TUFTS MEDICAL CENTER PARENT INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: TUFTS MEDICAL CENTER PARENT INC (EIN 27-0440772)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-16
IRS object ID: 202132289349300238
Schema version: 2019v5.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R
Affiliate Listing

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-16T10:17:07-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	263753134	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CBIZ MHM LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 BOYLSTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02116	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	270440772	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TUFTS MEDICAL CENTER GROUP RETURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TUFT	BusinessNameControlTxt
Phone	6176365000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 WASHINGTON STREET BOX 468	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	021111533	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KRISTINE HANSCOM	PersonNm
Person Title	SENIOR VP, CFO & TREASURER	PersonTitleTxt
Phone	6176365000	PhoneNum
Signature	2021-08-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CRAIG KLEIN	PreparerPersonNm
PTIN	P00734640	PTIN
Phone	6177610600	PhoneNum
Preparation	2021-08-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KRISTINE HANSCOM	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 WASHINGTON STREET BOX 468	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	021111533	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,061,028,960	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	0	AllAffiliatesIncludedInd
Group Exemption	5466	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TUFTSMEDICALCENTER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	WE 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 Body	41	VotingMembersGoverningBodyCnt
Voting Members Independent	27	VotingMembersIndependentCnt
Total Employee	7008	TotalEmployeeCnt
Total Volunteers	101	TotalVolunteersCnt
Total Gross UBI	-$176,480	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$176,480	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$46,728,560	PYContributionsGrantsAmt
CY Contributions Grants	$100,500,060	CYContributionsGrantsAmt
PY Program Service Revenue	$959,004,182	PYProgramServiceRevenueAmt
CY Program Service Revenue	$942,862,573	CYProgramServiceRevenueAmt
PY Investment Income	$8,112,667	PYInvestmentIncomeAmt
CY Investment Income	$15,980,747	CYInvestmentIncomeAmt
PY Other Revenue	$982,465	PYOtherRevenueAmt
CY Other Revenue	$1,152,005	CYOtherRevenueAmt
PY Total Revenue	$1,014,827,874	PYTotalRevenueAmt
CY Total Revenue	$1,060,495,385	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$469,710,767	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$488,894,416	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$3,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$3,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,125,777	CYTotalFundraisingExpenseAmt
PY Other Expenses	$509,863,603	PYOtherExpensesAmt
CY Other Expenses	$531,822,610	CYOtherExpensesAmt
PY Total Expenses	$979,577,370	PYTotalExpensesAmt
CY Total Expenses	$1,020,720,026	CYTotalExpensesAmt
PY Revenues Less Expenses	$35,250,504	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$39,775,359	CYRevenuesLessExpensesAmt
Total Assets BOY	$944,608,833	TotalAssetsBOYAmt
Total Assets EOY	$1,246,969,068	TotalAssetsEOYAmt
Total Liabilities BOY	$748,899,949	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$999,945,657	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$195,708,884	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$247,023,411	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$808,190,335	ExpenseAmt
Revenue	$941,970,814	RevenueAmt
Desc	TUFTS 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.NEW ENGLAND QUALITY CARE ALLIANCE, INC. OPERATES FOR THE PURPOSE OF SUPPORTING ACTIVITIES OF TUFTS MEDICAL CENTER PARENT, INC. AND ITS AFFILIATES. NEQCA INTEGRATES COMMUNITY AND ACADEMIC PHYSICIANS DEDICATED TO PROVIDING COMPREHENSIVE, INNOVATIVE, HIGH QUALITY AFFORDABLE HEALTH CARE THAT BRINGS VALUE TO THEIR PATIENTS AND THE COMMUNITY, AND EXPANDS THE TEACHING AND RESEARCH MISSION OF TUFTS MEDICAL CENTER, INC.NEW ENGLAND QUALITY CARE ALLIANCE ACCOUNTABLE CARE, INC. IS A NONPROFIT ACCOUNTABLE CARE ORGANIZATION FORMED TO IMPROVE THE HEALTH OF PATIENTS, AND TO ENHANCE THE PATIENT'S EXPERIENCE OF CARE AND THE REDUCTION OF THE PER CAPITA COST OF CARE, THROUGH INTEGRATED CARE COORDINATION, SHARED SAVINGS, AND QUALITY INCENTIVES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$38,120,878	ExpenseAmt
Revenue	$455,034	RevenueAmt
Desc	TUFTS MEDICAL CENTER, INC. ADMINISTERS PROGRAMS FOR APPROXIMATELY 284 RESIDENTS, 76 INTERNS AND 103 FELLOWS IN 44 SPECIALTIES AND SUBSPECIALTIES WHO ROTATE TO APPROXIMATELY 54 HOSPITALS AND OTHER ORGANIZATIONS LOCATED PRIMARILY IN THE GREATER BOSTON AREA.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,909,727	ExpenseAmt
Revenue	$436,725	RevenueAmt
Desc	TUFTS MEDICAL CENTER, INC. ENGAGES IN RESEARCH ACTIVITIES FUNDED BY GRANTS AND CONTRACTS FOR U.S. GOVERNMENT AGENCIES AND OTHER PRIVATE SOURCES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$853,220,940	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	7008	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	41	GoverningBodyVotingMembersCnt
Independent Voting Member	27	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KATHLEEN DAVIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6176365000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 WASHINGTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02111	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (65 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GENIA LONG
TRUSTEE/VICE CHAIR	1.00	0.00	Yes (X)	$0	$0	$0
MARGARET BROWN ESQ
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
JOSEPH P CAMPANELLI
TRUSTEE/CHAIR	1.00	0.00	Yes (X)	$0	$0	$0
CHESTER BLACK
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
STANLEY GOLDSTEIN
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MARVIN A KONSTAM MD
TRUSTEE	1.00	39.00	Yes (X)	$0	$793,123	$50,034
F CLARRISSA YANG MD
TRUSTEE	1.00	39.00	Yes (X)	$0	$759,822	$2,135
ERIC SILVERMAN MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ANTHONY P MONACO MD PHD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MARK ROSEN
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
DEEB N SALEM MD
TRUSTEE	1.00	39.00	Yes (X)	$0	$689,216	$49,513
JEFF SHAMES
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
PAUL SUMMERGRAD MD
TRUSTEE	1.00	39.00	Yes (X)	$0	$521,959	$49,473
HARRIS BERMAN MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ELLEN M ZANE
TRUSTEE/VICE CHAIR	1.00	1.00	Yes (X)	$0	$0	$0
JATIN DAVE MD
TRUSTEE (UNTIL 06/20)	40.00	0.00	Yes (X)	$436,311	$0	$49,407
ELLEN O'GORMAN
CEO	1.00	39.00	Yes (X)	$161,832	$0	$0	Yes (X)
DAN DRISCOLL MD
TRUSTEE	1.00	39.00	Yes (X)	$0	$344,703	$47,133
KELLI KENNEDY MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MARK SINGH MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
CRAIG BEST MD
TRUSTEE/PRESIDENT & CEO	1.00	39.00	Yes (X)	$0	$702,057	$36,882
JENNY S CHIANG MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MATTHEW LARKIN
TRUSTEE (UNTIL 06/20)	1.00	39.00	Yes (X)	$0	$359,269	$49,707
ZACHARY REDMOND
SECRETARY	40.00	0.00	Yes (X)	$287,387	$0	$59,311	Yes (X)
ANDREW ROMANOWSKY MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
JOSEPH FROLKIS MD
TRUSTEE/PRESIDENT/CEO	40.00	0.00	Yes (X)	$703,512	$0	$12,849	Yes (X)
KANU PATEL MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MICHAEL APKON
TRUSTEE/CEO/PRESIDENT (UNTIL 09/20)	39.00	1.00	Yes (X)	$1,587,424	$0	$73,558	Yes (X)
TIMOTHY TIERNEY MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
DHIREN SUTARIA
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
PAUL NASSER
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
K ERIK HENRIKSON MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MARK COLLINS MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
KAREN FREUND MD
TRUSTEE	1.00	39.00	Yes (X)	$0	$296,606	$49,709
MICHAEL NEWMAN MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
DAVID CRISS MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MICHELE CRAGE MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ROBERT D'AGOSTINO MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
JOHN MOORE
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
REGINA ROCKEFELLER
TRUSTEE	1.00	1.00	Yes (X)	$0	$0	$0
NATHAN GAGNE
CFO/TREASURER	40.00	0.00	Yes (X)	$337,266	$0	$31,557	Yes (X)
KRISTINE M HANSCOM
SENIOR VP/TREASURER/CFO/TRUSTEE	39.00	1.00	Yes (X)	$640,175	$0	$101,200	Yes (X)
MARGARET COSTELLO
TRUSTEE/COO	40.00	0.00	Yes (X)	$404,116	$0	$51,303	Yes (X)
CHARLES R WHIPPLE ESQ
TRUSTEE/SECRETARY	1.00	42.00	Yes (X)	$0	$345,133	$30,770	Yes (X)
JEFFREY GROSS
SENIOR VP, BUSINESS DEVELOPMENT	16.00	24.00		$128,128	$192,192	$73,735		Yes (X)
ANDREW GERARDI
VP CARDIOVASCULAR CENTER	40.00	0.00		$229,337	$0	$34,222		Yes (X)
THERESE HUDSON-JINKS
SENIOR VP AND CNO	40.00	0.00		$551,641	$0	$68,273		Yes (X)
WILLIAM SHICKOLOVICH
SENIOR VP OPERATIONS MGMT	1.00	49.00		$0	$533,832	$7,077		Yes (X)
DEBORAH JOELSON
SR. VP STRATEGIC SERVICES	1.00	49.00		$0	$685,385	$15,775		Yes (X)
SUSAN BLANCHARD
VP FOR RESEARCH ADMINISTRA	40.00	0.00		$319,974	$0	$63,797		Yes (X)
KELLY DOUGHERTY
VP CARDIOVASCULAR CENTER CENTER	40.00	0.00		$164,275	$0	$42,330		Yes (X)
BROOKE TYSON-HYNES
VP PUBLIC AFFAIRS	25.00	25.00		$125,621	$189,492	$35,689		Yes (X)
MAURA LYNCH
VP FOR DEVELOPMENT	40.00	0.00		$436,418	$0	$58,789		Yes (X)
CATHERINE BUKOWSKI
VP REVENUE CYCLE	40.00	0.00		$167,711	$0	$48,500		Yes (X)
JEFFREY SYREK
VP SYS CONTRACTING	40.00	0.00		$267,222	$0	$51,350		Yes (X)
SAUL WEINGART
CHIEF MEDICAL OFFICER	1.00	39.00		$0	$638,076	$49,513		Yes (X)
PETER NEUMANN
DIRECTOR, CENTER FOR EVALUATION OF VALUE IN HEALTH	40.00	0.00		$293,264	$0	$28,604			Yes (X)
CHRISTOPHER MELHUS
CHIEF OF RADIATION OF ONCOLOGY PHYSICS	40.00	0.00		$278,563	$0	$30,856			Yes (X)
SARAH MCKAY
VP PERIOPERATIVE SERVICES	40.00	0.00		$301,847	$0	$50,476			Yes (X)
ROSS THOMPSON
VP & CHIEF PHARMACY OFFICE	40.00	0.00		$337,289	$0	$43,736			Yes (X)
MARCY CASS
VP RISK MANAGEMENT	40.00	0.00		$349,171	$0	$52,925			Yes (X)
CHARLES CASSIDY
FORMER TRUSTEE	1.00	39.00		$0	$1,096,906	$50,034				Yes (X)
MICHAEL WAGNER MD
FORMER TRUSTEE/PRESIDENT/CEO	0.00	50.00		$0	$1,608,006	$162,130				Yes (X)
RASHED DURGHAM MD
FORMER TRUSTEE	0.00	0.00		$0	$253,618	$0				Yes (X)
JEFFREY A WEINSTEIN ESQ
FORMER TRUSTEE	1.00	49.00		$0	$626,380	$16,112				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,508,484	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,635,775	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,728,464	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	991	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PRATT MEDICAL GROUP INC
800 WASHINGTON STREET	BOSTON	MA	02111	PHYSICIAN SERVICES	$12,151,910
MEDICAL SOLUTIONS
1010 N 102ND STREET 300	OMAHA	NE	68114	NURSING SERVICES	$11,220,466
PRATT ANESTHESIOLOGY ASSOCIATION INC
800 WASHINGTON STREET	BOSTON	MA	02111	PHYSICIAN SERVICES	$9,647,687
PRATT PEDIATRIC ASSOCIATES
800 WASHINGTON STREET	BOSTON	MA	02111	PHYSICIAN SERVICES	$6,351,705
CARDIOVASCULAR CENTER AT TUFTS MEDICAL C
800 WASHINGTON STREET	BOSTON	MA	02111	PHYSICIAN SERVICES	$5,516,350

