Punxsutawney Medical Services Inc

“The parent company, punxsutawney area hospital, has the power to elect and appoint board members.”

“The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Prior to filing, a draft of the 990 will be reviewed by top management and will be discussed at a meeting of the finance committee of the board of directors. A final draft is provided to the full board of directors.”

“Every member of the board, and every individual appointed to the board or board committees, as well as all key management personnel and physician leaders, are required to execute a conflict of interest disclosure statement, which will be updated at least on an annual basis or as additional conflicting interests arise. In addition, every member of the board will specifically acknowledge the conflict of interest policy and his/her attempt to abide by it by signing the acknowledgement form. Every board committee member, officer, key management employee, and physician leader is required to sign this acknowledgement as well. The acknowledgement and disclosure forms will be kept on file by the chief executive officer, and the chairman and vice-chairman will be familiar with the statements that are filed by board members in order to guide their conduct in the event a conflict arises. Every person covered by this policy shall submit in writing to the chief executive officer a conflict of interest disclosure statement listing all financial and conflicting interests. Each statement will be resubmitted with any necessary changes each year or as any additional conflicting or financial interests arise. The chairman of the board shall become familiar with all such disclosure statements in case a conflict arises. The vice chairman of the board shall be familiar with the disclosure statement filed by the chairman. Penalties for non-compliance: failure to comply with this policy shall constitute grounds for removal from office and, in the case of key management personnel, termination of employment.”

“The ceo's compensation is paid by indiana regional medical center (irmc). Positions for officers and key employees are reviewed on an annual basis. Appropriate comparisons are made on a regional and national level in order to maintain a fair and equitable compensation structure. An external consultant is utilized to prepare comparative salary data for the board's review. All recommendations are approved by irmc's board of directors and documented in the board minutes.”

“Governing documents, conflict of interest policy, and financial statements are available to the public upon request.”

“Physician fees: program service expenses 380,070. Management and general expenses 0. Fundraising expenses 0. Total expenses 380,070. Purchased services: program service expenses 63,698. Management and general expenses 0. Fundraising expenses 0. Total expenses 63,698.”

“Transfer from affiliates 1,288,887.”