2017-11-14T11:55:53-06:00 2016-12-31 043138777 PKF PC 300 CROWN COLONY DRIVE SUITE 400 QUINCY MA 02169 990 2016-01-01 043397450 ATRIUS HEALTH INC ATRI 6175598181 275 GROVE STREET NO 3-300 NEWTON MA 02466 PATRICK M HOLLAND TREASURER AND CFO 6175598181 2017-11-08 1 ROBERT V DANDROW P00294799 6174220007 96.86.101.153 2017-11-08 08:42:28 ES P 740422934F62E9BE416042B99E120C1CA73D1CB0 740422934F62E9BE416042B99E120C1CA73D1CB0 2016 2017-02-10 21:41:12Z STEVEN STRONGWATER MD 275 GROVE STREET NO 3-300 NEWTON MA 02466 1851794322 0 X WWW.ATRIUSHEALTH.ORG X 1997 MA STATEMENT 1 AT SCHEDULE O 16 7 6433 0 1148411 605785 14510 7517 1558247089 1769432593 11029992 4015582 7742640 7449971 1577034231 1780905663 0 46328 0 0 563999293 618010062 0 0 0 1041512285 1189125548 1605511578 1807181938 -28477347 -26276275 656376993 630778840 435418326 439807846 220958667 190970994 X WE PROVIDE THE RIGHT CARE WITH KINDNESS AND COMPASSION EVERY DAY FOR EVERY PERSON WE SERVE. 0 0 1705344178 46328 1769305751 STATEMENT 2 AT SCHEDULE O 1705344178 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 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 236 0 6433 1 1 1 0 0 0 0 0 0 0 0 0 X 16 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 NEIL J BERMAN MD PHY. T'EE THRU 2016;CHIEF CARDIOLOGY 50.00 X 412753 0 67327 THERESA BRESTEN COMMUNITY TRUSTEE 4.00 X 10000 0 0 PATRICE CLIFFORD COMMUNITY TRUSTEE 4.00 X 10000 0 0 HELEN DAJER CNM APC TRUSTEE; ASSOC. NURSE LEADER 50.00 X 188584 0 18626 STEVEN FERZOCO MD PHYSICIAN TRUSTEE; CHIEF SURGERY 50.00 X 598917 0 74111 RALPH A IANNUZZI MD PHY. T'EE THRU 2016;REG. MED. DIR. 50.00 X 881727 0 25241 HIKARU ISIHARA MD PHY. T'EE THRU 2016;INTERNIST 37.50 X 257767 0 109155 DIANE LECLAIR COMMUNITY TRUSTEE 4.00 X 10000 0 0 LAURA Z LEE MD PHYSICIAN TRUSTEE; CHIEF PEDIATRICS 40.00 X 286203 0 41610 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 414893 0 32905 VINOD SAHNEY PHD COMMUNITY TRUSTEE 4.00 X 10000 0 0 GUY A SPINELLI MD PHY. T'EE; BOARD CHAIR; INTERNIST 50.00 X 572787 0 64852 MARK STOCKMAN MD PHY. T'EE THRU 2016; CARDIOLOGIST 50.00 X 397429 0 65770 LESLIE TESO-LICHTMAN COMMUNITY TRUSTEE 4.00 X 10000 0 0 PATRICK M HOLLAND TREASURER AND CFO EFF. 10.24.16 50.00 X 84517 0 3023 KIMBERLY L NELSON CLERK; CHIEF LEGAL OFFICER 50.00 X 355511 0 64638 LELAND J STACY TREASURER AND CFO TO 10.24.16 50.00 X 462763 0 450666 STEVEN L STRONGWATER MD PRESIDENT AND CEO 50.00 X 1036347 0 128725 WILLIAM BOYD MD SVP NORTHERN REGION 50.00 X 371213 0 87417 ROBERT CALWAY SVP SOUTH-WEST REGION TO 10.31.16 50.00 X 238222 0 252955 JOE KIMURA MD CHIEF MEDICAL OFFICER 50.00 X 414351 0 76946 STEVEN LAMPERT MD CHIEF CLINICAL OFFICER TO 10.15.16 50.00 X 387021 0 37469 RICHARD LOPEZ MD SVP OF POPULATION HEALTH; VNA CMO 45.00 5.00 X 401302 44590 75945 DANIEL D MORIARTY CIO 50.00 X 385311 0 86009 MARCI SINDELL CHIEF STRATEGY OFF.;SVP EXT. AFFAIRS 50.00 X 340794 0 59309 LOUIS A BLEY MD CHIEF ORTHOPEDICS 50.00 X 914573 0 56330 DANIEL MISHKIN MD CHIEF GASTROENTEROLOGY 44.00 X 770739 0 61185 KAI MITHOEFER MD ORTHOPEDIST 50.00 X 842235 0 30102 JAMES E PHILLIPS MD ORTHOPEDIST 50.00 X 880974 0 48538 STEVEN SHIELDS MD GASTROENTEROLOGIST 50.00 X 910502 0 55136 DANIEL C BURNES MD FMR TRANS. PRES/CEO; DERMATOLOGIST 27.80 X 329195 0 51107 KATHLEEN T GARDNER FMR CHIEF ADM. OFFICER 50.00 X 284307 0 38975 LESLIE E SCHWAB MD FORMER CMO; INTERNIST 25.00 X 138450 0 17715 13629387 44590 2181787 1299 1 1 0 AMERICAN CLEANING 28 STATE STREET BOSTON MA 02109 CLEANING SERVICES 2952352 QUEST DIAGNOSTICS 5763 COLLECTION CENTER DRIVE CHICAGO IL 60693 LABORATORY SERVICES 1656866 ASSOCIATED REG & UNIVERSITY PATHOLOGIST PO BOX 27964 SALT LAKE CITY UT 84127 PATHOLOGY SERVICES 1619730 GOODMAN FACTORS PO BOX 29647 DALLAS TX 75229 STAFFING SERVICES 1436565 COMMONWEALTH RADIOLOGY ASSOCIATES 1342 BELMONT STREET BROCKTON MA 02301 RADIOLOGY SERVICES 1217312 44 7517 7517 CAPITATION FEES 621110 1279305739 1279305739 FEE FOR SERVICE 621110 399185195 399058353 126842 MEDICARE/MEDICAID 621110 71313520 71313520 OTHER 621110 19628139 19628139 1769432593 2735795 2735795 2929733 0 2929733 2929733 97071 2832662 70504663 1663783 70405518 483141 99145 1180642 1279787 998984 280803 SUBPART F - FORMS 5471 524298 4612728 4612728 PASS-THRU FROM PARTNERSHIP 531390 19348 19348 PASS-THRU FROM PARTNERSHIP 531120 -111838 -93834 -18004 4520238 1780905663 1769305751 1148411 10443984 X 46328 46328 14990993 12401268 2589725 478626528 425607725 53018803 31426207 27887708 3538499 62742058 53982663 8759395 30224276 26821111 3403165 893926 85162 808764 462606 462606 60000 60000 740809009 737680925 3128084 1229158 39520 1189638 23919305 19269295 4650010 15764294 480758 15283536 50371528 46568174 3803354 867683 386653 481030 346501 217306 129195 27363914 27204279 159635 12034589 11944893 89696 PHARMACY EXPENSE 274112732 274105858 6874 MEDICAL SUPPLIES 34629626 34625875 3751 BAD DEBT AND COLLECTION 5928677 5928677 INCOME TAX EXPENSE 332000 332000 1807181938 1705344178 101837760 0 78700 83383 118662638 74849458 49892250 66685304 550732 305962 13620729 14665315 90644776 83255927 568581563 305707333 234990789 262874230 144191348 124641695 1306306 1184286 2438725 2233280 656376993 630778840 292042780 267956570 4491705 4162661 102689525 97293573 35805288 70083000 389028 312042 435418326 439807846 X 220958667 190970994 220958667 190970994 656376993 630778840 X -26276275 910543 -4621941 X 0 1 X 1 0 X 44268 42475 36833 14510 7517 145603 1295369182 1273889842 1452199294 1558108102 1769305751 7348872171 1295413450 1273932317 1452236127 1558122612 1769313268 7349017774 0 0 0 7349017774 13083691 11551933 11453249 16690117 10278256 63057246 44665 19348 64013 13083691 11551933 11453249 16734782 10297604 63121259 1308497141 1285484250 1463689376 1574857394 1779610872 7412139033 0.99150 0.99070 0.00850 0.00930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 32000 0 1 60000 92000 0 PART II-B, LINE 1: ATRIUS HEALTH IS AN INNOVATIVE 501(C)3 TAX EXEMPT HEALTHCARE ORGANIZATION THAT DELIVERS A SYSTEM OF CONNECTED CARE TO 740,000 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 FOR A NUMBER OF ISSUES ON BEHALF OF OUR CLINICIANS, STAFF, AND PATIENTS THAT WILL 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 254049045 86774459 167274586 78170915 58819301 19351614 194003345 160113573 33889772 4210664 4210664 262874230 CAPITAL LEASE OBLIGATION 312042 312042 1 MASACHUSETTS EYE AND EAR INFIRMARY 243 CHARLES ST BOSTON MA 02114 042103591 501(C)(3) 6000 GENERAL SUPPORT 1 0 PART I, LINE 2 ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE U.S. ALL GRANTS ARE MADE TO WELL KNOWN LOCAL 501(C)(3) ORGANIZATIONS. THE ORGANIZATION VERIFIES 501(C)(3) STATUS AND CORRESPONDENCE PROVDED WITH THE GRANT STATES THE PURPOSE. X X X X X 1 1 0 0 0 0 0 0 0 NEIL J BERMAN MD PHY. T'EE THRU 2016;CHIEF CARDIOLOGY 375145 0 12750 0 24858 0 26500 0 40827 0 480080 0 0 0 HELEN DAJER CNM APC TRUSTEE; ASSOC. NURSE LEADER 182738 0 4365 0 1481 0 14773 0 3853 0 207210 0 4365 0 STEVEN FERZOCO MD PHYSICIAN TRUSTEE; CHIEF SURGERY 477723 0 120000 0 1194 0 26500 0 47611 0 673028 0 0 0 RALPH A IANNUZZI MD PHY. T'EE THRU 2016;REG. MED. DIR. 859258 0 0 0 22469 0 23850 0 1391 0 906968 0 0 0 HIKARU ISIHARA MD PHY. T'EE THRU 2016;INTERNIST 236092 0 0 0 21675 0 61249 0 47906 0 366922 0 0 0 LAURA Z LEE MD PHYSICIAN TRUSTEE; CHIEF PEDIATRICS 278100 0 0 0 8103 0 40224 0 1386 0 327813 0 0 0 SCOTT R PERMAN MD PHYSICIAN TRUSTEE; INTERNIST 394119 0 1125 0 19649 0 26500 0 6405 0 447798 0 0 0 GUY A SPINELLI MD PHY. T'EE; BOARD CHAIR; INTERNIST 547024 0 0 0 25763 0 26500 0 38352 0 637639 0 0 0 MARK STOCKMAN MD PHY. T'EE THRU 2016; CARDIOLOGIST 388454 0 0 0 8975 0 26500 0 39270 0 463199 0 0 0 KIMBERLY L NELSON CLERK; CHIEF LEGAL OFFICER 335188 0 0 0 20323 0 60741 0 3897 0 420149 0 0 0 LELAND J STACY TREASURER AND CFO TO 10.24.16 396492 0 0 0 66271 0 428200 0 22466 0 913429 0 0 0 STEVEN L STRONGWATER MD PRESIDENT AND CEO 834691 0 167370 0 34286 0 101977 0 26748 0 1165072 0 0 0 WILLIAM BOYD MD SVP NORTHERN