BROCKTON HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: BROCKTON HOSPITAL INC (EIN 22-2472997)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-07-29
IRS object ID: 202022119349300002
Schema version: 2018v3.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-29T04:16:39-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	TWO JERICHO PLAZA	AddressLine1Txt
City	JERICHO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11753	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222472997	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BROCKTON HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BROC	BusinessNameControlTxt
Phone	5089417000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	680 CENTRE STREET	AddressLine1Txt
City	BROCKTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02302	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KIM HOLLON	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	5089417000	PhoneNum
Signature	2020-07-28	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CHRISTINE KAWECKI	PreparerPersonNm
PTIN	P00743140	PTIN
Phone	5169187000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	183.83.136.238	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-28	IPDt
IP Tm	07:24:18	IPTm
IP Timezone	US	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	1BA7F11F8C184D0CB166ED8A071ADA6BBBB853D3	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-19 02:30:22Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SIGNATURE HEALTHCARE BROCKTON HOSP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KIM HOLLON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	680 CENTRE STREET	AddressLine1Txt
City	BROCKTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02302	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$401,352,486	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SIGNATURE-HEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	SIGNATURE HEALTHCARE BROCKTON HOSPITAL IS A COMMUNITY-BASED NOT-FOR-PROFIT (SEE SCHEDULE O) TEACHING HOSPITAL SERVING MORE THAN 460,000 RESIDENTS IN MORE THAN 20 SOUTHEASTERN MASSACHUSETTS COMMUNITIES. THE HOSPITAL HAS 216 LICENSED BEDS AND PROVIDES A FULL RANGE OF CLINICAL SERVICES INCLUDING MEDICAL/SURGICAL, PEDIATRICS, OBSTETRICS, INPATIENT AND OUTPATIENT PSYCHIATRY, RADIATION AND MEDICAL ONCOLOGY, CARDIAC CATHETERIZATION, LEVEL II NURSERY AND MAGNETIC RESONANCE IMAGING. OUR MISSION IS TO BE THE LEADING COMMUNITY BASED HEALTHCARE DELIVERY SYSTEM IN SOUTHEASTERN MASSACHUSETTS, PROVIDING A FULL RANGE OF INTEGRATED PRIMARY CARE, SPECIALTY CARE, HOSPITAL CARE AND RELATED ANCILLARY HEALTHCARE SERVICES. SIGNATURE HEALTHCARE PHYSICIANS AND SIGNATURE HEALTHCARE BROCKTON HOSPITAL STRIVE TO BE RECOGNIZED AS THE "PROVIDERS OF CHOICE" BY STAFF, PATIENTS AND THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	2449	TotalEmployeeCnt
Total Volunteers	110	TotalVolunteersCnt
Total Gross UBI	$16,358	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,376	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$264,538	PYContributionsGrantsAmt
CY Contributions Grants	$383,482	CYContributionsGrantsAmt
PY Program Service Revenue	$276,873,704	PYProgramServiceRevenueAmt
CY Program Service Revenue	$281,676,614	CYProgramServiceRevenueAmt
PY Investment Income	$10,440,199	PYInvestmentIncomeAmt
CY Investment Income	$4,943,041	CYInvestmentIncomeAmt
PY Other Revenue	$7,644,939	PYOtherRevenueAmt
CY Other Revenue	$12,169,477	CYOtherRevenueAmt
PY Total Revenue	$295,223,380	PYTotalRevenueAmt
CY Total Revenue	$299,172,614	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$167,256,291	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$170,197,695	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$108,021,563	PYOtherExpensesAmt
CY Other Expenses	$118,378,663	CYOtherExpensesAmt
PY Total Expenses	$275,277,854	PYTotalExpensesAmt
CY Total Expenses	$288,576,358	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,945,526	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,596,256	CYRevenuesLessExpensesAmt
Total Assets BOY	$245,000,101	TotalAssetsBOYAmt
Total Assets EOY	$258,092,500	TotalAssetsEOYAmt
Total Liabilities BOY	$156,180,550	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$193,908,736	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$88,819,551	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$64,183,764	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$268,529,664	ExpenseAmt
Revenue	$293,056,732	RevenueAmt
