2018-11-05T10:30:04-06:00 2017-12-31 043138777 PKF PC 300 CROWN COLONY DRIVE SUITE 400 QUINCY MA 02169 990 2017-01-01 042472266 RELIANT MEDICAL GROUP INC RELI 5083685437 5 NEPONSET STREET WORCESTER MA 01606 TAREK ELSAWY MD PRESIDENT AND CEO 5083685437 2018-11-05 1 ROBERT V DANDROW P00294799 6174220007 2018-11-04 199.44.61.252 2018-11-05 10:29:54 ES P BB12664BE1E3D4BC08488640412F20C0F7A39D48 E9C924457B5D275461852EC86B70A375E5271692 2017 2018-06-14 16:35:46Z X TAREK ELSAWY MD 100 FRONT STREET WORCESTER MA 01608 658653754 0 X WWW.RELIANTMEDICALGROUP.ORG X 1970 MA SEE STATEMENT 1 AT SCHEDULE O 16 8 2978 81 0 0 228978 275863 672402050 655882835 599535 555815 42757 411981 673273320 657126494 196975 198540 0 0 248435743 244780449 0 0 0 405892998 411821028 654525716 656800017 18747604 326477 164740780 211489307 114554225 160619316 50186555 50869991 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 631264937 198540 655883435 STATEMENT 2 631264937 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 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 157 0 2978 1 0 1 CJ EI LU 0 0 0 0 0 0 0 0 X 16 8 1 0 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 0 MA X DEBORAH MORRISON 5083685437 5 NEPONSET STREET WORCESTER MA 01606 X JOHN ANDREOLI TRUSTEE 2.00 X 26500 0 0 ROBERT ANTONUCCI EDD TRUSTEE 2.00 X 28500 0 0 WILLIAM BALCOM MD T'EE;CLERK EFF 3/17;CHAIR-ORTHO DEPT 50.00 X X 841567 0 47484 ERIC N BERKOWITZ PHD TRUSTEE THRU 3/17 2.00 X 8500 0 0 MICHAEL COOPER MD TRUSTEE; VICE-CHAIR; PHYSICIAN 50.00 X X 248388 0 42492 JUSTIN DORFMAN MD TRUSTEE; PHYSICIAN 50.00 X 365090 0 42030 MARY ELLEN DUGAN MD TRUSTEE; PHYSICIAN 50.00 X 245760 0 29016 KATHY GIBNEY TRUSTEE 2.00 X 24000 0 0 ROBERT KOSSACK MD TRUSTEE THRU 3/17; PHYSICIAN 50.00 X 215854 0 42435 ALAN LOBOVITS MD TRUSTEE THRU 3/17; PHYSICIAN 50.00 X 231749 0 1480 SUSAN MAILMAN TRUSTEE 2.00 X 27000 0 0 KEVIN MARTIN MD TRUSTEE EFF. 3/17; PHYSICIAN 50.00 X 342972 0 40892 SEEMA NARAVANE MD T'EE;BD CHAIR THRU 5/17; PHYSICIAN 50.00 X X 220451 0 38180 GARY NOROIAN MD TRUSTEE 3/17 THRU 10/17; PHYSICIAN 50.00 X 221006 0 10226 KEVIN O'SULLIVAN TRUSTEE 1.00 1.00 X 22000 0 0 RALPH RONDINONE JR TRUSTEE 2.00 X 28000 0 0 JOHN SCHNEEWEIS MD TRUSTEE; PHYSICIAN 50.00 X 434836 0 50396 LISA SCOPA TRUSTEE; TREASURER 2.00 X X 30000 0 0 LINDA SHYAVITZ TRUSTEE 2.00 X 30000 0 0 JOSEPH SIDARI MD T'EE CHAIR EFF 6/17;CLERK THRU 3/17;PHYSICIAN 50.00 X X 678716 0 53280 TAREK ELSAWY MD PRESIDENT AND CEO 50.00 X 1014734 0 49733 STEPHEN KNOX COO 50.00 X 337648 0 23893 BRUCE PLUMMER CFO 50.00 X 479775 0 43152 ROBERT JANDL MD REGIONAL MEDICAL DIRECTOR 50.00 X 399905 0 46628 THAD SCHILLING MDCHIEF CLINI- CAL TRANSFORMATION & PRIMARY CARE 50.00 X 406109 0 41316 MICHAEL SHEEHY MD CHIEF POPULATION HEALTH & ANALYTICS 50.00 X 464407 0 46257 PAUL ARCAND PHYSICIAN VASCULAR SURGERY 50.00 X 749562 0 47909 MICHAEL KELFER MD DIV. CHIEF GASTROENTEROLOGY 50.00 X 764222 0 51037 DAVID KIM MD DIV.CHIEF ORTHO. & PLASTIC SURGERY 50.00 X 734155 0 48787 DEEPTI