2024-08-15T13:45:14-05:00 2023-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2022-10-01 043044706 TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC TUFT 6176365000 800 WASHINGTON ST TMCPO 1013 BOSTON MA 02111 ASSAD SIDDIQI CFO 6176365000 2024-08-13 1 0 CRAIG KLEIN P00734640 6177610600 2024-08-13 2022 2024-08-08 14:25:15Z ANDREW DEVOE 800 WASHINGTON ST TMCPO 1013 BOSTON MA 02111 30625016 0 3952 X WWW.TUFTSMEDICINE.ORG X 1992 MA THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. COORDINATES THE ADMINISTRATIVE AND BILLING ACTIVITIES FOR THE GROUP PRACTICES IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO PATIENTS OF TUFTS MEDICAL CENTER, INC. AND TO THE RESIDENTS OF THE COMMUNITIES IT SERVES. 13 2 62 0 0 0 0 0 35831582 30561346 1367 63670 0 0 35832949 30625016 0 0 0 0 20744378 32928096 0 0 0 7760523 16340906 28504901 49269002 7328048 -18643986 136730697 173305984 44929338 39041843 91801359 134264141 X THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. SUPPORTS THE TUFTS GROUP PRACTICES IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO THE PATIENTS OF TUFTS MEDICAL CENTER, INC. AND TO THE RESIDENTS OF THE COMMUNITY IT SERVES. 0 0 45297831 30561346 THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. SUPPORTS THE FOLLOWING CORPORATIONS (THE "GROUP PRACTICE"), ALL EXEMPT CORPORATIONS UNDER SECTION 501(C)(3), IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO PATIENTS OF TUFTS MEDICAL CENTER, INC. AND TO THE RESIDENTS OF THE COMMUNITY IT SERVES; 1. NEW ENGLAND MEDICAL CENTER GROUP PRACTICE, INC. D/B/A PRATT NEUROSURGICAL ASSOCIATES, INC., 2. PRATT ANESTHESIOLOGY ASSOCIATES, INC., 3. PRATT MEDICAL & SURGICAL DERMATOLOGY ASSOCIATES, INC., 4. PRATT NEUROLOGY ASSOCIATES, INC., 5. PRATT OB/GYN ASSOCIATES, INC., 6. PRATT OPHTHALMOLOGY ASSOCIATES, INC., 7. PRATT OTOLARYNGOLOGY - HEAD & NECK SURGERY ASSOCIATES, INC., 8. PRATT PATHOLOGY ASSOICATES, INC., 9. PRATT PEDIATRIC ASSOCIATES, INC., 10. PRATT PSYCHIATRIC ASSOCIATES, INC., 11. PRATT RADIOLOGY ASSOCIATES, INC., 12. PRATT RADIATION ONCOLOGY ASSOCIATES, INC., 13. PRATT REHABILITATION MEDICINE ASSOCIATES, INC., 14. PRATT SURGICAL ASSOCIATES, INC., 15. PRATT UROLOGY ASSOCIATES, INC., 16. PRATT MEDICAL GROUP, INC., 17. PRATT ORTHOPEDIC ASSOCIATES, INC., 18. CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER, INC., 19. TUFTS MEDICAL CENTER COMMUNITY CARE, INC., 20. HEART CENTER OF METRO WEST, INC. THE ORGANIZATION COORDINATES THE ADMINISTRATIVE AND BILLING ACTIVITIES FOR THE GROUP PRACTICE AND CHARGES THEM FOR THESE SERVICES. 