2016-08-12T09:05:35-07:00 2015-09-30 990 2014-10-01 043159969 TRI-COUNTY MEDICAL ASSOCIATES INC TRI- 5084731480 9 INDUSTRIAL RD STE 5 MILFORD MA 01757 Philip Ciaramicoli President 5084731480 2016-08-12 2014 2016-09-27 15:27:22Z Philip Ciaramicoli 9 Industrial Rd Suite 5 Milford MA 01757 54208492 0 X www.tricountymedical.org X 1992 MA Tri-County Medical Associates is a large multi-specialty physician group practice with an emphasis on primary care. Our mission is to provide healthcare services to all individuals in our community with dignity, compassion, and a respect. The vision of Tri-County Medical Associates is to consistently meet the changing healthcare needs and expectations of the communities we serve. 8 3 466 0 0 0 0 0 51035882 54246681 6282 -38189 0 0 51042164 54208492 0 0 0 0 45145759 47218294 0 0 0 10512200 11549690 55657959 58767984 -4615795 -4559492 9533106 9407215 7968061 7515480 1565045 1891735 Our primary mission at Milford Regional Healthcare system, which includes Milford Regional Medical Center and Tri-County Medical Associates, is to provide exceptional healthcare services to all individuals in our community with dignity, compassion, and respect. 0 0 28841740 31393934 Primary Care- Tri-County Medical Associates has 15 primary care offices servicing the 20 communities of Central Massachusetts. Guided by its mission "to provide quality healthcare services to our community with dignity, compassion and respect", Tri-County strives to be responsive to diverse constituencies, individuals and families of all ages, employee and employers of large and small businesses, physicians and other healthcare providers. As a charitable organization, we acknowledge our special concern for the needs of the un-served and the underserved, especially the poor and minority populations. Our 45 primary care providers concentrate in the three following disciplines: Internal Medicine, Family Medicine, and Pediatrics. Patients of Tri-County Medical Associates visited our primary care offices approximately 157,140 times in 2015. These primary care providers work in collaboration with specialists and the hospitals in our service area using a team approach to provide the best health care possible for the members of our community. Over the past several years, Tri-County Medical Associates has made significant strides in the area of healthcare technology. For more efficient, cost effective and well-coordinated care, the group has adopted an electronic medical record system and a patient portal to allow our patients to communicate with their physicians electronically. The availability of quality primary care is a priority to our organization, supports the mission of Tri-County Medical Associates, and strengthens its ability to reach its important strategic goals related to patient care. 19578685 17774064 Specialist Care- Tri-County Medical Associates has 13 specialist groups servicing the 20 communities of central Massachusetts. The group of 35 specialists includes pulmonary and critical care, rheumatology, urology, obstetrics and gynecology, endocrinology, sleep medicine, ear, nose & throat, and more. Our Lung Allergy and Sleep Pulmonary & Critical Care specialists have expertise in a range of respiratory conditions including but not limited to: lung cancer diagnosis and treatment; chronic obstructive lung diseases including asthma; pulmonary vascular disease including pulmonary hypertension; respiratory failure; and lung infections. Our Rheumatologist specializes in the diagnosis and treatment of arthritis and other diseases of the muscles, joints, and bones. Our Urologists perform the evaluation and treatment of diseases of the male and female urinary tract. Our Obstetrics & Gynecology providers manager pregnancy, labor, and childbirth, as well as the diagnosis and treatment of disease of the female reproductive system. Our Endocrinologist specializes in diagnosing and treating diseases that affect the endocrine system. In addition, we work closely with the diabetes program at Milford Regional Medical Center to provide a range of services to help optimize diabetes management. Our Sleep center conducts polysomnograms to diagnose various sleep disorders, the most common of which is Obstructive Sleep Apnea. Our Ear, Nose and Throat specialists are trained in the medical and surgical treatment of the ears, nose, throat and related structures of the head and neck. As Medical Director of the Breast Center, our Surgical Breast specialists develops a multi-disciplinary team approach to all issues related to breast health and diseases. 7401897 5078683 Inpatient Care- Tri-County Medical Associates has an active hospitalist program that serves the inpatients at Milford Regional Medical Center. Our 19 hospitalists work in collaboration with our primary care physicians to provide well coordinated care to our patients while they are hospitalized. The hospitalists can also make on-the-spot decisions about patient care, follow up on test results and modify treatment plans immediately, if necessary. They provide continuity of care, answer questions and provide emotional support to patients and their families. 0 0 0 55822322 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 57 0 0 466 1 0 0 0 0 0 0 X 8 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X Carman Yee 5084731480 9 Industrial Rd Suite 5 Milford MA 01757 Kevin Meehan Chairman 1 X 0 0 0 John Burns Clerk 1 X 0 0 0 William Burrill Trustee 1 X 0 0 0 Jeffrey Hopkins Trustee 1 X 0 3050 0 Tina Robakiewicz Trustee 50 X 264606 28400 28468 Elizabeth Siraco Trustee 50 X 254716 1600 8906 Monica Woodward Trustee 50 X 316044 12000 29291 Robert Kilroy Trustee 1 0 X 0 0 0 Philip Ciaramicoli President 50 X 408434 0 42886 Frederick Curley Physician 50 X 474580 72000 25339 Sanjaya Kumar Physician 50 X 551216 1000 9976 Neal Gehani Physician 50 X 481948 50600 10608 Eddie Michli Physician 50 X 514908 0 25885 Michael McCormick Physician 50 X 418919 40000 25957 3685371 208650 207316 112 0 1 0 UMASS Memorial Medical Center 306 Belmont Street Suite 150 Worcester MA 01604 Physician Services 463110 Riverside Community Care 270 Bridge Street Dedham MA 02026 Physician Services 284917 Balanced Healthcare Receivables LLC 164 Burke Street Suite 201 Nashua NH 03060 Debt Collection 175984 Brigham and Women's Physician Organization 75 Frances Street Boston MA 02115 Physician Services 114131 4 0 Primary Physician Care 622000 31393934 31393934 0 0 Specialty Physician Care 622000 17774064 17774064 0 0 Inpatient Physician Care 622000 5078683 5078683 0 0 0 0 0 0 54246681 1424 1424 0 0 0 0 0 0 0 0 0 0 0 0 0 -39613 0 0 0 -39613 -39613 0 0 -39613 0 54208492 54248105 0 -39613 0 0 0 0 0 0 0 0 1332927 859913 473014 0 0 0 0 0 38620088 36957025 1663063 0 641655 612008 29647 0 4394070 4159895 234175 0 2229554 2108290 121264 0 379270 378270 1000 0 26017 26017 0 0 17150 17150 0 0 0 0 0 0 0 0 1250701 1136227 114474 0 0 0 0 0 63707 63707 0 0 5095939 4997682 98257 0 143970 136725 7245 0 0 0 0 0 2431760 2311531 120229 0 54326 26076 28250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 875763 875763 0 0 1148390 1101543 46847 0 Other expense 62697 54500 8197 0 0 0 0 0 58767984 55822322 2945662 0 109282 735437 0 0 0 0 4139189 3528472 0 0 0 0 0 0 367326 477423 2436368 2339629 10437436 8189430 2426242 2248006 0 0 0 0 0 0 0 0 54699 78248 9533106 9407215 7732688 7278270 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235373 237210 7968061 7515480 X 1565045 1891735 0 0 0 0 1565045 1891735 9533106 9407215 X -4559492 0 0 0 0 4886182 X 0 1 X 1 0 X X 1 Milford Regional Medical Center 042103602 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 8369177 6427937 1941240 0 2068259 1761493 306766 0 0 0 0 0 0 0 0 2248006 0 Estimated Third Party payer settlements 237210 237210 X 54208492 0 0 0 0 0 54208492 0 0 0 54208492 58767984 0 0 0 0 0 58767984 0 0 0 58767984 Schedule D, Part X, Line 2 A review has been performed of each organization's revenue streams in relation to FIN 48. The result of the review is that we did not generate any unrelated business income for the year ended September 30, 2015. X X X X X 0 1 0 1 0 0 0 0 0 Frederick Curley Physician 474580 72000 0 0 0 0 0 0 24368 971 498948 72971 0 0 Sanjaya Kumar Physician 551216 0 0 0 0 1000 0 0 9976 0 561192 1000 0 Neal Gehani Physician 481948 0 0 0 0 50600 0 0 10608 0 492556 50600 0 0 Eddie Michli Physician 514908 0 0 0 0 0 0 0 25885 0 540793 0 0 Michael McCormick Physician 418919 40000 0 0 0 0 0 0 25496 461 444415 40461 0 0 Philip Ciaramicoli President 332834 0 75600 0 0 0 27187 0 15699 0 451320 0 0 0 Monica Woodward Trustee 316044 12000 0 0 0 0 0 0 29021 270 345065 12270 0 0 Tina Robakiewicz Trustee 264606 0 0 0 0 28400 0 0 28468 0 293074 28400 0 0 Elizabeth Siraco Trustee 254716 0 0 0 0 1600 0 0 8906 0 263622 1600 0 0 Schedule J, Part I, Line 4 Philip Ciaramicoli $25,000 Schedule J, Part I, Line 5 The compensation model for physicians is reviewed and approved by the Board of Trustees. Compensation is based on a productivity model where the physicians are paid a fixed dollar amount for each Work Relative Value Unit (RVU). Work RVUs are determined by CMS (Medicare) to measure the work performed by the physician. Kevin Meehan Owner of Home National Realty Corporation 211250 Rent paid for Milford Internal Medicine, Caring for Women, and the Center for Adolescent Health 0 Kevin Meehan Owner of Regal Realty Associates 151279 Rent paid for Tri-County Internal Medicine 0 Kevin Meehan Owner of Imerial Chevrolet 1634 Paid for company truck maintenance at Imperial Chevrolet 0 Form 990, Part VI, Section B, Line 11b The Form 990 was provided to the Board of Trustees prior to filing via a link to the document. Form 990, Part VI, Section B, Line 12c The organization has a written Code of Business Conduct which states its conflict of interest policy. The By-laws of the Organization also include a Conflict of Interest section. Conflict of Interest disclosure statements are mailed annually to the Board of Trustees, senior management and any person who is a member of the Board committee. The completed form is submitted to the President and CEO who summarizes the results and provides them to the Board of Trustees for their review and discussion. A subcommittee of the Board has been created to review any potential conflict of interest matters as they arise. Form 990, Part VI, Section B, Line 15 The Compensation Committee approves all compensation plans and guidelines, as well as all compensation for the organization's key employees in accordance with such plans and guidelines. The committee may consult with a nationally recognized consultant to assist in determining that the organization's compensation structure and rangers are reasonable. Form 990, Part VI, Section C, Line 19 The organization makes it governing documents, such as its bylaws, which include the organization's conflict of interest policy, available to the public through the annual filing of the Massachusetts Division of Public Charities Form PC. The Form PC is available for viewing on the Massachusetts Attorney General's website and is also attached to the annual filing of the Massachusetts Form 3ABC which is submitted to town offices where the organization owns or leases property. The organization's financial statements are included in the Form PC filing. Form 990, Part XI, Line 9 Transfer from Milford Regional Medical Center. Milford Regional Medical Center 14 Prospect Street Milford MA 01757 042103602 Hospital MA 501(c)(3) N/A 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 1 Milford Regional Medical Center j 76062 Milford Regional Medical Center k 27700 Milford Regional Medical Center p 186601 Milford Regional Medical Center q 2852058 Milford Regional Medical Center s 7600000