2019-04-15T16:01:55-05:00 2018-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-06-01 431602701 ADVOCATES FOR A HEALTHY COMMUNITY INC % KEVIN NAEGER ADVO 4178310150 440 E TAMPA ST SPRINGFIELD MO 658061131 K BROOKS MILLER CEO 2019-03-04 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920191055000355 2019-04-15 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 AECC51588B8B05B8A6088E029F5570AF8FA04FA6 2017 2019-02-21 02:37:17Z JORDAN VALLEY COMMUNITY HLTH CENTER K BROOKS MILLER 440 E TAMPA ST SPRINGFIELD MO 658061131 47540710 false X JORDANVALLEY.ORG X 1992 MO IMPROVING OUR COMMUNITY'S HEALTH THROUGH ACCESS AND RELATIONSHIPS. 16 16 592 16 564038 7076481 7794439 31749914 39247095 95183 307199 47775 22610 38969353 47371343 136788 98918 0 0 22034443 27025211 0 0 0 15523934 19260375 37695165 46384504 1274188 986839 72731555 73122605 38965257 35801710 33766298 37320895 X TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY, ACCESSIBLE MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. true false 20967220 98918 20315500 PROVIDE PRIMARY CARE MEDICAL SERVICES TO SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. MEDICAL SERVICES WERE PROVIDED TO APPROXIMATELY 41,682 PATIENTS THIS YEAR. OUR MEDICAL PROGRAM IS FOCUSED ON PROVIDING PRIMARY HEALTH CARE TO NOT ONLY TREAT ILLNESSES, BUT ALSO TO KEEP PATIENTS WELL. OUR STAFF ENSURES PATIENTS WILL RECEIVE THE COMPASSIONATE AND EXPERT CARE THEY DESERVE. THE MANY SERVICES WE OFFER MAKE IT EASIER FOR THEM TO ACCESS THE CARE THEY NEED. WE ALSO HAVE COMMUNITY PROGRAMS ALLOWING FOR MORE FOCUSED CARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 12880305 14722715 PROVIDE DENTAL SERVICES TO THE COMMUNITY OF SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. DENTAL SERVICES WERE PROVIDED TO APPROXIMATELY 35,989 PATIENTS THIS YEAR. OUR COMPREHENSIVE DENTAL PROGRAM PROVIDES NOT ONLY PREVENTATIVE CARE, BUT ALSO SPECIALTY CARE FOR A VARIETY OF DENTAL ISSUES. OUR STAFF IS HIGHLY TRAINED AND PROVIDES PATIENTS WITH THE EXPERT CARE AND RESPECT THEY DESERVE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 3437770 4208880 OPERATE A PHARMACY WITHIN THE MEDICAL CLINIC IN LEBANON, MISSOURI AND A CONTRACT 340B ARRANGEMENT TO PROVIDE AFFORDABLE ACCESS TO MEDICATIONS FOR OUR UNINSURED PATIENTS. THE CLINIC PHARMACY FILLED APPROXIMATELY 11,820 PRESCRIPTIONS IN FISCAL YEAR 2018. OUR CONTRACT 340B PROVIDER FILLED 16,802 PRESCRIPTIONS IN FISCAL YEAR 2018. 37285295 true true false true false false false false false false true false false false true false true false false false false false false false false false false true false true true false false false false false false false false true false true false false false false false false false false true 94 0 true 592 true false false false false false false false false false false X 16 16 false false true false false false false true true false false true true true true true true true false false X KEVIN NAEGER 4178511551 440 E TAMPA ST SPRINGFIELD MO 658061131 MARY KAY MEEK BOARD MEMBER 1.0 0.0 X 0 0 0 KELBY STUCKEY BOARD MEMBER 1.0 0.0 X 0 0 0 JEAN GRABEEL BOARD MEMBER 1.0 0.0 X 0 0 0 LYNNE MEYERKORD BOARD MEMBER 1.0 0.0 X 0 0 0 HAROLD BENGSCH BOARD MEMBER 1.0 0.0 X 0 0 0 MARY PILANT BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN RUSH BOARD MEMBER 1.0 0.0 X 0 0 0 KYLE MCCLURE BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT NIEZGODA MEMBER-AT-LARGE 1.0 0.0 X X 0 0 0 JENNIFER SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 BOB HAMMERSCHMIDT CHAIRMAN 1.0 0.0 X X 0 0 0 LESLIE PECK VICE CHAIRMAN 1.0 0.0 X X 0 0 0 JOHN TWITTY SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 RHONDA RIDINGER MEMBER-AT-LARGE 1.0 0.0 X X 0 0 0 JEFF GROVES BOARD MEMBER 1.0 0.0 X 0 0 0 MIKE SCHNAKE BOARD MEMBER 1.0 0.0 X 0 0 0 K BROOKS MILLER PRESIDENT/CEO 40.0 0.0 X 293608 0 23821 NICK PFANNENSTIEL VICE PRESIDENT OF ORAL HEALTH 40.0 0.0 X 297004 0 23315 MATTHEW STINSON VP OF MED AND BEHAVIORAL HLTH 40.0 0.0 X 272157 0 38254 DEREK SMITH DENTAL DIRECTOR 40.0 0.0 X 244446 0 39907 LAURA LUEHR OBGYN 40.0 0.0 X 231037 0 11591 CHAN REYES MEDICAL DIRECTOR 40.0 0.0 X 226820 0 40210 DAHLIA MICHAEL PEDIATRIC DENTAL DIRECTOR 40.0 0.0 X 190633 0 10755 ASHLEY POPEJOY PEDIATRIC DENTAL DIRECTOR 40.0 0.0 X 272979 0 36128 JAY GUFFEY VP OF ADMINISTRATION END 01/18 40.0 0.0 X 180708 0 16917 RAFAEL SANTIAGO PHYSICIAN 40.0 0.0 X 242592 0 29911 CLINT STRONG PHYSICIAN 40.0 0.0 X 221799 0 36557 RENDI PFANNENSTIEL DENTIST 40.0 0.0 X 214245 0 27593 JEFFREY ROCKWOOD DENTIST 40.0 0.0 X 223904 0 10050 JENNIFER VONG OBGYN 40.0 0.0 X 242787 0 10214 3354719 0 355223 35 false true false OZARK ANESTHESIA ASSOC INC 1000 E PRIMROSE ST 520 SPRINGFIELD MO 65807 DENTAL SERVICES 585000 ORAL SURGERY OF SPRINGFIELD 3237 E SUNSHINE ST B SPRINGFIELD MO 65804 DENTAL SERVICES 358281 MERCY CLINIC 2730 E SUNSHINE ST SPRINGFIELD MO 65804 MEDICAL SERVICES 252757 ROBERT CHARLES BLAIR DDS 1462 S DOLLISON AVE SPRINGFIELD MO 65807 DENTAL SERVICES 842958 BURRELL BEHAVIOR HEALTH 235 S NATIONAL AVE A-7 SPRINGFIELD MO 65806 MENTAL HEALTH SVCS 150538 8 7306141 488298 1474456 7794439 NET PATIENT SERVICE REVENUE 621400 37349578 36785540 564038 EHR & INCENTIVE REVENUE 621400 603059 603059 OTHER REVENUE 621400 486507 486507 CAPITATION REVENUE 621400 807951 807951 39247095 320396 320396 0 0 179531 139630 39901 0 39901 39901 4000 17197 -13197 -13197 -13197 12540 12540 0 0 0 0 0 0 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 -17291 -17291 -17291 47371343 38683057 564038 329809 98918 98918 0 0 0 2450290 1838474 611816 252901 252901 20484897 16741308 3743589 474951 386827 88124 1814556 1478834 335722 1547616 1257209 290407 0 44689 44689 230845 230845 0 0 0 3319720 2955120 364600 149870 149870 2522936 1995088 527848 1846743 1322785 523958 0 1423144 1052994 370150 385734 1718 384016 0 217885 103036 114849 229757 168900 60857 0 2011185 1488089 523096 396986 23111 373875 MEDICAL SUPPLIES & DRUGS 5609451 5609451 BAD DEBT 510532 510532 LICENSES, DUES, SUBSCRIPTIONS 183882 183882 REPAIRS & MAINTENANCE 177016 177016 46384504 37285295 9099209 0 12264036 15096168 28734850 24950450 1001573 401348 3634067 3643748 0 0 0 0 0 0 893138 1222556 491702 525176 38299581 15615081 23880768 22684500 85714 146751 1089818 1304020 0 0 0 0 655889 3147888 72731555 73122605 3602508 4313953 0 0 99745 39502 7924859 7545296 0 0 0 0 923897 1184154 0 0 26414248 22718805 38965257 35801710 X 32502830 34066446 1263468 3254449 0 0 33766298 37320895 72731555 73122605 X 986839 2567758 X false true X true true true X 7592211 6869797 7748497 7076481 7794439 37081425 0 0 7592211 6869797 7748497 7076481 7794439 37081425 1175112 35906313 75267 151890 209288 282514 499927 1218886 0 -11340 -22289 84942 36601 -19291 68623 38368934 141974430 0.93582 0.93230 X false false false false false false false false true false SCHEDULE C, PART II-B, QUESTION 1I OTHER LOBBYING EXPENSE: THE ORGANIZATION PAYS ANNUAL DUES TO NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), A PORTION OF WHICH MAY BE ATTRIBUTABLE TO LOBBYING. 3037879 3037879 28572717 10737077 17835640 581060 467245 113815 6089273 4410759 1678514 18652 18652 22684500 0 EST DUE TO 3RD PARTIES 22300000 EST SELF-INSURANCE COSTS 375618 DUE TO EQUITY INVESTEE 43187 22718805 47729760 126805 438611 565416 47164344 206999 206999 47371343 46166144 126805 165367 292172 45873972 510532 510532 46384504 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITION: 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 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 949,143 NET ASSETS RELEASED FROM RESTRICTION (510,532) BAD DEBT EXPENSE ------------ $ 438,611 SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ ( 12,540) SPECIAL EVENT EXPENSE (139,630) RENT EXPENSE 372,366 TEMPORARILY RESTRICTED CONTRIBUTIONS ( 13,197) LOSS ON SALE OF PROPERTY AND EQUIPMENT ------------ $ 206,999 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 139,630 RENT EXPENSE 12,540 SPECIAL EVENT EXPENSE 13,197 LOSS ON SALE OF PROPERTY AND EQUIPMENT ---------- $ 165,367 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 510,532 BAD DEBT EXPENSE true LESTER E COX MEDICAL CENTER 1423 N JEFFERSON ST SPRINGFIELD MO 65802 440577118 501(C)(3) 27826 PASS-THRU GRANT MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE ST SPRINGFIELD MO 65804 440552485 501(C)(3) 35702 PASS-THRU GRANT 2 SCHEDULE I, PART I, LINE 2 GRANT MONITORING: JORDANY VALLEY PARTNERS WITH COXHEALTH AND MERCY HOSPITAL SPRINGFIELD TO PROVIDE PATIENT SERVICES THAT JORDAN VALLEY IS UNABLE TO PROVIDE. GRANT MONEY TO THESE TWO ORGANIZATIONS IS MONITORED THROUGH A VOUCHER SYSTEM. THE VOUCHER SYSTEM IS INITIATED BY JORDAN VALLEY BY PROCESSING AND SENDING A VOUCHER TO THE PREFERENTIAL HOSPITAL. THE HOSPITAL WILL THEN RETURN AN APPOINTMENT TIME AND CONFIRM THE SERVICE REQUIRED. A HOSPITAL WILL ONLY RECEIVE A GRANT DISBURSEMENT COMMENSURATE