TUFTS MEDICAL CENTER PARENT INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
TUFTS MEDICAL CENTER PARENT INC (EIN 27-0440772)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-15
IRS object ID
202522279349300022
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-15T07:24:20-05:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263753134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ ADVISORS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line153 STATE STREET 17TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270440772EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW DEVOEPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6176365000PhoneNum
Signature2025-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCRAIG KLEINPreparerPersonNm
PTINP00734640PTIN
Phone6178075000PhoneNum
Preparation2025-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW DEVOEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 WASHINGTON STREET BOX 468AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021111533ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,379,931,751GrossReceiptsAmt
Group Return For AffiliatesYes (1)GroupReturnForAffiliatesInd
All Affiliates Included0AllAffiliatesIncludedInd
Group Exemption5466GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.TUFTSMEDICINE.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionWE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN, AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND TO PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. SEE PART III.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee7982TotalEmployeeCnt
Total Volunteers90TotalVolunteersCnt
Total Gross UBI$191,221TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$31,242NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$123,298,744PYContributionsGrantsAmt
CY Contributions Grants$93,715,996CYContributionsGrantsAmt
PY Program Service Revenue$1,138,548,904PYProgramServiceRevenueAmt
CY Program Service Revenue$1,262,314,090CYProgramServiceRevenueAmt
PY Investment Income$37,276,728PYInvestmentIncomeAmt
CY Investment Income$22,550,953CYInvestmentIncomeAmt
PY Other Revenue$1,517,272PYOtherRevenueAmt
CY Other Revenue$1,030,209CYOtherRevenueAmt
PY Total Revenue$1,300,641,648PYTotalRevenueAmt
CY Total Revenue$1,379,611,248CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$579,326,781PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$591,270,928CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$3,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,119,066CYTotalFundraisingExpenseAmt
PY Other Expenses$743,826,647PYOtherExpensesAmt
CY Other Expenses$790,041,158CYOtherExpensesAmt
PY Total Expenses$1,323,156,428PYTotalExpensesAmt
CY Total Expenses$1,381,312,086CYTotalExpensesAmt
PY Revenues Less Expenses-$22,514,780PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,700,838CYRevenuesLessExpensesAmt
Total Assets BOY$1,132,376,673TotalAssetsBOYAmt
Total Assets EOY$965,407,026TotalAssetsEOYAmt
Total Liabilities BOY$920,950,444TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,172,186,879TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$211,426,229NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$206,779,853NetAssetsOrFundBalancesEOYAmt
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,063,537,783ExpenseAmt
Revenue$1,261,416,087RevenueAmt
DescTUFTS MEDICAL CENTER, INC. LOCATED IN BOSTON, MA OPERATES A 415 BED ACUTE-CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES PRIMARILY IN THE GREATER BOSTON AREA, WHICH ALSO ATTRACTS PATIENTS FROM ELSEWHERE IN NEW ENGLAND AND BEYOND.NEW ENGLAND LONG-TERM CARE, INC. OPERATES AN 80 BED NURSING HOME SPECIALIZING IN THE CARE OF CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR PHYSICALLY HANDICAPPED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$38,670,492ExpenseAmt
Revenue$518,029RevenueAmt
DescTUFTS MEDICAL CENTER, INC. ADMINISTERS PROGRAMS FOR APPROXIMATELY 453 INDIVIDUALS: 268 RESIDENTS, 74 INTERNS AND 111 FELLOWS IN 43 SPECIALTIES AND SUB-SPECIALTIES WHO ROTATE TO APPROXIMATELY 47 HOSPITALS AND OTHER ORGANIZATIONS LOCATED PRIMARILY IN THE GREATER BOSTON AREA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$11,450,735ExpenseAmt
Revenue$379,974RevenueAmt
DescTUFTS MEDICAL CENTER, INC. ENGAGES IN RESEARCH ACTIVITIES FUNDED BY GRANTS AND CONTRACTS FOR U.S. GOVERNMENT AGENCIES AND OTHER PRIVATE SOURCES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,113,659,010TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7982EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HELEN BOUCHER MD
TRUSTEE1.0039.00Yes (X)$0$0$0
MARGARET BROWN ESQ
TRUSTEE1.000.00Yes (X)$0$0$0
GERALD COHEN
TRUSTEE1.000.00Yes (X)$0$0$0
MICHAEL DANDORPH
TRUSTEE1.0039.00Yes (X)$0$1,726,150$359,711Yes (X)
KAREN FREUND MD
TRUSTEE1.0039.00Yes (X)$0$594,888$57,687
STANLEY GOLDSTEIN
TRUSTEE1.000.00Yes (X)$0$0$0
JASON HALL
TRUSTEE1.0039.00Yes (X)$0$914,117$822
MARVIN A KONSTAM MD
TRUSTEE (UNTIL 2/24)1.0039.00Yes (X)$0$687,908$57,687
BRIAN KAVOOGIAN
CHAIR/TRUSTEE1.000.00Yes (X)$0$0$0Yes (X)
PAUL NASSER
TRUSTEE1.000.00Yes (X)$0$0$0
EMMA REEVE
TRUSTEE (UNTIL 2/24)1.000.00Yes (X)$0$0$0
REGINA ROCKEFELLER
TRUSTEE1.001.00Yes (X)$0$0$0
MARK ROSEN
TRUSTEE/VICE CHAIR (UNTIL 2/24)1.000.00Yes (X)$0$0$0
JEFF SHAMES
TRUSTEE (UNTIL 2/24)1.000.00Yes (X)$0$0$0
MICHAEL TARNOFF MD
CEO/TRUSTEE (UNTIL 3/24)1.0039.00Yes (X)$1,193,833$0$196,769Yes (X)
ERIKA WERNER
TRUSTEE1.0039.00Yes (X)$0$690,427$34,407
ASSAD SIDDIQI
SVP/TREASURER (UNTIL 7/24)1.0039.00Yes (X)$439,812$0$67,900Yes (X)
THERESE HUDSON-JINKS
SENIOR VP & CNO40.000.00Yes (X)$492,208$0$73,947
ANDREW DEVOE
TREASURER1.0039.00Yes (X)$0$0$0Yes (X)
ANN LOUISE PUOPOLO
TRUSTEE1.000.00Yes (X)$0$0$0
GAUTAM SHRIKHANDE MD
TRUSTEE1.000.00Yes (X)$0$0$0
PHIL OKALA
TRUSTEE/INTERIM PRESIDENT/COO1.0039.00Yes (X)$0$1,121,244$16,258Yes (X)
REZA VAGEFI MD
TRUSTEE1.0039.00Yes (X)$0$704,151$18,041
ZACHARY REDMOND ESQ
SECRETARY39.001.00$0$599,263$70,149Yes (X)
LAUREN RIPLEY ESQ
ASSISTANT SECRETARY1.0039.00$0$210,093$12,727Yes (X)
DIANA RICHARDSON
SENIOR VP & COO (UNTIL 3/24)40.000.00$888,036$0$118,026Yes (X)
ERIK GARPESTAD
CMO/SVP MEDICAL STAFF40.000.00$673,230$0$24,968Yes (X)
SARAH MCKAY
VP OF PATIENT CARE40.000.00$430,587$0$76,946Yes (X)
KARA GREER
SVP CHIEF TALENT OFFICER40.000.00$522,818$0$74,694Yes (X)
DOUGLAS CIVIELLO
CHIEF PERFUSIONIST40.000.00$415,785$0$36,471Yes (X)
NANCY WEATHERBEE
DIRECTOR OF RESEARCH40.000.00$397,419$0$12,028Yes (X)
DEEB N SALEM MD
FORMER TRUSTEE0.0040.00$0$174,112$27,646Yes (X)
PAUL SUMMERGRAD MD
FORMER TRUSTEE1.0039.00$0$360,672$57,022Yes (X)
F CLARISSA YANG
FORMER TRUSTEE0.0040.00$0$704,980$35,187Yes (X)
JEFFREY WEINSTEIN
FORMER TRUSTEE0.0050.00$0$601,188$0Yes (X)
NIOBIS DEL CARMEN QUEIRO
FORMER KEY EMPLOYEE0.0040.00$0$516,028$2,081Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,453,728TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,605,221TotReportableCompRltdOrgAmt
Total Other Compensation$1,431,174TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1430IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LABORATORY CORP OF AMERICA HOLDINGS
PO BOX 12140BURLINGTONNC27216CONSULTING$35,175,708
MEDICAL SOLUTIONS
1010 N 102ND STREET 300OMAHANE68114NURSING SERVICES$15,359,791
PRATT ADMINISTRATIVE SERVICES
800 WASHINGTON STREETBOSTONMA02111PHYSICIAN SERVICES$14,770,738
PRATT MEDICAL GROUP
800 WASHINGTON STREETBOSTONMA02111PHYSICIAN SERVICES$8,242,379
PREMIER HEALTHCARE SOLUTIONS
5882 COLLECTIONS CTR DRCHICAGOIL60693PROFESSIONAL SERVICES$7,949,181
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K72CntrctRcvdGreaterThan100KCnt
Government Grants$80,350,546GovernmentGrantsAmt
All Other Contributions$13,365,450AllOtherContributionsAmt
Noncash Contributions$543,678NoncashContributionsAmt
Total Contributions$93,715,996TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERV. REV.900099$1,032,804,858$1,032,804,858
RESEARCH & MISC. REV.900099$226,979,904$226,979,904
OVERHEAD RECOVERY900099$2,011,299$2,011,299
RESIDENTS & INTERN REV900099$518,029$518,029
FieldValueIRS element (for citing)
Total Program Service Revenue$1,262,314,090TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,024,659TotalRevenueColumnAmt
Unrelated Business Revenue$191,221UnrelatedBusinessRevenueAmt
Exclusion$8,833,438ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$333,462TotalRevenueColumnAmt
Exclusion$333,462ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,017,250RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$320,503RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$696,747RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$696,747TotalRevenueColumnAmt
Exclusion$696,747ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,526,294SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,526,294SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,526,294TotalRevenueColumnAmt
Exclusion$13,526,294ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,379,611,248TotalRevenueColumnAmt
Related Or Exempt Func Income$1,262,314,090RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$191,221UnrelatedBusinessRevenueAmt
Exclusion$23,389,941ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,858,494TotalAmt
Program Services$534,327ProgramServicesAmt
Management And General$2,324,167ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$478,816,673TotalAmt
Program Services$412,681,639ProgramServicesAmt
Management And General$64,608,994ManagementAndGeneralAmt
Fundraising$1,526,040FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,242,245TotalAmt
Program Services$9,191,718ProgramServicesAmt
Management And General$3,050,527ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$58,388,563TotalAmt
Program Services$45,137,572ProgramServicesAmt
Management And General$12,796,889ManagementAndGeneralAmt
Fundraising$454,102FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$38,964,953TotalAmt
Program Services$29,255,652ProgramServicesAmt
Management And General$9,709,301ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,868,183TotalAmt
Program Services$411,831ProgramServicesAmt
Management And General$1,456,352ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$560,062TotalAmt
Management And General$560,062ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$178,052,328TotalAmt
Program Services$108,665,456ProgramServicesAmt
Management And General$68,437,559ManagementAndGeneralAmt
Fundraising$949,313FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$87,365TotalAmt
Program Services$23,227ProgramServicesAmt
Management And General$64,138ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,281,062TotalAmt
Program Services$4,076,602ProgramServicesAmt
Management And General$3,188,248ManagementAndGeneralAmt
Fundraising$16,212FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,066,511TotalAmt
Program Services$989,552ProgramServicesAmt
Management And General-$57,985ManagementAndGeneralAmt
Fundraising$134,944FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$34,357,681TotalAmt
Program Services$6,444,533ProgramServicesAmt
Management And General$27,913,148ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,154,533TotalAmt