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	75	CntrctRcvdGreaterThan100KCnt
Fundraising	$431,500	FundraisingAmt
Government Grants	$85,949,789	GovernmentGrantsAmt
All Other Contributions	$14,118,771	AllOtherContributionsAmt
Noncash Contributions	$159,536	NoncashContributionsAmt
Total Contributions	$100,500,060	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERV. REV.	900099	$768,744,595	$768,744,595
RESEARCH & MISC. REV.	900099	$172,749,826	$172,749,826
OVERHEAD RECOVERY	900099	$913,118	$913,118
RESIDENTS & INTERN REV	900099	$455,034	$455,034

Field	Value	IRS element (for citing)
Total Program Service Revenue	$942,862,573	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,611,615	TotalRevenueColumnAmt
Unrelated Business Revenue	-$176,480	UnrelatedBusinessRevenueAmt
Exclusion	$3,788,095	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$272,389	TotalRevenueColumnAmt
Exclusion	$272,389	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,413,191	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$445,252	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$967,939	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$967,939	TotalRevenueColumnAmt
Exclusion	$967,939	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,369,132	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$12,369,132	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,369,132	TotalRevenueColumnAmt
Exclusion	$12,369,132	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$431,500	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$88,323	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$88,323	TotalRevenueColumnAmt
Exclusion	-$88,323	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,060,495,385	TotalRevenueColumnAmt
Related Or Exempt Func Income	$942,862,573	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$176,480	UnrelatedBusinessRevenueAmt
Exclusion	$17,309,232	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,804,650	TotalAmt
Program Services	$1,057,347	ProgramServicesAmt
Management And General	$6,275,991	ManagementAndGeneralAmt
Fundraising	$471,312	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$387,195,409	TotalAmt
Program Services	$329,176,848	ProgramServicesAmt
Management And General	$57,105,299	ManagementAndGeneralAmt
Fundraising	$913,262	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,445,779	TotalAmt
Program Services	$6,946,503	ProgramServicesAmt
Management And General	$2,499,276	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$50,717,455	TotalAmt
Program Services	$38,414,514	ProgramServicesAmt
Management And General	$11,929,106	ManagementAndGeneralAmt
Fundraising	$373,835	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$33,731,123	TotalAmt
Program Services	$24,761,167	ProgramServicesAmt
Management And General	$8,969,956	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,083,181	TotalAmt
Program Services	$292,182	ProgramServicesAmt
Management And General	$3,790,999	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$406,820	TotalAmt
Management And General	$406,820	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$517,000	TotalAmt
Management And General	$517,000	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$3,000	TotalAmt
Fundraising	$3,000	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$86,534,928	TotalAmt
Program Services	$64,761,718	ProgramServicesAmt
Management And General	$21,559,000	ManagementAndGeneralAmt
Fundraising	$214,210	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,444,087	TotalAmt
Program Services	$3,229,018	ProgramServicesAmt
Management And General	$1,215,069	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,424,308	TotalAmt
Program Services	$4,829,054	ProgramServicesAmt
Management And General	$2,573,400	ManagementAndGeneralAmt
Fundraising	$21,854	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,192,307	TotalAmt
Program Services	$1,308,119	ProgramServicesAmt
Management And General	$782,298	ManagementAndGeneralAmt
Fundraising	$101,890	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$37,064,046	TotalAmt
Program Services	$16,935,188	ProgramServicesAmt
Management And General	$20,127,733	ManagementAndGeneralAmt
Fundraising	$1,125	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,462,146	TotalAmt
Program Services	$1,165,953	ProgramServicesAmt
Management And General	$293,059	ManagementAndGeneralAmt
Fundraising	$3,134	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$14,435	TotalAmt
Program Services	$14,435	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$19,222,057	TotalAmt
Program Services	$19,222,057	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,816,977	TotalAmt
Program Services	$16,042,529	ProgramServicesAmt
Management And General	$8,772,746	ManagementAndGeneralAmt
Fundraising	$1,702	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,340,223	TotalAmt
Program Services	$4,220,953	ProgramServicesAmt
Management And General	$119,270	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$221,356,581	$219,786,708	$1,569,810	$63
PHYSICIAN PRACTICE FEES	$75,953,962	$75,953,962
REPAIRS AND MAINTENANCE	$13,031,705	$3,933,874	$9,097,828	$3
EQUIPMENT	$10,301,689	$7,942,303	$2,359,386

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,656,158	TotalAmt
Program Services	$13,226,508	ProgramServicesAmt
Management And General	$5,409,263	ManagementAndGeneralAmt
Fundraising	$20,387	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,020,720,026	TotalAmt
Program Services	$853,220,940	ProgramServicesAmt
Management And General	$165,373,309	ManagementAndGeneralAmt
Fundraising	$2,125,777	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,829,965	BOYAmt
EOY	$15,032,971	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$39,378,705	BOYAmt
EOY	$109,019,689	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,425,570	BOYAmt
EOY	$11,232,424	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$100,534,958	BOYAmt
EOY	$88,806,637	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,042,695	BOYAmt
EOY	$17,245,413	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,719,474	BOYAmt
EOY	$9,825,572	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$600,198,045	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$402,681,548	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$189,665,988	BOYAmt
EOY	$197,516,497	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$476,280,468	BOYAmt
EOY	$564,376,976	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,758,000	BOYAmt
EOY	$7,936,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$118,908	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$79,854,102	BOYAmt
EOY	$225,976,889	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$944,608,833	BOYAmt
EOY	$1,246,969,068	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$107,685,279	BOYAmt
EOY	$112,249,711	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$30,591,240	BOYAmt
EOY	$23,714,509	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$243,383,090	BOYAmt
EOY	$300,758,516	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$367,240,340	BOYAmt
EOY	$563,222,921	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$748,899,949	BOYAmt
EOY	$999,945,657	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$183,478,059	BOYAmt
EOY	$235,241,128	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,230,825	BOYAmt
EOY	$11,782,283	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,708,884	BOYAmt
EOY	$247,023,411	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$944,608,833	BOYAmt
EOY	$1,246,969,068	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$39,775,359	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,666,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$873,168	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd
Supported Organizations	5	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
TUFTS MEDICAL CENTER INC
043400617	3	Yes (1)	$0	$0
NEW ENGLAND LONG-TERM CARE INC
042912578	3	Yes (1)	$0	$0
THE CAMERON M NEELY FOUNDATION FOR CANCER CARE INC
043265628	7	Yes (1)	$0	$0
NEQCA ACCOUNTABLE CARE INC
800824142	7	Yes (1)	$0	$0
TUFTS MEDICAL CENTER COMMUNITY
473046563	10	Yes (1)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	5	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	0	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	Yes (1)	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	Yes (1)	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, SECTION A, LINE 1:	NEW ENGLAND QUALITY CARE ALLIANCE, INC. IS ORGANIZED TO SUPPORT THE ACTIVITIES OF TUFTS MEDICAL CENTER PARENT, INC. AND THOSE ORGANIZATIONS THAT IT DIRECTLY OR INDIRECTLY OWNS OR CONTROLS.
SCHEDULE A, GENERAL INFORMATION:	PUBLIC CHARITY STATUS OF THE GROUP MEMBERS IS AS FOLLOWS : TUFTS MEDICAL CENTER, INC. - LINE 3 NEW ENGLAND LONG-TERM CARE, INC. - LINE 3 NEW ENGLAND QUALITY CARE ALLIANCE, INC. - LINE 12B NEW ENGLAND QUALITY CARE ALLIANCE ACCOUNTABLE CARE INC . - LINE 7
PART IV, SECTION A, LINE 2:	AS MEMBERS OF THE SAME GROUP EXEMPTION (GEN 5466), THE SUPPORTED ORGANIZATIONS DO NOT HAVE SEPARATE IRS DETERMINATION LETTERS. HOWEVER, AS PART OF THE TAX PREPARATION PROCESS, CONSIDERATION IS GIVEN TO EACH SUPPORTED ORGANIZATION'S STATUS UNDER SECTION 509(A)(1) OR 509(A)(2).
PART IV, SECTION C, LINE 1:	AS TYPE II SUPPORTING ORGANIZATION, NEW ENGLAND QUALITY CARE ALLIANCE, INC. MUST BE UNDER COMMON SUPERVISION OR CONTROL WITH THEIR SUPPORTED ORGANIZATIONS TO ENSURE THAT THE SUPPORTING ORGANIZATIONS WILL BE RESPONSIVE TO THE NEEDS AND REQUIREMENTS OF THE SUPPORTED ORGANIZATIONS. IN THE CASE OF NEW ENGLAND QUALITY CARE ALLIANCE, INC., THE ENTITY HAS A BROTHER/SISTER RELATIONSHIP WITH THEIR SUPPORTED ORGANIZATIONS, ALL UNDER THE COMMON SUPERVISION OR CONTROL OF PARENT ENTITY, TUFTS MEDICAL CENTER PARENT, INC. TUFTS MEDICAL CENTER PARENT, INC. IS THE SOLE CORPORATE MEMBER OF TUFTS MEDICAL CENTER, INC., THE CAMERON M. NEELY FOUNDATION FOR CANCER CARE, INC., NEW ENGLAND QUALITY CARE ALLIANCE, INC., NEW ENGLAND LONG-TERM CARE, INC. AND TUFTS MEDICAL CENTER COMMUNITY CARE, INC. (UNTIL TRANSFERRED TO BE PART OF TUFTS MEDICAL CENTER PHYSICIAN ORGANIZATION ON FEBRUARY 1, 2020). MOREOVER, TUFTS MEDICAL CENTER PARENT, INC. HAS RECEIVED A GROUP EXEMPTION RULING (GEN 5466) BASED UPON ITS SUPERVISION OR CONTROL OVER ITS SUBORDINATE ORGANIZATIONS, ALL ENUMERATED ABOVE. CONSEQUENTLY, THE SUPPORTING ORGANIZATIONS ARE UNDER COMMON SUPERVISION OR CONTROL WITH THEIR SUPPORTED ORGANIZATIONS, ENSURING RESPONSIVENESS TO THE NEEDS AND REQUIREMENTS OF THE SUPPORTED ORGANIZATIONS.
PART IV, SECTION A, LINE 5A:	EFFECTIVE FEBRUARY 1, 2020, TUFTS MEDICAL CENTER COMMUNITY CARE, INC. (EIN: 47-3046563) WAS REMOVED AS A SUPPORTED ORGANIZATION. EFFECTIVE FEBRUARY 1, 2020, THE BYLAWS OF TUFTS MEDICAL CENTER COMMUNITY CARE, INC. ("TMCCC") WERE MODIFIED, CAUSING TMCCC TO BE SUBJECT TO THE GENERAL SUPERVISION AND CONTROL OF TUFTS MEDICAL CENTER PHYSICIAN'S ORGANIZATION, INC. (EIN:04-3044706). TMCCC WAS REMOVED FROM GROUP EXEMPTION #5466 AND ADDED TO GROUP EXEMPTION #3952 FOR WHICH TUFTS MEDICAL CENTER PHYSICIAN'S ORGANIZATION, INC. IS THE CENTRAL ORGANIZATION.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$517,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$517,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,201,000	BeginningYearBalanceAmt
Contributions	$463,000	ContributionsAmt
Investment Earnings Or Losses	$12,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,000	OtherExpendituresAmt
End Year Balance	$6,667,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,071,000	BeginningYearBalanceAmt
Contributions	$107,000	ContributionsAmt
Investment Earnings Or Losses	$33,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,000	OtherExpendituresAmt
End Year Balance	$6,201,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,485,000	BeginningYearBalanceAmt
Contributions	$562,000	ContributionsAmt
Investment Earnings Or Losses	$43,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$19,000	OtherExpendituresAmt
End Year Balance	$6,071,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,462,000	BeginningYearBalanceAmt
Contributions	$13,000	ContributionsAmt
Investment Earnings Or Losses	$27,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,000	OtherExpendituresAmt
End Year Balance	$5,485,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.98600	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.01400	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$237,042,189	OtherCostOrOtherBasisAmt
Depreciation	$136,835,664	DepreciationAmt
Book Value	$100,206,525	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,690,678	OtherCostOrOtherBasisAmt
Depreciation	$13,738,960	DepreciationAmt
Book Value	$3,951,718	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$307,935,127	OtherCostOrOtherBasisAmt
Depreciation	$252,106,924	DepreciationAmt
Book Value	$55,828,203	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,817,684	OtherCostOrOtherBasisAmt
Book Value	$25,817,684	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$197,516,497	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$87,978,827
DEPOSIT ADVANCE	$18,251,497
OTHER MISC. RECEIVABLES & ASSETS	$37,740,044
ESTIMATED THIRD PARTY RECEIVABLES	$275,726
RIGHT OF USE ASSETS	$81,730,795