KUMAR MD PHYSICIAN CARDIOLOGY 50.00 X 715111 0 43649 JONATHAN TAYLOR MD PHYSICIAN GASTROENTEROLOGY 50.00 X 751483 0 50167 ROBERT BESSETTE MD FORMER VICE-CHAIR; PHYSICIAN 50.00 X 268716 0 29609 ANDREA BIBEAULT FORMER DIRECTOR - EAST REGION 0.00 X 238063 0 105 LEON JOSEPHS MD FORMER ACTING CEO; PHYSICIAN 50.00 X 699331 0 38437 NINAD SAMANT MD FMR CHAIR; ADULT GENERAL MEDICINE 50.00 X 310699 0 46553 STEPHEN SMITH MD FORMER REGIONAL MEDICAL DIRECTOR 50.00 X 373995 0 49285 ROBERT YOOD MD FORMER BOARD CHAIR; PHYSICIAN 50.00 X 297737 0 48136 13276541 0 1102564 434 1 1 0 ARAMARK HEALTHCARE SUPPORT SERVICES 42 SOUTHBRIDGE ST WOBURN MA 01801 PATIENT SERVICES 2038079 MCDERMOTT WILL & EMERY 28 STATE ST STE 3400 BOSTON MA 02109 LEGAL SERVICES 1379267 RDW GROUP 714-B SOUTHBRIDGE ST AUBURN MA 01501 MANAGEMENT CONSULTING 650885 ARAMARK HEALTHCARE TECHNOLOGIES 42 SOUTHBRIDGE ST WOBURN MA 01801 IT SERVICES 636693 KAUFMAN HALL & ASSOCIATES INC 85 HILL ST LEXINGTON MA 02421 MANAGEMENT CONSULTING 514350 16 275863 275863 PATIENT REVENUE - CAPITATION 621110 475262288 475262288 PATIENT REVENUE-FEE FOR SERVICE 621110 173177329 173177329 MEDICARE/MEDICAID 621110 7043099 7043099 OTHER 621110 400119 400119 655882835 551583 551583 1265017 853036 411981 411981 411981 675356 3100 671724 2500 3632 600 4232 600 3632 657126494 655883435 0 967196 X 198540 198540 8022354 4310970 3711384 2400666 2328646 72020 192632424 183515968 9116456 10114434 9524645 589789 19267754 18160584 1107170 12342817 11588685 754132 1184556 446784 737772 855985 855985 338576 338576 54109 54109 95559 95559 322042194 321048067 994127 980609 125478 855131 8258658 7063588 1195070 4436538 4297447 139091 28986821 25925407 3061414 642058 472788 169270 46580 46580 12131245 11352710 778535 6829893 6786325 43568 MEDICAL SUPPLIES 20565983 20550218 15765 BAD DEBTS 3448519 3448519 MISCELLANEOUS 923145 72988 850157 656800017 631264937 25535080 0 79819 158694 41225138 38283154 13330220 13312844 29482 14562 1578293 1418626 3968384 4665736 151031401 56734754 50461241 94296647 21706733 22582496 1854821 1545682 30506649 35210866 164740780 211489307 55586334 57370852 262032 1321217 3000000 40000000 55705859 61927247 114554225 160619316 X 50186555 50869991 50186555 50869991 164740780 211489307 X 326477 346901 10058 X X 0 1 X 1 0 X 69806 90231 156013 228978 275863 820891 428741753 554028832 665162378 672402050 655882835 2976217848 428811559 554119063 665318391 672631028 656158698 2977038739 0 0 0 2977038739 720784 721632 1116972 1078875 1816600 5454863 720784 721632 1116972 1078875 1816600 5454863 429532343 554840695 666435363 673709903 657975298 2982493602 0.99820 0.99820 0.00180 0.00180 X 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. 