Program Services$904,367ProgramServicesAmt
Management And General$245,934ManagementAndGeneralAmt
Fundraising$4,232FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,986TotalAmt
Program Services$15,986ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$23,493,466TotalAmt
Program Services$4,990,454ProgramServicesAmt
Management And General$18,503,012ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,623,564TotalAmt
Program Services$13,576,329ProgramServicesAmt
Management And General$25,047,235ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,873,880TotalAmt
Program Services$14,133ProgramServicesAmt
Management And General$2,859,747ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$341,284,386$333,393,566$7,890,820
PHYSICIAN PRACTICE FEES$73,646,333$73,083,713$562,620
BAD DEBT$52,784,707$52,784,707
REPAIRS AND MAINTENANCE$10,695,716$5,082,320$5,613,396

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,195,395TotalAmt
Program Services$12,401,326ProgramServicesAmt
Management And General$9,759,846ManagementAndGeneralAmt
Fundraising$34,223FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,381,312,086TotalAmt
Program Services$1,113,659,010ProgramServicesAmt
Management And General$264,534,010ManagementAndGeneralAmt
Fundraising$3,119,066FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,269,391BOYAmt
EOY$7,519,580EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$68,646,108BOYAmt
EOY$73,627,396EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,280,193BOYAmt
EOY$15,903,901EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$156,844,312BOYAmt
EOY$165,077,267EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,266,678BOYAmt
EOY$21,050,596EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,822,928BOYAmt
EOY$17,769,751EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$885,687,066LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$533,599,964LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$355,941,850BOYAmt
EOY$352,087,102EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$317,103,428BOYAmt
EOY$210,469,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$180,201,785BOYAmt
EOY$101,902,433EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,132,376,673BOYAmt
EOY$965,407,026EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$90,228,028BOYAmt
EOY$103,163,413EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$22,583,437BOYAmt
EOY$21,531,519EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$281,717,536BOYAmt
EOY$500,892,269EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$526,421,443BOYAmt
EOY$546,599,678EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$920,950,444BOYAmt
EOY$1,172,186,879EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$193,016,050BOYAmt
EOY-$223,954,524EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,410,179BOYAmt
EOY$17,174,671EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,426,229BOYAmt
EOY-$206,779,853EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,132,376,673BOYAmt
EOY$965,407,026EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,700,838ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,721,828NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$423,227,072OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,820,000BeginningYearBalanceAmt
Contributions$94,000ContributionsAmt
Investment Earnings Or Losses$90,000InvestmentEarningsOrLossesAmt
Other Expenditures-$8,000OtherExpendituresAmt
End Year Balance$8,012,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,667,000BeginningYearBalanceAmt
Contributions$118,000ContributionsAmt
Investment Earnings Or Losses$47,000InvestmentEarningsOrLossesAmt
End Year Balance$6,832,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.96400PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.03600TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$335,029,649OtherCostOrOtherBasisAmt
Depreciation$172,160,891DepreciationAmt
Book Value$162,868,758BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,195,604OtherCostOrOtherBasisAmt
Depreciation$16,067,968DepreciationAmt
Book Value$5,127,636BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$505,879,355OtherCostOrOtherBasisAmt
Depreciation$345,371,105DepreciationAmt
Book Value$160,508,250BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,870,091OtherCostOrOtherBasisAmt
Book Value$11,870,091BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$352,087,102TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$13,527,647
DEPOSIT ADVANCE$6,307,120
OTHER MISC. RECEIVABLES & ASSETS$32,092,370
ESTIMATED THIRD PARTY RECEIVABLES$13,031,000
RIGHT OF USE ASSETS$36,944,296
FieldValueIRS element (for citing)
Total Book Value Other Assets$101,902,433TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
PENSION OBLIGATIONS$19,886,796
DUE TO AFFILIATES$120,235,768
PROFESSIONAL LIABILITY COSTS$9,691,771
ESTIMATED THIRD PARTY PAYABLES$10,202,022
TAXABLE BONDS$333,593,845
WORKERS COMPENSATION$6,428,840
CAPITAL LEASE PAYABLE$2,222,055
LEASE LIABILITY$44,338,581
FieldValueIRS element (for citing)
Total Liability$546,599,678TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS$80,000
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICES$21,921,680SELF-INSURANCE
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$22,001,680SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$22,001,680TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,618,477TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,618,477NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$302,777,874TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$205,550,042DirectOffsettingRevenueAmt
Net Community Benefit Expns$97,227,832NetCommunityBenefitExpnsAmt
Total Expense0.07040TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$312,396,351TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$205,550,042DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,846,309NetCommunityBenefitExpnsAmt
Total Expense0.07740TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,772,534TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,772,534NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served554094PersonsServedCnt
Total Community Benefit Expns$43,231,824TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,859,038DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,372,786NetCommunityBenefitExpnsAmt
Total Expense0.01910TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$404,051,989TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$341,389,703DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,662,286NetCommunityBenefitExpnsAmt
Total Expense0.04540TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,633,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$58,232,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,401,152NetCommunityBenefitExpnsAmt
Total Expense0.01480TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served52769PersonsServedCnt
Total Community Benefit Expns$3,862,828TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,862,828NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served606863PersonsServedCnt
Total Community Benefit Expns$532,552,327TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$416,480,741DirectOffsettingRevenueAmt
Net Community Benefit Expns$116,071,586NetCommunityBenefitExpnsAmt
Total Expense0.08410TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served606863PersonsServedCnt
Total Community Benefit Expns$844,948,678TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$622,030,783DirectOffsettingRevenueAmt
Net Community Benefit Expns$222,917,895NetCommunityBenefitExpnsAmt
Total Expense0.16150TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$346,029TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$346,029NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served51PersonsServedCnt
Total Community Benefit Expns$159,951TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$159,951NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served51PersonsServedCnt
Total Community Benefit Expns$505,980TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$505,980NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$24,866,147BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$123,902,819ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$167,282,501CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$43,379,682MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TUFTS MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.TUFTSMEDICINE.ORG/SITES/DEFAULT/FILES/2023-10/TUFTS-CHNA-REPORTOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.TUFTSMEDICINE.ORG/SITES/DEFAULT/FILES/2023-10/TUFTS-CHNA-REPORTStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
TUFTS MEDICAL CENTER, INC.PART V, SECTION B, LINE 5: TUFTS MEDICAL CENTER (TUFTS MC) HAS CONTINUED TO FOLLOW THE IMPLEMENTATION PLAN OUTLINED IN ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GUIDE ITS COMMUNITY PROGRAMMING IN FY24. THE 2022 CHNA WAS CONDUCTED FROM OCTOBER 2021 TO JUNE 2022 AND INVOLVED 927 SURVEYS AS WELL AS 8 STAKEHOLDER INTERVIEWS AND 14 FOCUS GROUPS WITH 128 COMMUNITY RESIDENTS TO UNDERSTAND COMMUNITY NEEDS, STRENGTHS, PRIORITY HEALTH ISSUES, AND RECOMMENDATIONS. IN AUGUST 2024, TUFTS MC BEGAN TO ENGAGE RESIDENTS AND STAKEHOLDERS IN ITS 2025 CHNA PROCESS. THE PROCESS INCLUDES COMMUNITY SURVEY DATA COLLECTION, ANALYSIS OF LOCAL PUBLIC HEALTH DATA, AND FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH COMMUNITY MEMBERS.AS WITH THE 2022 CHNA, TUFTS MC WILL SUPPLEMENT ITS CHNA FINDINGS WITH ADDITIONAL DATA COLLECTED THROUGH THE CITYWIDE CHNA PROCESS, CALLED THE BOSTON CHNA COLLABORATIVE, CONSISTING OF BOSTON HOSPITALS AND VARIOUS COMMUNITY STAKEHOLDERS. THE COLLABORATIVE LAUNCHED ITS CITYWIDE CHNA AT THE SAME TIME AS TUFTS MC, AND ITS PROCESS HAS INVOLVED ADDITIONAL SURVEY DATA COLLECTION AS WELL AS FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. TUFTS MC HAS ALSO SHARED SURVEY DATA WITH THE COLLABORATIVE AND PARTICIPATES AS A MEMBER INSTITUTION ON THE COLLABORATIVE'S STEERING COMMITTEE.TUFTS MC ENGAGED ITS COMMUNITY BENEFITS ADVISORY COMMITTEES (CBAC), COMPRISED OF RESIDENTS AND REPRESENTATIVES WHO LIVE, WORK, OR ARE SUBJECT MATTER EXPERTS IN OUR PARTNER COMMUNITIES OR OUR PRIORITIES, THROUGHOUT THE YEAR. TUFTS MC'S CBACS PROVIDE INPUT AND FEEDBACK ON COMMUNITY HEALTH INITIATIVES, RECEIVE AND REVIEW GRANTEE PROGRESS REPORTS, AND PARTICIPATE IN COMMUNITY BENEFITS GRANTEE PROGRESS MEETINGS.
