CIRCLE HEALTH PHYSICIANS INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CIRCLE HEALTH PHYSICIANS INC (EIN 27-3902914)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-10
- IRS object ID
- 201722229349300227
- Schema version
- 2015v3.0
- 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) |
|---|---|---|
| Return | 2017-08-10T09:41:47-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 263753134 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ TOFIAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 BOYLSTON STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02116 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273902914 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIRCLE HEALTH PHYSICIANS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CIRC | BusinessNameControlTxt |
| Phone | 9789376000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 295 VARNUM AVENUE | AddressLine1Txt |
| City | LOWELL | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01854 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH WHITE | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 9789376000 | PhoneNum |
| Signature | 2017-08-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRENDA L BOOTH | PreparerPersonNm |
| PTIN | P01342395 | PTIN |
| Phone | 6177610600 | PhoneNum |
| Preparation | 2017-08-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSEPH WHITE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 295 VARNUM AVENUE | AddressLine1Txt |
| City | LOWELL | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01854 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $38,628,734 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,208,721 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $38,628,592 | CYProgramServiceRevenueAmt |
| PY Investment Income | $275 | PYInvestmentIncomeAmt |
| CY Investment Income | $142 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $36,208,996 | PYTotalRevenueAmt |
| CY Total Revenue | $38,628,734 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,600 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,196,473 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,908,813 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,295,801 | PYOtherExpensesAmt |
| CY Other Expenses | $11,392,471 | CYOtherExpensesAmt |
| PY Total Expenses | $42,492,274 | PYTotalExpensesAmt |
| CY Total Expenses | $45,303,884 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,283,278 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,675,150 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,486,763 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,507,158 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,697,854 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,243,766 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$211,091 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $263,392 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,414,944 | ExpenseAmt |
| Grant | $2,600 | GrantAmt |
| Revenue | $11,382,457 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $19,411,844 | ExpenseAmt |
| Revenue | $17,929,180 | RevenueAmt |
| Desc | 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 AND FOUR NURSE PRACTITIONERS OFFERING COMPREHENSIVE PRIMARY MEDICAL CARE, HEALTH SERVICES, AND INFORMATION TO ALL PATIENTS. OUR SERVICES INCLUDE GYNECOLOGY, OBSTETRICS, PEDIATRICS, AND ADULT MEDICINE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,584,672 | ExpenseAmt |
| Revenue | $5,617,853 | RevenueAmt |
| Desc | LGH WOMANHEALTH IS AN OB/GYN PRACTICE WITH EIGHT PHYSICIANS AND TWO NURSE PRACTITIONERS 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $3,477,951 | $1,719,623 | LGH CANCERCARE ASSOCIATES IS A PHYSICIAN PRACTICE PROVIDING COMPREHENSIVE CANCER CARE TO SUPPORT THE HOSPITAL'S CANCER PROGRAM. |
| $2,220,943 | $1,979,479 | LGH CIRCLE HEALTH URGENT CARE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $5,698,894 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,699,102 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $42,110,354 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSAN GREEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9787817143 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 295 VARNUM AVENUE | AddressLine1Txt |
| City | LOWELL | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01854 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| NORMAND DESCHENE | ||||||||
| PRES. OF BOARD & CEO - THE LGH | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $1,998,850 | $116,338 | |
| SUSAN GREEN | ||||||||
| SR. VP & CFO & TREASURER - THE LGH | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $754,740 | $34,010 | |
| JOSEPH WHITE | ||||||||
| PRESIDENT - THE LGH | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $1,196,617 | $40,915 | |
| DANIEL MANSUR | ||||||||
| CLERK | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES WATERS | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $689,286 | $0 | $17,231 | Yes (X) | ||
