2015-11-12T13:33:42-06:00 2014-12-31 043138777 PKF PC 300 CROWN COLONY DRIVE SUITE 400 QUINCY MA 02169 990 2014-01-01 042297845 SOUTH SHORE MEDICAL CENTER INC SOUT 7818785200 143 LONGWATER DRIVE NORWELL MA 02061 THOMAS E CARROLL PRESIDENT 7818785200 2015-11-11 1 ROBERT V DANDROW P00294799 6174220007 2015-11-11 2014 2016-02-25 16:41:14Z X THOMAS E CARROLL 143 LONGWATER DRIVE NORWELL MA 02061 158202485 0 X WWW.SSMEDCENTER.COM X 2004 MA STATEMENT 1 AT SCHEDULE O 6 0 639 0 0 0 0 0 131279545 156789324 364017 352556 0 0 131643562 157141880 34565 29636 0 0 41933355 44427091 0 0 0 93587381 110523905 135555301 154980632 -3911739 2161248 29153678 29070968 19100597 16988314 10053081 12082654 WE CARE FOR PATIENTS COMPASSIONATELY AND EFFECTIVELY, WITH THE HIGHEST MEDICAL AND ETHICAL STANDARDS. WE BUILD A BETTER FUTURE FOR OUR COMMUNITIES THROUGH TEACHING, LEADERSHIP IN HEALTH CARE INNOVATION, AND PHILANTHROPY. 0 0 146196136 29636 156789324 THE ORGANIZATION PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS PATIENTS THROUGH 221,612 PATIENT VISITS (INCLUDING 24,092 MEDICAID VISITS AND 35,674 MEDICARE VISITS). THE ORGANIZATION WORKS WITH THE OTHER PARTICIPATING ORGANIZATIONS OF ATRIUS HEALTH, INC. 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. 146196136 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 122 0 639 1 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X MICHAEL KAPLAN CFO 7816811646 143 LONGWATER DRIVE NORWELL MA 02061 SCOTT P CORKINS MD TRUSTEE; FAMILY PRACTICE PHYSICIAN 50.00 X 334359 0 50111 CHRISTOPHER R COX DO TRUSTEE; PEDIATRICIAN 50.00 X 385299 0 52584 RICHARD A KAUFF MD TRUSTEE; PEDIATRICIAN 49.00 1.00 X X 282381 10000 49805 INGRID E KOTCH MD T'EE; PRESIDENT; OB-GYN PHYSICIAN 50.00 X X 335689 0 55839 SARA J NUCIFORO MD T'EE;CLERK;DIR. OF INTERNAL MEDICINE 32.00 X 214992 0 46645 BENJAMIN C RYAN MD T'EE;TREAS;FAMILY PRACTICE PHYSICIAN 50.00 X X 285255 0 20319 EDWARD W NALBAND MD CHIEF MEDICAL OFFICER 50.00 X 380214 0 43275 THOMAS E CARROLL CEO 50.00 X 335023 0 50111 MARK FLIEGER CIO 50.00 X 234028 0 47112 PEGGY S HAFKEMEYER COO 50.00 X 310460 0 39340 MICHAEL KAPLAN CFO 50.00 X 239881 0 16040 MARK BULMAN MD SURGEON 50.00 X 396449 0 43275 LISA GIONI DO OB/GYN PHYSICIAN 50.00 X 412846 0 41351 MATTHEW R HJORT MD PEDIATRICIAN 50.00 X 399956 0 50111 TIMOTHY R LYNCH MD INTERNAL MEDICINE PHYSICIAN 50.00 X 398642 0 46067 JOSEPH P SPYCHALSKI MD URGENT CARE PHYSICIAN 50.00 X 423931 0 31288 STANLEY R SACON PHD FORMER CEO 24.00 X 128369 0 32138 5497774 10000 715411 78 1 1 0 THOMAS J KENNEY MD INC 2110 DORCHESTER AVE BOSTON MA 02124 PHYSICIANS 752308 SS ORTHOPEDICS LLC 51 PERFORMANCE DR SUITE 300 WEYMOUTH MA 02189 PHYSICIAN 390036 DOCTORS FOOT CARE GROUP PC 111 WILLARD ST SUITE GC QUINCY MA 02169 PHYSICIANS 278746 RICHARD F HORAN MD 850 BOYLSTON