SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
CAMERON COMMUNITY HEALTH CARE CENTER INC
 
Employer identification number

55-0597803
Identifier Return Reference Explanation
F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Board members Ila Mae McConoughey and David McCpmpighey have a family relationship.
F990_P06_S0A_L03 Form 990, Part VI, Section A, Line 3 The Cameron Community Health Center has held a management contract with a local acute care hospital, Reynolds Memorial, since 1982.
F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The IRS 990 filing is completed by management, using the results of the independent financial audit. A copy is provided to the board members prior to filing.
F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c New board members are oriented to conflict of interest policies; and they are periodically reminded to disclose any potential conflicts. Also, the corporation's bylaws contain a provision for the immediate removal of a board member for violation of conflict of interest.
F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 All public documents associated with the health center are available for viewing at the facility, upon request.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


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