2012-04-30T14:26:03-05:00 2011-06-30 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2010-07-01 550562976 GRANT MEMORIAL HOSPITAL GRAN 3042575802 PO BOX 1019 PETERSBURG WV 26847 JOE A BARNES 3042575802 2012-04-25 1 JULIUS GREEN CPA 2159720701 2010 2016-02-24 21:20:13Z JOE A BARNES CPA PO BOX 1019 PETERSBURG WV 26847 28201386 0 X WWW.GRANTMEMORIAL.COM X 1957 WV TAX-EXEMPT HOSPITAL DEDICATED TO SERVICING THE COUNTIES OF GRANT, HARDY & PENDLETON IN WEST VIRGINIA. 14 13 401 30 0 0 382679 446476 26066213 26867329 272559 247966 437591 541224 27159042 28102995 0 0 0 0 12357460 12850724 0 0 0 14819029 15529958 27176489 28380682 -17447 -277687 21018739 21029038 5784584 6072570 15234155 14956468 X GRANT MEMORIAL HOSPITAL IS A REGIONAL PROVIDER OF QUALITY, COST EFFECTIVE HEALTH CARE SERVICE RESPONSIVE TO THE COMMUNITY NEED AND SUPPORTED BY INNOVATIVE EFFORTS WITH OTHERS. THE VISION OF GRANT MEMORIAL HOSPITAL, BASED UPON DEFINED OBJECTIVES OF PATIENT AND COMMUNITY SERVICE, IT IS TO BE THE LEADER IN PROVIDING THE HIGHEST QUALITY SERVICE AS EFFICIENTLY AS POSSIBLE BASED ON ASSESSED NEEDS. 0 0 24687608 0 26867329 INPATIENT ACUTE SERVICES INCLUDING OBSTETRICS, SPECIAL CARE, NURSING FACILITY AND OUTPATIENT SERVICES TO THE RESIDENTS OF THE RURAL COUNTIES OF GRANT, HARDY AND PENDLETON COUNTIES LOCATED IN EASTERN WEST VIRGINIA. THE CLOSEST HOSPITALS ARE APPROXIMATELY 1.25 TO 1.5 HOURS FROM GRANT MEMORIAL HOSPITAL. DURING THE YEAR THE HOSPITAL HAD 4,813 PATIENT DAYS, 572 OBSTETRIC PATIENT DAYS, 539 SPECIAL CARE DAYS, 472 NURSERY PATIENT DAYS, 2,776 NURSING FACILITY PATIENT DAYS AND 54,841 OUTPATIENT VISITS EXCLUDING EMERGENCY ROOM.24/7 EMERGENCY ROOM COVERAGE AS MENTIONED ABOVE, OTHER AREA HOSPITALS ARE LOCATED SIGNIFICANT DISTANCES FROM GRANT MEMORIAL HOSPITAL. THE HOSPITAL IS LOCATED IN THE MOUNTAINS OF EASTERN WEST VIRGINIA, SO DRIVING TIMES CAN BE SIGNIFICANTLY LONGER DURING WINTER MONTHS. THE HOSPITAL'S EMERGENCY DEPARTMENT TREATED 12,588 PATIENTS DURING THE YEAR. 24687608 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 116 0 1 401 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 0 1 0 1 0 WV X JOE A BARNES CHIEF FINANCIAL OFFI 3042575802 ONE HOSPITAL DRIVE PETERSBURG WV 26847 JANIE BERG 1.00 X 0 0 0 REV LARRY CANTU 1.00 X X 0 0 0 ROBERT CHEHI 1.00 X 0 0 0 JIM COLE 1.00 X 0 0 0 CYNTHIA HARMAN 1.00 X 0 0 0 MATT HARPER 1.00 X 0 0 0 STEPHEN THOMPSON DO 1.00 X 0 0 0 ALAN KILE SR 1.00 X 0 0 0 TOM KIMBLE 1.00 X 0 0 0 RALPH SITES 1.00 X 0 0 0 JASON SITES 1.00 X 0 0 0 JANET FRYE 1.00 X 0 0 0 MARK WRIGHT 1.00 X 0 0 0 MARY BETH BARR 40.00 X X 105160 0 18501 JOE A BARNES 40.00 X 115477 0 22540 JOHN L HAHN MD 40.00 X 721587 0 33319 SUSAN A SCHMITT MD 40.00 X 105972 0 18762 BRENTON R HARMAN 40.00 X 105649 0 33808 DAVID W BROSH 40.00 X 102950 0 33275 ROBERT L HARMAN 40.00 X 166194 0 25306 1422989 0 185511 7 1 1 0 RELIABLE HEALTHCARE LLC 3120 UNIVERSITY AVENUE MORGANTOWN WV 26505 ER PHYSICIAN 1690000 US MOBILE IMAGING LLC PO BOX 808 CUMBERLAND MD 21501 MRI 715835 PULMONARY ASSOCIATES INC 96 WEST MAIN STREET ROMNEY WV 26757 RESPIRATORY THERAPY 439156 JAMES F PEET PO BOX 10 PETERSBURG WV 26847 CRNA 237950 AUREUS RADIOLOGY LLC PO BOX 3037 OMAHA NE 68103 RADIOLOGY 221764 7 446476 446476 PATIENT REVENUE 621400 26867329 26867329 26867329 243491 243491 246953 97361 149592 149592 149592 5505 1030 4475 4475 4475 MEDICAL SUPPLIES 900099 161466 161466 CAFETERIA 722210 144571 144571 ADMINISTRATIVE CASE MA 900099 49168 49168 36427 36427 391632 28102995 26867329 0 789190 453178 453178 9277015 9277015 456910 373178 83732 1972242 1665003 307239 691379 564679 126700 6403 6403 97158 97158 5660757 4623382 1037375 46812 38233 8579 372877 304545 68332 814521 665254 149267 13430 10969 2461 47260 38599 8661 110696 90410 20286 1250635 1021447 229188 511758 511758 SUPPLIES 4607921 3763486 844435 0 REPAIRS AND MAINTENANCE 833246 680548 152698 0 LICENSES AND TAXES 625086 625086 0 0 FOOD 232911 190228 42683 0 EQUIPMENT RENTAL 89574 73159 16415 208913 170629 38284 28380682 24687608 3693074 0 960029 19334 783283 2798853 5150442 5421051 623595 658636 257899 282133 29744475 21666429 7930908 8078046 4495647 3439537 112242 112242 704694 219206 21018739 21029038 2730197 2733468 8853 2153 1940000 1785000 992478 813400 113056 738549 5784584 6072570 X 15234155 14956468 15234155 14956468 21018739 21029038 -277687 0 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5152 5152 0 PART IV, SUPPLEMENTAL INFORMATION: GRANT MEMORIAL HOSPITAL PAYS MEMBERSHIP DUES TO AMERICAN HOSPITAL ASSOCIATION, WEST VIRGINIA HOSPITAL ASSOCIATION AND AMERICAN HEALTH CARE ASSOCIATION WHERE A PERCENTAGE OF THE DUES PAID ARE USED FOR LOBBYING EXPENSES. 70684 70684 15301153 10143225 5157928 12890368 11135984 1754384 1482270 387220 1095050 8078046 INVESTMENTS 3439537 F 3439537 ESTIMATED MALPRACTICE INSURANCE 100000 ESTIMATED THIRD PARTY SETTLEMENTS 638549 738549 28102995 28380682 -277687 0 -277687 28061992 -138365 -138365 28200357 -97362 -97362 28102995 28339679 97362 97362 28242317 138365 138365 28380682 PART XII, LINE 2D - OTHER ADJUSTMENTS: INTEREST EXPENSE -138,365. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -97,362. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 97,362. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE 138,365. 1 1 1 X 1 X 1 1 1 1 1 1 1 1062525 1062525 0.03740 2818902 3550497 -731595 0.00000 1 3881427 3550497 330930 0.03740 1 3881427 3550497 330930 0.03740 731870 83970 647900 0.02280 731870 83970 647900 0.02280 0 1272586 9575572 10417153 -841581 X 1 1 1 LHC GROUP PROVIDES HOME CARE AND HOSPICE SERVICES 0.33000 0.00000 0.00000 1 1 GRANT MEMORIAL HOSPITAL

PO BOX 1019 PETERSBURG WV 26847

X X X X 25 BED ACUTE & 20 BED SKILLED/NF GRANT MEMORIAL HOSPITAL 1 1 X X X X X X X X 09 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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 HISTORICAL 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 OF BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE AND COLLATERAL IS NOT REQUIRED. THE COST OF THE PROVISION FOR BAD DEBTS WAS ESTIMATED BY A COST-TO-CHARGE RATIO THAT IS DETERMINED BASED UPON MEDICARE PRINCIPLES OF REIMBURSEMENT. CHARITY CARE IS IDENTIFIED ON THE FRONT-END PROVIDED THE PATIENT SUPPLIES THE HOSPITAL WITH NECESSARY INFORMATION TO MAKE THE DETERMINATION THAT HE/SHE WILL QUALIFY FOR CHARITY CARE. ONCE A PATIENT HAS BEEN IDENTIFIED AS QUALIFYING FOR CHARITY CARE, ALL COLLECTION ACTIVITIES CEASE. PART III, LINE 8: GRANT MEMORIAL HOSPITAL HAS BEEN CERTIFIED BY THE MEDICARE/MEDICAID PROGRAMS AS A CRITICAL ACCESS HOSPITAL (CAHS). WHEN THIS CERTIFICATION IS GIVEN TO A HOSPITAL, THE MEDICARE/MEDICAID PROGRAMS HAVE DEEMED THAT A SMALL/RURAL HOSPITAL IS ESSENTIAL TO SERVE THE HEALTH NEEDS OF CAHS SERVICE AREA. DUE TO THE RURAL NATURE WHERE CAHS ARE LOCATED, CAHS ARE NOT REQUIRED TO PROVIDES 24/7 EMERGENCY ROOM PHYSICIAN COVERAGE. IT IS ONLY REQUIRED TO BE STAFFED BY PHYSICIANS WHO ARE ON "CALL". HOWEVER, TO BETTER MEET THE HEALTHCARE NEEDS OF THE HOSPITAL'S SERVICE AREA, THE HOSPITAL HAS ELECTED TO PROVIDE 24/7 EMERGENCY ROOM COVERAGE. DUE TO THE LOW VOLUME OF PATIENTS THAT ARE SEEN IN THE EMERGENCY ROOM (APPROXIMATELY 12,000 PER YEAR), THE HOSPITAL HAS BEEN UNABLE TO LOCATE PHYSICIANS WHO WILL PROVIDE THIS COVERAGE BASED SOLELY ON PATIENT BILLINGS. CONSQUENTLY, THE HOSPITAL HAS TO SUBSIDIZE THIS COST AT THE RATE OF $195 PER HOUR. IN ADDITION, THE VAST MAJORITY OF THE VISITS RENDERED ARE NOT EMERGENT TYPE VISITS BUT ARE CLINICAL VISITS THAT THE HOSPITAL IS PROVIDING BECAUSE MANY OF THE AREA PHYSICIAN PRACTICES ARE CLOSED. PART III, LINE 9B: AS HAS BEEN DESCRIBED ABOVE, THE HOSPITAL'S COLLECTION POLICY STATES THAT PATIENTS THAT CAN QUALIFY AS CHARITY ARE IDENTIFIED AS SOON AS POSSIBLE, AND IF THEY DO QUALIFY, ALL COLLECTION ACTIVITIES CEASE. IT IS THE BOARD'S FEELING, THAT IF PATIENTS DO NOT HAVE THE ABILITY TO PAY FOR SERVICES, THEN NO COLLECTION ACTIVITIES SHOULD BE CONDUCTED. THIS MANDATE IS CLEARLY EVIDENT IN THE HOSPITAL'S COLLECTION POLICY. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PREPARED BY GRANT MEMORIAL HOSPITAL. PART VI, LINE 2: DURING THE PROCESS OF BECOMING CERTIFIED AS A CRITICAL ACCESS HOSPITAL IN 2009, THE HOSPITAL CONDUCTED A FORMAL "COMMUNITY NEEDS ASSESSMENT". DURING THIS PROCESS, NOT ONLY WAS DEMOGRAPHIC INFORMATION OBTAINED TO IDENTIFY UNMET MEDICAL NEEDS, BUT LOCAL PROVIDERS OF HEALTHCARE SERVICES AND COMMUNITY LEADERS WERE INTERVIEWED AS TO WHAT THEIR PERCEPTION WAS REGARDING UNMET NEEDS IN THE AREA THAT INCLUDED GRANT, HARDY AND PENDLETON COUNTIES IN WEST VIRGINIA. IN ACCORDANCE WITH RECENT REGULATIONS, THE HOSPITAL WILL BE CONDUCTING THESE ASSESSMENTS EVERY THREE YEARS. THIS ASSESSMENT IS AVAILABLE TO THE PUBLIC. PART VI, LINE 3: WHENEVER A PATIENT PRESENTS THEMSELVES FOR SERVICE WHO DO NOT HAVE INSURANCE COVERAGE, THE HOSPITAL REQUESTS THAT A CHARITY CARE APPLICATION BE COMPLETED AND RETURNED TO THE HOSPITAL ALONG WITH ALL DOCUMENTATION NEEDED TO SUPPORT INCOME AMOUNTS THAT WILL BE USED TO DETERMINE IF AND HOW MUCH CHARITY ASSISTANCE THE PATIENT MAY QUALIFY. THE HOSPITAL USES THE CURRENT FEDERAL POVERTY GUIDELINES TO MAKE THIS DETERMINATION. IF THE PATIENT DOES QUALIFY FOR COMPLETE OR PARTIAL CHARITY ASSISTANCE, ALL COLLECTION ACTIVITIES CEASE ON THOSE AMOUNTS THAT HAVE BEEN DEEMED TO BE CHARITY. IF THE PATIENT IS RESPONSIBLE FOR A PORTION OF THE BALANCE, THE HOSPITAL DOES HAVE PAYMENT SCHEDULES TO ASSIST THE PATIENT IN MEETING HIS/HER FINANCIAL OBLIGATIONS. AT THE TIME THE CHARITY APPLICATION IS BEING PREPARED, THE HOSPITAL REQUIRES THAT THE PATIENT APPLY FOR MEDICAID COVERAGE AT THE LOCAL WELFARE OFFICE.IN CONNECTION FOR SERVICES PROVIDED IN THE HOSPITAL'S EMERGENCY ROOM, NO FINANCIAL INFORMATION IS OBTAINED UNTIL AFTER THE PATIENT HAS BEEN TRIAGED BY AN RN AND SEEN BY A PHYSICIAN. ACCORDING TO EMTALA, A FEDERAL LAW REGARDING TREATMENT IN EMERGENCY ROOMS, FINANCIAL INFORMATION COULD BE OBTAINED AFTER BEING TRIAGED BY AN RN. CONSEQUENTLY, THE HOSPITAL'S POLICY FOLLOWS A MORE RESTRICTIVE POLICY THAN IS MANDATED BY EMTALA. IN A TRUE EMERGENCY SITUATION, NO FINANCIAL INFORMATION IS REQUESTED UNTIL AFTER THE PATIENT HAS BEEN STABILIZED. PART VI, LINE 4: THE HOSPITAL IS LOCATED IN THE POTOMAC HIGHLANDS IN THE MOUNTAINS OF THE EASTERN PANHANDLE OF WEST VIRGINIA. THE CLOSEST HOSPITALS ARE LOCATED APPROXIMATELY 1 1/2 HOURS