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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE CORPORATION CONSIST OF ASHTABULA COUNTY MEDICAL CENTER AND MEMORIAL HOSPITAL OF GENEVA</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER CLASSES: THE MEMBERS OF THE CORPORATION SHALL HAVE SUCH RIGHTS AND POWERS AS ARE PROVIDED FOR IN THE ARTICLES OF INCORPORATION OF THE CORPORATION, THE BYLAWS, AND THE LAWS OF THE STATE OF OHIO. SUCH RIGHTS AND POWERS INCLUDE, BUT ARE NOT LIMITED TO, THE EXCLUSIVE POWER: A. TO ELECT OR APPOINT TRUSTEES OF THE CORPORATION AND TO REMOVE SUCH TRUSTEES FROM OFFICE; B. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION; C. TO APPROVE THE ADMISSION OF NEW MEMBERS; AND D. TO APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION, OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. A MEMBER MAY, WITH THE CONSENT OF THE OTHER MEMBERS, ASSIGN ITS MEMBERSHIP TO A SUBSIDIARY OF AFFILIATE OF THE MEMBER, AS LONG AS THE ASSIGNEE IS A NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. EXCEPT AS SPECIFIED IN THE PRECEDING SENTENCE, MEMBERSHIP IN THE CORPORATION IS NOT TRANSFERABLE OR ASSIGNABLE.</ExplanationTxt>
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        <ExplanationTxt>MEMBERS WHO MAY ELECT MEMBERS: THE MEMBERS OF THE ORGANIZATION JOINTLY NOMINATED AND ELECT THE EIGHT MEMBER OF THE BOARD OF TRUSTEES TO A TWO YEAR TERM OF OFFICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY DECISION APPROVAL: THE BUSINESS, AFFAIRS, AND PROPERTY OF THE CORPORATION SHALL BE MANAGED BY THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES MAY ENGAGE AN EXECUTIVE DIRECTOR AND OTHER STAFF TO MANAGE THE DAY-TO-DAY ACTIVITIES OF THE CORPORATION, EXCEPT THAT THE BOARD OF TRUSTEES SHALL BE REQUIRED TO APPROVE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ALL NONBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $10,000. ANY TRUSTEE MAY RESIGN AT ANY TIME BY GIVING WRITTEN NOTICE TO THE BOARD OF TRUSTEE, THE PRESIDENT, OR THE SECRETARY-TREASURER OF THE CORPORATION. SUCH RESIGNATION SHALL TAKE EFFECT WHEN THE NOTICE IS RECEIVED UNLESS THE NOTICE SPECIFIES A LATER DATE. A TRUSTEE (OTHER THAN THE EXECUTIVE DIRECTOR) MAY BE REMOVED WITH OR WITHOUT CAUSE BY THE MEMBER WHICH APPOINTED THE TRUSTEE. ANY OF THE TRUSTEES OF THE CORPORATION MAY BE REMOVED WHENEVER IN ITS JUDGMENT THE BEST INTERESTS OF THE BOARD WILL BE SERVED THEREBY. ANY TRUSTEE INCURRING THREE (3) UNEXCUSED, CONSECUTIVE ABSENCES WITH RESPECT TO THE REGULAR MEETINGS OF THE BOARD OF TRUSTEES SHALL BE SUBJECT TO REMOVAL. EXCEPT FOR A VACANCY RESULTING FROM THE ABSENCE OF AN EXECUTIVE DIRECTOR, VACANCIES ON THE BOARD OF TRUSTEES SHALL BE FILLED BY THE MEMBER THAT APPOINTED THE TRUSTEE WHOSE POSITION HAS BECOME VACANT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS: THE DRAFT 990 IS PROVIDED TO THE BOARD PRIOR TO SUBMISSION FOR REVIEW EITHER AT A BOARD MEETING OR THROUGH ELECTRONIC BOARD COMMUNICATIONS. ELECTRONIC OR IN PERSON COMMENTS ARE REVIEWED AND ANY ACTIONS TAKEN AS WELL AS THE REVIEW PROCESS IS NOTED IN BOARD MINUTES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY: A SIGNED ANNUAL DISCLOSURE OF ANY CONFLICTS OF INTEREST IS REQUIRED OF ALL BOARD OF TRUSTEE MEMBERS</ExplanationTxt>
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        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION FOR THE SENIOR MANAGEMENT TEAM IS ESTABLISHED THROUGH A COMPENSATION REVIEW OF COLLATED SURVEY DATA FROM THE SEVERAL SOURCES INCLUDING INDUSTRY AND GEOGRAPHIC SPECIFIC DATA. THE HR COMMITTEE COMPRISED OF THE EXECUTIVE COMMITTEE REVIEWED THE DATA AND ESTABLISHED COMPENSATION RANGES FOR EACH POSITION. THE EXECUTIVE DIRECTOR DETERMINED EACH SENIOR LEADERSHIP MEMBER'S COMPENSATION WITHIN THE RANGES ESTABLISHED FOR EACH POSITION.</ExplanationTxt>
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        <ExplanationTxt>DOCUMENTS AVAILABLE TO PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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