2017-11-14T09:37:49-06:00 2016-12-31 043138777 PKF PC 300 CROWN COLONY DRIVE SUITE 400 QUINCY MA 02169 990 2016-01-01 042472266 RELIANT MEDICAL GROUP INC RELI 5083685437 630 PLANTATION STREET WORCESTER MA 01605 TAREK ELSAWY MD PRESIDENT AND CEO 5083685437 2017-11-08 1 ROBERT V DANDROW P00294799 6174220007 2017-11-08 96.86.101.153 2017-11-08 11:55:31 ES P 740422934F62E9BE416042B99E120C1CA73D1CB0 740422934F62E9BE416042B99E120C1CA73D1CB0 2016 2017-02-10 21:41:12Z TAREK ELSAWY MD 100 FRONT STREET WORCESTER MA 01608 675177411 0 X WWW.RELIANTMEDICALGROUP.ORG X 1970 MA SEE STATEMENT 1 AT SCHEDULE O 18 9 2946 89 0 0 156013 228978 665162378 672402050 561326 599535 40018 42757 665919735 673273320 203625 196975 0 0 262035160 248435743 0 0 0 421627017 405892998 683865802 654525716 -17946067 18747604 146575149 164740780 115352656 114554225 31222493 50186555 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 627726519 196975 672402050 STATEMENT 2 627726519 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 1 149 0 2946 1 0 1 CJ EI LU 0 0 0 0 0 0 0 0 X 18 9 1 0 0 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 2.00 X 17500 0 0 ROBERT ANTONUCCI EDD TRUSTEE 2.00 X 20141 0 0 WILLIAM BALCOM MD TRUSTEE; CHAIR DEPT OF ORTHOPEDICS 50.00 X 1011010 0 44968 ERIC N BERKOWITZ PHD TRUSTEE 2.00 X 14500 0 0 ROBERT BESSETTE MD TRUSTEE; PHYSICIAN 50.00 X 340158 0 32967 STEPHEN BUCHANAN MD TRUSTEE THRU 3.31.16; PHYSICIAN 50.00 X 252372 0 16325 MICHAEL COOPER MD TRUSTEE; VICE-CHAIR; PHYSICIAN 50.00 X X 199494 0 36433 CHRISTIAN CORREIA MD TRUSTEE THRU 3.31.16; PHYSICAN 50.00 X 209687 0 3708 JUSTIN DORFMAN MD TRUSTEE EFF. MAY 2016; PHYSICIAN 50.00 X 331994 0 28258 MARY ELLEN DUGAN MD TRUSTEE; PHYSICAN 50.00 X 198141 0 23652 KATHY GIBNEY TRUSTEE 2.00 X 15500 0 0 LEON JOSEPHS MD ACTING CEO THRU 1.31.16; PHYSICIAN 50.00 X X 728470 0 34286 ROBERT KOSSACK MD TRUSTEE; PHYSICAN 50.00 X 225813 0 41100 ALAN LOBOVITS MD TRUSTEE; PHYSICAN 50.00 X 258689 0 20165 SUSAN MAILMAN TRUSTEE 2.00 X 20500 0 0 SEEMA NARAVANE MD T'EE;BD CHAIR; PHYSICIAN 50.00 X X 245731 0 36566 KEVIN O'SULLIVAN TRUSTEE 1.00 1.00 X 14500 0 0 RALPH RONDINONE JR TRUSTEE 2.00 X 19000 0 0 JOHN SCHNEEWEIS MD TRUSTEE; PHYSICAN 50.00 X 348072 0 48602 LISA SCOPA TRUSTEE; TREASURER EFF. 3.31.16 2.00 X X 20500 0 0 SANJAY SHAH PHD TRUSTEE AND TREASURER THRU 2.16 2.00 X X 1500 0 0 LINDA SHYAVITZ TRUSTEE 2.00 X 20500 0 0 JOSEPH SIDARI MD TRUSTEE; CLERK; PHYSICIAN 50.00 X X 627327 0 51085 TAREH ELSAWY MD PRESIDENT AND CEO 50.00 X 835753 0 117587 STEPHEN KNOX COO 50.00 X 338457 0 23462 BRUCE PLUMMER CFO 50.00 X 480477 0 42987 MICHAEL SHEEHY MD ACTING CMO 50.00 X 453139 0 