TY 2015 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) AHMED BASHEER MD...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(2) CONRAD BENOIT DO...................................................................... TRUSTEE (UNTIL MAY 2016)	1.00 ................. 0.00	X	0	0
(3) HARRIS BERMAN MD...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(4) ELIZABETH BURBA MD...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(5) CHESTER BLACK...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(6) DEB BLAZEY-MARTIN MD...................................................................... TRUSTEE	1.00 ................. 0.00	X	251,360	35,411
(7) CHARLES CASSIDY MD...................................................................... TRUSTEE	1.00 ................. 39.00	X	1,084,321	57,752
(8) DAVID CHUNG MD...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(9) JOSEPH P CAMPANELLI...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(10) OLIVIA HO CHENG...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(11) PAULINE CHAO MD...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(12) MICHELE CRAGE MD...................................................................... TRUSTEE/CHAIR	1.00 ................. 0.00	X	0	0
(13) NORMAND DESCHENE...................................................................... TRUSTEE	1.00 ................. 39.00	X	230,912	54,380
(14) DANIEL J DOHERTY...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(15) DAN DRISCOLL MD...................................................................... TRUSTEE	1.00 ................. 0.00	X	347,582	54,466
(16) RASHED DURGHAM MD...................................................................... TRUSTEE	1.00 ................. 0.00	X	0	0
(17) GRACE K FEY...................................................................... TRUSTEE (UNTIL SEPT. 2016)	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) STEVE GOLDEN MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(19) SCOTT KIRSCHNER........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(20) MARVIN A KONSTAM MD........................................................................ TRUSTEE	1.00 .......................39.00	X					0	500,172	57,752
(21) JC KRYDER MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(22) SUSAN WINSTON LEFF........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(23) GENIA LONG........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(24) BOB MCGOWEN MD........................................................................ TRUSTEE/VICE CHAIR (UNTIL JUNE 2016)	1.00 .......................0.00	X					0	0	0
(25) WILLIAM C MACKEY MD........................................................................ TRUSTEE	1.00 .......................39.00	X					0	500,466	57,752
(26) ANTHONY P MONACO MD PHD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(27) KANU PATEL MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(28) MARK ROSEN........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(29) DEEB N SALEM MD........................................................................ TRUSTEE	1.00 .......................39.00	X					0	630,512	57,752
(30) JEFF SHAMES........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(31) ERIC SILVERMAN MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(32) PAUL SUMMERGRAD MD........................................................................ TRUSTEE	1.00 .......................39.00	X					0	545,030	57,525
(33) DAVID SCHROEDER MD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(34) LUIS VALLES MD........................................................................ TRUSTEE (UNTIL SEPT. 2016)	1.00 .......................0.00	X					0	0	0
(35) ELLEN M ZANE........................................................................ TRUSTEE	1.00 .......................1.00	X					0	0	10,141
(36) MICHAEL CANTOR MD........................................................................ TRUSTEE/CMO	40.00 .......................0.00	X					430,456	0	49,439
(37) MICHAEL WAGNER MD........................................................................ TRUSTEE/PRESIDENT/CEO	38.00 .......................2.00	X	X				803,499	0	128,602
(38) CHIBUEZE OKEY AGBA UNTIL 216........................................................................ SENIOR VP/TREASURER/CFO/TRUSTEE	39.00 .......................1.00	X	X				618,072	0	96,493
(39) JEFFREY A WEINSTEIN........................................................................ TRUSTEE/SENIOR VP/CLERK	39.00 .......................1.00	X	X				471,112	33,927	72,426
(40) JEFFREY I LASKER MD........................................................................ TRUSTEE/PRESIDENT/CEO (UNTIL 6/16)	40.00 .......................0.00	X	X				763,000	0	32,845
(41) NATHAN GAGNE........................................................................ CFO/TREASURER	40.00 .......................0.00	X	X				218,082	0	24,854
(42) ZACHARY REDMOND........................................................................ CLERK	40.00 .......................0.00	X	X				172,082	0	24,648
(43) KRISTINE M HANSCOM........................................................................ SENIOR VP/TREASURER/CFO/TRUSTEE	40.00 .......................0.00	X	X				313,937	0	58,015
(44) STAN GOLDSTEIN........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(45) MARGARET BROWN........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(46) JOSEPH FROLKIS MD........................................................................ TRUSTEE/PRESIDENT/CEO	1.00 .......................39.00	X	X				0	0	0
(47) CRAIG BEST........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(48) ANDREW ROMANOWSKY........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(49) MARK SINGH........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(50) MATTHEW LARKIN........................................................................ TRUSTEE	1.00 .......................39.00	X					0	257,131	53,038
(51) MARK COLLINS........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(52) DHIREN SUTARIA........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(53) RON KEATING........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0	0
(54) JAMES KUIN........................................................................ TRUSTEE (UNTIL JULY 2016)	1.00 .......................0.00	X					0	0	0
(55) PHILIP TAVANO........................................................................ TRUSTEE (UNTIL JULY 2016)	1.00 .......................0.00	X					0	0	0
(56) MARGARET COSTELLO........................................................................ TRUSTEE/PRESIDENT/CEO	40.00 .......................0.00	X	X				228,666	0	36,222
(57) CATHERINE SQUIRES........................................................................ VP DEVELOPMENT	40.00 .......................0.00		X				169,077	0	38,857
(58) CHRISTINE MORE UNTIL 1215........................................................................ INTERIM - VP DEVELOPMENT	40.00 .......................0.00		X				167,586	0	27
(59) SAUL WEINGART........................................................................ CHIEF MEDICAL OFFICER	1.00 .......................39.00		X				0	406,981	44,521
(60) JEFFREY SYREK........................................................................ VP SYS CONTRACTING	40.00 .......................0.00		X				254,127	0	48,447
(61) RICHARD KARAS MD........................................................................ CHIEF SCIENTIFIC OFFICER	40.00 .......................0.00		X				0	0	0
(62) KELLY DOUGHERTY........................................................................ VP CARDIOVASCULAR	40.00 .......................0.00		X				198,276	0	9,334
(63) MAURA LYNCH........................................................................ VP DEVELOPMENT	40.00 .......................0.00		X				0	0	0
(64) SEAN SULLIVAN........................................................................ VP HUMAN RESOURCES	40.00 .......................0.00		X				0	0	0
(65) THERESE HUDSON-JINKS........................................................................ SENIOR VP AND CNO	40.00 .......................0.00			X			350,586	0	53,495
(66) SUSAN BLANCHARD........................................................................ VP FOR RESEARCH ADMINISTRATION	40.00 .......................0.00			X			291,932	0	56,546
(67) BROOKE TYSON-HYNES........................................................................ VP PUBLIC AFFAIRS	40.00 .......................0.00			X			259,908	23,456	48,461
(68) WILLIAM SHICKOLOVICH........................................................................ SENIOR VP OPERATIONS MGMT/CIO	40.00 .......................0.00			X			469,886	0	78,412
(69) DEBORAH JOELSON........................................................................ SR. VP STRATEGIC SERVICES	40.00 .......................0.00			X			367,677	32,508	78,491
(70) PATRICIA HAYWARD........................................................................ VP HUMAN RESOURCES/RISK MGMT.	40.00 .......................0.00			X			373,394	0	21,280
(71) NANCY WETHERBEE........................................................................ DIRECTOR OF ORBIT	40.00 .......................0.00				X		325,225	0	9,234
(72) PETER NEUMANN........................................................................ SPECIAL & SCIENTIFIC STAFF	40.00 .......................0.00				X		240,662	0	41,340
(73) ROSS THOMPSON........................................................................ EXECUTIVE DIRECTOR OF PHARMACY	40.00 .......................0.00				X		240,410	0	0
(74) KATHLEEN DAVIS........................................................................ CORPORATE CONTROLLER	40.00 .......................0.00				X		224,192	0	24,363
(75) SHELLY DIETZ........................................................................ DIR. OF CLINICAL RESOURCE MGMT.	40.00 .......................0.00				X		211,197	0	0
(76) CRAIG WILLIAMS........................................................................ FORMER SR. VP/COO	0.00 .......................0.00					X	203,538	0	0
(77) ERIC J BEYER........................................................................ FORMER PRESIDENT/CEO	0.00 .......................0.00					X	573,123	0	0
(78) BETSY ELTONHEAD........................................................................ FORMER COO (UNTIL DEC. 2014)	0.00 .......................0.00					X	255,988	0	26,074
(79) DENISE M SCHEPICI........................................................................ FMR VP CLINICAL SERVICES(UNTIL 6/14)	0.00 .......................0.00					X	197,723	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
TUFTS SHARED SERVICES 171 HARRISON AVE BOSTON,MA02111	UTILITIES & PARKING	14,887,507
PRATT MEDICAL GROUP INC 800 WASHINGTON STREET BOSTON,MA02111	PHYSICIAN SERVICES	8,486,302
ARAMARK 1101 MARKET STREET PHILADELPHIA,PA19107	FOOD & UNIFORM SERVICES	5,794,185
TUFTS UNIVERSITY SCHOOL OF MEDICINE 145 HARRISON AVE BOSTON,MA02110	RESEARCH SERVICES	5,249,431
PRATT ANESTHESIOLOGY ASSOCIATION INC 800 WASHINGTON STREET BOSTON,MA02111	PHYSICIAN SERVICES	5,135,757
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 244

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

OMB No. 1545-0047

2015

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............. 5

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 (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)
(i)Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) TUFTS MEDICAL CENTER INC	043400617	3	Yes		0	0
(B) NEW ENGLAND LONG-TERM CARE INC	042912578	3	Yes		0	0
(C) THE CAMERON M NEELY FOUNDATION FOR CANCER CARE INC	043265628	7	Yes		0	0
(D) TUFTS MEDICAL CENTER COMMUNITY CARE INC	473046563	9	Yes		0	0
(E) NEQCA ACCOUNTABLE CARE INC	800824142	7	Yes		0	0
Total 5					0	0

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.

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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Yes

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
PART IV, SECTION A, LINE 1:	TUFTS MEDICAL CENTER REAL ESTATE COMPANY, INC. IS ORGANIZED TO PROMOTE THE INTERESTS OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS. NEW ENGLAND QUALITY CARE ALLIANCE, INC. IS ORGANIZED TO SUPPORT THE ACTIVITIES OF TUFTS MEDICAL CENTER PARENT, INC. AND THOSE ORGANIZATIONS THAT IT DIRECTLY OR INDIRECTLY OWNS OR CONTROLS.
SCHEDULE A, GENERAL INFORMATION:	PUBLIC CHARITY STATUS OF THE GROUP MEMBERS IS AS FOLLOWS: TUFTS MEDICAL CENTER, INC. - LINE 3 NEW ENGLAND LONG-TERM CARE, INC. - LINE 3 TUFTS MEDICAL CENTER REAL ESTATE COMPANY, INC. - LINE 11B NEW ENGLAND QUALITY CARE ALLIANCE, INC. - LINE 11B TUFTS MEDICAL CENTER COMMUNITY CARE, INC. - LINE 9 NEW ENGLAND QUALITY CARE ALLIANCE ACCOUNTABLE CARE, INC. - LINE 7
PART IV, SECTION A, LINE 2:	AS MEMBERS OF THE SAME GROUP EXEMPTION (GEN 5466), THE SUPPORTED ORGANIZATIONS DO NOT HAVE SEPARATE IRS DETERMINATION LETTERS. HOWEVER, AS PART OF THE TAX PREPARATION PROCESS, CONSIDERATION IS GIVEN TO EACH SUPPORTED ORGANIZATION'S STATUS UNDER SECTION 509(A)(1) OR 509(A)(2).
PART IV, SECTION C, LINE 1:	AS TYPE II SUPPORTING ORGANIZATIONS, TUFTS MEDICAL CENTER REAL ESTATE COMPANY, INC. AND NEW ENGLAND QUALITY CARE ALLIANCE, INC. MUST BE UNDER COMMON SUPERVISION OR CONTROL WITH THEIR SUPPORTED ORGANIZATIONS TO ENSURE THAT THE SUPPORTING ORGANIZATIONS WILL BE RESPONSIVE TO THE NEEDS AND REQUIREMENTS OF THE SUPPORTED ORGANIZATIONS. IN THE CASE OF TUFTS MEDICAL CENTER REAL ESTATE COMPANY, INC. AND NEW ENGLAND QUALITY CARE ALLIANCE, INC., THESE ENTITIES HAVE A BROTHER/SISTER RELATIONSHIP WITH THEIR SUPPORTED ORGANIZATIONS, ALL UNDER THE COMMON SUPERVISION OR CONTROL OF PARENT ENTITY, TUFTS MEDICAL CENTER PARENT, INC. TUFTS MEDICAL CENTER PARENT, INC. IS THE SOLE CORPORATE MEMBER OF TUFTS MEDICAL CENTER, INC., TUFTS MEDICAL CENTER REAL ESTATE COMPANY, INC., THE CAMERON M. NEELY FOUNDATION FOR CANCER CARE, INC., NEW ENGLAND QUALITY CARE ALLIANCE, INC., NEW ENGLAND LONG-TERM CARE, INC. AND TUFTS MEDICAL CENTER COMMUNITY CARE, INC. MOREOVER, TUFTS MEDICAL CENTER PARENT, INC. HAS RECEIVED A GROUP EXEMPTION RULING (GEN 5466) BASED UPON ITS SUPERVISION OR CONTROL OVER ITS SUBORDINATE ORGANIZATIONS, ALL ENUMERATED ABOVE. CONSEQUENTLY, THE SUPPORTING ORGANIZATIONS ARE UNDER COMMON SUPERVISION OR CONTROL WITH THEIR SUPPORTED ORGANIZATIONS, ENSURING RESPONSIVENESS TO THE NEEDS AND REQUIREMENTS OF THE SUPPORTED ORGANIZATIONS.

Schedule A (Form 990 or 990-EZ) 2015

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

2015

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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	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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization TUFTS MEDICAL CENTER GROUP RETURN		Employer identification number 27-0440772

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization TUFTS MEDICAL CENTER GROUP RETURN			Employer identification number 27-0440772
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on 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

298,370

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

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

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

298,370

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2015

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

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	5,462,000	5,418,000	5,292,000	5,125,000	4,278,000
b	Contributions ...	13,000	51,000	205,000	151,000	451,000
c	Net investment earnings, gains, and losses	27,000	8,000	346,000	325,000	284,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	17,000	15,000	425,000	309,000	-112,000
f	Administrative expenses ....
g	End of year balance ......	5,485,000	5,462,000	5,418,000	5,292,000	5,125,000

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

99.600 %

Temporarily restricted endowment SchDMd Bullet

0.400 %

The percentages on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	7,506,867		7,506,867
b	Buildings	181,812,405	111,601,179	70,211,226
c	Leasehold improvements	15,720,148	10,563,806	5,156,342
d	Equipment ...	242,336,608	188,812,687	53,523,921
e	Other ...	6,701,125		6,701,125
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				143,099,481

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				20,677,303
(2) DEPOSIT ADVANCE				32,033,364
(3) OTHER MISC. RECEIVABLES & ASSETS				26,439,693
(4) ESTIMATED THIRD PARTY RECEIVABLES				1,114,571
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				80,264,931

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
PENSION OBLIGATIONS	73,391,891
DUE TO AFFILIATES	11,928,888
PROFESSIONAL LIABILITY COSTS	41,086,343
ESTIMATED THIRD PARTY PAYABLES	42,904,871
LCO RESERVES	4,514,172
TAXABLE BONDS	91,033,877
WORKERS COMPENSATION	3,910,165
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	268,770,207
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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.

