Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
800 WASHINGTON STREET BOX 468
 
Room/suite
City or town, state or country, and ZIP + 4
BOSTON, MA021111533
D Employer identification number

27-0440772
E Telephone number

G Gross receipts $ 714,075,241
F Name and address of principal officer:
CHIBUEZE O AGBA
 
 
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.TUFTSMEDICALCENTER.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?Click to see attachment
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5466
K Form of organization:
 
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: 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
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 37
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 25
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 5,759
6 Total number of volunteers (estimate if necessary) .... 6 230
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 67,294,620 65,878,972
9 Program service revenue (Part VIII, line 2g) ......... 602,839,297 643,014,403
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 6,430,260 2,165,384
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,679,331 2,024,145
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 678,243,508 713,082,904
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 329,789,451 338,301,417
16a Professional fundraising fees (Part IX, column (A), line 11e)....   24,750
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,985,517    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 336,353,961 354,940,241
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 666,143,412 693,266,408
19 Revenue less expenses. Subtract line 18 from line 12...... 12,100,096 19,816,496
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 458,815,548 555,941,042
21 Total liabilities (Part X, line 26)............ 382,806,298 466,844,206
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 76,009,250 89,096,836
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s 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 Alliance, Inc. operates for the purpose of supporting activities of Tufts Medical Center Parent, Inc. and its affiliates.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 508,418,913 including grants of $   ) (Revenue $ 641,161,826 )
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.
4b (Code:   ) (Expenses $ 34,983,692 including grants of $   ) (Revenue $ 463,397 )
Tufts Medical Center, Inc. administers programs for approximately 421 residents, interns and fellows in 45 specialties and subspecialties who rotate to approximately 42 hospitals and other organizations located primarily in the greater Boston area.
4c (Code:   ) (Expenses $ 56,997,233 including grants of $   ) (Revenue $ 1,389,180 )
Tufts Medical Center, Inc. engages in research activities funded by grants and contracts for U.S. government agencies and other private sources.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 600,399,838
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
419
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
5,759
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
37
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
25
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
Yes
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
KATHLEEN DAVIS
800 WASHINGTON STREET
BOSTON,MA02111
(617) 636-5000
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) ELLEN ZANE
PRESIDENT/CEO/TRUSTEE
 40.0 X   X       1,574,374 0 3,583
(2) MARGARET VOSBURGH
EXECUTIVE VP/COO/TRUSTEE
 40.0 X   X       611,148 0 1,200
(3) JEFFREY I LASKER MD
TRUSTEE/PRESIDENT/CEO/CMO
 40.0 X   X       472,559 0 42,562
(4) JEFFREY A WEINSTEIN ESQ
SENIOR VP/SECRETARY/TRUSTEE
 40.0 X   X       366,587 0 3,842
(5) MICHAEL CANTOR MD
TRUSTEE/QUALITY MEDICAL DIR
 40.0 X     X     286,830 0 23,236
(6) MARVIN KONSTAM
TRUSTEE
 1.0 X           0 550,980 52,626
(7) DAVID WAZER
TRUSTEE
 1.0 X           0 635,088 52,722
(8) DEEB SALEM
TRUSTEE
 1.0 X           0 700,432 52,722
(9) WILLIAM MACKEY
TRUSTEE
 1.0 X           0 493,207 52,626
(10) PAUL SUMMERGRAD MD
TRUSTEE
 1.0 X           0 328,179 52,323
(11) ERIC BEYER
TRUSTEE
 1.0 X           0 611,844 52,580
(12) LAWRENCE BACOW
TRUSTEE
 1.0 X           0 0 0
(13) STUART ALTMAN
TRUSTEE
 1.0 X           0 0 0
(14) JOSEPH CAMPANELLI
TRUSTEE
 1.0 X           0 0 0
(15) JOHN ROCKART
TRUSTEE/VICE CHAIRMAN
 1.0 X           0 0 0
(16) MATTHEW STONE
TRUSTEE/VICE CHAIRMAN
 1.0 X           0 0 0
(17) THOMAS HOLLISTER
TRUSTEE/CHAIRMAN
 1.0 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) GENIA LONG
TRUSTEE
 1.0 X           0 0 0
(19) SUSAN WINSTON LEFF
TRUSTEE
 1.0 X           0 0 0
(20) OLIVIA HO CHENG
TRUSTEE
 1.0 X           0 0 0
(21) RICHARD MEELIA
TRUSTEE
 1.0 X           0 0 0
(22) PAUL MURPHY
TRUSTEE
 1.0 X           0 0 0
(23) HARRIS BERMAN
INTERIM TRUSTEE
 1.0 X           0 0 0
(24) THEODOR HERWIG MD CHAIR
TRUSTEE
 1.0 X           0 0 0
(25) GEORGE CUCHURAL MD
TRUSTEE
 1.0 X           0 0 0
(26) PETER GORLIN MD
TRUSTEE
 1.0 X           0 0 0
(27) MARK SINGH MD
TRUSTEE
 1.0 X           0 0 0
(28) RIAD MORTADA MD
TRUSTEE
 1.0 X           0 0 0
(29) ERIC COHEN MD
TRUSTEE
 1.0 X           0 0 0
(30) DAVID SCHROEDER MD
TRUSTEE
 1.0 X           0 0 0
(31) JOSEPH B LEADER MD
TRUSTEE
 1.0 X           0 0 0
(32) MICHELE CRAGE MD
TRUSTEE
 1.0 X           0 0 0
(33) KANU PATEL MD
TRUSTEE
 1.0 X           0 0 0
(34) PHILIP STEEVES MD
TRUSTEE
 1.0 X           0 0 0
(35) JOEL SOLOMON MD
TRUSTEE
 1.0 X           0 0 0
(36) ANDREI SORAN
TRUSTEE
 1.0 X           0 0 0
(37) JOHN SCHREIBER MD MPH
TRUSTEE
 1.0 X           0 569,563 52,626
(38) DAVID FAIRCHILD
CHIEF MEDICAL OFFICER
 40.0     X       411,789 0 6,559
(39) CHIBUEZE OKEY AGBA
SENIOR VP/TREASURER/CFO
 40.0     X       375,059 0 7,008
(40) NANCY SHENDELL-FALIK
SENIOR VP/CNO
 40.0     X       325,412 0 7,437
(41) RICHARD KARAS
ACTING CSO
 1.0     X       0 366,071 52,530
(42) THEODORE BUKOWSKI
TREASURER
 1.0     X       0 267,540 46,721
(43) JULIA R HESSE
SECRETARY
 1.0     X       0 0 0
(44) DEBORAH C JOELSON
SENIOR VP/STRATEGIC SERVICES
 40.0       X     357,894 0 5,405
(45) WILLIAM J SHICKOLOVICH
VP/CHIEF INFORMATION OFFICER
 40.0       X     339,376 0 7,871
(46) DENISE M SCHEPICI
SENIOR VP/CLINICAL SERVICES
 40.0       X     301,769 0 3,684
(47) CATHERINE SQUIRES
VP OF DEVELOPMENT
 40.0       X     295,738 0 4,336
(48) THERESE HUDSON-JINKS
VP PATIENT CARE SERVICES
 40.0       X     265,261 0 2,284
(49) KRISTINE HANSCOM
VP OF FINANCE
 40.0       X     258,307 0 2,760
(50) PAUL HEFFERNAN
VP HUMAN RESOURCES
 40.0       X     241,180 0 5,960
(51) SUSAN BLANCHARD
VP RESEARCH ADMINISTRATION
 40.0       X     236,766 0 6,894
(52) BROOKE TYSON-HYNES
VP EXTERNAL AFFAIRS
 40.0       X     226,539 0 8,841
(53) BETSEY ELTONHEAD
CHIEF OPERATING OFFICER
 40.0       X     197,146 0 21,945
(54) JEFFREY SYREK
SENIOR DIR OF CONTRACTING
 40.0       X     164,084 0 20,927
(55) DOREEN SHORE
EXEC DIR SURGICAL SERVICES
 40.0         X   234,969 0 8,013
(56) MARK RIVARD
SPECIAL & SCIENTIFIC STAFF
 40.0         X   219,607 0 28,076
(57) PAMELA FIELD
NURSE MANAGER
 40.0         X   196,094 0 21,797
(58) JOHN GRIFFITH
SPECIAL & SCIENTIFIC STAFF
 40.0         X   194,735 0 24,528
(59) PETER NEUMANN