ST STE 540 CHESTNUT HILL MA 02169 PHYSICIAN 255750 TAMSIN KNOX MD 43 CHESTNUT ST DEDHAM MA 02026 PHYSICIAN 244972 16 CAPITATION FEES 621110 98068050 98068050 FEE FOR SERVICE 621110 39029323 39029323 MEDICARE/MEDICAID 621110 16477849 16477849 PROGRAM RELATED INV. 621110 1655731 1655731 OTHER 621110 1558371 1558371 156789324 195588 195588 1217573 1060605 156968 156968 156968 157141880 156789324 0 352556 X 29636 29636 4059972 2884950 1175022 33187146 31094237 2092909 757463 738050 19413 3988947 3606952 381995 2433563 2177956 255607 650988 650988 48000 48000 74801 74801 93159734 91023447 2136287 33373 33373 1678341 921359 756982 479303 479303 5861189 5442906 418283 63777 61336 2441 63916 63916 14446 14446 1444628 1199982 244646 2051804 2051804 MEDICAL GOODS/SUPPLIES 4350696 4350696 BAD DEBT EXPENSE 548909 548909 154980632 146196136 8784496 0 4404389 5889191 3399893 4408462 53848 27912 33401 28560 1576331 851045 10705637 5469150 6647587 5236487 6481615 5789718 3007662 3719802 3548952 3119791 29153678 29070968 18047729 15323667 469788 448105 583080 1216542 19100597 16988314 X 10053081 12082654 10053081 12082654 29153678 29070968 2161248 -131675 0 X X 1 X 1 X 1 0 X 113499460 127902789 131899822 131279545 156789324 661370940 113499460 127902789 131899822 131279545 156789324 661370940 0 0 0 661370940 160317 131061 209120 221768 195588 917854 160317 131061 209120 221768 195588 917854 113659777 128033850 132108942 131501313 156984912 662288794 0.99860 0.99860 0.00140 0.00140 X 6371905 1913524 4458381 436976 356519 80457 3896756 3199107 697649 5236487 VENTURE 2-BRN, LLC (AT EQUITY)-MRI SERVICES 1588030 C VENTURE 3 - WW, LLC (AT EQUITY) - CATSCAN & ONCOLOGY SERVICES 6061 C VENTURE 4-WW2, LLC (AT EQUITY)-IMAGING CENTER 1519535 C VENTURE V-90 LIBBEY, LLC (AT EQUITY)-ENDOSCOPY SUITE 606176 C 3719802 DUE FROM RELATED ENTITY - ATRIUS HEALTH, INC. 2983483 DUE FROM RELATED ENTITY - SOUTHBORO MEDICAL GROUP, INC. 31463 SECURITY DEPOSITS 104845 3119791 PAYABLE TO RELATED ENTITY - HARVARD VANGUARD MEDICAL ASSOCIATES, INC. 1081851 PAYABLE TO RELATED ENTITY - GRANITE MEDICAL GROUP, INC. 134691 1216542 1 SOUTH SHORE HOSPITAL 55 FOGG ROAD WEYMOUTH MA 02190 264517944 501(C)(3) 7500 SOUTH SHORE HOSPITAL HOME CARE PROGRAM PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SUBSTANTIALLY ALL GRANTS MADE ARE TO WELL KNOWN CHARITIES FOR THE GENERAL PURPOSES OF THE CHARITY; ACCORDINGLY, THE ORGANIZATION'S MONITORING OF GRNATS TO RECIPIENTS IS LIMITED. X X X X X 0 0 0 0 0 0 0 1 0 SCOTT P CORKINS MD TRUSTEE; FAMILY PRACTICE PHYSICIAN 331668 0 2400 0 291 0 13260 0 36851 0 384470 0 0 0 CHRISTOPHER R COX DO TRUSTEE; PEDIATRICIAN 382548 0 2400 0 351 0 13260 0 39324 0 437883 0 0 0 RICHARD A KAUFF MD TRUSTEE; PEDIATRICIAN 279224 10000 2400 0 757 0 13260 0 36545 0 332186 10000 0 0 INGRID E KOTCH