2024-08-15T13:47:09-05:00 2023-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2022-10-01 042810022 TUFTS MEDICAL CENTER PARENT INC TUFT 6176365000 800 WASHINGTON STREET BOX 468 BOSTON MA 02111 ANDREW DEVOE CHIEF FINANCIAL OFFICER 6176365000 2024-08-14 1 0 CRAIG KLEIN P00734640 6177610600 2024-08-14 2022 2024-08-08 14:25:15Z ANDREW DEVOE 800 WASHINGTON STREET BOX 468 BOSTON MA 02111 0 0 5466 X TUFTSMEDICALCENTER.ORG X 1983 MA SEE SCHEDULE 0TUFTS MEDICAL CENTER PARENT, INC. IS A SUPPORTING ORGANIZATION WHOSE EXEMPT PURPOSE INCLUDES PUBLIC RELATIONS AND PLANNING FOR FUTURE DEVELOPMENT OF HEALTH RELATED ACTIVITIES OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS: INCLUDING SUPPORT OF COMMUNITY HEALTH CENTERS AND EXPANSION OF PRIMARY CARE SERVICES. 17 10 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2006 6 2006 6 -2006 -6 1005382 1005376 1003306 1003306 2076 2070 X SEE SCHEDULE OTUFTS MEDICAL CENTER PARENT, INC. IS A SUPPORTING ORGANIZATION WHOSE EXEMPT PURPOSE INCLUDES PUBLIC RELATIONS AND PLANNING FOR FUTURE DEVELOPMENT OF HEALTH RELATED ACTIVITIES OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS: INCLUDING SUPPORT OF COMMUNITY HEALTH CENTERS AND EXPANSION OF PRIMARY CARE SERVICES. 0 0 6 TUFTS MEDICAL CENTER PARENT, INC. IS A SUPPORTING ORGANIZATION WHOSE EXEMPT PURPOSE INCLUDES PUBLIC RELATIONS AND PLANNING FOR FUTURE DEVELOPMENT OF HEALTH RELATED ACTIVITIES OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS: INCLUDING SUPPORT OF COMMUNITY HEALTH CENTERS AND EXPANSION OF PRIMARY CARE SERVICES. 6 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 10 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 MA X KATHLEEN DAVIS 6176365000 800 WASHINGTON STREET BOSTON MA 02111 STANLEY GOLDSTEIN TRUSTEE 1.00 1.00 X 0 0 0 REGINA ROCKEFELLER TRUSTEE 1.00 1.00 X 0 0 0 PAUL SUMMERGRAD MD TRUSTEE 1.00 39.00 X 0 510785 53634 PAUL NASSER TRUSTEE 1.00 0.00 X 0 0 0 NIREN CHAUDHARY TRUSTEE (UNTIL 06/01/23) 1.00 0.00 X 0 0 0 MICHAEL TARNOFF MD CEO/TRUSTEE 1.00 39.00 X X 0 1169150 194343 MICHAEL DANDORPH TRUSTEE/PRESIDENT/CEO 1.00 39.00 X X 0 1289948 291127 MARVIN A KONSTAM MD TRUSTEE 1.00 39.00 X 0 690732 54216 MARK ROSEN TRUSTEE/VICE CHAIR 1.00 0.00 X X 0 0 0 MARGARET BROWN TRUSTEE 1.00 0.00 X 0 0 0 KAREN FREUND MD TRUSTEE 1.00 39.00 X 0 649618 54156 JEFF SHAMES TRUSTEE 1.00 0.00 X 0 0 0 JASON HALL MD TRUSTEE 1.00 39.00 X 0 465025 343 HELEN BOUCHER MD TRUSTEE 1.00 1.00 X 0 0 0 GERALD COHEN TRUSTEE 1.00 0.00 X 0 0 0 GENIA LONG TRUSTEE/VICE CHAIR (UNTIL 09/26/23) 1.00 0.00 X 0 0 0 ERIKA WERNER MD TRUSTEE 1.00 39.00 X 0 695453 19860 EMMA REEVE TRUSTEE 1.00 0.00 X 0 0 0 BRIAN KAVOOGIAN TRUSTEE/CHAIR 1.00 0.00 X X 0 0 