Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Pt VI, Line 11b | THE GOVERNING BODY IS PROVIDED A COPY OF THE FORM 990 FOR |
| Pt VI, Line 11b | REVIEW PRIOR TO FILING |
| Pt VI, Line 15a | COMPENSATION OF THE EXECUTIVE DIRECTOR IS BASED UPON |
| Pt VI, Line 15a | COMPARABLE OCCUPATIONS FOR THE AREA AND PERFORMANCE AND |
| Pt VI, Line 15a | EVALUATED BY THE BOARD OF DIRECTORS ANNUALLY. |
| Pt VI, Line 19 | ALL GOVERNING DOCUMENTS ARE AVAILABLE AT THE AGENCY'S |
| Pt VI, Line 19 | OFFICES UPON REQUEST. |
| Pt XI | PRIOR PERIOD ADJUSTMENT FROM AUDITED FINANCIAL STATEMENTS |
| Pt IX, Line 11g | OTHER FEES FOR SERVICE TOTALLING $249,454 CONSIST OF: |
| Pt IX, Line 11g | $156,050 FOR CLINICAL, PRESCRIPTION, AND PBM CONSULTING |
| Pt IX, Line 11g | SERVICES AND $17,169 FOR IT AND SOFTWARE DEVELOPMENT. |
| Pt IX, Line 11g | OUTSIDE SERVICES FOR $1,985, AND HEALTH DATA WAREHOUSE AND |
| Pt IX, Line 11g | WEB-BASED REPORTING CONTRACT FOR $74,250. |
| Software ID: | 13000178 |
| Software Version: |