TUFTS MEDICAL CENTER PARENT INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TUFTS MEDICAL CENTER PARENT INC (EIN 27-0440772)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-15
IRS object ID
202412289349301866
Schema version
2022v5.0
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

FieldValueIRS element (for citing)
Return2024-08-15T13:51:00-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263753134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 BOYLSTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02116ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270440772EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TUFTS MEDICAL CENTER GROUP RETURNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTUFTBusinessNameControlTxt
Phone6176365000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 WASHINGTON STREET BOX 468AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021111533ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW DEVOEPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6176365000PhoneNum
Signature2024-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCRAIG KLEINPreparerPersonNm
PTINP00734640PTIN
Phone6177610600PhoneNum
Preparation2024-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW DEVOEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 WASHINGTON STREET BOX 468AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021111533ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,310,671,273GrossReceiptsAmt
Group Return For AffiliatesYes (1)GroupReturnForAffiliatesInd
All Affiliates Included0AllAffiliatesIncludedInd
Group Exemption5466GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.TUFTSMEDICINE.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionWE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN, AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND TO PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. SEE PART III.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee7908TotalEmployeeCnt
Total Volunteers34TotalVolunteersCnt
Total Gross UBI-$286,335TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$76,198,105PYContributionsGrantsAmt
CY Contributions Grants$123,298,744CYContributionsGrantsAmt
PY Program Service Revenue$1,053,426,488PYProgramServiceRevenueAmt
CY Program Service Revenue$1,138,548,904CYProgramServiceRevenueAmt
PY Investment Income$28,235,994PYInvestmentIncomeAmt
CY Investment Income$37,276,728CYInvestmentIncomeAmt
PY Other Revenue$1,828,403PYOtherRevenueAmt
CY Other Revenue$1,517,272CYOtherRevenueAmt
PY Total Revenue$1,159,688,990PYTotalRevenueAmt
CY Total Revenue$1,300,641,648CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$561,476,073PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$579,326,781CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$3,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$3,000CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,896,886CYTotalFundraisingExpenseAmt
PY Other Expenses$708,132,952PYOtherExpensesAmt
CY Other Expenses$743,826,647CYOtherExpensesAmt
PY Total Expenses$1,269,612,025PYTotalExpensesAmt
CY Total Expenses$1,323,156,428CYTotalExpensesAmt
PY Revenues Less Expenses-$109,923,035PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$22,514,780CYRevenuesLessExpensesAmt
Total Assets BOY$939,808,476TotalAssetsBOYAmt
Total Assets EOY$1,132,376,673TotalAssetsEOYAmt
Total Liabilities BOY$881,842,503TotalLiabilitiesBOYAmt
Total Liabilities EOY$920,950,444TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$57,965,973NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$211,426,229NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$1,239,310,978ExpenseAmt
Revenue$1,137,607,565RevenueAmt
DescTUFTS MEDICAL CENTER, INC. LOCATED IN BOSTON, MA OPERATES A 415 BED ACUTE-CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES PRIMARILY IN THE GREATER BOSTON AREA, WHICH ALSO ATTRACTS PATIENTS FROM ELSEWHERE IN NEW ENGLAND AND BEYOND.NEW ENGLAND LONG-TERM CARE, INC. OPERATES AN 80 BED NURSING HOME SPECIALIZING IN THE CARE OF CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$42,334,172ExpenseAmt
Revenue$488,839RevenueAmt
DescTUFTS MEDICAL CENTER, INC. ADMINISTERS PROGRAMS FOR APPROXIMATELY 456 INDIVIDUALS: 281 RESIDENTS, 61 INTERNS AND 111 FELLOWS IN 43 SPECIALTIES AND SUB-SPECIALTIES WHO ROTATE TO APPROXIMATELY 58 HOSPITALS AND OTHER ORGANIZATIONS LOCATED PRIMARILY IN THE GREATER BOSTON AREA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$19,052,089ExpenseAmt
Revenue$452,500RevenueAmt
DescTUFTS MEDICAL CENTER, INC. ENGAGES IN RESEARCH ACTIVITIES FUNDED BY GRANTS AND CONTRACTS FOR U.S. GOVERNMENT AGENCIES AND OTHER PRIVATE SOURCES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,300,697,239TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7908EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATHLEEN DAVISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6176365000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 WASHINGTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HELEN BOUCHER MD
TRUSTEE1.0039.00Yes (X)$0$0$0
MARGARET BROWN ESQ
TRUSTEE1.000.00Yes (X)$0$0$0
NIREN CHAUDHARY
TRUSTEE (UNTIL 6/23)1.000.00Yes (X)$0$0$0
GERALD COHEN
TRUSTEE1.000.00Yes (X)$0$0$0
MICHAEL DANDORPH
TRUSTEE/PRESIDENT/CEO1.0039.00Yes (X)$0$1,289,948$291,127Yes (X)
KAREN FREUND MD
TRUSTEE1.0039.00Yes (X)$0$649,618$54,156
STANLEY GOLDSTEIN
TRUSTEE1.000.00Yes (X)$0$0$0
JASON HALL
TRUSTEE1.0039.00Yes (X)$0$465,025$343
MARVIN A KONSTAM MD
TRUSTEE1.0039.00Yes (X)$0$690,732$54,216
BRIAN KAVOOGIAN
CHAIR1.000.00Yes (X)$0$0$0Yes (X)
GENIA LONG
TRUSTEE (UNTIL 9/23)1.000.00Yes (X)$0$0$0
PAUL NASSER
TRUSTEE1.000.00Yes (X)$0$0$0
EMMA REEVE
TRUSTEE1.000.00Yes (X)$0$0$0
REGINA ROCKEFELLER
TRUSTEE1.001.00Yes (X)$0$0$0
MARK ROSEN
TRUSTEE/VICE CHAIR1.000.00Yes (X)$0$0$0
JEFF SHAMES
TRUSTEE1.000.00Yes (X)$0$0$0
MICHAEL TARNOFF MD
CEO/TRUSTEE1.0039.00Yes (X)$1,169,150$0$194,343Yes (X)
ERIKA WERNER
TRUSTEE1.0039.00Yes (X)$0$695,453$19,860
ASSAD SIDDIQI
SVP/TREASURER1.0039.00Yes (X)$411,644$0$59,208Yes (X)
JACK MCDONALD
ASSOCIATE EXECUTIVE DIRECT39.001.00Yes (X)$177,685$0$11,605Yes (X)
PAUL SUMMERGRAD MD
TRUSTEE (UNTIL 1/23)1.0039.00Yes (X)$0$510,785$53,634
RACHEL WASSERSTROM
TRUSTEE1.000.00Yes (X)$0$0$0
ZACHARY REDMOND ESQ
SECRETARY39.001.00$384,525$0$74,854Yes (X)
LAUREN RIPLEY ESQ
ASSISTANT SECRETARY1.0039.00$0$189,765$12,603Yes (X)
THERESE HUDSON-JINKS
SENIOR VP & CNO40.000.00$487,520$0$64,613Yes (X)
DIANA RICHARDSON
SENIOR VP & COO40.000.00$707,603$0$100,437Yes (X)
ERIK GARPESTAD
CMO/SVP MEDICAL STAFF40.000.00$498,838$0$10,698Yes (X)
SARAH MCKAY
VP OF PATIENT CARE40.000.00$431,652$0$68,877Yes (X)
MARCY CASS
VP RISK MANAGEMENT40.000.00$406,848$0$12,977Yes (X)
KARA GREER
SVP CHIEF TALENT OFFICER40.000.00$405,368$0$60,014Yes (X)
ROSS THOMPSON
VP CLINICAL OPERATIONS40.000.00$398,855$0$41,854Yes (X)
MICHAEL APKON
FORMER TRUSTEE/PRESIDENT/CEO0.000.00$251,139$0$0Yes (X)
DEEB N SALEM MD
FORMER TRUSTEE0.0040.00$0$608,383$25,846Yes (X)
MICHAEL WAGNER
FORMER TRUSTEE/PRESIDENT0.0050.00$0$974,085$36,228Yes (X)
KRISTINE M HANSCOM
FORMER CFO0.000.00$429,675$0$76,071Yes (X)
F CLARISSA YANG MD
FORMER TRUSTEE0.0040.00$0$715,185$32,687Yes (X)
JEFFREY WEINSTEIN
FORMER TRUSTEE0.0050.00$0$637,099$27,788Yes (X)
NIOBIS DEL CARMEN QUEIRO
FORMER KEY EMPLOYEE0.0040.00$0$415,434$83,989Yes (X)
WILLIAM SHICKOLOVICH
FORMER KEY EMPLOYEE0.0050.00$0$124,308$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,160,502TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,965,820TotReportableCompRltdOrgAmt
Total Other Compensation$1,468,028TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1307IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WYNDEN STARK LLC
1038 PRINCETON DRIVE SUITE BMARINA DEL REYCA90292NURSING SERVICES$19,873,563
PRATT ANESTHESIOLOGY ASSOCIATION INC
800 WASHINGTON STREETBOSTONMA02111PHYSICIAN SERVICES$16,378,751
PRATT MEDICAL GROUP
800 WASHINGTON STREETBOSTONMA02111PHYSICIAN SERVICES$13,731,538
MEDICAL SOLUTIONS
1010 N 102ND STREET 300OMAHANE68114NURSING SERVICES$13,527,845
MATRIX GLOBAL SERVICES
641 LEXINGTON AVENUE 14TH FLOORNEW YORKNY10022PROFESSIONAL SERVICES$10,397,951
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K64CntrctRcvdGreaterThan100KCnt
Government Grants$110,932,400GovernmentGrantsAmt
All Other Contributions$12,366,344AllOtherContributionsAmt
Noncash Contributions$81,369NoncashContributionsAmt
Total Contributions$123,298,744TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERV. REV.900099$908,881,831$908,881,831
RESEARCH & MISC. REV.900099$227,043,737$227,043,737
OVERHEAD RECOVERY900099$2,134,497$2,134,497
RESIDENTS & INTERN REV900099$488,839$488,839
FieldValueIRS element (for citing)
Total Program Service Revenue$1,138,548,904TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,155,782TotalRevenueColumnAmt
Unrelated Business Revenue-$286,335UnrelatedBusinessRevenueAmt
Exclusion$2,442,117ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$413,195TotalRevenueColumnAmt
Exclusion$413,195ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,611,952RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$507,875RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,104,077RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,104,077TotalRevenueColumnAmt
Exclusion$1,104,077ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$44,642,696OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$9,521,750SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$9,521,750SecuritiesAmt
Other$44,642,696OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,120,946TotalRevenueColumnAmt
Exclusion$35,120,946ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,300,641,648TotalRevenueColumnAmt
Related Or Exempt Func Income$1,138,548,904RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$286,335UnrelatedBusinessRevenueAmt
Exclusion$39,080,335ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,965,755TotalAmt
Program Services$509,395ProgramServicesAmt
Management And General$3,456,360ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$465,851,857TotalAmt
Program Services$462,220,686ProgramServicesAmt
Management And General$1,765,064ManagementAndGeneralAmt
Fundraising$1,866,107FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,643,284TotalAmt
Program Services$11,556,601ProgramServicesAmt
Management And General$86,683ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$61,082,612TotalAmt
Program Services$60,492,914ProgramServicesAmt
Management And General$85,849ManagementAndGeneralAmt
Fundraising$503,849FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$36,783,273TotalAmt
Program Services$36,509,425ProgramServicesAmt
Management And General$273,848ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,003,036TotalAmt
Program Services$1,864,789ProgramServicesAmt
Management And General$138,247ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$523,154TotalAmt
Program Services$427,767ProgramServicesAmt
Management And General$95,387ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$3,000TotalAmt
Fundraising$3,000FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$162,412,408TotalAmt
Program Services$155,329,166ProgramServicesAmt
Management And General$5,969,784ManagementAndGeneralAmt
Fundraising$1,113,458FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$133,521TotalAmt
Program Services$65,723ProgramServicesAmt
Management And General$67,798ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,774,636TotalAmt
Program Services$7,694,785ProgramServicesAmt
Management And General$71,848ManagementAndGeneralAmt
Fundraising$8,003FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,367,617TotalAmt
Program Services$1,140,089ProgramServicesAmt
Management And General-$781ManagementAndGeneralAmt
Fundraising$228,309FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$35,188,536TotalAmt
Program Services$32,714,368ProgramServicesAmt
Management And General$2,473,880ManagementAndGeneralAmt
Fundraising$288FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,251,297TotalAmt
Program Services$1,222,299ProgramServicesAmt
Management And General$25,827ManagementAndGeneralAmt
Fundraising$3,171FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,131TotalAmt
Program Services$15,131ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$21,570,426TotalAmt
Program Services$20,295,148ProgramServicesAmt
Management And General$1,275,278ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$36,983,356TotalAmt
Program Services$34,307,671ProgramServicesAmt
Management And General$2,675,464ManagementAndGeneralAmt
Fundraising$221FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,851,695TotalAmt