Desc	BROCKTON HOSPITAL IS AN ACUTE CARE HOSPITAL LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE 216 ACUTE CARE BEDS (COMPOSED OF 131 MEDICAL/SURGICAL, 16 INTENSIVE CARE, 8 PEDIATRIC, 20 OBSTETRIC, 22 PSYCHIATRIC), AND 19 BASSINETS (COMPOSED OF 13 WELL INFANT AND 6 SPECIAL CARE). THE HOSPITAL OFFERS A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES TO MEET DIVERSE COMMUNITY NEEDS INCLUDING EMERGENCY CARE, ACUTE CARE (INCLUDING MEDICAL/SURGICAL, OBSTETRICS, PEDIATRIC, PSYCHIATRIC, CARDIAC AND CANCER CARE). (SEE SCHEDULE O)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$268,529,664	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	242	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2449	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KIM HOLLON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5089417000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	680 CENTRE ST	AddressLine1Txt
City	BROCKTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	023023395	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOSEPH DRIER
CHAIRMAN	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID M OFFUTT
VICE CHAIRMAN	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
KIM N HOLLON
PRESIDENT/CEO	40.00	2.00	Yes (X)	Yes (X)	$792,516	$0	$29,184
TIMOTHY CRUZ
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MICHAEL L DERN MD
TRUSTEE	1.00	41.00	Yes (X)		$0	$441,483	$25,664
DAVID DRINKWATER MD
VICE PRESIDENT SPECIALTY CARE	1.00	41.00	Yes (X)		$0	$619,743	$31,141
DAVID F ENGELKEMEYER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DAVID FRENETTE
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MARIA FERNANDES
TRUSTEE (START 2/28/19)	1.00	1.00	Yes (X)		$0	$0	$0
ROBERT S GREENBERG MD
TRUSTEE	1.00	41.00	Yes (X)		$0	$275,874	$10,420
REV CHERYL HARRIS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
STEVEN LANE MD
PRES MEDICAL STAFF	1.00	1.00	Yes (X)		$0	$0	$0
JAMES LEARY
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
EUGENE MARROW
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
LUKE MCCABE
TRUSTEE (START 12/13/18)	1.00	1.00	Yes (X)		$0	$0	$0
FRED NICCOLI
CHAIRMAN DEV OFF BD OF GOVRNRS	1.00	1.00	Yes (X)		$0	$0	$0
WALLACE PECKHAM III
TRUSTEE (RESIGNED 12/13/18)	1.00	1.00	Yes (X)		$0	$0	$0
PATTI ROLAND
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MICHAEL SULLIVAN
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
ROBERT SULLIVAN
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
PATRICIA TORTORELLA
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DAVID WOLOHOJIAN
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JAMES PAPADAKOS
SENIOR VP/CFO RESIGN 4/19/19	40.00	2.00		Yes (X)	$426,403	$0	$25,282
STEPHEN BORGES
INTERIM CFO (START 4/19/19)	40.00	2.00		Yes (X)	$224,425	$0	$28,802
DAVID J FISHER
VP CORPORATE SERVICES	40.00	0.00			$247,496	$0	$22,407	Yes (X)
KIMBERLY WALSH
SENIOR VP PATIENT SERVICES	40.00	0.00			$321,808	$0	$30,847	Yes (X)
MITCHELL SELINGER MD
VP POPULATION MEDICINE	40.00	1.00			$523,311	$0	$22,371		Yes (X)
KAREN E MURPHY
SENIOR VP GENERAL COUNSEL	40.00	0.00			$372,428	$0	$3,021		Yes (X)
JEFFREY C MILLER
VP PHILANTHROPY	40.00	0.00			$222,955	$0	$29,006		Yes (X)
BARBARA M CURLEY
VP QUALITY/CHIEF QUALITY OFFICER	40.00	0.00			$209,837	$0	$23,475		Yes (X)
MICHELLE L TAUTKUS
PHYSICIAN ASSISTANT	40.00	0.00			$193,295	$0	$24,566		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,534,474	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,337,100	TotReportableCompRltdOrgAmt
Total Other Compensation	$306,186	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	235	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MATRIX ANESTHESIA
1342 BELMONT ST STE 205	BROCKTON	MA	02302	PHYSICIAN SERVICES	$3,610,548
SECURAMERICA LLC
3399 PEACHTREE RD NE STE 1500	ATLANTA	GA	30326	SECURITY SERVICES	$1,820,029
PRATT PEDIATRIC ASSOCIATES
800 WASHINGTON ST NEMC BOX 1013	BOSTON	MA	02111	PHYSICIAN SERVICES	$1,247,462
ROUNDTOWER NORTHEAST LLC
200 QUANNAPOWITT PARKWAY	WAKEFIELD	MA	01880	IT TECHNICAL SERVICES	$833,278
CRAIG EQUIPMENT
35 PILGRIM WAY	EAST WALPOLE	MA	02032	CONSTRUCTION SERVICES	$661,114

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
Government Grants	$383,482	GovernmentGrantsAmt
Total Contributions	$383,482	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REV.	900099	$262,229,182	$262,229,182
INTERCOMPANY REVENUE	900099	$8,742,888	$8,742,888
SCHOOL OF NURSING	900099	$4,579,980	$4,579,980
INTERCOMPANY RENT	900099	$1,955,520	$1,955,520
NONPATIENT LAB REVENUE	900099	$16,358		$16,358

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,152,686	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,152,686	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$281,676,614	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,390,364	TotalRevenueColumnAmt
Exclusion	$1,390,364	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$773,001	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$773,001	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$773,001	TotalRevenueColumnAmt
Exclusion	$773,001	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$105,715,249	SecuritiesAmt
Other	$17,300	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$102,052,896	SecuritiesAmt
Other	$126,976	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,662,353	SecuritiesAmt
Other	-$109,676	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,552,677	TotalRevenueColumnAmt
Exclusion	$3,552,677	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY	900099	$8,858,939	$8,858,939
VANTAGE JOINT VENTURE	900099	$526,585	$526,585
SHIELDS JOINT VENTURE	900099	$284,276	$284,276

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,726,676	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,726,676	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,396,476	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$299,172,614	TotalRevenueColumnAmt
Related Or Exempt Func Income	$293,056,732	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$16,358	UnrelatedBusinessRevenueAmt
Exclusion	$5,716,042	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,012,648	TotalAmt
Program Services	$1,912,016	ProgramServicesAmt
Management And General	$100,632	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$138,517,870	TotalAmt
Program Services	$128,952,798	ProgramServicesAmt
Management And General	$9,565,072	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,567,801	TotalAmt
Program Services	$4,063,963	ProgramServicesAmt
Management And General	$503,838	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,326,455	TotalAmt
Program Services	$14,232,996	ProgramServicesAmt
Management And General	$1,093,459	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,772,921	TotalAmt
Program Services	$9,173,273	ProgramServicesAmt
Management And General	$599,648	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,260,897	TotalAmt
Program Services	$5,260,897	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$448,952	TotalAmt
Management And General	$448,952	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$343,204	TotalAmt
Program Services	$25,204	ProgramServicesAmt
Management And General	$318,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$299,269	TotalAmt
Program Services	$299,269	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$845,273	TotalAmt
Program Services	$31,711	ProgramServicesAmt
Management And General	$813,562	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,562,505	TotalAmt
Program Services	$3,175,329	ProgramServicesAmt
Management And General	$387,176	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$945,595	TotalAmt
Program Services	$872,749	ProgramServicesAmt
Management And General	$72,846	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,579,520	TotalAmt
Program Services	$7,099,855	ProgramServicesAmt
Management And General	$479,665	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$191,722	TotalAmt
Program Services	$126,545	ProgramServicesAmt
Management And General	$65,177	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,075,894	TotalAmt
Program Services	$2,829,822	ProgramServicesAmt
Management And General	$246,072	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,033,307	TotalAmt
Program Services	$11,070,642	ProgramServicesAmt
Management And General	$962,665	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,506,833	TotalAmt
Program Services	$1,291,102	ProgramServicesAmt
Management And General	$215,731	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$20,920,474	$18,933,899	$1,986,575
MEDICAL & SURGICAL SUPP	$19,423,680	$19,415,468	$8,212
DRUGS & MEDICATIONS	$17,458,393	$17,458,393
MD CONTRACTED SERVICES	$9,751,804	$9,751,804

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,731,341	TotalAmt
Program Services	$12,551,929	ProgramServicesAmt
Management And General	$2,179,412	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$288,576,358	TotalAmt
Program Services	$268,529,664	ProgramServicesAmt
Management And General	$20,046,694	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,135	BOYAmt
