2024-09-04T08:44:03-05:00 2022-06-30 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2021-07-01 161356734 TRILLIUM HEALTH INC TRIL 5855457200 259 MONROE AVENUE ROCHESTER NY 14607 JASON BARNECUT-KEARNS SENIOR VP/CFO 5855457200 2024-08-30 1 MARY MADONIA P00405803 7168472651 2024-08-30 2021 2024-08-08 14:25:15Z X ANDREA DEMEO 259 MONROE AVENUE ROCHESTER NY 14607 59985697 0 X WWW.TRILLIUMHEALTH.ORG X 1989 NY SEE SCHEDULE O. 13 13 321 46 0 0 6909209 10623814 7670700 48755154 1016120 515264 17962729 38590 33558758 59932822 1135415 1331054 0 0 20781917 20300435 0 0 277648 8972572 35736547 30889904 57368036 2668854 2564786 35215515 31827505 12073833 8736199 23141682 23091306 X TRILLIUM HEALTH, A COMMUNITY HEALTH CENTER, PROVIDES EXTRAORDINARY CARE FOR ALL, INCLUDING LGBTQ+ HEALTH, ENSURING EQUITABLE, JUDGEMENT-FREE AND AFFORDABLE CARE. WE EMBRACE DIVERSITY AND INCLUSION AT ALL OF OUR LOCATIONS. TRILLIUM HEALTH IS DESIGNATED BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION AS AN LGBTQ-AFFIRMING HEALTH CARE EQUALITY LEADER.TRILLIUM HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE. AS A COMMUNITY HEALTH CENTER, TRILLIUM HEALTH PROVIDES COMPREHENSIVE CARE THAT INTEGRATES PHYSICAL AND MENTAL HEALTH WITH PROGRAMS THAT SUPPORT THE SOCIAL NEEDS FOR PEOPLE OF ALL BACKGROUNDS, RACES, AND ETHNICITIES, AND THOSE WHO EXPERIENCE FINANCIAL BARRIERS TO CARE. THILLIUM HEALTH FOCUSES REACHING UNDERSERVED COMMUNITIES REGARDLESS OF ABILITY TO PAY. 0 0 29321755 41878537 TRILLIUM HEALTH OPERATES TWO FULLY-ACCREDITED RETAIL PHARMACIES, DESIGNED FOR CONVENIENCE AND ACCESSIBILITY. PHARMACY SERVICES ARE AVAILABLE TO PATIENTS AT 259 MONROE AVENUE AND 170 SCIENCE PARKWAY IN ROCHESTER, NEW YORK. PRESCRIPTION SERVICES ARE SUPPORTED BY TEXT REMINDERS, FREE HOME DELIVERY, AND 24/7 ACCESS TO MEDICATION TO HELP PREVENT HIV INFECTIONS. OUR PHARMACY'S AVERAGE CO-PAY COMBINED WITH OUR FINANCIAL ASSISTANCE PROGRAMS, HELPS TO KEEP THE COST OF MEDICATION AFFORDABLE. APPROXIMATELY 129,905 PRESCRIPTIONS WERE DISPENSED IN 2022. TRILLIUM HEALTH HAS BOTH MAIL ORDER AND SPECIALTY ACCREDITATIONS FOR ITS PHARMACY AND HAVE CONTRACT PHARMACY AGREEMENTS TO ASSIST OTHER ENTITIES AND FEDERALLY QUALIFIED HEALTH CENTERS. 