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
HARBOR-UCLA MEDICAL FOUNDATION INC
 
Employer identification number

33-0003558
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE VP/CORPORATE CONTROLLER REVIEWS THE FORM 990 WITH THE INTERAL ACCOUNTING STAFF, THE CPA FIRM AND THEN PRESENTS THE FINDINGS TO THE BOARD FOR COMMENTS AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, EACH BOARD MEMBER, OFFICER, DIRECTOR AND MEMBER OF MANAGEMENT COMPLETES THE CONFLICT OF INTEREST POLICY QUESTIONNAIRE. THE CEO REVIEWS THE RESULTS AND DISCUSSES ANY CONFLICT WITH ANY PERSON NEEDING FURTHER REVIEW AND APPROPRIATE ACTIONS ARE TAKEN THEREAFTER.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A: THE INDIVIDUALS LISTED IN THIS SECTION, WITH COMPENSATION REPORTED IN COLUMN (E), ARE BOARD MEMBERS THAT SERVE THE HARBOR-UCLA MEDICAL FOUNDATION WITHOUT ANY FORM OF COMPENSATION IN RETURN. THESE BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR SERVICES AS PHYSICIANS ONLY AS A RESULT OF THEIR DIRECT PATIENT CARE ACTIVITIES.
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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