TUFTS MEDICAL CENTER PARENT INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: TUFTS MEDICAL CENTER PARENT INC (EIN 27-0440772)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-13
IRS object ID: 201822259349302112
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R
Affiliate Listing

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-13T16:46:34-05:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	263753134	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CBIZ MHM LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Boylston Street	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02116	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	270440772	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TUFTS MEDICAL CENTER GROUP RETURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TUFT	BusinessNameControlTxt
Phone	6176365000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 WASHINGTON STREET BOX 468	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	021111533	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	kristine hanscom	PersonNm
Person Title	senior vp, cfo & treasurer	PersonTitleTxt
Phone	6176365000	PhoneNum
Signature	2018-08-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Craig Klein	PreparerPersonNm
PTIN	P00734640	PTIN
Phone	6177610600	PhoneNum
Preparation	2018-08-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	kristine hanscom	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 WASHINGTON STREET BOX 468	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	021111533	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$864,250,024	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	0	AllAffiliatesIncludedInd
Group Exemption	5466	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TUFTSMEDICALCENTER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	WE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN, AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND TO PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. SEE PART III.	ActivityOrMissionDesc
Voting Members Governing Body	53	VotingMembersGoverningBodyCnt
Voting Members Independent	38	VotingMembersIndependentCnt
Total Employee	6678	TotalEmployeeCnt
Total Volunteers	98	TotalVolunteersCnt
Total Gross UBI	$6,373	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$49,485,721	PYContributionsGrantsAmt
CY Contributions Grants	$47,625,317	CYContributionsGrantsAmt
PY Program Service Revenue	$743,532,533	PYProgramServiceRevenueAmt
CY Program Service Revenue	$805,534,351	CYProgramServiceRevenueAmt
PY Investment Income	$18,039,504	PYInvestmentIncomeAmt
CY Investment Income	$8,343,383	CYInvestmentIncomeAmt
PY Other Revenue	$1,019,358	PYOtherRevenueAmt
CY Other Revenue	$1,798,977	CYOtherRevenueAmt
PY Total Revenue	$812,077,116	PYTotalRevenueAmt
CY Total Revenue	$863,302,028	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$393,822,459	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$409,793,093	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$15,755	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,029,087	CYTotalFundraisingExpenseAmt
PY Other Expenses	$393,969,592	PYOtherExpensesAmt
CY Other Expenses	$424,681,423	CYOtherExpensesAmt
PY Total Expenses	$787,792,051	PYTotalExpensesAmt
CY Total Expenses	$834,490,271	CYTotalExpensesAmt
PY Revenues Less Expenses	$24,285,065	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$28,811,757	CYRevenuesLessExpensesAmt
Total Assets BOY	$766,547,685	TotalAssetsBOYAmt
Total Assets EOY	$820,924,217	TotalAssetsEOYAmt
Total Liabilities BOY	$626,481,946	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$650,128,739	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$140,065,739	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$170,795,478	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	see schedule o	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$648,388,543	ExpenseAmt
Revenue	$804,633,191	RevenueAmt
Desc	TUFTS MEDICAL CENTER, INC. LOCATED IN BOSTON, MA OPERATES A 415 BED ACUTE-CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES PRIMARILY IN THE GREATER BOSTON AREA, WHICH ALSO ATTRACTS PATIENTS FROM ELSEWHERE IN NEW ENGLAND AND BEYOND.NEW ENGLAND LONG-TERM CARE, INC. OPERATES AN 80 BED NURSING HOME SPECIALIZING IN THE CARE OF CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED.NEW ENGLAND QUALITY CARE ALLIANCE, INC. OPERATES FOR THE PURPOSE OF SUPPORTING ACTIVITIES OF TUFTS MEDICAL CENTER PARENT, INC. AND ITS AFFILIATES. NEQCA INTEGRATES COMMUNITY AND ACADEMIC PHYSICIANS DEDICATED TO PROVIDING COMPREHENSIVE, INNOVATIVE, HIGH QUALITY AFFORDABLE HEALTH CARE THAT BRINGS VALUE TO THEIR PATIENTS AND THE COMMUNITY, AND EXPANDS THE TEACHING AND RESEARCH MISSION OF TUFTS MEDICAL CENTER, INC.TUFTS MEDICAL CENTER REAL ESTATE COMPANY, INC. PROVIDES RENTAL SERVICE PROGRAMS TO PROMOTE THE INTEREST OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS BY ACQUIRING, MAINTAINING, MANAGING, DEVELOPING, LEASING, AND DISPOSING OF REAL ESTATE PROPERTY.NEW ENGLAND QUALITY CARE ALLIANCE ACCOUNTABLE CARE, INC. IS A NONPROFIT ACCOUNTABLE CARE ORGANIZATION FORMED TO IMPROVE THE HEALTH OF PATIENTS, AND TO ENHANCE THE PATIENT'S EXPERIENCE OF CARE AND THE REDUCTION OF THE PER CAPITA COST OF CARE, THROUGH INTEGRATED CARE COORDINATION, SHARED SAVINGS, AND QUALITY INCENTIVES.TUFTS MEDICAL CENTER COMMUNITY CARE, INC. WORKS JOINTLY WITH TUFTS MEDICAL CENTER PARENT, INC. AND AFFILIATES TO DEVELOP, IMPLEMENT, AND OPERATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM AND TO PROVIDE COST-EFFECTIVE AND HIGH-QUALITY PATIENT CARE WITHIN SUCH SYSTEM.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$33,497,647	ExpenseAmt
Revenue	$492,245	RevenueAmt
Desc	TUFTS MEDICAL CENTER, INC. ADMINISTERS PROGRAMS FOR APPROXIMATELY 274 RESIDENTS, 73 INTERNS AND 103 FELLOWS IN 44 SPECIALTIES AND SUBSPECIALTIES WHO ROTATE TO APPROXIMATELY 54 HOSPITALS AND OTHER ORGANIZATIONS LOCATED PRIMARILY IN THE GREATER BOSTON AREA.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$7,243,116	ExpenseAmt
Revenue	$408,915	RevenueAmt
Desc	TUFTS MEDICAL CENTER, INC. ENGAGES IN RESEARCH ACTIVITIES FUNDED BY GRANTS AND CONTRACTS FOR U.S. GOVERNMENT AGENCIES AND OTHER PRIVATE SOURCES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$689,129,306	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	517	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	6678	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	53	GoverningBodyVotingMembersCnt
Independent Voting Member	38	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KATHLEEN DAVIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6176365000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 WASHINGTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02111	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (74 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AHMED BASHEER md
trustee	1.00	0.00	Yes (X)	$0	$0	$0
harris berman md
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
Craig Best
trustee	1.00	0.00	Yes (X)	$0	$0	$0
Margaret Brown Esq
trustee	1.00	0.00	Yes (X)	$0	$0	$0
ELIZABETH BURBA MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
chester black
trustee	1.00	0.00	Yes (X)	$0	$0	$0
DEB BLAZEY-MARTIN MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
charles CASSIDY MD
TRUSTEE (until 12/16)	1.00	39.00	Yes (X)	$0	$1,047,213	$59,290
DAVID CHUNG md
TRUSTEE (until 12/16)	1.00	0.00	Yes (X)	$0	$0	$0
joseph p campanelli
TRUSTEE/Chair	1.00	0.00	Yes (X)	$0	$0	$0
olivIA HO CHENG
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
PAULINE CHAO MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
Mark Collins
trustee	1.00	0.00	Yes (X)	$0	$0	$0
thomas costello
trustee	1.00	0.00	Yes (X)	$0	$0	$0
MICHELE CRAGE MD
TRUSTEE/chair	1.00	0.00	Yes (X)	$0	$0	$0
jatin dave md
trustee (ex officio)	40.00	0.00	Yes (X)	$45,513	$0	$0
NORMAND DESCHENE
TRUSTEE	1.00	39.00	Yes (X)	$0	$3,780,458	$87,046
daniel j doherty
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
william doherty md
trustee	1.00	0.00	Yes (X)	$0	$0	$0
dan driscoll md
trustee	1.00	0.00	Yes (X)	$0	$0	$0
rashed durgham md
trustee	1.00	0.00	Yes (X)	$0	$0	$0
yvonne garcia
trustee	1.00	0.00	Yes (X)	$0	$0	$0
steve golden md
trUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
Stan Goldstein
trustee	1.00	0.00	Yes (X)	$0	$0	$0
Ron Keating
trustee (until 12/16)	1.00	0.00	Yes (X)	$0	$0	$0
kelli kennedy md
trustee	1.00	0.00	Yes (X)	$0	$0	$0
scott kirschner
trustee	1.00	0.00	Yes (X)	$0	$0	$0
marvin a konstam md
TRUSTEE	1.00	39.00	Yes (X)	$0	$643,943	$59,290
chris kryder md
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
Matthew Larkin
trustee	1.00	39.00	Yes (X)	$0	$285,670	$57,096
susan winston leff
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
genia long
tRUSTEE/Vice Chair	1.00	0.00	Yes (X)	$0	$0	$0
william c mackey md
trUSTEE	1.00	39.00	Yes (X)	$0	$557,508	$59,290
eleanor moresco
trustee	1.00	0.00	Yes (X)	$0	$0	$0
anthony p monaco md phd
trUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
elias nabout md
trustee	1.00	0.00	Yes (X)	$0	$0	$0
KANU PATEL MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
Andrew Romanowsky
trustee	1.00	0.00	Yes (X)	$0	$0	$0
mark rosen
trUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
deeb n salem md
TRUSTEE	1.00	39.00	Yes (X)	$0	$689,443	$59,290
DAVID SCHROEDER MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
JEFF SHAMES
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ERIC SILVERMAN MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
Mark Singh
trustee	1.00	0.00	Yes (X)	$0	$0	$0
paul summergrad md
TRUSTEE	1.00	39.00	Yes (X)	$0	$483,974	$59,202
Dhiren Sutaria
trustee	1.00	0.00	Yes (X)	$0	$0	$0
timothy tierney md
director	1.00	0.00	Yes (X)	$0	$0	$0
ELLEN M ZANE
TRUSTEE	1.00	1.00	Yes (X)	$0	$0	$0
margaret costello
trustee/president/ceo	40.00	0.00	Yes (X)	$373,800	$0	$42,307	Yes (X)
MICHAEL WAGNER md
TRUSTEE/presIDENT/CEO	38.00	2.00	Yes (X)	$1,023,339	$0	$157,240	Yes (X)
JEFFREY A WEINSTEIN
TRUSTEE/SENIOR VP/CLERK	39.00	1.00	Yes (X)	$544,627	$138,028	$75,447	Yes (X)
Joseph Frolkis md
Trustee/President/CEO	40.00	0.00	Yes (X)	$447,567	$0	$4,199	Yes (X)
nathan gagne
cfo/treasurer	40.00	0.00	Yes (X)	$243,220	$0	$25,893	Yes (X)
zachary redmond
clerk	40.00	0.00	Yes (X)	$165,472	$0	$25,208	Yes (X)
Kristine M Hanscom
SENIOR VP/TREASURER/CFO/TRustee	40.00	0.00	Yes (X)	$422,510	$0	$60,179	Yes (X)
ellen o'gorman
ceo	1.00	39.00	Yes (X)	$160,021	$0	$0	Yes (X)
THERESE HUDSON-JINKS
SENIOR VP AND CNO	40.00	0.00		$411,008	$0	$53,476		Yes (X)
WILLIAM ShICKOLOVICH
SENIOR VP OPERATIONS MGMT/cio	40.00	0.00		$331,682	$123,260	$80,984		Yes (X)
DEBORAH JOELSON
SR. VP STRATEGIC SERVICES	40.00	0.00		$133,003	$347,431	$81,063		Yes (X)
SUSAN BLANCHARD
VP FOR RESEARCH ADMinistration	40.00	0.00		$279,778	$0	$57,566		Yes (X)
kelly dougherty
vp cardiovascular	40.00	0.00		$195,837	$0	$0		Yes (X)
patricia hayward until 717
vp human resources/risk mgmt.	40.00	0.00		$340,237	$0	$21,158		Yes (X)
sean sullivan
vp human resources	40.00	0.00		$262,868	$0	$0		Yes (X)
jeffrey syrek
vp sys CONTRACTING	40.00	0.00		$258,016	$0	$44,407		Yes (X)
BROOKE TYSON-HYNES
VP PUBLIC AFFAIRS	40.00	0.00		$218,047	$81,830	$31,590		Yes (X)
saul weingart
chief medical officer	1.00	39.00		$0	$517,590	$59,207		Yes (X)
NANCY WETHERBEE
director of orbit	40.00	0.00		$273,508	$0	$10,198			Yes (X)
PETER NEUMANN
special & scientific staff	40.00	0.00		$252,292	$0	$43,334			Yes (X)
kathleen davis
corporate controller	40.00	0.00		$225,726	$0	$25,427			Yes (X)
shelly dietz
dir. of clinical resource	40.00	0.00		$214,298	$0	$0			Yes (X)
nancy gittelson
executive Director of Info. Services	40.00	0.00		$206,229	$0	$0			Yes (X)
CHIBUEZE OKEY AGBA until 216
former Sr. VP/TREASURER/CFO/Trustee	0.00	0.00		$649,649	$0	$81,660				Yes (X)
JEFFREY I LASKER MD
former TRUSTEE/PRESIDENT/CEO	0.00	0.00		$447,844	$0	$3,594				Yes (X)
christine more until 1215
former interim - vp development	0.00	0.00		$109,335	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,235,426	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,696,348	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,424,641	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	663	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PRATT MEDICAL GROUP INC
800 WASHINGTON STREET	BOSTON	MA	02111	PHYSICIAN SERVICES	$16,110,328
TUFTs SHARED SERVICES
171 HARRISON AVE	BOSTON	MA	02111	UTILITIES & PARKING	$14,635,555
PRATT ANESTHESIOLOGY ASSOCIATION INC
800 WASHINGTON STREET	BOSTON	MA	02111	PHYSICIAN SERVICES	$8,886,135
Aramark
1101 Market Street	Philadelphia	PA	19107	Food & Uniform Services	$5,096,888
TUFTS UNIVERSITY SCHOOL OF MEDicine
145 Harrison Ave	Boston	MA	02110	research services	$5,035,568

