Fairview Heights Medical Groupsc C/O Bjc Medical Group LC

“Certain officers, directors or key employees of the organization and bjc health system (bjc) may also serve on the boards of other related or unrelated organizations. Additionally, certain family members of officers, directors or key employees may, during the normal course of business yet consistent with its stated exempt purpose, engage in transactions in which potential conflicts of interest could exist. These officers, directors, key employees and related persons disclose these potential conflicts to bjc health system annually and do not participate in decisions in which they have such conflicts. Such conflicts and relationships are reviewed to ensure that any payments received or amounts paid do not exceed the fair market value of the goods and services received by the reporting organization.”

“The organization prepares draft copies of form 990 and attachments for review by members of management. After resolving any open items, the final draft returns are made available to the board for review. Questions and comments that arise during the review of the forms are addressed in advance of submission to the appropriate taxing authorities.”

“The organization regularly and consistently monitors compliance with the policy by issuing annually a conflict of interest questionnaire reminding covered individuals of their obligations to disclose potential conflicts and requesting that they complete a conflicts of interest questionnaire. The questionnaire requires the disclosure of conflicts and an attestation to their continuing obligation to disclose said conflicts should the need arise. The results of the conflicts of interest questionnaire are reviewed by a centralized compliance department and appropriate action taken as necessary. Should the organization become aware of a conflict not previously reported, its general counsel would investigate the issue and respond in accordance with the policy.”

“The net assets and activities of fairview heights medical group, s.c. (the organization) are included in the consolidated audited financial statements of bjc health system and affiliates (bjc). Bjc and the organization makes all governing documents, consolidated audited financial statements and conflict of interest policy available for inspection by the general public upon request at the administrative offices of the organization.”

“Fairview heights medical group, s.c. (organization) is an illinois professional service corporation organized to satisfy the requirements under the illinois medical practice act. The organization employs licensed physicians to provide health care services to patients. The organization is not a licensed hospital within the state of illinois and does not operate one or more facilites that satisfy the definition of a hospital. Accordingly, the organization is not required to complete and file form 990, schedule h.”

“Number reported in box 3 form 1096 the organization is an affiliate of bjc health system (bjc), a supporting organization described in code section 509(a)(3). Bjc assumes responsibility for remitting all payments to vendors through a centralized accounts payable system. Bjc also assumes responsibility for reporting these payments to the irs using its ein as the common payor on form(s) 1099, 1098, 5498, and w-2g. The amount reported on line 1, if any, reflects the number of forms filed by bjc health system (ein 43-1617558) on behalf of the filing organization.”

“Entity transfers to from affiliates -1,520,475.”