2011-08-15T11:43:30-05:00 2010-09-30 CCR LLP 125 HIGH ST 21ST FLOOR Boston MA 02110 990 2009-10-01 043044706 TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC TUFT 6176365000 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 THEODORE BUKOWSKI 6176365000 2011-08-15 1 Jeffrey E Mead 6172267000 2011-08-11 2009 2016-02-24 21:20:13Z THEODORE BUKOWSKI 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 14557000 0 X TUFTSMEDICALCENTER.ORG X 1992 MA THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. COORDINATES THE ADMINISTRATIVE AND BILLING ACTIVITES FOR THE GROUP PRACTICES (SEE FOOTNOTE) IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO PATIENTS OF TUFTS MEDICAL CENTER PARENT, INC. AND TO THE RESIDENTS OF THE COMMUNITIES IT SERVES. 17 5 11 0 0 0 0 17597000 14526000 -147000 31000 0 17450000 14557000 0 0 7477995 8068742 0 0 3787005 3916258 11265000 11985000 6185000 2572000 32662000 39562000 19176000 23965000 13486000 15597000 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 PARENT, INC. AND TO THE RESIDENTS OF THE COMMUNITY IT SERVES. 0 0 11250000 14526000 THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. SUPPORTS THE FOLLOWING CORPORATIONS (THE "GROUP PRACTICE"), ALL EXEMPT CORPORATIONS UNDER SEC. 501(C)(3), IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO PATIENTS OF TUFTS MEDICAL CENTER PARENT, 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 ASSOCIATES, 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 FOUNDATION COORDINATES THE ADMINISTRATIVE AND BILLING ACTIVITIES FOR THE GROUP PRACTICE AND CHARGES THEM FOR THESE SERVICES. 11250000 1 0 0 0 0 0 0 0 0 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 1 0 0 1 11 0 1 11 1 0 0 0 0 0 0 0 0 0 17 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X THEODORE BUKOWSKI CMPE 6176365000 800 WASHINGTON ST TMCPO 1013 BOSTON MA 02111 ERIC BEYER 40.00 X X 486152 0 52635 PAUL SUMMERGRAD MD 40.00 X 0 320633 52323 CHESTER BLACK 40.00 X 0 0 0 CHARLES CASSIDY MD 40.00 X 0 766553 52386 PHILLIP GIUNTA 40.00 X 0 0 0 CARL HEILMAN MD 40.00 X 0 622635 52722 WILLIAM MACKEY MD 40.00 X 0 514625 52626 THOMAS MCGURTY MD 40.00 X 0 0 0 DEEB SALEM MD 40.00 X 0 675329 52722 STEPHEN M WEINER ESQ 40.00 X 0 0 0 ELLEN ZANE 40.00 X 0 1151107 55482 JOHN SCHREIBER MD 40.00 X 0 534650 32618 THEODOR T HERWIG 40.00 X 0 0 0 EDGAR KENT YUCEL MD 40.00 X 0 512613 46863 THEODORE BUKOWSKI CMPE 40.00 X 235602 0 46335 JEFFREY WEINSTEIN 40.00 X 0 337115 32145 CRAIG WILLIAMS 40.00 X 245602 0 0 JEFFREY GROSS 40.00 X 230375 0 29885 JOHN MURRAY 40.00 X 155567 0 37258 1353298 5435260 596000 5 0 1 0 GE HEALTHCARE IITS USA po box 277475 ATLANTA GA 30384 FINANCIAL SERVICES 528382 GUARDIAN PO BOX 95101 CHICAGO IL 60694 PROFESSIONAL SERVICES 351230 SCERIS 490 BOSTON POST ROAD SUDBURY MA 01176 PROFESSIONAL SERVICES 230387 PATIENT KEEPER PO BOX 674378 DETROIT MI 48267 pROFESSIONAL SERVICES 191753 CERIDIAN 401 EDGEWATER PLACE WAKEFIELD MA 01880 PROFESSIONAL SERVICES 124998 6 SUPPORT REVENUE 561000 13697000 13697000 CLININCAL, TEACHING & 900099 829000 829000 14526000 31000 31000 14557000 14526000 0 31000 954742 763794 190948 5562000 5562000 154000 154000 1308000 1308000 90000 90000 19000 19000 170000 170000 100000 100000 392000 392000 62000 62000 103000 103000 MISCELLANEOUS 1774258 1419206 355052 PROFESSIONAL EXPENSES 425000 425000 PRINTING & PUBLICATIONS 304000 304000 SUPPORT 304000 304000 POSTAGE & SHIPPING 156000 156000 107000 107000 11985000 11250000 735000 0 10236000 12236000 829000 1129000 2522000 2635000 1200000 851000 452000 349000 18623000 23213000 32662000 39562000 5312000 4561000 13864000 19404000 19176000 23965000 X 13310000 15433000 176000 164000 13486000 15597000 32662000 39562000 X 0 1 1 X 1 1 