2015-11-16T13:28:00-06:00 2014-12-31 043138777 PKF PC 300 CROWN COLONY DRIVE SUITE 400 QUINCY MA 02169 990 2014-01-01 042472266 RELIANT MEDICAL GROUP INC RELI 5083685437 630 PLANTATION STREET WORCESTER MA 01605 LEON JOSEPHS MD ACTING PRESIDENT 5083685437 2015-11-11 1 ROBERT V DANDROW P00294799 6174220007 2015-11-09 2014 2016-04-25 22:37:26Z LEON JOSEPHS MD 100 FRONT STREET WORCESTER MA 01608 573778826 0 X WWW.RELIANTMEDICALGROUP.ORG X 1970 MA SEE STATEMENT 1 AT SCHEDULE O 15 8 2497 43 0 0 69806 90231 428741753 554028832 278139 2019710 -34080 -56628 429055618 556082145 170726 179290 0 0 200528809 213981857 0 0 0 228971085 339478926 429670620 553640073 -615002 2442072 116790348 137853764 83526246 111200934 33264102 26652830 X THE MISSION OF RELIANT MEDICAL GROUP IS TO MAXIMIZE THE HEALTH OF OUR PATIENTS AND THE COMMUNITY THROUGH EXPERT MEDICAL CARE, COMPASSION, INNOVATIVE DELIVERY MODELS, MEDICAL RESEARCH AND EDUCATION, AND THE APPROPRIATE USE OF HEALTH CARE RESOURCES. 0 0 529029793 179290 554028832 STATEMENT 2 529029793 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 204 0 2497 1 0 1 CJ FR EI LU 0 0 0 0 0 0 0 0 X 15 8 1 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X DEBORAH MORRISON 5083685437 630 PLANTATION STREET WORCESTER MA 01605 X JOHN ANDREOLI TRUSTEE (EFF. 4.14) 2.00 X 9000 0 0 ROBERT ANTONUCCI EDU TRUSTEE 2.00 X 15500 0 0 ERIC N BERKOWITZ PHD TRUSTEE 2.00 X 11500 0 0 ROBERT BESSETTE MD T'EE;VICE-CHAIR THRU 4.14; PHYSICIAN 50.00 X X 354549 0 42900 CRAIG BEST MD TRUSTEE THRU 4.14; PHYSICIAN 50.00 X 359965 0 21646 MICHAEL DIPIERRO TRUSTEE THRU 4.14 1.00 1.00 X 4000 0 0 WILLIAM GAINES MD TRUSTEE; PHYSICIAN 50.00 X 338541 0 52844 LEON JOSEPHS MD T'EE;BOARD CHAIR EFF.10.14;PHYSICIAN 50.00 X X 782127 0 26482 ROBERT KOSSACK MD TRUSTEE; PHYSICIAN 50.00 X 235761 0 39593 DIANE LECLAIR TRUSTEE; TREASURER 2.00 2.00 X X 14500 17500 0 ANN LISI TRUSTEE THRU 4.14 2.00 X 0 0 0 SUSAN MAILMAN TRUSTEE 2.00 X 13000 0 0 SEEMA NARAVANE MD T'EE;VICE-CHAIR EFF.4.14; PHYSICIAN 50.00 X X 213061 0 34599 KEVIN O'SULLIVAN TRUSTEE 1.00 1.00 X 15000 0 0 RALPH RONDINONE JR TRUSTEE (EFF. 4.14) 2.00 X 9500 0 0 JOHN SCHNEEWEIS MD TRUSTEE; CLERK; PHYSICIAN 50.00 X X 308570 0 47485 SANJAY SHAH PHD TRUSTEE 2.00 X 15000 0 0 JOSEPH SIDARI MD TRUSTEE (EFF. 4.14); PHYSICIAN 50.00 X 647419 0 48149 ROBERT YOOD MD T'EE/BOARD CHAIR THRU 9.14;PHYSICIAN 50.00 2.00 X X 363652 10000 43199 ERIC BUEHRENS COO 50.00 X 513326 0 18776 ARMIN ERNST MD PRESIDENT AND CEO 50.00 X 637741 0 36514 MARC-DAVID MUNK MD CMO 50.00 X 423826 0 21674 BRUCE PLUMMER CFO; EXEC VP BUSINESS DEV. 49.00 1.00 X 455742 0 39805 STEPHEN KNOX VP, ANCILLARY SERVICES 