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0 KERRY M GIRARD MD FORMER DIRECTOR 733164 0 0 0 0 0 5200 0 23877 0 762241 0 0 0 MARC A GREENWALD MD FORMER DIRECTOR 126413 0 0 0 0 0 885 0 81 0 127379 0 0 0 MICHAEL L DERN MD FORMER DIRECTOR 612864 0 0 0 0 0 5200 0 15561 0 633625 0 0 0 PAUL J PETTINATO MD FORMER DIRECTOR 833208 0 0 0 0 0 5200 0 81 0 838489 0 0 0 ROBERT G COVETT MD FORMER DIRECTOR 361845 0 0 0 0 0 0 0 8224 0 370069 0 0 0 ROBERT S GREENBERG MD FORMER DIRECTOR 273343 0 0 0 0 0 5200 0 16612 0 295155 0 0 0 TUTASI K WATERS MD FORMER DIRECTOR 338828 0 0 0 0 0 18035 0 8224 0 365087 0 0 0 VALENTIN K ATANASSOV MD FORMER DIRECTOR 197022 0 0 0 0 0 3990 0 9233 0 210245 0 0 0 VICKI A SCHWARTZ MD FORMER DIRECTOR 171837 0 0 0 0 0 3567 0 23654 0 199058 0 0 0 ZULFIQAR A MIR MD FORMER DIRECTOR 111653 0 0 0 0 0 0 0 11063 0 122716 0 0 0 PART I, LINE 1A THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL SENIOR EXECUTIVES. THE COMPENSATION COMMITTEE PERFORMS ANNUAL REVIEWS AND APPROVES EXECUTIVE COMPENSATION. THE COMMITTEE IS DESIGNED TO ENSURE THAT ALL COMPENSATION IS REASONABLE, MEETS ALL REGULATORY REQUIREMENTS AND IS COMPETITIVE WITHIN THE RELEVANT MARKET. PART I, LINE 1B THE COMPENSATION ELEMENTS INDICATED ON SCHEDULE J, PART I (TAX INDEMNIFICATION/GROSS-UP PAYMENTS) WERE PROVIDED PURSUANT TO THE EMPLOYMENT AGREEMENT MAINTAINED BETWEEN THE ORGANIZATION AND THE INDIVIDUAL. PART I, LINE 4B DURING THE YEAR ENDED 12/31/14 THE SIGNATURE HEALTHCARE MEDICAL GROUP MADE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS FOR FOUR EMPLOYEES. CONSISTENT WITH REPORTING REQUIREMENTS FOR IRS FORM 990, SIGNATURE HEALTHCARE MEDICAL GROUP REPORTS COMPENSATION AND OTHER PAYMENTS TO EMPLOYEES AND FORMER EMPLOYEES ON A CALENDAR YEAR (FORM W-2) BASIS. CONSEQUENTLY, THE FOLLOWING AMOUNTS ARE REPORTED FOR THE FISCAL YEAR ENDING 9/30/2015: KEITH MERLIN - $4,012 VIKAS TEWARI - $472 CRAIG WARNICK - $232 VERA DEPALO - $823 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PROVIDED TO EACH BOARD MEMBER ELECTRONICALLY. IN ADDITION, A BOARD MEETING WAS CONVENED TO REVIEW THE 990 IN ADVANCE OF THE FILING DATE. FORM 990, PART VI, SECTION B, LINE 12C QUESTIONNAIRES ARE CIRCULATED ON AN ANNUAL BASIS AND ARE SUMMARIZED AND PRESENTED TO THE BOARD FOR REVIEW AND ACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION BASED ON WRITTEN EMPLOYMENT CONTRACTS, USE OF INDEPENDENT COMPENSATION CONSULTANTS, AND COMPENSATION SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART XI, LINE 9: TRANSFERS FROM AFFILIATES 6,621,323. NET ASSET RELEASES FOR PP&E ACQUISITIONS FORM 990 PART XI LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM. 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