TY 2012 Form 990 Schedule O

efile Public Visual Render ObjectId: 201440569349300319 - Submission: 2014-02-25 TIN: 38-3545312

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

GENESYS HURLEY CANCER INSTITUTE

Employer identification number

38-3545312

Identifier	Return Reference	Explanation
	FORM 990, PART VI, SECTION A, LINE 6	THE MEMBERS ARE GENESYS REGIONAL MEDICAL CENTER AND HURLEY MEDICAL CENTER.
	FORM 990, PART VI, SECTION A, LINE 7A	AS PROVIDED IN THE ORGANIZATION'S BYLAWS, EACH CLASS OF MEMBERS SHALL HAVE THE AUTHORITY TO APPOINT AND REMOVE CERTAIN MEMBERS OF THE BOARD OF DIRECTORS; THE AT-LARGE DIRECTOR(S), AS THAT TERM IS DEFINED IN THE BYLAWS, MAY BE REMOVED BY BOTH CLASSES OF MEMBERS WITH OR WITHOUT CAUSE OR AS OTHERWISE PROVIDED IN THE BYLAWS.
	FORM 990, PART VI, SECTION A, LINE 7B	BOARD OF DIRECTORS SHALL HAVE THE FULL AUTHORITY TO GOVERN THE AFFAIRS OF THE ORGANIZATION, EXCEPT FOR THOSE ACTIONS NOTED IN ARTICLE VIII THAT REQUIRE APPROVAL OF BOTH CLASSES OF MEMBERS.
	FORM 990, PART VI, SECTION B, LINE 11	THE 990 IS SENT TO THE EXECUTIVE DIRECTOR FOR REVIEW AND SIGNATURE. QUESTIONS ARE ADDRESSED TO THE GHCI FINANCE COMMITTEE.
	FORM 990, PART VI, SECTION B, LINE 12C	A COMPLIANCE OFFICER REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. IF A CONFLICT AMONG THE BOARD CAN'T BE RESOLVED THE ISSUE IS SENT TO THE CEO'S OF THE MEMBER ORGANIZATIONS - HURLEY MEDICAL CENTER AND GENESYS REGIONAL MEDICAL CENTER - TO RESOLVE.
	FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALWAYS AVAILABLE TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 233,529. DISTRIBUTIONS TO MEMBERS -2,400,000.
AUDITED FINANCIAL STATEMENTS	FORM 990, PART XI, LINE 2C	THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE PRIOR YEAR.

Identifier

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 6

THE MEMBERS ARE GENESYS REGIONAL MEDICAL CENTER AND HURLEY MEDICAL CENTER.

FORM 990, PART VI, SECTION A, LINE 7A

AS PROVIDED IN THE ORGANIZATION'S BYLAWS, EACH CLASS OF MEMBERS SHALL HAVE THE AUTHORITY TO APPOINT AND REMOVE CERTAIN MEMBERS OF THE BOARD OF DIRECTORS; THE AT-LARGE DIRECTOR(S), AS THAT TERM IS DEFINED IN THE BYLAWS, MAY BE REMOVED BY BOTH CLASSES OF MEMBERS WITH OR WITHOUT CAUSE OR AS OTHERWISE PROVIDED IN THE BYLAWS.

FORM 990, PART VI, SECTION A, LINE 7B

BOARD OF DIRECTORS SHALL HAVE THE FULL AUTHORITY TO GOVERN THE AFFAIRS OF THE ORGANIZATION, EXCEPT FOR THOSE ACTIONS NOTED IN ARTICLE VIII THAT REQUIRE APPROVAL OF BOTH CLASSES OF MEMBERS.

FORM 990, PART VI, SECTION B, LINE 11

THE 990 IS SENT TO THE EXECUTIVE DIRECTOR FOR REVIEW AND SIGNATURE. QUESTIONS ARE ADDRESSED TO THE GHCI FINANCE COMMITTEE.

FORM 990, PART VI, SECTION B, LINE 12C

A COMPLIANCE OFFICER REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. IF A CONFLICT AMONG THE BOARD CAN'T BE RESOLVED THE ISSUE IS SENT TO THE CEO'S OF THE MEMBER ORGANIZATIONS - HURLEY MEDICAL CENTER AND GENESYS REGIONAL MEDICAL CENTER - TO RESOLVE.

FORM 990, PART VI, SECTION C, LINE 19

GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALWAYS AVAILABLE TO THE PUBLIC UPON REQUEST.

CHANGES IN NET ASSETS OR FUND BALANCES:

FORM 990, PART XI, LINE 9:

CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 233,529. DISTRIBUTIONS TO MEMBERS -2,400,000.

AUDITED FINANCIAL STATEMENTS

FORM 990, PART XI, LINE 2C

THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE PRIOR YEAR.

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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