50.00 X 213479 0 21097 NINAD SAMANT MD CHAIR ADULT GENERAL MEDICINE 50.00 X 346363 0 41164 STEPHEN SMITH MD REGIONAL MEDICAL DIR. (EFF. 5.14) 50.00 X 399506 0 45714 PAUL ARCAND MD PHYSICIAN VASCULAR SURGERY 50.00 X 670955 0 41710 WILLIAM BALCOM MD CHAIR DEPT OF ORTHOPEDICS 50.00 X 1011813 0 39628 MICHAEL KELFER MD DIV. CHIEF GASTROENTEROLOGY 50.00 X 756141 0 46488 MARK STOKER MD CHAIR SURGICAL SPECIALTIES 50.00 2.00 X 747363 10000 45429 JONATHAN TAYLOR MD PHYSICIAN GASTROENTEROLOGY 50.00 X 708440 0 42465 ROBERT BLACK MD FORMER CLERK; PHYSICIAN 50.00 X 349369 0 51680 STEPHEN DOLAT FORMER EXEC. VP CLINIC OP. 0.00 X 211014 0 0 STEPHEN PEZZELLA MD CHAIR MEDICAL SPECIALTIES 50.00 X 582761 0 38472 ROBIN RICHMAN MD FORMER CMO 0.00 X 136940 0 0 11875424 37500 887513 372 1 1 0 ARAMARK HEALTHCARE SUPPORT SERVICES 42 SOUTHBRIDGE ST WOBURN MA 01801 PATIENT SERVICES 2197299 MIRICK O'CONNELL LLP 100 FRONT ST WORCESTER MA 01608 LEGAL SERVICES 1153966 CHARTIS GROUP LLC 29 COMMONWEALTH AVE 10TH FLR BOSTON MA 02116 MANAGEMENT CONSULTING 935801 RDW GROUP 714-B SOUTHBRIDGE ST AUBURN MA 01501 MANAGEMENT CONSULTING 656753 NEW ENGLAND PHYSICIAN RECRUITMENT CENTER 35 BRAINTREE OFFICE PARK SUITE 106 BRAINTREE MA 02184 RECRUITING SERVICES 435266 19 90231 90231 PATIENT REVENUE - CAPITATION 621110 413103102 413103102 PATIENT REVENUE-FEE FOR SERVICE 621110 130989725 130989725 OUTSIDE CONTRACT REVENUE 621110 9446752 9446752 OTHER 621110 489253 489253 554028832 329259 329259 392373 449001 -56628 -56628 -56628 11914075 7024056 11776201 5471479 137874 1552577 1690451 1552577 137874 556082145 555581409 0 410505 X 179290 179290 7010679 3964055 3046624 378099 366756 11343 168270171 160403728 7866443 10179149 9537044 642105 17394518 16358391 1036127 10749241 10071184 678057 1783617 100287 1683330 1394201 1394201 176757 176757 54109 54109 68500 68500 269435189 266588342 2846847 1095158 150230 944928 6910400 5926527 983873 3679239 3551185 128054 20472593 18989089 1483504 727852 568868 158984 1866 1866 123285 123285 8176433 7780355 396078 -1936033 -1973746 37713 MEDICAL SUPPLIES 22632610 22622208 10402 BAD DEBTS 3643642 3643642 MISCELLANEOUS 1039508 77207 962301 553640073 529029793 24610280 0 129950 110252 19061144 45006186 10283067 11232275 109568 91194 3486142 1431318 2734734 2646989 51930548 24976474 29032919 26954074 13883990 14412312 4061879 3340580 34006955 32628584 116790348 137853764 42765009 60707474 958377 323783 7199058 3692055 32603802 46477622 83526246 111200934 X 33264102 26652830 33264102 26652830 116790348 137853764 X 2442072 110120 -9163464 X 0 1 X 1 1 1 X 75526 44135 16750 69806 90231 296448 298666539 296216113 76845340 