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$225,976,889	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDesc	AmtAmt
PENSION OBLIGATIONS	$58,213,229
DUE TO AFFILIATES	$27,807,055
PROFESSIONAL LIABILITY COSTS	$30,655,814
ESTIMATED THIRD PARTY PAYABLES	$43,779,609
LCO RESERVES	$18,546,110
TAXABLE BONDS	$175,504,484
WORKERS COMPENSATION	$5,586,886
CAPITAL LEASE PAYABLE	$1,282,144
RESERVE FOR TERTIARTY DISCOUNT	$263,084
LEASE LIABILITY	$94,419,109
CONTRACT LIABILITY	$96,395,397
DEFERRED EMPLOYER TAXES	$10,770,000

Field	Value	IRS element (for citing)
Total Liability	$563,222,921	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	THE 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)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	SELF-INSURANCE	$27,738,590
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		$80,000

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$27,818,590	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$27,818,590	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III ACCOUNTING METHOD:	FormAndLineReferenceDesc

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	WORKING WONDERS	Event1Nm
Gross Receipts Event1	$431,500	GrossReceiptsEvent1Amt
Charitable Contri Event1	$431,500	CharitableContriEvent1Amt
Rent Facility Costs Event1	$5,000	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$83,323	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$431,500	GrossReceiptsTotalAmt
Charitable Contributions Tot	$431,500	CharitableContributionsTotAmt
Rent Fclty Costs Total Events	$5,000	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$83,323	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$88,323	DirectExpenseSummaryEventsAmt
Net Income Summary	-$88,323	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,959,282	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,367,423	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,591,859	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$209,713,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$147,628,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,085,513	NetCommunityBenefitExpnsAmt
Total Expense	0.06080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$221,673,053	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$148,995,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,677,372	NetCommunityBenefitExpnsAmt
Total Expense	0.07120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$996,946	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$996,946	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	470016	PersonsServedCnt
Total Community Benefit Expns	$33,223,826	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,417,642	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,806,184	NetCommunityBenefitExpnsAmt
Total Expense	0.02140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$301,819,625	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$256,740,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,079,407	NetCommunityBenefitExpnsAmt
Total Expense	0.04420	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,083,292	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,251,012	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,832,280	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	126274	PersonsServedCnt
Total Community Benefit Expns	$3,983,399	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,983,399	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	596290	PersonsServedCnt
Total Community Benefit Expns	$401,107,088	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$310,408,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,698,216	NetCommunityBenefitExpnsAmt
Total Expense	0.08890	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	596290	PersonsServedCnt
Total Community Benefit Expns	$622,780,141	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$459,404,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$163,375,588	NetCommunityBenefitExpnsAmt
Total Expense	0.16010	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$310,311	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$310,311	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	40	PersonsServedCnt
Total Community Benefit Expns	$32,219	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,219	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	40	PersonsServedCnt
Total Community Benefit Expns	$342,530	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$342,530	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,044,859	BadDebtExpenseAmt
Reimbursed By Medicare	$101,226,741	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$139,995,750	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$38,769,009	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TUFTS MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 WASHINGTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02111	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TUFTS MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.TUFTSMEDICALCENTER.ORG/ABOUT-US/COMMUNITY-PARTNERS-PROGRAMS	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://BOSTONCHNA.ORG/CURRENT/HTML	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.TUFTSMEDICALCENTER.ORG/ABOUT-US/COMMUNITY-PARTNERS-PROGRAMS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

TUFTS MEDICAL CENTER, INC.

PART V, SECTION B, LINE 5: BEGINNING IN THE SUMMER OF 2018, TUFTS MEDICAL CENTER (TUFTS MC) PARTICIPATED IN AND SUPPORTED THE BOSTON CHNA-CHIP COLLABORATIVE (THE COLLABORATIVE). THIS WAS A COMBINED EFFORT BY MULTIPLE HOSPITALS, HEALTH CENTERS, COMMUNITY ORGANIZATIONS, AND CITY AGENCIES TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE CITY OF BOSTON. THE COLLABORATIVE CONDUCTED 12 FOCUS GROUPS 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, AND 39 KEY INFORMANT INTERVIEWS. THIRTY-FIVE ORGANIZATIONS HELPED TO DISTRIBUTE A SURVEY PERTAINING TO THE SOCIAL DETERMINANTS OF HEALTH, HEALTH BEHAVIORS, AND HEALTH OUTCOMES TO THOUSANDS OF CITY RESIDENTS IN SEVEN LANGUAGES. TUFTS MC SHARED THIS SURVEY WITH MORE THAN 300 ORGANIZATIONS AND AGENCIES IN OUR PRIORITY COMMUNITIES AND HUNDREDS OF HOSPITAL EMPLOYEES RESIDING IN BOSTON. ULTIMATELY, MORE THAN 2,500 PEOPLE PROVIDED PRIMARY DATA TO THE COLLABORATIVE CHNA, WHICH INFORMED TUFTS MC'S OWN CHNA REPORT.TUFTS MC CONDUCTED ADDITIONAL PRIMARY DATA COLLECTION IN CHINATOWN, SOUTH BOSTON, AND THE SOUTH END, THREE OF ITS PRIORITY COMMUNITIES, ALONGSIDE DORCHESTER. THIS INCLUDED 7 INTERVIEWS WITH SOCIAL SERVICE ORGANIZATION LEADERS AND 3 FOCUS GROUPS WITH CHINATOWN COMMUNITY MEMBERS. WITH THE HELP OF OUR COMMUNITY PARTNERS, TUFTS MC ALSO COLLECTED 100 COMMUNITY HEALTH SURVEYS FROM CHINESE-SPEAKING RESIDENTS OF THE NEIGHBORHOOD. ADDITIONALLY, PRIMARY AND SECONDARY DATA GATHERED THROUGH THE CHNA PROCESS WERE PRESENTED TO TUFTS MC'S COMMUNITY ADVISORY COMMITTEES, COMPRISED OF RESIDENTS AND REPRESENTATIVES WHO LIVE, WORK, OR ARE SUBJECT MATTER EXPERTS IN OUR PARTNER COMMUNITIES. COMMITTEE MEMBERS HELPED TUFTS MC STAFF IDENTIFY COMMUNITY HEALTH PRIORITIES TO FOCUS OUR GRANT-BASED COMMUNITY BENEFITS EFFORTS ON FOR THE NEXT THREE YEARS. THESE WERE REVIEWED AND APPROVED BY TUFTS MC'S COMMUNITY BENEFITS COMMITTEE, COMPRISED OF DIVERSE MEMBERS WITH WIDE-RANGING EXPERTISE INCLUDING LAW, HISTORY, SOCIAL SERVICE PROGRAMS, MEDICINE, AND PUBLIC AND COMMUNITY HEALTH. IN THE SPRING OF 2020, TUFTS MC CONDUCTED A MINI-CHNA IN RESPONSE TO EMERGENT SHORT/MID-TERM NEEDS ARISING FROM THE COVID-19 PANDEMIC. WE CONDUCTED INTERVIEWS WITH 21 COMMUNITY-BASED ORGANIZATIONS IN CHINATOWN, DORCHESTER, AND SOUTH BOSTON INTERVIEWING 7 COMMUNITY-BASED ORGANIZATIONS IN EACH NEIGHBORHOOD. OUR FINDINGS WERE PRESENTED TO TUFTS MC'S COMMUNITY BENEFITS COMMITTEE, WHICH APPROVED AN AMENDMENT TO OUR IMPLEMENTATION STRATEGY TO INCLUDE COVID-19 RELATED NEEDS AND ACTIVITIES WITHIN THE SCOPE OF OUR COMMUNITY BENEFITS PRIORITIES.

