2023-05-10T10:36:34-05:00 2022-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 1075 PEACHTREE STREET NE SUITE 2200 ATLANTA GA 30309 990 2021-07-01 260893902 ALLIANT HEALTH GROUP INC ALLI 4049820411 1455 LINCOLN PKWY 800 ATLANTA GA 30346 GREG GREENLOW CFO 4049820411 2023-05-05 1 GREG GREENLOW 999009999 AMANDA ADAMS P00748038 4042090954 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z GREG GREENLOW 1455 LINCOLN PKWY 800 ATLANTA GA 30346 47519529 0 X WWW.ALLIANTHEALTH.ORG X 2007 GA THE PURPOSE OF ALLIANT HEALTH GROUP, INC. IS TO SUPPORT ALLIANT INTEGRITY, INC., ALLIANT QUALITY, INC., AND HEALTHCARE RESEARCH, INC. BY SPECIFICALLY PROVIDING ADMINISTRATIVE, FINANCIAL, AND TECHNOLOGICAL SERVICES TO EACH OF THE ORGANIZATIONS TO ENSURE THE NEEDS OF THE ORGANIZATIONS ARE MET AND THAT SERVICES ARE NOT DUPLICATIVE IN NATURE. 13 13 39 0 0 0 0 0 0 0 1638407 1923381 0 0 1638407 1923381 0 0 0 0 0 0 0 0 0 154887 227540 154887 227540 1483520 1695841 69358181 68750923 33637573 37196548 35720608 31554375 X THE PURPOSE OF ALLIANT HEALTH GROUP, INC. IS TO SUPPORT ALLIANT HEALTH SOLUTIONS, INC., ALLIANT INTEGRITY, INC., ALLIANT ASO, INC., ALLIANT QUALITY, INC., AND HEALTHCARE RESEARCH, INC. BY SPECIFICALLY PROVIDING ADMINISTRATIVE, FINANCIAL, AND TECHNOLOGICAL SERVICES TO EACH OF THE ORGANIZATIONS TO ENSURE THE NEEDS OF THE ORGANIZATIONS ARE MET AND THAT SERVICES ARE NOT DUPLICATIVE IN NATURE. 0 0 ALLIANT HEALTH GROUP SERVES AS AN ADMINISTRATOR FOR PAYROLL AND OTHER EXPENSES WHICH IT INCURS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS AND FOR WHICH IT RECEIVES REIMBURSEMENT FROM SUCH ORGANIZATIONS. IN THIS MANNER, AHG ENSURES THE NEEDS OF THE ORGANIZATIONS ARE MET AND THAT SERVICES ARE NOT DUPLICATIVE IN NATURE. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 126 0 1 39 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X GREG GREENLOW 6785273419 1455 LINCOLN PKWY STE 800 ATLANTA GA 30346 HARRY VILDIBILL MD CHAIR 1.00 0.00 X X 6324 0 0 DONALD AVERY CHAIR-ELECT 1.00 0.00 X X 9488 0 0 FRED WATSON IMMEDIATE PAST CHAIR 1.00 0.00 X X 15812 0 0 STEPHANIE CROLL MD SECRETARY 1.00 0.00 X X 6324 0 0 JOHN ANTALIS TREASURER 1.00 0.00 X X 7592 0 0 RALPH ATKINSON DIRECTOR 1.00 1.00 X X 3162 3162 0 CHARLES ORJI DIRECTOR 1.00 1.00 X 3796 3796 0 JAMES CLIFTON DO DIRECTOR 1.00 1.00 X 2847 2847 0 PATRICK GRIFFITH MD DIRECTOR 1.00 0.00 X 4832 0 0 RANDLE WHITE MD DIRECTOR 1.00 0.00 X 7592 0 0 MICHELLE JONES DIRECTOR 1.00 0.00 X 9488 0 0 MIANGO INC OFILLI DIRECTOR 1.00 0.00 X 5694 0 0 JOSEPH PARKER DIRECTOR 1.00 1.00 X 1740 1740 0 DENNIS WHITE PRESIDENT & CEO 40.00 1.00 X 598955 0 46614 CAROL ALLEN EXECUTIVE VP & COO 40.00 1.00 X 479934 0 39485 GREGORY GREENLOW CFO & COMPLIANCE OFFICER 40.00 1.00 X 379512 0 56706 WILLIAM BATTLES CHIEF STRATEGY OFFICER 40.00 1.00 X 284481 0 55788 JOHN SLAUGHTER CHIEF INFORMATION OFFICER 40.00 1.00 X 274450 0 53300 MARGOT WINNIFRED WILSON TOWNSEND CHIEF HUMAN RESOURCES OFFICER 40.00 1.00 X 269310 0 33968 MAULIK TRIVEDI DIRECTOR, APPLICATION DEVELOPMENT 40.00 0.00 X 182141 0 32304 MARGO CLAY DIRECTOR INFO SECURITY & SERVICE 40.00 0.00 X 148397 0 39747 AMNA MUNIR CONTROLLER 40.00 0.00 X 163084 0 25941 2864955 11545 383853 18 0 1 0 COMAGINE HEALTH 10700 MERIDIAN AVE N STE 100 SEATTLE WA 98133 TECHNICAL ASSISTANCE TO CLINICIANS 1317755 ISLAND PEER REVIEW ORGANIZATION 1979 MARCUS AVENUE LAKE SUCCESS NY 11042 TECHNICAL ASSISTANCE TO CLINICIANS 1314486 HEALTH SERVICES ADVISORY 3133 E CAMELBACK RD STE 100 PHOENIX AZ 85016 TECHNICAL ASSISTANCE TO CLINICIANS 666898 GEORGIA HOSPITAL ASSOCIATION 1675 TERRELL MILL RD MARIETTA GA 30067 TECHNICAL ASSISTANCE TO CLINICIANS 472967 GOODWIN GROUP LLC 11644 COUNTRY CLUB DRIVE WESTMINSTER CO 80234 TECHNICAL ASSISTANCE TO CLINICIANS 340536 5 873978 873978 46645551 45596148 1049403 1049403 1049403 1923381 0 0 1923381 227540 227540 227540 0 227540 0 16764443 19610366 2585938 5009839 36428 890882 1230057 4873148 4604913 388892 268235 46992934 40869325 1735092 1726673 69358181 68750923 2392835 2121525 31244738 35075023 33637573 37196548 X 35720608 31554375 35720608 31554375 69358181 68750923 1695841 -5862074 0 X 0 1 X 1 0 X X 5 ALLIANT HEALTH SOLUTIONS INC 581109530 10 1 0 0 ALLIANT ASO INC 261171039 7 1 0 0 ALLIANT INTEGRITY INC 262381746 7 1 0 0 HEALTHCARE RESEARCH INC 581682155 7 1 0 0 ALLIANT QUALITY INC 262381792 7 1 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3: EACH SUPPORTED ORGANIZATION HAS A REPRESENTATIVE ON THE BOARD OF DIRECTORS OF AHG. THIS ENABLES THEM TO HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS AT ALL TIMES DURING THE TAX YEAR. PART IV, SECTION E, LINE 3A: THE PARENT (ALLIANT HEALTH GROUP, INC.) IS THE SOLE MEMBER (GOVERNING MEMBER) OF THE SUPPORTED ORGANIZATIONS AND THE DIRECTORS ARE APPOINTED BY THE GOVERNING MEMBER ANNUALLY AND HOLD OFFICE UNTIL THEIR SUCCESSORS ARE APPOINTED OR UNTIL THEIR EARLIER DEATH, RESIGNATION OR REMOVAL. PART IV, SECTION E, LINE 3B: AS THE SOLE MEMBER (GOVERNING MEMBER) OF THE SUPPORTED ORGANIZATIONS, ALLIANT HEALTH GROUP, INC. PROVIDES ADMINISTRATIVE, FINANCIAL, TECHNOLOGICAL AND STRATEGIC SERVICES. 414583 393125 21458 4165733 3918956 246777 292832 292832 0 268235 DUE TO AFFILIATES 34352722 DEFERRED RENT 593054 OTHER LIABILITIES 129247 35075023 X PART X, LINE 2: IT IS MANAGEMENT'S OPINION THAT THERE ARE NO ACTIVITIES THAT WOULD SUBJECT ALLIANT TO UNRELATED BUSINESS INCOME TAX AND ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE. MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY U.S. GAAP ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT BELIEVES THAT ALLIANT CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2022. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED ALLIANT HAD NO UNCERTAIN INCOME TAX POSITIONS AS OF JUNE 30, 2022 AND 2021. X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 DENNIS WHITE PRESIDENT & CEO 417832 0 181123 0 0 0 37210 0 9404 0 645569 0 0 0 CAROL ALLEN EXECUTIVE VP & COO 340601 0 139333 0 0 0 37061 0 2424 0 519419 0 0 0 GREGORY GREENLOW CFO & COMPLIANCE OFFICER 260179 0 119333 0 0 0 33654 0 23052 0 436218 0 0 0 WILLIAM BATTLES CHIEF STRATEGY OFFICER 233148 0 51333 0 0 0 32736 0 23052 0 340269 0 0 0 JOHN SLAUGHTER CHIEF INFORMATION OFFICER 223117 0 51333 0 0 0 31713 0 21587 0 327750 0 0 0 MARGOT WINNIFRED WILSON TOWNSEND CHIEF HUMAN RESOURCES OFFICER 217977 0 51333 0 0 0 31026 0 2942 0 303278 0 0 0 MAULIK TRIVEDI DIRECTOR, APPLICATION DEVELOPMENT 166141 0 16000 0 0 0 22820 0 9484 0 214445 0 0 0 AMNA MUNIR CONTROLLER 133751 0 29333 0 0 0 15810 0 10131 0 189025 0 0 0 MARGO CLAY DIRECTOR INFO SECURITY & SERVICE 133064 0 15333 0 0 0 18004 0 21743 0 188144 0 0 0 PART I, LINE 1A MONTHLY DUES WERE PAID TO OBTAIN MEMBERSHIP AT THE BUCKHEAD CLUB FOR THE PURPOSE OF CONDUCTING BUSINESS MEETINGS. THE MEMBERSHIP IS IN THE NAME OF DENNIS WHITE AND WAS NOT TREATED AS TAXABLE BENEFIT DUE TO THE BUSINESS PURPOSE OF THE ARRANGEMENT. PART I, LINE 4B ALLIANT HEALTH GROUP INC. MAINTAINS TWO DEFERRED COMPENSATION PLANS, AN IRC SECTION 457(F) PLAN AND SECTION 162 RESTRICTED BONUS PLAN, EFFECTIVE AS OF JULY 1, 2021 FOR CERTAIN EMPLOYEES. THE 457(F) PLAN PROVIDES FOR A RETENTION PAYMENT SHOULD THE PARTICIPANT STILL BE EMPLOYED WITH THE ORGANIZATION ON CERTAIN FUTURE DATES. NO PAYMENTS WERE MADE TO PARTICIPANTS DURING THE TAX YEAR. PLEASE SEE BELOW FOR A SUMMARY OF THE TERMS BY PARTICIPANT. CAROL ALLEN: ELIGIBLE IF STILL EMPLOYED BY THE ORGANIZATION ON DECEMBER 31, 2026 GREG GREENLOW: ELIGIBLE IF STILL EMPLOYED BY THE ORGANIZATION ON DECEMBER 31, 2026 THE SECTION 162 RESTRICTED BONUS PLAN PROVIDES FOR A SPLIT-DOLLAR AGREEMENT WHERE THE ORGANIZATION FUNDS THE PURCHASE OF A LIFE INSURANCE POLICY OWNED BY THE EMPLOYEE AND TAKES BACK A NOTE RECEIVABLE FOR THE AMOUNT OF PREMIUMS PAID PLUS INTEREST. THE EXPECTATION IS THAT THE NOTE RECEIVABLE WOULD BE REPAID FIRST BY THE POLICY PROCEEDS UPON THE DEATH OF THE EMPLOYEE. THE EMPLOYEE WILL VEST IN THE BALANCE OF THE POLICY BASED ON EMPLOYMENT THROUGH 2027. THE ORGANIZATION BEGAN PAYING PREMIUMS UNDER THIS PLAN ON JULY 1, 2022. THIS PLAN INCLUDED THE FOLLOWING PARTICIPANTS DURING THE TAX YEAR: DENNIS WHITE JOHN SLAUGHTER WILLIAM BATTLES MARGOT WILSON TOWNSEND PART I, LINE 7 BONUSES INCLUDE HOLIDAY BONUSES PROVIDED TO ALL EMPLOYEES DURING GOOD FINANCIAL YEARS AND A BONUS POOL FOR THE MANAGEMENT TEAM WHICH IS ALLOCATED BASED ON PERFORMANCE AND THE FINANCIAL RESULTS OF THE PRECEDING FISCAL YEAR. ALL BONUSES ARE APPROVED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO IT BEING FILED. THE DRAFT 990 IS THEN PRESENTED TO THE EXECUTIVE COMMITTEE PRIOR TO IT BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ALLIANT HEALTH GROUP, INC HAS A CONFLICT OF INTEREST POLICY IN PLACE. THE POLICY MUST BE READ AND SIGNED ANNUALLY BY ALL OFFICERS, KEY EMPLOYEES AND