333 261343597 325034056 347818522 X 24163126 4812837 -4078699 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 0 1 49026 49026 0 PART II-B, LINE 1: HIRED CONSULTANT TO PROVIDE LOBBYING SERVICES IN CONNECTION WITH GOVERNMENTAL AFFAIRS REPRESENTATION TO ENSURE HOSPITAL, COMMUNITY, AND EMPLOYEE INTERESTS AND NEEDS ARE REPRESENTED. BOZEMAN DEACONESS HEALTH SERVICES REIMBURSES CERTAIN PROFESSIONAL MEMBERSHIP DUES OF EMPLOYEES. A PORTION OF SUCH MEMBERSHIP DUES ARE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. 10913019 15645 1686800 219026 12396438 9765686 385183 873051 110901 10913019 9735942 398579 -284159 84676 9765686 8337197 383010 1071551 55816 9735942 7225497 36288 1087324 11912 8337197 0.74000 0.16000 0.10000 0 1 1 8474903 8474903 151090488 72516571 78573917 81910832 50652085 31258747 7149301 7149301 125456868 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 210000 DEPOSITS 8796891 9006891 X PART V, LINE 4: EACH ENDOWMENT FUND IS PRIVY TO A SEPARATE AGREEMENT. DONATIONS MADE FOR EACH PURPOSE SHALL BE RECEIVED, HELD, AND INVESTED BY THE BOZEMAN DEACONESS FOUNDATION ACCORDING TO ESTABLISHED POLICIES GOVERNING GIFT ACCEPTANCE, INVESTMENT, AND DISTRIBUTION. THE PRINCIPAL OF THE FUND SHALL BE RETAINED IN PERPETUITY. THE INTEREST INCOME IS UTILIZED FOR THE GREATEST NEEDS OF THE DESIGNATED DEPARTMENT. POLICY SAYS THE ORGANIZATION CAN USE A PORTION OF INTEREST FOR OPERATIONS. PART X, LINE 2: THE ORGANIZATION, WHICH INCLUDES THE HOSPITAL, CONSISTS OF MONTANA NONPROFIT CORPORATIONS AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. BOZEMAN DEACONESS REAL ESTATE DEVELOPMENT CORP. IS A FOR PROFIT ENTITY FOR WHICH INCOME TAXES ARE PROVIDED FOR THE TAX EFFECTS OF TRANSACTIONS REPORTED IN THE FINANCIAL STATEMENTS AND CONSIST OF TAXES CURRENTLY DUE PLUS DEFERRED TAXES. THERE WAS NO TAXABLE INCOME IN 2013 AND 2012. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE ORGANIZATION'S FEDERAL FORM 990T AND BOZEMAN DEACONESS REAL ESTATE DEVELOPMENT CORP.'S TAX FILINGS ARE NO LONGER SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. 1 1 X 1 X 1 X 1 1 1 0 1 1 8254088 418721 7835367 0.04320 10455868 7403048 3052820 0.01680 741186 1098450 -357264 0.00000 19451142 8920219 10530923 0.06000 650995 163217 487778 0.00270 47132 400 46732 0.00030 27697130 21277927 6419203 0.03540 413574 413574 0.00230 28808831 21441544 7367287 0.04070 48259973 30361763 17898210 0.10070 5592 5592 0.00000 2175 2175 0.00000 7767 7767 1 9937530 0 32296962 38929446 -6632484 X 1 0 1 1 BOZEMAN DEACONESS HOSPITAL 915 HIGHLAND BLVD BOZEMAN MT 59107 WWW.BOZEMANDEACONESS.ORG 12933 X X X BOZEMAN DEACONESS HOSPITAL 1 1 X X X X X X X X 12 1 0 1 X HTTP://WWW.BOZEMANDEACONESS.ORG/REPORTS X X X X X X X X X 1 0 1 1 150.000000000000 1 250.000000000000 1 X X X X X 1 1 X X X 1 0 X X X X 1 X 0 1 BOZEMAN DEACONESS HOSPITAL PART V, SECTION B, LINE 3: BDHS PARTNERED WITH GALLATIN CITY-COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH PARTNERS, A FEDERALLY QUALIFIED HEALTH CENTER IN GALLATIN AND PARK COUNTY. BOZEMAN DEACONESS