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
Catholic Medical Center Physicians
Practice Associates
Employer identification number

02-0460245
Return Reference Explanation
Form 990, Part VI, Section A, line 6 The sole member of CMC Physician Practice Associates is CMC Healthcare System.
Form 990, Part VI, Section A, line 7a The directors of CMC Physician Practice Associates are appointed by the sole member.
Form 990, Part VI, Section A, line 7b The sole member has reserved powers over CMC Physician Practice Associates but does not approve each separate action taken by the CMC Physician Practice Associates board.
Form 990, Part VI, Section B, line 11b Form 990 is prepared by an independent tax accounting firm (Baker Newman Noyes). Upon completion, a draft of the Form 990 is sent to the Organization, where the CFO, Controller, and Assistant Controller perform a final in-house review prior to submission to the Board of Directors for final approval. Upon approval from the Board, the Form 990 is filed with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12c Officers and directors are required to complete a conflict of interest questionnaire annually.
Form 990, Part VI, Section B, line 15 A related organization, Catholic Medical Center, utilizes a compensation committee of the board of directors to set compensation levels and determine bonus potential for its senior leadership team. The committee is assisted by an independent consultant who surveys like-sized and performing institutions to benchmark relevant salary scales for each position. The consultant's findings are presented to the compensation committee who considers that external data with actual performance against a list of pre-established goals per senior leaders to set prospective compensation levels and bonus values. Bonus amounts are determined by how well an executive achieves a pre-defined set of goals. These goals, in general, are tied to the achievement of a specific task or project. Some goals are attached to achieve overall financial performance and mission performance, not solely revenue generation.
Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part XI, line 9: Transfers from affiliates 40,059,000. Net change in pension liability -2,160,588.
Form 990, Part XII, Line 2c: The audit process has not changed from the prior 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) 2019


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