Pembina County Memorial Hospital Association

“An Executive Committee exists which meets on an as needed basis between scheduled board meetings and it can take action as required on behalf of the board when it is not feasible to bring the full board together in time to address an issue. The committee annually recommends to the board appropriate compensation for the CEO. The Executive Committee also annually evaluates the performance of the board and reviews the bylaws and makes recommendations to the board concerning any necessary or appropriate changes to them. They also perform other duties and delegated responsibilities as the board may assign to the committee from time to time.”

“Everett Butler, CEO of the organization, is employed by Christian Unity Hospital Corporation, DBA Unity Medical Center, an unrelated party. The amount of compensation he received for 2013 (January through September) was $50,127; the amount was paid to Unity Medical Center.”

“The Organization has stockholders. There is one class of stockholders. Each stockholder has one vote during the annual meeting.”

“The stockholders/members elect the Board of Directors and the rest of the voting power rests with the Board of Directors.”

“The Form 990 is reviewed by the Board members and Finance Committee before it is filed.”

“The process of disclosing conflicts of interest is gone through annually. Each Board member completes a form and discloses if they have a conflict of interest. The CEO and Board President review the disclosure forms and if a conflict arises as an issue, it is brought to the full Board for discussion on further action (if necessary), which may result in a consultation with an attorney. If the Board is voting on an issue where there is a conflict of interest, the person with the conflict of interest is asked to abstain from the vote.”

“The process for determining compensation includes looking at state salary surveys from the American Hospital Association or North Dakota Hospital Association. For the CEO, the Executive Committee of the Board derives the compensation contract. The CFO's compensation is reviewed annually by the CEO. Changes to the CFO's salary may be based on American Hospital Association Surveys or other industry surveys and also budget approval by the Board of Directors. For others, the Board is not involved in the final compensation decision, but instead the CEO and CFO make the final compensation decisions. This process is done annually and was last undertaken in 2013.”

“The Organization's governing documents, conflict of interest policy and financial statements are typically only shared with people whom the organization does business with. They are made available upon request for the general public. The financial statements are also attached to the Form 990 and made available to the public through the Form 990.”

“Ken Schwandt's Compensation: Ken Schwandt is not compensated as a member of the board. Ken Schwandt receives compensation from the Organization as an independent contractor for his consultant pharmacist services to the Organization. The transaction does not meet the reporting thresholds of Schedule L, Part IV and accordingly is not reported there.”

“Medical Professional Fees: Program service expenses 1,455,534. Management and general expenses 3,179. Fundraising expenses 0. Total expenses 1,458,713. Maintenance and Repair Fees: Program service expenses 54,625. Management and general expenses 9,626. Fundraising expenses 0. Total expenses 64,251. Service and Service Contract Fees: Program service expenses 259,715. Management and general expenses 104,444. Fundraising expenses 0. Total expenses 364,159. Purchased Services: Program service expenses 344,472. Management and general expenses 20,250. Fundraising expenses 0. Total expenses 364,722. Non Medical Professional Fees: Program service expenses 11,339. Management and general expenses 70,261. Fundraising expenses 0. Total expenses 81,600. Rental/Lease Equipment Fees: Program service expenses 46,136. Management and general expenses 0. Fundraising expenses 0. Total expenses 46,136.”

“Change in Auxiliary Assets -1,595.”