10933957 6876617 TRILLIUM HEALTH'S COMMUNITY-BASED CLINICS DELIVER HIGH QUALITY AND AFFORDABLE CARE FOR ALL, INCLUDING LGBTQ AND UNDERSERVED POPULATIONS THROUGHOUT THE REGION. SERVICES INCLUDE PRIMARY CARE FOR ADULTS AND CHILDREN; INFECTIOUS DISEASE TESTING AND TREATMENT; AND GYNECOLOGICAL CARE. WE SERVED MORE THAN 10,912 PATIENTS IN 2022, (NOT INCLUDING PATIENTS THAT WERE SEEN FOR COVID-19 TESTING OR VACCINATIONS). WE CONTINUE TO WORK TO INCREASE LINKAGES TO CARE AMONG INDIVIDUALS REPRESENTING COMMUNITIES OF COLOR-FROM 2018-2022, WE'VE EXPERIENCED A 107% INCREASE IN OUR BLACK/AFRICAN-AMERICAN PATIENTS. OUR TRANSGENDER CENTER OF EXCELLENCE HAS GROWN 89% SINCE 2018. OUR CARE DELIVERY PROCESS CONTINUES TO REMAIN NIMBLE TO THE CHANGING HEALTHCARE ENVIRONMENT, RESULTING IN SHORTER PATIENT APPOINTMENT TIMES, MORE EFFECTIVE UTILIZATION OF PATIENT CARE TEAM MEMBERS, IMPROVED CLINICAL WORKFLOW, AND DAILY INTERDISCIPLINARY CROSS-DEPARTMENT COMMUNICATION. 8364116 1331054 78861 TRILLIUM HEALTH'S CARE MANAGEMENT & SUPPORTIVE SERVICES PROGRAMS PROVIDE VITAL SERVICES TO HELP BREAK DOWN HISTORICAL BARRIERS TO HEALTH CARE, SUCH AS TRANSPORTATION, LOW HEALTH LITERACY, LACK OF INSURANCE, HOUSING INSTABILITY, AND FOOD INSECURITY. IN 2022, OVER 8,188 CARE MANAGEMENT SERVICES WERE DELIVERED, PROVIDING MUCH-NEEDED SUPPORT FOR OUR PATIENTS. 48619828 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 187 0 1 321 1 0 0 0 0 0 1 1 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 NY X X THE ORGANIZATION 5855457200 259 MONROE AVENUE ROCHESTER NY 14607 MARCUS KROLL BOARD MEMBER (TO 7/13/21) 1.00 X 0 0 0 LESLIE CONNOLLY BOARD MEMBER/SECRETARY/VICE CHAIR 1.00 X X 0 0 0 JOSEPH SEARLES BOARD MEMBER (TO 9/13/21) 1.00 X 0 0 0 JIM VESPER BOARD MEMBER 1.00 X 0 0 0 DAVID QUICK BOARD MEMBER (TO 10/12/21) 1.00 X 0 0 0 CINDY REDDECK-LIDESTRI MD BOARD MEMBER 1.00 X 0 0 0 BARRY JENCIK BOARD MEMBER 1.00 X 0 0 0 ANNIE BROOKS BOARD MEMBER 1.00 X 0 0 0 CINDY BECKER BOARD MEMBER/CHAIR 1.00 X X 0 0 0 WILLIAM CLARK BOARD MEMBER/TREASURER/VICE CHAIR 1.00 X X 0 0 0 CHRIS SARDELLA BOARD MEMBER/VICE CHAIR 1.00 X X 0 0 0 TODD JUSKO BOARD MEMBER/VICE CHAIR 1.00 X X 0 0 0 BERNADETTE BERNARDO BOARD MEMBER 1.00 X 0 0 0 RAYMOND MAYEWSKI MD BOARD MEMBER 1.00 X 0 0 0 STUART MITCHELL BOARD MEMBER 1.00 X 0 0 0 VICTOR SANCHEZ BOARD MEMBER 1.00 X 0 0 0 ANDREA DEMEO PRESIDENT & CEO (EX-OFFICIO) 37.50 X 435920 0 30161 JASON BARNECUT-KEARNS SVP, CFO 37.50 X 249076 0 28731 MARK MALAHOSKY VP, PHARMACY 37.50 X 209224 0 28589 SARAH BOLDUC SVP, CHIEF MEDICAL OFFICER 37.50 X 293682 0 7372 ANNAMARIA KONTOR STAFF PHYSICIAN 37.50 X 216712 0 4696 MARY CIRANNI-CALLON STAFF PHYSICIAN 37.50 X 273876 0 40497 WILLIAM VALENTI