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
MARY GREELEY MEDICAL CENTER FOUNDATION
 
Employer identification number

23-7064009
Return Reference Explanation
FORM 990, PART I, LINE 6: THE VOLUNTEERS ARE COMPRISED OF INDIVIDUALS THAT SERVE AS BOARD MEMBERS, COMMITTEE MEMBERS AND EVENT VOLUNTEERS.
FORM 990, PART VI, SECTION A, LINE 3 THE EXECUTIVE DIRECTOR AND CFO OF THE ORGANIZATION ARE EMPLOYED BY AN AFFILIATED BUT UNRELATED ORGANIZATION MARY GREELEY MEDICAL CENTER (MGMC). THE EXECUTIVE DIRECTOR'S TIME IS DEDICATED 75% TO THE ORGANIZATION AND 25% TO MGMC AS THE DIRECTOR FOR EXTERNAL RELATIONS. THE CFO OF THE ORGANIZATION IS ALSO CFO OF MGMC AND OPERATES IN A VOLUNTEER CAPACITY FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO INCLUDE THE FOLLOWING CHANGES: - ADDED THAT A DIRECTOR MAY SERVE MORE THAN TWO CONSECUTIVES THREE-YEAR TERMS TO COMPLETE TERM AS BOARD PAST CHAIR, CHAIR OR VICE CHAIR - ADDED THAT DIRECTORS AND OFFICERS MAY BE REMOVED AT SPECIAL OR REGULAR BOARD MEETINGS - ADDED STANDARDS OF CONDUCT FOR DIRECTORS - ADDED RESPONSIBILITIES OF PAST CHAIR - ADDED MGMCF BOARD INPUT IN SELECTION, ANNUAL EVALUATION, AND TERMINATION OF FOUNDATION EXECUTIVE DIRECTOR - CHANGED GIFT ACCEPTANCE POLICY RESPONSIBILITIES FROM BOARD CHAIR TO FOUNDATION EXECUTIVE DIRECTOR - EXPANDED DETAILS OF PROHIBITED TRANSACTIONS - ADDED INSTRUCTIONS ON BYLAW AMENDMENT PROCESS AND APPROVALS
FORM 990, PART VI, SECTION A, LINE 7B THE MARY GREELEY MEDICAL CENTER BOARD OF TRUSTEES APPROVES ANY CHANGES TO THE BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11 A DRAFT COPY OF THE FORM 990 WAS REVIEWED BY THE EXECUTIVE DIRECTOR WITH THE EXTERNAL ACCOUNTANTS AND A COPY PROVIDED TO THE INVESTMENT COMMITTEE FOR REVIEW. A FINAL COPY OF THE FORM 990 WAS PROVIDED TO THE FOUNDATION BOARD OF DIRECTORS FOR THE BOARD MEETING PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER ANNUALLY COMPLETES A GOVERNING BODY QUESTIONNAIRE TO IDENTIFY ANY CONFLICTS OF INTEREST: TRANSACTIONS WITH THE ORGANIZATION OR ANY RELATIONSHIPS WITH OTHER BOARD MEMBERS. IN ADDITION, AT THE BEGINNING OF EACH BOARD MEETING, THE BOARD PRESIDENT REVIEWS THE CONFLICT OF INTEREST POLICY AND NOTES ANY CONFLICTS. THE BOARD MEMBER(S) WITH A CONFLICT OF INTEREST WILL RECUSE THEMSELVES DURING DISCUSSION OF THESE MATTERS AND ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY MARY GREELEY MEDICAL CENTER. MARY GREELEY MEDICAL CENTER DETERMINES COMPENSATION BASED ON AGGREGATE DATA COLLECTED FROM SIX OR MORE SALARY SURVEYS. SURVEY DATA IS COMPILED AND BENCHMARKED AGAINST EXISTING PAY RANGES ON AN ANNUAL BASIS. THE LAST SALARY BENCHMARKING WAS COMPLETED IN 2013.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AUDITED FINANCIAL STATEMENTS AND FORM 990S AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9: K-1 INCOME INCLUDED ON FORM 990 -417. DUE TO DONOR SPECIFIED ORGANIZATIONS 7,814.
FORM 990, CONTRIBUTION REVENUE MARY GREELEY MEDICAL CENTER FOUNDATION UTILIZES THE ACCRUAL METHOD OF ACCOUNTING FOR ITS AUDITED FINANCIAL STATEMENTS. ON THE FINANCIAL STATEMENTS, THE FOUNDATION RECORDS CONTRIBUTIONS WHEN THE CONTRIBUTION IS DEEMED UNCONDITIONAL. THEREFORE, PLEDGED CONTRIBUTIONS ARE INCLUDED IN CONTRIBUTION REVENUE. CONTRIBUTION REVENUE ON FORM 990, PAGE 9 REFLECTS CONTRIBUTIONS RECORDED PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE B HAS BEEN PREPARED USING CASH BASIS. PLEDGED CONTRIBUTIONS ARE NOT RECORDED ON SCHEDULE B UNTIL THEY ARE RECEIVED.
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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