2023-08-17T10:48:53-05:00 2022-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2021-10-01 472250732 TUFTS MEDICINE INC TUFT 9789422220 800 DISTRICT AVENUE 520 BURLINGTON MA 01803 SUSAN GREEN EXEC. VP AND CFO 9789422220 2023-08-17 1 SUSAN GREEN XXX-XX-XXXX CRAIG KLEIN P00734640 6177610600 2023-08-17 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X MICHAEL DANDORPH 800 DISTRICT AVENUE 520 BURLINGTON MA 01803 777039 0 X WWW.TUFTSMEDICINE.ORG X 2014 MA CARE INTEGRATION, POPULATION HEALTH MANAGEMENT, PATIENT ACCESS AND OPERATIONAL PERFORMANCE. 20 15 353 15 26999 25999 0 0 794875 785870 123739 0 0 -8831 918614 777039 0 0 0 0 11780730 12372783 0 0 0 9376618 12645569 21157348 25018352 -20238734 -24241313 254762428 261139193 160634596 198592101 94127832 62547092 X HEALTHCARE IS TRANSFORMING AS IT CONTINUES TO RESPOND TO NUMEROUS PRESSURES (I.E., REIMBURSEMENT REDUCTIONS; GOVERNMENT MANDATES; SYSTEM CONSOLIDATION; TECHNOLOGY AND RETAIL ENTRANTS). TUFTS MEDICINE IS RESPONDING PROACTIVELY TO ADDRESS THESE PRESSURES AND POSITION THE HEALTH SYSTEM TO:DELIVER ON ITS MISSION: TO RELENTLESSLY FOCUS ON HELPING PEOPLE ACHIEVE BETTER HEALTH.REALIZE ITS VISION: TO CREATE A HEALTHIER SYSTEM OF CARE THAT ANTICIPATES PEOPLE'S NEEDS AND IS CONSTANTLY INNOVATING TO DELIVER HIGH-QUALITY, AFFORDABLE CARE LOCALLY AND CONVENIENTLY.INTERNALIZE ITS VALUES:-COLLABORATION-RESPECT-INNOVATION-SERVICE-EXCELLENCE 0 0 11075763 785870 TUFTS MEDICAL CENTER PARENT, INC. AND CONSOLIDATED AFFILIATES ("TUFTS MC"), CIRCLE HEALTH, INC. AND CONSOLIDATED AFFILIATES ("CIRCLE HEALTH"), MELROSEWAKEFIELD HEALTHCARE, INC. AND CONSOLIDATED AFFILIATES, FORMERLY HALLMARK HEALTH CORPORATION ("MELROSEWAKEFIELD"), AND TUFTS MEDICINE CARE AT HOME PARENT, INC., FORMERLY HOME HEALTH FOUNDATION, INC. AND ITS AFFILIATES ("TUFTS CARE AT HOME") ARE THE MEMBERS OF TUFTS MEDICINE, INC. ("TUFTS MEDICINE"), WHICH IS HEREINAFTER REFERRED TO AS THE "SYSTEM". THE SYSTEM REPRESENTS A UNIQUE MODEL THAT SERVES THE HEALTH NEEDS OF COMMUNITIES WHILE ENHANCING THE AFFORDABILITY OF CARE. THE SYSTEM FOCUSES ON CARE INTEGRATION, POPULATION HEALTH MANAGEMENT, PATIENT ACCESS, AND OPERATIONAL PERFORMANCE.TUFTS MEDICINE IS DESIGNED TO ENHANCE THE DELIVERY OF PATIENT-CENTERED CARE AND IMPROVE ACCESS TO HIGH-QUALITY, CLINICALLY INTEGRATED HEALTHCARE SERVICES FOR PATIENTS THROUGHOUT MANY COMMUNITIES IN THE COMMONWEALTH OF MASSACHUSETTS. TUFTS MEDICINE IS WORKING TO FACILITATE IMPLEMENTATION OF A COMMON, COORDINATED APPROACH, ACROSS THE THREE AFFILIATING HEALTH CARE SYSTEMS, TO POPULATION HEALTH MANAGEMENT. THIS WILL ALLOW FOR INNOVATION IN CARE MANAGEMENT MODELS, DISSEMINATION OF BEST PRACTICES, SHARED INFRASTRUCTURE AND INFORMATION SYSTEMS, AND INCREASED SCALE TO SERVE A GREATER POPULATION BASE. THE ROLE OF TUFTS MEDICINE FOR TUFTS MC, CIRCLE HEALTH, MELROSEWAKFIELD AND TUFTS CARE AT HOME WILL FACILITATE RATIONALIZING CARE DELIVERY TO ASSURE THAT SERVICES ARE PROVIDED IN THE MOST EFFICIENT SETTING, WITH INCENTIVES FOR CLOSE COLLABORATION AMONG PHYSICIANS, FACILITIES AND OTHER HEALTH CARE PROVIDERS. THE ROLE OF TUFTS MEDICINE WILL ALSO SERVE TO FOSTER EFFECTIVE CLINICAL INTEGRATION ACROSS THE CONTINUUM OF CARE, INCLUDING IMPLEMENTING STRATEGIES PROMOTING RISK-SHARING AND HIGH PERFORMANCE OUTCOMES. THROUGH TUFTS MEDICINE, TUFTS MC, CIRCLE HEALTH, MELROSEWAKFIELD AND TUFTS CARE AT HOME WILL DEFINE A COMMON SET OF RESPONSIBILITIES THAT HONORS THEIR RESPECTIVE AUTONOMY WHILE PROMOTING A COLLABORATIVE AND COMPREHENSIVE FUTURE-LOOKING STRATEGIC VISION PROACTIVELY RESHAPING HOW HEALTH CARE IS PROVIDED.WELLFORCE CARE PLAN, LLC IS AN ACCOUNTABLE CARE ORGANIZATION FORMED FOR THE PURPOSE OF ENTERING INTO AN AGREEMENT WITH A MANAGED CARE ORGANIZATION TO PARTICIPATE COLLECTIVELY IN THE MASSHEALTH ACCOUNTABLE CARE ORGANIZATION PROGRAM. 11075763 1 0 0 1 0 0 0 0 0 0 1 1 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 1 745 0 1 353 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 20 15 0 0 1 0 0 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA CA X X SUSAN GREEN 9789422220 800 DISTRICT AVE BURLINGTON MA 01803 MICHAEL DANDORPH PRESIDENT & CEO 49.00 1.00 X X 1905698 0 260012 CYNTHIA BARGINERE TRUSTEE 1.00 0.00 X 0 0 0 FIRDAUS BHATHENA TRUSTEE 1.00 0.00 X 0 0 0 PATRICIA CAMPBELL VICE CHAIR 1.00 0.00 X X 0 0 0 MICHELE CRAGE TRUSTEE 1.00 1.00 X 0 0 0 DAVID CRISS TRUSTEE 1.00 49.00 X 0 267425 0 GARY CAMPBELL CHAIR 1.00 1.00 X X 0 0 0 DAMIAN FOLCH TRUSTEE 1.00 0.00 X 0 0 0 ANTHONY MONACO TRUSTEE 1.00 0.00 X 0 0 0 SCOTT COLLINS TRUSTEE 1.00 1.00 X 0 0 0 RAYMOND ANSTISS JR TRUSTEE 1.00 1.00 X 0 0 0 JEFFREY SHAMES TRUSTEE 1.00 0.00 X 0 0 0 PHILIP LEMBO TRUSTEE 1.00 0.00 X 0 0 0 GENIA LONG TRUSTEE 1.00 1.00 X 0 0 0 MONICA VALDES LUPI TRUSTEE 1.00 0.00 X 0 0 0 NAOMI PRENDERGAST TRUSTEE 1.00 0.00 X 0 0 0 CLARISSA YANG MD TRUSTEE 1.00 39.00 X 0 669856 31187 CHRISTOPHER VINCZE TRUSTEE 1.00 0.00 X 0 0 0 SUSAN GREEN EXECUTIVE VP & CFO & TREAS. 49.00 1.00 X X 1023543 0 34774 ZACHARY REDMOND SECRETARY 1.00 49.00 X X 0 329743 77308 JEFFREY WEINSTEIN ESQ EXEC. VP & GENERAL COUNSEL & SEC. 49.00 1.00 X 702069 0 33246 MICHAEL WAGNER MD CHIEF PHYSICIAN EXECUTIVE 49.00 1.00 X 1964592 0 177648 SABRINA GRANVILLE CHIEF HUMAN RESOURCE OFFICER 49.00 1.00 X 593050 0 98397 SYED SHAFIQUR RAB EXEC VP, CHIEF DIGITAL TRANS OFFICER 49.00 1.00 X 858709 0 60758 NIOBIS QUEIRO SR. VP, REVENUE CYCLE 40.00 0.00 X 463393 0 58556 MICHAEL NEWMAN PRESIDENT/CMO, HHMA & MED DIR GI 40.00 3.00 X 501977 440327 94949 DEEB SALEM MD SR. VP, ACADEMIC INTEGRATION 40.00 0.00 X 563292 0 24917 CRAIG BEST EVP, PHYSICIAN ORGANIZATION 40.00 0.00 X 712653 154862 19752 DAVID STORTO EXEC. VP, CHIEF STRATEGY & GROWTH 40.00 0.00 X 626724 0 19419 JOANNE MARQUSEE EXEC. VP, CHIEF INTEGRATION OFFICER 40.00 0.00 X 601102 0 20877 MICHAEL APKON MD FORMER TRUSTEE 0.00 0.00 X 0 1088744 0 PAUL SUMMERGRAD MD FORMER TRUSTEE 0.00 40.00 X 0 513848 51407 JOSEPH WHITE FORMER TRUSTEE 0.00 50.00 X 0 1281304 23727 MICHAEL TARNOFF MD FORMER TRUSTEE 0.00 40.00 X 0 1372567 54852 SUSAN M SANDBERG FORMER TRUSTEE 0.00 42.00 X 0 668588 21341 JOSEPH PENNACCHIO MD FORMER TRUSTEE 0.00 42.00 X 0 466182 29642 WILLIAM SHICKOLOVICH FORMER EXEC. VP & CIO 0.00 0.00 X 404000 0 0 10920802 7253446 1192769 21 1 1 0 ALVAREZ & MARSAL HEALTHCARE GROUP 600 MADISON AVE 8TH FL NEW YORK NY 10022 CONSULTING 1699255 CENTER FOR APPLIED RESEARCH 1700 MARKET ST PHILADELPHIA PA 19103 CONSULTING 1154791 VISANTE INC 101 E 5TH ST ST PAUL MN 55101 CONSULTING 971804 HURON CONSULTING SVCS LLC 3005 MOMENTUM PL CHICAGO IL 60689 CONSULTING 758936 ERNST & YOUNG LLP 200 PLAZA DRIVE SECAUCUS NJ 07094 CONSULTING 710485 23 HEALTH CARE SERVICES 621300 785870 785870 785870 OTHER REVENUE 520000 -8831 26999 -35830 -8831 777039 785870 26999 -35830 X 4009799 4009799 3547881 3547881 595604 279601 316003 2885398 1354523 1530875 1334101 626281 707820 1643464 821732 821732 198364 198364 273592 273592 9891490 4445745 5445745 590881 590881 47778 47778 25018352 11075763 13942589 0 7462619 8805903 66816 15698581 1028701 908418 111149 7649607 603775 272004 306502 331771 243025292 138048209 2761349 89696704 254762428 261139193 82768736 177040557 77865860 21551544 160634596 198592101 X 94127832 62547092 94127832 62547092 254762428 261139193 X -24241313 -7339427 X 0 1 X 1 0 X X 3 THE LOWELL GENERAL HOSPITAL 042103590 3 1 0 0 TUFTS MEDICAL CENTER INC 043400617 3 1 0 0 MELROSEWAKEFIELD HEALTHCARE INC 042767880 3 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SECTION A. ALL SUPPORTING ORGANIZATIONS EFFECTIVE JANUARY 1, 2018 TUFTS MEDICAL CENTER PARENT, INC. AND CONSOLIDATED AFFILIATES ("TUFTS MC"), CIRCLE HEALTH, INC. AND CONSOLIDATED AFFILIATES ("CIRCLE HEALTH") AND MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION AND CONSOLIDATED AFFILIATES ("MELROSEWAKEFIELD"), BECAME THE FOUNDING MEMBERS OF TUFTS MEDICINE, INC. ("TUFTS MEDICINE"), WHICH IS HEREINAFTER REFERRED TO AS THE "SYSTEM." TUFTS MEDICINE WILL PROVIDE ASSISTANCE IN POPULATION HEALTH MANAGEMENT AS A SUPPORTING ORGANIZATION TO TUFTS MEDICAL CENTER, MELROSEWAKEFIELD, AND THE LOWELL GENERAL HOSPITAL, ALL OF WHICH ARE 501(C)(3) TAX EXEMPT ORGANIZATIONS. THIS WILL ALLOW FOR INNOVATION IN CARE MANAGEMENT MODELS, DISSEMINATION OF BEST PRACTICES, AND SHARED INFRASTRUCTURE AND INFORMATION SYSTEMS. TUFTS MC, MELROSEWAKEFIELD AND THE LOWELL GENERAL HOSPITAL WOULD CARRY OUT THESE ACTIVITIES ON THEIR OWN IF THEY WERE NOT PERFORMED BY TUFTS MEDICINE. TUFTS MEDICINE IS THE COMMON PARENT, INC. ("TUFTS MC PARENT") CIRCLE HEALTH, INC. ("CIRCLE HEALTH") AND MELROSEWAKEFIELD, ALL 501(C)(3) ORGANIZATIONS. UNTIL SEPTEMBER 30, 2020, EACH OF TUFTS MC PARENT AND CIRCLE HEALTH WILL APPOINT 7 OF THE 22 TRUSTEES OF TUFTS MEDICINE, AND THE 22ND TRUSTEE WILL BE APPOINTED BY TUFTS MC PARENT, MELROSEWAKEFIELD AND CIRCLE HEALTH JOINTLY. THEREAFTER, EACH OF TUFTS MC PARENT, MELROSEWAKEFIELD AND CIRCLE HEALTH WILL APPOINT 3 TRUSTEES OF TUFTS MEDICINE, AND THE REMAINING TRUSTEES WILL BE ELECTED BY THE TRUSTEES OF TUFTS MEDICINE THEN IN OFFICE. WHILE TUFTS MEDICINE'S GOVERNING DOCUMENTS DO NOT EXPRESSLY REQUIRE THAT A MAJORITY OF ITS GOVERNING BOARD CONSISTS OF INDIVIDUALS WHO ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S), TUFTS MEDICINE BELIEVES THAT IT MEETS TEST 1 BECAUSE, DURING AN INITIAL TRANSITION PERIOD OF SIX YEARS, A MAJORITY OF ITS CURRENT GOVERNING BOARD ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S), AND THE APPOINTMENT PROCESS WILL ALLOW FOR A MAJORITY OF THE GOVERNING BOARD TO CONTINUE TO CONSIST OF INDIVIDUALS WHO ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S). AFTER THE INITIAL TRANSITION PERIOD, (I) THREE OF THE TRUSTEES WILL BE APPOINTED BY CIRCLE HEALTH, (II) THREE OF THE TRUSTEES WILL BE APPOINTED BY TUFTS MC PARENT, (III), THREE OF THE TRUSTEES WILL BE APPOINTED BY MELROSEWAKEFIELD, THE PRESIDENT AND CEO OF TUFTS MEDICINE SHALL BE AN EX OFFICIO TRUSTEE, AND (IV) THE REMAINING TRUSTEES SHALL BE ELECTED BY A MAJORITY VOTE OF THE TRUSTEES OF TUFTS MEDICINE THEN IN OFFICE. CURRENTLY, A SIGNIFICANT NUMBER OF THE TUFTS MEDICINE TRUSTEES ARE ALSO ON THE GOVERNING BOARD OF LGH, MELROSEWAKEFIELD AND TUFTS MC, RESULTING IN MAJORITY WHO ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S), WITH ONE VACANCY. IN APPOINTING FUTURE TRUSTEES, TUFTS MC PARENT, MELROSEWAKEFIELD, CIRCLE HEALTH AND THE TRUSTEES OF TUFTS MEDICINE WILL ENSURE THAT A MAJORITY OF THE TRUSTEES OF TUFTS MEDICINE ALSO SERVE ON THE GOVERNING BOARD(S) OF THE SUPPORTED ORGANIZATION(S). 0 0 0 0 0 0 1 273592 0 0 273592 0 PART II-B, LINE 1(G), DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: A PORTION OF TUFT MEDICINE'S MASSACHUSETTS HOSPITAL ASSOCIATION (MHA) DUES SUPPORTS LOBBYING ACTIVITIES. THE MHA WORKS ON BEHALF OF THE INDUSTRY TO INFLUENCE MATTERS OF IMPORTANCE TO MASSACHUSETTS HEALTHCARE. 145328 66058 79270 458447 205946 252501 331771 INVESTMENT IN SUBSIDIARY 119905606 F INVESTMENT IN UNCONSOLIDATED AFFILIATE 18142603 F 138048209 SECURITY DEPOSITS 23500 RIGHT OF USE ASSETS 4588100 CSV SPLIT LIFE 141094 DUE FROM AFFILIATES 84944010 89696704 DUE TO AFFILIATES 16006840 LEASE LIABILITY 4650396 OTHER LIABILITIES 894308 21551544 -6579961 -7357000 -7357000 777039 0 777039 25018352 0 25018352 0 25018352 PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERENTITY NET ASSET TRANSFERS -7,357,000. X X X X X X 1 1 0 0 0 0 0 1 0 MICHAEL DANDORPH PRESIDENT & CEO 1249455 0 641252 0 14991 0 231161 0 28851 0 2165710 0 0 0 MICHAEL WAGNER MD CHIEF PHYSICIAN EXECUTIVE 859806 0 615435 0 489351 0 140771 0 36877 0 2142240 0 473302 0 MICHAEL TARNOFF MD FORMER TRUSTEE 0 992324 0 358050 0 22193 0 29000 0 25852 0 1427419 0 0 JOSEPH WHITE FORMER TRUSTEE 0 811932 0 299585 0 169787 0 8700 0 15027 0 1305031 0 0 MICHAEL APKON MD FORMER TRUSTEE 0 0 0 0 0 1088744 0 0 0 0 0 1088744 0 0 SUSAN GREEN EXECUTIVE VP & CFO & TREAS. 685674 0 212265 0 125604 0 5249 0 29525 0 1058317 0 0 0 MICHAEL NEWMAN PRESIDENT/CMO, HHMA & MED DIR GI 370890 343032 129420 97295 1667 0 63130 8700 10990 12129 576097 461156 0 0 SYED SHAFIQUR RAB EXEC VP, CHIEF DIGITAL TRANS OFFICER 644706 0 199603 0 14400 0 24000 0 36758 0 919467 0 0 0 CRAIG BEST EVP, PHYSICIAN ORGANIZATION 346421 146470 141750 0 224482 8392 0 7663 9005 3084 721658 165609 0 0 JEFFREY WEINSTEIN ESQ EXEC. VP & GENERAL COUNSEL & SEC. 462958 0 149649 0 89462 0 5326 0 27920 0 735315 0 0 0 CLARISSA YANG MD TRUSTEE 0 565603 0 76203 0 28050 0 29000 0 2187 0 701043 0 0 SABRINA GRANVILLE CHIEF HUMAN RESOURCE OFFICER 432054 0 140491 0 20505 0 69018 0 29379 0 691447 0 0 0 SUSAN M SANDBERG FORMER TRUSTEE 0 348681 0 0 0 319907 0 7995 0 13346 0 689929 0 0 DAVID STORTO EXEC. VP, CHIEF STRATEGY & GROWTH 481683 0 134135 0 10906 0 0 0 19419 0 646143 0 0 0 JOANNE MARQUSEE EXEC. VP, CHIEF INTEGRATION OFFICER 457221 0 105371 0 38510 0 0 0 20877 0 621979 0 0 0 DEEB SALEM MD SR. VP, ACADEMIC INTEGRATION 557302 0 0 0 5990 0 0 0 24917 0 588209 0 0 0 PAUL SUMMERGRAD MD FORMER TRUSTEE 0 433392 0 39758 0 40698 0 29000 0 22407 0 565255 0 0 NIOBIS QUEIRO SR. VP, REVENUE CYCLE 357712 0 94462 0 11219 0 32294 0 26262 0 521949 0 0 0 JOSEPH PENNACCHIO MD FORMER TRUSTEE 0 420338 0 0 0 45844 0 10540 0 19102 0 495824 0 0 ZACHARY REDMOND SECRETARY 0 254461 0 64873 0 10409 0 46536 0 30772 0 407051 0 0 WILLIAM SHICKOLOVICH FORMER EXEC. VP & CIO 0 0 0 0 404000 0 0 0 0 0 404000 0 0 0 DAVID CRISS TRUSTEE 0 267425 0 0 0 0 0 0 0 0 0 267425 0 0 PART I, LINES 4A-B MICHAEL APKON RECEIVED SEVERANCE IN THE AMOUNT OF $1,088,269 DURING CALENDAR YEAR 2021. CRAIG BEST RECEIVED SEVERANCE IN THE AMOUNT OF $161,538 DURING CALENDAR YEAR 2021. WILLIAM SHICKOLOVICH RECEIVED SEVERANCE IN THE AMOUNT OF $404,000 DURING CALENDAR YEAR 2021. SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: DR. MICHAEL WAGNER, M.D. - $137,509 MICHAEL DANDORPH - $222,461 SYED SHARFIQUR RAB - $24,000 SABRINA GRANVILLE - $60,318 PART I, LINE 7 BONUSES ARE PAID AS INDICATED ON SCHEDULE J, PART II. BONUS PAID TO OFFICERS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. OTHER BONUSES ARE APPROVED BY THE OFFICERS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION CHANGED ITS NAME TO TUFTS MEDICINE, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES SHALL CONSIST OF MEMBERS OF TUFTS MC PARENT, MELROSEWAKEFIELD HEALTHCARE AND CIRCLE HEALTH. EACH WILL APPOINT 3 TRUSTEES OF TUFTS MEDICINE, AND THE REMAINING TRUSTEES WILL BE