HOSPITAL PART V, SECTION B, LINE 14G: MASH-WILL GIVE OUT OUR FINANCIAL APPLICATION AFTER DETERMINING PATIENT IS INELIGIBLE FOR FEDERAL AND STATE PROGRAMS.A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS ATTACHED TO BILLING INVOICES, POSTED IN PATIENT ADMISSIONS AREAS, AND PROVIDED TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY. BOZEMAN DEACONESS HOSPITAL PART V, SECTION B, LINE 22: ALL INDIVIDUALS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY ARE PROVIDED A DISCOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THE FINANCIAL ASSISTANCE POLICY DOES NOT APPLY TO ELECTIVE PROCEDURES. THEREFORE, FAP-ELIGIBLE PATIENTS WITHOUT INSURANCE MAY BE BILLED GROSS CHARGES ON ELECTIVE PROCEDURES. 5 DEACONESS INTERCITY IMAGING LLC 915 HIGHLAND BLVD BOZEMAN MT 59715 OUTPATIENT IMAGING CENTER ROCKY MOUNTAIN SURGERY CENTER LLC 1450 ELLIS ST SUITE 101 BOZEMAN MT 59715 OUTPATIENT SURGICAL CENTER HILLCREST SENIOR LIVING 1201 HIGHLAND BLVD BOZEMAN MT 59715 INDEPENDENT AND ASSISTED LIVING FACILITY HOSPICE OF SOUTHWEST MONTANA LLC 3810 VALLEY COMMONS DR STE 1 BOZEMAN MT 59715 HOSPICE SERVICES FAMILY DOCTORS URGENT CARE LLC 120 N 19TH AVENUE BOZEMAN MT 59715 OUTPATIENT HEALTH CARE PART I, LINE 3C: ANY INDIVIDUAL AND THEIR DEPENDENTS WHO ARE AT 150% OF THE FEDERAL POVERTY INCOME LEVEL OR BELOW WILL BE ELIGIBLE TO RECEIVE A 100% WRITE-OFF OF THE SELF-PAY PORTION OF INCURRED CHARGES, UPON COMPLETION OF AN APPLICATION. ANY UNINSURED INDIVIDUAL WITH INCOME UNDER 250% OF THE FEDERAL POVERTY GUIDELINES (FPG) WILL BE ELIGIBLE TO RECEIVE A DISCOUNT FROM CHARGES BASED ON CERTAIN GUIDELINES. COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION WILL BE REQUIRED. IN SOME CASES, FULL OR PARTIAL ASSISTANCE MAY BE PROVIDED TO INSURED INDIVIDUALS WITH GROSS FAMILY INCOMES ABOVE 250% OF THE FPG ADJUSTED FOR FAMILY SIZE. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE TO INDIVIDUALS WHO HAVE A LARGE BALANCE REMAINING AFTER ALL THIRD PARTY PAYMENTS HAVE BEEN TAKEN INTO ACCOUNT. THE BALANCE UNDER CONSIDERATION IS THAT AMOUNT WHICH IS DEEMED TO BE THE PATIENT'S FINANCIAL RESPONSIBILITY. IF SUCH RESPONSIBILITY IS GREATER THAN 50% OF THE FAMILY'S ANNUAL HOUSEHOLD INCOME, THE EXCESS AMOUNT WILL BE TREATED AS CATASTROPHIC FINANCIAL ASSISTANCE AND WRITTEN OFF OF THE PATIENT'S ACCOUNT. THIS ASSISTANCE IS AVAILABLE WITHOUT RESPECT TO THE FPG, BUT THEY MUST FOLLOW THE SAME PROCESS AS ALL OTHER PATIENTS SEEKING FINANCIAL ASSISTANCE BASED UPON FPG. ASSET TESTS ARE NOT USED FOR DETERMINING ANY LEVEL OF FINANCIAL ASSISTANCE. ALL DECISIONS REGARDING FINANCIAL ASSISTANCE ARE IN THE SOLE DISCRETION OF BDH. PRIOR TO PROVIDING SERVICES, BDH WILL MAKE AN EFFORT TO NOTIFY THE PATIENT REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE FOUND ON ITS WEBSITE AT WWW.BOZEMANDEACONESS.ORG/REPORTS. PART I, LINE 7: THE COST TO CHARGE RATIO FROM WORKSHEET 2 WAS USED TO OBTAIN THE COSTS RELATED TO CHARITY CARE, MEDICAID, AND OTHER MEANS-TESTED PROGRAMS. ALL OTHER BENEFITS WERE CALCULATED USING OUR INTERNAL COSTING