2025-03-18T16:19:54+00:00 2024-05-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-06-01 431602701 Advocates For a Healthy Community Inc ADVO 4178310150 440 E Tampa St Springfield MO 658061131 YADIRA HOWE CFO 4178310150 2025-03-18 true Krystal Creach P01248198 4178658701 2025-03-18 2023 2025-03-06 01:10:19Z Jordan Valley Community Health Center DR MATTHEW STINSON 440 E Tampa St Springfield MO 658061131 244698109 false X WWW.JORDANVALLEY.ORG X 1992 MO IMPROVING OUR COMMUNITY'S HEALTH THROUGH ACCESS AND RELATIONSHIPS. 11 11 929 11 2386956 0 23497699 23303847 64967851 76770494 740400 3913946 538545 209102 89744495 104197389 44911 5034591 0 43303274 51041646 0 0 0 30878328 35521341 74226513 91597578 15517982 12599811 115511864 136544593 31985318 40407705 83526546 96136888 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. false false 38504509 5034591 31129243 PROVIDE PRIMARY CARE MEDICAL SERVICES TO SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. MEDICAL SERVICES WERE PROVIDED TO APPROXIMATELY 41,907 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. 17156603 0 25815801 PROVIDE DENTAL SERVICES TO THE COMMUNITY OF SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. DENTAL SERVICES WERE PROVIDED TO APPROXIMATELY 33,877 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. 10181858 0 17438494 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 40,931 PRESCRIPTIONS IN FISCAL YEAR 2024. OUR CONTRACT 340B PROVIDER FILLED 40,202 PRESCRIPTIONS IN FISCAL YEAR 2024. 65842970 true true false true 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 false false true false false false false false false false false true 101 0 true 929 true true true false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false X YADIRA HOWE 4178310150 440 E TAMPA ST SPRINGFIELD MO 658061131 DICK HARDY BOARD VICE CHAIR 1.0 0.0 X X 0 0 0 MENDIE SCHOELLER BOARD TREASURER 1.0 0.0 X X 0 0 0 MIKE SCHNAKE BOARD CHAIR 1.0 0.0 X X 0 0 0 AMY POE BOARD MEMBER 1.0 0.0 X 0 0 0 CAROL JANICK BOARD MEMBER 1.0 0.0 X 0 0 0 JEFF DAVIS BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN TWITTY BOARD MEMBER 1.0 0.0 X 0 0 0 KEVIN GIPSON BOARD MEMBER 1.0 0.0 X 0 0 0 PHIL BROWN BOARD MEMBER 1.0 0.0 X 0 0 0 RITA GURIAN BOARD MEMBER 1.0 0.0 X 0 0 0 TREY PECK BOARD MEMBER 1.0 0.0 X 0 0 0 K BROOKS MILLER PRESIDENT/CEO 40.0 0.0 X 396008 0 37399 ASHLEY POPEJOY PEDI DENTAL DIRECTOR 40.0 0.0 X 363908 0 38878 AUTUMN CLARK MEDICAL DIRECTOR 40.0 0.0 X 303731 0 22378 CHAN REYES MEDICAL DIRECTOR 40.0 0.0 X 314554 0 22640 CLINT STRONG MEDICAL DIRECTOR 40.0 0.0 X 282390 0 33703 DEREK SMITH DENTAL DIRECTOR 40.0 0.0 X 260263 0 31268 LISA MCEVOY DENTAL DIRECTOR 40.0 0.0 X 230889 0 12438 MATTHEW STINSON VP OF MED & BEHAVIOR HEALTH 40.0 0.0 X 387430 0 40278 MELISSA WEHNER VP, OPERATIONS 40.0 0.0 X 177063 0 10980 NICHOLAS PFANNENSTIEL VP OF ORAL HEALTH 40.0 0.0 X 396099 0 34700 RAFAEL SANTIAGO CHIEF CLINICAL DIRECTOR 40.0 0.0 X 298341 0 31454 SHANNON WHITE CLINICAL INTEGRATION DIRECTOR 40.0 0.0 X 329892 0 30605 YADIRA HOWE EXECUTIVE VP/CHIEF FINANCIAL OFFICER 40.0 0.0 X 266149 0 12840 ANDREW BENBOW PHYSICIAN 40.0 0.0 X 276645 0 17603 GABRIELLE CURTIS PHYSICIAN 40.0 0.0 X 260000 0 8887 GIOVANNI SAFDARI ORAL SURGEON 24.0 0.0 X 701166 0 16500 TODD H'DOUBLER DENTIST 40.0 0.0 X 211212 0 15228 ZACHARY JARRETT DENTIST 40.0 0.0 X 240666 0 10089 5696406 0 427868 87 false true false OZARK ANESTHESIA ASSOC 1000 E PRIMROSE ST SPRINGFIELD MO 65807 DENTAL