SPECIAL & SCIENTIFIC STAFF
 40.0         X   186,251 0 29,681
(60) MICHAEL MENDELSOHN
FORMER CHIEF SCIENCE OFFICER
 0.0           X 1,013,233 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,352,707 4,522,904 765,905
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet747
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
PEROT SYSTEMS
2300 W PLANO PARKWAY
PLANO,TX750758499 		INFO TECH SERVICES 12,495,703
TUFTS SHARED SERVICES
171 HARRISON AVENUE
BOSTON,MA02111 		UTILITIES/PARKING 12,465,348
PRATT MEDICAL GROUP INC
800 WASHINGTON STREET
BOSTON,MA02111 		PHYSICIAN SERVICES 7,029,629
PRATT PEDIATRICS ASSOCIATES INC
800 WASHINGTON STREET
BOSTON,MA02111 		PHYSICIAN SERVICES 3,355,659
PRATT ANESTHESIOLOGY ASSOCIATES IN
800 WASHINGTON STREET
BOSTON,MA02111 		PHYSICIAN SERVICES 2,699,400
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet269
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b 1,127,723
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 52,813,083
f All other contributions, gifts, grants, and
similar amounts not included above1f 		11,938,166
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 65,878,972
Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 900,099 587,560,213 587,560,213    
b DEFERRED GAIN 900,099 6,295,524 6,295,524    
c SERVICE CENTER REVENUE 900,099 1,191,763 1,191,763    
d OVERHEAD RECOVERY 900,099 798,261 798,261    
e RESIDENTS AND INTERN PROGRAM 900,099 463,397 463,397    
f All other program service revenue . 46,705,245 46,705,245    
g Total. Add lines 2a–2f........MediumBullet 643,014,403
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 243,062     243,062
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 1,072,256     1,072,256
(i) Real (ii) Personal
6a Gross Rents 1,708,040  
b Less: rental expenses 501,974  
c Rental income or (loss) 1,206,066  
d Net rental income or (loss).......MediumBullet 1,206,066 1,091,247   114,819
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,911,888 10,434
b Less: cost or other basis and sales expenses    
c Gain or (loss) 1,911,888 10,434
d Net gain or (loss)..........MediumBullet 1,922,322     1,922,322
8a Gross income from fundraising events (not including
$ 1,127,723
of contributions reported on line 1c). See Part IV, line 18 ...
a 227,352
b Less: direct expenses ...b 490,363
c Net income or (loss) from fundraising events..MediumBullet -263,011   -263,011
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a LOSS ON EXTINGUISHMENT OF DEBT 900,099 -141,000     -141,000
b MISCELLANEOUS REVENUE 900,099 149,834     149,834
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 8,834
12 Total revenue. See Instructions....MediumBullet 713,082,904 644,105,650 0 3,098,282
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 8,521,194 1,848,770 6,316,308 356,116
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 267,658,841 245,096,259 21,516,758 1,045,824
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 12,308,867 11,043,925 1,264,942  
9 Other employee benefits ....... 26,003,664 23,956,059 1,693,113 354,492
10 Payroll taxes ........... 23,808,851 21,362,489 2,446,362  
11 Fees for services (non-employees):        
a Management ...... 1,758,836 633,181 1,125,655  
b Legal ......... 4,216,702 949,367 3,267,335  
c Accounting ........... 346,274   346,274  
d Lobbying ........... 262,326   262,326  
e Professional fundraising. See Part IV, line 17.. 24,750 24,750
f Investment management fees ...... 0      
g Other .......... 52,696,811 26,481,243 25,352,594 862,974
12 Advertising and promotion .... 2,813,354 2,510,586 302,768  
13 Office expenses ....... 6,983,761 4,672,310 2,133,307 178,144
14 Information technology ...... 1,137,780 1,016,028 121,539 213
15 Royalties .. 2,260 1,650 610  
16 Occupancy ........... 32,767,686 22,524,677 10,240,160 2,849
17 Travel ............ 1,350,713 1,234,499 94,441 21,773
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 5,522 5,522    
20 Interest ........... 9,325,093 9,322,515 2,578  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 20,969,719 9,911,085 11,054,948 3,686
23 Insurance .............. 6,721,200 6,111,478 609,722  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a SUPPLIES 109,520,105 109,518,777 1,328  
b BAD DEBT 21,566,887 21,566,887    
c EQUIPMENT 10,529,777 9,756,007 761,486 12,284
d BOND DEFEASANCE 6,480,094 6,480,094    
e REPAIRS AND MAINTENANCE 53,072 22,861 30,211  
f All other expenses 65,432,269 64,373,569 936,288 122,412
25 Total functional expenses. Add lines 1 through 24f 693,266,408 600,399,838 89,881,053 2,985,517
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 14,887,209 1 17,739,043
2 Savings and temporary cash investments ....... 16,888,611 2 25,519,661
3 Pledges and grants receivable, net ......... 7,337,087 3 7,312,102
4 Accounts receivable, net ......... 103,716,172 4 87,508,375
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 8,980,328 8 8,880,130
9 Prepaid expenses and deferred charges ............ 1,668,040 9 1,765,326
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 354,248,040
b Less: accumulated depreciation. ..... 10b 209,442,799 148,503,279 10c 144,805,241
11 Investments—publicly traded securities .......... 94,772,940 11 192,869,962
12 Investments—other securities. See Part IV, line 11 ...... 11,078,128 12 9,933,762
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 415,207 14 336,120
15 Other assets. See Part IV, line 11 ........... 50,568,547 15 59,271,320
16 Total assets. Add lines 1 through 15 (must equal line 34)... 458,815,548 16 555,941,042
Liabilities 17 Accounts payable and accrued expenses . 101,304,066 17 94,638,377
18 Grants payable ..........   18  
19 Deferred revenue .......... 19,732,674 19 49,689,710
20 Tax-exempt bond liabilities .......... 85,418,868 20 211,635,256
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .... 16,360,980 24 10,329,901
25 Other liabilities. Complete Part X of Schedule D..... 159,989,710 25 100,550,962
26 Total liabilities. Add lines 17 through 25..... 382,806,298 26 466,844,206
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 68,690,384 27 81,425,913
28 Temporarily restricted net assets ..... 3,290,460 28 3,394,648
29 Permanently restricted net assets ..... 4,028,406 29 4,276,275
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 76,009,250 33 89,096,836
34 Total liabilities and net assets/fund balances ..... 458,815,548 34 555,941,042
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
713,082,904
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
693,266,408
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
19,816,496
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
76,009,250
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-6,728,910
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
89,096,836
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
(1) TUFTS MEDICAL CENTER INC
  		043400617 0 Yes     No Yes   0
(2) TUFTS MEDICAL CENTER REAL ESTATE COMPANY INC
  		042772654 0 Yes     No Yes   0
(3) NEW ENGLAND LONG-TERM CARE INC
  		042912578 0 Yes     No Yes   0
(4) NEW ENGLAND QUALITY CARE ALLIANCE INC
  		043040427 0 Yes     No Yes   0
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
TUFTS MEDICAL CENTER GROUP RETURN
  		Employer identification number

