TY 2014 Form 990 Schedule O

efile Public Visual Render ObjectId: 201641379349306869 - Submission: 2016-05-16 TIN: 06-0804423

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

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY THE CENTER'S INDEPENDENT ACCOUNTANTS BASED UPON THE AUDITED FINANCIAL STATEMENTS AND SUPPLEMENTAL INFORMATION PROVIDED BY THE FISCAL MANAGEMENT TEAM. THE DRAFT 990 IS PRESENTED TO THE ORGANIZATION'S FINANCE COMMITTEE BY THE CFO. AFTER REVIEW BY THE FINANCE COMMITTEE, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD SECRETARY DISTIBUTES THE ORGANIZATION'S CONFLICT OF INTEREST AND CODE OF PROFESSIONAL ETHICS POLICIES TO ALL DIRECTORS AND OFFICERS ANNUALLY. EACH OFFICER AND DIRECTOR IS REQUIRED TO SIGN A STATEMENT WHICH AFFIRMS THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; HAS READ AND UNDERSTANDS THE POLICY; AND HAS COMPLIED WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15	UNDER THE ORGANIZATION'S BY-LAWS, THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR CONDUCTING THE ANNUAL PERFORMANCE REVIEW OF THE PRESIDENT/CEO AND MAKING ITS RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING COMPENSATION & BENEFITS. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE EMPLOYMENT, DISCHARGE & COMPENSATION OF THE PRESDIENT/CEO. THE EXECUTIVE COMMITTEE IS PROVIDED WITH COMPARATIVE COMPENSATION DATA FROM THE MENTAL HEALTH CORPORATION OF AMERICA (MHCA), CONNECTICUT ASSOCIATION OF NONPROFITS, CONNECTICUT COMMUNITY PROVIDERS ASSOCIATION (CCPA) & HARTFORD BUSINESS JOURNAL FOR THE PRESIDENT/CEO, MEDICAL DIRECTOR, SENIOR VICE PRESIDENT/CFO AND VICE PRESIDENT OF SERVICES. THE PRESIDENT/CEO DETERMINES THE COMPENSATION OF THE OTHER OFFICERS AND THE AMOUNTS ARE INCLUDED IN THE ORGANIZATION'S ANNUAL BUDGET. THE ANNUAL BUDGET IS REVIEWED BY THE FINANCE COMMITTEE AND ONCE APPROVED IT IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS PART OF THE PERSONNEL POLICY MANUAL, WHICH IS ISSUED ANNUALLY TO ALL EMPLOYEES AND TO NEW EMPLOYEES UPON HIRE DURING ORIENTATION AND IS MADE AVAILABLE UPON REQUEST. ANNUALLY, FOLLOWING THE BOARD OF DIRECTORS APPROVAL, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR UNITED SOCIAL AND MENTAL HEALTH SERVICES, INC. & SUBSIDIARIES ARE SUBMITTED TO FUNDING SOURCES AND THE BANKS AND ARE MADE AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE THROUGH GUIDESTAR.ORG.
FORM 990, PART XII, LINE 2C	THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.

Return Reference

Explanation

FORM 990, PART VI, SECTION B, LINE 11

THE FORM 990 IS PREPARED BY THE CENTER'S INDEPENDENT ACCOUNTANTS BASED UPON THE AUDITED FINANCIAL STATEMENTS AND SUPPLEMENTAL INFORMATION PROVIDED BY THE FISCAL MANAGEMENT TEAM. THE DRAFT 990 IS PRESENTED TO THE ORGANIZATION'S FINANCE COMMITTEE BY THE CFO. AFTER REVIEW BY THE FINANCE COMMITTEE, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE IRS.

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

THE BOARD SECRETARY DISTIBUTES THE ORGANIZATION'S CONFLICT OF INTEREST AND CODE OF PROFESSIONAL ETHICS POLICIES TO ALL DIRECTORS AND OFFICERS ANNUALLY. EACH OFFICER AND DIRECTOR IS REQUIRED TO SIGN A STATEMENT WHICH AFFIRMS THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; HAS READ AND UNDERSTANDS THE POLICY; AND HAS COMPLIED WITH THE POLICY.

FORM 990, PART VI, SECTION B, LINE 15

UNDER THE ORGANIZATION'S BY-LAWS, THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR CONDUCTING THE ANNUAL PERFORMANCE REVIEW OF THE PRESIDENT/CEO AND MAKING ITS RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING COMPENSATION & BENEFITS. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE EMPLOYMENT, DISCHARGE & COMPENSATION OF THE PRESDIENT/CEO. THE EXECUTIVE COMMITTEE IS PROVIDED WITH COMPARATIVE COMPENSATION DATA FROM THE MENTAL HEALTH CORPORATION OF AMERICA (MHCA), CONNECTICUT ASSOCIATION OF NONPROFITS, CONNECTICUT COMMUNITY PROVIDERS ASSOCIATION (CCPA) & HARTFORD BUSINESS JOURNAL FOR THE PRESIDENT/CEO, MEDICAL DIRECTOR, SENIOR VICE PRESIDENT/CFO AND VICE PRESIDENT OF SERVICES. THE PRESIDENT/CEO DETERMINES THE COMPENSATION OF THE OTHER OFFICERS AND THE AMOUNTS ARE INCLUDED IN THE ORGANIZATION'S ANNUAL BUDGET. THE ANNUAL BUDGET IS REVIEWED BY THE FINANCE COMMITTEE AND ONCE APPROVED IT IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL.

FORM 990, PART VI, SECTION C, LINE 19

GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS PART OF THE PERSONNEL POLICY MANUAL, WHICH IS ISSUED ANNUALLY TO ALL EMPLOYEES AND TO NEW EMPLOYEES UPON HIRE DURING ORIENTATION AND IS MADE AVAILABLE UPON REQUEST. ANNUALLY, FOLLOWING THE BOARD OF DIRECTORS APPROVAL, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR UNITED SOCIAL AND MENTAL HEALTH SERVICES, INC. & SUBSIDIARIES ARE SUBMITTED TO FUNDING SOURCES AND THE BANKS AND ARE MADE AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE THROUGH GUIDESTAR.ORG.

FORM 990, PART XII, LINE 2C

THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE 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

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