2020-08-17T13:36:47-05:00 2019-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2018-10-01 273902914 CIRCLE HEALTH PHYSICIANS INC CIRC 9789376000 295 VARNUM AVENUE LOWELL MA 01854 WILLIAM WYMAN SR. VP OF FINANCE 9789376000 2020-08-11 1 BRENDA L BOOTH P01342395 6177610600 2020-08-11 207.172.72.163 2020-08-11 23:18:21 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AAFE5242E44AA74A98A743050A15125E154A43A4 2018 2020-09-23 17:36:50Z JOSEPH WHITE 295 VARNUM AVENUE LOWELL MA 01854 49416984 0 X N/A X 2009 MA THE CORPORATION SHALL BE OPERATED EXCLUSIVELY FOR THE CHARITABLE PURPOSE OF BENEFITING, SUPPORTING AND FURTHERING THE CHARITABLE ACTIVITIES OF LOWELL GENERAL HOSPITAL AND ORGANIZATIONS AFFILIATED WITH THE HOSPITAL. 3 1 66 7 16843 -441 0 0 45939673 49416471 324 513 0 0 45939997 49416984 3589 4050 0 0 40506960 43046180 0 0 0 14338278 18540391 54848827 61590621 -8908830 -12173637 12738532 12464968 12398884 11979298 339648 485670 X IT SHALL BE THE PURPOSE OF THE CORPORATION TO UNDERTAKE TO MONITOR AND COORDINATE THE ACTIVITIES OF THE HOSPITAL AND SUPPORTED ORGANIZATIONS; TO PROVIDE SUPPORT SERVICES AND INDIVIDUALS TO PROVIDE SUPPORT SERVICES TO THE HOSPITAL AND SUPPORTED ORGANIZATIONS; TO COORDINATE PHYSICIAN SERVICES TO THE HOSPITAL AND SUPPORTED ORGANIZATIONS; AND GENERALLY TO IMPROVE THE EFFICIENCY AND EFFECTIVENESS OF THE HOSPITAL AND SUPPORTED ORGANIZATIONS THROUGH COORDINATED EFFORTS, IN ACHIEVING THEIR DIFFERENT INDIVIDUAL EXEMPT PURPOSES. 0 0 13684825 4050 11154371 LGH MVC ASSOCIATES IS COMPRISED OF ELEVEN PHYSICIANS THAT PRACTICE CLINICAL CARDIOLOGY. MOST PHYSICIANS SPECIALIZE IN AREAS SUCH AS INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, IMAGING TECHNIQUES SUCH AS NUCLEAR CARDIOLOGY, ECHO OR CT ANGIOGRAPHY IN ADDITION TO SPECIFIC ISSUES SUCH AS CORONARY DISEASE, CHOLESTEROL DISORDERS AND HEART FAILURE. 20347259 18402113 LGH MEDICAL GROUP IS A GROUP OF PHYSICIAN PRACTICES WITH MERRIMACK FAMILY MEDICINE BEING THE LARGEST WITHIN THIS GROUP. MERRIMACK FAMILY MEDICINE IS AN INTEGRATED FAMILY PRACTICE WITH FIVE PHYSICIANS, THREE NURSE PRACTITIONERS, AND TWO PHYSICIAN ASSISTANTS OFFERING COMPREHENSIVE PRIMARY MEDICAL CARE, HEALTH SERVICES, AND INFORMATION TO ALL PATIENTS. OUR SERVICES INCLUDE GYNECOLOGY, OBSTETRICS, PEDIATRICS, AND ADULT MEDICINE. 8473421 7083940 CIRCLE HEALTH URGENT CARE FACILITIES ARE LOCATED IN BILLERICA, DRACUT, TEWKSBURY AND WESTFORD MASSACHUSETTS. CIRCLE HEALTH'S URGENT CARE CENTERS PROVIDE WALK-IN, URGENT CARE FOR NON-LIFE THREATENING CONDITIONS AND OTHER AILMENTS THAT REQUIRE PROMPT MEDICAL ATTENTION. THEY OFFER OCCUPATIONAL MEDICINE SERVICES AND TRAVEL MEDICINE FOR THOSE TRAVELING ABROAD. UNLIKE MANY OTHER URGENT CARE CLINICS, OUR URGENT CARE CENTERS ARE STAFFED WITH EXPERIENCED URGENT CARE PHYSICIANS FROM MERRIMACK VALLEY EMERGENCY ASSOCIATES WHO ARE AVAILABLE ONSITE DURING OPERATING HOURS. ALL LOCATIONS SERVE CHILDREN, ADOLESCENTS, ADULT AND OLDER ADULT PATIENTS WITH CONVENIENT, ACCESSIBLE CARE WITHOUT AN APPOINTMENT. 3916674 2107945 LGH CANCERCARE ASSOCIATES IS A PHYSICIAN PRACTICE PROVIDING COMPREHENSIVE CANCER CARE TO SUPPORT THE HOSPITAL'S CANCER PROGRAM. 5601920 6098317 LGH WOMANHEALTH IS AN OB/GYN PRACTICE WITH SEVEN PHYSICIANS, THREE NURSE PRACTITIONERS, AND A MIDWIFE WHO PROVIDE A FULL RANGE OF HEALTHCARE TO WOMEN FROM ADOLESCENCE THROUGH MATURITY. WE PROVIDE SPECIAL EXPERTISE IN GYNECOLOGIC CARE, OBSTETRICS, URINARY INCONTINENCE, MENOPAUSE AND GYNECOLOGIC CANCER. 3648005 3976538 LGH PROFESSIONAL SERVICES 595230 576404 CIRCLE HEALTH PHARMACY 13761829 12759204 56267334 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 27 0 66 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 1 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X WILLIAM WYMAN SR VP OF FINANCE 9789376034 295 VARNUM AVENUE LOWELL MA 01854 JOSEPH WHITE PRESIDENT - THE LGH 1.00 49.00 X X 0 1324761 20921 DANIEL MANSUR ESQ CLERK 1.00 3.00 X X 0 0 0 WILLIAM F WYMAN SR. VP OF FINANCE/TREAS./ASST. CLERK 1.00 49.00 X X 0 366595 19990 JAMES WATERS PHYSICIAN 50.00 0.00 X 722969 0 18579 OMAR ALI PHYSICIAN 50.00 0.00 X 715803 0 18163 KIRK MACNAUGHT PHYSICIAN 50.00 0.00 X 721435 0 7424 RICHARD BIRKHEAD PHYSICIAN 50.00 0.00 X 651617 0 12900 MURAT ANAMUR PHYSICIAN 50.00 0.00 X 637018 0 18664 SUSAN GREEN FMR. SR. VP & CFO & TREAS. - THE LGH 0.00 50.00 X 0 731087 27467 NORMAND DESCHENE FMR. PRES. OF BOARD & CEO - THE LGH 0.00 50.00 X 0 1656224 20921 3448842 4078667 165029 65 1 1 0 MERRIMACK VALLEY EMERGENCY ASSOCIATES I 295 VARNUM AVENUE LOWELL MA 01854 MEDICAL SERVICES 4394110 MEDICAL PROTECTIVE COMPANY 23289 NETWORK PLACE CHICAGO IL 60673 MEDICAL SERVICES 373021 LEGACY TECH LLC 107 AUDUBON ROAD 2-301 WAKEFIELD MA 01880 MEDICAL SERVICES 337422 JANITECH INC 106 HIGH STREET CUMBERLAND RI 02864 JANITORIAL SERVICES 286251 ECLINICAL WORKS LLC 5400 COMPUTER DRIVE WESTBOROUGH MA 01584 INFORMATION SYSTEMS PROVIDER 178108 9 LGH MEDICAL GROUP 621110 18402113 18402113 LGH MVC ASSOCIATES 621110 11154371 11154371 LGH CIRCLE HEALTH URGENT CARE 621110 7083940 7083940 LGH WOMANHEALTH 621110 6098317 6098317 LGH PROFESSIONAL SERVICES 621110 3976538 3976538 2701192 2684349 16843 49416471 513 513 49416984 49399628 16843 513 4050 4050 37847539 34561093 3286446 3280961 3116913 164048 1917680 1821796 95884 3410169 3282421 127748 1509 1509 3560330 3158502 401828 7509 7509 3600297 2518906 1081391 10269 10269 155144 155144 3436 3436 456643 319485 137158 903750 887420 16330 PHYSICIAN FEES 4733351 4733351 PROVISION FOR BAD DEBT 1697984 1697984 61590621 56267334 5323287 0 480259 1005118 3515604 4040737 0 75367 1040639 1006821 5485269 2865768 2434547 2619501 5267483 3717424 12738532 12464968 