TY 2014 Form 990 Schedule O

efile Public Visual Render ObjectId: 201640479349301114 - Submission: 2016-02-15 TIN: 37-0673506

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

GRAHAM HOSPITAL ASSOCIATION

Employer identification number

37-0673506

Return Reference	Explanation
FORM 990, PART I, LINE 6:	THE GRAHAM HOSPITAL SERVICE LEAGUE VOLUNTEERS OPERATE AND MANAGE THEIR OWN GIFT SHOP WHICH IS LOCATED WITHIN GRAHAM HOSPITAL. A PORTION OF THE PROCEEDS FROM THE GIFT SHOP AND ALL OTHER FUND-RAISING EVENTS IS GIVEN TO THE HOSPITAL ANNUALLY TO PROVIDE FOR MUCH NEEDED EQUIPMENT. VOLUNTEERS ALSO PERFORM VARIOUS OTHER SERVICES WITHIN THE HOSPITAL; PATIENT ESCORT, SURGERY HOSTESS, PHARMACY, AND THE RED CROSS INFORMATION DESK.
FORM 990, PART VI, SECTION B, LINE 11	THE PREPARED FORM 990 IS REVIEWED BY THE CFO, DIRECTOR OF ACCOUNTING, AND SENIOR ACCOUNTANT BEFORE FILING WITH THE IRS. AFTER FILING, THE INDEPENDENT ACCOUNTANT PRESENTS THE FORM 990 TO THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	GRAHAM HOSPITAL REQUIRES THAT ALL TRUSTEES AND ADMINISTRATIVE OFFICERS KEEP THE BOARD OF TRUSTEES INFORMED OF POTENTIAL CONFLICTS OF INTEREST, AND THAT EACH PERSON MAKE AN ANNUAL DECLARATION OF SUCH INTEREST. A CONFLICT OF INTEREST MIGHT EXIST WHEN ORGANIZATIONS IN WHICH TRUSTEES OR OFFICERS HAVE A MATERIAL FINANCIAL INTEREST ARE EITHER DOING BUSINESS WITH, COMPETING WITH, OR HAVE A FINANCIAL INTEREST IN GRAHAM HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE ADMINISTRATIVE OFFICERS IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE ORGANIZATION UTILIZES AN OUTSIDE FIRM, SULLIVAN, COTTER AND ASSOCIATES, INC. TO PROVIDE OUTSIDE EXECUTIVE COMPENSATION INFORMATION. THE LAST REVIEW WAS COMPLETED IN MAY, 2015.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 8,939,173. MANAGEMENT AND GENERAL EXPENSES 290,072. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,229,245.
FORM 990, PART XI, LINE 9:	CHANGE IN FAIR VALUE OF SWAP OPTION -309,290. CHANGE IN NET ASSETS OF GRAHAM HOSPITAL FOUNDATION 50,990. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS -300,883.
FORM 990, PART XII, LINE 2C	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Return Reference

Explanation

FORM 990, PART I, LINE 6:

THE GRAHAM HOSPITAL SERVICE LEAGUE VOLUNTEERS OPERATE AND MANAGE THEIR OWN GIFT SHOP WHICH IS LOCATED WITHIN GRAHAM HOSPITAL. A PORTION OF THE PROCEEDS FROM THE GIFT SHOP AND ALL OTHER FUND-RAISING EVENTS IS GIVEN TO THE HOSPITAL ANNUALLY TO PROVIDE FOR MUCH NEEDED EQUIPMENT. VOLUNTEERS ALSO PERFORM VARIOUS OTHER SERVICES WITHIN THE HOSPITAL; PATIENT ESCORT, SURGERY HOSTESS, PHARMACY, AND THE RED CROSS INFORMATION DESK.

FORM 990, PART VI, SECTION B, LINE 11

THE PREPARED FORM 990 IS REVIEWED BY THE CFO, DIRECTOR OF ACCOUNTING, AND SENIOR ACCOUNTANT BEFORE FILING WITH THE IRS. AFTER FILING, THE INDEPENDENT ACCOUNTANT PRESENTS THE FORM 990 TO THE ORGANIZATION'S BOARD OF DIRECTORS.

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

GRAHAM HOSPITAL REQUIRES THAT ALL TRUSTEES AND ADMINISTRATIVE OFFICERS KEEP THE BOARD OF TRUSTEES INFORMED OF POTENTIAL CONFLICTS OF INTEREST, AND THAT EACH PERSON MAKE AN ANNUAL DECLARATION OF SUCH INTEREST. A CONFLICT OF INTEREST MIGHT EXIST WHEN ORGANIZATIONS IN WHICH TRUSTEES OR OFFICERS HAVE A MATERIAL FINANCIAL INTEREST ARE EITHER DOING BUSINESS WITH, COMPETING WITH, OR HAVE A FINANCIAL INTEREST IN GRAHAM HOSPITAL.

FORM 990, PART VI, SECTION B, LINE 15

THE COMPENSATION OF THE ADMINISTRATIVE OFFICERS IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE ORGANIZATION UTILIZES AN OUTSIDE FIRM, SULLIVAN, COTTER AND ASSOCIATES, INC. TO PROVIDE OUTSIDE EXECUTIVE COMPENSATION INFORMATION. THE LAST REVIEW WAS COMPLETED IN MAY, 2015.

FORM 990, PART VI, SECTION C, LINE 19

THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.

FORM 990, PART IX, LINE 11G

OTHER FEES: PROGRAM SERVICE EXPENSES 8,939,173. MANAGEMENT AND GENERAL EXPENSES 290,072. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,229,245.

FORM 990, PART XI, LINE 9:

CHANGE IN FAIR VALUE OF SWAP OPTION -309,290. CHANGE IN NET ASSETS OF GRAHAM HOSPITAL FOUNDATION 50,990. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS -300,883.

FORM 990, PART XII, LINE 2C

THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX 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

Software ID:
Software Version: