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
THE FREE MEDICAL CLINIC OF GREATER CLEVELAND
 
Employer identification number

23-7078501
Identifier Return Reference Explanation
  FORM 990, PART VI, SECTION B, LINE 11 AN ELECTRONIC COPY OF THE FORM 990 WAS SENT TO EACH BOARD MEMBER BEFORE IT WAS FILED. A HARD COPY WAS OFFERED AND PROVIDED TO BOARD MEMBERS REQUESTING ONE.
  FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS. THOSE STATEMENTS ARE REVIEWED ANNUALLY FOR POTENTIAL CONFLICTS. ALL BOARD MEMBERS ARE COVERED UNDER THE POLICY. ANY PERSON WITH ANY CONFLICT IN A BOARD DECISION IS PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DECISIONS ON THAT TRANSACTION.ALL EMPLOYEES ARE SUBJECT TO A CONFLICT OF INTEREST POLICY, AND ARE EXPECTED TO REPORT ON AN AS-NEEDED BASIS ANY POTENTIAL CONFLICTS.
  FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE, SERVING AS THE COMPENSATION COMMITTEE OF THE BOARD, REVIEWS COMPARABLE SALARY DATA MADE AVAILABLE THROUGH COMMUNITY RESOURCES (I.E. UNITED WAY SERVICES OF GREATER CLEVELAND) IN DETERMINING AN APPROPRIATE SALARY LEVEL FOR THE EXECUTIVE DIRECTOR. THE INFORMATION IN THE FORM 990S OF ORGANIZATIONS OF SIMILAR SIZE AND MISSION ARE ALSO SURVEYED. A CONFIDENTIAL MEMORANDUM IS CONTEMPORANEOUSLY PREPARED FOR THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE MEETS IN EXECUTIVE SESSION WITH THE FULL BOARD OF TRUSTEES TO APPROVE THE COMPENSATION OF THE EXECUTIVE DIRECTOR. THE DECISION OF THE EXECUTIVE COMMITTEE IS APPROVED AND DOCUMENTED IN THE COMMITTEE MINUTES.
  FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON THE REQUEST AT THE ORGANIZATION'S OFFICES. THE FORM 990 WILL BE AVAILABLE ON THE ORGANIZATION'S WEBSITE.
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

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