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.
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
2014
Open to Public
Inspection
Name of the organization
HEALTH CARE FOUNDATION OF NORTH MS
 
Employer identification number

64-0914704
Return Reference Explanation
Form 990, Part VI, Line 11b: Form 990 Review Process THE FORM 990 GOES THROUGH A REVIEW PROCESS IN THE ACCOUNTING DEPARTMENT. THE ACCOUNTANT FOR EACH FACILITY REVIEWS THE RETURN FOR REASONABLENESS AND ACCURACY. ALL TOTALS ARE TIED TO THE AUDIT REPORTS, AND ALL AMOUNTS ARE CROSS-REFERENCED TO SCHEDULES OR OTHER PARTS OF THE ACTUAL RETURN. ONCE THE ACCOUNTANT REVIEWS, THE ACCOUNTING SUPERVISOR AND THE DIRECTOR OF ACCOUNTING REVIEWS. THE SUPERVISOR DOES A DETAILED REVIEW BY CHECKING THE RETURN FOR THE SAME ITEMS CHECKED BY THE ACCOUNTANT. THEN THE DIRECTOR DOES A MORE HIGH LEVEL REVIEW, READING THE RETURN FOR REASONABLENESS AND COMPARING PRIOR YEAR AMOUNTS TO CURRENT YEAR AMOUNTS. FINALLY, THE VP OF FINANCE REVIEWS THE RETURN FOR REASONABLENESS. THE RETURNS ARE THEN SENT TO THE TREASURER TO BE REVIEWED. THE TREASURER SIGNS THE RETURN AND IT IS THEN SENT TO THE IRS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. A CONSOLIDATED STATEMENT OF OPERATIONS IS AVAILABLE ON THE ORGANIZATION'S WEBSITE.
FORM 990, PAGE 6, PART VI, SECTION A, LINE 6 HEALTH CARE FOUNDATION OF NORTH MISSISSIPPI IS A NOT-FOR-PROFIT, NONSTOCK, MEMBERSHIP CORPORATION OF WHICH MEMBERS CONSIST OF THOSE WHO SERVE AS MEMBERS OF THE BOARD OF DIRECTORS (INCLUDING EX OFFICIO VOTING MEMBERS OF THE BOARD OF DIRECTORS).
FORM 990, PAGE 6, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE ELECTED ANNUALLY BY THE MEMBERS OF THE FOUNDATION. NOMINATIONS FOR PERSONS TO SERVE ON THE BOARD OF DIRECTORS ARE MADE BY THE NOMINATION COMMITTEE. ANY VACANCIES ARE FILLED BY THE BOARD OF DIRECTORS OR THE EXECUTIVE COMMITTEE FOR THE UNEXPIRED TERM OF THE DIRECTOR.
FORM 990, PAGE 6, PART VI, SECTION A, LINE 7B THE BUSINESS OF THE FOUNDATION IS MANAGED BY THE BOARD OF DIRECTORS WHICH EXERCISES ALL POWERS OF THE CORPORATION.
FORM 990, PAGE 6, PART VI, SECTION B, LINE 12C AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE IS REQUIRED TO BE COMPLETED BY ALL OFFICERS AND DIRECTORS OF THE ORGANIZATION. THE QUESTIONNAIRE IS REVIEWED BY NORTH MISSISSIPPI HEALTH SERVICES, INC.'S COMPLIANCE OFFICER AND CONFLICT COMMITTEE. THE CONFLICT COMMITTEE REVIEWS CONFLICT TRANSACTIONS AND MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING CONFLICT TRANSACTIONS IN ACCORDANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ALL MEMBERS OF THE CONFLICT COMMITTEE ARE PROHIBITED FROM ENGAGING IN TRANSACTIONS WITH THE ORGANIZATION OR ITS AFFILIATES DURING THEIR TENURE ON THE CONFLICT COMMITTEE AND ONE YEAR AFTER THEIR SERVICE CONCLUDES.
FORM 990, PAGE 6, PART VI, SECTION B, LINE 15 A & B AN INDEPENDENT COMPENSATION CONSULTING FIRM, THE HAY GROUP, IS USED TO HELP ESTABLISH THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, OTHER OFFICERS, AND KEY EMPLOYEES. THE FIRM PRESENTS THEIR INDEPENDENT ANALYSIS, WHICH CONTAINS COMPARABILITY DATA, TO THE COMPENSATION COMMITTEE OF NORTH MISSISSIPPI HEALTH SERVICES, INC. IN ADDITION, THE VP OF HUMAN RESOURCES OBTAINS ANOTHER INDEPENDENT ANALYSIS FROM ANOTHER COMPENSATION CONSULTING FIRM IN ORDER TO VERIFY THE INFORMATION PROVIDED BY THE HAY GROUP. THE COMPENSATION OF THE INDIVIDUALS ARE THEN APPROVED BY THE COMPENSATION COMMITTEE. THE INDIVIUAL WHOSE COMPENSATION IS BEING DISCUSSED IS NOT PRESENT DURING THE DISCUSSION OR APPROVAL OF THEIR COMPENSATION. THE DISCUSSIONS AND DECISIONS REGARDING THE COMPENSATION ARE DOCUMENTED IN THE MINUTES OF THE MEETINGS. COMPENSATION OF THESE INDIVIDUALS IS APPROVED ANNUALLY.
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

Additional Data


Software ID: 14000265
Software Version: 2014v6.0