TUFTS MEDICAL CENTER, INC.

PART V, SECTION B, LINE 11: TUFTS MEDICAL CENTER (TUFTS MC) IS ADDRESSING THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT CHNA: BEHAVIORAL HEALTH (WHICH THE COMMUNITY DEFINES AS INCLUDING VIOLENCE, MENTAL HEALTH, AND SUBSTANCE MISUSE); LUNG DISEASE AND COPD THROUGH TOBACCO AND NICOTINE CONTROL; ACCESS TO CARE AND SOCIAL SERVICES; ECONOMIC OPPORTUNITY AND STABILITY; CHRONIC DISEASE MANAGEMENT, HOUSING, AND COVID-19 RELATED NEEDS.THROUGH ITS ASIAN HEALTH INITIATIVE, TUFTS MC IS ADDRESSING 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. FIVE COMMUNITY-BASED ORGANIZATIONS WERE SELECTED THROUGH AN OPEN AND COMPETITIVE APPLICATION PROCESS FOR THREE-YEAR GRANTS TO PROVIDE EDUCATION, PREVENTION, AND SMOKING CESSATION SERVICES TO ENGLISH- AND CHINESE-SPEAKING COMMUNITY MEMBERS ACROSS A WIDE AGE SPECTRUM: PRE-SCHOOL STUDENTS TO SENIOR CITIZENS. TUFTS MC ALSO SUPPORTS AND IMPLEMENTS PROGRAMS IN CHINATOWN THAT PROMOTE ACCESS TO AFFORDABLE, QUALITY, AND SAFE HOUSING, AND ACCESS TO CULTURALLY AND LINGUISTICALLY COMPETENT SERVICES.THE TUFTS MC 2019 CHNA IDENTIFIED BEHAVIORAL HEALTH AS A CONCERN ACROSS THE CITY OF BOSTON, WITH SOUTH BOSTON AND DORCHESTER OF PARTICULAR CONCERN.THE DORCHESTER HEALTH INITIATIVE'S THREE-YEAR FUNDING CYCLE FOCUSES ON PROMOTING BEHAVIORAL HEALTH AND PROMOTING THE SOCIAL-EMOTIONAL WELLNESS OF DORCHESTER COMMUNITY MEMBERS, PARTICULARLY YOUTH AND PARENTS OF YOUNG CHILDREN. SIX COMMUNITY-BASED ORGANIZATIONS WERE SELECTED THROUGH AN OPEN AND COMPETITIVE GRANT APPLICATION PROCESS TO IMPLEMENT BEHAVIORAL HEALTH PROGRAMS. AMONG THEM, THREE PARTNERS ARE SUPPORTING YOUTH DEVELOPMENT THROUGH DIVERSE PROGRAMS THAT HELP YOUNG PEOPLE BUILD THE LIFE SKILLS NEEDED TO REDUCE THEIR RISK OF EXPOSURE TO AND REDUCE THEIR LIKELIHOOD TO COMMIT VIOLENCE, IMPROVE THEIR MENTAL HEALTH AND RESILIENCY, AND PURSUE POSITIVE, NURTURING EXPERIENCES. THE REMAINING THREE PARTNERS WORK WITH PARENTS OF YOUNG CHILDREN TO PROMOTE THEIR MENTAL HEALTH AND ENHANCE THEIR PARENTING KNOWLEDGE AND SKILLS TO SUPPORT THEIR CHILDREN IN THE CRITICAL EARLY YEARS OF LIFE. ALL PARTNERS INCORPORATE EDUCATION AROUND VIOLENCE, MENTAL HEALTH, SUBSTANCE USE, AND AVAILABLE COMMUNITY RESOURCES TO SUPPORT THEIR CLIENTS IN THESE AREAS. IN SOUTH BOSTON, SUBSTANCE USE AROSE AS THE PRIMARY COMMUNITY HEALTH CONCERN. OUR COMMUNITY PARTNERS IN SOUTH BOSTON PROVIDE TREATMENT AND SUPPORT SERVICES TO PATIENTS - YOUTH AND ADULTS ALIKE - STRUGGLING WITH ADDICTION IN OUTPATIENT CLINICAL SETTINGS, RESIDENTIAL FACILITIES, COMMUNITY CENTERS, AND IN BOSTON PUBLIC SCHOOLS. PARTNERS ALSO ENGAGE YOUTH IN POSITIVE DEVELOPMENTAL PROGRAMMING TO PREVENT SUBSTANCE USE AND RELATED BEHAVIORAL HEALTH PROBLEMS BEFORE THEY ARISE. IMPROVING A PERSON'S ECONOMIC WELL-BEING SUPPORTS THEIR LONG-TERM HEALTH AND PROSPERITY. TUFTS MC IMPLEMENTS NUMEROUS EDUCATIONAL AND WORKFORCE DEVELOPMENT PROGRAMS TO CREATE PATHWAYS TO ECONOMIC OPPORTUNITY FOR COMMUNITY MEMBERS. TUFTS MC OFFERS AN ANNUAL SUMMER EMPLOYMENT AND MENTORSHIP PROGRAM FOR BOSTON PUBLIC HIGH SCHOOL STUDENTS FROM UNDERSERVED COMMUNITIES WHO GAIN WORK EXPERIENCE, EARN A WAGE, MAKE PROFESSIONAL CONNECTIONS, LEARN ABOUT THE VARIETY OF JOB OPPORTUNITIES IN A HOSPITAL SETTING, AND PARTICIPATE IN SKILLS BUILDING AND LEARNING WORKSHOPS. TUFTS MC ALSO SUPPORTS A COMMUNITY-BASED MULTI-SERVICE COUNSELOR WHO HELPS COMMUNITY MEMBERS - MANY OF WHOM RECENTLY ARRIVED IN THE UNITED STATES - TO SECURE HOUSING, NUTRITION, AND OTHER ASSISTANCE AND RESOURCES AS NEEDED, ENROLL IN JOB TRAINING PROGRAMS, AND EMPLOYMENT SERVICES, WHICH PROVIDE HELP WITH JOB SEARCH, RESUME AND INTERVIEW PREPARATION, JOB PLACEMENT, AND CAREER COUNSELING.TUFTS MC IMPROVES ACCESS TO CARE FOR LINGUISTIC AND CULTURAL MINORITIES, THE UNINSURED, AND OTHER VULNERABLE GROUPS IN MANY WAYS: PSYCHIATRIC AND SOCIAL SUPPORT TO ASIAN RESIDENTS, INCLUDING PSYCHIATRIC CONSULTATIONS IN CHINATOWN'S PUBLIC ELEMENTARY SCHOOL; PATIENT NAVIGATORS FOR CHINESE-SPEAKING AND OTHER ASIAN PATIENTS BEGINNING CANCER TREATMENT; AND PROGRAMS DESIGNED TO ASSIST ELIGIBLE PATIENTS WITH SECURING HEALTH INSURANCE, FINANCIAL ASSISTANCE, SOCIAL SECURITY BENEFITS, AND DISCOUNTS ON SPECIALTY MEDICATIONS. ADDITIONALLY, TUFTS MC PROVIDERS ORGANIZE AND PARTICIPATE IN NUMEROUS PROGRAMS AND EVENTS THROUGHOUT THE YEAR THAT PROVIDE HEALTH EDUCATION AND SCREENINGS TO COMMUNITY MEMBERS ON ISSUES INCLUDING ASTHMA, NUTRITION, HEART HEALTH, SEXUAL HEALTH, DIABETES, AND MANY OTHER TOPICS. TUFTS MC'S MINI-CHNA IN 2020 IDENTIFIED THE FOLLOWING AS EMERGING SHORT/MID-TERM NEEDS ARISING FROM OF COVID-19: JOB STABILITY INCLUDING ACCESS, UNEMPLOYMENT, AND BARRIERS TO INCOME-BASED BENEFITS; BEHAVIORAL HEALTH/SOCIAL EMOTIONAL WELLNESS; FOOD INSECURITY; AND TRANSITION/RE-OPENING SUPPORT SERVICES. TUFTS MC PROVIDED GRANTS TO 23 COMMUNITY-BASED ORGANIZATIONS IN CHINATOWN, DORCHESTER, AND SOUTH BOSTON TO ADDRESS THOSE NEEDS WITH ACTIVITIES INCLUDING GROCERY, PPE, AND CLEANING SUPPLIES DISTRIBUTION PROGRAMS; ASSISTING COMMUNITY MEMBERS TO APPLY FOR UNEMPLOYMENT INSURANCE AND OTHER BENEFITS; AND PURCHASE OF TECHNOLOGY TO AID IN REMOTE PROGRAMMING. TUFTS MC ALSO FUNDED SUMMER INTERNSHIPS FOR 31 LOCAL YOUTH PLACED WITH COMMUNITY-BASED ORGANIZATIONS TO SUPPORT ORGANIZATIONAL NEEDS AND PROVIDE STUDENTS WITH POSITIVE LEARNING EXPERIENCES AND FINANCIAL STABILITY.AS PART OF ITS IMPLEMENTATION STRATEGY TUFTS MC ALSO HIRED A FULL-TIME LICENSED CLINICAL SOCIAL WORKER TO SUPPORT OUR PARTNERS' BEHAVIORAL HEALTH PROGRAMS AND COMMUNITY NEEDS. THE LCSW WILL SUPPORT PARTNER ORGANIZATIONS ACROSS TUFTS MC'S COMMUNITY BENEFITS PROGRAMS AND NEIGHBORHOODS.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - NEW ENGLAND LONG-TERM CARE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	78 BOSTON ROAD	AddressLine1Txt
City	BILLERICA	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01862	ZIPCd