Program Services$2,737,183ProgramServicesAmt
Management And General-$885,488ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$324,280,795$324,579,116-$298,321
PHYSICIAN PRACTICE FEES$102,543,111$102,805,949-$262,838
BAD DEBT$14,384,475$14,384,475
REPAIRS AND MAINTENANCE$9,079,345$8,308,505$770,840

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,464,108TotalAmt
Program Services$21,516,054ProgramServicesAmt
Management And General$777,574ManagementAndGeneralAmt
Fundraising$170,480FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,323,156,428TotalAmt
Program Services$1,300,697,239ProgramServicesAmt
Management And General$18,562,303ManagementAndGeneralAmt
Fundraising$3,896,886FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,956,914BOYAmt
EOY$7,269,391EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY-$2,011,282BOYAmt
EOY$68,646,108EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,810,300BOYAmt
EOY$17,280,193EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$145,519,259BOYAmt
EOY$156,844,312EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$18,461,072BOYAmt
EOY$17,266,678EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,206,209BOYAmt
EOY$11,822,928EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$851,237,437LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$495,295,587LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$342,525,546BOYAmt
EOY$355,941,850EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$246,671,814BOYAmt
EOY$317,103,428EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$158,668,644BOYAmt
EOY$180,201,785EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$939,808,476BOYAmt
EOY$1,132,376,673EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$102,899,355BOYAmt
EOY$90,228,028EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$22,048,284BOYAmt
EOY$22,583,437EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$288,631,569BOYAmt
EOY$281,717,536EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$468,263,295BOYAmt
EOY$526,421,443EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$881,842,503BOYAmt
EOY$920,950,444EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$46,163,871BOYAmt
EOY$193,016,050EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,802,102BOYAmt
EOY$18,410,179EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,965,973BOYAmt
EOY$211,426,229EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$939,808,476BOYAmt
EOY$1,132,376,673EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$22,514,780ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,024,000NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$148,951,036OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, GENERAL INFORMATION:FormAndLineReferenceDesc
ExplanationPUBLIC CHARITY STATUS OF THE GROUP MEMBERS IS AS FOLLOWS : TUFTS MEDICAL CENTER, INC. - LINE 3 NEW ENGLAND LONG-TERM CARE, INC. - LINE 3ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,663,000BeginningYearBalanceAmt
Contributions$103,000ContributionsAmt
Investment Earnings Or Losses$84,000InvestmentEarningsOrLossesAmt
Other Expenditures$30,000OtherExpendituresAmt
End Year Balance$7,820,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,328,000BeginningYearBalanceAmt
Contributions$433,000ContributionsAmt
Investment Earnings Or Losses-$85,000InvestmentEarningsOrLossesAmt
Other Expenditures$13,000OtherExpendituresAmt
End Year Balance$7,663,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,832,000BeginningYearBalanceAmt
Contributions$391,000ContributionsAmt
Investment Earnings Or Losses$120,000InvestmentEarningsOrLossesAmt
Other Expenditures$15,000OtherExpendituresAmt
End Year Balance$7,328,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,667,000BeginningYearBalanceAmt
Contributions$118,000ContributionsAmt
Investment Earnings Or Losses$47,000InvestmentEarningsOrLossesAmt
End Year Balance$6,832,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,201,000BeginningYearBalanceAmt
Contributions$463,000ContributionsAmt
Investment Earnings Or Losses$12,000InvestmentEarningsOrLossesAmt
Other Expenditures$9,000OtherExpendituresAmt
End Year Balance$6,667,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.96400PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.03600TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,712,367OtherCostOrOtherBasisAmt
Book Value$11,712,367BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$295,053,239OtherCostOrOtherBasisAmt
Depreciation$162,002,631DepreciationAmt
Book Value$133,050,608BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,927,487OtherCostOrOtherBasisAmt
Depreciation$14,984,474DepreciationAmt
Book Value$4,943,013BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$479,922,866OtherCostOrOtherBasisAmt
Depreciation$318,308,482DepreciationAmt
Book Value$161,614,384BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,621,478OtherCostOrOtherBasisAmt
Book Value$44,621,478BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$355,941,850TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$78,789,053
DEPOSIT ADVANCE$8,212,009
OTHER MISC. RECEIVABLES & ASSETS$37,546,181
ESTIMATED THIRD PARTY RECEIVABLES$7,373,052
RIGHT OF USE ASSETS$48,281,490
FieldValueIRS element (for citing)
Total Book Value Other Assets$180,201,785TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
PENSION OBLIGATIONS$11,646,654
DUE TO AFFILIATES$177,697,149
PROFESSIONAL LIABILITY COSTS$10,482,119
ESTIMATED THIRD PARTY PAYABLES$17,409,370
TAXABLE BONDS$161,775,832
WORKERS COMPENSATION$5,855,187
CAPITAL LEASE PAYABLE$2,682,840
LEASE LIABILITY$57,372,292
LINE OF CREDIT$81,500,000
FieldValueIRS element (for citing)
Total Liability$526,421,443TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S ENDOWMENT CONSISTS OF APPROXIMATELY 50 FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. FOR THE PURPOSES OF DISCLOSURE, ENDOWMENT FUNDS INCLUDE DONOR-RESTRICTED ENDOWMENT FUNDS. THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO THE PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICESSELF-INSURANCE$22,203,743
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS$80,000
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$22,283,743SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$22,283,743TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,022,239TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,022,239NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$282,399,087TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$165,238,640DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,160,447NetCommunityBenefitExpnsAmt
Total Expense0.08850TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$285,421,326TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$165,238,640DirectOffsettingRevenueAmt
Net Community Benefit Expns$120,182,686NetCommunityBenefitExpnsAmt
Total Expense0.09080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,637,025TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,637,025NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served627949PersonsServedCnt
Total Community Benefit Expns$41,231,662TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,463,535DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,768,127NetCommunityBenefitExpnsAmt
Total Expense0.01720TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$489,977,392TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$410,677,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$79,299,544NetCommunityBenefitExpnsAmt
Total Expense0.05990TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,283,625TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,574,112DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,709,513NetCommunityBenefitExpnsAmt
Total Expense0.01790TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served275819PersonsServedCnt
Total Community Benefit Expns$3,819,567TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,819,567NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served903768PersonsServedCnt
Total Community Benefit Expns$604,949,271TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$472,715,495DirectOffsettingRevenueAmt
Net Community Benefit Expns$132,233,776NetCommunityBenefitExpnsAmt
Total Expense0.09990TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served903768PersonsServedCnt
Total Community Benefit Expns$890,370,597TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$637,954,135DirectOffsettingRevenueAmt
Net Community Benefit Expns$252,416,462NetCommunityBenefitExpnsAmt
Total Expense0.19070TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$363,837TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$363,837NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served136PersonsServedCnt
Total Community Benefit Expns$180,149TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$180,149NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served136PersonsServedCnt
Total Community Benefit Expns$543,986TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$543,986NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,109,046BadDebtExpenseAmt
Reimbursed By Medicare$92,546,681ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$164,603,525CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$72,056,844MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TUFTS MEDICAL CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 WASHINGTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TUFTS MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (1)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.TUFTSMEDICINE.ORG/SITES/DEFAULT/FILES/2023-10/TUFTS-CHNA-REPORTOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.TUFTSMEDICINE.ORG/SITES/DEFAULT/FILES/2023-10/TUFTS-CHNA-REPORTStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
TUFTS MEDICAL CENTER, INC.PART V, SECTION B, LINE 5: TUFTS MEDICAL CENTER (TUFTS MC) HAS UPDATED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GUIDE ITS COMMUNITY PROGRAMMING FOR THE NEXT THREE YEARS FROM 2023 TO 2025. THE CHNA WAS CONDUCTED FROM OCTOBER 2021 TO JUNE 2022, AND INVOLVED 8 KEY STAKEHOLDERS AND 14 FOCUS GROUPS WITH 128 COMMUNITY RESIDENTS TO UNDERSTAND COMMUNITY NEEDS, STRENGTHS, PRIORITY HEALTH ISSUES, AND RECOMMENDATIONS. IN ADDITION, 927 RESIDENTS COMPLETED SURVEYS TO SHED LIGHT ON THE HEALTH NEEDS OF THE COMMUNITY. TUFTS MC ALSO SOUGHT INPUT AND UPDATED COMMUNITY MEMBERS THROUGHOUT THE CHNA PROCESS, PRESENTING FINDINGS AND SEEKING ADDITIONAL INPUT FROM 13 COMMUNITY GROUPS BEFORE FINALIZING OUR CHNA PRIORITIES. THE FOCUS GROUPS WERE CONDUCTED WITH RESIDENTS AND COMMUNITY STAKEHOLDERS FROM YOUTH TO SENIORS, VETERANS, LEADERS FROM NON-PROFIT ORGANIZATIONS IN SOUTH BOSTON, AFRICAN-AMERICAN AND HISPANIC TEENS IN HIGH SCHOOL AND COLLEGE, WOMEN OF DIFFERENT RACE/ETHNICITY TRAINED AS MEDICAL TRANSLATORS, SPANISH-SPEAKING WOMEN 60+, PARENTS OF SCHOOL-AGED KIDS, ADULTS AND PARENTS LIVING IN CHINATOWN, VIETNAMESE-SPEAKING ADULTS AND PARENTS, AND CHINESE IMMIGRANTS.TUFTS MC ALSO PARTICIPATED IN A CITYWIDE CHNA PROCESS, CALLED THE BOSTON CHNA COLLABORATIVE, CONSISTING OF BOSTON HOSPITALS AND VARIOUS COMMUNITY STAKEHOLDERS. THE COLLABORATIVE CONDUCTED 12 FOCUS GROUPS AND 39 KEY INFORMANT INTERVIEWS WITH 12 SUB-POPULATIONS WITHIN BOSTON, INCLUDING FEMALE LOW-WAGE WORKERS, RESIDENTS WITH HOUSING INSECURITY, IMMIGRANT PARENTS OF CHILDREN, PARENTS WHO LIVE IN PUBLIC HOUSING IN DORCHESTER, AND CHINESE RESIDENTS LIVING IN CHINATOWN. TUFTS MC SUPPLEMENTED THIS PROCESS WITH ITS OWN FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, ESPECIALLY TO COVER GAPS IN THE COLLABORATIVE PROCESS - OVERSAMPLING CHINATOWN, THE SOUTH END, AND SOUTH BOSTON RESIDENTS.PRIMARY AND SECONDARY DATA GATHERED THROUGH THE CHNA PROCESS WERE PRESENTED TO TUFTS MC'S COMMUNITY BENEFITS ADVISORY COMMITTEES, COMPRISED OF RESIDENTS AND REPRESENTATIVES WHO LIVE, WORK, OR ARE SUBJECT MATTER EXPERTS IN OUR PARTNER COMMUNITIES. COMMITTEE MEMBERS PROVIDED ADDITIONAL FEEDBACK AS TUFTS MC STAFF HONED IN ON COMMUNITY HEALTH PRIORITIES TO FOCUS OUR GRANT-BASED COMMUNITY BENEFITS EFFORTS FOR THE NEXT THREE YEARS. THESE WERE REVIEWED AND APPROVED BY TUFTS MC'S COMMUNITY BENEFITS COMMITTEE OF THE BOARD OF TRUSTEES, COMPRISED OF DIVERSE MEMBERS WITH WIDE-RANGING EXPERTISE INCLUDING LAW, HISTORY, SOCIAL SERVICE PROGRAMS, MEDICINE, AND PUBLIC AND COMMUNITY HEALTH. TUFTS MC'S CBACS ALSO PROVIDE INPUT AND FEEDBACK THROUGHOUT THE YEAR, RECEIVE AND REVIEW GRANTEE PROGRESS REPORTS, AND PARTICIPATE IN COMMUNITY BENEFITS GRANTEE PROGRESS MEETINGS.
