2024-05-08T13:56:31-05:00 2023-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 1075 PEACHTREE STREET NE SUITE 1600 ATLANTA GA 30309 990 2022-07-01 260893902 ALLIANT HEALTH GROUP INC ALLI 4049820411 1455 LINCOLN PKWY 800 ATLANTA GA 30346 GREG GREENLOW CFO 4049820411 2024-05-07 1 GREG GREENLOW 999009999 0 AMY DOSIK P00890743 4042090954 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GREG GREENLOW 1455 LINCOLN PKWY 800 ATLANTA GA 30346 23948481 0 X WWW.ALLIANTHEALTH.ORG X 2007 GA SEE SCHEDULE O:THE PURPOSE OF ALLIANT HEALTH GROUP, INC. IS TO SUPPORT ALLIANT HEALTH SOLUTIONS, INC., ALLIANT ASO, INC., AND HEALTHCARE RESEARCH, INC. BY SPECIFICALLY PROVIDING ADMINISTRATIVE, FINANCIAL, AND TECHNOLOGICAL SERVICES TO EACH OF THE ORGANIZATIONS TO ENSURE THE NEEDS OF THE ORGANIZATIONS ARE MET AND THAT SERVICES ARE NOT DUPLICATIVE IN NATURE. 13 13 42 0 0 0 0 0 0 0 1923381 1457123 0 0 1923381 1457123 0 0 0 0 0 0 0 0 0 227540 261450 227540 261450 1695841 1195673 68750923 79128480 37196548 43550152 31554375 35578328 X THE PURPOSE OF ALLIANT HEALTH GROUP, INC. IS TO SUPPORT ALLIANT HEALTH SOLUTIONS, INC., ALLIANT INTEGRITY, INC., ALLIANT ASO, INC., ALLIANT QUALITY, INC., AND HEALTHCARE RESEARCH, INC. BY SPECIFICALLY PROVIDING ADMINISTRATIVE, FINANCIAL, AND TECHNOLOGICAL SERVICES TO EACH OF THE ORGANIZATIONS TO ENSURE THE NEEDS OF THE ORGANIZATIONS ARE MET AND THAT SERVICES ARE NOT DUPLICATIVE IN NATURE. 0 0 ALLIANT HEALTH GROUP SERVES AS AN ADMINISTRATOR FOR PAYROLL AND OTHER EXPENSES WHICH IT INCURS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS AND FOR WHICH IT RECEIVES REIMBURSEMENT FROM SUCH ORGANIZATIONS. IN THIS MANNER, AHG ENSURES THE NEEDS OF THE ORGANIZATIONS ARE MET AND THAT SERVICES ARE NOT DUPLICATIVE IN NATURE. 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 136 0 1 42 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X GREG GREENLOW 6785273419 1455 LINCOLN PKWY STE 800 ATLANTA GA 30346 DR ELIZABETH OFILI CHAIR 1.00 0.00 X X 11796 0 0 DONALD AVERY CHAIR-ELECT 1.00 0.00 X X 9872 0 0 FRED WATSON IMMEDIATE PAST CHAIR 1.00 0.00 X X 11453 0 0 MICHELLE JONES SECRETARY 1.00 0.00 X X 9872 0 0 JOHN ANTALIS TREASURER 1.00 0.00 X X 6898 0 0 RALPH ATKINSON DIRECTOR 1.00 0.00 X 4541 4540 0 JAMES CLIFTON DO DIRECTOR 1.00 1.00 X 2949 2949 0 STEPHANIE CROLL MD DIRECTOR 1.00 0.00 X 5581 0 0 PATRICK GRIFFITH MD DIRECTOR 1.00 0.00 X 3708 0 0 CHARLES ORJI MD DIRECTOR 1.00 1.00 X 3000 3000 0 JOSEPH PARKER DIRECTOR 1.00 1.00 X 1108 1107 0 HARRY VILDIBILL MD DIRECTOR 1.00 0.00 X 7581 0 0 RANDLE WHITE MD DIRECTOR 1.00 0.00 X 7898 0 0 DENNIS WHITE PRESIDENT & CEO 40.00 1.00 X 667800 0 23640 CAROL ALLEN EXECUTIVE VP & COO 40.00 1.00 X 514027 0 40504 GREGORY GREENLOW CFO & COMPLIANCE OFFICER 40.00 1.00 X 399894 0 55931 WILLIAM BATTLES CHIEF STRATEGY OFFICER 40.00 1.00 X 310638 0 59087 JOHN SLAUGHTER CHIEF INFORMATION OFFICER 40.00 1.00 X 296870 0 54603 MARGOT WINNIFRED WILSON TOWNSEND CHIEF HUMAN