Field	Value	IRS element (for citing)
Facility	LONG-TERM ACUTE-CARE FACILITY	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 DEVELOPMENTPARKING IN THE CITY OF BOSTON IS DIFFICULT AND EXPENSIVE, AND SMALL COMMUNITY-BASED ORGANIZATIONS HAVE LIMITED RESOURCES TO DEVOTE TO COSTS SUCH AS THESE. TUFTS MC DONATED HUNDREDS OF PARKING SPACES FOR COMMUNITY-BASED ORGANIZATIONS AND EVENTS, THEREBY FREEING UP THEIR RESOURCES TO DELIVER VITAL SERVICES TO COMMUNITY MEMBERS.AS PART OF TUFTS MC'S COVID-19 GRANTS, MANY OF OUR COMMUNITY PARTNERS SUPPORTED LOCAL BUSINESSES WHILE DEVELOPING WAYS TO MEET FOOD AND OTHER URGENT COMMUNITY NEEDS, SUCH AS PURCHASING GIFT CARDS TO LOCAL SUPERMARKETS, AS OPPOSED TO SUPERMARKET CHAINS, TO ADDRESS RISING FOOD INSECURITY. PART II, LINE 8: WORKFORCE DEVELOPMENTTHE COVID-19 PANDEMIC HALTED MANY OF TUFTS MEDICAL CENTER'S (TUFTS MC'S) WORKFORCE DEVELOPMENT ACTIVITIES IN 2020. IN PAST YEARS, OUR WORKFORCE DEVELOPMENT ACTIVITIES INCLUDED COLLABORATIONS WITH LOCAL NON-PROFITS PROVIDING JOB TRAINING AT TUFTS MC FOR BOSTON AND GREATER BOSTON RESIDENTS. WE WERE ABLE TO CONTINUE TO PROVIDE OUR PHLEBOTOMY EXTERNSHIP PROGRAM, IN WHICH TWO INDIVIDUALS PRACTICED THEIR BLOOD DRAWING SKILLS, HELPING THEM TO GAIN EXPERIENCE AND SKILLS THAT BOOST OPPORTUNITIES FOR HIGHER-PAYING JOBS AND JOB ADVANCEMENT. WE CONTINUED A COLLABORATION WITH A COMMUNITY-BASED WORKFORCE DEVELOPMENT ORGANIZATION TO PROVIDE ESOL CLASSES TO TUFTS MC EMPLOYEES, INVESTING IN THEIR CAREER AND PROFESSIONAL DEVELOPMENT AND STRENGTHENING THE QUALITY OF PATIENT INTERACTION BY IMPROVING COMMUNICATION.TUFTS MC'S SUMMER INTERNSHIP PROGRAM FOR BOSTON HIGH SCHOOL STUDENTS OFTEN OFFERS THEM THEIR FIRST PAID EMPLOYMENT AND OPPORTUNITIES TO EXPLORE CAREER OPPORTUNITIES IN A HEALTHCARE SETTING. DESPITE THE COVID PANDEMIC, TUFTS MC OFFERED A FULLY ON-SITE SEVEN-WEEK EXPERIENCE TO ELEVEN YOUTH WITH WEEKLY WORKSHOPS ON TOPICS SUCH AS PUBLIC HEALTH, COLLEGE READINESS, AND DIVERSITY, EQUITY, AND INCLUSION, ETC.AS WITH THE ADULT WORKFORCE DEVELOPMENT PROGRAMS DESCRIBED ABOVE, OFFERING YOUTH, MANY OF WHOM SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, THIS EXPERIENCE INCREASES THEIR LIKELIHOOD OF SECURING BETTER-PAYING JOBS; A WEALTH OF RESEARCH HAS DEMONSTRATED THAT HIGHER PAY AND BETTER BENEFITS ARE DIRECTLY CORRELATED WITH IMPROVED HEALTH OUTCOMES.
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 45.50%.
PART III, LINE 4:	THE FOLLOWING IS FROM THE WELLFORCE, 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:2020 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 AMOUNTED TO $36,402K AND $16,237K, FOR THE YEAR ENDED SEPTEMBER 30, 2020 AND $42,553K AND $16,904K FOR THE YEAR ENDED SEPTEMBER 30, 2019, 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, 2020 AND 2019.ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND HISTORIC PAYMENT TRENDS AND RECORDS ESTIMATED CONTRACTUAL ALLOWANCES. THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILLS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2020. THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FROM THIRD-PARTY PAYERS, NOR DID IT HAVE SIGNIFICANT BAD DEBT WRITE-OFFS FROM THIRD-PARTY PAYERS.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 IMPLEMENTATION 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 DIRECT CARE PROGRAMS, HEALTH SCREENING, HEALTH EDUCATION 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 MEDICAL CENTER (TUFTS MC) CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS TO IDENTIFY COMMUNITY NEEDS AND CRITICAL HEALTH ISSUES. THE FOCUS OF THE CHNA INCLUDES BOSTON'S CHINATOWN, DORCHESTER, SOUTH BOSTON, SOUTH END, QUINCY, AND THE GREATER BOSTON ASIAN COMMUNITY. IN ADDITION TO KEY STAKEHOLDER INTERVIEWS, FOCUS GROUPS, MULTILINGUAL SURVEYS, AND INPUT FROM COMMUNITY ADVISORY COMMITTEE MEMBERS, HEALTH ISSUES WERE IDENTIFIED THROUGH A REVIEW OF DATA COMPILED BY THE BOSTON CHNA-CHIP COLLABORATIVE FOR ITS CITY-WIDE NEEDS ASSESSMENT. DATA WERE ALSO GATHERED FROM THE AMERICAN COMMUNITY SURVEY, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE YOUTH RISK BEHAVIOR SURVEY, BOSTON POLICE DEPARTMENT, BOSTON PUBLIC SCHOOLS, HEALTH RESOURCES AND SERVICES ADMINISTRATION, MA REGISTRY OF VITAL RECORDS AND STATISTICS, INTERNAL PATIENT DATA, CHNAS CONDUCTED IN RECENT YEARS BY COMMUNITY HEALTH CENTERS AND OTHER INSTITUTIONS, AND NUMEROUS PAPERS AND PRESENTATIONS PERTAINING TO COMMUNITY HEALTH RESEARCH CONDUCTED IN OUR PARTNER COMMUNITIES. DATA WERE SUMMARIZED, REVIEWED, AND APPROVED BY TUFTS MC'S SENIOR LEADERSHIP AND ITS COMMUNITY BENEFITS GOVERNING BODY, TUFTS MC'S COMMUNITY BENEFITS COMMITTEE. THE HEALTH ISSUES IDENTIFIED AND PRIORITIZED IN THE 2019 CHNA AND IMPLEMENTATION STRATEGY SOUGHT TO ADDRESS THE HIGH INCIDENCE OF HEART DISEASE AND LUNG CANCER AMONG THE CHINATOWN AND BOSTON ASIAN COMMUNITY, FOCUSING ON SMOKING AND ITS HARMFUL EFFECTS; BEHAVIORAL HEALTH IN DORCHESTER; ACCESS TO SERVICES IN THE SOUTH END AND QUINCY; AND SUBSTANCE USE AND CHRONIC DISEASES IN SOUTH BOSTON. THE IDENTIFIED HEALTH ISSUES GUIDED THE ALLOCATION OF RESOURCES FOR BOTH COMMUNITY-BASED AND HOSPITAL-BASED RESPONSES.IN 2020, TUFTS MC CONDUCTED A MINI-CHNA TO ASSESS SHORT/MID-TERM COMMUNITY NEEDS IN CHINATOWN, DORCHESTER, AND SOUTH BOSTON AS A RESULT OF THE COVID-19 PANDEMIC. WE CONDUCTED INTERVIEWS WITH COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY THE COMMUNITY'S MOST PRESSING NEEDS. THE FOLLOWING THEMES EMERGED ACROSS ALL COMMUNITIES AND GUIDED OUR ALLOCATION OF RESOURCES: JOB SECURITY AND UNEMPLOYMENT AND BARRIERS TO INCOME-BASED BENEFITS; BEHAVIORAL HEALTH; FOOD INSECURITY; AND TRANSITION/RE-OPENING SUPPORT SERVICES. TUFTS MC PROVIDED TWO TYPES OF GRANTS, FOR COVID-19 RELATED ACTIVITIES AND SUMMER INTERNSHIPS TO PLACE LOCAL YOUTH AT LOCAL COMMUNITY-BASED ORGANIZATIONS TO MEET/SUPPORT ORGANIZATIONAL NEEDS AND PROVIDE POSITIVE, MEANINGFUL EXPERIENCES FOR THE YOUTH.
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 AND FLOATING HOSPITAL FOR CHILDREN 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:	TUFTS MEDICAL CENTER (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.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.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 60% OF THE PATIENT POPULATION IS WHITE, 10% BLACK/AFRICAN AMERICAN, 15% ASIAN AND 6% LATINX. TWENTY-FIVE PERCENT OF THE PATIENT POPULATION QUALIFY FOR MEDICAID, AND 32% OF PATIENTS ARE COVERED BY MEDICARE. APPROXIMATELY 23,000 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: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 42 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.BASED UPON 2017 ACS DATA, ABOUT HALF OF RESIDENTS WERE ASIAN. ELEVEN PERCENT WERE AGE 17 OR YOUNGER, AND 12% WERE 65 YEARS OF AGE OR OLDER. A MAJORITY OF THESE RESIDENTS DO NOT SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE; FIFTY-FOUR PERCENT OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, AND 61% OF RESIDENTS INDICATED THAT THEY SPOKE ENGLISH LESS THAN "VERY WELL." MUCH OF THE INCREASE IN NUMBER OF HOUSEHOLDS SINCE THE YEAR 2000 REFLECTS THE CONSTRUCTION OF NEW, OFTEN "LUXURY" HOUSING IN AND ADJACENT TO CHINATOWN, WHICH HAVE ATTRACTED NEW HIGHER-INCOME, MORE HIGHLY EDUCATED RESIDENTS, THE MAJORITY OF WHOM ARE NON-ASIAN. THE CITY'S PUBLIC HEALTH DATA FOR THE CHINATOWN NEIGHBORHOOD IS INTEGRATED WITH HEALTH DATA FOR THE SOUTH END IN THE "HEALTH OF BOSTON" REPORT PREPARED BY THE BOSTON PUBLIC HEALTH COMMISSION (BPHC). IT IS THEREFORE DIFFICULT TO SEPARATE OUT AND SURFACE HEALTH ISSUES OR TRENDS SPECIFIC TO CHINATOWN AND NON- AND LIMITED-ENGLISH SPEAKING RESIDENTS USING THIS REPORT, AS BPHC SELF-REPORTED SURVEYS ARE OFFERED IN ENGLISH AND SPANISH ONLY. HEALTH DATA FOR CHINATOWN FOR TUFTS MC'S 2019 CHNA, THEREFORE, WERE DRAWN LARGELY FROM OTHER SOURCES. THE BPHC DOES, HOWEVER, PROVIDE HEALTH DATA FOR ASIANS ACROSS BOSTON, WHICH ILLUSTRATES THAT CANCER, HEART DISEASE AND STROKE CONTINUE TO BE PARTICULAR CONCERNS. LUNG CANCER HAS BEEN THE LEADING CAUSE OF CANCER MORTALITY, AND AMONG THE LEADING CAUSES OF ALL MORTALITY FOR ASIANS FOR AT LEAST THE PAST 30 YEARS.ALL OF THE AVAILABLE DATA, ALONG WITH INPUT FROM COMMUNITY STAKEHOLDERS AND ADVISORY COMMITTEE MEMBERS, LED TO A SINGULAR PRIORITY FOR TUFTS MC'S ASIAN HEALTH INITIATIVE IN 2019 AND ITS THREE-YEAR FUNDING CYCLE: PREVENTING AND REDUCING NICOTINE AND TOBACCO USE, WITH AN EMPHASIS ON THE BEHAVIORAL HEALTH UNDERPINNINGS THAT DRIVE SUCH USE, IN ORDER TO REDUCE THE BURDEN OF CONSEQUENT HEALTH CONDITIONS INCLUDING HEART DISEASE AND LUNG CANCER.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. ACS DATA FOR 2017 INDICATE THAT 23% OF RESIDENTS WERE 17 YEARS OR YOUNGER AND 11% WERE SENIORS AGED 65 AND OLDER. TWENTY-FIVE PERCENT OF THE POPULATION WAS WHITE, 52% BLACK/AFRICAN AMERICAN, 8% ASIAN, AND 19% LATINX.