SYSTEM. THIS SYSTEM ASSIGNS ALL DIRECT EXPENSES TO SEPARATE COST CENTERS (DEPARTMENTS) AND ACCOUNTS. INDIRECT COSTS ARE THEN ALLOCATED TO APPLICABLE DEPARTMENTS BASED ON APPROPRIATE STATISTICS. FOR EXAMPLE, ENGINEERING AND ENVIRONMENTAL SERVICES WOULD BE ALLOCATED BASED ON SQUARE FOOTAGE WHEREAS INFORMATION SYSTEMS AND BENEFITS ARE ALLOCATED BASED ON AN ACCUMULATED COST PERCENTAGE AS DETERMINED BY THE MEDICARE COST REPORT. OUR INTERNAL SYSTEM DOES RECORD PATIENT REVENUES BASED ON TYPE (INPATIENT VS. OUTPATIENT VS. EMERGENCY) AND PAYOR (MEDICAID, MEDICARE, COMMERCIAL, SELF-PAY, ETC.). RELATED COSTS ARE THEN DETERMINED BASED ON THE PRO-RATED SHARE AS A PERCENTAGE OF THE TOTAL. FOR EXAMPLE, IF MEDICAID COMPRISES 7% OF A DEPARTMENT'S REVENUE, MEDICAID EXPENSES ARE CALCULATED AT 7% OF THE TOTAL AS WELL. PART I, LINE 7G: AMOUNT OF COST ATTRIBUTABLE TO A PHYSICIAN CLINIC IS $26,422,576. ALL COSTS ASSOCIATED WITH A PROVIDER-BASED CLINIC OPERATIONAL DEPARTMENT WERE CONSIDERED PART OF THIS TOTAL. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR IS $9,572,008. PART II, COMMUNITY BUILDING ACTIVITIES: BOZEMAN DEACONESS HEALTH SERVICES PROVIDED LEADERSHIP DEVELOPMENT TO HEALTHCARE PROFESSIONALS THROUGH INVOLVEMENT ON THE BOARD OF THE MONTANA CHAPTER OF THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA). HFMA CONFERENCES PROVIDE LIVE EDUCATIONAL AND FORUM DISCUSSION OPPORTUNITIES FOR HEALTHCARE PROFESSIONALS TO DISCUSS POLICY AND PRACTICES AS WELL AS CHALLENGES IN THE FIELD. HFMA ALSO PROVIDES CONTINUAL SUPPORT THROUGH LIVE AND WEB-BASED TOPIC PRESENTATIONS THROUGHOUT THE YEAR.BDHS IS ALSO REPRESENTED THROUGH PARTICIPATION IN THE BOZEMAN KIWANIS CLUB, AN ORGANIZATION DEDICATED TO COMMUNITY SERVICE AND IMPROVING THE HOLISTIC HEALTH OF CHILDREN. PART III, LINE 4: BAD DEBT IS REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION AND INCLUDED JOINT VENTURES. BAD DEBT IS REPORTED BASED UPON ACTUAL BAD DEBT EXPENSE NET OF DISCOUNTS AND CONTRACTUAL ADJUSTMENTS, LESS RECOVERIES.THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSES IS LOCATED IN FOOTNOTE 1 ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ENTIRE AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT.THE MEDICARE SHORTFALL REPRESENTS A COST ABSORBED BY THE HOSPITAL AS A RESULT OF PROVIDING CARE TO MEDICARE PATIENTS. THE CONTRACT DRIVING THIS LOSS IS A NONDISCRETIONARY CONTRACT, AS IS PROVIDING THE SERVICES TO THIS POPULATION OF INDIVIDUALS. THE COST OF PROVIDING THIS BENEFIT TO THE COMMUNITY SHOULD BE REPORTABLE AS SUCH. MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES.FOR THE JOINT VENTURES, NET MEDICARE REVENUE WAS USED AS THE REVENUE RECEIVED, AND THAT PERCENTAGE OF TOTAL REVENUES WAS APPLIED AGAINST OPERATING EXPENSES TO DETERMINE RELATED COSTS. THE JOINT VENTURE PORTION OF THE SHORTFALL IS $712,105. PART III, LINE 9B: THE COLLECTION POLICY DOES NOT SPECIFICALLY ADDRESS THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. PART VI, LINE 2: A. UPDATES RELATED TO 2012 CHNATHE FOLLOWING UPDATES RELATE TO