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TIN:
SCHEDULE O
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
(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.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is atwww.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Inspection
Name of the organization
MEDICAL STAFF OF PROVIDENCE EVERETT MEDICAL CENTER
Employer identification number
91-1125574
91-1125574
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 3 | THE ORGANIZATION CEASED OPERATIONS AND MERGED WITH ANOTHER ENTITY IN AUGUST OF 2014. |
| FORM 990, PART VI, SECTION A, LINE 4 | ARTICLE 3.5, LEAVES OF ABSENCE ADDED WORDING TO ALLOW FOR CONSIDERATION OF THE NATURE OF LEAVE OF ABSENCE WHEN DETERMINING REQUIREMENTS FOR RE-ENTRY INTO CLINICAL PRACTICE. FOR EXAMPLE, IF A MEMBER CONTINUES TO PRACTICE MEDICINE IN THEIR AREA OF EXPERTISE DURING THEIR LEAVE OF ABSENCE (I.E. DEPLOYED WITH THE MILITARY AS A PHYSICIAN), THEN THEY WOULD NOT NEED AS MUCH OF AN EDUCATIONAL UPDATE COMPARED TO SOMEONE WHO WAS AWAY FROM THE PRACTICE OF MEDICINE FOR A PROLONGED PERIOD OF TIME. ARTICLE 7.3, ELECTION OF OFFICERS/NOMINATING COMMITTEE ADDED WORDING TO REFLECT THE FACT THAT NOMINEES FOR MEDICAL STAFF OFFICER MUST MEET THE MINIMUM QUALIFICATIONS, AS LISTED IN THE JOB DESCRIPTIONS. CORRECTED TYPO IN 7.3.4. TWO YEARS AGO, SIGNATURE REQUIREMENT FOR ADDITIONAL NOMINATIONS WAS DECREASED TO 5% FROM 25%. BASED ON FEEDBACK, THIS WILL BE CHANGED TO 10%. ADDED THE ABILITY TO HOLD AN INSTANT RUNOFF IN ELECTIONS WITH THREE OR MORE CANDIDATES. THIS HELPS DECREASE THE COST AND EFFORT ASSOCIATED WITH HOLDING SEPARATE RUNOFF ELECTIONS, AND IS BETTER ABLE TO REFLECT THE WILL OF MEMBERSHIP. ARTICLE 8.2, CREDENTIALS COMMITTEE MODIFIED THE DESCRIPTION TO BE CONSISTENT WITH THE CREDENTIALS COMMITTEE CHARTER AND OPERATIONS. MODIFIED 8.2.2 TO BE CONSISTENT WITH ARTICLE 7.3. ARTICLE 8.3, MEDICAL STAFF QUALITY REVIEW COMMITTEE (MSQRC) MODIFIED THE DESCRIPTION TO BE CONSISTENT WITH THE MSQRC CHARTER AND OPERATIONS. MODIFIED 8.3.2 TO BE CONSISTENT WITH ARTICLE 7.3. EXPANDED 8.3.5.4 TO DELINEATE THE SOURCES OF CASES BROUGHT TO THE MSQRC, AS WELL AS TO LIST THE POTENTIAL ACTIONS THE MSQRC CAN EMPLOY UPON REVIEWING THE CASES. THIS SECTION IS COPIED VERBATIM FROM THE MSQRC CHARTER. ARTICLE 10.1, PHYSICIAN ORDERS CHANGED LANGUAGE TO ALLOW MEDICAL ASSISTANTS AND NURSES TO ENTER "PENDED" ORDERS FOR PROVIDERS TO SIGN. THESE ORDERS WOULD NOT BE ACTIVE OR ACTED UPON UNTIL SIGNED BY A PROVIDER. ARTICLE 10.3, PHYSICIAN ORDERS CLARIFIED 10.3 TO IMPROVE PATIENT SAFETY. AMENDMENT BETTER DELINEATES EXPIRATION OF PHYSICIAN ORDERS, BASED ON THE FINDINGS OF A ROOT CAUSE ANALYSIS. ARTICLES 13.1 AND 13.2 CHANGED LANGUAGE TO ALLOW PROVIDERS WHO ARE NOT MEMBERS OF THE MEDICAL STAFF TO ORDER INVASIVE IMAGING STUDIES AND BLOOD TRANSFUSIONS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ENTIRE MEDICAL STAFF OF PROVIDENCE REGIONAL MEDICAL CENTER EVERETT IS A MEMBER OF MEDICAL