REGION 352912 0 0 0 18301 0 59722 0 27695 0 458630 0 0 0 ROBERT CALWAY SVP SOUTH-WEST REGION TO 10.31.16 203633 0 0 0 34589 0 227049 0 25906 0 491177 0 0 0 JOE KIMURA MD CHIEF MEDICAL OFFICER 380842 0 0 0 33509 0 56531 0 20415 0 491297 0 0 0 STEVEN LAMPERT MD CHIEF CLINICAL OFFICER TO 10.15.16 356893 0 0 0 30128 0 26500 0 10969 0 424490 0 0 0 RICHARD LOPEZ MD SVP OF POPULATION HEALTH; VNA CMO 381119 42347 0 0 20183 2243 57850 6428 10500 1167 469652 52185 0 0 DANIEL D MORIARTY CIO 362347 0 0 0 22964 0 63545 0 22464 0 471320 0 0 0 MARCI SINDELL CHIEF STRATEGY OFF.;SVP EXT. AFFAIRS 316426 0 0 0 24368 0 32792 0 26517 0 400103 0 0 0 LOUIS A BLEY MD CHIEF ORTHOPEDICS 912800 0 0 0 1773 0 23850 0 32480 0 970903 0 0 0 DANIEL MISHKIN MD CHIEF GASTROENTEROLOGY 723169 0 28125 0 19445 0 26500 0 34685 0 831924 0 0 0 KAI MITHOEFER MD ORTHOPEDIST 814530 0 7500 0 20205 0 26500 0 3602 0 872337 0 0 0 JAMES E PHILLIPS MD ORTHOPEDIST 861201 0 0 0 19773 0 23850 0 24688 0 929512 0 0 0 STEVEN SHIELDS MD GASTROENTEROLOGIST 907217 0 0 0 3285 0 26500 0 28636 0 965638 0 159679 0 DANIEL C BURNES MD FMR TRANS. PRES/CEO; DERMATOLOGIST 315421 0 2650 0 11124 0 26500 0 24607 0 380302 0 0 0 KATHLEEN T GARDNER FMR CHIEF ADM. OFFICER 12815 0 0 0 271492 0 11671 0 27304 0 323282 0 0 0 LESLIE E SCHWAB MD FORMER CMO; INTERNIST 132375 0 0 0 6075 0 13552 0 4163 0 156165 0 0 0 PART I, LINES 4A-B SCHEDULE J, QUESTION 4A - INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A WHO RECEIVED SEVERANCE PAYMENTS IN 2016 ROBERT CALWAY - $32,267 PAID IN 2016; $205,940 UNPAID AT 12.31.16 KATHLEEN T. GARDNER - $271,492 PAID IN 2016; $10,769 UNPAID AT 12.31.16 LELAND J. STACY - $0 PAID IN 2016; $401,700 UNPAID AT 12.31.16 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. NEIL BERMAN; LOUIS BLEY; WILLIAM BOYD; DANIEL BURNES; STEVEN FERZOCO; RALPH IANNUZZI; HIKARU ISIHARA; JOSEPH KIMURA; STEVEN LAMPERT; LAURA LEE; RICHARD LOPEZ; DANIEL MISHKIN; KAI MITHOEFER; SCOTT PERMAN; JAMES PHILLIPS; LESLIE SCHWAB; STEVEN SHIELDS; GUY SPINELLI; MARK STOCKMAN; STEVEN STR0NGWATER 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 4121428 29980000 29980000 2004 1 0 1 1 B 14660000 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. 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 CLINICAL SITES FROM CHELMSFORD IN THE NORTH TO CAPE COD IN THE SOUTH AND TO RT 495 IN THE WEST. IN 2016 THE ORGANIZATION PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS APPROXIMATELY 578,000 PATIENTS THROUGH 2,282,733 PATIENT VISITS (INCLUDING 147,095 MEDICAID VISITS AND 425,018 MEDICARE VISITS). THE ORGANIZATION PARTICIPATED IN EDUCATIONAL AND TRAINING PROGRAMS FOR THE NEXT GENERATION OF CLINICIANS, INCLUDING MEDICAL STUDENTS AND RESIDENTS FROM HARVARD MEDICAL SCHOOL. SUCH PROGRAMS INCLUDED 149 CLINICIAN TEACHERS. 