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          <BusinessNameLine1Txt>MADISON COMMUNITY HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>323 SW 10TH ST</AddressLine1Txt>
          <CityNm>MADISON</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57042</ZIPCd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WE MAINTAIN ACCOUNTING RECORDS AND CLOSE BOOKS MONTHLY TO ENSURE PROPER RECORDING OF EXPENSES AND MATCHING WITH GRANT RECEIPTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE EXECUTIVE DIRECTOR, THE CEO OF THE HOSPITAL, AND OTHER MEMBERS OF THE BOARD AS THE BOARD SHALL DETERMINE UPON RECOMMENDATION BY THE EXECUTIVE DIRECTOR. THE EXECUTIVE COMMITTEE SHALL BE AUTHORIZED TO ACT FOR THE BOARD BETWEEN ITS REGULAR MEETINGS. EXCEPT AS OTHERWISE PROVIDED BY THESE BYLAWS OR BY RESOLUTION OF THE BOARD, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE FOUNDATION. THE EXECUTIVE COMMITTEE SHALL REPORT ITS ACTIONS TO THE BOARD AT THE NEXT MEETING. WITHOUT LIMITING THE FOREGOING, THE EXECUTIVE COMMITTEE SHALL BE RESPONSIBLE FOR THE RECRUITMENT OF AN EXECUTIVE DIRECTOR, THE ESTABLISHMENT AND MAINTENANCE OF THE EXECUTIVE DIRECTOR'S JOB DESCRIPTION, AND THE HANDLING OF GRIEVANCES OF ANY EMPLOYEES OR VOLUNTEERS OF THE CORPORATION. THE EXECUTIVE DIRECTOR SHALL CALL MEETINGS OF THE EXECUTIVE COMMITTEE, OR IN THE EVENT OF A VACANCY IN THE POSITION OF EXECUTIVE DIRECTOR, ANY VICE PRESIDENT MAY CALL A MEETING OF THE EXECUTIVE COMMITTEE. THE NOTICE OF THE MEETING SHALL BE GIVEN NO LESS THAN FORTY-EIGHT HOURS PRIOR TO THE MEETING, AND IT SHALL CONTAIN THE PURPOSE OR PURPOSES FOR WHICH THE COMMITTEE MEETING HAS BEEN CALLED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION DIRECTOR, STEPHAN KLEKAS, IS AN EMPLOYEE OF MADISON REGIONAL HEALTH SYSTEM. THE FOUNDATION REIMBURSED MADISON REGIONAL HEALTH SYSTEM FOR WAGES STEPHAN KLEKAS EARNED WHILE PERFORMING HIS DUTIES AS FOUNDATION DIRECTOR. IN 2022, STEPHAN RECEIVED COMPENSATION OF $67,124 AND BENEFITS OF $17,695.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND CHIEF FINANCIAL OFFICER OF MADISON REGIONAL HEALTH SYSTEM (MRHS) REVIEW THE 990 IN DETAIL. AFTER THEIR REVIEW, THE 990 IS PROVIDED TO EACH BOARD MEMBER. THE CEO PRESENTS THE 990 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. THE CEO OF MRHS IS A DIRECTOR ON THE FOUNDATION'S BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS AND OFFICERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THE BOARD WILL REVIEW ACTUAL CONFLICTS AND MAKE DETERMINATIONS WHETHER A CONFLICT EXISTS. THE RESTRICTIONS ARE IMPOSED ON A CASE BY CASE BASIS BASED ON THE BOARD'S DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, ITEM J</FormAndLineReferenceDesc>
        <ExplanationTxt>FOUDATION WEBSITE: HTTPS://WWW.MADISONREGIONALHEALTH.ORG/CUSTOM/FOUNDATION</ExplanationTxt>
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</Return>