4521924 5420329 215238 140893 7661722 6418076 12398884 11979298 X 339648 485670 339648 485670 12738532 12464968 X -12173637 12319659 X 0 1 X 1 0 X 36208721 38628592 38813405 45939673 49399628 208990019 36208721 38628592 38813405 45939673 49399628 208990019 0 0 0 208990019 275 142 256 324 513 1510 275 142 256 324 513 1510 36208996 38628734 38813661 45939997 49400141 208991529 1.00000 1.00000 0.00000 0.00000 X 1402151 650553 751598 4083118 2215215 1867903 2619501 DUE FROM AFFILIATES 3605282 OTHER ASSETS 112142 3717424 DUE TO AFFILIATES 6418076 6418076 60038659 12319659 12319659 47719000 1697984 1697984 49416984 59892637 0 59892637 1697984 1697984 61590621 PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERENITY NET ASSET TRANSFERS 12,319,659. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTABLE ACCOUNTS 1,697,984. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTABLE ACCOUNTS 1,697,984. X X 1 1 1 1 0 0 0 0 0 1 0 JOSEPH WHITE PRESIDENT - THE LGH 0 679599 0 157248 0 487914 0 8250 0 12671 0 1345682 0 0 WILLIAM F WYMAN SR. VP OF FINANCE/TREAS./ASST. CLERK 0 317072 0 46365 0 3158 0 6320 0 13670 0 386585 0 0 JAMES WATERS PHYSICIAN 594134 0 96679 0 32156 0 0 0 18579 0 741548 0 0 0 OMAR ALI PHYSICIAN 609099 0 96679 0 10025 0 0 0 18163 0 733966 0 0 0 KIRK MACNAUGHT PHYSICIAN 602276 0 96679 0 22480 0 0 0 7424 0 728859 0 0 0 RICHARD BIRKHEAD PHYSICIAN 520731 0 96679 0 34207 0 0 0 12900 0 664517 0 0 0 MURAT ANAMUR PHYSICIAN 558132 0 45200 0 33686 0 0 0 18664 0 655682 0 0 0 SUSAN GREEN FMR. SR. VP & CFO & TREAS. - THE LGH 0 540301 0 155461 0 35325 0 8250 0 19217 0 758554 0 0 NORMAND DESCHENE FMR. PRES. OF BOARD & CEO - THE LGH 0 1092300 0 366053 0 197871 0 8250 0 12671 0 1677145 0 0 PART I, LINE 1A THE HOSPITAL HAS ENTERED INTO RESTRICTIVE ENDORSEMENT BONUS ARRANGEMENTS ("REBA'S") WITH THE FOLLOWING EMPLOYEES AS PART OF A RETIREMENT RETENTION PROGRAM: JOSEPH WHITE - PRESIDENT - THE LOWELL GENERAL HOSPITAL AMOUNTS PAID BY THE HOSPITAL UNDER THE ARRANGEMENT ARE REQUIRED TO BE REPAID TO THE HOSPITAL IF LENGTH OF SERVICE REQUIREMENTS ARE NOT MET. AMOUNTS PAID UNDER THE REBA ARRANGEMENTS ARE TREATED AS TAXABLE COMPENSATION IN THE YEAR PAID BY THE HOSPITAL. THIS ARRANGEMENT WAS APPROVED BY THE HOSPITAL'S COMPENSATION COMMITTEE AS DOCUMENTED IN THE COMMITTEE MINUTES. THE W-2 COMPENSATION REPORTED FOR MR. WHITE - PRESIDENT - THE LOWELL GENERAL HOSPITAL ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $426,404 PAID IN 2018 IN CONNECTION WITH THE REBA ARRANGEMENT. SOCIAL CLUB DUES ARE PROVIDED TO JOSEPH WHITE. SOCIAL CLUB DUES ARE TREATED AS TAXABLE COMPENSATION TO THE EXTENT CONSIDERED PERSONAL USEAGE. PART I, LINES 4A-B THE HOSPITAL HAS ENTERED INTO A SPLIT-DOLLAR LIFE INSURANCE AGREEMENT WITH NORMAND DESCHENE - FMR. PRESIDENT OF BOARD & CEO - THE LOWELL GENERAL HOSPITAL. PREMIUMS PAID IN CALENDAR 2018 WERE $125,648. ALL PREMIUMS WILL BE REPAID TO THE HOSPITAL. PART I, LINE 7 BONUSES ARE PAID AS INDICATED ON SCHEDULE J, PART II. BONUS PAID TO OFFICERS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. OTHER BONUSES ARE APPROVED BY THE OFFICERS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 CIRCLE HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF CIRCLE HEALTH PHYSICIANS, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF CIRCLE HEALTH PHYSICIANS, INC. IS ELECTED BY ITS SOLE MEMBER, CIRCLE HEALTH, INC. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S PROFESSIONAL ACCOUNTING FIRM PREPARES THE 990 IN ASSOCIATION WITH THE FINANCE DEPARTMENT OF THE LOWELL GENERAL HOSPITAL WHO SUPPLIES RELEVANT INFORMATION TO THE PREPARER. THE BOARD OF DIRECTORS ARE ULTIMATELY RESPONSIBLE FOR ACCEPTANCE OF THE DRAFT FORM 990 AND ITS APPROVAL FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C CIRCLE HEALTH PHYSICIANS FOLLOWS THE CONFLICT OF INTEREST POLICY OF THE LOWELL GENERAL HOSPITAL. ALL TRUSTEES SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT FOLLOWING THE POLICY OF THE LOWELL GENERAL HOSPITAL AS OUTLINED BELOW: ALL OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. ANY ACTUAL OR POTENTIAL CONFLICTS ARE FORWARDED TO THE COMPLIANCE COMMITTEE FOR CONSIDERATION. IN THE EVENT OF AN ACTUAL OR POTENTIAL CONFLICT, THE CONFLICTED INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS OR DECISIONS RELATING TO THE MATTER. A COMPLIANCE COMMITTEE MEETING IS HELD EVERY OTHER MONTH TO ADDRESS CONCERNS. FORM 990, PART VI, SECTION B, LINE 15 CIRCLE HEALTH PHYSICIANS DOES NOT DIRECTLY COMPENSATE ITS CEO OR ANY OTHER OFFICERS. COMPENSATION FOR THE CEO AND OTHER OFFICERS FOLLOWS THE PROCESS OF THE LOWELL GENERAL HOSPITAL AS OUTLINED BELOW: A THIRD PARTY CONSULTANT IS HIRED FOR AN INDEPENDENT ASSESSMENT OF APPROPRIATE SALARY RANGES FOR THE OFFICERS OF THE ORGANIZATION SUCH AS THE CEO, COO, AND CFO. THIS ASSESSMENT IS REVIEWED BY THE COMPENSATION COMMITTEE AND A RECOMMENDATION IS GIVEN TO THE EXECUTIVE COMMITTEE ON SALARY INCREASES AND BONUSES. FORM 990, PART VI, SECTION C, LINE 19 CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE THE FINANCIAL STATEMENTS OF CIRCLE HEALTH PHYSICIANS, INC. ARE AVAILABLE THROUGH THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE AND UPON REQUEST. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. THE FORM 990 IS AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE AND WWW.GUIDESTAR.ORG. FORM 990, PART XI, LINE 9: INTERENTITY NET ASSET TRANSFERS 12,319,659. LGH MEDICAL GROUP LLC 295 VARNUM AVE LOWELL MA 01854 205671277 MEDICAL SERVICES MA 17779465 5538840 CIRCLE HEALTH PHYSICIANS INC LGH CANCERCARE ASSOCIATES LLC 295 VARNUM AVE LOWELL MA 01854 043483462 MEDICAL SERVICES MA 2047928 541991 CIRCLE HEALTH PHYSICIANS INC LGH WOMANHEALTH