SVP, STRATEGIC ADVANCEMENT 37.50 X 214571 0 17340 JACOB SCUTARO INFECTIOUS DISEASE PHYSICIAN 37.50 X 263499 0 24838 GREG EWING VP COMP & REGULATORY AFFAI 37.50 X 223652 0 30745 ROBERT BIERNBAUM SVP, CHIEF MED OFCR (TO 6/21/21) 37.50 X 131355 0 17369 BILL BELECZ SVP, COO (TO 6/11/21) 37.50 X 262568 0 10942 2774135 0 241280 35 1 1 0 GLAZER OFFICE MANAGEMENT LLC 259 ALEXANDER STREET ROCHESTER NY 14609 PROPERTY RENTS 908427 EXECUTIVE PROTECTION OF MONROE COUNTY I PO BOX 16554 ROCHESTER NY 14616 SECURITY 355810 SCRIPT PRO USA PO BOX 809004 KANSAS CITY MO 64180 PHARMACY SOFTWARE 259750 HARTER SECREST & EMERY LLP 1600 BAUSCH LOMB PLACE ROCHESTER NY 14604 LEGAL CONSULTING 202230 PC RESULTS INC 5 MEADOW WOOD CIRCLE PITTSFORD NY 14534 IT CONSULTING 186186 7 144765 126711 9915774 436564 94679 10623814 PHARMACY SALES 446110 41878537 41878537 PATIENT REVENUE 900099 6876617 6876617 48755154 342406 342406 168582 4276 0 0 168582 4276 172858 172858 12604 126711 52875 -40271 -40271 OTHER REVENUE 900099 78861 78861 78861 59932822 48834015 0 474993 1331054 1331054 1138245 462150 655982 20113 14846569 11053996 3662793 129780 589733 424168 160034 5531 2588210 1861581 702357 24272 1137678 818280 308729 10669 358602 100537 255363 2702 79000 22149 56256 595 102500 28737 72991 772 972996 272788 692877 7331 358979 93615 262058 3306 276307 198575 69404 8328 2144254 2029761 78222 36271 102373 63985 38384 4 153497 153497 1174006 583096 590910 375370 228247 147123 COST OF GOODS SOLD 25826581 25826581 PHARMACEUTICALS 1216642 1216642 PROGRAM SUPPLIES 1162953 1162953 EQUIPMENT EXPENSE 864398 443030 412310 9058 568089 397903 151270 18916 57368036 48619828 8470560 277648 5780241 5410715 1796473 2014770 3160158 1592548 844677 1765848 1824797 556688 796721 11944009 5536551 7439555 6407458 14716552 12935819 35215515 31827505 4358116 4706407 2912444 2573108 4803273 1456684 12073833 8736199 X 23020004 22890103 121678 201203 23141682 23091306 35215515 31827505 X 2564786 -2045128 -570034 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 102500 0 0 0 102500 0 PART II-B, LINE 1: TRILLIUM HEALTH CONTRIBUTED FUNDS TO OTHER ORGANIZATIONS INVOLVED IN THE DEVELOPMENT AND IMPLEMENTATION OF HEALTH CARE, EDUCATION AND ADVOCACY. 210000 210000 2278649 322810 1955839 4754060 1457860 3296200 4672363 3755881 916482 28937 28937 6407458 DEFERRED COMPENSATION 693825 EMPLOYEE BENEFITS PAYABLE 376448 DEFERRED RENT LEVELING 386411 1456684 57940569 -2045128 52875 -1992253 59932822 0 59932822 57990945 622909 622909 57368036 0 57368036 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 52,875. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 52,875. VALUATION ALLOWANCE 570,034. WHITE PARTY 27501 23501 4000 7149 UNFINISHED BUSINESS 111814 103210 8604 14300 13703 3000 11549 1 3174 139315 126711 12604 14300 13703 3000 21872 52875 -40271 1 HOUSING ASSISTANCE 329 877158 CASH PAYMENT UTILITIES ASSISTANCE 12 12929 CASH PAYMENT TRANSPORTATION ASSISTANCE 433 87218 CASH PAYMENT FOOD ASSISTANCE 17013 253489 CASH PAYMENT OTHER ASSISTANCE 212 100260 CASH PAYMENT PART I, LINE 2: TRILLIUM HEALTH, INC. FOLLOWS ALL GRANT GUIDELINES FOR DETERMINING RECIPIENTS AND MONITORING THE ORGANIZATION'S COMPLIANCE. X X X X 1 1 0 0 0 0 0 1 0 ANDREA DEMEO PRESIDENT & CEO (EX-OFFICIO) 273256 0 250 0 162414 0 6697 0 23464 0 466081 0 0 0 MARY CIRANNI-CALLON STAFF PHYSICIAN 228927 0 5250 0 39699 0 5824 0 34673 0 314373 0 0 0 SARAH BOLDUC SVP, CHIEF MEDICAL OFFICER 264453 0 20250 0 8979 0 5852 0 1520 0 301054 0 0 0 JACOB SCUTARO INFECTIOUS DISEASE PHYSICIAN 249300 0 5250 0 8949 0 6026 0 18812 0 288337 0 0 0 JASON BARNECUT-KEARNS SVP, CFO 216421 0 250 0 32405 0 5567 0 23164 0 277807 0 0 0 BILL BELECZ SVP, COO (TO 6/11/21) 113846 0 0 0 148722 0 0 0 10942 0 273510 0 0 0 GREG EWING VP COMP & REGULATORY AFFAI 187636 0 250 0 35766 0 4914 0 25831 0 254397 0 0 0 MARK MALAHOSKY VP, PHARMACY 175728 0 250 0 33246 0 4426 0 24163 0 237813 0 0 0 WILLIAM VALENTI SVP, STRATEGIC ADVANCEMENT 192157 0 250 0 22164 0 3293 0 14047 0 231911 0 0 0 ANNAMARIA KONTOR STAFF PHYSICIAN 207156 0 250 0 9306 0 4196 0 500 0 221408 0 0 0 ROBERT BIERNBAUM SVP, CHIEF MED OFCR (TO 6/21/21) 110901 0 0 0 20454 0 0 0 17369 0 148724 0 0 0 PART I, LINE 4A: BILL BELECZ RECEIVED $133,378 FOR SALARY CONTINUANCE AND LONG TERM RETIREMENT BANK. PART I, LINE 4B: ANDREA DEMEO RECEIVED 457(F) EARNINGS IN THE AMOUNT OF $101,363. IN ADDITION, SHE HAS A SPLIT-DOLLAR LIFE INSURANCE PLAN. SEE SCHEDULE L FOR REPORTING. PART I, LINE 7: THE PRESIDENT IS ELIGIBLE TO RECEIVE AN ANNUAL BONUS AS PART OF THE EMPLOYMENT CONTRACT, WHICH IS DETERMINED BY THE BOARD OF DIRECTORS. THE PRESIDENT DID NOT RECEIVE AN ANNUAL BONUS FOR 2021. ANDREA DEMEO CEO LIFE INSURANCE POLICY X 16298 16637 0 1 1 ANDREA DEMEO CEO LIFE INSURANCE POLICY X 8364 8538 0 1 1 ANDREA DEMEO CEO LIFE INSURANCE POLICY X 16298 16637 0 1 1 ANDREA DEMEO CEO LIFE INSURANCE POLICY X 8364 8538 0 1 1 ANDREA DEMEO