2020-05-06T16:11:42-05:00 2019-06-30 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2018-07-01 161356734 TRILLIUM HEALTH INC TRIL 5855457200 259 MONROE AVENUE ROCHESTER NY 14607 JASON BARNECUT-KEARNS SENIOR VP/CFO 5855457200 2020-04-15 1 MARY MADONIA P00405803 7168472651 2020-04-02 104.193.28.34 2020-04-15 12:14:50 ED P FDE8DC9F3FB3639CC844556C0F78A0551EBB0821 BEFC00FF3835FD3FEFA4D7B9ADC1C508C3555BBF 2018 2020-09-23 17:36:50Z ANDREA DEMEO 259 MONROE AVENUE ROCHESTER NY 14607 53776939 0 X WWW.TRILLIUMHEALTH.ORG X 1989 NY SEE SCHEDULE O. 17 17 312 70 0 0 6155647 6359204 2636658 4755312 749944 514435 17581354 18195789 27123603 29824740 624715 863003 0 0 15495253 19588075 0 0 232818 8003083 9050858 24123051 29501936 3000552 322804 26331982 29307684 5317703 8079843 21014279 21227841 X OUR MISSION IS TO PROMOTE HEALTH EQUITY BY PROVIDING AFFORDABLE AND EXTRAORDINARY PRIMARY AND SPECIALTY CARE, INCLUDING LGBTQ HEALTH CARE. WE EMBRACE DIVERSITY AND INCLUSION AT ALL OF OUR LOCATIONS. TRILLIUM HEALTH IS DESIGNATED BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION AS AN LGBTQ-AFFIRMING HEALTH CARE EQUALITY LEADER. TRILLIUM HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE. AS A COMMUNITY HEALTH CENTER, TRILLIUM HEALTH PROVIDES COMPREHENSIVE CARE THAT INTEGRATES PHYSICAL AND MENTAL HEALTH, WITH PROGRAMS THAT SUPPORT THE SOCIAL NEEDS FOR PEOPLE OF ALL BACKGROUNDS, RACES, AND ETHNICITIES, AND THOSE WHO EXPERIENCE FINANCIAL BARRIERS TO CARE WITH A FOCUS ON REACHING UNDERSERVED COMMUNITIES REGARDLESS OF ABILITY TO PAY. 0 0 2815349 18298715 TRILLIUM HEALTH OPERATES A FULLY ACCREDITED RETAIL PHARMACY, DESIGNED FOR CONVENIENCE AND ACCESSIBILITY. PHARMACY SERVICES ARE AVAILABLE TO PATIENTS AT 259 MONROE AVENUE AND 170 SCIENCE PARKWAY IN ROCHESTER, NEW YORK. PRESCRIPTION SERVICES ARE SUPPORTED BY TEXT REMINDERS, FREE DELIVERY, AND 24/7 ACCESS TO MEDICATION TO HELP PREVENT HIV INFECTIONS. OUR PHARMACY'S AVERAGE CO-PAY COMBINED WITH OUR FINANCIAL ASSISTANCE PROGRAMS, HELPS TO KEEP THE COST OF MEDICATION AFFORDABLE. CLOSE TO 120,000 PRESCRIPTIONS WERE DISPENSED IN 2019. TRILLIUM HEALTH HAS BOTH MAIL ORDER AND SPECIALTY ACCREDITATIONS FOR ITS PHARMACY AND HAVE CONTRACT PHARMACY AGREEMENTS TO ASSIST OTHER FEDERALLY QUALIFIED HEALTH CENTERS. 7888861 863003 3698157 TRILLIUM HEALTH'S COMMUNITY-BASED CLINIC DELIVERS HIGH QUALITY AND AFFORDABLE CARE FOR ALL, INCLUDING LGBTQ AND UNDERSERVED POPULATIONS THROUGHOUT THE REGION. SERVICES INCLUDE PRIMARY CARE AND INFECTIOUS DISEASE TESTING AND TREATMENT. WE REACHED OUR GOAL OF INCREASING ACCESS AND SERVED MORE THAN 4,683 PATIENTS IN 2019, REPRESENTING CONTINUED GROWTH OVER THE PREVIOUS YEAR. WE CONTINUE TO INCREASE LINKAGES TO CARE AMONG INDIVIDUALS REPRESENTING COMMUNITIES OF COLOR, WITH A 104% INCREASE IN PATIENTS WHO IDENTIFIED AS AFRICAN AMERICAN, AND AN 83% INCREASE AMONG INDIVIDUALS WHO IDENTIFIED AS HISPANIC IN DATA REPORTED SINCE 2017. DURING THIS PERIOD A 70% INCREASE IN PATIENTS IDENTIFYING AS LGBTQ WAS ALSO EVIDENT. OUR TRANSGENDER CENTER OF EXCELLENCE ALSO HAD PHENOMENAL GROWTH FROM 350 PATIENTS IN 2017 TO MORE THAN 850 IN 2019 BASED ON ITS COMMITMENT TO STIGMA-FREE, HIGH-QUALITY CARE. THE CARE DELIVERY PROCESS HAS BEEN REDESIGNED, RESULTING IN SHORTER PATIENT APPOINTMENT TIMES, MORE EFFECTIVE UTILIZATION OF PATIENT CARE TEAM MEMBERS, IMPROVED CLINICAL WORKFLOW, AND DAILY INTERDISCIPLINARY CROSS-DEPARTMENT COMMUNICATION. WE ALSO IMPLEMENTED A NEW ELECTRONIC HEALTH RECORD AND INVESTED IN A PATIENT CARE FUND TO ADDRESS BASIC NEEDS FOR OUR PATIENTS. IN 2019, WE ENHANCED OUR CLINICAL QUALITY IMPROVEMENT PLAN AND ADDED PROCESSES TO IMPROVE PATIENT OUTCOMES. AESTHETIC AND PHYSICAL INFRASTRUCTURE IMPROVEMENTS TO THE CLINIC INCLUDED EXPANDING AND RENOVATING WAITING AREAS AND THE ADDITION OF A CHECK-IN KIOSK. STAFF CONTINUE TO RECIEVE TRAINING IN SERVICE RECOVERY. A PATIENT CALL CENTER AND PHARMACY SERVICE CENTER, ALONG WITH ONLINE SCHEDULING WERE INTRODUCED IN 2019. QUALITY IMPROVEMENTS INCLUDED THE IMPLEMENTATION OF CHRONIC DISEASE MANAGEMENT AND INITIATING HIV RAPID START. HIGHER LEVELS OF PATIENT SATISFACTION AND INCREASED STAFF ENGAGEMENT WERE REPORTED BASED ON BOTH PATIENT AND CLINICAL ENGAGEMENT MEASURES. 9250283 1068403 TRILLIUM HEALTH'S CARE MANAGEMENT & SUPPORTIVE SERVICES PROGRAMS PROVIDE VITAL SERVICES TO HELP BREAK DOWN HISTORICAL BARRIERS TO HEALTH CARE, SUCH AS TRANSPORTATION, LOW HEALTH LITERACY, LACK OF INSURANCE, HOUSING INSTABILITY, AND FOOD INSECURITY. IN 2019, CLOSE TO 2,500 CARE MANAGEMENT SERVICES WERE DELIVERED, PROVIDING MUCH-NEEDED SUPPORT FOR OUR PATIENTS. THIS PAST YEAR WE RENOVATED THE WAITING AREA AND CARE MANAGEMENT SUITE, EXPANDING THE SPACE FOR CONSULTATION AND THE DELIVERY OF SUPPORTIVE SERVICES. 19954493 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 204 0 1 312 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X ANDREA DEMEO 5855457200 259 MONROE AVENUE ROCHESTER NY 14607 CINDY BECKER MEMBER/SECRETARY 1.00 X X 0 0 0 ANNIE BROOKS MEMBER 1.00 X 0 0 0 LINDA CLARK MD MEMBER/CHAIR-PRO TEM/VICE CHAIR LEGISLATIVE 1.00 X X 0 0 0 WILLIAM CLARK MEMBER 1.00 X 0 0 0 JUDITH CRANSTON MEMBER/VICE CHAIR GOVERNANCE 1.00 X 0 0 0 RODNEY FUDGE MEMBER 1.00 X 0 0 0 BARRY JENCIK MEMBER 1.00 X 0 0 0 TODD JUSKO MEMBER 1.00 X 0 0 0 MARCUS KROLL MEMBER/TREASURER/VICE CHAIR FINANCE AUDIT 1.00 X X 0 0 0 RAYMOND MAYEWSKI MD MEMBER/VICE CHAIR QUALITY 1.00 X X 0 0 0 STUART MITCHELL MEMBER 1.00 X 0 0 0 DAVID QUICK MEMBER 1.00 X 0 0 0 VICTOR SANCHEZ MEMBER 1.00 X 0 0 0 CHRIS SARDELLA MEMBER 1.00 X 0 0 0 ROBERT BJ SCANLON MEMBER/CHAIR 1.00 X X 0 0 0 JOSEPH SEARLES MEMBER 1.00 X 0 0 0 JIM VESPER MEMBER 1.00 X 0 0 0 MICHELLE LOPRESTI MEMBER (TO 9/11/2018) 1.00 X 0 0 0 ANDREA DEMEO PRESIDENT & CEO 37.50 X 333863 0 26314 ROBERT BIERNBAUM SVP, CHIEF MEDICAL OFFICER 37.50 X 283237 0 33603 MARK MALAHOSKY VP, PHARMACY 37.50 X 229421 0 34727 BILL BELECZ SVP, CHIEF OPERATING OFFICER 37.50 X 212960 0 24679 JASON BARNECUT-KEARNS SVP, CFO 37.50 X 217372 0 20166 WILLIAM VALENTI SVP, STRATEGIC ADVNCMNT CHIEF 37.50 X 249658 0 17799 MICHAEL MANCENIDO STAFF PHYSICIAN 37.50 X 233681 0 12831 GREG EWING VP COMP & REGULATORY AFFAIRS 37.50 X 214917 0 25061 LISA THOMPSON VP COMMUNICATION & DEVELOP 37.50 X 160367 0 25492 VICKI CHARLES VP, HUMAN RESOURCES 37.50 X 152373 0 14454 CHRISTOPHER WOODRING DIRECTOR, PHARMACY OPERATIONS 37.50 X 151376 0 11369 MARGARET RUSSELL FORMER SVP, CFO 37.50 X 137835 0 4862 2577060 0 251357 25 1 1 0 HARTER SECREST & EMERY LLP 1600 BAUSCH LOMB PLACE ROCHESTER NY 146042711 LEGAL CONSULTING 491613 COMPHEALTH 1445 10 NORDEN PL 200 NORWALK CT 06855 TEMPORARY STAFFING SERVICES 283643 AP PROFESSIONALS OF ROCHESTER 500 LINDEN OAKS ROCHESTER NY 14625 TEMPORARY STAFFING SERVICES 208448 THE MARTIN GROUP LLC 10 EAST MAIN STREET SUITE 303 VICTOR NY 14564 ADVERTISING CONSULTANTS 200716 EXECUTIVE PROTECTION OF MONROE COUNTY I 39 W MAIN STREET ROCHESTER NY 14614 SECURITY 185000 8 105920 186735 5988498 78051 6359204 PATIENT REVENUE 900099 4755312 4755312 4755312 327055 327055 187380 0 187380 187380 187380 45700 186735 159874 -114174 -114174 42082799 23792325 18290474 18290474 OTHER REVENUE 900099 19489 19489 19489 29824740 23065275 0 400261 863003 863003 1683798 1135671 538344 9783 13676391 9224316 4372618 79457 630570 423471 203505 3594 2494814 1675440 805156 14218 1102502 740407 355812 6283 386691 68920 309040 8731 26179 4666 20922 591 140500 25041 112286 3173 745346 132843 595674 16829 367954 80675 285923 1356 492560 212689 273062 6809 2110050 1876661 161153 72236 532074 393989 137248 837 1620 1620 581237 248475 332762 209035 189902 19133 PROGRAM SUPPLIES 1388084 1388084 EQUIPMENT EXPENSE 842922 382816 458305 1801 PHARMACEUTICALS 365298 365298 OTHER 281265 68190 205955 7120 580043 453936 126107 29501936 19954493 9314625 232818 2092747 1474893 1404947 1478323 3097122 3053988 1174852 1408645 528756 678150 10061735 3432099 3959919 6629636 14073639 14584049 26331982 29307684 4318654 6283950 0 688588 999049 1107305 5317703 8079843 X 20962925 21188622 51354 39219 21014279 21227841 26331982 29307684 322804 -109242 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 140500 0 0 0 140500 0 PART II-B, LINE 1: TRILLIUM HEALTH CONTRIBUTED FUNDS TO OTHER ORGANIZATIONS INVOLVED IN THE DEVELOPMENT AND IMPLEMENTATION OF HEALTH CARE, EDUCATION AND ADVOCACY. 210000 210000 2278799 2278799 1656386 996034 660352 3278727 2436065 842662 2637823 2637823 6629636 DEFERRED COMPENSATION 516167 EMPLOYEE BENEFITS PAYABLE 216323 DEFERRED RENT LEVELING 374815 1107305 53667697 -109242 23952199 23842957 29824740 0 29824740 53454135 23952199 23952199 29501936 0 29501936 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 159,874. COST OF GOODS SOLD 23,792,325. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 159,874. COST OF GOODS SOLD 23,792,325. RED RIBBON RIDE 29361 29361 215 2596 11917 WHITE PARTY 179426 135176 44250 53687 33975 6774 39815 3 23648 22198 1450 5909 1856 3130 232435 186735 45700 59811 38427 6774 54862 159874 -114174 1 HOUSING ASSISTANCE 451 579822 CASH PAYMENT UTILITIES ASSISTANCE 39 29018 CASH PAYMENT TRANSPORTATION ASSISTANCE 184 121785 CASH PAYMENT FOOD ASSISTANCE 20344 118496 CASH PAYMENT OTHER ASSISTANCE 111 13882 CASH PAYMENT PART I, LINE 2: TRILLIUM HEALTH, INC. FOLLOWS ALL GRANT GUIDELINES FOR DETERMINING RECIPIENTS AND MONITORING THE ORGANIZATION'S COMPLIANCE. X X X X 1 0 0 0 0 0 0 1 0 ANDREA DEMEO PRESIDENT & CEO 263234 0 38000 0 32629 0 7189 0 19125 0 360177 0 0 0 ROBERT BIERNBAUM SVP, CHIEF MEDICAL OFFICER 242426 0 34333 0 6478 0 6857 0 26746 0 316840 0 0 0 MARK MALAHOSKY VP, PHARMACY 188301 0 36410 0 4710 0 5708 0 29019 0 264148 0 0 0 BILL BELECZ SVP, CHIEF OPERATING OFFICER 180751 0 25461 0 6748 0 4947 0 19732 0 237639 0 0 0 JASON BARNECUT-KEARNS SVP, CFO 165577 0 46188 0 5607 0 4971 0 15195 0 237538 0 0 0 WILLIAM VALENTI SVP, STRATEGIC ADVNCMNT CHIEF 212142 0 31348 0 6168 0 5742 0 12057 0 267457 0 0 0 MICHAEL MANCENIDO STAFF PHYSICIAN 233575 0 0 0 106 0 4843 0 7988 0 246512 0 0 0 GREG EWING VP COMP & REGULATORY AFFAIRS 197662 0 11875 0 5380 0 4718 0 20343 0 239978 0 0 0 LISA THOMPSON VP COMMUNICATION & DEVELOP 141450 0 13859 0 5058 0 3710 0 21782 0 185859 0 0 0 VICKI CHARLES VP, HUMAN RESOURCES 127655 0 17422 0 7296 0 3572 0 10882 0 166827 0 0 0 CHRISTOPHER WOODRING DIRECTOR, PHARMACY OPERATIONS 151376 0 0 0 0 0 3047 0 8322 0 162745 0 0 0 MARGARET RUSSELL FORMER SVP, CFO 47244 0 0 0 90591 0 0 0 4862 0 142697 0 0 0 PART I, LINE 4A MARGARET RUSSELL (FORMER CFO) RECEIVED SEVERANCE PAYMENTS OF $89,087 WHICH ARE INCLUDED IN COLUMN (B)(III) OF PART II OF THIS SCHEDULE. PART I, LINE 7 THE PRESIDENT IS ELIGIBLE TO RECEIVE AN ANNUAL BONUS AS PART OF THE EMPLOYMENT CONTRACT, WHICH IS DETERMINED BY THE BOARD OF DIRECTORS. IN FISCAL 2019, SENIOR MANAGEMENT AND STAFF MEMBERS ALSO RECEIVED BONUSES DETERMINED BY THE PRESIDENT THAT WERE BASED ON ORGANIZATIONAL PERFORMANCE MEASURES. FORM 990, PART I, LINE 1 TRILLIUM HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE. OUR MISSION IS TO PROMOTE HEALTH EQUITY BY PROVIDING PRIMARY AND SPECIALTY HEALTH CARE AND SUPPORTIVE SERVICES TO UNDERSERVED COMMUNITIES AND VULNERABLE POPULATIONS, INCLUDING LGBTQ COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. TRILLIUM HEALTH'S COMPREHENSIVE AND COORDINATED MODEL OF CARE HELPS TO LINK AND RETAIN PEOPLE IN CARE, THEREBY OPTIMIZING HEALTH OUTCOMES, AVOIDING UNNECESSARY HOSPITAL VISITS, DECREASING HEALTH CARE COSTS, AND FOSTERING HEALTHIER COMMUNITIES. TRILLIUM HEALTH ADDRESSES THE SOCIAL DETERMINANTS OF HEALTH BY PROVIDING CLINICAL SERVICES, INCLUDING HEALTH CARE, COMMUNITY HEALTH OUTREACH PROGRAMMING, CARE MANAGEMENT, AN ON-SITE DIAGNOSTIC LABORATORY, AN ON-SITE PHARMACY, AND MORE. OUR COMMUNITY HEALTH CENTER IN ROCHESTER, NEW YORK, OFFERS PRIMARY, AND SPECIALTY CARE, MENTAL HEALTH, PHARMACY AND DIAGNOSTIC LAB SERVICES, ALONG WITH PROGRAMS THAT ADDRESS FOOD AND HOUSING INSECURITY, AND TESTING AND TREATMENT FOR THOSE AT RISK FOR HIV AND HEPATITIS C. IN 2019 WE OPENED A SECOND SITE WHERE WE EXPANDED SERVICES TO INCLUDE GYNECOLOGICAL CARE & WELLNESS AND PEDIATRICS. TRILLIUM HEALTH IS A LEADER IN GOVERNOR ANDREW CUOMO'S END THE HIV EPIDEMIC BY 2020 INITIATIVE AND CONTINUED ITS DESIGNATION AS A RYAN WHITE CLINIC IN 2019. TRILLIUM HEALTH IS THE LARGEST PROVIDER OF PREP (PRE-EXPOSURE PROPHYLAXIS - A ONCE-PER-DAY PILL TO PREVENT HIV) OUTSIDE OF NEW YORK CITY. OUR MAIN CLINIC AT 259 MONROE AVENUE HAS 17 DEDICATED EXAM ROOMS, AND OUR EXPERIENCED MEDICAL TEAM FOCUSES ON DELIVERING PATIENT-CENTERED CARE. OVERALL, OUR PATIENT CENSUS HAS INCREASED BY 328 PERCENT SINCE 2015, REPRESENTING SIGNIFICANT GROWTH FOR TRILLIUM HEALTH OVER LESS THAN FIVE YEARS. IN 2019, WE IMPLEMENTED TECHNOLOGICAL SOLUTIONS TO INCREASE ACCESS TO OUR SERVICES, INCLUDING ONLINE SCHEDULING AND ACCESS TO TELEPREP. IN 2019, WE LAUNCHED A MOBILE CLINIC IN ROCHESTER. TRILLIUM HEALTH'S MOBILE CLINIC BRINGS HEALTH CARE TO UNDERSERVED COMMUNITIES. THE MOBILE CLINIC IS EQUIPPED WITH TWO PRIVATE EXAM ROOMS AND A DEDICATED WAITING AREA. ITS SERVICES INCLUDE TREATMENT FOR ACUTE AND COMMON CONDITIONS, GENERAL WELLNESS CHECK-UPS, TESTING AND TREATMENT, PREVENTION EDUCATION, HELP WITH INSURANCE, AND CONNECTIONS TO CARE. TRILLIUM HEALTH OPERATES WITHIN A NINE-COUNTY SERVICE AREA. SERVING RURAL AREAS OUTSIDE OF ROCHESTER ARE TWO SATELLITE OFFICES IN BATH AND GENEVA, NEW YORK. TRILLIUM HEALTH'S SATELLITE OFFICES IN BATH AND GENEVA, NEW YORK OFFER TESTING FOR STI'S AND STD'S, CARE MANAGEMENT SERVICES, AND LINKAGES TO CARE. THE IMPACT OF THE OPIOID EPIDEMIC ON THE LOCAL COMMUNITY CONTINUES TO AFFECT COMMUNITIES ACROSS THE COUNTRY. TRILLIUM HEALTH'S HARM REDUCTION PROGRAM, WHICH STARTED IN 1993, IS LOCATED ON CENTRAL AVENUE IN ROCHESTER. THE PROGRAM HAS EXPANDED ITS SERVICES TO HELP PEOPLE WHO ARE USING DRUGS AND MEET THE NEEDS OF COMMUNITY STAKEHOLDERS. OUR HARM REDUCTION PROGRAM OFFERS STIGMA-FREE SUPPORT TO INDIVIDUALS WHO ARE NOT ABSTINENT FROM DRUG USE, PROVIDING EDUCATION TO PREVENT DISEASE AND FATALITY, AND REACHING VULNERABLE POPULATIONS AND ACTING AS A POINT OF ENTRY TO OTHER SOCIAL SERVICES. OTHER SIGNIFICANT ACCOMPLISHMENTS IN 2019 INCLUDED PROVIDING MEDICALLY-ASSISTED TREATMENT BY 11 PROVIDERS WHO OBTAINED SUBOXONE LICENSURE, INCREASING OUR TREATMENT SLOTS TO 1,175. IN 2019, WE SERVED MORE THAN 1,900 INDIVIDUALS FOR A TOTAL 6, 266 ENCOUNTERS. APPROXIMATELY 2,500 INDIVIDUALS WERE TRAINED IN OPIOID OVERDOSE PREVENTION AND MORE THAN 2,300 NARCAN KITS WERE DISTRIBUTED TO THE COMMUNITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE, INDEPENDENT ACCOUNTING FIRM. TRILLIUM HEALTH'S BOARD OF DIRECTORS FINANCE COMMITTEE AND THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR REVIEWING AND APPROVING THE 990 IN DETAIL. COPIES OF THE 990 ARE MADE AVAILABLE TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH A WRITTEN CONFLICT OF INTEREST POLICY. REGULAR TRAININGS REINFORCE THE COMPLIANCE POLICY AT ALL LEVELS OF THE ORGANIZATION AND WHEN ONBOARDING NEW EMPLOYEES. THE ORGANIZATION'S COMPLIANCE PROGRAM IS BASED ON THE FEDERAL AND STATE COMPLIANCE ELEMENTS AND ENFORCED BY THE CHIEF COMPLIANCE OFFICER, WHO OVERSEES AND MONITORS ALL COMPLIANCE ACTIVITIES AND WHO REPORTS TO THE CEO. THE CHIEF COMPLIANCE OFFICER REVIEWS AND UPDATES THE ORGANIZATION'S COMPLIANCE PROGRAM AND POLICIES ON AN ANNUAL BASIS OR AS NEEDED TO REFLECT CHANGING RISKS AND EMERGING THREATS, AND PROVIDES PERIODIC UPDATES TO THE ORGANIZATION'S BOARD OF DIRECTORS AND STAFF ON THE ORGANIZATION'S COMPLIANCE ACTIVITIES AND OVERSEES INTERNAL AUDIT ACTIVITIES. THE COMPLIANCE PROGRAM PROMOTES OPEN LINES OF COMMUNICATION FOR SUSPECTED COMPLIANCE VIOLATIONS AND ALLOWS ANONYMOUS REPORTING THROUGH ITS COMPLIANCE HOTLINE. ALL OFFICERS, DIRECTORS, AND EMPLOYEES COMPLETE A CONFLICT OF INTEREST FORM WHEN THEY BEGIN A RELATIONSHIP WITH THE ORGANIZATION AND THEN AGAIN ON AN ANNUAL BASIS. THE CHIEF COMPLIANCE OFFICER REVIEWS THESE FORMS TO IDENTIFY ACTUAL CONFLICTS AND TAKES THE APPROPRIATE STEPS, COORDINATING WITH THE APPROPRIATE RESOURCES TO RESOLVE THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 TRILLIUM HEALTH'S BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO). TO ENSURE THAT THE BOARD HAS THE INFORMATION IT NEEDS TO CARRY OUT THIS RESPONSIBILITY, THE ORGANIZATION ENGAGES AN INDEPENDENT OUTSIDE COMPENSATION AND BENEFITS CONSULTING FIRM TO CONDUCT AN APPROPRIATE, PERIODIC MARKET ANALYSIS OF CEO COMPENSATION AND BENEFITS. THE BOARD UTILIZES THE INFORMATION TO MAKE DECISIONS ABOUT CEO COMPENSATION AND BENEFITS. THE CEO ALSO ENGAGES AN INDEPENDENT OUTSIDE COMPENSATION AND BENEFITS CONSULTING FIRM TO CONDUCT AN APPROPRIATE, PERIODIC MARKET ANALYSIS OF OTHER EXECUTIVE COMPENSATION AND BENEFITS TO ESTABLISH AND MAKE DECISIONS ABOUT COMPENSATION AND BENEFITS FOR EXECUTIVE/KEY MANAGEMENT POSITIONS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S IRS FORM 990 IS AVAILABLE UPON REQUEST AND ON THE WEBSITE GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR TO THE PROCESS THAT THE ORGANIZATION HAS IN PLACE FOR THE OVERSIGHT OF THE AUDIT OR THE SELECTION OF THE INDEPENDENT ACCOUNTANT. TRILLIUM HEALTH REAL ESTATE HOLDINGS LLC 259 MONROE AVENUE ROCHESTER NY 14607 824256595 REAL ESTATE HOLDING COMPANY NY 0 2218756 TRILLIUM HEALTH INC PATHWAY PEDIATRICS LLC 259 MONROE AVENUE ROCHESTER NY 14607 203871719 MEDICAL SERVICES NY 148981 19694 TRILLIUM HEALTH INC