Reliant Medical Group Inc

“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.”

“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.”

“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.”

“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.”

“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.”

“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.”

“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.”

“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.”

“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.”

“The organization's financial statements, conflict of interest policy and governing documents are available upon request.”

“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 i, line 1 to provide compassionate and high-quality health care and health education to patients and other members of the community.”

“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.”

“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.”

“Change in pension funding obligation -9,121,393. Retiree medical aoci change -82,604. Change in value of interest rate swap 40,533.”