TY 2012 Form 990 Schedule O

efile Public Visual Render ObjectId: 201441299349300309 - Submission: 2014-05-09 TIN: 06-1081232

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

MORRIS HEIGHTS HEALTH CENTER

Employer identification number

06-1081232

Identifier	Return Reference	Explanation
	FORM 990, PART VI, SECTION B, LINE 11	THE FINANCE COMMITTEE OF THE BOARD REVIEWS THE 990 RETURN BEFORE FILING.
	FORM 990, PART VI, SECTION B, LINE 12C	ON AN ANNUAL BASIS BOARD MEMBERS AND EXECUTIVE STAFF COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE, WHICH IS THEN REVIEWED.
	FORM 990, PART VI, SECTION B, LINE 15	THE BOARD ESTABLISHED A COMPENSATION COMMITTEE THAT WILL DETERMINE COMPENSATION FOR ANY PERSONS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION (E.G. CEO, CFO, ETC.) THE COMMITTEE SHALL REVIEW ONE OR MORE INDEPENDENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS OF THE COMPENSATION PAID TO SIMILARLY SITUATED INDIVIDUALS AT INSTITUTIONS COMPARABLE TO THE ORGANIZATION AS DETERMINED BY THE COMMITTEE. SUBJECT TO PERFORMANCE EVALUATION, TENURE, COMPETITIVE NEEDS AND OTHER FACTORS DISCUSSED BELOW, THE COMMITTEE SHALL ESTABLISH BASE SALARIES FOR THE THESE INDIVIDUALS WITH REFERENCE TO THE COMPENSATION PAID TO INDIVIDUALS HOLDING COMPARABLE POSITIONS AT COMPARABLE ORGANIZATIONS AT OR BELOW PERCENTILES ESTABLISHED BY THE COMMITTEE AS PART OF THIS COMPENSATION POLICY (E.G., IF THE COMMITTEE DETERMINES THAT IT WILL LIMIT BASE SALARY COMPENSATION TO THAT PROVIDED AT THE 75TH PERCENTILE OF COMPARABLE ORGANIZATIONS, BASE SALARY COMPENSATION CANNOT EXCEED THE AMOUNT ESTABLISHED AT SUCH PERCENTILE, EXCEPT IN EXCEPTIONAL CIRCUMSTANCES). THE COMMITTEE MAY ESTABLISH INCENTIVE COMPENSATION OF UP TO A MAXIMUM PERCENTAGE OF EACH OF THESE INDIVIDUAL'S BASE SALARY AS DETERMINED BY THE COMMITTEE, BUT IN NO EVENT SHALL INCENTIVE COMPENSATION BE PAID THAT WOULD CAUSE THE COVERED INDIVIDUAL'S TOTAL COMPENSATION TO BE IN EXCESS OF THE DOLLAR FIGURE THAT IS DETERMINED TO EXCEED THE TOTAL COMPENSATION FOR COMPARABLE POSITIONS AT COMPARABLE ORGANIZATIONS AT PERCENTILES ESTABLISHED BY THE COMMITTEE AS PART OF THIS COMPENSATION POLICY (E.G., IF THE COMMITTEE DETERMINES THAT IT WILL LIMIT TOTAL COMPENSATION TO THAT PROVIDED AT THE 75TH PERCENTILE OF COMPARABLE ORGANIZATIONS, TOTAL COMPENSATION CANNOT EXCEED THE AMOUNT ESTABLISHED AT SUCH PERCENTILE, EXCEPT IN EXCEPTIONAL CIRCUMSTANCES). IN ESTABLISHING INCENTIVE COMPENSATION, THE COMMITTEE SHALL COMMUNICATE, DIRECTLY OR THROUGH A DESIGNEE, THE CRITERIA ON WHICH INCENTIVE COMPENSATION WILL BE PAID TO THE COVERED INDIVIDUAL SUFFICIENTLY IN ADVANCE OF THE END OF THE PERFORMANCE PERIOD TO ENABLE THE COVERED INDIVIDUAL TO GAUGE HIS OR HER PERFORMANCE TO THE ESTABLISHED CRITERIA.
	FORM 990, PART VI, SECTION C, LINE 19	INFORMATION RELATING TO THE ORGANIZATION ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	ADJUSTMENT FOR INCOME FROM MHHC DEVELOPERS 240,644.
	FORM 990, PART XII, 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
	FORM 990, PART IV, QUESTION 20A:	THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THE ORGANIZATION DOES NOT MEET THIS DEFINITION.

Identifier

Return Reference

Explanation

FORM 990, PART VI, SECTION B, LINE 11

THE FINANCE COMMITTEE OF THE BOARD REVIEWS THE 990 RETURN BEFORE FILING.

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

ON AN ANNUAL BASIS BOARD MEMBERS AND EXECUTIVE STAFF COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE, WHICH IS THEN REVIEWED.

FORM 990, PART VI, SECTION B, LINE 15

THE BOARD ESTABLISHED A COMPENSATION COMMITTEE THAT WILL DETERMINE COMPENSATION FOR ANY PERSONS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION (E.G. CEO, CFO, ETC.) THE COMMITTEE SHALL REVIEW ONE OR MORE INDEPENDENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS OF THE COMPENSATION PAID TO SIMILARLY SITUATED INDIVIDUALS AT INSTITUTIONS COMPARABLE TO THE ORGANIZATION AS DETERMINED BY THE COMMITTEE. SUBJECT TO PERFORMANCE EVALUATION, TENURE, COMPETITIVE NEEDS AND OTHER FACTORS DISCUSSED BELOW, THE COMMITTEE SHALL ESTABLISH BASE SALARIES FOR THE THESE INDIVIDUALS WITH REFERENCE TO THE COMPENSATION PAID TO INDIVIDUALS HOLDING COMPARABLE POSITIONS AT COMPARABLE ORGANIZATIONS AT OR BELOW PERCENTILES ESTABLISHED BY THE COMMITTEE AS PART OF THIS COMPENSATION POLICY (E.G., IF THE COMMITTEE DETERMINES THAT IT WILL LIMIT BASE SALARY COMPENSATION TO THAT PROVIDED AT THE 75TH PERCENTILE OF COMPARABLE ORGANIZATIONS, BASE SALARY COMPENSATION CANNOT EXCEED THE AMOUNT ESTABLISHED AT SUCH PERCENTILE, EXCEPT IN EXCEPTIONAL CIRCUMSTANCES). THE COMMITTEE MAY ESTABLISH INCENTIVE COMPENSATION OF UP TO A MAXIMUM PERCENTAGE OF EACH OF THESE INDIVIDUAL'S BASE SALARY AS DETERMINED BY THE COMMITTEE, BUT IN NO EVENT SHALL INCENTIVE COMPENSATION BE PAID THAT WOULD CAUSE THE COVERED INDIVIDUAL'S TOTAL COMPENSATION TO BE IN EXCESS OF THE DOLLAR FIGURE THAT IS DETERMINED TO EXCEED THE TOTAL COMPENSATION FOR COMPARABLE POSITIONS AT COMPARABLE ORGANIZATIONS AT PERCENTILES ESTABLISHED BY THE COMMITTEE AS PART OF THIS COMPENSATION POLICY (E.G., IF THE COMMITTEE DETERMINES THAT IT WILL LIMIT TOTAL COMPENSATION TO THAT PROVIDED AT THE 75TH PERCENTILE OF COMPARABLE ORGANIZATIONS, TOTAL COMPENSATION CANNOT EXCEED THE AMOUNT ESTABLISHED AT SUCH PERCENTILE, EXCEPT IN EXCEPTIONAL CIRCUMSTANCES). IN ESTABLISHING INCENTIVE COMPENSATION, THE COMMITTEE SHALL COMMUNICATE, DIRECTLY OR THROUGH A DESIGNEE, THE CRITERIA ON WHICH INCENTIVE COMPENSATION WILL BE PAID TO THE COVERED INDIVIDUAL SUFFICIENTLY IN ADVANCE OF THE END OF THE PERFORMANCE PERIOD TO ENABLE THE COVERED INDIVIDUAL TO GAUGE HIS OR HER PERFORMANCE TO THE ESTABLISHED CRITERIA.

FORM 990, PART VI, SECTION C, LINE 19

INFORMATION RELATING TO THE ORGANIZATION ARE AVAILABLE UPON REQUEST.

CHANGES IN NET ASSETS OR FUND BALANCES:

FORM 990, PART XI, LINE 9:

ADJUSTMENT FOR INCOME FROM MHHC DEVELOPERS 240,644.

FORM 990, PART XII, 2C:

THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

FORM 990, PART IV, QUESTION 20A:

THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THE ORGANIZATION DOES NOT MEET THIS DEFINITION.

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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