2016-11-11T14:54:58-06:00 2015-12-31 043138777 PKF PC 300 CROWN COLONY DRIVE SUITE 400 QUINCY MA 02169 990 2015-01-01 043397450 ATRIUS HEALTH INC (FKA HARVARD VANGUARD MEDICAL ASSOCIATES INC) ATRI 6175598181 275 GROVE STREET NO 3-300 NEWTON MA 02466 STEVEN STRONGWATER MD CEO AND PRESIDENT 6175598181 2016-11-08 1 ROBERT V DANDROW P00294799 6174220007 2015 2017-02-10 21:41:12Z STEVEN STRONGWATER MD 275 GROVE STREET NO 3-300 NEWTON MA 02466 1690324527 0 X WWW.ATRIUSHEALTH.ORG X 1997 MA WE PROVIDE THE RIGHT CARE WITH KINDNESS AND COMPASSION EVERY DAY FOR EVERY PERSON WE SERVE. 16 7 5615 0 297507 0 36833 14510 1452362583 1558247089 6308955 11029992 10396232 7742640 1469104603 1577034231 0 0 0 0 521276603 563999293 0 0 0 922482007 1041512285 1443758610 1605511578 25345993 -28477347 641068369 656376993 432441782 435418326 208626587 220958667 X WE PROVIDE THE RIGHT CARE WITH KINDNESS AND COMPASSION EVERY DAY FOR EVERY PERSON WE SERVE. 0 0 1503703346 1558108102 STATEMENT 1 AT SCHEDULE O 1503703346 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 1 250 0 5615 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 0 MA X JEFFREY SAVASTANO 6175598181 275 GROVE STREET SUITE 3-300 NEWTON MA 024662275 NEIL J BERMAN MD PHYSICIAN TRUSTEE 50.00 X 187104 231583 40095 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; NURSE LEADER 45.00 X 170571 0 21600 STEVEN FERZOCO MD PHYSICIAN TRUSTEE 50.00 X 190464 211218 18459 RALPH A IANNUZZI MD PHYSICIAN T'EE;CHIEF-OTOLARYNGOLOGY 50.00 X 824475 0 25568 HIKARU ISIHARA MD PHYSICIAN TRUSTEE; INTERNIST 37.50 X 257245 0 66608 DIANE LECLAIR COMMUNITY TRUSTEE 4.00 X 10000 0 0 LAURA Z LEE MD PHYSICIAN TRUSTEE; CHIEF PEDIATRICS 50.00 X 218969 0 23131 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 50.00 X 159172 256437 110725 VINOD SAHNEY PHD COMMUNITY TRUSTEE 4.00 X 10000 0 0 GUY A SPINELLI MD PHYSICIAN TRUSTEE; BOARD CHAIRMAN 50.00 X 175000 136250 37781 MARK STOCKMAN MD PHYSICIAN TRUSTEE 50.00 X 400155 0 57793 LESLIE TESO-LICHTMAN COMMUNITY TRUSTEE 4.00 X 10000 0 0 DANIEL C BURNES MD TRANSITION CEO/PRESIDENT THRU 8.2.15 50.00 X 1079928 0 51089 ROBERT CALWAY CLERK TO 9.17.15;SVP SO.-WEST REGION 50.00 X 125308 141885 48783 KIMBERLY L NELSON CLERK EFF 9.17.15; CHIEF LEGAL OFF. 50.00 X 413302 0 30579 LELAND J STACY TREASURER AND CFO 50.00 X 489079 0 53195 STEVEN STRONGWATER MD CEO AND PRESIDENT EFF. 8.3.15 50.00 X 362454 0 10463 WILLIAM BOYD SVP NORTH REGION EFF, 11.1.15 50.00 X 410398 0 56366 KATHLEEN T GARDNER CHIEF ADMINISTRATION OFFICER 50.00 X 487861 0 70412 RICHARD LOPEZ MD CHIEF MEDICAL OFFICER 50.00 X 540273 0 54582 DANIEL D MORIARTY CIO 50.00 X 523695 0 50108 STEVEN LAMPERT MD CHIEF CLINICAL OFFICER 50.00 X 602315 0 43127 LOUIS A BLEY MD ORTHOPEDIST 50.00 X 751509 0 61521 KAI MITHOEFER MD ORTHOPEDIST 50.00 X 761329 0 30082 JESSICA S MOSHER MD DERMATOLOGIST 44.00 X 811840 0 59078 JAMES E PHILLIPS MD ORTHOPEDIST 50.00 X 863044 0 52126 STEVEN SHIELDS MD CHIEF GASTROENTEROLOGY 50.00 X 784665 0 216031 THOMAS M CONGORAN FORMER CFO 0.00 X 301933 0 