Community Hospital Inc.

“Grape community hospital is a corporation that has members. Membership in the corporation shall consist of the persons, corporations or associations who subscribed as incorporators and such other persons, corporations or associations who have contributed $100 or more to the corporation in cash, property or volunteer services rendered to the corporation.”

“The individual members (not corporate or association members) of grape community hospital (as described on form 990, part vi, section a, line 6) shall elect, at the annual meeting, the board of directors.”

“The ceo and director of finance will review the 990 prior to submission. The 990 will be presented to the board of directors for review prior to submission.”

“All directors and key employees will be required to annually complete the "conflict of interests statement". This policy is reviewed by the board of directors annually and given to each new director for signature during orientation. Any conflicts that arise during the year are disclosed to the board of directors and appropriately documented. Should any conflict require board action, the directors shall hold a meeting to vote on the matter.”

“The ceo's salary was determined by using the iha salary survey. It was discussed by independent board members and reviewed by legal counsel. This process has been in place since 2008. All other salaries, regardless of the position, are compared to the iowa hospital association salary survey with years of experience taken into consideration as well. The hospital has senior administration that are involved in the hiring of management, including the ceo.”

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

“Other fees for service: program service expenses 1,147,440. Management and general expenses 189,952. Fundraising expenses 0. Total expenses 1,337,392. Er physician fees: program service expenses 419,606. Management and general expenses 0. Fundraising expenses 0. Total expenses 419,606. Anesthesia medical fees: program service expenses 244,837. Management and general expenses 0. Fundraising expenses 0. Total expenses 244,837. Physical therapy fees: program service expenses 205,356. Management and general expenses 0. Fundraising expenses 0. Total expenses 205,356. Pharmacy fees: program service expenses 153,736. Management and general expenses 0. Fundraising expenses 0. Total expenses 153,736.”

“The board of directors assumes responsibility for oversight of the audit and selection of an independent accountant. This process has not changed from the prior year.”