INITIATIVES/STRATEGIES TO ADDRESS NEEDS IDENTIFIED BASED ON THE 2012 CHNA CONDUCTED JOINTLY BY BOZEMAN DEACONESS HEALTH SERVICES (BDHS), GALLATIN CITY AND COUNTY HEALTH DEPARTMENT (GCCHD) AND COMMUNITY HEALTH PARTNERS (CHP).ACCESS TO SERVICES THE HEALTHY GALLATIN ACCESS COMMITTEE, FOR WHICH BDHS IS A PART OF, HAS MET MONTHLY FOR 1.5 HOURS EACH.MENTAL HEALTH SERVICES:* BOZEMAN DEACONESS HEALTH SERVICES CONTINUES TO PROVIDE HEALTH TEACHER FOR 16 SCHOOL DISTRICTS IN GALLATIN COUNTY. HEALTH TEACHER IS AN EVIDENCE-BASED CURRICULUM SUPPLEMENT THAT IS IN ALIGNMENT WITH THE NATIONAL HEALTH EDUCATION STANDARDS. THE UTILIZATION OF THE MENTAL HEALTH MODULE HAS INCREASED FROM 23% IN 2012 TO 35% IN 2013. ADDITIONALLY THE NUMBER OF TOTAL REGISTERED USERS HAS INCREASED FROM 85 IN 2011 TO 392 IN 2013.PREVENTIVE HEALTH SERVICES:* THE COMMUNITY CARE CONNECT (CCC) VAN CONTINUES TO EXPAND THE NUMBER OF SERVICE DAYS AND LOCATIONS. THESE NUMBERS ARE REFLECTED IN TERMS OF CLIENTS SERVED (50% INCREASE FROM 2012-2013), HEALTH SCREENINGS PROVIDED (70% INCREASE FROM 2012-2013) AND NUMBER OF VACCINATIONS GIVEN (30% INCREASE FROM 2012-2013). CCC PARTICIPATED IN THE GALLATIN COUNTY IMMUNIZATION AND ADULT WELLNESS DAY, FAMILY LIFE EXPO, PROJECT HOMELESS AND VETERANS STAND DOWN. THE MOBILE HEALTH SCREENING VAN PROVIDES FREE SCREENINGS FOR BREAST AND COLON CANCER, HEART DISEASE, STROKE, DIABETES, AND OBESITY SCREENINGS AS WELL AS FREE VACCINATIONS-TDAP - TETANUS & PERTUSSIS (WHOOPING COUGH), FLU (SEASONAL) AND PNEUMONIA VACCINATIONS. * BDHS HELPED DEVELOP, DESIGN AND PRINT RESOURCE GUIDES FOR SPANISH SPEAKERS. THE GUIDES ARE PRINTED AND DISTRIBUTED THROUGHOUT THE COUNTY TO VARIOUS HUMAN SERVICE ORGANIZATIONS, SOCIAL SECURITY ADMINISTRATION, THE GALLATIN COUNTY DETENTION CENTER, GALLATIN COUNTY PUBLIC SCHOOLS, LIBRARIES, FOOD BANKS, CITY HALLS, FAMILY DOCTORS URGENT CARE, THREE RIVERS MEDICAL CLINIC, COMMUNITY HEALTH PARTNERS MEDICAL AND DENTAL CLINICS, MSU STUDENT HEALTH SERVICES, AND TWO CATHOLIC CHURCHES. PLANS TO DISTRIBUTE TO MORE AREAS AND ORGANIZATIONS IN GALLATIN COUNTY (SUCH AS IN GALLATIN GATEWAY) ARE UNDERWAY. THE RESOURCE GUIDE WAS ALSO POSTED ON THE HEALTHY GALLATIN WEBSITE.* BDHS HEALTH SCREENING DAY, ANNUAL EVENT; 94 EMPLOYEES HELPED, OVER 480 ADULTS AND 135 CHILDREN ATTENDED THE FAIR. OFFERED ACCESS TO REDUCED PRICE BLOOD DRAWS AND FOBT'S AS WELL AS FREE PREVENTIVE SCREENINGS (BONE DENSITY, HEART MONITORING FACIAL SKIN CHECKS, GLUCOSE STICKS, OXIMETRY, BLOOD PRESSURE, ASTHMA, VISION, HEARING, ALLERGY, DEPRESSION, VASCULAR PRE-SCREENINGS AGILITY/MOBILITY)* BIG SKY HEALTH SCREENING DAY, ANNUAL EVENT; 4 EMPLOYEES HELPED, 25 ATTENDED THE FAIR. OFFERED ACCESS TO REDUCED PRICE BLOOD DRAWS AND FOBT'S AS WELL AS FREE PREVENTIVE SCREENINGS (BONE DENSITY, GLUCOSE STICKS, BLOOD PRESSURE, COPD, BMI)COLLABORATION OF HEALTH SERVICESTHE HEALTHY GALLATIN COLLABORATION COMMITTEE, FOR WHICH BDHS IS A PART OF, HAS MET MONTHLY FOR 1.5 HOURS EACH.