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	237	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,163,928	FundraisingAmt
Government Grants	$30,775,606	GovernmentGrantsAmt
All Other Contributions	$15,685,783	AllOtherContributionsAmt
Noncash Contributions	$227,069	NoncashContributionsAmt
Total Contributions	$47,625,317	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERV. REV.	900099	$716,439,553	$716,439,553
RESEARCH & MISC. REV.	900099	$81,713,242	$81,713,242
DEFERRED GAIN	900099	$5,840,847	$5,840,847
OVERHEAD RECOVERY	900099	$1,049,845	$1,049,845
RESIDENTS & INTERN REV	900099	$490,864	$490,864

Field	Value	IRS element (for citing)
Total Program Service Revenue	$805,534,351	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$972,273	TotalRevenueColumnAmt
Unrelated Business Revenue	$6,373	UnrelatedBusinessRevenueAmt
Exclusion	$965,900	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$970,124	TotalRevenueColumnAmt
Exclusion	$970,124	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,554,844	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$489,882	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,064,962	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,064,962	TotalRevenueColumnAmt
Exclusion	$1,064,962	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,371,110	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,371,110	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,371,110	TotalRevenueColumnAmt
Exclusion	$7,371,110	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$222,005	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,163,928	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$458,114	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$236,109	TotalRevenueColumnAmt
Exclusion	-$236,109	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$863,302,028	TotalRevenueColumnAmt
Related Or Exempt Func Income	$805,534,351	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,373	UnrelatedBusinessRevenueAmt
Exclusion	$10,135,987	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,073,566	TotalAmt
Program Services	$1,080,077	ProgramServicesAmt
Management And General	$8,993,489	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$327,877,937	TotalAmt
Program Services	$283,537,493	ProgramServicesAmt
Management And General	$43,392,479	ManagementAndGeneralAmt
Fundraising	$947,965	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,955,045	TotalAmt
Program Services	$8,552,795	ProgramServicesAmt
Management And General	$1,402,250	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,249,574	TotalAmt
Program Services	$29,267,516	ProgramServicesAmt
Management And General	$3,697,668	ManagementAndGeneralAmt
Fundraising	$284,390	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$28,636,971	TotalAmt
Program Services	$24,613,545	ProgramServicesAmt
Management And General	$4,023,426	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,466,029	TotalAmt
Program Services	$572,843	ProgramServicesAmt
Management And General	$893,186	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,967,942	TotalAmt
Program Services	$457,723	ProgramServicesAmt
Management And General	$1,510,219	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$630,590	TotalAmt
Management And General	$630,590	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$298,890	TotalAmt
Program Services	$298,890	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$15,755	TotalAmt
Fundraising	$15,755	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$66,987,932	TotalAmt
Program Services	$39,423,950	ProgramServicesAmt
Management And General	$26,901,808	ManagementAndGeneralAmt
Fundraising	$662,174	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,121,241	TotalAmt
Program Services	$3,532,494	ProgramServicesAmt
Management And General	$588,747	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,577,792	TotalAmt
Program Services	$4,483,425	ProgramServicesAmt
Management And General	$3,049,944	ManagementAndGeneralAmt
Fundraising	$44,423	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,659,492	TotalAmt
Program Services	$1,268,844	ProgramServicesAmt
Management And General	$390,648	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$24,517	TotalAmt
Program Services	$17,897	ProgramServicesAmt
Management And General	$6,620	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$34,889,047	TotalAmt
Program Services	$12,736,642	ProgramServicesAmt
Management And General	$22,151,132	ManagementAndGeneralAmt
Fundraising	$1,273	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,069,982	TotalAmt
Program Services	$1,036,487	ProgramServicesAmt
Management And General	$29,831	ManagementAndGeneralAmt
Fundraising	$3,664	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$9,160	TotalAmt
Program Services	$9,160	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,620,240	TotalAmt
Program Services	$18,620,240	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,449,456	TotalAmt
Program Services	$12,529,257	ProgramServicesAmt
Management And General	$9,917,236	ManagementAndGeneralAmt
Fundraising	$2,963	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	-$1,664,912	TotalAmt
Program Services	-$1,760,360	ProgramServicesAmt
Management And General	$95,448	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$150,552,341	$150,899,191	-$346,850
PHYSICIAN PRACTICE FEES	$62,274,661	$61,438,538	$836,123
BAD DEBT	$14,816,731	$14,815,118	$1,613
EQUIPMENT	$11,655,199	$4,743,610	$6,911,589

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,275,093	TotalAmt
Program Services	$16,953,931	ProgramServicesAmt
Management And General	$8,254,682	ManagementAndGeneralAmt
Fundraising	$66,480	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$834,490,271	TotalAmt
Program Services	$689,129,306	ProgramServicesAmt
Management And General	$143,331,878	ManagementAndGeneralAmt
Fundraising	$2,029,087	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$44,133,344	BOYAmt
EOY	$33,555,366	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$42,761,217	BOYAmt
EOY	$31,442,986	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,401,741	BOYAmt
EOY	$7,779,882	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$100,284,251	BOYAmt
EOY	$120,681,409	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,223,770	BOYAmt
EOY	$12,208,318	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,091,510	BOYAmt
EOY	$4,338,670	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$473,881,816	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$333,158,823	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$143,099,481	BOYAmt
EOY	$140,722,993	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$322,359,157	BOYAmt
EOY	$370,512,622	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$8,000,233	BOYAmt
EOY	$7,752,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,928,050	BOYAmt
EOY	$892,372	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$80,264,931	BOYAmt
EOY	$91,037,599	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$766,547,685	BOYAmt
EOY	$820,924,217	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$129,907,189	BOYAmt
EOY	$116,125,843	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$32,344,608	BOYAmt
EOY	$28,758,057	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$195,170,501	BOYAmt
EOY	$225,653,397	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$289,441	BOYAmt
EOY	$179,555	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$268,770,207	BOYAmt
EOY	$279,411,887	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$626,481,946	BOYAmt
EOY	$650,128,739	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$131,638,376	BOYAmt
EOY	$161,536,001	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,964,509	BOYAmt
EOY	$3,234,398	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,462,854	BOYAmt
EOY	$6,025,079	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$140,065,739	BOYAmt
EOY	$170,795,478	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$766,547,685	BOYAmt
EOY	$820,924,217	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$28,811,757	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$21,468,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$19,550,018	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	5	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
TUFTS MEDICAL CENTER INC
043400617	3	Yes (1)	$0	$0
NEW ENGLAND LONG-TERM CARE inc
042912578	3	Yes (1)	$0	$0
THE CAMERON M NEELY FOUNDATION FOR CANCER CARE INC
043265628	7	Yes (1)	$0	$0
tufts medical center community care inc
473046563	10	Yes (1)	$0	$0
neqca accountable care inc
800824142	7	Yes (1)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	5	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	0	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	Yes (1)	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	0	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Section A, Line 1:	tufts medical center real estate company, inc. is organized to promote the interests of tufts medical center, inc. and its affiliated organizations. new england quality care alliance, inc. is organized to support the activities of tufts medical center parent, inc. and those organizations that it directly or indirectly owns or controls.
schedule a, general information:	public charity status of the group members is as follows: tufts medical center, inc. - line 3 new england long-term care, inc. - line 3 tufts medical center real estate company, inc. - line 12b new england quality care alliance, inc. - line 12b tufts medical center community care, inc. - line 10 new england quality care alliance accountable care, inc. - line 7
Part IV, Section A, Line 2:	as members of the same group exemption (gen 5466), the supported organizations do not have separate irs determination letters. however, as part of the tax preparation process, consideration is given to each supported organization's status under section 509(a)(1) or 509(a)(2).
Part IV, Section C, Line 1:	as type ii supporting organizations, tufts medical center real estate company, inc. and new england quality care alliance, inc. must be under common supervision or control with their supported organizations to ensure that the supporting organizations will be responsive to the needs and requirements of the supported organizations. in the case of tufts medical center real estate company, inc. and new england quality care alliance, inc., these entities have a brother/sister relationship with their supported organizations, all under the common supervision or control of parent entity, tufts medical center parent, inc. tufts medical center parent, inc. is the sole corporate member of tufts medical center, inc., tufts medical center real estate company, inc., the cameron m. neely foundation for cancer care, inc., new england quality care alliance, inc., new england long-term care, inc. and tufts medical center community care, inc. moreover, tufts medical center parent, inc. has received a group exemption ruling (gen 5466) based upon its supervision or control over its subordinate organizations, all enumerated above. consequently, the supporting organizations are under common supervision or control with their supported organizations, ensuring responsiveness to the needs and requirements of the supported organizations.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$298,890	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$298,890	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,485,000	BeginningYearBalanceAmt
Contributions	$562,000	ContributionsAmt
Investment Earnings Or Losses	$43,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$19,000	OtherExpendituresAmt
End Year Balance	$6,071,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,462,000	BeginningYearBalanceAmt
Contributions	$13,000	ContributionsAmt
Investment Earnings Or Losses	$27,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,000	OtherExpendituresAmt
End Year Balance	$5,485,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,418,000	BeginningYearBalanceAmt
Contributions	$51,000	ContributionsAmt
Investment Earnings Or Losses	$8,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$15,000	OtherExpendituresAmt
End Year Balance	$5,462,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,292,000	BeginningYearBalanceAmt
Contributions	$205,000	ContributionsAmt
Investment Earnings Or Losses	$346,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$425,000	OtherExpendituresAmt
End Year Balance	$5,418,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,125,000	BeginningYearBalanceAmt
Contributions	$151,000	ContributionsAmt
Investment Earnings Or Losses	$325,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$309,000	OtherExpendituresAmt
End Year Balance	$5,292,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.99200	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00800	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,506,867	OtherCostOrOtherBasisAmt
Book Value	$7,506,867	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$188,615,615	OtherCostOrOtherBasisAmt
Depreciation	$119,272,126	DepreciationAmt
Book Value	$69,343,489	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,966,343	OtherCostOrOtherBasisAmt
Depreciation	$9,756,081	DepreciationAmt
Book Value	$3,210,262	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$254,600,466	OtherCostOrOtherBasisAmt
Depreciation	$204,130,616	DepreciationAmt
Book Value	$50,469,850	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,192,525	OtherCostOrOtherBasisAmt
Book Value	$10,192,525	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$140,722,993	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$31,538,708
DEPOSIT ADVANCE	$28,034,926
OTHER MISC. RECEIVABLES & ASSETS	$29,834,018
estimated third party receivables	$1,629,947

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$91,037,599	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
PENSION OBLIGATIONS	$61,336,951
DUE TO AFFILIATES	$11,790,468
PROFESSIONAL LIABILITY COSTS	$41,819,458
ESTIMATED THIRD PARTY PAYABLES	$57,753,711
LCO RESERVES	$7,507,173
taxable bonds	$88,122,460
workers compensation	$7,743,343
CAPITAL LEASE PAYABLE	$3,075,239
reserve for tertiarty discount	$263,084

Field	Value	IRS element (for citing)
Total Liability	$279,411,887	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION'S ENDOWMENT CONSISTS OF APPROXIMATELY 50 FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. FOR THE PURPOSES OF DISCLOSURE, ENDOWMENT FUNDS INCLUDE DONOR-RESTRICTED ENDOWMENT FUNDS. THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO THE PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	PROGRAM SERVICES	SELF-INSURANCE	$1,562,860
Central America and the Caribbean	0	0	INVESTMENTS		$120,000

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$1,682,860	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$1,682,860	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FAIRCOM NEW YORK INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12 WEST 27TH STREET 13TH FL	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10001	ZIPCd

