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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Fisher County Health Care Development Corp
 
Employer identification number

71-0922920
Return Reference Explanation
form 990, part vi, section a, line 3 Delegation of control to management company: The daily management of Fisher county health care development corp was performed by an administrator employed by Fisher County Hospital District under a management contract until June 2013. In June 2013, the organization entered into a new contract with Rural Hospital Management Association to employ the same administrator. Per IRS guidance, no compensation is shown on form 990, part vii, for the calendar year for this individual: Steve Lefevre $12,000 Form 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: FORM 990 IS REVIEWED AND APPROVED BY THE CEO AND CFO BEFORE FILING.
Form 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST: THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR ON A ROUTINE BASIS.
Form 990, PART VI, SECTION B, LINE 15 A & B COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES: THE CEO IS EVALUATED ANNUALLY BY THE BOARD OF DIRECTORS AND FISHER COUNTY HOSPITAL. THE CFO IS EVALUATED ANNUALLY BY THE CEO.
Form 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
form 990, PART IX, LINE 11G OTHER FEES FOR SERVICES DETAIL: PURCHASED CONTRACT SERVICES $78,362
form 990, PART III, LINE 3 Significant changes made by organization: DURING 2013, THE CORPORATION CLOSED THE FISHER COUNTY ASSISTED LIVING FACILITY THAT WAS LOCATED IN the FISHER COUNTY HOSPITAL.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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