STAFF OF PROVIDENCE EVERETT MEDICAL CENTER. MEMBERS ARE DIVIDED INTO THREE CATEGORIES AS FOLLOWS: ACTIVE STAFF CATEGORY - ENTITLED TO VOTE, HOLD OFFICE AND SERVE ON COMMITTEES AND EXERCISE SUCH CLINICAL PRIVILEGES AS ARE GRANTED BY THE POLICIES AND HOSPITAL POLICIES AFTER THE FIRST YEAR AFFILIATE STAFF CATEGORY - ENTITLED TO VOTE, HOLD OFFICE AND SERVE ON COMMITTEES HONORARY STAFF CATEGORY - NOT ENTITLED TO VOTE OR HOLD OFFICE OR CHAIR COMMITTEES OR VOTE AT MEETINGS OF THE MEDICAL STAFF OR DIVISION OR SECTION; ENTITLED TO VOTE AT MEETINGS OF COMMITTEES OF WHICH THEY ARE MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL MEMBERS OF THE MEDICAL STAFF CATEGORIZED AS ACTIVE STAFF OR AFFILIATE STAFF OF PROVIDENCE REGIONAL MEDICAL CENTER EVERETT HAVE VOTING RIGHTS TO ELECT THEIR OFFICERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY THE ELIGIBLE VOTING MEMBERS OF THE MEDICAL STAFF OF PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. THERE HAS TO BE A MAJORITY VOTE IN ORDER TO APPROVE ANY NEW BYLAWS, OFFICERS, ETC. THE FOLLOWING CATEGORIES ARE ELIGIBLE VOTING MEMBERS: ACTIVE STAFF CATEGORY - ENTITLED TO VOTE ON ALL MATTERS AFTER THE FIRST YEAR AFFILIATE STAFF CATEGORY - ENTITLED TO VOTE ON ALL MATTERS HONORARY STAFF CATEGORY - NOT ENTITLED TO VOTE OR HOLD OFFICE OR CHAIR COMMITTEES OR VOTE AT MEETINGS OF THE MEDICAL STAFF OR DIVISION OR SECTION; ENTITLED TO VOTE AT MEETINGS OF COMMITTEES OF WHICH THEY ARE MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | FILED REPORTS ARE GIVEN TO THE JOINT OPERATIONS COMMITTEE AND THE MEDICAL EDUCATION COMMITTEE FOR THE YEAR-END REVIEW. ONCE THE REPORTS HAVE BEEN APPROVED BY THE TWO COMMITTEES, THE REPORTS ARE FORWARDED TO ACCOUNTANTS FOR PREPARATION OF FORM 990. THE EXECUTIVE COMMITTEE REVIEWS THE FORM 990 PRIOR TO FILING THE TAX RETURN WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS MEETS REGULARLY TO REVIEW AND MONITOR THE ORGANIZATION'S ACTIVITIES. ALL CANDIDATES FOR THE ELECTIVE MEDICAL STAFF OFFICES AS WELL AS DIVISION, SECTION AND COMMITTEE CHAIRMANSHIPS AND COMMITTEE MEMBERSHIP ARE REQUIRED TO DISLOSE ANY AFFILIATIONS OR FINANCIAL TIES AT THE TIME OF THEIR APPOINTMENT OR ELECTION. MEMBERS ATTENDING COMMITTEE MEETINGS ARE EXPECTED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS (INCLUDING ACTUAL FINANCIAL DETAILS) WHEN MATTERS COME UP FOR DISCUSSION OR ACTION AND ARE EXPECTED TO EXCUSE THEMSELVES, WHEN APPROPRIATE. AN ELECTION IS HELD ANNUALLY, REQUIRING ANNUAL DISCLOSURE. THERE HAVE BEEN NO INCIDENCES OF ANY CONFLICTS IN 2014. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST; CONFLICT OF INTEREST POLICY IS AVAILABLE THROUGH THE MEDICAL STAFF'S WEBSITE; AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF ASSETS 56,247. |
| FORM 990, PAGE 1, LINE J | EXPLANATION: WEBSITE HTTP://WASHINGTON.PROVIDENCE.ORG/ABOUT/FOR-PHYSICIANS/ |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014
Additional Data
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