Atrium Medical Center

FORM 990 - PART I - QUESTION 10:

“This organization has designated its investments as trading. In accordance with the aicpa guide for healthcare, all unrealized gains and losses are recognized through the profit and loss statement. For 990 reporting, this activity is excluded per the instructions by the internal revenue service. Form 990, part vi, section a, question 3: premier health (premier) as the operator of atrium medical center (amc) develops and oversees the implementation of the strategic plan for amc, which includes (but is not limited to) such matters as location of clinical and administrative expenses and the consolidation of such services. Amc shall comply with and implement this plan and shall not take any action that materially departs from this plan without premier's approval. Amc shall implement any capital and operating budget so approved and/or revised for it by premier. Amc shall implement any business plan approved by premier. Premier is the sole agent to negotiate all relationships with payors on behalf of amc with all third party payors and alternative delivery systems including, but not limited to insurers. Amc must have approval from premier to borrow in any fiscal year, guarantee in any year, or incur any lien or other encumbrance on any property in an amount equal to or greater than $1,000,000. Amc must seek premier's approval for any acquisitions, sale or transfer of any material asset used in premier's activities. Form 990, part vi, section a, question 6: atrium medical center has two corporate members. One member is atrium health systems, the parent company of the hospital. The second member is premier health, an ohio non-profit corporation formed pursuant to the joint operating agreement. Atrium health systems has the sole authority to elect the board of trustees of the corporation. Premier health has the general authority to operate and manage the operational activities of the corporation. Form 990, part vi, section a, question 7a: atrium health systems (ahs) has the sole authority to elect the board of trustees for atrium medical center (amc). Ahs has the authority to remove trustees at any regular or special meeting or by written consent. Premier health has the right to request that ahs remove a trustee of amc if premier has determined that such trustee is frustrating the goals and purposes of premier's network. Such removal shall not be unreasonably refused by ahs. Form 990, part vi, section a, question 7b: see the response above for form 990, part vi, section a, question 3. Form 990, part vi, section b, question 11b: this 990 tax return and attached schedules (the return) are prepared by a staff member in the tax department of premier health (premier), of which atrium medical center is an affiliate. The return is reviewed by the tax manager and director of tax compliance of premier. The return is concurrently sent to ernst & young u.s. Llp for their review. After all changes from the above groups are made, the return is reviewed by the vice president/controller of premier and the chief financial officer of this entity. A final version of the return is sent to ernst & young u.s. Llp for a final review and then provided to the board of trustees for review. At a board of trustees meeting, the vice president/controller of premier (or designee) shares detailed information on compensation and other key areas, as well as addresses any other questions from the board of trustees, pending their review. The 990 tax return is also shared with the audit committee of premier. Form 990, part vi, section b, question 12c: premier health (premier), of which atrium medical center is an affiliate, requires all board members, officers, executive directors, vice presidents, directors, purchasing department staff, authorized purchasers, medical directors, department and sections chairs, and all employed physicians to annually review the premier comprehensive conflict of interest statement, an explanatory memorandum, the antitrust compliance policy”