TUFTS MEDICAL CENTER, INC.PART V, SECTION B, LINE 11: TUFTS MC COMPLETED ITS LAST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022, WHICH ELEVATED THREE PRIMARY HEALTH AND SOCIAL NEEDS IN THE COMMUNITY: BEHAVIORAL HEALTH, FINANCIAL SECURITY AND MOBILITY, AND ACCESS TO CARE AND SERVICES. SECONDARY NEEDS RAISED BY THE COMMUNITY INCLUDED CHRONIC STRESS, CHRONIC DISEASE, ACCESS TO HEALTHY FOOD, AND HOUSING INSECURITY, SOME OF WHICH WERE THEMATICALLY CONNECTED TO THE PRIMARY NEEDS AND ARE BEING ADDRESSED TO LESSER EXTENTS. TUFTS MC RELEASED A REQUEST FOR PROPOSALS TO ADDRESS THESE NEEDS AND PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS TO IMPLEMENT PROGRAMMING TO IMPROVE COMMUNITY HEALTH AND WELLBEING. COMMUNITY-BASED ORGANIZATIONS WERE FUNDED ACROSS THE NEIGHBORHOODS OF CHINATOWN, DORCHESTER, THE SOUTH END, AND SOUTH BOSTON TO ADDRESS THE SUBSTANTIVE NEEDS IDENTIFIED IN THE CHNA.WITHIN THE ACCESS TO CARE AND SERVICES PRIORITY, THEMES INCLUDED ENSURING THAT ALL RESIDENTS CAN ACCESS CARE REGARDLESS OF LINGUISTIC BACKGROUND OR INCOME, CONNECTING COMMUNITY MEMBERS TO SERVICES, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THAT INFLUENCE THE HEALTH OF COMMUNITY MEMBERS.TO ADDRESS ACCESS TO CARE AND SERVICES, THE TUFTS MC INTERPRETER SERVICES DEPARTMENT PROVIDED MEDICAL INTERPRETATION TO 14,301 PATIENTS IN OVER 14 LANGUAGES IN FY24, ENCOMPASSING 270,495 TOTAL ENCOUNTERS. AN ADDITIONAL 10,062 PATIENTS WERE ABLE TO ACCESS CARE AND SERVICES FOR VULNERABLE POPULATIONS, INCLUDING PREVENTATIVE SCREENINGS, CANCER PATIENT NAVIGATION SUPPORT, PATIENT EDUCATION, SOCIAL SERVICES AND FOOD ACCESS THROUGH TUFTS MC INITIATIVES TO CONNECT PATIENTS TO CARE.THROUGH A PARTNERSHIP WITH UPHAMS COMMUNITY CARE, TUFTS MC SUPPORTED THEIR CHRONIC DISEASE MANAGEMENT PROGRAM FOR 5,884 LOW-INCOME COMMUNITY MEMBERS WITH HYPERTENSION, DIABETES, AND ASTHMA. THE PROGRAM PROVIDED BLOOD PRESSURE MONITORING AND COUNSELING, NUTRITIONAL CONSULTS, AND MONTHLY DROP-IN GROUPS FACILITATED BY A REGISTERED NURSE AND A NUTRITIONIST. THROUGH EDUCATION AND COUNSELING, 71% OF PARTICIPANTS WITH HYPERTENSION ACHIEVED A CONTROLLED DISEASE STATE, 79% OF DIABETIC PATIENTS HAD THEIR BLOOD SUGAR UNDER CONTROL, AND 85% OF ASTHMA PATIENTS ACHIEVED APPROPRIATE REFILL PATTERNS. THE PROGRAM ALSO CONNECTS COMMUNITY MEMBERS TO FREE GYM MEMBERSHIPS AND SNAP BENEFITS AS NEEDED IN ORDER TO PROMOTE HEALTHY DIET AND PHYSICAL ACTIVITY. ADDITIONAL PARTNERSHIPS BETWEEN TUFTS MC AND COMMUNITY ORGANIZATIONS CONNECTED 2,114 FAMILIES IN BOSTON TO RENTAL AND UTILITY ASSISTANCE, LEGAL SUPPORT, SNAP BENEFITS, AND EARLY CHILDHOOD SERVICES, ADDRESSING SOCIAL DETERMINANTS OF HEALTH.THE 2022 CHNA ALSO IDENTIFIED BEHAVIORAL HEALTH, TRAUMA, AND SUBSTANCE USE AS SIGNIFICANT CONCERNS IN ALL PRIORITY NEIGHBORHOODS. AS A RESPONSE TO THIS NEED, TUFTS MC FUNDED COMMUNITY-BASED ORGANIZATIONS TO ADDRESS BEHAVIORAL AND MENTAL HEALTH NEEDS. THROUGH THESE GRANTEES' WORK IN FY24, 1,889 BOSTON RESIDENTS RECEIVED BEHAVIORAL HEALTH SERVICES IN THE COMMUNITIES THEY LIVE IN. OF THESE INDIVIDUALS, 28 CHINESE EXPECTANT PARENTS RECEIVED COUNSELING AND PSYCHOSOCIAL SUPPORT, 322 SOUTH BOSTON RESIDENTS RECEIVED SUBSTANCE USE SUPPORT AND TREATMENT THROUGH COMMUNITY PARTNERSHIPS, 600 CHINATOWN RESIDENTS WERE REACHED BY A TOBACCO PREVENTION CAMPAIGN, 316 ASIAN SENIORS RECEIVED CASE MANAGEMENT AND ACCESS TO BILINGUAL SUPPORT GROUPS, 570 DORCHESTER FAMILIES RECEIVED SERVICES TO ADDRESS THE EFFECTS OF TOXIC STRESS, 67 UNHOUSED WOMEN AND CHILDREN RECEIVED CASE MANAGEMENT, AND 123 INDIVIDUALS WITH SUBSTANCE USE DISORDER IN THE "MASS & CASS" AREA WERE DIVERTED FROM THE JUSTICE SYSTEM TO RECOVERY-ORIENTED TREATMENT. SUCCESS STORIES FROM THESE INITIATIVES INCLUDE COMMUNITY MEMBERS BEING PLACED INTO SAFE HOUSING AS WELL AS SHOWING SIGNIFICANT DECREASES IN DEPRESSION AND ANXIETY.TUFTS MEDICAL CENTER PARTNERSHIPS ALSO ADDRESSED BEHAVIORAL HEALTH AND SOCIAL EMOTIONAL NEEDS WITHIN THE WALLS OF THE MEDICAL CENTER, SERVING 2,796 PATIENTS AND FAMILIES. CHILD LIFE SERVICES ORGANIZED A BOOK DRIVE TO COLLECT 2,000 MULTILINGUAL BOOKS FOR NICU FAMILIES TO PROMOTE FAMILY ENGAGEMENT AT THE BEDSIDE AND POST-PARTUM WELLBEING FOR MOTHERS. OTHER EXAMPLES INCLUDE TUFTS MC DEPARTMENT OF PSYCHIATRY'S FREE PSYCHIATRIC CONSULTATIONS TO 36 STUDENTS AT A LOCAL ELEMENTARY SCHOOL, AND A MULTI-DISCIPLINARY COLLABORATION BETWEEN THE TUFTS PHARMACY DEPARTMENT, EMERGENCY MEDICINE, ADDICTION PSYCHIATRY AND SOCIAL WORK THAT DISTRIBUTED THE OVERDOSE REVERSAL DRUG NALOXONE AND FENTANYL TEST STRIPS TO 119 COMMUNITY MEMBERS WITH SUBSTANCE USE DISORDER.TO ADDRESS FINANCIAL SECURITY AND HOUSING STABILITY TO SUPPORT OVERALL WELL-BEING, TUFTS MC SUPPORTED FINANCIAL LITERACY PROGRAMS COVERING BUDGETING, SAVING, AND INVESTING. IN FY24, 2,677 LOW-INCOME RESIDENTS, PRIMARILY BLACK AND LATINA WOMEN, BENEFITED FROM FINANCIAL LITERACY PROGRAMS OFFERED BY GRANTEES. PARTICIPANTS IN THESE PROGRAMS DEMONSTRATED SIGNIFICANT INCREASES IN THEIR EARNINGS AND SAVINGS, PROMOTING HOUSING STABILITY AS WELL AS RESISTING THE "CLIFF EFFECT" THROUGH PUBLIC ASSISTANCE WAIVERS. TO ADVANCE THIS PRIORITY, TUFTS MC'S CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE ALSO CONDUCTED RESEARCH TO BETTER UNDERSTAND THE SOCIAL AND FINANCIAL WELL-BEING OF LOW-INCOME ASIAN HOUSEHOLDS ON PUBLIC ASSISTANCE IN GREATER BOSTON AND THEIR EXPERIENCE WITH THE CLIFF EFFECT. THIS RESEARCH FOUND THAT ONE-FIFTH OF EMPLOYED PARTICIPANTS REPORTED LOSING PUBLIC ASSISTANCE DUE TO INCREASED WAGES, JOB PROMOTIONS, AND/OR MODIFIED WORK HOURS. AMONG EMPLOYED PARTICIPANTS WHO REPORTED HAVING EVER EXPERIENCED THE CLIFF EFFECT, A HIGH PROPORTION REPORTED CHANGING JOBS (44%), FOLLOWED BY QUITTING JOBS (7%) AND REDUCING WORKING HOURS (5%) TO AVOID THE CLIFF EFFECT. IN ADDITION, MANY PARTICIPANTS IN THE STUDY WERE UNAWARE ABOUT THE CLIFF EFFECT, AND MANY REPORTED INCREASED STRESS AS A RESULT OF FINANCIAL STRAIN. THROUGH RESEARCH LIKE THIS, TUFTS MC CONTRIBUTED TO PUBLIC KNOWLEDGE ON THE CONNECTION BETWEEN FINANCIAL STABILITY AND HEALTH.TUFTS MC SUPPORTED TRAINING AND WORKFORCE DEVELOPMENT TO PROMOTE THE UPWARD MOBILITY OF COMMUNITY MEMBERS. 54 LOW-INCOME YOUTH OF COLOR COMPLETED BIKE MECHANIC TRAINING, AND 30 WENT ON TO COMPLETE A PAID YOUTH APPRENTICESHIP. 236 ADDITIONAL STUDENTS PARTICIPATED IN HEALTHCARE CAREER TRAINING PROGRAMS INCLUDING PHARMACY INTERNSHIP OPPORTUNITIES, EMT TRAINING, AND SKILL-BUILDING WORKSHOPS TO PREPARE YOUTH FOR CAREERS IN THE HEALTHCARE FIELD. WORKFORCE DEVELOPMENT PROGRAMS WITHIN THE WALLS OF TUFTS MC ALSO PROMOTED FINANCIAL SECURITY AND MOBILITY OF COMMUNITY MEMBERS. THROUGH A PARTNERSHIP WITH THE ASIAN AMERICAN CIVIC ASSOCIATION, 23 TUFTS MC EMPLOYEES BENEFITED FROM ENGLISH FOR SPEAKERS OF OTHER LANGUAGES COURSES TO FURTHER THEIR PROFESSIONAL CAREERS AND IMPROVE COMMUNICATION WITH PATIENTS, WHILE 28 BOSTON PUBLIC SCHOOL STUDENTS COMPLETED SEVEN-WEEK INTERNSHIPS AT TUFTS MC COMBINED WITH PROFESSIONAL DEVELOPMENT SEMINARS.AT TUFTS MC, EMPOWERING YOUTH AND PROVIDING THEM WITH OPPORTUNITIES TO LEARN AND GROW IS A PRIORITY. 14,667 PEDIATRIC PATIENTS AND FAMILIES RECEIVED MULTILINGUAL EDUCATIONAL MATERIALS ON BIKE SAFETY, INJURY PREVENTION, AND THE IMPORTANCE OF READING TO YOUR CHILD. AT THE JOSIAH QUINCY ELEMENTARY SCHOOL (JQES), TUFTS MC PROVIDED INTERACTIVE NUTRITION LESSONS THAT HAVE IMPROVED STUDENTS' KNOWLEDGE OF HEALTHY EATING HABITS AND HYGIENE. THE PROGRAM WAS LED BY DIETETIC INTERNS FROM THE STERN NUTRITION CENTER AND REACHED 120 STUDENTS. THROUGH COMMUNITY-BASED PARTNERSHIPS, 379 LOW-INCOME YOUTH BENEFITED FROM EMPOWERMENT, EDUCATION, AND POSITIVE YOUTH DEVELOPMENT ACTIVITIES DURING THE FISCAL YEAR. MANY OF THESE ACTIVITIES ADDRESSED MULTIPLE DIMENSIONS OF YOUTH WELL-BEING INCLUDING BEHAVIORAL, SOCIAL, AND FINANCIAL WELL-BEING TO PROMOTE HOLISTIC YOUTH DEVELOPMENT.OUR DEPARTMENTAL EFFORTS AND GRANT FUNDED PROJECTS HAVE ADDRESSED THE 2022 CHNA PRIORITIES THROUGH ROBUST PARTNERSHIPS THAT INFLUENCE HEALTH OUTCOMES AT THE INDIVIDUAL, NEIGHBORHOOD, AND COMMUNITY LEVEL.
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Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:COSTS ARE ALLOCATED TO PATIENT ENCOUNTERS BASED ON COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL INPATIENT AND OUTPATIENT ACTIVITY FOR ALL AREAS OF THE HOSPITAL INCLUDING ALL PAYER SOURCES. THE COSTS UTILIZED ARE BASED ON ACTUAL COSTS FROM THIS SYSTEM, ALLOCATED TO INDIVIDUAL PATIENT ENCOUNTERS.
PART II, COMMUNITY BUILDING ACTIVITIES:PART II, LINE 2: ECONOMIC DEVELOPMENTTUFTS MC PROMOTES THE COMMUNITY'S ECONOMIC, SOCIAL EMOTIONAL AND SPIRITUAL WELLNESS AND COMMUNITY BUILDING THROUGH ITS FREE PARKING PROGRAM. BY REMOVING THE FINANCIAL BURDEN OF PARKING FEES, THE PROGRAM AIMS TO INCREASE FOOT TRAFFIC TO LOCAL BUSINESSES AND FOSTER ECONOMIC DEVELOPMENT. THIS, IN TURN, CREATES A MORE VIBRANT LOCAL ECONOMY, WHICH BENEFITS THE HEALTH OF THE COMMUNITY AS A WHOLE. ADDITIONALLY, THE PROGRAM ENCOURAGES SOCIAL INTERACTIONS, WHICH CAN CONTRIBUTE TO IMPROVED MENTAL HEALTH AND WELLBEING, AND FOSTER A GREATER SENSE OF COMMUNITY SPIRIT. THIS EFFORT IS A VITAL COMPONENT OF OUR HOSPITAL'S EFFORTS TO PROMOTE ECONOMIC DEVELOPMENT AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE. PART II, LINE 8: WORKFORCE DEVELOPMENTTUFTS MC IS COMMITTED TO PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH VARIOUS COMMUNITY-BUILDING ACTIVITIES. IN FY24, WE PROVIDED VALUABLE WORKFORCE DEVELOPMENT SKILLS TO 417 COMMUNITY MEMBERS THROUGH TRAINING PROGRAMS. WE PROVIDED JOB SKILLS TRAINING IN AREAS OF NEED, SUCH AS MEDICAL INTERPRETER TRAINING, EMT TRAINING, PHARMACY INTERNSHIPS, AND MECHANICAL SKILLS TRAINING TO DISADVANTAGED YOUTH. HIGHER PAY AND BETTER BENEFITS ARE DIRECTLY CORRELATED WITH IMPROVED HEALTH OUTCOMES, AND OUR INITIATIVE AIMED TO PROVIDE JOB SUPPORT AND JOB SKILLS TO POPULATIONS MOST IN NEED OR AT-RISK.TUFTS MC ALSO HAS A LONG-ESTABLISHED PARTNERSHIP WITH THE ASIAN AMERICAN CIVIC ASSOCIATION. OVER THE DECADES, THE STRUCTURE OF THE CLASS HAS CHANGED, BUT IN FY24, 23 EMPLOYEES PARTICIPATED IN THE PROGRAM, WHICH IS OPEN TO ALL TUFTS MC EMPLOYEES AT NO COST TO THEM. THE ESOL PROGRAM OFFERS BEGINNER AND ADVANCED CLASSES, WHICH ARE OFFERED BOTH DURING WORKS HOURS AND ON EMPLOYEE'S OWN TIME AND REQUIRE COMMITMENT AND MANAGER SUPPORT. THE PROGRAMS HELP IMPROVE EMPLOYEE/MANAGER RELATIONS, PATIENT EXPERIENCE, AND A CAREER PIPELINE FOR ALL TUFTS MC EMPLOYEES. PROMOTING EMPLOYEES' LITERACY AND COMPREHENSION CAN ALSO IMPROVE UNDERSTANDING OF AND ADHERENCE TO HOSPITAL SAFETY MEASURES.ADDITIONALLY, TUFTS MC'S SUMMER INTERNSHIP PROGRAM FOR BOSTON HIGH SCHOOL STUDENTS OFFERS OPPORTUNITIES FOR STUDENTS TO EXPLORE CAREER OPPORTUNITIES IN A HEALTHCARE SETTING AND OFTEN PROVIDES THEM WITH THEIR FIRST PAID EMPLOYMENT EXPERIENCE. WE OFFERED A FULLY ON-SITE SEVEN-WEEK EXPERIENCE TO 28 YOUTH, 24 WITH BILINGUAL CAPACITY, WHO INTERNED IN 22 DIFFERENT TUFTS MC DEPARTMENTS. INTERNS ADDITIONALLY PARTICIPATED IN WEEKLY WORKSHOPS ON TOPICS SUCH AS PUBLIC HEALTH AND COLLEGE READINESS. STUDENTS ALSO PRESENTED ON RELEVANT HEALTH TOPICS SUCH AS ACCESS TO CARE, BEHAVIORAL HEALTH, YOUTH MENTAL HEALTH, AND FINANCIAL SECURITY IN BOSTON WHILE ALSO LEARNING ABOUT TUFTS MC'S ACTIVITIES IN THESE PRIORITY AREAS. THE PROGRAM HAS LONG-TERM IMPACTS IN PROMOTING CAREERS IN HEALTHCARE. THE SUMMER INTERNSHIP PROGRAM PROVIDES VALUABLE SKILLS AND EXPERIENCE TO THE STUDENTS AND INCREASES YOUTHS LIKELIHOOD OF SECURING BETTER-PAYING JOBS IN THE FUTURE, PROMOTING THEIR OVERALL HEALTH AND WELLBEING.OVERALL, OUR COMMUNITY-BUILDING INITIATIVES AIM TO EQUIP COMMUNITY MEMBERS WITH THE NECESSARY SKILLS AND SUPPORT TO ACHIEVE FINANCIAL STABILITY, WHICH IN TURN PROMOTES BETTER HEALTH OUTCOMES AND FOSTERS A HEALTHIER COMMUNITY.