Schedule D (Form 990) 2015

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

2015

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	1,646,127
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		120,000















3a	Sub-total .....	0	0			1,766,127
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			1,766,127

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

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)	(a)(c) Region	(b)(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)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 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) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

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) 2015

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" on 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

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

OMB No. 1545-0047

2015

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" on 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?

YesNo

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
	FAIRCOM NEW YORK INC 12 WEST 27TH STREET 13TH FL NEW YORK, NY10001	DIRECT MAIL STRATEGIC CONSULTING		No	0	263,152	0
	THE STELTER COMPANY 10435 NEW YORK AVE DES MOINES, IA50322	DIRECT MAIL STRATEGIC CONSULTING		No	0	3,000	0
	THOMPSON HABIB DENISON 80 HAYDEN AVENUE SUITE 300 LEXINGTON, MA02421	ONLINE FUNDRAISING CONSULTING		No	0	47,750	0







Total . . . . . . . . . . . . . . . . . . . .						313,902

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 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 FLOATING HOSPITAL GOLF CLASSIC (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	935,025	224,450	382,680	1,542,155
2	Less: Contributions . . . .	718,525	98,650	339,808	1,156,983
3	Gross income (line 1 minus line 2) . . . . . .	216,500	125,800	42,872	385,172

4	Cash prizes . . . . .		800		800
5	Noncash prizes . . . .		20,365		20,365
6	Rent/facility costs . . . .	5,000	5,000	3,593	13,593
7	Food and beverages . . .	119,177	42,914	6,991	169,082
8	Entertainment . . . .	350		2,097	2,447
9	Other direct expenses . . .	250,086	3,341	171,599	425,026
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				631,313
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-246,141

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	250,086	3,341	171,599	425,026

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 conducts gaming activities:

Is the organization licensed to conduct 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) 2015

Page 3

Does the organization conduct 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 conducted 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) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

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 criteria used 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) . . .			11,440,079	-2,365,162	13,805,241	1.750 %
b	Medicaid (from Worksheet 3, column a) . . . . .			166,263,343	132,616,489	33,646,854	4.270 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			177,703,422	130,251,327	47,452,095	6.020 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).		43,887	462,824		462,824	0.060 %
f	Health professions education (from Worksheet 5) . . .	37	584,742	27,982,894	9,750,977	18,231,917	2.310 %
g	Subsidized health services (from Worksheet 6) . . . .			73,791,426	71,444,647	2,346,779	0.300 %
h	Research (from Worksheet 7) .			64,322,735	42,960,813	21,361,922	2.710 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		97,997	6,080,574		6,080,574	0.770 %
j	Total. Other Benefits . .	37	726,626	172,640,453	124,156,437	48,484,016	6.150 %
k	Total. Add lines 7d and 7j .	37	726,626	350,343,875	254,407,764	95,936,111	12.170 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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		240,257	240,257	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	75	176,539	176,539	0.020 %
9	Other
10	Total	75	416,796	416,796	0.050 %

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. ......

3,978,619

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).....

156,936,746

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

177,419,602

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

-20,482,856

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) 2015

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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON,MA02111	X	X	X	X	X	X

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.TUFTSMEDICALCENTER.ORG/COMMHEALTH

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 125.000000000000% and FPG family income limit for eligibility for discounted care of 375.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: IN CONDUCTING ITS TRI-ANNUAL CHNA, TUFTS MEDICAL CENTER SOLICITED AND INCORPORATED INPUT FROM COMMUNITY LEADERS, COMMUNITY SERVICE PROVIDERS AND LONG-TIME RESIDENTS SOME OF WHOM PROVIDE HEALTH CARE SERVICES OR ARE INVOLVED IN ADDRESSING CRITICAL HEALTH ISSUES SUCH AS SUBSTANCE USE AND/OR RECOVERY. KEY COMMUNITY STAKEHOLDERS' INSIGHTS ON THE CRITICAL HEALTH ISSUES FOR COMMUNITY MEMBERS WERE INCORPORATED INTO THE CHNA WHICH WAS THEN REVIEWED BY THE MEDICAL CENTER'S LEADERSHIP AND COMMUNITY ADVISORS WHO APPROVED PRIORITIES FOR NEIGHBORHOOD FOCUSED GRANT-FUNDED INITIATIVES AND GUIDED DEPARTMENTAL EFFORTS TO ADDRESS IDENTIFIED HEALTH DISPARITIES AND INEQUITIES WITHIN THE HOSPITAL'S CATCHMENT AREA.
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 7D: THE MEDICAL CENTER'S CHNA WAS MADE AVAILABLE TO ANYONE WHO REQUESTED A COPY. IT WAS ALSO POSTED ON THE MEDICAL CENTER'S WEBSITE.
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: TUFTS MEDICAL CENTER HAS TWO GRANT-FUNDED INITIATIVES EACH OF WHICH FOCUSES ON A SPECIFIC NEIGHBORHOOD OF BOSTON. SERVICES TO ADDRESS HEALTH PRIORITIES IDENTIFIED IN CHNA WERE SOLICITED THROUGH AN OPEN AND COMPETITIVE APPLICATION PROCESS FOR EACH OF THE INITIATIVES AND THEIR 3 YEAR FUNDING CYCLES. THE ASIAN HEALTH INITIATIVE SELECTED SIX NON-PROFITS TO FOCUS ON CIGARETTE SMOKING AND ITS CONSEQUENCES BECAUSE THE LEADING CAUSE OF MORTALITY FOR THE BOSTON CHINATOWN AND ASIAN COMMUNITY IS LUNG CANCER. THE DORCHESTER HEALTH INITIATIVE SOUGHT SERVICES FOR TWO PRIORITIES: SUBSTANCE USE DISORDER AND YOUTH VIOLENCE PREVENTION. SIX APPLICANTS WERE AWARDED FUNDING, THREE OF WHICH WILL BE ADDRESSING SUBSTANCE USE AND THREE WILL BE FOCUSED ON YOUTH VIOLENCE PREVENTION.FUNDING FOR THE MATERNAL AND INFANT HEALTH INITIATIVE TO REDUCE PRE-MATURE BIRTHS, LOW BIRTH WEIGHTS AND INFANT MORTALITY WAS EXTENDED FOR A NUMBER OF GRANTEES BEYOND THE ORIGINAL 3 YEAR FUNDING CYCLE AS RECENT PUBLIC HEALTH DATA HAS REFLECTED IMPROVEMENTS IN OUTCOMES.PARTNERSHIPS WITH TWO NEIGHBORHOODS ALLOWED THE MEDICAL CENTER TO FUND SERVICES THROUGH TWO COMMUNITY HEALTH CENTERS WHICH ALLOCATED RESOURCES TO ADDRESS THE CRITICAL HEALTH ISSUES FOR THEIR PATIENTS AND COMMUNITY. ONE HEALTH CENTER FOCUSED ON PROVIDING SERVICES TO ADDRESS THE HIGH INCIDENCES OF PEDIATRIC ASTHMA, YOUTH VIOLENCE, SUBSTANCE USE AND HEPATITIS C. THE SECOND HEALTH CENTER FOCUSED ON STRENGTHENING ITS CARE COORDINATION EFFORTS TO ENSURE THAT PATIENTS FROM THE LOCAL COMMUNITY WHO WERE LINGUISTIC MINORITIES AND/OR UNDER-INSURED WOULD RECEIVE CARE THAT WAS WELL COORDINATED, HOLISTIC IN ITS APPROACH AND ADDRESSED THE CHRONIC DISEASES/HEALTH PRIORITIES IDENTIFIED IN THE CHNA. HEALTH ISSUES NOT DIRECTLY ADDRESSED BY GRANT FUNDING OR MEDICAL DEPARTMENTS BECAUSE OF LIMITED FINANCIAL RESOURCES AND/OR ORGANIZATIONAL CAPACITY WERE ADDRESSED THROUGH THE BOSTON ALLIANCE FOR COMMUNITY HEALTH, CONFERENCE OF BOSTON TEACHING HOSPITALS, BOSTON PUBLIC HEALTH COMMISSION AND COMMUNITY COALITIONS.
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 22D: A NEW POLICY WAS IMPLEMENTED ON 10/1/16 (START OF FY17) THAT FOLLOWS THE IRS 501R GUIDELINES.PRIOR TO IMPLEMENTATION OF THE NEW POLICY THE HOSPITAL FOLLOWED THE FOLLOWING PRACTICES: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 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.
TUFTS MEDICAL CENTER, INC.	PART V, SECTION B, LINE 24: THE HOSPITAL CHARGES ALL PATIENTS AND INSURANCE PAYORS AT GROSS CHARGES. DURING 2016 THE HOSPITAL ALSO CHARGED FAP-ELIGIBLE INDIVIDUALS AT GROSS CHARGES. HOWEVER, ONCE FAP-ELIGIBILITY WAS DETERMINED, THE HOSPITAL PROVIDED FREE CARE (BOTH FULL AND PARTIAL) TO THESE INDIVIDUALS. AS NOTED IN OUR 22D RESPONSE ABOVE, THE HOSPITAL IMPLEMENTED THE APPLICABLE SEC. 501R CHANGE EFFECTIVE FOR 10/1/2016.

Schedule H (Form 990) 2015

Page 8

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	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) 2015