MD T'EE; PRESIDENT; OB-GYN PHYSICIAN 332932 0 2400 0 357 0 20229 0 35610 0 391528 0 0 0 SARA J NUCIFORO MD T'EE;CLERK;DIR. OF INTERNAL MEDICINE 212072 0 2400 0 520 0 11213 0 35432 0 261637 0 0 0 BENJAMIN C RYAN MD T'EE;TREAS;FAMILY PRACTICE PHYSICIAN 282637 0 2400 0 218 0 13260 0 7059 0 305574 0 0 0 EDWARD W NALBAND MD CHIEF MEDICAL OFFICER 375175 0 2400 0 2639 0 13260 0 30015 0 423489 0 0 0 THOMAS E CARROLL CEO 332213 0 2400 0 410 0 13260 0 36851 0 385134 0 0 0 MARK FLIEGER CIO 232712 0 400 0 916 0 12128 0 34984 0 281140 0 0 0 PEGGY S HAFKEMEYER COO 239123 0 70400 0 937 0 13260 0 26080 0 349800 0 0 0 MICHAEL KAPLAN CFO 238521 0 400 0 960 0 12237 0 3803 0 255921 0 0 0 MARK BULMAN MD SURGEON 391695 0 2400 0 2354 0 13260 0 30015 0 439724 0 0 0 LISA GIONI DO OB/GYN PHYSICIAN 410214 0 2400 0 232 0 13260 0 28091 0 454197 0 0 0 MATTHEW R HJORT MD PEDIATRICIAN 397047 0 2400 0 509 0 13260 0 36851 0 450067 0 0 0 TIMOTHY R LYNCH MD INTERNAL MEDICINE PHYSICIAN 349615 0 47400 0 1627 0 7410 0 38657 0 444709 0 0 0 JOSEPH P SPYCHALSKI MD URGENT CARE PHYSICIAN 420767 0 2400 0 764 0 13260 0 18028 0 455219 0 0 0 STANLEY R SACON PHD FORMER CEO 124730 0 250 0 3389 0 3951 0 28187 0 160507 0 0 0 PART I, LINE 7 DISCRETIONARY BONUSES ARE DETERMINED BY THE BOARD/COMPENSATION COMMITTEE BASED ON ORGANIZATIONAL PERFORMANCE, RESULTS AND OTHER FACTS AND CIRCUMSTANCES THAT ARE REVIEWED IN THEIR ENTIRETY IN ASSURING AND CONFIRMING THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED. COMPENSATION PAID TO PHYSICIANS IS CONSISTENT WITH MARKET NORMS BASED ON NATIONALLY RECOGNIZED COMPENSATION SURVEYS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION. PAYABLE TO VAR SSMC PHYSICIANS AT WORKING CAPITAL X 707000 448105 0 1 1 CHRISTOPHER COX PURCHASE NEW RESIDENCE X 75000 27912 0 1 1 476017 STATEMENT 1 - DESCRIPTION OF ORGANIZATION MISSION FORM 990, PART I, LINE 1 WE CARE FOR PATIENTS COMPASSIONATELY AND EFFECTIVELY, WITH THE HIGHEST MEDICAL AND ETHICAL STANDARDS. WE BUILD A BETTER FUTURE FOR OUR COMMUNITIES THROUGH TEACHING, LEADERSHIP IN HEALTH CARE INNOVATION, AND PHILANTHROPY. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE AS OF JANUARY 1, 2015, SSMC WITHDREW FROM THE ATRIUS HEALTH SYSTEM. SEE SCHEDULE O FOR PART VI, SECTION A, LINES 6 AND 7A. FORM 990, PART VI, SECTION A, LINE 6 SOUTH SHORE MEDICAL CENTER, INC. ("SSMC") HAS TWO CLASSES OF MEMBERS: THE CORPORATE MEMBER (ATRIUS HEALTH, INC.) - THE CORPORATE MEMBER CAN BE REMOVED ONLY IF SSMC IS REMOVED, BY THE CORPORATE MEMBER, AS A PARTICIPATING ORGANIZATION IN THE ATRIUS HEALTH SYSTEM. THE CORPORATE MEMBER HAS CERTAIN DEFINED APPROVAL RIGHTS OF THE ACTIONS OF THE CORPORATION. BY A WITHDRAWAL AGREEMENT EXECUTED AS OF DECEMBER 31, 2014 TO BE EFFECTIVE JANUARY 1, 2015 BY AND BETWEEN ATRIUS HEALTH INC. AND SSMC, SSMC WITHDREW FROM THE ATRIUS HEALTH SYSTEM AND ATRIUS HEALTH WAS REMOVED AS THE SOLE CORPORATE MEMBER OF SSMC. THE WITHDRAWAL AGREEMENT REQUIRED BOTH PARTIES TO AMEND THEIR RESPECTIVE BY-LAWS FOR THESE CHANGES. THE PHYSICIAN MEMBERS - THE PHYSICIAN MEMBERS ARE NOT MEMBERS OF THE CORPORATION WITHIN THE MEANING OF CHAPTER 180 OF THE MASSACHUSETTS GENERAL LAWS. ELECTION OF NEW PHYSICIAN MEMBERS REQUIRES AN AFFIRMATIVE VOTE OF TWO-THIRDS OF THE VOTING INTEREST OF THE PHYSICIAN MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES IS COMPRISED OF SIX VOTING TRUSTEES, ALL OF WHOM MUST BE A PHYSICIAN MEMBER. THROUGH DECEMBER 31, 2014, OF THE SIX TRUSTEES, FOUR HAD TO BE APPROVED BY THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B APPLICABLE THROUGH DECEMBER 31, 2014: MOST MAJOR DECISIONS OF THE BOARD MUST BE APPROVED BY SSMC'S CORPORATE MEMBER. THE CORPORATE MEMBER MUST APPROVE ALL BUDGETS, PLANS, AND MATERIAL CHANGES; APPROVE ALL PROGRAM CHANGES; APPROVE ANY AMENDMENT TO THE ARTICLES OF ORGANIZATION AND OR BY-LAWS; APPROVE COMPENSATION STRUCTURES AND RANGES FOR SSMC'S DIRECTORS, PHYSICIANS, SENIOR MANAGERS AND OTHER PROFESSIONALS; AND, IN GENERAL APPROVE ANY OTHER ACTIONS NOT IN THE NORMAL COURSE OF BUSINESS. IN ADDITION TO POWERS PROVIDED BY LAW, THE ARTICLES OF ORGANIZATION AND SSMC'S BY-LAWS, THE CORPORATE MEMBER HAS AUTHORITY TO: (A) LEVY ASSESSMENTS TO COVER THE CORPORATE MEMBER'S COSTS OF OPERATIONS; (B) APPROVE, OR DISAPPROVE, THE SELECTION AND REMOVAL OF FIFTY PERCENT (50%) BUT LESS THAN EIGHTY PERCENT (80%) OF THE TRUSTEES; AND, (C) ACT AS SSMC'S EXCLUSIVE AGENT FOR PURPOSES OF NEGOTIATING PAYOR CONTRACTS FOR SSMC AND THE OTHER PARTICIPATING ORGANIZATIONS AS DEFINED IN THE CORPORATE MEMBER'S BY-LAWS. UPON DISSOLUTION OF SSMC, THE NET ASSETS OF SSMC WILL BE DISPOSED OF TO ATRIUS HEALTH, INC. PROVIDED IT IS THEN EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION B, LINE 11 ATRIUS HEALTH ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO REVIEW AND PREPARE FORM 990 FOR SOUTH SHORE MEDICAL CENTER. AN INTERNAL TEAM AT SOUTH SHORE MEDICAL CENTER INCLUDING STAFF FROM ACCOUNTING AND HUMAN RESOURCES DEPARTMENTS WORK CLOSELY WITH THE OUTSIDE FIRM TO PREPARE THE DOCUMENT. IN ADDITION, THE SOUTH SHORE MEDICAL CENTER BOARD OF TRUSTEES OVERSEES THE PREPARATION OF SOUTH SHORE MEDICAL CENTER'S 990. SENIOR MANAGEMENT REVIEWS THE 990 AND PROVIDES A COPY TO THE MEMBERS OF THE SOUTH SHORE MEDICAL CENTER BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C SSMC HAS A COMPREHENSIVE COMPLIANCE PROGRAM WHICH IS MONITORED BY THE AUDIT AND COMPLIANCE COMMITTEE AND COMPLIANCE OFFICER. THE NATURE OF THE POTENTIAL OR ACTUAL CONFLICT DETERMINES THE LEVEL(S) AT WHICH A DETERMINATION OF POTENTIAL CONFLICT MAY EXIST. AN INDIVIDUAL INVOLVED WITH A POTENTIAL CONFLICT IS PROHIBITED FROM BEING IN ATTENDANCE AT ANY MEETINGS AT WHICH THE MATTER IS DISCUSSED AND IS NOT ALLOWED TO VOTE ON THE MATTER. ALL MEMBERS OF THE BOARD, SSMC'S OFFICERS AND SENIOR MANAGERS ARE REQUIRED TO ANNUALLY REVIEW, COMPLETE AND CERTIFY COMPLIANCE WITH SSMC'S CONFLICT OF INTEREST POLICY. IN ADDITION ALL NEW HIRES (IN THE CATEGORIES DESCRIBED) ARE REQUIRED TO READ AND ACKNOWLEDGE RECEIPT OF SSMC'S CODE OF CONDUCT. THE CONFLICT OF INTEREST POLICY STATES "AS A GENERAL RULE, CONFLICTS OF INTEREST ARE NOT PERMITTED." SSMC'S POLICY PROVIDES FOR EXCEPTIONS IF DISCLOSED PROMPTLY AND APPROVED BY THE APPROPRIATE LEVEL OF MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 15 SSMC'S COMPENSATION COMMITTEE IS COMPRISED OF PHYSICIANS AND CERTAIN OTHER ADMINISTRATORS OF SSMC. THEY REVIEW AND DETERMINE THE COMPENSATION FOR THE EXECUTIVE TEAM AND THE PHYSICIAN COMPENSATION MODELS. FOR THE PHYSICIANS, THE KEY CRITERIA IN DETERMINING COMPENSATION IS THE PHYSICIAN'S PRODUCTIVITY. THE COMPENSATION PAID TO PHYSICIANS IS CONSISTENT WITH MARKET NORMS BASED ON NATIONALLY RECOGNIZED COMPENSATION SURVEYS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE ATTACHED TO THE MA FORM PC FILED WITH THE ATTONEY 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. FORM 990, PART IX, LINE 11G OUTSIDE UTILIZATION CHARGES (CAPITATION CONTRACTS): PROGRAM SERVICE EXPENSES 84,684,998. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,684,998. CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,388,193. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,388,193. OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,950,256. MANAGEMENT AND GENERAL EXPENSES 2,136,287. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,086,543. FORM 990, PART XII, LINE 2A THROUGH 2D THERE WAS NO CHANGE TO THE OVERSIGHT OF THE YEAR-END AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT DURING THE TAX YEAR. THE ORGANIZATION'S FINANCIAL STATEMENTS WERE REVIEWED BY AN INDEPENDENT ACCOUNTANT AND THE ORGANIZATION WAS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS CORPORATE MEMBER, WHICH CONSOLIDATED FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTANT. HARVARD VANGUARD MEDICAL ASSOCIATES INC 275 GROVE STREET SUITE 3-300 NEWTON MA 02466 043397450 MULTI-SPECIALTY MEDICAL GROUP MA 501(C)(3) LINE 9 ATRIUS HEALTH INC 1 ATRIUS HEALTH INC 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 ONE LYONS STREET DEDHAM MA 02026 043136240 MULTI-SPECIALTY MEDICAL GROUP MA 501(C)(3) LINE 9 ATRIUS HEALTH INC 1 SOUTHBORO MEDICAL GROUP 24 NEWTON STREET SOUTHBORO MA 01772 042487729 MULTI-SPECIALTY MEDICAL GROUP MA 501(C)(3) LINE 9 ATRIUS HEALTH INC 1 GRANITE MEDICAL GROUP INC 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 SUPPORTING ORGANIZATIONS MA 501(C)(3) LINE 11A, I ATRIUS HEALTH INC 1 