LLC 295 VARNUM AVE LOWELL MA 01854 262057970 MEDICAL SERVICES MA 6047972 890503 CIRCLE HEALTH PHYSICIANS INC LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES LLC 295 VARNUM AVE LOWELL MA 01854 452014433 MEDICAL SERVICES MA 10647780 1966054 CIRCLE HEALTH PHYSICIANS INC CIRCLE HEALTH URGENT CARE LLC 295 VARNUM AVE LOWELL MA 01854 471122896 MEDICAL SERVICES MA 6644251 2277471 CIRCLE HEALTH PHYSICIANS INC CIRCLE HEALTH PHARMACY LLC 295 VARNUM AVE LOWELL MA 01854 001352934 MEDICAL SERVICES MA 593247 540202 CIRCLE HEALTH PHYSICIANS INC LGH PROFESSIONAL SERVICES LLC 295 VARNUM AVE LOWELL MA 01854 611844933 MEDICAL SERVICES MA 3958220 709907 CIRCLE HEALTH PHYSICIANS INC WELLFORCE CARE PLAN LLC 800 DISTRICT AVE BURLINGTON MA 01803 001274839 ACO MA 0 0 WELLFORCE INC MELROSEWAKEFIELD HEALTHCARE INC 170 GOVERNORS AVE MEDFORD MA 02155 042767880 HOSPITAL MA 501(C)(3) LINE 3 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 HALLMARK HEALTH MEDICAL ASSOCIATES INC 170 GOVERNORS AVE MEDFORD MA 02155 043140938 MD OFFICES MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 LM LONG TERM CARE SERVICES INC 170 GOVERNORS AVE MEDFORD MA 02155 042938772 LONG-TERM CARE MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 SAVIN LONG TERM CARE CORPORATION 170 GOVERNORS AVE MEDFORD MA 02155 043012616 LONG-TERM CARE MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC 178 SAVIN ST SUITE 300 MALDEN MA 02148 042437064 VISITING NURSE MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 HALLMARK HEALTH PROPERTIES 170 GOVERNORS AVE MEDFORD MA 02155 222580542 PROPERTY MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 170 GOVERNORS AVE MEDFORD MA 02155 042103587 PARENT MA 501(C)(3) LINE 12A, I WELLFORCE INC 1 THE LOWELL GENERAL HOSPITAL 295 VARNUM AVENUE LOWELL MA 01854 042103590 HEALTH CARE MA 501(C)(3) LINE 3 CIRCLE HEALTH INC 1 CIRCLE HEALTH PHYSICIANS INC 295 VARNUM AVENUE LOWELL MA 01854 273902914 MEDICAL SERVICES MA 501(C)(3) LINE 10 CIRCLE HEALTH INC 1 LGH PHYSICIAN ASSOCIATES INC ONE HOSPITAL DRIVE LOWELL MA 01852 043190747 MEDICAL SERVICES MA 501(C)(3) LINE 10 CIRCLE HEALTH PHYSICIANS INC 1 CIRCLE HEALTH INC 295 VARNUM AVENUE LOWELL MA 01854 222579798 PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12B, II WELLFORCE INC 1 WELLFORCE INC 1600 DISTRICT AVE SUITE 125 BURLINGTON MA 01803 452250732 PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12A, I N/A 0 CNS NURSING HOME CARE INC 847 ROGERS STREET SUITE 201 LOWELL MA 01852 371836433 HOME CARE SERVICES MA 501(C)(3) LINE 10 CIRCLE HOME INC 1 CIRCLE HOME INC 847 ROGERS STREET SUITE 201 LOWELL MA 01852 042103812 HOME CARE SERVICES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 TUFTS MEDICAL CENTER PARENT INC 800 WASHINGTON STREET BOSTON MA 02111 042810022 FUNDRAISING, ADMIN. 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