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
FENWAY COMMUNITY HEALTH CENTER INC
 
Employer identification number

04-2510564
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FEDERAL FORM 990 IS REVIEWED AT A MEETING OF THE FINANCE COMMITTEE. THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND ARE ALSO REQUIRED TO ACKNOWLEDGE THAT THEY SUBSCRIBE TO THE CONFLICT OF INTEREST POLICY. ALL EMPLOYEES ARE INFORMED OF THE CONFLICT OF INTEREST POLICY DURING NEW HIRE ORIENTATION AND PER THE PERSONNEL POLICY MANUAL AN EMPLOYEE MUST INFORM THEIR DEPARTMENT HEAD AND THE DIRECTOR OF HR IF A CONFLICT OR POTENTIAL CONFLICT ARISES. EMPLOYEES ARE ALSO REQUIRED TO COMPLETE DISCLOSURE STATEMENTS.
FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT/CEO HAS A WRITTEN EMPLOYMENT CONTRACT AND COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD. ANY REQUESTS FOR MARKET CHANGES TO SALARIES OTHER THAN COST OF LIVING ADJUSTMENTS ARE REQUIRED TO BE REVIEWED AND VETTED BY THE DIRECTOR OF HR, INCLUDING CONDUCTING INDUSTRY COMPARISONS.
FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FEDERAL FORM 990 IS MADE AVAILABLE THROUGH ANOTHER'S WEBSITE AND UPON REQUEST.
FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON CARRYING VALUE OF INTEREST RATE SWAP CONTRACT 9,399.
FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNT. THIS PROCESS HAS NOT CHANGED SINCE 2014.
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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