RELIANT MEDICAL GROUP INC (FORMERLY FALLON CLINIC INC) 630 PLANTATION STREET WORCESTER MA 01605 042472266 PROVIDE MEDICAL SERVICES MA 501(C)(3) LINE 9 ATRIUS HEALTH INC 1 RELIANT MEDICAL GROUP FOUNDATION INC (FORMERLY FALLON CLINIC FOUNDATION) 630 PLANTATION STREET WORCESTER MA 01605 222912515 PROMOTE COMMUNITY HEALTH MA 501(C)(3) LINE 7 RELIANT MEDICAL GROUP INC 1 LAKEVIEW MEDICAL INC 44 SOUTHBRIDGE AUBURN MA 01501 043106404 MEDICAL EQUIPMENT SUPPLIER MA 501(C)(3) LINE 9 RELIANT MEDICAL GROUP 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 2-BRN LLC 275 GROVE STREET SUITE 3-300 NEWTON MA 02466 205842227 MRI SERVICES MA HARVARD VANGUARD MEDICAL ASSOCIATES INC RELATED 911557 1588018 0 0 0.22800 VENTURE 3-WW LLC 275 GROVE STREET SUITE 3-300 NEWTON MA 02466 208676840 INACTIVE MA HARVARD VANGUARD MEDICAL ASSOCIATES INC RELATED 8289 0 0 0.27000 VENTURE 4-WW2 LLC 275 GROVE STREET SUITE 3-300 NEWTON MA 02466 262783850 DIGITAL MAMMOGRAPHY, ULTRASOUND AND BONE DENSITY SERVICES MA HARVARD VANGUARD MEDICAL ASSOCIATES INC RELATED 1132390 1519534 0 0 0.39000 VENTURE V-90 LIBBEY LLC 275 GROVE STREET SUITE 3-300 NEWTON MA 02466 274351500 GASTROINTES- TINAL ENDOSCOPIC SERVICES MA GRANITE MEDICAL ASSOCIATES INC RELATED 166823 606179 0 0 0.30000 HOME STAFF LLC 40 MILLBROOK STREET WORCESTER MA 01606 421757904 HOME CARE MA N/A DEDHAM MEDICAL URGENT CARE CTR AFFILIATED WITH BID MEDICAL CENTER LLC 1177 PROVIDENCE HIGHWAY NORWOOD MA 02062 463745783 URGENT HEALTH CARE SERVICES MA N/A MASSACHUSETTS ASSURANCE COMPANY LTD FIRST CARIBBEAN HOUSE GEORGE TOWN GRAND CAYMAN CJ 980469895 INSURANCE CJ N/A C 1 ASPECTUS INC 630 PLANTATION STREET WORCESTER MA 01605 043403101 INACTIVE MA N/A C 1 VNA PRIVATE CARE INC 350 GRANITE STREET UNIT 1104 BRAINTREE MA 02184 201916670 PRIVATE DUTY HOME CARE MA N/A C 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 HARVARD VANGUARD MEDICAL ASSOCIATES INC M 984077 COST ATRIUS HEALTH INC M 3458602 SEE STATEMENT ATRIUS HEALTH INC L 22107 SEE STATEMENT HARVARD VANGUARD MEDICAL ASSOCIATES INC K 344485 SUB-LEASE COST HARVARD VANGUARD MEDICAL ASSOCIATES INC L 102237 COST SCH R, PART V, ITEM 2 ATRIUS HEALTH'S GENERAL AND ACO CORPORATE COSTS ARE ALLOCATED TO ATRIUS HEALTH'S PARTICIPATING ORGANIZATIONS , OTHER THAN RELIANT MEDICAL GROUP, INC., PRIMARILY USING THE AVERAGE OF FOUR METHODOLOGIES - REVENUE; PATIENT VISITS; PHYSICIAN FULL-TIME EQUIVALENTS; AND PATIENTS. SSMC'S CHARGE WAS $ 1,466,133 FOR 2014. IN ADDITION, SSMC IS CHARGED FOR ITS SHARE OF THE COSTS OF THE MEDICAL RECORDS AND PRACTICE MANAGEMENT SYSTEM. FOR 2014, SSMC WAS CHARGED WAS $1,992,469 FOR ITS UTILIZATION. ATRIUS RECEIVED FUNDING TO ASSIST IN THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS WHICH IT DISTRIBUTED TO CERTAIN PARTICIPATING ORGANIZATIONS. SSMC RECEIVED $22,107 IN 2014.