27-0440772
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
TUFTS MEDICAL CENTER GROUP RETURN
  		Employer identification number

27-0440772
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
TUFTS MEDICAL CENTER GROUP RETURN
  		Employer identification number

27-0440772
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
186,000
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
186,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 4,068,000 3,941,000 14,133,000
b Contributions ........ 248,000 87,000 -9,188,000
c Investment earnings or losses ... 47,000 195,000 -255,000
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		85,000 155,000 749,000
f Administrative expenses ....      
g End of year balance ...... 4,278,000 4,068,000 3,941,000
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet100.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   7,506,867 7,506,867
b Buildings ................   169,261,535 84,962,685 84,298,850
c Leasehold improvements ............   9,039,693 4,624,042 4,415,651
d Equipment ................   164,155,312 119,856,072 44,299,240
e Other .................   4,284,633   4,284,633
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 144,805,241
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATES 4,454,876
(2) DEPOSIT ADVANCE 28,427,314
(3) OTHER MISC RECEIVABLES/ASSETS 20,174,879
(4) DEFERRED FINANCING COSTS 3,238,367
(5) ESTIMATED THIRD PARTY RCVBLS 2,975,884




Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 59,271,320
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
PENSION OBLIGATIONS 55,319,208
DUE TO AFFILIATES 4,278,080
PROFESSIONAL LIABILITY COSTS 26,007,770
ESTIMATED THIRD PARTY PAYABLES 13,069,913
DUE TO AFFILIATE 17,650
MISCELLANEOUS 1,858,341



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 100,550,962
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
INTENDED USES OF ENDOWMENT FUNDS SCHEDULE D, LINE 4 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.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
Central America and the Caribbean     Program Services SELF-INSURANCE 1,615,444
Central America and the Caribbean     Investments SELF-INSURANCE 120,000
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     1,735,444
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     1,735,444
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
NEWPORT CREATIVE COMMUNICA
33 RAILROAD AVE
 
DUXBURY, MA02332 		DIRECT MAIL PACKAGES   No 90,033 24,750 65,283
Total .................right arrow 90,033 24,750 65,283
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
MA
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

