2011-08-14T11:57:19-07:00 2010-09-30 990 2009-10-01 043159969 TRI-COUNTY MEDICAL ASSOCIATES INC TRI- 5085285392 124 Grove Street Suite 305 Franklin MA 02038 Philip Ciaramicoli 5085285392 2011-08-14 2009 2016-02-24 21:20:13Z Philip Ciaramicoli 124 Grove Street Suite 314 Franklin MA 02038 39870412 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 3 408 0 0 0 0 0 36381314 39878035 -7994 -7623 0 0 36373320 39870412 0 0 0 0 31308103 35203541 0 0 0 9834083 10241081 41142186 45444622 -4768866 -5574210 8927650 7042343 6444382 5046014 2483268 1996329 Our primary mission at Mlford 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 23993011 0 23902152 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 thirty nine 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 142,300 times in 2010. 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, work on the development of an electronic medical record system has been ongoing. 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. 12281118 0 12044173 Specialist Care - Tri-County Medical Associates has 12 specialist groups servicing the 20 communities of Central Massachusetts. The group of twenty 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. In fiscal year 2009, a surgical breast specialist was hired as Medical Director for a new Breast Center to develop a multi-disciplinary team approach to all issues related to breast health and disease. Another important specialist program, the Center for Adolescent Health, provides comprehensive and multi-disciplinary care to more than 3,000 adolescent clients and their families on an annual basis. 6185454 0 3931711 Inpatient Care - Tri-County Medical Associates has an active hospitalists program that serves the inpatients at Milford Regional Medical Center. Our 21 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 42459583 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 0 0 0 1 33 0 1 408 1 0 0 0 0 0 7 3 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 0 1 1 0 MA X Carman Yee 5085285392 124 Grove Street Suite 305 Franklin MA 02038 Roger Calarese 1 X 0 0 0 Louis Bertonazzi 1 X 0 0 0 Catherine Burke 1 X 0 1488 0 Albert Crimaldi 1 X 0 17250 0 Frederick Curley 50 X 473051 72000 22701 Tina Robakiewicz 50 X 269427 7797 21572 Monica Woodward 50 X 262366 9000 20847 Philip Ciaramicoli 50 X 303175 0 21503 Sanjaya Kumar 50 X 542186 1075 9719 Mitchell Bamberger 50 X 403999 0 15203 Michael McCormick 50 X 357860 0 14351 Reynold Dahl 50 X 352494 0 24240 Jane Curl 50 X 338144 65826 21554 3302702 174436 171690 74 0 1 0 UMASS Memorial Medical 55 Lake Ave Worcester MA 01605 Physician Services 1377831 Riverside Community Care 450 Washington Street Suite 201 Dedham MA 02026 Physician Services 284917 Brigham & Women's Physician Organization PO Box 3684 Boston MA 022413684 Physician Services 277867 3 0 Primary Physician Care 622000 23902152 23902152 0 0 Specialty Physician Care 622000 12044172 12044172 0 0 In Patient Physician Care 622000 3931711 3931711 0 0 0 0 0 0 39878035 11141 0 0 11141 0 0 0 0 0 0 0 0 0 0 0 -18764 0 0 0 -18764 -18764 0 0 -18764 0 39870412 39878035 0 -7623 1606613 1210523 396090 0 28171805 26676439 1495366 0 427298 395974 31324 0 3287047 3059651 227396 0 1710778 1589463 121315 0 71869 64405 7464 0 43070 2338 40732 0 20830 0 20830 0 2064008 1969652 94356 0 115082 103291 11791 0 2696959 2611701 85258 0 113679 113679 0 0 2060656 1900117 160539 0 43572 21166 22406 0 54726 54726 0 0 984943 823880 161063 0 1059830 962102 97728 0 other expense 96209 84828 11381 0 bad debt 815648 815648 0 0 45444622 42459583 2985039 0 1228209 22328 3703101 2999025 90407 104147 603463 1030526 7883823 5083774 3246053 2800049 56417 86268 8927650 7042343 4954089 4163137 1063952 650654 426341 232223 6444382 5046014 X 2483268 1996329 0 0 0 0 2483268 1996329 8927650 7042343 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 1777837 0 1312540 465297 6011149 0 3771234 2239915 94837 0 0 94837 2800049 SERP 86268 86268 Due to Third Party Payers 232223 232223 39870412 45444622 -5574210 0 0 0 0 0 0 -5574210 39878035 -11141 0 0 18764 7623 39870412 0 0 0 39870412 45444622 0 0 0 0 0 45444622 0 0 0 45444622 SchD_P10_S00_L00 Schedule D, Part X A reveiw 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, 2010. 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 1 0 0 0 Frederick Curley 473051 72000 0 0 0 0 0 0 21893 808 494944 72808 0 0 Tina Robakiewicz 269427 7797 0 0 0 0 0 0 21572 0 290999 7797 0 0 Monica Woodward 262366 9000 0 0 0 0 0 0 20787 60 283153 9060 0 0 Philip Ciaramicoli 263175 0 40000 0 0 0 0 0 21503 0 324678 0 0 0 Sanjaya Kumar 542186 1075 0 0 0 0 0 0 9719 0 551905 1075 0 0 Mitchell Bamberger 403999 0 0 0 0 0 0 0 15203 0 419202 0 0 0 Michael McCormick 357860 0 0 0 0 0 0 0 14351 0 372211 0 0 0 Reynold Dahl 352494 0 0 0 0 0 0 0 24240 0 376734 0 0 0 Jane Curl 338144 65826 0 0 0 0 0 0 21023 531 359167 66357 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 RVU's are determined by CMS (Medicare) to measure the work performed by the physician. SchJ_P01_S00_L06 Schedule J, Part I, Line 6 Compensation for established specialists is dependent upon the productivity of their practice. Physicians are eligible to receive incentive pay equal to an allocated percentage of the net income of the pratice site. Net income is calculated using generally accepted accounting principles. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 The organization is governed by a Board of Trustees. F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 The Form 990 has been reviewed in detail with the Chairman of the Board of Trustees. 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 it 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 it's governing documents available to the public, such as it's bylaws which include the organization's conflict of interest policy, 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 included in the Form PC filing. Milford Regional Medical Center 14 Prospect Street Milford MA 01757 042103602 Hospital MA 501 (c) (3) N/A 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 0 1 Milford Regional Medical Center f 1100 Milford Regional Medical Center i 64796 Milford Regional Medical Center j 282749 Milford Regional Medical Center p 3279582 Milford Regional Medical Center r 8150000