Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | FULL MEMBERS CONSIST OF HOSPITALS THAT QUALIFY FOR OUTPATIENT DRUG DISCOUNTS UNDER SECTION 340B OF THE PUBLIC HEALTH SERVICE ACT. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE SENIOR VICE PRESIDENT OF FINANCE AND HUMAN RESOURCES, THE PRESIDENT AND CEO, THE AUDIT COMMITTEE, AND THE BOARD REVIEW AND APPROVE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES THE BOARD OF DIRECTORS, OFFICERS, AND ALL STAFF TO DISCLOSE ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS. THEY ARE ALSO ASKED TO DISCLOSE ANY RELEVANT CONFLICTS PRIOR TO BOARD MEETINGS AND EXCUSE THEMSELVES FROM DISCUSSION OR DECISIONS THAT COULD IMPACT THEM FINANCIALLY OR WHERE THEY WOULD OTHERWISE BE COMPROMISED. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE PRESIDENT AND CEO WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS USING ADVICE FROM A COMPENSATION CONSULTANT AND PRIOR COMPENSATION HISTORY FOR THE CEO ROLE. THE PRESIDENT AND CEO DETERMINES COMPENSATION FOR THE OTHER OFFICERS AND KEY EMPLOYEES BASED ON PERFORMANCE, A COMPENSATION CONSULTANT STUDY UNDERTAKEN IN 2017, AND COMPENSATION INFORMATION PROVIDED BY THE AMERICAN SOCIETY OF ASSOCIATION EXECUTIVES BASED ON 2017 DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| Software ID: | |
| Software Version: |