2016-08-12T10:57:22-05:00 2015-09-30 263753134 CBIZ TOFIAS 500 BOYLSTON STREET BOSTON MA 02116 990 2014-10-01 043044706 TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC TUFT 6176365000 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 THEODORE BUKOWSKI CMPE TREASURER,SVP/CFO 6176365000 2016-08-11 1 CRAIG KLEIN P00734640 6177610600 2016-08-09 2014 2016-12-15 16:53:06Z THEODORE BUKOWSKI 800 WASHINGTON STREET TMCPO 1013 BOSTON MA 02111 19153934 0 3952 X TUFTSMEDICALCENTER.ORG X 1992 MA THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. COORDINATES THE ADMINISTRATIVE AND BILLING ACTIVITIES FOR THE GROUP PRACTICES IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO PATIENTS OF TUFTS MEDICAL CENTER, INC. AND TO THE RESIDENTS OF THE COMMUNITIES IT SERVES. 14 3 11 0 0 0 0 0 18726390 19135929 156778 18005 0 0 18883168 19153934 0 0 0 0 11067705 11719337 0 0 0 5160232 5782298 16227937 17501635 2655231 1652299 49298777 47901006 24657479 21845434 24641298 26055572 X THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. SUPPORTS THE TUFTS GROUP PRACTICES IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO THE PATIENTS OF TUFTS MEDICAL CENTER, INC. AND TO THE RESIDENTS OF THE COMMUNITY IT SERVES. 0 0 16440790 19135929 THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. SUPPORTS THE FOLLOWING CORPORATIONS (THE "GROUP PRACTICE"), ALL EXEMPT CORPORATIONS UNDER SECTION 501(C)(3), IN THEIR MISSION OF PROVIDING QUALITY HEALTH CARE SERVICES TO PATIENTS OF TUFTS MEDICAL CENTER, INC. AND TO THE RESIDENTS OF THE COMMUNITY IT SERVES; 1. NEW ENGLAND MEDICAL CENTER GROUP PRACTICE, INC. D/B/A PRATT NEUROSURGICAL ASSOCIATES, INC., 2. PRATT ANESTHESIOLOGY ASSOCIATES, INC., 3. PRATT MEDICAL & SURGICAL DERMATOLOGY ASSOCIATES, INC., 4. PRATT NEUROLOGY ASSOCIATES, INC., 5. PRATT OB/GYN ASSOCIATES, INC., 6. PRATT OPHTHALMOLOGY ASSOCIATES, INC., 7. PRATT OTOLARYNGOLOGY - HEAD & NECK SURGERY ASSOCIATES, INC., 8. PRATT PATHOLOGY ASSOICATES, INC., 9. PRATT PEDIATRIC ASSOCIATES, INC., 10. PRATT PSYCHIATRIC ASSOCIATES, INC., 11. PRATT RADIOLOGY ASSOCIATES, INC., 12. PRATT RADIATION ONCOLOGY ASSOCIATES, INC., 13. PRATT REHABILITATION MEDICINE ASSOCIATES, INC., 14. PRATT SURGICAL ASSOCIATES, INC., 15. PRATT UROLOGY ASSOCIATES, INC., 16. PRATT MEDICAL GROUP, INC., 17. PRATT ORTHOPEDIC ASSOCIATES, INC. THE ORGANIZATION COORDINATES THE ADMINISTRATIVE AND BILLING ACTIVITIES FOR THE GROUP PRACTICE AND CHARGES THEM FOR THESE SERVICES. 16440790 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 29 0 1 11 1 0 0 0 0 0 0 0 0 0 0 X 14 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X THEODORE BUKOWSKI CMPE 6176365000 800 WASHINGTON ST TMCPO 1013 BOSTON MA 02111 PAUL SUMMERGRAD MD INTERIM PRESIDENT/CEO/CHAIRMAN 38.00 2.00 X X 0 491596 56629 CHESTER BLACK DIRECTOR 2.00 0.00 X 0 0 0 HELEN BOUCHER MD DIRECTOR 40.00 0.00 X 0 151359 40843 CHARLES CASSIDY MD DIRECTOR 2.00 38.00 X 0 889621 56863 PHILLIP GIUNTA DIRECTOR 2.00 0.00 X 0 