Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 | DESCRIPTION OF ORGANIZATION: PHYSICIANS, AND QUALITY HEALTH CARE FOR THE COMMUNITY. |
| FORM 990, PAGE 6, PART VI, LINE 3 | THE ORGANIZATION CONTRACTS WITH CORYDON GROUP, AND INDEPENDENT CONTRACTOR, TO MANAGE THE BUSINESS AND AFFAIRS OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE ORGANIZATION HAS TWO LEVELS OF MEMBERSHIP: ACTIVE AND RESIDENT. AN ACTIVE MEMBER IS A PRACTICING PHYSICIAN THAT LIVES OR WORKS IN MARION COUNTY OR ONE OF THE SURROUNDING COUNTIES. A RESIDENT MEMBER IS A MEDICAL RESIDENT OR INTERN CURRENTLY IN A TRAINING PROGRAM AT A HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE MEMBERS VOTE ANNUALLY FOR THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | KEY OFFICERS RECEIVED AN ELECTRONIC COPY OF THE FORM 990 AND ATTACHED SCHEDULES FOR THEIR REVIEW PRIOR TO THE FORM 990 BEING FILED WITH THE INTERNAL REVENUE SERVICE. EACH VOTING MEMBER CONSENTED THEIR APPROVAL FOR THE FILING OF THE INFORMATION RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | INTERESTED PERSONS ARE COVERED BY THE CONFLICT OF INTEREST POLICY. THE EXECUTIVE VICE PRESIDENT OF THE ORGANIZATION REVIEWS ANNUALLY THE SIGNED CONFLICT OF INTEREST FORMS, NOTING ANY REPORTED CONFLICTS. ANY CONFLICTS WOULD BE DISCUSSED AND RESOLVED BY THE BOARD OF DIRECTORS. CONFLICTS ARISING DURING THE YEAR WILL BE REPORTED TO THE BOARD OF DIRECTORS AND MAY BE RESPONDED TO BY DISCIPLINARY AND CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE COMMITTEE (OFFICERS) APPROVES SALARIES FOR THE EXECUTIVE VICE PRESIDENT. COMPARABLE COMPENSATION IS TAKEN INTO CONSIDERATION TO DETERMINE THE AMOUNT OF THE COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES AVAILABLE UPON REQUEST COPIES OF THE APPLICATION OF EXEMPTION AND THE PAST THREE YEARS INFORMATION RETURNS FOR PUBLIC INSPECTION AT THEIR OFFICE. |
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