CEO LIFE INSURANCE POLICY X 130914 132973 0 1 1 ANDREA DEMEO CEO LIFE INSURANCE POLICY X 34199 34737 0 1 1 ANDREA DEMEO CEO LIFE INSURANCE POLICY X 141951 143022 0 1 1 ANDREA DEMEO CEO LIFE INSURANCE POLICY X 62812 63286 0 1 1 ANDREA DEMEO CEO LIFE INSURANCE POLICY X 305461 306269 0 1 1 ANDREA DEMEO CEO LIFE INSURANCE POLICY X 113739 114040 0 1 1 844677 X 4 93679 FMV X OTHER - IMAGE OUT 1 1000 FMV 0 0 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART I, LINE 1 TRILLIUM HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE. OUR MISSION IS TO PROMOTE HEALTH EQUITY BY PROVIDING PRIMARY AND SPECIALTY HEALTH CARE AND SUPPORTIVE SERVICES TO UNDERSERVED COMMUNITIES AND VULNERABLE POPULATIONS, INCLUDING LGBTQ COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. IN 2022, 38% OF OUR PATIENTS WERE ON MEDICAID, 7% WERE ON MEDICARE, AND 5% HAD OTHER PUBLIC HEALTH INSURANCE OR WERE SELF-PAID. TRILLIUM HEALTH'S COMPREHENSIVE AND COORDINATED MODEL OF CARE HELPS TO LINK AND RETAIN PEOPLE IN CARE, THEREBY OPTIMIZING HEALTH OUTCOMES, AVOIDING UNNECESSARY HOSPITAL VISITS, DECREASING HEALTH CARE COSTS, AND FOSTERING HEALTHIER COMMUNITIES. TRILLIUM HEALTH ADDRESSES THE SOCIAL DETERMINANTS OF HEALTH BY PROVIDING CLINICAL SERVICES, INCLUDING PRIMARY ADULT HEALTH CARE; PRIMARY PEDIATRIC HEALTH CARE; GYNECOLOGICAL CARE; GENDER AFFIRMING HEALTHCARE INCLUDING HORMONE THERAPY THROUGH A TRANSGENDER CENTER OF EXCELLENCE; COMMUNITY HEALTH OUTREACH PROGRAMMING; CARE MANAGEMENT AND SUPPORT SERVICES; AN ON-SITE DIAGNOSTIC LABORATORY; ON-SITE PHARMACIES; TESTING, TREATMENT, AND PREVENTION OF HIV AND STIS, AND MORE. OUR COMMUNITY HEALTH CENTER IN ROCHESTER, NEW YORK, OFFERS PRIMARY, AND SPECIALTY CARE, MENTAL HEALTH, PHARMACY AND DIAGNOSTIC LAB SERVICES, PROGRAMS THAT ADDRESS FOOD AND HOUSING INSECURITY, AND TESTING AND TREATMENT FOR THOSE AT RISK FOR HIV AND HEPATITIS C. WE ALSO OFFER GYNECOLOGICAL CARE & WELLNESS AND PEDIATRICS. TRILLIUM HEALTH IS A LEADER IN NEW YORK'S END THE HIV EPIDEMIC INITIATIVE AND HAS CONTINUED ITS DESIGNATION AS A RYAN WHITE CLINIC. TRILLIUM HEALTH IS ONE OF THE LARGEST PROVIDERS OF PREP (PRE-EXPOSURE PROPHYLAXIS - A ONCE-PER-DAY PILL TO PREVENT HIV) OUTSIDE OF NEW YORK CITY. TRILLIUM HEALTH OPERATES WITHIN A NINE COUNTY SERVICE AREA, SERVING RURAL AREAS OUTSIDE OF ROCHESTER AND THE FINGER LAKES. OUR MAIN CLINIC AT 259 MONROE AVENUE HAS 17 DEDICATED EXAM ROOMS, AND OUR EXPERIENCED MEDICAL TEAM FOCUSES ON DELIVERING PATIENT-CENTERED CARE. TRILLIUM HEALTH SERVED 10,912 PATIENTS IN 2022, WHICH REPRESENTS A 177% INCREASE IN THE PATIENT CENSUS OVER THE PAST FIVE YEARS. OUR MEDICAL PROVIDERS HAD MORE THAN 29,903 VISITS WITH OUR PATIENTS IN 2022. OUR CLINICS HAD AN AVERAGE OF 2,492 VISITS PER MONTH. TRILLIUM HEALTH'S MOBILE ACCESS CLINIC ALSO BRINGS HEALTH CARE TO UNDERSERVED COMMUNITIES. THE MOBILE ACCESS CLINIC IS EQUIPPED WITH TWO PRIVATE EXAM ROOMS AND A DEDICATED WAITING AREA. ITS SERVICES INCLUDE COVID-19 TESTING, COVID-19 VACCINATIONS, TREATMENT FOR ACUTE AND COMMON CONDITIONS, GENERAL WELLNESS CHECK-UPS, STI/HIV TESTING AND TREATMENT, PREVENTION EDUCATION, HELP WITH INSURANCE, AND CONNECTIONS TO CARE. OUR MOBILE ACCESS CLINIC PARTNERS WITH PUBLIC HOUSING FACILITIES AND OTHER COMMUNITY LEADERS TO SIGNIFICANTLY INCREASE TESTING FOR, AND VACCINATIONS AGAINST, COVID-19 IN HIGH-PRIORITY POPULATIONS. THE IMPACT OF THE OPIOID EPIDEMIC ON THE LOCAL COMMUNITY CONTINUES TO AFFECT COMMUNITIES ACROSS THE COUNTRY. TRILLIUM HEALTH'S HARM REDUCTION PROGRAM, WHICH STARTED IN 1993, OFFERS SERVICES TO PEOPLE WHO ARE USING DRUGS AND MEETS THE NEEDS OF COMMUNITY STAKEHOLDERS. OUR HARM REDUCTION PROGRAM OFFERS STIGMA-FREE SUPPORT TO INDIVIDUALS WHO ARE NOT ABSTINENT FROM DRUG USE, PROVIDES EDUCATION TO PREVENT DISEASE AND FATALITY, REACHES VULNERABLE POPULATIONS, AND SERVES AS A POINT OF ENTRY TO CARE AND OTHER SOCIAL SERVICES WHEN CLIENTS ARE READY. IN 2022, OUR SYRINGE EXCHANGE PROGRAM HAD 6,000 ENCOUNTERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE, INDEPENDENT ACCOUNTING FIRM. TRILLIUM HEALTH'S BOARD OF DIRECTORS FINANCE COMMITTEE AND THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR REVIEWING AND APPROVING THE 990 IN DETAIL. COPIES OF THE 990 ARE MADE AVAILABLE TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH A WRITTEN CONFLICT OF INTEREST POLICY. REGULAR TRAININGS REINFORCE THE COMPLIANCE POLICY AT ALL LEVELS OF THE ORGANIZATION AND WHEN ONBOARDING NEW EMPLOYEES. THE ORGANIZATION'S COMPLIANCE PROGRAM IS BASED ON THE FEDERAL AND STATE COMPLIANCE ELEMENTS AND ENFORCED BY THE CHIEF COMPLIANCE OFFICER WHO OVERSEES AND MONITORS ALL COMPLIANCE ACTIVITIES AND WHO REPORTS TO THE CEO. THE CHIEF COMPLIANCE OFFICER REVIEWS AND UPDATES THE ORGANIZATION'S COMPLIANCE PROGRAM AND POLICIES ON AN ANNUAL BASIS OR AS NEEDED TO REFLECT CHANGING RISKS AND EMERGING THREATS, AND PROVIDES PERIODIC UPDATES TO THE ORGANIZATION'S BOARD