TY 2016 Form 990 Schedule O

efile Public Visual Render ObjectId: 201702589349300145 - Submission: 2017-09-15 TIN: 31-1726569

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

2016

Open to Public
Inspection

Name of the organization

Casa Grande Community Hospital
Foundation Inc

Employer identification number

31-1726569

Return Reference	Explanation
Form 990, Part VI, Section A, line 6	The sole voting member of Casa Grande Community Hospital foundation is banner health, an Arizona nonprofit corporation exempt from tax as an entity described under section 501(c)(3) of the internal revenue code.
Form 990, Part VI, Section A, line 7a	Banner Health, the sole member of Casa Grande Community Hospital Foundation, has the power to elect directors of the board.
Form 990, Part VI, Section A, line 7b	The sole member shall have control over the foundation and it affairs which shall be paramount to the right of the Board in every respect. The following actions of the board shall not be effective until approved by the member: 1) The repel, alteration or amendment of the bylaws. 2) The election of directors. 3) The election of officers.
Form 990, Part VI, Section B, line 11b	The CEO of Banner Casa Grande Medical Center and banner health tax department reviews the Form 990 prior to filing. The CEO will provide an overview after filing to the Board of Directors.
Form 990, Part VI, Section B, line 12c	THE BANNER HEALTH INTERNAL AUDIT DEPARTMENT PROVIDES EACH PARTY WITH A DISCLOSURE QUESTIONNAIRE. THE INTERNAL AUDIT DEPARTMENT PREPARES A SUMMARY FOR THE TAX DEPARTMENT. THIS SUMMARY IS ALSO PRESENTED TO THE AUDIT COMMITTEE. THE TAX DEPARTMENT PREPARES THE FORM 990 DISCLOSURE. THIS DISCLOSURE IS PRESENTED TO THE LEGAL DEPARTMENT FOR REVIEW. PURSUANT TO BANNER'S CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, OFFICERS AND THE DIRECTOR OF AUDIT SERVICES MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST.
Form 990, Part VI, Section B, line 15	This organization does not pay compensation to the CEO, officers or key employees, so the questions have been answered "no" as they do not apply.
Form 990, Part VI, Section C, line 19	The organization's Governing documents, conflict of interest policy, and tax returns are available upon request. Copies are maintained at each administrative office and in the legal and tax departments.

Return Reference

Explanation

Form 990, Part VI, Section A, line 6

The sole voting member of Casa Grande Community Hospital foundation is banner health, an Arizona nonprofit corporation exempt from tax as an entity described under section 501(c)(3) of the internal revenue code.

Form 990, Part VI, Section A, line 7a

Banner Health, the sole member of Casa Grande Community Hospital Foundation, has the power to elect directors of the board.

Form 990, Part VI, Section A, line 7b

The sole member shall have control over the foundation and it affairs which shall be paramount to the right of the Board in every respect. The following actions of the board shall not be effective until approved by the member: 1) The repel, alteration or amendment of the bylaws. 2) The election of directors. 3) The election of officers.

Form 990, Part VI, Section B, line 11b

The CEO of Banner Casa Grande Medical Center and banner health tax department reviews the Form 990 prior to filing. The CEO will provide an overview after filing to the Board of Directors.

Form 990, Part VI, Section B, line 12c

THE BANNER HEALTH INTERNAL AUDIT DEPARTMENT PROVIDES EACH PARTY WITH A DISCLOSURE QUESTIONNAIRE. THE INTERNAL AUDIT DEPARTMENT PREPARES A SUMMARY FOR THE TAX DEPARTMENT. THIS SUMMARY IS ALSO PRESENTED TO THE AUDIT COMMITTEE. THE TAX DEPARTMENT PREPARES THE FORM 990 DISCLOSURE. THIS DISCLOSURE IS PRESENTED TO THE LEGAL DEPARTMENT FOR REVIEW. PURSUANT TO BANNER'S CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, OFFICERS AND THE DIRECTOR OF AUDIT SERVICES MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST.

Form 990, Part VI, Section B, line 15

This organization does not pay compensation to the CEO, officers or key employees, so the questions have been answered "no" as they do not apply.

Form 990, Part VI, Section C, line 19

The organization's Governing documents, conflict of interest policy, and tax returns are available upon request. Copies are maintained at each administrative office and in the legal and tax departments.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2016

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