45297831 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 62 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 2 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 MA X LESLEY RESTUCCIA 6176365000 800 WASHINGTON ST TMCPO 1013 BOSTON MA 02111 GEOFFREY BINNEY MD DIRECTOR 2.00 38.00 X 0 504661 52274 DEBORAH BLAZEY-MARTIN MD DIRECTOR (UNTIL 12/22) 2.00 38.00 X 0 330593 48445 CHARLES CASSIDY MD DIRECTOR 2.00 38.00 X 0 1046428 54216 KAREN FREUND MD DIRECTOR 2.00 38.00 X 0 649618 54156 SUSAN GREEN DIRECTOR 2.00 38.00 X 0 953259 39569 CAREY KIMMELSTIEL MD DIRECTOR 2.00 38.00 X 0 462710 53549 DALLAS REED MD DIRECTOR 2.00 38.00 X 0 270770 44768 REGINA ROCKEFELLER ESQ DIRECTOR 1.00 1.00 X 0 0 0 JEAN RUSSELL DIRECTOR 2.00 0.00 X 0 0 0 PAUL SUMMERGRAD MD DIRECTOR (UNTIL 5/23) 2.00 38.00 X 0 510785 53634 MICHAEL TARNOFF MD DIRECTOR 2.00 38.00 X 0 1169150 194343 MICHAEL WAGNER MD PRESIDENT, CEO 2.00 38.00 X X 0 974085 36228 EMILY YOUNG DIRECTOR 2.00 38.00 X 0 552989 78341 HELEN BOUCHER MD CHARIMAN 2.00 0.00 X X 0 0 0 ASSAD SIDDIQI TREASURER, CFO 2.00 38.00 X 0 411644 59208 LAUREN RIPLEY SECRETARY, CLERK 38.00 2.00 X 0 189765 12603 PETER NEUMANN VP OPERATIONS 40.00 0.00 X 316720 0 23429 PAOLA SEBASTIANI MD PHYSICIAN 40.00 0.00 X 256950 0 23484 PABLO ARGUESO MD PHYSICIAN 40.00 0.00 X 267278 0 23346 JOSHUA COHEN MD PHYSICIAN 40.00 0.00 X 221127 0 46156 DANIEL OLLENDORF MD PHYSICIAN 40.00 0.00 X 229570 0 24627 KRISTINE M HANSCOM FORMER DIRECTOR 2.00 38.00 X 0 429675 76071 DEEB N SALEM MD FORMER DIRECTOR 0.00 40.00 X 0 608383 25846 CRAIG BEST MD FORMER DIRECTOR 0.00 0.00 X 0 700000 0 1291645 9764515 1024293 45 1 1 1 VVC HOLDING CORP PO BOX 840952 DALLAS TX 752840952 PROFESSIONAL SERVICES 555450 STODDARD GROUP PO BOX 52445 BOSTON MA 022059761 PROFESSIONAL SERVICES 326318 NTT DATA SERVICES LLC 2300 WEST PLANO PARKWAY PLANO TX 75075 PROFESSIONAL SERVICES 203534 PARALLON REVENUE PO BOX 745584 ATLANTA GA 303845584 PROFESSIONAL SERVICES 162277 AMPLUS GROUP 1829 QUEEN ANEE AVE N SUITE A SEATTLE WA 98109 PROFESSIONAL SERVICES 147540 11 SUPPORT REVENUE 561000 17895674 17895674 CLINIC, TEACH & ADMIN. 900099 12665672 12665672 30561346 63670 63670 30625016 30561346 0 63670 25353828 25353828 636831 636831 6378222 6378222 559215 559215 728505 728505 -102098 -102098 1596186 1596186 29521 23617 5904 515781 515781 9331 9331 444446 444446 41810 41810 -3700708 -3700708 PURCHASED SERVICES 12296253 9837002 2459251 SUPPLIES 1948756 1559005 389751 PRINTING & PUBLICATION 83828 83828 TRAINING 73045 58436 14609 2376250 1901001 475249 49269002 45297831 3971171 0 2301686 2799155 7794475 -6343166 279645 194212 1804319 1703186 143861 101133 126211030 176554650 136730697 173305984 9305927 1549727 7500000 7500000 28123411 29992116 44929338 39041843 X 91801359 134264141 91801359 134264141 136730697 173305984 X -18643986 61106768 X 0 1 X 1 0 X X 1 TUFTS MEDICAL