AWAY DURING GOOD WEATHER. DURING THE WINTER, IT TYPICALLY WILL TAKE MUCH LONGER DEPENDING ON WEATHER CONDITIONS. THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPOSED OF THE WEST VIRGINIA COUNTIES OF GRANT, HARDY AND PENDLETON. THE TOTAL POPULATION OF THE THREE COUNTIES COMBINED IS APPROXIMATELY 30,000. DUE TO THE DISTANCE FROM OTHER AREA HOSPITAL, THE HOSPITAL DOES PROVIDE OB/GYN SERVICES EVEN THOUGH THE NUMBER OF DELIVERIES WERE 255 WITH THE VAST MAJORITY OF THESE BEING FROM WOMEN COVERED UNDER THE MEDICAID PROGRAM. IN ADDITION, DUE TO THE LACK OF MOBILITY OF THE AGED AND THE FACT THAT FAMILY MEMBERS NO LONGER LIVE IN THE AREA, THE ELDERLY POPULATION IS DEPENDENT UPON THE HOSPITAL FOR THE PROVISION OF HEALTHCARE SERVICES.THE ECONOMY IS PRIMARILY AGRICULTURAL, HARDWOOD MANUFACTURING AND POULTRY PROCESSING. THE MAJOR EMPLOYERS ARE (POULTRY PROCESSING PLANTS) AND TWO HARDWOOD COMPANIES, THE VARIOUS BOARDS OF EDUCATION AND THE HOSPITAL. DURING THE LAST COUPLE OF YEARS THERE HAVE BEEN SIGNIFICANT REDUCTIONS IN STAFF AT BOTH HARDWOOD COMPANIES.SINCE THE HOSPITAL IS A POLITICAL SUB-DIVISION OF GRANT COUNTY, THE BOARD MEMBERS ARE APPOINTED BY THE GRANT COUNTY COMMISSION FOR ALL THREE COUNTIES. EACH OF THE BOARD MEMBERS LIVE IN EACH OF THE MAGISTERIAL DISTRICTS FOR EACH OF THE THREE COUNTIES. A FEW YEARS AGO, IT WAS DECIDED THAT BOARD REPRESENTATION SHOULD INCLUDE HARDY AND PENDLETON COUNTIES AS WELL AS GRANT COUNTY. UNDER WEST VIRGINIA LAW, THE COMPOSITION OF THE BOARD MUST REPRESENT A BROAD SECTION OF HOSPITAL'S SERVICE AREA. AS A RESULT, OCCUPATIONS OF THE BOARD MEMBERS ARE BANKERS, LAWYERS, EDUCATORS, SMALL BUSINESS, PASTORS AND UNION MEMBERS. PART VI, LINE 6: THE HOSPITAL HAS PARTICIPATED IN A PROGRAM WHERE MEDICAL STUDENTS BOTH PHYSICIANS AND OTHER HEALTH PROFESSIONALS DO RURAL ROTATIONS AT THE HOSPITAL. THIS PROVIDES NOT ONLY TRAINING FOR THESE MEDICAL STUDENTS BUT THE GOAL IS THAT THE STUDENTS WILL ELECT TO RELOCATE TO THE TRI-COUNTY AREA.AS HAS BEEN STATED ELSEWHERE, THE HOSPITAL DOES CONDUCT BLOOD SCREENINGS THROUGHOUT THE TRI-COUNTY AREA AT EITHER A REDUCED OR NO COST TO THE RESIDENTS. THIS IS ONE OF THE MAJOR PROCEDURES THAT CAN BE USED TO IDENTIFY HEALTH PROBLEMS. PART VI, LINE 7: ALTHOUGH NOT ACTUALLY OWNED BY VALLEY HEALTH SYSTEM LOCATED IN WINCHESTER, VIRGINIA, AS PART OF BECOMING CERTIFIED AS A CAH, THERE IS A FORMAL NETWORK BETWEEN THE TWO HOSPITALS. THE VAST MAJORITY OF THE MEDICAL SERVICES THAT CANNOT BE PROVIDED BY THE HOSPITAL ARE TRANSFERRED TO VALLEY HEALTH SYSTEM. OTHER HOSPITALS IN WHICH PATIENTS ARE TRANSFERRED TO