WORKING WONDERS
(event type) 		(b) Event #2

HARBOR WALK/RUN
(event type) 		(c) Other Events

2
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 720,026 244,327 390,722 1,355,075
2 Less: Charitable
contributions . . . 		577,503 234,577 315,643 1,127,723
3 Gross income (line 1
minus line 2) . . . 		142,523 9,750 75,079 227,352
VerticalDirectExpenses 4 Cash prizes . . . 0 0 750 750
5 Non-cash prizes . . 0 0 15,077 15,077
6 Rent/facility costs . . 0 500 21,600 22,100
7 Food and beverages . . 115,000 7,598 18,596 141,194
8 Entertainment . . . 1,000 4,296 0 5,296
9 Other direct expenses . 169,383 68,040 68,523 305,946
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 490,363
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -263,011
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    12,031,000 2,462,252 9,568,748 1.420 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    72,512,663 52,704,805 19,807,858 2.950 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    84,543,663 55,167,057 29,376,606 4.370 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    404,848   404,848 0.060 %
f Health professions education
(from Worksheet 5) .. 		39 522,085 28,844,870 13,881,756 14,963,114 2.230 %
g Subsidized health services
(from Worksheet 6) .. 		    84,638,696 80,207,918 4,430,778 0.660 %
h Research (from Worksheet 7)     75,429,008 59,211,416 16,217,592 2.410 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    3,803,088   3,803,088 0.570 %
jTotal Other Benefits ... 39 522,085 193,120,510 153,301,090 39,819,420 5.930 %
kTotal. Add lines 7d and 7j. .. 39 522,085 277,664,173 208,468,147 69,196,026 10.300 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development     251,712   251,712 0.040 %
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     22,500   22,500 0 %
9 Other            
10 Total     274,212   274,212 0.040 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
8,656,780
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
138,089,412
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
144,090,235
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-6,000,823
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET
BOSTON,MA02111 		X X X X X X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:TUFTS MEDICAL CENTER INC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?1
Name and address Type of Facility (Describe)
1 NEW ENGLAND LONG-TERM CARE INC
78 BOSTON ROAD
BILLERICA,MA01862 		LONG-TERM ACUTE-CARE FACILITY
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
WORKFORCE DEVELOPMENT AND TRAINING SCHEDULE H, PART II Workforce Development and Training Tufts Medical Center is one of the largest employers in the city of Boston and employs almost 5,000 people. Tufts Medical Center employs a diverse workforce to fill positions from ranging from administrative, technical, and hospitality related, such as patient transport, food services, and environmental services to research and direct patient care roles. Approximately 27% of the Medical Center's workforce is derived from residents of the City of Boston, while 40% of the workforce hails from the Greater Boston area. 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 this 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 Workplace Education Program This program provides English for Speakers of Other Languages (ESOL) and GED preparation classes for entry-level employees in Environmental Services and other departments within the hospital who are seeking promotions. It is funded by both the Massachusetts Department of Elementary and Secondary Education and Tufts Medical Center through a partnership with the Asian American Civic Association. The ESOL program has served more than 50 students, the majority of who initially tested into zero through second grade reading levels. Students in both the ESOL and GED programs have shown remarkable growth through their test scores, grade levels, and overall English proficiency. Tufts Medical Center makes additional cash and in-kind contributions and provides students with paid release time to attend classes. Fifty percent of students have managed to study English or prepare for a GED while working two jobs. The Career Exploration Event An 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 Benefit's 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 Program A 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 - LARE 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 2009, approximately 170 students completed the program. Hiring opportunities are possible following the externships. Other Workforce Development Activities Participation in the Higher Education/Regional Hospital Working Group sponsored by the Department of Education and the Boston Healthcare Careers Consortium sponsored by the 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 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 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 IMP will help ensure Tufts Medical Center has the facilities to meet the demands of an ever changing industry and workforce.
REQUIRED DESCRIPTIONS SCHEDULE H, PART VI, LINE 1 Hospital Background Tufts Medical Center was established over 200 years ago by compassionate Bostonians, including Samuel Adams and Paul Revere and it embodies the spirit of its founders today through the delivery compassionate care, embarking on cutting edge research and teaching the next generation of caregivers. Founded in 1796 as the Boston Dispensary with some of its original benefactors including people like Paul Revere and Sam Adams, it was the first permanent medical facility in New England and one of the oldest in the country. Part of its original mission was to guarantee that the poor people of Boston had access to high quality medical care. That goal remains intact today. Over the past two centuries, numerous developments in health care delivery as well as advances in biomedical research have been based at what is now called Tufts Medical Center. The institution continues to be dedicated to its mission of maintaining its tradition of health care innovation, leadership, education, charity and high quality care and service to its patient population. The Floating Hospital for Children began as a floating ship, Boston Floating Hospital for Children, sailing in Boston Harbor in 1894. The mission of the ship was to bring ill urban children out onto the harbor to experience the healing qualities of the fresh sea air and sunshine. During its 31 years at sea, the Boston Floating Hospital for Children was the site of many important medical advances, including the development of baby formula and the human milk bank. The Floating Hospital began providing care on land in 1927, where it continued its pioneering mission by establishing the concept of caring for the "whole child" rather than simply treating a child's illness. Today the Floating Hospital is formally known as the Floating Hospital for Children at Tufts Medical Center. It has grown to become a world-class pediatric institution offering a comprehensive range of services from prevention and primary care to the most sophisticated treatment of rare and unusual conditions. In 1965 the Boston Dispensary, the 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, as the institution sought a change to reflect its role as the principal teaching hospital for the Tufts University School of Medicine. Hospital Today Today, Tufts Medical Center is a 439-bed robust organization, providing comprehensive care from routine medical care to treating the most complex diseases affecting adults and children. Tufts Medical Center is also home to Floating Hospital for Children, a full-service children's hospital dedicated exclusively to all levels of pediatric care from the tiniest of newborns to maturing adolescents, both of which are still dedicated to the mission of serving Boston residents in need of quality health care and health education to improve and maintain the good health of all family members. Tufts Medical Center's focus is tertiary and quaternary care, providing the most advance treatments for the most complex and serious illnesses and injuries. The Medical Center provides heart, kidney and bone marrow transplants, serves as a level I Trauma Center, provides comprehensive neurological and neurosurgical care, and offers cutting-edge cancer treatments. Tufts Medical Center serves an incredibly diverse population of patients; approximately 70% of the population is White, 10% is Black, 10% is Asian and 9% is Hispanic. Along with serving an ethnically diverse population, Tufts Medical Center provides care to the second highest concentration of Medicaid patients (25 percent of the hospital's patient population) of all academic medical centers in the city of Boston. The hospital also serves a large Medicare population, which makes up almost 32 percent of the patient population. Tufts Medical Center provides a multidisciplinary approach to the care of its patients. Due to its intimate size, physicians from one department easily communicate with members of other departments and divisions to bring in perspectives from all groups to determine the right treatment plan for each patient. Referring physicians, the patient and family members are vital members of the multidisciplinary team at Tufts Medical Center and are instrumental in the decision-making process. The Hospital's focus and mission every day is to improve the lives of children and their families. Mission and Objectives 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 groundbreaking 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, including surgeries, cancer care, orthopedics, obstetrics and gynecology, full cardiovascular care, neurology and neurosurgery, ophthalmology, transplant surgery, weight and wellness services. A multidisciplinary approach ensures both complete and thorough consideration of treatment options for our patients. Tufts Medical Center also provides emergency care and is an American College of Surgeons certified Level 1 adult and Level 1 pediatric trauma center. Mission Statement Tufts Medical Center and Floating Hospital for Children's mission is as follows: "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 Training Tufts Medical Center grows future generations of medical professionals by providing outstanding clinical training and experience to medical students and the residents. As the principal teaching hospital of Tufts University School of Medicine, Tufts Medical Center works collaboratively with the Medical School by sharing staff, providing physician time for teaching and curriculum development, and sharing oversight of department leadership among both institutions. All full-time physicians at Tufts Medical