Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, line 2 | Surveillance Epidemiology and End Results (SEER): The National Cancer Institute (NCI) has awarded IHA a contract to the Cancer Data Registry of Idaho as part of the Surveillance, Epidemiology and End Results (SEER) Program. SEER collects cancer incidence and survival data from cancer registries and is an authoritative source for cancer statistics in the United States, providing information on cancer statistics in an effort to reduce the cancer burden among the U.S. population. Designation as SEER registry will allow CDRI to continue operating at high-quality cancer registry, enable the capture of more clinically relevant data from electronic sources, improve the collect of survival data, and contribute data for epidemiologic and translational research. |
| Form 990, Part VI, Section A, line 1 | The Board of Directors delegates broad authority to the Executive Committee to act on their behalf between Board of Directors meetings. The Committee consists of the Chair, Past Chair, Chair Elect, Secretary/Treasurer, President and one elected board member. All members of the Executive Committee are members of the Board of Directors. |
| Form 990, Part VI, Section A, line 6 | The organization has the following types of memberships. TYPE I: Available to licensed in-state hospitals equipped and staffed to provide medical and nursing care twenty-four hours a day, seven days a week and emergency services twenty-four hours a day, seven days a week through an emergency department and to licensed in-state psychiatric hospitals, licensed in-state rehabilitation hospitals and licensed in-state long term acute care hospitals equipped and staffed to provide medical and nursing care twenty-four hours a day, seven days a week and necessary emergency services twenty-four hours a day, seven days a week either directly or through a transfer agreement to another facility. TYPE I-A: Available to Idaho-based health systems which own or operate more than one Type I member hospital. An Idaho-based health system is a health system whose Chief Executive Officer or its equivalent executive officer resides in Idaho. TYPE II: Available to federal and state hospitals which provide inpatient care and otherwise meet the criteria of Type I membership. TYPE III: Available to out of state hospitals which provide inpatient care and otherwise meet the criteria of Type I membership. TYPE IV: Available to non-hospital organizations interested in the purpose of the Association, but not eligible for Type I, II, or III membership, provided these organizations qualify in accordance with such regulations as the Board of Directors may promulgate from time to time. In addition to the institutional memberships, honorary personal membership may be granted, at the discretion of the Board of Directors, to any former Chair of the Board of Directors upon retirement from the Board of Directors. Other persons of distinction may be granted honorary personal membership by the Board of Directors on an annual basis. Honorary personal members pay no dues. |
| Form 990, Part VI, Section A, line 7a | The Board of Trustees is composed of both Trustee Members and Leadership Members. Trustee Representatives The Trustee Representatives of the Board of Directors reside in the State of Idaho and are elected by official mail or electronic ballot upon nomination by the Nominating Committee no later than 30 days after the Annual Meeting by Type I and II members. Leadership Council Representatives For purposes of election of representatives to the Board of Directors, the membership of each Leadership Council is deemed a representative geographical region. One representative to the Board of Directors representing the Northern Leadership Council, two representatives to the Board of Directors representing the Southwest Leadership Council, and two representatives to the Board of Directors representing the Southeast Leadership Council are elected by official mail or electronic ballot upon nomination by the Nominating Committee no later than 30 days after the Annual Meeting and vote by Type I and II members. |
| Form 990, Part VI, Section B, line 11b | The 990 is reviewed and approved by the Vice President Finance and the President/CEO prior to filing. |
| Form 990, Part VI, Section B, line 12c | Each January, Idaho Hospital Association board members, President/CEO, and senior leadership team staff members complete and sign an annual questionnaire related to conflicts of interest that asks about their and their families' assets and sources of income, liabilities, outside positions, gifts, and reimbursed travel. Actual conflicts are to be reviewed by the Board and/or IHA's legal counsel. In addition, at the beginning of every Board meeting (or Executive Committee meeting), the Chair asks anyone in attendance to disclose any potential actual or perceived conflict, and either excuse themselves from the discussion of applicable agenda items and/or abstain from voting depending on the nature of the conflict if one is found to exist. |
| Form 990, Part VI, Section B, line 15a | The Board of Directors evaluates the President/CEO's performance based on goals set at the prior year's evaluation. Compensation is set through comparable data including AHA state association executive salary surveys. The process is undertaken annually in June at the mid-year membership meeting and documented in the board minutes. |
| Form 990, Part VI, Section C, line 19 | All governing documents, conflict of interest policies and financial information is available and provided to the public upon written request. Some information is also available on IHA's website. |
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