2017-08-10T09:41:47-05:00 2016-09-30 263753134 CBIZ TOFIAS 500 BOYLSTON STREET BOSTON MA 02116 990 2015-10-01 273902914 CIRCLE HEALTH PHYSICIANS INC CIRC 9789376000 295 VARNUM AVENUE LOWELL MA 01854 JOSEPH WHITE PRESIDENT & CEO 9789376000 2017-08-09 1 BRENDA L BOOTH P01342395 6177610600 2017-08-09 2015 2021-01-29 14:40:06Z JOSEPH WHITE 295 VARNUM AVENUE LOWELL MA 01854 38628734 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. 4 1 0 5 0 0 0 0 36208721 38628592 275 142 0 0 36208996 38628734 0 2600 0 0 31196473 33908813 0 0 0 11295801 11392471 42492274 45303884 -6283278 -6675150 10486763 11507158 10697854 11243766 -211091 263392 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 11414944 2600 11382457 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. 19411844 17929180 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. 5584672 5617853 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. 3477951 1719623 LGH CANCERCARE ASSOCIATES IS A PHYSICIAN PRACTICE PROVIDING COMPREHENSIVE CANCER CARE TO SUPPORT THE HOSPITAL'S CANCER PROGRAM. 2220943 1979479 LGH CIRCLE HEALTH URGENT CARE. 5698894 3699102 42110354 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 0 0 0 1 24 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 1 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X SUSAN GREEN 9787817143 295 VARNUM AVENUE LOWELL MA 01854 NORMAND DESCHENE PRES. OF BOARD & CEO - THE LGH 1.00 49.00 X X 0 1998850 116338 SUSAN GREEN SR. VP & CFO & TREASURER - THE LGH 1.00 49.00 X X 0 754740 34010 JOSEPH WHITE PRESIDENT - THE LGH 1.00 49.00 X X 0 1196617 40915 DANIEL MANSUR CLERK 1.00 1.00 X X 0 0 0 JAMES WATERS PHYSICIAN 50.00 0.00 X 689286 0 17231 OMAR ALI PHYSICIAN 50.00 0.00 X 683732 0 17881 KIRK MACNAUGHT PHYSICIAN 50.00 0.00 X 685474 0 7317 RICHARD BIRKHEAD PHYSICIAN 50.00 0.00 X 606928 0 17881 MURAT ANAMUR PHYSICIAN 50.00 0.00 X 606586 0 17881 3272006 3950207 269454 62 0 1 0 JANITECH 106 HIGH STREET CUMBERLAND RI 02864 JANITORIAL SERVICES 127772 ECLINICAL WORKS LLC 5400 COMPUTER DRIVE WESTBOROUGH MA 01584 INFORMATION SYSTEMS PROVIDER 108090 HAYWARD ZWERLING MD 20 RESEARCH PLACE 100 NORTH CHELMSFORD MA 01863 MEDICAL SERVICES 105379 3 LGH MEDICAL GROUP 621110 17929180 17929180 LGH MVC ASSOCIATES 621110 11382457 11382457 LGH WOMANHEALTH 621110 5617853 5617853 LGH CIRCLE HEALTH URGENT CARE 621110 1979479 1979479 LGH CANCERCARE ASSOC. 621110 1719623 1719623 38628592 142 142 38628734 38628592 0 142 2600 2600 29715762 27229320 2486442 2695285 2557425 137860 1497766 1421157 76609 2573315 2562460 10855 2175 2175 2507116 2352158 154958 2173097 1909053 264044 9913 9913 144204 144204 12699 12699 228335 200591 27744 778646 758502 20144 PHYSICIAN FEES 1498007 1498007 PROVISION FOR BAD DEBT 1464964 1464964 45303884 42110354 3193530 0 328244 540480 2682562 3046793 174153 823972 3824190 1988365 1519381 1835825 5782423 5260088 10486763 11507158 3697808 3769506 222072 194601 6777974 7279659 10697854 11243766 X -211091 263392 -211091 263392 10486763 11507158 X -6675150 7149633 X 0 1 X 1 0 X 3605339 2899970 0 0 0 6505309 23558036 24341982 28879282 36208721 38628592 151616613 27163375 27241952 28879282 36208721 38628592 158121922 0 0 0 158121922 9441 8372 157 275 142 18387 9441 8372 157 275 142 18387 27172816 27250324 28879439 36208996 38628734 158140309 0.99990 0.99980 0.00010 0.00020 X 1496489 545192 951297 2327701 1443173 884528 1835825 DUE FROM AFFILIATES 5260088 5260088 DUE TO AFFILIATES 7279659 7279659 X 37163770 0 37163770 1464964 1464964 38628734 43838920 0 43838920 1464964 1464964 45303884 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. X X 0 0 0 1 0 0 0 0 0 1 0 NORMAND DESCHENE PRES. OF BOARD & CEO - THE LGH 0 769707 0 220448 0 1008695 0 65697 0 50641 0 2115188 0 0 SUSAN GREEN SR. VP & CFO & TREASURER - THE LGH 0 424550 0 100720 0 229470 0 5298 0 28712 0 788750 0 0 JOSEPH WHITE PRESIDENT - THE LGH 0 933622 0 131243 0 131752 0 10600 0 30315 0 1237532 0 0 JAMES WATERS PHYSICIAN 589372 0 87498 0 12416 0 0 0 17231 0 706517 0 0 0 OMAR ALI PHYSICIAN 589055 0 84498 0 10179 0 0 0 17881 0 701613 0 0 0 KIRK MACNAUGHT PHYSICIAN 597552 0 84498 0 3424 0 0 0 7317 0 692791 0 0 0 RICHARD BIRKHEAD PHYSICIAN 514385 0 84498 0 8045 0 0 0 17881 0 624809 0 0 0 MURAT ANAMUR PHYSICIAN 593686 0 0 0 12900 0 0 0 17881 0 624467 0 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: 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. 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. LGH MEDICAL GROUP LLC 295 VARNUM AVE LOWELL MA 01854 205671277 MEDICAL SERVICES MA 17929222 5790626 CIRCLE HEALTH PHYSICIANS INC LGH CANCERCARE ASSOCIATES LLC 295 VARNUM AVE LOWELL MA 01854 043483462 MEDICAL SERVICES MA 1719678 538077 CIRCLE HEALTH PHYSICIANS INC LGH WOMANHEALTH LLC 295 VARNUM AVE LOWELL MA 01854 262057970 MEDICAL SERVICES MA 5617898 1450847 CIRCLE HEALTH PHYSICIANS INC LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES LLC 295 VARNUM AVE LOWELL MA 01854 452014433 MEDICAL SERVICES MA 11382457 3229978 CIRCLE HEALTH PHYSICIANS INC CIRCLE HEALTH URGENT CARE LLC 295 VARNUM AVE LOWELL MA 01854 471122896 MEDICAL SERVICES MA 1979479 497630 CIRCLE HEALTH PHYSICIANS INC 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 N/A 0 LGH PHYSICIAN ASSOCIATES INC ONE HOSPITAL DRIVE LOWELL MA 01852 043190747 MEDICAL SERVICES MA 501(C)(3) LINE 9 CIRCLE HEALTH PHYSICIANS INC 1 CIRCLE HEALTH ALLIANCE LLC 295 VARNUM AVE LOWELL MA 01854 800782682 ACCOUNTABLE CARE ORGANIZATION MA CIRCLE HEALTH INC RELATED 0 1 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 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 0 1 0 0