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 REHABILITATION 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 49718 32273 822029 527382 294647 295980 273900 22080 349000 DUE FROM AFFILIATES 3201000 OTHER LONG TERM ASSETS 20012000 23213000 DUE TO AFFILIATES 923000 PROFESSIONAL LAIBILITY COSTS 18481000 19404000 X X X 0 0 0 0 0 0 0 0 0 ERIC BEYER 444589 0 41563 0 0 0 34300 0 18335 0 538787 0 0 0 PAUL SUMMERGRAD MD 0 291800 0 28833 0 0 0 34300 0 18023 0 372956 0 0 CHARLES CASSIDY MD 0 600000 0 166553 0 0 0 34300 0 18086 0 818939 0 0 CARL HEILMAN MD 0 622635 0 0 0 0 0 34300 0 18422 0 675357 0 0 WILLIAM MACKEY MD 0 464000 0 50625 0 0 0 34300 0 18326 0 567251 0 0 DEEB SALEM MD 0 525329 0 150000 0 0 0 34300 0 18422 0 728051 0 0 ELLEN ZANE 0 920908 0 0 0 230199 0 21400 0 34082 0 1206589 0 0 JOHN SCHREIBER MD 0 489650 0 45000 0 0 0 14292 0 18326 0 567268 0 0 EDGAR KENT YUCEL MD 0 448863 0 63750 0 0 0 28583 0 18280 0 559476 0 0 THEODORE BUKOWSKI CMPE 200000 0 35602 0 0 0 28000 0 18335 0 281937 0 0 0 JEFFREY WEINSTEIN 0 302862 0 10000 0 24253 0 21400 0 10745 0 369260 0 0 CRAIG WILLIAMS 217000 0 28602 0 0 0 0 0 0 0 245602 0 0 0 JEFFREY GROSS 173700 0 56675 0 0 0 11550 0 18335 0 260260 0 0 0 JOHN MURRAY 135167 0 20400 0 0 0 18923 0 18335 0 192825 0 0 0 Form 990, Part VI, Section B, line 11 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 IT'S WRITTEN CONFLICT OF INTEREST POLICY BY REGULAR CONTACT WITH AND QUESTIONNAIRES OF ALL INDIVIDUALS WITH POTENTIAL FOR CONFLICT OF INTEREST. Form 990, Part VI, Section B, line 15 THE COMPENSATION COMMITTEE REVIEWS COMPARITIVE COMPENSATION DATA FOR THE CEO AND KEY STAFF IN ACCORDANCE WITH THE POLICY ANNUALLY AND FOR NEW HIRES. THE COMMITTEE MAKES A DECISION AND AUTHORIZES THE RATE OF COMPENSATION RECCOMENDATION TO THE BOARD WHICH WILL AUTHORIZE UPON APPROVAL. Form 990, Part VI, Section C, line 18 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 5 BREAKDOWN OF COMPENSATION SHOWN IN COLUMNS (B) AND (C): EACH OFFICER OF THE ORGANIZATION SPENT 80% OF THEIR TIME RUNNING A PROGRAM WHICH CONSTITUTES THE BASIS OF THE ORGANIZATION'S MISSION AND 20% IN GENERAL MANAGEMENT OF THE ORGANIZATION: 80% PROGRAM SERVICES ERIC BEYER - PRESIDENT 530,068 THEODORE BUKOWSKI - TREASURER 233,726 ----------- TOTAL PROGRAM SERVICES 763,794 20% MANAGEMENT AND GENERAL ERIC BEYER - PRESIDENT 132,517 THEODORE BUKOWSKI - TREASURER 58,431 ----------- TOTAL MANAGEMENT AND GENERAL 190,948 TUFTS MEDICAL CENTER PHYSICIAN'S ORGANIZATION INC DBA THE PRATT ASSOCIAT 800 WASHINGTON STREET BOSTON MA 02111 900113440 HEALTHCARE PROVIDERS MA 501(C)(3) 9 TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON MA 02111 042810022 HOSPITAL SERVICES MA 501(C)(3) 13 TUFTS MEDICAL CENTER PARENT INC TUFTS MEDICAL CENTER PARENT INC 800 WASHINGTON STREET BOSTON MA 02111 043400617 FUNDRAISING, ADMINISTRATION, PLANNING AND OTHER ACTIVITIES MA 501(C)(3) 7 TUFTS MEDICAL CENTER PARENT INC NEW ENGLAND LONG-TERM CARE INC 800 WASHINGTON STREET BOSTON MA 02111 042912578 OPERATE CONVALESCENT, NURSING OR RESIDENTIAL HOMES FOR PEDIATRIC & ADULT PAT MA 501(C)(3) 7 TUFTS MEDICAL CENTER PARENT INC NEW ENGLAND QUALITY CARE ALLIANCE INC 800 WASHINGTON STREET BOSTON MA 02111 043040427 PROVIDING MEDICAL PROGRAMS AND SERVICES MA 501(C)(3) 13 TUFTS MEDICAL CENTER PARENT INC THE CAMERON M NEELY FOUNDATION FOR CANCER CARE INC 800 WASHINGTON STREET BOSTON MA 02111 043265628 TO SUPPORT CHARITABLE ACTIVITIES OF NEMC IN CARING FOR PATIENTS WITH CANCER MA 501(C)(3) 11A TUFTS MEDICAL CENTER PARENT INC 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 1 THE PRATT ASSOCIATES INC K 13173000 SEE FORM 990 PART VII N DUE TO AFFILIATES Q 923000 DUE FROM AFFILIATES R 3201000 TUFTS MEDICAL CENTER J 392000