PART III, LINE 2:THE HOSPITAL RECORDS BAD DEBTS BASED ON CHARGES. THE BAD DEBT COSTS PROVIDED HEREIN ARE BASED ON THESE CHARGES MULTIPLIED BY THE HOSPITAL'S COST-TO-CHARGE RATIO OF 44.00%.
PART III, LINE 4:THE FOLLOWING IS FROM THE TUFTS MEDICINE, INC. AND CONSOLIDATED AFFILIATES (THE SYSTEM) AUDITED FINANCIAL STATEMENTS, OF WHICH TUFTS MEDICAL CENTER, INC. IS INCLUDED, RELATING TO CHARITY CARE AND BAD DEBT EXPENSE:2024 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 ESTIMATED COST OF THE CHARITY CARE PROVIDED, OF $10,919K, AND $3,237K FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023, 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, 2024 AND 2023. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2024.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 2021.COMMUNITY BENEFIT - IN FURTHERING ITS CHARITABLE PURPOSE, THE SYSTEM PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES TO THE COMMUNITY IN ORDER TO PROVIDE ACCESS TO APPROPRIATE CARE FOR POPULATIONS IN NEED. THE SYSTEM HAS DEVELOPED A FORMAL COMMUNITY BENEFIT PLAN THAT RESPONDS TO THE COMPREHENSIVE ASSESSMENT OF HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMUNITY BENEFIT PLAN SUPPORTS SERVICES THAT TARGET NOT ONLY THE GENERAL POPULATION IN THE SYSTEM'S SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS CLINICS, HEALTH SCREENING PROGRAMS, HEALTH EDUCATION PROGRAMS, AND SUPPORT GROUPS OPERATED IN THE SYSTEM'S SERVICE AREA. ADDITIONALLY, CERTAIN PATIENT SERVICES ARE PROVIDED WITHOUT COMPENSATION. 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 OF ITS SERVICE AREAS.
PART III, LINE 8:COSTS ARE ALLOCATED TO PATIENT ENCOUNTERS BASED ON COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL INPATIENT AND OUTPATIENT ACTIVITY FOR ALL AREAS OF THE HOSPITAL INCLUDING ALL PAYER SOURCES. THE COSTS UTILIZED ARE BASED ON ACTUAL COSTS FROM THIS SYSTEM, ALLOCATED TO INDIVIDUAL PATIENT ENCOUNTERS.
PART III, LINE 9B:TUFTS MEDICAL CENTER'S FINANCIAL COORDINATION OFFICE IDENTIFIES AND ASSISTS THOSE PATIENTS THAT HAVE NO INSURANCE OR WHO ARE UNDERINSURED. WE WILL PROCESS ON-LINE APPLICATIONS FOR STATE PROGRAMS IN ACCORDANCE WITH THE ESTABLISHED MASS HEALTH GUIDELINES. THE GUIDELINES ARE BASED ON 200% OF THE FEDERAL POVERTY GUIDELINES.FINANCIAL ASSISTANCE IS ALSO EXTENDED TO OUT-OF-STATE/COUNTRY PATIENTS WITH NO INSURANCE IN ACCORDANCE WITH THE TUFTS MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. A NOTICE OF FINANCIAL ASSISTANCE IS LOCATED ON THE PATIENT BILL AND THE HOSPITAL WEB-SITE. IT IS ALSO POSTED IN VARIOUS STRATEGIC LOCATIONS THROUGHOUT THE HOSPITAL.THE FINANCIAL COORDINATION OFFICE IS OPEN MONDAY THRU FRIDAY FROM 8:00 A.M. TO 4:40 P.M. THE MAIN NUMBER FOR THE FINANCIAL COORDINATION OFFICE IS 617-636-6013.
PART VI, LINE 2:TUFTS MC USES VARIOUS METHODS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. AN IMPORTANT METHOD IS TO CONDUCT A CHNA, DONE SO EVERY THREE YEARS. TUFTS MC IS IN THE LAST YEAR OF ITS IMPLEMENTATION PLAN GUIDED BY THE CHNA WAS CONDUCTED IN THE SPRING OF 2022, WHERE 927 COMMUNITY RESIDENTS PARTICIPATED IN A SURVEY TO UNDERSTAND THE COMMUNITY'S NEEDS, STRENGTHS, PRIORITY HEALTH ISSUES, AND RECOMMENDATIONS. THE CHNA PROCESS ALSO INCLUDED 8 KEY INFORMANT INTERVIEWS AND 14 FOCUS GROUPS WITH 128 COMMUNITY RESIDENTS AND INPUT FROM UPDATED COMMUNITY MEMBERS. IN FY24, TUFTS MC ALSO EMBARKED ON ITS 2025 CHNA, COLLECTING SURVEYS WHILE PLANNING FOCUS GROUPS AND KEY INFORMANT INTERVIEWS.TUFTS MC WORKS COLLABORATIVELY WITH COMMUNITY PARTNERS, INCLUDING NON-PROFIT ORGANIZATIONS, TO IDENTIFY AREAS OF NEED AND ADDRESS THEM EFFECTIVELY. IN ADDITION TO CONDUCTING A CHNA, TUFTS MC PARTICIPATES IN OTHER MEETINGS SUCH AS GRANTEE/CBAC MEETINGS AND OTHER COMMUNITY MEETINGS SUCH AS THE CHINATOWN COALITION, CHINATOWN NEIGHBORHOOD COUNCIL, JOSIAH QUINCY ELEMENTARY SCHOOL PARENT ORIENTATION, AND THE SOUTH BOSTON ASSOCIATION OF NONPROFITS, AMONG OTHERS. THESE MEETINGS PROVIDE VALUABLE FEEDBACK AND INSIGHT INTO COMMUNITY NEEDS.FURTHERMORE, TUFTS MC REVIEWS DATA ON POPULATION HEALTH, EPIDEMIOLOGY, AND COMMUNITY HEALTH INDICATORS TO MONITOR TRENDS AND IDENTIFY EMERGING HEALTH CONCERNS DURING THE CHINA PROCESS; IT USES THIS DATA TO ENSURE THAT IT IS ADDRESSING THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY IN A COMPREHENSIVE AND EFFECTIVE MANNER. ADDITIONALLY, WHEN URGENT ISSUES ARISE, SUCH AS THE COVID-19 PANDEMIC, TUFTS MC HAS COLLECTED DATA IN BETWEEN THE TRIENNIAL CHNA TO ASSESS AND ACT UPON IMMEDIATE NEEDS THAT ARISE IN THE COMMUNITY.ONCE PRIORITY HEALTH NEEDS ARE IDENTIFIED, DATA ARE SUMMARIZED, REVIEWED, AND APPROVED BY TUFTS MC'S SENIOR LEADERSHIP AND ITS COMMUNITY BENEFITS GOVERNING BODY, TUFTS MC'S COMMUNITY BENEFITS COMMITTEE AND THE TMC BOARD OF TRUSTEES. THIS COLLABORATIVE APPROACH ENSURES THAT TUFTS MC IS ADDRESSING THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY IN A COMPREHENSIVE AND EFFECTIVE MANNER.
PART VI, LINE 3:PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE AND FINANCIAL COORDINATION RESOURCES OFFERED BY THE HOSPITAL THROUGH SEVERAL DIFFERENT MEDIUMS AND AT SEVERAL DIFFERENT POINTS IN THEIR EXPERIENCE WITH THE HOSPITAL. PATIENTS ARE PROVIDED AN OPPORTUNITY TO HAVE AN IN PERSON DISCUSSION WITH A FINANCIAL COORDINATOR ABOUT INSURANCE COVERAGE AND FINANCIAL HARDSHIP DURING THE INITIAL REGISTRATION PROCESS. IF A PATIENT EXPRESSES THE NEED FOR INSURANCE OR FINANCIAL ASSISTANCE A FINANCIAL COORDINATOR WILL WORK WITH THEM TO APPLY FOR ANY AVAILABLE AND APPROPRIATE SERVICES. SHOULD A PATIENT QUALIFY FOR MEDICARE OR MEDICAID ASSISTANCE OF ANY FORM, E.G. COMMONWEALTH CARE, THE COUNSELOR OR FINANCIAL COORDINATOR WILL ALSO ASSIST THE PATIENT IN APPLYING FOR ANY OTHER SOCIAL SERVICES THEY MAY FIND HELPFUL, SUCH AS FOOD AND NUTRITION SERVICES. PATIENTS ARE NOTIFIED OF THEIR RIGHTS AND AVAILABLE FINANCIAL RESOURCES THROUGH A VARIETY OF OTHER MEASURES AS WELL, INCLUDING INFORMATION ON SEVERAL DIFFERENT PAGES AND LANDING POINTS ON THE TUFTS MEDICAL CENTER'S WEBSITE, IN WRITTEN INFORMATION PROVIDED AT DISCHARGE, ON ANY BILLING STATEMENTS THEY RECEIVE AND IN POSTINGS THROUGHOUT THE HOSPITAL IN ALL WAITING AREAS AND CLINICS.
