2014-08-14T13:25:56-05:00 2013-09-30 263753134 CBIZ TOFIAS 500 BOYLSTON STREET BOSTON MA 02116 990 2012-10-01 043044706 TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC TUFT 6176365000 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 THEODORE BUKOWSKI 6176365000 2014-08-12 1 CRAIG KLEIN P00734640 6177610600 2012 2015-11-30 17:44:51Z THEODORE BUKOWSKI 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 23965635 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 4 13 0 0 0 0 0 18479132 20474780 60367 210576 0 3280279 18539499 23965635 0 0 0 0 9008081 10322796 0 0 0 4699369 5464466 13707450 15787262 4832049 8178373 44776839 55270749 26827458 31919789 17949381 23350960 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 14836364 20474780 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. 14836364 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 25 0 1 13 1 0 0 0 0 0 0 0 0 0 0 0 X 13 4 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 ERIC J BEYER 39.00 1.00 X X 0 867690 43097 PAUL SUMMERGRAD MD 2.00 38.00 X 0 355274 55213 CHESTER BLACK 2.00 0.00 X 0 0 0 CHARLES CASSIDY MD 2.00 38.00 X 0 902370 55515 PHILLIP GIUNTA 2.00 0.00 X 0 0 0 CARL HEILMAN MD 2.00 38.00 X 0 669376 55515 WILLIAM C MACKEY MD 2.00 38.00 X 0 496054 53326 THOMAS MCGURTY MD 2.00 0.00 X 0 0 0 DEEB SALEM MD 2.00 38.00 X 0 683385 55515 JOHN SCHREIBER MD 2.00 38.00 X 0 570687 55425 THEODOR T HERWIG MD 2.00 0.00 X 0 0 0 EDGAR KENT YUCEL MD 2.00 38.00 X 0 555288 55470 CHIBUEZE OKEY AGBA 2.00 38.00 X 0 554535 30684 THEODORE BUKOWSKI CMPE 40.00 0.00 X 323378 0 55079 JEFFREY A WEINSTEIN ESQ 2.00 38.00 X 0 501307 22061 CRAIG WILLIAMS 40.00 0.00 X 222547 0 49438 JEFFREY GROSS 40.00 0.00 X 254854 0 54941 MICHAEL WAGNER 40.00 0.00 X 526840 0 55263 KAREN LEIBOLD 40.00 0.00 X 181654 0 22683 ANNE BELKNAP 40.00 0.00 X 189250 0 21702 1698523 6155966 740927 12 0 1 0 GE HEALTHCARE IITS USA 40 IDX DRIVE SOUTH BURLINGTON VT 054037771 PROFESSIONAL SERVICES 512018 SCERIS 490 BOSTON POST ROAD SUDBURY MA 017763367 PROFESSIONAL SERVICES 216073 PATIENTKEEPER DEPT CH 16666 PALATINE IL 600556666 PROFESSIONAL SERVICES 207584 CERIDIAN PO BOX 10989 NEWARK NJ 07193 PROFESSIONAL SERVICES 163402 OPTUMINSIGHT CLAIMSMANAGER 2771 MOMEMTUM PLACE CHICAGO IL 606895327 PROFESSIONAL SERVICES 127589 5 SUPPORT REVENUE 561000 13603770 13603770 CLINIC, TEACH & ADMIN. 900099 6871010 6871010 20474780 210576 210576 INSURANCE RECOVERY 900099 3280279 3280279 3280279 23965635 20474780 0 3490855 384379 307503 76876 8646616 8646616 213212 213212 956342 956342 122247 122247 162762 162762 251971 251971 88305 88305 390000 390000 64205 64205 53199 53199 DATA PROCESSING COSTS 1934911 1547929 386982 SUPPORT 1485872 1485872 PRINTING & PUBLICATION 339052 339052 PROFESSIONAL EXPENSES 332654 332654 361535 289228 72307 15787262 14836364 950898 0 10167147 12518885 3925473 5107304 1234162 1064047 223314 170115 30460905 37474445 44776839 55270749 5774477 7378448 21052981 24541341 26827458 31919789 X 17949381 23350960 17949381 23350960 44776839 55270749 X 8178373 -2776794 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 62241 