TUFTS MEDICAL CENTER, INC.PART V, SECTION B, LINE 11: TUFTS MC HAS COMPLETED ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WHICH ELEVATED THREE MAJOR SOCIAL AND HEALTH NEEDS IN THE COMMUNITY: BEHAVIORAL HEALTH, FINANCIAL SECURITY AND MOBILITY, AND ACCESS TO CARE AND SERVICES. IN RESPONSE, TUFTS MC RELEASED A REQUEST FOR PROPOSALS TO ADDRESS THESE NEEDS AND HAS PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS TO IMPLEMENT PROGRAMMING TO IMPROVE COMMUNITY HEALTH AND WELLBEING. TWENTY GRANTEES WERE FUNDED ACROSS THE NEIGHBORHOODS OF CHINATOWN, DORCHESTER, THE SOUTH END, AND SOUTH BOSTON IN ORDER TO ADDRESS THE SUBSTANTIVE NEEDS IDENTIFIED IN THE CHNA.PROMOTING ACCESS TO CARE AND SERVICES WHILE REDUCING BARRIERS TO CARE EMERGED AS A MAJOR THEME FROM THE 2022 CHNA. THEMES IN THIS CATEGORY INCLUDED PROMOTING HEALTH EQUITY, BREAKING DOWN BARRIERS THAT PREVENT RESIDENTS FROM ACCESSING CARE, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THAT INFLUENCE THE HEALTH OF COMMUNITY MEMBERS.TO ADDRESS ACCESS TO CARE AND SERVICES, THE TUFTS MC INTERPRETER SERVICES DEPARTMENT PROVIDED MEDICAL INTERPRETATION TO 218,335 PATIENTS IN OVER 14 LANGUAGES IN FY23, REDUCING LINGUISTIC AND CULTURAL BARRIERS TO CARE. AN ADDITIONAL 14,828 PATIENTS WERE ABLE TO ACCESS CARE AND SERVICES FOR VULNERABLE POPULATIONS, INCLUDING PREVENTATIVE SCREENINGS, CANCER PATIENT NAVIGATION SUPPORT, PATIENT EDUCATION, SOCIAL SERVICES AND FOOD ACCESS THROUGH TUFTS MC INITIATIVES TO CONNECT PATIENTS TO CARE.THROUGH A PARTNERSHIP WITH THE ASIAN AMERICAN CIVIC ASSOCIATION (AACA), TUFTS MC SUPPORTED THEIR MULTI-SERVICE CENTER (MSC). THE MSC ADDRESSES THE NEEDS OF THE ASIAN IMMIGRANT POPULATION AND THE COMMUNITY AT LARGE FOR VARIOUS SOCIAL SERVICES. IN FY23, AACA PROVIDED SERVICES TO A TOTAL OF 1,661 PARTICIPANTS. AMONG THEM, 415 RECEIVED SNAP ASSISTANCE, 237 RECEIVED HOUSING ASSISTANCE, 97 RECEIVED UTILITIES ASSISTANCE, AND 452 RECEIVED OTHER SOCIAL SERVICE ASSISTANCE. THE PROGRAM HAS BEEN ABLE TO HELP MANY FAMILIES AND INDIVIDUALS IN NEED, PROVIDING CRITICAL SUPPORT DURING THEIR MOST DIRE TIMES. ADDITIONAL PARTNERSHIPS BETWEEN TUFTS MC AND COMMUNITY ORGANIZATIONS PROVIDED FOOD, FAMILY SUPPORT, DIAPERS, AND OTHER ESSENTIAL ITEMS TO 846 FAMILIES IN BOSTON, ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND PROMOTING HEALTH EQUITY.THE 2022 CHNA ALSO IDENTIFIED BEHAVIORAL HEALTH, TRAUMA, AND SUBSTANCE USE AS SIGNIFICANT CONCERNS IN ALL PRIORITY NEIGHBORHOODS. AS A RESPONSE TO THIS NEED, TUFTS MC FUNDED SEVEN COMMUNITY-BASED ORGANIZATIONS TO ADDRESS BEHAVIORAL AND MENTAL HEALTH NEEDS. THROUGH THESE GRANTEES' WORK IN FY23, 1,395 BOSTON RESIDENTS RECEIVED BEHAVIORAL HEALTH SERVICES IN THE COMMUNITIES THEY LIVE IN. OF THESE INDIVIDUALS, 16 CHINESE EXPECTANT PARENTS RECEIVED COUNSELING AND PSYCHOSOCIAL SUPPORT, 114 SOUTH END AND SOUTH BOSTON RESIDENTS RECEIVED SUBSTANCE USE SUPPORT AND TREATMENT THROUGH COMMUNITY PARTNERSHIPS, 368 ASIAN SENIORS RECEIVED CASE MANAGEMENT AND ACCESS TO SUPPORT GROUPS, 665 DORCHESTER FAMILIES RECEIVED SERVICES TO ADDRESS THE EFFECTS OF TOXIC STRESS, 157 UNHOUSED WOMEN AND CHILDREN RECEIVED CASE MANAGEMENT, AND 77 INDIVIDUALS WITH SUBSTANCE USE DISORDER IN THE "MASS & CASS" AREA WERE DIVERTED FROM THE JUSTICE SYSTEM TO RECOVERY-ORIENTED TREATMENT. SUCCESS STORIES FROM THESE INITIATIVES INCLUDE COMMUNITY MEMBERS BEING PLACED INTO SAFE HOUSING AS WELL AS SHOWING SIGNIFICANT DECREASES IN DEPRESSION AND ANXIETY.TUFTS MEDICAL CENTER PARTNERSHIPS ALSO ADDRESSED BEHAVIORAL HEALTH NEEDS WITHIN AND BEYOND THE WALLS OF THE MEDICAL CENTER. TMC CONTINUED ITS PARTNERSHIP WITH SOUTH BOSTON COMMUNITY HEALTH CENTER TO PROVIDE OFFICE BASED ADDICTION TREATMENT (OBAT) TO 192 PRIMARY CARE PATIENTS WITH SUBSTANCE USE DISORDER. THE TUFTS MC TRAUMA CENTER CONDUCTED TWO COMMUNITY TRAININGS, REACHING 100 SENIORS, ON THE TOPICS OF MINDFULNESS AND HEALTHY AGING. THROUGH A PARTNERSHIP WITH BOSTON CHINATOWN NEIGHBORHOOD CENTER, THE TUFTS CLINICAL TRANSLATIONAL SCIENCE INSTITUTE CONDUCTED COMMUNITY-BASED PARTICIPATORY RESEARCH TO EXAMINE THE ACCEPTABILITY OF MENTAL HEALTH FIRST AID TRAININGS FOR ASIAN POPULATIONS, IDENTIFYING OPPORTUNITIES FOR THE TRAINING TO BE MORE CULTURALLY RESPONSIVE.SMOKING WAS IDENTIFIED AS A CONCERN IN CHINATOWN DURING THE 2019 CHNA. THROUGH ITS ASIAN HEALTH INITIATIVE (AHI), TUFTS MC CONTINUED TO ADDRESS THE REDUCTION AND PREVENTION OF TOBACCO AND NICOTINE USE, WHICH CONTRIBUTES TO THE LEADING CAUSES OF DEATH AMONG BOSTON'S CHINATOWN AND ASIAN COMMUNITY: HEART DISEASE AND LUNG CANCER. IN THE FINAL SIX MONTHS OF FUNDING ON THIS PRIORITY AREA, FIVE COMMUNITY-BASED ORGANIZATIONS REACHED 667 COMMUNITY MEMBERS IN FY23 THROUGH CULTURALLY COMPETENT EDUCATION MATERIALS, ONE-ON-ONE SMOKING CESSATION COUNSELING, AND RESIDENTIAL SMOKING CESSATION CLINICS.TUFTS MC RECOGNIZES THE IMPORTANCE OF FINANCIAL SECURITY AND MOBILITY TO OVERALL WELL-BEING. TO ADDRESS THIS, THE ORGANIZATION HAS SUPPORTED FINANCIAL LITERACY PROGRAMS COVERING BUDGETING, SAVING, AND INVESTING. IN FY23, 2,999 LOW-INCOME RESIDENTS, PRIMARILY BLACK AND LATINX WOMEN, BENEFITED FROM FINANCIAL LITERACY PROGRAMS OFFERED BY GRANTEES. PARTICIPANTS IN THESE PROGRAMS DEMONSTRATED SIGNIFICANT INCREASES IN THEIR EARNINGS AND SAVINGS AS WELL AS INCREASED KNOWLEDGE OF THE FINANCIAL SYSTEM.TUFTS MC SUPPORTED TRAINING AND WORKFORCE DEVELOPMENT TO SUPPORT THE UPWARD MOBILITY OF COMMUNITY MEMBERS. 550 BILINGUAL WOMEN WERE TRAINED TO WORK IN THE MEDICAL INTERPRETER FIELD THROUGH FOUND IN TRANSLATION'S LANGUAGE ACCESS FELLOWSHIP PROGRAM. ONE-THIRD OF THEM WERE PLACED IN EMPLOYMENT IMMEDIATELY POST-GRADUATION. ADDITIONALLY, 61 BLACK AND OTHER MARGINALIZED YOUTH COMPLETED BIKE MECHANIC TRAINING, AND 33 WENT ON TO COMPLETE A PAID YOUTH APPRENTICESHIP. FINALLY, TUFTS' COMMUNITY BENEFITS AND COMMUNITY HEALTH INITIATIVES PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS IN FY23 TO HOST CAREER PLANNING WORKSHOPS AND EMPLOYER SHOWCASES REACHING 97 RESIDENTS. AT TUFTS MC, EMPOWERING YOUTH AND PROVIDING THEM WITH OPPORTUNITIES TO LEARN AND GROW IS A PRIORITY. 16,700 PEDIATRIC PATIENTS AND FAMILIES RECEIVED MULTILINGUAL EDUCATIONAL MATERIALS ON BIKE SAFETY, INJURY PREVENTION, AND THE IMPORTANCE OF READING TO YOUR CHILD. AT THE JOSIAH QUINCY ELEMENTARY SCHOOL (JQES), TUFTS MC PROVIDED INTERACTIVE NUTRITION LESSONS THAT HAVE IMPROVED STUDENTS' KNOWLEDGE OF HEALTHY EATING HABITS AND HYGIENE. THE PROGRAM WAS LED BY DIETETIC INTERNS FROM THE STERN NUTRITION CENTER AND REACHED 96 STUDENTS.BEYOND THE WALLS OF TUFTS MC, THROUGH GRANTEE PARTNERSHIPS, 380 LOW-INCOME YOUTH BENEFITED FROM EMPOWERMENT AND POSITIVE YOUTH DEVELOPMENT ACTIVITIES DURING THE FISCAL YEAR, WHILE 265 YOUTH AND FAMILIES ACCESSED MULTILINGUAL EARLY CHILDHOOD SERVICES AND THERAPEUTIC SUPPORT.OUR DEPARTMENTAL EFFORTS AND GRANT FUNDED PROJECTS HAVE ADDRESSED THE 2022 CHNA PRIORITIES THROUGH ROBUST PARTNERSHIPS THAT INFLUENCE HEALTH OUTCOMES AT THE INDIVIDUAL, NEIGHBORHOOD, AND COMMUNITY LEVEL.
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Supplemental Information Detail SupplementalInformationDetail (13 entries)

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PART I, LINE 7:COSTS ARE ALLOCATED TO PATIENT ENCOUNTERS BASED ON COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL INPATIENT AND OUTPATIENT ACTIVITY FOR ALL AREAS OF THE HOSPITAL INCLUDING ALL PAYER SOURCES. THE COSTS UTILIZED ARE BASED ON ACTUAL COSTS FROM THIS SYSTEM, ALLOCATED TO INDIVIDUAL PATIENT ENCOUNTERS.
PART II, COMMUNITY BUILDING ACTIVITIES:PART II, LINE 2: ECONOMIC DEVELOPMENTTUFTS MC PROMOTES THE COMMUNITY'S ECONOMIC, SOCIAL EMOTIONAL AND SPIRITUAL WELLNESS AND COMMUNITY BUILDING THROUGH ITS FREE PARKING PROGRAM. BY REMOVING THE FINANCIAL BURDEN OF PARKING FEES, THE PROGRAM AIMS TO INCREASE FOOT TRAFFIC TO LOCAL BUSINESSES AND FOSTER ECONOMIC DEVELOPMENT. THIS, IN TURN, CREATES A MORE VIBRANT LOCAL ECONOMY, WHICH BENEFITS THE HEALTH OF THE COMMUNITY AS A WHOLE. ADDITIONALLY, THE PROGRAM ENCOURAGES SOCIAL INTERACTIONS, WHICH CAN CONTRIBUTE TO IMPROVED MENTAL HEALTH AND WELLBEING, AND FOSTER A GREATER SENSE OF COMMUNITY SPIRIT. THIS EFFORT IS A VITAL COMPONENT OF OUR HOSPITAL'S EFFORTS TO PROMOTE ECONOMIC DEVELOPMENT AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE. PART II, LINE 8: WORKFORCE DEVELOPMENTTUFTS MC IS COMMITTED TO PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH VARIOUS COMMUNITY-BUILDING ACTIVITIES. IN FY23, WE PROVIDED VALUABLE WORKFORCE DEVELOPMENT SKILLS TO 550 COMMUNITY MEMBERS THROUGH TRAINING PROGRAMS. THROUGH TARGETED OUTREACH TO COMMUNITY PARTNERS, WE ALSO SECURED EMPLOYMENT FOR 8 COMMUNITY MEMBERS AT TUFTS MEDICAL CENTER, STRENGTHENING CONNECTIONS BETWEEN THE COMMUNITY AND MEDICAL CENTER WHILE PROVIDING SECURE EMPLOYMENT IN THE HEALTHCARE FIELD. WE PROVIDED JOB SKILLS TRAINING IN AREAS OF NEED, SUCH AS MEDICAL INTERPRETER TRAINING AND MECHANICAL SKILLS TRAINING TO DISADVANTAGED YOUTH. HIGHER PAY AND BETTER BENEFITS ARE DIRECTLY CORRELATED WITH IMPROVED HEALTH OUTCOMES, AND OUR INITIATIVE AIMED TO PROVIDE JOB SUPPORT AND JOB SKILLS TO POPULATIONS MOST IN NEED OR AT-RISK, ESPECIALLY DURING THE COVID-19 PANDEMIC.TUFTS MC ALSO HAS A LONG-ESTABLISHED PARTNERSHIP WITH THE ASIAN AMERICAN CIVIC ASSOCIATION. OVER THE DECADES, THE STRUCTURE OF THE CLASS HAS CHANGED, BUT IN FY 23, 14 EMPLOYEES PARTICIPATED IN THE PROGRAM, WHICH IS OPEN TO ALL TUFTS MC EMPLOYEES AT NO COST TO THEM. THE ESOL PROGRAM OFFERS BEGINNER AND ADVANCED CLASSES, WITH FLEXIBLE MINIMUM PARTICIPANT REQUIREMENTS DUE TO COVID-19. THE CLASSES ARE OFFERED BOTH DURING WORK HOURS AND ON EMPLOYEES' OWN TIME AND REQUIRE COMMITMENT AND MANAGER SUPPORT. THE PROGRAMS HELP IMPROVE EMPLOYEE/MANAGER RELATIONS, PATIENT EXPERIENCE, AND A CAREER PIPELINE FOR ALL TUFTS MC EMPLOYEES, WHILE ALSO ADDRESSING LITERACY BARRIERS THAT COULD LEAD TO SAFETY CONCERNS AND EXCLUSION. ADDITIONALLY, TUFTS MC'S SUMMER INTERNSHIP PROGRAM FOR BOSTON HIGH SCHOOL STUDENTS OFFERS OPPORTUNITIES FOR STUDENTS TO EXPLORE CAREER OPPORTUNITIES IN A HEALTHCARE SETTING AND OFTEN PROVIDES THEM WITH THEIR FIRST PAID EMPLOYMENT EXPERIENCE. WE OFFERED A FULLY ON-SITE SEVEN-WEEK EXPERIENCE TO 26 YOUTH, 15 WITH BILINGUAL CAPACITY, WHO INTERNED IN 20 DIFFERENT TUFTS MC DEPARTMENTS. INTERNS ADDITIONALLY PARTICIPATED IN WEEKLY WORKSHOPS ON TOPICS SUCH AS PUBLIC HEALTH, COLLEGE READINESS, AND DIVERSITY, EQUITY, AND INCLUSION. THE SUMMER INTERNSHIP PROGRAM PROVIDES VALUABLE SKILLS AND EXPERIENCE TO THE STUDENTS, AND INCREASES YOUTHS LIKELIHOOD OF SECURING BETTER-PAYING JOBS IN THE FUTURE, PROMOTING THEIR OVERALL HEALTH AND WELLBEING. OVERALL, OUR COMMUNITY-BUILDING INITIATIVES AIM TO EQUIP COMMUNITY MEMBERS WITH THE NECESSARY SKILLS AND SUPPORT TO ACHIEVE FINANCIAL STABILITY, WHICH IN TURN PROMOTES BETTER HEALTH OUTCOMES AND FOSTERS A HEALTHIER COMMUNITY.
