| FORM 990, PAGE 2, PART III, LINE 4A |
SUCH AS SCHOOL SPORTS PHYSICALS, CPR/FIRST AID CLASSES, BABYSITTER TRAINING, BONE DENSITY SCREENING, CAROTID ARTERY SCREENING, PSA SCREENS, PVD SCREENS AND CHOLESTEROL SCREENING. MOREOVER, THE HOSPITAL RECEIVED MORE THAN 51,000 DURING FISCAL YEAR 2017 IN FITNESS CLUB FEES. THE FITNESS CENTER IS MADE AVAILABLE TO THE GENERAL PUBLIC TO AIDE THEM IN MAINTAINING A HEALTHY LIFESTYLE. |
| FORM 990, PAGE 6, PART VI, LINE 6 |
THE CORPORATION SHALL HAVE TWO CLASSES OF MEMBERS (A) ACTIVE MEMBERS, AND (B) HONORARY MEMBERS. ONLY ACTIVE MEMBERS OF THE CORPORATION SHALL AHVE EQUAL RIGHTS, PRIVILEGES, DUTIES, LIABILITIES, LIMITATIONS AND RESTRICTIONS. |
| FORM 990, PAGE 6, PART VI, LINE 7A |
THE BOARD OF TRUSTEES SHALL CONSIST OF NOT LESS THAN SIX PERSONS, NOR MORE THAN 15 PERSONS AS DETERMINED BY THE BOARD OF TRUSTEES, A MAJORITY OF WHOM SHALL BE MEMBERS OF THE BOARD OF TRUSTEES OF HILLS & DALES HEALTHCARE CORPORATION. |
| FORM 990, PAGE 6, PART VI, LINE 7B |
THE FOLLOWING ACTIONS MAY BE TAKEN BY THE ORGANIZATION ONLY UPON WRITTEN APPROBAL OF THE BOARD OF TRUSTEES OF HILLS & DALES HEALTHCARE CORPORATION: A: ADOPTION, AMENDMENT, OR OTHER MODIFICATION OF THE BYLAWS OR ARTICLES OF INCORPORATION; B: ANY MERGERS, CONSOLIDATION, REORGANIZATION, OTHER CHANGE IN THE CORPORATE STRUCTURE OR THE CREATION OF ANY CORPORATE SUBSIDIARY; C: PARTICIPATION IN ANY PARTNERSHIP, LIMITED PARTNERSHIP, CORPORATION, ASSOCIATION OR OTHER FORM OF JOINT VENTURE OR SHARED SERVICE WITH ANY OTHER PARTY; D: CREATION, INCURRENCE, OR ASSUMPTION OF INDEBTEDNESS, COMMITMENTS, OR ANY CONTRACTUAL OBLIGATIONS WITH RESPECT TO BORROWED MONEY, GUARANTEES, ENDORSEMENTS, LEASES, OR OTHER TYPE OF DIRECT OR CONTINGENT LIABILITIES, IN EXCESS OF 150,000 FOR ANY ONE ITEM; E: CREATION, INCURRENCE, OR ASSUMPTION OF ANY MORTGAGE, PLEDGE, SECURITY AGREEMENT, ENCUMBRANCE, OR OTHER LIEN OF ANY KIND IN ANY PROPERTY OR ASSETS OF THE ORGANIZATION; F: ACQUISITION, BY PURCHASE, LEASE OR BY ANY OTHER METHOD OF REAL ESTATE, CAPITAL IMPROVEMENTS, OR EQUIPMENT IN EXCESS OF VALUE OF 150,000 FOR ANY SUCH ITEM; G: ANY CHANGE IN THE SERVICES OR PROGRAMS OF THE ORGANIZATION, INCLUDING THE TERMINATION OF EXISTING SERVICES, THE ADDITION OF NEW SERVICES, OR ANY MAJOR EXPANSION OR CONTRACTION OF EXISTING SERVICES OR PROGRAMS; H: ADOPTION, AMENDMENT OR MODIFICATION OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; OR I: ADOPTION, AMENDMENT OR MODIFICATION OF THE MISSION AND GOALS OF THE CORPORATION, AND ITS LONG-RANGE AND SHORT-RANGE STRATEGIC PLANS. |
| FORM 990, PAGE 6, PART VI, LINE 11B |
THE 990 WAS REVIEWED BY THE CFO AND CEO. A COPY WAS THEN PROVIDED TO THEY TRUSTEES OF THE HOSPITAL FOR THEIR REVIEW PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C |
THE CONFLICT OF INTEREST FROM IS COMPLETED ANNUALLY AND MONITORED FOR COMPLIANCE BY THE CEO AND THE CHAIRMAN OF THE BOARD. WHEN A CONFLICT EXISTS, THE BOARD MEMBER NOTIFIES THE REST OF THE BOARD OF THE CONFLICT. THE BOARD MEMBER IS ALLOWED TO DISCUSS THE MATTER AT HAND, HOWEVER, THE MEMBER WITH A CONFLICT IS NOT ALLOWED TO VOTE ON ANY CONFLICTED ISSUE. THIS POLICY COVERS ALL BOARD MEMBERS, OFFICERS, ADMINISTRATIVE STAFF MEMBERS AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. |
| FORM 990, PAGE 6, PART VI, LINE 15A |
THE SALARY OF THE CEO IS DETERMINED BY THREEE BOARD MEMBERS FROM THE HILLS & DALES GENERAL HOSPITAL, INC. BOARD OF TRUSTEES. ALL OTHER EMPLOYEES REPORT TO THE CEO. THE WAGES/SALARIES OF THE EMPLOYEES ARE REVIEWED BY THE CEO AND OTHER OFFICERS OF THE HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B |
THE SALARY OF THE CEO IS DETERMINED BY THREEE BOARD MEMBERS FROM THE HILLS & DALES GENERAL HOSPITAL, INC. BOARD OF TRUSTEES. ALL OTHER EMPLOYEES REPORT TO THE CEO. THE WAGES/SALARIES OF THE EMPLOYEES ARE REVIEWED BY THE CEO AND OTHER OFFICERS OF THE HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 19 |
THE ORGANIZATION BELEIVES THE GOVERNING DOCUMENTS AND POLICIES ARE THE PROPERTY OF THE ORGANIZATION AND ARE NOT AVAILABLE FOR PUBLIC INSPECTION. |
| FORM 990, PART XI, LINE 9 |
BAD DEBTS -794,568 RENTAL EXPENSES 46,790 RENTAL EXPENSES -46,790 BAD DEBTS 794,568 BOOK / TAX DEPRECIATION DIFFERENCE -2 TOTAL -2 |
| FORM 990, PAGE 12, PART XII, LINE 2C |
THERE WAS NO CHANGE IN THE PROCESSES OF THE COMMITTEE THAT IS RESPONSIBLE FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITORS. |
Attach to Form 990 or 990-EZ.