| FORM 990, PART VI, SECTION A, LINE 3 |
THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT AND FINANCIAL DUTIES TO A RELATED ORGANIZATION, ALLIANCE HEALTH MANAGEMENT SERVICES, LLC. THE MANAGEMENT COMPANY IS A NON-PROFIT SUPPORTING ORGANIZATION WHICH ENGAGES IN THE BUSINESS OF PLANNING, DEVELOPING, CONSTRUCTING, OWNING, AND MANAGING NON-PROFIT ORGANIZATIONS WHICH PROVIDE SERVICES THAT RANGE FROM POST-ACUTE CARE FACILITIES, SKILLED NURSING FACILITIES TO ASSISTED LIVING COMMUNITIES. ALLIANCE HEALTH MANAGEMENT SERVICES, LLC IS LOCATED AT 144 TURNPIKE ROAD, SUITE 220, SOUTHBOROUGH, MA 01772. MANAGEMENT FEES PAID IN 2020 TOTALED $531,000. |
| FORM 990, PART VI, SECTION B, LINE 11B |
THE AUDIT COMMITTEE SHALL REVIEW AND APPROVE THE IRS FORM 990 ANNUAL TAX FILINGS PRIOR TO SUBMISSION, AND THE BOARD SHALL RECEIVE A COPY AND REVIEW THE IRS FORM 990 TAX FILINGS WITHIN 30 DAYS LEADING UP TO ITS SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C |
THE CONFLICT OF INTEREST FORM IS DISTRIBUTED TO ALL DIRECTORS ANNUALLY AT THE DECEMBER QUARTERLY MEETING. EACH DIRECTOR MUST PROVIDE THE BOARD OF DIRECTORS WITH AN ANNUAL WRITTEN DISCLOSURE OF THE FOLLOWING: (I) THE DIRECTOR'S BUSINESS INVOLVEMENTS WITH THE ORGANIZATION AND RELATED ORGANIZATIONS; (II) THE DIRECTOR'S OTHER BOARD MEMBERSHIPS, WHETHER OF FOR-PROFIT OR NON-PROFIT CORPORATIONS; AND (III) THE TOTAL AMOUNT RECEIVED BY THE DIRECTOR FROM THE ORGANIZATION AND RELATED ORGANIZATIONS FOR SERVICES RENDERED AS A VENDOR OF GOODS OR SERVICES TO THE RELATED ORGANIZATIONS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING THAT THE POLICY IS UPDATED AND SIGNED BY ALL DIRECTORS AND REVIEWS FOR CONFLICTS. IF A CONFLICT ARISES, THE COMMON OR INTERESTED PERSONS MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE DIRECTORS OR OF A COMMITTEE THEREOF WHICH AUTHORIZES, APPROVES OR RATIFIES THE CONTRACT OR TRANSACTION. HOWEVER, THE COMMON OR INTERESTED PERSON MUST WITHDRAW FROM THE DISCUSSION AND VOTING OF THE INTERESTED CONTRACT OR TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 |
THE COMPENSATION OF THE PRESIDENT/CEO IS DETERMINED AND PAID OUT BY A RELATED ORGANIZATION, ALLIANCE HEALTH, INC. ALLIANCE HEALTH, INC.'S BOARD SHALL CONDUCT A PERFORMANCE EVALUATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER/CHIEF FINANCIAL OFFICER, AND SECRETARY/CHIEF OPERATING OFFICER OF THE COMPANY ON AN ANNUAL BASIS. SUCH EVALUATION SHALL BE USED AS THE BASIS FOR DETERMINING COMPENSATION AND SHALL INCLUDE AN ASSESSMENT OF COMPANY GOALS AND PERFORMANCE. THE BOARD WILL REVIEW YEAR OVER YEAR PERFORMANCE AND EVALUATE COMPANY RESULTS WITH RESPECT TO FINANCIAL PERFORMANCE, ATTAINMENT OF GOALS, PROGRAM AND OPERATIONAL QUALITY AND GOVERNANCE. THE BOARD WILL ALSO CONSIDER ORGANIZATIONAL STRENGTH AND DEVELOPMENT AND BOARD-OFFICER RELATIONSHIP MANAGEMENT. IN MAKING A COMPENSATION DETERMINATION, THE BOARD SHALL CONSIDER CURRENT INDEPENDENT MARKET ASSESSMENT OF AND RELIABLE DATA FROM COMPARABLE ORGANIZATIONS. THE BOARD MAY FROM TIME TO TIME SPECIFICALLY ENGAGE THIRD PARTY PROFESSIONALS TO CONDUCT COMPENSATION STUDIES OR TO REVIEW AND ASSESS CURRENT PRACTICES WHEN DEEMED USEFUL TO KEEP ITS KNOWLEDGE AND INFORMATION CURRENT. ALL EXTERNAL STUDIES WILL FOLLOW THE IRS GUIDELINES FOR DETERMINING "EXCESS BENEFIT". THE BOARD SHALL APPOINT A COMPENSATION COMMITTEE WHO WILL BE RESPONSIBLE FOR LEADING THE COMPENSATION AND EVALUATION PROCESS. THE COMMITTEE SHALL CONSIDER INPUT FROM THE PRESIDENT FOR TREASURER AND SECRETARY IN EVALUATING ATTAINMENT OF GOALS. THE COMMITTEE WILL REPORT ITS RECOMMENDATIONS TO THE BOARD, WHICH WILL PARTICIPATE IN FULL IN THE DECISION MAKING. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: |
CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -171,005. |
| FORM 990 PART XII LINE 2C |
THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |
Attach to Form 990 or 990-EZ.