Field	Value	IRS element (for citing)
Activity	Direct Mail Strategic Consulting	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$12,754	RetainedByContractorAmt
Net To Organization	$0	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$12,754	TotalRetainedByContractorsAmt
Licensed States	MA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	WORKING WONDERS	Event1Nm
Gross Receipts Event1	$1,198,223	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,045,348	CharitableContriEvent1Amt
Gross Revenue Event1	$152,875	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$22,911	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$117,612	FoodAndBeverageEvent1Amt
Entertainment Event1	$3,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$253,326	OtherDirectExpensesEvent1Amt
Event2	floating hospital golf classic	Event2Nm
Gross Receipts Event2	$187,710	GrossReceiptsEvent2Amt
Charitable Contri Event2	$118,580	CharitableContriEvent2Amt
Gross Revenue Event2	$69,130	GrossRevenueEvent2Amt
Cash Prizes Event2	$1,000	CashPrizesEvent2Amt
Non Cash Prizes Event2	$17,439	NonCashPrizesEvent2Amt
Food And Beverage Event2	$15,513	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$27,313	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$1,385,933	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,163,928	CharitableContributionsTotAmt
Gross Revenue Total Events	$222,005	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,000	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$17,439	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$22,911	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$133,125	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$3,000	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$280,639	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$458,114	DirectExpenseSummaryEventsAmt
Net Income Summary	-$236,109	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,590,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,168,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,422,095	NetCommunityBenefitExpnsAmt
Total Expense	0.01370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$190,837,761	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$158,844,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,993,693	NetCommunityBenefitExpnsAmt
Total Expense	0.03830	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$203,428,106	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$160,012,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,415,788	NetCommunityBenefitExpnsAmt
Total Expense	0.05200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	40770	PersonsServedCnt
Total Community Benefit Expns	$326,265	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$326,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	37	ActivitiesOrProgramsCnt
Persons Served	586722	PersonsServedCnt
Total Community Benefit Expns	$29,925,099	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,026,249	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,898,850	NetCommunityBenefitExpnsAmt
Total Expense	0.02380	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,630,618	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$184,118,287	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,512,331	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	76507	PersonsServedCnt
Total Community Benefit Expns	$7,225,038	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,225,038	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	37	ActivitiesOrProgramsCnt
Persons Served	703999	PersonsServedCnt
Total Community Benefit Expns	$226,107,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$194,144,536	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,962,484	NetCommunityBenefitExpnsAmt
Total Expense	0.03830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	37	ActivitiesOrProgramsCnt
Persons Served	703999	PersonsServedCnt
Total Community Benefit Expns	$429,535,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$354,156,854	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,378,272	NetCommunityBenefitExpnsAmt
Total Expense	0.09030	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,214	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$247,214	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	486	PersonsServedCnt
Total Community Benefit Expns	$262,148	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$262,148	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	486	PersonsServedCnt
Total Community Benefit Expns	$509,362	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$509,362	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,655,624	BadDebtExpenseAmt
Reimbursed By Medicare	$128,277,684	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$137,065,808	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,788,124	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TUFTS MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 WASHINGTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02111	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TUFTS MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.tuftsmedicalcenter.org/commhealth	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.tuftsmedicalcenter.org/commhealth	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.tuftsmedicalcenter.org/financialassistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.tuftsmedicalcenter.org/financialassistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.tuftsmedicalcenter.org/financialassistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
TUFTS MEDICAL CENTER, INC.	Part V, Section B, Line 5: In conducting its tri-annual CHNA, Tufts Medical Center solicited and incorporated input from community leaders, community service providers and long-time residents some of whom provide health care services or are involved in addressing critical health issues such as substance use and/or recovery. Key community stakeholders' insights on the critical health issues for community members were incorporated into the CHNA which was then reviewed by the Medical Center's leadership and community advisors who approved priorities for neighborhood focused grant-funded initiatives and guided departmental efforts to address identified health disparities and inequities within the hospital's catchment area.
TUFTS MEDICAL CENTER, INC.	Part V, Section B, Line 7d: The Medical Center's CHNA was made available to anyone who requested a copy. It was also posted on the Medical Center's website.
TUFTS MEDICAL CENTER, INC.	Part V, Section B, Line 11: Tufts Medical Center is addressing significant health needs identified in the most recent CHNA, including smoking, youth violence, substance abuse, barriers to healthcare services and access, and infant and maternal health, in several Boston neighborhoods, including Chinatown, South Boston, Dorchester and South End. Through its Asian Health Initiative (AHI), Tufts MC is tackling cigarette smoking reduction and prevention, which contributes to the leading cause of mortality of Boston's Chinatown and Asian community: lung cancer. Six grantees were selected through an open and competitive application process for three-year grants to provide educational, prevention, and smoking cessation services to both English and Chinese speaking community members across a wide age spectrum: pre-school students to senior citizens.The 2016 CHNA identified substance use disorder as a concern across the City of Boston, with South Boston and Dorchester of particular concern. Youth violence is also of particular concern.The Dorchester Health Initiative's (DHI) three year funding cycle focuses on two priorities: preventing and/or treating substance use, and youth violence prevention. Six grantees were selected through an open and competitive application process. Three health centers are focused on reduction of substance use and assisting patients to obtain treatment and recovery services. Three community-based organizations are supporting youth development and the skills needed for risk reduction, resiliency and positive experiences.Tufts MC is addressing substance use disorder through community partnerships and hospital-based programs. Tufts MC initiatives include the Adolescent Opioid Dependence Treatment Program, and recovery and mental health services at the South Boston Behavioral Health Clinic. Community partners in South Boston are providing treatment and services in clinic and residential treatment facilities. Increasing access to healthcare by removing cultural and language barriers is reflected in the creation and continued efforts of hospital-based programs and clinics, including: Asian Pediatrics and Adolescent Services, Asian Lung Clinic, OB/GYN's Asian Access Clinic, and the Asian Flex (Psychiatry) Program. Partnerships or funding community partners are working on: case management services to assist community members to identify and access healthcare resources, hospital re-admissions reductions, psychiatric case consultations for a Boston Public elementary school, medical providers authoring health education columns for a bilingual, bicultural community newspaper, and physician house calls to home bound Chinese seniors.In the South End the population includes enclaves of lower income Spanish speaking families and older Chinese speaking adults for whom cardiovascular and cerebrovascular diseases are a major health issue, a partnership with the South End Community Health Center offers linguistically and culturally appropriate outreach, education, and health services that reflect a coordinated care approach.The 2016 CHNA highlighted a number of pressing health issues in the communities served which were discussed in the CHNA. Through the implementation plan, Tufts MC has been able to address identified issues through various hospital-based efforts, hospital-community partnerships, and community-based interventions. Smoking prevention and cessation programs, youth violence prevention and substance abuse efforts are priorities for several community health initiatives as noted above. Chronic diseases were also broadly highlighted in the data analysis as issues impacting the communities we serve, with programs around asthma, diabetes and cardiovascular disease, in particular, and internal programs and community partnerships to work on some aspects of those. Limited financial and staffing resources are a barrier to focusing intense resources on these efforts, but we hope to maximize collective impact by working together with community partners.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - NEW ENGLAND LONG-TERM CARE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	78 BOSTON ROAD	AddressLine1Txt
City	BILLERICA	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01862	ZIPCd