| OMAR ALI | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $683,732 | $0 | $17,881 | Yes (X) | ||
| KIRK MACNAUGHT | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $685,474 | $0 | $7,317 | Yes (X) | ||
| RICHARD BIRKHEAD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $606,928 | $0 | $17,881 | Yes (X) | ||
| MURAT ANAMUR | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $606,586 | $0 | $17,881 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,272,006 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,950,207 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $269,454 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 62 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JANITECH | |||||
| 106 HIGH STREET | CUMBERLAND | RI | 02864 | JANITORIAL SERVICES | $127,772 |
| ECLINICAL WORKS LLC | |||||
| 5400 COMPUTER DRIVE | WESTBOROUGH | MA | 01584 | INFORMATION SYSTEMS PROVIDER | $108,090 |
| HAYWARD ZWERLING MD | |||||
| 20 RESEARCH PLACE 100 | NORTH CHELMSFORD | MA | 01863 | MEDICAL SERVICES | $105,379 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| LGH MEDICAL GROUP | 621110 | $17,929,180 | $17,929,180 |
| LGH MVC ASSOCIATES | 621110 | $11,382,457 | $11,382,457 |
| LGH WOMANHEALTH | 621110 | $5,617,853 | $5,617,853 |
| LGH CIRCLE HEALTH URGENT CARE | 621110 | $1,979,479 | $1,979,479 |
| LGH CANCERCARE ASSOC. | 621110 | $1,719,623 | $1,719,623 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $38,628,592 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $142 | TotalRevenueColumnAmt |
| Exclusion | $142 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,628,734 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $38,628,592 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $142 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,600 | TotalAmt |
| Program Services | $2,600 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,715,762 | TotalAmt |
| Program Services | $27,229,320 | ProgramServicesAmt |
| Management And General | $2,486,442 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,695,285 | TotalAmt |
| Program Services | $2,557,425 | ProgramServicesAmt |
| Management And General | $137,860 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497,766 | TotalAmt |
| Program Services | $1,421,157 | ProgramServicesAmt |
| Management And General | $76,609 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,573,315 | TotalAmt |
| Program Services | $2,562,460 | ProgramServicesAmt |
| Management And General | $10,855 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,175 | TotalAmt |
| Management And General | $2,175 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,507,116 | TotalAmt |
| Program Services | $2,352,158 | ProgramServicesAmt |
| Management And General | $154,958 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,173,097 | TotalAmt |
| Program Services | $1,909,053 | ProgramServicesAmt |
| Management And General | $264,044 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,913 | TotalAmt |
| Program Services | $9,913 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,204 | TotalAmt |
| Program Services | $144,204 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,699 | TotalAmt |
| Management And General | $12,699 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,335 | TotalAmt |
| Program Services | $200,591 | ProgramServicesAmt |
| Management And General | $27,744 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $778,646 | TotalAmt |
| Program Services | $758,502 | ProgramServicesAmt |
| Management And General | $20,144 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PHYSICIAN FEES | $1,498,007 | $1,498,007 |
| PROVISION FOR BAD DEBT | $1,464,964 | $1,464,964 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,303,884 | TotalAmt |
| Program Services | $42,110,354 | ProgramServicesAmt |
| Management And General | $3,193,530 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,244 | BOYAmt |
| EOY | $540,480 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,682,562 | BOYAmt |
| EOY | $3,046,793 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,153 | BOYAmt |
| EOY | $823,972 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,824,190 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,988,365 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,519,381 | BOYAmt |
| EOY | $1,835,825 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,782,423 | BOYAmt |
| EOY | $5,260,088 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,486,763 | BOYAmt |
| EOY | $11,507,158 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,697,808 | BOYAmt |
| EOY | $3,769,506 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,072 | BOYAmt |
| EOY | $194,601 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,777,974 | BOYAmt |
| EOY | $7,279,659 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,697,854 | BOYAmt |
| EOY | $11,243,766 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$211,091 | BOYAmt |
| EOY | $263,392 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$211,091 | BOYAmt |
