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
2019
Open to Public
Inspection
Name of the organization
CHR CAPTIAL INC
 
Employer identification number

04-3331035
Return Reference Explanation
Form 990, Part VI, Section B, Line 11b After preparation by the CFO and review by the CEO, a complete copy is sent to each member of the Board and Key Employees annually. The return is discussed in detail at the Finance Committee and summarized at the full Board meeting. Any questions or comments from the board are addressed prior to filing the return.
Form 990, Part VI, Section B, Line 12c All members of the Board of Directors, Officers, and Key Employees complete a written conflict of interest statement each year. These statements are reviewed by the Compliance Officer. In addition, the Code of Conduct is reviewed with the Board members and Key Employees annually. Board members and Key Employees self-report conflicts.
Form 990, Part VI, Section B, Line 15 All compensation is paid by a related organization: Community Health Resources, Inc.
Form 990, Part VI, Section C, Line 19 Financial statements are distributed upon request and are summarized in CHR's annual report, which is distributed to a large number of persons in CHR Capital, Inc.'s service area. The governing documents and conflict of interest policy are also available upon request.
Form 990, Part XII, Line 2c There have been no changes to the Organization's reporting or oversight process during the 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) 2019


Additional Data


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