* HEALTH INFORMATION COORDINATOR, ACTED AS A SYSTEM NAVIGATOR ON BEHALF OF BDHS. THE GOAL FOR THIS GROUP IS TO CREATE A NETWORK OF SYSTEMS NAVIGATORS IN MAJOR HEALTH AND HUMAN SERVICE ORGANIZATIONS THROUGHOUT THE COUNTY BY THE END OF 2013.* INCREASE THE NUMBER OF FIRST TRIMESTER REFERRALS FROM PRE-NATAL CARE PROVIDERS TO THE HEALTH DEPARTMENT'S PUBLIC HEALTH HOME VISITATION PROGRAM BY 30% BY 2015 (20 WOMEN REFERRED BY PROVIDERS) STAFF FROM THE GALLATIN CITY-COUNTY HEALTH DEPARTMENT AND THRIVE MET WITH THE PRESIDENT OF THE BOZEMAN DEACONESS HEALTH GROUP TO TALK ABOUT REFERRALS FROM PRE-NATAL CARE PROVIDERS.HEALTHY BEHAVIORSTHE HEALTHY GALLATIN HEALTHY BEHAVIORS COMMITTEE, FOR WHICH BDHS IS A PART OF, HAS MET 8 TIMES IN 2013.* TEN ORGANIZATIONS WERE REGULARLY REPRESENTED FROM THE DEVELOPMENT OF THE HEALTHY BEHAVIORS COMMITTEE. THESE ORGANIZATIONS INCLUDED: ALCOHOL AND DRUG SERVICES OF GALLATIN COUNTY, BELGRADE SCHOOL DISTRICT, BELGRADE YOUTH FORUM, BOZEMAN DEACONESS HEALTH SERVICES, BOZEMAN SCHOOL DISTRICT, CHILD CARE CONNECTIONS, COMMUNITY COALITION ON DRUGS AND ALCOHOL, GALLATIN CITY-COUNTY HEALTH DEPARTMENT, GALLATIN COUNTY TOBACCO USE PREVENTION PROGRAM, MONTANA NUTRITION AND PHYSICAL ACTIVITY PROGRAM, AND GALLATIN VALLEY YMCA. THREE COMMUNITY MEMBERS WITHOUT ORGANIZATIONAL AFFILIATION ALSO REGULARLY ATTENDED MEETINGS. THE MEETINGS INCLUDED DISCUSSIONS ON THE FORM AND STRUCTURE OF THE COALITION, RESEARCH ON EFFECTIVE COALITIONS IN OTHER COMMUNITIES, AND COLLECTION OF UP-TO-DATE DATA ON SUBSTANCE USE AND ABUSE IN OUR COMMUNITY. NO PROGRESS WAS MADE ON THIS STRATEGY.B. 2013 BDHS HEALTHCARE RESOURCES SURVEYIN AUGUST 2013, BDH CONDUCTED ITS 5TH HEALTHCARE RESOURCES SURVEY, A SCIENTIFIC HOUSEHOLD MAIL SURVEY OF RESIDENTS IN GALLATIN, MADISON, AND PARK COUNTIES TO HELP ASSESS RESIDENTS' HEALTH CARE PRIORITIES AND NEEDS IN COMMUNITIES THROUGHOUT THE AREA IN ORDER TO BETTER UNDERSTAND WHERE ADDITIONAL HEALTH FACILITIES MIGHT BE ESTABLISHED AND WHAT KINDS OF FACILITIES WOULD MAKE MOST SENSE. THIS SURVEY, DONE PREVIOUSLY IN 2010, 2008, 2006, AND 2003, IS CONDUCTED INDEPENDENTLY BUT SUPPLEMENTS INFORMATION GATHERED FROM THE 2012 CHNA. IT HELPS REVEAL RESIDENTS' PERCEPTIONS REGARDING THE FOLLOWING: 1) QUALITY OF CARE, 2) DEMAND FOR ADDITIONAL HEALTHCARE SERVICES, AND 3) COMMUNITY HEALTH INITIATIVES PROVIDED BY BOZEMAN DEACONESS.C. 2015 CHNA PLANNINGPLANNING FOR THE 2015 CHNA IS UNDERWAY. BDHS HAS MET WITH GALLATIN CITY-COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH PARTNERS TO DISCUSS THE UPCOMING CHNA. PART VI, LINE 3: BOZEMAN DEACONESS HOSPITAL IS DEEPLY COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS NEEDING, BUT UNABLE TO AFFORD, MEDICALLY NECESSARY HEALTH CARE SERVICES. BDH POSTS NOTICE OF ITS FINANCIAL ASSISTANCE POLICY IN ALL ADMITTING AREAS, AS WELL AS ON THE WEBSITE. AT THE EARLIEST FEASIBLE TIME, BDH WILL ATTEMPT TO DETERMINE WHETHER A PATIENT HAS THIRD PARTY COVERAGE FOR ANY PART OF THE HOSPITAL SERVICES PROVIDED. IF A PATIENT DOES NOT HAVE THIRD PARTY COVERAGE, A PATIENT ADVOCATE FROM THE MASH PROGRAM WILL SCREEN ALL INPATIENT CASES AND ANY