22814770 5768205 17046565 44295865 21167906 23127959 43404496 27825520 15578976 40516270 1973123 38543147 94296647 DUE FROM AFFILIATE 32800 DUE FROM SVH, HRP, FCHP, RX RISK POOL 2829856 INVESTMENT IN MAC 120000 INVESTMENT IN 457B 16768046 A/R OTHER 15188250 DEPOSITS 271914 35210866 LTD DEFERRED COM 457B 16768046 RETIREMENT BENEFITS 162142 PROFESSIONAL LIABILITY CLAIMS 5605470 DUE TO AFFILIATE 18439155 CAPITAL LEASE OBLIGATIONS 20094877 TENANT IMPROVEMENT ALLOWANCE 857557 61927247 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS INSURANCE 6030629 0 0 0 0 0 0 6030629 0 6030629 1 0 1 0 0 0 1 RELIANT MEDICAL GROUP FOUNDATION INC 100 FRONT STREET WORCESTER MA 01608 222912515 501(C)(3) 82000 GENERAL SUPPORT HANOVER THEATER FOR THE PERFORMING ARTS 2 SOUTHBRIDGE ST WORCESTER MA 01608 050521735 501(C)(3) 7500 GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT FALLON HEALTH 1 CHESTNUT PL WORCESTER MA 01608 237442369 501(C)(3) 10000 GENERAL SUPPORT UNITED WAY OF CENTRAL MA 484 MAIN ST STE 300 WORCESTER MA 01608 042104017 501(C)(3) 7000 GENERAL SUPPORT 4 0 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 WILLIAM BALCOM MD T'EE;CLERK EFF 3/17;CHAIR-ORTHO DEPT 793106 0 6139 0 42322 0 21600 0 25884 0 889051 0 0 0 MICHAEL COOPER MD TRUSTEE; VICE-CHAIR; PHYSICIAN 222461 0 0 0 25927 0 16378 0 26114 0 290880 0 0 0 JUSTIN DORFMAN MD TRUSTEE; PHYSICIAN 339877 0 0 0 25213 0 16200 0 25830 0 407120 0 0 0 MARY ELLEN DUGAN MD TRUSTEE; PHYSICIAN 204810 0 0 0 40950 0 18449 0 10567 0 274776 0 0 0 ROBERT KOSSACK MD TRUSTEE THRU 3/17; PHYSICIAN 196827 0 5330 0 13697 0 18602 0 23833 0 258289 0 0 0 ALAN LOBOVITS MD TRUSTEE THRU 3/17; PHYSICIAN 203635 0 0 0 28114 0 0 0 1480 0 233229 0 0 0 KEVIN MARTIN MD TRUSTEE EFF. 3/17; PHYSICIAN 328646 0 650 0 13676 0 16200 0 24692 0 383864 0 0 0 SEEMA NARAVANE MD T'EE;BD CHAIR THRU 5/17; PHYSICIAN 178732 0 0 0 41719 0 16252 0 21928 0 258631 0 0 0 GARY NOROIAN MD TRUSTEE 3/17 THRU 10/17; PHYSICIAN 197467 0 650 0 22889 0 0 0 10226 0 231232 0 0 0 JOHN SCHNEEWEIS MD TRUSTEE; PHYSICIAN 381193 0 8130 0 45513 0 24300 0 26096 0 485232 0 0 0 JOSEPH SIDARI MD T'EE CHAIR EFF 6/17;CLERK THRU 3/17;PHYSICIAN 629170 0 23474 0 26072 0 18900 0 34380 0 731996 0 0 0 TAREK ELSAWY MD PRESIDENT AND CEO 796835 0 160000 0 57899 0 18900 0 30833 0 1064467 0 0 0 STEPHEN KNOX COO 312031 0 0 0 25617 0 21600 0 2293 0 361541 0 0 0 BRUCE PLUMMER CFO 450332 0 0 0 29443 0 24300 0 18852 0 522927 0 0 0 ROBERT JANDL MD REGIONAL MEDICAL DIRECTOR 391318 0 0 0 8587 0 21600 0 25028 0 446533 0 0 0 THAD SCHILLING MDCHIEF CLINI- CAL TRANSFORMATION & PRIMARY CARE 405532 0 0 0 577 0 16200 0 25116 0 447425 0 0 0 MICHAEL SHEEHY MD CHIEF POPULATION HEALTH & ANALYTICS 453482 0 8827 0 2098 0 23850 0 22407 0 510664 0 0 0 PAUL ARCAND PHYSICIAN VASCULAR SURGERY 729670 0 650 0 19242 0 21600 0 26309 0 797471 0 0 0 MICHAEL KELFER MD DIV. CHIEF GASTROENTEROLOGY 729360 0 14540 0 20322 0 24300 0 26737 0 815259 0 0 0 DAVID KIM MD DIV.CHIEF ORTHO. & PLASTIC SURGERY 708525 0 650 0 24980 0 21600 0 27187 0 782942 0 0 0 DEEPTI KUMAR MD PHYSICIAN CARDIOLOGY 650529 0 0 0 64582 0 18900 0 24749 0 758760 0 0 0 JONATHAN TAYLOR MD PHYSICIAN GASTROENTEROLOGY 750241 0 0 0 1242 0 21600 0 28567 0 801650 0 0 0 ROBERT BESSETTE MD FORMER VICE-CHAIR; PHYSICIAN 262558 0 5059 0 1099 0 23691 0 