Field	Value	IRS element (for citing)
Facility	LONG-TERM ACUTE-CARE FACILITY	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	Costs are allocated to patient encounters based on cost accounting system, which takes into consideration all inpatient and outpatient activity for all areas of the hospital including all payer sources. The costs utilized are based on actual costs from this system, allocated to individual patient encounters.
schedule h, part vi, line 1, required descriptions:	Medical Center HistoryTufts Medical Center's proud and distinguished tradition began in 1796, when a group of public-spirited Bostonians, including Samuel Adams and Paul Revere, established the Boston Dispensary as the first permanent medical facility in New England, and one of the first in the nation. Floating Hospital for Children was founded in 1894 as a hospital ship, sailing in Boston Harbor until it moved to land permanently in 1931. In 1965 the Boston dispensary, Floating Hospital for Children and the Pratt Clinic/New England Center Hospital merged to form the New England Medical Center Hospitals. In 1971 the institution changed its name to Tufts - New England Medical Center. Tufts Medical Center became the official name of the medical center in 2008, highlighting its role as the principal teaching hospital for the Tufts University School of Medicine.Tufts Medical Center TodayToday, Tufts Medical Center is a renowned 415-bed academic medical center with an adult hospital and a children's hospital in downtown Boston. We are engaged in advanced patient care, teaching tomorrow's physicians, and conducting groundbreaking basic, clinical, and public policy research. We are the principal adult and pediatric teaching hospital for Tufts University School of Medicine and conduct $50 million in research each year. Tufts Medical Center and Floating Hospital for Children carry out a tripartite mission every day, pursuing excellence in care for adult and pediatric patients, teaching the next generations of care givers and pursuing ground breaking research. Compassionate, patient-centered care is one of the Medical Center's hallmarks. The Medical Center offers a full range of services from primary care to some of the most complex treatments. A multidisciplinary approach ensures both complete and thorough consideration of treatment options for our patients. Tufts Medical Center is an American College of Surgeons Certified Level 1 Adult and Level 1 Pediatric Trauma Center. Our CardioVascular Center performs the most heart transplants in New England and is among the top 10 in the country for number of transplants and the quality outcomes. Tufts MC partners with a broad network of high-quality, value community hospital providers in eastern Massachusetts. Our strategy has resulted in Tufts MC regularly treating the highest percentage of the sickest patients of any hospital in Boston. In addition, our partnering institutions are able to treat more patients in their own hospitals. This strategy is both cost-effective for Massachusetts and convenient for patients.Tufts MC is recognized as the region's value provider-achieving outstanding quality, safety, and patient experience ratings while maintaining a lower cost. Our high-quality, lower-cost profile is an advantageous position in a health reform environment that is demanding greater value from the healthcare dollar.We are have received numerous quality honors including being a Blue Cross Blue Shield Distinction Center + Total Value Designation in cardiac care, hip and knee replacement, bariatric surgery and spine surgery; the American Stroke Association Gold Plus and Target Stroke Awards and the American Heart Association SCORE Award. In 2015, we received the University Health System Consortium's 5-star quality award. Patients regularly rate us as 4-stars on CMS's Hospital Compare. Mission Statement"We strive to heal, to comfort, to teach, to learn and to seek the knowledge to promote health and prevent disease. Our patients and their families are at the center of everything we do. We dedicate ourselves to furthering our rich tradition of health care innovation, leadership, charity and the highest standard of care and service to all in our community."Patient Care, Teaching and TrainingNew England Quality Care AllianceFor more than 10 years, Tufts Medical Center has been the preferred academic medical center for New England Quality Care Alliance (NEQCA), the nearly 1,800-physician network, which stretches from the Merrimack Valley to the Cape. NEQCA is a leader in helping physician practices of all sizes manage change, build population health capabilities, control costs and improve the quality of patient care. Tufts MC and our NEQCA physician network consistently deliver the highest quality of care at a lower cost, putting us in the best position for patients and employers.WellforceFormed in 2014, Wellforce is an organization comprised of Tufts MC, Floating Hospital, Hallmark Health, Circle Health, NEQCA, Lowell General PHO and Hallmark PHO. Wellforce was created to provide Massachusetts hospitals and physicians with a new option for collaboration. Wellforce brings together the strengths of academic medicine and community care in a model that respects both equally. Floating Hospital also leads a five-hospital distributed pediatric network, reaching across eastern Massachusetts with hospitalists, neonatologists and specialists seeing patients in Brockton, Lowell, Lawrence, Cape Cod and MetroWest.Educating the Next Generation of PhysiciansUndergraduate and graduate medical educations are key to the academic mission of Tufts Medical Center. We are the principal teaching hospital for Tufts University School of Medicine (TUSM), and each year we train approximately 450 residents and fellows in 43 graduate medical training programs approved by the Accreditation Council for Graduate Medical Education. All full-time physicians at Tufts MC and Floating Hospital for Children hold faculty appointments at TUSM, and 17 of TUSM's 19 department chairs reside at Tufts Medical Center. Our partnership with TUSM, our highly complex patient population, and our connection with community affiliates provide a diverse, hands-on experience for aspiring doctors and for physicians seeking advanced specialization.ResearchTufts Medical Center and Floating Hospital for Children have been engaged in research to improve the lives of patients, almost since our inception. Our $50 million annual research portfolio ranges from the molecular basis of cancer and heart disease to the efficacy of tai chi in treating the symptoms of osteoarthritis. Tufts Medical Center is among the top 10% of all institutions receiving National Institutes of Health (NIH) funding.
Part II, Community Building Activities:	Part II, Line 2: Economic DevelopmentTufts Medical Center is located in the center of the Chinatown neighborhood, one of Boston's most densely populated neighborhoods with much of its housing stock and commercial buildings dating back to the 18th century, a time before automobiles and the need for parking. Tufts Medical Center provides parking for community service organizations' vehicles and parking for weekend visitors who come to visit family members, or social/cultural or worship services, and then patronize the many small independently owned businesses located in Chinatown. Part II, Line 8: WORKFORCE DEVELOPMENT AND TRAININGTUFTS MEDICAL CENTER IS ONE OF THE LARGEST EMPLOYERS IN THE CITY OF BOSTON AND EMPLOYS OVER 5,000 PEOPLE. TUFTS MEDICAL CENTER EMPLOYS A DIVERSE WORKFORCE TO FILL POSITIONS RANGING FROM ADMINISTRATIVE, TECHNICAL, AND HOSPITALITY RELATED, SUCH AS PATIENT TRANSPORT, FOOD SERVICES, AND ENVIRONMENTAL SERVICES TO RESEARCH AND DIRECT PATIENT CARE ROLES. APPROXIMATELY 32% OF THE MEDICAL CENTER'S WORKFORCE IS DERIVED FROM RESIDENTS OF THE CITY OF BOSTON.THE MEDICAL CENTER HAS CONSISTENTLY PUT AN EMPHASIS ON RECRUITING FROM THE CHINATOWN COMMUNITY. THE EDUCATIONAL AND LINGUISTIC REQUIREMENTS OF POSITIONS AT THE MEDICAL CENTER HAVE OFTEN MADE it DIFFICULT TO RECRUIT LARGE NUMBERS OF LOCAL RESIDENTS INTO POSITIONS IN THE MEDICAL FIELD. THE MEDICAL CENTER HAS SOUGHT TO ADDRESS THESE ISSUES BY WORKING WITH LOCAL COMMUNITY ORGANIZATIONS TO PROVIDE LANGUAGE SKILLS AND BASIC EDUCATION CLASSES FOR COMMUNITY MEMBERS AND CURRENT EMPLOYEES. TUFTS MEDICAL CENTER CONDUCTS AND PARTICIPATES IN MANY WORKFORCE DEVELOPMENT AND TRAINING INITIATIVES TO ADDRESS SOME OF THE EDUCATIONAL, SKILL AND LINGUISTIC ISSUES. TO PROVIDE CAREER TRAINING AND PROMOTION OPPORTUNITIES SOME OF THE PROGRAMS TUFTS MEDICAL CENTER HAS EMBARKED UPON ARE:THE CAREER EXPLORATION EVENTAN ANNUAL EVENT WHERE EMPLOYEES HAVE THE OPPORTUNITY TO MEET WITH DEPARTMENT REPRESENTATIVES WHO SHARE THEIR EXPERIENCES. EDUCATIONAL PARTNERS, TERI COLLEGE ACCESS AND THE TUFTS MEDICAL CENTER BENEFITS DEPARTMENT PROVIDE INFORMATION ABOUT OUR ONSITE WORKPLACE EDUCATION PROGRAM FOR ESOL, THE COLLEGE ENTRANCE PROCESS, CERTIFICATE AND ASSOCIATE DEGREE PROGRAMS AND EDUCATIONAL FINANCING OPTIONS.TUFTS MEDICAL CENTER EXTERNSHIP PROGRAMA CAREER TRAINING PROGRAM ESTABLISHED TO ASSIST INNER-CITY ADULT STUDENTs TO PREPARE FOR THE WORKFORCE BY PROVIDING CERTIFICATE PROGRAMS THAT TYPICALLY TEACH MEDICAL ASSISTANT, MEDICAL ADMINISTRATIVE ASSISTANT, ADMINISTRATIVE ASSISTANT, CODING AND BILLING SKILLS TO MEMBERS OF THE FOLLOWING COMMUNITY ORGANIZATIONS:- ASIAN AMERICAN CIVIC ASSOCIATION- BOSTON CAREER INSTITUTE- BUNKER HILL COMMUNITY COLLEGE- EVEREST INSTITUTE- GIBBS COLLEGE- HEALTH TRAINING CENTER- HORIZON LEARNING CENTER- JEWISH VOCATIONAL SERVICES- TARE TRAINING CENTER- MEDICAL PROFESSIONAL INSTITUTE- SALTER SCHOOL- YMCA TRAINING, INC.THE STUDENTS FROM THESE PROGRAMS COME TO TUFTS MEDICAL CENTER TO COMPLETE A REQUIRED INTERNSHIP IN PREPARATION FOR THEIR CERTIFICATION, TYPICALLY 160 HOURS, DURING WHICH TIME THEY WORK IN A SUPERVISED ENVIRONMENT, UTILIZING THE SKILLS FROM THEIR RESPECTIVE PROGRAMS WITH A GOAL OF FUTURE EMPLOYMENT. THESE INTERNSHIPS WILL TYPICALLY LEAD TO JOB OPPORTUNITIES FOR ADMINISTRATIVE ASSISTANT, PATIENT SERVICES COORDINATOR, UNIT COORDINATOR, AND PHLEBOTOMIST POSITIONS. IN FISCAL YEAR 2016, APPROXIMATELY 53 STUDENTS COMPLETED THE PROGRAM. HIRING OPPORTUNITIES ARE POSSIBLE FOLLOWING THE EXTERNSHIPS.Additionally, Tufts Medical Center participated in the Boston private industry council's summer internship program for Boston high School students. Each year, 40-50 students are hired to work with various hospital departments to introduce them to career opportunities in the health care field, or to provide them with the work experiences to confirm their career interests. For many of the high School students, this is their first paid work experience. Students work 6 weeks learning and performing actual tasks to support their respective departments. The internships include weekly workshops to enhance job knowledge and job retention skills, introduce personal finance skills and support the development of networks between students from different high schools and adult colleagues. Some summer interns continue in part-time or weekend employment during the academic year. OTHER WORKFORCE DEVELOPMENT ACTIVITIESPARTICIPATION IN THE HIGHER EDUCATION/REGIONAL HOSPITAL WORKING GROUP SPONSORED BY THE DEPARTMENT OF EDUCATION AND THE BOSTON HEALTHCARE CAREERS CONSORTIUM SPONSORED BY THE BOSTON PRIVATE INDUSTRY COUNCIL. THESE GROUPS INCLUDE REPRESENTATIVES OF GOVERNMENT AGENCIES, ACADEMIC INSTITUTIONS, WORKFORCE DEVELOPMENT REPRESENTATIVES FROM LOCAL HOSPITALS AND COMMUNITY HEALTH CENTERS, AND OTHER WORKFORCE DEVELOPMENT ORGANIZATIONS. THESE GROUPS FOCUS ON ADDRESSING HIGHER EDUCATION, TRAINING AND EMPLOYER NEEDS.TUFTS MEDICAL CENTER IS COMMITTED TO A DIVERSE WORKFORCE AND TO PROVIDING EQUAL OPPORTUNITIES TO ALL MEMBERS OF THE COMMUNITY AND BEYOND. THROUGH ITS REGULAR RECRUITMENT CHANNELS THE MEDICAL CENTER REACHES OUT TO THE GENERAL EMPLOYMENT POPULATION, AS WELL as TARGETED MINORITY POPULATIONS, INCLUDING THE LOCAL CHINATOWN COMMUNITY. THESE EFFORTS ARE MADE THROUGH EMPLOYMENT POSTING COMPANIES, SUCH AS MONSTER.COM AND LOCAL OUTLETS SUCH AS THE BILINGUAL SAMPAN NEWSPAPER.IN THE NEXT SEVERAL YEARS THE HEALTHCARE INDUSTRY WILL CONTINUE TO SEE SIGNIFICANT CHANGES TO THE INDUSTRY PROPELLING IT FORWARD WITH ADVANCES IN MEDICAL SCIENCE, TECHNOLOGY, PATIENT DEMOGRAPHICS AND ECONOMICS, AS WELL AS CHANGES TO MODELS OF CARE DELIVERY WHICH WILL CHALLENGE EVEN THE MOST PREPARED AND ORGANIZED WORKFORCE. THESE CHANGES WILL MEAN A TRUE DEDICATION TO EMPLOYEE RECRUITMENT, RETENTION AND TRAINING; IT WILL MEAN TRAINING IN MANY DIFFERENT SETTINGS, FROM EXPERIENTIAL LEARNING IN A TEAM ENVIRONMENT, WEB-BASED INSTRUCTION AND INCREASED SIMULATION-TRAINING. THE FUTURE DEVELOPMENT PROPOSED IN THIS IMPORTANT AREA WILL HELP ENSURE TUFTS MEDICAL CENTER HAS THE FACILITIES TO MEET THE DEMANDS OF AN EVER CHANGING INDUSTRY AND WORKFORCE.
Part III, Line 2:	The hospital records bad debts based on charges. The bad debt costs provided herein are based on these charges multiplied by the hospital's cost-to-charge ratio of 45.10%.
Part III, Line 4:	the organization's provision for bad debt is described on page 15 of the audited financial statements (attached). the following is excerpted from that footnote..."Provision for bad debts - accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of accounts receivable, the organization analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for uncollectible accounts. For receivables associated with services provided to patients who have third-party coverage, the organization analyzes contractually due amounts and historic payment trends and records estimated contractual allowances. the organization records a provision for uncollectible amounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for uncollectible accounts."
Part III, Line 8:	COSTS ARE ALLOCATED TO PATIENT ENCOUNTERS BASED ON COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL INPATIENT AND OUTPATIENT ACTIVITY FOR ALL AREAS OF THE HOSPITAL INCLUDING ALL PAYER SOURCES. THE COSTS UTILIZED ARE BASED ON ACTUAL COSTS FROM THIS SYSTEM, ALLOCATED TO INDIVIDUAL PATIENT ENCOUNTERS.
Part III, Line 9b:	TUFTS MEDICAL CENTER'S FINANCIAL COORDINATION OFFICE IDENTIFIES AND ASSISTS THOSE PATIENTS THAT HAVE NO INSURANCE OR WHO ARE UNDERINSURED. WE WILL PROCESS ON-LINE APPLICATIONS FOR STATE PROGRAMS IN ACCORDANCE WITH THE ESTABLISHED MASS HEALTH GUIDELINES. THE GUIDELINES ARE BASED ON 200% OF THE FEDERAL POVERTY GUIDELINES.FINANCIAL ASSISTANCE IS ALSO EXTENDED TO OUT-OF-STATE/COUNTRY PATIENTS WITH NO INSURANCE IN ACCORDANCE WITH THE TUFTS MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. A NOTICE OF FINANCIAL ASSISTANCE IS LOCATED ON THE PATIENT BILL AND THE HOSPITAL WEB-SITE. IT IS ALSO POSTED IN VARIOUS STRATEGIC LOCATIONS THROUGHOUT THE HOSPITAL.THE FINANCIAL COORDINATION OFFICE IS OPEN MONDAY THRU FRIDAY FROM 8:00 A.M. TO 4:40 P.M. THE MAIN NUMBER FOR THE FINANCIAL COORDINATION OFFICE IS 617-636-6013.
Part VI, Line 2:	Tufts Medical Center conducts community health needs assessments (CHNA) every three years to identify community needs and critical health issues. The focus of the CHNA includes: Boston's Chinatown, Dorchester, South Boston and South End. Health issues were identified through review of health data for the City of Boston from the Boston Public Health Commission's annual report on "The Health of Boston", data from the Commonwealth of Massachusetts' Community Health Information Profile, demographic data from the Census, American Community Survey, Nielsen-Caritas, patient geographic data, interviews with community stakeholders, and insights and recommendations from community representatives and leaders, some of whom serve as advisors to the Medical Center. Data was summarized and reviewed and approved by Tufts MC's senior leadership and its community benefits governing body, the Board of Governors. The health issues identified and prioritized in the 2016 CHNA and Implementation Plan sought to address the high incidence of lung cancer among the Chinatown and Boston Asian community, focusing on smoking and its harmful effects, substance use and youth violence for the communities of Dorchester and South Boston, and chronic disease prevention and management for the South End community. The identified health issues guided the allocation of resources for both community-based and hospital-based responses.
Part VI, Line 3:	PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE AND FINANCIAL COORDINATION RESOURCES OFFERED BY THE HOSPITAL THROUGH SEVERAL DIFFERENT MEDIUMS AND AT SEVERAL DIFFERENT POINTS IN THEIR EXPERIENCE WITH THE HOSPITAL. PATIENTS ARE PROVIDED AN OPPORTUNITY TO HAVE AN IN PERSON DISCUSSION WITH A FINANCIAL COORDINATOR ABOUT INSURANCE COVERAGE AND FINANCIAL HARDSHIP DURING THE INITIAL REGISTRATION PROCESS. IF A PATIENT EXPRESSES THE NEED FOR INSURANCE OR FINANCIAL ASSISTANCE A FINANCIAL COORDINATOR WILL WORK WITH THEM TO APPLY FOR ANY AVAILABLE AND APPROPRIATE SERVICES. SHOULD A PATIENT QUALIFY FOR MEDICARE OR MEDICAID ASSISTANCE OF ANY FORM, E.G. COMMONWEALTH CARE, THE COUNSELOR OR FINANCIAL COORDINATOR WILL ALSO ASSIST THE PATIENT IN APPLYING FOR ANY OTHER SOCIAL SERVICES THEY MAY FIND HELPFUL, SUCH AS FOOD AND NUTRITION SERVICES. PATIENTS ARE NOTIFIED OF THEIR RIGHTS AND AVAILABLE FINANCIAL RESOURCES THROUGH A VARIETY OF OTHER MEASURES AS WELL, INCLUDING INFORMATION ON SEVERAL DIFFERENT PAGES AND LANDING POINTS ON THE TUFTS MEDICAL CENTER AND FLOATING HOSPITAL FOR CHILDREN WEBSITE, IN WRITTEN INFORMATION PROVIDED AT DISCHARGE, ON ANY BILLING STATEMENTS THEY RECEIVE AND IN POSTINGS THROUGHOUT THE HOSPITAL IN ALL WAITING AREAS AND CLINICS.
Part VI, Line 4:	Tufts Medical Center has been located in its current location since its inception as the Boston Dispensary in 1796. The neighborhood, originally known as the South Cove, is now recognized as Boston's Chinatown neighborhood due to the growth of the Chinese American community that began in the 1960s. Tufts Medical Center has been an integral member of the community. Located in the heart of the Chinatown community, the Medical Center has been committed to responding to the specific needs of the community, many of whom are new immigrants in need of culturally and linguistically appropriate services to help them navigate health care for themselves and their families. Tufts Medical Center's strong commitment to the adjacent neighborhoods of Dorchester, South Boston and the South End reflects the history of the founding of the Boston Dispensary to provide quality healthcare to Boston's working and-low income families. Many patients come from these neighborhoods.Service populations:Tufts Medical Center's patient population is diverse and reflects the demographics of the Boston and Greater Boston community for which it serves as an academic and tertiary and quaternary hospital. Approximately 68% of the patient population is White, 12% Black/African American, 13% Asian and 7% Hispanic. Twenty-five percent of the patient population receives care through Medicaid, and 32% of patients are covered by Medicare. Over 23,000 patients request interpreter services each year and receive assistance in Chinese, Vietnamese, Spanish, Haitian Creole, Russian, Portuguese and many other languages. Primary service area communities:Boston's Chinatown is the smallest of the city's neighborhoods. It is located in Downtown Boston near major transportation nodes and the city's downtown retail, theater, historic and financial districts. Its 42 acres includes a robust residential, cultural, economic and service hub for Boston's Chinese and Asian community. In 2010 demographic data, based upon the Neighborhood Statistical Area, indicated that over 6,300 people lived in the neighborhood where approximately one-third of the land was dedicated to institutional use making Chinatown one of the most densely populated neighborhoods in the City of Boston. There is a dearth of open space in Chinatown. the Boston Common, Public Garden and other open and green space are in close proximity.Based upon 2010 NSA data 65% of residents were Asian, 7% were 14 or younger, 22% were between the ages of 15 and 19 years, and 15% were 65 years of age or older and historically 39% of residents indicated that they spoke English not well". Much of the increase in number of households between the 2000 and 2010 reflects the construction of new housing in and along the perimeter of Chinatown, and increase in the non-Asian residents, and increases in the educational attainment and income levels for the new residents. Health data for the Chinatown neighborhood is integrated with health data for the South End in each year's annual "Health of Boston" report prepared by the Boston Public Health Commission (BPHC). It is therefore difficult to separate out and bring to the surface health issues or trends specific to neighborhood residents. The BPHC does, however, provide health data for Asians across Boston which illustrates that cancer, heart disease and stroke continue to be particular concerns. Lung cancer has been the leading cause of mortality for Asians over an eight year period.All of the available data, along with input from community stakeholders and advisory committee members led to a singular priority for the Medical Center's Asian Health Initiative in 2016 and the three year funding cycle beginning in FY 2017: preventing cigarette smoking and its consequences (lung cancer).Dorchester is the largest neighborhood in the city of Boston and reflects the city's economic, linguistic, racial, ethnic and cultural diversity with a population of over 120,000 residents, approximately 20% of Boston's total population. Census data indicates that 27% was 17 years or younger, and 9.2% were seniors aged 65 and older. Twenty-six percent of the population was White, 47% Black/African American, 9% Asian, and 17% Hispanic or Latino.2010 health data from the BPHC indicated that Dorchester continued to have a high incidence of violence related injuries, and high rates of homicide. The average rate for the city of Boston was 7.9 per 100,000 and the respective rates for North Dorchester and South Dorchester were 17.9 per 100,000 and 19.4 per 100,000. The rates of asthma related hospitalization among children younger than 5 years, and obesity and chronic disease for adults were also above city averages. Based on review of available data and input of community partners, stakeholders and advisors, the Dorchester Health Initiative priorities for this 3-year funding cycle were substance use (prevention and treatment), and youth violence prevention.South Boston is a neighborhood of approximately 32,000 residents that continues to undergo changes. Historically considered a working class community with a significant number of public housing developments, long-time residents are experiencing increasing rents and/or displacement, along with newer residents as a result of new construction and housing development.Comparative data from the 2000 and 2010 Census indicates a 7% increase in the population, a 5% increase for the 25-34 year old age group, a 9% increase for the age group between 18 and 34 years and decreases in the 5-17 years, and 65-84 years age groups, a 14% increase in the number of residents with a bachelor's degree, and a 6.4% increase in the number of individuals with graduate or professional degrees. Median household incomes increased from $40,865 to $58,611 from 2000 to 2010. The changes in South Boston's demographics are due to the increase in the availability of market and luxury housing. As more new housing becomes available in the Seaport District, the new residents and their social determinants of health will be reflected in future health needs assessments and potentially mask the health needs of long-time residents for whom substance abuse, substance use/mental health issues, and chronic diseases are major health concerns.The priorities for the South Boston community have been to provide support for education and prevention services for asthma, substance use, chronic disease/hepatitis C, and youth violence prevention.South End is immediately south of Tufts Medical Center, adjacent to and in some respects with overlapping borders to Chinatown. It is a neighborhood known for its large Victorian home district built by middle class residents of English ancestry in the 1850s. The neighborhood's demographics began to change in the 1880s when the original residents began to be replaced by middle class African Americans, Irish, Jewish, Greek, Puerto Rican and Chinese immigrants. In the 1960s, the South End was considered one of the poorest neighborhoods in the City of Boston. Its renaissance began in the mid-1970s when individuals began to buy and restore Victorian houses, and non-profits purchased and rehabilitated houses as affordable rentals for families. There was also new construction focused on meeting the needs of very low-income families and seniors.Currently, the South End and South Boston are examples of Boston's robust economy and building boom, and new residential developments are being constructed on parcels which were once designated for light industrial use.Based upon the 2000 Census, the South End had a population of approximately 35,000 residents, median household income was $51,870, and the major racial/ethnic groups were: White (49.5%), Black/African American (17.1%), Hispanic/Latino (16.6%) and Asian (13.9%).The two leading health issues/causes of death for Asians, Black and Latinos were cancer and diseases of the heart. For Asians, the third leading cause of death was cerebrovascular disease, while other injuries represented the third leading cause of death for Blacks and Latinos. For Whites, the leading cause of death was diseases of the heart, followed by cancer and other injuries. Diabetes hospitalizations for South End residents was greater than the average incidence, Blacks experienced the highest incidence of emergency department visits for children under the age of 5, while Latinos experienced the second highest incidence of asthma related emergency department visits for children under the age of 5, Blacks accounted for the highest number of substance abuse deaths and Asians experienced the highest rate of cerebrovascular disease deaths.(see continuation later)
Part VI, Line 5:	In addition to providing financial resources to community-based health and service organizations to provide educational, prevention and treatment to address health issues specific to their constituents, Tufts MC advances its commitment to the health of its patient and priority communities, through hospital-based efforts to address specific diseases for specific populations, such as clinics established to meet the needs of non-native English speakers, screenings and workshops for populations with critical health disparities, a collaboration with the Conference of Boston Teaching Hospitals to deepen and expand the impact of each institution's community benefits activities, participation in community coalitions in their efforts to preserve community assets and advance the health of the community, with health being defined broadly beyond the health of individuals to include the economic, social, and cultural health of the community. Examples of this include Tufts MC's role in public safety initiatives, providing parking for faith-based institutions' congregation members and weekend parking for local small business owners' customers, and various workforce development activities to help prepare and/or recruit community members for Tufts MC employment and beyond.(see continuation later)
Part VI, Line 6:	COMMUNITY HOSPITAL PARTNERSHIPSTUFTS MEDICAL CENTER HAS A RICH HISTORY OF PROVIDING MEDICAL CARE TO THE BOSTON COMMUNITY SINCE ITS FOUNDING. IN 2009 TUFTS MEDICAL CENTER LAUNCHED ITS DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WHICH PARTNERS WITH COMMUNITY HOSPITALS TO KEEP MORE CARE LOCALLY IN THE COMMUNITY. TUFTS MEDICAL CENTER IS PROUD TO PARTNER WITH EXCELLENT COMMUNITY HOSPITALS TO DELIVER THE HIGHEST QUALITY CARE IN THE MOST CONVENIENT MANNER FOR PATIENTS. WE STRONGLY BELIEVE THAT WHEN ACADEMIC MEDICAL CENTERS AND COMMUNITY HOSPITALS WORK SIDE-BY-SIDE, THE PATIENT AND THE HEALTH CARE SYSTEM BENEFIT. THROUGH OUR DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WE BRING TUFTS MEDICAL CENTER AND FLOATING HOSPITAL FOR CHILDREN PHYSICIANS TO THE COMMUNITY - SAVING PATIENTS THE DRIVE INTO DOWNTOWN BOSTON AND TAKING ADVANTAGE OF THE EXCELLENT HOSPITALS IN THE CITIES AND TOWNS SURROUNDING BOSTON. WE ALSO CONSULT CLOSELY WITH OUR TALENTED PHYSICIAN COLLEAGUES WHO ARE PROVIDING OUTSTANDING SERVICES IN THE COMMUNITY ALREADY. AND WHEN EXCEPTIONALLY COMPLEX CARE IS NEEDED, THESE PARTNERSHIPS MEAN THE TRANSFER TO BOSTON IS WELL COORDINATED BETWEEN PHYSICIANS AND COMFORTABLE FOR THE PATIENT AND FAMILY MEMBERS.THROUGH PARTNERSHIPS WITH OTHER AREA HOSPITALS AND MEDICAL CENTERS, DOCTORS FROM TUFTS MC AND FLOATING HOSPITAL STAFF VARIOUS COMMUNITY MEDICAL FACILITIES. THIS ALLOWS MORE PATIENTS TO RECEIVE TOP-QUALITY CARE IN A LOCATION CLOSE TO HOME. TUFTS MC SPECIALISTS SEE PATIENTS AND PERFORM SOME TREATMENTS AND PROCEDURES LOCALLY. WHEN HIGH-LEVEL ADVANCED CARE IS NEEDED, TUFTS MC DOCTORS WORK WITH THE COMMUNITY PHYSICIANS TO ENSURE A SMOOTH PATIENT TRANSITION TO TUFTS MEDICAL CENTER IN BOSTON.TUFTS Medical Center AND FLOATING HOSPITAL MAKE EXCELLENT CLINICAL PARTNERS FOR TWO MAIN REASONS. FIRST, WE WORK WITH OUR PARTNER HOSPITALS TO KEEP MOST MEDICAL CARE LOCAL. THIS IS THE MOST CONVENIENT OPTION FOR PATIENTS AND THE MOST COST-EFFECTIVE OPTION FOR BOTH PATIENTS AND PROVIDERS. SECOND, TUFTS MEDICAL CENTER AND FLOATING HOSPITAL PROVIDE HIGH-QUALITY CARE AT REASONABLE COSTS. IN FACT, A REPORT BY THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE SAID THAT WE ARE THE MOST AFFORDABLE ADVANCED CARE OPTION IN BOSTON.PATIENTS MAY EXPERIENCE OUR AFFILIATION WITH COMMUNITY HOSPITALS IN ANY NUMBER OF WAYS, SUCH AS:- A PEDIATRIC HOSPITALIST CARING FOR A SICK CHILD ON THE PEDIATRIC UNIT OF A COMMUNITY HOSPITAL- A CARDIOLOGIST PERFORMING CARDIAC CATHETERIZATIONS IN THE COMMUNITY- OUR EXPERT WEIGHT AND WELLNESS CENTER TEAM PROVIDING SUPPORT AND SURGERIES IN THE COMMUNITY - OUR TRAUMA TEAM PREPARING FOR AN URGENT TRANSFER FROM A COMMUNITY HOSPITAL- OUR NEUROLOGY TEAM PROVIDING A CONSULT ON A STROKE PATIENT IN A COMMUNITY EMERGENCY DEPARTMENT- CARDIOLOGY EXPERTS FROM THROUGHOUT THE REGION MEETING TO DISCUSS BEST PRACTICE FOR TREATING HEART FAILURE PATIENTS- COORDINATED CARE PROTOCOLS BETWEEN INSTITUTIONS AND CARE SETTINGSADULT AFFILIATE HOSPITALSMETROWEST MEDICAL CENTER (FRAMINGHAM, MA)PEDIATRIC AFFILIATE HOSPITALSLAWRENCE GENERAL HOSPITAL (LAWRENCE, MA)LOWELL GENERAL HOSPITAL (LOWELL, MA)METROWEST MEDICAL CENTER (FRAMINGHAM, MA)SIGNATURE HEALTHCARE BROCKTON HOSPITAL (BROCKTON, MA)
Part VI, Line 7, Reports Filed With States	MA
Part Vi, Line 4 (continued):	Care to Boston Residents and Surrounding Communities:Tufts Medical Center believes that caring for our community happens both within and outside the walls of the institution. A great deal of data has shown that many barriers exist which hinders patient access to high quality health care. To remove the barriers and increase access to hospital services the Medical Center continues a long standing commitment to increase cultural competency among our medical providers and to remove language barriers wherever possible. The working definition of cultural competency that helps to shape and drive policies and care delivery at the hospital is as follows:The ability to understand and respect the differences among people, and use our understanding, to influence our interactions with one another; this involves developing the capability to deliver patient-centered services consistent with the needs and expectations of various cultures.
Part Vi, Line 5: (continued)	Community Benefit PrioritiesEvery three years Tufts MC conducts a Community Health Needs Assessment (CHNA) to identify and prioritize health needs of our priority communities and to guide our community health improvement efforts. Tufts MC's 2016 CHNA reviewed multiple sources of data including health data from the Boston Public Health Commission's (BPHC) "Health of Boston" reports and available neighborhood-specific reports from the BPHC, census data, Tufts MC patient data, informant interviews with key community stakeholders, and other relevant social determinants of health data such as employment and socioeconomic information. Guided by the 2016 CHNA, Tufts MC focused resources in Chinatown, Dorchester, South Boston, and the South End. Health data for the communities was summarized and then reviewed and approved by members of the Medical Center's senior leadership and Tufts MC's Board of Governors. Tufts MC has in place community advisory committees to further guide two of its community health initiatives, the Asian Health Initiative (AHI) and the Dorchester Health Initiative (DHI), each of which is comprised of representatives from the community, representatives from public health and representatives from Tufts MC. Based on review of available data, thoughtful discussion, and knowledge of the respective communities, Tufts MC identified three significant health priorities. Tobacco Use Cessation, Education and Prevention The 2016 CHNA identified tobacco use as a primary health concern in Boston, especially within the Asian and Asian American community and those residing in the Chinatown neighborhood. The Boston Public Health Commission's Health of Boston 2014-2015 report identified cancer as the leading cause of death among Boston's Asian population from 2008-2012, and lung cancer as the leading type of cancer death. In addition to the numerous health risks associated with tobacco use and second hand smoke exposure, community members expressed concerns about tobacco-related litter and tobacco advertisements targeting youth. Tufts MC addressed this challenging and pervasive health issue through departmental programs and by supporting area nonprofit organizations' tobacco use cessation, education, and prevention programs as part of its AHI. AHI programs support the whole health of, and reach a broad spectrum of, the community where they live and work. The AHI also promotes social service programs, education, and healthcare, for all ages, from kids and adolescents to adults and seniors. With support from and in partnership with Tufts MC's AHI, Josiah Quincy Elementary School introduced tobacco education curriculum for its 3rd, 4th and 5th grade students led by a full-time health educator. Over 400 students learned about the dangers of tobacco use and nicotine addiction over the course of four months, and their families attended evening health events where they were offered smoking cessation resources and education. After just one semester of the curriculum, 98% of the students were able to identify the addictive properties of tobacco, the health risks of all tobacco products, and the benefits of being tobacco free. The Boston Asian Youth Essential Service implemented a tobacco education program for Chinatown teenagers, who are at a critical and vulnerable age for picking up smoking since they are susceptible to peer pressure and external influences. The program engaged 13 teenagers in an intensive tobacco education series intended to train the teens to be peer educators. The teen cohort then created