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.
right arrow Attach to Form 990 or 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
Hotel Dieu Inc
 
Employer identification number

95-4751561
Return Reference Explanation
Form 990, Part VI, Section A, line 3 CEO/Executive Director of a related organization, St. Vincent Senior Citizen Nutrition Program Inc., attend to overall functioning of the Hotel Dieu, prepare budgets and administer financial matters, compliance review, legal review of issues, negotiate third-party contracts, high-level personnel oversight, report to the Hotel Dieu board of directors.
Form 990, Part VI, Section B, line 11b The Executive Director reviews the Form 990, then it is provided to the Board prior to filing.
Form 990, Part VI, Section B, line 12c An annual conflict of interest questionnaire is sent to all employees for completion and then reviewed by management officers. If an employee has any issue they are instructed to go immediately to management and/or human resources.
Form 990, Part VI, Section B, line 15 Questions 15a and 15b are marked "No" - All compensation for the Executive Director is administered and determined by Ministry Services of The Daughters of Charity of St. Vincent de Paul (MSDC) and Daughters of Charity Province of the West.
Form 990, Part VI, Section C, line 19 All documents are available upon request. In addition, the Form 990 is available at Guidestar.org.
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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