ELECTED BY THE TRUSTEES OF TUFTS MEDICINE THEN IN OFFICE. FORM 990, PART VI, SECTION B, LINE 11B TUFTS MEDICINE, INC'S 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM IN ACCORDANCE WITH INFORMATION PROVIDED BY THE FINANCE DEPARTMENT. THE FINANCE DEPARTMENT REVIEWED AND MADE RECOMMENDATIONS BASED UPON THE DRAFT PRIOR TO ITS PRESENTATION TO THE FULL BOARD OF DIRECTORS. BASED UPON THIS REVIEW, THE FINANCE DEPARTMENT FORMED A RECOMMENDATION TO THE BOARD OF DIRECTORS AS TO THE ACCEPTABILITY AND CONTENT OF THE FILING. ALL MEMBERS OF THE BOARD OF DIRECTORS WERE PROVIDED A COPY OF THE COMPLETED 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C TUFTS MEDICINE, INC. FOLLOWS THE CONFLICT OF INTEREST POLICY OF THE LOWELL GENERAL HOSPITAL. ALL TRUSTEES, OFFICERS AND KEY EMPLOYEES SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT FOLLOWING THE POLICY OF THE LOWELL GENERAL HOSPITAL AS OUTLINED BELOW: ALL OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. ANY ACTUAL OR POTENTIAL CONFLICTS ARE FORWARDED TO THE COMPLIANCE COMMITTEE FOR CONSIDERATION. IN THE EVENT OF AN ACTUAL OR POTENTIAL CONFLICT, THE CONFLICTED INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS OR DECISIONS RELATING TO THE MATTER. A COMPLIANCE COMMITTEE MEETING IS HELD EVERY OTHER MONTH TO ADDRESS CONCERNS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO AND OTHER OFFICERS FOLLOWS THE PROCESS AS OUTLINED BELOW: A THIRD PARTY CONSULTANT IS HIRED FOR AN INDEPENDENT ASSESSMENT OF APPROPRIATE SALARY RANGES FOR THE OFFICERS OF THE ORGANIZATION SUCH AS THE CEO, COO, AND CFO. THIS ASSESSMENT IS REVIEWED BY THE COMPENSATION COMMITTEE AND A RECOMMENDATION IS GIVEN TO THE EXECUTIVE COMMITTEE ON SALARY INCREASES AND BONUSES. FORM 990, PART VI, SECTION C, LINE 19 TUFTS MEDICINE, INC'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE MASSACHUSETTS'S ATTORNEY GENERAL'S WEBSITE. TUFTS MEDICINE, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE 990 IS AVAILABLE ON THE MASSACHUSETT'S ATTORNEY GENERAL'S WEBSITE AND WWW.GUIDESTAR.ORG. FORM 990, PART IX, LINE 11G PROFESSIONAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,445,745. MANAGEMENT AND GENERAL EXPENSES 5,445,745. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,891,490. FORM 990, PART XI, LINE 9: INTERENTITY NET ASSET TRANSFERS -7,357,000. OTHER ADJUSTMENT 17,573. REASONS FOR AMENDING WE ARE AMENDING THIS FORM 990 FOR THE FOLLOWING REASONS: TO UPDATE FORM 990, PART VII, SECTION A, TO INCLUDE MICHAEL TARNOFF, M.D.'S REPORTABLE COMPENSATION OF $474,580 AND BENEFITS OF $38,520 FROM RELATED ORGANIZATION PRATT SURGICAL ASSOCIATES, INC. (EIN: 04-3148376) TO UPDATE SCHEDULE J, PART II, TO INCLUDE MICHAEL TARNOFF, M.D.'S REPORTABLE COMPENSATION OF $474,580 AND BENEFITS OF $38,520 FROM RELATED ORGANIZATION PRATT SURGICAL ASSOCIATES, INC. 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