Madison County Hospital Inc.

“Officers dana e. Engle and michael s. Browning have a business relationship.”

“Madison county hospital, inc. Has approximately 358 community members. Annual membership dues are $25 and membership is open to community members 18 years of age or older.”

“The board consists of ten directors, nine of whom are elected by the members of the corporation and one of whom is appointed by the madison county commissioners.”

“The following major decisions shall require approval of at least a majority of the total number of community members: a) any sale, transfer, exchange or other disposition of all or substantially all of the assets of the corporation and b) any merger, consolidation or dissolution of the corporation.”

“The form 990 will be made available prior to filing to all board members only by way of secured web portal. Prior to posting on the web portal, the form 990 is reviewed by management.”

“The organization does not have its own conflict of interest policy but follows that of madison county community hospital (madison health). Annually, the ceo, cfo, all board members and department managers receive a copy of madison health's conflict of interest policy. In addition, they are asked to complete and return the conflict of interest agreement and annual disclosure statement to the madison health's administrative office. The conflict of interest statements are reviewed and retained on file. Any interests so disclosed are dealt with appropriately as the conflict arises and in accordance with policy procedures. All officers and directors of madison county hospital, inc. Are also officers and directors of madison health.”

“The organization does not have employees, but rather, its officers are employees of madison county community hospital (madison health), whose process for determining compensation includes a review and approval by independent persons, use of comparability data and contemporaneous documentation of the deliberation and process.”

“The organization's conflict of interest policy, financial statements and governing documents are available upon request.”

“The organization has not adopted whistleblower or document retention and destruction policies but the organization does follow the whistleblower and document retention and destruction policies of madison health.”

“Change in fair value of interest rate swap 57,248.”

“Madison county hospital, inc.'s financial statements are audited by an independent accounting firm. In addition, the organization has a joint commmittee with madison health that assumes the responsibility for the oversight of the audit of its financial statements and its selection of its independent accountant. This process has not changed from the prior year.”