Lake Champlain Physician Services PC

“Wouter jan rietsema, md is the sole voting member of the organization.”

“According to the shareholders agreement, dr. Rietsema, the sole shareholder and director of lake champlain physician services, p.c., is required to vote all of his shares to elect, or remove, as directors those individuals designated by the board of directors of the medical center.”

“Lake champlain physician services, p.c. Provides an electronic copy of form 990 to each board member prior to the form being filed.”

“Lake champlain physician services, p.c. Has a written conflict of interest policy as a part of its governing documents. The policy is applicable to members of the governing body, officers and key employees. The organization requires that members having a conflict of interest in a transaction recuse themselves of voting on the matter. Proposed and ongoing transactions are reviewed by appropriate groups of indiviuals (committees and/or levels of review) to ensure the best interest of the hospital. The organization solicits from each member of the governing body, officers, and key employees an annual signed statement certifying compliance with the organization's conflict of interest policy and self-disclosure of certain interest for each annual period.”

“Lake champlain physician services, p.c. Has a formal process that is used to determine the compensation of the ceo on an annual basis. This process includes a compensation committee of the board of trustees, engaging an independent consultant, performance of a compensation survey or study, review of other organization's 990 forms, and approval by the board of compensation committee. A written employment agreement is established setting forth the compensation and benefits of the ceo. Lake champlain physician services, p.c. Pays non-fixed earnings based on the success in meeting performance criteria that are prospectively agreed upon as goals for the ceo. Part b: the same formal process noted in 15(a) above is used to determine the base compensation of other officers. Non-fixed earnings of other officers are based on the success in meeting performance criteria and comparative market data.”

“Lake champlain physician services, p.c. Makes its governing documents, conflicts of interest policy, and financial statements available to the public upon request. Parties desiring copies of such documents must present themselves at the administrative offices of lake champlain physician services, p.c. Or by sending a request in writing to the administrative offices. The organization has instructions posted on its website for those seeking copies of documents.”

“Forgiveness of related party debt for prior year services rendered 208,158.”

“The process has not changed from the prior year.”