15988 H EUGENE LINDSEY MD FORMER PRESIDENT & CEO 0.00 X 313528 0 11763 LESLIE E SCHWAB MD FORMER CMO; INTERNIST 25.00 X 126553 0 16410 12402169 977373 1333463 1119 1 1 0 AMERICAN CLEANING 28 STATE STREET BOSTON MA 02109 CLEANING SERVICES 3017885 MCDERMOTT WILL & EMERY LLP 28 STATE STREET BOSTON MA 02109 LEGAL 2848019 GOODMAN FACTORS PO BOX 29647 DALLAS TX 75229 STAFFING SERVICES 1456606 COMMONWEALTH RADIOLOGY ASSOCIATES 1342 BELMONT STREET BROCKTON MA 02301 RADIOLOGY SERVICES 1130558 SIMPLER NORTH AMERICA PO BOX 643979 PITTSBURGH PA 15264 CARE IMPROVEMENT 1062721 43 14510 14510 CAPITATION FEES 621110 1092876441 1092876441 FEE FOR SERVICE 621110 385604556 385465569 138987 MEDICARE/MEDICAID 621110 55905459 55905459 OTHER 621110 23860633 23860633 1558247089 11863682 11863682 4812325 0 4812325 4812325 102013 4710312 112456606 113290296 -833690 -833690 -833690 SUBPART F - FORMS 5471 524298 2871540 2871540 PASS-THRU FROM PARTNERSHIP 531390 44665 44665 PASS-THRU FROM PARTNERSHIP 531120 14110 11842 2268 2930315 1577034231 1560979642 297507 15742572 X 9713863 8434704 1279159 439378039 382925093 56452946 27800559 24226347 3574212 59876133 50830386 9045747 27230699 23729752 3500947 2560625 1469196 1091429 202532 202532 60000 60000 635400377 632297922 3102455 1640972 56553 1584419 16102158 12596558 3505600 15217536 227008 14990528 46811668 44918392 1893276 939012 457478 481534 405490 222872 182618 26065668 25132619 933049 12563976 12613734 -49758 PHARMACY EXPENSE 250993540 250993540 MEDICAL SUPPLIES 28301850 28264311 37539 BAD DEBT EXPENSE 4246881 4246881 1605511578 1503703346 101808232 0 68903 78700 106419185 118662638 53435596 49892250 795502 550732 11806975 13620729 96831800 90644776 513386899 278396110 211354828 234990789 142557223 144191348 6052846 1306306 11745511 2438725 641068369 656376993 275908618 292042780 4405572 4491705 107938800 102689525 36995031 35805288 7193761 389028 432441782 435418326 X 208626587 220958667 208626587 220958667 641068369 656376993 X -28477347 -1191155 42000582 X 0 1 X 1 0 X 113619 44268 42475 36833 14510 251705 1321291545 1295369182 1273889842 1452199294 1558108102 6900857965 1321405164 1295413450 1273932317 1452236127 1558122612 6901109670 0 0 0 6901109670 11678898 13083691 11551933 11453249 16690117 64457888 44665 44665 11678898 13083691 11551933 11453249 16734782 64502553 1333084062 1308497141 1285484250 1463689376 1574857394 6965612223 0.99070 0.99140 0.00930 0.00860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 31000 0 1 61000 92000 0 PART II-B, LINE 1: PART II-B, LINE 1, LOBBYING ACTIVITIES: ATRIUS HEALTH IS A 501 (C)(3) ORGANIZATION THAT SUPPORTS ITS AFFILIATED GROUPS TO IMPROVE THE HEALTH OF THEIR PATIENTS AND COMMUNITIES. IN FULFILLMENT OF THE ABOVE MISSION, ATRIUS HEALTH ADVOCATES ON A NUMBER OF ISSUES ON BEHALF OF OUR CLINICIANS AND PATIENTS ON ISSUES SUCH AS PAYMENT REFORM, HEALTH CARE REFORM AND HEALTH INFORMATION TECHNOLOGY. 