Page 9

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
PART I, LINE 7:	COSTS ARE ALLOCATED TO PATIENT ENCOUNTERS BASED ON COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL INPATIENT AND OUTPATIENT ACTIVITY FOR ALL AREAS OF THE HOSPITAL INCLUDING ALL PAYER SOURCES. THE COSTS UTILIZED ARE BASED ON ACTUAL COSTS FROM THIS SYSTEM, ALLOCATED TO INDIVIDUAL PATIENT ENCOUNTERS.
SCHEDULE H, PART VI, LINE 1, REQUIRED DESCRIPTIONS:	MEDICAL CENTER HISTORYTUFTS MEDICAL CENTER'S PROUD AND DISTINGUISHED TRADITION BEGAN IN 1796, WHEN A GROUP OF PUBLIC-SPIRITED BOSTONIANS, INCLUDING SAMUEL ADAMS AND PAUL REVERE, ESTABLISHED THE BOSTON DISPENSARY AS THE FIRST PERMANENT MEDICAL FACILITY IN NEW ENGLAND, AND ONE OF THE FIRST IN THE NATION. FLOATING HOSPITAL FOR CHILDREN WAS FOUNDED IN 1894 AS A HOSPITAL SHIP, SAILING IN BOSTON HARBOR UNTIL IT MOVED TO LAND PERMANENTLY IN 1931. IN 1965 THE BOSTON DISPENSARY, FLOATING HOSPITAL FOR CHILDREN AND THE PRATT CLINIC/NEW ENGLAND CENTER HOSPITAL MERGED TO FORM THE NEW ENGLAND MEDICAL CENTER HOSPITALS. IN 1971 THE INSTITUTION CHANGED ITS NAME TO TUFTS - NEW ENGLAND MEDICAL CENTER. TUFTS MEDICAL CENTER BECAME THE OFFICIAL NAME OF THE MEDICAL CENTER IN 2008, HIGHLIGHTING ITS ROLE AS THE PRINCIPAL TEACHING HOSPITAL FOR THE TUFTS UNIVERSITY SCHOOL OF MEDICINE.TUFTS MEDICAL CENTER TODAYTODAY, TUFTS MEDICAL CENTER IS A RENOWNED 415-BED ACADEMIC MEDICAL CENTER WITH AN ADULT HOSPITAL AND A CHILDREN'S HOSPITAL IN DOWNTOWN BOSTON. WE ARE ENGAGED IN ADVANCED PATIENT CARE, TEACHING TOMORROW'S PHYSICIANS, AND CONDUCTING GROUNDBREAKING BASIC, CLINICAL, AND PUBLIC POLICY RESEARCH. WE ARE THE PRINCIPAL ADULT AND PEDIATRIC TEACHING HOSPITAL FOR TUFTS UNIVERSITY SCHOOL OF MEDICINE AND CONDUCT $50 MILLION IN RESEARCH EACH YEAR. TUFTS MEDICAL CENTER AND FLOATING HOSPITAL FOR CHILDREN CARRY OUT A TRIPARTITE MISSION EVERY DAY, PURSUING EXCELLENCE IN CARE FOR ADULT AND PEDIATRIC PATIENTS, TEACHING THE NEXT GENERATIONS OF CARE GIVERS AND PURSUING GROUND BREAKING RESEARCH. COMPASSIONATE, PATIENT-CENTERED CARE IS ONE OF THE MEDICAL CENTER'S HALLMARKS. THE MEDICAL CENTER OFFERS A FULL RANGE OF SERVICES FROM PRIMARY CARE TO SOME OF THE MOST COMPLEX TREATMENTS. A MULTIDISCIPLINARY APPROACH ENSURES BOTH COMPLETE AND THOROUGH CONSIDERATION OF TREATMENT OPTIONS FOR OUR PATIENTS. TUFTS MEDICAL CENTER IS AN AMERICAN COLLEGE OF SURGEONS CERTIFIED LEVEL 1 ADULT AND LEVEL 1 PEDIATRIC TRAUMA CENTER. OUR CARDIOVASCULAR CENTER PERFORMS THE MOST HEART TRANSPLANTS IN NEW ENGLAND AND IS AMONG THE TOP 10 IN THE COUNTRY FOR NUMBER OF TRANSPLANTS AND THE QUALITY OUTCOMES. TUFTS MC PARTNERS WITH A BROAD NETWORK OF HIGH-QUALITY, VALUE COMMUNITY HOSPITAL PROVIDERS IN EASTERN MASSACHUSETTS. OUR STRATEGY HAS RESULTED IN TUFTS MC REGULARLY TREATING THE HIGHEST PERCENTAGE OF THE SICKEST PATIENTS OF ANY HOSPITAL IN BOSTON. IN ADDITION, OUR PARTNERING INSTITUTIONS ARE ABLE TO TREAT MORE PATIENTS IN THEIR OWN HOSPITALS. THIS STRATEGY IS BOTH COST-EFFECTIVE FOR MASSACHUSETTS AND CONVENIENT FOR PATIENTS.TUFTS MC IS RECOGNIZED AS THE REGION'S VALUE PROVIDER-ACHIEVING OUTSTANDING QUALITY, SAFETY, AND PATIENT EXPERIENCE RATINGS WHILE MAINTAINING A LOWER COST. OUR HIGH-QUALITY, LOWER-COST PROFILE IS AN ADVANTAGEOUS POSITION IN A HEALTH REFORM ENVIRONMENT THAT IS DEMANDING GREATER VALUE FROM THE HEALTHCARE DOLLAR.WE ARE HAVE RECEIVED NUMEROUS QUALITY HONORS INCLUDING BEING A BLUE CROSS BLUE SHIELD DISTINCTION CENTER + TOTAL VALUE DESIGNATION IN CARDIAC CARE, HIP AND KNEE REPLACEMENT, BARIATRIC SURGERY AND SPINE SURGERY; THE AMERICAN STROKE ASSOCIATION GOLD PLUS AND TARGET STROKE AWARDS AND THE AMERICAN HEART ASSOCIATION SCORE AWARD. IN 2015, WE RECEIVED THE UNIVERSITY HEALTH SYSTEM CONSORTIUM'S 5-STAR QUALITY AWARD. PATIENTS REGULARLY RATE US AS 4-STARS ON CMS'S HOSPITAL COMPARE. MISSION STATEMENT"WE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. WE DEDICATE OURSELVES TO FURTHERING OUR RICH TRADITION OF HEALTH CARE INNOVATION, LEADERSHIP, CHARITY AND THE HIGHEST STANDARD OF CARE AND SERVICE TO ALL IN OUR COMMUNITY."PATIENT CARE, TEACHING AND TRAININGNEW ENGLAND QUALITY CARE ALLIANCEFOR MORE THAN 10 YEARS, TUFTS MEDICAL CENTER HAS BEEN THE PREFERRED ACADEMIC MEDICAL CENTER FOR NEW ENGLAND QUALITY CARE ALLIANCE (NEQCA), THE NEARLY 1,800-PHYSICIAN NETWORK, WHICH STRETCHES FROM THE MERRIMACK VALLEY TO THE CAPE. NEQCA IS A LEADER IN HELPING PHYSICIAN PRACTICES OF ALL SIZES MANAGE CHANGE, BUILD POPULATION HEALTH CAPABILITIES, CONTROL COSTS AND IMPROVE THE QUALITY OF PATIENT CARE. TUFTS MC AND OUR NEQCA PHYSICIAN NETWORK CONSISTENTLY DELIVER THE HIGHEST QUALITY OF CARE AT A LOWER COST, PUTTING US IN THE BEST POSITION FOR PATIENTS AND EMPLOYERS.WELLFORCEFORMED IN 2014, WELLFORCE IS AN ORGANIZATION COMPRISED OF TUFTS MC, FLOATING HOSPITAL, HALLMARK HEALTH, CIRCLE HEALTH, NEQCA, LOWELL GENERAL PHO AND HALLMARK PHO. WELLFORCE WAS CREATED TO PROVIDE MASSACHUSETTS HOSPITALS AND PHYSICIANS WITH A NEW OPTION FOR COLLABORATION. WELLFORCE BRINGS TOGETHER THE STRENGTHS OF ACADEMIC MEDICINE AND COMMUNITY CARE IN A MODEL THAT RESPECTS BOTH EQUALLY. FLOATING HOSPITAL ALSO LEADS A FIVE-HOSPITAL DISTRIBUTED PEDIATRIC NETWORK, REACHING ACROSS EASTERN MASSACHUSETTS WITH HOSPITALISTS, NEONATOLOGISTS AND SPECIALISTS SEEING PATIENTS IN BROCKTON, LOWELL, LAWRENCE, CAPE COD AND METROWEST.EDUCATING THE NEXT GENERATION OF PHYSICIANSUNDERGRADUATE AND GRADUATE MEDICAL EDUCATIONS ARE KEY TO THE ACADEMIC MISSION OF TUFTS MEDICAL CENTER. WE ARE THE PRINCIPAL TEACHING HOSPITAL FOR TUFTS UNIVERSITY SCHOOL OF MEDICINE (TUSM), AND EACH YEAR WE TRAIN APPROXIMATELY 450 RESIDENTS AND FELLOWS IN 43 GRADUATE MEDICAL TRAINING PROGRAMS APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. ALL FULL-TIME PHYSICIANS AT TUFTS MC AND FLOATING HOSPITAL FOR CHILDREN HOLD FACULTY APPOINTMENTS AT TUSM, AND 17 OF TUSM'S 19 DEPARTMENT CHAIRS RESIDE AT TUFTS MEDICAL CENTER. OUR PARTNERSHIP WITH TUSM, OUR HIGHLY COMPLEX PATIENT POPULATION, AND OUR CONNECTION WITH COMMUNITY AFFILIATES PROVIDE A DIVERSE, HANDS-ON EXPERIENCE FOR ASPIRING DOCTORS AND FOR PHYSICIANS SEEKING ADVANCED SPECIALIZATION.RESEARCHTUFTS MEDICAL CENTER AND FLOATING HOSPITAL FOR CHILDREN HAVE BEEN ENGAGED IN RESEARCH TO IMPROVE THE LIVES OF PATIENTS, ALMOST SINCE OUR INCEPTION. OUR $50 MILLION ANNUAL RESEARCH PORTFOLIO RANGES FROM THE MOLECULAR BASIS OF CANCER AND HEART DISEASE TO THE EFFICACY OF TAI CHI IN TREATING THE SYMPTOMS OF OSTEOARTHRITIS. TUFTS MEDICAL CENTER IS AMONG THE TOP 10% OF ALL INSTITUTIONS RECEIVING NATIONAL INSTITUTES OF HEALTH (NIH) FUNDING.
PART II, COMMUNITY BUILDING ACTIVITIES:	PART II, LINE 2: ECONOMIC DEVELOPMENTTUFTS MEDICAL CENTER IS LOCATED IN THE CENTER OF THE CHINATOWN NEIGHBORHOOD, ONE OF BOSTON'S MOST DENSELY POPULATED NEIGHBORHOODS WITH MUCH OF ITS HOUSING STOCK AND COMMERCIAL BUILDINGS DATING BACK TO THE 18TH CENTURY, A TIME BEFORE AUTOMOBILES AND THE NEED FOR PARKING. TUFTS MEDICAL CENTER PROVIDES PARKING FOR COMMUNITY SERVICE ORGANIZATIONS' VEHICLES AND PARKING FOR WEEKEND VISITORS WHO COME TO VISIT FAMILY MEMBERS, OR SOCIAL/CULTURAL OR WORSHIP SERVICES, AND THEN PATRONIZE THE MANY SMALL INDEPENDENTLY OWNED BUSINESSES LOCATED IN CHINATOWN. PART II, LINE 8: WORKFORCE DEVELOPMENT AND TRAININGTUFTS MEDICAL CENTER IS ONE OF THE LARGEST EMPLOYERS IN THE CITY OF BOSTON AND EMPLOYS OVER 5,000 PEOPLE. TUFTS MEDICAL CENTER EMPLOYS A DIVERSE WORKFORCE TO FILL POSITIONS RANGING FROM ADMINISTRATIVE, TECHNICAL, AND HOSPITALITY RELATED, SUCH AS PATIENT TRANSPORT, FOOD SERVICES, AND ENVIRONMENTAL SERVICES TO RESEARCH AND DIRECT PATIENT CARE ROLES. APPROXIMATELY 32% OF THE MEDICAL CENTER'S WORKFORCE IS DERIVED FROM RESIDENTS OF THE CITY OF BOSTON.THE MEDICAL CENTER HAS CONSISTENTLY PUT AN EMPHASIS ON RECRUITING FROM THE CHINATOWN COMMUNITY. THE EDUCATIONAL AND LINGUISTIC REQUIREMENTS OF POSITIONS AT THE MEDICAL CENTER HAVE OFTEN MADE IT DIFFICULT TO RECRUIT LARGE NUMBERS OF LOCAL RESIDENTS INTO POSITIONS IN THE MEDICAL FIELD. THE MEDICAL CENTER HAS SOUGHT TO ADDRESS THESE ISSUES BY WORKING WITH LOCAL COMMUNITY ORGANIZATIONS TO PROVIDE LANGUAGE SKILLS AND BASIC EDUCATION CLASSES FOR COMMUNITY MEMBERS AND CURRENT EMPLOYEES. TUFTS MEDICAL CENTER CONDUCTS AND PARTICIPATES IN MANY WORKFORCE DEVELOPMENT AND TRAINING INITIATIVES TO ADDRESS SOME OF THE EDUCATIONAL, SKILL AND LINGUISTIC ISSUES. TO PROVIDE CAREER TRAINING AND PROMOTION OPPORTUNITIES SOME OF THE PROGRAMS TUFTS MEDICAL CENTER HAS EMBARKED UPON ARE:THE CAREER EXPLORATION EVENTAN ANNUAL EVENT WHERE EMPLOYEES HAVE THE OPPORTUNITY TO MEET WITH DEPARTMENT REPRESENTATIVES WHO SHARE THEIR EXPERIENCES. EDUCATIONAL PARTNERS, TERI COLLEGE ACCESS AND THE TUFTS MEDICAL CENTER BENEFITS DEPARTMENT PROVIDE INFORMATION ABOUT OUR ONSITE WORKPLACE EDUCATION PROGRAM FOR ESOL, THE COLLEGE ENTRANCE PROCESS, CERTIFICATE AND ASSOCIATE DEGREE PROGRAMS AND EDUCATIONAL FINANCING OPTIONS.TUFTS MEDICAL CENTER EXTERNSHIP PROGRAMA CAREER TRAINING PROGRAM ESTABLISHED TO ASSIST INNER-CITY ADULT STUDENTS TO PREPARE FOR THE WORKFORCE BY PROVIDING CERTIFICATE PROGRAMS THAT TYPICALLY TEACH MEDICAL ASSISTANT, MEDICAL ADMINISTRATIVE ASSISTANT, ADMINISTRATIVE ASSISTANT, CODING AND BILLING SKILLS TO MEMBERS OF THE FOLLOWING COMMUNITY ORGANIZATIONS:- ASIAN AMERICAN CIVIC ASSOCIATION- BOSTON CAREER INSTITUTE- BUNKER HILL COMMUNITY COLLEGE- EVEREST INSTITUTE- GIBBS COLLEGE- HEALTH TRAINING CENTER- HORIZON LEARNING CENTER- JEWISH VOCATIONAL SERVICES- TARE TRAINING CENTER- MEDICAL PROFESSIONAL INSTITUTE- SALTER SCHOOL- YMCA TRAINING, INC.THE STUDENTS FROM THESE PROGRAMS COME TO TUFTS MEDICAL CENTER TO COMPLETE A REQUIRED INTERNSHIP IN PREPARATION FOR THEIR CERTIFICATION, TYPICALLY 160 HOURS, DURING WHICH TIME THEY WORK IN A SUPERVISED ENVIRONMENT, UTILIZING THE SKILLS FROM THEIR RESPECTIVE PROGRAMS WITH A GOAL OF FUTURE EMPLOYMENT. THESE INTERNSHIPS WILL TYPICALLY LEAD TO JOB OPPORTUNITIES FOR ADMINISTRATIVE ASSISTANT, PATIENT SERVICES COORDINATOR, UNIT COORDINATOR, AND PHLEBOTOMIST POSITIONS. IN FISCAL YEAR 2016, APPROXIMATELY 53 STUDENTS COMPLETED THE PROGRAM. HIRING OPPORTUNITIES ARE POSSIBLE FOLLOWING THE EXTERNSHIPS.ADDITIONALLY, TUFTS MEDICAL CENTER PARTICIPATED IN THE BOSTON PRIVATE INDUSTRY COUNCIL'S SUMMER INTERNSHIP PROGRAM FOR BOSTON HIGH SCHOOL STUDENTS. EACH YEAR, 40-50 STUDENTS ARE HIRED TO WORK WITH VARIOUS HOSPITAL DEPARTMENTS TO INTRODUCE THEM TO CAREER OPPORTUNITIES IN THE HEALTH CARE FIELD, OR TO PROVIDE THEM WITH THE WORK EXPERIENCES TO CONFIRM THEIR CAREER INTERESTS. FOR MANY OF THE HIGH SCHOOL STUDENTS, THIS IS THEIR FIRST PAID WORK EXPERIENCE. STUDENTS WORK 6 WEEKS LEARNING AND PERFORMING ACTUAL TASKS TO SUPPORT THEIR RESPECTIVE DEPARTMENTS. THE INTERNSHIPS INCLUDE WEEKLY WORKSHOPS TO ENHANCE JOB KNOWLEDGE AND JOB RETENTION SKILLS, INTRODUCE PERSONAL FINANCE SKILLS AND SUPPORT THE DEVELOPMENT OF NETWORKS BETWEEN STUDENTS FROM DIFFERENT HIGH SCHOOLS AND ADULT COLLEAGUES. SOME SUMMER INTERNS CONTINUE IN PART-TIME OR WEEKEND EMPLOYMENT DURING THE ACADEMIC YEAR. OTHER WORKFORCE DEVELOPMENT ACTIVITIESPARTICIPATION IN THE HIGHER EDUCATION/REGIONAL HOSPITAL WORKING GROUP SPONSORED BY THE DEPARTMENT OF EDUCATION AND THE BOSTON HEALTHCARE CAREERS CONSORTIUM SPONSORED BY THE BOSTON PRIVATE INDUSTRY COUNCIL. THESE GROUPS INCLUDE REPRESENTATIVES OF GOVERNMENT AGENCIES, ACADEMIC INSTITUTIONS, WORKFORCE DEVELOPMENT REPRESENTATIVES FROM LOCAL HOSPITALS AND COMMUNITY HEALTH CENTERS, AND OTHER WORKFORCE DEVELOPMENT ORGANIZATIONS. THESE GROUPS FOCUS ON ADDRESSING HIGHER EDUCATION, TRAINING AND EMPLOYER NEEDS.TUFTS MEDICAL CENTER IS COMMITTED TO A DIVERSE WORKFORCE AND TO PROVIDING EQUAL OPPORTUNITIES TO ALL MEMBERS OF THE COMMUNITY AND BEYOND. THROUGH ITS REGULAR RECRUITMENT CHANNELS THE MEDICAL CENTER REACHES OUT TO THE GENERAL EMPLOYMENT POPULATION, AS WELL AS TARGETED MINORITY POPULATIONS, INCLUDING THE LOCAL CHINATOWN COMMUNITY. THESE EFFORTS ARE MADE THROUGH EMPLOYMENT POSTING COMPANIES, SUCH AS MONSTER.COM AND LOCAL OUTLETS SUCH AS THE BILINGUAL SAMPAN NEWSPAPER.IN THE NEXT SEVERAL YEARS THE HEALTHCARE INDUSTRY WILL CONTINUE TO SEE SIGNIFICANT CHANGES TO THE INDUSTRY PROPELLING IT FORWARD WITH ADVANCES IN MEDICAL SCIENCE, TECHNOLOGY, PATIENT DEMOGRAPHICS AND ECONOMICS, AS WELL AS CHANGES TO MODELS OF CARE DELIVERY WHICH WILL CHALLENGE EVEN THE MOST PREPARED AND ORGANIZED WORKFORCE. THESE CHANGES WILL MEAN A TRUE DEDICATION TO EMPLOYEE RECRUITMENT, RETENTION AND TRAINING; IT WILL MEAN TRAINING IN MANY DIFFERENT SETTINGS, FROM EXPERIENTIAL LEARNING IN A TEAM ENVIRONMENT, WEB-BASED INSTRUCTION AND INCREASED SIMULATION-TRAINING. THE FUTURE DEVELOPMENT PROPOSED IN THIS IMPORTANT AREA WILL HELP ENSURE TUFTS MEDICAL CENTER HAS THE FACILITIES TO MEET THE DEMANDS OF AN EVER CHANGING INDUSTRY AND WORKFORCE.
PART III, LINE 2:	THE HOSPITAL RECORDS BAD DEBTS BASED ON CHARGES. THE BAD DEBT COSTS PROVIDED HEREIN ARE BASED ON THESE CHARGES MULTIPLIED BY THE HOSPITAL'S COST-TO-CHARGE RATIO OF 46.35%.
PART III, LINE 4:	THE ORGANIZATION'S PROVISION FOR BAD DEBT IS DESCRIBED ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS (ATTACHED). THE FOLLOWING IS EXCERPTED FROM THAT FOOTNOTE..."PROVISION FOR BAD DEBTS - ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND HISTORIC PAYMENT TRENDS AND RECORDS ESTIMATED CONTRACTUAL ALLOWANCES. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS."
PART III, LINE 8:	COSTS ARE ALLOCATED TO PATIENT ENCOUNTERS BASED ON COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL INPATIENT AND OUTPATIENT ACTIVITY FOR ALL AREAS OF THE HOSPITAL INCLUDING ALL PAYER SOURCES. THE COSTS UTILIZED ARE BASED ON ACTUAL COSTS FROM THIS SYSTEM, ALLOCATED TO INDIVIDUAL PATIENT ENCOUNTERS.
PART III, LINE 9B:	TUFTS MEDICAL CENTER'S FINANCIAL COORDINATION OFFICE IDENTIFIES AND ASSISTS THOSE PATIENTS THAT HAVE NO INSURANCE OR WHO ARE UNDERINSURED. WE WILL PROCESS ON-LINE APPLICATIONS FOR STATE PROGRAMS IN ACCORDANCE WITH THE ESTABLISHED MASS HEALTH GUIDELINES. THE GUIDELINES ARE BASED ON 200% OF THE FEDERAL POVERTY GUIDELINES.FINANCIAL ASSISTANCE IS ALSO EXTENDED TO OUT-OF-STATE/COUNTRY PATIENTS WITH NO INSURANCE IN ACCORDANCE WITH THE TUFTS MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. A NOTICE OF FINANCIAL ASSISTANCE IS LOCATED ON THE PATIENT BILL AND THE HOSPITAL WEB-SITE. IT IS ALSO POSTED IN VARIOUS STRATEGIC LOCATIONS THROUGHOUT THE HOSPITAL.THE FINANCIAL COORDINATION OFFICE IS OPEN MONDAY THRU FRIDAY FROM 8:00 A.M. TO 4:40 P.M. THE MAIN NUMBER FOR THE FINANCIAL COORDINATION OFFICE IS 617-636-6013.
PART VI, LINE 2:	TUFTS MEDICAL CENTER CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS TO IDENTIFY THE CRITICAL HEALTH ISSUES FOR THE FOUR BOSTON NEIGHBORHOODS WITH WHICH IT HAS HAD LONG AND SIGNIFICANT RELATIONSHIPS BECAUSE OF THEIR GEOGRAPHIC PROXIMITY TO THE HOSPITAL: CHINATOWN, DORCHESTER, SOUTH BOSTON AND SOUTH END. THE MOST RECENT CHNA AND IMPLEMENTATION PLAN WERE COMPLETED IN THE SPRING OF 2016 TO GUIDE BOTH HOSPITAL-BASED AND GRANT-FUNDED COMMUNITY BENEFITS PROGRAMS.THE TRI-ANNUAL CHNA INCLUDES THE REVIEW OF AVAILABLE PUBLIC HEALTH DATA FROM THE MASS COMMUNITY HEALTH INFORMATION PROFILE, BOSTON PUBLIC HEALTH COMMISSION'S (BPHC) ANNUAL REPORT ON THE "HEALTH OF BOSTON", AND THE BPHC'S PERIODIC NEIGHBORHOOD SPECIFIC HEALTH REPORTS, DEMOGRAPHIC DATA FROM THE CENSUS, AMERICAN COMMUNITY SURVEY AND NIELSEN-CARITAS , PATIENT GEOGRAPHIC DATA, NEIGHBORHOOD RESEARCH CONDUCTED BY THE TUFTS CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE AND INFORMATION FROM INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS.THE MOST RECENT CHNA BEGAN IN THE FALL OF 2015 AND COMPLETED IN THE SPRING OF 2016. THE CHNA WAS REVIEWED BY THE MEDICAL CENTER'S COMMUNITY BENEFITS LEADERSHIP TEAM AND IN CONJUNCTION WITH COMMUNITY ADVISORS, IDENTIFIED FUNDING PRIORITIES FOR TWO GRANT-FUNDED INITIATIVES: ASIAN AND DORCHESTER HEALTH INITIATIVES.OTHER ON-GOING SOURCES OF INFORMATION AND DATA INCLUDE COMMUNITY ADVISORS, COMMUNITY SERVICE PROVIDERS, AND BOSTON ALLIANCE FOR COMMUNITY HEALTH. BOSTON'S DIVERSE ASIAN AND MINORITY COMMUNITIES CONTINUE TO GROW AND ARE DISPERSED THROUGHOUT THE CITY'S MANY NEIGHBORHOODS AND COMMUNITIES. TO ENSURE THAT THE MEDICAL CENTER CONTINUES TO MEET THE SURROUNDING HEALTHCARE NEEDS OF THE GROWING POPULATIONS, HOSPITAL-BASED PROGRAMS SUCH AS INTERPRETER SERVICES, OB/GYN'S ASIAN ACCESS PROGRAM, ASIAN LUNG CLINIC, ASIAN CLINICAL SERVICES AND THE JOSIAH QUINCY SCHOOL PSYCHIATRY CONSULTATION PROGRAM WERE ESTABLISHED AND CONTINUE TO THRIVE TODAY.
PART VI, LINE 3:	PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE AND FINANCIAL COORDINATION RESOURCES OFFERED BY THE HOSPITAL THROUGH SEVERAL DIFFERENT MEDIUMS AND AT SEVERAL DIFFERENT POINTS IN THEIR EXPERIENCE WITH THE HOSPITAL. PATIENTS ARE PROVIDED AN OPPORTUNITY TO HAVE AN IN PERSON DISCUSSION WITH A FINANCIAL COORDINATOR ABOUT INSURANCE COVERAGE AND FINANCIAL HARDSHIP DURING THE INITIAL REGISTRATION PROCESS. IF A PATIENT EXPRESSES THE NEED FOR INSURANCE OR FINANCIAL ASSISTANCE A FINANCIAL COORDINATOR WILL WORK WITH THEM TO APPLY FOR ANY AVAILABLE AND APPROPRIATE SERVICES. SHOULD A PATIENT QUALIFY FOR MEDICARE OR MEDICAID ASSISTANCE OF ANY FORM, E.G. COMMONWEALTH CARE, THE COUNSELOR OR FINANCIAL COORDINATOR WILL ALSO ASSIST THE PATIENT IN APPLYING FOR ANY OTHER SOCIAL SERVICES THEY MAY FIND HELPFUL, SUCH AS FOOD AND NUTRITION SERVICES. PATIENTS ARE NOTIFIED OF THEIR RIGHTS AND AVAILABLE FINANCIAL RESOURCES THROUGH A VARIETY OF OTHER MEASURES AS WELL, INCLUDING INFORMATION ON SEVERAL DIFFERENT PAGES AND LANDING POINTS ON THE TUFTS MEDICAL CENTER AND FLOATING HOSPITAL FOR CHILDREN WEBSITE, IN WRITTEN INFORMATION PROVIDED AT DISCHARGE, ON ANY BILLING STATEMENTS THEY RECEIVE AND IN POSTINGS THROUGHOUT THE HOSPITAL IN ALL WAITING AREAS AND CLINICS.
PART VI, LINE 4:	TUFTS MEDICAL CENTER'S LOCATION IN THE HEART OF BOSTON'S CHINATOWN DISTRICT PLAYS AN INTEGRAL ROLE IN SHAPING AND DRIVING THE MISSION OF THE MEDICAL CENTER. OUR POSITION AS A PART OF THE FABRIC OF THE CHINATOWN COMMUNITY HAS INFORMED SOME OF THE CLINICAL DIRECTION OF THE INSTITUTION AND INSPIRED THE MEDICAL CENTER TO PURSUE RESPONSES TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY. THIS CAN BE EXPERIENCED IN THE ASIAN PEDIATRIC AND ADOLESCENT CLINIC, WHICH WAS DEVELOPED IN DIRECT RESPONSE TO A COMMUNITY NEED FOR AN ACCESSIBLE, MULTI- CULTURAL AND MULTI-LINGUAL PRIMARY CARE PRACTICE FOR THE CHILDREN AND FAMILIES OF THE ASIAN AMERICAN COMMUNITY. CHINATOWN IS NOT ONLY HOME TO MANY CHINESE AMERICANS, IT IS CONSIDERED A GATEWAY FOR MANY NEW CHINESE IMMIGRANTS ARRIVING IN THE UNITED STATES. RECOGNIZING THE NEEDS OF THE CHINATOWN COMMUNITY AND THE NEEDS OF MANY NEW IMMIGRANTS TO THIS COUNTRY, TUFTS MEDICAL CENTER ESTABLISHED THE ASIAN ACCESS PROGRAM. THE ASIAN ACCESS PROGRAM SERVES THOUSANDS OF CLIENTS EACH YEAR BY PROVIDING THEM WITH ASSISTANCE TO ACCESS AND NAVIGATE THE MEDICAL CENTER, AS WELL AS THE MANY OTHER SOCIAL SERVICES OFFERED BY THE COMMONWEALTH OF MASSACHUSETTS AND THE FEDERAL GOVERNMENT. THE IMPORTANCE OF THIS PROGRAM TO THE ASIAN COMMUNITY AND HIGH DEMAND FOR SERVICES PROMPTED THE HOSPITAL TO EXPAND THE PROGRAM IN 2011 AND PROVIDE GREATER ACCESSIBILITY TO THE CLINIC SERVICES WITH A NEW STREET SIDE LOCATION ON KNEELAND STREET.TUFTS MEDICAL CENTER PAYS CLOSE ATTENTION TO THE PUBLIC HEALTH NEEDS SPECIFIC TO THE ASIAN AMERICAN COMMUNITY. INFORMATION ABOUT THE STATUS OF THE HEALTH OF THE COMMUNITY IS GATHERED THROUGH FORMAL AND INFORMAL CHANNELS. UTILIZING REPORTS OF THE BOSTON PUBLIC HEALTH COMMISSION WHICH CONSISTENTLY DOCUMENT THE HEALTH STATUS OF THE POPULATION, IN CONJUNCTION WITH INPUT FROM COMMUNITY ADVISORY GROUPS, THE MEDICAL CENTER SEEKS TO EVALUATE AND UNDERSTAND THE HEALTH NEEDS AND CONCERNS OF THE COMMUNITY. THE MEDICAL CENTER HAS USED THIS METHOD TO DEVELOP PROGRAMS AND SERVICES ADDRESSING CHRONIC DISEASES SUCH AS MENTAL HEALTH, ASTHMA, SMOKING CESSATION, DIABETES, AND OBESITY. THE ASIAN PSYCHIATRY PROGRAM HAS BEEN ESTABLISHED FOR MANY YEARS AT THE MEDICAL CENTER TO RECOGNIZE AND ADDRESS THE SENSITIVE CULTURAL ISSUES AROUND MENTAL HEALTH TREATMENT IN THE ASIAN COMMUNITY. THE ASTHMA PREVENTION AND MANAGEMENT INITIATIVE HAS PROVIDED CULTURALLY TARGETED OUTREACH AND EDUCATION MATERIALS TO HELP REDUCE THE HIGH RATES OF CHILDHOOD ASTHMA WITHIN THE ASIAN COMMUNITY. TUFTS MEDICAL CENTER HAS ALSO DEVELOPED PROGRAMS FOCUSED ON THE TREATMENT AND PREVENTION OF SPECIFIC DISEASES PREVALENT WITHIN THE COMMUNITY, SUCH AS HEPATITIS C.SERVICE POPULATIONTUFTS MEDICAL CENTER SERVES AN INCREDIBLY DIVERSE POPULATION OF PATIENTS; APPROXIMATELY 70% OF THE POPULATION IS WHITE, 10% IS BLACK, 15% IS ASIAN AND 9% IS HISPANIC. ALONG WITH SERVING AN ETHNICALLY DIVERSE POPULATION, TUFTS MEDICAL CENTER PROVIDES CARE TO THE SECOND HIGHEST CONCENTRATION OF MEDICAID PATIENTS (25 PERCENT OF THE HOSPITAL'S PATIENT POPULATION) OF ALL ACADEMIC MEDICAL CENTERS IN THE CITY OF BOSTON. THE HOSPITAL ALSO SERVES A LARGE MEDICARE POPULATION, WHICH MAKES UP ALMOST 32 PERCENT OF THE PATIENT POPULATION. TUFTS MEDICAL CENTER PROVIDES ITS PATIENTS WITH A FULL SPECTRUM OF HEALTHCARE SERVICES; PROVIDING THE HIGHEST LEVEL OF TERTIARY AND QUATERNARY CARE TO PATIENTS FROM THE SMALLEST OF NEONATES TO THE MOST COMPLEX GERIATRIC PATIENTS WITH MULTIPLE DIAGNOSIS.PRIMARY SERVICE AREA COMMUNITIESLOCATED IN THE HEART OF CHINATOWN, TUFTS MEDICAL CENTER SERVES A DYNAMIC POPULATION FROM THE ENTIRE EASTERN COAST OF MASSACHUSETTS BUT FOUR BOSTON NEIGHBORHOODS REMAIN THE FOCUS OF COMMUNITY BENEFITS PROGRAMMING. THESE ARE CHINATOWN (AND THE DISPERSED BOSTON ASIAN COMMUNITY), SOUTH BOSTON, DORCHESTER AND THE SOUTH END.CHINATOWN AND THE ASIAN COMMUNITYBOSTON'S CHINATOWN IS THE SMALLEST OF THE CITY'S NEIGHBORHOODS, LOCATED IN DOWNTOWN BOSTON NEAR MAJOR TRANSPORTATION NODES FOR NORTH-SOUTH AND EAST-WEST AUTOMOTIVE TRAVEL (1-93 AND 1-90), TRAIN AND BUS TRAVEL (MBTAORANGE AND SILVER LINES), AND THE CITY'S DOWNTOWN RETAIL, FINANCIAL AND THEATER DISTRICTS. ITS 42 ACRES INCLUDE A ROBUST RESIDENTIAL, ECONOMIC AND SERVICE HUB FOR GREATER BOSTON'S CHINESE AND ASIAN COMMUNITY. MORE THAN 9,100 PEOPLE LIVE IN CHINATOWN ACCORDING TO THE 2000 U.S. CENSUS, MAKING IT ONE OF THE MOST DENSELY POPULATED NEIGHBORHOODS IN THE CITY OF BOSTON. IT IS A COMMUNITY WHERE MANY NEW IMMIGRANTS SETTLE AND WHERE APPROXIMATELY 35% OF THE RESIDENTS DESCRIBE THEMSELVES AS SPEAKING ENGLISH NOT WELL OR NOT AT ALL", APPROXIMATELY ONE-FIFTH OF THE POPULATION IS OVER THE AGE OF 65, AND ONE-FIFTH IS DISPROPORTIONATELY LOW-INCOME.HEALTH DATA FOR CHINATOWN IS OFTEN INTEGRATED WITH DATA FROM THE ADJOINING NEIGHBORHOODS MAKING IT DIFFICULT TO IDENTIFY HEALTH TRENDS, LET ALONE BRING TO THE SURFACE HEALTH DISPARITIES SPECIFIC TO ITS ASIAN RESIDENTS. THE BPHC HAS CONSISTENTLY PROVIDED CITYWIDE HEALTH DATA FOR ASIANS IN BOSTON TO PROVIDE A HOLISTIC VIEW OF THEIR NEEDS, THOUGH DATA MAY BE LIMITED BY NOT SURVEYING NON-ENGLISH SPEAKING RESIDENTS. THE MOST RECENT AVAILABLE REPORT FOR THE BOSTON ASIAN COMMUNITY FROM 2004 AND UPDATED HEALTH DATA FOR RESIDENTS OF BOSTON (2011 AND 2012) CONTINUES TO ILLUSTRATE THAT THE HEALTH ISSUES SUCH AS CANCER, HEART DISEASE AND STROKE CONTINUE TO BE OF PARTICULAR CONCERN.ALL OF THIS DATA, ALONG WITH INPUT FROM ADVISORY COMMITTEE MEMBERS, LED TO THE PRIORITY FOR THE MEDICAL CENTER'S ASIAN HEALTH INITIATIVE IN 2016 AND THE THREE-YEAR FUNDING CYCLE BEGINNING IN FISCAL YEAR 2017: PREVENTING CIGARETTE SMOKING AND ITS HEALTH CONSEQUENCESDORCHESTERNORTH AND SOUTH DORCHESTER ARE AMONG THE LARGEST NEIGHBORHOODS IN BOSTON AND REFLECT THE CITY'S ECONOMIC, LINGUISTIC AND CULTURAL DIVERSITY. TOGETHER THEY HAVE A POPULATION OF OVER 128,000 RESIDENTS, OR APPROXIMATELY 20% OF THE CITY'S POPULATION. CENSUS DATA INDICATES THAT 30% OF THE POPULATION IS UNDER THE AGE OF 17, AND 32% ARE BETWEEN THE AGES OF 25 AND 44.HEALTH DATA FROM THE BPHC IN 2011 INDICATED THAT DORCHESTER CONTINUED TO HAVE THE HIGHEST BIRTH AND INFANT MORTALITY RATES IN THE CITY, A HIGH INCIDENCE OF VIOLENCE RELATED INJURIES, THE SECOND HIGHEST HOMICIDE RATE AMONG BOSTON NEIGHBORHOODS, A HIGH ASTHMA HOSPITALIZATION RATE AMONG CHILDREN UNDER THE AGE OF 5; 50% OF THE ADULT POPULATION WERE CONSIDERED TO BE OBESE OR OVERWEIGHT. THE HEALTH ISSUES IDENTIFIED AS PRIORITIES FOR THE MEDICAL CENTER'S DORCHESTER HEALTH INITIATIVE IN 2013 AND ITS THREE-YEAR FUNDING CYCLE: PHYSICAL AND EMOTIONAL HEALTH AND YOUTH VIOLENCE PREVENTION.FOUR OF THE DORCHESTER HEALTH INITIATIVE GRANTEES HAVE REPORTED AN INCREASE IN MENTAL HEALTH ISSUES FOR YOUTH AND YOUNG ADULTS THAT THEY ATTRIBUTE TO THE CONTINUED VIOLENCE IN THE COMMUNITY: TRAUMA FROM EXPERIENCING AND/OR WITNESSING VIOLENT ACTS, THE LOSS OF FRIENDS AND FAMILY MEMBERS, AND STRESS FROM CONSTANT THREATS OF VIOLENCE.SOUTH BOSTONSOUTH BOSTON IS A COMMUNITY OF APPROXIMATELY 30,000 RESIDENTS AND IS A NEIGHBORHOOD IN TRANSITION. HISTORICALLY CONSIDERED A FAMILY, WORKING-CLASS COMMUNITY, WITH A SIGNIFICANT NUMBER OF PUBLIC HOUSING DEVELOPMENTS, A FLURRY OF NEW CONSTRUCTION AND CONVERSIONS OF MULTI-FAMILY HOUSING TO CONDOMINIUMS CONTINUE AND MANY LONG TIME RESIDENTS ARE PRICED OUT OF THE CURRENT HOUSING MARKET.HEALTH DATA FROM THE 2006 BPHC REPORT ON THE "HEALTH OF SOUTH BOSTON AND THE "HEALTH OF BOSTON 2007" IDENTIFIED HIGH RATES OF ALCOHOL AND DRUG ABUSE AND THE HIGHEST MORTALITY RATE ASSOCIATED WITH SUBSTANCE ABUSE. THE INCIDENCE OF LOW-BIRTH RATES WAS 8.5%. SOUTH BOSTON'S HEALTH EDUCATION AND PUBLIC HEALTH ISSUES ARE ADDRESSED THROUGH MULTIPLE PROGRAMS ESTABLISHED BY TUFTS MEDICAL CENTER INCLUDING SUBSTANCE ABUSE, SPECIFICALLY OPIOID DEPENDENCE TREATMENT AND MENTAL HEALTH PROGRAMS THAT ARE BASED IN THE COMMUNITY.CARE TO BOSTON RESIDENTS AND SURROUNDING COMMUNITIESTUFTS MEDICAL CENTER BELIEVES THAT CARING FOR OUR COMMUNITY HAPPENS BOTH WITHIN AND OUTSIDE THE WALLS OF OUR INSTITUTION. A GREAT DEAL OF DATA HAS SHOWN THAT MANY BARRIERS EXIST TO HINDER PATIENT ACCESS TO HIGH QUALITY HEALTHCARE. TO INCREASE ACCESS OF HOSPITAL SERVICES TO ALL OF OUR COMMUNITIES THE MEDICAL CENTER CONTINUES A LONG-STANDING COMMITMENT TO INCREASE CULTURAL COMPETENCY AMONG OUR MEDICAL PROVIDERS AND TO REMOVE LANGUAGE BARRIERS WHEREVER POSSIBLE. THE WORKING DEFINITION OF CULTURAL COMPETENCY THAT HELPS SHAPE AND DRIVE POLICIES AND CARE DELIVERY AT THE HOSPITAL IS AS FOLLOWS:THE ABILITY TO UNDERSTAND AND RESPECT THE DIFFERENCES AMONG PEOPLE, AND USE OUR UNDERSTANDING, TO INFLUENCE OUR INTERACTIONS WITH ONE ANOTHER. THIS INVOLVES DEVELOPING THE CAPABILITY TO DELIVER PATIENT-CENTEREDSERVICES CONSISTENT WITH THE NEEDS AND EXPECTATIONS OF VARIOUS CULTURES.
PART VI, LINE 6:	COMMUNITY HOSPITAL PARTNERSHIPSTUFTS MEDICAL CENTER HAS A RICH HISTORY OF PROVIDING MEDICAL CARE TO THE BOSTON COMMUNITY SINCE ITS FOUNDING. IN 2009 TUFTS MEDICAL CENTER LAUNCHED ITS DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WHICH PARTNERS WITH COMMUNITY HOSPITALS TO KEEP MORE CARE LOCALLY IN THE COMMUNITY. TUFTS MEDICAL CENTER IS PROUD TO PARTNER WITH EXCELLENT COMMUNITY HOSPITALS TO DELIVER THE HIGHEST QUALITY CARE IN THE MOST CONVENIENT MANNER FOR PATIENTS. WE STRONGLY BELIEVE THAT WHEN ACADEMIC MEDICAL CENTERS AND COMMUNITY HOSPITALS WORK SIDE-BY-SIDE, THE PATIENT AND THE HEALTH CARE SYSTEM BENEFIT. THROUGH OUR DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WE BRING TUFTS MEDICAL CENTER AND FLOATING HOSPITAL FOR CHILDREN PHYSICIANS TO THE COMMUNITY - SAVING PATIENTS THE DRIVE INTO DOWNTOWN BOSTON AND TAKING ADVANTAGE OF THE EXCELLENT HOSPITALS IN THE CITIES AND TOWNS SURROUNDING BOSTON. WE ALSO CONSULT CLOSELY WITH OUR TALENTED PHYSICIAN COLLEAGUES WHO ARE PROVIDING OUTSTANDING SERVICES IN THE COMMUNITY ALREADY. AND WHEN EXCEPTIONALLY COMPLEX CARE IS NEEDED, THESE PARTNERSHIPS MEAN THE TRANSFER TO BOSTON IS WELL COORDINATED BETWEEN PHYSICIANS AND COMFORTABLE FOR THE PATIENT AND FAMILY MEMBERS.THROUGH PARTNERSHIPS WITH OTHER AREA HOSPITALS AND MEDICAL CENTERS, DOCTORS FROM TUFTS MC AND FLOATING HOSPITAL STAFF VARIOUS COMMUNITY MEDICAL FACILITIES. THIS ALLOWS MORE PATIENTS TO RECEIVE TOP-QUALITY CARE IN A LOCATION CLOSE TO HOME. TUFTS MC SPECIALISTS SEE PATIENTS AND PERFORM SOME TREATMENTS AND PROCEDURES LOCALLY. WHEN HIGH-LEVEL ADVANCED CARE IS NEEDED, TUFTS MC DOCTORS WORK WITH THE COMMUNITY PHYSICIANS TO ENSURE A SMOOTH PATIENT TRANSITION TO TUFTS MEDICAL CENTER IN BOSTON.TUFTS MEDICAL CENTER AND FLOATING HOSPITAL MAKE EXCELLENT CLINICAL PARTNERS FOR TWO MAIN REASONS. FIRST, WE WORK WITH OUR PARTNER HOSPITALS TO KEEP MOST MEDICAL CARE LOCAL. THIS IS THE MOST CONVENIENT OPTION FOR PATIENTS AND THE MOST COST-EFFECTIVE OPTION FOR BOTH PATIENTS AND PROVIDERS. SECOND, TUFTS MEDICAL CENTER AND FLOATING HOSPITAL PROVIDE HIGH-QUALITY CARE AT REASONABLE COSTS-IN FACT, A REPORT BY THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE SAID THAT WE ARE THE MOST AFFORDABLE ADVANCED CARE OPTION IN BOSTON.PATIENTS MAY EXPERIENCE OUR AFFILIATION WITH COMMUNITY HOSPITALS IN ANY NUMBER OF WAYS, SUCH AS:- A PEDIATRIC HOSPITALIST CARING FOR A SICK CHILD ON THE PEDIATRIC UNIT OF A COMMUNITY HOSPITAL- A CARDIOLOGIST PERFORMING CARDIAC CATHETERIZATIONS IN THE COMMUNITY- OUR EXPERT WEIGHT AND WELLNESS CENTER TEAM PROVIDING SUPPORT AND SURGERIES IN THE COMMUNITY - OUR TRAUMA TEAM PREPARING FOR AN URGENT TRANSFER FROM A COMMUNITY HOSPITAL- OUR NEUROLOGY TEAM PROVIDING A CONSULT ON A STROKE PATIENT IN A COMMUNITY EMERGENCY DEPARTMENT- CARDIOLOGY EXPERTS FROM THROUGHOUT THE REGION MEETING TO DISCUSS BEST PRACTICE FOR TREATING HEART FAILURE PATIENTS- COORDINATED CARE PROTOCOLS BETWEEN INSTITUTIONS AND CARE SETTINGSADULT AFFILIATE HOSPITALSMETROWEST MEDICAL CENTER (FRAMINGHAM, MA)PEDIATRIC AFFILIATE HOSPITALSLAWRENCE GENERAL HOSPITAL (LAWRENCE, MA)LOWELL GENERAL HOSPITAL (LOWELL, MA)METROWEST MEDICAL CENTER (FRAMINGHAM, MA)SIGNATURE HEALTHCARE BROCKTON HOSPITAL (BROCKTON, MA)
PART VI, LINE 7, REPORTS FILED WITH STATES	MA
PART VI, LINE 5:	COMMUNITY BENEFITS MISSIONTUFTS MEDICAL CENTER'S COMMUNITY BENEFITS PLAN FOCUSES ON THREE BROAD AREAS:- IDENTIFYING OPPORTUNITIES FOR PUBLIC HEALTH RELATED COLLABORATIONS WITHIN THE COMMUNITIES WE SERVE.- INCREASING THE MEDICAL CENTER'S CAPACITY TO BE USER FRIENDLY TO ALL PATIENTS AND VISITORS.- CREATING PARTNERSHIPS WITH COMMUNITY HEALTH CENTERS IN A MANNER THAT BUILDS CAPACITY WITHIN COMMUNITY ORGANIZATIONS TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY.COMMUNITY BENEFITS PROGRAMSTHE MEDICAL CENTER'S OFFICE OF COMMUNITY HEALTH IMPROVEMENT PROGRAMS OVERSEES TWO DIRECT GRANT INITIATIVES TO SUPPORT COMMUNITY-BASED PROGRAMS THAT ADDRESS A WIDE RANGE OF HEALTH CONCERNS AND RACIAL AND ETHNIC DISPARITIES: ASIAN HEALTH INITIATIVE AND DORCHESTER HEALTH INITIATIVE. IT ALSO OVERSEES THE SUMMER INTERNSHIP PROGRAM FOR BOSTON HIGH SCHOOL STUDENTS AND THE ASTHMA PREVENTION AND MANAGEMENT INITIATIVE (APMI). THE SUMMER INTERNSHIPS OFFER SUMMER JOBS TO STUDENTS FROM THE JOSIAH QUINCY UPPER SCHOOL, BOSTON LATIN SCHOOL, CHARLESTOWN HIGH SCHOOL, SOUTH BOSTON HIGH SCHOOL AND OTHERS SCHOOLS, TO HELP STUDENTS BUILD SKILL SETS AND WORK EXPERIENCES, AND PROMOTE INTEREST IN CAREERS IN HEALTHCARE. THE ASTHMA PREVENTION AND MANAGEMENT INITIATIVE (APMI) WAS LAUNCHED TO REDUCE A HEALTH DISPARITY IN THE ASIAN COMMUNITY BY WORKING WITH ASTHMATIC YOUTH WHO ATTEND NEARBY SCHOOLS WITH A THREE PRONG APPROACH: AN ASTHMA CLINIC, COMMUNITY AND SCHOOL-BASED EDUCATION AND A HOME VISITING PROGRAM.COORDINATION OF SERVICESTUFTS MEDICAL CENTER'S ASIAN HEALTH INITIATIVEIN RESPONSE TO THE HEALTH NEEDS OF THE CHINATOWN COMMUNITY, TUFTS MEDICAL CENTER, IN CONSULTATION WITH CHINATOWN COMMUNITY ORGANIZATIONS, ESTABLISHED THE ASIAN HEALTH INITIATIVE (AHI) AND ITS ADVISORY COMMITTEE IN 1995. THE AHI IDENTIFIES PUBLIC HEALTH ISSUES OF PARTICULAR PREVALENCE OR CONCERN TO THE LOCAL ASIAN COMMUNITY AND SEEKS TO WORK COLLABORATIVELY WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO HELP ADDRESS THOSE HEALTH ISSUES IN A CULTURALLY AND LINGUISTICALLY APPROPRIATE SETTING.SINCE ITS INCEPTION, FUNDED PROGRAMS AND PROJECTS HAVE ADDRESSED HEALTH CONCERNS INCLUDING: TUBERCULOSIS, HYPERTENSION, HEPATITIS B, CHRONIC DISEASE PREVENTION, DOMESTIC AND YOUTH VIOLENCE, AND THE IMPORTANCE OF PRIMARY CARE AND UNDERSTANDING THE AMERICAN HEALTH CARE SYSTEM. THE AHI CONVENES WITH THE ADVISORY COMMITTEE AS WELL AS GRANT RECIPIENTS SEVERAL TIMES EACH YEAR TO RECEIVE PROGRAM UPDATES, DISCUSS PRESSING HEALTH CONCERNS WITHIN THE ASIAN COMMUNITY AND CONSIDER FUNDING PRIORITIES AND DISTRIBUTION. IT ALSO PROVIDES TECHNICAL ASSISTANCE TO INDIVIDUAL ORGANIZATIONS AS REQUESTED AND FEASIBLE. BECAUSE OF THE DIVERSITY OF THE PROGRAMS AND ORGANIZATIONS SUPPORTED, THE AHI HAS BEEN ABLE TO REACH A BROAD SEGMENT OF THE ASIAN COMMUNITY, FROM INFANTS TO SENIOR CITIZENS. IN 2013 THE PRIORITIES FOR ASIAN HEALTH INITIATIVE WERE SET AND GUIDED THE EMPHASES AND FUNDING FOR THE THREE-YEAR INITIATIVE TO FOCUS ON PHYSICAL AND EMOTIONAL WELLNESS AND CHRONIC DISEASE MANAGEMENT. SOME OF THE PROJECTS FUNDED THROUGH THE AHI ARE:ASIAN AMERICAN CIVIC ASSOCIATION: THE SAMPAN NEWSPAPER OFFERS AN EXPANDED BIWEEKLY, BILINGUAL HEALTH PAGE, TWO SPECIAL HEALTH EDITIONS AND AN ON-LINE INTERACTIVE DIALOGUE WITH READERS ABOUT HEALTH TOPICS AND CONCERNS.ASIAN SPECTRUM: THE BILINGUAL CHINESE CABLE ACCESS PROGRAM IS DEVELOPING EDUCATIONAL SEGMENTS ON DIABETES AND BREAST CANCER FOR BROADCAST TO THE BOSTON, MALDEN AND QUINCY COMMUNITIES. THE BROADCASTS WILL ALSO BE AVAILABLE ON ASIAN SPECTRUM'S WEBSITE AND DVDS FOR EACH SERIES WILL BE AVAILABLE TO THE GENERAL PUBLIC.BOSTON ASIAN YOUTH ESSENTIAL SERVICE: THE PROGRAM GOAL FOR "TEENS GOING HEALTHY" IS HELPING YOUTH AND TEENS ACQUIRE THE INFORMATION AND SKILLS TO IMPLEMENT HEALTHY LIFESTYLES THAT INCLUDE HEALTHY FOOD CHOICES AND REGULAR EXERCISE.GREATER BOSTON CHINESE GOLDEN AGE CENTER: THE BETTER MANAGEMENT OF CHRONIC DISEASES PROGRAM HAS BEEN DESIGNED TO HELP ASIAN SENIORS TO BETTER MANAGE THEIR CHRONIC DISEASES, AVOID THE CONSEQUENCES OF POOR MANAGEMENT, ENJOY BETTER HEALTH AND CONTINUED INDEPENDENCE.SOUTH COVE MANOR: BREAKFAST SEMINARS HAVE BEEN DESIGNED TO ADDRESS THE INTERESTS AND NEEDS OF PARTICIPANTS. HEALTH TOPICS WILL BE FACILITATED WITH THE GOAL OF MAKING REQUESTED INFORMATION AVAILABLE, HELPING SENIORS TO APPLY THE NEW KNOWLEDGE TO MAINTAIN THEIR HEALTH AND INDEPENDENCE.WANG YMCA OF CHINATOWN: THE SENIOR STRENGTH AND MOVEMENT PROGRAM IS DESIGNED TO OFFER AN EXERCISE PROGRAM TO INCREASE STRENGTH, FLEXIBILITY AND BALANCE TO RETARD MUSCLE AND BONE LOSS AND PREVENT FALL AND INJURIES.TUFTS MEDICAL CENTER'S DORCHESTER HEALTH INITIATIVETUFTS MEDICAL CENTER ESTABLISHED THE DORCHESTER HEALTH INITIATIVE (DHI) TO ADDRESS HEALTH ISSUES DISPROPORTIONATELY AFFECTING RESIDENTS OF THE VARIOUS DORCHESTER NEIGHBORHOODS. THROUGH THE DHI, TUFTS MEDICAL CENTER PROVIDES GRANT FUNDING TO INNOVATIVE PROGRAMS ADDRESSING THE PRIORITY HEALTH NEEDS OF THE DORCHESTER COMMUNITY IDENTIFIED WITH THE ASSISTANCE OF THE DHI ADVISORY COMMITTEE. THE DHI ADVISORY COMMITTEE IS COMPRISED OF COMMUNITY STAKEHOLDERS WITH EXPERIENCE IN SERVING THE NEEDS OF DORCHESTER RESIDENTS, PUBLIC HEALTH AND CITY OFFICIALS AND HOSPITAL REPRESENTATIVES.THE BOSTON PUBLIC HEALTH COMMISSION (BPHC) REPORTED IN THE HEALTH OF BOSTON 2010 REPORT THAT THE MINORITY POPULATION IN BOSTON IS MORE LIKELY TO BE LIVING BELOW THE POVERTY LEVEL, MORE LIKELY TO BE UNINSURED, AND MORE LIKELY TO HAVE INADEQUATE HEALTH CARE. ADDITIONALLY, THE HEALTH OF BOSTON 2004 REPORT SHOWED THAT MINORITY RESIDENTS ARE DISPROPORTIONATELY AFFECTED BY DOMESTIC VIOLENCE, MAJOR HEALTH PROBLEMS LIKE CARDIOVASCULAR DISEASE AND DIABETES, AND INFANT MORTALITY. DORCHESTER SPECIFIC DATA SUPPORTS THE FINDINGS OF THE BPHC, AND DORCHESTER, WITH ITS HIGH MINORITY POPULATION, CONSISTENTLY RANKS AMONG THE HIGHEST FOR MOST OF THE MORE SERIOUS HEALTH ISSUES AMONG BOSTON'S RESIDENTS. PAST DHI HEALTH PRIORITIES HAVE INCLUDED: VIOLENCE, ASTHMA, CARDIOVASCULAR DISEASE, OBESITY, DIABETES, LOW BIRTH WEIGHTS AND INFANT MORTALITY.CURRENT PROJECTS FUNDED THROUGH THE DHI INCLUDE:BIRD STREET COMMUNITY CENTER: THE CASE MANAGEMENT PROGRAM OFFERS INDIVIDUALIZED SERVICES TO COURT INVOLVED YOUTH TO PROMOTE HEALTHY LIFESTYLE CHOICES. AN ARRAY OF SERVICES INCLUDING WORKSHOPS ON ANGER MANAGEMENT AND PERSONAL COACHING HELPS YOUTH TO SUCCESSFULLY COMPLETE THE COURT PROCESS AND TO IDENTIFY AND SUCCEED WITH THEIR PERSONAL, ACADEMIC AND CAREER GOALS.BOYS & GIRLS CLUBS OF DORCHESTER: THE F.I.T.T. CLUB PROGRAM HAS BEEN DESIGNED TO FOSTER INTELLIGENCE IN TEENS & TWEENS BY PROMOTING HEALTH BY INCREASING ACCESS TO HEALTHY FOODS, PHYSICAL ACTIVITIES, EDUCATIONAL ACTIVITIES TO BETTER UNDERSTAND THEIR MENTAL HEALTH AND COMBAT BULLYING AND VIOLENCE. THE PROGRAM FOCUSES ON ENGAGING TEENS AND TWEENS OF ALL ABILITIES.DORCHESTER HOUSE MULTI-SERVICE CENTER: OFFERS THE HEALTHY WEIGHT FOR LIFE CLINIC TO HELP PEDIATRIC PATIENTS WHO HAVE BEEN DIAGNOSED AS OBESE TO LEARN ABOUT NUTRITION, ADOPT HEALTHY FOOD CHOICES AND ENGAGE IN REGULAR PHYSICAL ACTIVITIES. PROGRAM ACTIVITIES HAVE BEEN DESIGNED TO INCLUDE PARENTS AND SIBLINGS.KIT CLARK SENIOR SERVICES: THE FIT-4-LIFE PROJECT HELPS SENIORS TO IMPROVE THEIR HEALTH BY MORE EFFECTIVELY MANAGING THEIR CHRONIC ILLNESSES SO THEY MAY ENJOY A HIGHER QUALITY OF LIFE WITH IMPROVED STAMINA, FLEXIBILITY AND BALANCE.SPORTSMEN'S TENNIS & ENRICHMENT CENTER: THE GENERATING EXCELLENT MENTOR (GEM) PROGRAM REPRESENTS AN ENHANCEMENT TO THE VOLLEY AGAINST VIOLENCE - A MULTI-COMPONENT PROGRAM WHICH INCLUDES TENNIS LESSONS AND ACADEMIC SUPPORT. THE ENHANCEMENT IS PROVIDING MENTORS TO 165 YOUTH AND THEN TRAINING THEM TO BECOME MENTORS THEMSELVES.OTHER COMMUNITY BENEFITS PROGRAMS:COMMUNITY HEALTH CENTERSANOTHER ON-GOING PRIORITY FOR TUFTS MEDICAL CENTER IS BUILDING THE CAPACITY OF COMMUNITY HEALTH CENTERS TO SERVE THEIR PATIENTS, AND MORE EFFECTIVELY IMPROVE THE OVERALL HEALTH STATUS OF THEIR PATIENT POPULATIONS. TUFTS MEDICAL CENTER CONTINUES TO SUPPORT AND WORK WITH THREE HEALTH CENTERS: SOUTH BOSTON COMMUNITY HEALTH CENTER, SOUTH END COMMUNITY HEALTH CENTER, AND NEPONSET HEALTH CENTER, AS WELL AS PROVIDE PROGRAMMATIC FUNDING TO SEVERAL MORE HEALTH CENTERS IN SURROUNDING COMMUNITIES.THE PROGRAMMING THAT HAS BEEN DEVELOPED THROUGH THE PARTNERSHIPS WITH COMMUNITY HEALTH CENTERS INCLUDES INCREASING ACCESS TO PRIMARY CARE AND PREVENTATIVE MEDICINE, INCREASING ACCESS TO PRENATAL CARE AND REDUCING INFANT MORTALITY FOR THE INCREASINGLY DIVERSE PATIENT POPULATIONS SERVED BY THE HEALTH CENTERS.
PART VI, LINE 5 (CONTINUED):	SOUTH BOSTON BEHAVIORAL HEALTH CLINICTUFTS MEDICAL CENTER'S SOUTH BOSTON BEHAVIORAL HEALTH CLINIC IS A SATELLITE COMMUNITY PSYCHIATRIC CLINIC OF TUFTS MEDICAL CENTER SERVING ADULTS, CHILDREN, AND ADOLESCENTS. IT IS LOCATED 10 MINUTES FROM THE HOSPITAL AND IS A TRAINING SITE FOR BOTH THE GENERAL PSYCHIATRY AND THE CHILD/ADOLESCENT PSYCHIATRY RESIDENCY PROGRAMS.COMPREHENSIVE SERVICES AVAILABLE AT THE CLINIC INCLUDE: INDIVIDUAL PSYCHOTHERAPY, GROUP PSYCHOTHERAPY, FAMILY PSYCHOTHERAPY, PSYCHOPHARMACOLOGY EVALUATION AND MANAGEMENT, AND SUBSTANCE ABUSE SERVICES. SERVICES ARE PROVIDED BY A MULTIDISCIPLINARY TEAM OF ADULT AND CHILD/ADOLESCENT PSYCHIATRISTS, LICENSED INDEPENDENT CLINICAL SOCIAL WORKERS, LICENSED PSYCHOLOGIST, LICENSED MENTAL HEALTH COUNSELOR, PSYCHIATRIC CLINICAL NURSE SPECIALIST, AS WELL AS PSYCHIATRIC RESIDENTS AND SOCIAL WORK INTERNS.THE CLINIC HAS THE SPECTRUM OF SERVICES AND EXPERTISE TO DIAGNOSE AND TREAT A VAST ARRAY OF PSYCHIATRIC DISORDERS INCLUDING MOOD AND ANXIETY DISORDERS, PSYCHOTIC DISORDERS, PERSONALITY DISORDERS, POST-TRAUMATIC STRESS DISORDER, AND MAJOR DEPRESSIVE DISORDER.THE CUSHING HOUSE:TUFTS MEDICAL CENTER ALSO PROVIDES SIGNIFICANT SUPPORT TO THE CUSHING HOUSE OF SOUTH BOSTON. THE CUSHING HOUSE IS OPERATED BY THE GAVIN FOUNDATION, INC. THE MISSION OF THE PROGRAM IS TO PROVIDE A STABILIZING TRANSITIONAL CARE RESIDENCE FOR SUBSTANCE ABUSING YOUNG MEN AND WOMEN WHO ARE UNABLE TO BE SERVED IN A LESS RESTRICTIVE FACILITY. THE TYPICAL CLIENT IS DIAGNOSED WITH MODERATE TO SEVERE SUBSTANCE ABUSE AND IN NEED OF SUPPORT. RESIDENTS HAVE EVIDENCE OF DIFFICULTY WITH TRADITIONAL INSTITUTIONS AND/OR SOME EXPERIENCE WITH THE COURT, SOCIAL SERVICE OR YOUTH SERVICES SYSTEM.THE PROGRAM PROVIDES A NURTURING, STRUCTURED AND SAFE ENVIRONMENT FOR YOUNGSTERS WHO ARE LIVING IN DISORGANIZED, FRAGMENTED AND DYSFUNCTIONAL CIRCUMSTANCES. IT PROMOTES SELF-CARE, SELF-RELIANCE AND COMMUNITY RESPONSIBILITY, BOTH THROUGH STRUCTURED ACTIVITIES AND THE EXPERIENCE OF LIVING IN THIS RESIDENTIAL ENVIRONMENT.MAYOR'S SUMMER JOBS PROGRAMTUFTS MEDICAL CENTER PARTICIPATES IN THE MAYOR'S SUMMER JOBS PROGRAM, PARTNERSHIP WITH THE BOSTON PRIVATE INDUSTRY COUNCIL, LAST YEAR PLACING MORE THAN 40 HIGH SCHOOL STUDENTS IN 20 DEPARTMENTS. STUDENTS CAME FROM BOSTON PUBLIC SCHOOLS INCLUDING JOSIAH QUINCY UPPER SCHOOL, BOSTON LATIN SCHOOL, CHARLESTOWN HIGH SCHOOL, AND SOUTH BOSTON HIGH SCHOOLS. THE PROGRAM PROVIDES BOSTON HIGH SCHOOL STUDENTS WITH AN OPPORTUNITY TO BUILD THEIR SKILL SETS, JOB EXPERIENCE, OFFER THEIR CULTURAL AND LINGUISTIC SKILLS IN SOME CASES, AND HELPS TO CREATE INTEREST IN THE NEXT GENERATION OF WORKERS TO CONSIDER HEALTHCARE CAREERS.PILOT PAYMENTSMUCH OF TUFTS MEDICAL CENTER'S PROPERTY IS TAX-EXEMPT, HOWEVER TUFTS MEDICAL CENTER CONTRIBUTES ANNUAL PAYMENTS TO THE CITY THROUGH A PAYMENT IN LIEU OF TAXES (PILOT) AGREEMENT WITH THE CITY OF BOSTON. TUFTS MEDICAL CENTER HAS DEVOTED MORE THAN $1.8 MILLION IN FUNDING ANNUALLY TO COMMUNITY BENEFIT PROGRAMMING THAT DIRECTLY BENEFITS RESIDENTS OF BOSTON. TUFTS MEDICAL CENTER'S PILOT CONTRIBUTION TOTALED OVER $1.9 MILLION IN FISCAL YEAR 2016.

Schedule H (Form 990) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1DEB BLAZEY-MARTIN MDTRUSTEE	(i) (ii)	0 ------------- 251,000	0 ------------- 0	0 ------------- 360	0 ------------- 35,000	0 ------------- 411	0 ------------- 286,771	0 ------------- 0
2CHARLES CASSIDY MDTRUSTEE	(i) (ii)	0 ------------- 683,217	0 ------------- 391,471	0 ------------- 9,633	0 ------------- 36,400	0 ------------- 21,352	0 ------------- 1,142,073	0 ------------- 0
3NORMAND DESCHENETRUSTEE	(i) (ii)	0 ------------- 230,912	0 ------------- 0	0 ------------- 0	0 ------------- 30,709	0 ------------- 23,671	0 ------------- 285,292	0 ------------- 0
4DAN DRISCOLL MDTRUSTEE	(i) (ii)	0 ------------- 248,001	0 ------------- 92,811	0 ------------- 6,770	0 ------------- 33,542	0 ------------- 20,924	0 ------------- 402,048	0 ------------- 0
5MARVIN A KONSTAM MDTRUSTEE	(i) (ii)	0 ------------- 475,717	0 ------------- 0	0 ------------- 24,455	0 ------------- 36,400	0 ------------- 21,352	0 ------------- 557,924	0 ------------- 0
6WILLIAM C MACKEY MDTRUSTEE	(i) (ii)	0 ------------- 487,217	0 ------------- 0	0 ------------- 13,249	0 ------------- 36,400	0 ------------- 21,352	0 ------------- 558,218	0 ------------- 0
7DEEB N SALEM MDTRUSTEE	(i) (ii)	0 ------------- 495,447	0 ------------- 100,000	0 ------------- 35,065	0 ------------- 36,400	0 ------------- 21,352	0 ------------- 688,264	0 ------------- 0
8PAUL SUMMERGRAD MDTRUSTEE	(i) (ii)	0 ------------- 482,084	0 ------------- 43,416	0 ------------- 19,530	0 ------------- 36,400	0 ------------- 21,125	0 ------------- 602,555	0 ------------- 0
9MICHAEL CANTOR MDTRUSTEE/CMO	(i) (ii)	370,390 ------------- 0	59,887 ------------- 0	179 ------------- 0	23,300 ------------- 0	26,139 ------------- 0	479,895 ------------- 0	0 ------------- 0
10MICHAEL WAGNER MDTRUSTEE/PRESIDENT/CEO	(i) (ii)	766,992 ------------- 0	0 ------------- 0	36,507 ------------- 0	86,675 ------------- 0	41,927 ------------- 0	932,101 ------------- 0	0 ------------- 0
11CHIBUEZE OKEY AGBA UNTIL 216SENIOR VP/TREASURER/CFO/TRUSTEE	(i) (ii)	419,734 ------------- 0	103,211 ------------- 0	95,127 ------------- 0	68,370 ------------- 0	28,123 ------------- 0	714,565 ------------- 0	59,500 ------------- 0
12JEFFREY A WEINSTEINTRUSTEE/SENIOR VP/CLERK	(i) (ii)	305,338 ------------- 33,927	83,657 ------------- 0	82,117 ------------- 0	49,555 ------------- 6,145	14,881 ------------- 1,845	535,548 ------------- 41,917	47,350 ------------- 0
13JEFFREY I LASKER MDTRUSTEE/PRESIDENT/CEO (UNTIL 6/16)	(i) (ii)	661,703 ------------- 0	100,306 ------------- 0	991 ------------- 0	5,300 ------------- 0	27,545 ------------- 0	795,845 ------------- 0	0 ------------- 0
14NATHAN GAGNECFO/TREASURER	(i) (ii)	191,942 ------------- 0	26,070 ------------- 0	70 ------------- 0	19,476 ------------- 0	5,378 ------------- 0	242,936 ------------- 0	0 ------------- 0
15ZACHARY REDMONDCLERK	(i) (ii)	156,951 ------------- 0	10,000 ------------- 0	5,131 ------------- 0	4,436 ------------- 0	20,212 ------------- 0	196,730 ------------- 0	0 ------------- 0
16KRISTINE M HANSCOMSENIOR VP/TREASURER/CFO/TRUSTEE	(i) (ii)	232,963 ------------- 0	43,723 ------------- 0	37,251 ------------- 0	33,582 ------------- 0	24,433 ------------- 0	371,952 ------------- 0	28,282 ------------- 0
17MATTHEW LARKINTRUSTEE	(i) (ii)	0 ------------- 216,301	0 ------------- 34,058	0 ------------- 6,772	0 ------------- 32,130	0 ------------- 20,908	0 ------------- 310,169	0 ------------- 0
18MARGARET COSTELLOTRUSTEE/PRESIDENT/CEO	(i) (ii)	228,304 ------------- 0	0 ------------- 0	362 ------------- 0	18,000 ------------- 0	18,222 ------------- 0	264,888 ------------- 0	0 ------------- 0
19CATHERINE SQUIRESVP DEVELOPMENT	(i) (ii)	84,424 ------------- 0	44,861 ------------- 0	39,792 ------------- 0	35,836 ------------- 0	3,021 ------------- 0	207,934 ------------- 0	32,463 ------------- 0
20CHRISTINE MORE UNTIL 1215INTERIM - VP DEVELOPMENT	(i) (ii)	167,351 ------------- 0	0 ------------- 0	235 ------------- 0	0 ------------- 0	27 ------------- 0	167,613 ------------- 0	0 ------------- 0
21SAUL WEINGARTCHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 397,284	0 ------------- 0	0 ------------- 9,697	0 ------------- 23,333	0 ------------- 21,188	0 ------------- 451,502	0 ------------- 0
22JEFFREY SYREKVP SYS CONTRACTING	(i) (ii)	223,390 ------------- 0	30,620 ------------- 0	117 ------------- 0	22,560 ------------- 0	25,887 ------------- 0	302,574 ------------- 0	0 ------------- 0
23KELLY DOUGHERTYVP CARDIOVASCULAR	(i) (ii)	198,113 ------------- 0	0 ------------- 0	163 ------------- 0	2,182 ------------- 0	7,152 ------------- 0	207,610 ------------- 0	0 ------------- 0
24THERESE HUDSON-JINKSSENIOR VP AND CNO	(i) (ii)	312,337 ------------- 0	0 ------------- 0	38,249 ------------- 0	48,051 ------------- 0	5,444 ------------- 0	404,081 ------------- 0	35,820 ------------- 0
25SUSAN BLANCHARDVP FOR RESEARCH ADMINISTRATION	(i) (ii)	215,263 ------------- 0	40,630 ------------- 0	36,039 ------------- 0	32,400 ------------- 0	24,146 ------------- 0	348,478 ------------- 0	26,361 ------------- 0
26BROOKE TYSON-HYNESVP PUBLIC AFFAIRS	(i) (ii)	211,100 ------------- 23,456	42,301 ------------- 0	6,507 ------------- 0	21,055 ------------- 2,709	21,882 ------------- 2,815	302,845 ------------- 28,980	0 ------------- 0
27WILLIAM SHICKOLOVICHSENIOR VP OPERATIONS MGMT/CIO	(i) (ii)	335,163 ------------- 0	84,119 ------------- 0	50,604 ------------- 0	52,200 ------------- 0	26,212 ------------- 0	548,298 ------------- 0	37,008 ------------- 0
28DEBORAH JOELSONSR. VP STRATEGIC SERVICES	(i) (ii)	292,576 ------------- 32,508	0 ------------- 0	75,101 ------------- 0	47,172 ------------- 5,098	23,663 ------------- 2,558	438,512 ------------- 40,164	46,970 ------------- 0
29PATRICIA HAYWARDVP HUMAN RESOURCES/RISK MGMT.	(i) (ii)	267,602 ------------- 0	42,923 ------------- 0	62,869 ------------- 0	6,308 ------------- 0	14,972 ------------- 0	394,674 ------------- 0	29,088 ------------- 0
30NANCY WETHERBEEDIRECTOR OF ORBIT	(i) (ii)	224,374 ------------- 0	100,000 ------------- 0	851 ------------- 0	3,869 ------------- 0	5,365 ------------- 0	334,459 ------------- 0	0 ------------- 0
31PETER NEUMANNSPECIAL & SCIENTIFIC STAFF	(i) (ii)	238,108 ------------- 0	0 ------------- 0	2,554 ------------- 0	21,128 ------------- 0	20,212 ------------- 0	282,002 ------------- 0	0 ------------- 0
32ROSS THOMPSONEXECUTIVE DIRECTOR OF PHARMACY	(i) (ii)	220,220 ------------- 0	20,000 ------------- 0	190 ------------- 0	0 ------------- 0	0 ------------- 0	240,410 ------------- 0	0 ------------- 0
33KATHLEEN DAVISCORPORATE CONTROLLER	(i) (ii)	221,367 ------------- 0	0 ------------- 0	2,825 ------------- 0	4,151 ------------- 0	20,212 ------------- 0	248,555 ------------- 0	0 ------------- 0
34SHELLY DIETZDIR. OF CLINICAL RESOURCE MGMT.	(i) (ii)	209,388 ------------- 0	0 ------------- 0	1,809 ------------- 0	0 ------------- 0	0 ------------- 0	211,197 ------------- 0	0 ------------- 0
35CRAIG WILLIAMSFORMER SR. VP/COO	(i) (ii)	0 ------------- 0	0 ------------- 0	203,538 ------------- 0	0 ------------- 0	0 ------------- 0	203,538 ------------- 0	0 ------------- 0
36ERIC J BEYERFORMER PRESIDENT/CEO	(i) (ii)	0 ------------- 0	0 ------------- 0	573,123 ------------- 0	0 ------------- 0	0 ------------- 0	573,123 ------------- 0	0 ------------- 0
37BETSY ELTONHEADFORMER COO (UNTIL DEC. 2014)	(i) (ii)	12,310 ------------- 0	30,358 ------------- 0	213,320 ------------- 0	171 ------------- 0	25,903 ------------- 0	282,062 ------------- 0	0 ------------- 0
38DENISE M SCHEPICIFMR VP CLINICAL SERVICES(UNTIL 6/14)	(i) (ii)	0 ------------- 0	0 ------------- 0	197,723 ------------- 0	0 ------------- 0	0 ------------- 0	197,723 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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 $573,123. CRAIG WILLIAMS RECEIVED A SEPARATION AGREEMENT PAYMENT OF $203,538. DENISE M. SCHEPICI RECEIVED A SEPARATION AGREEMENT PAYMENT OF $197,723.
PART 1, LINE 4B:	SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: CHIBUEZE OKEY AGBA, $63,070 JEFFREY A. WEINSTEIN, $50,400 DEBORAH C. JOELSON, $46,970 WILLIAM J. SHICKOLOVICH, $46,900 THERESE HUDSON-JINKS, $43,400 CATHERINE SQUIRES, $32,464 SUSAN BLANCHARD, $26,361 KRISTINE HANSCOM, $28,282 MICHAEL WAGNER, M.D., $81,375
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 $573,123. 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) 2015

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

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

OMB No. 1545-0047

2015

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 .............	18,089,649
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 .............	99,387,340
11 Other spent proceeds .............
12 Other unspent proceeds .............
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) 2015

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 ....	0 %
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 .........	0 %
6 Total of lines 4 and 5 .............	0 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...	X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........
If "Yes" to 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) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

TUFTS MEDICAL CENTER GROUP RETURN

Employer identification number

27-0440772

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	6	92,180	FMV
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( AUCTION ITEMS )	X	5	31,750	FMV
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	THE NUMBER REPORTED IN COLUMN (B) OF SCHEDULE M REPRESENTS THE NUMBER OF CONTRIBUTIONS OF EACH ITEM.

Schedule M (Form 990) (2015)

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 990-EZ 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

2015

Open to Public
Inspection

Name of the organization

TUFTS MEDICAL CENTER GROUP RETURN

Employer identification number

27-0440772

Return Reference	Explanation
FORM 990, PART III, LINE 1	WE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN, AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. WE DEDICATE OURSELVES TO FURTHERING OUR RICH TRADITION OF HEALTH CARE INNOVATION, LEADERSHIP, CHARITY AND THE HIGHEST STANDARD OF CARE TO ALL IN OUR COMMUNITY. TO PROVIDE LONG-TERM CARE FOR CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED. RENTAL SERVICE PROGRAMS TO PROMOTE THE INTEREST OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS BY ACQUIRING, MANAGING, MAINTAINING, DEVELOPING, LEASING AND DISPOSING OF REAL ESTATE PROPERTIES. NEW ENGLAND QUALITY ALLIANCE, INC. OPERATES FOR THE PURPOSE OF SUPPORTING ACTIVITIES OF TUFTS MEDICAL CENTER PARENT, INC. AND ITS AFFILIATES. NEW ENGLAND QUALITY CARE ALLIANCE ACCOUNTABLE CARE, INC. WAS FORMED TO IMPROVE THE HEALTH OF PATIENTS AND TO ENHANCE THE PATIENT'S EXPERIENCE OF CARE. TUFTS MEDICAL CENTER COMMUNITY CARE, INC. WORKS JOINTLY WITH TUFTS MEDICAL CENTER PARENT, INC. AND ITS AFFILIATES TO DEVELOP, IMPLEMENT, AND OPERATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM AND TO PROVIDE COST-EFFECTIVE AND HIGH-QUALITY PATIENT CARE WITHIN SUCH SYSTEM.
FORM 990, PART VI, SECTION B, LINE 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 14, 2015 TO REVIEW EXECUTIVE COMPENSATION FOR 2015. 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 14, 2015.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER BY MAIL OR IN PERSON AT THE OFFICE, DEPENDING ON THE FORM OF THE REQUEST.
FORM 990, PART VI, SECTION B., LINE 16A:	TUFTS MEDICAL CENTER, INC. OWNS 30% INTEREST IN PROVIDER NETWORK ALLIANCE, LLC. NEW ENGLAND QUALITY CARE ALLIANCE, INC. OWNS 10% INTEREST IN PROVIDER NETWORK ALLIANCE, LLC.
FORM 990, PART VI, SECTION B., LINE 16B:	THE ORGANIZATION ROUTINELY CONSULTS WITH INTERNAL AND OUTSIDE COUNSEL PRIOR TO ENTERING INTO JOINT VENTURE ARRANGEMENTS. THE ORGANIZATION IS CURRENTLY CONSIDERING IMPLEMENTATION OF WRITTEN POLICIES AND PROCEDURES TO EVALUATE PARTICIPATION OF JOINT VENTURE ARRANGEMENTS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
FORM 990, PART XI, LINE 9:	TRANSFER OF NET ASSETS -4,390,000. PENSION-RELATED ADJUSTMENTS -24,733,000. NET ASSETS RELEASED FROM RESTRICTIONS -1,827,079. NET ASSETS FROM NEQCA ACO -1,193,106.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

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

OMB No. 1545-0047

2015

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
(20)NEQCA ACCOUNTABLE CARE INC 325 WOOD RD SUITE 210 BRAINTREE,MA02184 80-0824142	ACO	MA	501(C)(3)	LINE 7	NEW ENGLAND QUALITY CARE ALLIANCE INC	Yes
(21)TUFTS MEDICAL CENTER COMMUNITY CARE INC 325 WOOD RD SUITE 210 BRAINTREE,MA02184 47-3046563	MEDICAL SERVICES	MA	501(C)(3)	LINE 9	TUFTS MEDICAL CENTER PARENT INC	Yes
(22)TUFTS MEDICAL CENTER PARENT INC 800 WASHINGTON STREET BOSTON,MA02111 04-2810022	FUNDRAISING	MA	501(C)(3)	LINE 11B, II			No
(23)WELLFORCE INC 16 NEW ENGLAND EXECUTIVE PARK BURLINGTON,MA01803 45-2250732	PARENT/SUPPORTING ORGANIZATION	MA	501(C)(3)	LINE 11A, I			No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

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	-1,320,816	94,446,000	100.000 %	Yes

Schedule R (Form 990) 2015

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) PRATT ORTHOPEDIC ASSOCIATES INC	M	187,631	BOOK BASIS
(2) PRATT NEUROLOGY ASSOCIATES INC	M	478,477	BOOK BASIS
(3) PRATT NEUROSURGERY ASSOCIATES INC	M	2,687,284	BOOK BASIS
(4) PRATT ANESTHESIOLOGY ASSOCIATES INC	M	5,895,493	BOOK BASIS
(5) PRATT OBGYN ASSOCIATES INC	M	1,261,550	BOOK BASIS
(6) PRATT OPTHAMOLOGY ASSOCIATES INC	L	8,483,448	BOOK BASIS
(7) PRATT PATHOLOGY ASSOCIATES INC	M	1,420,070	BOOK BASIS
(8) PRATT PEDIATRIC ASSOCIATES INC	M	3,280,966	BOOK BASIS
(9) PRATT PSYCHIATRIC ASSOCIATES INC	L	280,029	BOOK BASIS
(10) PRATT RADIOLOGY ASSOCIATES INC	M	2,439,525	BOOK BASIS
(11) PRATT RADIATION ONCOLOGY ASSOCIATES INC	M	130,063	BOOK BASIS
(12) PRATT REHABILITATION MEDICINE ASSOCIATES INC	L	625,890	BOOK BASIS
(13) PRATT SURGICAL ASSOCIATES INC	M	4,926,361	BOOK BASIS
(14) PRATT UROLOGY ASSOCIATES INC	L	73,534	BOOK BASIS
(15) PRATT DERMATOLOGY ASSOCIATES INC	M	254,353	BOOK BASIS
(16) PRATT MEDICAL GROUP INC	L	22,568,462	BOOK BASIS
(17) TMC PHYSICIAN ORGANIZATION INC	M	9,023,490	BOOK BASIS
(18) TMC PHYSICIAN ORGANIZATION INC	J	407,162	BOOK BASIS
(19) NEW ENGLAND MEDICAL CENTER GROUP	L	95,001	BOOK BASIS
(20) TUFTS MEDICAL CENTER PARENT INC	E	1,004,950	BOOK BASIS
(21) NEW ENGLAND MEDICAL CENTER GROUP	E	1,634,249	BOOK BASIS
(22) PRATT ANESTHESIOLOGY ASSOCIATES INC	E	675,546	BOOK BASIS
(23) PRATT PATHOLOGY ASSOCIATES INC	E	134,281	BOOK BASIS
(24) PRATT PEDIATRIC ASSOCIATES INC	E	94,482	BOOK BASIS
(25) PRATT RADIOLOGY ASSOCIATES INC	E	186,174	BOOK BASIS
(26) PRATT SURGICAL ASSOCIATES INC	E	310,901	BOOK BASIS
(27) TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION	D	3,763,281	BOOK BASIS
(28) PRATT OPTHAMOLOGY ASSOCIATES INC	D	509,644	BOOK BASIS
(29) TUFTS MEDICAL CENTER COMMUNITY CARE INC	E	439,167	BOOK BASIS
(30) TUFTS MEDICAL CENTER INDEMNITY CO LTD	D	8,404,359	BOOK BASIS
(31) PRATT OBGYN ASSOCIATES INC	E	54,281	BOOK BASIS
(32) PRATT RADIATION ONCOLOGY ASSOCIATES INC	E	50,040	BOOK BASIS
(33) TUFTS MEDICAL CENTER INDEMNITY CO LTD	R	4,219,944	BOOK BASIS
(34) TUFTS MEDICAL CENTER PARENT INC	R	5,000,000	BOOK BASIS
(35) TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION	S	110,000	BOOK BASIS

Schedule R (Form 990) 2015

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) 2015

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) 2015

Additional Data

Software ID:
Software Version:

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	48
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	32
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	6,202
6	Total number of volunteers (estimate if necessary) .............	6	113
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	9,987
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	49,039,935	49,485,721
9	Program service revenue (Part VIII, line 2g) .........	694,585,061	743,532,533
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-1,598,032	18,039,504
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,269,504	1,019,358
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	743,296,468	812,077,116
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)	367,293,682	393,822,459
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	121,692	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,721,954
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	384,008,364	393,969,592
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	751,423,738	787,792,051
19	Revenue less expenses. Subtract line 18 from line 12.......	-8,127,270	24,285,065
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	755,170,470	766,547,685
21	Total liabilities (Part X, line 26).............	607,287,089	626,481,946
22	Net assets or fund balances. Subtract line 21 from line 20.....	147,883,381	140,065,739

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 556,709,255 including grants of $ ) (Revenue $ 742,571,959 )
	TUFTS MEDICAL CENTER, INC. LOCATED IN BOSTON, MA OPERATES A 415 BED ACUTE-CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES PRIMARILY IN THE GREATER BOSTON AREA, WHICH ALSO ATTRACTS PATIENTS FROM ELSEWHERE IN NEW ENGLAND AND BEYOND.NEW ENGLAND LONG-TERM CARE, INC. OPERATES AN 80 BED NURSING HOME SPECIALIZING IN THE CARE OF CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED.NEW ENGLAND QUALITY CARE ALLIANCE, INC. OPERATES FOR THE PURPOSE OF SUPPORTING ACTIVITIES OF TUFTS MEDICAL CENTER PARENT, INC. AND ITS AFFILIATES. NEQCA INTEGRATES COMMUNITY AND ACADEMIC PHYSICIANS DEDICATED TO PROVIDING COMPREHENSIVE, INNOVATIVE, HIGH QUALITY AFFORDABLE HEALTH CARE THAT BRINGS VALUE TO THEIR PATIENTS AND THE COMMUNITY, AND EXPANDS THE TEACHING AND RESEARCH MISSION OF TUFTS MEDICAL CENTER, INC.TUFTS MEDICAL CENTER REAL ESTATE COMPANY, INC. PROVIDES RENTAL SERVICE PROGRAMS TO PROMOTE THE INTEREST OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS BY ACQUIRING, MAINTAINING, MANAGING, DEVELOPING, LEASING, AND DISPOSING OF REAL ESTATE PROPERTY.NEW ENGLAND QUALITY CARE ALLIANCE ACCOUNTABLE CARE, INC. IS A NONPROFIT ACCOUNTABLE CARE ORGANIZATION FORMED TO IMPROVE THE HEALTH OF PATIENTS, AND TO ENHANCE THE PATIENT'S EXPERIENCE OF CARE AND THE REDUCTION OF THE PER CAPITA COST OF CARE, THROUGH INTEGRATED CARE COORDINATION, SHARED SAVINGS, AND QUALITY INCENTIVES.TUFTS MEDICAL CENTER COMMUNITY CARE, INC. WORKS JOINTLY WITH TUFTS MEDICAL CENTER PARENT, INC. AND AFFILIATES TO DEVELOP, IMPLEMENT, AND OPERATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM AND TO PROVIDE COST-EFFECTIVE AND HIGH-QUALITY PATIENT CARE WITHIN SUCH SYSTEM.

4b	(Code: ) (Expenses $ 35,880,023 including grants of $ ) (Revenue $ 455,653 )
	TUFTS MEDICAL CENTER, INC. ADMINISTERS PROGRAMS FOR APPROZIMATELY 275 RESIDENTS, 73 INTERNS AND 104 FELLOWS IN 44 SPECIALTIES AND SUBSPECIALTIES WHO ROTATE TO APPROXIMATELY 54 HOSPITALS AND OTHER ORGANIZATIONS LOCATED PRIMARILY IN THE GREATER BOSTON AREA.

4c	(Code: ) (Expenses $ 47,664,329 including grants of $ ) (Revenue $ 388,890 )
	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 expenses640,253,607

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,393,413	4,844,358	1,598,395

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	1,156,983
d	Related organizations		1d
e	Government grants (contributions)		1e	33,983,289

f	All other contributions, gifts, grants, and similar amounts not included above		1f	14,345,449

g	Noncash contributions included in lines 1a-1f:$ 123,930
h Total.Add lines 1a-1f.......		49,485,721

		Business Code
2a	NET PATIENT SERV. REV.	900099	667,470,441	667,470,441
b	RESEARCH & MISC. REV.	900099	68,085,400	68,085,400
c	DEFERRED GAIN	900099	6,295,000	6,295,000
d	OVERHEAD RECOVERY	900099	1,226,039	1,226,039
e	RESIDENTS & INTERN REV	900099	455,653	455,653
f	All other program service revenue.
g Total.Add lines 2a–2f.....			743,532,533

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			2,205,156		9,987	2,195,169
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			185,186			185,186
		(ii) Personal	(i) Real
6a	Gross rents		1,552,578
b	Less: rental expenses		472,265
c	Rental income or (loss)		1,080,313
d	Net rental income or (loss)......			1,080,313			1,080,313
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		15,834,348
b	Less: cost or other basis and sales expenses		0
c	Gain or (loss)		15,834,348
d	Net gain or (loss).....			15,834,348			15,834,348
8a	Gross income from fundraising events (not including $ 1,156,983of contributions reported on line 1c). See Part IV, line 18 ....
	a		385,172
b	Less: direct expenses ...b		631,313
c	Net income or (loss) from fundraising events..			-246,141			-246,141
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..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			812,077,116	743,532,533	9,987	19,048,875

1	Grants and other assistance to domestic organizations and domestic governments. 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 ....	8,243,911	966,449	7,117,138	160,324
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	310,633,357	269,670,218	40,184,726	778,413
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,788,797	10,349,472	1,439,325
9	Other employee benefits .......	35,411,001	30,823,908	4,306,852	280,241
10	Payroll taxes ...........	27,745,393	23,593,496	4,151,897
11	Fees for services (non-employees):
a	Management ......	1,971,963	731,739	1,240,224
b	Legal .........	3,313,031	256,912	3,056,119
c	Accounting ...........	595,766		595,766
d	Lobbying ...........	298,370		298,370
e	Professional fundraising services. See Part IV, line 17
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)	57,281,439	28,691,246	27,202,247	1,387,946
12	Advertising and promotion ....	4,430,335	3,756,255	674,080
13	Office expenses .......	6,571,686	3,240,261	3,296,454	34,971
14	Information technology ......	1,121,704	795,344	326,360
15	Royalties ..	21,517	15,707	5,810
16	Occupancy ...........	33,654,832	11,944,939	21,708,830	1,063
17	Travel ............	1,661,453	1,339,354	313,594	8,505
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	11,870	11,870
20	Interest ...........	19,151,700	19,151,700
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	22,652,893	11,391,760	11,258,170	2,963
23	Insurance ...	3,957,542	2,732	3,954,810
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	142,462,555	142,462,555
b	PHYSICIAN PRACTICE FEES	52,780,354	52,672,324	108,030
c	EQUIPMENT	10,084,266	3,699,131	6,384,510	625
d	BAD DEBT	8,699,059	8,699,059
e	All other expenses	23,247,257	15,987,176	7,193,178	66,903
25	Total functional expenses. Add lines 1 through 24e	787,792,051	640,253,607	144,816,490	2,721,954
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).

1	Cash–non-interest-bearing ........			42,701,742	1	44,133,344
2	Savings and temporary cash investments .........			56,336,982	2	42,761,217
3	Pledges and grants receivable, net ......			7,930,825	3	7,401,741
4	Accounts receivable, net .............			83,147,122	4	100,284,251
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 ........			11,240,744	8	11,223,770
9	Prepaid expenses and deferred charges ......			3,889,734	9	5,091,510
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	454,077,153
b	Less: accumulated depreciation	10b	310,977,672	153,151,794	10c	143,099,481
11	Investments—publicly traded securities .			304,688,389	11	322,359,157
12	Investments—other securities. See Part IV, line 11 .....			12,690,490	12	8,000,233
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			1,783,000	14	1,928,050
15	Other assets. See Part IV, line 11 ...........			77,609,648	15	80,264,931
16	Total assets. Add lines 1 through 15 (must equal line 34)...			755,170,470	16	766,547,685

17	Accounts payable and accrued expenses .....	132,265,731	17	129,907,189
18	Grants payable ...		18
19	Deferred revenue .........	37,938,602	19	32,344,608
20	Tax-exempt bond liabilities .........	197,763,399	20	195,170,501
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 ..	397,726	24	289,441
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	238,921,631	25	268,770,207
26	Total liabilities. Add lines 17 through 25..	607,287,089	26	626,481,946

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	137,628,939	27	131,638,376
28	Temporarily restricted net assets ...........	4,804,689	28	2,964,509
29	Permanently restricted net assets	5,449,753	29	5,462,854
	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 ...........	147,883,381	33	140,065,739
34	Total liabilities and net assets/fund balances ........	755,170,470	34	766,547,685

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 separately 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

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
TUFTS MEDICAL CENTER COMMUNITY CARE INC	800 WASHINGTON STREET BOX 468 BOSTON, MA 021111533	47-3046563	TUFT
NEQCA ACCOUNTABLE CARE INC	800 WASHINGTON STREET BOX 468 BOSTON, MA 021111533	80-0824142	NEQC