45589 ANDREA BIBEAULT DIRECTOR - EAST REGION THRU 12.31.16 50.00 X 214875 0 224363 ROBERT JANDL MD REGIONAL MEDICAL DIRECTOR 50.00 X 383685 0 41908 THAD SCHILLING MD REGIONAL MEDICAL DIRCTOR THRU APRIL 2016 50.00 X 390188 0 36480 STEPHEN SMITH MD REGIONAL MEDICAL DIRCTOR THRU APRIL 2016 50.00 X 378191 0 47548 PAUL ARCAND MD PHYSICIAN VASCULAR SURGERY 50.00 X 648769 0 45737 MICHAEL KELFER MD DIV. CHIEF GASTROENTEROLOGY 50.00 X 792446 0 48840 ANTHONY RIVERA MD PHYSICIAN ORTHOPEDICS 50.00 X 541005 0 40151 MARK STOKER MD CHAIR SURGICAL SPECIALTIES 50.00 X 729913 0 48564 JONATHAN TAYLOR MD PHYSICIAN GASTROENTEROLOGY 50.00 X 760846 0 45251 ERIC BUEHRENS FORMER COO 50.00 X 165079 0 0 NINAD SAMANT MD FMR CHAIR; ADULT GENERAL MEDICINE 50.00 X 319397 0 41784 ROBERT YOOD MD FORMER BOARD CHAIR; PHYSICIAN 50.00 X 308271 0 46475 12881590 0 1314841 444 1 1 0 ARAMARK HEALTHCARE SUPPORT SERVICES 42 SOUTHBRIDGE ST WOBURN MA 01801 PATIENT SERVICES 2009982 RDW GROUP 714-B SOUTHBRIDGE ST AUBURN MA 01501 MANAGEMENT CONSULTING 780878 ARAMARK HEALTHCARE TECHNOLOGIES 42 SOUTHBRIDGE ST WOBURN MA 01801 IT SERVICES 639893 PRICEWATERHOUSECOOPERS LLP 101 SEAPORT BLVD BOSTON MA 02210 MANAGEMENT CONSULTING 431045 KAUFMAN HALL & ASSOCIATES INC 85 HILL ST LEXINGTON MA 02421 MANAGEMENT CONSULTING 394901 18 228978 228978 PATIENT REVENUE - CAPITATION 621110 487201733 487201733 PATIENT REVENUE-FEE FOR SERVICE 621110 176046437 176046437 MEDICARE/MEDICAID 621110 8660304 8660304 OTHER 621110 493576 493576 672402050 539842 539842 539033 496276 42757 42757 42757 1466402 1106 1403685 4130 62717 -3024 59693 -3024 62717 673273320 672399026 0 645316 X 196975 196975 9613903 5233221 4380682 1907900 1419790 488110 195145809 188053877 7091932 9931402 9483119 448283 19204276 18266300 937976 12632453 11917097 715356 956643 99923 856720 483574 483574 284950 284950 54109 54109 85200 85200 319186958 318200000 986958 1420586 195085 1225501 7977066 6939547 1037519 4206323 4086246 120077 26550379 25063755 1486624 621359 526614 94745 69431 69431 11985557 11320181 665376 5947139 5904927 42212 MEDICAL SUPPLIES 20532385 20525748 6637 BAD DEBTS 4675431 4675431 MISCELLANEOUS 855908 224683 631225 654525716 627726519 26799197 0 169275 79819 34978388 41225138 14439504 13330220 54845 29482 1721041 1578293 3655871 3968384 95916579 45455338 42611260 50461241 21018240 21706733 2918885 1854821 25007840 30506649 146575149 164740780 61448790 55586334 115493 262032 3500000 3000000 50288373 55705859 115352656 114554225 X 31222493 50186555 31222493 50186555 146575149 164740780 X 18747604 197663 18795 X 0 1 X 1 0 X 16750 69806 90231 156013 228978 561778 76845340 428741753 554028832 665162378 672402050 2397180353 76862090 428811559 554119063 665318391 672631028 2397742131 0 0 0 2397742131 714844 720784 721632 1116972 1078875 4353107 714844 720784 721632 1116972 1078875 4353107 77576934 429532343 554840695 666435363 673709903 2402095238 0.99820 0.99780 0.00180 0.00220 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. 