presentations, quizzes, games, and displays to educate their fellow Chinatown teens about the dangers of tobacco use, harmful cigarette ingredients, and how to identify and resist tobacco marketing aimed at youth. The teens reached over 700 individuals through their awareness campaign and distributed 950 anti-smoking materials and items in FY2017. For active smokers, the Asian American Civic Association (AACA) and the Rose Kennedy Greenway Conservancy (Greenway) partnered to target tobacco use and the resulting cigarette-butt induced litter in the popular Mary Soo Hoo Park in Chinatown, by referring smokers in the park and the larger community to smoking cessation resources. The Greenway posted information to discourage smoking in the park; AACA identified active smokers, offering them nicotine replacement therapy, group counseling, and one-on-one case management. Tobacco use cessation can be a long and challenging process; AACA is playing a critical role in the Chinatown community by providing consistent, personalized support for those on the road to quitting. Three program participants have reported quitting successfully with no relapses since engaging in the program. In a designated area of the Mary Soo Hoo Park, the number of cigarette butts dropped from 9.6 per visit to 5.75 per over a three-month period. The Asian American Civic Association's Sampan biweekly community newspaper disseminated bilingual tobacco-related health articles to its readership to provide education about the health risks associated with tobacco and nicotine. Sampan consolidated its first six months of tobacco-related health articles into a booklet distributed around Chinatown to educate residents about tobacco and will continue to do so for the duration of the current initiative. Sampan estimated that it reached 24,000 readers per issue in FY2017, and received approximately 10,000 website hits per month as well.The Boston Chinatown Neighborhood Center implemented the Smoke-Free Chinatown program, an agency-wide effort to directly engage members of the Chinatown community in educational activities on the health effects of smoking and smoking cessation resources. The program provided tobacco education and prevention information to 166 participants in its existing programming for children, adults, and seniors in FY2017. The Greater Boston Chinese Golden Age Center's Smoke-Free Living Program provided eight workshops to 200 Chinese American seniors at senior housing centers to help them understand the problems of tobacco usage and its negative effects on the body. Workshop attendees were able to refer education and cessation services to other tobacco users, including family members and friends.
Part Vi, Line 5 CONTINUED:	Asthmatic youth with smokers in the household are susceptible to exposure to second hand smoke, a common environmental trigger of asthma. Tufts MC's Asthma Prevention and Management Initiative (APMI) provided asthma education classes at Josiah Quincy Elementary School to teach students about proper medication use and strategies to minimize exposure to asthma triggers, including second hand smoke. Physicians at Tufts MC also referred asthma cases to APMI who they felt would benefit from home visits, inpatient and/or outpatient clinic education. APMI offered home visits to identify asthma triggers in the home or discussed through hospital-based education In FY2017, 41% of patients who received home visits had a smoker living in the home, potentially exacerbating the patients' asthma. Families with smokers in the household were given recommendations for reducing the patients' exposure to second hand smoke and referred to tobacco cessation resources. Substance Use Prevention and Treatment The 2016 Community Health Needs Assessment identified substance use disorder as a primary health concern across Boston, particularly in Dorchester and South Boston neighborhoods. Tufts MC has worked with impacted communities to establish and support substance use prevention and treatment programs since the early 1990s, and has increased its support in response to the re-emerging opioid crisis, via its Dorchester and South Boston health funding initiatives, departmental programs, and health center support. With support from the Dorchester Health Initiative (DHI) six programs addressed youth violence prevention and wellness, including those aimed to promote an understanding of the harms of substance abuse. Codman Square Health Center focused more exclusively on substance use programming and added a Community Health Worker, who connects patients to local resources and assists patients in navigating services for prevention and treatment. The Community Health Worker assisted over 180 patients seeking substance use treatment and other social and community resources in the Codman Square neighborhood of Dorchester in FY2017. Tufts MC continued to support Gavin Foundation's Cushing House for Boys in South Boston. The Cushing House is a residential substance use treatment program for young men who are unable to be served in a less restrictive environment. The program implements a holistic approach to substance use treatment, emphasizing physical and emotional health support to target the underlying issues that may influence substance use and other risky behaviors. The program served 50 young men in the residential program; 46% of residents achieved 6 months or more free from alcohol and other substances in FY2017. Tufts MC's support of South Boston Community Health Center's Office-Based Opioid Treatment facilitated screening and identification of 144 patients taking narcotics for substance use disorder and referral of patients to a licensed alcohol and drug counselor on staff. In some cases, patients self-referred to the treatment program as well. The program had success with gradually decreasing the number of patients on chronic opioids with strict monitoring and follow-up. Tufts MC's South Boston Behavioral Health outpatient walk-in clinic provides comprehensive evaluation and treatment for adults and children for an array of psychiatric issues and substance use disorders. Its Opioid Dependence Treatment Program provided youth patients with medication-assisted treatment with buprenorphine-naloxone, individual counseling, and treatment of comorbid psychiatric issues. The program provided this critical treatment for 19 young men and women in FY2017. Additionally, the Psychiatry department provided support and treatment for adults with substance use disorder and mental health issues. The outpatient services included individual, group, and medication management treatment services as well as suboxone treatment for opiate-addicted individuals. The clinic offered these services to 1,300 individuals in FY2017.Youth Violence PreventionOur 2016 Community Health Needs Assessment also identified youth violence as a health concern particularly in Dorchester, where the rates of non-fatal gunshot/stabbing emergency department visits and of homicides are more than double the city-wide rates. Tufts MC responded to these concerns with community partnerships through our Dorchester Health Initiative (DHI) and internal youth violence prevention programming to offer alternate paths, safe spaces, positive role models, and improved police-youth relations for local youth. With support from Tufts MC's DHI, Boys & Girls Clubs of Dorchester and Sportsmens' Tennis and Enrichment Center provided youth programming for children and teens in Dorchester neighborhoods. In addition to mentoring, physical activity, and after school and summer programming, both organizations included activities in partnership with members of the Boston Police Department, in order to foster trust and positive relationships between Dorchester youth and police. More than 1,700 Dorchester youth and teens benefitted from programs at the two organizations in FY2017. Neponset Health Center focused on educating teenage male athletes about relationship violence. The Coaching Boys into Men program recruited high school athletic coaches in Dorchester schools to provide ongoing skill building and role-modeling to students participating in sports, reaching a total of 30 students who may have otherwise been bystanders and/or potential perpetrators of violence in FY2017. The Salvation Army's Kroc Center's Bridging the Gap Between Youth and Community Services program is a life skills diversion program that provides safe alternatives to violent and risky behavior for court-involved youth between the ages of 12 and 18. The program focuses on reducing the risk factors and increasing protective factors for youth at high-risk for experiencing violence in their lives, reducing the potential for youth to re-offend, and reducing the number of youth in the juvenile justice system by providing them with the tools to achieve a more promising future. In FY2017, the program achieved a 75% success rate in youth who did not reoffend within one year of completing the program. DotHouse Health grew its popular Generation Next Academy program for Dorchester teens by adding behavioral health support around violence and addiction, supporting summer work opportunities for teens, and expanding its media arts program to engage teens in self-reflective media and journaling. In FY2017, 62 teens were assisted in obtaining summer employment and improved their interviewing and presentation skills. DotHouse also held 24 group sessions with a behavioral health clinician and offered one-on-one sessions for teens.Tufts Medical Center provided in-house programming to respond to social determinants of health that may impact the community's youth, providing employment and learning opportunities in a safe space, within the hospital and nonprofit community settings. The high school summer internship program helped students to stay out of troubled environments by giving them an opportunity to earn money and develop new skills. In FY2017, 39 Boston Public School high school students interned in departments across the Medical Center. The internship program provided youth with the opportunity to explore different career opportunities in the health care field while learning from positive role models and mentors in the workplace. Other Community Benefit ProgrammingThe 2016 CHNA also identified that the South End neighborhood's most vulnerable populations include linguistic minorities (Chinese and Spanish speakers), whose incomes fall well below the median household income and for whom cancer and diseases of the heart are the leading causes of death. In FY2017, the South End Community Health Center focused on increasing health knowledge and prevention, and supported at-risk individuals with screenings and access to early treatment to improve health outcomes for cancer, heart disease and diabetes. Additionally, through our youth internship program, asthma education, AHI and other Chinatown partnerships we provided education and treatment services to Chinese-speaking residents in the South End. We served 62,571 individuals in FY2017 through community benefits programs. In addition to the three major health priorities of smoking, substance use disorder, and youth violence described earlier, chronic diseases and health disparities were also issues of concern in our CHNA, which were addressed through hospital- and community-based programs. Below is a snapshot of our other community benefit programs.
Part Vi, Line 5 CONTINUED:	FY2017 Community Benefits by the Numbers 2,442 - Patients and community members received maternal and infant health services including screenings and prenatal, intrapatrum and postpartum care. 8,973 - Formerly uninsured patients received proactve assistance in identifying and enrolling in appropriate insurance coverage. 1,968 - Community members received free blood pressure screenings and educational materials about cardiovascular health. 73 - Patients received proactive interventions at South Cove Manor following hospitalization in order to prevent readmission. 267 - Patients and community members received cancer screenings and cancer survivorship care, including prevention and detection of new and recurring cancers. 57 - Patients and community members received services for kidney diseases, including home blood pressure monitors for uninsured patients. 23,147 - Patients received translation and intrepretation services while receiving care at Tufts Medical Center. 779 - Community members received social services including housing assistance and SNAP enrollment through the Asian American Civic Association's Multi-Service counselor. 2,804 - Community Members including youth, received mental health and psychiatry services through community benefit programming. 1,894 - Patient and Community members participated in asthma education and management programs, including home visits, inpatient education, and school-based asthma classes. 428 - Patients with complex and chronic diseases received free specialty medications through Tufts Medical Center's Pharmacy co-pay assistance program. 348 - Job seekers attended a Tufts Medical Center career fair, 78% of whom were referred from a partner community organization. 80 - Patients and community members participated in diabetes screenings and management programs, inclding self-management classes. 117 - Community members in underserved populations received proactive opthalmology services including vision tests and screenings for eye diseases. Addressing Community Health Concerns in FY2018 In FY2018, Tufts MC will continue to support the priorities identified in the 2016 Community Health Needs assessment, including the ongoing AHI, DHI, and departmental programs targeting substance use disorder, tobacco use, and youth violence. In addition, Tufts MC will be preparing to conduct research for its 2019 Community Health Needs assessment to determine current and emerging health concerns in Chinatown, Dorchester, South Boston, and the South End.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
charles CASSIDY MD
TRUSTEE (until 12/16)	$0	$681,451	$0	$354,167	$0	$11,595	$0	$36,400	$0	$22,890	$0	$1,106,503	$0	$0
NORMAND DESCHENE
TRUSTEE	$0	$904,112	$0	$261,351	$0	$2,614,995	$0	$72,970	$0	$14,076	$0	$3,867,504	$0	$0
marvin a konstam md
TRUSTEE	$0	$524,672	$0	$90,750	$0	$28,521	$0	$36,400	$0	$22,890	$0	$703,233	$0	$0
Matthew Larkin
trustee	$0	$232,469	$0	$45,600	$0	$7,601	$0	$34,621	$0	$22,475	$0	$342,766	$0	$0
william c mackey md
trUSTEE	$0	$486,552	$0	$57,375	$0	$13,581	$0	$36,400	$0	$22,890	$0	$616,798	$0	$0
deeb n salem md
TRUSTEE	$0	$495,001	$0	$159,155	$0	$35,287	$0	$36,400	$0	$22,890	$0	$748,733	$0	$0
paul summergrad md
TRUSTEE	$0	$428,152	$0	$40,500	$0	$15,322	$0	$36,400	$0	$22,802	$0	$543,176	$0	$0
margaret costello
trustee/president/ceo	$326,889	$0	$46,152	$0	$759	$0	$21,825	$0	$20,482	$0	$416,107	$0	$0	$0
MICHAEL WAGNER md
TRUSTEE/presIDENT/CEO	$766,627	$0	$173,450	$0	$83,262	$0	$113,800	$0	$43,440	$0	$1,180,579	$0	$0	$0
JEFFREY A WEINSTEIN
TRUSTEE/SENIOR VP/CLERK	$269,136	$115,344	$52,929	$22,684	$222,562	$0	$40,460	$17,340	$12,353	$5,294	$597,440	$160,662	$149,834	$0
Joseph Frolkis md
Trustee/President/CEO	$392,176	$0	$51,200	$0	$4,191	$0	$0	$0	$4,199	$0	$451,766	$0	$0	$0
nathan gagne
cfo/treasurer	$220,010	$0	$23,140	$0	$70	$0	$21,636	$0	$4,257	$0	$269,113	$0	$0	$0
zachary redmond
clerk	$160,337	$0	$0	$0	$5,135	$0	$3,483	$0	$21,725	$0	$190,680	$0	$0	$0
Kristine M Hanscom
SENIOR VP/TREASURER/CFO/TRustee	$322,502	$0	$57,750	$0	$42,258	$0	$34,148	$0	$26,031	$0	$482,689	$0	$29,523	$0
ellen o'gorman
ceo	$160,021	$0	$0	$0	$0	$0	$0	$0	$0	$0	$160,021	$0	$0	$0
THERESE HUDSON-JINKS
SENIOR VP AND CNO	$312,337	$0	$52,173	$0	$46,498	$0	$47,924	$0	$5,552	$0	$464,484	$0	$44,014	$0
WILLIAM ShICKOLOVICH
SENIOR VP OPERATIONS MGMT/cio	$243,851	$104,508	$43,756	$18,752	$44,075	$0	$37,197	$15,941	$19,492	$8,354	$388,371	$147,555	$38,632	$0
DEBORAH JOELSON
SR. VP STRATEGIC SERVICES	$63,198	$287,904	$13,067	$59,527	$56,738	$0	$9,578	$43,631	$5,014	$22,840	$147,595	$413,902	$46,737	$0
SUSAN BLANCHARD
VP FOR RESEARCH ADMinistration	$219,349	$0	$30,169	$0	$30,260	$0	$31,828	$0	$25,738	$0	$337,344	$0	$27,379	$0
kelly dougherty
vp cardiovascular	$184,399	$0	$7,260	$0	$4,178	$0	$0	$0	$0	$0	$195,837	$0	$0	$0
patricia hayward until 717
vp human resources/risk mgmt.	$257,448	$0	$70,712	$0	$12,077	$0	$5,300	$0	$15,858	$0	$361,395	$0	$0	$0
sean sullivan
vp human resources	$200,450	$0	$19,800	$0	$42,618	$0	$0	$0	$0	$0	$262,868	$0	$0	$0
jeffrey syrek
vp sys CONTRACTING	$227,643	$0	$30,256	$0	$117	$0	$22,585	$0	$21,822	$0	$302,423	$0	$0	$0
BROOKE TYSON-HYNES
VP PUBLIC AFFAIRS	$161,663	$69,284	$29,274	$12,546	$27,110	$0	$3,710	$1,590	$18,403	$7,887	$240,160	$91,307	$0	$0
saul weingart
chief medical officer	$0	$432,552	$0	$74,250	$0	$10,788	$0	$36,400	$0	$22,807	$0	$576,797	$0	$0
NANCY WETHERBEE
director of orbit	$226,703	$0	$45,485	$0	$1,320	$0	$4,438	$0	$5,760	$0	$283,706	$0	$0	$0
PETER NEUMANN
special & scientific staff	$248,712	$0	$0	$0	$3,580	$0	$21,609	$0	$21,725	$0	$295,626	$0	$0	$0
kathleen davis
corporate controller	$225,393	$0	$0	$0	$333	$0	$3,702	$0	$21,725	$0	$251,153	$0	$0	$0
shelly dietz
dir. of clinical resource	$212,977	$0	$0	$0	$1,321	$0	$0	$0	$0	$0	$214,298	$0	$0	$0
nancy gittelson
executive Director of Info. Services	$204,235	$0	$0	$0	$1,994	$0	$0	$0	$0	$0	$206,229	$0	$0	$0
CHIBUEZE OKEY AGBA until 216
former Sr. VP/TREASURER/CFO/Trustee	$57,403	$0	$0	$0	$592,246	$0	$68,315	$0	$13,345	$0	$731,309	$0	$184,752	$0
JEFFREY I LASKER MD
former TRUSTEE/PRESIDENT/CEO	$294,058	$0	$153,329	$0	$457	$0	$3,594	$0	$0	$0	$451,438	$0	$0	$0
christine more until 1215
former interim - vp development	$101,671	$0	$0	$0	$7,664	$0	$0	$0	$0	$0	$109,335	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part 1, line 4a:

The Lowell General Hospital has entered into a split-dollar life insurance agreement with Normand Deschene - President of board & CEO - the Lowell General Hospital. Premiums paid in calendar 2016 were $92,197. All premiums will be repaid to the Hospital. Normand Deschene's other reportable compensation includes two (2) years of vested contractual benefits for retirement earnings in the amount of $1,601,145. Chibueze Okey Agba received a separation agreement payment of $406,645.

Part 1, line 4b:

Section 457(f) retirement plan employer deferrals: michael wagner, $108,500 chibueze okey agba, $63,070 Jeffrey a. weinstein, $52,500 deborah c. joelson, $47,909 william j. shickolovich, $47,838 therese Hudson-jinks, $43,400 susan blanchard, $26,889 kristine hanscom, $28,848

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
A	043431814	57583UBK3	2011-04-07	$211,676,381	SEE SUPPLEMENTAL INFORMATION	Yes (1)	0	0
MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
B	043431814	57584XV65	2017-09-22	$150,000,000	SEE SUPPLEMENTAL INFORMATION	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$116,770,000	$211,676,381	$6,622,720	$3,319,807	$99,387,340	$102,346,514	2017	Yes (1)	0	Yes (1)	Yes (1)
B		$150,000,000		$682,455		$122,719,032		Yes (1)	0	0	Yes (1)	$26,598,513

