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 2018 again.”

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

“Three rivers health exists to provide cost effective healthcare to its community, and to provide access to quality healthcare providers, which in turn helps improve the wellness of our communities. St. Joe county continues to have economic issues, which in turn provides challenges for people to access and pay for health care. We have a high population of medicaid patients, and because of this we continue to provide services that enhance the opportunities for those patients, as well as all patients. We employ 90% of the providers in the community, and we continue to ensure that our customers have adequate access to primary care and specialists. We have 3 rural health clinics and are looking at expanding the rhc's. We started recruiting other primary care physicians in 2017 and added more providers in the community in 2018. The hospital continues to provide a full range of services such as ob, wound care, home care and hospice, as well as a wellness facility. Many of these services are heavily subsidized. The hospital continues to provide support services for people that do not have insurance coverage, and in many cases helps them navigate the process which in many cases results in some insurance coverage. The hospital over the past few years has expanded its orthopedic services, and as a result the community has access to multiple providers for these services, as well as ent services, thus resulting in people being able to receive these services locally, rather than travel to receive these services. The hospital continues to explore partnerships with other entities to ensure that local healthcare remains available and cost effective. The hospital continues to add services in the community, as expanded infusion services will be added in 2019, and a short stay voluntary detox unit will be added in late 2019. The hospital also partnered with a company to keep pain management services in the community in 2018.”

“We now provide a complete pain management program that is a joint venture. This new service enables people in the community to have access to necessary pain management services.”

“Purchased services: program service expenses 5,535,836. Management and general expenses 1,845,279. Fundraising expenses 0. Total expenses 7,381,115. Consultant fees: program service expenses 2,466,142. Management and general expenses 274,016. Fundraising expenses 0. Total expenses 2,740,158.”

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