Civic Intelligence

Tufts Medicine Inc.

990 • Fiscal year 2021 • EIN 47-2250732

Oct 01, 2020 to Sep 30, 2021 • Filed on Aug 12, 2022

800 District Avenue No 520Burlington, MA 01803

(978) 942-2220

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

77th percentile

0.63x

Higher debt load relative to assets than 77% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Liabilities / Revenue

100th percentile

174.87x

Higher debt load relative to revenue than 100% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Net Margin

1st percentile

-2203%

Higher net margin than 1% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Top Officer Pay

84th percentile

$2,156,731

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 234.8% of source-year revenue.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Asset Growth

1st percentile

-24%

Faster asset growth than 1% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Revenue Growth

89th percentile

73%

Faster revenue growth than 89% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Assets

Down

$254,762,428

Down $79,788,727 (-24%) from 2020

Net Assets

Down

$94,127,832

Down $17,426,249 (-16%) from 2020

Liabilities

Down

$160,634,596

Down $62,362,478 (-28%) from 2020

Revenue

Up

$918,614

Up $388,463 (+73%) from 2020

Expenses

Down

$21,157,348

Down $1,692,054 (-7.4%) from 2020

Net Income

Up

-$20,238,734

Up $2,080,517 (+9.3%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$300M$200M$100M$0-$100MAssets 2016: $267,680Liabilities 2016: $4,229,684Net Assets 2016: -$3,962,0042016Assets 2017: $446,167Liabilities 2017: $588,818Net Assets 2017: -$142,6512017Assets 2019: $137,294,159Liabilities 2019: $16,440,040Net Assets 2019: $120,854,1192019Assets 2020: $334,551,155Liabilities 2020: $222,997,074Net Assets 2020: $111,554,0812020Assets 2021: $254,762,428Liabilities 2021: $160,634,596Net Assets 2021: $94,127,8322021Assets 2022: $261,139,193Liabilities 2022: $198,592,101Net Assets 2022: $62,547,0922022Assets 2024: $292,513,733Liabilities 2024: $218,462,213Net Assets 2024: $74,051,5202024

Highlighted filing

2021

Assets$254,762,428
Liabilities$160,634,596
Net Assets$94,127,832

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50M-$100MExpenses 2016: $2,805,6702016Revenue 2017: $0Expenses 2017: $10,803,699Net Income 2017: -$10,803,6992017Revenue 2019: $331,190Expenses 2019: $25,135,179Net Income 2019: -$24,803,9892019Revenue 2020: $530,151Expenses 2020: $22,849,402Net Income 2020: -$22,319,2512020Revenue 2021: $918,614Expenses 2021: $21,157,348Net Income 2021: -$20,238,7342021Revenue 2022: $777,039Expenses 2022: $25,018,352Net Income 2022: -$24,241,3132022Revenue 2024: $15,925,462Expenses 2024: $85,418,882Net Income 2024: -$69,493,4202024

Highlighted filing

2021

Revenue$918,614
Expenses$21,157,348
Net Income-$20,238,734
Jump To
Filing Snapshot
Filing Period
Oct 1, 2020 to Sep 30, 2021
Signed
Aug 12, 2022
Return Version
2020v4.2
Gross Receipts
$918,614
Mission and Program Overview

Mission

Healthcare is transforming as it continues to respond to numerous pressures (i.e., reimbursement reductions; government mandates; system consolidation; technology and retail entrants). Wellforce is responding proactively to address these pressures and position the health system to:deliver on its mission: to relentlessly focus on helping people achieve better health.realize its vision: to create a healthier system of care that anticipates people's needs and is constantly innovating to deliver high-quality, affordable care locally and conveniently.internalize its values:-collaboration-respect-innovation-service-excellence

Care integration, population health management, patient access and operational performance.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$323,721,796$243,025,292▼ $80,696,504
Cash and Non-Interest-Bearing Accounts$6,175,640$7,462,619▲ $1,286,979
Inventories for Sale or Use$475,932$1,028,701▲ $552,769
Land, Buildings, and Equipment, Net$440,080$306,502▼ $133,578
Prepaid Expenses and Deferred Charges$430,378$111,149▼ $319,229
Accounts Receivable$18,214$66,816▲ $48,602
Total Assets$334,551,155$254,762,428▼ $79,788,727
Other Assets Total$3,289,115$2,761,349▼ $527,766
Liabilities
Accounts Payable and Accrued Expenses$69,723,976$82,768,736▲ $13,044,760
Other Liabilities$153,273,098$77,865,860▼ $75,407,238
Total Liabilities$222,997,074$160,634,596▼ $62,362,478
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$111,554,081$94,127,832▼ $17,426,249
Total Net Assets Fund Balance$111,554,081$94,127,832▼ $17,426,249
Total Liabilities and Net Assets / Fund Balance$334,551,155$254,762,428▼ $79,788,727

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$209,066$177,651$386,717
Leasehold Improvements$97,436$47,892$145,328
Other Securities$106,789,767--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael DandorphPresident & CEOFT$1,104,636$441,753$1,546,389
Michael Wagner MdChief Physician ExecutiveFT$875,149$488,171$1,363,320
Susan GreenExecutive VP & CFOFT$594,206$265,364$859,570
William ShickolovichExec. VP & CIO (until Sept. 2020)FT$300,836$532,169$833,005
Jeffrey Weinstein EsqExec. VP & General Counsel & Sec.FT$454,496$211,791$666,287
Deborah JoelsonExec. VP & CSO (until Dec. 2020)FT$425,264$210,249$635,513
Dudley AbbeSr. VP, Business DevelopmentFT$300,238$123,318$423,556
Charles WhippleSr. VP, Deputy General Counsel & Sec.--$401,655$401,655
Sabrina GranvilleChief Human Resource OfficerFT$266,429$112,602$379,031
Christopher JohnsonSr. VP, Supply Chain (until May 2021)FT$304,539$43,747$348,286
Christopher JohnsonSr. VP, Supply Chain (until May 2021-$256,745$91,541$348,286
Michael NickeyVP, Public Payer StrategyFT$264,948$54,976$319,924
John GugliottaVP, Supply ChainFT$235,229$73,707$308,936
Joseph GarbielDirector of Talent AcquisitionFT$224,627$55,509$280,136
Jeffrey GrossSr. VP, Business DevelopmentPT$166,243$81,656$247,899
Syed Shafiqur RabExec VP, Chief Digital Trans Officer & CIOFT$226,235$6,258$232,493
Syed Shafiqur RabExec VP, Chief Digital Trans Officer-$148,106$84,387$232,493
Brooke Tyson-hynesStrategic Comm. ConsultantPT$189,040$20,000$209,040

Board Members and Trustees

NameTitle
Gary CampbellChair
Ellen ZaneChair (utnil Feb. 2021)
Anthony MonacoTrustee
Christopher VinczeTrustee
Clarissa Yang MdTrustee
Damian FolchTrustee
David CrissTrustee
Genia LongTrustee
Jeffrey ShamesTrustee
Michele CrageTrustee
Patricia CampbellTrustee
Raymond Anstiss JrTrustee
Scott CollinsTrustee
Paul Summergrad MdTrustee (until Feb. 2020)
David Pickul MdTrustee (until Feb. 2021)
Jack ClancyTrustee (until Feb. 2021)
James HerringtonTrustee (until Feb. 2021)
John Carson Ph DTrustee (until Feb. 2021)
John KeenanTrustee (until Feb. 2021)
Joseph CampanelliTrustee (until Feb. 2021)
Joseph Pennacchio MdTrustee (until Feb. 2021)
Joseph WhiteTrustee (until Feb. 2021)
K Eric Henrikson MdTrustee (until Feb. 2021)
Michael Tarnoff MdTrustee (until Feb. 2021)
Naomi PrendergastTrustee (until Feb. 2021)
Paul BardaroTrustee (until Feb. 2021)
Peter Bates MdTrustee (until Feb. 2021)
Peter Roman MdTrustee (until Feb. 2021)
Robert SwansonTrustee (until Feb. 2021)
Susan M SandbergTrustee (until Feb. 2021)
Michael Apkon MdTrustee (until Sept. 2020)
Charles WhippleSr. VP, Deputy General Counsel & Sec