19750 856191 705826 150365 295980 295980 0 170115 DUE FROM AFFILIATES 3872795 OTHER LONG TERM ASSETS 33601650 37474445 DUE TO AFFILIATES -5895044 PROFESSIONAL LIABILITY COSTS 30436385 24541341 X X X 0 0 0 0 0 0 0 0 0 ERIC J BEYER 0 727387 0 118928 0 21375 0 3958 0 39139 0 910787 0 0 PAUL SUMMERGRAD MD 0 308119 0 33081 0 14074 0 35000 0 20213 0 410487 0 0 CHARLES CASSIDY MD 0 633319 0 259468 0 9583 0 35000 0 20515 0 957885 0 0 CARL HEILMAN MD 0 647790 0 11503 0 10083 0 35000 0 20515 0 724891 0 0 WILLIAM C MACKEY MD 0 463319 0 23726 0 9009 0 35000 0 18326 0 549380 0 0 DEEB SALEM MD 0 501647 0 163039 0 18699 0 35000 0 20515 0 738900 0 0 JOHN SCHREIBER MD 0 438319 0 74343 0 58025 0 35000 0 20425 0 626112 0 0 EDGAR KENT YUCEL MD 0 496839 0 54675 0 3774 0 35000 0 20470 0 610758 0 0 CHIBUEZE OKEY AGBA 0 391001 0 160090 0 3444 0 5000 0 25684 0 585219 0 0 THEODORE BUKOWSKI CMPE 252797 0 66547 0 4034 0 35000 0 20079 0 378457 0 0 0 JEFFREY A WEINSTEIN ESQ 0 327375 0 163661 0 10271 0 5000 0 17061 0 523368 0 0 CRAIG WILLIAMS 213891 0 0 0 8656 0 31032 0 18406 0 271985 0 0 0 JEFFREY GROSS 176954 0 75664 0 2236 0 35000 0 19941 0 309795 0 0 0 MICHAEL WAGNER 375439 0 143265 0 8136 0 35000 0 20263 0 582103 0 0 0 KAREN LEIBOLD 138774 0 33928 0 8952 0 22683 0 0 0 204337 0 0 0 ANNE BELKNAP 151024 0 32026 0 6200 0 21702 0 0 0 210952 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE CFO AND CONTROLLER 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFER TO RELATED PARTY -2,776,794. 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 NEMC 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 NEMC 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 0 0 1 0 0 1 1 SEE FORM 990 PART VII O TUFTS MEDICAL CENTER INC K 390000 PRATT ANESTHESIOLOGY ASSOCIATES INC E 120743 PRATT MEDICAL AND SURGICAL ASSOCIATES INC E 533652 PRATT NEUROLOGY ASSOICATES INC E 301563 PRATT PATHOLOGY ASSOCIATES INC E 3970657 PRATT RADIATION ONCOLOGY ASSOCIATES INC E 1468941 PRATT REHABILITATION MEDICINE E 429468 PRATT MEDICAL GROUP INC E 291207 PRATT ORTHOPEDIC ASSOCIATES INC E 2381467 NEW ENGLAND MEDICAL CENTER D 299977 PRATT OTOLARYNGOLOGY D 494937 PRATT OBGYN ASSOCIATES INC D 2396680 PRATT OPHTHALMOLOGY ASSOCIATES INC D 288016 PRATT PEDIATRIC ASSOCIATES INC D 4095377 PRATT PSYCHIATRIC ASSOCIATES INC D 2922812 PRATT RADIOLOGY ASSOCIATES INC D 513336 PRATT SURGICAL ASSOCIATES INC D 3995178 PRATT UROLOGY ASSOCIATES INC D 433940 NEW ENGLAND MEDICAL CENTER L 464934 PRATT ANESTHESIOLOGY ASSOCIATES INC L 1484380 PRATT MEDICAL AND SURGICAL ASSOCIATES INC L 431393 PRATT OTOLARYNGOLOGY L 293267 PRATT NEUROLOGY ASSOICATES INC L 242461 PRATT OBGYN ASSOCIATES INC L 903719 PRATT OPHTHALMOLOGY ASSOCIATES INC L 1466297 PRATT PATHOLOGY ASSOCIATES INC L 375599 PRATT PEDIATRIC ASSOCIATES INC L 1761327 PRATT PSYCHIATRIC ASSOCIATES INC L 257360 PRATT RADIOLOGY ASSOCIATES INC L 704207 PRATT RADIATION ONCOLOGY ASSOCIATES INC L 377456 PRATT REHABILITATION MEDICINE L 119862 PRATT SURGICAL ASSOCIATES INC L 700543 PRATT UROLOGY ASSOCIATES INC L 157027 PRATT MEDICAL GROUP INC L 3401920 PRATT ORTHOPEDIC ASSOCIATES INC L 462019