| EOY | $263,392 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,486,763 | BOYAmt |
| EOY | $11,507,158 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,675,150 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $7,149,633 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,605,339 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,899,970 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $6,505,309 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,558,036 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,341,982 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,879,282 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,208,721 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,628,592 | CurrentTaxYearAmt |
| Total | $151,616,613 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,163,375 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,241,952 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,879,282 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,208,721 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,628,592 | CurrentTaxYearAmt |
| Total | $158,121,922 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $158,121,922 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,441 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,372 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $275 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $142 | CurrentTaxYearAmt |
| Total | $18,387 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,441 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,372 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $275 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $142 | CurrentTaxYearAmt |
| Total | $18,387 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,172,816 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,250,324 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,879,439 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,208,996 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,628,734 | CurrentTaxYearAmt |
| Total | $158,140,309 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99980 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00020 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,496,489 | OtherCostOrOtherBasisAmt |
| Depreciation | $545,192 | DepreciationAmt |
| Book Value | $951,297 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,327,701 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,443,173 | DepreciationAmt |
| Book Value | $884,528 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,835,825 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATES | Desc |
| Book Value | $5,260,088 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,260,088 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $7,279,659 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,279,659 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $37,163,770 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,163,770 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,464,964 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,464,964 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $38,628,734 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $43,838,920 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $43,838,920 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,464,964 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,464,964 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $45,303,884 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | CIRCLE HEALTH HAS PREVIOUSLY BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) TO BE AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND, THEREFORE, EXEMPT FROM TAXATION ON RELATED INCOME UNDER SECTION 501(A) OF THE IRC. THE IRS HAS ALSO PREVIOUSLY DETERMINED THAT CIRCLE HEALTH IS NOT A PRIVATE FOUNDATION PURSUANT TO IRC SECTION 509(A). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. CIRCLE HEALTH IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT OF CIRCLE HEALTH BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE YEAR ENDED SEPTEMBER 30, 2012. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTABLE ACCOUNTS 1,464,964. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTABLE ACCOUNTS 1,464,964. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORMAND DESCHENE | ||||||||||||||
| PRES. OF BOARD & CEO - THE LGH | $0 | $769,707 | $0 | $220,448 | $0 | $1,008,695 | $0 | $65,697 | $0 | $50,641 | $0 | $2,115,188 | $0 | $0 |
| SUSAN GREEN | ||||||||||||||
| SR. VP & CFO & TREASURER - THE LGH | $0 | $424,550 | $0 | $100,720 | $0 | $229,470 | $0 | $5,298 | $0 | $28,712 | $0 | $788,750 | $0 | $0 |
| JOSEPH WHITE | ||||||||||||||
| PRESIDENT - THE LGH | $0 | $933,622 | $0 | $131,243 | $0 | $131,752 | $0 | $10,600 | $0 | $30,315 | $0 | $1,237,532 | $0 | $0 |
| JAMES WATERS | ||||||||||||||
| PHYSICIAN | $589,372 | $0 | $87,498 | $0 | $12,416 | $0 | $0 | $0 | $17,231 | $0 | $706,517 | $0 | $0 | $0 |
| OMAR ALI | ||||||||||||||