Highest Paid Contractors

ContractorServicesLocationCompensation
Alvarez & Marsal Healthcare Ind GroupManagement Consulting260 FRANKLIN STREET SUITE 210, Boston, MA 02110$1,699,255
Center For Applied Research INCConsulting4001 SOUTH DAHLIA STREET, Englewood, CO 80113$1,462,032
Visante INCConsulting101 EAST FIRTH STREET 2220, St Paul, MN 55101$871,804
Huron Consulting Services LLCConsulting100 HIGH ST 2301, Boston, MA 02110$758,936
Sullivan Cotter INCIntegrated Workforce Strategies300 TRADECENTER SUITE 5690, Woburn, MA 01801$387,810
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$794,875
Investment Income
$123,739
Other Revenue
$0
Change in Net Assets
$-20,238,734

Audited Revenue Reconciliation

Revenue per Audited Statements
$918,614
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$2,812,485
Total Revenue per Audited Statements
$3,731,099
Total Revenue per Form 990
$918,614
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$11,780,730
Other Expenses$9,376,618
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees-$7,762,832-$7,762,832
Fees for Services Other$3,408,369$3,136,249-$6,544,618
Other Salaries and Wages$3,233,579--$3,233,579
Occupancy-$433,010-$433,010
All Other Expenses-$347,039-$347,039
Pension Plan Contributions$87,283$209,539-$296,822
Payroll Taxes$87,043$208,964-$296,007
Fees for Services Lobbying-$272,120-$272,120
Fees for Services Accounting-$243,542-$243,542
Other Employee Benefits$56,309$135,181-$191,490
Travel-$100,001-$100,001
Office Expenses-$93,851-$93,851
Insurance$79,119--$79,119
Depreciation Depletion-$44,381-$44,381
Other Expenses$26,408$38,509-$26,408
Total Functional Expenses$8,012,816$13,144,532$0$21,157,348

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$21,157,348
Total Expenses per Audited Statements$21,157,348
Total Expenses per Form 990$21,157,348
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$74,463,359
Lease Liability$2,697,392
Other Liabilities$705,109
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 4

Wellforce amended its bylaws and the bylaws of its members to update the reserve powers held by wellforce.

Form 990, Part VI, Section A, Line 7A

The board of trustees shall consist of members of tufts mc parent, melrosewakefield healthcare and circle health. Each will appoint 3 trustees of wellforce, and the remaining trustees will be elected by the trustees of wellforce then in office.

Form 990, Part VI, Section B, Line 11B

Wellforce, inc's 990 was prepared by an independent accounting firm in accordance with information provided by the finance department. The finance department reviewed and made recommendations based upon the draft prior to its presentation to the full board of directors. Based upon this review, the finance department formed a recommendation to the board of directors as to the acceptability and content of the filing. All members of the board of directors were provided a copy of the completed 990 before filing.

Form 990, Part VI, Section B, Line 12C

Wellforce, inc. Follows the conflict of interest policy of lowell general hospital. All trustees, officers and key employees sign an annual conflict of interest statement following the policy of lowell general hospital as outlined below: all officers, board members, and key employees are subject to the conflict of interest policy. Any actual or potential conflicts are forwarded to the compliance committee for consideration. In the event of an actual or potential conflict, the conflicted individual is prohibited from participating in deliberations or decisions relating to the matter. A compliance committee meeting is held every other month to address concerns.

Form 990, Part VI, Section B, Line 15

Compensation for the ceo and other officers follows the process of lowell general hospital as outlined below: a third party consultant is hired for an independent assessment of appropriate salary ranges for the officers of the organization such as the ceo, coo, and cfo. This assessment is reviewed by the compensation committee and a recommendation is given to the executive committee on salary increases and bonuses.

Form 990, Part VI, Section C, Line 19

Wellforce, inc's financial statements are made available to the public through the massachusetts's attorney general's website. Wellforce, inc. Does not make its governing documents or its conflict of interest policy available to the public. The 990 is available on the massachusett's attorney general's website and www.guidestar.org.

Filing and Contact Details

Filer

Filer Name
Wellforce Inc
EIN
47-2250732
Phone
9789422220
Address
800 DISTRICT AVENUE NO 520, BURLINGTON, MA 01803

Signing Officer

Name
Susan Green
Title
Exec. VP and CFO
Phone
9789422220
Signed
2022-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Dandorph
Formed
2014
Legal Domicile
Ma
Voting Board Members
13
Independent Board Members
11
Employees
76
Volunteers
24

Preparer

Firm
Cbiz Mhm LLC
Address
500 BOYLSTON STREET, BOSTON, MA 02116
Preparer
Brenda L Booth
Phone
6177610600
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Professional consulting fees: program service expenses 3,408,369. Management and general expenses 3,136,249. Fundraising expenses 0. Total expenses 6,544,618.

