Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096 | Salina Regional Health Properties, Inc has independent contractors, however, Salina Regional Health Center, the parent organization, pays all the independent contractors directly. The actual expense of each independent contractor is directly charged to the assigned entity. |
| Form 990, Part VI, Section A, line 6 | Salina Regional Health Center is the sole member of Salina Regional Health Properties, Inc. |
| Form 990, Part VI, Section A, line 7a | The governing body of Salina Regional Health Properties is appointed by Salina Regional Health Center. |
| Form 990, Part VI, Section A, line 7b | The following actions require approval by the Member: 1.Election of persons to the Board of Trustees 2.Removal of Directors 3.Amendment of Corporate Documents 4.Change in Tax Status 5.Capital and operating budget 6.Nonbudgeted expenditures 7.Additional indebtedness 8.Other matters as determined |
| Form 990, Part VI, Section A, line 8b | The organization does not have committees with broad authority to act on behalf of the governing board. |
| Form 990, Part VI, Section B, line 11b | The 990 is reviewed by management prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy covers board members, members of board committees, officers of SRHC and its affiliates, and all key management personnel. A conflict of interest questionnaire is required to be completed upon election and annually thereafter. The board of directors determines whether a conflict exists and reviews such conflicts to determine appropriate action. If there is an identified conflict, the board may ask the interested person to leave the meeting during discussion of the matter that gives rise to the potential conflict, however, if asked, the interested person may make a statement or answer questions on the matter before leaving. The interested person will not be permitted to vote on the matter. If a significant conflict is identified, the conflicted person will no longer be eligible to remain on the board and will be so informed. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon written request. |
| Form 990, Part XI, line 9: | Intercompany transfer -355,128. |
| Software ID: | |
| Software Version: |