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 RATE OF ASTHMA-RELATED HOSPITALIZATION AMONG CHILDREN AGES 5-17, AS WELL AS THE PREVALENCE OF OBESITY AND OF MANY CHRONIC DISEASES AMONG ADULTS, WERE ALSO ABOVE CITY AVERAGES, AS WERE RATES OF MORTALITY ATTRIBUTED TO SUBSTANCE MISUSE, INCLUDING OPIOIDS. BASED ON REVIEW OF AVAILABLE DATA AND INPUT FROM COMMUNITY PARTNERS, STAKEHOLDERS AND ADVISORS, THE DORCHESTER HEALTH INITIATIVE PRIORITY FOR THE 2020-2022 FUNDING CYCLE IS BEHAVIORAL HEALTH, WHICH ENCOMPASSES COMMUNITY VIOLENCE, MENTAL HEALTH, AND SUBSTANCE USE.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. AT THE SAME TIME, THE PERCENT OF THE POPULATION HOLDING A BACHELOR'S DEGREE OR HIGHER ROSE FROM 19% IN 2000 TO 62% IN 2017; THOSE HOLDING MASTER'S DEGREES OR HIGHER ROSE FROM 7% TO 20%. MEDIAN HOUSEHOLD INCOME ROSE 131% TO $91,597 IN THIS PERIOD. THE CHANGES IN SOUTH BOSTON'S DEMOGRAPHICS ARE LIKELY DUE TO THE INCREASE IN THE AVAILABILITY OF MARKET-RATE AND LUXURY HOUSING. AS IS HAPPENING IN CHINATOWN, THE INCREASING AVAILABILITY OF NEW UPSCALE HOUSING IN SOUTH BOSTON AND THE CORRESPONDING INFLUX OF RESIDENTS WITH A HIGHER SOCIOECONOMIC STATUS WILL BE REFLECTED IN FUTURE HEALTH NEEDS ASSESSMENTS IN THE FORM OF MORE FAVORABLE SOCIAL DETERMINANTS OF HEALTH; THIS RISKS MASKING THE HEALTH NEEDS OF LONG-TIME RESIDENTS FOR WHOM SUBSTANCE USE, MENTAL HEALTH, AND CHRONIC DISEASES ARE MAJOR HEALTH CONCERNS.THE PRIORITIES FOR THE SOUTH BOSTON COMMUNITY ARISING FROM THE 2019 CHNA ARE SUBSTANCE USE, CHRONIC DISEASE MANAGEMENT, AND FOOD SECURITY.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, MEDIAN HOUSEHOLD INCOME WAS $70,575, AND THE MAJOR RACIAL/ETHNIC GROUPS WERE: WHITE (54%), LATINX (19%), BLACK/AFRICAN AMERICAN (16%), AND ASIAN (16%).
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 MEDICAL CENTER (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 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 AND FLOATING HOSPITAL FOR CHILDREN 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 AND FLOATING HOSPITAL 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 AND FLOATING HOSPITAL MAKE 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 AND FLOATING HOSPITAL PROVIDE 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 STATES	MA
PART VI, LINE 4, COMMUNITY INFORMATION (CONTINUED)	DATA FROM THE CITY OF BOSTON SHOW THAT IN 2015, THE LEADING CAUSES OF DEATH IN THE SOUTH END WERE CANCER AND DISEASES OF THE HEART, FOLLOWED BY UNINTENTIONAL INJURIES. THE BOSTON CHNA-CHIP COLLABORATIVE'S 2019 CITY-WIDE CHNA FOUND THAT RESIDENTS OF THIS NEIGHBORHOOD EXPERIENCE A HIGHER RATE OF ASTHMA-RELATED EMERGENCY DEPARTMENT VISITS, ADULT SMOKING BEHAVIOR, HIV/AIDS, AND INFANT MORTALITY THAN THE CITY AS A WHOLE. IN ADDITION, THE SOUTH END EXPERIENCES SIGNIFICANTLY HIGHER RATES OF HEART DISEASE HOSPITALIZATION THAN THE CITY OF BOSTON AS A WHOLE; HOWEVER, THEY HAVE COMPARABLE RATES OF ADULT HYPERTENSION. 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; THE NUMBER OF ASIAN RESIDENTS DOUBLED FROM 13,500 TO 27,200 IN THIS PERIOD AND NOW CONSTITUTE 29% OF THE POPULATION, SECOND ONLY TO WHITE RESIDENTS. THIRTY-ONE PERCENT OF QUINCY RESIDENTS ARE FOREIGN-BORN AND 35% LIVE IN LIMITED-ENGLISH-SPEAKING HOMES, 24.7% OF WHOM SPEAK AN ASIAN LANGUAGE. IN 2018, 15% OF QUINCY RESIDENTS WERE AGES 17 OR YOUNGER AND 16% WERE 65 YEARS OF AGE OR OLDER.DATA FROM THE CITY OF BOSTON SHOW THAT IN 2015, CANCER AND HEART DISEASE WERE AMONG THE LEADING CAUSES OF DEATH IN QUINCY. CHRONIC DISEASE MANAGEMENT, PARTICULARLY HEART DISEASE AND HYPERTENSION, WAS IDENTIFIED AS A TOP HEALTH PRIORITY IN QUINCY. IN ADDITION, ACCESS TO HEALTH CARE AND OTHER SOCIAL SERVICES HAS REMAINED A PRIORITY HEALTH CONCERN SINCE 2013. WITH THE INCREASING POPULATION OF IMMIGRANTS AND LIMITED ENGLISH SPEAKERS, AND AN INCREASING PREVALENCE OF CHRONIC DISEASE, ACCESS TO LINGUISTICALLY AND CULTURALLY APPROPRIATE HEALTH CARE AND SOCIAL SERVICES ARE A CRITICAL NEED. CARE TO BOSTON RESIDENTS AND SURROUNDING COMMUNITIES:TUFTS MEDICAL CENTER 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 INCREASE 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (38 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARVIN A KONSTAM MD
TRUSTEE	$0	$586,455	$0	$174,982	$0	$31,686	$0	$28,000	$0	$22,034	$0	$843,157	$0	$0
F CLARRISSA YANG MD
TRUSTEE	$0	$593,651	$0	$138,461	$0	$27,710	$0	$0	$0	$2,135	$0	$761,957	$0	$0
DEEB N SALEM MD
TRUSTEE	$0	$479,782	$0	$163,040	$0	$46,394	$0	$28,000	$0	$21,513	$0	$738,729	$0	$0
PAUL SUMMERGRAD MD
TRUSTEE	$0	$429,614	$0	$49,875	$0	$42,470	$0	$28,000	$0	$21,473	$0	$571,432	$0	$0
JATIN DAVE MD
TRUSTEE (UNTIL 06/20)	$385,015	$0	$50,770	$0	$526	$0	$25,353	$0	$24,054	$0	$485,718	$0	$0	$0
ELLEN O'GORMAN
CEO	$161,832	$0	$0	$0	$0	$0	$0	$0	$0	$0	$161,832	$0	$0	$0
DAN DRISCOLL MD
TRUSTEE	$0	$279,996	$0	$64,707	$0	$0	$0	$25,500	$0	$21,633	$0	$391,836	$0	$0
CRAIG BEST MD
TRUSTEE/PRESIDENT & CEO	$0	$563,734	$0	$131,000	$0	$7,323	$0	$28,000	$0	$8,882	$0	$738,939	$0	$0
MATTHEW LARKIN
TRUSTEE (UNTIL 06/20)	$0	$278,000	$0	$70,000	$0	$11,269	$0	$28,000	$0	$21,707	$0	$408,976	$0	$0
ZACHARY REDMOND
SECRETARY	$238,628	$0	$37,978	$0	$10,781	$0	$32,410	$0	$26,901	$0	$346,698	$0	$0	$0
JOSEPH FROLKIS MD
TRUSTEE/PRESIDENT/CEO	$563,096	$0	$132,691	$0	$7,725	$0	$4,599	$0	$8,250	$0	$716,361	$0	$0	$0
MICHAEL APKON
TRUSTEE/CEO/PRESIDENT (UNTIL 09/20)	$1,054,258	$0	$500,000	$0	$33,166	$0	$35,538	$0	$38,020	$0	$1,660,982	$0	$0	$0
KAREN FREUND MD
TRUSTEE	$0	$286,511	$0	$469	$0	$9,626	$0	$28,000	$0	$21,709	$0	$346,315	$0	$0
NATHAN GAGNE
CFO/TREASURER	$307,044	$0	$30,074	$0	$148	$0	$4,157	$0	$27,400	$0	$368,823	$0	$0	$0
KRISTINE M HANSCOM
SENIOR VP/TREASURER/CFO/TRUSTEE	$451,556	$0	$132,703	$0	$55,916	$0	$70,700	$0	$30,500	$0	$741,375	$0	$51,396	$0
MARGARET COSTELLO
TRUSTEE/COO	$357,529	$0	$45,798	$0	$789	$0	$23,903	$0	$27,400	$0	$455,419	$0	$0	$0
CHARLES R WHIPPLE ESQ
TRUSTEE/SECRETARY	$0	$289,325	$0	$46,208	$0	$9,600	$0	$0	$0	$30,770	$0	$375,903	$0	$0
JEFFREY GROSS
SENIOR VP, BUSINESS DEVELOPMENT	$107,212	$160,818	$16,060	$24,090	$4,856	$7,284	$18,488	$27,732	$11,006	$16,509	$157,622	$236,433	$0	$0
ANDREW GERARDI
VP CARDIOVASCULAR CENTER	$205,167	$0	$23,161	$0	$1,009	$0	$7,233	$0	$26,989	$0	$263,559	$0	$0	$0
THERESE HUDSON-JINKS
SENIOR VP AND CNO	$390,488	$0	$108,649	$0	$52,504	$0	$61,600	$0	$6,673	$0	$619,914	$0	$46,124	$0
WILLIAM SHICKOLOVICH
SENIOR VP OPERATIONS MGMT	$0	$392,527	$0	$77,326	$0	$63,979	$0	$0	$0	$7,077	$0	$540,909	$0	$0
DEBORAH JOELSON
SR. VP STRATEGIC SERVICES	$0	$412,510	$0	$73,500	$0	$199,375	$0	$8,400	$0	$7,375	$0	$701,160	$0	$102,754
SUSAN BLANCHARD
VP FOR RESEARCH ADMINISTRA	$232,213	$0	$54,563	$0	$33,198	$0	$36,935	$0	$26,862	$0	$383,771	$0	$29,646	$0
KELLY DOUGHERTY
VP CARDIOVASCULAR CENTER CENTER	$147,990	$0	$0	$0	$16,285	$0	$27,995	$0	$14,335	$0	$206,605	$0	$15,840	$0
BROOKE TYSON-HYNES
VP PUBLIC AFFAIRS	$109,650	$184,459	$13,563	$0	$2,408	$5,033	$16,596	$4,037	$1,888	$13,168	$144,105	$206,697	$0	$0
MAURA LYNCH
VP FOR DEVELOPMENT	$339,297	$0	$76,073	$0	$21,048	$0	$46,843	$0	$11,946	$0	$495,207	$0	$15,475	$0
CATHERINE BUKOWSKI
VP REVENUE CYCLE	$166,486	$0	$0	$0	$1,225	$0	$39,929	$0	$8,571	$0	$216,211	$0	$0	$0
JEFFREY SYREK
VP SYS CONTRACTING	$241,801	$0	$25,134	$0	$287	$0	$24,942	$0	$26,408	$0	$318,572	$0	$0	$0
SAUL WEINGART
CHIEF MEDICAL OFFICER	$0	$459,113	$0	$142,959	$0	$36,004	$0	$28,000	$0	$21,513	$0	$687,589	$0	$0
PETER NEUMANN
DIRECTOR, CENTER FOR EVALUATION OF V	$291,686	$0	$0	$0	$1,578	$0	$5,918	$0	$22,686	$0	$321,868	$0	$0	$0
CHRISTOPHER MELHUS
CHIEF OF RADIATION OF ONCOLOGY PHYSI	$277,888	$0	$0	$0	$675	$0	$8,400	$0	$22,456	$0	$309,419	$0	$0	$0
SARAH MCKAY
VP PERIOPERATIVE SERVICES	$243,220	$0	$57,375	$0	$1,252	$0	$23,400	$0	$27,076	$0	$352,323	$0	$0	$0
ROSS THOMPSON
VP & CHIEF PHARMACY OFFICE	$262,600	$0	$72,930	$0	$1,759	$0	$39,170	$0	$4,566	$0	$381,025	$0	$0	$0
MARCY CASS
VP RISK MANAGEMENT	$278,132	$0	$64,260	$0	$6,779	$0	$42,000	$0	$10,925	$0	$402,096	$0	$0	$0
CHARLES CASSIDY
FORMER TRUSTEE	$0	$674,694	$0	$407,242	$0	$14,970	$0	$28,000	$0	$22,034	$0	$1,146,940	$0	$0
MICHAEL WAGNER MD
FORMER TRUSTEE/PRESIDENT/CEO	$0	$1,144,143	$0	$315,000	$0	$148,863	$0	$142,800	$0	$19,330	$0	$1,770,136	$0	$113,048
RASHED DURGHAM MD
FORMER TRUSTEE	$0	$0	$0	$0	$0	$253,618	$0	$0	$0	$0	$0	$253,618	$0	$0
JEFFREY A WEINSTEIN ESQ
FORMER TRUSTEE	$0	$440,901	$0	$83,716	$0	$101,763	$0	$8,298	$0	$7,814	$0	$642,492	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINES 4A-B	A FORMER TRUSTEE RECEIVED SEVERANCE IN THE AMOUNT OF $253,618 IN 2019 FROM AN ORGANIZATION RELATED TO AN ENTITY INCLUDED WITHIN THE GROUP RETURN.
PART 1, LINE 4B:	SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: MICHAEL WAGNER, M.D., $134,400 MICHAEL APKON, $35,538 KRISTINE HANSCOM, $62,300 THERESE HUDSON-JINKS, $53,200 MAURA LYNCH, $40,576 MARCY CASS, $33,600 ROSS THOMPSON, $31,200 SUSAN BLANCHARD, $28,535 SARAH MCKAY, $15,000 ZACHARY REDMOND, $26,710 KELLY DOUGHERTY, $27,467 CATHERINE BUKOWSKI $34,884 JEFFREY GROSS, $38,500

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
A	043431814	57584YPN3	2019-02-20	$230,260,000	SEE SUPPLEMENTAL INFORMATION	0	0	Yes (1)
MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
B	043431814	000000000	2020-07-16	$53,992,966	SEE SUPPLEMENTAL INFORMATION	0	0	Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$3,985,000	$247,886,139	$25,007,721	$159,332,179	$63,546,239	Yes (1)	0	Yes (1)	Yes (1)
B		$59,998,457			$58,325,304	Yes (1)	0	Yes (1)	Yes (1)	$1,673,153

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE A, COLUMN F

DESCRIPTION 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 WELLFORCE OBLIGATED GROUP, WHICH INCLUDES TUFTS MEDICAL CENTER, INC., THE LOWELL GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE. SERIES C BONDS WERE ISSUED FOR THE WELLFORCE OBLIGATED GROUP, WHICH INCLUDES TUFTS MEDICAL CENTER, INC., THE LOWELL GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE.

PART II, LINE 7

THE AMOUNTS REPORTED AS TOTAL PROCEEDS EXCEED THE RESPECTIVE ISSUE PRICE DUE TO BOND PREMIUM.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	11	ContributionCnt
Noncash Contributions Rpt F990	$159,536	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE NUMBER REPORTED IN COLUMN (B) OF SCHEDULE M REPRESENTS THE NUMBER OF CONTRIBUTIONS OF EACH ITEM.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. NEW ENGLAND LONG-TERM CARE, INC. OPERATES TO PROVIDE LONG-TERM CARE FOR CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED. NEW ENGLAND QUALITY CARE ALLIANCE, INC. OPERATES FOR THE PURPOSE OF SUPPORTING ACTIVITIES OF TUFTS MEDICAL CENTER PARENT, INC. AND ITS AFFILIATES. NEW ENGLAND QUALITY CARE ALLIANCE ACCOUNTABLE CARE, INC. WAS FORMED TO IMPROVE THE HEALTH OF PATIENTS AND TO ENHANCE THE PATIENT'S EXPERIENCE OF CARE.
FORM 990, PART VI, SECTION B, LINE 11B	THE 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 12C	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 LEGAL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES MET ON MAY 8, 2019 TO REVIEW EXECUTIVE COMPENSATION FOR 2019. 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 MAY 8, 2019.
FORM 990, PART VI, SECTION C, LINE 19	THE 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. HOLDS A 65% INTEREST IN SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT, LLC. DURING 2018, PROVIDER NETWORK ALLIANCE, LLC WAS ELIMINATED AND THE INTEREST BECAME 0%.
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 -4,618,000. PENSION-RELATED ADJUSTMENTS 2,908,000. OTHER COMPONENTS OF NET PERIODIC PENSION COSTS 1,059,000. NET ASSETS RELEASED FROM RESTRICTION 963,000. TRANSFER OUT OF TUFTS MEDICAL CENTER COMMUNITY CARE, INC. NET ASSETS 572,000. OTHER ADJUSTMENTS -10,832.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
MELROSEWAKEFIELD HEALTHCARE INC
170 GOVERNORS AVE	MEDFORD	MA	02155	042767880	HOSPITAL	MA	501(C)(3)	LINE 3	MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION	Yes (1)
HALLMARK HEALTH MEDICAL ASSOCIATES INC
170 GOVERNORS AVE	MEDFORD	MA	02155	043140938	MD OFFICES	MA	501(C)(3)	LINE 10	MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION	Yes (1)
LM LONG TERM CARE SERVICES INC
170 GOVERNORS AVE	MEDFORD	MA	02155	042938772	LONG-TERM CARE	MA	501(C)(3)	LINE 12B, II	MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION	Yes (1)
SAVIN LONG TERM CARE CORPORATION
170 GOVERNORS AVE	MEDFORD	MA	02155	043012616	LONG-TERM CARE	MA	501(C)(3)	LINE 10	MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION	Yes (1)
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
178 SAVIN ST SUITE 300	MALDEN	MA	02148	042437064	VISITING NURSE	MA	501(C)(3)	LINE 10	HOME HEALTH FOUNDATION INC	Yes (1)
HALLMARK HEALTH PROPERTIES
170 GOVERNORS AVE	MEDFORD	MA	02155	222580542	PROPERTY	MA	501(C)(3)	LINE 12B, II	MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION	Yes (1)
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
170 GOVERNORS AVE	MEDFORD	MA	02155	042103587	PARENT	MA	501(C)(3)	LINE 12A, I	WELLFORCE INC	Yes (1)
THE LOWELL GENERAL HOSPITAL
295 VARNUM AVENUE	LOWELL	MA	01854	042103590	HEALTH CARE	MA	501(C)(3)	LINE 3	CIRCLE HEALTH INC	Yes (1)
CIRCLE HEALTH PHYSICIANS INC
295 VARNUM AVENUE	LOWELL	MA	01854	273902914	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	CIRCLE HEALTH INC	Yes (1)
LGH PHYSICIAN ASSOCIATES INC
ONE HOSPITAL DRIVE	LOWELL	MA	01852	043190747	MEDICAL SERVICES	MA	501(C)(3)	PF	CIRCLE HEALTH PHYSICIANS INC	Yes (1)
CIRCLE HEALTH INC
295 VARNUM AVENUE	LOWELL	MA	01854	222579798	PARENT/SUPPORTING ORGANIZATION	MA	501(C)(3)	LINE 12B, II	WELLFORCE INC	Yes (1)
WELLFORCE INC
1600 DISTRICT AVE SUITE 125	BURLINGTON	MA	01803	452250732	PARENT/SUPPORTING ORGANIZATION	MA	501(C)(3)	LINE 12A, I		0	N/A
CNS NURSING HOME CARE INC
847 ROGERS STREET SUITE 201	LOWELL	MA	01852	371836433	HOME CARE SERVICES	MA	501(C)(3)	LINE 10	CIRCLE HOME INC	Yes (1)
CIRCLE HOME INC
847 ROGERS STREET SUITE 201	LOWELL	MA	01852	042103812	HOME CARE SERVICES	MA	501(C)(3)	LINE 10	HOME HEALTH FOUNDATION INC	Yes (1)
TUFTS MEDICAL CENTER PARENT INC
800 WASHINGTON STREET	BOSTON	MA	02111	042810022	FUNDRAISING, ADMIN. PLANNING & OTHER ACTIVITIES	MA	501(C)(3)	LINE 12B, II	WELLFORCE INC	Yes (1)
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET	BOSTON	MA	02111	043400617	HOSPITAL SERVICES	MA	501(C)(3)	LINE 3	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREET	BOSTON	MA	02111	042912578	PEDIATRIC LONG-TERM CARE FACILITY	MA	501(C)(3)	LINE 3	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
NEW ENGLAND QUALITY CARE ALLIANCE INC
800 WASHINGTON STREET	BOSTON	MA	02111	043040427	MEDICAL PROGRAMS & SERVICES	MA	501(C)(3)	LINE 12B, II	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
NEQCA ACCOUNTABLE CARE INC
325 WOOD RD SUITE 210	BRAINTREE	MA	02184	800824142	ACO	MA	501(C)(3)	LINE 7	NEW ENGLAND QUALITY CARE ALLIANCE INC	Yes (1)
TUFTS MEDICAL CENTER COMMUNITY CARE INC
325 WOOD RD SUITE 210	BRAINTREE	MA	02184	473046563	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
THE CAMERON M NEELY FOUNDATION
800 WASHINGTON STREET	BOSTON	MA	02111	043265628	CHARITABLE	MA	501(C)(3)	LINE 7	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
HEART CENTER OF METROWEST INC
99 LINCOLN STREET	FRAMINGHAM	MA	01702	030390670	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT ANESTHESIOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043418395	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT MEDICAL AND SURGICAL ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148397	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT NEUROLOGY ASSOICATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148384	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT OBGYN ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148385	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT OPHTHALMOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148392	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT ORTHOPEDIC ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	205129051	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT OTOLARYNGOLOGY
