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Approximately 350 physicians in 100 groups participate in SCLLC. The physicians are either solo practitioners or are part of a group practice that may range in size from two to twenty physicians. SCLLC has approximately 290 physicians in group practices and 45 solo practitioners. Two dozen of the group practices have four or more physicians. More than 900 non-physician support staff work in the physician offices.
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History Of SCLLC

SCLLC was formed in 1999 by a small group of dedicated surgeons who wanted to develop a specialist network for managed care contracting and practice management services. SCLLC was founded with the specialties of General Surgery, Orthopedics, Ob/Gyn, Cardiothoracic, Gastroenterology, and Urology. ENT, Neurosurgery and Plastic Surgery were added later, in 2001, 2004 and 2005 respectively.

The formation of SCLLC provided these independent groups of specialists with a legal vehicle to negotiate risk-based managed care contracts. At the same time, it provided the physicians with economies of scale and some special expertise with which to develop practice management services. Today, the focus of effort is on the management services.

The geographic development of SCLLC started in southeastern Massachusetts and has since progressed to both north and west of Boston. A total of 90 specialists joined SCLLC in its first two years of formation.  The number of physicians grew to 150 by 2006 and currently stands at approximately 350.
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MODE OF OPERATION

SCLLC provides programs and services to its physicians that help manage their offices and their practices’ expenses. Examples of these programs include the SCLLC malpractice and risk management programs, the SCLLC information systems program, the SCLLC supply purchasing program, and the SCLLC human resource management program. SCLLC also assists its member practices to attain additional revenue offered by insurers for quality improvement efforts (clinical process and outcome improvement, electronic medical record deployment, etc.)
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GOVERNING BODY AND OFFICERS

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SCLLC is a limited liability company with the following officers:

President: Christopher Cua, MD Boston, Cardiothoracic Surgery
Vice President: Christopher Cua, MD Boston, Cardiothoracic Surgery
Treasurer: Paul Pongor, MD Marlborough, Orthopedic Surgery
Clerk: Marc Friedberg, MD Norwood, Neurosurgery

SCLLC is guided by a governing body (the Board of Managers) and an operating agreement.
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There are nine subspecialties represented by the Board of Managers:

General/Vascular Surgery
Cardiothoracic Surgery
E.N.T.
Plastic Surgery
Gastroenterology
Orthopedic Surgery
OB/GYN
Urology
Neurosurgery
Internal Medicine (including Gastroenterology, Pulmonary/CCU, Nephrology, Cardiology)
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BOARD OF MANAGERS

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The Board of Managers has two representatives for each major subspecialty.
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General/Vascular Surgery
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Thomas Fitzgerald, MD
Quincy Surgical Associates
Quincy, MA
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Peter Miotto, MD
Marlborough, MA
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Cardiothoracic Surgery
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Christopher Cua, MD
Boston, MA
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E.N.T. and Plastic Surgery
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Richard Hill, MD
South Shore Ear, Nose & Throat
Weymouth, MA
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Fouad Samaha, MD
Boston Plastic Surgery
Quincy, MA
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Gastroenterology
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Thomas Kenney, Jr., MD
South Suburban Gastroenterology
S. Weymouth, MA
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Orthopedic Surgery
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Peter Dewire, MD
Orthopaedic Specialists of Massachusetts
Norwood, MA
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Julia Kenniston, MD
Plymouth Bay Orthopedic Associates
Plymouth, MA
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Paul Pongor, MD
Orthopaedic Associates of Marlborough
Marlborough, MA
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Louis Jurist, MD
New England Hand Associates
Framingham, MA
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Christine Hirsemann, MD
South Shore Women’s Health
Weymouth, MA
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Melissa Martin, MD
New England Women’s Healthcare, LLC
Woburn, MA
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Zachary Homa, MD
Crown Obstetrics & Gynecology
Quincy, MA
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Adnan Kaleli, MD
Quincy, MA
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Justin Gould, MD
Greater Boston Urology
Milton, MA
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Neurosurgery
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Marc Friedberg, MD
Neurosurgical Consultants, Inc
Norwood, MA
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