28489452 28489452 217522117 73350236 144171881 81742109 58999834 22742275 181350330 146046040 35304290 4282891 4282891 234990789 CAPITAL LEASE OBLIGATION 389028 389028 X X X X X 1 1 0 0 0 0 0 0 0 NEIL J BERMAN MD PHYSICIAN TRUSTEE 139033 153750 30571 77833 17500 0 670 13895 14040 11490 201814 256968 0 0 HELEN DAJER CNM APC TRUSTEE; NURSE LEADER 169539 0 0 0 1032 0 18636 0 2964 0 192171 0 0 0 STEVEN FERZOCO MD PHYSICIAN TRUSTEE 190464 211218 0 0 0 0 -11365 980 9399 19445 188498 231643 0 0 RALPH A IANNUZZI MD PHYSICIAN T'EE;CHIEF-OTOLARYNGOLOGY 738493 0 15094 0 70888 0 23850 0 1718 0 850043 0 37999 0 HIKARU ISIHARA MD PHYSICIAN TRUSTEE; INTERNIST 242956 0 10725 0 3564 0 27998 0 38610 0 323853 0 10725 0 LAURA Z LEE MD PHYSICIAN TRUSTEE; CHIEF PEDIATRICS 203815 0 14344 0 810 0 21563 0 1568 0 242100 0 14344 0 SCOTT R PERMAN MD PHYSICIAN TRUSTEE 151672 238803 0 7134 7500 10500 70720 27775 6115 6115 236007 290327 0 0 GUY A SPINELLI MD PHYSICIAN TRUSTEE; BOARD CHAIRMAN 157500 125000 0 11250 17500 0 6626 8175 7209 15771 188835 160196 0 0 MARK STOCKMAN MD PHYSICIAN TRUSTEE 385688 0 6019 0 8448 0 26500 0 31293 0 457948 0 11972 0 DANIEL C BURNES MD TRANSITION CEO/PRESIDENT THRU 8.2.15 777582 0 277488 0 24858 0 26500 0 24589 0 1131017 0 277488 0 ROBERT CALWAY CLERK TO 9.17.15;SVP SO.-WEST REGION 125308 117885 0 24000 0 0 7669 7073 22551 11490 155528 160448 0 0 KIMBERLY L NELSON CLERK EFF 9.17.15; CHIEF LEGAL OFF. 328685 0 80705 0 3912 0 26551 0 4028 0 443881 0 80705 0 LELAND J STACY TREASURER AND CFO 392487 0 91438 0 5154 0 26502 0 26693 0 542274 0 91438 0 STEVEN STRONGWATER MD CEO AND PRESIDENT EFF. 8.3.15 360701 0 0 0 1753 0 0 0 10463 0 372917 0 0 0 WILLIAM BOYD SVP NORTH REGION EFF, 11.1.15 346858 0 62730 0 810 0 26500 0 29866 0 466764 0 62730 0 KATHLEEN T GARDNER CHIEF ADMINISTRATION OFFICER 303252 0 137272 0 47337 0 26500 0 43912 0 558273 0 0 0 RICHARD LOPEZ MD CHIEF MEDICAL OFFICER 415021 0 121688 0 3564 0 29993 0 24589 0 594855 0 0 0 DANIEL D MORIARTY CIO 348508 0 170033 0 5154 0 26500 0 23608 0 573803 0 0 0 STEVEN LAMPERT MD CHIEF CLINICAL OFFICER 471988 0 123469 0 6858 0 26500 0 16627 0 645442 0 124148 0 LOUIS A BLEY MD ORTHOPEDIST 727709 0 3400 0 20400 0 23850 0 37671 0 813030 0 0 0 KAI MITHOEFER MD ORTHOPEDIST 753478 0 5019 0 2832 0 26500 0 3582 0 791411 0 0 0 JESSICA S MOSHER MD DERMATOLOGIST 802347 0 7093 0 2400 0 26500 0 32578 0 870918 0 0 0 JAMES E PHILLIPS MD ORTHOPEDIST 836249 0 6395 0 20400 0 23850 0 28276 0 915170 0 0 0 STEVEN SHIELDS MD CHIEF GASTROENTEROLOGY 773752 0 8081 0 2832 0 186179 0 29852 0 1000696 0 0 0 THOMAS M CONGORAN FORMER CFO -5759 0 0 0 307692 0 0 0 15988 0 317921 0 307692 0 H EUGENE LINDSEY MD FORMER PRESIDENT & CEO -2573 0 0 0 316101 0 0 0 11763 0 325291 0 316101 0 LESLIE E SCHWAB MD FORMER CMO; INTERNIST 102855 0 19045 0 4653 0 12492 0 3918 0 142963 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 2015 THOMAS M. CONGORAN - $307,692 PAID IN 2015 EUGENE LINDSEY, MD - $316,101 PAID IN 2015 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; DANIEL BURNES; RALPH IANNUZZI; HIKARU ISIHARA; STEVEN LAMPERT; LAURA LEE; RICHARD LOPEZ; KAI MITHOEFER; JESSICA