2014-11-13T11:36:39-06:00 2013-12-31 043138777 PKF PC 300 CROWN COLONY DRIVE SUITE 400 QUINCY MA 02169 990 2013-01-01 042297845 SOUTH SHORE MEDICAL CENTER INC SOUT 7818785200 141 LONGWATER DRIVE NORWELL MA 02061 INGRID E KOTCH PRESIDENT 7818785200 2014-11-10 1 ROBERT V DANDROW P00294799 6174220007 2014-11-10 2013 2015-11-30 17:44:51Z INGRID E KOTCH 141 LONGWATER DRIVE NORWELL MA 02061 132076913 0 X WWW.SSMEDCENTER.COM X 2004 MA STATEMENT 1 AT SCHEDULE O 6 0 633 0 0 0 0 0 131899822 131279545 249568 364017 0 0 132149390 131643562 54046 34565 0 0 44295336 41933355 0 0 0 86863848 93587381 131213230 135555301 936160 -3911739 35729963 29153678 22160907 19100597 13569056 10053081 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 127509434 34565 131279545 THE ORGANIZATION PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS PATIENTS THROUGH 200,568 PATIENT VISITS (INCLUDING 19,408 MEDICAID VISITS AND 24,753 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. 127509434 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 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1 102 0 633 1 0 0 0 0 0 0 0 0 0 0 X 6 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X MICHAEL KAPLAN CFO 7816811646 141 LONGWATER DRIVE NORWELL MA 02061 SCOTT P CORKINS MD TRUSTEE; FAMILY PRACTICE P 50.00 X 360356 0 39486 CHRISTOPHER R COX DO TRUSTEE; PEDIATRICIAN 50.00 X 347086 0 39486 RICHARD A KAUFF MD T'EE;PRES TO 6.1; PEDIATRICIAN 49.00 1.00 X X 276929 5000 38821 INGRID E KOTCH MD T'EE;PRES 6.1;CLERK TO 6.1;OB/GYN PHY. 50.00 X X 295784 0 38291 SARA J NUCIFORO MD T'EE; CLERK EFF 6.1; DIR. I.M. 32.00 X 235969 0 35132 BENJAMIN C RYAN MD T'EE/TREAS.; FAMILY PRACTI 50.00 X X 317920 0 10890 EDWARD W NALBAND MD CHIEF MEDICAL OFFICER 46.80 3.30 X 414503 0 31216 THOMAS E CARROLL JR CEO EFF 7.1; CFO TO 6.30 50.00 X 299443 0 36868 MARK FLIEGER CIO 50.00 X 250386 0 36681 PEGGY S HAFKEMEYER COO 50.00 X 255107 0 29243 STANLEY R SACON PHD CEO TO 6.30 38.00 X 262894 0 29426 MARK BULMAN MD SURGEON 50.00 X 380141 0 35046 LISA GIONI DO OB/GYN PHYSICIAN 50.00 X 387505 0 31216 DAVID A HALLE MD ASSOC. MEDICAL DIRECTOR 50.00 X 323796 0 39486 MATTHEW R HJORT MD PEDIATRICIAN 50.00 X 346535 0 39486 JOSEPH P SPYCHALSKI MD URGENT CARE PHYSICIAN 50.00 X 401798 0 19409 LAURA M NOWOSIELSKI MD FMR PRESIDENT; FAMILY PRAC 50.00 X 224041 0 29189 5380193 5000 559372 81 1 1 0 THOMAS J KENNEY MD INC 2110 DORCHESTER AVE STE 210 BOSTON MA 02124 PHYSICIANS 705481 GK DERMATOLOGY PC 316 ADAMS ST MILTON MA 02186 PHYSICIANS 513180 SS ORTHOPEDICS LLC 51 PERFORMANCE DR SUITE 300 WEYMOUTH MA 02189 PHYSICIANS 379791 TAMSIN KNOX MD 43 CHESTNUT ST DEDHAM MA 02026 PHYSICIAN 343668 DOCTORS FOOT CARE GROUP PC 111 WILLARD ST SUITE GC QUINCY MA 02169 PHYSICIANS 244726 21 CAPITATION FEES 