FORM 990, PART XI, LINE 9:

Interentity net asset transfers 2,812,485.

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Interentity net asset transfers 2,812,485.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0TUFTS MEDICAL CENTER PARENT, INC. AND CONSOLIDATED AFFILIATES ("TUFTS MC"), CIRCLE HEALTH, INC. AND CONSOLIDATED AFFILIATES ("CIRCLE HEALTH"), MELROSEWAKEFIELD HEALTHCARE, INC. AND CONSOLIDATED AFFILIATES, FORMERLY HALLMARK HEALTH CORPORATION ("MELROSEWAKEFIELD"), AND HOME HEALTH FOUNDATION, INC. AND ITS AFFILIATES ("HHF") ARE THE MEMBERS OF WELLFORCE, INC. ("WELLFORCE"), WHICH IS HEREINAFTER REFERRED TO AS THE "SYSTEM". THE SYSTEM REPRESENTS A UNIQUE MODEL THAT SERVES THE HEALTH NEEDS OF COMMUNITIES WHILE ENHANCING THE AFFORDABILITY OF CARE. THE SYSTEM FOCUSES ON CARE INTEGRATION, POPULATION HEALTH MANAGEMENT, PATIENT ACCESS, AND OPERATIONAL PERFORMANCE.WELLFORCE IS DESIGNED TO ENHANCE THE DELIVERY OF PATIENT-CENTERED CARE AND IMPROVE ACCESS TO HIGH-QUALITY, CLINICALLY INTEGRATED HEALTHCARE SERVICES FOR PATIENTS THROUGHOUT MANY COMMUNITIES IN THE COMMONWEALTH OF MASSACHUSETTS. WELLFORCE IS WORKING TO FACILITATE IMPLEMENTATION OF A COMMON, COORDINATED APPROACH, ACROSS THE THREE AFFILIATING HEALTH CARE SYSTEMS, TO POPULATION HEALTH MANAGEMENT. THIS WILL ALLOW FOR INNOVATION IN CARE MANAGEMENT MODELS, DISSEMINATION OF BEST PRACTICES, SHARED INFRASTRUCTURE AND INFORMATION SYSTEMS, AND INCREASED SCALE TO SERVE A GREATER POPULATION BASE. THE ROLE OF WELLFORCE FOR TUFTS MC, CIRCLE HEALTH, MELROSEWAKFIELD AND HHF WILL FACILITATE RATIONALIZING CARE DELIVERY TO ASSURE THAT SERVICES ARE PROVIDED IN THE MOST EFFICIENT SETTING, WITH INCENTIVES FOR CLOSE COLLABORATION AMONG PHYSICIANS, FACILITIES AND OTHER HEALTH CARE PROVIDERS. THE ROLE OF WELLFORCE WILL ALSO SERVE TO FOSTER EFFECTIVE CLINICAL INTEGRATION ACROSS THE CONTINUUM OF CARE, INCLUDING IMPLEMENTING STRATEGIES PROMOTING RISK-SHARING AND HIGH PERFORMANCE OUTCOMES. THROUGH WELLFORCE, TUFTS MC, CIRCLE HEALTH, MELROSEWAKFIELD AND HHF WILL DEFINE A COMMON SET OF RESPONSIBILITIES THAT HONORS THEIR RESPECTIVE AUTONOMY WHILE PROMOTING A COLLABORATIVE AND COMPREHENSIVE FUTURE-LOOKING STRATEGIC VISION PROACTIVELY RESHAPING HOW HEALTH CARE IS PROVIDED.WELLFORCE CARE PLAN, LLC IS AN ACCOUNTABLE CARE ORGANIZATION FORMED FOR THE PURPOSE OF ENTERING INTO AN AGREEMENT WITH A MANAGED CARE ORGANIZATION TO PARTICIPATE COLLECTIVELY IN THE MASSHEALTH ACCOUNTABLE CARE ORGANIZATION PROGRAM.
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