TO THE NUMBER OF VOUCHERS ISSUED TO THAT SPECIFIC HOSPITAL AND FOR THE SERVICES PROVIDED. X X X false false false false false false false true false K BROOKS MILLER PRESIDENT/CEO 254135 0 37898 0 1575 0 12762 0 11059 0 317429 0 0 0 RAFAEL SANTIAGO PHYSICIAN 231629 0 10000 0 963 0 12130 0 17781 0 272503 0 0 0 CLINT STRONG PHYSICIAN 215216 0 5680 0 903 0 11404 0 25153 0 258356 0 0 0 RENDI PFANNENSTIEL DENTIST 179740 0 33655 0 850 0 9525 0 18068 0 241838 0 0 0 JEFFREY ROCKWOOD DENTIST 192667 0 30335 0 902 0 9644 0 406 0 233954 0 0 0 JENNIFER VONG OBGYN 241978 0 0 0 809 0 2962 0 7252 0 253001 0 0 0 NICK PFANNENSTIEL VICE PRESIDENT OF ORAL HEALTH 240207 0 55906 0 891 0 12137 0 11178 0 320319 0 0 0 MATTHEW STINSON VP OF MED AND BEHAVIORAL HLTH 249870 0 21389 0 898 0 13242 0 25012 0 310411 0 0 0 DEREK SMITH DENTAL DIRECTOR 197275 0 46287 0 884 0 10554 0 29353 0 284353 0 0 0 LAURA LUEHR OBGYN 230430 0 0 0 607 0 11320 0 271 0 242628 0 0 0 CHAN REYES MEDICAL DIRECTOR 210917 0 15000 0 903 0 11265 0 28945 0 267030 0 0 0 DAHLIA MICHAEL PEDIATRIC DENTAL DIRECTOR 147418 0 42679 0 536 0 6140 0 4615 0 201388 0 0 0 ASHLEY POPEJOY PEDIATRIC DENTAL DIRECTOR 223279 0 48821 0 879 0 11913 0 24215 0 309107 0 0 0 JAY GUFFEY VP OF ADMINISTRATION END 01/18 154277 0 25000 0 1431 0 1442 0 15475 0 197625 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: COMPENSATION PAYMENTS WERE PAID OUT TO CERTAIN PROVIDERS AND KEY EMPLOYEES FOR PERFORMANCE OF THE LAST YEAR, HOWEVER, THIS PAYMENT WAS NOT BASED UPON EARNINGS, REVENUES OR PERFORMANCES OF THE ORGANIZATION. A MISSOURI HEALTH & EDUCATIONAL FACILITIES AUTH 431178966 2013-06-26 5000000 CAPITAL PROJECTS false false false B THE INDUSTRIAL DEVELOPMENT AUTH OF GREENE CO MO 431284357 2016-02-19 2656160 REFUND PRIOR BONDS, CAPITAL PROJEC false false false C THE INDUSTRIAL DEVELOPMENT AUTH OF TANEY CO MO 431288274 2016-02-19 1190000 CAPITAL PROJECTS false false false A 0 0 5000000 0 0 0 60000 0 0 4940000 0 0 2013 false false true true B 0 0 2656160 0 0 0 53002 0 0 1414561 1188597 0 2016 true false true true C 0 0 1190000 0 0 0 22365 0 0 1167635 0 0 2016 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false true false false true false 0 false 0 false false B false true false false true false 0 false 0 false false C false true false false true false 0 false 0 false false A true B true C true RENDI PFANNENSTIEL SPOUSE OF N. PFANNENSTIEL 252901 COMPENSATION false X 1 1472516 FMV X EQUIPMENT 1 1940 FMV false false false SCHEDULE M, PART I, LINE 20 NON-CASH CONTRIBUTIONS: THE NUMBER OF CONTRIBUTORS IS BASED ON THE NUMBER OF CONTRIBUTORS. FORM 990, PART III, LINE 1 ORGANIZATION MISSION: OUR MISSION: IMPROVING OUR COMMUNITY'S HEALTH THROUGH ACCESS AND RELATIONSHIPS OUR VISION: PARTNERING TO PROVIDE ESSENTIAL LEADERSHIP IN HEALTHCARE FOR THE UNDERSERVED OUR CORE VALUES: TO IMPROVE OUR COMMUNITY'S HEALTH BECAUSE "I2 CARE" *INNOVATION - WE WILL INNOVATE TO MEET OUR PATIENTS' NEEDS TO ACCESS PRIMARY