2013-08-14T15:40:25-05:00 2012-09-30 263753134 CBIZ TOFIAS 500 BOYLSTON STREET BOSTON MA 02116 990 2011-10-01 043044706 TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC TUFT 6176365000 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 THEODORE BUKOWSKI 6176365000 2013-08-13 1 CRAIG KLEIN P00734640 6177610600 2011 2016-02-25 16:41:14Z THEODORE BUKOWSKI 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 18539499 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 12 0 0 0 0 0 23118717 18479132 12025 60367 0 0 23130742 18539499 0 0 0 0 9834834 9008081 0 0 0 10970612 4699369 20805446 13707450 2325296 4832049 45618141 44776839 29189828 26827458 16428313 17949381 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 13028717 18479132 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. 13028717 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 18 0 1 12 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 X ERIC J BEYER 40.00 X X 504644 171588 68490 PAUL SUMMERGRAD MD 2.00 X 0 346928 54513 CHESTER BLACK 2.00 X 0 0 0 CHARLES CASSIDY MD 2.00 X 0 988915 54815 PHILLIP GIUNTA 2.00 X 0 0 0 CARL HEILMAN MD 2.00 X 0 687013 54815 WILLIAM C MACKEY MD 2.00 X 0 487678 54725 THOMAS MCGURTY MD 2.00 X 0 0 0 DEEB SALEM MD 2.00 X 0 698996 54815 JOHN SCHREIBER MD 2.00 X 0 547052 54725 THEODOR T HERWIG MD 2.00 X 0 0 0 EDGAR KENT YUCEL MD 2.00 X 0 513941 54770 CHIBUEZE OKEY AGBA 2.00 X 0 508879 28556 THEODORE BUKOWSKI CMPE 40.00 X 299378 0 52888 JEFFREY A WEINSTEIN ESQ 2.00 X 0 409325 21173 CRAIG WILLIAMS 40.00 X 281708 0 53636 JEFFREY GROSS 40.00 X 238563 0 44691 MICHAEL WAGNER 40.00 X 370727 0 54473 KAREN LEIBOLD 40.00 X 173291 0 41478 ANNE BELKNAP 40.00 X 192269 0 39649 2060580 5360315 788212 13 0 1 0 GE HEALTHCARE IITS USA 40 IDX DRIVE SOUTH BURLINGTON VT 054037771 PROFESSIONAL SERVICES 555546 SCERIS 490 BOSTON POST ROAD SUDBURY MA 017763367 PROFESSIONAL SERVICES 211690 PATIENTKEEPER 880 WINTER STREET WALTHAM MA 02451 PROFESSIONAL SERVICES 196123 FURST GROUP 2902 MCFARLAND ROAD SUITE 100 ROCKFORD IL 61107 PROFESSIONAL SERVICES 184538 OPTUMINSIGHT CLAIMSMANAGER 2771 MOMEMTUM PLACE CHICAGO IL 606895327 PROFESSIONAL SERVICES 113327 7 SUPPORT REVENUE 561000 13531455 13531455 CLINIC, TEACH & ADMIN. 900099 4947677 4947677 18479132 60367 60367 18539499 18479132 0 60367 358965 287172 71793 8361219 8361219 202286 202286 -28874 -28874 114485 114485 104496 104496 177634 177634 105779 105779 393279 393279 45586 45586 70525 70525 48275 48275 DATA PROCESSING COSTS 1359509 1087607 271902 SUPPORT 1008272 1008272 PROFESSIONAL EXPENSES 404469 404469 PRINTING & PUBLICATION 332444 332444 649101 596193 52908 13707450 13028717 678733 0 14847699 10167147 5022800 3925473 1234162 1010848 281921 223314 25465721 30460905 45618141 44776839 6167556 5774477 23022272 21052981 29189828 26827458 X 16428313 17949381 16428313 17949381 45618141 44776839 X 4832049 -3310981 X 0 1 1 X 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 60168 21823 856191 658288 197903 295980 292392 3588 223314 DUE FROM AFFILIATES 2353419 OTHER LONG TERM ASSETS 28107486 30460905 DUE TO AFFILIATES -7264911 PROFESSIONAL LIABILITY COSTS 28317892 21052981 X X X 0 0 0 0 0 0 0 0 0 ERIC J BEYER 365036 166686 132481 0 7127 4902 34300 0 15373 18817 554317 190405 0 0 PAUL SUMMERGRAD MD 0 307820 0 24885 0 14223 0 34300 0 20213 0 401441 0 0 CHARLES CASSIDY MD 0 632020 0 346663 0 10232 0 34300 0 20515 0 1043730 0 0 CARL HEILMAN MD 0 639156 0 40625 0 7232 0 34300 0 20515 0 741828 0 0 WILLIAM C MACKEY MD 0 438020 0 40500 0 9158 0 34300 0 20425 0 542403 0 0 DEEB SALEM MD 0 501349 0 178799 0 18848 0 34300 0 20515 0 753811 0 0 JOHN SCHREIBER MD 0 438020 0 50659 0 58373 0 34300 0 20425 0 601777 0 0 EDGAR KENT YUCEL MD 0 469410 0 38988 0 5543 0 34300 0 20470 0 568711 0 0 CHIBUEZE OKEY AGBA 0 402574 0 81113 0 25192 0 4900 0 23656 0 537435 0 0 THEODORE BUKOWSKI CMPE 233670 0 61575 0 4133 0 32868 0 20020 0 352266 0 0 0 JEFFREY A WEINSTEIN ESQ 0 291649 0 99092 0 18584 0 4900 0 16273 0 430498 0 0 CRAIG WILLIAMS 221912 0 45706 0 14090 0 33630 0 20006 0 335344 0 0 0 JEFFREY GROSS 166391 0 66651 0 5521 0 24759 0 19932 0 283254 0 0 0 MICHAEL WAGNER 340020 0 20000 0 10707 0 34300 0 20173 0 425200 0 0 0 KAREN LEIBOLD 137458 0 26651 0 9182 0 21593 0 19885 0 214769 0 0 0 ANNE BELKNAP 152761 0 39364 0 144 0 19847 0 19802 0 231918 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 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 VII, COLUMN B, HOURS DEVOTED FOR RELATED ORGANIZATION: NAME AND TITLE: HOURS DEVOTED FOR RELATED ORGANIZATION: PAUL SUMMERGRAD, M.D., DIRECTOR 40 CHARLES CASSIDY, M.D., DIRECTOR 40 CARL HEILMAN, M.D., DIRECTOR 40 WILLIAM MACKEY, M.D., DIRECTOR 40 DEEB SALEM, M.D., DIRECTOR 40 JOHN SCHREIBER, M.D., DIRECTOR 40 EDGAR KENT YUCEL, M.D., DIRECTOR 40 CHIBUEZE OKEY AGBA, DIRECTOR 40 JEFFREY A. WEINSTEIN, ESQ., SECRETARY 40 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFER TO RELATED PARTY -3,310,981. TOTAL TO FORM 990, PART XI, LINE 5: -3,310,981. 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 ASSOICATES 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 0 0 0 0 0 0 1 1 0 0 1 0 0 1 1 SEE FORM 990 PART VII N 0 PRATT ANESTHESIOLOGY ASSOCIATES INC E 454592 PRATT MEDICAL AND SURGICAL ASSOCIATES INC D 604537 TUFTS MEDICAL CENTER INC J 393279 PRATT ANESTHESIOLOGY ASSOCIATES INC K 1417606 PRATT MEDICAL AND SURGICAL ASSOCIATES INC K 448956 PRATT NEUROLOGY ASSOICATES INC K 226577 PRATT OBGYN ASSOCIATES INC K 954024 PRATT OPHTHALMOLOGY ASSOCIATES INC K 1506414 PRATT ORTHOPEDIC ASSOCIATES INC K 490538 PRATT OTOLARYNGOLOGY K 272762 PRATT PATHOLOGY ASSOCIATES INC K 365996 PRATT PEDIATRIC ASSOCIATES INC K 1822765 PRATT PSYCHIATRIC ASSOCIATES INC K 1342522 PRATT RADIOLOGY ASSOCIATES INC K 688666 PRATT RADIATION ONCOLOGY ASSOCIATES INC K 411354 PRATT REHABILITATION MEDICINE K 135884 PRATT SURGICAL ASSOCIATES INC K 753839 PRATT UROLOGY ASSOCIATES INC K 164397 NEW ENGLAND MEDICAL CENTER K 418841 PRATT MEDICAL GROUP INC K 3249556 PRATT OBGYN ASSOCIATES INC E 2256244 PRATT OPHTHALMOLOGY ASSOCIATES INC E 259650 PRATT OTOLARYNGOLOGY E 471282 PRATT PEDIATRIC ASSOCIATES INC E 3846252 PRATT PSYCHIATRIC ASSOCIATES INC E 2870346 PRATT RADIOLOGY ASSOCIATES INC E 189474 PRATT SURGICAL ASSOCIATES INC E 3088065 PRATT UROLOGY ASSOCIATES INC E 255974 NEW ENGLAND MEDICAL CENTER E 252173 PRATT MEDICAL GROUP INC E 1032576 PRATT NEUROLOGY ASSOICATES INC D 238212 PRATT ORTHOPEDIC ASSOCIATES INC D 1568159 PRATT PATHOLOGY ASSOCIATES INC D 3118209 PRATT RADIATION ONCOLOGY ASSOCIATES INC D 1599478 PRATT REHABILITATION MEDICINE D 532912