800 WASHINGTON STREET	BOSTON	MA	02111	043148381	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT PATHOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148393	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT PEDIATRIC ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148394	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT PSYCHIATRIC ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148387	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT RADIOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148388	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT RADIATION ONCOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148389	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT REHABILITATION MEDICINCE
800 WASHINGTON STREET	BOSTON	MA	02111	043148378	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT SURGICAL ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148376	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT UROLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148379	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
NEW ENGLAND MEDICAL CENTER
800 WASHINGTON STREET	BOSTON	MA	02111	043096445	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT MEDICAL GROUP INC
800 WASHINGTON STREET	BOSTON	MA	02111	042743894	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
TUFTS MEDICAL CENTER PHYSICIANS ORG INC
800 WASHINGTON STREET	BOSTON	MA	02111	043044706	ADMIN.	MA	501(C)(3)	LINE 12B, II	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET	BOSTON	MA	02111	823315703	MEDICAL SERVICES	MA	501(C)(3)	LINE 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
HOME HEALTH FOUNDATION INC
360 MERRMIACK STREET	LAWRENCE	MA	01843	222587225	MANAGEMENT SERVICES	MA	501(C)(3)	LINE 12B, II	WELLFORCE INC	Yes (1)
HOME HEALTH VNA INC
360 MERRMIACK STREET	LAWRENCE	MA	01843	042435675	HOME HEALTH CARE	MA	501(C)(3)	LINE 10	HOME HEALTH FOUNDATION INC	Yes (1)
MERRIMACK VALLEY HOSPICE INC
360 MERRMIACK STREET	LAWRENCE	MA	01843	043024278	HOSPICE SERVICES	MA	501(C)(3)	LINE 10	HOME HEALTH FOUNDATION INC	Yes (1)
HOME CARE INC
360 MERRMIACK STREET	LAWRENCE	MA	01843	042854358	HOME HEALTH SUPPORTIVE SERIVCES	MA	501(C)(3)	LINE 10	HOME HEALTH FOUNDATION INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
HALLMARK HEALTH INVESTMENTS LLC
170 GOVERNORS AVE	MEDFORD	MA	02155	020657666	INVESTMENT	MA	MELROSEWAKEFIELD HEALTHCARE INC	EXCLUDED	0	0
MONTVALE PETCT LLC
100 BAYVIEW CIRCLE SUITE 400	NEWPORT BEACH	CA	92660	270325022	CAT SCAN	DE	MELROSEWAKEFIELD HEALTHCARE INC	RELATED	0	0
CIRCLE HEALTH ALLIANCE LLC
295 VARNUM AVE	LOWELL	MA	01854	800782682	ACCOUNTABLE CARE ORGANIZATION	MA	CIRCLE HEALTH INC	RELATED	0	0
SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC
800 WASHINGTON STREET	BOSTON	MA	02111	320558307	MEDICAL SERVICES (MRI)	MA	TUFTS MEDICAL CENTER INC	RELATED	0	0	$1,381,145	$802,594	0.65000
MEDFORD LAWRENCE REAL ESTATE LLC
55 CHRISTYS DRIVE	BROCKTON	MA	02301	320553759	MEDICAL OFFICE BUILDING	MA	MELROSEWAKEFIELD HEALTHCARE INC	RELATED	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd
WELLFORCE INDEMNITY COMPANY LTD
800 WASHINGTON STREET	BOSTON	MA	02111	980444573	CAPTIVE INSURANCE	CJ	TUFTS MEDICAL CENTER INC	C	$19,283,732	$94,420,947	0.80000	Yes (1)
HALLMARK HEALTH ENTERPRISES INC
585 LEBANON STREET	MELROSE	MA	02176	042475660	OTHER HEALTH SERVICES		MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION	C				Yes (1)	MA
LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC
170 GOVERNORS AVE	MEDFORD	MA	02155	421685777	ELECTRONIC MEDICAL RECORDS		MELROSEWAKEFIELD HEALTHCARE INC	C				0	MA
HALLMARK HEALTH PHO INC
170 GOVERNORS AVE	MEDFORD	MA	02155	461134759	PHYSICIAN HOSPITAL ORGANIZATION		MELROSEWAKEFIELD HEALTHCARE INC	C				0	MA
LGH SERVICES INC
295 VARNUM AVENUE	LOWELL	MA	01854	042854673	MEDICAL SERVICES		CIRCLE HEALTH INC	C				Yes (1)	MA
LGH MEDICAL BUILDING SERVICES INC
295 VARNUM AVENUE	LOWELL	MA	01854	043058954	MEDICAL OFFICE BUILDING		LGH SERVICES INC	C				Yes (1)	MA
LGH MANAGEMENT SERVICES INC
295 VARNUM AVENUE	LOWELL	MA	01854	042919244	MEDICAL SERVICES		LGH SERVICES INC	C				Yes (1)	MA
LGH MEDICAL SERVICES INC
295 VARNUM AVENUE	LOWELL	MA	01854	261889904	MEDICAL SERVICES		LGH SERVICES INC	C				Yes (1)	MA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (45 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PRATT ORTHOPEDIC ASSOCIATES INC
M	$1,077,337	BOOK BASIS
PRATT NEUROLOGY ASSOCIATES INC
M	$469,451	BOOK BASIS
PRATT NEUROSURGERY ASSOCIATES INC
M	$2,808,595	BOOK BASIS
PRATT ANESTHESIOLOGY ASSOCIATES INC
M	$9,647,687	BOOK BASIS
PRATT OBGYN ASSOCIATES INC
M	$1,520,887	BOOK BASIS
PRATT OPTHAMOLOGY ASSOCIATES INC
L	$4,423,523	BOOK BASIS
PRATT PATHOLOGY ASSOCIATES INC
M	$2,462,975	BOOK BASIS
PRATT PEDIATRIC ASSOCIATES INC
M	$6,351,705	BOOK BASIS
PRATT PSYCHIATRIC ASSOCIATES INC
L	$296,216	BOOK BASIS
PRATT RADIOLOGY ASSOCIATES INC
M	$2,497,560	BOOK BASIS
PRATT RADIATION ONCOLOGY ASSOCIATES INC
M	$27,507	BOOK BASIS
PRATT REHABILITATION MEDICINE ASSOCIATES INC
M	$208,556	BOOK BASIS
PRATT SURGICAL ASSOCIATES INC
M	$4,223,294	BOOK BASIS
PRATT UROLOGY ASSOCIATES INC
L	$349,830	BOOK BASIS
PRATT DERMATOLOGY ASSOCIATES INC
M	$1,662,413	BOOK BASIS
PRATT MEDICAL GROUP INC
M	$12,151,910	BOOK BASIS
TMC PHYSICIAN ORGANIZATION INC
L	$2,495,441	BOOK BASIS
TMC PHYSICIAN ORGANIZATION INC
J	$462,814	BOOK BASIS
PRATT OTOLARYNGOLOGY ASSOCIATES INC
M	$227,325	BOOK BASIS
NEW ENGLAND MEDICAL CENTER GROUP
E	$1,357,120	BOOK BASIS
PRATT ANESTHESIOLOGY ASSOCIATES INC
E	$1,559,238	BOOK BASIS
PRATT PATHOLOGY ASSOCIATES INC
E	$489,040	BOOK BASIS
PRATT PEDIATRIC ASSOCIATES INC
E	$734,264	BOOK BASIS
PRATT RADIOLOGY ASSOCIATES INC
E	$541,867	BOOK BASIS
PRATT SURGICAL ASSOCIATES INC
E	$760,501	BOOK BASIS
TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION
E	$6,632,377	BOOK BASIS
PRATT OPTHAMOLOGY ASSOCIATES INC
D	$1,413,493	BOOK BASIS
PRATT OBGYN ASSOCIATES INC
E	$218,182	BOOK BASIS
PRATT ORTHOPEDIC ASSOCIATES INC
E	$218,814	BOOK BASIS
PRATT NEUROLOGY ASSOCIATES INC
E	$540,153	BOOK BASIS
WELLFORCE INC
D	$59,542,803	BOOK BASIS
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
E	$7,468,276	BOOK BASIS
WELLFORCE INC
R	$4,617,738	BOOK BASIS
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
M	$5,516,350	BOOK BASIS
CIRCLE HEALTH INC
D	$1,584,957	BOOK BASIS
PRATT MEDICAL & SURGICAL DERMATOLOGY ASSOC
E	$335,265	BOOK BASIS
CAMERON NEELY FOUNDATION FOR CANCER CARE
D	$210,530	BOOK BASIS
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
E	$1,842,645	BOOK BASIS
TUFTS MEDICAL CENTER COMMUNITY CARE INC
D	$7,528,985	BOOK BASIS
HOME HEALTH FOUNDATION
D	$93,681	BOOK BASIS
HALLMARK HEALTH MEDICAL ASSOCIATES
E	$3,787,000	BOOK BASIS
PRATT UROLOGY ASSOCIATES INC
D	$86,065	BOOK BASIS
HOME HEALTH FOUNDATION
D	$126,437	BOOK BASIS
PRATT OTOLARYNGOLOGY - HEAD & NECK SURGERY ASSOCIATES
E	$53,978	BOOK BASIS
PRATT PSYCHIATRIC ASSOCIATES INC
E	$98,018	BOOK BASIS

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Business Name ControlBusinessNameControlTxt
NEW ENGLAND QUALITY CARE ALLIANCE INC
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	043040427	NEWE
NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	042912578	NEWE
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	043400617	TUFT
NEQCA ACCOUNTABLE CARE INC
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	800824142	NEQC