TY 2022 Form 990 Schedule O

efile Public Visual Render ObjectId: 202303049349301215 - Submission: 2023-10-31 TIN: 41-0900656

SCHEDULE O
(Form 990)

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.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

SOUTHERN MINNESOTA BEHAVIORAL HEALTH

Employer identification number

41-0900656

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 8B	THE ORGANIZATION DID NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 IS PRESENTED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED BY ALL BOARD MEMBERS AND EXECUTIVE OFFICERS ANNUALLY. IT IS THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTEREST AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE DISCLOSURES OF POTENTIAL CONFLICTS. IN THE CASE OF A POTENTIAL CONFLICT OF INTEREST, BOARD MEMBERS ARE FIRST ASKED TO DISCLOSE ANY SUCH CONFLICT. THEY MAY THEN BE EXCUSED FROM THE MEETING AND REFRAIN FROM VOTING. IN THE EVENT OF ANY POTENTIAL PERCEIVED CONFLICT OF INTEREST, THE EXECUTIVE DIRECTOR OR BOARD CHAIR WILL BRING SUCH ISSUES FORWARD TO THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 15	THE PROCESS FOR DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR INVOLVES EACH BOARD MEMBER TO COMPLETE A PERFORMANCE ASSESSMENT ON THE EXECUTIVE DIRECTOR. THE ASSESSMENTS ARE COMPILED AND REVIEWED WITH THE EXECUTIVE DIRECTOR. A COMPARABILTY STUDY WAS CONDUCTED IN 2018 DURING THE EXECUTIVE SEARCH PROCESS. COMPENSATION IS APPROVED BY THE BOARD. OTHER OFFICER COMPENSATION IS RECOMMENDED BY THE FINANCE COMMITTEE DURING THE BUDGET PROCESS WITH FINAL APPROVAL BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON SUPPORT.
FORM 990, PART XI, LINE 9:	ADOPTION OF ASC 842 4,578.

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 8B

THE ORGANIZATION DID NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.

FORM 990, PART VI, SECTION B, LINE 11B

A COPY OF THE FORM 990 IS PRESENTED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS.

FORM 990, PART VI, SECTION B, LINE 12C

A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED BY ALL BOARD MEMBERS AND EXECUTIVE OFFICERS ANNUALLY. IT IS THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTEREST AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE DISCLOSURES OF POTENTIAL CONFLICTS. IN THE CASE OF A POTENTIAL CONFLICT OF INTEREST, BOARD MEMBERS ARE FIRST ASKED TO DISCLOSE ANY SUCH CONFLICT. THEY MAY THEN BE EXCUSED FROM THE MEETING AND REFRAIN FROM VOTING. IN THE EVENT OF ANY POTENTIAL PERCEIVED CONFLICT OF INTEREST, THE EXECUTIVE DIRECTOR OR BOARD CHAIR WILL BRING SUCH ISSUES FORWARD TO THE FULL BOARD.

FORM 990, PART VI, SECTION B, LINE 15

THE PROCESS FOR DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR INVOLVES EACH BOARD MEMBER TO COMPLETE A PERFORMANCE ASSESSMENT ON THE EXECUTIVE DIRECTOR. THE ASSESSMENTS ARE COMPILED AND REVIEWED WITH THE EXECUTIVE DIRECTOR. A COMPARABILTY STUDY WAS CONDUCTED IN 2018 DURING THE EXECUTIVE SEARCH PROCESS. COMPENSATION IS APPROVED BY THE BOARD. OTHER OFFICER COMPENSATION IS RECOMMENDED BY THE FINANCE COMMITTEE DURING THE BUDGET PROCESS WITH FINAL APPROVAL BY THE BOARD OF DIRECTORS.

FORM 990, PART VI, SECTION C, LINE 19

THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON SUPPORT.

FORM 990, PART XI, LINE 9:

ADOPTION OF ASC 842 4,578.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2022

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