2013-08-09T11:59:49-07:00 2012-09-30 990 2011-10-01 043159969 TRI-COUNTY MEDICAL ASSOCIATES INC TRI- 5084731480 9 Industrial Road Suite 5 Milford MA 01757 Philip Ciaramicoli 5084731480 2013-08-15 2011 2016-02-24 21:20:13Z Philip Ciaramicoli 9 Industrial Road Suite 5 Milford MA 01757 44755110 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 RESPECT. THE VISION OF TRI-COUNTY MEDICAL ASSOCIATES IS TO CONSISTENTLY MEET THE CHANGING HEALTHCARE NEEDS AND EXPECTATIONS OF THE COMMUNITIES WE SERVE. 7 3 382 0 0 0 0 0 42138316 44760341 -13263 -5231 0 0 42125053 44755110 0 0 0 0 36208710 38739605 0 0 0 10806244 10809029 47014954 49548634 -4889901 -4793524 6474816 9487390 4896441 7975061 1578375 1512329 OUR PRIMARY MISSION AT MILFORD REGIONAL HEALTHCARE SYSTEM ("MRHCS"), 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 25937399 0 27097243 Primary Care - Tri-County Medical Associates has 14 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, employees and employers of large and small businesses, physicians and other healthcare providers. As a charitable organization, we acknowledge our special concern for the need of the un-served and the underserved, especially the poor and minority populations. Our 39 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 151,381 times in 2012. 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 Inc., and strengthens its ability to reach important strategic goals related to patient care. 14671435 0 13701327 Specialist Care - Tri-County Medical Associates has 13 specialist groups servicing the 20 communities of Central Massachusetts. The group of 24 specialists includes pulmonary and critical care, rheumatology, urology, obstetrics and gynecology, endocrinology, sleep medicine, ear nose & throat, and more. Our Lung Allergy & 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 manage pregnancy, labor and childbirth, as well as the diagnosis and treatment of diseases 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 for the Breast Center, our Surgical Breast specialist develops a multi-disciplinary team approach to all issues related to breast health and diseases. Another important specialist program, the Center for Adolescent Health, provides comprehensive and multi-disciplinary care to adolescent clients and their families on an annual basis. 6221443 0 3961771 Inpatient Care - Tri-County Medical Associates has an active hospitalists 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 46830277 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 0 0 0 0 0 0 0 0 1 0 0 0 0 1 43 0 1 382 1 0 0 0 0 0 0 X 7 3 0 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 0 1 1 0 MA X Carman Yee 5084731480 9 Industrial Road Suite 5 Milford MA 01757 Catherine Burke 1 X 0 0 0 Frederick Curley 50 X 452157 72000 26042 Louis Bertonazzi 1 X 0 0 0 John Burns 1.00 X 0 0 0 Albert Crimaldi 1 X 0 9100 0 Tina Robakiewicz 50 X 262984 7850 28105 Monica Woodward 50 X 270157 12000 26535 Philip Ciaramicoli 50 X 437875 0 49979 Sanjaya Kumar 50 X 551763 1000 8782 Joseph Wilson 50 X 474736 45000 17422 Michael McCormick 50 X 425917 40000 20440 Mitchell Bamberger 50 X 415255 0 24256 Kathleen Richard 50 X 377552 40000 25325 3668396 226950 226886 91 0 1 0 UMASS Memorial Medical 55 Lake Ave Worcester MA 01605 Physician Services 1191909 Brigham and Women's Physician Organization PO Box 3684 Boston MA 02241 Physician Services 337728 Riverside Community Care 450 Washington Street Suite 201 Dedham MA 02026 Physician Services 263000 3 0 0 0 0 0 0 0 0 Primary Physician Care 622000 27097243 27097243 0 0 Specialty Physician Care 622000 13701327 13701327 0 0 Inpatient Physician Care 622000 3961771 3961771 0 0 0 0 0 0 44760341 8916 0 0 8916 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -14147 0 0 0 -14147 -14147 0 0 -14147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44755110 44760341 0 -5231 0 0 0 0 0 0 0 0 1395553 967383 428170 0 0 0 0 0 31217597 29745593 1472004 0 