RESOURCES OFFI 40.00 1.00 X 294005 0 37452 MAULIK TRIVEDI DIRECTOR, APPLICATION DEVELOPMENT 40.00 0.00 X 187206 0 31967 AMNA MUNIR CONTROLLER 40.00 0.00 X 187938 0 25672 MARGO CLAY DIRECTOR, INFO SECURITY & SERVICE DELIVERY 40.00 0.00 X 157980 0 39750 3102615 11596 368606 15 0 1 0 THE NORTH HIGHLAND COMPANY 3333 PIEDMONT ROAD NE STE 1000 ATLANTA GA 30305 SUBCONTRACTOR ON TO1 AND ADMIN PROJECTS 2293540 APIC CONSULTING SERVICES 1400 CRYSTAL DRIVE STE 900 ARLINGTON VA 22202 SUBCONTRACTOR ON TO1 PROJECT 1494135 COMAGINE HEALTH 10700 MERIDIAN AVE N STE 100 SEATTLE WA 98133 SUBCONTRACTOR ON MS MED PROJECT, TO3, AN 1381351 ISLAND PEER REVIEW ORGANI 1979 MARCUS AVENUE LAKE SUCCESS NY 11042 SUBCONTRACTOR ON TO1 PROJECT 1317912 ARCH SYSTEMS LLC 1800 WASHINGTON BLVD STE 421 BALTIMORE MD 21230 SUBCONTRACTOR ON TO1, NW8, AND NW14 PROJ 993908 14 1284616 1284616 22663865 22491358 172507 172507 172507 1457123 0 0 1457123 261450 261450 261450 0 261450 0 19610366 14725742 5009839 7504105 36428 44792 613058 1230057 1026934 5322110 5050790 268235 271320 40869325 48016277 1726673 6926252 68750923 79128480 2121525 3546341 35075023 40003811 37196548 43550152 X 31554375 35578328 31554375 35578328 68750923 79128480 1195673 2828280 0 X 0 1 X 1 0 X X 5 ALLIANT HEALTH SOLUTIONS INC 581109530 10 1 0 0 ALLIANT ASO INC 261171039 7 1 0 0 ALLIANT INTEGRITY INC 262381746 7 1 0 0 HEALTHCARE RESEARCH INC 581682155 7 1 0 0 ALLIANT QUALITY INC 262381792 7 1 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3: EACH SUPPORTED ORGANIZATION HAS A REPRESENTATIVE ON THE BOARD OF DIRECTORS OF AHG. THIS ENABLES THEM TO HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS AT ALL TIMES DURING THE TAX YEAR. PART IV, SECTION E, LINE 3A: THE PARENT (ALLIANT HEALTH GROUP, INC.) IS THE SOLE MEMBER (GOVERNING MEMBER) OF THE SUPPORTED ORGANIZATIONS AND THE DIRECTORS ARE APPOINTED BY THE GOVERNING MEMBER ANNUALLY AND HOLD OFFICE UNTIL THEIR SUCCESSORS ARE APPOINTED OR UNTIL THEIR EARLIER DEATH, RESIGNATION OR REMOVAL. PART IV, SECTION E, LINE 3B: AS THE SOLE MEMBER (GOVERNING MEMBER) OF THE SUPPORTED ORGANIZATIONS, ALLIANT HEALTH GROUP, INC. PROVIDES ADMINISTRATIVE, FINANCIAL, TECHNOLOGICAL AND STRATEGIC SERVICES. 443885 422423 21462 4297726 4076914 220812 580499 551453 29046 271320 CASH SURRENDER VALUE 1722520 DEPOSITS ON ACCOUNT 93832 SUPPLEMENTAL RETIREMENT PLAN 73185 COLI ASSET 3670846 SERP LOAN RECEIVABLE 234147 LEASE OBLIGATION ASSET 1131722 6926252 DUE TO AFFILIATES 38978666 OPERATING LEASE LIABILITIES 1025145 40003811 X PART X, LINE 2: IT IS MANAGEMENT'S OPINION THAT THERE ARE NO ACTIVITIES THAT WOULD SUBJECT ALLIANT TO UNRELATED BUSINESS INCOME TAX AND, ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE. MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY U.S. GAAP ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT BELIEVES ALLIANT CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2023. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED ALLIANT HAD NO UNCERTAIN INCOME TAX POSITIONS AS OF JUNE 30, 2023 AND 2022. X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 DENNIS WHITE PRESIDENT & CEO 486800 0 181000 0 0 0 15250 0 8390 0 691440 0 0 0 CAROL ALLEN EXECUTIVE VP & COO 375647 0 138380 0 0 0 38431 0 2073 0 554531 0 0 0 GREGORY GREENLOW CFO & COMPLIANCE OFFICER 281567 0 118327 0 0 0 34514 0 21417 0 455825 0 0 0 WILLIAM BATTLES CHIEF STRATEGY OFFICER 250421 0 60217 0 0 0 35031 0 24056 0 369725 0 0 0 JOHN SLAUGHTER CHIEF INFORMATION OFFICER 238593 0 58277 0 0 0 33456 0 21147 0 351473 0 0 0 MARGOT WINNIFRED WILSON TOWNSEND CHIEF HUMAN RESOURCES OFFI 235632 0 58373 0 0 0 34982 0 2470 0 331457 0 0 0 MAULIK TRIVEDI DIRECTOR, APPLICATION DEVELOPMENT 171529 0 15677 0 0 0 23164 0 8803 0 219173 0 0 0 AMNA MUNIR CONTROLLER 156242 0 31696 0 0 0 16960 0 8712 0 213610 0 0 0 MARGO CLAY DIRECTOR, INFO SECURITY & SERVICE DE 143622 0 14358 0 0 0 19064 0 20686 0 197730 0 0 0 PART I, LINE 1A MONTHLY DUES WERE PAID TO OBTAIN MEMBERSHIP AT THE BUCKHEAD CLUB FOR THE PURPOSE OF CONDUCTING BUSINESS MEETINGS. THE MEMBERSHIP IS IN THE NAME OF DENNIS WHITE AND WAS NOT TREATED AS TAXABLE BENEFIT DUE TO THE BUSINESS PURPOSE OF THE ARRANGEMENT. PART I, LINE 4B ALLIANT HEALTH GROUP INC. MAINTAINS TWO DEFERRED COMPENSATION PLANS, AN IRC SECTION 457(F) PLAN AND SECTION 162 RESTRICTED BONUS PLAN, EFFECTIVE AS OF JULY 1, 2021 FOR CERTAIN EMPLOYEES. THE 457(F) PLAN PROVIDES FOR A RETENTION PAYMENT SHOULD THE PARTICIPANT STILL BE EMPLOYED WITH THE ORGANIZATION ON CERTAIN FUTURE DATES. NO PAYMENTS WERE MADE TO PARTICIPANTS DURING THE TAX YEAR. PLEASE SEE BELOW FOR A SUMMARY OF THE TERMS BY PARTICIPANT. CAROL ALLEN: ELIGIBLE IF STILL EMPLOYED BY THE ORGANIZATION ON DECEMBER 31, 2026 GREG GREENLOW: ELIGIBLE IF STILL EMPLOYED BY THE ORGANIZATION ON DECEMBER 31, 2026 THE SECTION 162 RESTRICTED BONUS PLAN PROVIDES FOR A SPLIT-DOLLAR AGREEMENT WHERE THE ORGANIZATION FUNDS THE PURCHASE OF A LIFE INSURANCE POLICY OWNED BY THE EMPLOYEE AND TAKES BACK A NOTE RECEIVABLE FOR THE AMOUNT OF PREMIUMS PAID PLUS INTEREST. THE EXPECTATION IS THAT THE NOTE RECEIVABLE WOULD BE REPAID FIRST BY THE POLICY PROCEEDS UPON THE DEATH OF THE EMPLOYEE. THE EMPLOYEE WILL VEST IN THE BALANCE OF THE POLICY BASED ON EMPLOYMENT THROUGH 2027. THE ORGANIZATION BEGAN PAYING PREMIUMS UNDER THIS PLAN ON JULY 1, 2022. THIS PLAN INCLUDED THE FOLLOWING PARTICIPANTS DURING THE TAX YEAR: DENNIS WHITE JOHN SLAUGHTER WILLIAM BATTLES MARGOT WILSON TOWNSEND PART I, LINE 7 BONUSES INCLUDE HOLIDAY BONUSES PROVIDED TO ALL EMPLOYEES DURING GOOD FINANCIAL YEARS AND A BONUS POOL FOR THE MANAGEMENT TEAM WHICH IS ALLOCATED BASED ON PERFORMANCE AND THE FINANCIAL RESULTS OF THE PRECEDING FISCAL YEAR. ALL BONUSES ARE APPROVED BY THE EXECUTIVE COMMITTEE. DENNIS WHITE PRESIDENT & CEO SPLIT-DOLLAR LIFE INSURANCE POLICY X 550000 550000 0 1 1 WILLIAM BATTLES CHIEF STRATEGY OFFICER SPLIT-DOLLAR LIFE INSURANCE POLICY X 63058 63058 0 1 1 613058 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO IT BEING FILED. THE DRAFT 990 IS THEN PRESENTED TO THE EXECUTIVE COMMITTEE PRIOR TO IT BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ALLIANT HEALTH GROUP, INC HAS A CONFLICT OF INTEREST POLICY IN PLACE. THE POLICY MUST BE READ AND SIGNED ANNUALLY BY ALL OFFICERS, KEY EMPLOYEES AND BOARD MEMBERS. ANY CONFLICT OF INTEREST IS REQUIRED TO BE DISCLOSED AT THE TIME IT OCCURS OR AT A MINIMUM ANNUALLY. THE CONFLICT OF INTEREST POLICY REQUIRES THAT ANY BOARD MEMBER RECUSE THEMSELVES FROM ANY DECISION REGARDING ANY ENTITY OR INDIVIDUAL OF WHICH THEY HAVE A RELATIONSHIP WITH OR A FINANCIAL INTEREST IN. THE POLICY ALSO COVERS FAMILY MEMBERS. THE ORGANIZATION MONITORS COMPLIANCE THROUGHOUT THE YEAR. AT THE ANNUAL MEETING, THE COMPLIANCE OFFICER REPORTS TO THE BOARD ON ALL COMPLIANCE ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 15 ALLIANT HEALTH GROUP, INC HAS CONDUCTED MARKET RESEARCH RELATED TO PAY PRACTICES WITHIN THE INDUSTRY AND HAS DEVELOPED A TOTAL COMPENSATION STRUCTURE THAT PAYS COMPARABLE TO THE MARKET. IN ADDITION, THE EXECUTIVE COMMITTEE HIRES AN OUTSIDE CONSULTANT TO DO AN EVALUATION OF THE BOARD COMPENSATION, CEO AND TOP MANAGEMENT SALARIES. THIS IS A STANDARD POLICY OF THE BOARD TO REQUEST THIS EVALUATION EVERY 2-3 YEARS. AS A PART OF THE ANNUAL BUDGET APPROVAL PROCESS THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE SALARY INCREASE FOR ALL EMPLOYEES OF THE COMPANY. THE EXECUTIVE COMMITTEE ALSO REVIEWS AND APPROVES THE SALARIES FOR THE CEO AND THE TOP MANAGEMENT ON AN ANNUAL BASIS. DOCUMENTATION IS RECORDED AND MAINTAINED BY THE BOARD'S OUTSIDE COUNSEL. FORM 990, PART VI, SECTION C, LINE 19 BYLAWS, ARTICLES OF INCORPORATION, FINANCIALS, FORM 1023, AND 990S ARE AVAILABLE UPON REQUEST. ALLIANT INTEGRITY INC 1455 LINCOLN PKWY SUITE 800 ATLANTA GA 303462289 262381746 PROVIDE SOLUTIONS TO REDUCE FRAUD & ABUSE WITHIN PUBLIC & PRIVATE HEALTHCARE GA 501(C)(3) LINE 7 ALLIANT HEALTH GROUP INC 1 ALLIANT QUALITY INC 1455 LINCOLN PKWY SUITE 800 ATLANTA GA 303462289 262381792 PROVIDE CUSTOMIZED HEALTHCARE SOLUTIONS ENSURING THE VALUE FOR PATIENTS GA 501(C)(3) LINE 7 ALLIANT HEALTH GROUP INC 1 HEALTHCARE RESEARCHINC 1455 LINCOLN PKWY SUITE 800 ATLANTA GA 303462289 581682155 SOLICIT FUNDS AND AWARDS GRANTS FOR THE PROMOTION OF QUALITY AND COST OF HEA GA 501(C)(3) LINE 7 ALLIANT HEALTH GROUP INC 1 SOUTHEASTERN KIDNEY COUNCIL 100 ST ALBANS DRIVE SUITE 270 RALEIGH NC 27609 561640623 PROMOTING/ADVANCING QUALITY CARE FOR PATIENTS WITH END STAGE RENAL DISEASE NC 501(C)(3) LINE 7 ALLIANT QUALITY INC 1 MEDQUAL INC 1455 LINCOLN PKWY SUITE 800 ATLANTA GA 303462289 581682137 CHART/BILLING REVIEW GA ALLIANT ASO INC C 4701 1.00000 1 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 0 0 ALLIANT HEALTH GROUP INC AND AFFILIATES E 35959883 BOOK ALLIANT HEALTH GROUP INC AND AFFILIATES Q 11809595 BOOK