OUTPATIENT CASES EXCEEDING $1,000 IN TOTAL CHARGES TO DETERMINE IF THE PATIENT QUALIFIES FOR THIRD PARTY FUNDING. IF NOT, THE PATIENT ADVOCATE WILL EXPLAIN THE FINANCIAL ASSISTANCE POLICY AND GIVE THE PATIENT AN APPLICATION IF DESIRED. IN CIRCUMSTANCES WHERE PAYMENT IN FULL WILL CAUSE FINANCIAL HARDSHIP THAT WILL SIGNIFICANTLY HARM THE PATIENT OR PATIENT'S FAMILY, THE APPLICANT MAY BE ASKED TO VISIT WITH CONSUMER CREDIT COUNSELING SERVICES TO FURTHER REVIEW THEIR FINANCIAL SITUATIONS. UPON REQUEST, PATIENTS MAY BE ASKED TO COMPLETE AN APPLICATION FOR MEDICAID PARTICIPATION OR FOR COVERAGE BY OTHER GOVERNMENTAL PAYMENT PROGRAMS. PATIENT BILLS ALSO CONTAIN BILLING INFORMATION EXPLAINING FINANCIAL OPTIONS AND PROVIDE CONTACT INFORMATION TO THE APPROPRIATE RESOURCES. PART VI, LINE 4: BOZEMAN DEACONESS HEALTH SERVICES MAINTAINS A 3 COUNTY SERVICE AREA OF GALLATIN, PARK, AND MADISON COUNTIES. THE TOTAL SERVICE AREA REPRESENTS A POPULATION OF APPROXIMATELY 118,000 BASED ON THE 2013 ANNUAL POPULATION ESTIMATES FROM THE CENSUS BUREAU. BDHS IS THE ONLY HOSPITAL FACILITY IN GALLATIN COUNTY, ITS PRIMARY SERVICE AREA. THERE ARE 94,720 RESIDENTS ESTIMATED FOR GALLATIN COUNTY WHO REPRESENT AROUND 77% OF BDHS' INPATIENT ADMISSIONS MARKET SHARE. BDHS CONSIDERS BOTH PARK AND MADISON COUNTIES, WITH EACH HAVING A CRITICAL ACCESS HOSPITAL, AS SECONDARY SERVICE AREAS. IT IS ESTIMATED THAT PARK COUNTY HAS 15,682 RESIDENTS, WHILE MADISON COUNTY HAS 7,712. THESE TWO COUNTIES REPRESENT 9.5% OF BDHS' INPATIENT MARKET SHARE POPULATION. PART VI, LINE 5: AS A SOLE COMMUNITY HOSPITAL, BOZEMAN DEACONESS HEALTH SERVICES IS COMMITTED TO PROVIDING QUALITY CARE AND PROMOTING HEALTH TO THE VERY COMMUNITY THAT SUPPORTS US. OUR GOVERNING BODY IS REPRESENTED BY INDIVIDUALS OF OUR COMMUNITY, WITH ALL BUT ONE BEING INDEPENDENT TO OUR ORGANIZATION. TO ENSURE IMMEDIATE ACCESS TO CARE, BDHS HAS AN OPEN MEDICAL STAFF AND REQUIRES EACH MEDICAL STAFF MEMBER TO CARE FOR ANYONE PRESENTING A NEED FOR CARE IN THE EMERGENCY DEPARTMENT. WE ALSO DEVOTE A SIGNIFICANT AMOUNT OF SURPLUS FUNDS TO MAINTAINING A HIGH LEVEL OF PATIENT CARE THROUGH QUALITY INITIATIVES AND TECHNOLOGY INVESTMENTS.BDHS GIVES BACK TO ITS COMMUNITY THROUGH COMMUNITY BENEFIT OPPORTUNITIES, WHICH AT JUST UNDER $18 MILLION COMPRISED 9.9% OF OUR TOTAL OPERATING EXPENSES IN 2013.VARIOUS EMPLOYEES, PHYSICIANS, ADMINISTRATORS, AND BOARD MEMBERS OF THE HOSPITAL ARE ACTIVELY INVOLVED IN VOLUNTEER ROLES INCLUDING COMMUNITY BOARD POSITIONS IN NUMEROUS OTHER ACTIVITIES, GROUPS, AND ORGANIZATIONS THAT ACTIVELY PROMOTE THE HEALTH OF THE COMMUNITY. PART VI, LINE 6: BOZEMAN DEACONESS HEALTH SERVICES OWNS A MAJORITY INTEREST IN ADVANCED MEDICAL IMAGING AND ROCKY MOUNTAIN SURGERY CENTER. THESE ORGANIZATIONS HOLD SIMILAR POLICIES REGARDING PROVIDING CARE TO ALL MEMBERS OF THE COMMUNITY AND OFFERING FINANCIAL ASSISTANCE AS DETERMINED BY ABILITY TO PAY. 1 WESTERN MONTANA MENTAL HEALTH CENTER BLDG T-9 FORT MISSOULA RD MISSOULA MT 59804 810307814 501(C)(3) 240500 SUPPORT COMMUNITY HEALTH CRISIS