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 LATE 2016, IN ACCORDANCE WITH THE ATRIUS HEALTH BYLAWS (BYLAWS), AT THE END OF THE FOURTH QUARTER OF 2016, THE BOARD APPOINTED FOUR (4) OF THE SITTING PHYSICIAN TRUSTEES TO ONE (1) YEAR TERMS BEGINNING JANUARY 1, 2017. IN ADDITION, IN ACCORDANCE WITH THE BYLAWS, THE VOTING MEMBERS OF THE CORPORATION (VMOCS) (ATRIUS HEALTH PHYSICIANS WHO MEET CERTAIN CRITERIA ATTAIN VMOC STATUS - NO GOVERNANCE ROLE), ELECTED THREE (3) PHYSICIAN TRUSTEES TO THE BOARD EACH TO SERVE A THREE (3) YEAR TERM. AS OF JANUARY 1, 2017, THE BOARD HAD 14 VOTING TRUSTEES, INCLUDING (7) PHYSICIAN TRUSTEES AND SEVEN (7) COMMUNITY TRUSTEES. IN ADDITION, IN LATE 2016 THE BYLAWS WERE AMENDED AS FOLLOWS: (I) TO BE ELIGIBLE TO RUN FOR ELECTION AS A PHYSICIAN TRUSTEE THE VMOC CANDIDATE (OR APC CANDIDATE) MUST WORK AT LEAST A .5 CLINICAL FTE AND MUST NOT REPORT TO THE CEO OR CMO OR SERVE AS SPECIALTY DIRECTOR WITH ATRIUS-WIDE RESPONSIBILITIES; (II) TO PROVIDE THAT, SO LONG AS A QUORUM IS ESTABLISHED, MATTERS REQUIRING A SUPER-MAJORITY VOTE REQUIRE A VOTE OF 70% OF THE TRUSTEES PRESENT AND VOTING, PRIOR TO THIS AMENDMENT THERE WERE CERTAIN MATTERS THAT REQUIRED A SUPER-MAJORITY VOTE OF 80%; AND (III) TO ADD LANGUAGE THAT PROVIDES THAT INDIVIDUALS FROM THE COMMUNITY MAY BE APPOINTED TO COMMITTEES OF THE BOARD PROVIDED THEY MEET THE INDEPENDENCE CRITERIA SET FORTH IN BYLAWS ESTABLISHED FOR COMMUNITY TRUSTEES AND THEY WOULD BE REFERRED TO AS COMMUNITY MEMBERS. IN FEBRUARY OF 2017 THE BYLAWS WERE AMENDED TO TRANSITION ONE ELECTED PHYSICIAN TRUSTEE SEAT ON THE BOARD TO AN ELECTED ADVANCED PRACTICE CLINICIAN SEAT ON THE BOARD. 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 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 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 OTHER EMPLOYEES AS APPROPRIATE ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS AS DEFINED BY THE POLICY AND IRS. 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 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 727,470,202. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 727,470,202. OTHER SERVICES: PROGRAM SERVICE EXPENSES 10,210,723. MANAGEMENT AND GENERAL EXPENSES 3,128,084. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,338,807. FORM 990, PART XI, LINE 9: CRICO SUBPART F INCOME - INCOME FOR FORM 990, NOT FOR FINANCIAL REPORTING -4,612,728. CHANGE IN INTEREST IN AFFILIATE 20,135. TRANSFERS TO 501(C)(3) AFFILIATE -29,348. 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