Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART V, LINE 1 | FORMS 1099 ARE FILED ON BEHALF OF THE ORGANIZATION BY A RELATED ENTITY. |
| FORM 990, PART V, LINE 2 | THE ORGANIZATION HAS NO DEDICATED EMPLOYEES. THE SALARIES SHOWN ON LINE 7 OF PART IX, STATEMENT OF FUNCTIONAL EXPENSES, ARE AN ALLOCATION OF EMPLOYEE HOURS FROM INDIVIDUALS WHO ARE EMPLOYED BY OTHER ENTITIES WITHIN THE GROUP. |
| FORM 990, PART VI, SECTION A, LINE 6 | SERV BEHAVIORAL HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | SERV BEHAVIORAL HEALTH SYSTEM, INC, THE SOLE MEMBER OF THE ORGANIZATION, ACTING THROUGH ITS BOARD OF DIRECTORS HAS THE SOLE POWER TO APPROVE THE DIRECTORS OF THE ORGANIZATION AND THE SOLE POWER TO REMOVE OFFICERS AND DIRECTORS WITH AND WITHOUT CAUSE. |
| FORM 990, PART VI, SECTION A, LINE 7B | SERV BEHAVIORAL HEALTH SYSTEM, INC, THE SOLE MEMBER OF THE ORGANIZATION, ACTING THROUGH ITS BOARD OF DIRECTORS HAS THE POWER TO APPROVE THE SELECTION OF THE CHIEF OPERATING OFFICER; AMEND THE CERTIFICATE OF INCORPORATION AND THE BY-LAWS; DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; APPROVE THE ANNUAL AND ANY CAPITAL BUDGET; MERGE, CONSOLIDATE, DISSOLVE OR OTHERWISE CHANGE THE CORPORATE STRUCTURE OF THE ORGANIZATION; APPROVE ALL EXPENDITURES EXCEEDING $50,000 NOT INCLUDED IN THE APROVED BUDGET; SELECT THE ATTORNEY AND APPROVE THE CERTIFIED PUBLIC ACCOUNTANT FOR THE ORGANIZATION; APPROVE THE PURCHASE, SALE, EXCHANGE, CONVEYANCE OR LEASE FOR A TERM IN EXCESS OF THREE YEARS OF REAL ASSETS, THE BORROWING OF MONEY, THE ISSUANCE OF NOTES OR BONDS OR THE REPAYMENT THEREOF WITH INTEREST, AND THE GRANTING OF SUCH PLEDGES, MORTGAGES, OR OTHER SECURITY INTERESTS WITH RESPECT TO PROPERTY AS SHALL BE REQUIRED THEREIN UPON SUCH TERMS AND CONDITIONS AS SHALL HAVE BEEN RECOMMENDED BY THE BOARD OF DIRECTORS; REQUIRE THE CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME; AUTHORIZE ANY FUND DRIVE OR SOLICITATION OFFERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CHIEF FINANCIAL OFFICER WILL PERFORM AN INITIAL REVIEW. ONCE THE CFO APPROVES THE DRAFT, THE 990 IS E-MAILED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A COMPLIANCE OFFICER WHO CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. THE POLICY COVERS EMPLOYEES, CONTRACTORS AND BOARD MEMBERS. BOARD MEMBERS ARE REQUIRED TO FILL OUT ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES. ANY CONFLICTS ARE DETERMINED BY THE COMPLIANCE OFFICER AND THE COMPLIANCE COMMITTEE. IF A CONFLICT IS DISCOVERED, A CONFLICT MANAGEMENT PLAN IS PUT IN PLACE TO MANAGE THE CONFLICT. IF BOARD MEMBERS AND OFFICERS HAVE ANY CONFLICTS THEY ABSTAIN FROM ANY BOARD VOTES OR DECISIONS WHICH INVOLVE THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION. THE BOARD ANNUALLY MEETS TO DETERMINE AND APPROVE COMPENSATION. COMPENSATION SURVEYS ARE USED TO SHOW COMPARABLE RATES IN THE AREAS SURROUNDING THE ORGANIZATION AND THEN PRESENTED TO THE BOARD. THIS PROCESS COVERS THE CEO OF THE ORGANIZATION AND DISCUSSION RELATING TO THE PROCESS ARE DOCUMENTED IN THE MINUTES. COMPENSATION DECISIONS FOR OTHER OFFICERS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES ARE MADE AT MANAGEMENT'S DISCRETION. MANAGEMENT FOLLOWS A SIMILAR PROCESS TO ENSURE THAT THE COMPENSATION FOR KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES ARE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF INTEREST RATE SWAP 144,867. |
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