2022-08-13T11:53:48-05:00 2021-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2020-10-01 043044706 TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC TUFT 6176365000 800 WASHINGTON ST TMCPO 1013 BOSTON MA 02111 ASSAD SIDDIQI SENIOR VP AND CFO 6176365000 2022-08-10 1 ASSAD SIDDIQI XXX-XX-XXXX CRAIG KLEIN P00734640 6177610600 2022-08-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z ASSAD SIDDIQI 800 WASHINGTON ST TMCPO 1013 BOSTON MA 02111 28047650 0 3952 X TUFTSMEDICALCENTER.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 73 0 0 0 10994613 0 22879847 28047650 0 0 0 0 33874460 28047650 0 0 0 0 15519998 16494297 0 0 0 4594708 3998577 20114706 20492874 13759754 7554776 112472190 107614796 50438265 43962095 62033925 63652701 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 19459650 28047650 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. 19459650 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 27 0 1 73 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 ASSAD SIDDIQI SENIOR VICE PRESIDEN 6176365000 800 WASHINGTON ST TMCPO 1013 BOSTON MA 02111 GEOFFREY BINNEY MD DIRECTOR 2.00 38.00 X 0 421942 38887 DEBORAH BLAZEY-MARTIN MD DIRECTOR 2.00 38.00 X 0 284388 37387 HELEN BOUCHER MD CHAIRMAN 2.00 38.00 X X 0 332334 38299 CHARLES CASSIDY MD DIRECTOR 2.00 38.00 X 0 1001571 39107 KAREN FREUND MD DIRECTOR 2.00 38.00 X 0 305502 38800 JOSEPH FROLKIS MD DIRECTOR (UNTIL 9/2021) 2.00 38.00 X 0 755780 12915 PHILLIP GIUNTA DIRECTOR (UNTIL 9/2021) 2.00 0.00 X 0 0 0 KRISTINE HANSCOM DIRECTOR 2.00 38.00 X 0 630477 98495 CAREY KIMMELSTIEL DIRECTOR 2.00 38.00 X 0 395806 37893 REGINA ROCKEFELLER ESQ DIRECTOR 1.00 1.00 X 0 0 0 JEAN RUSSELL DIRECTOR 2.00 0.00 X 0 0 0 DEEB SALEM DIRECTOR (UNTIL 2/2021) 2.00 38.00 X 0 665041 38544 PAUL SUMMERGRAD MD DIRECTOR 2.00 38.00 X 0 506685 38447 MICHAEL TARNOFF MD DIRECTOR 2.00 38.00 X 0 936578 35372 CRAIG BEST MD DIR/PRES/CEO (UNTIL 9/21) 38.00 2.00 X 691014 0 25685 MICHAEL WAGNER MD INTERIM PRESIDENT/CEO (AS OF 9/2021) 38.00 2.00 X 0 1178641 184679 DALLAS REED MD DIRECTOR 2.00 0.00 X 0 290366 33432 ASSAD SIDDIQI TREASURER/CFO 38.00 2.00 X 0 0 0 LAUREN RIPLEY SECRETARY AND CLERK 38.00 2.00 X 0 172647 11854 SAUL WEINGART MD CHIEF MEDICAL OFFICER 40.00 0.00 X 595665 0 38566 PETER NEUMANN VP OPERATIONS 40.00 0.00 X 330019 0 25235 M ELIZABETH FINI PHYSICIAN 40.00 0.00 X 248825 0 22040 JOSHUA COHEN PHYSICIAN 40.00 0.00 X 229560 0 22010 DANIEL OLLENDORF PHYSICIAN 40.00 0.00 X 238157 0 1720 2333240 7877758 819367 41 0 1 0 VVC HOLDING CORP PO BOX 840952 DALLAS TX 02125 PROFESSIONAL SERVICES 625524 PATIENTKEEPER PO BOX 743734 ATLANTA GA 02482 PROFESSIONAL SERVICES 246868 OPTUM INSIGHT INC PO BOX 84019 CHICAGO IL 152507461 PROFESSIONAL SERVICES 213472 STODDARD GROUP PO BOX 52445 BOSTON MA 022059761 PROFESSIONAL SERVICES 147993 CERIDIAN HCM INC PO BOX 772830 CHICAGO IL 02067 PROFESSIONAL SERVICES 134158 11 SUPPORT REVENUE 561000 16637542 16637542 CLINIC, TEACH & ADMIN. 