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
INTECARE INC
 
Employer identification number

35-2066074
Return Reference Explanation
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The CEOs of the four founding Community Mental Health Centers sit on the InteCare board and in addition, are each allowed to recommend another board member that is related or associated with their organization.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The board must approve certain contracts and purchases based on a dollar tolerance as implemented in the policies of the organization.
Form 990, Part VI, Line 11b: Form 990 Review Process The form 990 is sent to the board to review and if the board members have questions the preparer of the form 990 will present and respond to questions.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The compliance officer of InteCare is responsible for monitoring the process. All members of the board and employees are required to annually submit a conflict of interest form identifying conflicts.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management On an annual basis, the board and management staff meet to discuss and plan key strategies and priorities for the upcoming year. In the annual plan, milestones are identified for the CEO and key staff. At the conclusion of each year, the board meets with the CEO and reviews progress made in meeting the priorites and evaluates them based on accomplishments. Compensation for the CEO is based on those accomplishments. The CEO meets with the COO and provides an identical review in determining compensation. Additionally, the Organization as a whole has a board approved bonus and incentive plan that is evaluated annually.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available InteCare does not make its governing documents, conflict of interest policy, and financial statements available to the public.
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


Additional Data


Software ID: 17005038
Software Version: 2017v2.2