Dedham Medical Associates Inc C/o Atrius Health Inc

Nonprofit profile at a glance

EIN
043136240
IRS 990 coverage
2010–2015
Forms available
Form 990 2015
Location
Newton, MA, USA
Phone
7813291400
Rating
73
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Group Health Practice (Health Maintenance Organizations)

Official website

Reported finances

Revenue
$70,023,813
Expenses
$72,543,552
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2015. Amounts in USD.

Leadership & pay

27 people listed

Executive titles in this filing

  • ROBERTA S ZYSMAN (CEO THRU 5.1.15)

Highest reported compensation

  • ROBERTA S ZYSMAN (CEO THRU 5.1.15): $739,189 total reported compensation
  • RALPH A IANNUZZI MD (PHYSICIAN TRUSTEE): $454,466 total reported compensation
  • NEIL S BIRNBAUM MD (TREASURER; INTERNIST): $315,522 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2015. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

See statement 1 at schedule o

What it reported doing in 2015

The organization provided medical, preventive and other clinical services to its patients through 143,000 patient visits (including 9,000 medicaid visits and 33,000 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.

Operating model

Revenue model
Earned-program. 100% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 83
  • Transparency & Controls: 94
  • Accountability: 58
  • Sustainability: 8
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 93.9%; rating input score 94
  • Program expense ratio: 90.7%; rating input score 91
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 67th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 43.8%; rating input score 44; 11th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -3.6%; rating input score 14; 14th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 5.2%; rating input score 13; 13th percentile among comparable filings

Growth

  • Program expense growth: -21.9% per year; rating input score 0; 1st percentile among comparable filings
  • Revenue growth: -5.8% per year; rating input score 0; 3rd percentile among comparable filings
  • Asset growth: -16.1% per year; rating input score 0; 1st percentile among comparable filings

Details

  • Where the money goes: 93.9% of revenue deployed · 90.7% of spending went to programs
  • Governance: 7 of 16 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $65.8M in reported program spending
  • Leadership: top reported pay $739K · 27 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3.6M reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 6 filing years from 2010 to 2015
  • Contacts: How to reach this organization
  • Money network: 13 filed money-flow records
  • Related organizations: 14 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Accountability: Independent voting board scored 44/100.
  • High — Sustainability: Operating margin scored 14/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 13/100.