Manning Regional Healthcare Center

“The executive committee, comprised of the president, vice president, treasurer/secretary, has the authority to act on behalf of the governing body.”

“Managed contract affiliation agreement with mercy hospital medical center of des moines, iowa - the administrator of manning regional healthcare center (mrhc) is an employee of mercy but reports to the mrhc board of directors. The cfo is also an employee of mercy and reports to the ceo.”

“The financial statement preparation and recording processes of mrhc are the primary responsibilities of the cfo. Upon receiving the form 990 organizer during the audit, the cfo begins to prepare documentation for the form 990. Upon the submission of the form 990 organizer to the preparer, any questions are clarified and answered. Primary reviewing responsibility of the form 990 lies with the cfo and ceo. It is always the intent to have the form 990 prepared and reviewed prior to the initial filing deadline, but if for any reason this cannot be achieved, requests to extend the filing deadline are filed. Each member of the board of directors is given a copy of the form 990 to review before filing is completed.”

“Throughout the year, any issue that involves a conflict of interest with a trustee, director, officer, or key employee would require that the individual be separated from the decision-making process related to the potential conflict of interest. In regard to annual compliance, the reference to the conflict of interest policy outlines current practices. Each director, principal officer and member of a committee with governing board delegated powers shall annually sign a statement which affirms such person: has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy and understands the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. Fulfillment of this objective will fall under the mrhc administrative policy review process.”

“Manning regional healthcare center (mrhc) determines compensation for its officers and key employees by consulting the current iowa hospital association (iha) salary survey. This survey is done annually with the hope of 100% participation of all iowa hospitals. Mrhc uses the information from its peer group as comparative data for determining wages. The peer group is selected by mrhc and consists of hospitals in the vicinity of mrhc and hospitals that are approximately the same size as mrhc. Mrhc will also factor in years of experience when determining wages for newly hired employees or whether or not market increases are needed for existing key employees or officers. In addition to assessing market information, any annual compensation increases (i.e. - merit raises) are determined by assessing facility-wide financial performance and instituted consistently for all positions facility-wide. For the ceo position specifically, as that position is managed through mercy hospital medical center of des moines, the salary and compensation is determined by the mercy network vice president, in conjunction with the mrhc board of directors. To determine the salary, the iha salary survey is first reviewed, which recognizes salary ranges based on hospital revenues, number of fte's and also based on cah. A chicago-based company, hr advantage, is also used in a survey compiling community demographics.”

“Mrhc provides information regarding these documents to individuals and businesses upon request. As the organization is a not-for-profit entity, irs filings are available via public portals (i.e. Guidestar) that facilitate the presentation of this data.”

“Anesthesia fees: program service expenses 202,305. Management and general expenses 0. Fundraising expenses 0. Total expenses 202,305. Lab fees: program service expenses 216,908. Management and general expenses 0. Fundraising expenses 0. Total expenses 216,908. Pharmacy fees: program service expenses 69,785. Management and general expenses 0. Fundraising expenses 0. Total expenses 69,785. Emergency room fees: program service expenses 150,428. Management and general expenses 0. Fundraising expenses 0. Total expenses 150,428. Other fees for services: program service expenses 1,492,445. Management and general expenses 375,039. Fundraising expenses 0. Total expenses 1,867,484. Radiology fees: program service expenses 81,119. Management and general expenses 0. Fundraising expenses 0. Total expenses 81,119. Specialty physician fees: program service expenses 512,763. Management and general expenses 0. Fundraising expenses 0. Total expenses 512,763.”

“The board of directors takes responsibility for the oversight of the audit of its financial statements and selection of an independent accountant. This process has not changed from the prior year.”