2018-11-13T09:56:30-06:00 2017-12-31 043138777 PKF PC 300 CROWN COLONY DRIVE SUITE 400 QUINCY MA 02169 990 2017-01-01 043397450 ATRIUS HEALTH INC ATRI 6175598181 275 GROVE STREET NO 3-300 NEWTON MA 02466 PATRICK M HOLLAND TREASURER AND CFO 6175598181 2018-11-05 1 ROBERT V DANDROW P00294799 6174220007 199.44.61.252 2018-11-05 10:38:45 ES P BB12664BE1E3D4BC08488640412F20C0F7A39D48 E9C924457B5D275461852EC86B70A375E5271692 2017 2019-02-21 02:37:17Z STEVEN STRONGWATER MD 275 GROVE STREET NO 3-300 NEWTON MA 02466 1959462155 0 X WWW.ATRIUSHEALTH.ORG X 1997 MA STATEMENT 1 AT SCHEDULE O 14 7 6435 0 214606 -27734 7517 21943 1769432593 1852436407 4015582 16496357 7449971 4012697 1780905663 1872967404 46328 22010 0 0 618010062 630592745 0 0 0 1189125548 1202857749 1807181938 1833472504 -26276275 39494900 630778840 660711098 439807846 428493145 190970994 232217953 X WE PROVIDE THE RIGHT CARE WITH KINDNESS AND COMPASSION EVERY DAY FOR EVERY PERSON WE SERVE. 0 0 1731541847 22010 1852314101 STATEMENT 2 AT SCHEDULE O 1731541847 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 205 0 6435 1 1 1 0 0 0 0 0 0 0 0 0 X 14 7 0 0 1 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MA X JEFFREY SAVASTANO 6175598181 275 GROVE STREET SUITE 3-300 NEWTON MA 024662275 THERESA BRESTEN COMMUNITY TRUSTEE (TO 12.31.17) 4.00 X 20000 0 0 PATRICE CLIFFORD COMMUNITY TRUSTEE (TO 12.31.17) 4.00 X 10000 0 0 HELEN DAJER CNM APC TRUSTEE; ASSOC. NURSE LEADER 50.00 X 185484 0 21278 STEVEN FERZOCO MD PHYSICIAN TRUSTEE; CHIEF SURGERY 50.00 X 504830 0 81438 JOO Y KIM MD PHY. T'EE; ASSOC CHAIR INTERNAL MED. 40.00 X 289835 0 117353 DIANE LECLAIR COMMUNITY TRUSTEE (TO 12.31.17) 4.00 X 10000 0 0 LAURA Z LEE MD PHYSICIAN TRUSTEE; CHIEF PEDIATRICS 40.00 X 245730 0 42280 RICHARD MACDONALD COMMUNITY TRUSTEE 4.00 X 10000 0 0 ROBERT MECHANIC COMMUNITY TRUSTEE 4.00 X 10000 0 0 SCOTT R PERMAN MD PHYSICIAN TRUSTEE; INTERNIST 50.00 X 476435 0 33675 VINOD SAHNEY PHD COMMUNITY TRUSTEE 4.00 X 10000 0 0 ELIZA P SHULMAN DO MPH PHY. T'EE; SR. CHIEF INNOVATION ENG. 50.00 X 276392 0 100662 GUY A SPINELLI MD PHY. T'EE; BOARD CHAIR; INTERNIST 50.00 X 499586 0 67359 LESLIE TESO-LICHTMAN COMMUNITY TRUSTEE 4.00 X 10000 0 0 PATRICK M HOLLAND TREASURER AND CFO 50.00 X 548366 0 149479 KIMBERLY L NELSON CLERK; CHIEF LEGAL OFFICER 50.00 X 361709 0 128586 STEVEN L STRONGWATER MD PRESIDENT AND CEO 50.00 X 868504 0 344145 ELYSE A KAPLAN CHIEF PEOPLE OFFICER 50.00 X 321258 0 78217 JOE KIMURA MD CHIEF MEDICAL OFFICER 50.00 X 415228 0 167634 RICHARD LOPEZ MD SVP OF POPULATION HEALTH;VNA CMO 45.00 5.00 X 401219 44579 145782 DANIEL D MORIARTY CIO 50.00 X 396893 0 146543 RACHEL ROSENBLUM MHA COO (EFF. 4.9.2017) 50.00 X 280862 0 87707 MARCI SINDELL CHIEF STRATEGY OFF.;SVP EXT. AFFAIRS 50.00 X 356292 0 130551 LOUIS A BLEY MD CHIEF ORTHOPEDICS 50.00 X 965210 0 65001 RALPH A IANNUZZI MD REGIONAL MEDICAL DIRECTOR 50.00 X 859526 0 42515 PETER S KIM MD ORTHOPEDIST 50.00 X 778810 0 56664 KAI MITHOEFER MD ORTHOPEDIST 50.00 X 845622 0 33019 JAMES E PHILLIPS MD ORTHOPEDIST 50.00 X 920320 0 50943 WILLIAM BOYD MD ASSOCIATE CMO; FMR SVP NO. REGION 50.00 X 382919 0 147815 DANIEL C BURNES MD DERMATOLOGIST; FMR TRANS. PRES/CEO 27.80 X 233403 0 48216 ROBERT CALWAY FMR CLERK; FMR SVP SO. REGION 0.00 X 111525 0 10696 MICHAEL K PINNOLIS MD OPHTHALMOLOGIST; FORMER CMO 36.10 X 272335 0 42800 LESLIE E SCHWAB MD INTERNIST; FORMER CMO 25.00 X 149213 0 18867 LELAND J STACY FORMER TREASURER AND CFO 0.00 X 399343 0 27301 12426849 44579 2386526 1366 1 1 0 AMERICAN CLEANING 28 STATE STREET BOSTON MA 02109 CLEANING SERVICES 3641520 ASSOCIATED REG & UNIVERSITY PATHOLOGIST PO BOX 27964 SALT LAKE CITY UT 84127 PATHOLOGY SERVICES 1517612 QUEST DIAGNOSTICS 5763 COLLECTION CENTER DRIVE CHICAGO IL 60693 LABORATORY SERVICES 1475495 AP STAFFING 133 FEDERAL STREET BOSTON MA 02110 STAFFING SERVICES 1436565 COMMONWEALTH RADIOLOGY ASSOCIATES 1342 BELMONT STREET BROCKTON MA 02301 RADIOLOGY SERVICES 1028765 46 21943 21943 CAPITATION FEES 621110 1319819955 1319819955 FEE FOR SERVICE 621110 426924058 426801752 122306 MEDICARE/MEDICAID 621110 83423836 83423836 OTHER 621110 22268558 22268558 1852436407 17637933 17637933 3233233 0 3233233 3233233 92300 3140933 85353175 86494751 -1141576 -1141576 -1141576 SUBPART F - FORMS 5471 524298 779464 779464 779464 1872967404 1852314101 214606 20416754 X 22010 22010 13611944 9686458 3925486 488290789 434294956 53995833 33654975 29782870 3872105 63618241 55597410 8020831 31416796 27802200 3614596 828177 93221 734956 293836 293836 53000 53000 754985782 751416366 3569416 1020443 15347 1005096 20454564 16643553 3811011 15685205 721044 14964161 49082549 45487520 3595029 374323 238998 135325 168344 83158 85186 26958283 26765481 192802 12170009 12072759 97250 PHARMACY EXPENSE 285558802 285551445 7357 MEDICAL SUPPLIES 29684219 29673838 10381 BAD DEBT AND COLLECTION 5540213 5540213 1833472504 1731541847 101930657 0 83383 89830 74849458 153584592 66685304 75362885 305962 61193 14665315 12836542 83255927 77769455 576976035 332358584 262874230 244617451 124641695 92272091 1184286 2037736 2233280 2079323 630778840 660711098 267956570 263375130 4162661 4146495 97293573 91697620 70083000 68795836 312042 478064 439807846 428493145 X 190970994 232217953 190970994 232217953 630778840 660711098 X 39494900 1776083 -24024 X 0 1 X 1 0 X 42475 36833 14510 7517 21943 123278 1273889842 1452199294 1558108102 1769305751 1852314101 7905817090 1273932317 1452236127 1558122612 1769313268 1852336044 7905940368 0 0 0 7905940368 11551933 11453249 16690117 10278256 21650630 71624185 44665 19348 64013 11551933 11453249 16734782 10297604 21650630 71688198 1285484250 1463689376 1574857394 1779610872 1873986674 7977628566 0.99100 0.99150 0.00900 0.00850 X 0 1 0 0 0 0 1 31000 0 1 54000 85000 0 PART II-B, LINE 1: ATRIUS HEALTH IS AN INNOVATIVE 501 (C)3 TAX EXEMPT NON-PROFIT HEALTHCARE ORGANIZATION THAT DELIVERS A SYSTEM OF CONNECTED CARE TO 720,000 PATIENTS ACROSS EASTERN MASSACHUSETTS. IN FULFILLMENT OF THE ATRIUS HEALTH MISSION TO PROVIDE THE RIGHT CARE WITH KINDNESS AND COMPASSION EVERY DAY TO EVERY PERSON THAT WE SERVE, ATRIUS HEALTH ADVOCATES ON ISSUES ON BEHALF OF OUR CLINICIANS, EMPLOYEES AND PATIENTS ON ISSUES SUCH AS PAYMENT REFORM, HEALTH CARE REFORM, PHARMACY AND ISSUES AFFECTING EMPLOYERS TO INCREASE THE QUALITY OF CARE AND HEALTH OF OUR COMMUNITY, MAKE CARE MORE AFFORDABLE, IMPROVE THE PATIENT EXPERIENCE AND CREATE A MEANINGFUL WORK EXPERIENCE. 38147594 38147594 255190483 97307395 157883088 81232591 62224728 19007863 199873632 172826461 27047171 2531735 2531735 244617451 CAPITAL LEASE OBLIGATION 231224 DUE TO AFFILIATES 246840 478064 X X X X X 1 1 0 0 0 0 0 0 0 HELEN DAJER CNM APC TRUSTEE; ASSOC. NURSE LEADER 177422 0 6581 0 1481 0 17368 0 3910 0 206762 0 965 0 STEVEN FERZOCO MD PHYSICIAN TRUSTEE; CHIEF SURGERY 503588 0 0 0 1242 0 31480 0 49958 0 586268 0 0 0 JOO Y KIM MD PHY. T'EE; ASSOC CHAIR INTERNAL MED. 274421 0 0 0 15414 0 63684 0 53669 0 407188 0 0 0 LAURA Z LEE MD PHYSICIAN TRUSTEE; CHIEF PEDIATRICS 237625 0 0 0 8105 0 40643 0 1637 0 288010 0 6863 0 SCOTT R PERMAN MD PHYSICIAN TRUSTEE; INTERNIST 456215 0 0 0 20220 0 27000 0 6675 0 510110 0 0 0 ELIZA P SHULMAN DO MPH PHY. T'EE; SR. CHIEF INNOVATION ENG. 270657 0 1575 0 4160 0 45923 0 54739 0 377054 0 0 0 GUY A SPINELLI MD PHY. T'EE; BOARD CHAIR; INTERNIST 471908 0 1500 0 26178 0 27000 0 40359 0 566945 0 0 0 PATRICK M HOLLAND TREASURER AND CFO 546044 0 0 0 2322 0 122371 0 27108 0 697845 0 0 0 KIMBERLY L NELSON CLERK; CHIEF LEGAL OFFICER 339614 0 0 0 22095 0 114511 0 14075 0 490295 0 17121 0 STEVEN L STRONGWATER MD PRESIDENT AND CEO 834201 0 0 0 34303 0 316403 0 27742 0 1212649 0 12739 0 ELYSE A KAPLAN CHIEF PEOPLE OFFICER 314400 0 0 0 6858 0 73700 0 4517 0 399475 0 0 0 JOE KIMURA MD CHIEF MEDICAL OFFICER 381672 0 0 0 33556 0 141628 0 26006 0 582862 0 0 0 RICHARD LOPEZ MD SVP OF POPULATION HEALTH;VNA CMO 381010 42334 0 0 20209 2245 119840 13316 11363 1263 532422 59158 17001 1889 DANIEL D MORIARTY CIO 373397 0 0 0 23496 0 123364 0 23179 0 543436 0 18522 0 RACHEL ROSENBLUM MHA COO (EFF. 4.9.2017) 279201 0 0 0 1661 0 78446 0 9261 0 368569 0 0 0 MARCI SINDELL CHIEF STRATEGY OFF.;SVP EXT. AFFAIRS 331414 0 0 0 24878 0 102850 0 27701 0 486843 0 3146 0 LOUIS A BLEY MD CHIEF ORTHOPEDICS 962990 0 0 0 2220 0 31020 0 33981 0 1030211 0 0 0 RALPH A IANNUZZI MD REGIONAL MEDICAL DIRECTOR 836552 0 0 0 22974 0 41100 0 1415 0 902041 0 0 0 PETER S KIM MD ORTHOPEDIST 778270 0 0 0 540 0 27000 0 29664 0 835474 0 0 0 KAI MITHOEFER MD ORTHOPEDIST 824970 0 0 0 20652 0 27000 0 6019 0 878641 0 0 0 JAMES E PHILLIPS MD ORTHOPEDIST 898168 0 1500 0 20652 0 24300 0 26643 0 971263 0 0 0 WILLIAM BOYD MD ASSOCIATE CMO; FMR SVP NO. REGION 364087 0 0 0 18832 0 118978 0 28837 0 530734 0 16612 0 DANIEL C BURNES MD DERMATOLOGIST; FMR TRANS. PRES/CEO 226358 0 0 0 7045 0 23689 0 24527 0 281619 0 0 0 ROBERT CALWAY FMR CLERK; FMR SVP SO. REGION 0 0 0 0 111525 0 0 0 10696 0 122221 0 111525 0 MICHAEL K PINNOLIS MD OPHTHALMOLOGIST; FORMER CMO 264763 0 0 0 7572 0 20581 0 22219 0 315135 0 0 0 LESLIE E SCHWAB MD INTERNIST; FORMER CMO 142860 0 0 0 6353 0 14607 0 4260 0 168080 0 0 0 LELAND J STACY FORMER TREASURER AND CFO 9312 0 0 0 390031 0 618 0 26683 0 426644 0 386250 0 PART I, LINES 4A-B SCHEDULE J, QUESTION 4A - INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A WHO RECEIVED SEVERANCE PAYMENTS IN 2017 ROBERT CALWAY - $ 113,884 PAID IN 2017; $0 UNPAID AT 12.31.17 LELAND J. STACY - $ 386,250 PAID IN 2017; $ 15,450 UNPAID AT 12.31.17 SCHEDULE J, QUESTION 4B - INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A WHO PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. LOUIS BLEY; WILLIAM BOYD; DANIEL BURNES; STEVEN FERZOCO; RALPH IANNUZZI; YOO KIM; PETER KIM; JOSEPH KIMURA; LAURA LEE; RICHARD LOPEZ; KAI MITHOEFER; SCOTT PERMAN; JAMES PHILLIPS; MICHAEL PINNOLIS; LESLIE SCHWAB; ELIZA SHULMAN; GUY SPINELLI; STEVEN STRONGWATER A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57586CCZ6 2014-04-22 29980000 FINANCE ACQUISITION OF 4 PRACTICE FACILITIES 0 0 0 B MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 2012-04-25 86095000 REFINANCE CAPITAL COSTS (NOTE 1) 0 0 0 A 5802380 29980000 29980000 2004 1 0 1 1 B 18575000 86095000 68256651 568546 17269803 2012 1 0 1 1 A 0 1 0 0 0.03000 0.03000 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART 1, LINE B, COLUMN F - NOTE 1 THE 2012 ISSUE REFINANCED THE 2007 ISSUE. THE PROCEEDS OF THE 2012 ISSUE WERE USED TO: RETIRE THE 2007 ISSUE - $68,256,651; PAY ISSUANCE COSTS - $568,546; AND PAY THE SWAP TERMINATION CHARGES - $17,269,803 (PART II, LINE 11 - OTHER SPENT PROCEEDS). FORM 990, PART I, LINE 1 ATRIUS HEALTH'S MOST SIGNIFICANT ACTIVITIES ARE: 1) PROVIDING OUTSTANDING HEALTHCARE FOR PATIENTS ACROSS EASTERN MASSACHUSETTS, 32 CLINICAL SITES FROM CHELMSFORD IN THE NORTH TO CAPE COD IN THE SOUTH AND TO RT 495 IN THE WEST. INNOVATING THE WAY IN WHICH CARE IS DELIVERED. 2) TEACHING THE NEXT GENERATION OF CLINICIANS, INCLUDING MEDICAL STUDENTS AND RESIDENTS FROM HARVARD MEDICAL SCHOOL AND TUFTS MEDICAL SCHOOL, AS WELL AS MASSACHUSETTS COLLEGE OF PHARMACY AND OTHER NURSING AND ANCILLARY PROGRAMS 3) CONDUCTING CLINICAL RESEARCH LARGELY AIMED AT IMPROVING THE WAY IN WHICH CARE IS DELIVERED. STATEMENT 2: DESCRIPTION OF ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS ATRIUS HEALTH PROVIDES OUTSTANDING AND INNOVATIVE HEALTHCARE TO PATIENTS ACROSS EASTERN MASSACHUSETTS, IN 32 CLINICAL SITES FROM CHELMSFORD IN THE NORTH TO CAPE COD IN THE SOUTH AND TO RT 495 IN THE WEST. IN 2017 THE ORGANIZATION PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS APPROXIMATELY 608,000 PATIENTS THROUGH 2,371,031 PATIENT VISITS (INCLUDING 144,097 MEDICAID VISITS AND 531,752 MEDICARE VISITS). THE ORGANIZATION PARTICIPATED IN EDUCATIONAL AND TRAINING PROGRAMS FOR THE NEXT GENERATION OF CLINICIANS, INCLUDING RESIDENTS, FELLOWS, MEDICAL STUDENTS, NURSING STUDENTS, PA STUDENTS, PHARMACY STUDENTS AND PT STUDENTS FROM HARVARD MEDICAL SCHOOL, TUFTS MEDICAL SCHOOL, COLLEGE OF PHARMACY AND OTHER PROGRAMS. SUCH PROGRAMS INCLUDED 300 CLINICIAN TEACHERS, TEACHING 346 STUDENTS AND ANOTHER 35 STUDENTS PARTICIPATING IN A SHADOWING ROTATION. THE ORGANIZATION CONDUCTED CLINICAL RESEARCH LARGELY AIMED AT IMPROVING THE WAY IN WHICH CARE IS DELIVERED. FORM 990, PART VI, SECTION A, LINE 4 IN 2017 THE ATRIUS HEALTH BYLAWS ("BYLAWS") WERE AMENDED TO INCLUDE THE FOLLOWING CHANGES: (I) ONE OF THE PHYSICIAN TRUSTEE SEATS WAS TRANSITIONED TO AN ADVANCED PRACTICE CLINICIAN TRUSTEE; AND (II) A NEW SECTION WAS ADDED TO FORMALLY STATE THAT THE ATRIUS HEALTH BOARD ALSO SERVES AS THE ATRIUS HEALTH ACCOUNTABLE CARE ORGANIZATION BOARD OF TRUSTEES AS APPROPRIATE. FORM 990, PART VI, SECTION A, LINE 6 THE VOTING MEMBERS OF THE CORPORATION ("VMOCS") ARE EMPLOYED PHYSICIANS WHO HAVE BEEN EMPLOYED BY THE ORGANIZATION FOR 2 YEARS AND ACHIEVE VMOC STATUS IN ACCORDANCE WITH ORGANIZATION'S POLICY AND PROCEDURES. FORM 990, PART VI, SECTION A, LINE 7A THE VMOCS ELECT THE PHYSICIAN TRUSTEES WHO SERVE ON THE ORGANIZATION'S BOARD OF TRUSTEES. THE VMOCS HAVE NO STATUTORY OR OTHER GOVERNANCE RIGHTS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO REVIEW AND PREPARE THE FORM 990. AN INTERNAL TEAM INCLUDING STAFF FROM THE ORGANIZATION'S LEGAL, ACCOUNTING, AND HUMAN RESOURCES DEPARTMENTS WORKS CLOSELY WITH THE OUTSIDE FIRM TO PREPARE THE DOCUMENT. THE SECTIONS OF THE FORM 990 RELATED TO COMPENSATION WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD, WHOSE VOTING MEMBERS ARE CERTAIN INDEPENDENT COMMUNITY TRUSTEES. THE FORM 990 IN ITS ENTIRETY IS REVIEWED AND APPROVED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, WHOSE VOTING MEMBERS ARE CERTAIN INDEPENDENT COMMUNITY TRUSTEES. MATERIAL ISSUES (IF ANY) WOULD BE HIGHLIGHTED IN THE OUTSIDE FIRM'S PRESENTATION TO THE AUDIT AND COMPLIANCE COMMITTEE BEFORE FILING. PRIOR TO FILING, THE FULL BOARD OF TRUSTEES RECEIVES A FINAL COPY OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S OFFICERS, TRUSTEES, KEY EMPLOYEES, SENIOR MANAGERS AND CERTAIN OTHER EMPLOYEES AS APPROPRIATE ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS AS DEFINED