Three Rivers Health System Inc.

“The hospital uses a management company to manage operations. They also employ the ceo and cfo.”

“The 990 is presented at the board meeting, and reviewed by officers and members during the meeting after the return is filed.”

“The compliance office requires annual disclosure, and communicates to board periodically. If a conflict of interest arises, the individual is required to leave the room when discussions take place.”

“The hospital uses data from mha to determine the salary structure for employees. For the ceo and cfo, qhr is the primary source for compensation, which must be approved by the board. The salary plan is presented to the finance committee as well. All decisions are documented in the board minutes. This process took place in 2016 again.”

“Policies and statements are reviewed at board meetings. If additional requests are made, this information is provided as requested.”

“The hospital's mission is to provide access to high quality healthcare to our community. We serve a community that has one of the highest unemployment rates in the state. We employ 85% of the physicians in the community, thus providing adequate access to our community, specifically medicaid eligible patients. We operate 3 rural health clinics, and will have one more operational in 2017, which greatly enhances access to care. We provide a full range of ob services to the community, of which over 60% is medicaid. We also provide wellness and diabetic education services to the community, as well as homecare and hospice, all services that are heavily subsidized. In addition, the hospital also has an ip rehabilitation unit on campus , as well as a wound care clinic. We have started an employee wellness program internally, and plan to work with local employers to offer this service as well. Future plans include offering mental services, and expanding orthopaedics, and adding ent services. Additionally, we are adding resources to help the uninsured navigate the requirements for obtaining insurance coverage for their problems. In the latter part of 2016, we added a hand surgeon, and we also have started to work collectively with the other hospital in the county to improve access to care, as well as adequate call coverage from our providers.”

“PURCHASED SERVICES: Program service expenses 3,258,077. Management and general expenses 4,823,309. Fundraising expenses 0. Total expenses 8,081,386. CONSULTANT FEES: Program service expenses 1,429,812. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,429,812.”

“The process has not changed since the prior year.”