Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The Accounting Department completes the Form 990 and provides to the CFO to review. Once it is reviewed, the 990 is put on the Hospital's cyber board for the Board of Trustees review. The 990 is then filed by the Accounting Department. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | Annually, Conflict of Interest forms are sent out to managers, trustees, and employees with broad discretionary authority. These forms are required to be signed and monitored by the VP of Professional Services. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | The Executive Director's compensation is based on survey data, such as MHA, in setting compensation levels. Officers of Heywood Medical Group, if paid by Heywood Medical Group, are physicians, an their compensation is based on MGMA data. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The organization makes the governing documents, Conflict of Interest policy, and financial statements available to the public by providing copies to the Executive Administrative Assistant, who provides copies upon request. |
| F990_P11_S00_L09 | Form 990, Part XI, Line 9 | Other changes in net assets $1,417,000 is from the cash transfers received from Heywood Hospital to help cover operating expenses. |
| Software ID: | 12000197 |
| Software Version: | v1.00 |