Pioneer Valley Cardiology Associates

“The sole member of pvca is the mercy hospital. See line 7 for additional information.”

“The mercy hospital is the sole member of pvca. The mercy hospital has the right to appoint all persons to the board of directors of pvca.”

“As sole member, the mercy hospital must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. The mercy hospital must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits and modifications to governing documents. As the parent of the national trinity health system, certain powers are reserved to trinity health corporation. These include the authority to adopt or modify the organization's governing documents, to approve major changes such as a merger or dissolution, and to approve significant finance matters in excess of certain limits established by trinity health corporation.”

“Prior to filing, the form 990 for pvca is reviewed by management and senior leadership. Each member of the board is provided a copy of the return in its final form once filed with the internal revenue service.”

“Pvca has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of pvca, which includes directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of pvca and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to the integrity and compliance officer. If a potential conflict is identified, the integrity and compliance officer shares the disclosures with internal legal counsel, from which legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of pvca (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to pvca of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of pvca (or a delegated committee of the board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board (or a delegated committee of the board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of pvca. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.”

“Question 15a and 15b are answered "no" because the compensation for certain officers and key management officials of pvca was established by trinity health, a related organization. In establishing president and vice president finance compensation, trinity health follows a process and policy that is intended to mirror the irc section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of the president and vice president finance of pvca are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit health care organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements. For other executives who are not part of the rebuttable presumption process, trinity health uses a market analysis to determine the appropriateness of the executive's compensation.”

“Pvca is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. Pvca's governing documents and conflict of interest policy are available upon request.”

“Pvca pioneer valley cardiology pioneer valley cardiology associates”

“Medical specialist fees: program service expenses 8,675,163. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,675,163. Misc. Purchased services: program service expenses 4,502,441. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,502,441. Consulting services: program service expenses 375. Management and general expenses 0. Fundraising expenses 0. Total expenses 375. Medical services: program service expenses 46,492. Management and general expenses 0. Fundraising expenses 0. Total expenses 46,492. Contract labor: program service expenses 198,038. Management and general expenses 0. Fundraising expenses 0. Total expenses 198,038. Laundry and linen services: program service expenses 20,001. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,001. Billing services: program service expenses 112. Management and general expenses 0. Fundraising expenses 0. Total expenses 112.”

“Pvca's financial statements were included in the fy21 consolidated financial statements of trinity health of new england and trinity health, which were both audited by an independent public accounting firm.”