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	0	0	0	0	Yes (1)
B	0	0	0	0	0	Yes (1)	Yes (1)	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE A, COLUMN F	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF BOND PURPOSE: A. THE ISSUANCE OF BONDS AND THE LOAN OF THE PROCEEDS THEREOF IS TO (1) REFINANCE CERTAIN OUTSTANDING INDEBTEDNESS OF OR ISSUED FOR THE BENEFIT OF THE INSTITUTION, AS FUTHER IDENTIFIED BELOW, (2) FINANCE CONSTRUCTION, RENOVATION AND IMPROVEMENTS AT AND ACQUISTIONS AND EQUIPMENT FOR THE ACUTE CARE HOSPITAL AND RELATED FACILITIES OWNED AND/OR OPERATED BY TUFTS MEDICAL CENTER, (3) FUND A DEBT SERVICE RESERVE FUND, AND (4) PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS. FURTHER IDENTIFICATION OF BOND PURPOSE - REFINANCINGS SERIES G BONDS ISSUED 01/05/1994 SERIES H BONDS ISSUED 11/13/2002 SIEMENS LEASE ISSUED 06/10/2009 GE LEASE ISSUED 06/10/2009 BOA LEASE ISSUED 01/22/2008 B. THE ISSUANCE OF BONDS AND THE LOAN OF THE PROCEEDS THEREOF IS TO (1) REFINANCE CERTAIN OUTSTANDING INDEBTEDNESS OF OR ISSUED FOR THE BENEFIT OF THE INSTITUTION, AS FUTHER IDENTIFIED BELOW, (2) FINANCE CONSTRUCTION, RENOVATION AND IMPROVEMENTS AT AND ACQUISTIONS AND EQUIPMENT FOR THE ACUTE CARE HOSPITAL AND RELATED FACILITIES OWNED AND/OR OPERATED BY TUFTS MEDICAL CENTER, (3) FUND A DEBT SERVICE RESERVE FUND, AND (4) PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS. FURTHER IDENTIFICATION OF BOND PURPOSE - REFINANCINGS SERIES I BONDS ISSUED 04/07/2011	ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	11	ContributionCnt
Noncash Contributions Rpt F990	$216,804	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	auction items	Desc
Contribution	28	ContributionCnt
Noncash Contributions Rpt F990	$10,265	NoncashContributionsRptF990Amt
Method Of Determining Revenues	fmv	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	the number reported in column (b) of schedule m represents the number of contributions of each item.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1, Description of Organization Mission:	WE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN, AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. WE DEDICATE OURSELVES TO FURTHERING OUR RICH TRADITION OF HEALTH CARE INNOVATION, LEADERSHIP, CHARITY AND THE HIGHEST STANDARD OF CARE TO ALL IN OUR COMMUNITY. TO PROVIDE LONG-TERM CARE FOR CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED. RENTAL SERVICE PROGRAMS TO PROMOTE THE INTEREST OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS BY ACQUIRING, MANAGING, MAINTAINING, DEVELOPING, LEASING AND DISPOSING OF REAL ESTATE PROPERTIES. NEW ENGLAND QUALITY CARE ALLIANCE, INC. OPERATES FOR THE PURPOSE OF SUPPORTING ACTIVITIES OF TUFTS MEDICAL CENTER PARENT, INC. AND ITS AFFILIATES. new england quality care alliance accountable care, inc. was formed to improve the health of patients and to enhance the patient's experience of care. tufts medical center community care, inc. works jointly with tufts medical center parent, inc. and its affiliates to develop, implement, and operate an integrated health care delivery system and to provide cost-effective and high-quality patient care within such system.
Form 990, Part VI, Section B, line 11b	THE CFO AND CONTROLLER REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. A COPY OF THE FORM 990 AS IT WILL BE ULTIMATELY FILED IS POSTED TO AN INTERNAL WEBSITE. PRIOR TO FILING, THE ORGANIZATION EMAILS ALL OF ITS GOVERNING BODY MEMBERS A LINK TO A PASSWORD PROTECTED WEBSITE, ADVISING THEM THAT THE FORM 990 IS AVAILABLE FOR REVIEW ON THAT SITE.
Form 990, Part VI, Section B, line 12c	THE ORGANIZATION ENFORCES COMPLIANCE BY PROCEDURES INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE APPROPRIATE HEAD OF THE DEPARTMENT AND REVIEWED BY LEGAL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL.
Form 990, Part VI, Section B, line 15	The Executive Compensation Committee of the Board of Trustees met on December 7, 2016 to review executive compensation for 2016. Sullivan and Cotter, an independent consultant to the Board, provided a competitiveness assessment based on comparator information including national, northeast and Boston area data. Total compensation for the executive group, including the President/CEO, COO and Vice Presidents, was determined to be conservative and well within market averages. The process has not changed since then. The last meeting was held December 7, 2016.
Form 990, Part VI, Section C, line 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER BY MAIL OR IN PERSON AT THE OFFICE, DEPENDING ON THE FORM OF THE REQUEST.
form 990, Part vi, section b., line 16a:	tufts medical center, inc. owns 30% interest in provider network alliance, llc. new england quality care alliance, inc. owns 10% interest in provider network alliance, llc.
form 990, Part vi, section b., line 16b:	The Organization routinely consults with internal and outside counsel prior to entering into joint venture arrangements. The Organization is currently considering implementation of written policies and procedures to evaluate participation of joint venture arrangements to safeguard the Organization's exempt status with respect to such arrangements.
Form 990, Part XI, line 9:	TRANSFER OF NET ASSETS -5,444,000. pension-related adjustments 12,840,000. Loss on extinguishment of debt -20,608,000. Other components of net periodic pension costs -5,192,000. Contributions to Wellforce -1,752,000. net assets released from restriction 595,733. other adjustments 10,249.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
MelroseWakefield Healthcare inc
170 governors ave	medford	MA	02155	042767880	hospital	MA	501(c)(3)	Line 3	hallmark health corportation	Yes (1)
hallmark health medical associates inc
170 governors ave	medford	MA	02155	043140938	MD offices	MA	501(c)(3)	Line 10	hallmark health corportation	Yes (1)
lm long term care services inc
170 governors ave	medford	MA	02155	042938772	long-term care	MA	501(c)(3)	Line 12b, II	hallmark health corportation	Yes (1)
savin long term care corporation
170 governors ave	medford	MA	02155	043012616	long-term care	MA	501(c)(3)	Line 10	hallmark health corportation	Yes (1)
hallmark health visiting nurse association and hospice inc
178 savin st suite 300	malden	MA	02148	042437064	visiting nurse	MA	501(c)(3)	Line 10	hallmark health corportation	Yes (1)
hallmark health properties
170 governors ave	medford	MA	02155	222580542	property	MA	501(c)(3)	Line 12b, II	hallmark health corportation	Yes (1)
hallmark health corporation
170 governors ave	medford	MA	02155	042103587	parent	MA	501(c)(3)	Line 12a, I	WELLFORCE INC	Yes (1)
the Lowell General Hospital
295 varnum avenue	lowell	MA	01854	042103590	Health care	MA	501(c)(3)	Line 3	circle health inc	Yes (1)
Circle Health Physicians Inc
295 Varnum AVENUE	LOWELL	MA	01854	273902914	Medical Services	MA	501(c)(3)	Line 10	circle health inc	Yes (1)
lgh physician associates inc
ONE HOSPITAL DRIVE	LOWELL	MA	01852	043190747	Medical Services	MA	501(c)(3)	Line 10	circle health physicians inc	Yes (1)
circle health inc
295 Varnum AVENUE	LOWELL	MA	01854	222579798	parent/supporting organization	MA	501(c)(3)	Line 12b, II	WELLFORCE INC	Yes (1)
wellforce inc
1600 DISTRICT AVE SUITE 125	burlington	MA	01803	452250732	parent/supporting organization	MA	501(c)(3)	Line 12a, I		0	N/A
cns nursing home care inc
847 rogers street suite 201	lowell	MA	01852	371836433	home care services	MA	501(c)(3)	Line 10	circle home inc	Yes (1)
CIRCLE HOME INC
847 rogers street suite 201	lowell	MA	01852	042103812	home care services	MA	501(c)(3)	Line 10	circle health inc	Yes (1)
tufts medical center parent inc
800 WASHINGTON STREET	BOSTON	MA	02111	042810022	fundraising, admin. planning & other activities	MA	501(c)(3)	Line 12b, II	WELLFORCE INC	Yes (1)
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET	BOSTON	MA	02111	043400617	HOSPITAL SERVICES	MA	501(c)(3)	Line 3	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
TUFTS MEDICAL CENTER REAL ESTATE COMPANY INC
800 WASHINGTON STREET	BOSTON	MA	02111	042772654	ACQUIRING REAL PROPERTY	MA	501(c)(3)	Line 12b, II	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREET	BOSTON	MA	02111	042912578	pediatric long-term care facility	MA	501(c)(3)	Line 3	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
NEW ENGLAND QUALITY CARE ALLIANCE INC
800 WASHINGTON STREET	BOSTON	MA	02111	043040427	MEDICAL PROGRAMS & SERVICES	MA	501(c)(3)	Line 12b, II	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
neqca accountable care inc
325 WOOD RD SUITE 210	BRAINTREE	MA	02184	800824142	aco	MA	501(c)(3)	Line 7	NEW ENGLAND QUALITY CARE ALLIANCE INC	Yes (1)
TUFTS MEDICAL CENTER COMMUNITY CARE INC
325 WOOD RD SUITE 210	BRAINTREE	MA	02184	473046563	medical services	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
THE CAMERON M NEELY FOUNDATION
800 WASHINGTON STREET	BOSTON	MA	02111	043265628	CHARITABLE	MA	501(c)(3)	Line 7	TUFTS MEDICAL CENTER PARENT INC	Yes (1)
Heart Center of Metrowest Inc
99 Lincoln Street	Framingham	MA	01702	030390670	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT ANESTHESIOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043418395	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT MEDICAL AND SURGICAL ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148397	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT NEUROLOGY ASSOICATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148384	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT OBGYN ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148385	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT OPHTHALMOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148392	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT ORTHOPEDIC ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	205129051	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT OTOLARYNGOLOGY
800 WASHINGTON STREET	BOSTON	MA	02111	043148381	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT PATHOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148393	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT PEDIATRIC ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148394	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT PSYCHIATRIC ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148387	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT RADIOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148388	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT RADIATION ONCOLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148389	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT REHABILITATION MEDICINCE
800 WASHINGTON STREET	BOSTON	MA	02111	043148378	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT SURGICAL ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148376	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT UROLOGY ASSOCIATES INC
800 WASHINGTON STREET	BOSTON	MA	02111	043148379	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
NEW ENGLAND MEDICAL CENTER
800 WASHINGTON STREET	BOSTON	MA	02111	043096445	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
PRATT MEDICAL GROUP INC
800 WASHINGTON STREET	BOSTON	MA	02111	042743894	MEDICAL SERVICES	MA	501(c)(3)	Line 10	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes (1)
TUFTS MEDICAL CENTER PHYSICIANS ORG INC
800 WASHINGTON STREET	BOSTON	MA	02111	043044706	ADMIN.	MA	501(c)(3)	Line 12b, II	TUFTS MEDICAL CENTER PARENT INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
hallmark health investments llc
170 governors ave	medford	MA	02155	020657666	investment	MA	melrosewakefield healthcare inc	excluded	0	0
montvale petct llc
100 bayview circle suite 400	newport beach	CA	92660	270325022	cat scan	DE	melrosewakefield healthcare inc	related	0	0
CIRCLE HEALTH ALLIANCE LLC
295 varnum ave	lowell	MA	01854	800782682	accountable care organization	MA	circle health inc	RELATED	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd
TUFTS MEDICAL CENTER INDEMNITY CO LTD
800 WASHINGTON STREET	BOSTON	MA	02111	980444573	CAPTIVE INSURANCE	CJ	TUFTS MEDICAL CENTER INC	C	-$1,349,139	$102,475,608	1.00000	Yes (1)
hallmark health enterprises inc
585 lebanon street	melrose	MA	02176	042475660	other health services		hallmark health corporation	C				Yes (1)	MA
Lawrence Melrose Medical Electronics Record Inc
170 Governors Ave	Medford	MA	02155	421685777	electronic medical records		melrosewakefield healthcare inc	C				0	MA
hallmark health pho inc
170 Governors Ave	Medford	MA	02155	461134759	physician hospital organization		melrosewakefield healthcare inc	C				0	MA
lgh services inc
295 varnum avenue	lowell	MA	01854	042854673	Medical Services		ciRcle health inc	C				Yes (1)	MA
LGH MEDICAL BUILDING SERVICES INC
295 varnum avenue	lowell	MA	01854	043058954	MEDICAL OFFICE BUILDING		Lgh services inc	C				Yes (1)	MA
LGH MANAGEMENT SERVICES INC
295 varnum avenue	lowell	MA	01854	042919244	Medical Services		lgh services inc	C				Yes (1)	MA
LGH MEDICAL SERVICES INC
295 varnum avenue	lowell	MA	01854	261889904	medical Services		LGH SERVICES INC	C				Yes (1)	MA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (38 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PRATT ORTHOPEDIC ASSOCIATES INC
M	$608,071	BOOK BASIS
PRATT NEUROLOGY ASSOCIATES INC
M	$760,825	BOOK BASIS
PRATT NEUROSURGERY ASSOCIATES INC
M	$1,814,547	BOOK BASIS
PRATT ANESTHESIOLOGY ASSOCIATES INC
M	$6,546,998	BOOK BASIS
PRATT OBGYN ASSOCIATES INC
M	$1,406,960	BOOK BASIS
PRATT OPTHAMOLOGY ASSOCIATES INC
L	$5,532,612	BOOK BASIS
PRATT PATHOLOGY ASSOCIATES INC
M	$1,188,119	BOOK BASIS
PRATT PEDIATRIC ASSOCIATES INC
M	$2,164,025	BOOK BASIS
PRATT PSYCHIATRIC ASSOCIATES INC
L	$182,242	BOOK BASIS
PRATT RADIOLOGY ASSOCIATES INC
M	$2,069,091	BOOK BASIS
PRATT RADIATION ONCOLOGY ASSOCIATES INC
M	$121,830	BOOK BASIS
PRATT REHABILITATION MEDICINE ASSOCIATES INC
L	$314,066	BOOK BASIS
PRATT SURGICAL ASSOCIATES INC
M	$4,094,294	BOOK BASIS
PRATT UROLOGY ASSOCIATES INC
L	$84,403	BOOK BASIS
PRATT DERMATOLOGY ASSOCIATES INC
L	$3,518	BOOK BASIS
Pratt medical group inc
L	$8,438,000	BOOK BASIS
tmc physician organization inc
M	$9,639,146	BOOK BASIS
tmc physician organization inc
J	$403,758	bOOK BASIS
new england medical center group
L	$59,919	bOOK BASIS
tufts medical center parent inc
E	$1,004,348	bOOK BASIS
new england medical center group
E	$2,062,444	bOOK BASIS
pratt anesthesiology ASSOCIATES INC
E	$645,388	bOOK BASIS
pratt pathOLOGY ASSOCIATES INC
E	$168,919	bOOK BASIS
pratt peDIATRIC ASSOCIATES INC
E	$248,815	bOOK BASIS
pratt radiolOGY ASSOCIATES INC
E	$298,443	bOOK BASIS
pratt surGICAL ASSOCIATES INC
E	$266,668	bOOK BASIS
tufts medical center physicians organization
D	$9,377,773	bOOK BASIS
pratt opTHAMOLOGY ASSOCIATES INC
D	$349,380	bOOK BASIS
tufts medical center community care inc
D	$754,000	bOOK BASIS
tufts medical center indemnity co ltd
D	$14,754,614	bOOK BASIS
pratt obGYN ASSOCIATES INC
E	$95,046	bOOK BASIS
Pratt OrthOPEDIC ASSOCIATES INC
E	$57,774	bOOK BASIS
Pratt NeuROLOGY ASSOCIATES INC
E	$50,590	bOOK BASIS
Wellforce Inc
E	$238,739	bOOK BASIS
Hallmark Health Corporation Inc
D	$120,179	bOOK BASIS
Tufts Medical Center Indemnity co ltd
R	$3,929,452	bOOK BASIS
tufts medical center parent inc
R	$2,766,667	bOOK BASIS
Wellforce Inc
R	$6,135,457	bOOK BASIS

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Business Name ControlBusinessNameControlTxt
NEW ENGLAND QUALITY CARE ALLIANCE INC
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	043040427	NEWE
NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	042912578	NEWE
TUFTS MEDICAL CENTER REAL ESTATE COMPANY INC
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	042772654	TUFT
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	043400617	TUFT
tufts medical center community care inc
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	473046563	TUFT
neqca accountable care inc
800 WASHINGTON STREET BOX 468	BOSTON	MA	021111533	800824142	NEQC