Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| MEMBERS | FORM 990, PART VI, SECTION A, LINE 6 & 7A | HOSPITALS WITHIN DALLAS, TARRANT, AND CONTIGUOUS COUNTIES ARE ELIGIBLE FOR CLASS 1 REGULAR MEMBERSHIP. REGULAR MEMBERS HAVE VOTING PRIVILEGES, INCLUDING THE ELECTION OF MEMBERS OF THE GOVERNING BODY. THE ORGANIZATION HAS A GENERAL CALL FOR NOMINATIONS FROM IT'S MEMBERS. THE NOMINATING COMMITTEE LOOKS AT ANY NOMINATIONS FROM THE MEMBERS PLUS THE COMMITTEE'S CHOICES AND A SLATE OF NOMINEES IS SENT TO THE GENERAL MEMBERSHIP FOR VOTING. THE VOTE IS TALLIED BY AN INDEPENDENT THIRD PARTY. HOSPITALS OUTSIDE THE PREVIOUSLY MENTIONED GEOGRAPHICAL BOUNDARIES ARE ELIGIBLE FOR CLASS II MEMBERSHIP, WHICH PROVIDES NON-VOTING STATUS AND NO SERVICE ON THE DFWHC BOARD. |
| PROCESS TO REVIEW THE FORM 990 | FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING THE FORM 990, A DRAFT OF THE FORM AND THE AUDITED FINANCIAL STATEMENTS WILL BE PRESENTED AND REVIEWED BY THE AUDIT COMMITTEE. DURING THE BOARD MEETING, THE AUDIT COMMITTEE AND EXTERNAL AUDITOR WILL GIVE A REVIEW OF THE FORM 990 AND WILL ADDRESS QUESTIONS OF THE BOARD. AFTER REVIEW AND DISCUSSION BY THE BOARD, THE AUDIT COMMITTEE WILL RECOMMEND TO THE BOARD THE FILING OF THE FORM 990. OF THEIR PRESENTATION TO THE BOARD, THE AUDIT COMMITTEE WILL ALSO, BASED ON THE THEIR REVIEW OF THE FORM 990, MAKE ANY NECESSARY RECOMMENDATIONS TO THE BOARD REGARDING GOVERNANCE, POLICIES, DISCLOSURES, ETC. |
| PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM IS DISTRIBUTED ANNUALLY FOR UPDATES AND SIGNATURE. ONCE ALL OF THE FORMS ARE RETURNED, ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE CEO. THE POLICY STATES THAT ANYTIME THERE IS A STATUS CHANGE REGARDING A CONFLICT, IT IS THE RESPONSIBILITY OF THE EMPLOYEE TO REQUEST AND SUBMIT AN UPDATED FORM. ANY POTENTIAL RESTRICTIONS ON PERSONS IDENTIFIED WITH A CONFLICT OF INTEREST WILL BE DETERMINED ON A CASE BY CASE BASIS. |
| EXECUTIVE COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD SETS THE PRESIDENT/CEO'S COMPENSATION BASED ON PERFORMANCE AND COMPARABILITY DATA. ADJUSTMENTS TO COMPENSATION ARE REVIEWED ON AN ANNUAL BASIS AND WERE LAST COMPLETED IN JANUARY 2013. |
| OTHER OFFICERS OR KEY EMPLOYEE COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINE 15B | MANAGEMENT APPROVES ALL OTHER COMPENSATION WITHIN THE BOARD APPROVED BUDGET ON AN ANNUAL BASIS. THEY ALSO USE PERFORMANCE AND COMPARABILITY DATA IN SETTING COMPENSATION. |
| DOCUMENT DISCLOSURE | FORM 990, PART VI, SECTION C, LINE 19 | DISCLOSURE OF GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| Software ID: | |
| Software Version: |