5918 0 298325 0 0 0 ANDREA BIBEAULT FORMER DIRECTOR - EAST REGION 4126 0 0 0 233937 0 0 0 105 0 238168 0 0 0 LEON JOSEPHS MD FORMER ACTING CEO; PHYSICIAN 589280 0 0 0 110051 0 24300 0 14137 0 737768 0 0 0 NINAD SAMANT MD FMR CHAIR; ADULT GENERAL MEDICINE 293630 0 0 0 17069 0 21600 0 24953 0 357252 0 0 0 STEPHEN SMITH MD FORMER REGIONAL MEDICAL DIRECTOR 330112 0 21766 0 22117 0 24300 0 24985 0 423280 0 0 0 ROBERT YOOD MD FORMER BOARD CHAIR; PHYSICIAN 275130 0 5681 0 16926 0 24300 0 23836 0 345873 0 0 0 PART I, LINE 4A SCHEDULE J, QUESTION 4A - INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A WHO RECEIVED SEVERANCE PAYMENTS IN 2017. ANDREA BIBEAULT, DIRECTOR - EAST REGION THRU 12.31.16 - $ 220,316 PAID IN 2017 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 IS A MULTI-SPECIALTY MEDICAL GROUP PRACTICE OF 287 PHYSICIANS AND 262 OTHER PRACTICE CLINICIANS THAT PROVIDES PATIENTS WITH A WIDE RANGE OF MEDICAL AND SURGICAL SERVICES THROUGH A NETWORK OF MORE THAN 31 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 1.6 MILLION ENCOUNTERS, INCLUDING APPROXIMATELY 179,000 MEDICAID AND 444,000 MEDICARE VISITS IN THE MOST RECENT FULL YEAR, THE GROUP PROVIDES OVER 100 HEALTH CARE PROGRAMS AND SERVICES AND CARES FOR APPROXIMATELY 383,000 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 $3.5 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 CONTINUES TO BE RECOGNIZED BOTH LOCALLY AND NATIONALLY FOR ITS EXCELLENCE OVER THE PAST YEAR. IN 2017, RELIANT WAS PRESENTED WITH THE BOSTON BUSINESS JOURNAL'S "BEST PLACES TO WORK" AWARD FOR THE FOURTH STRAIGHT YEAR. RELIANT WAS ALSO NAMED TO THE 2017 EDITION OF BECKER'S HOSPITAL REVIEW'S PRESTIGIOUS "150 GREAT PLACES TO WORK IN HEALTHCARE" LIST. DURING 2017, THE BOSTON GLOBE ALSO HONORED RELIANT MEDICAL GROUP IN THEIR ANNUAL TOP PLACES TO WORK AWARD - THE FIFTH STRAIGHT YEAR THE ORGANIZATION HAS RECEIVED THIS SPECIAL HONOR. ALL OF THIS RECOGNITION IS A TESTAMENT THAT RELIANT MEDICAL GROUP IS JUST AS COMMITTED TO ITS EMPLOYEES AS IT IS TO ITS PATIENTS. FORM 990, PART VI, SECTION A, LINE 1 THE BYLAWS STATE THAT AN EXECUTIVE COMMITTEE WILL BE FORMED AND BE COMPRISED OF THREE MEMBER TRUSTEES AND TWO COMMUNITY TRUSTEES. THE COMMITTEE "SHALL POSSESS AND MAY EXERCISE ALL THE POWERS AND FUNCTIONS OF THE BOARD OF TRUSTEES IN THE MANAGEMENT AND DIRECTION OF THE AFFAIRS OF THE CORPORATION" WITH A NUMBER OF EXCEPTIONS. ALTHOUGH THE COMMITTEE HAS AUTHORITY AS LISTED ABOVE, IT HAS STATED TO THE BOARD THAT "IT IS PRIMARILY TO SUPPORT CEO AND WILL TRY TO AVOID ANY DECISION MAKING" IN BETWEEN BOARD MEETINGS. FORM 990, PART VI, SECTION A, LINE 2 MICHAEL COOPER MD, TAREK ELSWAY MD, AND SEEMA NARAVANE MD HAD A BUSINESS RELATIONSHIP SINCE THEY SERVED JOINTLY ON THE BOARD OF ASPECTUS, INC. FORM 990, PART VI, SECTION A, LINE 6 EMPLOYED MDS, ODS, DPMS AND OPTOMETRISTS 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. 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. 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. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES RESIGNED ON MARCH 31, 2018, IN CONJUNCTION WITH THE TRANSACTION DESCRIBED IN THE NEXT PARAGRAPH. THE PREPARATION AND REVIEW PROCESS DID NOT CHANGE FROM 2016, WITH THE EXCEPTION THAT THE RETURN WAS NOT REVIEWED WITH THE BOARD OF TRUSTEES. RELIANT MEDICAL ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS 2017 FORM 990. STAFF OF THE SUCCESSOR ORGANIZATION, CONSISTING OF FORMER RELIANT MEDICAL GROUP STAFF MEMBERS, INCLUDING ITS CONTROLLER,DIRECTOR OF COMPENSATION AND CORPORATE PARALEGAL WORKED IN CONCERT WITH THE OUTSIDE FIRM TO COMPLETE THE TAX FORM. EFFECTIVE MARCH 31, 2018, PURSUANT TO VARIOUS DEFINITIVE AGREEMENTS, INCLUDING A UNIT PURCHASE AND SALE AGREEMENT DATED NOVEMBER 22, 2017 BY AND AMONG COLLABORATIVE CARE HOLDINGS, LLC D/B/A OPTUMCARE, A DELAWARE LIMITED LIABILITY COMPANY ("OPTUMCARE"), RELIANT MEDICAL, AND RELIANT MSO, LLC, A DELAWARE LIMITED LIABILITY COMPANY ("RELIANT MSO"), RELIANT MEDICAL CONTRIBUTED SUBSTANTIALLY ALL OF ITS NON-CLINICAL BUSINESS ASSETS AND OPERATIONS TO RELIANT MSO, A WHOLLY-OWNED SUBSIDIARY OF RELIANT MEDICAL, AND THEN TRANSFERRED ALL OF ITS MEMBERSHIP INTERESTS IN RELIANT MSO TO OPTUMCARE, ALL IN CONSIDERATION FOR AMOUNTS PAID DIRECTLY TO THE RELIANT MEDICAL GROUP FOUNDATION AT THE CLOSING (REQUIRED BY MASSACHUSETTS LAW APPLICABLE TO CHARITABLE CORPORATIONS) AND CERTAIN POST-CLOSING CAPITAL COMMITMENTS FROM OPTUMCARE TO RELIANT MEDICAL. FORM 990, PART VI, SECTION B, LINE 12C MONITORING ANNUALLY, EACH TRUSTEE, THE ORGANIZATION'S CEO, AND MEMBERS OF SENIOR MANAGEMENT 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 MANAGEMENT'S 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 DECEMBER 2017. 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 $10,000 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 320,816,151. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 320,816,151. OTHER: PROGRAM SERVICE EXPENSES 231,916. MANAGEMENT AND GENERAL EXPENSES 994,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,226,043. FORM 990, PART XI, LINE 9: RETIREE MEDICAL AOCI CHANGE 10,058. PART XII, 2C OVERSIGHT OF AUDIT - CHANGE IN PROCESS THE RELIANT MEDICAL GROUP BOARD OF TRUSTEES RESIGNED ON MARCH 31, 2018 IN CONJUNCTION WITH THE TRANSACTION DESCRIBED IN SCHEDULE O IN THE CAPTION "FORM 990, PART VI, SECTION B, LINE 11B". THROUGHOUT ALL OF CALENDAR YEAR 2017 AND FIRST QUARTER ENDING MARCH 31, 2018, RELIANT MEDICAL GROUP BOARD OF TRUSTEE'S AUDIT COMMITTEE ASSUMED RESPONSIBILITY FOR OVERSIGHT OF THE ANNUAL AUDIT AND SELECTION OF AN INDEPENDENT AUDIT FIRM. THE OVERSIGHT PROCESS TERMINATED ON MARCH 31ST, 2018 WITH THE RESIGNATIONS OF BOARD OF TRUSTEE MEMBERS AT WHICH TIME OVERSIGHT RESPONSIBILITIES WERE ASSUMED BY RELIANT MEDICAL GROUP'S INTERNAL MANAGEMENT TEAM. THE 2017 CONSOLIDATED FINANCIAL STATEMENTS OF RELIANT MEDICAL GROUP RECEIVED AN UNQUALIFIED AUDIT OPINION FROM PWC UNDER DATE OF MAY 9, 2018. 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