Door County Memorial Hospital

“There are two classes of members. Class h members are representatives from hshs. Two class h members are required per the partnership agreement with hshs. Class d members are representatives from door county medical corporation.”

“Class h directors of the governing body of door county memorial hospital shall be appointed by st. Vincent hospital of the hospital sisters of the third order of st. Francis provided that the class d directors shall receive advance notice of and the right to attend and participate in discussion at svgb meetings during which svgb discusses potential candidates to the class h directors.”

“Starting 11/1/16 door county memorial hospital entered into an affiliation agreement with hospital sisters health system, hospital sisters services, inc. And st. Vincent hospital of the hospital sisters of the third order of st. Francis. There are some decisions that require affirmative approval of the class h directors, voting a single vote as a class, and the affirmative approval of the class d directors, voting a single vote as a class.”

“Management, including certain officer, works diligently to complete the form 990 and attached schedules in a thorough manner. Prior to filing the return, all board members are provided the form 990 and management team members are available to answer any board members' questions.”

“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals of the governing board or committee will decide if conflicts on interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understand the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.”

“In determining compensation of the organization's ceo, the process performed by door county memorial hospital, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The compensation committee, which is assisted by an independent consulting firm, reviewed and approved the compensation. In the review of the compensation, the ceo, was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individual was not present when his compensation was decided. In determining compensation of other officers and key employees of the organization, the process performed by door county memorial hospital, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the board minutes. Individual was not present when his compensation was decided. In determining compensation of other officers and key employees of the organization, the process performed by door county memorial hospital, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The compensation committee, assisted by an independent consulting firm, reviewed and approved the compensation. In the review of the compensation, the other officers and key employees of the organization were compared to individuals at other organizations in the area who hold the same title. During the review and approval of compensation, documentation of the decison was recorded in the board minutes.”

“The door county memorial hospital web page is available to the public for inspection with a good deal of information regarding who door county memorial hospital is along with our mission. The articles of incorporation, bylaws, conflict of interest policy, and financial statements are not included on any web page. However, if any inquiry is made for any documents they are shared as appropriate.”

“Change in interest in net assets in door county hospital foundation -189,638.”