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.") . | 75,526 | 44,135 | 16,750 | 69,806 | 90,231 | 296,448 |
| 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...... | 298,666,539 | 296,216,113 | 76,845,340 | 428,741,753 | 554,028,832 | 1,654,498,577 |
| 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. | 298,742,065 | 296,260,248 | 76,862,090 | 428,811,559 | 554,119,063 | 1,654,795,025 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support (Subtract line 7c from line 6.) | 1,654,795,025 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 298,742,065 | 296,260,248 | 76,862,090 | 428,811,559 | 554,119,063 | 1,654,795,025 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,296,656 | 1,126,002 | 714,844 | 720,784 | 721,632 | 4,579,918 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,296,656 | 1,126,002 | 714,844 | 720,784 | 721,632 | 4,579,918 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 7,423 | 7,423 | ||||
| 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.).. | 300,046,144 | 297,386,250 | 77,576,934 | 429,532,343 | 554,840,695 | 1,659,382,366 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 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) |
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| 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) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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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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| SCHEDULE A, PART III, SECTION A: PUBLIC SUPPORT | IN 2012 THE TAXPAYER CHANGED ITS YEAR END FROM SEPTEMBER 30 TO DECEMBER 31. TO EFFECT THE CHANGE, FORM 990 WAS FILED FOR THE PERIOD OCTOBER 1, 2012 THROUGH DECEMBER 31, 2012. THUS, THE INFORMATION IN SCHEDULE A, PART III, SECTION A FOR THE FISCAL YEAR BEGINNING IN 2012 IS FOR THE THREE MONTH PERIOD OCTOBER 1, 2012 THROUGH DECEMBER 31, 2012. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
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| STATEMENT 1 - DESCRIPTION OF ORGANIZATION MISSION | FORM 990, PART I, LINE 1 TO PROVIDE COMPASSIONATE AND HIGH-QUALITY HEALTH CARE AND HEALTH EDUCATION TO PATIENTS AND OTHER MEMBERS OF THE COMMUNITY. |
| STATEMENT 2 | FORM 990, PART III, LINE 4A, PROGRAM SERVICE RELIANT MEDICAL GROUP (FORMERLY FALLON CLINIC, INC.) IS A MULTI-SPECIALTY MEDICAL GROUP PRACTICE OF 303 PHYSICIANS AND 232 OTHER PRACTICE CLINICIANS THAT PROVIDES PATIENTS WITH A WIDE RANGE OF MEDICAL AND SURGICAL SERVICES THROUGH A NETWORK OF MORE THAN 20 SITES THROUGHOUT CENTRAL MASSACHUSETTS. THE GROUP'S SERVICES ARE SUPPORTED BY CUTTING-EDGE TECHNOLOGIES AND SERVICE-ORIENTED PROCESSES. THE GROUP PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY PROVIDING CLINICALLY SUPERIOR, INTEGRATED HEALTH CARE SERVICES FOR THE PREVENTION, DIAGNOSIS, AND TREATMENT OF DISEASE. THE GROUP'S SERVICES INCLUDE PROVIDING PATIENTS AND OTHER MEMBERS OF THE COMMUNITY WITH ACCESS TO DISEASE-MANAGEMENT SUPPORT GROUPS, AND HEALTH EDUCATION VIA PHYSICIAN LECTURES AND CONTRIBUTIONS TO THE HEALTH AND FITNESS SECTION OF THE REGION'S LARGEST DAILY NEWSPAPER. MANY OF THE GROUP'S PHYSICIANS ARE HIGHLY ENGAGED IN TEACHING RESIDENTS AND INTERNS IN BOTH HOSPITAL AND OFFICE SETTINGS. ADDITIONALLY, MANY PHYSICIANS AND OTHER EMPLOYEES PARTICIPATE IN RESEARCH ACTIVITIES AIMED AT IMPROVING HEALTH CARE SERVICES FOR THE BENEFIT OF THE WHOLE COMMUNITY. WITH MORE THAN 1.4 MILLION ENCOUNTERS, INCLUDING APPROXIMATELY 173,000 MEDICAID AND 382,000 MEDICARE VISITS IN THE MOST RECENT FULL YEAR, THE GROUP PROVIDES OVER 100 HEALTH CARE PROGRAMS AND SERVICES AND CARES FOR APPROXIMATELY 292,000 PATIENTS. THE GROUP WAS ONE OF THE FIRST CLINIC-TYPE ORGANIZATIONS TO ENTER INTO MEDICARE AND MEDICAID MANAGED CARE CONTRACTS, AND HAS ONE OF THE LARGEST PANELS OF SUCH PATIENTS IN MASSACHUSETTS. THE GROUP ALSO PROVIDES APPROXIMATELY $4 MILLION PER YEAR IN UNCOMPENSATED CARE. EACH YEAR THE GROUP SUPPORTS A WIDE RANGE OF NON-PROFIT ENDEAVORS, INCLUDING EVENTS THAT RAISE FUNDS FOR THE ONGOING RESEARCH AND TREATMENT OF MAJOR DISEASES (I.E., HEART WALK, RELAY FOR LIFE, NATIONAL CANCER SURVIVORS' DAY, ETC.), AS WELL AS COMMUNITY-BASED CULTURAL AND FAMILY-CENTERED ACTIVITIES THROUGHOUT THE GROUP'S SERVICE AREA. RELIANT MEDICAL GROUP CONTINUED TO BE A WELL-RECOGNIZED MASSACHUSETTS COMPANY OVER THE PAST YEAR. RELIANT RECEIVED THE ACHIEVERS "50 MOST ENGAGED WORKPLACES" AWARD, WHICH RECOGNIZES TOP EMPLOYERS THAT DISPLAY LEADERSHIP AND INNOVATION IN ENGAGING THEIR WORKPLACES. RELIANT WAS ALSO INCLUDED IN THE BECKER'S HOSPITAL REVIEW "150 GREAT PLACES TO WORK IN HEALTHCARE" LIST, WHICH RECOGNIZES ORGANIZATIONS FOR THEIR WORKPLACE CULTURE, BENEFITS, PROFESSIONAL DEVELOPMENT OPPORTUNITIES AND OVERALL WORKPLACE EXCELLENCE. IN APRIL RELIANT TOOK HOME THE BOSTON BUSINESS JOURNAL'S "BEST PLACES TO WORK" AWARD FOR THE THIRD STRAIGHT YEAR, WHICH HONORS COMPANIES FOR CREATING A POSITIVE WORK ENVIRONMENT THAT ATTRACTS AND RETAINS EMPLOYEES. IN 2013, THE HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY AWARDED RELIANT MEDICAL GROUP A STAGE 7 AMBULATORY AWARD, THE HIGHEST LEVEL ON THE ELECTRONIC MEDICAL RECORD ADOPTION MODEL , WHICH IS USED TO TRACK EMR PROGRESS AT HOSPITALS AND HEALTH SYSTEMS. ALSO IN 2013, ATRIUS HEALTH (RELIANT MEDICAL GROUP'S PARENT) WAS NAMED BY BECKER'S HOSPITAL REVIEW AS ONE OF THE "100 ACCOUNTABLE CARE ORGANIZATIONS (ACOS) TO KNOW" IN 2013. THESE AWARDS ARE A TESTAMENT TO THE MANY POSITIVE ATTRIBUTES OF RELIANT MEDICAL GROUP. |
| FORM 990, PART VI, SECTION A, LINE 1 | BYLAWS STATE THAT PHYSICIAN TRUSTEE TERMS WILL NOT EXCEED 9 CONSECUTIVE YEARS. ALTHOUGH THE BOARD ELECTED A CURRENT TRUSTEE AS BOARD CHAIR IN FY11, A RE-ELECTION TO HIS CURRENT TRUSTEE SEAT WOULD HAVE RESULTED IN HIM SERVING IN EXCESS OF THE 9 YEAR TERM LIMIT. THE BOARD VOTED TO KEEP THE TRUSTEE ON IN BOARD CHAIR CAPACITY AS A VOTING MEMBER, AND ANOTHER EMPLOYED PHYSICIAN WAS ELECTED TO THE TRUSTEE POSITION HE VACATED. THIS CREATED AN EQUAL NUMBER OF PHYSICIAN TRUSTEES AND COMMUNITY TRUSTEES. THE BOARD CHAIR WAS REPLACED EFFECTIVE OCTOBER 1, 2014; AT THE END OF FY14 THERE WAS A MAJORITY OF COMMUNITY TRUSTEES SERVING ON THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 2 | SUSAN MAILMAN, CRAIG BEST MD AND LEON JOSEPHS, MD HAD A BUSINESS RELATIONSHIP SINCE THEY SERVED JOINTLY ON THE BOARD OF MASSACHUSETTS ASSURANCE COMPANY, LTD. ROBERT YOOD MD, ARMIN ERNST MD, LEON JOSEPHS, MD AND JOHN SCHNEEWEIS MD HAD A BUSINESS RELATIONSHIP SINCE THEY SERVED JOINTLY ON THE BOARD OF ASPECTUS, INC. ROBERT YOOD MD AND DIANE LECLAIR HAD A BUSINESS RELATIONSHIP SINCE THEY SERVED JOINTLY ON THE BOARD OF ATRIUS HEALTH, INC. |
| FORM 990, PART VI, SECTION A, LINE 4 | PURSUANT TO A CERTAIN WITHDRAWAL AGREEMENT AND IN ACCORDANCE WITH ATRIUS HEALTH BYLAWS, RELIANT MEDICAL EXERCISED ITS RIGHT TO WITHDRAW FROM ATRIUS HEALTH EFFECTIVE JANUARY 1, 2015. AS A RESULT OF THIS WITHDRAWAL AND THE NEGOTIATED WITHDRAWAL AGREEMENT, RELIANT MEDICAL PHYSICIAN TRUSTEES WERE ONLY PERMITTED TO PARTICIPATE IN BOARD MATTERS THAT WERE NOT RELATED TO THE ATRIUS HEALTH MERGER. IN ACCORDANCE WITH THE WITHDRAWAL AGREEMENT, EXECUTED AS OF OCTOBER 17, 2014, RELIANT MEDICAL NO LONGER APPOINTED PHYSICIAN TRUSTEES TO THE ATRIUS BOARD AND THE BYLAWS WERE AMENDED TO REFLECT THIS CHANGE. |
| FORM 990, PART VI, SECTION A, LINE 6 | EMPLOYED MDS, DOS AND DPMS ARE ELIGIBLE TO BECOME VOTING MEMBERS OF THE ORGANIZATION. THEY MUST BE EMPLOYED FOR 2 FULL YEARS AND MEET SPECIFIC ELIGIBILITY CRITERIA PRIOR TO BEING APPROVED BY MEDICAL LEADERSHIP. POTENTIAL MEMBERS ARE THEN PLACED ON A BALLOT AND MUST RECEIVE A MAJORITY VOTE OF THE MEMBERS IN ATTENDANCE AT A MEETING CALLED FOR SUCH PURPOSE. ATRIUS HEALTH BECAME THE SOLE CORPORATE MEMBER OF RELIANT MEDICAL GROUP ON OCTOBER 1, 2011. ON JUNE 30, 2014, RELIANT'S PHYSICIAN MEMBERS VOTED TO WITHDRAW FROM ATRIUS HEALTH TO BE EFFECTIVE AT A LATER DATE. NOTICE WAS GIVEN TO ATRIUS ON 7/1/14. A WITHDRAWAL AGREEMENT DATED 10/17/14 WAS SIGNED BY RELIANT AND ATRIUS, WITH AN EFFECTIVE DATE OF WITHDRAWAL OF 1/1/15. |
| FORM 990, PART VI, SECTION A, LINE 7A | PER BYLAWS, CURRENT VOTING MEMBERS OF THE ORGANIZATION NOMINATE OTHER VOTING MEMBERS FOR ELECTION TO OPEN BOARD SEATS EACH YEAR. NOMINEES MAY ACCEPT OR DECLINE THE NOMINATION; THOSE WHO ACCEPT ARE PLACED ON A WRITTEN BALLOT AND ELECTED BY A MAJORITY VOTE OF MEMBERS AT EACH ANNUAL MEETING OF THE ORGANIZATION. ATRIUS HEALTH BECAME THE SOLE CORPORATE MEMBER OF RELIANT MEDICAL GROUP ON OCTOBER 1, 2011. THE CORPORATE MEMBER HAS THE AUTHORITY TO APPROVE, OR DISAPPROVE, THE SELECTION OR REMOVAL OF AT LEAST 50% BUT LESS THAN 80% OF RELIANT TRUSTEES ON AN ANNUAL BASIS. ON JUNE 30, 2014, RELIANT'S PHYSICIAN MEMBERS VOTED TO WITHDRAW FROM ATRIUS HEALTH TO BE EFFECTIVE AT A LATER DATE. NOTICE WAS GIVEN TO ATRIUS ON 7/1/14. A WITHDRAWAL AGREEMENT DATED 10/17/14 WAS SIGNED BY RELIANT AND ATRIUS, WITH AN EFFECTIVE DATE OF WITHDRAWAL OF 1/1/15. |
| FORM 990, PART VI, SECTION A, LINE 7B | ANY RECOMMENDED CHANGES TO THE ORGANIZATION'S ARTICLES OR BYLAWS MUST BE APPROVED BY A MAJORITY VOTE OF EXISTING VOTING MEMBERS, IN ADDITION TO ANY MERGER OR CONSOLIDATION WITH ANOTHER ENTITY. EFFECTIVE OCTOBER 1, 2011, THE SOLE CORPORATE MEMBER (ATRIUS HEALTH) MUST APPROVE CERTAIN ACTIONS OF RELIANT'S BOARD, WHICH INCLUDE AMENDING ARTICLES OR BYLAWS, ADOPTION OF BUDGETS, SALE OR DISPOSITION OF MATERIAL ASSETS, MERGERS, CONSOLIDATIONS OR AFFILIATIONS AFFECTING GOVERNANCE, LIQUIDATION, DISSOLUTION OR RESTRUCTURING, ADOPTION OF COMPENSATION STRUCTURE AND RANGES FOR EMPLOYED TRUSTEES, PHYSICIAN MEMBERS AND ADMINISTRATIVE OBSERVERS. THEY MUST ALSO APPROVE OR DISAPPROVE THE SELECTION OR REMOVAL OF AT LEAST FIFTY PERCENT BUT LESS THAN EIGHTY PERCENT OF RELIANT TRUSTEES ON AN ANNUAL BASIS. ON JUNE 30, 2014, RELIANT'S PHYSICIAN MEMBERS VOTED TO WITHDRAW FROM ATRIUS HEALTH TO BE EFFECTIVE AT A LATER DATE. NOTICE WAS GIVEN TO ATRIUS ON 7/1/14. A WITHDRAWAL AGREEMENT DATED 10/17/14 WAS SIGNED BY RELIANT AND ATRIUS, WITH AN EFFECTIVE DATE OF WITHDRAWAL OF 1/1/15. |
| FORM 990, PART VI, SECTION B, LINE 11 | RELIANT MEDICAL GROUP HAS ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS 2014 FORM 990. AN INTERNAL STAFF COMPRISED OF RELIANT MEDICAL GROUP'S CONTROLLER, CORPORATE PARALEGAL, CHAIRPERSON OF COMPENSATION COMMITTEE, AND ACCOUNTING STAFF WORK IN CONCERT WITH THE OUTSIDE FIRM TO COMPLETE ITS TAX FORM. THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY BY THE BOARD OF TRUSTEES TO OVERSEE THE PREPARATION AND REVIEW OF THE FORM 990. UPON COMPLETION OF A DRAFT FORM 990, THE CONTROLLER REVIEWS THE FORM IN ITS ENTIRETY WITH THE COMMITTEE, PRESENTING MAJOR HIGHLIGHTS AND ISSUES, IF ANY, AND THEN A FORMAL APPROVAL OF THE 990 FORM IS MADE. A FINAL DRAFT OF FORM 990 IS SUBSEQUENTLY PROVIDED IN EITHER HARD COPY OR ELECTRONIC FORM TO THE BOARD OF TRUSTEES PRIOR TO SUBMISSION TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING ANNUALLY, EACH TRUSTEE COMPLETES AND SUBMITS A CONFLICT OF INTEREST (COI) DISCLOSURE STATEMENT. STATEMENTS ARE REVIEWED AS FOLLOWS: THE CEO'S COI IS REVIEWED BY THE CHAIRMAN OF THE BOARD WITH COPY TO EXTERNAL CORPORATE COUNSEL; THE CHAIRMAN'S COI IS REVIEWED BY THE CEO WITH A COPY TO EXTERNAL CORPORATE COUNSEL; INDEPENDENT TRUSTEES' COI'S ARE REVIEWED BY THE CHAIRMAN OR THE CEO WITH COPIES TO EXTERNAL CORPORATE COUNSEL; PHYSICIAN TRUSTEES & SENIOR STAFFS' COI'S ARE REVIEWED BY THE CHAIRMAN OF AUDIT/ COMPLIANCE COMMITTEE OR THE CEO WITH COPIES OF POTENTIAL CONFLICTS COMMUNICATED TO THE CEO AND EXTERNAL CORPORATE COUNSEL. AFTER REVIEW, COIS ARE FILED AND MAINTAINED BY THE ASSISTANT CLERK. ENFORCEMENT IF AN INTERESTED INDIVIDUAL PRESENTS AN ITEM AT A BOARD MEETING, HE/SHE IS REQUIRED TO LEAVE THE MEETING DURING DISCUSSION AND VOTING ON ANY TRANSACTION WHICH MAY RESULT IN A CONFLICT. ANY DISCLOSURE OF A FINANCIAL INTEREST OR CONFLICT OF INTEREST MUST BE DETAILED IN THE MEETING MINUTES. WHO IS COVERED THE ORGANIZATION'S CONFLICT OF INTEREST DISCLOSURE STATEMENT COVERS EACH MEMBER OF THE ORGANIZATION'S BOARD OF TRUSTEES, THE CEO AND SENIOR MANAGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION PROGRAMS FOR RELIANT MEDICAL GROUP OFFICERS AND KEY EMPLOYEES AND THE PHYSICIAN COMPENSATION MODELS ARE PREPARED IN COMPLIANCE WITH IRS GUIDELINES. THE PROCESS ESTABLISHED BY THE BOARD OF TRUSTEES ALLOWS FOR THE COMPENSATION COMMITTEE TO HANDLE THE REVIEW AND APPROVAL OF THE COMPENSATION PACKAGE FOR THE CEO, THE EXECUTIVE MANAGEMENT TEAM, ALL PHYSICIANS WHO WILL POTENTIALLY EARN MORE THAN 95% OF THE COMPARABLE LEVEL OF PAY REPORTED IN A NATIONALLY RECOGNIZED COMPENSATION PHYSICIAN SURVEY, STIPENDS FOR MEMBERS OF THE BOARD OF TRUSTEES, AND ANY OTHER MATTERS SO DESIGNATED TO COME BEFORE THE COMMITTEE. THE COMMITTEE MEETS QUARTERLY AND AS NEEDED TO HANDLE ANY MATTER THAT REQUIRES ATTENTION IN A TIMELY MANNER. COMPENSATION DECISIONS BY THE COMMITTEE ARE MADE IN ADVANCE OF IMPLEMENTATION, AND ARE PROPERLY DOCUMENTED ON A TIMELY BASIS IN COMMITTEE MINUTES. THE COMMITTEE USES THE SERVICES OF AN INDEPENDENT, OUTSIDE CONSULTING FIRM TO PROVIDE BACKGROUND INFORMATION AS WELL AS LOCAL AND REGIONAL COMPARISON DATA ON THE AREAS OF OVERSIGHT OF THE COMMITTEE. THE CONSULTANT IS AVAILABLE AT ALL TIMES TO CONSIDER MATTERS WHICH REQUIRE HIS INPUT FOR THE COMMITTEE'S QUESTIONS. THE COMMITTEE CONDUCTS ITS DELIBERATIONS AND REPORTS TO THE FULL BOARD AT EACH MEETING. THE PROCESS WAS LAST COMPLETED IN AUGUST 2014. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, COMPENSATION OF LISTED PERSONS | BOARD MEMBERS RECEIVE ANNUAL STIPENDS OF $6,000 FOR THEIR ACTIVE ROLE AS A TRUSTEE. THEY ALSO RECEIVE $1,000 PER BOARD MEETING ATTENDED AND $500 PER BOARD APPOINTED COMMITTEE MEETING ATTENDANCE. THE OFFICER WHO SERVES AS VICE CHAIR RECEIVES AN ADDITIONAL $5,000 FOR THEIR ROLE AS AN OFFICER. ALL OTHER COMPENSATION DISCLOSED IS EARNED WHILE PERFORMING NORMAL JOB FUNCTIONS. |
| FORM 990, PART IX, LINE 11G | MEDICAL REFERRAL COSTS (CAPITATION CONTRACTS): PROGRAM SERVICE EXPENSES 266,525,987. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 266,525,987. OTHER: PROGRAM SERVICE EXPENSES 62,355. MANAGEMENT AND GENERAL EXPENSES 2,846,847. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,909,202. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PENSION FUNDING OBLIGATION -9,121,393. RETIREE MEDICAL AOCI CHANGE -82,604. CHANGE IN VALUE OF INTEREST RATE SWAP 40,533. |
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