PROGRAMS WITHIN OUR SERVICE AREA GREATER GALLATIN UNITED WAY 945 TECHNOLOGY BLVD 101F BOZEMAN MT 59718 810384820 501(C)(3) 50000 SUPPORT HUMAN SERVICE NEEDS WITHIN OUR SERVICE AREA COMMUNITY HEALTH PARTNERS 126 S MAIN STREET LIVINGSTON MT 59047 841420492 501(C)(3) 25000 SUPPORT COMMUNITY HEALTH PROGRAMS WITHIN OUR SERVICE AREA NAMI MONTANA 616 HELENA AVE 218 HELENA MT 59601 810441706 501(C)(3) 25000 SUPPORTING, EDUCATING, AND ADVOCATING FOR MONTANANS WHO LIVE WITH SERIOUS MENTAL ILLNESS AND THEIR FAMILIES 4 0 PART I, LINE 2: RECIPIENTS OF GRANTS AND ASSISTANCE PREPARE INFORMATIONAL REPORTS SUBSTANTIATING THE USE OF THE FUNDS THAT WERE EARMARKED TO SUPPORT COMMUNITY HEALTH PROGRAMS. INVOLVEMENT OF BOZEMAN DEACONESS HEALTH SERVICES STAFF AND/OR ADMINISTRATION AS VOLUNTEERS IN THE ACTIVITIES BEING SUPPORTED ALSO ENSURES PROPER USAGE OF FUNDS. X 1 1 X X X X 0 0 0 0 0 1 0 1 0 JOHN ROBBINS MD TREASURER/DOCTOR 112069 0 14858 0 377 0 33718 0 14710 0 175732 0 0 0 KEVIN PITZER CEO/PRESIDENT 270630 0 63398 0 2428 0 0 0 13207 0 349663 0 0 0 GORDON DAVIDSON CFO/VP FINANCE/INTERIM CEO 270200 0 111123 0 13859 0 40132 0 16359 0 451673 0 0 0 ELIZABETH LEWIS SENIOR VP OPERATIONS/LEGAL 217165 0 43086 0 15375 0 37341 0 16359 0 329326 0 0 0 HUGH HETHERINGTON MD DOCTOR 485438 0 96556 0 828 0 33615 0 25402 0 641839 0 0 0 ANNE CASTILLO MD DOCTOR 563615 0 5000 0 1548 0 15300 0 1496 0 586959 0 0 0 JACK HENSOLD MD DOCTOR 507476 0 3333 0 2376 0 36686 0 19463 0 569334 0 0 0 DANE SOBEK MD DOCTOR 556584 0 75000 0 360 0 35642 0 19652 0 687238 0 0 0 BLAIR ERB MD DOCTOR 571444 0 100000 0 1548 0 15300 0 22292 0 710584 0 0 0 JOHN NORDWICK FORMER CEO/PRESIDENT 0 0 0 0 148472 0 0 0 12403 0 160875 0 148472 0 PART I, LINE 1A PER CONTRACT, THE CEO IS REIMBURSED FOR TWO BUSINESS TRIPS PER YEAR WHERE HIS SPOUSE ACCOMPANIES HIM. THESE ARE REPORTED AS TAXABLE COMPENSATION. PART I, LINE 6 A PHYSICIAN LISTED IN PART VII, SECTION A, RECEIVES INCENTIVE COMPENSATION BASED ON ACTUAL RELATIVE VALUE UNIT'S (RVU'S) PRODUCED IN EXCESS OF TARGETS. THE TOTAL OF THE INCENTIVE IS CALCULATED BY TAKING THE EXCESS RVU'S TIMES A RVU CONVERTER. THE RVU CONVERTER IS BASED UPON NET EARNINGS FROM SERVICES PROVIDED BY THE PHYSICIAN. PART I, LINE 7 THE BOARD ESTABLISHES GOALS EACH YEAR AND IF MET, THERE IS COMPENSATION TIED TO THEM. ALL SUCH COMPENSATION IS REVIEWED BY THE INDEPENDENT COMPENSATION SPECIALISTS. INCENTIVE COMPENSATION IS DETERMINED BY ACHIEVING FINANCIAL PERFORMANCE IN EXCESS OF BUDGETED PERFORMANCE, AND ACHIEVING PRE-DETERMINDED GOALS DEALING WITH PATIENT QUALITY, PATIENT SATISFACTION AND EMPLOYEE SATISFACTION. THIS APPLIES TO ALL SENIOR ADMINISTRATION AND ALL PHYSICIANS (WITH ONE EXCEPTION DESCRIBED IN SCHEDULE J, PART I LINE 6A) THAT RECEIVES COMPENSATION AND INCLUDES INCENTIVE COMPENSATION REFLECTED IN PART II, COLUMN B(II). A MONTANA FACILITY FINANCE AUTHORITY 810302402 61204JAW4 2004-03-01 12591558 FUND NEW BUILDING IV ADDTN BOZEMAN DEACONESS CAMPUS & REFUND 6/10/93 BONDS 0 0 0 B MONTANA FACILITY FINANCE AUTHORITY 810302402 621043CZ0 