428741753 554028832 1654498577 298742065 296260248 76862090 428811559 554119063 1654795025 0 0 0 1654795025 1296656 1126002 714844 720784 721632 4579918 1296656 1126002 714844 720784 721632 4579918 7423 7423 300046144 297386250 77576934 429532343 554840695 1659382366 0.99720 0.99640 0.00280 0.00350 X 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14500 14500 0 PART II-B, LINE 1: RELIANT MEDICAL GROUP ENGAGED A LOBBYING FIRM WORKING WITH MASSACHUSETTS LEGISLATORS REGARDING HEALTH CARE REFORM. 23538999 10421209 13117790 26395116 13808945 12586171 1996433 746320 1250113 26954074 DUE FROM AFFILIATES 183640 DUE FROM SVH, HRP, FCHP, RX RISK POOL 2676311 INVESTMENT IN MAC 120000 INVESTMENT IN 457B 10952596 A/R OTHER 6782133 RETROSPECTIVE PREMIUM ADJ 11855308 SECURITY DEPOSITS 12003 MHEFA ACCOUNTS 46593 32628584 LTD DEFERRED COM 457B 10952596 RETIREMENT BENEFITS 394113 PROFESSIONAL LIAB CLAIMS 6001686 DUE TO AFFILATE 14334151 FAIR VALUE OF INTEREST RATE SWAP 6119 PENSION SETTLEMENT LIABILITY 14788957 46477622 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS INSURANCE -2302795 0 0 0 0 0 0 -2302795 0 -2302795 1 0 1 0 0 0 1 RELIANT MEDICAL GROUP FOUNDATION INC 100 FRONT STREET WORCESTER MA 01608 222912515 501(C)(3) 78715 GENERAL SUPPORT 1 PART I, LINE 2: ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE US. ALL GRANTS ARE MADE TO WELL KNOWN LOCAL 501(C)(3) ORGANIZATIONS. THE ORGANIZATION VERIFIES 501(C)(3) STATUS AND CORRESPONDENCE PROVIDED ALONG WITH THE GRANT STATES THE PURPOSE. X X X X 1 0 0 0 0 0 0 0 0 ROBERT BESSETTE MD T'EE;VICE-CHAIR THRU 4.14; PHYSICIAN 329728 0 6415 0 18406 0 22950 0 19950 0 397449 0 0 0 CRAIG BEST MD TRUSTEE THRU 4.14; PHYSICIAN 352881 0 0 0 7084 0 17850 0 3796 0 381611 0 0 0 WILLIAM GAINES MD TRUSTEE; PHYSICIAN 276156 0 25981 0 36404 0 22950 0 29894 0 391385 0 0 0 LEON JOSEPHS MD T'EE;BOARD CHAIR EFF.10.14;PHYSICIAN 745305 0 0 0 36822 0 20400 0 6082 0 808609 0 0 0 ROBERT KOSSACK MD TRUSTEE; PHYSICIAN 223465 0 8732 0 3564 0 18455 0 21138 0 275354 0 0 0 SEEMA NARAVANE MD T'EE;VICE-CHAIR EFF.4.14; PHYSICIAN 163258 0 9680 0 40123 0 13113 0 21486 0 247660 0 0 0 JOHN SCHNEEWEIS MD TRUSTEE; CLERK; PHYSICIAN 259268 0 29321 0 19981 0 22950 0 24535 0 356055 0 0 0 JOSEPH SIDARI MD TRUSTEE (EFF. 4.14); PHYSICIAN 607290 0 9419 0 30710 0 17850 0 30299 0 695568 0 0 0 ROBERT YOOD MD T'EE/BOARD CHAIR THRU 9.14;PHYSICIAN 323347 10000 7274 0 33031 0 22950 0 20249 0 406851 10000 0 0 ERIC BUEHRENS COO 510158 0 0 0 3168 0 0 0 18776 0 532102 0 0 0 ARMIN ERNST MD PRESIDENT AND CEO 617619 0 0 0 20122 0 7796 0 28718 0 674255 0 0 0 MARC-DAVID MUNK MD CMO 405186 0 0 0 18640 0 0 0 21674 0 445500 0 0 0 BRUCE PLUMMER CFO; EXEC VP BUSINESS DEV. 427238 0 0 0 28504 0 20400 0 19405 0 495547 0 0 0 STEPHEN KNOX VP, ANCILLARY SERVICES 202771 0 6150 0 4558 0 13125 0 7972 0 234576 0 0 0 NINAD SAMANT MD CHAIR ADULT GENERAL MEDICINE 338603 0 5000 0 2760 0 17850 0 23314 0 387527 0 0 0 STEPHEN SMITH MD REGIONAL MEDICAL DIR. (EFF. 5.14) 380956 0 17310 0 1240 0 22950 0 22764 0 445220 0 0 0 PAUL ARCAND MD PHYSICIAN VASCULAR SURGERY 651805 0 750 0 18400 0 17850 0 23860 0 712665 0 0 0 WILLIAM BALCOM MD CHAIR DEPT OF ORTHOPEDICS 991991 0 0 0 19822 0 17850 0 21778 0 1051441 0 0 0 MICHAEL KELFER MD DIV. CHIEF GASTROENTEROLOGY 735126 0 2267 0 18748 0 22950 0 23538 0 802629 0 0 0 MARK STOKER MD CHAIR SURGICAL SPECIALTIES 703550 10000 13991 0 29822 0 22950 0 22479 0 792792 10000 0 0 JONATHAN TAYLOR MD PHYSICIAN GASTROENTEROLOGY 687431 0 2267 0 18742 0 17850 0 24615 0 750905 0 0 0 ROBERT BLACK MD FORMER CLERK; PHYSICIAN 336027 0 6670 0 6672 0 22950 0 28730 0 401049 0 0 0 STEPHEN DOLAT FORMER EXEC. VP CLINIC OP. 0 0 0 0 211014 0 0 0 0 0 211014 0 211014 0 STEPHEN PEZZELLA MD CHAIR MEDICAL SPECIALTIES 545400 0 10222 0 27139 0 22950 0 15522 0 621233 0 0 0 ROBIN RICHMAN MD FORMER CMO 0 0 0 0 136940 0 0 0 0 0 136940 0 136940 0 PART I, LINE 4A SCHEDULE J, QUESTION 4A - INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A WHO RECEIVED SEVERANCE PAYMENTS IN 2014. STEPHEN DOLAT, FORMER EVP,CLINIC OPERATIONS - $211,014 PAID IN 2014 ROBIN RICHMAN, FORMER CMO - $136,940 PAID IN 2014 A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY (NOTE 1) 042456011 57586CU86 2008-03-18 10000000 EQUIPMENT ACQUISITIONS (NOTE 2) 0 0 1 A 6307945 10000000 36755 107331 9798069 2009 0 0 1 1 A 0 0 0 0 0 1 0.02540 1 1 A 0 0 0 0 1 1 TD BANK 7.000000000000 0 0 0 0 1 A 1 SCHEDULE K, PART I, LINE A, COLUMN (A) NOTE 1 - THE ORIGINAL ISSUER OF THE BONDS WAS MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (MHEFA). IN OCTOBER, 2010, MHEFA MERGED INTO THE MASSACHUSETTS DEVELOPMENT FINANCE AGENCY. SCHEDULE K, PART I, LINE A, COLUMN (F) NOTE 2 - RELIANT MEDICAL GROUP PURCHASED, REPLACED AND/OR UPGRADED CLINICAL AND NON-CLINICAL EQUIPMENT, INCLUDING INFORMATION TECHNOLOGY HARDWARE AND SOFTWARE LICENSES FOR ITS ELECTRONIC HEALTH RECORDS SYSTEM,AND ALSO PERFORMED LEASEHOLD IMPROVEMENTS. RELIANT MEDICAL GROUP WAS ONE OF THREE RECIPIENTS OF A POOLED LOAN PROGRAM ISSUE. FORM 8038 REPORTS THE TOTAL OF THE THREE RECIPIENTS, $28,500,000. RELIANT MEDICAL GROUP'S SHARE OF THE PROCEEDS WAS $10,000,000 AND HAS BEEN PROPERLY REPORTED ON SCHEDULE K PART I, BOX E. 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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