BOARD MEMBERS. ANY CONFLICT OF INTEREST IS REQUIRED TO BE DISCLOSED AT THE TIME IT OCCURS OR AT A MINIMUM ANNUALLY. THE CONFLICT OF INTEREST POLICY REQUIRES THAT ANY BOARD MEMBER RECUSE THEMSELVES FROM ANY DECISION REGARDING ANY ENTITY OR INDIVIDUAL OF WHICH THEY HAVE A RELATIONSHIP WITH OR A FINANCIAL INTEREST IN. THE POLICY ALSO COVERS FAMILY MEMBERS. THE ORGANIZATION MONITORS COMPLIANCE THROUGHOUT THE YEAR. AT THE ANNUAL MEETING, THE COMPLIANCE OFFICER REPORTS TO THE BOARD ON ALL COMPLIANCE ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 15 ALLIANT HEALTH GROUP, INC HAS CONDUCTED MARKET RESEARCH RELATED TO PAY PRACTICES WITHIN THE INDUSTRY AND HAS DEVELOPED A TOTAL COMPENSATION STRUCTURE THAT PAYS COMPARABLE TO THE MARKET. IN ADDITION, THE EXECUTIVE COMMITTEE HIRES AN OUTSIDE CONSULTANT TO DO AN EVALUATION OF THE BOARD COMPENSATION, CEO AND TOP MANAGEMENT SALARIES. THIS IS A STANDARD POLICY OF THE BOARD TO REQUEST THIS EVALUATION EVERY 2-3 YEARS. AS A PART OF THE ANNUAL BUDGET APPROVAL PROCESS THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE SALARY INCREASE FOR ALL EMPLOYEES OF THE COMPANY. THE EXECUTIVE COMMITTEE ALSO REVIEWS AND APPROVES THE SALARIES FOR THE CEO AND THE TOP MANAGEMENT ON AN ANNUAL BASIS. DOCUMENTATION IS RECORDED AND MAINTAINED BY THE BOARD'S OUTSIDE COUNSEL. FORM 990, PART VI, SECTION C, LINE 19 BYLAWS, ARTICLES OF INCORPORATION, FINANCIALS, FORM 1023, AND 990S ARE AVAILABLE UPON REQUEST. ALLIANT INTEGRITY INC 1455 LINCOLN PKWY SUITE 800 ATLANTA GA 303462289 262381746 PROVIDE SOLUTIONS TO REDUCE FRAUD & ABUSE WITHIN PUBLIC & PRIVATE HEALTHCARE GA 501(C)(3) LINE 7 ALLIANT HEALTH GROUP INC 1 ALLIANT QUALITY INC 1455 LINCOLN PKWY SUITE 800 ATLANTA GA 303462289 262381792 PROVIDE CUSTOMIZED HEALTHCARE SOLUTIONS ENSURING THE VALUE FOR PATIENTS GA 501(C)(3) LINE 7 ALLIANT HEALTH GROUP INC 1 HEALTHCARE RESEARCHINC 1455 LINCOLN PKWY SUITE 800 ATLANTA GA 303462289 581682155 SOLICIT FUNDS AND AWARDS GRANTS FOR THE PROMOTION OF QUALITY AND COST OF HEA GA 501(C)(3) LINE 7 ALLIANT HEALTH GROUP INC 1 NETWORK 8 INC 775 WOODLANDS PKWY RIDGELAND MS 39157 520883104 PROVIDE FOR THE FUNCTION OF ENDSTAGE RENAL DISEASE NETWORK ORGANIZATIONS MS 501(C)(3) LINE 10 ALLIANT QUALITY INC 1 SOUTHEASTERN KIDNEY COUNCIL 100 ST ALBANS DRIVE SUITE 270 RALEIGH NC 27609 561640623 PROMOTING/ADVANCING QUALITY CARE FOR PATIENTS WITH END STAGE RENAL DISEASE NC 501(C)(3) LINE 7 ALLIANT QUALITY INC 1 END STAGE RENAL DISEASE NETWORK OF TEXAS INC 4040 MCEWEN ROAD SUITE 350 DALLAS TX 75244 751566003 SUPPORT QUALITY DIALYSIS AND KIDNEY TRANSPLANT HEALTHCARE TX 501(C)(3) LINE 7 ALLIANT QUALITY INC 1 MEDQUAL INC 1455 LINCOLN PKWY SUITE 800 ATLANTA GA 303462289 581682137 CHART/BILLING REVIEW GA ALLIANT ASO INC C 4701 1.00000 1 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 0 0 ALLIANT HEALTH GROUP INC AND AFFILIATES E 34352722 BOOK ALLIANT HEALTH GROUP INC AND AFFILIATES Q 11015578 BOOK