496734 468494 28240 0 3832358 3630503 201855 0 1797363 1690382 106981 0 106645 95423 11222 0 25750 0 25750 0 16000 0 16000 0 0 0 0 0 0 0 0 0 0 0 2059541 1965341 94200 0 90621 64228 26393 0 3315978 3229112 86866 0 98809 95905 2904 0 0 0 0 0 1915853 1860232 55621 0 49654 27537 22117 0 0 0 0 0 0 0 0 22646 22646 0 0 0 0 0 0 1004507 839818 164689 0 1093497 1057786 35711 0 Bad Debt 1006249 1006249 0 0 Other expense 3279 63645 -60366 0 49548634 46830277 2718357 0 1746 149430 0 0 0 0 2899876 2817186 0 0 0 0 0 0 201022 311023 890746 4390027 8569471 6775403 2458624 1794068 0 0 0 0 0 0 0 0 22802 25656 6474816 9487390 4519860 7446851 0 0 0 0 0 0 0 0 0 0 221085 221085 0 0 155496 307125 4896441 7975061 X 1578375 1512329 0 0 0 0 1578375 1512329 6474816 9487390 X -4793524 4727478 X 0 1 1 X 0 X X X 0 0 0 Milford Regional Medical Center 042103602 Hospital 1 1 1 0 1 0 0 0 0 0 0 0 0 1892159 0 1528589 363570 6677312 0 5246814 1430498 0 0 0 0 1794068 Estimated third-party payor settlements 307125 307125 44755110 49548634 -4793524 0 0 0 0 0 0 -4793524 44760341 -8916 0 0 14147 5231 44755110 0 0 0 44755110 49548634 0 0 0 0 0 49548634 0 0 0 49548634 SchD_P10_S00_L02 Schedule D, Part X, Line 2 A review has been performed of each of the 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, 2012. SchD_P12_S00_L02d Schedule D, Part XII, Line 2d Loss on disposal of property and equipment. X X X X 0 1 0 1 0 0 0 0 0 Frederick Curley 452157 72000 0 0 0 0 0 0 25194 848 477351 72848 0 0 Tina Robakiewicz 262984 7850 0 0 0 0 0 0 28105 0 291089 7850 0 0 Monica Woodward 270157 12000 0 0 0 0 0 0 26295 240 296452 12240 0 0 Philip Ciaramicoli 397875 0 40000 0 0 0 24324 0 25655 0 487854 0 86317 0 Sanjaya Kumar 551763 1000 0 0 0 0 0 0 8782 0 560545 1000 0 0 Joseph Wilson 474736 45000 0 0 0 0 0 0 17422 0 492158 45000 0 0 Michael McCormick 425917 40000 0 0 0 0 0 0 20025 415 445942 40415 0 0 Mitchell Bamberger 415255 0 0 0 0 0 0 0 24256 0 439511 0 0 0 Kathleen Richard 377552 40000 0 0 0 0 0 0 24864 461 402416 40461 0 0 SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Philip Ciaramicoli $25,000 SchJ_P01_S00_L05 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 Related Value Unit (RVU). Work RVUs are determined by CMS (Medicare) to measure the work performed by the physician. F990_P06_S0A_L04 Form 990, Part VI, Section A, Line 4 Tri-County Medical Associates revised its bylaws. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The Form 990 was reviewed with the Chairman of the Hospital's Board. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The organization has a written code of Business Conduct which states its conflict of interest policy. A conflict of interest disclosure statement is mailed annually to members of the Board of Trustees and senior management. They are required to complete the form and submit it to the Corporate Compliance Officer. The forms are reviewed and monitored. The organization also has established a hotline for any staff member who may wish to discuss a potential violation of the code, our policy or law on an anonymous basis. F990_P06_S0B_L15 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 senior management 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 ranges are reasonable. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The organization makes its governing documents such as its bylaws, which include the organization's conflict of interest policy, available to the puiblic through the annual filing of the Massachusetts Division of Public Charities Form PC. The Form PC is available for viewing by the public 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 include in the Form PC filing. F990_P11_S00_L05 Form 990, Part XI, Line 5 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 1 1 0 0 0 0 0 1 0 1 Milford Regional Medical Center r 8250000 Milford Regional Medical Center i 77743 Milford Regional Medical Center j 266690 Milford Regional Medical Center p 3711472