ARE WEST VIRGINIA UNIVERSITY LOCATED IN MORGANTOWN, WEST VIRGINIA, ROCKINGHAM MEMORIAL HOSPITAL LOCATED IN HARRISONBURG, VIRGINIA AND THE UNIVERSITY OF VIRGINIA MEDICAL CENTER LOCATED IN CHARLOTTESVILLE, VIRGINIA. REPORTS FILED WITH STATES PART VI, LINE 7 WV X X X 0 0 0 1 0 0 0 0 0 JOHN L HAHN MD 325497 0 396090 0 0 0 0 0 33319 0 754906 0 0 0 ROBERT L HARMAN 166194 0 0 0 0 0 0 0 25306 0 191500 0 0 0 PART I, LINE 5 THE OB/GYNS COMPENSATION IS BASED UPON THE CASH BASIS PROFIT OF THE PRACTICE. JOHN L HAHN MD PHYSICIAN OWED AMOUNT-ADVANCE WITH NO TAXES AT THE TIME X 78508 78508 0 0 1 78508 FORM 990, PART VI, SECTION A, LINE 7A THE GRANT COUNTY COMMISSION APPOINTS BOARD MEMBERS WHO RESIDE IN GRANT, HARDY AND PENDLETON COUNTIES. THE HOSPITAL IS A POLITICAL SUB-DIVISION OF GRANT COUNTY (COUNTY HOSPITAL). FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN WILL BE AVAILABLE FOR REVIEW BY THE FINANCE COMMITTEE FOR ITS APPROVAL BEFORE THE TAX RETURN IS FILED. EVERY MEMBER OF THE BOARD WILL RECEIVE A COPY OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES AND ADMINISTRATION OFFICIALS SHALL BE REQUIRED TO COMPLETE A WRITTEN CONFLICT OF INTEREST STATEMENT ANNUALLY WHICH SHALL DISCLOSE THE EXTENT OF FINANCIAL DEALINGS WITH THE ORGANIZATION BY ALL BUSINESSES OR OTHER ORGANIZATIONS IN WHICH THEY, OR MEMBERS OF THEIR IMMEDIATE FAMILIES, HAVE A BENEFICIAL INTEREST. A BENEFICIAL INTEREST WITH AN ORGANIZATION WILL BE CONSIDERED TO EXIST WHEN A TRUSTEE OR ADMINISTRATION OFFICIAL OR A MEMBER OF HIS IMMEDIATE FAMILY IS AN OFFICER, DIRECTOR, TRUSTEE, PARTNER, EMPLOYEE OR AGENT OF THE ORGANIZATION, OR OWNS FIVE PERCENT OF THE VOTING STOCK OR CONTROLLING INTEREST IN THAT ORGANIZATION, OR HAS ANY OTHER SUBSTANTIAL INTEREST OR DEALINGS WITH THE ORGANIZATION. AT SUCH TIME, IF ANY MATTER SHOULD COME BEFORE THE BOARD OF TRUSTEES IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED MEMBER OF THE BOARD SHALL MAKE KNOWN THE POTENTIAL CONFLICT AND, IF ADVISABLE, WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION. SHOULD THE MATTER BE BROUGHT TO VOTE, THE AFFECTED MEMBER SHALL NOT VOTE, NOR BE COUNTED IN ESTABLISHING A QUORUM FOR THE VOTE ON THAT MATTER. PROCEEDINGS RELATED TO THE CONFLICT OF INTEREST MATTERS BEFORE THE BOARD OF TRUSTEES SHALL BE DOCUMENTED IN THE MINUTES OF THAT MEETING. FORM 990, PART VI, SECTION B, LINE 15A SALARY SURVEYS FROM STATE HOSPITALS ARE OBTAINED TO DETERMINE THE LEVEL OF COMPENSATION. THE BOARD PERFORMS AN ANNUAL EVALUATION PRIOR TO SETTING COMPENSATION FOR THE FOLLOWING YEAR. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST