Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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...... | 199,945,186 | 216,810,277 | 214,623,004 | 219,610,896 | 227,866,211 | 1,078,855,574 |
| 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. | 199,945,186 | 216,810,277 | 214,623,004 | 219,610,896 | 227,866,211 | 1,078,855,574 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support (Subtract line 7c from line 6.) | 1,078,855,574 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 199,945,186 | 216,810,277 | 214,623,004 | 219,610,896 | 227,866,211 | 1,078,855,574 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 435,558 | 1,099,969 | 1,307,692 | 1,092,312 | 1,366,401 | 5,301,932 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 435,558 | 1,099,969 | 1,307,692 | 1,092,312 | 1,366,401 | 5,301,932 |
| 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 200,380,744 | 217,910,246 | 215,930,696 | 220,703,208 | 229,232,612 | 1,084,157,506 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, INC. IS THE SOLE CORPORATE MEMBER OF ALL THE GROUP PRACTICES. |
| FORM 990, PART VI, SECTION A, LINE 7A | TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION, AS SOLE CORPORATE MEMBER OF THE PHYSICIAN PRACTICES, HAS THE POWER TO APPOINT THE MEMBERS OF THE GOVERNING BODIES OF THE PHYSICIAN PRACTICES. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN GOVERNANCE DECISIONS ARE GENERALLY RESERVED FOR TUFTS MEDICAL CENTER PHYSICIAN'S ORGANIZATION AS SOLE CORPORATE MEMBER OF THE PHYSICIAN PRACTICES. SUCH GOVERNANCE DECISIONS INCLUDE THE FOLLOWING: (A) THE POWER TO AUTHORIZE: (I) THE AMENDMENT AND RESTATEMENT OF ARTICLES OF INCORPORATION OR OTHER CHARTER DOCUMENTS AND OF THE BYLAWS OF EACH AFFILIATE; (II) THE MERGER OR CONSOLIDATION OF EACH AFFILIATE WITH ANY OTHER ENTITY; (III) THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF EACH AFFILIATE; AND (IV) THE VOLUNTARY DISSOLUTION OF EACH AFFILIATE, THE PLAN OF DISTRIBUTION OF ASSETS UPON DISSOLUTION AND REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS; (B) THE POWER TO APPROVE (I) EACH AFFILIATE'S STRATEGIC PLANS, AND (II) PROPOSED CHANGES TO ITS MISSION STATEMENT; (C) THE POWER TO APPROVE EACH AFFILIATE'S (I) CAPITAL BUDGETS, (II) OPERATING BUDGETS, AND (III) NON-BUDGETED MATERIAL EXPENDITURES (AS "MATERIAL" IS ESTABLISHED BY THE CORPORATION'S BOARD OF TRUSTEES FROM TIME TO TIME); (D) THE POWER TO AUTHORIZE EACH AFFILIATE'S PARTICIPATION IN A JOINT VENTURE, CONSOLIDATION, NETWORK, ASSOCIATION, SYSTEM OR ALLIANCE OF HEALTH CARE PROVIDERS; (E) THE POWER TO ENTER INTO ANY MATERIAL CONTRACT; (F) THE POWER TO AUTHORIZE EACH AFFILIATE'S ORGANIZATION OR FORMATION OF A NEW SUBSIDIARY OR JOINT VENTURE IN WHICH THE AFFILIATE'S OWNERSHIP INTEREST WILL BE EQUAL TO OR BE IN EXCESS OF FIFTY (50%) PERCENT OF NET INCOME OR VOTING INTEREST; (G) THE POWER TO AUTHORIZE EACH AFFILIATE'S INCURRENCE OR GUARANTEE OF MATERIAL INDEBTEDNESS TO ANY OTHER PERSON OR ENTITY (AS "MATERIAL" IS ESTABLISHED BY THE CORPORATION'S BOARD OF TRUSTEES FROM TIME TO TIME) AND A MORTGAGE, PLEDGE OR GRANT OF A SECURITY INTEREST IN, PROPERTY OR ASSETS OF SUCH AFFILIATE IN CONNECTION WITH ANY SUCH INDEBTEDNESS; (H) THE POWER TO APPROVE EACH AFFILIATE'S INVESTMENT POLICIES; (I) THE POWER TO ELECT OR APPROVE AND TO REMOVE THE CHAIR, VICE CHAIR, SECRETARY AND TREASURER AND MEMBERS OF EACH AFFILIATE'S GOVERNING BODY (EXCEPT AS OTHERWISE PROVIDED IN AN AFFILIATE'S BYLAWS); (J) THE POWER TO AUTHORIZE ANY VOTE BY EACH AFFILIATE OF ITS CAPITAL STOCK OR MEMBERSHIP VOTING RIGHTS IN ANY AND ALL OF ITS SUBSIDIARIES OR AFFILIATES; AND (K) THE POWER TO HAVE THE CHAIR OF THE CORPORATION SIT ON THE BOARD OF TRUSTEES OR OTHER GOVERNING BODY OF EACH AFFILIATE AS A NONVOTING (OR VOTING, AS PROVIDED IN AN AFFILIATE'S BYLAWS) EX-OFFICIO MEMBER AND THE RIGHT TO HAVE THE PRESIDENT OF THE CORPORATION SIT ON THE BOARD OF TRUSTEES OR OTHER GOVERNING BODY OF EACH AFFILIATE AS A NONVOTING (OR VOTING, AS PROVIDED IN AN AFFILIATE'S BYLAWS) EX-OFFICIO MEMBER; AND (L) THE POWER TO ESTABLISH AND MAINTAIN ACCOUNTING POLICIES FOR THE CORPORATION AND ITS AFFILIATES AND APPOINT OUTSIDE AUDITORS FOR THE CORPORATION AND EACH OF ITS AFFILIATES AND EXERCISE GENERAL OVERSIGHT RESPONSIBILITY FOR THE FINANCIAL AFFAIRS OF THE CORPORATION AND EACH AFFILIATE; AND (M) THE POWER TO NEGOTIATE, DEVELOP AND APPROVE ALL MANAGED CARE PRODUCTS FOR THE CORPORATION AND EACH AFFILIATE, INDIVIDUALLY OR IN CONJUNCTION WITH OTHER PROVIDERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO AND DIRECTOR OF FINANCE REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW AND APPROVAL BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTEREST POLICY BY REGULAR CONTACT WITH AND QUESTIONNAIRES OF ALL INDIVIDUALS WITH POTENTIAL FOR A CONFLICT OF INTEREST. THE ORGANIZATION ENFORCES COMPLIANCE BY PROCEDURES INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE APPROPRIATE HEAD OF THE DEPARTMENT AND REVIEWED BY THE OFFICE OF LEGAL COUNSEL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION BOARD OF TRUSTEES MEETS AT LEAST ANNUALLY TO REVIEW AND APPROVE COMPENSATION FOR SENIOR EXECUTIVES AND DEPARTMENT CHAIRS. THE COMMITTEE REVIEWS EXTENSIVE COMPENSATION BENCHMARKS PROVIDED BY SULLIVAN AND COTTER. THE COMMITTEE ALSO REVIEWS AND APPROVES COMPENSATION LEVELS FOR NEW EXECUTIVES AND DEPARTMENT CHAIRS AS NEEDED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | OTHER CHANGES IN NET ASSETS 67,570. |
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