Marshall County Memorial Hospital

“The hospital does not have committees with authority to act on behalf of the governing body.”

“The 990 will be reviewed in detail. After the review, the 990 will be provided to each board member. The 990 will be presented to the board of directors at the meeting held prior to its filing if so requested by any board member. Whether presented in a board meeting or not, the 990 is not filed until each board member has been given a copy of it and given ample time to review it.”

“Board of trustee members and key officers sign the annual conflict of interest policy. Prior to each board meeting, trustees and officers are asked to declare any conflict of interest with the agenda. If a conflict were to be declared, that director would not participate in the decision on that particular agenda item.”

“Avera st. Luke's reviews the ceo's job performance with input from department heads at mchc. The performance appraisal is shared with mchc's board of trustees. An independent salary survey is done by avera st. Luke's. A recommendation of the ceo's salary is brought to mchc's board of trustees. The board of trustees goes over the performance review with the ceo and conveys the change in salary to him. The deliberation and decision of the board is documented. This process was last undertaken during the fiscal year. All other salaries are approved in a salary budget and discussions relating to the amount budgeted for salary adjustments is documented. Marshall county healthcare center participates in a semi-annual salary and benefits survey, conducted by the south dakota association of healthcare organizations, the results of which are used in establishing salary adjustments for each position. This process was last undertaken during the fiscal year.”

“Documents are made available upon request.”

“Purchased services: program service expenses 375,199. Management and general expenses 0. Fundraising expenses 0. Total expenses 375,199. Consulting fees: program service expenses 244,532. Management and general expenses 3,000. Fundraising expenses 0. Total expenses 247,532. Professional fees: program service expenses 337,834. Management and general expenses 0. Fundraising expenses 0. Total expenses 337,834. Collection fees: program service expenses 0. Management and general expenses 989. Fundraising expenses 0. Total expenses 989. Acs fees: program service expenses 0. Management and general expenses 151,930. Fundraising expenses 0. Total expenses 151,930.”

“Change in interest in avera pooled investment fund 44,589.”