621110 79578584 79578584 FEE FOR SERVICE 621110 34950195 34950195 MEDICARE/MEDICAID 621110 14097301 14097301 PROGRAM RELATED INV. 621110 1346082 1346082 OTHER 621110 1307383 1307383 131279545 221768 221768 575600 433351 142249 142249 142249 131643562 131279545 0 364017 X 34565 34565 3898255 2837467 1060788 31168923 28898658 2270265 268966 258157 10809 4467770 4114114 353656 2129441 1919234 210207 172385 172385 49000 49000 66900 66900 79432178 77376355 2055823 4500 4500 1959707 1134602 825105 396369 54653 341716 3957210 3650995 306215 96828 85317 11511 73062 73062 14993 14993 1661892 1369898 291994 1408483 1408483 MEDICAL GOODS/SUPPLIES 3799796 3799796 BAD DEBT EXPENSE 494078 494078 135555301 127509434 8045867 0 12125112 4404389 6629620 3399893 358641 53848 12500 39286 33401 410299 1576331 10684242 4036655 3367185 6647587 5649509 6481615 2933313 3007662 4204498 3548952 35729963 29153678 21398943 18047729 505925 469788 256039 583080 22160907 19100597 X 13569056 10053081 13569056 10053081 35729963 29153678 -3911739 395764 0 X X 1 X 1 X 1 0 X 104173663 113499460 127902789 131899822 131279545 608755279 104173663 113499460 127902789 131899822 131279545 608755279 0 0 0 608755279 105458 160317 131061 209120 221768 827724 105458 160317 131061 209120 221768 827724 104279121 113659777 128033850 132108942 131501313 609583003 0.99860 0.99850 0.00140 0.00150 X 6359219 1267032 5092187 435290 309066 126224 3889733 2460557 1429176 6647587 VENTURE 2-BRN, LLC (AT EQUITY)-MRI SERVICES 1344541 C VENTURE 3-WW, LLC (AT EQUITY)-CATSCAN & ONCOLOGY SERVICES 6061 C VENTURE 4-WW2, LLC (AT EQUITY)-IMAGING CENTER 1179756 C VENTURE V-90 LIBBEY, LLC (AT EQUITY)-ENDOSCOPY SUITE 477304 C 3007662 DUE FROM RELATED ENTITY - ATRIUS HEALTH, INC. 3134588 DUE FROM RELATED ENTITY - DEDHAM MEDICAL ASSOCIATES,INC. 233788 DUE FROM RELATED ENTITY - SOUTHBORO MEDICAL GROUP, INC. 73401 SECURITY DEPOSITS 107175 3548952 PAYABLE TO RELATED ENTITY - HARVARD VANGUARD MEDICAL ASSOCIATES, INC. 362870 PAYABLE TO RELATED ENTITY - GRANITE MEDICAL GROUP, INC. 220210 583080 X X X X X 0 0 0 0 0 0 0 1 0 SCOTT P CORKINS MD TRUSTEE; FAMILY PRACTICE P 329722 0 30308 0 326 0 3825 0 35661 0 399842 0 0 0 CHRISTOPHER R COX DO TRUSTEE; PEDIATRICIAN 325223 0 21535 0 328 0 3825 0 35661 0 386572 0 0 0 RICHARD A KAUFF MD T'EE;PRES TO 6.1; PEDIATRICIAN 252668 5000 23384 0 877 0 3825 0 34996 0 315750 5000 0 0 INGRID E KOTCH MD T'EE;PRES 6.1;CLERK TO 6.1;OB/GYN PH 269348 0 22050 0 4386 0 3825 0 34466 0 334075 0 0 0 SARA J NUCIFORO MD T'EE; CLERK EFF 6.1; DIR. I.M. 200034 0 35407 0 528 0 3579 0 31553 0 271101 0 0 0 BENJAMIN C RYAN MD T'EE/TREAS.; FAMILY PRACTI 289455 0 28229 0 236 0 3825 0 7065 0 328810 0 0 0 EDWARD W NALBAND MD CHIEF MEDICAL OFFICER 366890 0 45000 0 2613 0 3825 0 27391 0 445719 0 0 0 THOMAS E CARROLL JR CEO EFF 7.1; CFO TO 6.30 254059 0 45000 0 384 0 3825 0 33043 0 336311 0 0 0 MARK FLIEGER CIO 224409 0 25000 0 977 0 3801 0 32880 0 287067 0 0 0 PEGGY S HAFKEMEYER COO 229108 0 25000 0 999 0 3825 0 25418 0 284350 0 0 0 STANLEY R SACON PHD CEO TO 6.30 214505 0 45000 0 3389 0 3825 0 25601 0 292320 0 0 0 MARK BULMAN MD SURGEON 361072 0 16505 0 2564 0 3825 0 31221 0 415187 0 0 0 LISA GIONI DO OB/GYN PHYSICIAN 373587 0 13672 0 246 0 3825 0 27391 0 418721 0 0 0 DAVID A HALLE MD ASSOC. MEDICAL DIRECTOR 291641 0 31710 0 445 0 3825 0 35661 0 363282 0 0 0 MATTHEW R HJORT MD PEDIATRICIAN 330200 0 15990 0 345 0 3825 0 35661 0 386021 0 0 0 JOSEPH P SPYCHALSKI MD URGENT CARE PHYSICIAN 400907 0 0 0 891 0 3825 0 15584 0 421207 0 0 0 LAURA M NOWOSIELSKI MD FMR PRESIDENT; FAMILY PRAC 173574 0 21296 0 29171 0 3436 0 25753 0 253230 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 THE ANALYSIS OF NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION, INCLUDING DEFINING COMPENSATION THRESHOLDS THAT, IF EXCEEDED, REQUIRE FURTHER REVIEW AND APPROVAL OR MODIFICATION AS APPROPRIATE BY SSMC AND ULTIMATELY THE CORPORATE MEMBER'S COMPENSATION COMMITTEE. PAYABLE TO VAR SSMC PHYSICIANS AT WORKING CAPITAL X 707000 469788 0 1 1 CHRISTOPHER COX PURCHASE NEW RESIDENCE X 75000 53848 0 1 1 523636 SOUTH SHORE MEDICAL ASSOCIATES INC OWNED BY SSMC PHYSICIANS - 18.62% BY 6 CURRENT/FORMER O/D/K - PART VII 327013 SSMC LEASED ITS FACILITIES IN NORWELL AND KINGSTON MA FROM SSMA. THE INITIAL LEASE ENDED IN 2009. FROM 2009 THROUGH SEPTEMBER 2011 SSMC LEASED THE FACILITIES UNDER TENANT AT WILL ARRANGEMENTS. THE CURRENT LEASE FOR THE KINGSTON FACILITY WAS EFFECTIVE OCTOBER 1, 2011 AND WAS SCHEDULED TO END ON SEPTEMBER 30, 2016. IN NOVEMBER, 2012, SSMA SOLD THE KINGSTON FACILITY THUS ENDING THE CURRENT LEASE BETWEEN SSMA AND SSMC. THE CURRENT LEASE FOR THE NORWELL FACILITY WAS EFFECTIVE OCTOBER 1, 2011 AND WAS SCHEDULED TO END ON SEPTEMBER 30, 2016. IN AUGUST 2013, SSMA SOLD THE NORWELL FACILITY THUS ENDING THE CURRENT LEASE BETWEEN SSMA AND SSMC. 0 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 2 SSMC LEASES ITS NORWELL AND KINGSTON FACILITIES FROM SOUTH SHORE MEDICAL ASSOCIATES ("SSMA"). SSMA IS OWNED BY PHYSICIANS EMPLOYED BY SSMC. 18.27% OF THE TOTAL OWNERSHIP OF SSMA IS HELD BY FIVE (5) OF THE CURRENT/FORMER OFFICERS, TRUSTEES AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A. 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. 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. OF THE SIX TRUSTEES, FOUR MUST BE APPROVED BY THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B 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 AND THE ATRIUS HEALTH AUDIT & COMPLIANCE COMMITTEE JOINTLY OVERSEE THE PREPARATION OF SOUTH SHORE MEDICAL CENTER'S 990. THE SOUTH SHORE MEDICAL CENTER BOARD RECEIVES A FINAL DRAFT OF THE 990 AND FORMALLY REVIEWS AND APPROVES THE ENTIRE DOCUMENT BEFORE FILING. IN ADDITION, MATERIAL ISSUES (IF ANY) WITH THE SOUTH SHORE MEDICAL CENTER 990 WOULD BE HIGHLIGHTED IN THE OUTSIDE FIRM'S PRESENTATION TO THE ATRIUS HEALTH AUDIT & COMPLIANCE COMMITTEE 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 THE ANALYSIS OF NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION, INCLUDING DEFINING COMPENSATION THRESHOLDS THAT, IF EXCEEDED, REQUIRE FURTHER REVIEW AND APPROVAL OR MODIFICATION AS APPROPRIATE BY SSMC AND ULTIMATELY THE CORPORATE MEMBER'S COMPENSATION COMMITTEE. THE COMPENSATION PERSONNEL UTILIZE OUTSIDE CONSULTANTS TO ASSIST THEM IN DETERMINING THE REASONABLENESS OF THE COMPENSATION. ALL MAJOR DECISIONS OF THE BOARD MUST BE APPROVED BY SSMC'S CORPORATE MEMBER. 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 70,488,675. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,488,675. CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,529,050. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,529,050. OTHER SERVICES: PROGRAM SERVICE EXPENSES 3,358,630. MANAGEMENT AND GENERAL EXPENSES 2,055,823. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,414,453. 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 799559 1344541 0 0 0.22800 VENTURE 3-WW LLC 275 GROVE STREET SUITE 3-300 NEWTON MA 02466 208676840 RADIATION, ONCOLOGY AND CAT SCAN SERVICES MA HARVARD VANGUARD MEDICAL ASSOCIATES INC RELATED 2598 8433 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 736168 1179754 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 69321 614145 0 0 0.30000 HOME STAFF LLC 40 MILLBROOK STREET WORCESTER MA 01606 421757904 HOME CARE 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 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 HARVARD VANGUARD MEDICAL ASSOCIATES INC M 697277 COST ATRIUS HEALTH INC M 3534769 SEE STATEMENT ATRIUS HEALTH INC L 24382 SEE STATEMENT HARVARD VANGUARD MEDICAL ASSOCIATES INC K 324532 SUB-LEASE COST GRANITE MEDICAL GROUP INC L 11749 COST HARVARD VANGUARD MEDICAL ASSOCIATES INC L 25559 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., USING THE AVERAGE OF FOUR METHODOLOGIES - REVENUE; PATIENT VISITS; PHYSICIAN FULL-TIME EQUIVALENTS; AND PATIENTS. SSMC'S CHARGE WAS $ 1,401,420 FOR 2013. IN ADDITION, SSMC IS CHARGED FOR ITS SHARE OF THE COSTS OF THE MEDICAL RECORDS AND PRACTICE MANAGEMENT SYSTEM. FOR 2013, SSMC WAS CHARGED WAS $2,133,349 FOR ITS UTILIZATION. ATRIUS RECEIVED FUNDING TO ASSIST IN THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS WHICH IT DISTRIBUTED TO CERTAIN PARTICIPATING ORGANIZATIONS. SSMC RECEIVED $24,382 IN 2013.