MEDICAL, DENTAL, VISION, AND BEHAVIORAL HEALTHCARE BY DESIGNING PROCESSES THAT KEEP US FLEXIBLE AND RESPONSIVE - WHERE WE CAN BUILD SOLID RELATIONSHIPS *INTEGRITY - WE WILL SPEAK AND ACT IN AN HONEST AND ETHICAL MANNER *COLLABORATION - WE WILL WORK TOGETHER AS A TEAM TO PROVIDE QUALITY HEALTH SERVICES WITH PARTNERSHIPS TO PROVIDE INTEGRATED SERVICES. WE WILL FOSTER AND MAINTAIN KEY COMMUNITY RELATIONSHIPS TO LEVERAGE OUR EXPERTISE AND IMPROVE THE HEALTH OF OUR COMMUNITIES *ACCOUNTABILITY - WE WILL BE FINANCIALLY ACCOUNTABLE AND TAKE A LONG-TERM APPROACH TO DECISIONS ENSURING SUSTAINABLE PRACTICES THUS ESTABLISHING A FIRM FOUNDATION FOR THE FUTURE *RESPECT - WE WILL CREATE CARING RELATIONSHIPS WITH OUR PATIENTS AND COMMUNITIES BASED ON COMPASSION, TAKING CARE TO PROTECT INDIVIDUAL DIGNITY IN DIVERSE POPULATIONS *EXCELLENCE - WE WILL PURSUE EXCELLENCE IN OUR SERVICE, FACILITIES AND INTERACTIONS, STRIVING TO IMPROVE THE QUALITY OF OUR PATIENT-CENTERED HEALTHCARE FORM 990, PART III, LINE 2 NEW SIGNIFICANT PROGRAM SERVICE: JORDAN VALLEY OPENED ITS OWN PHARMACY LOCATED INSIDE THE LEBANON, MISSOURI LOCATION. PATIENTS CAN SCHEDULE AN APPOINTMENT, TALK WITH THE HEALTHCARE TEAM, AND GET PRESCRIPTIONS FILLED ALL IN ONE PLACE. OUR PHARMACY ALSO OFFERS FREE DELIVERY WITHIN THE CITY LIMITS OF LEBANON. THIS SERVICE IS AT NO EXTRA COST TO PATIENTS, JUST SIMPLY REQUEST DELIVERY WHEN FILLING PRESCRIPTIONS. FORM 990, PART III, LINE 4A MEDICAL SERVICES: MEDICAL PROGRAM SERVICES INCLUDE: FAMILY MEDICINE, PEDIATRIC CARE, INTERNAL MEDICINE, GERIATRIC CARE, PAIN MANAGEMENT, PRIMARY & PREVENTIVE HEALTH, IMMUNIZATIONS, CHRONIC DISEASE MANAGEMENT, GYNECOLOGY/WOMEN'S HEALTH (INCLUDING SHOW ME HEALTHY WOMEN), PRENATAL CARE, IN-PATIENT SERVICES FOR NEWBORNS, NURSERY CARE, OUTPATIENT PROCEDURES (CIRCUMCISIONS, COLPOSCOPY, SPIROMETRY, ENDOMETRIAL BIOPSY, EKG & STRESS TESTING, IMPLANON, VASECTOMY, MINOR SKIN PROCEDURES, JOINT INJECTIONS), DIABETES EDUCATION, DIETARY COUNSELING, WEIGHT MANAGEMENT SUPPORT, IN-SCHOOL PRIMARY CARE, LAB SERVICES, OPTOMETRY, BEHAVIORAL HEALTH COUNSELING, PSYCHIATRIC CARE AND GROUP THERAPY. FORM 990, PART III, LINE 4B DENTAL SERVICES: DENTAL PROGRAM SERVICES INCLUDE: GENERAL DENTISTRY, PEDIATRIC DENTISTRY, ORAL HYGIENE, URGENT DENTAL CARE, ORAL SURGERY, DENTURES AND PARTIALS, MOBILE DENTAL CARE AND IN-SCHOOL PREVENTIVE SERVICES. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS OF THE ORGANIZATION WERE UPDATED TO STATE: THE BOARD OF DIRECTORS SHALL CONSIST OF NO MORE THAN 16 MEMBERS AND NO FEWER THAN 9 MEMBERS, THE EXACT NUMBER OF DIRECTORS TO BE DETERMINED, FROM TIME TO TIME, BY THE DIRECTORS, EACH SERVING A THREE (3) YEAR UNINTERRUPTED TERM. DIRECTORS SHALL BE ELECTED TO NO MORE THAN FIVE (5), THREE (3) YEAR TERMS. NOTWITHSTANDING, THOSE DIRECTORS WHO HAVE SERVED THE MAXIMUM NUMBER OF TERMS SHALL CONTINUE TO SERVE AS A DIRECTOR UNTIL THEIR SUCCESSOR HAS BEEN DULY NOMINATED AND APPROVED BY THE BOARD UNLESS OTHERWISE REMOVED IN ACCORDANCE WITH THESE BYLAWS. FOR PURPOSES OF ELIGIBILITY TO BE NOMINATED OR TO SERVE ON THE BOARD OF DIRECTORS, A CANDIDATE OR EXISTING DIRECTOR IS NOT DISQUALIFIED IF HIS OR HER IMMEDIATE FAMILY IS AN EMPLOYEE OF JORDAN VALLEY SO LONG AS THEIR EMPLOYMENT IS SUBJECT TO AND CONSISTENT WITH SECTION 2.7 OF THE CONFLICTS OF INTEREST/NEPOTISM POLICY CONTAINED IN THE JORDAN VALLEY EMPLOYEE HANDBOOK AS REVISED FROM TIME TO TIME. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 IS FIRST REVIEWED BY SENIOR MANAGEMENT. AFTER ANY CHANGES ARE MADE, A FINAL DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS EVALUATED WITH ALL EMPLOYEES UPON HIRE AND ON A YEARLY BASIS WITH ALL EMPLOYEE AND BOARD MEMBERS IN CONJUNCTION WITH CORPORATE COMPLIANCE TRAINING. A COPY OF THE CONFLICT OF INTEREST STATEMENT SHALL BE PROVIDED ANNUALLY TO EACH DIRECTOR AND OFFICER TO REVIEW AND ACKNOWLEDGE FOR THE PURPOSE OF IDENTIFYING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. A CONFLICT OF INTEREST SHALL EXIST WHEN, IN THE OPINION OF THE BOARD, A BOARD MEMBER OR FAMILY MEMBER OF A BOARD MEMBER HAS A RELATIONSHIP WHICH WOULD INTERFERE WITH THE EXERCISE OF INDEPENDENT JUDGEMENT IN CARRYING OUT THE RESPONSIBILITIES OF A DIRECTOR OR AS FURTHER EXPRESSLY DEFINED BY THE CORPORATION'S CODE OF CONDUCT. FOR PURPOSES OF THIS SECTION, FAMILY MEMBER IS DEFINED AS A DIRECTOR'S SPOUSE, PARENTS, CHILDREN AND SIBLINGS, WHETHER BY BLOOD, MARRIAGE OR ADOPTION, OR ANY ONE RESIDING IN SUCH PERSON'S HOME. THE BOARD OF DIRECTORS SHALL NOT APPROVE ANY ACTION OR TRANSACTION BEARING UPON THE CONFLICT UNLESS THE FOLLOWING PROCEDURES ARE OBSERVED: A) THE AFFECTED DIRECTOR OR OTHER DIRECTOR(S) SHALL MAKE KNOWN THAT A CONFLICT EXISTS AND THE AFFECTED DIRECTOR SHALL WITHDRAW FROM THE MEETING FOR AS LONG AS THE MATTER REMAINS UNDER CONSIDERATION. SHOULD THE MATTER BE BROUGHT TO A VOTE OF THE DIRECTORS, THE AFFECTED DIRECTOR SHALL NEITHER BE PRESENT NOR CAST A VOTE. B) IF THE WITHDRAWAL OF THE AFFECTED DIRECTOR RESULTS IN THE ABSENCE OF QUORUM, NO ACTION SHALL BE TAKEN ON THE MATTER UNTIL A QUORUM OF DISINTERESTED DIRECTORS IN PRESENT. C) IF A) AND B) DO NOT OCCUR, THE BOARD OF DIRECTORS SHALL NOT GO FORWARD WITH A TRANSACTION OR ARRANGEMENT IN WHICH AN AFFECTED DIRECTOR ACKNOWLEDGES THAT A CONFLICT OF INTEREST EXISTS, OR WHERE A MAJORITY OF THE OTHER DIRECTORS DETERMINE THAT A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW: ANNUALLY, THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS EVALUATED AND VOTED ON BY THE BOARD OF DIRECTORS AFTER REVIEWING PERFORMANCE AND COMPARABILITY DATA OF CEO'S/EXECUTIVE DIRECTORS AT LIKE HEALTH CARE FACILITIES. THE OCCURRENCE OF THIS REVIEW IS DOCUMENTED IN THE EXECUTIVE COMMITTEE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURES: GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS, ARE AVAILABLE BY WRITTEN REQUEST AND MAY BE VIEWED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.