Center and Floating Hospital for Children hold faculty appointments at Tufts University School of Medicine. Tufts Medical Center and Floating Hospital for Children maintain a robust Graduate Medical Education program, recruiting approximately 450 Residents and Fellows from around the world. Teaching at Tufts Medical Center is integrated into the care experience and as an academic medical center this also means we provide and maintain a number of acute care services that are not provided by all hospitals. Some of these vital community services include inpatient and outpatient adult psychiatric services, outpatient pediatric psychiatric services and consultations, emergency and trauma care, as well as neonatal intensive care. Research Tufts Medical Center and Floating Hospital for Children are pioneers in groundbreaking research including numerous clinical trials taking place in Boston. It ranks among the top 10 percent of the nation's independent hospitals that receive federal research funds and has pioneered groundbreaking research involving clinical trials funded by the National Institutes of Health, private foundations, industry, and private individuals. Our research mission is not only to advance knowledge but to train physicians and non-clinicians to become the investigators of the future. Tufts Medical Center research has led to the discovery of drugs that prevent the body's rejection of transplanted organs, coining the term "immunosuppression," and also brought to light the link between obesity and heart disease. One newly funded project led by the Tufts Clinical and Translational Science Institute (CTSI) will help build the capacity of community-based, non-health care providers to identify constituent needs and document the benefits of initiatives to address those needs. This capacity building effort will support and complement the ongoing efforts to work with local healthcare organizations, as well as community and industry groups to turn groundbreaking laboratory research into widely-used treatments for patients in a faster, more productive manner. This effort continues to foster collaboration between the general lay community, community-based organizations, the clinical practitioners and academia to train physicians for work in under-served communities. Tufts Medical Center's Cancer Center continues its efforts to increase the representation of linguistic and ethnic minorities in clinical trials. The Cancer Center
NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 Assessing Health Needs and Improving Access to Healthcare Tufts Medical Center conducts regular community health needs assessments to develop appropriate priorities for its community benefits programming. The needs assessments include review of public health data available from the Massachusetts Department of Public Health (DPH) and from the Boston Public Health Commission (BPHC) and its regular reports on the health of the city and the health of individual neighborhoods. These data are reviewed with community members, service providers, and other key informants who serve on Advisory Committees that guide specific community benefits efforts such as the Asian and Dorchester Health Initiatives. The combination of statistical data and data from key informants help to identify priorities that reflect needs in real time as well as community members' assessments and perceptions of issues and needs which guide the targeting of resources and programming that may not be reflected in publicly available sources. The most recent needs assessment was completed in the winter of 2010 and provided guidance on the funding priorities for two of Tufts Medical Center's health initiatives. Boston's diverse Asian and minority communities continue to grow and are dispersed throughout the City's many neighborhoods and surrounding communities. To ensure that the Medical Center continues to meet the healthcare needs of the growing populations, hospital-based programs such as Interpreter Services, Asian Access Program, Asian Clinical Services and the Josiah Quincy School Psychiatry Consultation Program were established and continue to thrive today. To help achieve the goal of being user friendly, culturally and linguistically accessible, the Medical Center has reviewed staff recruitment efforts to reach out to potential new staff and clinicians who reflect the linguistic and cultural backgrounds of the Medical Center's patients. In addition, a set of educational programs have been developed and are offered by the Human Resources Department for new staff and clinicians to introduce them to the cultures of the patient population. Training is available to all employees (which includes board members, physicians, volunteers, and others - including contractors and vendors who have direct patient contact) about cultural differences and preferences, with special training provided to medical residents and other clinical staff. The Medical Center's commitment to being linguistically and culturally competent is demonstrated through the Interpreter Services Department which can assist patients in 37 different languages and dialects. Not only is there a large in-house staff, there is a corps of on call interpreters and links to 24 hour translational services via a telephone interpreting company. Tufts Medical Center values community participation in evaluating its services, in the development of programming to ensure that the Medical Center fulfills its mission of providing high quality, patient-focused care and supporting the overall good health of the community. Among its programs, the Medical Center established the Asian Clinic. This program caters specifically to the Asian American population and boasts a program staffed entirely with bilingual and multi-lingual personnel, from the secretarial level to the clinician level. This program is devoted to breaking down all barriers to healthcare for a family; clinic staff are able to communicate with children and their family members in their native languages, understand the cultural nuances that may inform perspectives and decision making in a care setting and ensure access at all hours of the day through extended evening clinic hours and an off-hours on-call system. Clinical departments within the Medical Center are constantly monitoring their patients to determine ways to contribute to health maintenance, disease prevention, early diagnosis, and/or chronic disease management. Many of the Medical Center's departments have developed and initiated specific health screenings related to the area of their concern and expertise and work with community groups or with Community Health Improvement Programs staff to support each other's efforts and commitment to the Medical Center's mission. Some health screenings have reflected the needs of specific patient groups, either by age or the prevalence of a particular disease.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 Financial Assistance 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.
COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 Relationship to Community Tufts Medical Center's location in the heart of Boston's Chinatown District plays an integral role in shaping and driving the mission of the Medical Center. Our position as a part of the fabric of the Chinatown community has informed some of the clinical direction of the institution and inspired the Medical Center to pursue responses to meet the specific needs of the community. This can be experienced in the Asian Pediatric Clinic, which was developed in direct response to a community need for an accessible, multi- cultural and multi-lingual primary care practice for the children and families of the Asian American community. Chinatown is not only home to many Chinese Americans, it is considered a gateway for many new Chinese immigrants arriving in the United States. Recognizing the needs of the Chinatown community and the needs of many new immigrants to this country, Tufts Medical Center established the Asian Access Program. The Asian Access Program serves thousands of clients each year by providing them with assistance to access and navigate the Medical Center, as well as the many other social services offered by the Commonwealth of Massachusetts and the Federal government. The importance of this program to the Asian community and high demand for services prompted the hospital to expand the program in 2011 and provide greater accessibility to the clinic services with a new street side location on Kneeland Street. Tufts Medical Center pays close attention to the public health needs specific to the Asian American community. Information about the status of the health of the community is gathered through formal and informal channels. Utilizing reports of the Boston Public Health Commission which consistently document the health status of the population, in conjunction with input from community advisory groups, the Medical Center seeks to evaluate and understand the health needs and concerns of the community. The Medical Center has used this method to develop programs and services addressing chronic diseases such as mental health, asthma, smoking cessation, diabetes, and obesity. The Asian Psychiatry Program has been established for many years at the Medical Center to recognize and address the sensitive cultural issues around mental health treatment in the Asian community. The Asthma Prevention and Management Initiative has provided culturally targeted outreach and education materials to help reduce the high rates of childhood asthma within the Asian community. Tufts Medical Center has also developed programs focused on the treatment and prevention of specific diseases prevalent within the community, such as hepatitis B. Service Population Tufts Medical Center serves an incredibly diverse population of patients; approximately 70% of the population is White, 10% is Black, 10% is Asian and 9% is Hispanic. Along with serving an ethnically diverse population, Tufts Medical Center provides care to the second highest concentration of Medicaid patient (25 percent of the hospital's patient population) of all academic medical centers in the city of Boston. The hospital also serves a large Medicare population, which makes up almost 32 percent of the patient population. Medical Center provides its patients with a full spectrum of healthcare services; providing the highest level of tertiary and quaternary care to patients from the smallest of neonates to the most complex geriatric patients with multiple diagnosis. Primary Service Area Communities Located in the heart of Chinatown, Tufts Medical Center serves a dynamic population from the entire eastern coast of Massachusetts but three Boston neighborhoods remain the focus of