OF DIRECTORS AND STAFF ON THE ORGANIZATION'S COMPLIANCE ACTIVITIES AND OVERSEES INTERNAL AUDIT ACTIVITIES. THE COMPLIANCE PROGRAM PROMOTES OPEN LINES OF COMMUNICATION FOR SUSPECTED COMPLIANCE VIOLATIONS AND ALLOWS ANONYMOUS REPORTING THROUGH ITS COMPLIANCE HOTLINE. ALL OFFICERS, DIRECTORS, AND EMPLOYEES COMPLETE A CONFLICT OF INTEREST FORM WHEN THEY BEGIN A RELATIONSHIP WITH THE ORGANIZATION AND THEN AGAIN ON AN ANNUAL BASIS. THE CHIEF COMPLIANCE OFFICER REVIEWS THESE FORMS TO IDENTIFY ACTUAL CONFLICTS AND TAKES THE APPROPRIATE STEPS, COORDINATING WITH THE APPROPRIATE RESOURCES TO RESOLVE THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 TRILLIUM HEALTH'S BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO). TO ENSURE THAT THE BOARD HAS THE INFORMATION IT NEEDS TO CARRY OUT THIS RESPONSIBILITY, THE ORGANIZATION ENGAGES AN INDEPENDENT OUTSIDE COMPENSATION AND BENEFITS CONSULTING FIRM TO CONDUCT AN APPROPRIATE, PERIODIC MARKET ANALYSIS OF CEO COMPENSATION AND BENEFITS. THE BOARD UTILIZES THE INFORMATION TO MAKE DECISIONS ABOUT CEO COMPENSATION AND BENEFITS. THE CEO ALSO ENGAGES AN INDEPENDENT OUTSIDE COMPENSATION AND BENEFITS CONSULTING FIRM TO CONDUCT AN APPROPRIATE, PERIODIC MARKET ANALYSIS OF OTHER EXECUTIVE COMPENSATION AND BENEFITS TO ESTABLISH AND MAKE DECISIONS ABOUT COMPENSATION AND BENEFITS FOR EXECUTIVE/KEY MANAGEMENT POSITIONS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S IRS FORM 990 IS AVAILABLE ON THE WEBSITE GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: VALUATION ALLOWANCE -570,034. REASON FOR THIS AMENDED 990 TAX RETURN FILING THIS RETURN IS BEING AMENDED SOLEY TO ATTACH THE TREAS. REG. 1.7872-15(D)(2) WRITTEN REPRESENTATION FOR THE SPLIT-DOLLAR LOAN AGREEMENT TO SCHEDULE L. THIS IS REQUIRED AS A RESULT OF THE SPLIT-DOLLAR LIFE INSURANCE AGREEMENTS SHOWN ON SCHEDULE L, PART II FOR ANDREA DEMEO, CEO. THERE HAVE BEEN NO OTHER CHANGES TO THE FORM 990 OTHER THAN THE ATTACHMENT THAT HAS BEEN ADDED. THE ORIGINAL FORM 990 WAS ELECTRONICALLY FILED IN MAY, 2023. THE TREAS. REG. 1.7872-15(D)(2) ATTACHMENT IS NOT AN IRS APPROVED ATTACHMENT FOR E-FILING. THEREFORE, THIS RETURN IS BEING MAILED TO THE IRS VIA CERTIFIED U.S. MAIL. TRILLIUM HEALTH REAL ESTATE HOLDINGS LLC 259 MONROE AVENUE ROCHESTER NY 14607 824256595 REAL ESTATE HOLDING COMPANY NY 0 2274328 TRILLIUM HEALTH INC PATHWAY PEDIATRICS LLC 259 MONROE AVENUE ROCHESTER NY 14607 203871719 MEDICAL SERVICES NY 0 0 TRILLIUM HEALTH INC