900099 11410108 11410108 28047650 28047650 28047650 0 0 439261 351409 87852 14946454 14946454 9087 9087 2947047 2947047 -1847552 -1847552 74197 74197 124767 124767 782778 782778 305692 244554 61138 474494 474494 26746 26746 23883 23883 37261 37261 -1379168 -1379168 MISCELLANEOUS EXPENSES 3027043 2421634 605409 RECRUITMENT 291101 232881 58220 TRAINING 104283 83426 20857 PRINTING & PUBLICATION 101580 101580 3920 3136 784 20492874 19459650 1033224 0 4751996 6090157 -4670 2648591 4388 109009 1777849 1609931 198116 167918 107522360 98599121 112472190 107614796 9093064 9145185 4500000 0 36845201 34816910 50438265 43962095 X 62033925 63652701 62033925 63652701 112472190 107614796 X 7554776 -5936000 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. 342090 253648 88442 1042105 1034610 7495 393654 321673 71981 167918 DUE FROM AFFILIATES 88881915 OTHER LONG TERM ASSETS 5791723 INVESTMENT IN UNCONSOLIDATED AFFILIATE 629382 RIGHT OF USE ASSET 3296101 98599121 DUE TO AFFILIATES 14548816 NEMC, INC. INSURANCE LIABILITY RESERVE 11632368 OTHER LIABILITIES 3308069 MEDICARE & MEDICAID PREFUNDING 5327657 34816910 X X X 0 1 0 0 0 0 0 0 0 MICHAEL WAGNER MD INTERIM PRESIDENT/CEO (AS OF 9/2021) 0 875149 0 160500 0 142992 0 148388 0 36291 0 1363320 0 126728 CHARLES CASSIDY MD DIRECTOR 0 667552 0 319378 0 14641 0 16625 0 22482 0 1040678 0 0 MICHAEL TARNOFF MD DIRECTOR 0 811673 0 90000 0 34905 0 16625 0 18747 0 971950 0 0 JOSEPH FROLKIS MD DIRECTOR (UNTIL 9/2021) 0 551981 0 192788 0 11011 0 8550 0 4365 0 768695 0 0 KRISTINE HANSCOM DIRECTOR 0 471826 0 89819 0 68832 0 72950 0 25545 0 728972 0 65655 CRAIG BEST MD DIR/PRES/CEO (UNTIL 9/21) 571140 0 112500 0 7374 0 16625 0 9060 0 716699 0 0 0 DEEB SALEM DIRECTOR (UNTIL 2/2021) 0 465661 0 159100 0 40280 0 16625 0 21919 0 703585 0 0 SAUL WEINGART MD CHIEF MEDICAL OFFICER 463952 0 95625 0 36088 0 16625 0 21941 0 634231 0 0 0 PAUL SUMMERGRAD MD DIRECTOR 0 410740 0 53438 0 42507 0 16625 0 21822 0 545132 0 0 GEOFFREY BINNEY MD DIRECTOR 0 365470 0 45000 0 11472 0 16625 0 22262 0 460829 0 0 CAREY KIMMELSTIEL DIRECTOR 0 354349 0 25807 0 15650 0 16625 0 21268 0 433699 0 0 HELEN BOUCHER MD CHAIRMAN 0 319827 0 0 0 12507 0 16625 0 21674 0 370633 0 0 PETER NEUMANN VP OPERATIONS 317789 0 0 0 12230 0 0 0 25235 0 355254 0 0 0 KAREN FREUND MD DIRECTOR 0 293298 0 461 0 11743 0 16625 0 22175 0 344302 0 0 DALLAS REED MD DIRECTOR 0 290366 0 0 0 0 0 15625 0 17807 0 323798 0 0 DEBORAH BLAZEY-MARTIN MD DIRECTOR 0 272533 0 3227 0 8628 0 15295 0 22092 0 321775 0 0 M ELIZABETH FINI PHYSICIAN 238840 0 0 0 9985 0 0 0 22040 0 270865 0 0 0 JOSHUA COHEN PHYSICIAN 220355 0 0 0 9205 0 0 0 22010 0 251570 0 0 0 DANIEL OLLENDORF PHYSICIAN 236526 0 0 0 1631 0 0 0 1720 0 239877 0 0 0 LAUREN RIPLEY SECRETARY AND CLERK 0 157386 0 14596 0 665 0 5072 0 6782 0 184501 0 0 PART I, LINE 4B SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: KRISTINE HANSCOM, $64,400 MICHAEL WAGNER, M.D., $134,400 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 -5,936,000. 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