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0 0 38246 0 714819 6120 0 0 Craig Olin MD Physician 568709 0 84321 0 1308 0 0 0 41677 0 696015 0 0 0 Michael Zucker MD Physician 324540 0 29874 0 28467 0 0 0 64396 0 447277 0 0 0 Bismruta Misra MD Physician 220247 0 55005 0 740 0 0 0 33055 0 309047 0 0 0 Cynthia Fitzgerald VP & CHIEF OPERATING OFFICER 0 335396 0 5655 0 17259 0 12105 0 27071 0 397486 0 340 Brian Hines MD Physician 618310 0 24916 0 30633 0 0 0 41677 0 715536 0 0 0 Schedule J, Part I, Line 1a AS PER COMPANY POLICY, ALL NONCASH IMPUTABLE BENEFITS ARE TO BE PROCESSED IN A GROSSED-UP METHOD WITH APPLICABLE WAGE AND TAXES REPORTED ON W2'S FOR ALL EMPLOYEES. FORM 990, PART VI, LINE 6 SHMG IS A CONNECTICUT NONSTOCK CORPORATION. SHMG HAS TWO CLASSES OF MEMBERS. CLASS A MEMBERS ARE THE PHYSICIANS EMPLOYED BY SHMG. THE CLASS B MEMBER IS THE STAMFORD HOSPITAL. FORM 990, PART VI, LINE 7A THE BOARD OF DIRECTORS SHALL TOTAL NINE MEMBERS. THE INITIAL BOARD WAS SELECTED BY THE INCORPORATOR, AND THEREAFTER THE BOARD WILL BE ELECTED AS FOLLOWS: (A) EIGHT MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE CLASS A MEMBERS, SUBJECT TO THE APPROVAL OF THE CLASS B MEMBER, AND (B) ONE MEMBER OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE CLASS B MEMBER. FORM 990, PART VI, LINE 7B ALL POWERS OF SHMG SHALL BE EXERCISED BY AND UNDER THE AUTHORITY OF THE BOARD OF DIRECTORS, EXCEPT THAT THE CLASS B MEMBER SHALL HAVE THE SOLE AUTHORITY TO AMEND THE BYLAWS OF SHMG AND SELECT THE AUDITORS OF SHMG. FORM 990, PART VI, LINE 11B SHMG HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE FORM 990, MANAGEMENT PROVIDES THE DRAFT OF THE FORM 990 TO THE BOARD OF DIRECTORS. THE FORM 990 IS ALSO PRESENTED TO THE STAMFORD HEALTH, INC. BOARD PRIOR TO FILING THE RETURN. PRESENTATION OF THE FORM IS MADE TO THE STAMFORD HEALTH, INC. BOARD WITH A COMPLETE COPY OF THE FILING ORGANIZATION'S FORM 990. SHMG'S EXTERNAL TAX ACCOUNTANTS ADDRESS ANY SPECIFIC CONCERNS OR QUESTIONS WITH MANAGEMENT AND THE BOARD. THIS REVIEW PROCEDURE HELPS TO ASSURE SOUND REPORTING AND COMPLIANCE WITH TAX LAW. FORM 990, PART VI, LINE 12C SHMG, AS A WHOLLY OWNED SUBSIDIARY OF THE STAMFORD HOSPITAL, FOLLOWS THE HOSPITAL'S CONFLICT OF INTEREST POLICY. IT IS THE POLICY TO PROHIBIT ITS EMPLOYEES AND OTHER ASSOCIATES FROM ENGAGING IN ANY ACTIVITY, PRACTICE, OR ACT WHICH CONFLICTS WITH, OR APPEARS TO CONFLICT WITH, THE INTERESTS OF THE ORGANIZATION. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF SHMG TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF SHMG AND ITS PATIENTS. THE POLICY ALSO REQUIRES BOARD MEMBERS, OFFICERS, SENIOR LEADERS, MEDICAL STAFF LEADERS, COMMITTEE MEMBERS AND OTHER INDIVIDUALS AS APPROPRIATE TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST THEY OR THEIR IMMEDIATE FAMILY MAY HAVE ON AN ANNUAL BASIS. SURVEYS ARE DISTRIBUTED ANNUALLY AND TIMELY RECEIPT IS MONITORED BY THE HOSPITAL'S COMPLIANCE DEPARTMENT. FORM 990, PART VI, LINES 15A & 15B IT IS THE POLICY OF SHMG TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. SHMG HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS. FORM 990, PART VI, LINE 19 SHMG MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 EQUITY TRANSFER FROM STAMFORD HOSPITAL DEBT FORGIVENESS - $34,275,319. 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