Hhu Xtra Care Inc.

“St. Clare hospital, inc., baraboo, wisconsin; sauk prairie memorial hospital, inc., prairie du sac, wisconsin; reedsburg area medical center, inc., reedsburg, wisconsin; and st. Mary's hospital medical center, madison, wisconsin; are sponsoring hospitals of the organization and have the right to appoint members of the governing body. From time to time contributions of certain assets of the corporation may be made to its sponsoring hospitals. Upon dissolution of the corporation, any liquidating distributions of the corporation's assets will be made to the organization's sponsoring hospitals.”

“The business and affairs of the corporation shall be managed by its board of directors. Each of the sponsoring hospitals shall be entitled to appoint one director except st. Mary's hospital medical center which shall be entitled to appoint two directors. Notice of the name and address of each appointee shall be made by the sponsors to the secretary of the organization. Each director serves at the pleasure of his or her appointing sponsor and may be removed and replaced at any time by a written notice from the appointing sponsor to the secretary of the corporation. One position on the board of directors shall be reserved for a visiting nurse service representative. Any vacancy in the representative position shall be filled by the board in the following fashion: the visiting nurse service foundation or another local non-profit organization shall propose a list of three nominees to fill the vacant position. The board of directors shall select a person from the list.”

“Accounting/finance personnel at each ssmh (ssm health system) entity, in conjunction with system finance personnel, prepare information and supporting schedules that are used to prepare the form 990. This information is then reviewed by a supervisor/manager and sent to the system office, where ssmh personnel prepare the form 990. The return is then reviewed by an independent accounting firm who signs as paid preparer. The return is provided to entity management personnel for final review prior to filing. The complete form 990 is provided electronically to all board members at the next regularly scheduled board meeting.”

“Monitored based on response and annually. Any individual with a perceived or actual conflict of interest will be recused from discussion and voting on the matter to which the conflict relates.”

“The governing documents, conflict of interest policy and financial statements are available to the public upon request.”

“All other program service revenue - Total Revenue: 314566, Related or Exempt Function Revenue: 314566, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“(Expenses $ 194,535 including grants of $)(Revenue $ 214,137) HOME CONNECTIONS HEALTH SERVICES”

“Ssm health care corporation, ein 46-6029223, serves as the common paying agent for the filing organization, hhu xtra care, inc, ein 39-1705111. Therefore, all applicable 1099 and 1096 irs tax filings are reported by ssm health care corporation.”

“Transfers from affiliates - 2265950;”