| PHYSICIAN | $589,055 | $0 | $84,498 | $0 | $10,179 | $0 | $0 | $0 | $17,881 | $0 | $701,613 | $0 | $0 | $0 |
| KIRK MACNAUGHT | ||||||||||||||
| PHYSICIAN | $597,552 | $0 | $84,498 | $0 | $3,424 | $0 | $0 | $0 | $7,317 | $0 | $692,791 | $0 | $0 | $0 |
| RICHARD BIRKHEAD | ||||||||||||||
| PHYSICIAN | $514,385 | $0 | $84,498 | $0 | $8,045 | $0 | $0 | $0 | $17,881 | $0 | $624,809 | $0 | $0 | $0 |
| MURAT ANAMUR | ||||||||||||||
| PHYSICIAN | $593,686 | $0 | $0 | $0 | $12,900 | $0 | $0 | $0 | $17,881 | $0 | $624,467 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: NORMAND DESCHENE - PRES. OF BOARD & CEO - THE LOWELL GENERAL HOSPITAL JOSEPH WHITE - PRESIDENT - THE LOWELL GENERAL HOSPITAL SUSAN GREEN - SENIOR VP & CFO & TREASURER - 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. DESCHENE - PRES. OF BOARD & CEO - THE LOWELL GENERAL HOSPITAL ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $853,081 PAID IN 2015 IN CONNECTION WITH THE REBA ARRANGEMENT. THE W-2 COMPENSATION REPORTED FOR MS. GREEN - SENIOR VP & CFO & TREASURER - THE LOWELL GENERAL HOSPITAL ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $189,573 PAID IN 2015 IN CONNECTION WITH THE REBA ARRANGEMENT. THE W-2 COMPENSATION REPORTED FOR MR. WHITE - PRESIDENT - THE LOWELL GENERAL HOSPITAL ON FORM 990, SCHEDULE J, PART II, COLUMN B(III) INCLUDES $78,944 PAID IN 2015 IN CONNECTION WITH THE REBA ARRANGEMENT. SOCIAL CLUB DUES ARE PROVIDED TO NORMAND DESCHENE, SUSAN GREEN, AND JOSEPH WHITE. SOCIAL CLUB DUES IS TREATED AS TAXABLE COMPENSATION TO THE EXTENT CONSIDERED PERSONAL USEAGE. |
| PART I, LINE 4B | THE HOSPITAL HAS ENTERED INTO A SPLIT-DOLLAR LIFE INSURANCE AGREEMENT WITH NORMAND DESCHENE - PRESIDENT OF BOARD & CEO - THE LOWELL GENERAL HOSPITAL. PREMIUMS PAID IN CALENDAR 2015 WERE $92,197. 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 11 | THE ORGANIZATION'S PROFESSIONAL ACCOUNTING FIRM PREPARES THE 990 IN ASSOCIATION WITH THE FINANCE DEPARTMENT OF LOWELL GENERAL HOSPITAL WHO SUPPLIES RELEVANT INFORMATION TO THE PREPARER. THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES ARE RESPONSIBLE FOR THE REVIEW OF THE DRAFTED FORM 990 PRIOR TO FILING. 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 LOWELL GENERAL HOSPITAL. ALL TRUSTEES SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT FOLLOWING THE POLICY OF 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 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: | TRANSFER FROM AFFILIATES 7,149,633. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| LGH MEDICAL GROUP LLC | |||||||||
| 295 VARNUM AVE | LOWELL | MA | 01854 | 205671277 | MEDICAL SERVICES | MA | $17,929,222 | $5,790,626 | CIRCLE HEALTH PHYSICIANS INC |
| LGH CANCERCARE ASSOCIATES LLC | |||||||||
| 295 VARNUM AVE | LOWELL | MA | 01854 | 043483462 | MEDICAL SERVICES | MA | $1,719,678 | $538,077 | CIRCLE HEALTH PHYSICIANS INC |
| LGH WOMANHEALTH LLC | |||||||||
| 295 VARNUM AVE | LOWELL | MA | 01854 | 262057970 | MEDICAL SERVICES | MA | $5,617,898 | $1,450,847 | CIRCLE HEALTH PHYSICIANS INC |
| LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES LLC | |||||||||
| 295 VARNUM AVE | LOWELL | MA | 01854 | 452014433 | MEDICAL SERVICES | MA | $11,382,457 | $3,229,978 | CIRCLE HEALTH PHYSICIANS INC |
| CIRCLE HEALTH URGENT CARE LLC | |||||||||
| 295 VARNUM AVE | LOWELL | MA | 01854 | 471122896 | MEDICAL SERVICES | MA | $1,979,479 | $497,630 | CIRCLE HEALTH PHYSICIANS INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE LOWELL GENERAL HOSPITAL | |||||||||||
| 295 VARNUM AVENUE | LOWELL | MA | 01854 | 042103590 | HOSPITAL AND HEALTHCARE SERVICES | MA | 501(C)(3) | LINE 3 | CIRCLE HEALTH INC | 0 | |
| CIRCLE HEALTH INC | |||||||||||
| 295 VARNUM AVENUE | LOWELL | MA | 01854 | 222579798 | PARENT/SUPPORTING ORGANIZATION | MA | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| LGH PHYSICIAN ASSOCIATES INC | |||||||||||
| ONE HOSPITAL DRIVE | LOWELL | MA | 01852 | 043190747 | MEDICAL SERVICES | MA | 501(C)(3) | LINE 9 | CIRCLE HEALTH PHYSICIANS INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIRCLE HEALTH ALLIANCE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 295 VARNUM AVE | AddressLine1Txt |
| City | LOWELL | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01854 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800782682 | EIN |
| Primary Activities | ACCOUNTABLE CARE ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIRCLE HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| LGH MEDICAL SERVICES INC | |||||||||
| 295 VARNUM AVENUE | LOWELL | MA | 01854 | 261889904 | MEDICAL SERVICES | MA | LGH SERVICES INC | C | 0 |
| LGH SERVICES INC | |||||||||
| 295 VARNUM AVENUE | LOWELL | MA | 01854 | 042854673 | MEDICAL SERVICES | MA | CIRCLE HEALTH INC | C | 0 |
| LGH MANAGEMENT SERVICES INC | |||||||||
| 295 VARNUM AVENUE | LOWELL | MA | 01854 | 042919244 | MEDICAL SERVICES | MA | LGH SERVICES INC | C | 0 |
| LGH MEDICAL BUILDING SERVICES INC | |||||||||
| 295 VARNUM AVENUE | LOWELL | MA | 01854 | 043058954 | MEDICAL SERVICES | MA | LGH SERVICES INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |