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
2018
Open to Public
Inspection
Name of the organization
Community Health Alliance
 
Employer identification number

81-4104722
Return Reference Explanation
Form 990, Part VI, Section B, line 11b The return will be available to the board members for review prior to filing.
Form 990, Part VI, Section B, line 12c Annual disclosure forms must be signed and each board member will review and sign a written ethical code of conduct declaration. If a board member believes a conflict of interest pertaining to a specific issue exist, it will be presented to the board's body for discussion.
Form 990, Part VI, Section B, line 15 The compensation package is determined based on an annual performance review and submitted to the board for approval.
Form 990, Part VI, Section C, line 19 The governing documents are made available upon request.
Form 990, Part XII, Line 2c: The organization did not change its oversight or selection process during the current tax year.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


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