BY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, WHICH INCORPORATES THE IRS CONFLICT OF INTEREST RECOMMENDATIONS.. THE RESPONSES ARE REVIEWED BY THE CHIEF LEGAL OFFICER. IN THE EVENT A CONFLICT IS DISCLOSED THE CHIEF LEGAL OFFICER REVIEWS SUCH CONFLICT WITH THE CHAIR OF THE GOVERNANCE COMMITTEE. IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY, ANY SUCH DISCLOSURE THAT MEETS THE DEFINITION OF A POTENTIAL CONFLICT IS REVIEWED BY THE BOARD OF TRUSTEES AND ADDRESSED AS DIRECTED BY THE BOARD. IN ACCORDANCE WITH THE POLICY, OFFICERS, TRUSTEES, KEY EMPLOYEES, SENIOR MANAGERS AND CERTAIN OTHER EMPLOYEES AS APPROPRIATE ARE EXPECTED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST THAT ARISES DURING THE YEAR AND ANY SUCH POTENTIAL CONFLICT WOULD BE REVIEWED IN ACCORDANCE WITH THE PROCESS NOTED ABOVE. FORM 990, PART VI, SECTION B, LINE 15 CERTAIN COMMUNITY TRUSTEES, WHO MEET THE IRS'S DEFINITION OF INDEPENDENCE, SERVE AS THE VOTING MEMBERS OF THE COMPENSATION COMMITTEE, A COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES. IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS, THE COMPENSATION COMMITTEE: (I) CONSULTS WITH A NATIONALLY RECOGNIZED COMPENSATION CONSULTING COMPANY TO ASSIST IT IN DETERMINING THAT COMPENSATION RANGES AND STRUCTURES ARE REASONABLE (AS DEFINED BY APPLICABLE INTERNAL REVENUE SERVICE (IRS) REGULATIONS AND RULINGS); AND (II) ADOPTS AND IMPLEMENTS POLICIES AND PROCEDURES CONSISTENT WITH SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED FROM TIME TO TIME, AND THE REGULATIONS ISSUED THEREUNDER. THE COMPENSATION COMMITTEE APPROVES COMPENSATION FOR ALL OFFICERS AND KEY EMPLOYEES BASED ON RESEARCH AND STATEMENTS OF REASONABLENESS FROM NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS WHO PROVIDE AN ANALYSIS OF THE MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION. ANNUALLY THE COMPENSATION COMMITTEE APPROVES THE ORGANIZATIONAL GOALS AND RELATED METRICS FOR THE CEO, OFFICERS AND KEY EMPLOYEES. THE KEY CRITERIA FOR OFFICERS, KEY EMPLOYEES AND PHYSICIANS ARE MARKET COMPETITIVENESS, ORGANIZATIONAL ACHIEVEMENT AND INDIVIDUAL PERFORMANCE. CEO COMPENSATION IS BASED ON MARKET COMPETITIVENESS, AN EVALUATION OF INDIVIDUAL PERFORMANCE, AN ASSESSMENT OF ACHIEVEMENT OF ORGANIZATIONAL GOALS AND SUBJECTIVE AND OBJECTIVE MEASUREMENTS APPROVED BY THE COMPENSATION COMMITTEE. COMPENSATION DECISIONS BY THE COMPENSATION COMMITTEE ARE MADE IN ADVANCE OF IMPLEMENTATION AND ARE PROPERLY DOCUMENTED ON A TIMELY BASIS IN COMPENSATION COMMITTEE MINUTES. ALL COMPENSATION DECISIONS RELATED TO OFFICERS AND KEY EMPLOYEES AND THE PHYSICIAN COMPENSATION MODELS MUST BE APPROVED BY THE ORGANIZATION'S COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE ATTACHED TO THE MA FORM PC FILED WITH THE ATTORNEY GENERAL'S OFFICE, WHICH IS AVAILABLE TO THE PUBLIC FOR INSPECTION. THE ARTICLES OF ORGANIZATION ARE AVAILABLE AT THE MASSACHUSETTS SECRETARY OF STATE'S OFFICE, INCLUDING THROUGH ITS WEBSITE. OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT GENERALLY AVAILABLE TO THE PUBLIC. REQUESTS FOR COPIES OF SUCH DOCUMENTS ARE CONSIDERED ON A CASE BY CASE BASIS. FORM 990, PART IX, LINE 11G OUTSIDE UTILIZATION CHARGES (CAPITATION CONTRACTS): PROGRAM SERVICE EXPENSES 736,265,548. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 736,265,548. OTHER SERVICES: PROGRAM SERVICE EXPENSES 15,150,818. MANAGEMENT AND GENERAL EXPENSES 3,569,416. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,720,234. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN AFFILIATE -24,024. ATRIUS HEALTH FOUNDATION INC 275 GROVE STREET SUITE 3-300 NEWTON MA 02466 264517944 SUPPORT ATRIUS HEALTH AND ITS PARTICIPATING ORGANIZATIONS MA 501(C)(3) LINE 12B, II ATRIUS HEALTH INC 1 VISITING NURSE ASSOCIATION OF BOSTON INC 500 RUTHERFORD AVENUE CHARLESTOWN MA 02129 042105800 HOME HEALTH CARE MA 501 (C)(3) LINE 11 VISITING NURSE ASSN OF BOSTON FOUNDATION INC 1 VISITING NURSE ASSOCIATION OF BOSTON FOUNDATION INC 500 RUTHERFORD AVENUE CHARLESTOWN MA 02129 042880614 FUNDRAISING MA 501 (C)(3) LINE 7 VNA CARE NETWORK FOUNDATION INC 1 VISITING NURSE ASSOCIATION OF BOSTON MANAGMENT RESOURCES INC 500 RUTHERFORD AVENUE CHARLESTOWN MA 02129 042880108 MANAGEMENT SERVICES MA 501 (C)(3) LINE 11 VISITING NURSE ASSN OF BOSTON FOUNDATION INC 1 VNA CARE HOSPICE INC 120 THOMAS STREET WORCESTER MA 01608 043217872 HOSPICE CARE MA 501 (C)(3) LINE 11 VNA CARE NETWORK FOUNDATION INC 1 VNA CARE NETWORK FOUNDATION INC 120 THOMAS STREET WORCESTER MA 01608 042794849 MANAGEMENT SERVICES MA 501 (C)(3) LINE 11 ATRIUS HEALTH INC 1 VNA CARE NETWORK INC 120 THOMAS STREET WORCESTER MA 01608 042103825 HOME HEALTH CARE MA 501 (C)(3) LINE 11 VNA CARE NETWORK FOUNDATION INC 1 VNA CARE ADVANTAGE INC 120 THOMAS STREET WORCESTER MA 01608 042953171 DAY CARE MA 501 (C)(3) LINE 11 VNA CARE NETWORK FOUNDATION INC 1 VNA FIRST CHOICE INC 120 THOMAS STREET WORCESTER MA 01608 812016808 PROVIDE TEMPORARY STAFFING MA 501 (C)(3) LINE 11 VNA CARE NETWORK FOUNDATION INC 1 HOME STAFF LLC 40 MILLBROOK STREET WORCESTER MA 01606 421757904 HOME CARE (INTEREST SOLD 2.1.17) MA N/A DEDHAM MEDICAL URGENT CARE CTR AFFILIATED WITH BID MED CTR LLC 1177 PROVIDENCE HWY NORWOOD MA 02062 463745783 URGENT HEALTH CARE SERVICES (CEASED OPERATIONS IN 2017) MA ATRIUS HEALTH INC RELATED -156207 0 1 0.65000 VNA PRIVATE CARE INC 150 GRANITE STREET UNIT 1104 BRAINTREE MA 02184 201916670 PRIVATE DUTY HOME CARE (DISSOLVED EFFECTIVE 12.31.17) MA N/A C 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 VNA CARE NETWORK FOUNDATION INC K 86828 COST VNA CARE NETWORK FOUNDATION INC L 826750 COST VNA CARE NETWORK INC M 1114527 COST VISITING NURSE ASSOCIATION OF BOSTON INC M 215255 COST