SOUTH SHORE MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH SHORE MEDICAL CENTER (EIN 04-2297845)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201303189349300325
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T12:48:36-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043138777 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 CROWN COLONY DRIVE SUITE 400 | AddressLine1 |
| City | QUINCY | City |
| State | MA | State |
| ZIP Code | 02169 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042297845 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 7818785200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 WASHINGTON STREET | AddressLine1 |
| City | NORWELL | City |
| State | MA | State |
| ZIP Code | 020619147 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD A KAUFF | Name |
| Title | PRESIDENT | Title |
| Phone | 7818785200 | Phone |
| Date Signed | 2013-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT V DANDROW | Name |
| PTIN | P00294799 | PTIN |
| Phone | 6174220007 | Phone |
| Date Prepared | 2013-11-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | INGRID E KOTCH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 WASHINGTON STREET | AddressLine1 |
| City | NORWELL | City |
| State | MA | State |
| ZIP Code | 020619147 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 132330129 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SSMEDCENTER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | STATEMENT 1 AT SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 591 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 127902789 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 131899822 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 164238 | InvestmentIncomePriorYear |
| Investment Income Current Year | 249568 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 128067027 | TotalRevenuePriorYear |
| Total Revenue Current Year | 132149390 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 41130 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 54046 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 40537868 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 44295336 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 84576093 | OtherExpensePriorYear |
| Other Expenses Current Year | 86863848 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 125155091 | TotalExpensesPriorYear |
| Total Expenses Current Year | 131213230 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2911936 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 936160 | RevenuesLessExpensesCY |
| Total Assets BOY | 27778069 | TotalAssetsBOY |
| Total Assets EOY | 35729963 | TotalAssetsEOY |
| Total Liabilities BOY | 15435561 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 22160907 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12342508 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13569056 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 124250721 | Expense |
| Grants | 54046 | Grants |
| Revenue | 131899822 | Revenue |
| Description | THE ORGANIZATION PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS PATIENTS THROUGH 200,321 PATIENT VISITS (INCLUDING 20,744 MEDICAID VISITS AND 23,052 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. | Description |
| Total Program Service Expense | 124250721 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 68 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 591 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THOMAS CARROLL | NamePerson |
| Telephone Number | 7812614785 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 141 LONGWATER DRIVE | AddressLine1 |
| City | NORWELL | City |
| State | MA | State |
| ZIP Code | 02061 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| GINA S BOUTWELL MD | ||||||||||
| T'EE THRU 5.31; PEDIATRICIAN | 50.00 | X | 281478 | 0 | 36886 | |||||
| SCOTT P CORKINS MD | ||||||||||
| TRUSTEE; FAMILY PRACTICE PHY. | 50.00 | X | 355528 | 0 | 52300 | |||||
| CHRISTOPHER COX MD | ||||||||||
| T'EE EFF 6.1; PEDIATRICIAN | 50.00 | X | 326172 | 0 | 60891 | |||||
| RICHARD A KAUFF MD | ||||||||||
| T'EE/PRES; PEDIATRICIAN | 50.00 | X | 290801 | 0 | 67054 | X | ||||
| INGRID E KOTCH MD | ||||||||||
| T'EE/CLERK; OB/GYN PHYSICIAN | 50.00 | X | 285255 | 0 | 62718 | X | ||||
| ROBERT C MELLORS MD | ||||||||||
| T'EE THRU 5.31; INT. MEDICINE | 50.00 | X | 209976 | 0 | 60609 | |||||
| SARA J NUCIFORO MD | ||||||||||
| T'EE EFF 6.1; DIRECTOR OF INT. MED. | 32.00 | X | 236089 | 0 | 56709 | |||||
| BENJAMIN C RYAN MD | ||||||||||
| T'EE/TREAS.; FAMILY PRACTICE PHY. | 50.00 | X | 345755 | 0 | 30536 | X | ||||
| EDWARD W NALBAND MD | ||||||||||
| CHIEF MEDICAL OFFICER | 43.50 | 400113 | 0 | 109069 | X | 6.50 | ||||
| THOMAS E CARROLL JR | ||||||||||
| CFO | 50.00 | 304224 | 0 | 62872 | X | |||||
| MARK FLIEGER | ||||||||||
| CIO | 50.00 | 233979 | 0 | 55458 | X | |||||
| PEGGY S HAFKEMEYER | ||||||||||
| COO | 50.00 | 250491 | 0 | 49664 | X | |||||
| STANLEY R SACON PHD | ||||||||||
| CEO | 50.00 | 349489 | 0 | 59778 | X | |||||
| MARK BULMAN MD | ||||||||||
| SURGEON | 50.00 | 402706 | 0 | 59195 | X | |||||
| HSI-PIN CHEN MD | ||||||||||
| OB/GYN PHYSICIAN | 50.00 | 357870 | 0 | 31700 | X | |||||
| LISA GIONI DO | ||||||||||
| OB/GYN PHYSICIAN | 50.00 | 343562 | 0 | 45399 | X | |||||
| MATTHEW R HJORT MD | ||||||||||
| PEDIATRICIAN | 50.00 | 366708 | 0 | 53865 | X | |||||
| KAREN E ZEMEL MD | ||||||||||
| PEDIATRICIAN | 50.00 | 326637 | 0 | 64380 | X | |||||
| LAURA M NOWOSIELSKI MD | ||||||||||
| FMR PRESIDENT; FAMILY PRACTICE | 50.00 | 174798 | 0 | 47305 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5841631 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1066388 | TotalOtherCompensation |
| Number Individuals GT100 K | 75 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GK DERMATOLOGY PC | |||||
| 316 ADAMS ST | MILTON | MA | 02186 | PHYSICIANS | 629296 |
| THOMAS J KENNEY MD INC | |||||
| 2110 DORCHESTER AVE STE 210 | BOSTON | MA | 02124 | PHYSICIANS | 604462 |
| SS ORTHOPEDICS LLC | |||||
| 51 PERFORMANCE DR SUITE 300 | WEYMOUTH | MA | 02189 | PHYSICIANS | 341753 |
| TAMSIN KNOX MD | |||||
| 43 CHESTNUT ST | DEDHAM | MA | 02026 | PHYSICIAN | 294681 |
| DOCTORS FOOT CARE GROUP PC | |||||
| 111 WILLARD ST SUITE GC | QUINCY | MA | 02169 | PHYSICIANS | 264551 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CAPITATION FEES | 621110 | 81369060 | 81369060 |
| FEE FOR SERVICE | 621110 | 30981948 | 30981948 |
| MEDICARE/MEDICAID | 621110 | 13731761 | 13731761 |
| PROGRAM RELATED INV. | 621110 | 4373501 | 4373501 |
| OTHER | 621110 | 1443552 | 1443552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 131899822 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 209120 | TotalRevenueColumn |
| Exclusion | $209,120 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 221187 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 180739 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 40448 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40448 | TotalRevenueColumn |
| Exclusion | $40,448 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 132149390 | TotalRevenueColumn |
| Related Or Exempt Function Income | 131899822 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $249,568 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54046 | Total |
| Program Services | 54046 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4048776 | Total |
| Program Services | 2955578 | ProgramServices |
| Management And General | 1093198 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31460219 | Total |
| Program Services | 29718735 | ProgramServices |
| Management And General | 1741484 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1467030 | Total |
| Program Services | 1450524 | ProgramServices |
| Management And General | 16506 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5250638 | Total |
| Program Services | 4849696 | ProgramServices |
| Management And General | 400942 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2068673 | Total |
| Program Services | 1878705 | ProgramServices |
| Management And General | 189968 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77717 | Total |
| Management And General | 77717 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53475 | Total |
| Management And General | 53475 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37129 | Total |
| Management And General | 37129 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74498088 | Total |
| Program Services | 72596446 | ProgramServices |
| Management And General | 1901642 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5200 | Total |
| Management And General | 5200 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1672081 | Total |
| Program Services | 1034762 | ProgramServices |
| Management And General | 637319 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 381766 | Total |
| Program Services | 107073 | ProgramServices |
| Management And General | 274693 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2940530 | Total |
| Program Services | 2735603 | ProgramServices |
| Management And General | 204927 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111948 | Total |
| Program Services | 109696 | ProgramServices |
| Management And General | 2252 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56462 | Total |
| Program Services | 56462 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16103 | Total |
| Program Services | 16103 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1820162 | Total |
| Program Services | 1494105 | ProgramServices |
| Management And General | 326057 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1289848 | Total |
| Program Services | 1289848 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL GOODS/SUPPLIES | 3511483 | 3511483 |
| BAD DEBT EXPENSE | 391856 | 391856 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131213230 | Total |
| Program Services | 124250721 | ProgramServices |
| Management And General | 6962509 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8479958 | BOY |
| EOY | 12125112 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6526936 | BOY |
| EOY | 6629620 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302484 | BOY |
| EOY | 358641 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29167 | BOY |
| EOY | 12500 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43252 | BOY |
| EOY | 39286 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 375846 | BOY |
| EOY | 410299 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8339323 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4972138 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3858364 | BOY |
| EOY | 3367185 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4671676 | BOY |
| EOY | 5649509 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1796383 | BOY |
| EOY | 2933313 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1694003 | BOY |
| EOY | 4204498 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27778069 | BOY |
| EOY | 35729963 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14236208 | BOY |
| EOY | 21398943 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 513153 | BOY |
| EOY | 505925 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 686200 | BOY |
| EOY | 256039 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15435561 | BOY |
| EOY | 22160907 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12342508 | BOY |
| EOY | 13569056 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12342508 | BOY |
| EOY | 13569056 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27778069 | BOY |
| EOY | 35729963 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 936160 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 290388 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 85774572 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 104173663 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 113499460 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 127902789 | CurrentTaxYearMinus1Year |
