Alliance Community Hospital

“The governing body of Alliance Community Hospital has delegated authority to the Executive Committee, as follows: (excerpts from the Code of Regulations) Composition of the Executive Committee: The Executive Committee shall meet at least four (4) times each year and shall be authorized to exercise all the powers of the Board of Trustees and perform all of its duties, except as otherwise provided by the Member (Alliance Citizens' Health Association), the Code of Regulations, Articles of Incorporation, or by law. The Executive Committee shall be composed of the President, the Vice President, the Secretary, Treasurer, Chief Executive Officer, President of the Medical Staff, and up to four (4) other members of the Board of Trustees. The governing body of Alliance Community Hospital (per its Code of Regulations) has delegated authority to the Board of Alliance Citizens' Health Association (the Member), a related organization, as follows: 1.) Power to elect and remove members of the Board of Trustees and/or Officers of the corporation; 2.) Approve the annual operating budgets; capital expenditures budgets; capital expenditures or dispositions of capital assets with a value in excess of such limits as shall be set from time to time by the Member; any action which requires Certificate of Need approval from the State Health Planning Development Agency; and any purchase, sale, lease, disposition, or hypothecation of real property; 3.) The incurrence of any obligation(s), liability(ies), and/or debt(s) requiring a mortgage on or security interest in any part of the assets of the corporation; 4.) Power to determine, upon dissolution of the corporation, the organization or organizations to which its remaining assets will be distributed; 5)The Member (ACHA), through a committee appointed by its President, shall periodically review and update the strategic plan of the corporation.”

“See Schedule O comment for Part VI question 1a above.”

“See Schedule O comment for Part VI question 1a above.”

“See Schedule O comment for Part VI question 1a above.”

“The Form 990 is reviewed by the CFO of Alliance Community Hospital and the Hospital hires an independent accouting firm to review the Form 990 and schedules. Prior to filing, the 990 is also distributed to the Board of Trustees for their review and comments. It is then discussed as part of the financial report at the next Board meeting where any questions/concerns can be addressed.”

“Members of the Board of Trustees are required to annually review and sign a conflict of interest policy. Under that policy, the Board member (i) has a duty to disclose any conflict, and (ii) must recuse themselves from a vote and or decision when such conflict arises. If this policy is violated, then the Board shall take appropriate action which may include an investigation and disciplinary action.”

“Compensation of officers is determined by an independent (noncompensated) committee from the Board of Trustees. This committee annually reviews compensation by obtaining market surveys of the positions.”

“Ohio does not require the Form 990 to be filed with the Ohio Attorney General's Office. Instead, a "Verification of Filing with the Internal Revenue Service" form is completed stating that we did file Form 990 by the required due date.”

“The organization makes its governing documents available to the public via the Ohio Secretary of State's website. Financial statements are available in the NRMSIR filing database at www.emma.msrb.org. The conflict of interest policy is available upon request.”

“The increase in Net Assets at 12-31-2014 of $2,794,394 consists of net transfers to/from Section 501(c)(3) related organizations of $2,800,000 less amortization of interest rate swap agreement of $6,590 plus an increase in temporarily Restricted Net Assets of $984, netting to $2,794,394.”