22814770 3672314 19142456 28970616 17441144 11529472 37745328 22724341 15020987 6385865 1617539 4768326 50461241 DUE FROM AFFILIATE 59768 DUE FROM SVH, HRP, FCHP, RX RISK POOL 2262216 INVESTMENT IN MAC 120000 INVESTMENT IN 457B 14474337 A/R OTHER 13577858 SECURITY DEPOSITS 12470 30506649 LTD DEFERRED COM 457B 14474337 RETIREMENT BENEFITS 195014 PROFESSIONAL LIABILITY CLAIMS 5448925 DUE TO AFFILIATE 14013119 CAPITAL LEASE OBLIGATIONS 21574464 55705859 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS INSURANCE 5454135 0 0 0 0 0 0 5454135 0 5454135 1 0 1 0 0 0 1 RELIANT MEDICAL GROUP FOUNDATION INC 100 FRONT STREET WORCESTER MA 01608 222912515 501(C)(3) 83740 GENERAL SUPPORT HANOVER THEATER FOR THE PERFORMING ARTS 2 SOUTHBRIDGE ST WORCESTER MA 01608 050521735 501(C)(3) 7500 GENERAL SUPPORT GENERAL SUPPORT PHYSICIAN HEALTH SERVICES 860 WINTER ST WALTHAM MA 02451 223234975 501(C)(3) 8000 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) 5500 GENERAL SUPPORT 5 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 TRUSTEE; CHAIR DEPT OF ORTHOPEDICS 991820 0 0 0 19190 0 21200 0 23768 0 1055978 0 0 0 ROBERT BESSETTE MD TRUSTEE; PHYSICIAN 326305 0 6357 0 7496 0 23850 0 9117 0 373125 0 0 0 STEPHEN BUCHANAN MD TRUSTEE THRU 3.31.16; PHYSICIAN 242255 0 0 0 10117 0 14891 0 1434 0 268697 0 0 0 MICHAEL COOPER MD TRUSTEE; VICE-CHAIR; PHYSICIAN 174334 0 0 0 25160 0 12810 0 23623 0 235927 0 0 0 CHRISTIAN CORREIA MD TRUSTEE THRU 3.31.16; PHYSICAN 203737 0 0 0 5950 0 0 0 3708 0 213395 0 0 0 JUSTIN DORFMAN MD TRUSTEE EFF. MAY 2016; PHYSICIAN 319798 0 0 0 12196 0 13250 0 15008 0 360252 0 0 0 MARY ELLEN DUGAN MD TRUSTEE; PHYSICAN 161154 0 0 0 36987 0 13017 0 10635 0 221793 0 0 0 LEON JOSEPHS MD ACTING CEO THRU 1.31.16; PHYSICIAN 608423 0 0 0 120047 0 21200 0 13086 0 762756 0 0 0 ROBERT KOSSACK MD TRUSTEE; PHYSICAN 195712 0 710 0 29391 0 18459 0 22641 0 266913 0 0 0 ALAN LOBOVITS MD TRUSTEE; PHYSICAN 214857 0 0 0 43832 0 18849 0 1316 0 278854 0 0 0 SEEMA NARAVANE MD T'EE;BD CHAIR; PHYSICIAN 168910 0 1680 0 75141 0 15451 0 21115 0 282297 0 0 0 JOHN SCHNEEWEIS MD TRUSTEE; PHYSICAN 281371 0 22208 0 44493 0 23850 0 24752 0 396674 0 0 0 JOSEPH SIDARI MD TRUSTEE; CLERK; PHYSICIAN 584005 0 0 0 43322 0 18550 0 32535 0 678412 0 0 0 TAREH ELSAWY MD PRESIDENT AND CEO 786615 0 0 0 49138 0 87878 0 29709 0 953340 0 0 0 STEPHEN KNOX COO 324465 0 6500 0 7492 0 21200 0 2262 0 361919 0 0 0 BRUCE PLUMMER CFO 468623 0 0 0 11854 0 23850 0 19137 0 523464 0 0 0 MICHAEL SHEEHY MD ACTING CMO 443434 0 7774 0 1931 0 23850 0 21739 0 498728 0 0 0 ANDREA BIBEAULT DIRECTOR - EAST REGION THRU 12.31.16 213993 0 0 0 882 0 220316 0 4047 0 439238 0 0 0 ROBERT JANDL MD REGIONAL MEDICAL DIRECTOR 380121 0 0 0 3564 0 18550 0 23358 0 425593 0 0 0 THAD SCHILLING MD REGIONAL MEDICAL DIRCTOR THRU APRIL 389478 0 0 0 710 0 13250 0 23230 0 426668 0 0 0 STEPHEN SMITH MD REGIONAL MEDICAL DIRCTOR THRU APRIL 351136 0 6250 0 20805 0 23850 0 23698 0 425739 0 0 0 PAUL ARCAND MD PHYSICIAN VASCULAR SURGERY 629389 0 0 0 19380 0 21200 0 24537 0 694506 0 0 0 MICHAEL KELFER MD DIV. CHIEF GASTROENTEROLOGY 757079 0 15045 0 20322 0 23850 0 24990 0 841286 0 0 0 ANTHONY RIVERA MD PHYSICIAN ORTHOPEDICS 540520 0 0 0 485 0 18550 0 21601 0 581156 0 0 0 MARK STOKER MD CHAIR SURGICAL SPECIALTIES 695390 0 14201 0 20322 0 23850 0 24714 0 778477 0 0 0 JONATHAN TAYLOR MD PHYSICIAN GASTROENTEROLOGY 741604 0 0 0 19242 0 18550 0 26701 0 806097 0 0 0 ERIC BUEHRENS FORMER COO 0 0 0 0 165079 0 0 0 0 0 165079 0 165079 0 NINAD SAMANT MD FMR CHAIR; ADULT GENERAL MEDICINE 316637 0 0 0 2760 0 18550 0 23234 0 361181 0 0 0 ROBERT YOOD MD FORMER BOARD CHAIR; PHYSICIAN 276019 0 5843 0 26409 0 23850 0 22625 0 354746 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 2016. ERIC BUEHRENS, FORMER COO - $165,079 PAID IN 2016 ANDREA BIBEAULT, DIRECTOR - EAST REGION THRU 12.31.16 - $0 PAID IN 2016; $224,363 UNPAID AT 12.31.16 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 295 PHYSICIANS AND 233 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 1.7 MILLION ENCOUNTERS, INCLUDING APPROXIMATELY 207,000 MEDICAID AND 463,000 MEDICARE VISITS IN THE MOST RECENT FULL YEAR, THE GROUP PROVIDES OVER 100 HEALTH CARE PROGRAMS AND SERVICES AND CARES FOR APPROXIMATELY 378,000 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 $4.7 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 RECOGNIZED BOTH LOCALLY AND NATIONALLY FOR ITS EXCELLENCE OVER THE PAST YEAR. IN 2016, RELIANT WAS PRESENTED WITH THE BOSTON BUSINESS JOURNAL'S "BEST PLACES TO WORK" AWARD FOR THE SECOND STRAIGHT YEAR. RELIANT WAS ALSO NAMED TO THE 2016 EDITION OF BECKER'S HOSPITAL REVIEW'S PRESTIGIOUS "150 GREAT PLACES TO WORK IN HEALTHCARE" LIST. IN 2016, RELIANT WAS ALSO RECOGNIZED AS A GREAT PLACE TO WORK BY THE BOSTON GLOBE IN THEIR TOP PLACES TO WORK AWARD - THE FOURTH STRAIGHT YEAR RELIANT HAS RECEIVED THIS SPECIAL HONOR. IN 2015 RELIANT WAS ALSO HONORED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS A MILLION HEARTS HYPERTENSION CONTROL CHAMPION. ONLY 18 MEDICAL PROVIDERS AND HEALTH SYSTEMS THROUGHOUT THE COUNTRY WERE RECOGNIZED WITH THIS PRESTIGIOUS AWARD. ALL OF THIS RECOGNITION IS A TESTAMENT TO THE CULTURE OF TEAMWORK AND EXCELLENCE THAT HAS BECOME THE HALLMARK OF RELIANT MEDICAL GROUP. 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 WILLIAM BALCOM MD AND LEON JOSEPHS MD HAD A BUSINESS RELATIONSHIP SINCE THEY SERVED JOINTLY ON THE BOARD OF MASSACHUSETTS ASSURANCE COMPANY, LTD. MICHAEL COOPER MD, TAREK ELSWAY MD, LEON JOSEPHS 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 RELIANT MEDICAL GROUP HAS ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS 2016 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, 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 JANUARY 2016. 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 317,661,995. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 317,661,995. OTHER: PROGRAM SERVICE EXPENSES 538,005. MANAGEMENT AND GENERAL EXPENSES 986,958. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,524,963. FORM 990, PART XI, LINE 9: RETIREE MEDICAL AOCI CHANGE 18,795. RELIANT MEDICAL GROUP THE ENDOSCOPY CENTER LLC (NAME AS CHANGED 9116) 100 FRONT STREET WORCESTER MA 01608 205251393 AMBULATORY SURGICAL CENTER MA 6859339 18896132 RELIANT MEDICAL GROUP INC SURGICAL EYE EXPERTS LLC (NAME AS CHANGED 9116) 100 FRONT STREET WORCESTER MA 01608 651321064 AMBULATORY SURGICAL CENTER MA 2440380 5467795 RELIANT MEDICAL GROUP INC IN STYLE OPTICAL LLC 100 FRONT STREET WORCESTER MA 01608 273296953 OPTICAL MA 3307806 2392050 RELIANT MEDICAL GROUP INC RELIANT MEDICAL GROUP FOUNDATION INC 100 FRONT STREET WORCESTER MA 01608 222912515 FUNDRAISING MA 501(C)(3) LINE 7 RELIANT MEDICAL GROUP INC 1 DURABLE MEDICAL EQUIPMENT INC (FKA LAKEVIEW MEDICAL INC) 42 SOUTHBRIDGE STREET AUBURN MA 01501 043106404 MEDICAL EQUIPMENT SUPPLIER MA 501(C)(3) LINE 12A, I RELIANT MEDICAL GROUP INC 1 ASPECTUS INC 100 FRONT STREET WORCESTER MA 01608 043403101 INACTIVE MA RELIANT MEDICAL GROUP INC C 1.00000 1 MASSACHUSETTS ASSURANCE COMPANY LTD FIRST CARIBBEAN HOUSE GEORGETOWN GRAND CAYMAN CJ 980469895 INSURANCE CJ RELIANT MEDICAL GROUP INC C 32724365 1.00000 1 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 DURABLE MEDICAL EQUIPMENT INC L 485458 COST MASSACHUSETTS ASSURANCE COMPANY LTD Q 9520459 INSURANCE INDEMNITY PAYMENTS RELIANT MEDICAL GROUP FOUNDATION INC B 83740 BOARD APPROVAL RELIANT MEDICAL GROUP FOUNDATION INC C 228978 BOARD APPROVAL RELIANT MEDICAL GROUP FOUNDATION INC L 241229 COST DURABLE MEDICAL EQUIPMENT INC E 14013119 ACCRUAL