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.
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OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
THE MEMORIAL FOUNDATION
 
Employer identification number

91-1022358
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE REVIEW AND APPROVAL OF THE FORM 990 IS DELEGATED TO THE EXECUTIVE COMMITTEE OF THE BOARD. THE FORM 990 IS THEN SUBMITTED TO THE FULL VOTING BOARD FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO SIGN NEW CONFLICT OF INTEREST STATEMENTS. THE BODY OF THE STATEMENT STATES THAT THE DISCLOSURE IS MADE BECAUSE THE SAID FOUNDATION HAS, OR MIGHT REASONABLY BE EXPECTED IN THE FUTURE TO HAVE A RELATIONSHIP, TRANSACTION OR BUSINESS DEALING WITH THE SAID ORGANIZATION WHICH MIGHT IN SOME WAY CONSTITUTE A CONFLICT OF INTEREST WITH RESPECT TO THE UNDERSIGNED BECAUSE OF HIS/HER MEMBERSHIP ON THE BOARD OF TRUSTEES AND HIS/HER ASSOCIATION WITH THE ABOVE-LISTED BUSINESS OR ORGANIZATION. THE UNDERSIGNED AGREES THAT, IF AT ANY TIME ANY MATTER SHOULD COME BEFORE THE BOARD OF TRUSTEES CONCERNING THE ABOVE-LISTED ORGANIZATION OR BUSINESS, THE UNDERSIGNED SHALL MAKE KNOWN THE POTENTIAL CONFLICT AND WITHDRAW FROM THE MEETING SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION AND SHALL NOT EITHER VOTE ON THE MATTER UNDER DISCUSSION OR ATTEMPT TO INFLUENCE A DECISION OF THE BOARD OF TRUSTEES WITH RESPECT TO SUCH MATTERS. THE UNDERSIGNED FURTHER AGREES THAT, IN THE EVENT HIS/HER RELATIONSHIP WITH THE ABOVE-LISTED BUSINESS OR ORGANIZATION SHOULD CHANGE, OR SHOULD OTHER RELATIONSHIPS WITH OTHER BUSINESSES OR ORGANIZATIONS BE ESTABLISHED WHICH WOULD GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST, HE/SHE SHALL INFORM THE BOARD OF TRUSTEES AND WITHDRAW FROM PARTICIPATION IN ANY DECISIONS AFFECTING SUCH BUSINESS OR ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15 SALARIES FOR TOP MANAGEMENT ARE DETERMINED AND REVIEWED BY VIRGINIA MASON MEMORIAL'S BOARD OF DIRECTORS AND COMPENSATION COMMITTEE. THE FOUNDATION DOES NOT PAY WAGES, IT REIMBURSES THE HOSPITAL FOR APPLICABLE EMPLOYEE COSTS.
FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST DURING BUSINESS HOURS, MONDAY THROUGH FRIDAY, 8:00 AM - 5:00 PM.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING BUSINESS HOURS, MONDAY THROUGH FRIDAY, 8:00 AM - 5:00 PM.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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