0 0 CARL HEILMAN MD DIRECTOR 2.00 38.00 X 0 722800 56863 JEFFREY LASKER MD DIRECTOR 2.00 38.00 X 0 536184 94642 WILLIAM C MACKEY MD DIRECTOR 2.00 38.00 X 0 538382 56863 THOMAS MCGURTY MD DIRECTOR 2.00 0.00 X 0 0 0 DEEB SALEM MD DIRECTOR 2.00 38.00 X 0 703219 56863 MITCHELL STROMINGER MD DIRECTOR 40.00 0.00 X 0 302559 56482 EDGAR KENT YUCEL MD DIRECTOR 2.00 38.00 X 0 560361 56863 CHIBUEZE OKEY AGBA DIRECTOR 2.00 38.00 X 0 558459 91347 MICHAEL WAGNER MD DIRECTOR 2.00 38.00 X 232880 779898 59950 THEODORE BUKOWSKI CMPE TREASURER, SVP/CFO 38.00 2.00 X 322906 0 56475 DAVID BRILL SECRETARY AND CLERK 2.00 38.00 X 0 189081 11351 JEFFREY GROSS VP BUSINESS DEVELOPMENT 40.00 0.00 X 245146 0 46464 SAUL WEINGART MD CHIEF MEDICAL OFFICER 40.00 0.00 X 521781 0 20251 ANNE BELKNAP DIRECTOR OF FINANCIAL SERVICES 40.00 0.00 X 209273 0 27252 MATTHEW LARKIN VP OPERATIONS 40.00 0.00 X 216453 0 45523 KAREN LEIBOLD DIRECTOR OF HR 40.00 0.00 X 182869 0 42617 1931308 6423519 934141 12 0 1 0 GE HEALTHCARE IITS USA 15724 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 PROFESSIONAL SERVICES 574648 PATIENTKEEPER PO BOX 674378 DETROIT MI 482674378 PROFESSIONAL SERVICES 252833 CERIDIAN PO BOX 10989 NEWARK NJ 07193 PROFESSIONAL SERVICES 211275 DELL MARKETING LP PO BOX 677654 DALLAS TX 752676021 PROFESSIONAL SERVICES 110251 4 SUPPORT REVENUE 561000 14480336 14480336 CLINIC, TEACH & ADMIN. 900099 4655593 4655593 19135929 18005 18005 19153934 19135929 0 18005 1003515 802812 200703 8927702 8927702 172738 172738 1478275 1478275 137107 137107 147115 147115 210018 210018 115276 115276 442101 442101 34216 34216 112699 112699 1359923 1359923 DATA PROCESSING COSTS 2079096 1663277 415819 PROFESSIONAL EXPENSES 606755 606755 SUPPORT 139382 139382 PRINTING & PUBLICATION 99767 99767 435950 348760 87190 17501635 16440790 1060845 0 9579326 6195285 5319525 4072729 1670576 1232839 276610 437737 34123316 37195255 49298777 47901006 3047421 3197955 21610058 18647479 24657479 21845434 X 24641298 26055572 24641298 26055572 49298777 47901006 X 1652299 -12103 -225922 X 0 1 X 1 0 X X 1 TUFTS MEDICAL CENTER INC 043400617 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C, LINE 1: A TYPE II SUPPORTING ORGANIZATION MUST BE SUPERVISED OR CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATION. THIS MEANS THAT THERE MUST BE COMMON SUPERVISION OR CONTROL BY THE PERSONS SUPPORTING OR CONTROLLING BOTH THE SUPPORTING ORGANIZATION AND THE SUPPORTED ORGANIZATION TO ENSURE THAT THE SUPPORTING ORGANIZATION WILL BE RESPONSIVE TO THE NEEDS AND REQUIREMENTS OF THE SUPPORTED ORGANIZATION. COMMON SUPERVISION AND CONTROL EXIST BETWEEN TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. (TMCPO) AND ITS SUPPORTED ORGANIZATION, TUFTS MEDICAL CENTER, INC. (HOSPITAL). BOTH ENTITIES ARE CONTROLLED BY TUFTS MEDICAL CENTER PARENT, INC. (PARENT). IN THIS REGARD, TMCPO AND HOSPITAL HAVE A BROTHER/SISTER RELATIONSHIP, UNDER PARENT. PARENT EXERCISES CONTROL OVER TMCPO THROUGH ITS RIGHT TO APPOINT AND REMOVE A MAJORITY OF TMCPO'S TRUSTEES. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF HOSPITAL ALSO SERVES AS A TRUSTEE OF TMCPO. PARENT'S CHIEF EXECUTIVE OFFICER MUST APPROVE THE SUBMISSION TO TMCPO'S BOARD OF TRUSTEES OF ANY CANDIDATE FOR THE POSITION OF PRESIDENT OF TMCPO, AND TMCPO'S PRESIDENT SERVES SUBJECT TO THE CONTROL OF TMCPO'S BOARD OF TRUSTEES AND PARENT'S CHIEF EXECUTIVE OFFICER (WHO ALSO SERVES AS HOSPITAL'S CHIEF EXECUTIVE OFFICER). TMCPO RESPONSIVENESS TO THE NEEDS AND REQUIREMENTS OF HOSPITAL IS FURTHER ENSURED BY BOARD OVERLAP BETWEEN PARENT (WHICH CONTROLS TMCPO) AND HOSPITAL. 312424 85591 226833 1042105 849596 192509 316047 297652 18395 437737 DUE FROM AFFILIATES 3842787 OTHER LONG TERM ASSETS 33352468 37195255 DUE TO AFFILIATES -18530788 NEMC, INC. INSURANCE LIABILITY RESERVE 33907725 OTHER LIABILITIES 3270542 18647479 X X X 0 1 0 0 0 0 0 0 0 PAUL SUMMERGRAD MD INTERIM PRESIDENT/CEO/CHAIRMAN 0 406040 0 54571 0 30985 0 36400 0 20229 0 548225 0 0 HELEN BOUCHER MD DIRECTOR 0 137353 0 7500 0 6506 0 20974 0 19869 0 192202 0 0 CHARLES CASSIDY MD DIRECTOR 0 633540 0 246609 0 9472 0 36400 0 20463 0 946484 0 0 CARL HEILMAN MD DIRECTOR 0 663306 0 49942 0 9552 0 36400 0 20463 0 779663 0 0 JEFFREY LASKER MD DIRECTOR 0 453790 0 81403 0 991 0 69460 0 25182 0 630826 0 0 WILLIAM C MACKEY MD DIRECTOR 0 487540 0 41048 0 9794 0 36400 0 20463 0 595245 0 0 DEEB SALEM MD DIRECTOR 0 513870 0 172495 0 16854 0 36400 0 20463 0 760082 0 0 MITCHELL STROMINGER MD DIRECTOR 0 262125 0 33375 0 7059 0 36400 0 20082 0 359041 0 0 EDGAR KENT YUCEL MD DIRECTOR 0 477420 0 59889 0 23052 0 36400 0 20463 0 617224 0 0 CHIBUEZE OKEY AGBA DIRECTOR 0 416010 0 32648 0 109801 0 65559 0 25788 0 649806 0 56811 MICHAEL WAGNER MD DIRECTOR 183653 535340 47043 234000 2184 10558 23450 0 6838 29662 263168 809560 0 0 THEODORE BUKOWSKI CMPE TREASURER, SVP/CFO 264430 0 54106 0 4370 0 36400 0 20075 0 379381 0 0 0 DAVID BRILL SECRETARY AND CLERK 0 188956 0 0 0 125 0 2769 0 8582 0 200432 0 0 JEFFREY GROSS VP BUSINESS DEVELOPMENT 178019 0 61145 0 5982 0 26527 0 19937 0 291610 0 0 0 SAUL WEINGART MD CHIEF MEDICAL OFFICER 413024 0 99350 0 9407 0 0 0 20251 0 542032 0 0 0 ANNE BELKNAP DIRECTOR OF FINANCIAL SERVICES 172493 0 34300 0 2480 0 24640 0 2612 0 236525 0 0 0 MATTHEW LARKIN VP OPERATIONS 189910 0 19972 0 6571 0 25590 0 19933 0 261976 0 0 0 KAREN LEIBOLD DIRECTOR OF HR 146442 0 27594 0 8833 0 22725 0 19892 0 225486 0 0 0 PART I, LINE 4B SECTION 457(F) RETIREMENT PLAN: CHIBUEZE OKEY AGBA, $59,500 FORM 990, PART VI, SECTION B, LINE 11 THE CFO AND DIRECTOR OF FINANCE REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. ALSO, THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW AND APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTERST POLICY BY REGULAR CONTACT WITH AND QUESTIONNAIRES OF ALL INDIVIDUALS WITH THE POTENTIAL FOR CONFLICT OF INTEREST. THE ORGANIZATION ENFORCES COMPLIANCE BY PROCEDURES INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE APPROPRIATE HEAD OF THE DEPARTMENT AND REVIEWED BY THE OFFICE OF LEGAL COUNSEL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION BOARD OF TRUSTEES MEETS AT LEAST ANNUALLY TO REVIEW AND APPROVE COMPENSATION FOR SENIOR EXECUTIVES AND DEPARTMENT CHAIRS. THE COMMITTEE REVIEWS EXTENSIVE COMPENSATION BENCHMARKS PROVIDED BY SULLIVAN AND COTTER. THE COMMITTEE ALSO REVIEWS AND APPROVES COMPENSATION LEVELS FOR NEW EXECUTIVES AND DEPARTMENT CHAIRS AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER TO RELATED PARTY -225,922. TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON MA 02111 043400617 HOSPITAL MA 501(C)(3) LINE 3 TUFTS MEDICAL CENTER PARENT INC 1 TUFTS MEDICAL CENTER PARENT INC 800 WASHINGTON STREET BOSTON MA 02111 042810022 FUNDRAISING MA 501(C)(3) LINE 11B, II N/A 0 NEW ENGLAND LONG-TERM CARE INC 800 WASHINGTON STREET BOSTON MA 02111 042912578 NURSING MA 501(C)(3) LINE 3 TUFTS MEDICAL CENTER PARENT INC 1 NEW ENGLAND QUALITY CARE ALLIANCE INC 800 WASHINGTON STREET BOSTON MA 02111 043040427 MEDICAL MA 501(C)(3) LINE 11B, II TUFTS MEDICAL CENTER PARENT INC 1 THE CAMERON M NEELY FOUNDATION 800 WASHINGTON STREET BOSTON MA 02111 043265628 SUPPORT TMC MA 501(C)(3) LINE 7 TUFTS MEDICAL CENTER PARENT INC 1 TUFTS MEDICAL CENTER REAL ESTATE CO INC 800 WASHINGTON STREET BOSTON MA 02111 042772654 SUPPORT TMC MA 501(C)(3) LINE 11B, II TUFTS MEDICAL CENTER PARENT INC 1 PRATT ANESTHESIOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043418395 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT MEDICAL AND SURGICAL ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148397 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT NEUROLOGY ASSOICIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148384 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT OBGYN ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148385 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT OPHTHALMOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148392 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT ORTHOPEDIC ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 205129051 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT OTOLARYNGOLOGY 800 WASHINGTON STREET BOSTON MA 02111 043148381 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT PATHOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148393 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT PEDIATRIC ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148394 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT PSYCHIATRIC ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148387 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT RADIOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148388 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT RADIATION ONCOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148389 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT REHABILITATION MEDICINE 800 WASHINGTON STREET BOSTON MA 02111 043148378 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT SURGICAL ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148376 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT UROLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON MA 02111 043148379 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 NEW ENGLAND MEDICAL CENTER 800 WASHINGTON STREET BOSTON MA 02111 043096445 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 PRATT MEDICAL GROUP INC 800 WASHINGTON STREET BOSTON MA 02111 042743894 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 HEART CENTER OF METROWEST INC 99 LINCOLN STREET FRAMINGHAM MA 01702 030390670 MEDICAL SERVICES MA 501(C)(3) LINE 9 N/A 1 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 1 TUFTS MEDICAL CENTER COMMUNITY CARE INC 325 WOOD RD SUITE 210 BRAINTREE MA 02184 473046563 MEDICAL SERVICES MA 501(C)(3) LINE 9 TUFTS MEDICAL CENTER PARENT INC 1 0 0 0 1 1 0 0 0 0 0 1 1 1 0 1 0 0 1 1 SEE FORM 990 PART VII O TUFTS MEDICAL CENTER INC K 442101 BOOK BASIS PRATT MEDICAL AND SURGICAL ASSOCIATES INC E 498382 BOOK BASIS PRATT PATHOLOGY ASSOCIATES INC E 3946450 BOOK BASIS PRATT RADIATION ONCOLOGY ASSOCIATES INC E 1486764 BOOK BASIS PRATT REHABILITATION MEDICINE E 452519 BOOK BASIS PRATT ORTHOPEDIC ASSOCIATES INC E 3185217 BOOK BASIS PRATT ANESTHESIOLOGY ASSOCIATES INC D 630081 BOOK BASIS PRATT OTOLARYNGOLOGY D 634549 BOOK BASIS PRATT OBGYN ASSOCIATES INC D 4566307 BOOK BASIS PRATT PEDIATRIC ASSOCIATES INC D 7220060 BOOK BASIS PRATT NEUROLOGY ASSOICATES INC D 398868 BOOK BASIS PRATT PSYCHIATRIC ASSOCIATES INC D 2588878 BOOK BASIS PRATT RADIOLOGY ASSOCIATES INC D 543062 BOOK BASIS PRATT SURGICAL ASSOCIATES INC D 6464536 BOOK BASIS PRATT UROLOGY ASSOCIATES INC D 1167197 BOOK BASIS PRATT OPHTHALMOLOGY ASSOCIATES INC D 625909 BOOK BASIS PRATT MEDICAL GROUP INC D 2797405 BOOK BASIS NEW ENGLAND MEDICAL CENTER D 929167 BOOK BASIS NEW ENGLAND MEDICAL CENTER L 471385 BOOK BASIS PRATT ANESTHESIOLOGY ASSOCIATES INC L 1338148 BOOK BASIS PRATT MEDICAL AND SURGICAL ASSOCIATES INC L 240862 BOOK BASIS PRATT OTOLARYNGOLOGY L 280634 BOOK BASIS PRATT NEUROLOGY ASSOICATES INC L 233665 BOOK BASIS PRATT OBGYN ASSOCIATES INC L 954513 BOOK BASIS PRATT OPHTHALMOLOGY ASSOCIATES INC L 1787251 BOOK BASIS PRATT PATHOLOGY ASSOCIATES INC L 369856 BOOK BASIS PRATT PEDIATRIC ASSOCIATES INC L 1742543 BOOK BASIS PRATT PSYCHIATRIC ASSOCIATES INC L 253682 BOOK BASIS PRATT RADIOLOGY ASSOCIATES INC L 733148 BOOK BASIS PRATT RADIATION ONCOLOGY ASSOCIATES INC L 448402 BOOK BASIS PRATT REHABILITATION MEDICINE L 175771 BOOK BASIS PRATT SURGICAL ASSOCIATES INC L 773119 BOOK BASIS PRATT UROLOGY ASSOCIATES INC L 149995 BOOK BASIS PRATT MEDICAL GROUP INC L 4000408 BOOK BASIS PRATT ORTHOPEDIC ASSOCIATES INC L 526954 BOOK BASIS TUFTS MEDICAL CENTER INC M 9038710 BOOK BASIS NEW ENGLAND QUALITY CARE ALLIANCE INC E 21254 BOOK BASIS TUFTS MEDICAL CENTER INC D 2336452 BOOK BASIS