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
CUMBERLAND HEALTHNET INC
 
Employer identification number

35-2443853
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE BOARD WAS PROVIDED A DRAFT OF THE FORM 990 FOR THEIR REVIEW PRIOR TO THE SUBMISSION OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST STATEMENTS AND POLICY ARE REVIEWED ANNUALLY. EMPLOYEES RECEIVE AND SIGN A CONFLICT OF INTEREST POLICY
FORM 990, PART VI, SECTION B, LINE 15 BOARD MEMBERS PERFORM THE EVALUATION FOR THE EXECUTIVE DIRECTOR. THE EVALUATION AND ANNUAL COMPENSATION ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES INFORMATION AVAILABLE TO THE PUBLIC AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES UPON REQUEST
FORM 990, PART IX, LINE 11G LAB: PROGRAM SERVICE EXPENSES 10,432. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,432. MEDICAL: PROGRAM SERVICE EXPENSES 41,807. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,807. OTHER: PROGRAM SERVICE EXPENSES 3,869. MANAGEMENT AND GENERAL EXPENSES 683. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,552.
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


Additional Data


Software ID:  
Software Version: