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.") .... | 1,510,570 | 1,538,617 | 1,672,674 | 1,799,130 | 1,808,945 | 8,329,936 |
| 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 | 1,510,570 | 1,538,617 | 1,672,674 | 1,799,130 | 1,808,945 | 8,329,936 |
| 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. | 8,329,936 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,510,570 | 1,538,617 | 1,672,674 | 1,799,130 | 1,808,945 | 8,329,936 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 15,436 | 19,637 | 19,941 | 27,628 | 60,706 | 143,348 |
| 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.).. | 17,906 | 16,616 | 5,901 | 779 | 37 | 41,239 |
| 11 | Total support Add lines 7 through 10. | 8,514,523 | |||||
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 | 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...... | ||||||
| 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. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| 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. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 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) |
||||
| 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) |
||||
|
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 |
|---|---|
| PART II, SECTION B, LINE 10, OTHER INCOME | MISCELLANEOUS REVENUE - NONCONTRACT: $37 |
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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 |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | SUMMARY OF SIGNIFICANT CHANGES: THE SOUTHEASTERN KIDNEY COUNCIL ENTERED INTO AN AFFILIATION AGREEMENT WITH ALLIANT HEALTH SOLUTIONS, EFFECTIVE JANUARY 1, 2015 WITH THESE RESULTING ORGANIZATIONAL CHANGES: (A) ARTICLES OF INCORPORATION. EFFECTIVE AS OF THE EFFECTIVE DATE (AS DEFINED BELOW), SKC SHALL AMEND AND RESTATE ITS ARTICLES OF INCORPORATION TO CREATE A SINGLE CLASS OF MEMBER. B) BYLAWS. EFFECTIVE AS OF THE EFFECTIVE DATE, SKC SHALL AMEND ITS BYLAWS TO IDENTIFY THE FOLLOWING "MAJOR DECISIONS" THAT CAN ONLY BE MADE IF APPROVED BY SKC'S SOLE MEMBER: I) ANY DECISION TO DISCONTINUE THE BUSINESS OF SKC IF SUCH DISCONTINUANCE IS FIRST APPROVED BY THE BOARD OF DIRECTORS OF SKC (THE "SKC BOARD"). II) ANY MERGER OR COMBINATION OF ANY SORT BY SKC WITH ANY OTHER ENTITY OR PERSON; III) ANY AMENDMENT OR REVISION OF SKC'S ARTICLES OF INCORPORATION OR BYLAWS; IV) THE ESTABLISHMENT OR CREATION OF ANY MEMBERSHIP IN SKC; V) ANY DECISION THAT COMPROMISES THE RIGHTS OR OBLIGATIONS OF ALLIANT; VI) ANY ACQUISITION OF ANY REAL PROPERTY OR ANY INTEREST IN ANY REAL PROPERTY; VII) ANY DEBT FINANCING OR REFINANCING OF SKC OR ANY ASSETS OF SKC; PROVIDED, HOWEVER, THAT THE SKC BOARD AND SKC OFFICERS SHALL EACH HAVE THE POWER AND AUTHORITY, WITHOUT OBTAINING THE APPROVAL OF ALLIANT, TO CAUSE SKC TO INCUR TRADE OBLIGATIONS IN THE ORDINARY COURSE OF BUSINESS AND, TO THE EXTENT APPLICABLE, IN COMPLIANCE WITH SKC'S BYLAWS; VIII) ANY SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SKC, PROVIDED, HOWEVER, THAT (A) PROMPTLY AFTER THE DATE THE NEW 501(C)(3) (AS DEFINED BELOW) HAS BEEN FORMED, ALL OF SKC'S RETAINED EARNINGS AS OF THE EFFECTIVE DATE (AS DEFINED BELOW) SHALL BE TRANSFERRED BY SKC TO THE NEW 501(C)(3) AND (B) ALL OUTSTANDING CONTRACT FUNDS DUE SKC FROM CMS FOR PRIOR NETWORK 6 CONTRACTS SHALL BE TRANSFERRED BY SKC TO THE NEW 501(C)(3) AS AND WHEN SUCH AMOUNTS ARE RECEIVED BY SKC; IX) THE INCURRENCE OF ANY VOLUNTARY ENCUMBRANCE UPON ANY OF THE ASSETS OF SKC, OTHER THAN ANY SUCH ENCUMBRANCE THAT ARISES BY OPERATION OF LAW FOR AMOUNTS NOT YET DUE AND PAYABLE; X) REINVESTING THE PROCEEDS FROM THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SKC; XI) EXCEPT IN THE ORDINARY COURSE OF BUSINESS, DISTRIBUTING ANY ASSETS OF SKC TO ANYONE OR ANY ENTITY OTHER THAN THE TRANSFER TO THE NEW 501(C)(3) OF THE RETAINED EARNINGS AS OF THE EFFECTIVE DATE AND THE OUTSTANDING CONTRACT FUNDS DUE SKC FROM CMS FOR PRIOR NETWORK 6 CONTRACTS; XII) ANY ACT IN CONTRAVENTION OF THE BYLAWS OR KNOWINGLY REFRAINING FROM TAKING ANY ACT REQUIRED BY THE BYLAWS; XIII) ANY ACT THAT WOULD MAKE IT IMPOSSIBLE TO CARRY ON THE ORDINARY BUSINESS OF SKC; XIV) ALLOWING ANY THIRD PARTY TO POSSESS SKC PROPERTY OR ASSIGNING TO ANY THIRD PARTY THE RIGHTS OF SKC IN SPECIFIC SKC PROPERTY, IN EITHER CASE, FOR OTHER THAN A CORPORATE PURPOSE; XV) ANY TRANSACTION BETWEEN SKC AND ANY SKC INTEREST HOLDER OR AN AFFILIATE OF AN SKC INTEREST HOLDER; XVI) ANY LOAN BY SKC TO ANY THIRD PARTY; XVII) ANY MATERIAL CHANGE IN THE NATURE OF THE BUSINESS OF SKC FROM THAT SET FORTH IN ITS ARTICLES OF INCORPORATION OR BYLAWS; XVIII) ANY GUARANTY BY SKC OF ANY DEBT OR OTHER OBLIGATION OF ANY THIRD PARTY; OR XIX) ANY OTHER DECISION OR ACTION THAT REQUIRES ALLIANT'S APPROVAL UNDER SKC'S BYLAWS." |
| FORM 990, PART VI, SECTION A, LINE 6 | ALLIANT HEALTH SOLUTIONS IS THE SOLE MEMBER OF SKC |
| FORM 990, PART VI, SECTION A, LINE 7A | ALLIANT HEALTH SOLUTIONS, INC. SHALL HAVE THE RIGHT TO APPOINT ONE MEMBER FROM THE ALLIANT HEALTH SOLUTIONS, INC. BOARD OF DIRECTORS TO SERVE AS THE CHAIRPERSON OF THE SKC BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION IS PROVIDED A DRAFT OF FORM 990 FROM THE ACCOUNTANT. THE EXECUTIVE COMMITTEE REVIEWS AND DISCUSSES THE DRAFT AND A COPY IS GIVEN TO EACH MEMBER OF THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS REVIEW THE COMPLIANCE POLICY ANNUALLY AND SIGN A STATEMENT OF UNDERSTANDING AT EACH MEETING, THE MEMBERS ARE ASKED TO ACKNOWLEDGE ANY CONFLICTS OF INTEREST AND RECUSE THEMSELVES FROM THE DISCUSSION IF ANY CONFLICTS EXIST. |
| FORM 990, PART VI, SECTION B, LINE 15 | A SEPARATE INDEPENDENT FINANCE COMMITTEE DETERMINES OFFICER COMPENSATION. 990'S OF OTHER ESRD NETWORKS ARE USED AS COMPARABLE DATA TO DETERMINE THE REASONABLENESS OF OFFICER COMPENSATION. ALL DISCUSSIONS ARE DOCUMENTED IN THE BOARD MINUTES. THE EXECUTIVE DIRECTOR FOLLOWS A SIMILAR PROCEDURE FOR DETERMINING KEY STAFF SALARIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF ASSETS TO SOUTHEASTERN RENAL FOUNDATION -2,838,589. |
| FORM 990, PART XI, LINE 2C | THE AUDIT REPORT IS PRESENTED TO THE BOARD OF DIRECTORS AT THE COMPLETION OF THE AUDIT. THE AUDITOR WORKS CLOSELY WITH THE BOARD OF DIRECTORS DURING THE YEAR SHOULD ANY CONCERNS ARISE. |
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