CENTER INC 043400617 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C, LINE 1: A TYPE II SUPPORTING ORGANIZATION MUST BE SUPERVISED OR CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATION. THIS MEANS THAT THERE MUST BE COMMON SUPERVISION OR CONTROL BY THE PERSONS SUPPORTING OR CONTROLLING BOTH THE SUPPORTING ORGANIZATION AND THE SUPPORTED ORGANIZATION TO ENSURE THAT THE SUPPORTING ORGANIZATION WILL BE RESPONSIVE TO THE NEEDS AND REQUIREMENTS OF THE SUPPORTED ORGANIZATION. COMMON SUPERVISION AND CONTROL EXIST BETWEEN TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. (TMCPO) AND ITS SUPPORTED ORGANIZATION, TUFTS MEDICAL CENTER, INC. (HOSPITAL). BOTH ENTITIES ARE CONTROLLED BY TUFTS MEDICAL CENTER PARENT, INC. (PARENT). IN THIS REGARD, TMCPO AND HOSPITAL HAVE A BROTHER/SISTER RELATIONSHIP, UNDER PARENT. PARENT EXERCISES CONTROL OVER TMCPO THROUGH ITS RIGHT TO APPOINT AND REMOVE A MAJORITY OF TMCPO'S TRUSTEES. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF HOSPITAL ALSO SERVES AS A TRUSTEE OF TMCPO. PARENT'S CHIEF EXECUTIVE OFFICER MUST APPROVE THE SUBMISSION TO TMCPO'S BOARD OF TRUSTEES OF ANY CANDIDATE FOR THE POSITION OF PRESIDENT OF TMCPO, AND TMCPO'S PRESIDENT SERVES SUBJECT TO THE CONTROL OF TMCPO'S BOARD OF TRUSTEES AND PARENT'S CHIEF EXECUTIVE OFFICER (WHO ALSO SERVES AS HOSPITAL'S CHIEF EXECUTIVE OFFICER). TMCPO RESPONSIVENESS TO THE NEEDS AND REQUIREMENTS OF HOSPITAL IS FURTHER ENSURED BY BOARD OVERLAP BETWEEN PARENT (WHICH CONTROLS TMCPO) AND HOSPITAL. 375623 326151 49472 1042105 1038751 3354 386591 338284 48307 101133 DUE FROM AFFILIATES 162339651 OTHER LONG TERM ASSETS 6145429 INVESTMENT IN UNCONSOLIDATED AFFILIATE 629382 RIGHT OF USE ASSET 7440188 176554650 DUE TO AFFILIATES 14678188 INSURANCE ACCRUALS AND RESERVES 9564758 OTHER LIABILITIES 5749170 29992116 X X X 1 1 0 0 0 0 0 0 0 MICHAEL TARNOFF MD DIRECTOR 0 1002619 0 154500 0 12031 0 167561 0 26782 0 1363493 0 0 CHARLES CASSIDY MD DIRECTOR 0 673117 0 356306 0 17005 0 30500 0 23716 0 1100644 0 0 MICHAEL WAGNER MD PRESIDENT, CEO 0 820604 0 0 0 153481 0 9150 0 27078 0 1010313 0 0 SUSAN GREEN DIRECTOR 0 717484 0 93750 0 142025 0 9150 0 30419 0 992828 0 0 KAREN FREUND MD DIRECTOR 0 538371 0 98872 0 12375 0 30500 0 23656 0 703774 0 0 CRAIG BEST MD FORMER DIRECTOR 0 0 0 0 0 700000 0 0 0 0 0 700000 0 0 DEEB N SALEM MD FORMER DIRECTOR 0 523944 0 0 0 84439 0 5048 0 20798 0 634229 0 0 EMILY YOUNG DIRECTOR 0 416567 0 115205 0 21217 0 49287 0 29054 0 631330 0 0 PAUL SUMMERGRAD MD DIRECTOR (UNTIL 5/23) 0 425970 0 39544 0 45271 0 30500 0 23134 0 564419 0 0 GEOFFREY BINNEY MD DIRECTOR 0 412087 0 60000 0 32574 0 30500 0 21774 0 556935 0 0 CAREY KIMMELSTIEL MD DIRECTOR 0 419592 0 23333 0 19785 0 30500 