2026-04-09T17:02:11+00:00 2025-05-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-06-01 431602701 Advocates For a Healthy Community Inc ADVO 4178310150 440 E Tampa St Springfield MO 658061131 YADIRA HOWE CFO 4178310150 2026-04-09 true Krystal Creach P01248198 4178658701 2026-04-09 2024 2025-03-06 01:10:19Z Jordan Valley Community Health Center DR MATTHEW STINSON 440 E Tampa St Springfield MO 658061131 229566319 false X WWW.JORDANVALLEY.ORG X 1992 MO IMPROVING OUR COMMUNITY'S HEALTH THROUGH ACCESS AND RELATIONSHIPS. 12 12 1035 12 2857319 0 23303847 16701324 76770494 87553628 3913946 4066855 209102 269281 104197389 108591088 5034591 61560 0 51041646 58883359 0 0 35521341 43610859 91597578 102555778 12599811 6035310 136544593 141932387 40407705 40214681 96136888 101717706 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 34053604 61560 41108702 PROVIDE PRIMARY CARE MEDICAL SERVICES TO SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. MEDICAL SERVICES WERE PROVIDED TO APPROXIMATELY 37,965 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. 19330700 0 33116730 PROVIDE DENTAL SERVICES TO THE COMMUNITY OF SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. DENTAL SERVICES WERE PROVIDED TO APPROXIMATELY 34,969 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. 17421679 0 10470877 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 23,151 PRESCRIPTIONS IN FISCAL YEAR 2025. OUR CONTRACT 340B PROVIDER FILLED 35,385 PRESCRIPTIONS IN FISCAL YEAR 2025. 70805983 true true false false 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 false false true false false false false false false false false false true 77 0 true 1035 true true true false false false false false false false false false false false X 12 12 false false false false false false false true true false false false true true true true true true true false 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 PHIL BROWN SECRETARY &TREASURER 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 KEVIN GIPSON BOARD MEMBER 1.0 0.0 X 0 0 0 KYLE MCCLURE BOARD MEMBER BEG 01/25 1.0 0.0 X 0 0 0 RITA GURIAN BOARD MEMBER 1.0 0.0 X 0 0 0 TIFFANY NICHOLS BOARD MEMBER BEG 10/24 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 END 10/24 40.0 0.0 X 480439 0 22670 MATTHEW STINSON PRESIDENT/CEO 40.0 0.0 X 463493 0 55212 YADIRA HOWE EXECUTIVE VP/CFO 40.0 0.0 X 320841 0 50070 ASHLEY POPEJOY CHIEF DENTAL OFFICER 40.0 0.0 X 417420 0 33271 AUTUMN CLARK MEDICAL DIRECTOR 40.0 0.0 X 330487 0 32325 CHAN REYES MEDICAL DIRECTOR 40.0 0.0 X 321283 0 32411 CLINT STRONG MEDICAL DIRECTOR 40.0 0.0 X 332714 0 38925 DEREK SMITH DENTAL DIRECTOR 40.0 0.0 X 326045 0 41647 LISA MCEVOY DENTAL DIRECTOR 40.0 0.0 X 288850 0 11602 MELISSA WEHNER VP, OPERATIONS 40.0 0.0 X 195927 0 20227 NICHOLAS PFANNENSTIEL EXECUTIVE VP/COO 40.0 0.0 X 464637 0 65949 RAFAEL SANTIAGO PHYSICIAN 40.0 0.0 X 296790 0 35759 RYAN KRUGER VP, OPERATIONS 40.0 0.0 X 240588 0 27804 SHANNON WHITE CLINICAL INTEGRATION DIRECTOR 40.0 0.0 X 375862 0 24855 ANDREW BENBOW PHYSICIAN 40.0 0.0 X 294507 0 24087 GIOVANNI SAFDARI ORAL SURGEON 24.0 0.0 X 673987 0 16118 JESSICA CHARITE PEDIATRIC DENTIST 40.0 0.0 X 309834 0 12849 TODD H'DOUBLER DENTIST 40.0 0.0 X 299432 0 19814 ZACHARY JARRETT DENTIST 40.0 0.0 X 296014 0 19145 6729150 0 584740 142 false true false OZARK ANESTHESIA ASSOC 1000 E PRIMROSE ST SPRINGFIELD MO 65807 Anesthesia Services 666000 Cox Health 3801 S National Ave Springfield MO 65807 medical services 628842 Pacific Interpreters PO Box 204313 Dallas TX 753204313 Interpreter Services 541793 JAMES MCCALL IV 440 E TAMPA SPRINGFIELD MO 65806 MEDICAL SERVICES 482582 IRIS TELEHEALTH MEDICAL GROUP PA 13740 N HWY 183 AUSTIN TX 78750 BEHAVIORAL SERVICES 115720 12 12070041 4631283 1486012 16701324 NET PATIENT SERVICE REVENUE 621400 71674691 71674691 PHARMACY 456110 13328196 10470877 2857319 CAPITATION REVENUE 621400 1870308 1870308 OTHER REVENUE 621400 680433 680433 0 0 0 0 87553628 1508272 1508272 445213 210538 234675 0 234675 234675 123311530 11746 120764693 2546837 11746 2558583 2558583 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 34606 34606 0 0 0 0 34606 108591088 84696309 2857319 4336136 61560 61560 5348105 3641008 1707097 44204186 30510850 13693336 1681138 1191596 489542 4276919 1972379 2304540 3373011 2322299 1050712 42438 42438 369814 369814 162871 162871 4256306 3556895 699411 0 390940 143697 247243 6084457 4439832 1644625 3499206 317282 3181924 1225462 58970 1166492 696533 355660 340873 159185 107024 52161 77897 77897 4520344 908670 3611674 638175 638175 MEDICAL SUPPLIES & DRUGS 19877075 19877075 LICENSES, DUES, SUBSCRIPTION 680965 477073 203892 REPAIRS & MAINTENANCE 929191 225938 703253 0 0 0 0 102555778 70805983 31749795 0 5854963 1314600 28820338 30027453 1089421 1255029 7527314 8134234 0 0 0 0 1400198 2288235 1567067 1574021 80012440 33061121 46278753 46951319 33793326 40378042 1400764 1435370 0 2499065 2937320 6313384 5636764 136544593 141932387 9895105 11012537 0 2447479 2117168 2132265 0 0 836829 490494 27558603 24131906 40407705 40214681 X 92133921 100998619 4002967 719087 96136888 101717706 136544593 141932387 X 6035310 -454492 X false true true true true X 13803551 30881879 23497699 23303847 16701324 108188300 0 0 13803551 30881879 23497699 23303847 16701324 108188300 0 108188300 209312 200707 1143286 1998117 1953485 5504907 0 0 0 0 0 0 -4944 15821 210085 -23870 34606 231698 113924905 327629921 0.94965 0.95698 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - GAIN/LOSS FROM EQUITY INVESTEE, COLUMN A - -4944.0, COLUMN B - 15821.0, COLUMN C - 210085.0, COLUMN D - -23870.0, COLUMN E - 34606.0, COLUMN F - 231698.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4920334 4920334 55658991 23232940 32426051 3724767 886864 2837903 13820928 8941317 4879611 1887420 1887420 46951319 Federal Income Taxes EST DUE TO 3RD PARTIES 20104051 EST SELF-INSURANCE COSTS 620922 ROU LIABILITIES 3406933 24131906 108446831 336540 336540 108110291 480797 480797 108591088 103220808 665030 665030 102555778 0 0 102555778 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 asset released from restrictions - 336540 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED CONTRIBUTIONS - 691335 RENTAL EXPENSES RECLASSED - -210538 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 UNCOLLECTIBLE PLEDGES - 454492 RENTAL EXPENSES RECLASSED - 210538 true LESTER E COX MEDICAL CENTER 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 440577118 501(C)(3) 16736 PASS-THRU GRANT MERCY HOSPITAL PO Box 7411809 Chicago IL 60674 440552485 501(C)(3) 6773 PASS-THRU GRANT PHYSICIANS FOR BREAST HEALTH PO BOX 3262 SPRINGFIELD MO 65808 271099407 8809 PASS-THRU GRANT 2 1 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. Show Me Healthy Women project provides breast and cervical cancer screenings and diagnostic services to program eligible clients. Also, provide cardiovascular screenings, diagnostic testing and lifestyle to the clients enrolled in the Department's Well- Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) program. X X X false false false false false false false true false MATTHEW STINSON PRESIDENT/CEO 413779 0 27214 0 22500 0 42251 0 12961 0 518705 0 0 0 YADIRA HOWE EXECUTIVE VP/CFO 278341 0 20000 0 22500 0 36327 0 13743 0 370911 0 0 0 K BROOKS MILLER PRESIDENT/CEO END 10/24 445665 0 11774 0 23000 0 14192 0 8478 0 503109 0 0 0 NICHOLAS PFANNENSTIEL EXECUTIVE VP/COO 422137 0 20000 0 22500 0 45740 0 20209 0 530586 0 0 0 MELISSA WEHNER VP, OPERATIONS 185927 0 10000 0 0 0 9775 0 10452 0 216154 0 0 0 RAFAEL SANTIAGO PHYSICIAN 271993 0 24797 0 0 0 27194 0 8565 0 332549 0 0 0 ASHLEY POPEJOY CHIEF DENTAL OFFICER 359521 0 57899 0 0 0 21452 0 11819 0 450691 0 0 0 AUTUMN CLARK MEDICAL DIRECTOR 317987 0 12500 0 0 0 20432 0 11893 0 362812 0 0 0 CHAN REYES MEDICAL DIRECTOR 309739 0 11544 0 0 0 18500 0 13911 0 353694 0 0 0 CLINT STRONG MEDICAL DIRECTOR 296434 0 36280 0 0 0 22985 0 15940 0 371639 0 0 0 DEREK SMITH DENTAL DIRECTOR 249061 0 76984 0 0 0 23000 0 18647 0 367692 0 0 0 LISA MCEVOY DENTAL DIRECTOR 228193 0 60657 0 0 0 2248 0 9354 0 300452 0 0 0 SHANNON WHITE CLINICAL INTEGRATION DIRECTOR 329527 0 46335 0 0 0 14906 0 9949 0 400717 0 0 0 RYAN KRUGER VP, OPERATIONS 205588 0 35000 0 0 0 10539 0 17265 0 268392 0 0 0 ANDREW BENBOW PHYSICIAN 282972 0 11535 0 0 0 23000 0 1087 0 318594 0 0 0 GIOVANNI SAFDARI ORAL SURGEON 673987 0 0 0 0 0 16118 0 0 0 690105 0 0 0 TODD H'DOUBLER DENTIST 203338 0 96094 0 0 0 13869 0 5945 0 319246 0 0 0 ZACHARY JARRETT DENTIST 233994 0 62020 0 0 0 7500 0 11645 0 315159 0 0 0 JESSICA CHARITE PEDIATRIC DENTIST 293664 0 16170 0 0 0 3462 0 9387 0 322683 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 THE INDUSTRIAL DEVELOPMENT AUTH OF TANEY CO MO 431288274 000000000 2016-02-19 1190000 CAPITAL PROJECTS false false false B THE INDUSTRIAL DEVELOPMENT AUTH OF GREENE CO MO 431284357 000000000 2016-02-19 2656160 REFUND 2005 BONDS, CAP PROJ false false false A 481630 1190000 22365 1167635 2016 false false true true B 1191847 2656160 53002 1414561 1188597 2016 true false true true A false false false false false false 0 0 0.0 false false 0 false true B false false false false false false 0 0 0.0 false false 0 false true A false false false true true false 0 false false false 0 false false true B false false false true true false 0 false false false 0 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 1 1486012 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. Form 990, Part XI, Line 9 Other changes in net assets or fund balances UNCOLLECTIBLE PLEDGES - -454492; Total - -454492;