2005-09-21 28001371 FUND ADDTN TO HILLCREST & DEFEASE 3/28/00 HILLCREST CONSTRUCTION BONDS 0 0 0 C MONTANA FACILITY FINANCE AUTHORITY 364615155 61204EAH8 2010-04-22 6645000 REFINANCING OF 1998 BOND DEBT ISSUED 9/2/1998 0 0 0 D MONTANA FACILITY FINANCE AUTHORITY 810302402 61204MAS6 2011-09-28 20680164 TO FUND STRUCTURE AND EQUIPMENT OF NEW ER, ACQUISITION OF LEGACY CONDOS 0 0 0 A 6435000 12616746 741783 25188 297573 7033560 4518540 2005 1 0 1 1 B 4755000 28220708 1896340 213865 345919 7152476 18612108 2006 0 1 1 1 C 2360000 6645000 137988 6507012 2010 1 0 1 1 D 1415000 20693206 11797 421184 20258980 2013 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 0 0 0 0 0 1 D 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2013 ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2010 FORM 990, PART VI, SECTION A, LINE 7A THE YELLOWSTONE CONFERENCE OF THE METHODIST CHURCH CONFIRMS THE BOARD MEMBERS AND HAS AUTHORITY TO APPOINT THE CLERGY MEMBER OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B CHANGING THE ARTICLES OF INCORPORATION IN RELATIONSHIP TO THE PROCESS OF SELECTING BOARD MEMBERSHIP MUST BE APPROVED BY THE YELLOWSTONE CONFERENCE OF THE UNITED METHODIST CHURCH. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE WILL REVIEW FORM 990 IN DETAIL AND WILL MAKE A RECOMMENDATION TO THE FULL BOARD FOR APPROVAL BEFORE FILING OF THE FORM 990. THE CFO REVIEWS THE FORM 990 AT A HIGHER LEVEL WITH THE BOARD BEFORE APPROVAL IS GRANTED. FORM 990, PART VI, SECTION B, LINE 12C IN-HOUSE COUNSEL IDENTIFIES POTENTIAL CONFLICTS FROM ANNUAL DISCLOSURES AND INFORMS THE BOARD CHAIR. THE BOARD CHAIR DISCUSSES THE CONFLICT AND DECIDES WHETHER THE CONFLICT IS OF SUCH A NATURE TO EXCLUDE THE CONFLICTED PARTY FROM DISCUSSION AND/OR VOTE. THIS POLICY COVERS ALL BOARD MEMBERS, OFFICERS, SENIOR ADMINISTRATION, AND KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE RECEIVES A FORMAL PRESENTATION BY AN INDEPENDENT COMPENSATION CONSULTANT (AS SELECTED BY THE BOARD) QUALIFIED TO PERFORM COMPENSATION REVIEWS INCLUDING USAGE OF COMPARABILITY DATA. THIS PERSON PRESENTS RECOMMENDATIONS TO THE COMPENSATION COMMITTEE OF THE BOARD. THE COMPENSATION COMMITTEE MAKES RECOMMENDATIONS TO THE FULL BOARD ON AN ANNUAL BASIS FOR OFFICERS AND SENIOR ADMINISTRATION. THIS ANNUAL PROCESS WAS PERFORMED IN FALL 2012 TO DETERMINE 2013 COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ALL TAX RELATED INFORMATION REQUIRED TO BE AVAILABLE FOR PUBLIC INSPECTION ARE AVAILABLE VIA WALK-IN, TELEPHONE CALL, E-MAIL, AND/OR MAIL-IN REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE REQUIRED TO BE ATTACHED TO THE FORM 990 AND PROVIDED TO THE MUNICIPAL SECURITIES RULEMAKING BOARD, WHICH IS OUR TAX-EXEMPT BONDS TRUSTEE, VIA AN ON-LINE, CENTRAL FILING LOCATION CALLED ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA). THE FINANCIAL STATEMENTS CAN BE OBTAINED BY THE GENERAL PUBLIC AT THE EMMA WEBSITE. FORM 990, PART XI, LINE 9: TRANSFERS TO RELATED PARTIES -4,078,699. 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