PART III, LINE 2:THE HOSPITAL RECORDS BAD DEBTS BASED ON CHARGES. THE BAD DEBT COSTS PROVIDED HEREIN ARE BASED ON THESE CHARGES MULTIPLIED BY THE HOSPITAL'S COST-TO-CHARGE RATIO OF 48.00%.
PART III, LINE 4:THE FOLLOWING IS FROM THE TUFTS MEDICINE, INC. AND CONSOLIDATED AFFILIATES (THE SYSTEM) AUDITED FINANCIAL STATEMENTS, OF WHICH TUFTS MEDICAL CENTER, INC. IS INCLUDED, RELATING TO CHARITY CARE AND BAD DEBT EXPENSE:2023 CHARITY CARE AND COMMUNITY BENEFIT FOOTNOTECHARITY CARE - THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE PATIENTS THAT IT SERVES. THE SYSTEM PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. THESE PATIENTS MAY RECEIVE FULL ASSISTANCE OR MAY BE SUBJECT TO PARTIAL LIABILITY BASED ON INCOME AND FAMILY SIZE. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.THE SYSTEM PROVIDED CHARITY CARE, BASED ON CHARGES FORGONE AND THE ESTIMATED COST OF THE CHARITY CARE PROVIDED, OF $6,928K AND $3,237K, FOR THE YEAR ENDED SEPTEMBER 30, 2023, RESPECTIVELY, AND $26,475K AND $12,518K, FOR THE YEAR ENDED SEPTEMBER 30, 2022, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS BASED ON THE RELATIONSHIP OF PATIENT CARE SERVICE CHARGES TO THE RELATED COSTS APPLIED TO CHARITY CARE CHARGES RECOGNIZED DURING THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022.THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2023.HEALTH SAFETY NET FUND (HSN) - THE COMMONWEALTH OF MASSACHUSETTS (THE "COMMONWEALTH") OPERATES THE HSN, WHICH WAS CREATED BY THE COMMONWEALTH'S HEALTH CARE REFORM ACT TO REPLACE THE STATE'S UNCOMPENSATED CARE POOL. THE HSN ALLOCATES THE COST OF UNCOMPENSATED CARE AMONG THE HOSPITALS IN THE COMMONWEALTH. HOSPITALS HAVE BEEN ASSESSED A UNIFORM ALLOWANCE BASED ON ESTIMATES OF THE STATEWIDE COST OF UNCOMPENSATED CARE AND REIMBURSED FOR A PORTION OF THE COST OF UNCOMPENSATED CARE, SUBJECT TO CERTAIN LIMITATIONS. REIMBURSABLE UNCOMPENSATED CARE INCLUDES NET CHARITY CARE AND CERTAIN UNCOLLECTIBLE ACCOUNTS RELATED TO EMERGENCY SERVICES. HOSPITALS' RECOVERIES FROM THE HSN ARE BASED ON A CLAIMS-BASED PAYMENT METHOD THAT USES MEDICARE PRINCIPLES. REIMBURSEMENT FROM THE HSN FOR UNCOMPENSATED CARE IS RECORDED IN NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. THE COMMONWEALTH HAS DETERMINED FINAL SETTLEMENTS WITH RESPECT TO THE HSN FOR ALL YEARS PRIOR TO 2014.COMMUNITY BENEFIT - IN FURTHERING ITS CHARITABLE PURPOSE, THE SYSTEM PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES TO THE COMMUNITY IN ORDER TO PROVIDE ACCESS TO APPROPRIATE CARE FOR POPULATIONS IN NEED. THE SYSTEM HAS DEVELOPED A FORMAL COMMUNITY BENEFIT PLAN THAT RESPONDS TO THE COMPREHENSIVE ASSESSMENT OF HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMUNITY BENEFIT PLAN SUPPORTS SERVICES THAT TARGET NOT ONLY THE GENERAL POPULATION IN THE SYSTEM'S SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS CLINICS, HEALTH SCREENING PROGRAMS, HEALTH EDUCATION PROGRAMS AND SUPPORT GROUPS OPERATED IN THE SYSTEM'S SERVICE AREA. THE SYSTEM WORKS ACTIVELY WITH OTHER AREA SERVICE PROVIDERS TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE COMMUNITY HEALTH NETWORK. THE SYSTEM ALSO PARTICIPATES IN ACTIVITIES DESIGNED TO FOSTER AND ENHANCE THE ECONOMIC AND CIVIC ENVIRONMENT AND TO IMPROVE THE HEALTH EQUITY OF ITS SERVICE AREA.
PART III, LINE 8:COSTS ARE ALLOCATED TO PATIENT ENCOUNTERS BASED ON COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL INPATIENT AND OUTPATIENT ACTIVITY FOR ALL AREAS OF THE HOSPITAL INCLUDING ALL PAYER SOURCES. THE COSTS UTILIZED ARE BASED ON ACTUAL COSTS FROM THIS SYSTEM, ALLOCATED TO INDIVIDUAL PATIENT ENCOUNTERS.
PART III, LINE 9B:TUFTS MEDICAL CENTER'S FINANCIAL COORDINATION OFFICE IDENTIFIES AND ASSISTS THOSE PATIENTS THAT HAVE NO INSURANCE OR WHO ARE UNDERINSURED. WE WILL PROCESS ON-LINE APPLICATIONS FOR STATE PROGRAMS IN ACCORDANCE WITH THE ESTABLISHED MASS HEALTH GUIDELINES. THE GUIDELINES ARE BASED ON 200% OF THE FEDERAL POVERTY GUIDELINES.FINANCIAL ASSISTANCE IS ALSO EXTENDED TO OUT-OF-STATE/COUNTRY PATIENTS WITH NO INSURANCE IN ACCORDANCE WITH THE TUFTS MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. A NOTICE OF FINANCIAL ASSISTANCE IS LOCATED ON THE PATIENT BILL AND THE HOSPITAL WEB-SITE. IT IS ALSO POSTED IN VARIOUS STRATEGIC LOCATIONS THROUGHOUT THE HOSPITAL.THE FINANCIAL COORDINATION OFFICE IS OPEN MONDAY THRU FRIDAY FROM 8:00 A.M. TO 4:40 P.M. THE MAIN NUMBER FOR THE FINANCIAL COORDINATION OFFICE IS 617-636-6013.
PART VI, LINE 2:TUFTS MC USES VARIOUS METHODS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. AN IMPORTANT METHOD IS TO CONDUCT A CHNA, DONE SO EVERY THREE YEARS. THE MOST RECENT CHNA WAS CONDUCTED IN THE SPRING OF 2022, WHERE 927 COMMUNITY RESIDENTS PARTICIPATED IN A SURVEY TO UNDERSTAND THE COMMUNITY'S NEEDS, STRENGTHS, PRIORITY HEALTH ISSUES, AND RECOMMENDATIONS. THE CHNA PROCESS ALSO INCLUDED 14 FOCUS GROUPS WITH 128 COMMUNITY RESIDENTS AND INPUT FROM UPDATED COMMUNITY MEMBERS.TUFTS MC WORKS COLLABORATIVELY WITH COMMUNITY PARTNERS, INCLUDING NON-PROFIT ORGANIZATIONS, TO IDENTIFY AREAS OF NEED AND ADDRESS THEM EFFECTIVELY. IN ADDITION TO CONDUCTING A CHNA, TUFTS MC PARTICIPATES IN OTHER MEETINGS SUCH AS GRANTEE/CBAC MEETINGS AND OTHER COMMUNITY MEETINGS SUCH AS THE CHINATOWN COALITION, CHINATOWN NEIGHBORHOOD COUNCIL, AND THE SOUTH BOSTON ASSOCIATION OF NONPROFITS, AMONG OTHERS. THESE MEETINGS PROVIDE VALUABLE FEEDBACK AND INSIGHT INTO COMMUNITY NEEDS.FURTHERMORE, TUFTS MC REVIEWS DATA ON POPULATION HEALTH, EPIDEMIOLOGY, AND COMMUNITY HEALTH INDICATORS TO MONITOR TRENDS AND IDENTIFY EMERGING HEALTH CONCERNS DURING THE CHINA PROCESS. THE ORGANIZATION USES THIS DATA TO ENSURE THAT IT IS ADDRESSING THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY IN A COMPREHENSIVE AND EFFECTIVE MANNER. ADDITIONALLY, WHEN URGENT ISSUES ARISE, SUCH AS THE COVID-19 PANDEMIC, THE MEDICAL CENTER HAS COLLECTED DATA IN BETWEEN THE TRIENNIAL CHNA TO ASSESS AND ACT UPON IMMEDIATE NEEDS THAT ARISE IN THE COMMUNITY.ONCE PRIORITY HEALTH NEEDS ARE IDENTIFIED, DATA ARE SUMMARIZED, REVIEWED, AND APPROVED BY TUFTS MC'S SENIOR LEADERSHIP AND ITS COMMUNITY BENEFITS GOVERNING BODY, TUFTS MC'S COMMUNITY BENEFITS COMMITTEE. THIS COLLABORATIVE APPROACH ENSURES THAT TUFTS MC IS ADDRESSING THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY IN A COMPREHENSIVE AND EFFECTIVE MANNER.
PART VI, LINE 3:PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE AND FINANCIAL COORDINATION RESOURCES OFFERED BY THE HOSPITAL THROUGH SEVERAL DIFFERENT MEDIUMS AND AT SEVERAL DIFFERENT POINTS IN THEIR EXPERIENCE WITH THE HOSPITAL. PATIENTS ARE PROVIDED AN OPPORTUNITY TO HAVE AN IN PERSON DISCUSSION WITH A FINANCIAL COORDINATOR ABOUT INSURANCE COVERAGE AND FINANCIAL HARDSHIP DURING THE INITIAL REGISTRATION PROCESS. IF A PATIENT EXPRESSES THE NEED FOR INSURANCE OR FINANCIAL ASSISTANCE A FINANCIAL COORDINATOR WILL WORK WITH THEM TO APPLY FOR ANY AVAILABLE AND APPROPRIATE SERVICES. SHOULD A PATIENT QUALIFY FOR MEDICARE OR MEDICAID ASSISTANCE OF ANY FORM, E.G. COMMONWEALTH CARE, THE COUNSELOR OR FINANCIAL COORDINATOR WILL ALSO ASSIST THE PATIENT IN APPLYING FOR ANY OTHER SOCIAL SERVICES THEY MAY FIND HELPFUL, SUCH AS FOOD AND NUTRITION SERVICES. PATIENTS ARE NOTIFIED OF THEIR RIGHTS AND AVAILABLE FINANCIAL RESOURCES THROUGH A VARIETY OF OTHER MEASURES AS WELL, INCLUDING INFORMATION ON SEVERAL DIFFERENT PAGES AND LANDING POINTS ON THE TUFTS MEDICAL CENTER'S WEBSITE, IN WRITTEN INFORMATION PROVIDED AT DISCHARGE, ON ANY BILLING STATEMENTS THEY RECEIVE AND IN POSTINGS THROUGHOUT THE HOSPITAL IN ALL WAITING AREAS AND CLINICS.
