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
2020
Open to Public
Inspection
Name of the organization
SURPRISE VALLEY HEALTH CARE DISTRICT
 
Employer identification number

68-0008034
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO MANAGEMENT FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD OF DIRECTORS; IF THERE IS A CONFLICT, THAT BOARD MEMBER ASTAINS FROM VOTING ON AN ACTION ITEM.
FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNING BOARD DETERMINES THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL USING VARIOUS COMPENSATION DATA FOR THE HEALTH CARE INDUSTRY. DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE PUT ON OUR WEBSITE.
FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 117,577. MANAGEMENT AND GENERAL EXPENSES 121,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 239,135. NURSING SERVICES: PROGRAM SERVICE EXPENSES 974,952. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 974,952. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 640,025. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 640,025. LAB & RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 226,181. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 226,181.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


Additional Data


Software ID:  
Software Version: