TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(1) PAULO ANDRE MD........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(2) AHMED BASHEER MD........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(3) CONRAD BENOIT DO........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(4) HARRIS BERMAN MD........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(5) DEB BLAZEY-MARTIN........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(6) CHUCK CASSIDY MD........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(7) DAVID CHUNG MD........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(8) JOSEPH P CAMPANELLI........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(9) OLIVIA HO CHENG........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(10) MICHELE CRAGE MD........................................................................ TRUSTEE/CHAIR	1.00 .......................0.00	X	0	0
(11) DANIEL J DOHERTY........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(12) DAN DRISCOLL........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(13) GRACE K FEY........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(14) THOMAS J HOLLISTER........................................................................ TRUSTEE/CHAIRMAN	1.00 .......................0.00	X	0	0
(15) SCOTT KIRSCHNER........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0
(16) MARVIN A KONSTAM MD........................................................................ TRUSTEE	1.00 .......................39.00	X	500,334	56,215
(17) JC KRYDER MD........................................................................ TRUSTEE	1.00 .......................0.00	X	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SUSAN WINSTON LEFF........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(19) JOSEPH B LEADER MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(20) GENIA LONG........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(21) BOB MCGOWEN MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(22) WILLIAM C MACKEY MD........................................................................ TRUSTEE	1.00 .......................39.00	X					0	500,772	56,170
(23) RICHARD J MEELIA........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(24) ANTHONY P MONACO MD PHD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(25) PAUL R MURPHY ESQ........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(26) KANU PATEL MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(27) MARK ROSEN........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(28) DEEB N SALEM MD........................................................................ TRUSTEE	2.00 .......................38.00	X					0	693,517	56,215
(29) MATTHEW P STONE CPA........................................................................ TRUSTEE/VICE CHAIRMAN	1.00 .......................0.00	X					0	0	0
(30) PAUL SUMMERGRAD MD........................................................................ TRUSTEE	1.00 .......................39.00	X					0	351,065	55,913
(31) DAVID SCHROEDER MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(32) LUIS VALLES MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(33) MICHAEL WAGNER MD........................................................................ TRUSTEE/PRESIDENT/CEO	38.00 .......................2.00	X	X				0	502,151	56,155
(34) DAVID E WAZER MD........................................................................ TRUSTEE	1.00 .......................39.00	X					0	697,542	55,465
(35) ELLEN M ZANE........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	12,686
(36) CHIBUEZE OKEY AGBA........................................................................ SENIOR VP/TREASURER/CFO/TRUSTEE	39.00 .......................1.00	X	X				420,880	0	88,826
(37) JEFFREY A WEINSTEIN........................................................................ TRUSTEE/SENIOR VP/CLERK	39.00 .......................1.00	X	X				344,161	0	69,820
(38) JEFFREY I LASKER MD........................................................................ TRUSTEE/PRESIDENT/CEO/CMO	40.00 .......................0.00	X	X				434,088	0	90,503
(39) MICHAEL CANTOR MD........................................................................ TRUSTEE/QUALITY MEDICAL DIRECTOR	40.00 .......................0.00	X					339,832	0	29,748
(40) STEVE GOLDEN MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(41) JOHN SCHREIBER MD MPH........................................................................ TRUSTEE	1.00 .......................39.00	X					0	532,657	56,206
(42) JOHN F ROCKART PHD........................................................................ TRUSTEE (UNTIL FEB. 2014)	1.00 .......................0.00	X					0	0	0
(43) NATHAN GAGNE........................................................................ CFO/TREASURER	40.00 .......................0.00		X				172,556	0	7,652
(44) ZACHARY REDMOND........................................................................ CLERK	40.00 .......................0.00		X				59,386	0	6,480
(45) CRAIG WILLIAMS........................................................................ SR. VP/COO	40.00 .......................0.00		X				350,659	0	26,399
(46) SAUL WEINGART........................................................................ CHIEF MEDICAL OFFICER	1.00 .......................39.00		X				0	206,676	10,145
(47) THERESE HUDSON-JINKS........................................................................ SENIOR VP AND CNO	40.00 .......................0.00			X			259,573	0	44,814
(48) SUSAN BLANCHARD........................................................................ VP FOR RESEARCH ADMN.	40.00 .......................0.00			X			213,652	0	52,826
(49) BROOKE TYSON-HYNES........................................................................ VP EXTERNAL AFFAIRS	40.00 .......................0.00			X			229,678	0	44,601
(50) WILLIAM SHICKOLOVICH........................................................................ SENIOR VP OPERATIONS MGMT/CIO	40.00 .......................0.00			X			299,046	0	67,908
(51) CATHERINE SQUIRES........................................................................ VP FOR DEVELOPMENT	40.00 .......................0.00			X			267,851	0	60,339
(52) KRISTINE HANSCOM........................................................................ VP FINANCE	40.00 .......................0.00			X			228,965	0	54,201
(53) DEBORAH JOELSON........................................................................ SR. VP STRATEGIC SERVICES	40.00 .......................0.00			X			342,282	0	62,215
(54) DENISE SCHEPICI........................................................................ SR. VP CLINICAL SERVICES	40.00 .......................0.00			X			286,743	0	61,725
(55) SUSAN FAHMY........................................................................ VP STR PLANNING & BUS DVP	40.00 .......................0.00			X			174,854	0	5,924
(56) PATRICIA HAYWARD........................................................................ VP HUMAN RESOURCES	40.00 .......................0.00			X			240,115	0	47,811
(57) BETSY ELTONHEAD........................................................................ CHIEF OPERATING OFFICER	40.00 .......................0.00			X			223,309	0	37,929
(58) JEFFREY SYREK........................................................................ VICE PRESIDENT	40.00 .......................0.00			X			205,867	0	28,540
(59) LINDA FISHER........................................................................ DIR. PATIENT CARE SERVICES	40.00 .......................0.00				X		218,490	0	17,639
(60) NANCY WETHERBEE........................................................................ DIRECTOR OF ORBIT	40.00 .......................0.00				X		308,803	0	10,266
(61) GEORGE MORAN........................................................................ PRESIDENT OF PNA	40.00 .......................0.00				X		202,458	0	472
(62) PETER NEUMANN........................................................................ SPECIAL & SCIENTIFIC STAFF	40.00 .......................0.00				X		219,564	0	42,253
(63) ERIC J BEYER........................................................................ FORMER PRESIDENT/CEO	39.00 .......................1.00					X	1,273,829	0	48,361
(64) NANCY SHENDELL-FALIK........................................................................ FORMER SENIOR VP AND CNO	40.00 .......................0.00					X	188,665	0	66,235
(65) ROBERT LORANGER........................................................................ FORMER DIRECTOR OF FACILITIES	40.00 .......................0.00					X	188,194	0	572

(A) Name and business address	(B) Description of services	(C) Compensation
TUFTS SHARED SERVICES171 HARRISON AVEBOSTONMA02111	UTILITIES & PARKING	13,645,446
PEROT SYSTEMS2300 W PLANO PARKWAYPLANOTX75075	INFO. TECH SERVICES	3,871,925
PRATT MEDICAL GROUP INC800 WASHINGTON STREETBOSTONMA02111	PHYSICIAN SERVICES	3,350,519
PRATT PEDIATRIC ASSOCIATES INC800 WASHINGTON STREETBOSTONMA02111	PHYSICIAN SERVICES	1,599,402
PRATT ANESTHESIOLOGY ASSOCIATION INC800 WASHINGTON STREETBOSTONMA02111	PHYSICIAN SERVICES	1,286,610
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 321

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 United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	9,724,348	1,431,710	7,919,035	373,603
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	277,044,708	249,793,151	26,112,610	1,138,947
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,145,679	9,163,555	1,010,207	-28,083
9	Other employee benefits .......	31,315,270	28,564,505	2,397,885	352,880
10	Payroll taxes ...........	26,081,736	23,039,270	3,042,466
11	Fees for services (non-employees):
a	Management ......	3,048,478	1,097,452	1,951,026
b	Legal .........	1,280,553	460,458	820,095
c	Accounting ...........	372,927		372,927
d	Lobbying ...........	267,945		267,945
e	Professional fundraising services. See Part IV, line 17	301,070			301,070
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	66,039,866	45,219,621	20,101,468	718,777
12	Advertising and promotion ....	3,906,796	3,438,917	467,879
13	Office expenses .......	6,778,069	3,506,886	3,174,185	96,998
14	Information technology ......	617,109	413,326	202,576	1,207
15	Royalties ..	32,093	23,428	8,665
16	Occupancy ...........	35,197,868	15,024,427	20,172,084	1,357
17	Travel ............	1,700,546	1,467,011	219,144	14,391
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	3,865	3,865
20	Interest ...........	19,261,041	19,261,041
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	21,112,035	10,052,809	11,058,784	442
23	Insurance ..............	6,439,942	5,792	6,434,150
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	120,621,542	120,621,542
b	PHYSICIAN PRACTICE FEES	47,270,350	47,254,279	16,071
c	EQUIPMENT	9,791,058	8,883,389	898,963	8,706
d	BAD DEBT	6,034,177	6,034,177
e	All other expenses	17,919,756	13,526,297	1,340,996	3,052,463
25	Total functional expenses. Add lines 1 through 24e	722,308,827	608,286,908	107,989,161	6,032,758
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	68,209,990	1	60,004,931
2	Savings and temporary cash investments .........	57,903,203	2	60,369,010
3	Pledges and grants receivable, net ...........	6,034,955	3	6,541,338
4	Accounts receivable, net .............	89,019,761	4	85,853,205
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	10,661,440	8	10,184,725
9	Prepaid expenses and deferred charges ..........	2,092,192	9	2,711,813
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	418,954,724
b	Less: accumulated depreciation .....	10b	269,662,070	149,063,837	10c	149,292,654
11	Investments—publicly traded securities ..........	292,218,524	11	306,305,352
12	Investments—other securities. See Part IV, line 11 .....	11,229,092	12	12,664,928
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	177,946	14	98,859
15	Other assets. See Part IV, line 11 ...........	94,098,040	15	87,823,879
16	Total assets. Add lines 1 through 15 (must equal line 34)......	780,708,980	16	781,850,694
	17	Accounts payable and accrued expenses .........	148,030,567	17	150,087,326
18	Grants payable .................		18
19	Deferred revenue ................	35,013,831	19	30,670,749
20	Tax-exempt bond liabilities .............	206,836,519	20	204,283,166
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other 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 ....	581,452	24	494,784
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	237,523,640	25	215,388,917
26	Total liabilities. Add lines 17 through 25.........	627,986,009	26	600,924,942
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	142,317,897	27	168,732,036
28	Temporarily restricted net assets ...........	5,210,894	28	6,794,078
29	Permanently restricted net assets ...........	5,194,180	29	5,399,638
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	152,722,971	33	180,925,752
34	Total liabilities and net assets/fund balances ........	780,708,980	34	781,850,694

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(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 monetary support
(i) Name of supported organization	(ii) EIN		Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support
(A) TUFTS MEDICAL CENTER INC	043400617	3	Yes			No	Yes		0
(B) TUFTS MEDICAL CENTER REAL ESTATE COMPANY INC	042772654	11, TYPE I	Yes			No	Yes		0
(C) NEW ENGLAND LONG-TERM CARE	042912578	3	Yes			No	Yes		0
(D) NEW ENGLAND QUALITY CARE ALLIANCE INC	043040427	11, TYPE I	Yes			No	Yes		0
Total									0

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

TUFTS MEDICAL CENTER GROUP RETURN

Employer identification number

27-0440772

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization TUFTS MEDICAL CENTER GROUP RETURN

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization TUFTS MEDICAL CENTER GROUP RETURN

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

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
that total 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

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose 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

(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

(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

(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) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

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. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 35c (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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

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)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

267,945

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

267,945

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 ........

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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

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 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	5,292,000	5,125,000	4,278,000	4,068,000	3,941,000
b	Contributions ........	205,000	151,000	451,000	248,000	87,000
c	Net investment earnings, gains, and losses	346,000	325,000	284,000	47,000	195,000
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	425,000	309,000	-112,000	85,000	155,000
f	Administrative expenses ....
g	End of year balance ......	5,418,000	5,292,000	5,125,000	4,278,000	4,068,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

99.650 %

Temporarily restricted endowment SchDMd Bullet

0.350 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	7,506,867		7,506,867
b	Buildings ................	178,351,046	101,208,836	77,142,210
c	Leasehold improvements ............	11,971,970	7,253,353	4,718,617
d	Equipment ................	206,563,396	161,199,881	45,363,515
e	Other .................	14,561,445		14,561,445
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				149,292,654

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				22,220,031
(2) DEPOSIT ADVANCE				34,326,355
(3) OTHER MISC. RECEIVABLES & ASSETS				27,214,800
(4) DEFERRED FINANCING COSTS				4,062,693





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				87,823,879

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
PENSION OBLIGATIONS		36,977,050
DUE TO AFFILIATES		19,887,780
PROFESSIONAL LIABILITY COSTS		37,536,224
ESTIMATED THIRD PARTY PAYABLES		20,213,302
LCO RESERVES		4,369,848
TAXABLE BONDS		96,404,713



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		215,388,917
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, 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.

Return Reference

Explanation

PART V, 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ...............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(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 and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	SELF-INSURANCE	1,538,930
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	SELF-INSURANCE	120,000















3a	Sub-total .....	0	0			1,658,930
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			1,658,930

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

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. Part II can be duplicated 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 non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2013

Schedule F (Form 990) 2013Page 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.

Part III can be duplicated 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) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

Yes

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.

(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
	HARRIS CONNECT LLC 1400-A CROSSWAYS BLVD CHESAPEAKE, VA23320	DIRECT MAIL PACKAGES		No	27,363	129,333	0
	GRENZEBACH GLIER AND ASSOCIATES 401 N MICHIGAN AVENUE SUITE 2800 CHICAGO, IL60611	STRATEGIC CAPITAL CAMPAIGN CONSULTING		No	0	12,137	0
	MINELLI INC 175 PORTLAND STREET BOSTON, MA02114	CAMPAIGN PRESENTATIONS AND MATERIALS		No	0	88,600	0
	THOMPSON HABIB DENISON 80 HAYDEN AVENUE SUITE 300 LEXINGTON, MA02421	ONLINE FUNDRAISING CONSULTING		No	0	71,000	0






Total .................					27,363	301,070

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 WORKING WONDERS (event type)	(b) Event #2 COUNTRY HEALS (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	1,004,325	267,168	463,767	1,735,260
2	Less: Contributions . .	936,245	258,393	388,913	1,583,551
3	Gross income (line 1 minus line 2) . . .	68,080	8,775	74,854	151,709
4	Cash prizes . . .			800	800
5	Noncash prizes . .		283	15,875	16,158
6	Rent/facility costs . .	18,715	1,340	6,500	26,555
7	Food and beverages .	112,776	10,858	44,307	167,941
8	Entertainment . . .	186	9,947	400	10,533
9	Other direct expenses .	281,740	106,239	107,554	495,533
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				717,520
11	Net income summary. Subtract line 10 from line 3, column (d)...........				-565,811

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.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

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? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

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

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

TUFTS MEDICAL CENTER GROUP RETURN

Employer identification number

27-0440772

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 12500.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 37500.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance 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	Financial Assistance at cost (from Worksheet 1) ..			11,892,000	2,368,776	9,523,224	1.320 %
b	Medicaid (from Worksheet 3, column a) ....			136,124,191	106,190,043	29,934,148	4.140 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .			148,016,191	108,558,819	39,457,372	5.460 %
Other Benefits			23,441	389,094		389,094	0.050 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..		23,441	389,094		389,094	0.050 %
f	Health professions education (from Worksheet 5) ..	37	552,098	26,079,862	9,640,473	16,439,389	2.280 %
g	Subsidized health services (from Worksheet 6) ..			127,861,596	113,719,072	14,142,524	1.960 %
h	Research (from Worksheet 7)			65,258,408	44,443,610	20,814,798	2.880 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)		65,213	4,038,304		4,038,304	0.560 %
j	Total. Other Benefits ..	37	640,752	223,627,264	167,803,155	55,824,109	7.730 %
k	Total. Add lines 7d and 7j .	37	640,752	371,643,455	276,361,974	95,281,481	13.190 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development		245,870	245,870	0.030 %
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	39	49,559	49,559	0.010 %
9	Other
10	Total	39	295,429	295,429	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,782,359

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

139,189,978

Enter Medicare allowable costs of care relating to payments on line 5.....

146,420,967

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-7,230,989

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON,MA02111	X	X	X	X	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	TUFTS MEDICAL CENTER INC
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.TUFTSMEDICALCENTER.ORG/COMMHEALTH

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 125.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 375.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 3: TUFTS MEDICAL CENTER ENSURED IN-PUT FROM COMMUNITY STAKEHOLDERS IN IDENTIFYING CRITICAL HEALTH ISSUES AND IN ESTABLISHING ITS COMMUNITY BENEFITS PLAN IN TWO WAYS. KEY INFORMANT INTERVIEWS WERE CONDUCTED IN EACH OF THE THREE BOSTON NEIGHBORHOODS FROM WHICH THE MEDICAL CENTER HISTORICALLY AND CURRENTLY DRAWS MANY OF ITS PATIENTS. THE RESULTS OF THE KEY INFORMANT INTERVIEWS AND A SUMMARY OF CRITICAL HEALTH ISSUES FOR EACH NEIGHBORHOOD WAS REVIEWED BY AN ADVISORY COMMITTEE COMPRISED OF COMMUNITY RESIDENTS, LEADERS AND SERVICE PROVIDERS WHO HELPED TO ESTABLISH PRIORITIES FOR EACH OF THE GRANT FUNDED INITIATIVES. THE ADVISORS REPRESENTED ORGANIZATIONS OFFERING A WIDE SPECTRUM OF SERVICES AND BROUGHT TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THEIR EXTENSIVE KNOWLEDGE ABOUT THE MANY ISSUES WHICH AFFECT THE PHYSICAL AND EMOTIONAL HEALTH OF THEIR CONSTITUENTS. THEIR CONSTITUENTS INCLUDED SENIORS, FAMILIES, INDIVIDUALS, YOUTH AND CHILDREN. ONE ADVISOR REPRESENTED A NEIGHBORHOOD RESIDENT ASSOCIATION; BUT IN HER PROFESSIONAL CAPACITY, SHE IS AN ADMINISTRATOR FOR A PRIMARY CARE PRACTICE WHICH INCLUDES MANY PATIENTS FROM HER NEIGHBORHOOD.KEY INFORMANTS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED THE FOLLOWING:DEBBIE BACKUS, EXECUTIVE DIRECTOR/CASTLE SQUARE TENANTS ORGANIZATIONFONG CHEUNG, PROPERTY MANAGER/TAI TUNG VILLAGESANDRA LEE, PROGRAM DIRECTOR/BOSTON CHINATOWN NEIGHBORHOOD CENTERSAMUEL TSOI, MEMBER/BOSTON CHINESE EVANGELICAL CHURCHVICTORIA YUE, YOUTH WORKER/BOSTON CHINATOWN NEIGHBORHOOD CENTERMELODY TSANG, COORDINATOR/ASIAN AMERICAN CIVIC ASSOCIATIONEUGENE WELCH, EXECUTIVE DIRECTOR/SOUTH COVE COMMUNITY HEALTH CENTERKEVIN CASEY, EXECUTIVE DIRECTOR/HHSI NEPONSET HEALTH CENTERANNE GREENBAUM, MEMBER/HEALTHY DORCHESTER/MASS IN MOTIONNAM PHAM, EXECUTIVE DIRECTOR/VIETNAMESE AMERICAN INITIATIVE FOR DEVELOPMENTIRA SCHLOSSER, DIRECTOR OF POLICY (FORMER)/DORCHESTER HOUSE MULTI-SERVICE CENTERPHILIP SEVERIN, MD, MEDICAL DIRECTOR/CODMAN SQUARE HEALTH CENTERKAREN VAN UNEN, CHIEF OPERATING OFFICER (FORMER)DOTWELLHARRY DUVALL, EXECUTIVE DIRECTOR/SOUTH BOSTON BOYS & GIRLS CLUBWILLIAM HALPIN, EXECUTIVE DIRECTOR/SOUTH BOSTON COMMUNITY HEALTH CENTERNISHA THAKRA, MD, MEDICAL DIRECTOR/SOUTH BOSTON COMMUNITY HEALTH CENTERMAYRA HOWARD/SBCHC INSTITUTE FOR A HEALTHIER COMMUNITYLINDA DORAN/SBCHC INSTITUTE FOR A HEALTHIER COMMUNITYJOHN MCGAHAN, EXECUTIVE DIRECTOR/GAVIN FOUNDATIONKAY WALSH, COORDINATOR/SOUTH BOSTON CAN REDUCE UNDERAGE DRINKINGMELISSA LICHENBERG/SOUTH BOSTON CAN REDUCE UNDERAGE DRINKINGCOMMUNITY MEMBERS SERVING ON THE ASIAN AND DORCHESTER HEALTH INITIATIVES WHO HELPED TO IDENTIFY HEALTH PRIORITIES FOR THE TWO GRANT-FUNDED COMMUNITY BENEFITS PROGRAMS INCLUDED:LI CHEN, ADMINISTRATOR/SOUTH COVE NURSING MANORMARY CHIN, PRESIDENT/ASIAN AMERICAN CIVIC ASSOCIATIONMARIE MOY, CO-CHAIR/CHINATOWN RESIDENT ASSOCIATIONRUTH MOY, EXECUTIVE DIRECTOR/GREATER BOSTON CHINESE GOLDEN AGE CENTERWILLIAM MOY, CO-MODERATOR/CHINATOWN-SOUTH COVE NEIGHBORHOOD COUNCILBEVERLY WING, MEMBER/THE CHINATOWN COALITIONPHUOC CAO, DIRECTOR/FOOD STAMP/MA DEPARTMENT OF TRANSITIONAL ASSISTANCEKEVIN CASEY, EXECUTIVE DIRECTOR/HHSI NEPONSET HEALTH CENTERCHRASANDRA REEVES/ROGERSON COMMUNITIESIRA SCHLOSSER, FORMER POLICY DIRECTOR/DORCHESTER HOUSE MULTI-SERVICE CENTERFROM TUFTS MEDICAL CENTER'S BOARD OF GOVERNORS AND MEDICAL STAFF, THE FOLLOWING ALSO SERVE ON THE ADVISORY COMMITTEES FOR THE ASIAN AND DORCHESTER HEALTH INITIATIVES:MARY MAHONYROBERT BLOOMBERGPHIL BROWNLAUREL LESLIE, MDJOE TOOMEY
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 7: NEIGHBORHOOD SPECIFIC HEALTH DATA COMPILED BY THE BOSTON PUBLIC HEALTH COMMISSION (BPHC) WAS REVIEWED AS PART OF THE CHNA PROCESS AND PRIORITIES WERE IDENTIFIED WITH THE IN-PUT OF COMMUNITY ADVISORS BASED UPON THEIR FAMILIARITY WITH THEIR RESPECTIVE COMMUNITIES FOR TUFTS MEDICAL CENTER'S IMPLEMENTATION PLAN. SOME HEALTH ISSUES SUCH AS A HIGH RATE OF SEXUALLY TRANSMITTED DISEASES ARE BEING ADDRESSED BY A CITY-WIDE EFFORT LED BY THE BPHC WHICH TUFTS MEDICAL CENTER SUPPORTS AND WERE NOT IDENTIFIED BY OUR COMMUNITY STAKEHOLDERS AS PRIORITIES FOR COMMUNITY INITIATIVES.TUFTS MEDICAL CENTER'S EFFORTS TO ADDRESS PRIORITIZED HEALTH ISSUES INCLUDES NOT ONLY GRANT FUNDING TO COMMUNITY-BASED ORGANIZATIONS TO INTEGRATE HEALTH EDUCATION AND PREVENTION SERVICES INTO THEIR CORE PROGRAMMING, BUT INCLUDES DEPARTMENTAL EFFORTS TO ADDRESS SPECIFIC HEALTH DISPARITIES FOR THE COMMUNITIES THE MEDICAL CENTER SERVES AND COLLABORATIONS WITH BOTH COMMUNITY AND INSTITUTIONAL PARTNERS TO ADDRESS HEALTH ISSUES THAT AN INDIVIDUAL INSTITUTION CANNOT BECAUSE OF LIMITED RESOURCES.
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 20D: THE HOSPITAL DOES NOT ADJUST OUR CHARGES FOR FAP ELIGIBLE PATIENTS, BUT WE DO DISCOUNT BILLS.FINANCIAL ASSISTANCE AND/OR DISCOUNTED FEES FOR EMERGENCIES AND MEDICALLY NECESSARY SERVICES AS DEFINED UNDER TITLE XVIII OF THE FEDERAL SOCIAL SECURITY ACT AND BASED ON THE CLINICAL JUDGMENT OF THE PROVIDER WILL BE AVAILABLE TO THE UNINSURED AND UNDERINSURED PATIENT WHO DOES NOT QUALIFY FOR ANY FEDERALLY FUNDED PROGRAMS. INITIAL SCREENING FOR ALL PATIENTS WILL BE FOR FEDERALLY FUNDED PROGRAMS.A. SELF PAY PATIENT: MASSACHUSETTS OR OUT OF STATE RESIDENT I. MASSACHUSETTS RESIDENTS WILL BE SCREENED FOR ELIGIBILITY FOR ANY APPLICABLE GOVERNMENT PROGRAMS INCLUDING MASS HEALTH, THE HEALTH SAFETY NET PROGRAM, PARTIAL HSN, MEDICAL HARDSHIP, MEDICARE, AND OTHER GOVERNMENT PROGRAMS. II. THE OUT OF STATE RESIDENT WILL BE SCREENED FOR GOVERNMENT PROGRAMS IN THEIR STATE OF RESIDENCE, MEDICARE, AND OTHER PROGRAMS AS OFFERED BY THEIR HOME STATE. III. IF INELIGIBLE FOR GOVERNMENT PROGRAMS, PATIENT WILL BE SCREENED FOR FINANCIAL ASSISTANCE ELIGIBILITY VIA THE FINANCIAL ASSISTANCE APPLICATION/DETERMINATION OF ELIGIBILITY FORM: 1. PATIENTS WITH INCOME BELOW 125% OF THE FEDERAL POVERTY GUIDELINES (FPG) MAY QUALIFY TO HAVE ALL DEBT INCURRED FORGIVEN. 2. PATIENTS WITH INCOME ABOVE 125% BUT NOT EXCEEDING 375% OF THE FPG MAY QUALIFY FOR A REDUCTION OF THEIR DEBT BASED ON A SLIDING SCALE. IV. IF INELIGIBLE FOR GOVERNMENT PROGRAMS OR FINANCIAL ASSISTANCE: 1. PATIENTS WHO DO NOT QUALIFY FOR FEDERALLY FUNDED COVERAGE OR WHOSE INCOME EXCEEDS 375% OF THE FPG WILL BE OFFERED A 30% DISCOUNT OF ESTIMATED CHARGES. 2. AN ADDITIONAL 5% DISCOUNT OF ESTIMATED CHARGES WILL BE EXTENDED IF THE DISCOUNTED PAYMENT AMOUNT IS MADE IN FULL PRIOR TO THE DATE OF SERVICE, ON THE DATE OF SERVICE, OR AT DISCHARGE. 3. DEPOSITS WILL BE REQUIRED OF THE SELF-PAY PATIENT AT THE DATE OF SERVICE FOR THE FOLLOWING SERVICES; A. CLINIC OFFICE VISIT: $150.00 B. EMERGENCY DEPARTMENT VISIT: $360.00 V. PAYMENT PLAN OPTIONS WILL BE MADE AVAILABLE TO THE SELF-PAY PATIENT FOR THEIR FINANCIAL RESPONSIBILITY BASED ON THE APPROVED MONTHLY PAYMENT PLAN GRID. A SIGNED PAYMENT AGREEMENT WILL BE EXECUTED WITH THE PATIENT BY THE FINANCIAL COORDINATOR, AND FILED WITH THE PATIENT'S ACCOUNT.B. UNDERINSURED AND INSURED PATIENT I. PAYMENT PLAN OPTIONS WILL BE OFFERED TO THE UNDERINSURED OR INSURED PATIENT FOR THEIR FINANCIAL RESPONSIBILITY (CO-PAYMENT, DEDUCTIBLE, CO-INSURANCE). II. DISCOUNTS MAY NOT BE OFFERED FOR PATIENT FINANCIAL RESPONSIBILITY AMOUNTS (CO-PAYMENT, DEDUCTIBLE, CO-INSURANCE) WHEN A THIRD PARTY PAYER IS THE PRIMARY PAYER, UNLESS THE MEDICALLY NECESSARY SERVICES ARE NON-COVERED BY THE SPECIFIC INSURANCE POLICY.C. CATASTROPHIC MEDICAL EXPENSE I. A PATIENT WHO DOES NOT QUALIFY AS FINANCIALLY NEEDY, BUT WHOSE PATIENT RESPONSIBILITY PAYMENTS SPECIFIC TO TREATMENT AT TUFTS MEDICAL CENTER FOR MEDICALLY NECESSARY SERVICES, EVEN AFTER PAYMENT FROM THIRD PARTY PAYERS, EXCEED 30% OF THE FAMILY UNIT'S GROSS INCOME WILL BE RECOGNIZED AS HAVING A CATASTROPHIC MEDICAL EXPENSE. ANY PATIENT RESPONSIBILITY FOR SERVICES WITHIN A 12-MONTH PERIOD MAY BE WRITTEN OFF TO FINANCIAL ASSISTANCE UNDER THE CATASTROPHIC EXPENSE.D. INTERNATIONAL PATIENT I. THE SELF-PAY INTERNATIONAL PATIENT WILL BE OFFERED A 35% DISCOUNT ON ESTIMATED CHARGES IF PAID PRIOR TO SERVICE, AT THE POINT OF SERVICE, OR AT DISCHARGE.E. MOTOR VEHICLE ACCIDENT (MVA) OR WORK RELATED INJURY I. CHARGES INCURRED AS A RESULT OF AN MVA OR WORK RELATED INJURY, WHEN THERE IS PENDING LITIGATION AND THE EXPECTATION OF A SETTLEMENT OR JUDGMENT EXISTS, ARE NOT ELIGIBLE FOR THE TUFTS FINANCIAL ASSISTANCE OR DISCOUNT PROGRAMS.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care 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) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 3: TUFTS MEDICAL CENTER ENSURED IN-PUT FROM COMMUNITY STAKEHOLDERS IN IDENTIFYING CRITICAL HEALTH ISSUES AND IN ESTABLISHING ITS COMMUNITY BENEFITS PLAN IN TWO WAYS. KEY INFORMANT INTERVIEWS WERE CONDUCTED IN EACH OF THE THREE BOSTON NEIGHBORHOODS FROM WHICH THE MEDICAL CENTER HISTORICALLY AND CURRENTLY DRAWS MANY OF ITS PATIENTS. THE RESULTS OF THE KEY INFORMANT INTERVIEWS AND A SUMMARY OF CRITICAL HEALTH ISSUES FOR EACH NEIGHBORHOOD WAS REVIEWED BY AN ADVISORY COMMITTEE COMPRISED OF COMMUNITY RESIDENTS, LEADERS AND SERVICE PROVIDERS WHO HELPED TO ESTABLISH PRIORITIES FOR EACH OF THE GRANT FUNDED INITIATIVES. THE ADVISORS REPRESENTED ORGANIZATIONS OFFERING A WIDE SPECTRUM OF SERVICES AND BROUGHT TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THEIR EXTENSIVE KNOWLEDGE ABOUT THE MANY ISSUES WHICH AFFECT THE PHYSICAL AND EMOTIONAL HEALTH OF THEIR CONSTITUENTS. THEIR CONSTITUENTS INCLUDED SENIORS, FAMILIES, INDIVIDUALS, YOUTH AND CHILDREN. ONE ADVISOR REPRESENTED A NEIGHBORHOOD RESIDENT ASSOCIATION; BUT IN HER PROFESSIONAL CAPACITY, SHE IS AN ADMINISTRATOR FOR A PRIMARY CARE PRACTICE WHICH INCLUDES MANY PATIENTS FROM HER NEIGHBORHOOD.KEY INFORMANTS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED THE FOLLOWING:DEBBIE BACKUS, EXECUTIVE DIRECTOR/CASTLE SQUARE TENANTS ORGANIZATIONFONG CHEUNG, PROPERTY MANAGER/TAI TUNG VILLAGESANDRA LEE, PROGRAM DIRECTOR/BOSTON CHINATOWN NEIGHBORHOOD CENTERSAMUEL TSOI, MEMBER/BOSTON CHINESE EVANGELICAL CHURCHVICTORIA YUE, YOUTH WORKER/BOSTON CHINATOWN NEIGHBORHOOD CENTERMELODY TSANG, COORDINATOR/ASIAN AMERICAN CIVIC ASSOCIATIONEUGENE WELCH, EXECUTIVE DIRECTOR/SOUTH COVE COMMUNITY HEALTH CENTERKEVIN CASEY, EXECUTIVE DIRECTOR/HHSI NEPONSET HEALTH CENTERANNE GREENBAUM, MEMBER/HEALTHY DORCHESTER/MASS IN MOTIONNAM PHAM, EXECUTIVE DIRECTOR/VIETNAMESE AMERICAN INITIATIVE FOR DEVELOPMENTIRA SCHLOSSER, DIRECTOR OF POLICY (FORMER)/DORCHESTER HOUSE MULTI-SERVICE CENTERPHILIP SEVERIN, MD, MEDICAL DIRECTOR/CODMAN SQUARE HEALTH CENTERKAREN VAN UNEN, CHIEF OPERATING OFFICER (FORMER)DOTWELLHARRY DUVALL, EXECUTIVE DIRECTOR/SOUTH BOSTON BOYS & GIRLS CLUBWILLIAM HALPIN, EXECUTIVE DIRECTOR/SOUTH BOSTON COMMUNITY HEALTH CENTERNISHA THAKRA, MD, MEDICAL DIRECTOR/SOUTH BOSTON COMMUNITY HEALTH CENTERMAYRA HOWARD/SBCHC INSTITUTE FOR A HEALTHIER COMMUNITYLINDA DORAN/SBCHC INSTITUTE FOR A HEALTHIER COMMUNITYJOHN MCGAHAN, EXECUTIVE DIRECTOR/GAVIN FOUNDATIONKAY WALSH, COORDINATOR/SOUTH BOSTON CAN REDUCE UNDERAGE DRINKINGMELISSA LICHENBERG/SOUTH BOSTON CAN REDUCE UNDERAGE DRINKINGCOMMUNITY MEMBERS SERVING ON THE ASIAN AND DORCHESTER HEALTH INITIATIVES WHO HELPED TO IDENTIFY HEALTH PRIORITIES FOR THE TWO GRANT-FUNDED COMMUNITY BENEFITS PROGRAMS INCLUDED:LI CHEN, ADMINISTRATOR/SOUTH COVE NURSING MANORMARY CHIN, PRESIDENT/ASIAN AMERICAN CIVIC ASSOCIATIONMARIE MOY, CO-CHAIR/CHINATOWN RESIDENT ASSOCIATIONRUTH MOY, EXECUTIVE DIRECTOR/GREATER BOSTON CHINESE GOLDEN AGE CENTERWILLIAM MOY, CO-MODERATOR/CHINATOWN-SOUTH COVE NEIGHBORHOOD COUNCILBEVERLY WING, MEMBER/THE CHINATOWN COALITIONPHUOC CAO, DIRECTOR/FOOD STAMP/MA DEPARTMENT OF TRANSITIONAL ASSISTANCEKEVIN CASEY, EXECUTIVE DIRECTOR/HHSI NEPONSET HEALTH CENTERCHRASANDRA REEVES/ROGERSON COMMUNITIESIRA SCHLOSSER, FORMER POLICY DIRECTOR/DORCHESTER HOUSE MULTI-SERVICE CENTERFROM TUFTS MEDICAL CENTER'S BOARD OF GOVERNORS AND MEDICAL STAFF, THE FOLLOWING ALSO SERVE ON THE ADVISORY COMMITTEES FOR THE ASIAN AND DORCHESTER HEALTH INITIATIVES:MARY MAHONYROBERT BLOOMBERGPHIL BROWNLAUREL LESLIE, MDJOE TOOMEY
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 7: NEIGHBORHOOD SPECIFIC HEALTH DATA COMPILED BY THE BOSTON PUBLIC HEALTH COMMISSION (BPHC) WAS REVIEWED AS PART OF THE CHNA PROCESS AND PRIORITIES WERE IDENTIFIED WITH THE IN-PUT OF COMMUNITY ADVISORS BASED UPON THEIR FAMILIARITY WITH THEIR RESPECTIVE COMMUNITIES FOR TUFTS MEDICAL CENTER'S IMPLEMENTATION PLAN. SOME HEALTH ISSUES SUCH AS A HIGH RATE OF SEXUALLY TRANSMITTED DISEASES ARE BEING ADDRESSED BY A CITY-WIDE EFFORT LED BY THE BPHC WHICH TUFTS MEDICAL CENTER SUPPORTS AND WERE NOT IDENTIFIED BY OUR COMMUNITY STAKEHOLDERS AS PRIORITIES FOR COMMUNITY INITIATIVES.TUFTS MEDICAL CENTER'S EFFORTS TO ADDRESS PRIORITIZED HEALTH ISSUES INCLUDES NOT ONLY GRANT FUNDING TO COMMUNITY-BASED ORGANIZATIONS TO INTEGRATE HEALTH EDUCATION AND PREVENTION SERVICES INTO THEIR CORE PROGRAMMING, BUT INCLUDES DEPARTMENTAL EFFORTS TO ADDRESS SPECIFIC HEALTH DISPARITIES FOR THE COMMUNITIES THE MEDICAL CENTER SERVES AND COLLABORATIONS WITH BOTH COMMUNITY AND INSTITUTIONAL PARTNERS TO ADDRESS HEALTH ISSUES THAT AN INDIVIDUAL INSTITUTION CANNOT BECAUSE OF LIMITED RESOURCES.
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 20D: THE HOSPITAL DOES NOT ADJUST OUR CHARGES FOR FAP ELIGIBLE PATIENTS, BUT WE DO DISCOUNT BILLS.FINANCIAL ASSISTANCE AND/OR DISCOUNTED FEES FOR EMERGENCIES AND MEDICALLY NECESSARY SERVICES AS DEFINED UNDER TITLE XVIII OF THE FEDERAL SOCIAL SECURITY ACT AND BASED ON THE CLINICAL JUDGMENT OF THE PROVIDER WILL BE AVAILABLE TO THE UNINSURED AND UNDERINSURED PATIENT WHO DOES NOT QUALIFY FOR ANY FEDERALLY FUNDED PROGRAMS. INITIAL SCREENING FOR ALL PATIENTS WILL BE FOR FEDERALLY FUNDED PROGRAMS.A. SELF PAY PATIENT: MASSACHUSETTS OR OUT OF STATE RESIDENT I. MASSACHUSETTS RESIDENTS WILL BE SCREENED FOR ELIGIBILITY FOR ANY APPLICABLE GOVERNMENT PROGRAMS INCLUDING MASS HEALTH, THE HEALTH SAFETY NET PROGRAM, PARTIAL HSN, MEDICAL HARDSHIP, MEDICARE, AND OTHER GOVERNMENT PROGRAMS. II. THE OUT OF STATE RESIDENT WILL BE SCREENED FOR GOVERNMENT PROGRAMS IN THEIR STATE OF RESIDENCE, MEDICARE, AND OTHER PROGRAMS AS OFFERED BY THEIR HOME STATE. III. IF INELIGIBLE FOR GOVERNMENT PROGRAMS, PATIENT WILL BE SCREENED FOR FINANCIAL ASSISTANCE ELIGIBILITY VIA THE FINANCIAL ASSISTANCE APPLICATION/DETERMINATION OF ELIGIBILITY FORM: 1. PATIENTS WITH INCOME BELOW 125% OF THE FEDERAL POVERTY GUIDELINES (FPG) MAY QUALIFY TO HAVE ALL DEBT INCURRED FORGIVEN. 2. PATIENTS WITH INCOME ABOVE 125% BUT NOT EXCEEDING 375% OF THE FPG MAY QUALIFY FOR A REDUCTION OF THEIR DEBT BASED ON A SLIDING SCALE. IV. IF INELIGIBLE FOR GOVERNMENT PROGRAMS OR FINANCIAL ASSISTANCE: 1. PATIENTS WHO DO NOT QUALIFY FOR FEDERALLY FUNDED COVERAGE OR WHOSE INCOME EXCEEDS 375% OF THE FPG WILL BE OFFERED A 30% DISCOUNT OF ESTIMATED CHARGES. 2. AN ADDITIONAL 5% DISCOUNT OF ESTIMATED CHARGES WILL BE EXTENDED IF THE DISCOUNTED PAYMENT AMOUNT IS MADE IN FULL PRIOR TO THE DATE OF SERVICE, ON THE DATE OF SERVICE, OR AT DISCHARGE. 3. DEPOSITS WILL BE REQUIRED OF THE SELF-PAY PATIENT AT THE DATE OF SERVICE FOR THE FOLLOWING SERVICES; A. CLINIC OFFICE VISIT: $150.00 B. EMERGENCY DEPARTMENT VISIT: $360.00 V. PAYMENT PLAN OPTIONS WILL BE MADE AVAILABLE TO THE SELF-PAY PATIENT FOR THEIR FINANCIAL RESPONSIBILITY BASED ON THE APPROVED MONTHLY PAYMENT PLAN GRID. A SIGNED PAYMENT AGREEMENT WILL BE EXECUTED WITH THE PATIENT BY THE FINANCIAL COORDINATOR, AND FILED WITH THE PATIENT'S ACCOUNT.B. UNDERINSURED AND INSURED PATIENT I. PAYMENT PLAN OPTIONS WILL BE OFFERED TO THE UNDERINSURED OR INSURED PATIENT FOR THEIR FINANCIAL RESPONSIBILITY (CO-PAYMENT, DEDUCTIBLE, CO-INSURANCE). II. DISCOUNTS MAY NOT BE OFFERED FOR PATIENT FINANCIAL RESPONSIBILITY AMOUNTS (CO-PAYMENT, DEDUCTIBLE, CO-INSURANCE) WHEN A THIRD PARTY PAYER IS THE PRIMARY PAYER, UNLESS THE MEDICALLY NECESSARY SERVICES ARE NON-COVERED BY THE SPECIFIC INSURANCE POLICY.C. CATASTROPHIC MEDICAL EXPENSE I. A PATIENT WHO DOES NOT QUALIFY AS FINANCIALLY NEEDY, BUT WHOSE PATIENT RESPONSIBILITY PAYMENTS SPECIFIC TO TREATMENT AT TUFTS MEDICAL CENTER FOR MEDICALLY NECESSARY SERVICES, EVEN AFTER PAYMENT FROM THIRD PARTY PAYERS, EXCEED 30% OF THE FAMILY UNIT'S GROSS INCOME WILL BE RECOGNIZED AS HAVING A CATASTROPHIC MEDICAL EXPENSE. ANY PATIENT RESPONSIBILITY FOR SERVICES WITHIN A 12-MONTH PERIOD MAY BE WRITTEN OFF TO FINANCIAL ASSISTANCE UNDER THE CATASTROPHIC EXPENSE.D. INTERNATIONAL PATIENT I. THE SELF-PAY INTERNATIONAL PATIENT WILL BE OFFERED A 35% DISCOUNT ON ESTIMATED CHARGES IF PAID PRIOR TO SERVICE, AT THE POINT OF SERVICE, OR AT DISCHARGE.E. MOTOR VEHICLE ACCIDENT (MVA) OR WORK RELATED INJURY I. CHARGES INCURRED AS A RESULT OF AN MVA OR WORK RELATED INJURY, WHEN THERE IS PENDING LITIGATION AND THE EXPECTATION OF A SETTLEMENT OR JUDGMENT EXISTS, ARE NOT ELIGIBLE FOR THE TUFTS FINANCIAL ASSISTANCE OR DISCOUNT PROGRAMS.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

TUFTS MEDICAL CENTER GROUP RETURN

Employer identification number

27-0440772

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)MARVIN A KONSTAM MDTRUSTEE	(i) (ii)	0 476,040	0 0	0 24,294	0 35,700	0 20,515	0 556,549	0 0
(2)WILLIAM C MACKEY MDTRUSTEE	(i) (ii)	0 462,670	0 28,571	0 9,531	0 35,700	0 20,470	0 556,942	0 0
(3)DEEB N SALEM MDTRUSTEE	(i) (ii)	0 511,429	0 168,280	0 13,808	0 35,700	0 20,515	0 749,732	0 0
(4)PAUL SUMMERGRAD MDTRUSTEE	(i) (ii)	0 296,970	0 25,697	0 28,398	0 35,700	0 20,213	0 406,978	0 0
(5)MICHAEL WAGNER MDTRUSTEE/PRESIDENT/CEO	(i) (ii)	0 477,771	0 0	0 24,380	0 35,700	0 20,455	0 558,306	0 0
(6)DAVID E WAZER MDTRUSTEE	(i) (ii)	0 597,570	0 91,485	0 8,487	0 35,700	0 19,765	0 753,007	0 0
(7)CHIBUEZE OKEY AGBASENIOR VP/TREASURER/CFO/TRUSTEE	(i) (ii)	416,167 0	0 0	4,713 0	61,911 0	26,915 0	509,706 0	0 0
(8)JEFFREY A WEINSTEINTRUSTEE/SENIOR VP/CLERK	(i) (ii)	333,729 0	1,366 0	9,066 0	52,450 0	17,370 0	413,981 0	0 0
(9)JEFFREY I LASKER MDTRUSTEE/PRESIDENT/CEO/CMO	(i) (ii)	433,573 0	0 0	515 0	65,800 0	24,703 0	524,591 0	0 0
(10)MICHAEL CANTOR MDTRUSTEE/QUALITY MEDICAL DIRECTOR	(i) (ii)	339,715 0	0 0	117 0	5,100 0	24,648 0	369,580 0	0 0
(11)JOHN SCHREIBER MD MPHTRUSTEE	(i) (ii)	0 481,670	0 42,026	0 8,961	0 35,700	0 20,506	0 588,863	0 0
(12)NATHAN GAGNECFO/TREASURER	(i) (ii)	172,486 0	0 0	70 0	3,425 0	4,227 0	180,208 0	0 0
(13)CRAIG WILLIAMSSR. VP/COO	(i) (ii)	349,423 0	0 0	1,236 0	885 0	25,514 0	377,058 0	0 0
(14)SAUL WEINGARTCHIEF MEDICAL OFFICER	(i) (ii)	0 201,518	0 0	0 5,158	0 0	0 10,145	0 216,821	0 0
(15)THERESE HUDSON-JINKSSENIOR VP AND CNO	(i) (ii)	244,053 0	12,174 0	3,346 0	34,317 0	10,497 0	304,387 0	0 0
(16)SUSAN BLANCHARDVP FOR RESEARCH ADMN.	(i) (ii)	211,794 0	0 0	1,858 0	30,755 0	22,071 0	266,478 0	0 0
(17)BROOKE TYSON-HYNESVP EXTERNAL AFFAIRS	(i) (ii)	224,515 0	4,373 0	790 0	21,806 0	22,795 0	274,279 0	0 0
(18)WILLIAM SHICKOLOVICHSENIOR VP OPERATIONS MGMT/CIO	(i) (ii)	297,210 0	230 0	1,606 0	42,108 0	25,800 0	366,954 0	0 0
(19)CATHERINE SQUIRESVP FOR DEVELOPMENT	(i) (ii)	263,984 0	0 0	3,867 0	37,564 0	22,775 0	328,190 0	0 0
(20)KRISTINE HANSCOMVP FINANCE	(i) (ii)	227,781 0	0 0	1,184 0	31,908 0	22,293 0	283,166 0	0 0
(21)DEBORAH JOELSONSR. VP STRATEGIC SERVICES	(i) (ii)	332,715 0	708 0	8,859 0	49,833 0	12,382 0	404,497 0	0 0
(22)DENISE SCHEPICISR. VP CLINICAL SERVICES	(i) (ii)	283,324 0	590 0	2,829 0	45,084 0	16,641 0	348,468 0	0 0
(23)SUSAN FAHMYVP STR PLANNING & BUS DVP	(i) (ii)	173,969 0	0 0	885 0	3,500 0	2,424 0	180,778 0	0 0
(24)PATRICIA HAYWARDVP HUMAN RESOURCES	(i) (ii)	234,727 0	0 0	5,388 0	31,768 0	16,043 0	287,926 0	0 0
(25)BETSY ELTONHEADCHIEF OPERATING OFFICER	(i) (ii)	217,474 0	5,500 0	335 0	13,310 0	24,619 0	261,238 0	0 0
(26)JEFFREY SYREKVICE PRESIDENT	(i) (ii)	205,789 0	0 0	78 0	3,924 0	24,616 0	234,407 0	0 0
(27)LINDA FISHERDIR. PATIENT CARE SERVICES	(i) (ii)	214,874 0	0 0	3,616 0	4,413 0	13,226 0	236,129 0	0 0
(28)NANCY WETHERBEEDIRECTOR OF ORBIT	(i) (ii)	207,972 0	100,000 0	831 0	3,409 0	6,857 0	319,069 0	0 0
(29)GEORGE MORANPRESIDENT OF PNA	(i) (ii)	202,458 0	0 0	0 0	0 0	472 0	202,930 0	0 0
(30)PETER NEUMANNSPECIAL & SCIENTIFIC STAFF	(i) (ii)	215,922 0	0 0	3,642 0	20,645 0	21,608 0	261,817 0	0 0
(31)ERIC J BEYERFORMER PRESIDENT/CEO	(i) (ii)	622,647 0	210,000 0	441,182 0	9,258 0	39,103 0	1,322,190 0	0 0
(32)NANCY SHENDELL-FALIKFORMER SENIOR VP AND CNO	(i) (ii)	187,742 0	0 0	923 0	53,035 0	13,200 0	254,900 0	0 0
(33)ROBERT LORANGERFORMER DIRECTOR OF FACILITIES	(i) (ii)	13,725 0	0 0	174,469 0	572 0	0 0	188,766 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
PART 1, LINE 4A:	ERIC J. BEYER RECEIVED A SEPARATION AGREEMENT PAYMENT OF $148,498.
PART 1, LINE 4B:	SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: CHIBUEZE OKEY AGBA, $56,811 JEFFREY A. WEINSTEIN, $47,350 NANCY FALIK-SHENDELL, $49,236 DENISE M. SCHEPICI, $39,984 DEBORAH C. JOELSON, $44,733 CATHERINE SQUIRES, $32,464 PATRICIA HAYWARD, $26,928 WILLIAM J. SHICKOLOVICH, $37,008 THERESE HUDSON-JINKS, $29,217 SUSAN BLANCHARD, $26,361 KRISTINE HANSCOM, $28,282 ERIC BEYER, $186,038 (PAID OUT IN CALENDAR YEAR 2013 AND INCLUDED IN 2013 W-2)
SCHEDULE J, PART II:	ERIC BEYER SEPARATED FROM TUFTS MEDICAL CENTER IN SEPTEMBER 2013. COMPENSATION REPORTED FOR ERIC BEYER IN SCHEDULE J, PART II, COLUMN B (III) INCLUDES A SEPARATION AGREEMENT PAYMENT IN THE AMOUNT OF $148,498. COLUMN B(III) ALSO INCLUDES PAYOUT OF DEFERRED COMPENSATION IN THE AMOUNT OF $285,123 REPRESENTING AMOUNTS EARNED BY MR. BEYER FROM 2011 THROUGH 2013 AS PART OF THE ORGANIZATION'S SECTION 457(F) DEFERRED COMPENSATION PLAN. ALL AMOUNTS PAID TO MR. BEYER WERE IN ACCORDANCE WITH MR. BEYER'S EMPLOYMENT AGREEMENT WITH TUFTS MEDICAL CENTER, AS APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	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 . . . . . . . . . . . . . .
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	211,676,381
4 Gross proceeds in reserve funds . . . . . . . . . . . .	17,354,555
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .	92,990,593
7 Issuance costs from proceeds . . . . . . . . . . . .	3,282,323
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	71,262,797
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .	26,786,113
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

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 of bond-financed property? . . . . . . . . . . . .		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
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 . .
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 . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X
b Exception to rebate? . . . . . . . .		X
c No rebate due? . . . . . . . .		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (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? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

PART I, LINE A, COLUMN F

DESCRIPTION OF BOND PURPOSE: THE ISSUANCE OF BONDS AND THE LOAN OF THE PROCEEDS THEREOF IS TO (1) REFINANCE CERTAIN OUTSTANDING INDEBTEDNESS OF OR ISSUED FOR THE BENEFIT OF THE INSTITUTION, AS FUTHER IDENTIFIED BELOW, (2) FINANCE CONSTRUCTION, RENOVATION AND IMPROVEMENTS AT AND ACQUISTIONS AND EQUIPMENT FOR THE ACUTE CARE HOSPITAL AND RELATED FACILITIES OWNED AND/OR OPERATED BY TUFTS MEDICAL CENTER, (3) FUND A DEBT SERVICE RESERVE FUND, AND (4) PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS. FURTHER IDENTIFICATION OF BOND PURPOSE - REFINANCINGS SERIES G BONDS ISSUED 01/05/1994 SERIES H BONDS ISSUED 11/13/2002 SIEMENS LEASE ISSUED 06/10/2009 GE LEASE ISSUED 06/10/2009 BOA LEASE ISSUED 01/22/2008

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

TUFTS MEDICAL CENTER GROUP RETURN

Employer identification number

27-0440772

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	THE CFO AND CONTROLLER REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. A COPY OF THE FORM 990 AS IT WILL BE ULTIMATELY FILED IS POSTED TO AN INTERNAL WEBSITE. PRIOR TO FILING, THE ORGANIZATION EMAILS ALL OF ITS GOVERNING BODY MEMBERS A LINK TO A PASSWORD PROTECTED WEBSITE, ADVISING THEM THAT THE FORM 990 IS AVAILABLE FOR REVIEW ON THAT SITE.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION ENFORCES COMPLIANCE BY PROCEDURES INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE APPROPRIATE HEAD OF THE DEPARTMENT AND REVIEWED BY LEGAL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES MET ON DECEMBER 11, 2012 TO REVIEW EXECUTIVE COMPENSATION FOR 2013. SULLIVAN AND COTTER, AN INDEPENDENT CONSULTANT TO THE BOARD, PROVIDED A COMPETITIVENESS ASSESSMENT BASED ON COMPARATOR INFORMATION INCLUDING NATIONAL, NORTHEAST AND BOSTON AREA DATA. TOTAL COMPENSATION FOR THE EXECUTIVE GROUP, INCLUDING THE PRESIDENT/CEO, COO AND VICE PRESIDENTS, WAS DETERMINED TO BE CONSERVATIVE AND WELL WITHIN MARKET AVERAGES. THE PROCESS HAS NOT CHANGED SINCE THEN. THE LAST MEETING WAS HELD DECEMBER 11, 2012.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER BY MAIL OR IN PERSON AT THE OFFICE, DEPENDING ON THE FORM OF THE REQUEST.
FORM 990, PART VI, SECTION B., LINE 16A:	TUFTS MEDICAL CENTER, INC. OWNS 45% INTEREST IN PROVIDER NETWORK ALLIANCE, LLC. NEW ENGLAND QUALITY CARE ALLIANCE, INC. OWNS 10% INTEREST IN PROVIDER NETWORK ALLIANCE, LLC.
FORM 990, PART VI, SECTION B., LINE 16B:	THE ORGANIZATION ROUTINELY CONSULTS WITH INTERNAL AND OUTSIDE COUNSEL PRIOR TO ENTERING INTO JOINT VENTURE ARRANGEMENTS. THE ORGANIZATION IS CURRENTLY CONSIDERING IMPLEMENTATION OF WRITTEN POLICIES AND PROCEDURES TO EVALUATE PARTICIPATION OF JOINT VENTURE ARRANGEMENTS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
FORM 990, PART XI, LINE 9:	TRANSFER OF NET ASSETS -3,390,698. PENSION-RELATED ADJUSTMENTS -2,296,866. NET ASSETS RELEASED FROM RESTRICTIONS 1,788,342. OTHER ADJUSTMENTS -2,654,728.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 (if applicable) 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

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 entity?
(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	Yes	No
(1) PRATT ANESTHESIOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3418395	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(2) PRATT MEDICAL AND SURGICAL ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148397	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(3) PRATT NEUROLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148384	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(4) PRATT OBGYN ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148385	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(5) PRATT OPHTHALMOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148392	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(6) PRATT ORTHOPEDIC ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 20-5129051	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(7) PRATT OTOLARYNGOLOGY 800 WASHINGTON STREET BOSTON,MA02111 04-3148381	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(8) PRATT PATHOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148393	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(9) PRATT PEDIATRIC ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148394	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(10) PRATT PSYCHIATRIC ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148387	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(11) PRATT RADIOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148388	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(12) PRATT RADIATION ONCOLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148389	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(13) PRATT REHABILITATION MEDICINE ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148378	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(14) PRATT SURGICAL ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148376	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(15) PRATT UROLOGY ASSOCIATES INC 800 WASHINGTON STREET BOSTON,MA02111 04-3148379	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(16) NEW ENGLAND MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON,MA02111 04-3096445	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(17) PRATT MEDICAL GROUP INC 800 WASHINGTON STREET BOSTON,MA02111 04-2743894	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PHYSICIANS ORG INC	Yes
(18) TUFTS MEDICAL CENTER PHYSICIANS ORG INC 800 WASHINGTON STREET BOSTON,MA02111 04-3044706	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PARENT INC	Yes
(19) TUFTS SHARED SERVICES INC 171 HARRISON STREET BOSTON,MA02111 23-7000827	COORDINATE HEALTH & EDUCATIONAL SERVICES	MA	501(C)(3)	LINE 11C, III-FI			No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) TUFTS MEDICAL CENTER INDEMNITY CO LTD 800 WASHINGTON STREET BOSTON,MA02111 98-0444573	CAPTIVE INSURANCE	CJ	TUFTS MEDICAL CENTER INC	C	420,000	88,620,000	100.000 %	Yes
(2) LIABILITY LIMITED INC 800 WASHINGTON STREET BOSTON,MA02111 04-2946650	INACTIVE	MA	TMC PARENT	C				Yes

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) NOTE PAYBALE TO INDEMNITY COMPANY	E	75,000	BOOK BASIS
(2) PRATT ORTHOPEDIC ASSOCIATES INC	M	211,615	BOOK BASIS
(3) PRATT NEUROLOGY ASSOCIATES INC	M	97,778	BOOK BASIS
(4) PRATT NEUROSURGERY ASSOCIATES INC	M	1,314,611	BOOK BASIS
(5) PRATT ANESTHESIOLOGY ASSOCIATES INC	M	4,414,784	BOOK BASIS
(6) PRATT OBGYN ASSOCIATES INC	M	598,945	BOOK BASIS
(7) PRATT OPTHAMOLOGY ASSOCIATES INC	L	4,481,787	BOOK BASIS
(8) PRATT PATHOLOGY ASSOCIATES INC	M	1,203,259	BOOK BASIS
(9) PRATT PEDIATRIC ASSOCIATES INC	M	1,952,273	BOOK BASIS
(10) PRATT PSYCHIATRIC ASSOCIATES INC	L	160,190	BOOK BASIS
(11) PRATT RADIOLOGY ASSOCIATES INC	M	1,666,100	BOOK BASIS
(12) PRATT RADIATION ONCOLOGY ASSOCIATES INC	M	291,455	BOOK BASIS
(13) PRATT REHABILITATION MEDICINE ASSOCIATES INC	L	368,027	BOOK BASIS
(14) PRATT SURGICAL ASSOCIATES INC	M	2,102,695	BOOK BASIS
(15) PRATT UROLOGY ASSOCIATES INC	L	468,868	BOOK BASIS
(16) PRATT DERMATOLOGY ASSOCIATES INC	L	90,934	BOOK BASIS
(17) PRATT MEDICAL GROUP INC	L	10,102,543	BOOK BASIS
(18) TMC PHYSICIAN ORGANIZATION INC	M	8,102,007	BOOK BASIS
(19) NEW ENGLAND MEDICAL CENTER	L	86,195	BOOK BASIS
(20) TMC PHYSICIAN ORGANIZATION INC	J	390,020	BOOK BASIS

Schedule R (Form 990) 2013

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)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

TY 2013 AffiliateListing

Name:

TUFTS MEDICAL CENTER GROUP RETURN

EIN: 27-0440772

Name	Address	EIN	Name control
NEW ENGLAND QUALITY CARE ALLIANCE INC	800 WASHINGTON STREET BOX 468 BOSTON, MA 021111533	04-3040427	NEWE
NEW ENGLAND LONG-TERM CARE INC	800 WASHINGTON STREET BOX 468 BOSTON, MA 021111533	04-2912578	NEWE
TUFTS MEDICAL CENTER REAL ESTATE COMPANY INC	800 WASHINGTON STREET BOX 468 BOSTON, MA 021111533	04-2772654	TUFT
TUFTS MEDICAL CENTER INC	800 WASHINGTON STREET BOX 468 BOSTON, MA 021111533	04-3400617	TUFT

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	41
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	29
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	6,075
6	Total number of volunteers (estimate if necessary) .............	6	123
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	25,228
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	24,228

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	46,880,166	53,421,127
9	Program service revenue (Part VIII, line 2g) .........	660,566,822	681,693,134
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,140,133	20,660,154
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,677,995	1,152,765
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	717,265,116	756,927,180
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	355,768,710	354,311,741
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	218,930	301,070
b	Total fundraising expenses (Part IX, column (D), line 25) 6,032,758
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	337,392,423	367,696,016
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	693,380,063	722,308,827
19	Revenue less expenses. Subtract line 18 from line 12.......	23,885,053	34,618,353
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	780,708,980	781,850,694
21	Total liabilities (Part X, line 26).............	627,986,009	600,924,942
22	Net assets or fund balances. Subtract line 21 from line 20.....	152,722,971	180,925,752

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 524,205,671 including grants of $ ) (Revenue $ 680,772,750 )
	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 $ 36,820,914 including grants of $ ) (Revenue $ 438,465 )
	TUFTS MEDICAL CENTER, INC. ADMINISTERS PROGRAMS FOR APPROZIMATELY 445 RESIDENTS, INTERNS AND FELLOWS IN 19 SPECIALTIES AND 26 SUBSPECIALTIES WHO ROTATE TO APPROXIMATELY 26 HOSPITALS AND OTHER ORGANIZATIONS LOCATED PRIMARILY IN THE GREATER BOSTON AREA.

4c	(Code: ) (Expenses $ 47,260,323 including grants of $ ) (Revenue $ 481,919 )
	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 expenses608,286,908

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	7,693,500	3,984,714	1,489,229

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		1,583,551
d	Related organizations...1d
e	Government grants (contributions)1e		35,337,686

f	All other contributions, gifts, grants, and similar amounts not included above1f		16,499,890

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			53,421,127
			Business Code
2a	NET PATIENT SERV. REV.		900099	594,140,084	594,140,084
b	RESEARCH & MISC. REV.		900099	54,511,230	54,511,230
c	DEFERRED GAIN		900099	6,295,524	6,295,524
d	OVERHEAD RECOVERY		900099	1,037,660	1,037,660
e	RESIDENTS & INTERN REV		900099	438,465	438,465
f	All other program service revenue .			25,270,171	25,270,171
g	Total. Add lines 2a–2f........			681,693,134
3	Investment income (including dividends, interest, and other similar amounts).......			1,052,187		25,228	1,026,959
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........			596,391			596,391
		(i) Real	(ii) Personal
6a	Gross rents	1,580,892
b	Less: rental expenses	458,707
c	Rental income or (loss)	1,122,185
d	Net rental income or (loss).......			1,122,185			1,122,185
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	19,607,967
b	Less: cost or other basis and sales expenses	0
c	Gain or (loss)	19,607,967
d	Net gain or (loss)..........			19,607,967			19,607,967
8a	Gross income from fundraising events (not including $ 1,583,551 of contributions reported on line 1c). See Part IV, line 18 ..
	a		151,709
b	Less: direct expenses ...b		717,520
c	Net income or (loss) from fundraising events..			-565,811			-565,811
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...
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..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			756,927,180	681,693,134	25,228	21,787,691


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			68,209,990	1	60,004,931
2	Savings and temporary cash investments .........			57,903,203	2	60,369,010
3	Pledges and grants receivable, net ...........			6,034,955	3	6,541,338
4	Accounts receivable, net .............			89,019,761	4	85,853,205
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			10,661,440	8	10,184,725
9	Prepaid expenses and deferred charges ..........			2,092,192	9	2,711,813
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	418,954,724
b	Less: accumulated depreciation .....	10b	269,662,070	149,063,837	10c	149,292,654
11	Investments—publicly traded securities ..........			292,218,524	11	306,305,352
12	Investments—other securities. See Part IV, line 11 .....			11,229,092	12	12,664,928
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			177,946	14	98,859
15	Other assets. See Part IV, line 11 ...........			94,098,040	15	87,823,879
16	Total assets. Add lines 1 through 15 (must equal line 34)......			780,708,980	16	781,850,694
17	Accounts payable and accrued expenses .........			148,030,567	17	150,087,326
18	Grants payable .................				18
19	Deferred revenue ................			35,013,831	19	30,670,749
20	Tax-exempt bond liabilities .............			206,836,519	20	204,283,166
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other 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 ....			581,452	24	494,784
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			237,523,640	25	215,388,917
26	Total liabilities. Add lines 17 through 25.........			627,986,009	26	600,924,942
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			142,317,897	27	168,732,036
28	Temporarily restricted net assets ...........			5,210,894	28	6,794,078
29	Permanently restricted net assets ...........			5,194,180	29	5,399,638
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			152,722,971	33	180,925,752
34	Total liabilities and net assets/fund balances ........			780,708,980	34	781,850,694

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, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
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, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
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)..............................	Yes	No
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, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
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)....................................	Yes	No
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)................................................	Yes	No