PART VI, LINE 4:LOCATED IN THE HEART OF THE CHINATOWN COMMUNITY, TUFTS MC IS COMMITTED TO RESPONDING TO THE SPECIFIC NEEDS OF THE COMMUNITY, MANY OF WHOM ARE NEW IMMIGRANTS IN NEED OF CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES TO HELP THEM NAVIGATE HEALTH CARE FOR THEMSELVES AND THEIR FAMILIES. TUFTS MC'S STRONG COMMITMENT TO THE ADJACENT NEIGHBORHOODS OF DORCHESTER, SOUTH BOSTON AND THE SOUTH END REFLECTS THE HISTORY OF THE FOUNDING OF THE BOSTON DISPENSARY TO PROVIDE QUALITY HEALTHCARE TO BOSTON'S WORKING AND LOW-INCOME FAMILIES.TUFTS MC HAS BEEN IN ITS CURRENT LOCATION SINCE ITS INCEPTION AS THE BOSTON DISPENSARY IN 1796. THE NEIGHBORHOOD, ORIGINALLY KNOWN AS THE SOUTH COVE, IS NOW RECOGNIZED AS BOSTON'S CHINATOWN NEIGHBORHOOD DUE TO THE GROWTH OF THE CHINESE AMERICAN COMMUNITY, WHO FIRST MOVED INTO THE NEIGHBORHOOD IN THE 1870S AND GREW IN NUMBERS AFTER THE LIFTING OF IMMIGRATION RESTRICTIONS ALLOWED FOR FAMILY REUNIFICATION IN THE 1960S AND HAS CONTINUED WITH ONGOING IMMIGRATION. TUFTS MC HAS BEEN AN INTEGRAL MEMBER OF THE COMMUNITY FOR GENERATIONS.SERVICE POPULATIONS:TUFTS MC'S PATIENT POPULATION IS DIVERSE AND REFLECTS THE DEMOGRAPHICS OF THE BOSTON AND GREATER BOSTON COMMUNITY FOR WHICH IT SERVES AS AN ACADEMIC AND TERTIARY/QUATERNARY HOSPITAL. APPROXIMATELY 58% OF THE PATIENT POPULATION IS WHITE, 11% BLACK/AFRICAN AMERICAN, 17% ASIAN AND 8% LATINX. 26% OF THE PATIENT POPULATION QUALIFY FOR MEDICAID, AND 26% OF PATIENTS ARE COVERED BY MEDICARE. APPROXIMATELY 218,000 PATIENTS REQUEST INTERPRETER SERVICES EACH YEAR AND RECEIVE ASSISTANCE IN CHINESE, VIETNAMESE, SPANISH, HAITIAN CREOLE, RUSSIAN, PORTUGUESE AND MANY OTHER LANGUAGES. PRIMARY SERVICE AREA COMMUNITIES: PLEASE NOTE THAT THE BOSTON PUBLIC HEALTH COMMISSION'S 2023 HEALTH OF BOSTON REPORT HAS NOT BEEN FULLY RELEASED, SO SOME DATA IS FROM 2017.BOSTON'S CHINATOWN IS THE SMALLEST OF THE CITY'S NEIGHBORHOODS. IT IS LOCATED IN DOWNTOWN BOSTON NEAR MAJOR TRANSPORTATION NODES AND THE CITY'S DOWNTOWN RETAIL, THEATER, HISTORIC AND FINANCIAL DISTRICTS. ITS 76 ACRES INCLUDE A ROBUST RESIDENTIAL, CULTURAL, ECONOMIC, AND SERVICE HUB FOR BOSTON'S CHINESE AND ASIAN COMMUNITY. THE 2017 AMERICAN COMMUNITY SURVEY (ACS) ESTIMATED THAT OVER 7,400 PEOPLE LIVED IN THE NEIGHBORHOOD, ONE OF THE MOST DENSELY POPULATED IN THE CITY OF BOSTON. THERE IS A DEARTH OF OPEN SPACE IN CHINATOWN, THOUGH THE BOSTON COMMON, PUBLIC GARDEN AND OTHER OPEN AND GREEN SPACE ARE IN CLOSE PROXIMITY.HISTORICALLY, BOSTON CHINATOWN HAS PLAYED AN IMPORTANT ROLE IN ECONOMIC, SOCIAL AND CULTURAL SUPPORT FOR ARRIVING IMMIGRANTS IN WHICH THEY CONTINUE TO LIVE, WORK, SHOP, FIND SERVICES, AND MAINTAIN SOCIAL CONNECTIONS. ACCORDING TO AMERICAN COMMUNITY SURVEY 2020 DATA, COMPARED TO OTHER COMMUNITIES IN TUFTS MC'S SERVICE AREA AND BOSTON AS A WHOLE, CHINATOWN HAS HIGHER PERCENTAGES OF RESIDENTS THAT IDENTIFY AS ASIAN OR PACIFIC ISLANDER (60%), ARE FOREIGN BORN (49%) AND SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (59%). CHINATOWN ALSO HAS A LARGER PERCENTAGE OF OLDER ADULTS 65+ (18%) THAN TUFTS MC'S OTHER PRIORITY COMMUNITIES AS A WHOLE. ALTHOUGH THE MAJORITY OF CHINATOWN RESIDENTS HAVE BACHELOR'S DEGREES OR HIGHER (59%), ABOUT ONE IN FIVE DID NOT GRADUATE FROM HIGH SCHOOL. THE HEALTH PROFILE OF CHINATOWN, BASED ON TUFTS MC 2022 COMMUNITY SURVEY RESPONSES AND FOCUS GROUP INTERVIEWS, REVEALS SEVERAL KEY HEALTH CONCERNS AND CHALLENGES FACING THE COMMUNITY. THE TOP THREE HEALTH CONCERNS IDENTIFIED BY RESIDENTS WERE COVID-19, MENTAL HEALTH/DEPRESSION, AND ACCESS TO SPECIALTY CARE. ENVIRONMENTAL HEALTH, HOUSING STABILITY, AND EDUCATION WERE THE TOP SOCIAL ISSUES OF CONCERN, WHILE DISCRIMINATION BASED ON RACE, IMMIGRATION STATUS, AND CLASS/INCOME WERE THE TOP SAFETY ISSUES IDENTIFIED. FINANCIAL SECURITY WAS ALSO A KEY CONCERN, WITH GENTRIFICATION, HIGH HOUSING COSTS, AND ANTI-ASIAN DISCRIMINATION IN HOUSING PRACTICES MENTIONED AS BARRIERS TO ECONOMIC WELL-BEING.SEVERAL PREVALENT HEALTH CONDITIONS WERE MENTIONED, INCLUDING ASTHMA, CANCER, DIABETES, OSTEOPOROSIS/ARTHRITIS, DEMENTIA, HIGH BLOOD PRESSURE, AND CHOLESTEROL. POLLUTION AND HIGH RATES OF SMOKING (BOTH TOBACCO AND MARIJUANA) WERE IDENTIFIED AS EXACERBATING THESE HEALTH CONCERNS. LANGUAGE BARRIERS AND HIGH OUT-OF-POCKET COSTS WERE CITED AS BARRIERS TO ACCESSING HEALTHCARE, WITH BETTER ACCESS TO HEALTHCARE IDENTIFIED AS A TOP PRIORITY FOR 36% OF SURVEY RESPONDENTS. YOUNG PEOPLE ALSO EXPRESSED CONCERNS AROUND DEPRESSION, ANXIETY, AND SLEEP ISSUES, WHILE THE COVID-19 PANDEMIC WORSENED MENTAL HEALTH CONCERNS AND LED TO STRESS, ANXIETY, AND DEPRESSION FOR RESIDENTS OF ALL AGES.DORCHESTER IS THE LARGEST NEIGHBORHOOD IN BOSTON AND REFLECTS THE CITY'S ECONOMIC, LINGUISTIC, RACIAL, ETHNIC, AND CULTURAL DIVERSITY WITH A POPULATION OF OVER 140,000 RESIDENTS, APPROXIMATELY 20% OF BOSTON'S TOTAL POPULATION. AMERICAN COMMUNITY SURVEY DATA FOR 2020 INDICATE THAT 24.5% OF RESIDENTS WERE 19 YEARS OR YOUNGER AND 12% WERE SENIORS AGED 65 AND OLDER. 35-64 YEAR-OLDS MAKE UP THE LARGEST PERCENTAGE (36%) OF DORCHESTER RESIDENTS. DORCHESTER IS A RACIALLY DIVERSE NEIGHBORHOOD OVERALL, WITH BLACK/AFRICAN AMERICANS MAKING UP THE LARGEST PERCENTAGE OF THE POPULATION. 22.4 PERCENT OF THE POPULATION WAS WHITE, 35% BLACK/AFRICAN AMERICAN, 10.9% ASIAN, 20.7% LATINX, AND 11.0% OTHER. ABOUT ONE-THIRD OF RESIDENTS IN DORCHESTER ARE FOREIGN BORN AND 41% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, BOTH SLIGHTLY HIGHER THAN THE CITY OF BOSTON AS A WHOLE. DORCHESTER HAS ABOUT EQUAL PERCENTAGES OF HIGH SCHOOL GRADUATES (29%) AND THOSE WITH BACHELOR'S DEGREES OR HIGHER (30%). BPHC'S 2017 HEALTH OF BOSTON REPORT INDICATED THAT DORCHESTER CONTINUED TO HAVE A HIGH INCIDENCE OF VIOLENCE-RELATED INJURIES AND HIGH RATES OF HOMICIDE COMPARED TO THE CITY AS A WHOLE. THE 2023 BPHC REPORT FOUND THAT DORCHESTER EXPERIENCED PREMATURE MORTALITY RATES TWICE AS HIGH AS THAT OF MORE AFFLUENT NEIGHBORHOODS LIKE BACK BAY AND BEACON HILL. ADDITIONALLY, THE RATE OF ASTHMA-RELATED HOSPITALIZATION AMONG CHILDREN AGES 5-17 IN DORCHESTER WAS AMONG THE HIGHEST IN THE CITY, AND THE NEIGHBORHOOD'S RESIDENTS EXPERIENCE A HIGH PREVALENCE OF CHRONIC DISEASES LIKE OBESITY AMONG ADULTS. COMPARED TO THE CITY AVERAGE, DORCHESTER HAD HIGH RATES OF INFANTS BORN WITH LOW BIRTHWEIGHT AS WELL AS HIGH RATES OF INFANT MORTALITY COMPARED TO THE CITY AVERAGE.THE HEALTH PROFILE OF DORCHESTER, BASED ON TUFTS MC 2022 COMMUNITY SURVEY RESPONSES, INDICATES THAT THE TOP HEALTH CONCERNS ARE MENTAL HEALTH/DEPRESSION, COVID-19, AND ACCESS TO SPECIALTY CARE. THE TOP SOCIAL ISSUES ARE HOUSING STABILITY, DOMESTIC/INTERPERSONAL VIOLENCE, AND EDUCATION, WHILE THE TOP SAFETY ISSUES ARE DRUG TRAFFICKING, DISCRIMINATION BASED ON RACE, AND DISCRIMINATION BASED ON CLASS/INCOME. PARTICIPANTS FELT THAT THE PANDEMIC EXACERBATED EXISTING SOCIAL NEEDS AND GAPS AS WELL AS HEALTH CONCERNS. MENTAL HEALTH WAS THE TOP COMMUNITY HEALTH CONCERN, WITH YOUTH AND ADULT PARTICIPANTS FEELING THAT THERE ARE NOT ENOUGH CLINICIANS TO FILL THE NEED FOR MENTAL HEALTH SERVICES. OTHER HEALTH CONCERNS INCLUDE OBESITY, DIABETES, HEART DISEASE, LATE DIAGNOSED CANCER, AND BLACK MATERNAL HEALTH. FINANCIAL INSECURITY IS THE PRIMARY SOCIAL CONCERN, WHICH IMPACTS OTHER SOCIAL DETERMINANTS OF HEALTH SUCH AS HOUSING AND FOOD INSECURITY. HOUSING AFFORDABILITY AND GENTRIFICATION HAVE BECOME A GROWING CONCERN, AND ACCESS TO JOBS AND JOB TRAINING HAS RISEN AS A PRIORITY NEED. MOREOVER, THE COMMUNITY FACES SAFETY CONCERNS AS WELL. DORCHESTER RESIDENTS REPORTED FEELING UNSAFE IN THEIR NEIGHBORHOOD AT A RATE 10 PERCENTAGE POINTS ABOVE THE 14% CITY AVERAGE IN SOUTH DORCHESTER (24%), AND 20 POINTS ABOVE THE AVERAGE IN NORTH DORCHESTER (34%) ACCORDING TO THE BOSTON BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM. THESE SAFETY CONCERNS CAN EXACERBATE THE ALREADY PRESENT HEALTH ISSUES AND CREATE ADDITIONAL STRESS AND ANXIETY FOR RESIDENTS. SOUTH BOSTON IS A NEIGHBORHOOD OF APPROXIMATELY 37,000 RESIDENTS THAT CONTINUES TO UNDERGO CHANGES. HISTORICALLY CONSIDERED A WORKING-CLASS COMMUNITY WITH A SIGNIFICANT NUMBER OF PUBLIC HOUSING DEVELOPMENTS, LONG-TIME RESIDENTS ARE NOW EXPERIENCING INCREASING RENTS AND/OR DISPLACEMENT, ALONG WITH AN INFLUX OF NEWER RESIDENTS, RESULTING FROM A SHARP INCREASE IN NEW CONSTRUCTION AND HOUSING DEVELOPMENT IN THE AREA.DATA FROM THE CENSUS BUREAU SHOW A 26% INCREASE IN THE POPULATION BETWEEN 2000 AND 2017. DURING THIS PERIOD, THE NUMBER OF CHILDREN UNDER AGE 18 AND SENIORS OVER AGE 65 (AND THE PROPORTION OF THE POPULATION THEY MADE UP) DROPPED; THUS, THE RISE IN POPULATION IS ATTRIBUTED LARGELY TO WORKING-AGE ADULTS.
PART VI, LINE 5:IN ADDITION TO PROVIDING FINANCIAL RESOURCES TO COMMUNITY-BASED HEALTH AND SERVICE ORGANIZATIONS THAT ADDRESS HEALTH ISSUES SPECIFIC TO THEIR CONSTITUENTS, TUFTS MC ADVANCES ITS COMMITMENT TO THE HEALTH OF ITS PATIENT AND PRIORITY COMMUNITIES THROUGH A NUMBER OF HOSPITAL-LED EFFORTS. THESE INCLUDE CLINICS ESTABLISHED TO MEET THE NEEDS OF NON-NATIVE ENGLISH SPEAKERS; SCHOOL-BASED CURRICULA THAT HELP STUDENTS LEARN ABOUT SMOKING, ASTHMA, DENTAL HEALTH, NUTRITION, SEXUAL HEALTH, SUBSTANCE USE, AND STRESS MANAGEMENT; SCREENINGS AND WORKSHOPS FOR POPULATIONS WITH CRITICAL HEALTH DISPARITIES; ASSISTING ELIGIBLE PATIENTS WITH SECURING FINANCIAL AND SOCIAL BENEFITS SUCH AS PUBLIC HEALTH INSURANCE; AND A COLLABORATION WITH THE BOSTON CHNA-CHIP COLLABORATIVE TO DEEPEN AND EXPAND THE IMPACT OF MEMBER INSTITUTIONS' COMMUNITY BENEFITS ACTIVITIES. TUFTS MC ALSO PARTICIPATES IN COMMUNITY COALITIONS THAT WORK TO PRESERVE COMMUNITY ASSETS AND ADVANCE THE PHYSICAL, ECONOMIC, SOCIAL, AND CULTURAL HEALTH OF THE COMMUNITY. EXAMPLES OF THIS INCLUDE TUFTS MC'S ROLE IN PUBLIC SAFETY INITIATIVES, PROVIDING PARKING FOR FAITH-BASED INSTITUTIONS' CONGREGATION MEMBERS AND WEEKEND PARKING FOR LOCAL SMALL BUSINESS OWNERS' CUSTOMERS, AND VARIOUS WORKFORCE DEVELOPMENT ACTIVITIES TO HELP PREPARE AND/OR RECRUIT COMMUNITY MEMBERS FOR TUFTS MC EMPLOYMENT AND BEYOND.