SERVICES 690750 JAMES MCCALL IV 440 E TAMPA SPRINGFIELD MO 65806 MEDICAL SERVICES 529795 LACLEDE COUNTY HEALTHCARE CONSORTIUM LLC PO BOX 5681 SPRINGFIELD MO 65801 CONSULTING 351983 FRANK A CORNELLA DDS MC OPC 3237 E SUNSHINE SPRINGFIELD MO 65801 DENTAL SERVICES 179985 IRIS TELEHEALTH MEDICAL GROUP PA 13740 N HWY 183 AUSTIN TX 78750 BEHAVIORAL SERVICES 144844 11 17051298 6252549 1496810 23303847 NET PATIENT SERVICE REVENUE 621400 61492505 61492505 PHARMACY 456110 12799831 10412875 2386956 CAPITATION REVENUE 621400 1240396 1240396 OTHER REVENUE 621400 870496 870496 EHR & INCENTIVE REVENUE 621400 367266 367266 0 0 0 0 76770494 1516818 1516818 481299 248327 232972 0 232972 232972 140899996 1749525 138822380 1430013 2077616 319512 2397128 2397128 LOSS ON INVESTMENT IN EQUITY INVESTEE 900099 -23870 -23870 0 0 0 0 -23870 104197389 74383538 2386956 4123048 5034591 5034591 4366278 2847399 1518879 38927197 27474293 11452904 1251835 940846 310989 3639383 2351609 1287774 2856953 2044474 812479 98515 98515 317894 317894 117260 117260 7760193 6871978 888215 0 419291 123497 295794 5648355 4188924 1459431 2463276 579975 1883301 1259417 56174 1203243 613087 263668 349419 169257 141475 27782 105952 170 105782 3524980 643638 2881342 652913 652913 MEDICAL SUPPLIES & DRUGS 10894540 10894540 REPAIRS & MAINTENANCE 842503 266946 575557 LICENSES, DUES, SUBSCRIPTION 633908 465860 168048 0 0 0 0 91597578 65842970 25754608 0 1606476 5854963 19600849 28820338 1311073 1089421 4331126 7527314 0 0 0 0 1434695 1400198 1285771 1567067 75262445 28983692 44608693 46278753 34389531 33793326 1424634 1400764 0 0 2499065 5519016 6313384 115511864 136544593 6578763 9895105 517 0 2297120 2117168 0 0 2981342 836829 20127576 27558603 31985318 40407705 X 82951616 92133921 574930 4002967 83526546 96136888 115511864 136544593 12599811 10531 0 X false true X true true true X 9710722 13803551 30881879 23497699 23303847 101197698 0 0 9710722 13803551 30881879 23497699 23303847 101197698 0 101197698 790279 209312 200707 1143286 1998117 4341701 0 0 0 0 0 0 10449 -4944 15821 210085 -23870 207541 105746940 291714943 0.9570 0.9630 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - GAIN/LOSS FROM EQUITY INVESTEE, COLUMN A - 10449.0, COLUMN B - -4944.0, COLUMN C - 15821.0, COLUMN D - 210085.0, COLUMN E - -23870.0, COLUMN F - 207541.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2480 2480 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS ANNUAL DUES TO NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), A PORTION OF WHICH MAY BE ATTRIBUTABLE TO LOBBYING. 4920334 4920334 49760604 20187060 29573544 3724767 553314 3171453 11362107 8243318 3118789 5494633 5494633 46278753 EST DUE TO 3RD PARTIES 23498117 EST SELF-INSURANCE COSTS 286483 ROU LIABILITIES 3774003 27558603 101036679 19000 316175 335175 100701504 3495885 3495885 104197389 91854374 8469 248327 256796 91597578 0 0 91597578 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 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTION - 316175 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENT EXPENSE - -248327 CONTRIBUTIONS RECEIVED WITH DONOR RESTRICTIONS - 3744212 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENT EXPENSE - 248327 true LEBANON R-III SCHOOL DISTRICT 224 W COMMERCIAL ST LEBANON MO 655363260 446003191 GOV'T 4991250 PASS-THRU GRANT LESTER E COX MEDICAL CENTER 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 440577118 501(C)(3) 9096 PASS-THRU GRANT 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. JORDAN VALLEY PARTNERS WITH COXHEALTH TO PROVIDE PATIENT SERVICES THAT JORDAN VALLEY IS UNABLE TO PROVIDE. GRANT MONEY TO COXHEALTH 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 true false false false false true false K BROOKS MILLER PRESIDENT/CEO 253746 0 117774 0 24488 0 30000 0 7399 0 433407 0 0 0 MATTHEW STINSON VP OF MED & BEHAVIOR HEALTH 335185 0 27214 0 25031 0 20500 0 19778 0 427708 0 0 0 NICHOLAS PFANNENSTIEL VP OF ORAL HEALTH 348609 0 22447 0 25043 0 22500 0 12200 0 430799 0 0 0 YADIRA HOWE EXECUTIVE VP/CHIEF FINANCIAL OFFICER 221454 0 20000 0 24695 0 9484 0 3356 0 278989 0 0 0 MELISSA WEHNER VP, OPERATIONS 160477 0 10000 0 6586 0 9272 0 1708 0 188043 0 0 0 RAFAEL SANTIAGO CHIEF CLINICAL DIRECTOR 286463 0 11878 0 0 0 17528 0 13926 0 329795 0 0 0 ASHLEY POPEJOY PEDI DENTAL DIRECTOR 299152 0 64756 0 0 0 19800 0 19078 0 402786 0 0 0 AUTUMN CLARK MEDICAL DIRECTOR 274130 0 29601 0 0 0 14308 0 8070 0 326109 0 0 0 CHAN REYES MEDICAL DIRECTOR 295700 0 18398 0 456 0 18500 0 4140 0 337194 0 0 0 CLINT STRONG MEDICAL DIRECTOR 257028 0 25362 0 0 0 21647 0 12056 0 316093 0 0 0 DEREK SMITH DENTAL DIRECTOR 197220 0 62043 0 1000 0 22500 0 8768 0 291531 0 0 0 LISA MCEVOY DENTAL DIRECTOR 169862 0 60507 0 520 0 10533 0 1905 0 243327 0 0 0 SHANNON WHITE CLINICAL INTEGRATION DIRECTOR 272292 0 57600 0 0 0 15158 0 15447 0 360497 0 0 0 ANDREW BENBOW PHYSICIAN 259767 0 16878 0 0 0 15614 0 1989 0 294248 0 0 0 GABRIELLE CURTIS PHYSICIAN 242298 0 17182 0 520 0 0 0 8887 0 268887 0 0 0 GIOVANNI SAFDARI ORAL SURGEON 701166 0 0 0 0 0 16500 0 0 0 717666 0 0 0 TODD H'DOUBLER DENTIST 156471 0 54741 0 0 0 11698 0 3530 0 226440 0 0 0 ZACHARY JARRETT DENTIST 195666 0 45000 0 0 0 0 0 10089 0 250755 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH THE ORGANIZATION: $23,000 K. BROOKS MILLER $22,500 MATTHEW STINSON $22,500 NICHOLAS PFANNENSTIEL $22,500 YADIRA HOWE 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 THE INDUSTRIAL DEVELOPMENT AUTH OF TANEY CO MO 431288274 2016-02-19 1190000 CAPITAL PROJECTS false false false B THE INDUSTRIAL DEVELOPMENT AUTH OF GREENE CO MO 431284357 2016-02-19 2656160 REFUND 2005 BONDS, CAP PROJ false false false A 423880 1190000 22365 1167635 2016 false false true true B 1077427 2656160 53002 1414561 1188597 2016 true false true true A false false false false 0.0 false false true B false false false false 0.0 false false true A false false false true true false false false true B false false false true true false false false true A true B true Schedule K, Part IV, Line 2c COLUMN A Issuer name: THE INDUSTRIAL DEVELOPMENT AUTH OF TANEY CO, MO The calculation for computing no rebate due was performed on 02/18/2021 Schedule K, Part IV, Line 2c COLUMN B Issuer name: THE INDUSTRIAL DEVELOPMENT AUTH OF GREENE CO, MO The calculation for computing no rebate due was performed on 02/18/2021 X 1 1496810 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - ALL VACCINE CONTRIBUTIONS WERE FROM ONE DONOR. 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 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, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy 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, Line 15a Process to establish compensation of top management official 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, Line 19 Required documents available to the public 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.