2013-11-14T19:09:24-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE STE 2600 INDIANAPOLIS IN 46204 990 2012-01-01 261374263 Tufts Health Plan Foundation Inc % UMESH KURPAD TUFT 6179729400 705 MOUNT AUBURN STREET Suite WATERTOWN MA 024721508 UMESH KURPAD 2013-11-14 3176817000 2012 2016-02-24 21:20:13Z James Roosevelt Jr 705 Mount Auburn Street Watertown MA 024721508 3606293 false X WWW.TUFTSHEALTHPLANFOUNDATION.ORG X 2007 MA THE FOUNDATION'S MISSION IS TO PROMOTE HEALTHY LIFESTYLES AND THE DELIVERY OF QUALITY HEALTHCARE IN OUR COMMUNITIES. 11 7 0 0 0 15150000 87500 0 0 3038558 1458852 0 0 18188558 1546352 2931918 2895641 0 0 401538 432182 0 0 0 540984 687424 3874440 4015247 14314118 -2468895 72206529 70606237 137083 201031 72069446 70405206 X SEE SCHEDULE O false false 3221337 2589141 0 See Schedule O 272474 219000 0 See Schedule O 87500 87500 0 See Schedule O 3581311 true true false false false false false false false false false true false false true false true true false false false false false false false false false true false true false false false false false false false false false false false false false true false true false true 9 0 true 0 false true NL BD false false false false false false false false false X 11 7 true true false false true true true true true false false true true true true true true false false false MA X UMESH KURPAD 6179729400 705 MOUNT AUBURN STREET WATERTOWN MA 024721508 JOHN BAACKES 1.0 0.0 X 1000 0 0 DAVID GREEN 2.0 0.0 X 3000 18000 0 JACKIE JENKINS-SCOTT 1.0 3.0 X 1500 30000 0 VINCENT MOR 1.0 0.0 X 1000 0 0 THOMAS P O'NEILL III 4.0 2.0 X 2000 27000 0 JAMES ROOSEVELT 2.0 48.0 X 0 1890084 227795 GEORGE A RUSSELL JR 1.0 0.0 X 1500 0 0 BARBARA SHATTUCK KOHN 1.0 0.0 X 2000 0 0 STEVEN A TOLMAN 1.0 0.0 X 0 0 0 ELIZABETH A WALKER 1.0 0.0 X 1000 0 0 DAVID ABELMAN ESQ 13.0 37.0 X X 0 541881 47841 PATRICIA BLAKE 0.0 50.0 X 0 648028 44256 LOIS CORNELL 0.0 50.0 X 0 753967 44014 ROLAND PRICE 5.0 45.0 X 0 300660 64742 UMESH KURPAD 0.0 50.0 X 0 887888 113161 ANNE MARIE BOURISQUOT-KING 50.0 0.0 X 0 148468 27780 13000 5245976 569589 0 false true false None 0 87500 87500 0 831226 831226 0 0 0 0 0 2687567 2059941 627626 627626 627626 0 0 0 0 1546352 1458852 2895641 2895641 0 0 0 13000 13000 0 336769 336769 18966 18966 63447 63447 0 0 959 959 32004 32004 0 0 346893 346893 203692 203692 13050 13050 986 986 0 0 0 15252 15252 0 4615 4615 0 18160 18160 0 0 SOFTWARE DUES 30650 30650 TRAINING 15704 15704 ANNUAL REPORT 2852 2852 BANK FEES 636 636 1971 1971 4015247 3581311 433936 0 0 0 8908434 952208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63298095 69654029 0 0 0 0 0 0 72206529 70606237 78950 166248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58133 34783 137083 201031 X 72069446 70405206 0 0 0 0 72069446 70405206 72206529 70606237 -2468895 804655 X false false false X X X X false false false TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INC 042674079 0 true true true 0 1 0 NO MONETARY SUPPORT IS PROVIDED TO THE SUPPORTED ORGANIZATION. THE SUPPORTING ORGANIZATION (THE FOUNDATION) PERFORMS SERVICES FOR THE SUPPORTED ORGANIZATION WHICH ARE GRANTMAKING, PROGRAM SUPPORT AND EDUCATIONAL ACTIVITIES. FURTHER MONETARY SUPPORT IS NOT REQUIRED. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED POOLED INVESTMENTS 69654029 C 69654029 0 DUE TO AFFILIATES 34783 34783 2004114 804655 804655 1199459 346893 346893 1546352 3668354 3668354 346893 346893 4015247 ASC 740 (FKA FIN 48) FOOTNOTE SCHEDULE D, PART X, LINE 2 IN 2012, THE AUDITED FINANCIAL STATEMENTS FOR THE FOUNDATION DID NOT DISCLOSE AN ASC 740 FOOTNOTE. true Action for Boston Community Development 178 Tremont Street Boston MA 02111 042304133 501(C)(3) 55000 The Good Life : A Healthy Living Club to Better He AIDS Action Committee of Massachusetts 75 Armory Street Boston MA 02119 222707246 501(C)(3) 40000 Positive Aging/Lasting Strength (PALS) All Out Adventures Inc 184 Northampton St EASTHAMPTON MA 01027 043559633 501(C)(3) 20718 Outdoor Recreation for Seniors Alzheimers Disease & Related Disorders Assn 311 Arsenal St Watertown MA 024722782 042731194 501(C)(3) 25000 Support for Informal Caregivers of Persons with Al Diabetes American Red Cross 139 Main Street Cambridge MA 02142 530196605 501(C)(3) 20000 Hurricane Sandy 2012 - Disaster Relief Alzheimers in MA Atrius Health Foundation 275 GROVE ST AMERICAN CANYON MA 024662274 264517944 501(C)(3) 57301 Fall Prevention Training for Seniors At Risk Available Potential Enterprises Ltd PO Box 61 Williamsburg MA 01096 042685501 501(C)(3) 14504 Williamsburg Intergenerational Gardening Program (Reaching out to Cambridge Seniors) BayPath Elder Services Inc 33 Boston Post Rd Marlboro MA 017521867 042608708 501(C)(3) 14672 Healthy Aging Metrowest: Making Cultural Connectio Boston Medical Center 801 Massachusetts Ave Boston MA 021182308 043314093 501(C)(3) 23407 A Matter of Balance: Managing Concerns about Falls Brigham and Women's Hospital 75 Francis Streeet Boston MA 02115 042312909 501(C)(3) 48416 Southern Jamaica Plain Health Center Program for H Brockton Neighborhood Health Center 63 Main Street Boston MA 02301 043165044 501(C)(3) 45000 Managing Chronic Diseases in Low-Income Elderly (Reaching Out to Cambridge Seniors) Cambridge Community Foundation 99 Bishop Allen Dr Cambridge MA 02139 046012492 501(C)(3) 10000 Matching Grant Program: Healthy Aging R.O.C.S. (Re Cape Cod Volunteers Inc 27 Winter Street Yarmouth Port MA 02675 510140462 501(C)(3) 20000 CCV Opportunity Centers Communities Community Action Committee of Cape Cod 115 ENTERPRISE RD HYANNIS MA 026012212 042396835 501(C)(3) 24085 Caregiver Support Advisor Service for Wellness Community Health Center of Cape Cod 107 Commercial St Mashpee MA 02649 043370560 501(C)(3) 48500 Case Management for Healthy Seniors Community Health Charities of New England Inc 30 Laurel Street Hartford CT 061061361 066079596 501(C)(3) 5090 Workplace Giving 2012 Community Health Programs Inc 444 Stockbridge Rd Great Barrington MA 012300030 042582119 501(C)(3) 17000 Senior Life History project Cornerstone Adult Services Inc 140 Warwick Neck Ave Warwick RI 028895308 050429500 501(C)(3) 11150 Expansion of Enhanced Fall Prevention Program Developmental Evaluation & Adjustment Fac 215 Brighton Ave Allston MA 021342013 042628350 501(C)(3) 40000 Healthy Lifestyles for Deaf Seniors to New Opportunities & Expanding the Encore Work Continuum EDWARD M KENNEDY CNTR FOR STUDY 400 Atlantic Ave Boston MA 02110 020705535 501(C)(3) 20000 Planning Grant for Developing Healthcare Curriculu Elder Services of Berkshire County Inc 66 Wendell Ave Pittsfield MA 012016306 042542001 501(C)(3) 64078 Healthy Aging, Healthy Living Curriculum Elder Services of Merrimack Valley 360 Merrimack St Lawrence MA 01843 042545136 501(C)(3) 45000 The Healthy Ideas Program Elder Services of Worcester Area Inc 67 Millbrook St Worcester MA 01606 042545221 501(C)(3) 15000 Healthy Aging (Evidence Based) Programs Families First Parenting Programs Inc 99 Bishop Allen Dr Cambridge MA 021393428 043413397 501(C)(3) 15000 Grandparents Parenting Again Family Service of Rhode Island 55 Hope Street Providence RI 02906 050258858 501(C)(3) 44992 Positive Aging And Living Program for Individuals Franklin County Home Care Corporation 330 Montague City Rd Turners Falls MA 01376 042542539 501(C)(3) 65000 Take Steps to Healthy Aging Friends of the Amesbury Council on Aging 9 School Street Amesbury MA 019132812 043297941 501(C)(3) 58910 Amesbury Caregiver Essentials (ACE) FriendshipWorks 105 Chauncey St Ste 801 Boston MA 02111 043140541 501(C)(3) 10000 Friendly Visiting Program Municipal Wellness and Leadership Grant Initiative Generations Incorporated 25 KINGSTON ST Boston MA 021112200 043227007 501(C)(3) 40000 Healthy Aging Initiative Greater Providence YMCA 371 PINE ST Providence RI 02903 050258878 501(C)(3) 45000 Healthy, Safe, and Over 60: Programs for Older Adu Training and Education for Seniors Health Resources in Action Inc 95 Berkeley Street Boston MA 02116 042229839 501(C)(3) 25000 Mass in Motion Municipal Wellness and Leadership G & Falls in Elders Hearth Inc 1640 Washington St Boston MA 02118 043206820 501(C)(3) 50000 Housing as the Key to Healthy Aging Hebrew SeniorLife 1200 CENTRE ST Boston MA 021311011 900183119 501(C)(3) 138000 Prevention Through Action: Culturally Inclusive Tr ITN GREATER BOSTON INC 34 Deloss St Fl 1 Framingham MA 01702 451562608 501(C)(3) 93944 Transportation Services for Seniors and Visually I Jewish Community Housing for the Elderly 30 Wallingford Road Brighton MA 021354708 422607197 501(C)(3) 25000 Generations Together Jewish Family & Children's Service 1430 MAIN ST Waltham MA 024511623 422104356 501(C)(3) 45000 Aging Well at Home: A Community Based Health Initi Jewish Vocational Service 29 WINTER ST 5TH FL Boston MA 021084799 422104357 501(C)(3) 42000 JVS ReServe Boston: Experience at Work Makes a Dif Jumpstart for Young Children Inc 308 Congress St Boston MA 022101015 433262046 501(C)(3) 60000 Jumpstart Massachusetts Community Corps Kit Clark Senior Services Inc 1500 Dorchester Avenue Boston MA 02122 460516856 501(C)(3) 71156 Fit-4-Life Community Life Little Brothers-Friends of the Elderly 3305 Washington St Jamaica Plain MA 02130 042681294 501(C)(3) 10000 Intergenerational Matching, and supporting program Longy School of Music 27 Garden Street Cambridge MA 02138 042130848 501(C)(3) 7000 Creative Aging Program for Seniors Interprofessional Collaboration Massachusetts General Hospital Revere Cntr 101 Huntington Ave Boston MA 02199 041564655 501(C)(3) 50000 Senior Wellness Program Merrimack Valley Food Bank 725 Broadway Street Lowell MA 018543129 223241609 501(C)(3) 10000 Mobile Pantry Program Minuteman Senior Services 24 3rd Avenue Burlington MA 018034414 042587212 501(C)(3) 32000 Healthy Connections Montachusett Opportunity Council 133 Prichard St Fitchburg MA 014207539 422401111 501(C)(3) 30155 Linking Initiatives for Vibrant Elders (LIVE) in N Mystic Valley Elder Services Inc 300 Commercial St 19 Malden MA 021487309 042562646 501(C)(3) 10000 Reading Partners Program North Central Massachusetts National Council on the Aging Inc 1901 L Street NW Washington DC 200363506 131932384 501(C)(3) 50000 Self-Management Alliance Newton Community Service Center Inc 492 Waltham St West Newton MA 024651920 422232418 501(C)(3) 48994 Volunteering as a Pathway to Vibrant Aging Ocean State Center for Independent Living 1944 Warwick Avenue Warwick RI 028892448 050439495 501(C)(3) 45000 Home Sweet Accessible Home Old Colony Elder Services Inc 144 MAIN ST Brockton MA 023014046 422545236 501(C)(3) 6054 It's About Time Operation ABLE of Greater Boston Inc 131 TREMONT ST Boston MA 021111317 042761871 501(C)(3) 40000 ABLE Volunteers Program Perkins School for the Blind 175 N BEACON ST Watertown MA 024722751 422103616 501(C)(3) 20000 Thriving with Vision Loss Project RIGHT Inc 320 A Blue Hill Ave Dorchester MA 02121 043265420 501(C)(3) 12500 Grove Hall Senior Empowerment Initiative Rhode Island Free Clinic Inc 655 BROAD ST Providence RI 029071444 050501276 501(C)(3) 70000 Healthy Lifestyles for Today and Tomorrow Rogerson Communities Inc One Florence St Boston MA 021313638 042104319 501(C)(3) 30000 Rogerson Fitness First as part of Healthy Rogerson Root Cause Institute One Canal Pk 3rd Fl Cambridge MA 02141 200703238 501(C)(3) 50000 2012-2013 Social Issue Track Samaritans Inc 41 West St 4th Fl Boston MA 021111209 042643466 501(C)(3) 15000 Wellness Approach to Senior Suicide Prevention (Ou Program Business Plan SCM Community Transportation 167 HOLLAND ST SOMERVILLE MA 021442401 042743790 501(C)(3) 22400 Door2Door to the Arts (Outbound Call Project) Somerville Cambridge Elder Services 61 Medford St 2ND FL Somerville MA 02143 042515020 501(C)(3) 36190 A Collaborative Effort Between Somerville-Cambridg Southwest Boston Senior Services Inc 555 Armory St Jamaica Plain MA 02130 237304163 501(C)(3) 70000 AgeWell Southwest Boston (AWSW) SPRINGWELL INC 125 WALNUT ST Watertown MA 024724052 042616064 501(C)(3) 58406 Healthy Aging Initiative The Carroll Center for the Blind Inc 770 Centre St Newton MA 02458 042106173 501(C)(3) 50000 Project Safe Home The Family Van 1542 Tremont Street Boston MA 02120 042103580 501(C)(3) 10000 Family Van Seniors - Together for Health The Food Bank of Western Massachusetts 97 N Hatfield Rd Hatfield MA 010380160 042751023 501(C)(3) 10000 Brown Bag for Elders The Greater Boston Food Bank 70 South Bay Avenue Boston MA 021182700 042717782 501(C)(3) 15000 The Brown Bag program for seniors in need The Latino Health Insurance Program Inc 12 IRVING ST FRAMINGHAM MA 017027357 300614874 501(C)(3) 43802 ""Mi Vida, Mi salud"" The Providence Center 528 North Main St Providence RI 029045757 050316969 501(C)(3) 52211 InShape Seniors Third Sector New England 555 Amory St Jamaica Plain MA 02130 042261109 501(C)(3) 30000 Healthy Aging in the LGBT Community Tufts Health Care Institute 136 Harrison Ave Boston MA 02210 043289926 501(C)(3) 22000 Mini-Rotation for Residents: Practicing Medicine i Environment United Way of Massachusetts Bay Inc 51 Sleeper St Boston MA 02118 042382233 501(C)(3) 41749 Workplace Giving 2012 Urban League of Eastern Massachusetts 88 Warren Street Boston MA 02210 237349132 501(C)(3) 40000 Mature Worker Program for Seniors VNA Care Network Inc 65 Chilton St Cambridge MA 02138 042103825 501(C)(3) 14000 Fewer Falls, Safer Seniors Water Way Arts for Health and Energy Inc 1615 BEACON ST BROOKLINE MA 024464602 202332178 501(C)(3) 25000 Tai Chi for Healthy Aging Watertown Community Foundation 71 Barnard Ave Watertown MA 02472 300229398 501(C)(3) 30000 WCF's Tufts Health Plan Foundation Fund for a ""He Watertown Westbay Community Action Inc 224 Buttonwoods Ave Warwick RI 02886 050311985 501(C)(3) 42000 Keeping Seniors Safe Whittier Street Health Center Committee Inc 1290 Tremont Street Roxbury MA 021203432 042619517 501(C)(3) 50000 Geriatric Chronic Disease Case Management Program Program Women of Means 148 LINDEN ST STE 208 WELLESLEY MA 99999 043487205 501(C)(3) 25000 Access to Health Care for Poor and Homeless Women YMCA of Greater Boston 316 Huntington Avenue Boston MA 021155019 042103551 501(C)(3) 50000 Get Fit, Stay Fit for Life 78 0 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 FOR ALL GRANTS THE FOUNDATION REQUIRES A SITE VISIT BY OUR STAFF, ONGOING MONITORING, ONE INTERIM PROGRESS REPORT WITH FOLLOW-UP AS NEEDED AND ONE POST-GRANT FINAL REPORT. THE FOUNDATION ALSO CHECKS THE GRANTEES 501(C)(3) STATUS. false true false false false false true false false JAMES ROOSEVELT 0 802373 0 951695 0 136016 0 217489 0 10306 0 2117879 0 0 LOIS CORNELL 0 384574 0 319300 0 50093 0 29152 0 14862 0 797981 0 0 DAVID ABELMAN ESQ 0 308827 0 201465 0 31589 0 33326 0 14515 0 589722 0 0 ANNE MARIE BOURISQUOT-KING 0 128532 0 31291 0 -11355 0 14349 0 13431 0 176248 0 0 ROLAND PRICE 0 216771 0 78220 0 5669 0 55330 0 9412 0 365402 0 0 UMESH KURPAD 0 495191 0 330128 0 62569 0 98190 0 14971 0 1001049 0 0 PATRICIA BLAKE 0 334932 0 272884 0 40212 0 29750 0 14506 0 692284 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 3 THE FOUNDATION USES THE COMPENSATION POLICIES OF ITS SOLE MEMBER, TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANZIATION, INC. (TAHMO). SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4B THE RELATED ORGANIZATION MAINTAINS AN EXECUTIVE SAVINGS PLAN (ESP) FOR ITS SENIOR MANAGERS WITH THE TITLE DIRECTOR AND ABOVE. THE NUMBERS LISTED ON SCHEDULE J, PART II, COLUMN C REFLECT BOTH THE EMPLOYEE DEFERRALS AS WELL AS THE EMPLOYER CONTRIBUTIONS TO THE ESP. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 6B THE OFFICERS OF TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. ARE ELIGIBLE TO PARTICIPATE IN AN EXECUTIVE INCENTIVE PLAN THAT IS BASED ON THE OVERALL ANNUAL SUCCESS OF THE ORGANIZATION. THE ORGANIZATION'S GOALS ARE ESTABLISHED EARLY IN THE YEAR AND APPROVED BY ITS INDEPENDENT BOARD OF DIRECTORS. ONE OF THE COMPONENTS OF THE PLAN IS BASED ON MEETING TARGETED NET EARNINGS. IN 2012, THIS COMPONENT AMOUNTED TO 25% OF TARGETED BONUS COMPENSATION. THE EMPLOYEES WHO PARTICIPATE IN THIS PLAN ARE: - JAMES ROOSEVELT - DAVID ABELMAN - UMESH KURPAD - ROLAND PRICE - LOIS CORNELL - PATRICIA BLAKE ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 IN ORDER TO PROVIDE BENEFITS TO THE COMMUNITY OUTSIDE OF ITS REGULAR LINES OF BUSINESS, TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. (TAHMO) CREATED THE TUFTS HEALTH PLAN FOUNDATION, A 501(C)(3) CHARITABLE AND SUPPORTING ORGANIZATION OF TAHMO. THE MISSION OF THE FOUNDATION IS TO PROMOTE HEALTHY LIFESTYLES AND THE DELIVERY OF QUALITY CARE. THE FOUNDATION ACHIEVES THIS MISSION PRIMARILY THROUGH GRANTMAKING TO CHARITABLE, SERVICE-PROVIDING ORGANIZATIONS, PROGRAM SUPPORT AND EDUCATIONAL ACTIVITIES. THE FOUNDATION'S FOCUS IS HEALTHY AGING - IMPROVING THE LIVES OF OLDER ADULTS 60 AND OVER. THE TUFTS HEALTH PLAN FOUNDATION HAS CHOSEN TO FOCUS ON HEALTHY AGING IN ORDER TO ADDRESS THE NEEDS OF OUR COMMUNITIES IN MASSACHUSETTS AND RHODE ISLAND, AND TO HELP MEET THE CHALLENGES AND OPPORTUNITIES OF AN AGING SOCIETY. IN 2012 THE FOUNDATION MADE GRANTS THROUGH THE FOUR AREAS OF CAREGIVER SUPPORT, FALL PREVENTION, INTERGENERATIONAL COLLABORATION AND VIBRANT LIFESTYLES. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A IN 2012, THE TUFTS HEALTH PLAN FOUNDATION COMPLETED ITS FOURTH YEAR FOCUSING ON HEALTHY AGING FOR OLDER ADULTS 60-PLUS AND OVER TO ENSURE THAT OLDER ADULTS SPEND MORE YEARS IN GOOD HEALTH AND ENGAGED AS VITAL MEMBERS OF OUR COMMUNITIES. THE FOUNDATION WORKED WITH PROGRAMS THAT ADDRESS THE DEVELOPMENT AND MAINTENANCE OF OPTIMAL PHYSICAL, MENTAL AND SOCIAL WELL-BEING AND FUNCTION IN OLDER ADULTS THROUGH FOUR AREAS: 1. CAREGIVER SUPPORT - TRAINING, EDUCATION AND RESOURCES TO SUPPORT CAREGIVERS AND CARE RECIPIENTS. 2. FALL PREVENTION - EXERCISE AND EDUCATION FOR OLDER ADULTS THAT WILL REDUCE FEAR OF FALLS AND INCREASE MOBILITY, STRENGTH AND BALANCE. 3. INTERGENERATIONAL COLLABORATION - OLDER ADULTS AND YOUNGER GENERATIONS ENRICHING EACH OTHER'S LIVES THROUGH MENTORING, TUTORING AND VOLUNTEER ACTIVITIES. 4. VIBRANT LIFESTYLES - EXERCISE, NUTRITION AND EVIDENCE-BASED CHRONIC DISEASE MANAGEMENT, SOCIAL AND RECREATIONAL ACTIVITIES, AND PROGRAMS THAT PROMOTE CIVIC AND COMMUNITY ENGAGEMENT. FORM 990, PART III, LINE 4B COMMUNITY SUPPORT GRANTS: IN ADDITION TO ITS HEALTHY AGING FOCUS, THE FOUNDATION ALSO SUPPORTS WORTHY COMMUNITY PROGRAMS SUCH AS THE GREATER BOSTON FOOD BANK'S BROWN BAG PROGRAM THAT PROVIDES HEALTHY, NUTRITIOUS FOOD TO INDIVIDUALS IN NEED. FORM 990, PART III, LINE 4C THE TUFTS HEALTH PLAN FOUNDATION WAS ONE OF 19 FOUNDATIONS NATIONWIDE TO RECEIVE A ROBERT WOOD JOHNSON FOUNDATION PARTNERS INVESTING IN NURSING'S FUTURE GRANT IN 2009. THE TWO-YEAR, $250,000 GRANT WAS TO DEVELOP A REGIONAL APPROACH TO NURSING EDUCATION WITH PARTNERS IN MA, NH AND RI. THE MASSACHUSETTS HOSPITAL RESEARCH AND EDUCATION ASSOCIATION WAS THE FISCAL AGENT FOR THIS TRI-STATE COLLABORATION CALLED "CREATIVITY AND CONNECTIONS: BUILDING A REGIONAL NURSING EDUCATION FRAMEWORK." THIS WORK IS COMPLETED. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 THE FOLLOWING PEOPLE SERVED AS BOARD MEMBERS OF POINTRIGHT, INC: JAMES ROOSEVELT VINCENT MOR, PH.D. THE FOLLOWING PEOPLE SERVED AS A BOARD MEMBER OR OFFICER FOR TUFTS ASSOCIATED HEALTH PLAN, INC: JAMES ROOSEVELT LOIS CORNELL UMESH KURPAD ROLAND PRICE DAVID ABELMAN PATRICIA BLAKE THE FOLLOWING PEOPLE SERVED AS A BOARD MEMBER OR OFFICER FOR TOTAL HEALTH PLAN, INC: JAMES ROOSEVELT UMESH KURPAD LOIS CORNELL ROLAND PRICE DAVID ABELMAN PATRICIA BLAKE THE FOLLOWING PEOPLE SERVED AS A BOARD MEMBER OR OFFICER FOR TUFTS INSURANCE COMPANY: JAMES ROOSEVELT LOIS CORNELL UMESH KURPAD ROLAND PRICE THE FOLLOWING PEOPLE SERVED AS A BOARD MEMBER OR OFFICER FOR TUFTS BENEFIT ADMINISTRATORS, INC: JAMES ROOSEVELT LOIS CORNELL UMESH KURPAD ROLAND PRICE THE FOLLOWING PEOPLE SERVED AS A BOARD MEMBER OR OFFICER FOR TUFTS BROKERAGE CORPORATION, INC: JAMES ROOSEVELT LOIS CORNELL DESCRIPTION OF MANAGEMENT ARRANGEMENT FORM 990, PART VI, LINE 3 THE FOUNDATION IS A SUPPORTING ORGANIZATION OF TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC (TAHMO). TAHMO AND ITS SUBSIDIARY, TUFTS ASSOCIATED HEALTH PLAN, INC (TAHP), PROVIDE ADMINISTRATIVE AND MANAGEMENT SERVICES TO THE FOUNDATION. MEMBERS FORM 990, PART VI, LINES 6A AND 7A TUFTS ASSOCIATED HEALTH MAINTENANCE ORGRANIZATION, INC. (TAHMO) AS THE SOLE CORPORATE MEMBER OF THE FOUNDATION, ELECTS THE MEMBERS OF THE FOUNDATION'S GOVERNING BODY. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B TAHMO, AS THE SOLE CORPORATE MEMBER OF THE FOUNDATION, HAS THE RIGHT TO MAKE CERTAIN DECISIONS REGARDING THE FOUNDATION, AND IS REQUIRED TO APPROVE ANY CHANGES TO THE FOUNDATION'S BYLAWS. PROCESS USED BY GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED IN THE TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION'S FINANCE DEPARTMENT, WITH ASSISTANCE FROM OUR EXTERNAL ACCOUNTANTS, ERNST & YOUNG. THIS PREPARATION BEGAN IN JUNE 2013. SOME INFORMATION IS PROVIDED BY OUR DIRECTOR OF GRANTS, AND SECTIONS OF THE FORM ARE REVIEWED BY OUR INSIDE LEGAL COUNSEL. CERTAIN SECTIONS OF THE FORM ARE REVIEWED BY A NUMBER OF SENIOR MANAGERS; OUR CHIEF FINANCIAL OFFICER REVIEWS THE FORM IN ITS ENTIRETY. ONCE THE FORM IS COMPLETE, IN NOVEMBER 2013, IT IS FORWARDED ON TO OUR BOARD OF DIRECTORS AND IT IS THEN SUBMITTED FOR FILING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C ON AN ONGOING BASIS AND BEFORE ANY GRANTS ARE AWARDED, ALL BOARD MEMBERS AND STAFF MEMBERS ARE ASKED TO DISCLOSE ANY RELATIONSHIPS OR POTENTIAL CONFLICTS OF INTEREST WITH ANY GRANTEES OR BUSINESS PARTNERS. ALSO, THE FOUNDATION BOARD MEMBERS RECEIVE ANNUAL CONFLICTS STATEMENTS, WHICH ARE REVIEWED. DURING THE GRANT REVIEW PROCESS, STAFF MEMBERS WITH AN ACTUAL OR POTENTIAL CONFLICT ARE PERMITTED TO COMMENT ON A PARTICULAR REQUEST, BUT ARE NOT ALLOWED TO PARTICIPATE IN FINAL DECISIONS. DISCLOSURES ARE REPORTED IN THE DOCKET OF GRANTS PRESENTED TO THE BOARD FOR VOTE, AND BOARD MEMBERS ARE AGAIN REQUESTED TO DISCLOSE ANY POTENTIAL CONFLICTS JUST PRIOR TO THE VOTE TAKING PLACE. ANY BOARD MEMBER WITH AN ACTUAL OR POTENTIAL CONFLICT IS PERMITTED TO COMMENT, BUT IS NOT ALLOWED TO VOTE ON THE PARTICULAR MATTER. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINES 15A AND 15B THE FOUNDATION DOES NOT HAVE ANY EMPLOYEES. THE EMPLOYEES OF RELATED ORGANIZATIONS PROVIDE SERVICES TO THE FOUNDATION. THE PRESIDENT IS COMPENSATED SOLELY FOR HIS DUTIES PERFORMED IN THE CAPACITY AS AN OFFICER OF TAHMO AND TAHP. THERE IS NO REMUNERATION FOR DUTIES RELATED TO THE TUFTS HEALTH PLAN FOUNDATION. THE COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE BOARD OF DIRECTORS (THE "BOARD") OF TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION (TUFTS OR THE "COMPANY") REVIEWS AND ADMINISTERS TOTAL REMUNERATION OPPORTUNITIES, POLICIES, PROGRAMS, AND MAJOR CHANGES IN TUFTS' BENEFIT PLANS THAT ARE APPLICABLE TO THE OFFICERS AND EXECUTIVES OF THE COMPANY (THE "EXECUTIVES" - THESE INCLUDE THE CEO, COO, AND ALL SENIOR VICE PRESIDENTS), AS WELL AS TO ANY OTHER INDIVIDUAL OR GROUPS THE COMMITTEE DEEMS APPROPRIATE BASED ON ITS INTERPRETATION OF THE DEFINITION OF "DISQUALIFIED PERSONS" IN SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986. THE COMMITTEE IS COMPRISED OF INDEPENDENT DIRECTORS OF THE COMPANY. THE COMMITTEE REPORTS TO THE FULL BOARD OF DIRECTORS OF TAHMO. FOR CEO COMPENSATION, THE COMMITTEE REVIEWS THE INFORMATION DESCRIBED BELOW AND RECOMMENDS THE CEO'S COMPENSATION TO THE FULL BOARD FOR ITS APPROVAL. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION RECOMMENDATIONS FROM THE CEO FOR OTHER EXECUTIVES, AND PROVIDES A REPORT TO THE FULL BOARD ON THIS INFORMATION. IT IS THE BOARD'S INTENTION THAT THE COMMITTEE WILL PERFORM ITS DUTIES IN A MANNER THAT WILL ESTABLISH A PRESUMPTION THAT THE TOTAL REMUNERATION OFFERED TO EXECUTIVES AND OTHER "DISQUALIFIED PERSONS" ARE REASONABLE. COMPARABILITY DATA AND REASONABLENESS THE TOTAL COMPENSATION OPPORTUNITIES PROVIDED TO EXECUTIVES OF THE COMPANY ARE INTENDED TO BE COMPETITIVE WITH, AND IN REASONABLE COMPARISON TO, THOSE OPPORTUNITIES PROVIDED BY ORGANIZATIONS IN THOSE BUSINESS SECTORS WITH WHICH THE COMPANY COMPETES FOR EXECUTIVE TALENT. THE BOARD BELIEVES THAT SUCH COMPETITORS ARE NOT LIMITED TO OTHER HEALTHCARE INSTITUTIONS AND THAT COMPARISONS SHOULD BE MADE TO THE COMPENSATION PRACTICES OF A CROSS-SECTION OF BUSINESS SECTORS IN BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS, WHEN APPROPRIATE. THE COMMITTEE RETAINS INDEPENDENT COMPENSATION CONSULTANTS TO PROVIDE DATA AS NECESSARY, AND ALSO USES AVAILABLE SOURCES OF INDEPENDENT DATA ON COMPENSATION. PEER ORGANIZATIONS AND PUBLISHED SURVEY SOURCES WILL BE APPROVED BY THE COMMITTEE BASED ON ITS REASONABLE DETERMINATION. THE COMMITTEE MAY ALSO RELY ON MEMBERS OF MANAGEMENT AND OUTSIDE ADVISORS, CONSULTANTS, AND COUNSEL TO PROVIDE MARKET DATA REPORTS, ANALYSIS, AND OPINIONS WITH RESPECT TO COMPENSATION-RELATED MATTERS. THE DATA REVIEWED CONSISTS OF COMPARABLE, RELEVANT MARKET DATA FOR THE COMPANY'S POSITIONS FROM PUBLISHED SURVEYS, AND OTHER AVAILABLE SOURCES, OF HEALTH AND MANAGED CARE INSTITUTIONS AND THE GENERAL INDUSTRY. OTHER SURVEYS OF SPECIALIZED SKILL SETS OR EMPLOYEE ATTRIBUTES CRITICAL TO THE SUCCESS OF THE COMPANY, E.G., ACTUARIAL, LEGAL, ETC., ARE ALSO INCORPORATED AS NEEDED, ALONG WITH GEOGRAPHIC REFERENCES TO THE BOSTON AND NEW ENGLAND LABOR MARKETS. THE COMMITTEE WILL RELY ON THIS MARKET DATA TO ASSESS, DETERMINE, AND VALIDATE COMPENSATION LEVELS FOR THE COMPANY'S EXECUTIVES. THE COMMITTEE USES THIS DATA IN ITS REVIEW OF: - SETTING BASE SALARIES - IN LIGHT OF MARKET DATA AND THE INDIVIDUAL'S PERFORMANCE, BACKGROUND, EXPERIENCES, AND PERSONAL SKILLS. BASE SALARY WILL BE SET SO THAT THE TARGETED POSITIONING OF AN EXECUTIVE IS AT THE 50TH PERCENTILE FOR EACH POSITION. ACTUAL BASE SALARY MAY VARY BASED ON SKILLS, BACKGROUND, AND EXPERIENCE. - ANNUAL INCENTIVE COMPENSATION - THE COMPANY'S GOAL IS TO PROVIDE COMPETITIVE AND REASONABLE OPPORTUNITIES UNDER THE TERMS OF AN EXECUTIVE ANNUAL INCENTIVE PLAN FOR THE SELECTED POSITIONS WHICH ARE RESPONSIBLE FOR ACHIEVING PERFORMANCE GOALS THAT REFLECT THE OVERALL MISSION OF THE COMPANY, THE STRATEGIC DIRECTION OF THE COMPANY FOR THE PERFORMANCE YEAR, AND THE INDIVIDUAL'S PERFORMANCE DURING THAT YEAR. THE COMMITTEE MAKES EVERY EFFORT TO ESTABLISH A PRESUMPTION THAT THE TOTAL REMUNERATION OPPORTUNITIES PROVIDED TO EXECUTIVES ARE REASONABLE; AS SUCH PRESUMPTION IS CONTEMPLATED IN SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED FROM TIME TO TIME. IN ESTABLISHING THE PRESUMPTION OF REASONABLENESS, THE COMMITTEE MAY ENGAGE THE PROFESSIONAL SERVICES OF INDEPENDENT LEGAL COUNSEL, COMPENSATION EXPERTS, ACCOUNTANTS, AND OTHER EXPERTS AND ADVISORS. TIMING EXECUTIVE BENCHMARKING IS COMPLETED ON AN ANNUAL BASIS. FOR THE CEO, BENCHMARKING IS COMPLETED BY THE EXTERNAL CONSULTANT ENGAGED BY THE COMPENSATION COMMITTEE. FOR ALL OTHER OFFICERS, BENCHMARKING IS COMPLETED BY AN EXTERNAL CONSULTANT EVERY TWO YEARS, AND BY THE INTERNAL COMPENSATION TEAM ON ALTERNATING YEARS. THE ANALYSIS COMPLETED IN Q4, 2012 WAS COMPLETED BY THE EXTERNAL CONSULTANT ENGAGED BY THE COMMITTEE FOR THE CEO, AND BY THE INTERNAL COMPENSATION TEAM FOR ALL OTHER OFFICERS. TO COMPLETE THE ANALYSIS, THE CONSULTANT AND THE INTERNAL COMPENSATION TEAM: - COLLECTED RELEVANT INFORMATION REGARDING THE COMPANY'S OPERATIONS, COMPLEXITY, STRUCTURE, SIZE, AND SCOPE, AS WELL AS RELEVANT BACKGROUND ON THE EXECUTIVES' DUTIES AND SCOPE OF RESPONSIBILITIES; - DETERMINED THE SURVEY SOURCES TO USE IN THE ANALYSIS, BASED ON THE COMPANY'S COMPETITIVE MARKET FOR EXECUTIVE POSITIONS (AS DESCRIBED ABOVE); - MATCHED THE COMPANY'S EXECUTIVE POSITIONS IN THE SURVEYS BASED ON THE COMPANY'S SIZE COMPLEXITY, AND SCOPE, AS WELL AS ACCORDING TO SPECIFIC POSITION RESPONSIBILITIES AND REPORTING RELATIONSHIPS; - VALIDATED THE SURVEY SOURCES AND MARKET MATCHES WITH THE INTERNAL COMPENSATION TEAM TO ENSURE CONSISTENCY; - REVIEWED, COMPILED, AND SUMMARIZED THE DATA IN REPORT FORM. THE REPORT SUMMARIZING THE RESULTS OF THE ANALYSIS WAS PRESENTED TO THE COMPENSATION COMMITTEE FOR DISCUSSION AND DELIBERATION. DOCUMENTATION A SUMMARY OF THE DISCUSSIONS AND DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN THE MEETING MINUTES, WHICH ARE REVIEWED AND APPROVED BY THE COMMITTEE. COPIES OF ALL MEETING MATERIALS DISTRIBUTED PRIOR TO AND DURING THE MEETING ARE MAINTAINED IN THE CORPORATE RECORDS ALONG WITH MEETING MINUTES. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS OF THE FOUNDATION ARE AVAILABLE AT ITS HEADQUARTERS IN WATERTOWN, MA. ALL REQUESTS CAN BE MADE TO THE CORPORATE COMMUNICATIONS OR FINANCE DEPARTMENTS. TUFTS ASSOC HEALTH MAINTENANCE ORG INC 705 MOUNT AUBURN STREET WATERTOWN MA 02472 042674079 HMO MA 501(C)(4) N/A NA false TUFTS ASSOCIATED HEALTH PLANS INC 705 Mount Auburn St WATERTOWN MA 024721508 042985923 MANAGEMENT SVCS MA TAHMO C Corp false false false false false false false false false false false false true true true true false false false TUFTS ASSOCIATED HEALTH MAINTENANCE ORG P 396000 ACCRUAL REIMBURSEMENT PAID TO OTHER ORGANIZATION SCHEDULE R, PART V, LINE 1P THE FOUNDATION REIMBURSES TAHMO FOR ALL PAYMENTS DIRECTLY RELATED TO THE FOUNDATION.