0 23049 0 516259 0 0 KRISTINE M HANSCOM FORMER DIRECTOR 0 139292 0 0 0 290383 0 71912 0 4159 0 505746 0 204265 ASSAD SIDDIQI TREASURER, CFO 0 371294 0 40000 0 350 0 48466 0 10742 0 470852 0 0 DEBORAH BLAZEY-MARTIN MD DIRECTOR (UNTIL 12/22) 0 271315 0 47488 0 11790 0 25221 0 23224 0 379038 0 0 PETER NEUMANN VP OPERATIONS 305005 0 0 0 11715 0 0 0 23429 0 340149 0 0 0 DALLAS REED MD DIRECTOR 0 232383 0 21390 0 16997 0 25375 0 19393 0 315538 0 0 PABLO ARGUESO MD PHYSICIAN 258315 0 0 0 8963 0 0 0 23346 0 290624 0 0 0 PAOLA SEBASTIANI MD PHYSICIAN 252785 0 0 0 4165 0 14605 0 8879 0 280434 0 0 0 JOSHUA COHEN MD PHYSICIAN 211561 0 0 0 9566 0 22884 0 23272 0 267283 0 0 0 DANIEL OLLENDORF MD PHYSICIAN 227448 0 0 0 2122 0 22884 0 1743 0 254197 0 0 0 LAUREN RIPLEY SECRETARY, CLERK 0 173871 0 15759 0 135 0 5568 0 7035 0 202368 0 0 HELEN BOUCHER MD CHARIMAN 0 0 0 0 0 0 0 0 0 0 0 0 PART I, LINES 4A-B 4A. SEVERANCE PAYMENTS: CRAIG BEST, M.D. $700,000 4B. SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: KRISTINE HANSCOM, $67,684 EMILY YOUNG, $43,122 MICHAEL TARNOFF, $158,411 ASSAD SIDDIQI, $41,519 990, PART VII, SECTION A. LINE 5 HELEN BOUCHER, M.D. RECEIVED COMPENSATION FROM TUFTS UNIVERSITY, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO TUFTS MEDICINE, INC. FORM 990, PART VI, SECTION A, LINE 7A TUFTS MEDICAL CENTER PARENT, INC. (PARENT) EXERCISES CONTROL OVER TUFTS MEDICAL CENTER PHYSICIAN'S ORGANIZATION, INC. (TMCPO) THROUGH PARENT'S RIGHT TO APPOINT AND REMOVE A MAJORITY OF TMCPO'S TRUSTEES FORM 990, PART VI, SECTION A, LINE 7B TUFTS MEDICAL CENTER PARENT, INC.'S (PARENT'S) CHIEF EXECUTIVE OFFICER MUST APPROVE THE SUBMISSION TO TUFTS MEDICAL CENTER PHYSICIAN'S ORGANIZATION, INC.'S (TMCPO'S) BOARD OF TRUSTEES OF ANY CANDIDATE FOR THE POSITION OF PRESIDENT OF TMCPO. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PREPARED BY TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. THE DRAFT FORM 990 IS REVIEWED BY FINANCE MANAGEMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTERST POLICY BY REGULAR CONTACT WITH AND QUESTIONNAIRES OF ALL INDIVIDUALS WITH THE POTENTIAL FOR CONFLICT OF INTEREST. THE 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 THE OFFICE OF LEGAL COUNSEL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION BOARD OF TRUSTEES MEETS AT LEAST ANNUALLY TO REVIEW AND APPROVE COMPENSATION FOR SENIOR EXECUTIVES AND DEPARTMENT CHAIRS. THE COMMITTEE REVIEWS EXTENSIVE COMPENSATION BENCHMARKS PROVIDED BY SULLIVAN AND COTTER. THE COMMITTEE ALSO REVIEWS AND APPROVES COMPENSATION LEVELS FOR NEW EXECUTIVES AND DEPARTMENT CHAIRS AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER 61,106,768. 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