community benefits programming. These are Chinatown (and the dispersed Boston Asian community), South Boston and Dorchester. Chinatown and the Asian Community Boston's Chinatown is the smallest of the City's neighborhoods, located in Downtown Boston near major transportation nodes for north-south and east-west automotive travel (I-93 and I-90), train and bus travel (MBTA Orange and Silver Lines), and the City's downtown retail, financial and theater districts. Its 42 acres include a robust residential, economic and service hub for Greater Boston's Chinese and Asian community. More than 9,100 people live in Chinatown according to the 2000 U.S. Census, making it one of the most densely populated neighborhoods in the City of Boston. It is a community where many new immigrants settle and where approximately 35% of the residents describe themselves as speaking English "not well" or "not at all", approximately one-fifth of the population is over the age of 65, and one-fifth is disproportionately low-income. Health data for Chinatown is often integrated with data from the adjoining neighborhoods making it difficult to identify health trends, let alone bring to the surface health disparities specific to its residents. The BPHC has consistently provided citywide health data for Asians in Boston to provide a holistic view of their needs, though data may be limited by not surveying non-English speaking residents. The most recent report from 2004 illustrates the health issues such as cancer, heart disease and stroke, are particular concerns. All of this data, along with input from advisory committee members, led to the priorities for the Medical Center's Asian Health Initiative in 2007 and guided the emphasis and funding for the three-year initiative: chronic disease management, family health, mental health, and violence prevention. This data, and data from the recent review of BPHC data, is being made available to a Chinatown community planning process and will be incorporated into a new section on Environmental Health in the 2010 Chinatown Master Plan. Dorchester North and South Dorchester are among the largest neighborhoods in Boston and reflect the city's economic, linguistic and cultural diversity. Together they have a population of over 128,000 residents, or approximately 20% of the city's population. Census data indicates that 30% of the population is under the age of 17, and 32% are between the ages of 25 and 44. Health data from the BPHC in 2007 indicated that Dorchester had the highest birth and infant mortality rates in the City, a high incidence of violence related injuries, the second highest homicide rate among Boston neighborhoods, a high asthma hospitalization rate among children under the age of 5; 50% of the adult population were considered to be obese or overweight. These health issues were identified as high priorities for the Medical Center's Dorchester Health Initiative in 2007 and its three-year funding cycle: obesity and diabetes prevention, violence prevention, and infant mortality. Four of the Dorchester Health Initiative grantees have reported an increase in mental health issues for youth and young adults that they attribute to the continued violence in the community: trauma from experiencing and/or witnessing violent acts, the loss of friends and family members, and stress from constant threats of violence. South Boston South Boston is a community of approximately 30,000 residents and is a neighborhood in transition. Historically considered a family, working-class community, with a significant number of public housing developments, a flurry of new construction and conversions of multi-family housing to condominiums have been priced beyond the mean of many long-time residents. Health data from the 2006 BPHC report on the "Health of South Boston" and the "Health of Boston 2007" identified high rates of alcohol and drug abuse and the highest mortality rate associated with substance abuse. The incidence of low-birth rates was 8.5%. South Boston's health education and public health issues are addresses through multiple programs established by Tufts Medical Center including substance abuse, specifically opioid dependence treatment and mental health programs that are based in the community. Care to Boston Residents and Surrounding Communities Tufts Medical Center believes that caring for our community happens both within and outside the walls of our institution. A great deal of data has shown that many barriers exist to hinder patient access to high quality healthcare. To increase access of hospital services to all of our communities 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 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.
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 Community Benefits Mission Tufts Medical Center's Community Benefits Plan focuses on three broad areas: - Identifying opportunities for public health related collaborations within the communities we serve. - Increasing the Medical Center's capacity to be user friendly to all patients and visitors. - Creating partnerships with community health centers in a manner that builds capacity within community organizations to help meet the health needs of the community. Community Benefits Programs The Medical Center's Office of Community Health Improvement Programs oversees three direct grant initiatives to support community-based programs that address a wide range of health concerns and racial and ethnic disparities: the Parent-to-Parent Program, Asian Health Initiative and Dorchester Health Initiative. Tufts Medical Center's Parent-to-Parent (P2P) Initiative Infant mortality rates in Boston's poor and minority neighborhoods are disproportionately high. Women and children in these communities often lack access to prenatal care, prevention health services, proper nutrition, community supports, and social services. All of these factors influence health outcomes for infants and young children; the Medical Center's Parent to Parent (P2P) initiative seeks to help address these issues. The Medical Center's P2P Initiative is a competitive grant which enables established P2P providers to integrate efforts within their sites to provide for more comprehensive and integrated approaches to meeting the needs of expectant mothers. Many barriers exist that can prevent women and mothers from getting the care they need including lack of childcare, distrust or fear of medical professionals, language or cultural differences, and financial issues. P2P strives to remove barriers to health care by improving access to resources women need to care for themselves and their families. P2P also provides training and information on parenting skills, accessing employment, and accessing social services. P2P is a partnership between Tufts Medical Center and program sites in the Dorchester and Chinatown neighborhoods of Boston and Quincy. The primary goal of P2P is to reduce infant mortality and morbidity by improving access to health care for pregnant women and their children. P2P redefines prenatal care to include social services, education and advocacy. Maternal and child health outreach workers are trained to provide access to social supports and medical services for pregnant women, mothers and their young children. P2P outreach workers are working in their communities to help pregnant women and new mothers get the care they need. They are from diverse ethnic and cultural backgrounds and many speak English as a second language. Each outreach worker is based at a program site and provides services such as: - Referrals to social services and pre-and post-natal care - Parenting skills training and health education - Interpretation and translation services - Advocacy on issues related to health care, housing, insurance, transportation, child care, state and federal programs, and community supports - Coordination of services Tufts Medical Center's Asian Health Initiative In response to the health needs of the Chinatown community, Tufts Medical Center, in consultation with Chinatown community organizations, established the Asian Health Initiative (AHI) and its advisory committee in 1995. The AHI identifies public health issues of particular prevalence or concern to the local Asian community and seeks to work collaboratively with local community-based organizations to help address those health issues in a culturally and linguistically appropriate setting. Since its inception, funded programs and projects have addressed health concerns including: tuberculosis, hypertension, hepatitis B, chronic disease prevention, domestic and youth violence, and the importance of primary care and understanding the American health care system. The AHI convenes with the advisory committee as well as grant recipients several times each year to receive program updates, discuss pressing health concerns within the Asian community and consider funding priorities and distribution. It also provides technical assistance to individual organizations as requested and feasible. Because of the diversity of the programs and organizations supported, the AHI has been able to reach a broad segment of the Asian community, from infants to senior citizens. In 2010 the priorities for Asian Health Initiative were set and guided the emphases and funding for the three-year initiative to chronic disease management, family health, mental health, and violence prevention. Some of the projects funded through the AHI are: Asian American Civic Association: The Sampan newspaper offers a biweekly bilingual health column and expands its health education efforts with the addition of two special health editions and an interactive dialogue with readers about health issues. Boston Asian: Youth Essential Service: Helps teens adopt a healthy lifestyle, which includes healthy food choices and regular exercise. Nutrition and wellness workshops and physical activities will be offered for both individuals and groups. Boston Chinatown Neighborhood Center: Focuses on educational workshops for parents to reduce and/or prevent childhood diabetes and obesity in Boston's growing Asian immigrant community. Other program activities include children's fitness workshops, family counseling, cooking demonstrations, and referral services. Greater Boston Chinese Golden Age Center: Offers a program for Chinese speaking seniors ages 55 years and older who have been diagnosed as having diabetes or who are at high-risk for developing diabetes to help clients understand the disease, contributing factors, and the consequences of diabetes if not managed properly. Wang YMCA of Chinatown: Helps area teens to learn about obesity and the health risks and consequences of an unhealthy lifestyle and helps teens develop the knowledge and skills