0 ZACHARY REDMOND ESQ SECRETARY 1.00 39.00 X 0 384525 74854 LAUREN RIPLEY ASSISTANT SECRETARY 1.00 39.00 X 0 189765 12603 ASSAD SIDDIQI TREASURER 1.00 39.00 X 0 411644 59208 MICHAEL APKON FORMER TRUSTEE/CEO 1.00 39.00 X 0 251139 0 KRISTINE M HANSCOM FORMER SR VP/TREASURER/CFO/TR 0.00 39.00 X 0 429675 76071 F CLARISSA YANG MD FORMER TRUSTEE 0.00 40.00 X 0 715185 32687 DEEB N SALEM MD FORMER TRUSTEE 1.00 39.00 X 0 608383 25846 MICHAEL WAGNER FORMER TRUSTEE/PRESIDENT/CEO 0.00 50.00 X 0 974085 36228 0 9435112 985176 0 1 1 1 0 0 0 0 0 TELEPHONE 6 6 6 6 0 0 284922 284922 0 0 1005382 1005376 1005382 1005376 1003306 1003306 1003306 1003306 X 2076 2070 2076 2070 1005382 1005376 -6 0 X 0 1 X 1 0 X X 3 TUFTS MEDICAL CENTER INC 043400617 3 1 0 0 NEW ENGLAND LONG-TERM CARE INC 042912578 3 1 0 0 THE CAMERON M NEELY FOUNDATION FOR CANCER CARE INC 043265628 7 1 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1: TUFTS MEDICAL CENTER, INC. IS LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS. NEW ENGLAND LONG TERM CARE, INC. AND CAMERON M. NEELY FOUNDATION ARE DESIGNATED BY CLASS OR PURPOSE. THE ORGANIZATION'S ARTICLES OF INCORPORATION PROVIDE THAT THE CORPORATION SHALL OPERATE EXCLUSIVELY TO BENEFIT TUFTS MEDICAL CENTER, INC. AND OTHER ORGANIZATIONS THAT MAY BE DIRECTLY OR INDIRECTLY AFFILIATED WITH IT FROM TIME TO TIME, INCLUDING MEDICAL CENTERS, HEALTH CARE CENTERS, NURSING CENTERS, LABORATORIES, CLINICS AND OTHER MEDICAL, SURGICAL OR DENTAL FACILITIES. 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: TUFTS MEDICAL CENTER PARENT, INC. HAS 100% BOARD OVERLAP WITH TUFTS MEDICAL CENTER, INC. 284922 284922 0 0 DUE FROM TUFTS MEDICAL CENTER, INC. 1003606 OTHER ASSETS 1770 1005376 DUE TO NEW ENGLAND LONG-TERM CARE 1000000 DUE TO TUFTS MEDICINE, INC. 3306 1003306 1 1 0 0 0 0 0 0 0 MICHAEL DANDORPH TRUSTEE/PRESIDENT/CEO 0 1273773 0 0 0 16175 0 261150 0 29977 0 1581075 0 0 MICHAEL TARNOFF MD CEO/TRUSTEE 0 1002619 0 154500 0 12031 0 167561 0 26782 0 1363493 0 0 MICHAEL WAGNER FORMER TRUSTEE/PRESIDENT/CEO 0 820604 0 0 0 153481 0 9150 0 27078 0 1010313 0 0 F CLARISSA YANG MD FORMER TRUSTEE 0 566860 0 115945 0 32380 0 30500 0 2187 0 747872 0 0 MARVIN A KONSTAM MD TRUSTEE 0 624482 0 47755 0 18495 0 30500 0 23716 0 744948 0 0 ERIKA WERNER MD TRUSTEE 0 603869 0 77388 0 14196 0 0 0 19860 0 715313 0 0 KAREN FREUND MD TRUSTEE 0 538371 0 98872 0 12375 0 30500 0 23656 0 703774 0 0 DEEB N SALEM MD FORMER TRUSTEE 0 523944 0 0 0 84439 0 5048 0 20798 0 634229 0 0 PAUL SUMMERGRAD MD TRUSTEE 0 425970 0 39544 0 45271 0 30500 0 23134 0 564419 0 0 KRISTINE M HANSCOM FORMER SR VP/TREASURER/CFO/TR 0 139292 0 0 0 290383 0 71912 0 4159 0 505746 0 204265 ASSAD SIDDIQI TREASURER 0 371294 0 40000 0 350 0 48466 0 10742 0 470852 0 0 JASON HALL MD TRUSTEE 0 404583 0 55938 0 4504 0 0 0 343 0 465368 0 0 ZACHARY REDMOND ESQ SECRETARY 0 305704 0 29520 0 49301 0 45989 0 28865 0 459379 0 39423 MICHAEL APKON FORMER TRUSTEE/CEO 0 0 0 0 0 251139 0 0 0 0 0 251139 0 0 LAUREN RIPLEY ASSISTANT SECRETARY 0 173871 0 15759 0 135 0 5568 0 7035 0 202368 0 0 HELEN BOUCHER MD TRUSTEE 0 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 3 TOP MANAGEMENT OFFICIALS ARE UNCOMPENSATED BY THE REPORTING ORGANIZATION. THE REPORTING ORGANIZATION RELIES ON TUFTS MEDICAL CENTER, INC., A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS. THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES MET ON JUNE 8, 2022 TO REVIEW EXECUTIVE COMPENSATION FOR 2023. 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 PRESIDENT WAS DETERMINED TO BE WITHIN MARKET AVERAGES . THE PROCESS HAS NOT CHANGED SINCE THEN. THE LAST MEETING WAS HELD JUNE 8, 2022. PART 1, LINE 4B: SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: ZACHARY REDMOND, $36,977 KRISTINE HANSCOM $67,684 MICHAEL TARNOFF $158,411 ASSAD SIDDIQI $41,519 MICHAEL DANDORPH: $252,000 PART I, LINE 4A: MICHAEL APKON RECEIVED $251,139 OF SEVERANCE IN CALENDAR YEAR 2022. KRISTINE HANSCOM RECIEVED $65,775 OF SEVERANCE IN CALENDAR YEAR 2022. 990, PART VII, SECTION A. LINE 5 HELEN BOUCHER, M.D. RECEIVED COMPENSATION FROM TUFTS UNIVERSITY, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO TUFTS MEDICINE, INC. FORM 990, PART VI, SECTION A, LINE 6 TUFTS MEDICINE, INC. IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A TUFTS MEDICINE, INC., AS SOLE MEMBER, HAS THE POWER TO APPOINT THE CORPORATION'S TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B TUFTS MEDICINE, INC., AS SOLE MEMBER, HAS THE RIGHT TO APPROVE DECISIONS OF THE BOARD AS REQUIRED BY THE ORGANIZATIONS ARTICLES, BY-LAWS AND THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CONTROLLER REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. A COPY OF THE FORM 990 AS IT WILL BE ULTIMATELY FILED IS POSTED TO AN INTERNAL WEBSITE. THE ORGANIZATION EMAILS ALL OF ITS GOVERNING BODY MEMBERS A LINK TO A PASSWORD PROTECTED WEBSITE THROUGH WHICH THE ORGANIZATION'S GOVERNING BODY CAN ACCESS AND REVIEW THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ENFORCES COMPLIANCE WITH PROCEDURES - INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE HEADS OF DEPARTMENT AND REVIEWED BY LEGAL. THE JOINT COMPLIANCE COMMITTEE WILL DISCLOSE ANY APPEAL. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST VIA MAIL OR IN PERSON AT THE ORGANIZATION'S OFFICE. 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