| Current Tax Year | 131899822 | CurrentTaxYear |
| Total | 563250306 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 85774572 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 104173663 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 113499460 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 127902789 | CurrentTaxYearMinus1Year |
| Current Tax Year | 131899822 | CurrentTaxYear |
| Total | 563250306 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 563250306 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 239999 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 105458 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 160317 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 131061 | CurrentTaxYearMinus1Year |
| Current Tax Year | 209120 | CurrentTaxYear |
| Total | 845955 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 239999 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 105458 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 160317 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 131061 | CurrentTaxYearMinus1Year |
| Current Tax Year | 209120 | CurrentTaxYear |
| Total | 845955 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 86014571 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 104279121 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 113659777 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 128033850 | CurrentTaxYearMinus1Year |
| Current Tax Year | 132108942 | CurrentTaxYear |
| Total | 564096261 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99850 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99810 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00150 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00190 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 342296 | OtherCostOrOtherBasis |
| Book Value | 342296 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 893304 | OtherCostOrOtherBasis |
| Depreciation | 567951 | Depreciation |
| Book Value | 325353 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 555932 | OtherCostOrOtherBasis |
| Depreciation | 477242 | Depreciation |
| Book Value | 78690 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 440491 | OtherCostOrOtherBasis |
| Depreciation | 283777 | Depreciation |
| Book Value | 156714 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6107300 | OtherCostOrOtherBasis |
| Depreciation | 3643168 | Depreciation |
| Book Value | 2464132 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3367185 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| VENTURE 2-BRN, LLC (AT EQUITY)-MRI SERVICES | 1266337 | C |
| VENTURE 3-WW, LLC (AT EQUITY)-CATSCAN & ONCOLOGY SERVICES | 189887 | C |
| VENTURE 4-WW2, LLC (AT EQUITY)-IMAGING CENTER | 1018185 | C |
| VENTURE V-90 LIBBEY, LLC (AT EQUITY)-ENDOSCOPY SUITE | 458904 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 2933313 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM RELATED ENTITY - HARVARD VANGUARD MEDICAL ASSOCIATES, INC. | 3010408 |
| DUE FROM RELATED ENTITY - ATRIUS HEALTH, INC. | 1194090 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4204498 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PAYABLE TO RELATED ENTITY - SOUTHBORO MEDICAL GROUP, INC. | Description |
| Amount | $256,039 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 256039 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 134860696 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 290388 | NetUnrealizedGainsInvestments |
| Other Revenues | 2420918 | OtherRevenues |
| Revenue Not Rptd F990 | 2711306 | RevenueNotRptdF990 |
| Revenue Subtotal | 132149390 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 132149390 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 133634148 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2420918 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2420918 | ExpensesNotRptdF990 |
| Expenses Subtotal | 131213230 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 131213230 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | EXPENSE ADJUSTMENTS REPORTED AS OTHER REVENUE FOR FINANCIAL REPORTING 2,420,918. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSE ADJUSTMENTS REPORTED AS OTHER REVENUE FOR FINANCIAL REPORTING 2,420,918. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION | ||||||||
| 20 SPEEN ST PO BOX 9376 | FRAMINGHAM | MA | 01701 | 135613797 | 501 (C)(3) | 5000 | FMV | SUPPORT AMERICAN HEART WALK FUND-RAISER |
| SOUTH SHORE HOSPITAL | ||||||||
| 55 FOGG ROAD | WEYMOUTH | MA | 02190 | 264517944 | 501 (C)(3) | 10000 | FMV | SUPPORT HOME CARE PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | 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 GRANTS TO RECIPIENTS IS LIMITED. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GINA S BOUTWELL MD | ||||||||||||||
| T'EE THRU 5.31; PEDIATRICIAN | 250231 | 0 | 26974 | 0 | 4273 | 0 | 30831 | 0 | 6055 | 0 | 318364 | 0 | 0 | 0 |
| SCOTT P CORKINS MD | ||||||||||||||
| TRUSTEE; FAMILY PRACTICE PHY. | 322819 | 0 | 30381 | 0 | 2328 | 0 | 25276 | 0 | 27024 | 0 | 407828 | 0 | 0 | 0 |
| CHRISTOPHER COX MD | ||||||||||||||
| T'EE EFF 6.1; PEDIATRICIAN | 297936 | 0 | 24931 | 0 | 3305 | 0 | 28342 | 0 | 32549 | 0 | 387063 | 0 | 0 | 0 |
| RICHARD A KAUFF MD | ||||||||||||||
| T'EE/PRES; PEDIATRICIAN | 261526 | 0 | 24266 | 0 | 5009 | 0 | 35342 | 0 | 31712 | 0 | 357855 | 0 | 0 | 0 |
| INGRID E KOTCH MD | ||||||||||||||
| T'EE/CLERK; OB/GYN PHYSICIAN | 256631 | 0 | 24266 | 0 | 4358 | 0 | 32342 | 0 | 30376 | 0 | 347973 | 0 | 0 | 0 |
| ROBERT C MELLORS MD | ||||||||||||||
| T'EE THRU 5.31; INT. MEDICINE | 162701 | 0 | 42137 | 0 | 5138 | 0 | 29164 | 0 | 31445 | 0 | 270585 | 0 | 0 | 0 |
| SARA J NUCIFORO MD | ||||||||||||||
| T'EE EFF 6.1; DIRECTOR OF INT. MED. | 191069 | 0 | 41494 | 0 | 3526 | 0 | 27513 | 0 | 29196 | 0 | 292798 | 0 | 0 | 0 |
| BENJAMIN C RYAN MD | ||||||||||||||
| T'EE/TREAS.; FAMILY PRACTICE PHY. | 315619 | 0 | 27853 | 0 | 2283 | 0 | 25276 | 0 | 5260 | 0 | 376291 | 0 | 0 | 0 |
| EDWARD W NALBAND MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | 348422 | 0 | 45000 | 0 | 6691 | 0 | 35342 | 50000 | 23727 | 0 | 459182 | 50000 | 0 | 0 |
| THOMAS E CARROLL JR | ||||||||||||||
| CFO | 241220 | 0 | 58571 | 0 | 4433 | 0 | 32342 | 0 | 30530 | 0 | 367096 | 0 | 0 | 0 |
| MARK FLIEGER | ||||||||||||||
| CIO | 214487 | 0 | 15500 | 0 | 3992 | 0 | 27137 | 0 | 28321 | 0 | 289437 | 0 | 0 | 0 |
| PEGGY S HAFKEMEYER | ||||||||||||||
| COO | 219464 | 0 | 27500 | 0 | 3527 | 0 | 28342 | 0 | 21322 | 0 | 300155 | 0 | 0 | 0 |
| STANLEY R SACON PHD | ||||||||||||||
| CEO | 281464 | 0 | 58571 | 0 | 9454 | 0 | 35342 | 0 | 24436 | 0 | 409267 | 0 | 0 | 0 |
| MARK BULMAN MD | ||||||||||||||
| SURGEON | 383877 | 0 | 13928 | 0 | 4901 | 0 | 26342 | 0 | 32853 | 0 | 461901 | 0 | 0 | 0 |
| HSI-PIN CHEN MD | ||||||||||||||
| OB/GYN PHYSICIAN | 350009 | 0 | 7500 | 0 | 361 | 0 | 0 | 0 | 31700 | 0 | 389570 | 0 | 0 | 0 |
| LISA GIONI DO | ||||||||||||||
| OB/GYN PHYSICIAN | 325210 | 0 | 16094 | 0 | 2258 | 0 | 25276 | 0 | 20123 | 0 | 388961 | 0 | 0 | 0 |
| MATTHEW R HJORT MD | ||||||||||||||
| PEDIATRICIAN | 346082 | 0 | 18261 | 0 | 2365 | 0 | 25831 | 0 | 28034 | 0 | 420573 | 0 | 0 | 0 |
| KAREN E ZEMEL MD | ||||||||||||||
| PEDIATRICIAN | 298034 | 0 | 24266 | 0 | 4337 | 0 | 31831 | 0 | 32549 | 0 | 391017 | 0 | 0 | 0 |
| LAURA M NOWOSIELSKI MD | ||||||||||||||
| FMR PRESIDENT; FAMILY PRACTICE | 142184 | 0 | 23927 | 0 | 8687 | 0 | 28604 | 0 | 18701 | 0 | 222103 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 5 | WHILE COMPENSATION PROVIDED TO THE PHYSICIAN EMPLOYEES OF THE ORGANIZATION DEPENDS ON THE REVENUE OF THE ORGANIZATION, THE COMPENSATION PAYABLE TO EACH PHYSICIAN IS DETERMINED BASED ON THAT PHYSICIAN'S PRODUCTIVITY AND THE PROFESSIONAL REVENUE THAT THEY PRODUCE. |
| 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. |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement | Loan To OrganizationLoanToOrganization |
|---|---|---|---|---|---|---|---|
| SOUTH SHORE MEDICAL ASSOCIATES DIV | |||||||
| FUNDS FOR ADDITION TO PROPERTY LEASED BY SSMC FROM SSMA | X | $400,000 | 283641 | 0 | 1 | 1 | |
| PAYABLE TO VAR SSMC PHYSICIANS AT | |||||||
| WORKING CAPITAL | $707,000 | 505925 | 0 | 1 | 1 | X | |
| CHRISTOPHER COX | |||||||
| PURCHASE NEW RESIDENCE | X | $75,000 | 75000 | 0 | 1 | 1 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 864566 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE MEDICAL ASSOCIATES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | OWNED BY SSMC PHYSICIANS - 18.62% BY 6 CURRENT/FORMER O/D/K - PART VII | Relationship |
| Amount Of Transaction | 604465 | AmountOfTransaction |
| Description Of Transaction | SSMC LEASES 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 LEASES WERE EFFECTIVE OCTIBER 1, 2011 AND END ON SEPTEMBER 30, 2014 FOR THE NORWELL FACILITY AND SEPTEMBER 30, 2016 FOR THE KINGSTON FACILITY. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION | STATEMENT 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. 18.62% OF THE TOTAL OWNERSHIP OF SSMA IS HELD BY SIX (6) 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 AT LEAST 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 | FORM 990, PART VI, COMPENSATION: 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. | |
| OTHER FEES | FORM 990, PART IX, LINE 11G | OUTSIDE UTILIZATION CHARGES (CAPITATION CONTRACTS): PROGRAM SERVICE EXPENSES 66,737,158. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,737,158. CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,449,556. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,449,556. OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,409,732. MANAGEMENT AND GENERAL EXPENSES 1,901,642. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,311,374. |
| 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | N/A | |
| 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 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VENTURE 2-BRN LLC | |||||||||||||
| 275 GROVE STREET SUITE 3-300 | NEWTON | MA | 02466 | 205842227 | MRI SERVICES | MA | HARVARD VANGUARD MEDICAL ASSOCIATES INC | RELATED | 814041 | 1266339 | 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 | 2642440 | 192481 | 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 | 863094 | 1018183 | 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 | 53928 | 613826 | 0 | 0 | 0.30000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL MASSACHUSETTS INDEMNITY CO INC | ||||||||||||||
| FIRST CARIBBEAN HOUSE GEORGE TOWN | GRAND CAYMAN | CJ | 980405037 | INSURANCE | CJ | RELIANT MEDICAL GROUP INC | C | 1 | ||||||
| MASSACHUSETTS ASSURANCE COMPANY LTD | ||||||||||||||
| FIRST CARIBBEAN HOUSE GEORGE TOWN | GRAND CAYMAN | CJ | INSURANCE | CJ | C | 1 | N/A | |||||||
| ASPECTUS INC | ||||||||||||||
| 043403101 | INACTIVE | C | 1 | N/A | 630 PLANTATION STREET | WORCESTER | MA | 01605 | MA | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HARVARD VANGUARD MEDICAL ASSOCIATES INC | ||
| M | 623859 | COST |
| ATRIUS HEALTH INC | ||
| M | 2745461 | SEE STATEMENT |
| ATRIUS HEALTH INC | ||
| L | 23924 | SEE STATEMENT |
| HARVARD VANGUARD MEDICAL ASSOCIATES INC | ||
| K | 309005 | SUB-LEASE COST |
| ATRIUS HEALTH INC | ||
| R | 604589 | ACO DEPOSIT |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TRANSACTIONS WITH ATRIUS HEALTH INC. (CODE L AND M) | Identifier |
| Return Reference | SCH R, PART V, ITEM 2 | ReturnReference |
| Explanation | 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 $ 1,151,323 FOR 2012. IN ADDITION, SSMC IS CHARGED FOR ITS SHARE OF THE COSTS OF THE MEDICAL RECORDS AND PRACTICE MANAGEMENT SYSTEM. FOR 2012,SSMC WAS CHARGED WAS $ 1,594,138 FOR ITS UTILIZATION. ATRIUS RECEIVED FUNDING TO ASSIST IN THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS WHICH IT DISTRIBUTED TO CERTAIN PARTICIPATING ORGANIZATIONS. SSMC RECEIVED $ 23,924 IN 2012. | Explanation |
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