MOSHER; JAMES PHILLIPS; STEVEN SHIELDS; MARK STOCKMAN A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 2012-04-25 86095000 REFINANCE CAPITAL COSTS (NOTE 1) 0 0 0 A 10845000 86095000 68256651 568546 17269803 2012 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 0 A 0 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). STATEMENT 1: DESCRIPTION OF ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS IN 2015 THE ORGANIZATION PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS APPROXIMATELY 555,000 PATIENTS THROUGH 2,054,900 PATIENT VISITS (INCLUDING 149,742 MEDICAID VISITS AND 399,635 MEDICARE VISITS). THE ORGANIZATION WORKS TO IMPROVE THE QUALITY OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN EASTERN AND CENTRAL MASSACHUSETTS THROUGH CLINICAL INTEGRATION AND THE IMPLEMENTATION OF A UNIFIED ELECTRONIC MEDICAL RECORD SYSTEM. THE ORGANIZATION PARTICIPATED IN EDUCATIONAL AND TRAINING PROGRAMS FOR MEDICAL STUDENTS AND MEDICAL RESIDENTS AND FOR OTHER HEALTHCARE PROFESSIONALS INCLUDING PHYSICIAN ASSISTANTS AND NURSES, SUCH PROGRAMS INCLUDED 164 CLINICIAN TEACHERS. THE ORGANIZATION CONDUCTED CLINICAL RESEARCH ACTIVITIES WHICH WILL IMPACT THE COMMUNITIES AT LARGE. FORM 990, PART VI, SECTION A, LINE 4 IN 2015 HARVARD VANGUARD MEDICAL ASSOCIATES, INC. CHANGED ITS CORPORATE NAME TO ATRIUS HEALTH, INC. THE ORGANIZATION'S BYLAWS ("BYLAWS") WERE AMENDED IN 2015 TO PROVIDE THAT THE BOARD OF TRUSTEES ("BOARD") SHALL CONSIST OF BETWEEN FOURTEEN (14) AND SIXTEEN (16) VOTING TRUSTEES AS FOLLOWS: (I) EIGHT (8) EMPLOYED PHYSICIAN TRUSTEES; (II) ONE EMPLOYED ADVANCED PRACTICE CLINICIAN; (III) FOUR (4) TO SIX (6) COMMUNITY TRUSTEES; AND (IV) ONE (1) COMMUNITY TRUSTEE RECOMMENDED BY THE VNA CARE NETWORK FOUNDATION, INC. ("VNACNF") (ATRIUS HEALTH SERVES AS THE CORPORATE MEMBER OF THE VNACNF). IN ADDITION, THERE ARE THREE (3) NON-VOTING EX-OFFICIO TRUSTEES - THE CHIEF EXECUTIVE OFFICER ("CEO"), THE CHIEF MEDICAL OFFICER ("CMO") AND THE CHAIR OF THE CLINICAL ADVISORY COMMITTEE. THE BOARD NO LONGER HAS ANY STATUTORY MEMBERS AND EACH VOTING TRUSTEE HAS ONE VOTE. THE BYLAWS INCLUDE CERTAIN MATTERS THAT REQUIRE SUPER-MAJORITY VOTES OF EITHER 70% OR 80%. THE BYLAWS CALL FOR A TRANSITION, OVER 2016 AND 2017, FROM THIS BOARD COMPOSITION TO A BOARD COMPOSITION WHICH WILL INCLUDE SEVEN EMPLOYED (7) PHYSICIAN TRUSTEES ELECTED BY THE VMOCS (DEFINED BELOW) AND SEVEN (7) COMMUNITY TRUSTEES. ATRIUS HEALTH CONTINUES TO SERVE AS THE CORPORATE MEMBER OF THE VNACNF AND THE ATRIUS HEALTH FOUNDATION WITH CERTAIN RESERVED POWERS. IN ADDITION, THE ORGANIZATION'S ARTICLES OF ORGANIZATION PURPOSES WERE AMENDED TO REFLECT THE NEW GOVERNANCE STRUCTURE OF THE ORGANIZATION WHICH NO LONGER INCLUDES A CORPORATE MEMBER. AS PROVIDED BY THE BY-LAWS, THE VOTING MEMBERS OF THE CORPORATION (VMOCS) ARE THE PHYSICIAN EMPLOYEES OF THE CORPORATION WHO MUST (A) BE AN EMPLOYEE OF THE CORPORATION IN GOOD STANDING; (B) HAVE A MINIMUM WORK SCHEDULE REQUIREMENT OF .5 FTE; AND (C) BE EMPLOYED BY THE CORPORATION FOR AT LEAST 2 YEARS. FORM 990, PART VI, SECTION A, LINE 6 THE VOTING MEMBERS OF THE CORPORATION ("VMOCS") ELECT THE PHYSICIAN TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A THE VOTING MEMBERS OF THE CORPORATION ("VMOCS) ELECT THE PHYSICIAN TRUSTEES. THE VMOCS HAVE NO STATUTORY OR OTHER GOVERNANCE RIGHTS. CERTAIN OF THE INDEPENDENT TRUSTEES SERVE AS THE MEMBERS OF THE COMPENSATION COMMITTEE FOR THE CORPORATION. THE CORPORATION'S BY-LAWS DIRECT THE COMPENSATION COMMITTEE TO: (I) CONSULT WITH A NATIONALLY RECOGNIZED COMPENSATION CONSULTING COMPANY TO ASSIST IT IN DETERMINING THAT SUCH COMPENSATION RANGES AND STRUCTURE ARE REASONABLE (AS DEFINED BY APPLICABLE INTERNAL REVENUE SERVICE REGULATIONS AND RULINGS); (II) ADOPT AND IMPLEMENT 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. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO REVIEW AND PREPARE THE FORM 990. AN INTERNAL TEAM INCLUDING STAFF FROM LEGAL, ACCOUNTING, AND HUMAN RESOURCES DEPARTMENTS WORKS CLOSELY WITH THE OUTSIDE FIRM TO PREPARE THE DOCUMENT. THE BOARD OF TRUSTEES RECEIVES A FINAL DRAFT OF THE 990 AND FORMALLY REVIEWS AND APPROVES THE ENTIRE DOCUMENT BEFORE FILING. MATERIAL ISSUES (IF ANY) WOULD BE HIGHLIGHTED IN THE OUTSIDE FIRM'S PRESENTATION TO THE AUDIT AND COMPLIANCE COMMITTEE BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS AS DEFINED BY THE POLICY AND THE IRS. OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE RESPONSES ARE REVIEWED BY THE GENERAL COUNSEL. IN THE EVENT A CONFLICT IS DISCLOSED THE GENERAL COUNSEL REVIEWS SUCH CONFLICT WITH THE CHAIR OF THE BOARD OF TRUSTEES AND 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 AND KEY EMPLOYEES 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 THE ORGANIZATION'S COMPENSATION PROGRAMS FOR ITS OFFICERS AND KEY EMPLOYEES AND THE PHYSICIAN COMPENSATION MODELS ARE PREPARED IN COMPLIANCE WITH IRS GUIDELINES. COMPENSATION RECOMMENDATIONS ARE MADE BASED ON A COMPENSATION PHILOSOPHY APPROVED BY THE ORGANIZATION'S COMPENSATION COMMITTEE WHICH IS MADE UP OF INDEPENDENT TRUSTEES. THE INDEPENDENT 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 WITH REGARD TO DETERMINING THE MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION. ANNUALLY THE COMMITTEE APPROVES THE ORGANIZATIONAL GOALS (FOR EXAMPLE INCLUDING GOALS RELATED TO PATIENT SAFETY AND QUALITY) AND MEASUREMENTS 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 COMMITTEE. COMPENSATION DECISIONS BY THE COMMITTEE ARE MADE IN ADVANCE OF IMPLEMENTATION, AND ARE PROPERLY DOCUMENTED ON A TIMELY BASIS IN 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 OPEN TO PUBLIC INSPECTION. THE ARTICLES OF ORGANIZATION ARE AVAILABLE AT THE MASSACHUSETTS SECRETARY OF STATE'S OFFICE, INCLUDING ON-LINE. 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 621,604,605. MANAGEMENT AND GENERAL EXPENSES -126,086. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 621,478,519. OTHER SERVICES: PROGRAM SERVICE EXPENSES 10,693,317. MANAGEMENT AND GENERAL EXPENSES 3,228,541. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,921,858. FORM 990, PART XI, LINE 9: CRICO SUBPART F INCOME - INCOME FOR FORM 990, NOT FOR FINANCIAL REPORTING -2,871,540. CHANGE IN INTEREST IN AFFILIATE 2,686. TRANSFERS TO 501(C)(3) AFFILIATE -115,794. NET ASSETS RECEIVED FROM MERGER OF AFFILATES 44,985,230. ATRIUS HEALTH INC (LEGACY - MERGED INTO NEW ATRIUS 63015) 275 GROVE STREET SUITE 3-300 NEWTON MA 02466 010803117 ORGANIZE AND INTEGRATE HEALTHCARE DELIVERY MA 501(C)(3) LINE 9 N/A 0 DEDHAM MEDICAL ASSOCIATES INC (MERGED INTO NEW ATRIUS 63015) ONE LYONS STREET DEDHAM MA 02026 043136240 MULTI-SPECIALTY MEDICAL GROUP MA 501(C)(3) LINE 9 ATRIUS HEALTH INC 1 GRANITE MEDICAL GROUP INC (MERGED INTO NEW ATRIUS 63015) 500 CONGRESS STREET QUINCY MA 02169 043341331 MULTI-SPECIALTY MEDICAL GROUP MA 501(C)(3) LINE 9 ATRIUS HEALTH INC 1 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 11A, I 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 9 VISITING NURSE ASSN OF BOSTON FOUNDATION INC 1 VISITING NURSE ASSOCIATION OF BOSTON FOUNDATION INC 500 RUTHERFORD AVENUE CHARLESTOWN MA 02129 042880614 FUND RAISING MA 501 (C)(3) LINE 7 VNA CARE NETWORK FOUNDATION INC 1 VNA HOSPICE CARE INC 100 TRADE CENTER SUITE G-500 WOBURN MA 01801 042658051 HOSPICE CARE MA 501 (C)(3) LINE 9 VISITING NURSE ASSN OF BOSTON 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 9 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 9 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 9 ATRIUS HEALTH INC 1 VNA CARE NETWORK INC 120 THOMAS STREET WORCESTER MA 01608 042103825 HOME HEALTH CARE MA 501 (C)(3) LINE 9 VNA CARE NETWORK FOUNDATION INC 1 VNA CARE ADVANTAGE INC 120 THOMAS STREET WORCESTER MA 01608 042953171 DAY CARE MA 501 (C)(3) LINE 9 VNA CARE NETWORK FOUNDATION INC 1 VENTURE 3-WW LLC (DISSOLVED 123015) 275 GROVE STREET SUITE 3-300 NEWTON MA 02466 208676840 INACTIVE MA N/A RELATED 0 1 0.48000 HOME STAFF LLC 40 MILLBROOK STREET WORCESTER MA 01606 421757904 HOME CARE 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 MA RELATED -402805 460623 0 1 0 1 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 1 DEDHAM MEDICAL ASSOCIATES INC (PRE-MERGER) L 2610000 COST DEDHAM MEDICAL ASSOCIATES INC (PRE-MERGER) M 786000 COST ATRIUS HEALTH FOUNDATION INC B 115794 COVER OPERATING COSTS ATRIUS HEALTH FOUNDATION INC C 14510 COST ATRIUS HEALTH FOUNDATION INC L 115794 COST GRANITE MEDICAL GROUP INC (PRE-MERGER) L 1119000 COST DEDHAM MEDICAL ASSOCIATES INC (MERGER 63015) S 26747169 NET ASSETS AT 6.30.15 GRANITE MEDICAL GROUP INC (MERGER 63015) S 17154672 NET ASSETS AT 6.30.15 ATRIUS HEALTH INC (LEGACY) (MERGER 63015) S 983389 NET ASSETS AT 6.30.15 GRANITE MEDICAL GROUP INC (PRE-MERGER) M 1318000 COST VNA CARE NETWORK FOUNDATION L 378169 COST SCHEDULE R, PART V, LINE 2 JOINT PROGRAMS WITH CERTAIN RELATED ORGANIZATIONS (CODE L AND M) HARVARD VANGUARD MEDICAL ASSOCIATES AND EACH OF DEDHAM MEDICAL ASSOCIATES, GRANITE MEDICAL GROUP AND RELIANT MEDICAL GROUP HAVE ENTERED INTO SEVERAL JOINT CLINICAL AND ADMINISTRATIVE PROGRAMS.