PART VI, LINE 6:COMMUNITY HOSPITAL PARTNERSHIPSTUFTS MEDICAL CENTER HAS A RICH HISTORY OF PROVIDING MEDICAL CARE TO THE BOSTON COMMUNITY SINCE ITS FOUNDING. IN 2009 TUFTS MEDICAL CENTER LAUNCHED ITS DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WHICH PARTNERS WITH COMMUNITY HOSPITALS TO KEEP MORE CARE LOCALLY IN THE COMMUNITY. TUFTS MEDICAL CENTER IS PROUD TO PARTNER WITH EXCELLENT COMMUNITY HOSPITALS TO DELIVER THE HIGHEST QUALITY CARE IN THE MOST CONVENIENT MANNER FOR PATIENTS. WE STRONGLY BELIEVE THAT WHEN ACADEMIC MEDICAL CENTERS AND COMMUNITY HOSPITALS WORK SIDE-BY-SIDE, THE PATIENT AND THE HEALTH CARE SYSTEM BENEFIT. THROUGH OUR DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WE BRING TUFTS MEDICAL CENTER PHYSICIANS TO THE COMMUNITY - SAVING PATIENTS THE DRIVE INTO DOWNTOWN BOSTON AND TAKING ADVANTAGE OF THE EXCELLENT HOSPITALS IN THE CITIES AND TOWNS SURROUNDING BOSTON. WE ALSO CONSULT CLOSELY WITH OUR TALENTED PHYSICIAN COLLEAGUES WHO ARE PROVIDING OUTSTANDING SERVICES IN THE COMMUNITY ALREADY. AND WHEN EXCEPTIONALLY COMPLEX CARE IS NEEDED, THESE PARTNERSHIPS MEAN THE TRANSFER TO BOSTON IS WELL COORDINATED BETWEEN PHYSICIANS AND COMFORTABLE FOR THE PATIENT AND FAMILY MEMBERS.THROUGH PARTNERSHIPS WITH OTHER AREA HOSPITALS AND MEDICAL CENTERS, DOCTORS FROM TUFTS MC STAFF VARIOUS COMMUNITY MEDICAL FACILITIES. THIS ALLOWS MORE PATIENTS TO RECEIVE TOP-QUALITY CARE IN A LOCATION CLOSE TO HOME. TUFTS MC SPECIALISTS SEE PATIENTS AND PERFORM SOME TREATMENTS AND PROCEDURES LOCALLY. WHEN HIGH-LEVEL ADVANCED CARE IS NEEDED, TUFTS MC DOCTORS WORK WITH THE COMMUNITY PHYSICIANS TO ENSURE A SMOOTH PATIENT TRANSITION TO TUFTS MEDICAL CENTER IN BOSTON.TUFTS MEDICAL CENTER MAKES AN EXCELLENT CLINICAL PARTNERS FOR TWO MAIN REASONS. FIRST, WE WORK WITH OUR PARTNER HOSPITALS TO KEEP MOST MEDICAL CARE LOCAL. THIS IS THE MOST CONVENIENT OPTION FOR PATIENTS AND THE MOST COST-EFFECTIVE OPTION FOR BOTH PATIENTS AND PROVIDERS. SECOND, TUFTS MEDICAL CENTER PROVIDES HIGH-QUALITY CARE AT REASONABLE COSTS. IN FACT, A REPORT BY THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE SAID THAT WE ARE THE MOST AFFORDABLE ADVANCED CARE OPTION IN BOSTON.PATIENTS MAY EXPERIENCE OUR AFFILIATION WITH COMMUNITY HOSPITALS IN ANY NUMBER OF WAYS, SUCH AS:- A PEDIATRIC HOSPITALIST CARING FOR A SICK CHILD ON THE PEDIATRIC UNIT OF A COMMUNITY HOSPITAL- A CARDIOLOGIST PERFORMING CARDIAC CATHETERIZATIONS IN THE COMMUNITY- OUR EXPERT WEIGHT AND WELLNESS CENTER TEAM PROVIDING SUPPORT AND SURGERIES IN THE COMMUNITY - OUR TRAUMA TEAM PREPARING FOR AN URGENT TRANSFER FROM A COMMUNITY HOSPITAL- OUR NEUROLOGY TEAM PROVIDING A CONSULT ON A STROKE PATIENT IN A COMMUNITY EMERGENCY DEPARTMENT- CARDIOLOGY EXPERTS FROM THROUGHOUT THE REGION MEETING TO DISCUSS BEST PRACTICE FOR TREATING HEART FAILURE PATIENTS- COORDINATED CARE PROTOCOLS BETWEEN INSTITUTIONS AND CARE SETTINGSADULT AFFILIATE HOSPITALSMETROWEST MEDICAL CENTER (FRAMINGHAM, MA)PEDIATRIC AFFILIATE HOSPITALSLAWRENCE GENERAL HOSPITAL (LAWRENCE, MA)LOWELL GENERAL HOSPITAL (LOWELL, MA)METROWEST MEDICAL CENTER (FRAMINGHAM, MA)SIGNATURE HEALTHCARE BROCKTON HOSPITAL (BROCKTON, MA)
PART VI, LINE 7, REPORTS FILED WITH STATESMA
PART VI, LINE 4, COMMUNITY INFORMATION (CONTINUED)ACCORDING TO 2020 AMERICAN CENSUS DATA, COMPARED TO TUFTS MC'S OTHER PRIORITY NEIGHBORHOODS AS A WHOLE, SOUTH BOSTON HAS A MUCH LARGER PERCENTAGE OF WHITE NON-HISPANIC RESIDENTS (77%), AND MUCH SMALLER PERCENTAGES OF FOREIGN-BORN RESIDENTS (13%) AND RESIDENTS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (18%). SOUTH BOSTON HAS A BIGGER YOUNG ADULT POPULATION THAN TUFTS MC'S OTHER PRIORITY COMMUNITIES OR BOSTON AS A WHOLE, WITH 20-34-YEAR OLDS MAKING UP 44% OF THE POPULATION. IT ALSO HAS A SMALLER POPULATION OR CHILDREN AND TEENS, WITH ONLY 13% UNDER 20 YEARS. NEARLY THREE QUARTERS (71%) OF SOUTH BOSTON RESIDENTS HAVE BACHELOR'S DEGREES OR HIGHER. THE TUFTS MC 2022 COMMUNITY SURVEY FOUND THAT COVID-19, MENTAL HEALTH/DEPRESSION, AND SUBSTANCE USE WERE THE TOP HEALTH CONCERNS FOR SOUTH BOSTON RESIDENTS, WITH SUBSTANCE USE BEING UNIQUE TO THIS NEIGHBORHOOD. THE TOP SOCIAL ISSUES WERE CRIME, EDUCATION, AND EMPLOYMENT, AND THE TOP SAFETY CONCERNS WERE DRUG TRAFFICKING, DISCRIMINATION BASED ON CLASS/INCOME, AND VANDALISM. THE COVID-19 PANDEMIC LED TO A SIGNIFICANT INCREASE IN BEHAVIORAL HEALTH ISSUES, PARTICULARLY IN MENTAL HEALTH CRISES, SUBSTANCE USE, AND ADDICTION. OTHER HEALTH ISSUES WORSENED BY THE PANDEMIC INCLUDED OBESITY, DIABETES, AND CANCER, AND HEALTHCARE ACCESS WAS ALSO IDENTIFIED AS AN ISSUE. FINANCIAL SECURITY WAS A PRIORITY, WITH GENTRIFICATION AFFECTING HOUSING AND JOBS, AND ECONOMIC WELL-BEING WAS IDENTIFIED AS THE TOP SOCIAL ISSUE. ACCORDING TO THE BOSTON BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM SURVEY, SOUTH BOSTON RESIDENTS REPORTED FEELING PERSISTENT ANXIETY AND SADNESS AT RATES SIMILAR TO THE CITYWIDE AVERAGE, AND WERE SLIGHTLY MORE FINANCIALLY SECURE THAN BOSTON RESIDENTS ON AVERAGE. TRANSPORTATION DIFFICULTIES WERE SLIGHTLY HIGHER, BUT SOUTH BOSTON HAD THE SECOND-HIGHEST INSURANCE RATE OF ALL NEIGHBORHOODS IN BOSTON. THE SOUTH END IS IMMEDIATELY SOUTH OF TUFTS MC, ADJACENT TO CHINATOWN. IT IS A NEIGHBORHOOD KNOWN FOR ITS LARGE VICTORIAN ROW HOUSES DISTRICT BUILT BY MIDDLE CLASS RESIDENTS OF ENGLISH ANCESTRY IN THE 1850S. THE NEIGHBORHOOD'S DEMOGRAPHICS BEGAN TO CHANGE IN THE 1880S WHEN THE ORIGINAL RESIDENTS BEGAN TO BE REPLACED BY MIDDLE CLASS AFRICAN AMERICANS, IRISH, JEWISH, GREEK, PUERTO RICAN, AND CHINESE IMMIGRANTS. IN THE 1960S, THE SOUTH END WAS CONSIDERED ONE OF THE POOREST NEIGHBORHOODS IN THE CITY OF BOSTON. ITS RENAISSANCE BEGAN IN THE MID-1970S WHEN INDIVIDUALS BEGAN TO BUY AND RESTORE VICTORIAN ROW HOUSES, AND NON-PROFITS PURCHASED AND REHABILITATED HOUSES AS AFFORDABLE RENTALS FOR FAMILIES. THERE WAS ALSO NEW CONSTRUCTION FOCUSED ON MEETING THE NEEDS OF VERY LOW-INCOME FAMILIES AND SENIORS.CURRENTLY, THE SOUTH END AND SOUTH BOSTON ARE EXAMPLES OF BOSTON'S ROBUST ECONOMY AND BUILDING BOOM, AND NEW RESIDENTIAL DEVELOPMENTS ARE BEING CONSTRUCTED ON PARCELS WHICH WERE ONCE DESIGNATED FOR LIGHT INDUSTRIAL USE.THE LINE BETWEEN THE SOUTH END AND CHINATOWN IS NOT FIXED, AND THERE IS A SIZABLE POPULATION OF CHINESE FAMILIES LIVING IN WHAT IS TRADITIONALLY CONSIDERED THE SOUTH END. ACCORDING TO THE 2017 ACS, THE SOUTH END HAD A POPULATION OF APPROXIMATELY 27,000 RESIDENTS. ACCORDING TO BPDA 2020 US CENSUS DATA, THE MAJOR RACIAL/ETHNIC GROUPS WERE: WHITE NON-HISPANIC (56.6%), ASIAN (15.9%), LATINX (12.9%), BLACK/AFRICAN AMERICAN (10.1%), AND OTHER (4.5%). ABOUT A QUARTER ARE FOREIGN-BORN (27%) AND 40% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, WHICH IS SIMILAR TO BOSTON AS A WHOLE. LIKE SOUTH BOSTON, THE SOUTH END HAS SMALLER PERCENTAGES OF YOUTH AND TEENS THAN THE CITY OF BOSTON AS A WHOLE, WITH 15% OF RESIDENTS UNDER 20 YEARS OLD. SLIGHTLY OVER HALF OF SOUTH END RESIDENTS (56%) HAVE BACHELOR'S DEGREES OR HIGHER. OVERALL, THE EDUCATIONAL ATTAINMENT OF SOUTH END ROUGHLY MIRRORS THE CITY OF BOSTON AS A WHOLE. THE TUFTS MC 2022 COMMUNITY SURVEY AND SECONDARY DATA INDICATE THAT RESIDENTS OF THE SOUTH END IN BOSTON WERE PRIMARILY CONCERNED ABOUT COVID-19, ACCESS TO SPECIALTY CARE, MENTAL HEALTH/DEPRESSION, HOUSING STABILITY, DISASTER READINESS AND EMERGENCY PREPARATION, EDUCATION, DISCRIMINATION BASED ON RACE AND SEX/GENDER, AND SMOKING. FINANCIAL INSECURITY AND JOB TRAINING/RESOURCES ARE SEEN AS SIGNIFICANT CONTRIBUTORS TO THESE CONCERNS. GENTRIFICATION AND RISING HOUSING COSTS HAVE LED TO A CHANGING CULTURAL MIX, PUSHING OUT IMMIGRANT AND LOW-INCOME FAMILIES, AND CAUSING STRESS FOR LONG-TERM CHINESE RESIDENTS WHO FEEL LIKE THEY DON'T BELONG IN THEIR COMMUNITY. THE SOUTH END ALSO CONTAINS AN AREA KNOWN AS "METHADONE MILE," WHERE HOMELESS ENCAMPMENTS AND OPEN-AIR SALE AND USE OF SUBSTANCES ARE PREVALENT. RISING PRICES FROM GENTRIFICATION HAVE CAUSED WEALTHIER FAMILIES TO LEAVE THE NEIGHBORHOOD, WHILE LOW-INCOME FAMILIES ARE PUSHED OUT.QUINCY HAS A SIGNIFICANT ASIAN POPULATION WITH STRONG SOCIAL AND CULTURAL TIES TO BOSTON'S CHINATOWN, COMPRISING ABOUT 6% OF TUFTS MC'S PATIENT POPULATION. IN 2017, QUINCY HAD A POPULATION OF 93,824 AND GREW 6.6% SINCE 2000. BETWEEN 2000 AND 2017, THE CITY SAW A GROWTH IN THE NUMBER OF BLACK AND LATINX RESIDENTS, AND MOST NOTABLY ASIAN RESIDENTS. QUINCY SITS JUST SOUTHEAST OF BOSTON AND IS HOME TO LARGE POPULATION OF CHINESE IMMIGRANTS, WITH 30.8% OF THE POPULATION IDENTIFYING AS ASIAN (2020 U.S. CENSUS). DATA FROM THE 2019 AMERICAN COMMUNITY SURVEY INDICATE THAT SLIGHTLY LESS THAN TWO-THIRDS OF QUINCY RESIDENTS ARE WHITE NON-HISPANIC (58%) AND NEARLY ONE-THIRD ARE ASIAN (30%). ONE-THIRD (33%) OF QUINCY RESIDENTS ARE FOREIGN-BORN AND 38% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE LARGEST AGE GROUP OF QUINCY RESIDENTS IS 35-65-YEAR-OLDS (40%). THERE ARE FEWER YOUNG ADULTS AGES 20-34 (27%) THAN IN THE CITY OF BOSTON AS A WHOLE (35%). AS A WHOLE, EDUCATIONAL ATTAINMENT OF QUINCY RESIDENTS LOOKS SIMILAR TO BOSTON, ALTHOUGH QUINCY HAS FEWER RESIDENTS WITH BACHELOR'S DEGREES OR HIGHER (45% VS 51%). IN TUFTS MC'S 2022 COMMUNITY SURVEY, COVID-19, ACCESS TO SPECIALTY CARE, AND MENTAL HEALTH/DEPRESSION WERE THE TOP HEALTH CONCERNS OF COMMUNITY RESIDENTS. THE TOP SOCIAL ISSUES WERE HOUSING STABILITY, EDUCATION, AND DOMESTIC/INTERPERSONAL VIOLENCE, WHILE THE TOP SAFETY CONCERNS WERE DISCRIMINATION BASED ON CLASS/INCOME, SEX/GENDER, AND IMMIGRATION STATUS. THE RISING POPULATION OF LIMITED ENGLISH SPEAKERS AND IMMIGRANTS IN QUINCY HAS WORSENED THESE CHALLENGES, WITH CHRONIC DISEASE AND CANCER REMAINING ONGOING HEALTH CONCERNS. FINANCIAL AND FOOD INSECURITY HAVE GROWN SIGNIFICANTLY DURING THE PANDEMIC, ALONG WITH MENTAL HEALTH ISSUES AND DOMESTIC VIOLENCE. THE LACK OF PROVIDERS WHO CAN SPEAK THE LANGUAGE AND UNDERSTAND THE CULTURE OF THEIR PATIENTS HAS ALSO BEEN IDENTIFIED AS A CHALLENGE. QUINCY HAS HIGHER MORTALITY RATES FOR CANCER, SUBSTANCE USE, AND OPIOID USE COMPARED TO THE STATE OF MASSACHUSETTS, WITH HIGHER RATES OF COPD-RELATED HOSPITALIZATIONS, POISONING-RELATED ED VISITS, AND MORTALITY ACCORDING TO DATA PROVIDED BY THE MASSACHUSETTS DEPARTMENT OF HEALTH.CARE TO BOSTON RESIDENTS AND SURROUNDING COMMUNITIES:TUFTS MC BELIEVES THAT CARING FOR OUR COMMUNITY HAPPENS BOTH WITHIN AND OUTSIDE THE WALLS OF THE INSTITUTION. DATA HAVE SHOWN THAT MANY BARRIERS EXIST WHICH HINDER PATIENT ACCESS TO HIGH QUALITY HEALTH CARE, INCLUDING THE LINGUISTIC AND CULTURAL COMPETENCY OF HEALTH CARE PROVIDERS. TO REMOVE THE BARRIERS AND INCREASE ACCESS TO HOSPITAL SERVICES, TUFTS MC CONTINUES A LONG-STANDING COMMITMENT TO HEALTH EQUITY WHICH INVOLVES INCREASING CULTURAL COMPETENCY AMONG OUR MEDICAL PROVIDERS AND TO REMOVE LANGUAGE BARRIERS WHEREVER POSSIBLE. THE WORKING DEFINITION OF CULTURAL COMPETENCY THAT HELPS TO SHAPE AND DRIVE POLICIES AND CARE DELIVERY AT TUFTS MC IS AS FOLLOWS:THE ABILITY TO UNDERSTAND AND RESPECT THE DIFFERENCES AMONG PEOPLE AND USE OUR UNDERSTANDING TO INFLUENCE OUR INTERACTIONS WITH ONE ANOTHER; THIS INVOLVES DEVELOPING OUR CAPABILITY OF DELIVERING PATIENT-CENTERED SERVICES CONSISTENT WITH THE NEEDS AND EXPECTATIONS OF VARIOUS CULTURES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL DANDORPH
TRUSTEE/PRESIDENT/CEO$0$1,273,773$0$0$0$16,175$0$261,150$0$29,977$0$1,581,075$0$0
MICHAEL TARNOFF MD
CEO/TRUSTEE$1,002,619$0$154,500$0$12,031$0$167,561$0$26,782$0$1,363,493$0$0$0
MICHAEL WAGNER
FORMER TRUSTEE/PRESIDENT$0$820,604$0$0$0$153,481$0$9,150$0$27,078$0$1,010,313$0$0
DIANA RICHARDSON
SENIOR VP & COO$603,245$0$100,963$0$3,395$0$86,850$0$13,587$0$808,040$0$0$0
F CLARISSA YANG MD
FORMER TRUSTEE$0$566,860$0$115,945$0$32,380$0$30,500$0$2,187$0$747,872$0$0
MARVIN A KONSTAM MD
TRUSTEE$0$624,482$0$47,755$0$18,495$0$30,500$0$23,716$0$744,948$0$0
ERIKA WERNER
TRUSTEE$0$603,869$0$77,388$0$14,196$0$0$0$19,860$0$715,313$0$0
KAREN FREUND MD
TRUSTEE$0$538,371$0$98,872$0$12,375$0$30,500$0$23,656$0$703,774$0$0
JEFFREY WEINSTEIN
FORMER TRUSTEE$0$453,993$0$61,913$0$121,193$0$9,150$0$18,638$0$664,887$0$0
DEEB N SALEM MD
FORMER TRUSTEE$0$523,944$0$0$0$84,439$0$5,048$0$20,798$0$634,229$0$0
PAUL SUMMERGRAD MD
TRUSTEE (UNTIL 1/23)$0$425,970$0$39,544$0$45,271$0$30,500$0$23,134$0$564,419$0$0
THERESE HUDSON-JINKS
SENIOR VP & CNO$401,377$0$51,338$0$34,805$0$64,380$0$233$0$552,133$0$31,977$0
ERIK GARPESTAD
CMO/SVP MEDICAL STAFF$438,619$0$57,090$0$3,129$0$0$0$10,698$0$509,536$0$0$0
KRISTINE M HANSCOM
FORMER CFO$139,292$0$0$0$290,383$0$71,912$0$4,159$0$505,746$0$204,265$0
SARAH MCKAY
VP OF PATIENT CARE$317,017$0$92,500$0$22,135$0$42,443$0$26,434$0$500,529$0$21,638$0
NIOBIS DEL CARMEN QUEIRO
FORMER KEY EMPLOYEE$0$366,347$0$37,820$0$11,267$0$63,130$0$20,859$0$499,423$0$0
ASSAD SIDDIQI
SVP/TREASURER$371,294$0$40,000$0$350$0$48,466$0$10,742$0$470,852$0$0$0
KARA GREER
SVP CHIEF TALENT OFFICER$367,192$0$37,600$0$576$0$57,256$0$2,758$0$465,382$0$0$0
JASON HALL
TRUSTEE$0$404,583$0$55,938$0$4,504$0$0$0$343$0$465,368$0$0
ZACHARY REDMOND ESQ
SECRETARY$305,704$0$29,520$0$49,301$0$45,989$0$28,865$0$459,379$0$39,423$0
ROSS THOMPSON
VP CLINICAL OPERATIONS$307,811$0$46,350$0$44,694$0$41,681$0$173$0$440,709$0$44,001$0
MARCY CASS
VP RISK MANAGEMENT$227,091$0$45,600$0$134,157$0$7,511$0$5,466$0$419,825$0$0$0
MICHAEL APKON
FORMER TRUSTEE/PRESIDENT/CEO$0$0$0$0$251,139$0$0$0$0$0$251,139$0$0$0
LAUREN RIPLEY ESQ
ASSISTANT SECRETARY$0$173,871$0$15,759$0$135$0$5,568$0$7,035$0$202,368$0$0
JACK MCDONALD
ASSOCIATE EXECUTIVE DIRECT$177,685$0$0$0$0$0$0$0$11,605$0$189,290$0$0$0
WILLIAM SHICKOLOVICH
FORMER KEY EMPLOYEE$0$0$0$0$0$124,308$0$0$0$0$0$124,308$0$0
HELEN BOUCHER MD
TRUSTEE$0$0$0$0$0$0$0$0$0$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BLINE 4A: JEFFREY WEINSTEIN RECEIVED $32,385 IN SEVERANCE PAY DURING CALENDAR YEAR 2022. WILLIAM SHICKOLOVICH RECEIVED $124,308 IN SEVERANCE PAY DURING CALENDAR YEAR 2022. MICHAEL APKON RECEIVED $251,139 IN SEVERANCE PAY DURING CALENDAR YEAR 2022. KRISTINE HANSCOM RECEIVED $65,775 IN SEVERANCE PAY DURING CALENDAR YEAR 2022. MARCY CASS RECEIVED $70,154 IN SEVERANCE PAY DURING CALENDAR YEAR 2022.
PART 1, LINE 4B:SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: DIANA RICHARDSON: $77,700 KRISTINE HANSCOM: $67,684 KARA GREER: $48,114 THERESE HUDSON-JINKS: $55,230 SARAH MCKAY: $33,430 ZACHARY REDMOND: $36,977 MICHAEL DANDORPH: $252,000 NIOBIS QUEIRO: $50,865 MICHAEL TARNOFF: $158,411 ROSS THOMPSON: $32,213 ASSAD SIDDIQI: $41,519
990, PART VII, SECTION A. LINE 5HELEN BOUCHER, M.D. RECEIVED COMPENSATION FROM TUFTS UNIVERSITY, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO TUFTS MEDICINE, INC.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
A04343181457584YPN32019-02-20$230,260,000SEE SUPPLEMENTAL INFORMATION00Yes (1)
MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
B0434318140000000002020-07-16$53,992,966SEE SUPPLEMENTAL INFORMATION00Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYr
A$21,571,702$247,886,139$67,436,296$159,332,179$21,117,664Yes (1)0Yes (1)Yes (1)
B$3,235,201$59,998,457$58,325,304Yes (1)0Yes (1)Yes (1)$1,673,1532022

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE A, COLUMN FDESCRIPTION OF BOND PURPOSE: A. THE ISSUANCE OF BONDS AND THE LOAN OF THE PROCEEDS THEREOF IS TO (1) REFINANCE CERTAIN OUTSTANDING INDEBTEDNESS OF OR ISSUED FOR THE BENEFIT OF THE INSTITUTION, AS FUTHER IDENTIFIED BELOW, (2) FINANCE CONSTRUCTION, RENOVATION AND IMPROVEMENTS AT AND ACQUISTIONS AND EQUIPMENT FOR THE ACUTE CARE HOSPITAL AND RELATED FACILITIES OWNED AND/OR OPERATED BY TUFTS MEDICAL CENTER, (3) FUND A DEBT SERVICE RESERVE FUND, AND (4) PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS. FURTHER IDENTIFICATION OF BOND PURPOSE - REFINANCINGS: SERIES A BONDS WERE ISSUED FOR THE TUFTS MEDICINE, INC., WHICH INCLUDES TUFTS MEDICAL CENTER, INC., THE LOWELL GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE. SERIES C BONDS WERE ISSUED FOR THE TUFTS MEDICINE, INC., WHICH INCLUDES TUFTS MEDICAL CENTER, INC., THE LOWELL GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE.
PART II, LINE 7THE AMOUNTS REPORTED AS TOTAL PROCEEDS EXCEED THE RESPECTIVE ISSUE PRICE DUE TO BOND PREMIUM.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$81,369NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE NUMBER REPORTED IN COLUMN (B) OF SCHEDULE M REPRESENTS THE NUMBER OF CONTRIBUTIONS OF EACH ITEM.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:WE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN, AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. WE DEDICATE OURSELVES TO FURTHERING OUR RICH TRADITION OF HEALTH CARE INNOVATION, LEADERSHIP, CHARITY AND THE HIGHEST STANDARD OF CARE TO ALL IN OUR COMMUNITY. TO PROVIDE LONG-TERM CARE FOR CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED. RENTAL SERVICE PROGRAMS TO PROMOTE THE INTEREST OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS BY ACQUIRING, MANAGING, MAINTAINING, DEVELOPING, LEASING AND DISPOSING OF REAL ESTATE PROPERTIES.
FORM 990, PART III, LINE 3THE ORGANIZATION SOLD THE OUTREACH PORTION OF ITS OUTPATIENT LAB BUSINESS IN SEPTEMBER 2023.
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO AND CONTROLLER REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. A COPY OF THE FORM 990 AS IT WILL BE ULTIMATELY FILED IS POSTED TO AN INTERNAL WEBSITE. PRIOR TO FILING, THE ORGANIZATION EMAILS ALL OF ITS GOVERNING BODY MEMBERS A LINK TO A PASSWORD PROTECTED WEBSITE, ADVISING THEM THAT THE FORM 990 IS AVAILABLE FOR REVIEW ON THAT SITE.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ENFORCES COMPLIANCE BY PROCEDURES INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE APPROPRIATE HEAD OF THE DEPARTMENT AND REVIEWED BY LEGAL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMPENSATION COMMITTEE OF THE TUFTS MEDICINE, INC. BOARD MEETS ANNUALLY TO REVIEW EXECUTIVE COMPENSATION. SULLIVAN AND COTTER, AN INDEPENDENT CONSULTANT TO THE BOARD, PROVIDED A COMPETITIVENESS ASSESSMENT BASED ON COMPARATOR INFORMATION INCLUDING NATIONAL, NORTHEAST AND BOSTON AREA DATA. TOTAL COMPENSATION FOR THE EXECUTIVE GROUP, INCLUDING THE PRESIDENT/CEO , COO AND VICE PRESIDENTS, WAS DETERMINED TO BE CONSERVATIVE AND WELL WITHIN MARKET AVERAGES, THE PROCESS HAS NOT CHANGED SINCE THEN. THE LAST MEETING WAS HELD JUNE 8, 2022.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER BY MAIL OR IN PERSON AT THE OFFICE, DEPENDING ON THE FORM OF THE REQUEST.