to make healthy choices for a lifetime. The program includes educational workshops, peer coaching, and development of fitness routines. Tufts Medical Center's Dorchester Health Initiative Tufts Medical Center established the Dorchester Health Initiative (DHI) to address health issues disproportionately affecting residents of the various Dorchester neighborhoods. Through the DHI, Tufts Medical Center provides grant funding to innovative programs addressing the priority health needs of the Dorchester community identified with the assistance of the DHI Advisory Committee. The DHI Advisory Committee is comprised of community stakeholders with experience in serving the needs of Dorchester residents, public health and city officials and hospital representatives. The Boston Public Health Commission (BPHC) reported in the Health of Boston 2010 report that the minority population in Boston is more likely to be living below the poverty level, more likely to be uninsured, and more likely to have inadequate health care. Additionally, the Health of Boston 2004 report showed that minority residents are disproportionately affected by domestic violence, major health problems like cardiovascular disease and diabetes, and infant mortality. Dorchester specific data supports the findings of the BPHC, and Dorchester, with its high minority population, consistently ranks among the highest for most of the more serious health issues among Boston's residents. Past DHI health priorities have included: violence, asthma, cardiovascular disease, and infant mortality and morbidity. Current projects funded through the DHI include: Bird Street Community Center: Offers individual case management to court involved youth. Individualized services promote healthy lifestyle choices. Individualized services focus on anger management with youth and monitors behaviors to provide coaching in order for youth to succeed in the court process and interaction with peers. Codman Square Health Center: A diabetes and obesity prevention program which emphasizes one-on-one education and support for individuals experiencing difficulties in managing their health issues. The program also provides for links to group activities offered by the health center. Kit Clark Senior Services: The Fit-for-Life Project helps seniors improve their health and more effectively manage their chronic illnesses and confidently enjoy a higher quality of life and activities. Program activities include nutritional counseling, personal training programs, strength training, exercise circuits and other activities that promote better nutrition, healthier food choices, increased physical stamina, flexibility, and balance. Neponset Health Center: Represents a unique effort between a non-profit service provider and a business association to provide youth from the St. Marks neighborhood with leadership and life skills training and summer employment to offer positive experiences and opportunities for civic e
AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 Affiliate Hospital Relationships Community Hospital Partnerships Tufts Medical Center has a rich history of providing medical care to the Boston community since its founding in 1976 by Paul Revere. 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 MC 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 settings Adult Affiliate Hospitals Jordan Hospital (Plymouth, MA) Lawrence General Hospital (Lawrence, MA) MetroWest Medical Center (Framingham, MA) Signature Healthcare Brockton Hospital (Brockton, MA) Pediatric Affiliate Hospitals Lawrence General Hospital (Lawrence, MA) Lowell General Hospital (Lowell, MA) MetroWest Medical Center (Framingham, MA) Morton Hospital and Medical Center (Taunton, MA)
STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 Community Benefits Summary Filed with Massachusetts Tufts Medical Center serves as a major safety net hospital in the city of Boston, Massachusetts, particularly for the surrounding neighborhoods in the primary service area, such as Chinatown, the South End, South Boston and Dorchester. Tufts Medical Center treats all patients who need care, regardless of their ability to pay. Tufts Medical Center and Floating Hospital for Children serve the second highest percentage of Medicaid patients of all of the full service academic medical institutions in the city, with a 25 percent Medicaid volume and 32 percent Medicare volume. In Fiscal Year 2010, Tufts Medical Center provided almost $92 million worth of charity care to patients. Tufts Medical Center believes strongly that care goes beyond the walls of our institution and has consistently worked with the surrounding communities to address specific health needs within the neighborhoods of the primary service area, as well as constructing programs which address state-wide public health issues, such as smoking cessation and obesity. Tufts Medical Center and Floating Hospital for Children annually file a community benefits program report to the Office of the Attorney General of Massachusetts. Service Goals Tufts Medical Center has remained true to its commitment to public health and serving the community since it was established in 1796 by Paul Revere and Samuel Adams. Tufts Medical Center strives to meet the emerging health needs of an ever increasing and diverse patient population. Tufts Medical Center works continuously to develop, promote and implement strategies to address public health concerns and pursue disease prevention within the Medical Center's service communities. Tufts Medical Center works closely with its respective communities and collegial organizations to maintain and broaden the public health agenda to improve the health of community members and patients. In 1992 the hospital established the Office of Community Health Improvement Programs to carry out this objective.
COSTING METHODOLOGY SCHEDULE H, PART I, LINE 7 The costing methodology is based on a 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.
BAD DEBT COSTING METHOD SCHEDULE H, PART III, LINE 4 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 .4019. Recent Accounting Pronouncements - In July 2011, the FASB issued Accounting Standards Update (ASU) No. 2011-07, Health Care Entities (Topic 954), Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. The adoption of ASU No. 2011-07 will require the Organization to change the presentation of its statements of operations by reclassifying the provision for bad debts associated with patient service revenue from operating expense to a deduction from patient service revenue (net of contractual allowances and discounts). Additionally, the ASU will require the Organization to provide enhanced disclosures about its sources of patient service revenue, policies for recognizing revenue and assessing bad debts, as well as qualitative and quantitative information about changes in the allowance for doubtful accounts. The provisions of ASU No. 2011-07 are effective for the Organization beginning October 1, 2012. The adoption of ASU No. 2011-07 is not expected to have any impact on the Organizations financial condition, overall results of operations or cash flows.
SHORTFALL REPORTED AS COMMUNITY BENEFIT SCHEDULE H, PART III, LINE 8 Costs are allocated to patient encounters based on a cost accounting system. The shortfall on Line 7 represents the Medicare shortfall and is not included in Part 1, Line 7.
COLLECTION PRACTICES SCHEDULE H, PART III, SECTION C, 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.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) ELLEN ZANE (i)
(ii)		 940,880
0 		596,364
0 		37,130
0 		0
0 		3,583
0 		1,577,957
0 		0
0
(2) MARGARET VOSBURGH (i)
(ii)		 484,624
0 		100,710
0 		25,814
0 		0
0 		1,200
0 		612,348
0 		0
0
(3) JEFFREY I LASKER MD (i)
(ii)		 455,709
0 		16,335
0 		515
0 		20,400
0 		22,162
0 		515,121
0 		0
0
(4) DAVID FAIRCHILD (i)
(ii)		 336,732
0 		73,145
0 		1,912
0 		0
0 		6,559
0 		418,348
0 		0
0
(5) CHIBUEZE OKEY AGBA (i)
(ii)		 371,743
0 		0
0 		3,316
0 		0
0 		7,008
0 		382,067
0 		0
0
(6) JEFFREY A WEINSTEIN ESQ (i)
(ii)		 293,367
0 		66,253
0 		6,967
0 		0
0 		3,842
0 		370,429
0 		0
0
(7) DEBORAH C JOELSON (i)
(ii)		 288,486
0 		63,147
0 		6,261
0 		0
0 		5,405
0 		363,299
0 		0
0
(8) WILLIAM J SHICKOLOVICH (i)
(ii)		 290,324
0 		47,837
0 		1,215
0 		0
0 		7,871
0 		347,247
0 		0
0
(9) NANCY SHENDELL-FALIK (i)
(ii)		 320,814
0 		0
0 		4,598
0 		0
0 		7,437
0 		332,849
0 		0
0
(10) DENISE M SCHEPICI (i)
(ii)		 240,886
0 		55,752
0 		5,131
0 		0
0 		3,684
0 		305,453
0 		0
0
(11) CATHERINE SQUIRES (i)
(ii)		 254,058
0 		39,713
0 		1,967
0 		0
0 		4,336
0 		300,074
0 		0
0
(12) MICHAEL CANTOR MD (i)
(ii)		 246,713
0 		40,000
0 		117
0 		5,009
0 		18,227
0 		310,066
0 		0
0
(13) THERESE HUDSON-JINKS (i)
(ii)		 226,350
0 		37,766
0 		1,145
0 		0
0 		2,284
0 		267,545
0 		0
0
(14) KRISTINE HANSCOM (i)
(ii)		 219,675
0 		37,538
0 		1,094
0 		0
0 		2,760
0 		261,067
0 		0
0
(15) PAUL HEFFERNAN (i)
(ii)		 204,951
0 		35,272
0 		957
0 		0
0 		5,960
0 		247,140
0 		0
0
(16) SUSAN BLANCHARD (i)
(ii)		 199,393
0 		36,357
0 		1,016
0 		0
0 		6,894
0 		243,660
0 		0
0
(17) BROOKE TYSON-HYNES (i)
(ii)		 192,533
0 		33,263
0 		743
0 		0
0 		8,841
0 		235,380
0 		0
0
(18) BETSEY ELTONHEAD (i)
(ii)		 188,251
0 		8,560
0 		335
0 		3,840
0 		18,105
0 		219,091
0 		0
0
(19) JEFFREY SYREK (i)
(ii)		 164,006
0 		0
0 		78
0 		3,355
0 		17,572
0 		185,011
0 		0
0
(20) DOREEN SHORE (i)
(ii)		 213,839
0 		21,000
0 		130
0 		7,678
0 		335
0 		242,982
0 		0
0
(21) MARK RIVARD (i)
(ii)		 219,470
0 		0
0 		137
0 		11,748
0 		16,328
0 		247,683
0 		0
0
(22) PAMELA FIELD (i)
(ii)		 196,012
0 		0
0 		82
0 		0
0 		21,797
0 		217,891
0 		0
0
(23) JOHN GRIFFITH (i)
(ii)		 194,611
0 		0
0 		124
0 		8,233
0 		16,295
0 		219,263
0 		0
0
(24) PETER NEUMANN (i)
(ii)		 186,128
0 		0
0 		123
0 		10,425
0 		19,256
0 		215,932
0 		0
0
(25) MARVIN KONSTAM (i)
(ii)		 0
450,000 		0
100,710 		0
270 		0
34,300 		0
18,326 		0
603,606 		0
0
(26) DAVID WAZER (i)
(ii)		 0
566,688 		0
68,400 		0
0 		0
34,300 		0
18,422 		0
687,810 		0
0
(27) DEEB SALEM (i)
(ii)		 0
521,633 		0
178,799 		0
0 		0
34,300 		0
18,422 		0
753,154 		0
0
(28) WILLIAM MACKEY (i)
(ii)		 0
450,000 		0
31,050 		0
12,157 		0
34,300 		0
18,326 		0
545,833 		0
0
(29) RICHARD KARAS (i)
(ii)		 0
354,110 		0
11,961 		0
0 		0
34,300 		0
18,230 		0
418,601 		0
0
(30) PAUL SUMMERGRAD MD (i)
(ii)		 0
293,163 		0
35,016 		0
0 		0
34,300 		0
18,023 		0
380,502 		0
0
(31) ERIC BEYER (i)
(ii)		 0
480,388 		0
131,456 		0
0 		0
34,300 		0
18,280 		0
664,424 		0
0
(32) THEODORE BUKOWSKI (i)
(ii)		 0
206,975 		0
60,565 		0
0 		0
28,875 		0
17,846 		0
314,261 		0
0
(33) JOHN SCHREIBER MD MPH (i)
(ii)		 0
450,000 		0
72,250 		0
47,313 		 
34,300 		 
18,326 		0
622,189 		 
 
(34) MICHAEL MENDELSOHN (i)
(ii)		 0
0 		0
0 		1,013,233
0 		0
0 		0
  		1,013,233
0 		217,445
 
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4b MICHAEL MENDELSOHN - DISTRIBUTION FROM SECTION 457(f) PLAN - $1,013,233
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number
27-0440772
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
  		04-3431814 57583UBK3 04-07-2011 211,676,381 SEE SUPPLEMENTAL INFORMATION   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 0      
2 Amount of bonds defeased . . . . 0      
3 Total proceeds of issue . . . . 211,676,381      
4 Gross proceeds in reserve funds . . 17,224,900      
5 Capitalized interest from proceeds. 0      
6 Proceeds in refunding escrow. . . . . 92,994,254      
7 Issuance costs from proceeds . . . 3,282,323      
8 Credit enhancement from proceeds. 0      
9 Working capital expenditures from proceeds . . 0      
10 Capital expenditures from proceeds . . 14,847,171      
11 Other spent proceeds . . 0      
12 Other unspent proceeds. . . 83,331,406      
13 Year of substantial completion . . .
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X              
15 Were the bonds issued as part of an advance refunding issue? X              
16 Has the final allocation of proceeds been made? . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X            
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X            
b Are there any research agreements that may result in private business use of bond-financed property? . .   X            
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X            
2 Is the bond issue a variable rate issue?   X            
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X            
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X            
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X            
6 Did the bond issue qualify for an exception to rebate? . . .   X            
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
DESCRIPTION OF BOND PURPOSE SCHEDULE K, PART I, LINE A, COLUMN F 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 further identified below, (2) finance construction, renovation and improvements at and acquisitions and equipment for the acute care hospital and related facilities owned and/or operated by Tufts MC, (3) fund a debt service reserve fund, and (4) pay certain costs of issuance of the Bonds.
FURTHER IDENTIFICATION OF BOND PURPOSE - REFINANCINGS SCHEDULE K, PART V 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
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Identifier Return Reference Explanation
PROCESS USED BY ORGANIZATION TO REVIEW FORM 990 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. The organization emails all of its governing body members a link to a pass-word protected website through which the organization's governing body can access and review the Form 990 before it is filed.
CONFLICT OF INTEREST POLICY 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.
DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINES 15a and 15b The executive compensation committee of the board of trustees met on November 9, 2010 to review executive compensation for 2011. 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 on May 18, 2011.
HOW ORGANIZATION MAKES DOCUMENTS AVAILABLE TO THE PUBLIC 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.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 (462,000) Change in net unrealized losses on investments 547,000 Net assets released from restriction for purchase of equip. 3,659,000 Transfer of net assets to cover operating expenses (3,260,000) Pension related adjustments 490,000 Direct fundraising expenses (41,755) Rounding adjustment (33,103) Unrealized loss (6,296,000) Deferred gain (1,237,000) Net asset transfer for imaging center settlement (74,608) Released from restricted funds for tufts it grant (20,444) Released from restricted funds for PCMH grant (6,728,910) TOTAL
SCHEDULE A STATEMENT SCHEDULE A, PART I FOR SCHEDULE A PURPOSES, THE TUFTS MEDICAL CENTER, INC. IS CONSIDERED AS HOSPITAL. THE NEW ENGLAND LONG-TERM CARE, INC., TUFTS REAL ESTATE COMPANY, INC. AND THE NEW ENGLAND QUALITY CARE ALLIANCE, INC. ARE CONSIDERED SUPPORTING ORGANIZATIONS.
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARVIN KONSTAM TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID WAZER TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEEB SALEM TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM MACKEY TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL SUMMERGRAD, MD TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ERIC BEYER TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN SCHREIBER, MD, MPH TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD KARAS TITLE:ACTING CSO HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THEODORE BUKOWSKI TITLE:TREASURER HOURS:40
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TUFTS MEDICAL CENTER GROUP RETURN
 
Employer identification number

27-0440772
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) LIABILITY LIMITED INC
800 WASHINGTON STREET
BOSTON,MA02111
04-2946650 		CLAIM SVCS MA 0 575,784 TMC PARENT
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) PRATT ANESTHESIOLOGY ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3418395 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(2) PRATT MEDICAL AND SURGICAL ASSOC INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148397 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(3) PRATT NEUROLOGY ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148384 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(4) PRATT OBGYN ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148385 		MED SERVICES MA 501(C)(3) 11a TMY PHYS
 
 
 
(5) PRATT OPHTHALMOLOGY ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148392 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(6) PRATT ORTHOPEDIC ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
20-5129051 		501(C)(3) MA 501(C)(3) 11a TMC PHYS
 
 
 
(7) PRATT OTOLARYNGOLOGY

800 WASHINGTON STREET

BOSTON,MA02111
04-3148381 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(8) PRATT PATHOLOGY ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148393 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(9) PRATT PEDIATRIC ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148394 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(10) PRATT PSYCHIATRIC ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148387 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(11) PRATT RADIOLOGY ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148388 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(12) PRATT RADIATION ONCOLOGY ASSOCIATES

800 WASHINGTON STREET

BOSTON,MA02111
04-3148389 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(13) PRATT REHABILITATION MEDICINE

800 WASHINGTON STREET

BOSTON,MA02111
04-3148389 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(14) PRATT SURGICAL ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148376 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(15) PRATT UROLOGY ASSOCIATES INC

800 WASHINGTON STREET

BOSTON,MA02111
04-3148379 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(16) NEW ENGLAND MEDICAL CENTER

800 WASHINGTON STREET

BOSTON,MA02111
04-3096445 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(17) PRATT MEDICAL GROUP INC

800 WASHINGTON STREET

BOSTON,MA02111
04-2743894 		MED SERVICES MA 501(C)(3) 11a TMC PHYS
 
 
 
(18) TUFTS MEDICAL CENTER PHYSICIANS ORG

800 WASHINGTON STREET

BOSTON,MA02111
04-3044706 		MED SERVICES MA 501(C)(3) 11a TMC PARENT
 
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) TUFTS MEDICAL CENTER INDEMNITY CO LTD
PO BOX 1051 GT
GRAND CAYMAN,FC  
CJ
98-0444573 		CAPTIVE INSURANCE CJ TMC INC
  		C CORP 749,000 79,746,000 100.000 %












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) NOTE PAYABLE TO INDEMNITY COMPANY

 E 3,190,000  
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version:  






TY 2010 AffiliateListing
Name:
TUFTS MEDICAL CENTER GROUP RETURN
EIN: 27-0440772

Name Address EIN Name control
TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOX 468
BOSTON,  MA  02111
04-3400617
 TUFT
Tufts Medical Center Real Estate Co 800 WASHINGTON STREET BOX 468
BOSTON,  MA  02111
04-2772654
 TUFT
NEW ENGLAND LONG-TERM CARE INC 800 WASHINGTON STREET BOX 468
BOSTON,  MA  02111
04-2912578
 TUFT
New England Quality Care Alliance 800 WASHINGTON STREET BOX 468
BOSTON,  MA  02111
04-3040427
 TUFT
Tufts Medical Center Parent Inc 800 Washington Street Box 468
Boston,  MA  02111
04-2810022
 TUFT
Cameron M Neely Fndn Cancer Care 800 Washington Street Box 468
Boston,  MA  02111
04-3265628
 TUFT