2015-08-17T08:36:15-05:00 2014-09-30 263753134 CBIZ TOFIAS 500 BOYLSTON STREET BOSTON MA 02116 990 2013-10-01 043044706 TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC TUFT 6176365000 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 THEODORE BUKOWSKI CMPE TREASURER,SVP/CFO 6176365000 2015-08-12 1 CRAIG KLEIN P00734640 6177610600 2015-08-12 2013 2016-03-07 17:11:31Z THEODORE BUKOWSKI 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 18883168 0 3952 X TUFTSMEDICALCENTER.ORG X 1992 MA THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. COORDINATES THE ADMINISTRATIVE AND BILLING ACTIVITIES FOR THE GROUP PRACTICES IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO PATIENTS OF TUFTS MEDICAL CENTER, INC. AND TO THE RESIDENTS OF THE COMMUNITIES IT SERVES. 13 3 13 0 0 0 0 0 20474780 18726390 210576 156778 3280279 0 23965635 18883168 0 0 0 0 10322796 11067705 0 0 0 5464466 5160232 15787262 16227937 8178373 2655231 55270749 49298777 31919789 24657479 23350960 24641298 X THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. SUPPORTS THE TUFTS GROUP PRACTICES IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO THE PATIENTS OF TUFTS MEDICAL CENTER, INC. AND TO THE RESIDENTS OF THE COMMUNITY IT SERVES. 0 0 15232961 18726390 THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. SUPPORTS THE FOLLOWING CORPORATIONS (THE "GROUP PRACTICE"), ALL EXEMPT CORPORATIONS UNDER SECTION 501(C)(3), IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO PATIENTS OF TUFTS MEDICAL CENTER, INC. AND TO THE RESIDENTS OF THE COMMUNITY IT SERVES; 1. NEW ENGLAND MEDICAL CENTER GROUP PRACTICE, INC. D/B/A PRATT NEUROSURGICAL ASSOCIATES, INC., 2. PRATT ANESTHESIOLOGY ASSOCIATES, INC., 3. PRATT MEDICAL & SURGICAL DERMATOLOGY ASSOCIATES, INC., 4. PRATT NEUROLOGY ASSOCIATES, INC., 5. PRATT OB/GYN ASSOCIATES, INC., 6. PRATT OPHTHALMOLOGY ASSOCIATES, INC., 7. PRATT OTOLARYNGOLOGY - HEAD & NECK SURGERY ASSOCIATES, INC., 8. PRATT PATHOLOGY ASSOICATES, INC., 9. PRATT PEDIATRIC ASSOCIATES, INC., 10. PRATT PSYCHIATRIC ASSOCIATES, INC., 11. PRATT RADIOLOGY ASSOCIATES, INC., 12. PRATT RADIATION ONCOLOGY ASSOCIATES, INC., 13. PRATT REHABILITATION MEDICINE ASSOCIATES, INC., 14. PRATT SURGICAL ASSOCIATES, INC., 15. PRATT UROLOGY ASSOCIATES, INC., 16. PRATT MEDICAL GROUP, INC., 17. PRATT ORTHOPEDIC ASSOCIATES, INC. THE ORGANIZATION COORDINATES THE ADMINISTRATIVE AND BILLING ACTIVITIES FOR THE GROUP PRACTICE AND CHARGES THEM FOR THESE SERVICES. 