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
2016
Open to Public
Inspection
Name of the organization
HOSPICE OF HILO
 
Employer identification number

99-0218512
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 1 MEMBERS OF THE EXECUTIVE COMMITTEE: PAUL FERREIRA - PRESIDENT, ROBERT D. IRVINE, MD - VICE PRESIDENT, CLAIRE SHIGEOKA - SECRETARY, AND KIM MARIE EK - TREASURER.
FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED 990 IS GIVEN TO THE FINANCE & AUDIT COMMITTEE WHO REVIEWS AND FORWARDS THE 990 AND A RECOMMENDATION TO THE FULL BOARD, AND THEN AN OFFICER AUTHORIZES THE 990 FOR SUBMITTAL.
FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ANNUALLY SIGN THE CONFLICT OF INTEREST/CODE OF ETHICS DOCUMENT AT THE FIRST MEETING OF THE NEW CALENDAR YEAR. IN THE DOCUMENT, THE BOARD IS DIRECTED TO REFER AND COMPLY WITH THE "CONFLICT OF INTEREST AND CONFLICT OF INTEREST TRANSACTION" AS STATED IN THE BOARD OF DIRECTORS SECTION OF HOSPICE OF HILO'S POLICY AND PROCEDURE MANUAL AND THE BY-LAWS.
FORM 990, PART VI, SECTION B, LINE 15 ALL WAGE AND SALARY ADJUSTMENTS ARE BASED ON DATA GATHERED FROM SALARY SURVEYS PROVIDED BY THE HAWAII EMPLOYERS COUNCIL, INDUSTRY RESOURCES I.E., MULTIVIEW INCORPORATED, AND COMPARISONS WITH SIMILAR INSTITUTIONS IN OUR COMMUNITY.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. THE ANNUAL REPORT IS PROVIDED IN THE NEWSLETTER AND WEBSITE.
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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