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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
LIVINGSTON HOSPITAL & HEALTHCARE
SERVICES INC
Employer identification number

61-0518022
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT WILL PROVIDE EITHER A PAPER OR ELECTRONIC COPY OF FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTERESTS. THESE CONFLICTS ARE REVIEWED ANNUALLY BY THE HOSPITAL'S ATTORNEY.
FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND CFO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON PRIOR EXPERIENCE WITH MANAGEMENT BOARDS.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AND SUBJECT TO BOARD AND MANAGEMENT DISCRETION.
FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART VII DR. WILLIAM BARNES AND DR. GHASSAN YAZIGI, BOARD DIRECTORS, RECEIVED COMPENSATION THROUGH TRI-RIVERS HEALTHCARE, P.L.L.C, AN UNRELATED ENTITY, FOR THEIR MEDICAL SERVICES TO THE HOSPITAL. THE HOSPITAL RENTS A VAN FROM A BOARD MEMBER FOR THE SENIOR CARE PROGRAM.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


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