PART VI, LINE 4:LOCATED IN THE HEART OF BOSTON'S CHINATOWN COMMUNITY, TUFTS MC IS COMMITTED TO RESPONDING TO THE SPECIFIC NEEDS OF THE COMMUNITY, MANY OF WHOM ARE NEW IMMIGRANTS IN NEED OF SERVICES IN THEIR OWN LANGUAGE TO HELP THEM NAVIGATE HEALTH CARE FOR THEMSELVES AND THEIR FAMILIES. TUFTS MC'S STRONG COMMITMENT TO THE ADJACENT NEIGHBORHOODS OF DORCHESTER, SOUTH BOSTON AND THE SOUTH END REFLECTS THE HISTORY OF THE FOUNDING OF THE BOSTON DISPENSARY TO PROVIDE QUALITY HEALTHCARE TO BOSTON'S WORKING AND LOW-INCOME FAMILIES.TUFTS MC HAS BEEN IN ITS CURRENT LOCATION SINCE ITS INCEPTION AS THE BOSTON DISPENSARY IN 1796. THE NEIGHBORHOOD, ORIGINALLY KNOWN AS THE SOUTH COVE, IS NOW RECOGNIZED AS BOSTON'S CHINATOWN NEIGHBORHOOD DUE TO THE GROWTH OF THE CHINESE AMERICAN COMMUNITY, WHO FIRST MOVED INTO THE NEIGHBORHOOD IN THE 1870S AND GREW IN NUMBERS AFTER THE LIFTING OF IMMIGRATION RESTRICTIONS ALLOWED FOR FAMILY REUNIFICATION IN THE 1960S AND HAS CONTINUED WITH ONGOING IMMIGRATION. TUFTS MC HAS BEEN AN INTEGRAL MEMBER OF THE COMMUNITY FOR GENERATIONS.SERVICE POPULATIONS:TUFTS MC'S PATIENT POPULATION IS DIVERSE AND REFLECTS THE DEMOGRAPHICS OF THE BOSTON AND GREATER BOSTON COMMUNITY FOR WHICH IT SERVES AS AN ACADEMIC AND TERTIARY/QUATERNARY HOSPITAL. APPROXIMATELY 58% OF THE PATIENT POPULATION IS WHITE, 11% BLACK/AFRICAN AMERICAN, 17% ASIAN AND 8% LATINX. 26% OF THE PATIENT POPULATION QUALIFY FOR MEDICAID, AND 26% OF PATIENTS ARE COVERED BY MEDICARE. APPROXIMATELY 14,000 PATIENTS REQUESTED INTERPRETER SERVICES IN FY24 IN CHINESE, VIETNAMESE, SPANISH, HAITIAN CREOLE, RUSSIAN, PORTUGUESE AND MANY OTHER LANGUAGES, ENCOMPASSING 270,495 ENCOUNTERS. 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 76 ACRES INCLUDE A ROBUST RESIDENTIAL, CULTURAL, ECONOMIC, AND SERVICE HUB FOR BOSTON'S CHINESE AND ASIAN COMMUNITY. THE 2023 AMERICAN COMMUNITY SURVEY (ACS) ESTIMATED THAT OVER 8,000 PEOPLE LIVED IN THE NEIGHBORHOOD, ONE OF THE MOST DENSELY POPULATED IN THE CITY OF BOSTON. WITHIN AND WALKING DISTANCE TO CHINATOWN ARE A NUMBER OF OPEN AND GREEN SPACES, INCLUDING THE MARY SOOHOO AND UNCLE FRANK AND AUNT KAY CHIN PARKS, AND THE REST OF THE ROSE KENNEDY GREENWAY; THE BOSTON COMMON; THE BOSTON PUBLIC GARDEN; AND SMALLER SPACES INCLUDING TAI TUNG PARK, ELIOT NORTON PARK, AND OTHER ACCESSIBLE PUBLIC AND PRIVATE PLAYGROUNDS; AND PHILLIPS SQUARE.HISTORICALLY, BOSTON CHINATOWN HAS PLAYED AN IMPORTANT ROLE IN ECONOMIC, SOCIAL AND CULTURAL SUPPORT FOR ARRIVING IMMIGRANTS IN WHICH THEY CONTINUE TO LIVE, WORK, SHOP, FIND SERVICES, AND MAINTAIN SOCIAL CONNECTIONS. ACCORDING TO AMERICAN COMMUNITY SURVEY 2023 DATA, COMPARED TO OTHER COMMUNITIES IN TUFTS MC'S SERVICE AREA AND BOSTON AS A WHOLE, CHINATOWN HAS HIGHER PERCENTAGES OF RESIDENTS THAT IDENTIFY AS ASIAN OR PACIFIC ISLANDER (56%), ARE FOREIGN BORN (46%) AND SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (57%). ALTHOUGH THE MAJORITY OF CHINATOWN RESIDENTS HAVE BACHELOR'S DEGREES OR HIGHER (59%), ABOUT ONE IN FIVE DID NOT GRADUATE FROM HIGH SCHOOL. THE BOSTON PUBLIC HEALTH COMMISSION'S 2023 HEALTH OF BOSTON REPORT FOUND THAT CHINATOWN/SOUTH END HAD A HIGHER PREMATURE MORTALITY RATE THAN THE CITY AVERAGE. IT ALSO HAS THE HIGHEST RATE OF ASTHMA IN THE CITY, WITH NEARLY 1 IN 5 (17.4%) OF ADULTS AFFECTED. CHINATOWN AND THE SOUTH END ALSO EXPERIENCE A SIGNIFICANTLY HIGHER RATE OF MENTAL HEALTH EMERGENCY ROOM VISITS; EVEN ADJUSTING FOR SUBSTANCE-USE RELATED EMERGENCY ROOM VISITS DUE TO THE PREVALENCE OF SUBSTANCE USE DISORDER IN THE NEIGHBORHOODS, THE RATE STILL REMAINED SIGNIFICANTLY HIGHER THAN THE BOSTON AVERAGE. ADDITIONALLY, CHINATOWN AND THE SOUTH END WERE FOUND TO HAVE A HIGHER RATE OF AGE-ADJUSTED DIABETES HOSPITALIZATIONS AND HEART DISEASE HOSPITALIZATIONS COMPARED TO THE BOSTON AVERAGE. THE HEALTH PROFILE OF CHINATOWN, BASED ON TUFTS MC 2022 COMMUNITY SURVEY RESPONSES AND FOCUS GROUP INTERVIEWS, REVEALS SEVERAL KEY HEALTH CONCERNS AND CHALLENGES FACING THE COMMUNITY. THE TOP THREE HEALTH CONCERNS IDENTIFIED BY RESIDENTS WERE COVID-19, MENTAL HEALTH/DEPRESSION, AND ACCESS TO SPECIALTY CARE. ENVIRONMENTAL HEALTH, HOUSING STABILITY, AND EDUCATION WERE THE TOP SOCIAL ISSUES OF CONCERN, WHILE DISCRIMINATION BASED ON RACE, IMMIGRATION STATUS, AND CLASS/INCOME WERE THE TOP SAFETY ISSUES IDENTIFIED. FINANCIAL SECURITY WAS ALSO A KEY CONCERN, WITH GENTRIFICATION AND HIGH HOUSING COSTS MENTIONED AS IMPEDIMENTS TO ECONOMIC WELL-BEING.SEVERAL PREVALENT HEALTH CONDITIONS WERE MENTIONED, INCLUDING ASTHMA, CANCER, DIABETES, OSTEOPOROSIS/ARTHRITIS, DEMENTIA, HIGH BLOOD PRESSURE, AND CHOLESTEROL. POLLUTION AND HIGH RATES OF SMOKING (BOTH TOBACCO AND MARIJUANA) WERE IDENTIFIED AS EXACERBATING THESE HEALTH CONCERNS. DIFFICULTIES FINDING PROVIDERS WHO SPEAK THEIR LANGUAGE AND HIGH OUT-OF-POCKET COSTS WERE CITED AS DETERRENTS TO ACCESSING HEALTHCARE, WITH BETTER ACCESS TO HEALTHCARE IDENTIFIED AS A TOP PRIORITY FOR 36% OF SURVEY RESPONDENTS. YOUNG PEOPLE ALSO EXPRESSED CONCERNS AROUND DEPRESSION, ANXIETY, AND SLEEP ISSUES, WHILE THE COVID-19 PANDEMIC WORSENED MENTAL HEALTH CONCERNS AND LED TO STRESS, ANXIETY, AND DEPRESSION FOR RESIDENTS OF ALL AGES.DORCHESTER IS THE LARGEST NEIGHBORHOOD IN BOSTON AND REFLECTS THE CITY'S ECONOMIC, LINGUISTIC, RACIAL, ETHNIC, AND CULTURAL DIVERSITY WITH A POPULATION OF OVER 140,000 RESIDENTS, APPROXIMATELY 20% OF BOSTON'S TOTAL POPULATION. BOSTON PLANNING AND DEVELOPMENT AGENCY DATA FOR 2024 INDICATE THAT 19% OF RESIDENTS WERE LESS THAN 18 YEARS OLD AND 19% WERE SENIORS AGED 60 AND OLDER. 30-59 YEAR-OLDS MAKE UP THE LARGEST PERCENTAGE (39%) OF DORCHESTER RESIDENTS. DORCHESTER IS A RACIALLY DIVERSE NEIGHBORHOOD OVERALL, WITH BLACK/AFRICAN AMERICANS MAKING UP THE LARGEST PERCENTAGE OF THE POPULATION. 23.4 PERCENT OF THE POPULATION WAS WHITE, 34.1% BLACK/AFRICAN AMERICAN, 11.4% ASIAN, 20.2% LATINO/A, AND 10.8% OTHER. ABOUT ONE-THIRD OF RESIDENTS IN DORCHESTER ARE FOREIGN BORN AND 40% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, BOTH SLIGHTLY HIGHER THAN THE CITY OF BOSTON AS A WHOLE. DORCHESTER HAS ABOUT EQUAL PERCENTAGES OF HIGH SCHOOL GRADUATES (27%) AND THOSE WITH BACHELOR'S DEGREES OR HIGHER (31%). DORCHESTER'S MEDIAN INCOME OF $67,500 IS LOWER THAN THE CITY'S AVERAGE.THE BOSTON PUBLIC HEALTH COMMISSION'S 2023 HEALTH OF BOSTON REPORT INDICATED THAT DORCHESTER CONTINUED TO EXPERIENCE PREMATURE MORTALITY RATES HIGHER THAN THE CITY AVERAGE AND TWICE AS HIGH AS THAT OF MORE AFFLUENT NEIGHBORHOODS LIKE BACK BAY AND BEACON HILL. ALL-CAUSE MORTALITY INCREASED BY 24.5% FOR NORTH DORCHESTER RESIDENTS AND 19.7% FOR SOUTH DORCHESTER RESIDENTS BETWEEN 2017-2021.DORCHESTER CONTINUED TO HAVE A HIGH INCIDENCE OF VIOLENCE-RELATED INJURIES AND HIGH RATES OF HOMICIDE COMPARED TO THE CITY AS A WHOLE, ALTHOUGH VIOLENCE HAS BEEN TRENDING DOWNWARD BOTH IN DORCHESTER AND THE CITY. THE 2023 BPHC REPORT FOUND THAT DORCHESTER EXPERIENCED PREMATURE MORTALITY RATES TWICE AS HIGH. ADDITIONALLY, THE RATE OF ASTHMA-RELATED HOSPITALIZATION AMONG CHILDREN AGES 5-17 IN DORCHESTER WAS AMONG THE HIGHEST IN THE CITY, AND THE NEIGHBORHOOD'S RESIDENTS EXPERIENCE A HIGH PREVALENCE OF CHRONIC DISEASES LIKE OBESITY AMONG ADULTS. COMPARED TO THE CITY AVERAGE, DORCHESTER HAD HIGH RATES OF INFANTS BORN WITH LOW BIRTHWEIGHT AS WELL AS HIGH RATES OF INFANT MORTALITY COMPARED TO THE CITY AVERAGE. FINALLY, DORCHESTER'S AGE-ADJUSTED SUBSTANCE USE MORTALITY RATE HAS RISEN 64.9% FROM 2017 TO 2022 AND IS THREE TIMES AS HIGH AS THAT OF MORE AFFLUENT BOSTON NEIGHBORHOODS.THE HEALTH PROFILE OF DORCHESTER, BASED ON TUFTS MC 2022 COMMUNITY SURVEY RESPONSES, INDICATES THAT THE TOP HEALTH CONCERNS ARE MENTAL HEALTH/DEPRESSION, COVID-19, AND ACCESS TO SPECIALTY CARE. THE TOP SOCIAL ISSUES ARE HOUSING STABILITY, DOMESTIC/INTERPERSONAL VIOLENCE, AND EDUCATION, WHILE THE TOP SAFETY ISSUES ARE DRUG TRAFFICKING, DISCRIMINATION BASED ON RACE, AND DISCRIMINATION BASED ON CLASS/INCOME. PARTICIPANTS FELT THAT THE PANDEMIC EXACERBATED EXISTING SOCIAL NEEDS AND GAPS AS WELL AS HEALTH CONCERNS. MENTAL HEALTH WAS THE TOP COMMUNITY HEALTH CONCERN, WITH YOUTH AND ADULT PARTICIPANTS FEELING THAT THERE ARE NOT ENOUGH CLINICIANS TO FILL THE NEED FOR MENTAL HEALTH SERVICES. OTHER HEALTH CONCERNS INCLUDE OBESITY, DIABETES, HEART DISEASE, LATE DIAGNOSED CANCER, AND BLACK MATERNAL HEALTH. FINANCIAL INSECURITY IS THE PRIMARY SOCIAL CONCERN, WHICH IMPACTS OTHER SOCIAL DETERMINANTS OF HEALTH SUCH AS HOUSING AND FOOD INSECURITY. HOUSING AFFORDABILITY AND GENTRIFICATION HAVE BECOME A GROWING CONCERN, AND ACCESS TO JOBS AND JOB TRAINING HAS RISEN AS A PRIORITY NEED.
PART VI, LINE 5:IN ADDITION TO PROVIDING FINANCIAL RESOURCES TO COMMUNITY-BASED HEALTH AND SERVICE ORGANIZATIONS THAT ADDRESS HEALTH ISSUES SPECIFIC TO THEIR CONSTITUENTS, TUFTS MC ADVANCES ITS COMMITMENT TO THE HEALTH OF ITS PATIENT AND PRIORITY COMMUNITIES THROUGH HOSPITAL-LED EFFORTS. THESE INCLUDE CLINICS ESTABLISHED TO MEET THE NEEDS OF NON-NATIVE ENGLISH SPEAKERS; SCHOOL-BASED CURRICULA THAT HELP STUDENTS LEARN ABOUT SMOKING, ASTHMA, DENTAL HEALTH, NUTRITION, SEXUAL HEALTH, SUBSTANCE USE, AND STRESS MANAGEMENT; SCREENINGS AND WORKSHOPS FOR VULNERABLE POPULATIONS; ASSISTING ELIGIBLE PATIENTS WITH SECURING FINANCIAL AND SOCIAL BENEFITS SUCH AS PUBLIC HEALTH INSURANCE; AND A COLLABORATION WITH THE BOSTON CHNA COLLABORATIVE TO DEEPEN AND EXPAND THE IMPACT OF MEMBER INSTITUTIONS' COMMUNITY BENEFITS ACTIVITIES. TUFTS MC ALSO PARTICIPATES IN COMMUNITY COALITIONS THAT WORK TO PRESERVE COMMUNITY ASSETS AND ADVANCE THE PHYSICAL, ECONOMIC, SOCIAL, AND CULTURAL HEALTH OF THE COMMUNITY. EXAMPLES OF THIS INCLUDE TUFTS MC'S ROLE IN PUBLIC SAFETY INITIATIVES, PROVIDING PARKING FOR FAITH-BASED INSTITUTIONS' CONGREGATION MEMBERS AND WEEKEND PARKING FOR LOCAL SMALL BUSINESS OWNERS' CUSTOMERS, AND VARIOUS WORKFORCE DEVELOPMENT ACTIVITIES TO HELP PREPARE AND/OR RECRUIT COMMUNITY MEMBERS FOR TUFTS MC EMPLOYMENT AND BEYOND.
PART VI, LINE 6:COMMUNITY HOSPITAL PARTNERSHIPSTUFTS MEDICAL CENTER HAS A RICH HISTORY OF PROVIDING MEDICAL CARE TO THE BOSTON COMMUNITY SINCE ITS FOUNDING. IN 2009 TUFTS MEDICAL CENTER LAUNCHED ITS DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WHICH PARTNERS WITH COMMUNITY HOSPITALS TO KEEP MORE CARE LOCALLY IN THE COMMUNITY. TUFTS MEDICAL CENTER IS PROUD TO PARTNER WITH EXCELLENT COMMUNITY HOSPITALS TO DELIVER THE HIGHEST QUALITY CARE IN THE MOST CONVENIENT MANNER FOR PATIENTS. WE STRONGLY BELIEVE THAT WHEN ACADEMIC MEDICAL CENTERS AND COMMUNITY HOSPITALS WORK SIDE-BY-SIDE, THE PATIENT AND THE HEALTH CARE SYSTEM BENEFIT. THROUGH OUR DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WE BRING TUFTS MEDICAL CENTER PHYSICIANS TO THE COMMUNITY - SAVING PATIENTS THE DRIVE INTO DOWNTOWN BOSTON AND TAKING ADVANTAGE OF THE EXCELLENT HOSPITALS IN THE CITIES AND TOWNS SURROUNDING BOSTON. WE ALSO CONSULT CLOSELY WITH OUR TALENTED PHYSICIAN COLLEAGUES WHO ARE PROVIDING OUTSTANDING SERVICES IN THE COMMUNITY ALREADY. AND WHEN EXCEPTIONALLY COMPLEX CARE IS NEEDED, THESE PARTNERSHIPS MEAN THE TRANSFER TO BOSTON IS WELL COORDINATED BETWEEN PHYSICIANS AND COMFORTABLE FOR THE PATIENT AND FAMILY MEMBERS.THROUGH PARTNERSHIPS WITH OTHER AREA HOSPITALS AND MEDICAL CENTERS, DOCTORS FROM TUFTS MC STAFF VARIOUS COMMUNITY MEDICAL FACILITIES. THIS ALLOWS MORE PATIENTS TO RECEIVE TOP-QUALITY CARE IN A LOCATION CLOSE TO HOME. TUFTS MC SPECIALISTS SEE PATIENTS AND PERFORM SOME TREATMENTS AND PROCEDURES LOCALLY. WHEN HIGH-LEVEL ADVANCED CARE IS NEEDED, TUFTS MC DOCTORS WORK WITH THE COMMUNITY PHYSICIANS TO ENSURE A SMOOTH PATIENT TRANSITION TO TUFTS MEDICAL CENTER IN BOSTON.TUFTS MEDICAL CENTER MAKES AN EXCELLENT CLINICAL PARTNER FOR TWO MAIN REASONS. FIRST, WE WORK WITH OUR PARTNER HOSPITALS TO KEEP MOST MEDICAL CARE LOCAL. THIS IS THE MOST CONVENIENT OPTION FOR PATIENTS AND THE MOST COST-EFFECTIVE OPTION FOR BOTH PATIENTS AND PROVIDERS. SECOND, TUFTS MEDICAL CENTER PROVIDES HIGH-QUALITY CARE AT REASONABLE COSTS. IN FACT, A REPORT BY THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE SAID THAT WE ARE THE MOST AFFORDABLE ADVANCED CARE OPTION IN BOSTON.PATIENTS MAY EXPERIENCE OUR AFFILIATION WITH COMMUNITY HOSPITALS IN ANY NUMBER OF WAYS, SUCH AS:- A PEDIATRIC HOSPITALIST CARING FOR A SICK CHILD ON THE PEDIATRIC UNIT OF A COMMUNITY HOSPITAL- A CARDIOLOGIST PERFORMING CARDIAC CATHETERIZATIONS IN THE COMMUNITY- OUR EXPERT WEIGHT AND WELLNESS CENTER TEAM PROVIDING SUPPORT AND SURGERIES IN THE COMMUNITY - OUR TRAUMA TEAM PREPARING FOR AN URGENT TRANSFER FROM A COMMUNITY HOSPITAL- OUR NEUROLOGY TEAM PROVIDING A CONSULT ON A STROKE PATIENT IN A COMMUNITY EMERGENCY DEPARTMENT- CARDIOLOGY EXPERTS FROM THROUGHOUT THE REGION MEETING TO DISCUSS BEST PRACTICE FOR TREATING HEART FAILURE PATIENTS- COORDINATED CARE PROTOCOLS BETWEEN INSTITUTIONS AND CARE SETTINGSADULT AFFILIATE HOSPITALSMETROWEST MEDICAL CENTER (FRAMINGHAM, MA)PEDIATRIC AFFILIATE HOSPITALSLAWRENCE GENERAL HOSPITAL (LAWRENCE, MA)LOWELL GENERAL HOSPITAL (LOWELL, MA)METROWEST MEDICAL CENTER (FRAMINGHAM, MA)SIGNATURE HEALTHCARE BROCKTON HOSPITAL (BROCKTON, MA)
PART VI, LINE 7, REPORTS FILED WITH STATESMA
PART VI, LINE 4, COMMUNITY INFORMATION (CONTINUED)MOREOVER, THE COMMUNITY FACES SAFETY CONCERNS AS WELL. DORCHESTER RESIDENTS REPORTED FEELING UNSAFE IN THEIR NEIGHBORHOOD AT A RATE 10 PERCENTAGE POINTS ABOVE THE 14% CITY AVERAGE IN SOUTH DORCHESTER (24%), AND 20 POINTS ABOVE THE AVERAGE IN NORTH DORCHESTER (34%) ACCORDING TO THE BOSTON BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM. THESE SAFETY CONCERNS CAN EXACERBATE THE ALREADY PRESENT HEALTH ISSUES AND CREATE ADDITIONAL STRESS AND ANXIETY FOR RESIDENTS. SOUTH BOSTON IS A NEIGHBORHOOD OF APPROXIMATELY 37,000 RESIDENTS THAT CONTINUES TO UNDERGO CHANGES. HISTORICALLY CONSIDERED A WORKING-CLASS COMMUNITY WITH A SIGNIFICANT NUMBER OF PUBLIC HOUSING DEVELOPMENTS, LONG-TIME RESIDENTS ARE NOW EXPERIENCING INCREASING RENTS AND/OR DISPLACEMENT, ALONG WITH AN INFLUX OF NEWER RESIDENTS, RESULTING FROM A SHARP INCREASE IN NEW CONSTRUCTION AND HOUSING DEVELOPMENT IN THE AREA.DATA FROM THE CENSUS BUREAU SHOW A 26% INCREASE IN THE POPULATION BETWEEN 2000 AND 2017. DURING THIS PERIOD, THE NUMBER OF CHILDREN UNDER AGE 18 AND SENIORS OVER AGE 65 (AND THE PROPORTION OF THE POPULATION THEY MADE UP) DROPPED; THUS, THE RISE IN POPULATION IS ATTRIBUTED LARGELY TO WORKING-AGE ADULTS. ACCORDING TO 2024 BOSTON PLANNING & DEVELOPMENT AGENCY DATA, COMPARED TO TUFTS MC'S OTHER PRIORITY NEIGHBORHOODS AS A WHOLE, SOUTH BOSTON HAS A MUCH LARGER PERCENTAGE OF WHITE NON-HISPANIC RESIDENTS (76.8%), AND MUCH SMALLER PERCENTAGES OF FOREIGN-BORN RESIDENTS (12%) AND RESIDENTS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (16%). HOWEVER, SOUTH BOSTON HAS A SIZABLE COMMUNITY OF HISPANIC AND LATINO/A RESIDENTS (10.4%) AND ASIAN RESIDENTS (5.5%). SOUTH BOSTON HAS A BIGGER YOUNG ADULT POPULATION THAN TUFTS MC'S OTHER PRIORITY COMMUNITIES OR BOSTON AS A WHOLE, WITH 18-29-YEAR OLDS MAKING UP 34% OF THE POPULATION. IT ALSO HAS A SMALLER POPULATION OR CHILDREN AND TEENS, WITH ONLY 9% UNDER 18 YEARS. NEARLY THREE QUARTERS (72.3%) OF SOUTH BOSTON RESIDENTS HAVE BACHELOR'S DEGREES OR HIGHER. THE HEALTH OF BOSTON'S 2023 REPORT FOUND THAT SOUTH BOSTON RESIDENTS EXPERIENCE THE FOURTH HIGHEST RATES OF SUBSTANCE USE MORTALITY IN THE CITY, AND THE RATE OF SUBSTANCE USE MORTALITY HAS INCREASED BY 33.9% FROM 2017 TO 2022. SOUTH BOSTON ALSO EXPERIENCED HIGHER AGE-ADJUSTED RATES OF CANCER MORTALITY COMPARED TO THE CITY AVERAGE.THE TUFTS MC 2022 COMMUNITY SURVEY FOUND THAT COVID-19, MENTAL HEALTH/DEPRESSION, AND SUBSTANCE USE WERE THE TOP HEALTH CONCERNS FOR SOUTH BOSTON RESIDENTS, WITH SUBSTANCE USE BEING UNIQUE TO THIS NEIGHBORHOOD. THE TOP SOCIAL ISSUES WERE CRIME, EDUCATION, AND EMPLOYMENT, AND THE TOP SAFETY CONCERNS WERE DRUG TRAFFICKING, DISCRIMINATION BASED ON CLASS/INCOME, AND VANDALISM. THE COVID-19 PANDEMIC LED TO A SIGNIFICANT INCREASE IN BEHAVIORAL HEALTH ISSUES, PARTICULARLY IN MENTAL HEALTH CRISES, SUBSTANCE USE, AND ADDICTION. OTHER HEALTH ISSUES WORSENED BY THE PANDEMIC INCLUDED OBESITY, DIABETES, AND CANCER, AND HEALTHCARE ACCESS WAS ALSO IDENTIFIED AS AN ISSUE. FINANCIAL SECURITY WAS A PRIORITY, WITH GENTRIFICATION AFFECTING HOUSING AND JOBS, AND ECONOMIC WELL-BEING WAS IDENTIFIED AS THE TOP SOCIAL ISSUE. ACCORDING TO THE BOSTON BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM SURVEY, SOUTH BOSTON RESIDENTS REPORTED FEELING PERSISTENT ANXIETY AND SADNESS AT RATES SIMILAR TO THE CITYWIDE AVERAGE, AND WERE SLIGHTLY MORE FINANCIALLY SECURE THAN BOSTON RESIDENTS ON AVERAGE. TRANSPORTATION DIFFICULTIES WERE SLIGHTLY HIGHER, BUT SOUTH BOSTON HAD THE SECOND-HIGHEST INSURANCE RATE OF ALL NEIGHBORHOODS IN BOSTON. THE SOUTH END IS IMMEDIATELY SOUTH OF TUFTS MC, ADJACENT TO CHINATOWN. IT IS A NEIGHBORHOOD KNOWN FOR ITS LARGE VICTORIAN ROW HOUSES DISTRICT BUILT BY MIDDLE CLASS RESIDENTS OF ENGLISH ANCESTRY IN THE 1850S. THE NEIGHBORHOOD'S DEMOGRAPHICS BEGAN TO CHANGE IN THE 1880S WHEN THE ORIGINAL RESIDENTS BEGAN TO BE REPLACED BY MIDDLE CLASS AFRICAN AMERICANS, IRISH, JEWISH, GREEK, PUERTO RICAN, AND CHINESE IMMIGRANTS. IN THE 1960S, THE SOUTH END WAS CONSIDERED ONE OF THE POOREST NEIGHBORHOODS IN THE CITY OF BOSTON. ITS RENAISSANCE BEGAN IN THE MID-1970S WHEN INDIVIDUALS BEGAN TO BUY AND RESTORE VICTORIAN ROW HOUSES, AND NON-PROFITS PURCHASED AND REHABILITATED HOUSES AS AFFORDABLE RENTALS FOR FAMILIES. THERE WAS ALSO NEW CONSTRUCTION FOCUSED ON MEETING THE NEEDS OF VERY LOW-INCOME FAMILIES AND SENIORS.CURRENTLY, THE SOUTH END AND SOUTH BOSTON ARE EXAMPLES OF BOSTON'S ROBUST ECONOMY AND BUILDING BOOM, AND NEW RESIDENTIAL DEVELOPMENTS ARE BEING CONSTRUCTED ON PARCELS WHICH WERE ONCE DESIGNATED FOR LIGHT INDUSTRIAL USE.THE LINE BETWEEN THE SOUTH END AND CHINATOWN IS NOT FIXED; THERE IS A SIZABLE POPULATION OF CHINESE FAMILIES LIVING IN WHAT IS TRADITIONALLY CONSIDERED THE SOUTH END. ACCORDING TO THE 2023 ACS, THE SOUTH END HAD A POPULATION OF APPROXIMATELY 28,000 RESIDENTS. ACCORDING TO 2024 BOSTON PLANNING AND DEVELOPMENT AGENCY DATA, THE MAJOR RACIAL/ETHNIC GROUPS WERE: WHITE NON-HISPANIC (55.4%), ASIAN (16.7%), LATINO/A (12.7%), BLACK/AFRICAN AMERICAN (10.7%), AND OTHER (4.4%). ABOUT A QUARTER ARE FOREIGN-BORN (23%) AND 38% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, WHICH IS SIMILAR TO BOSTON AS A WHOLE. LIKE SOUTH BOSTON, THE SOUTH END HAS SMALLER PERCENTAGES OF YOUTH AND TEENS THAN THE CITY OF BOSTON AS A WHOLE, WITH 10% OR MORE RESIDENTS UNDER 18 YEARS OLD. SLIGHTLY OVER HALF OF SOUTH END RESIDENTS (56%) HAVE BACHELOR'S DEGREES OR HIGHER. OVERALL, THE EDUCATIONAL ATTAINMENT OF SOUTH END ROUGHLY MIRRORS THE CITY OF BOSTON AS A WHOLE. ACCORDING TO THE 2023 HEALTH OF BOSTON REPORT, THE SOUTH END/CHINATOWN EXPERIENCES THE HIGHEST RATES OF MENTAL HEALTH EMERGENCY VISITS IN THE CITY, AS WELL AS SUBSTANCE USE MORTALITY RATES SIGNIFICANTLY ABOVE THE CITY AVERAGE. ASTHMA RATES ARE ALSO THE HIGHEST IN THE CITY, AND AGE-ADJUSTED DIABETES AND HEART DISEASE HOSPITALIZATIONS IN THE SOUTH END/CHINATOWN ARE HIGHER THAN THE CITY AVERAGE.THE TUFTS MC 2022 COMMUNITY SURVEY AND SECONDARY DATA INDICATE THAT RESIDENTS OF THE SOUTH END IN BOSTON WERE PRIMARILY CONCERNED ABOUT COVID-19, ACCESS TO SPECIALTY CARE, MENTAL HEALTH/DEPRESSION, HOUSING STABILITY, DISASTER READINESS AND EMERGENCY PREPARATION, EDUCATION, DISCRIMINATION BASED ON RACE AND SEX/GENDER, AND SMOKING. FINANCIAL INSECURITY AND JOB TRAINING/RESOURCES ARE SEEN AS SIGNIFICANT CONTRIBUTORS TO THESE CONCERNS. GENTRIFICATION AND RISING HOUSING COSTS HAVE LED TO A CHANGING CULTURAL MIX, PUSHING OUT IMMIGRANT AND LOW-INCOME FAMILIES, AND CAUSING STRESS FOR LONG-TERM CHINESE RESIDENTS WHO FEEL LIKE THEY DON'T BELONG IN THEIR COMMUNITY. THE SOUTH END ALSO CONTAINS AN AREA KNOWN AS "METHADONE MILE," WHERE HOMELESS ENCAMPMENTS AND OPEN-AIR SALE AND USE OF SUBSTANCES ARE PREVALENT. RISING PRICES FROM GENTRIFICATION HAVE CAUSED WEALTHIER FAMILIES TO LEAVE THE NEIGHBORHOOD, WHILE LOW-INCOME FAMILIES ARE PUSHED OUT.QUINCY HAS A SIGNIFICANT ASIAN POPULATION WITH STRONG SOCIAL AND CULTURAL TIES TO BOSTON'S CHINATOWN, COMPRISING ABOUT 6% OF TUFTS MC'S PATIENT POPULATION. IN 2023, QUINCY HAD A POPULATION OF 101,607. BETWEEN 2000 AND 2017, THE CITY SAW A GROWTH IN THE NUMBER OF BLACK AND LATINX RESIDENTS, AND MOST NOTABLY ASIAN RESIDENTS. QUINCY SITS JUST SOUTHEAST OF BOSTON AND IS HOME TO LARGE POPULATION OF CHINESE IMMIGRANTS, WITH ASIAN RESIDENTS MAKING UP 32.5% OF THE POPULATION (2023 AMERICAN COMMUNITY SURVEY). DATA FROM THE 2023 AMERICAN COMMUNITY SURVEY INDICATE THAT JUST OVER HALF OF QUINCY RESIDENTS ARE WHITE NON-HISPANIC (52%) AND NEARLY ONE-THIRD ARE ASIAN (32.5%). ONE-THIRD (32%) OF QUINCY RESIDENTS ARE FOREIGN-BORN AND 36.6% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE LARGEST AGE GROUP OF QUINCY RESIDENTS IS 35-64-YEAR-OLDS (348.8%). THERE ARE FEWER YOUNG ADULTS AGES 20-34 (27.2%) THAN IN THE CITY OF BOSTON AS A WHOLE (33.3%). EDUCATIONAL ATTAINMENT OF QUINCY RESIDENTS IS SIMILAR TO BOSTON, ALTHOUGH QUINCY HAS MORE RESIDENTS WITH ASSOCIATE'S DEGREES (7.5% VS 4.6%).
PART VI, LINE 4, COMMUNITY INFORMATION (CONTINUED)IN TUFTS MC'S 2022 COMMUNITY SURVEY, COVID-19, ACCESS TO SPECIALTY CARE, AND MENTAL HEALTH/DEPRESSION WERE THE TOP HEALTH CONCERNS OF COMMUNITY RESIDENTS. THE TOP SOCIAL ISSUES WERE HOUSING STABILITY, EDUCATION, AND DOMESTIC/INTERPERSONAL VIOLENCE, WHILE THE TOP SAFETY CONCERNS WERE DISCRIMINATION BASED ON CLASS/INCOME, SEX/GENDER, AND IMMIGRATION STATUS. THE RISING POPULATION OF LIMITED ENGLISH SPEAKERS AND IMMIGRANTS IN QUINCY HAS WORSENED THESE CHALLENGES, WITH CHRONIC DISEASE AND CANCER REMAINING ONGOING HEALTH CONCERNS. FINANCIAL AND FOOD INSECURITY HAVE GROWN SIGNIFICANTLY DURING THE PANDEMIC, ALONG WITH MENTAL HEALTH ISSUES AND DOMESTIC VIOLENCE. THE LACK OF PROVIDERS WHO CAN SPEAK THE LANGUAGE AND UNDERSTAND THE CULTURE OF THEIR PATIENTS HAS ALSO BEEN IDENTIFIED AS A CHALLENGE. QUINCY HAS HIGHER MORTALITY RATES FOR CANCER, SUBSTANCE USE, AND OPIOID USE COMPARED TO THE STATE OF MASSACHUSETTS, WITH HIGHER RATES OF COPD-RELATED HOSPITALIZATIONS, POISONING-RELATED ED VISITS, AND MORTALITY ACCORDING TO DATA PROVIDED BY THE MASSACHUSETTS DEPARTMENT OF HEALTH.CARE TO BOSTON RESIDENTS AND SURROUNDING COMMUNITIES:TUFTS MC BELIEVES THAT CARING FOR OUR COMMUNITY HAPPENS BOTH WITHIN AND OUTSIDE THE WALLS OF THE INSTITUTION. DATA HAVE SHOWN THAT MANY FACTORS CAN HINDER PATIENT ACCESS TO HIGH QUALITY HEALTH CARE, INCLUDING THE LINGUISTIC AND CULTURAL COMPETENCY OF HEALTH CARE PROVIDERS. TO INCREASE ACCESS TO HOSPITAL SERVICES, TUFTS MC CONTINUES A LONG-STANDING COMMITMENT TO HEALTH EQUITY WHICH INVOLVES INCREASING CULTURAL COMPETENCY AMONG OUR MEDICAL PROVIDERS AND TO IMPROVE LANGUAGE ACCESS WHEREVER POSSIBLE. THE WORKING DEFINITION OF CULTURAL COMPETENCY THAT HELPS TO SHAPE AND DRIVE POLICIES AND CARE DELIVERY AT TUFTS MC IS AS FOLLOWS:THE ABILITY TO UNDERSTAND AND RESPECT THE DIFFERENCES AMONG PEOPLE AND USE OUR UNDERSTANDING TO INFLUENCE OUR INTERACTIONS WITH ONE ANOTHER; THIS INVOLVES DEVELOPING OUR CAPABILITY OF DELIVERING PATIENT-CENTERED SERVICES CONSISTENT WITH THE NEEDS AND EXPECTATIONS OF VARIOUS CULTURES.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL DANDORPH
TRUSTEE$0$1,330,398$0$381,250$0$14,502$0$335,493$0$24,218$0$2,085,861$0$0
MICHAEL TARNOFF MD
CEO/TRUSTEE (UNTIL 3/24)$1,021,741$0$157,590$0$14,502$0$168,685$0$28,084$0$1,390,602$0$0$0
PHIL OKALA
TRUSTEE/INTERIM PRESIDENT/COO$0$514,551$0$600,000$0$6,693$0$5,018$0$11,240$0$1,137,502$0$0
DIANA RICHARDSON
SENIOR VP & COO (UNTIL 3/24)$693,514$0$165,372$0$29,150$0$103,704$0$14,322$0$1,006,062$0$16,203$0
JASON HALL
TRUSTEE$0$825,000$0$86,875$0$2,242$0$0$0$822$0$914,939$0$0
MARVIN A KONSTAM MD
TRUSTEE (UNTIL 2/24)$0$629,030$0$47,754$0$11,124$0$33,000$0$24,687$0$745,595$0$0
F CLARISSA YANG
FORMER TRUSTEE$0$588,350$0$114,820$0$1,810$0$33,000$0$2,187$0$740,167$0$0
ERIKA WERNER
TRUSTEE$0$588,034$0$61,250$0$41,143$0$13,750$0$20,657$0$724,834$0$0
REZA VAGEFI MD
TRUSTEE$0$643,611$0$60,000$0$540$0$0$0$18,041$0$722,192$0$0
ERIK GARPESTAD
CMO/SVP MEDICAL STAFF$539,606$0$55,682$0$77,942$0$10,710$0$14,258$0$698,198$0$73,997$0
ZACHARY REDMOND ESQ
SECRETARY$0$458,977$0$88,250$0$52,036$0$46,240$0$23,909$0$669,412$0$41,693
KAREN FREUND MD
TRUSTEE$0$546,405$0$41,625$0$6,858$0$33,000$0$24,687$0$652,575$0$0
JEFFREY WEINSTEIN
FORMER TRUSTEE$0$32,364$0$0$0$568,824$0$0$0$0$0$601,188$0$73,524
KARA GREER
SVP CHIEF TALENT OFFICER$373,652$0$140,000$0$9,166$0$60,510$0$14,184$0$597,512$0$8,575$0
THERESE HUDSON-JINKS
SENIOR VP & CNO$406,842$0$52,364$0$33,002$0$66,559$0$7,388$0$566,155$0$30,131$0
NIOBIS DEL CARMEN QUEIRO
FORMER KEY EMPLOYEE$0$41,596$0$0$0$474,432$0$0$0$2,081$0$518,109$0$131,293
ASSAD SIDDIQI
SVP/TREASURER (UNTIL 7/24)$398,632$0$40,800$0$380$0$59,289$0$8,611$0$507,712$0$0$0
SARAH MCKAY
VP OF PATIENT CARE$354,626$0$40,000$0$35,961$0$49,230$0$27,716$0$507,533$0$35,404$0
DOUGLAS CIVIELLO
CHIEF PERFUSIONIST$414,357$0$1,031$0$397$0$8,783$0$27,688$0$452,256$0$0$0
PAUL SUMMERGRAD MD
FORMER TRUSTEE$0$350,248$0$0$0$10,424$0$32,917$0$24,105$0$417,694$0$0
NANCY WEATHERBEE
DIRECTOR OF RESEARCH$183,690$0$90,000$0$123,729$0$6,930$0$5,098$0$409,447$0$0$0
LAUREN RIPLEY ESQ
ASSISTANT SECRETARY$0$198,429$0$11,500$0$164$0$5,319$0$7,408$0$222,820$0$0
DEEB N SALEM MD
FORMER TRUSTEE$0$98,505$0$0$0$75,607$0$5,500$0$22,146$0$201,758$0$74,577

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BLINE 4A: JEFFREY WEINSTEIN RECEIVED $495,300 IN SEVERANCE PAY DURING CALENDAR YEAR 2023. NANCY WETHERBEE RECEIVED $80,731 IN SEVERANCE PAY DURING CALENDAR YEAR 2023. NIOBIS DEL CARMEN QUEIRO RECEIVED $341,835 IN SEVERANCE PAY DURING CALENDAR YEAR 2023.
990, PART VII, SECTION A. LINE 5HELEN BOUCHER, M.D. RECEIVED COMPENSATION FROM TUFTS UNIVERSITY, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO TUFTS MEDICINE, INC.
PART 1, LINE 4B:SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: ASSAD SIDDIQI: $52,365 DIANA RICHARDSON: $88,247 KARA GREER: $51,870 MICHAEL DANDORPH: $321,300 SARAH MCKAY: $39,330 THERESE HUDSON-JINKS: $56,659 ZACHARY REDMOND: $39,447 MICHAEL TARNOFF $156,689

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
A04343181457584YPN32019-02-20$348,515,000SEE SUPPLEMENTAL INFORMATION00Yes (1)
MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
B0434318140000000002020-07-16$181,020,000SEE SUPPLEMENTAL INFORMATION00Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYr
A$41,419,440$375,193,686$128,242,504$233,627,942$13,323,240Yes (1)0Yes (1)Yes (1)
B$15,764,211$201,154,365$137,697,815$57,847,039Yes (1)0Yes (1)Yes (1)$5,609,5112022

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
BYes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2024
PART ITUFTS MEDICAL CENTER, INC. HEREIN REPORTS, FOR FY 24, THE FULL AMOUNT OF THE 2019 AND 2020 BOND ISSUES, CONSISTENT WITH THE INTERNAL ACCOUNTING FOR THE INDEBTEDNESS AMONGST THE MEMBERS OF THE OBLIGATED GROUP AS OF SEPTEMBER 30, 2024. THE BOND INDEBTEDNESS WAS ALLOCATED DIFFERENTLY, FOR INTERNAL ACCOUNTING PURPOSES, AMONGST THE OTHER MEMBERS OF THE OBLIGATED GROUP IN PRIOR YEARS. THE VARIOUS MEMBERS OF THE OBLIGATED GROUP FILED SEPARATE FORMS 990 SCHEDULE K FOR SUCH PRIOR YEARS TO REPORT THEIR THEN ALLOCATED SHARES OF THE BOND ISSUES.
PART I, LINE A, COLUMN FDESCRIPTION OF BOND PURPOSE: A. THE ISSUANCE OF BONDS AND THE LOAN OF THE PROCEEDS THEREOF IS TO (1) REFINANCE CERTAIN OUTSTANDING INDEBTEDNESS OF OR ISSUED FOR THE BENEFIT OF THE INSTITUTION, AS FUTHER IDENTIFIED BELOW, (2) FINANCE CONSTRUCTION, RENOVATION AND IMPROVEMENTS AT AND ACQUISTIONS AND EQUIPMENT FOR THE ACUTE CARE HOSPITAL AND RELATED FACILITIES OWNED AND/OR OPERATED BY TUFTS MEDICAL CENTER, (3) FUND A DEBT SERVICE RESERVE FUND, AND (4) PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS. FURTHER IDENTIFICATION OF BOND PURPOSE - REFINANCINGS SERIES A BONDS WERE ISSUED FOR THE 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 7THE AMOUNTS REPORTED AS TOTAL PROCEEDS EXCEED THE RESPECTIVE ISSUE PRICE DUE TO BOND PREMIUM.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$543,678NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:WE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN, AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. WE DEDICATE OURSELVES TO FURTHERING OUR RICH TRADITION OF HEALTH CARE INNOVATION, LEADERSHIP, CHARITY AND THE HIGHEST STANDARD OF CARE TO ALL IN OUR COMMUNITY. TO PROVIDE LONG-TERM CARE FOR CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED.
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO AND CONTROLLER REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. A COPY OF THE FORM 990 AS IT WILL BE ULTIMATELY FILED IS POSTED TO AN INTERNAL WEBSITE. PRIOR TO FILING, THE ORGANIZATION EMAILS ALL OF ITS GOVERNING BODY MEMBERS A LINK TO A PASSWORD PROTECTED WEBSITE, ADVISING THEM THAT THE FORM 990 IS AVAILABLE FOR REVIEW ON THAT SITE.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ENFORCES COMPLIANCE BY PROCEDURES INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE APPROPRIATE HEAD OF THE DEPARTMENT AND REVIEWED BY LEGAL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES MET ON JUNE 14, 2023 TO REVIEW INCENTIVE PAYOUTS FOR 2023. 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 WITHIN MARKET AVERAGES, THE PROCESS HAS NOT CHANGED SINCE THEN. THE LAST MEETING WAS HELD JUNE 14, 2023.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER BY MAIL OR IN PERSON AT THE OFFICE, DEPENDING ON THE FORM OF THE REQUEST.
FORM 990, PART VI, SECTION B., LINE 16A:TUFTS MEDICAL CENTER, INC. OWNS A 65% INTEREST IN SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT, LLC.
FORM 990, PART VI, SECTION B., LINE 16B:THE ORGANIZATION ROUTINELY CONSULTS WITH INTERNAL AND OUTSIDE COUNSEL PRIOR TO ENTERING INTO JOINT VENTURE ARRANGEMENTS. THE ORGANIZATION IS CURRENTLY CONSIDERING IMPLEMENTATION OF WRITTEN POLICIES AND PROCEDURES TO EVALUATE PARTICIPATION OF JOINT VENTURE ARRANGEMENTS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
FORM 990, PART XI, LINE 9:TRANSFER OF NET ASSETS -414,376,000. PENSION-RELATED ADJUSTMENTS -5,933,000. OTHER COMPONENTS OF NET PERIODIC PENSION COSTS -2,307,000. NET ASSETS RELEASED FROM RESTRICTION -1,237,000. OTHER ADJUSTMENTS 625,928.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
MONTVALE PETCT LLC
100 BAYVIEW CIRCLE SUITE 400NEWPORT BEACHCA92660270325022CAT SCANDEMELROSEWAKEFIELD HEALTHCARE INCRELATED00
SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC
800 WASHINGTON STREETBOSTONMA02111320558307MEDICAL SERVICES (MRI)MATUFTS MEDICAL CENTER INCRELATED0Yes (1)$2,765,113$802,5940.65000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

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

Transactions Related Org TransactionsRelatedOrgGrp (30 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
L$1,716,338BOOK BASIS
PRATT ANESTHESIOLOGY ASSOCIATES INC
L$7,240,196BOOK BASIS
PRATT DERMATOLOGY ASSOCIATES INC
L$654,107BOOK BASIS
PRATT ENT ASSOCIATES INC
L$220,730BOOK BASIS
PRATT MEDICAL GROUP INC
L$8,242,379BOOK BASIS
PRATT NEUROLOGY ASSOCIATES INC
M$214,999BOOK BASIS
PRATT NEUROSURGERY ASSOCIATES INC
L$2,621,903BOOK BASIS
PRATT OBGYN ASSOCIATES INC
M$301,098BOOK BASIS
PRATT OPTHAMOLOGY ASSOCIATES INC
M$11,961,611BOOK BASIS
PRATT ORTHOPEDIC ASSOCIATES INC
M$1,110,187BOOK BASIS
PRATT PATHOLOGY ASSOCIATES INC
L$463,766BOOK BASIS
PRATT PEDIATRIC ASSOCIATES INC
M$25,504,838BOOK BASIS
PRATT PSYCHIATRIC ASSOCIATES INC
M$6,612,711BOOK BASIS
PRATT RADIATION ONCOLOGY ASSOCIATES INC
M$677,066BOOK BASIS
PRATT RADIOLOGY ASSOCIATES INC
M$1,660,099BOOK BASIS
PRATT REHABILITATION MEDICINE ASSOCIATES INC
M$2,529,051BOOK BASIS
PRATT SURGICAL ASSOCIATES INC
L$3,878,174BOOK BASIS
PRATT UROLOGY ASSOCIATES INC
M$1,478,461BOOK BASIS
TMC PHYSICIAN ORGANIZATION INC
L$14,770,738BOOK BASIS
HALLMARK HEALTH MEDICAL ASSOCIATES
R$350,000BOOK BASIS
NEW ENGLAND QUALITY CARE ALLIANCE INC
R$2,034,048BOOK BASIS
TUFTS MEDICINE CARE AT HOME INC
R$26,898,017BOOK BASIS
CIRCLE HEALTH PHYSICIANS
S$191,824BOOK BASIS
LOWELL GENERAL HOSPITAL
S$86,535,661BOOK BASIS
MELROSEWAKEFIELD HEALTHCARE
S$66,596,298BOOK BASIS
TMC PHYSICIAN ORGANIZATION INC
S$94,370,413BOOK BASIS
TUFTS MEDICINE PHARMACY
R$4,965,525BOOK BASIS
TUFTS MEDICINE INC
S$200,994,614BOOK BASIS
TUFTS MEDICAL CENTER PARENT INC
D$1,000,000BOOK BASIS
TUFTS MEDICINE INC
E$129,474,000BOOK BASIS

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (2 entries)

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

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