FORM 990, PART VI, SECTION B., LINE 16A:TUFTS MEDICAL CENTER, INC. OWNS A 65% INTEREST IN SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT, LLC.
FORM 990, PART VI, SECTION B., LINE 16B:THE ORGANIZATION ROUTINELY CONSULTS WITH INTERNAL AND OUTSIDE COUNSEL PRIOR TO ENTERING INTO JOINT VENTURE ARRANGEMENTS. THE ORGANIZATION IS CURRENTLY CONSIDERING IMPLEMENTATION OF WRITTEN POLICIES AND PROCEDURES TO EVALUATE PARTICIPATION OF JOINT VENTURE ARRANGEMENTS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
FORM 990, PART XI, LINE 9:TRANSFER OF NET ASSETS 127,157,000. PENSION-RELATED ADJUSTMENTS 14,261,000. OTHER COMPONENTS OF NET PERIODIC PENSION COSTS -2,243,000. NET ASSETS RELEASED FROM RESTRICTION 6,612,000. OTHER ADJUSTMENTS 3,164,036.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MELROSEWAKEFIELD HEALTHCARE INC
170 GOVERNORS AVEMEDFORDMA02155042767880HOSPITALMA501(C)(3)LINE 3MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
HALLMARK HEALTH MEDICAL ASSOCIATES INC
170 GOVERNORS AVEMEDFORDMA02155043140938MD OFFICESMA501(C)(3)LINE 10MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
LM LONG TERM CARE SERVICES INC
170 GOVERNORS AVEMEDFORDMA02155042938772LONG-TERM CAREMA501(C)(3)LINE 12B, IIMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
SAVIN LONG TERM CARE CORPORATION
170 GOVERNORS AVEMEDFORDMA02155043012616LONG-TERM CAREMA501(C)(3)LINE 10MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
HALLMARK HEALTH PROPERTIES
170 GOVERNORS AVEMEDFORDMA02155222580542PROPERTYMA501(C)(3)LINE 12B, IIMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
170 GOVERNORS AVEMEDFORDMA02155042103587PARENTMA501(C)(3)LINE 12A, ITUFTS MEDICINE INCYes (1)
THE LOWELL GENERAL HOSPITAL
295 VARNUM AVENUELOWELLMA01854042103590HEALTH CAREMA501(C)(3)LINE 3CIRCLE HEALTH INCYes (1)
CIRCLE HEALTH PHYSICIANS INC
295 VARNUM AVENUELOWELLMA01854273902914MEDICAL SERVICESMA501(C)(3)LINE 10CIRCLE HEALTH INCYes (1)
LGH PHYSICIAN ASSOCIATES INC
295 VARNUM AVENUELOWELLMA01854043190747MEDICAL SERVICESMA501(C)(3)PFCIRCLE HEALTH PHYSICIANS INCYes (1)
CIRCLE HEALTH INC
295 VARNUM AVENUELOWELLMA01854222579798PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12B, IITUFTS MEDICINE INCYes (1)
TUFTS MEDICINE INC
1600 DISTRICT AVE SUITE 125BURLINGTONMA01803452250732PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12A, I0N/A
TUFTS MEDICINE INTEGRATED NETWORK INC
800 DISTRICT AVENUEBURLINGTONMA01803871600172HEALTH CAREMA501(C)(3)LINE 10TUFTS MEDICINE INCYes (1)
CNS NURSING HOME CARE INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843371836433HOME CARE SERVICESMA501(C)(3)LINE 10CIRCLE HOME INCYes (1)
TUFTS MEDICAL CENTER PARENT INC
800 WASHINGTON STREETBOSTONMA02111042810022FUNDRAISING, ADMIN. PLANNING & OTHER ACTIVITIESMA501(C)(3)LINE 12B, IITUFTS MEDICINE INCYes (1)
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111043400617HOSPITAL SERVICESMA501(C)(3)LINE 3TUFTS MEDICAL CENTER PARENT INCYes (1)
NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREETBOSTONMA02111042912578PEDIATRIC LONG-TERM CARE FACILITYMA501(C)(3)LINE 3TUFTS MEDICAL CENTER PARENT INCYes (1)
NEW ENGLAND QUALITY CARE ALLIANCE INC
800 WASHINGTON STREETBOSTONMA02111043040427MEDICAL PROGRAMS & SERVICESMA501(C)(3)LINE 10TUFTS MEDICINE INTEGRATED NETWORK INCYes (1)
NEQCA ACCOUNTABLE CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184800824142ACOMA501(C)(3)LINE 10TUFTS MEDICINE INTEGRATED NETWORK INCYes (1)
TUFTS MEDICAL CENTER COMMUNITY CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184473046563MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
THE CAMERON M NEELY FOUNDATION
800 WASHINGTON STREETBOSTONMA02111043265628CHARITABLEMA501(C)(3)LINE 7TUFTS MEDICAL CENTER PARENT INCYes (1)
HEART CENTER OF METROWEST INC
99 LINCOLN STREETFRAMINGHAMMA01702030390670MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT ANESTHESIOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043418395MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT MEDICAL AND SURGICAL ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148397MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT NEUROLOGY ASSOICATES INC
800 WASHINGTON STREETBOSTONMA02111043148384MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OBGYN ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148385MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OPHTHALMOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148392MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT ORTHOPEDIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111205129051MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OTOLARYNGOLOGY
800 WASHINGTON STREETBOSTONMA02111043148381MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PATHOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148393MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PEDIATRIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148394MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PSYCHIATRIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148387MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT RADIOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148388MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT RADIATION ONCOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148389MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT REHABILITATION MEDICINCE
800 WASHINGTON STREETBOSTONMA02111043148378MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT SURGICAL ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148376MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT UROLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148379MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
NEW ENGLAND MEDICAL CENTER
800 WASHINGTON STREETBOSTONMA02111043096445MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT MEDICAL GROUP INC
800 WASHINGTON STREETBOSTONMA02111042743894MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
TUFTS MEDICAL CENTER PHYSICIANS ORG INC
800 WASHINGTON STREETBOSTONMA02111043044706ADMIN.MA501(C)(3)LINE 12B, IITUFTS MEDICAL CENTER PARENT INCYes (1)
LOWELL GENERAL HOSPITAL AUXILIARY
295 VARNUM AVENUELOWELLMA01854223459303SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12A, I0N/A
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111823315703MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
TUFTS MEDICINE CARE AT HOME PARENT INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843222587225MANAGEMENT SERVICESMA501(C)(3)LINE 12B, IITUFTS MEDICINE INCYes (1)
HOME HEALTH VNA INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843042435675HOME HEALTH CAREMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
TUFTS MEDICINE CARE AT HOME INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843043024278HOSPICE SERVICESMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
HOME CARE INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843042854358HOME HEALTH SUPPORTIVE SERIVCESMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndShare Of Total IncomeShareOfTotalIncomeAmtOwnershipOwnershipPct
MONTVALE PETCT LLC
100 BAYVIEW CIRCLE SUITE 400NEWPORT BEACHCA92660270325022CAT SCANDEMELROSEWAKEFIELD HEALTHCARE INCRELATED00
SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC
800 WASHINGTON STREETBOSTONMA02111320558307MEDICAL SERVICES (MRI)MATUFTS MEDICAL CENTER INCRELATED0Yes (1)-$68,0530.65000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
HALLMARK HEALTH PHO INC
170 GOVERNORS AVEMEDFORDMA02155461134759PHYSICIAN HOSPITAL ORGANIZATIONMAMELROSEWAKEFIELD HEALTHCARE INCC0
LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC
170 GOVERNORS AVEMEDFORDMA02155421685777ELECTRONIC MEDICAL RECORDSMAMELROSEWAKEFIELD HEALTHCARE INCC0
LGH MANAGEMENT SERVICES INC
295 VARNUM AVENUELOWELLMA01854042919244MEDICAL SERVICESMALGH SERVICES INCC0
LGH MEDICAL BUILDING SERVICES INC
295 VARNUM AVENUELOWELLMA01854043058954MEDICAL OFFICE BUILDINGMALGH SERVICES INCC0
LGH MEDICAL SERVICES INC
295 VARNUM AVENUELOWELLMA01854261889904MEDICAL SERVICESMALGH SERVICES INCC0
LGH SERVICES INC
295 VARNUM AVENUELOWELLMA01854042854673MEDICAL SERVICESMACIRCLE HEALTH INCC0
TUFTS MEDICINE INDEMNITY COMPANY LTD
800 WASHINGTON STREETBOSTONMA02111980444573CAPTIVE INSURANCETUFTS MEDICINE INCCYes (1)CJ
TMIN SERVICES INC
800 DISTRICT AVENUEBURLINGTONMA01803922005219HEALTH CAREMATUFTS MEDICINE INTEGRATED NETWORK INCCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (48 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PRATT OPTHAMOLOGY ASSOCIATES INC
D$918,774BOOK BASIS
TUFTS MEDICAL CENTER PARENT INC
D$1,004,000BOOK BASIS
HALLMARK HEALTH MEDICINE ASSOCIATES
D$1,187,000BOOK BASIS
TUFTS MEDICINE CLINICALLY INTEGRATED NETWORK
D$189,000BOOK BASIS
TUFTS MEDICINE INC
D$159,499,000BOOK BASIS
TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION
D$6,107,000BOOK BASIS
TUFTS MEDICINE CLINICALLY INTEGRATED NETWORK ACO
D$571,000BOOK BASIS
PRATT UROLOGY ASSOCIATES INC
E$107,471BOOK BASIS
TUFTS MEDICAL CENTER COMMUNITY CARE INC
E$5,047,358BOOK BASIS
NEW ENGLAND QUALITY CARE ALLIANCE INC
D$531,000BOOK BASIS
PRATT PSYCHIATRIC ASSOCIATES INC
E$1,403,893BOOK BASIS
PRATT RADIOLOGY ASSOCIATES INC
E$27,993BOOK BASIS
PRATT PEDIATRIC ASSOCIATES INC
E$2,459,336BOOK BASIS
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
D$2,509,910BOOK BASIS
PRATT NEUROLOGY ASSOCIATES INC
D$40,381BOOK BASIS
PRATT MEDICAL & SURGICAL DERMATOLOGY ASSOC
D$120,567BOOK BASIS
PRATT ANESTHESIOLOGY ASSOCIATES INC
D$1,133,399BOOK BASIS
PRATT SURGICAL ASSOCIATES INC
D$378,390BOOK BASIS
PRATT PATHOLOGY ASSOCIATES INC
D$132,164BOOK BASIS
HEART CENTER METROWEST
E$6,156,293BOOK BASIS
TUFTS MEDICINE PHARMACY
E$44,786,000BOOK BASIS
THE CAMERON NEELY FOUNDATION
E$399,000BOOK BASIS
NEW ENGLAND MEDICAL CENTER GROUP
D$446,045BOOK BASIS
TMC PHYSICIAN ORGANIZATION INC
J$508,756BOOK BASIS
PRATT ORTHOPEDIC ASSOCIATES INC
L$165,294BOOK BASIS
PRATT PSYCHIATRIC ASSOCIATES INC
L$5,543,600BOOK BASIS
PRATT RADIOLOGY ASSOCIATES INC
L$1,939,625BOOK BASIS
PRATT UROLOGY ASSOCIATES INC
L$1,455,427BOOK BASIS
PRATT OPTHAMOLOGY ASSOCIATES INC
L$12,395,156BOOK BASIS
TMC PHYSICIAN ORGANIZATION INC
L$10,922,734BOOK BASIS
PRATT RADIATION ONCOLOGY ASSOCIATES INC
L$344,301BOOK BASIS
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
M$4,314,476BOOK BASIS
PRATT REHABILITATION MEDICINE ASSOCIATES INC
M$292,076BOOK BASIS
PRATT OBGYN ASSOCIATES INC
M$2,339,487BOOK BASIS
PRATT DERMATOLOGY ASSOCIATES INC
M$1,382,605BOOK BASIS
PRATT PATHOLOGY ASSOCIATES INC
M$2,582,478BOOK BASIS
PRATT NEUROSURGERY ASSOCIATES INC
M$3,903,655BOOK BASIS
PRATT SURGICAL ASSOCIATES INC
M$5,937,850BOOK BASIS
PRATT NEUROLOGY ASSOCIATES INC
M$186,637BOOK BASIS
PRATT ENT ASSOCIATES INC
M$299,720BOOK BASIS
PRATT MEDICAL GROUP INC
M$13,731,538BOOK BASIS
PRATT ANESTHESIOLOGY ASSOCIATES INC
M$16,378,751BOOK BASIS
TUFTS MEDICINE INC
R$86,619,697BOOK BASIS
PRATT PEDIATRIC ASSOCIATES INC
L$12,725,208BOOK BASIS
TUFTS MEDICINE INC
E$5,268,000BOOK BASIS
PRATT OBGYN ASSOCIATES INC
D$520,132BOOK BASIS
PRATT MEDICAL GROUP INC
D$806,987BOOK BASIS
PRATT ORTHOPEDIC ASSOCIATES INC
D$88,478BOOK BASIS

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINBusiness Name ControlBusinessNameControlTxt
NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREET BOX 468BOSTONMA021111533042912578NEWE
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET BOX 468BOSTONMA021111533043400617TUFT

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