15232961 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 28 0 1 13 1 0 0 0 0 0 0 0 0 0 0 0 X 13 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X THEODORE BUKOWSKI CMPE 6176365000 800 WASHINGTON ST TMCPO 1013 BOSTON MA 02111 PAUL SUMMERGRAD MD INTERIM PRESIDENT/CEO/DIRECTOR 2.00 38.00 X X 0 351065 55913 CHESTER BLACK DIRECTOR 2.00 0.00 X 0 0 0 HELEN BOUCHER MD DIRECTOR 40.00 0.00 X 0 142763 20825 CHARLES CASSIDY MD DIRECTOR 2.00 38.00 X 0 845250 56215 PHILLIP GIUNTA DIRECTOR 2.00 0.00 X 0 0 0 CARL HEILMAN MD DIRECTOR 2.00 38.00 X 0 717934 56215 JEFFREY LASKER MD DIRECTOR 2.00 38.00 X 0 434088 90503 WILLIAM C MACKEY MD DIRECTOR 2.00 38.00 X 0 500772 56170 THOMAS MCGURTY MD DIRECTOR 2.00 0.00 X 0 0 0 DEEB SALEM MD DIRECTOR 2.00 38.00 X 0 693517 56215 MITCHELL STROMINGER MD DIRECTOR 40.00 0.00 X 0 286075 35700 EDGAR KENT YUCEL MD DIRECTOR 2.00 38.00 X 0 550287 56215 CHIBUEZE OKEY AGBA DIRECTOR 2.00 38.00 X 0 420880 88826 MICHAEL WAGNER MD DIRECTOR/CEO (UNTIL 4/2/2014) 38.00 2.00 X X 502151 0 56155 THEODORE BUKOWSKI CMPE TREASURER, SVP/CFO 38.00 2.00 X 315303 0 55792 DAVID BRILL SECRETARY 2.00 38.00 X 0 164581 10939 JEFFREY GROSS VP BUSINESS DEVELOPMENT 40.00 0.00 X 253358 0 45897 HENRY ISAACSON DIRECTOR OF ACCOUNTING/CONTROLLER 40.00 0.00 X 167631 0 40587 SAUL WEINGART MD CHIEF MEDICAL OFFICER 40.00 0.00 X 206676 0 10145 ANNE BELKNAP DIRECTOR OF FINANCIAL SERVICES 40.00 0.00 X 207019 0 26632 KAREN LEIBOLD DIRECTOR OF HR 40.00 0.00 X 183210 0 22228 JEFFREY WEINSTEIN ESQ FORMER SECRETARY 2.00 38.00 X 0 344161 69820 1835348 5451373 910992 11 1 1 0 GE HEALTHCARE IITS USA 15724 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 PROFESSIONAL SERVICES 532496 CERIDIAN PO BOX 10989 NEWARK NJ 07193 PROFESSIONAL SERVICES 210499 SCERIS 490 BOSTON POST ROAD SUDBURY MA 017763367 PROFESSIONAL SERVICES 206972 PATIENTKEEPER DEPT CH 16666 PALATINE IL 600556666 PROFESSIONAL SERVICES 204286 DONOGHUE BARRETT & SINGAL PC ONE BEACON STREET SUITE 1320 BOSTON MA 02108 LEGAL SERVICES 125206 8 SUPPORT REVENUE 561000 13998284 13998284 CLINIC, TEACH & ADMIN. 900099 4728106 4728106 18726390 156778 156778 18883168 18726390 0 156778 807150 645720 161430 8717323 8717323 191154 191154 1211910 1211910 140168 140168 147740 147740 240000 240000 90014 90014 390020 390020 35303 35303 58348 58348 830346 830346 DATA PROCESSING COSTS 1843739 1474991 368748 PROFESSIONAL EXPENSES 459291 459291 SUPPORT 413788 413788 PRINTING & PUBLICATION 266351 266351 385292 308234 77058 16227937 15232961 994976 0 12518885 9579326 5107304 5319525 1399006 1122396 170115 276610 37474445 34123316 55270749 49298777 7378448 3047421 24541341 21610058 31919789 24657479 X 23350960 24641298 23350960 24641298 55270749 49298777 X 2655231 -11069 -1353824 X 0 1 X 1 0 X X X 0 0 0 NEW ENGLAND MEDICAL CENTER GROUP PRACTICE INC 043096445 9 0 0 1 0 PRATT ANESTHESIOLOGY ASSOCIATES INC 043148395 9 0 0 1 0 PRATT MEDICAL & SURGICAL DERMATOLOGY ASSOCIATES INC 043148397 9 0 0 1 0 PRATT NEUROLOGY ASSOCIATES INC 043148384 9 0 0 1 0 PRATT OBGYN ASSOCIATES INC 043148385 9 0 0 1 0 PRATT OPHTHALMOLOGY ASSOCIATES INC 043148392 9 0 0 1 0 PRATT OTOLARYNGOLOGY - HEAD & NECK SURGERY ASSOCIATES INC 043148381 9 0 0 1 0 PRATT PATHOLOGY ASSOCIATES INC 043148393 9 0 0 1 0 PRATT PEDIATRIC ASSOCIATES INC 043148394 9 0 0 1 0 PRATT PSYCHIATRIC ASSOCIATES INC 043148387 9 0 0 1 0 PRATT RADIOLOGY ASSOCIATES INC 043148388 9 0 0 1 0 PRATT RADIATION ONCOLOGY ASSOCIATES INC 043148389 9 0 0 1 0 PRATT REHABILATION MEDICINE ASSOCIATES INC 043148378 9 0 0 1 0 PRATT SURGICAL ASSOCIATES INC 043148376 9 0 0 1 0 PRATT UROLOGY ASSOCIATES INC 043148379 9 0 0 1 0 PRATT MEDICAL GROUP INC 042743894 9 0 0 1 0 PRATT ORTHOPEDIC ASSOCIATES INC 205129051 9 0 0 1 0 17 0 81991 64315 17676 927628 762101 165527 389387 295980 93407 276610 DUE FROM AFFILIATES 3557276 OTHER LONG TERM ASSETS 30566040 34123316 DUE TO AFFILIATES -11788952 NEMC, INC. INSURANCE LIABILITY RESERVE 29869494 OTHER LIABILITIES 3529516 21610058 X X X 0 1 0 0 0 0 0 0 0 PAUL SUMMERGRAD MD INTERIM PRESIDENT/CEO/DIRECTOR 0 296970 0 25697 0 28398 0 35700 0 20213 0 406978 0 0 HELEN BOUCHER MD DIRECTOR 0 136420 0 0 0 6343 0 20825 0 0 0 163588 0 0 CHARLES CASSIDY MD DIRECTOR 0 634670 0 201673 0 8907 0 35700 0 20515 0 901465 0 0 CARL HEILMAN MD DIRECTOR 0 659222 0 50305 0 8407 0 35700 0 20515 0 774149 0 0 JEFFREY LASKER MD DIRECTOR 0 433573 0 0 0 515 0 65800 0 24703 0 524591 0 0 WILLIAM C MACKEY MD DIRECTOR 0 462670 0 28571 0 9531 0 35700 0 20470 0 556942 0 0 DEEB SALEM MD DIRECTOR 0 511429 0 168280 0 13808 0 35700 0 20515 0 749732 0 0 MITCHELL STROMINGER MD DIRECTOR 0 249212 0 23348 0 13515 0 35700 0 0 0 321775 0 0 EDGAR KENT YUCEL MD DIRECTOR 0 477420 0 49815 0 23052 0 35700 0 20515 0 606502 0 0 CHIBUEZE OKEY AGBA DIRECTOR 0 416167 0 0 0 4713 0 61911 0 26915 0 509706 0 0 MICHAEL WAGNER MD DIRECTOR/CEO (UNTIL 4/2/2014) 477771 0 0 0 24380 0 35700 0 20455 0 558306 0 0 0 THEODORE BUKOWSKI CMPE TREASURER, SVP/CFO 258520 0 52444 0 4339 0 35700 0 20092 0 371095 0 0 0 DAVID BRILL SECRETARY 0 164473 0 0 0 108 0 0 0 10939 0 175520 0 0 JEFFREY GROSS VP BUSINESS DEVELOPMENT 175880 0 72504 0 4974 0 25948 0 19949 0 299255 0 0 0 HENRY ISAACSON DIRECTOR OF ACCOUNTING/CONTROLLER 141440 0 22185 0 4006 0 20706 0 19881 0 208218 0 0 0 SAUL WEINGART MD CHIEF MEDICAL OFFICER 201518 0 0 0 5158 0 0 0 10145 0 216821 0 0 0 ANNE BELKNAP DIRECTOR OF FINANCIAL SERVICES 172499 0 34300 0 220 0 24010 0 2622 0 233651 0 0 0 KAREN LEIBOLD DIRECTOR OF HR 142984 0 31467 0 8759 0 22228 0 0 0 205438 0 0 0 JEFFREY WEINSTEIN ESQ FORMER SECRETARY 0 333729 0 1366 0 9066 0 52450 0 17370 0 413981 0 0 PART I, LINE 4B SECTION 457(F) RETIREMENT PLAN: CHIBUEZE OKEY AGBA, $56,811 JEFFREY A. WEINSTEIN, $47,350 FORM 990, PART VI, SECTION B, LINE 11 THE CFO AND DIRECTOR OF FINANCE REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. ALSO, THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW AND APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTERST POLICY BY REGULAR CONTACT WITH AND QUESTIONNAIRES OF ALL INDIVIDUALS WITH THE POTENTIAL FOR CONFLICT OF INTEREST. THE ORGANIZATION ENFORCES COMPLIANCE BY PROCEDURES INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE APPROPRIATE HEAD OF THE DEPARTMENT AND REVIEWED BY THE OFFICE OF LEGAL COUNSEL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION BOARD OF TRUSTEES MEETS AT LEAST ANNUALLY TO REVIEW AND APPROVE COMPENSATION FOR SENIOR EXECUTIVES AND DEPARTMENT CHAIRS. THE COMMITTEE REVIEWS EXTENSIVE COMPENSATION BENCHMARKS PROVIDED BY SULLIVAN AND COTTER. THE COMMITTEE ALSO REVIEWS AND APPROVES COMPENSATION LEVELS FOR NEW EXECUTIVES AND DEPARTMENT CHAIRS AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER TO RELATED PARTY -1,353,824. TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON MA 02111 043400617 HOSPITAL MA 501(C)(3) LINE 3 TUFTS MEDICAL CENTER PARENT INC 1 TUFTS MEDICAL CENTER PARENT INC 800 WASHINGTON STREET BOSTON MA 02111 042810022 FUNDRAISING MA 501(C)(3) LINE 11A, I N/A 0 NEW ENGLAND LONG-TERM CARE INC 800 WASHINGTON STREET BOSTON MA 02111 042912578 NURSING MA 501(C)(3) LINE 3 TUFTS MEDICAL CENTER PARENT INC 1 NEW ENGLAND QUALITY CARE ALLIANCE INC 800 WASHINGTON STREET BOSTON MA 02111 043040427 MEDICAL MA 501(C)(3) LINE 11A, I TUFTS MEDICAL CENTER PARENT INC 1 THE CAMERON M NEELY FOUNDATION 800 WASHINGTON STREET BOSTON MA 02111 043265628 SUPPORT TMC MA 501(C)(3) LINE 7 TUFTS MEDICAL CENTER PARENT INC 1 TUFTS MEDICAL CENTER REAL ESTATE CO INC 800 WASHINGTON STREET BOSTON MA 02111 042772654 SUPPORT TMC MA 501(C)(3) LINE 11A, I TUFTS MEDICAL CENTER PARENT INC 1 PRATT ANESTHESIOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043418395 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT MEDICAL AND SURGICAL ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148397 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT NEUROLOGY ASSOICIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148384 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT OBGYN ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148385 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT OPHTHALMOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148392 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT ORTHOPEDIC ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 205129051 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT OTOLARYNGOLOGY 800 WASHINGTON STREET BOSTON MA 02111 043148381 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT PATHOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148393 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT PEDIATRIC ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148394 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT PSYCHIATRIC ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148387 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT RADIOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148388 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT RADIATION ONCOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148389 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT REHABILITATION MEDICINE 800 WASHINGTON STREET BOSTON MA 02111 043148378 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT SURGICAL ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148376 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT UROLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148379 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 NEW ENGLAND MEDICAL CENTER 800 WASHINGTON STREET BOSTON MA 02111 043096445 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT MEDICAL GROUP INC 800 WASHINGTON STREET BOSTON MA 02111 042743894 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 HEART CENTER OF METROWEST INC 99 LINCOLN STREET FRAMINGHAM MA 01702 030390670 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 0 0 0 1 1 0 0 0 0 0 1 1 1 0 1 0 0 1 1 SEE FORM 990 PART VII O TUFTS MEDICAL CENTER INC K 390020 BOOK BASIS PRATT MEDICAL AND SURGICAL ASSOCIATES INC E 629547 BOOK BASIS PRATT NEUROLOGY ASSOICATES INC E 270965 BOOK BASIS PRATT PATHOLOGY ASSOCIATES INC E 4058348 BOOK BASIS PRATT RADIATION ONCOLOGY ASSOCIATES INC E 1369982 BOOK BASIS PRATT REHABILITATION MEDICINE E 438858 BOOK BASIS PRATT OPHTHALMOLOGY ASSOCIATES INC D 235360 BOOK BASIS PRATT ORTHOPEDIC ASSOCIATES INC E 2701802 BOOK BASIS PRATT ANESTHESIOLOGY ASSOCIATES INC D 378813 BOOK BASIS PRATT OTOLARYNGOLOGY D 662444 BOOK BASIS PRATT OBGYN ASSOCIATES INC D 3574768 BOOK BASIS PRATT PEDIATRIC ASSOCIATES INC D 5482087 BOOK BASIS PRATT PSYCHIATRIC ASSOCIATES INC D 2602895 BOOK BASIS PRATT RADIOLOGY ASSOCIATES INC D 654175 BOOK BASIS PRATT SURGICAL ASSOCIATES INC D 5260188 BOOK BASIS PRATT UROLOGY ASSOCIATES INC D 847779 BOOK BASIS PRATT MEDICAL GROUP INC D 1163636 BOOK BASIS NEW ENGLAND MEDICAL CENTER D 977794 BOOK BASIS NEW ENGLAND MEDICAL CENTER L 446592 BOOK BASIS PRATT ANESTHESIOLOGY ASSOCIATES INC L 1239154 BOOK BASIS PRATT MEDICAL AND SURGICAL ASSOCIATES INC L 312397 BOOK BASIS PRATT OTOLARYNGOLOGY L 316921 BOOK BASIS PRATT NEUROLOGY ASSOICATES INC L 225500 BOOK BASIS PRATT OBGYN ASSOCIATES INC L 898412 BOOK BASIS PRATT OPHTHALMOLOGY ASSOCIATES INC L 1664075 BOOK BASIS PRATT PATHOLOGY ASSOCIATES INC L 369854 BOOK BASIS PRATT PEDIATRIC ASSOCIATES INC L 1871626 BOOK BASIS PRATT PSYCHIATRIC ASSOCIATES INC L 274218 BOOK BASIS PRATT RADIOLOGY ASSOCIATES INC L 712917 BOOK BASIS PRATT RADIATION ONCOLOGY ASSOCIATES INC L 418467 BOOK BASIS PRATT REHABILITATION MEDICINE L 101195 BOOK BASIS PRATT SURGICAL ASSOCIATES INC L 798494 BOOK BASIS PRATT UROLOGY ASSOCIATES INC L 160088 BOOK BASIS PRATT MEDICAL GROUP INC L 3721023 BOOK BASIS PRATT ORTHOPEDIC ASSOCIATES INC L 467350 BOOK BASIS TUFTS MEDICAL CENTER INC M 10102543 BOOK BASIS NEW ENGLAND QUALITY CARE ALLIANCE INC D 50628 BOOK BASIS TUFTS MEDICAL CENTER INC D 2315266 BOOK BASIS