TY 2014 Form 990 Schedule O

efile Public Visual Render ObjectId: 201523209349311137 - Submission: 2015-11-16 TIN: 27-1376321

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 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

PRIMA MEDICAL FOUNDATION

Employer identification number

27-1376321

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 4	DURING 2014, PMF OBTAINED THEIR TAX EXEMPTION. THEY RESTRUCTURED THEIR GOVERNANCE AND AMENDED AND RESTATED THEIR BYLAWS TO BE COMPLIANT WITH 501(C)(3) REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 11	PRIMA MEDICAL FOUNDATION'S FORM 990 IS REVIEWED BY THE CONTROLLER AND THE CEO OR COO. AN ELECTRONIC COPY IS SENT TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REVIEWS THE CONFLICT OF INTEREST POLICY TO ENSURE COMPLIANCE. IN ADDITION, PMF DISTRIBUTES A QUESTIONNAIRE TO BOARD MEMBERS ANNUALLY FOR COMPLETION.
FORM 990, PART VI, SECTION B, LINE 15	THE CEO AND COO'S COMPENSATION ARE SET BY THE FOUNDATION'S BOARD THROUGH NEGOTIATION REGARDING COMPLETE LISTING OF DUTIES AND AGREEMENT TO ACCOMPLISH CERTAIN GOALS. COMPARABILITY DATA WAS USED TO THE EXTENT THAT IT WAS AVAILABLE AND A WRITTEN CONTRACT WAS SIGNED. OTHER KEY EMPLOYEES IN PMF ARE GENERALLY HIRED THROUGH RECRUITING AGENCIES. SALARY IS ESTABLISHED AT MARKET RATES REPRESENTED IN THE REGION BY JOB TITLE AND DESCRIPTION OF DUTIES TO BE ACCOMPLISHED. THESE ARE COMPARED WITH OTHER SALARY SURVEYS AND PUBLICATIONS SUCH AS MGMA.
FORM 990, PART VI, SECTION C, LINE 19	PRIMA MEDICAL FOUNDATION MAKES THIS INFORMATION READILY AVAILABLE FOR PUBLIC INSPECTION DURING REGULAR BUSINESS HOURS AT THEIR PRINCIPAL OFFICE.
990, PART VII, SECTION A AND SCHEDULE J, PART II	A FEW BOARD MEMBERS ARE OFFICERS AT MARIN GENERAL HOSPITAL, A RELATED ORGANIZATION. THEY DEVOTED AN AVERAGE OF ONE HOUR PER WEEK RELATING TO THEIR ACTIVITIES ASSOCIATED WITH SERVING ON THE BOARD OF DIRECTORS. THE REPORTABLE COMPENSATION IS RELATED TO THEIR PROFESSIONAL SERVICES AT MARIN GENERAL HOSPITAL AND WAS UNRELATED TO THE AVERAGE NUMBER OF HOURS PER WEEK AS A MEMBER OF THE BOARD.
990, PART XII, LINE 2C	AUDIT COMMITTEE AND OVERSIGHT - THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR.

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 4

DURING 2014, PMF OBTAINED THEIR TAX EXEMPTION. THEY RESTRUCTURED THEIR GOVERNANCE AND AMENDED AND RESTATED THEIR BYLAWS TO BE COMPLIANT WITH 501(C)(3) REGULATIONS.

FORM 990, PART VI, SECTION B, LINE 11

PRIMA MEDICAL FOUNDATION'S FORM 990 IS REVIEWED BY THE CONTROLLER AND THE CEO OR COO. AN ELECTRONIC COPY IS SENT TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.

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

THE ORGANIZATION REVIEWS THE CONFLICT OF INTEREST POLICY TO ENSURE COMPLIANCE. IN ADDITION, PMF DISTRIBUTES A QUESTIONNAIRE TO BOARD MEMBERS ANNUALLY FOR COMPLETION.

FORM 990, PART VI, SECTION B, LINE 15

THE CEO AND COO'S COMPENSATION ARE SET BY THE FOUNDATION'S BOARD THROUGH NEGOTIATION REGARDING COMPLETE LISTING OF DUTIES AND AGREEMENT TO ACCOMPLISH CERTAIN GOALS. COMPARABILITY DATA WAS USED TO THE EXTENT THAT IT WAS AVAILABLE AND A WRITTEN CONTRACT WAS SIGNED. OTHER KEY EMPLOYEES IN PMF ARE GENERALLY HIRED THROUGH RECRUITING AGENCIES. SALARY IS ESTABLISHED AT MARKET RATES REPRESENTED IN THE REGION BY JOB TITLE AND DESCRIPTION OF DUTIES TO BE ACCOMPLISHED. THESE ARE COMPARED WITH OTHER SALARY SURVEYS AND PUBLICATIONS SUCH AS MGMA.

FORM 990, PART VI, SECTION C, LINE 19

PRIMA MEDICAL FOUNDATION MAKES THIS INFORMATION READILY AVAILABLE FOR PUBLIC INSPECTION DURING REGULAR BUSINESS HOURS AT THEIR PRINCIPAL OFFICE.

990, PART VII, SECTION A AND SCHEDULE J, PART II

A FEW BOARD MEMBERS ARE OFFICERS AT MARIN GENERAL HOSPITAL, A RELATED ORGANIZATION. THEY DEVOTED AN AVERAGE OF ONE HOUR PER WEEK RELATING TO THEIR ACTIVITIES ASSOCIATED WITH SERVING ON THE BOARD OF DIRECTORS. THE REPORTABLE COMPENSATION IS RELATED TO THEIR PROFESSIONAL SERVICES AT MARIN GENERAL HOSPITAL AND WAS UNRELATED TO THE AVERAGE NUMBER OF HOURS PER WEEK AS A MEMBER OF THE BOARD.

990, PART XII, LINE 2C

AUDIT COMMITTEE AND OVERSIGHT - THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM 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) 2014

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