Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software Version: |
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 VI, SECTION B, LINE 11 | THE FINAL FORM 990 IS PROVIDED TO EMC'S GOVERNING BODY WHERE IT IS REVIEWED AND MADE AVAILABLE FOR COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE REVIEW PROCESS INCLUDES MULTIPLE LEVELS OF REVIEW INCLUDING KEY CORPORATE FINANCE DEPARTMENT PERSONNEL AND SENIOR EXECUTIVES, INCLUDING THE DIRECTOR OF FINANCE AND VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. ADDITIONALLY, THE ORGANIZATION CONTRACTS WITH MOSS ADAMS, LLP, A CPA FIRM, FOR PREPARATION AND REVIEW OF THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | ENLOE MEDICAL CENTER (EMC) IS COMMITTED TO PREVENTING ANY PARTICIPANT OF EMC FROM GAINING ANY PERSONAL BENEFIT FROM INFORMATION RECEIVED OR FROM ANY TRANSACTION OF EMC. EMC MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY THAT REQUIRES ANY INTERESTED PERSON TO SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY TO THE COMPLIANCE OFFICER. EMC DEFINES AN INTERESTED PERSON AS ANY DIRECTOR, TRUSTEE, PRINCIPAL OFFICER, CONTRACTED PHYSICIAN OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS THAT HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, OR OUTSIDE INTEREST OR ACTIVE INTEREST. A FINANCIAL INTEREST IS BASED ON IF THE PERSON, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR IMMEDIATE FAMILY HAS AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH EMC HAS A TRANSACTION OR ARRANGEMENT, OR A COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE ORGANIZATION HAS A TRANSACTION OR ARRANGEMENT, OR A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH EMC IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. EACH BOARD MEMBER, OFFICER, MEMBER OF A BOARD COMMITTEE (COMMITTEE) AND CONTRACT PHYSICIAN IS REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST ANNUAL STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS (I) RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, (II) HAS READ AND UNDERSTANDS THE POLICY, (III) AGREES TO COMPLY WITH THE POLICY, AND (IV) HAS DISCLOSED ALL REAL AND POTENTIAL CONFLICTS. THESE STATEMENTS ARE SUBMITTED BY THE CHIEF COMPLIANCE OFFICER TO THE BOARD ON AN ANNUAL BASIS. THE MINUTES OF THE BOARD CONTAIN ALL APPROPRIATE DOCUMENTATION OF PERSONS WITH ACTUAL OR PERCEIVED CONFLICT OF INTEREST. ANY PERSON DEEMED TO BE AN INTERESTED PERSON IS RECUSED FROM DISCUSSION OR PARTICIPATION IN THE DECISION PROCESS FOR ANY CONTEMPLATED TRANSACTION OR ARRANGEMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON IS REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY FINANCIAL OR OTHER INTEREST TO THE CHAIRMAN OF THE BOARD OF COMMITTEE. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, INVESTIGATION AND ANY DISCUSSION WITH THE INTERESTED PERSON, THE CHAIRMAN OR RESPECTIVE COMMITTEE WILL UNDERTAKE SUCH STEPS AS NECESSARY TO DECIDE IF A CONFLICT OF INTEREST EXISTS. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY ARE SUBJECT TO THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, INCLUDING DISMISSAL, AT THE BOARD'S DISCRETION. |
| FORM 990, PART VI, SECTION B, LINE 15 | ENLOE MEDICAL CENTER (EMC) IS COMMITTED TO ENSURING THAT ALL EXECUTIVE COMPENSATION DECISIONS ARE COMPETITIVE, FAIR AND EQUITABLE, SUPPORTING THE MISSION AND VALUES OF EMC, AS WELL AS IN COMPLIANCE WITH APPROPRIATE REGULATORY GUIDELINES. RESPONSIBILITY FOR DUE DILIGENCE AND THE DEVELOPMENT OF RECOMMENDATIONS REGARDING EXECUTIVE COMPENSATION RESIDES WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE IS COMPRISED OF INDIVIDUALS INDEPENDENT OF THE MANAGEMENT OF EMC. THE KEY PRINCIPLES TO OUR COMPENSATION PHILOSOPHY ARE TO PROVIDE A REASONABLE MARKET WAGE, MAINTAIN COMPETITIVE AND INTERNALLY EQUITABLE PAY AND PROVIDE MARKET COMPETITIVE BENEFITS. EXECUTIVE COMPENSATION IS BASED ON NATIONAL AND REGIONALLY RECOGNIZED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE COMPLETES A MARKET-BASED ANALYSIS ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 18 | EMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | EMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN DEFINED BENEFIT PENSION PLANS -61,259. CHANGE IN VALUE OF GIFT ANNUITY FUNDS 13,428. INTERCOMPANY ADJUSTMENT 1,532,934. |
| FORM 990, PART XII, LINE 2C | AUDIT SELECTION AND OVERSIGHT - THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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