EOY	$2,360	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,218,858	BOYAmt
EOY	$11,493,160	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,548,383	BOYAmt
EOY	$34,430,208	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,180,331	BOYAmt
EOY	$1,182,903	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,127,889	BOYAmt
EOY	$3,337,332	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,035,724	BOYAmt
EOY	$3,800,093	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$241,253,853	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$116,266,127	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$112,989,547	BOYAmt
EOY	$124,987,726	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,738,570	BOYAmt
EOY	$3,956,297	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$990,000	BOYAmt
EOY	$990,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$78,168,664	BOYAmt
EOY	$73,912,421	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$245,000,101	BOYAmt
EOY	$258,092,500	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$43,748,663	BOYAmt
EOY	$46,475,685	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,235,191	BOYAmt
EOY	$3,744,224	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$50,000,000	BOYAmt
EOY	$48,385,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$22,999,529	BOYAmt
EOY	$40,553,685	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$35,197,167	BOYAmt
EOY	$54,750,142	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,180,550	BOYAmt
EOY	$193,908,736	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$81,492,448	BOYAmt
EOY	$57,176,340	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,828,486	BOYAmt
EOY	$3,557,424	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,498,617	BOYAmt
EOY	$3,450,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$88,819,551	BOYAmt
EOY	$64,183,764	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$245,000,101	BOYAmt
EOY	$258,092,500	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,596,256	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,325,211	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$32,906,832	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$299,269	OtherActivitiesAmt
Total Lobbying Expenditures	$299,269	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	BROCKTON HOSPITAL PAID A LOBBYING FIRM $60,000 DURING FISCAL YEAR 2019 TO LOBBY ON ITS BEHALF ON VARIOUS FEDERAL AND STATE LEGISLATIVE ISSUES IMPACTING THE ORGANIZATION AND THE HEALTHCARE INDUSTRY AS A WHOLE. AS PART OF THE ORGANIZATION'S MEMBERSHIP IN THE MASSACHUSETTS AND AMERICAN HOSPITALS ASSOCIATION AND AMERICA'S ESSENTIAL HOSPITALS $239,269 OF THE TOTAL AMOUNT OF DUES PAID TO THESE NOT FOR PROFIT ASSOCIATIONS WAS USED FOR LOBBYING. LOBBYING ACTIVITIES REPRESENT AN INSUBSTANTIAL PART OF THE ORGANIZATION'S ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,717,908	BeginningYearBalanceAmt
Investment Earnings Or Losses	$116,735	InvestmentEarningsOrLossesAmt
End Year Balance	$4,834,643	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,502,193	BeginningYearBalanceAmt
Contributions	$25,000	ContributionsAmt
Investment Earnings Or Losses	$190,715	InvestmentEarningsOrLossesAmt
End Year Balance	$4,717,908	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,090,994	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$411,199	InvestmentEarningsOrLossesAmt
End Year Balance	$4,502,193	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,763,490	BeginningYearBalanceAmt
Contributions	$1,539	ContributionsAmt
Investment Earnings Or Losses	$325,965	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$4,090,994	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,017,169	BeginningYearBalanceAmt
Contributions	$82,461	ContributionsAmt
Investment Earnings Or Losses	-$288,537	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$47,603	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$3,763,490	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.71000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.29000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,947,952	OtherCostOrOtherBasisAmt
Book Value	$2,947,952	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$129,595,865	OtherCostOrOtherBasisAmt
Depreciation	$57,711,752	DepreciationAmt
Book Value	$71,884,113	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,562,250	OtherCostOrOtherBasisAmt
Depreciation	$2,953,555	DepreciationAmt
Book Value	$8,608,695	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$91,699,359	OtherCostOrOtherBasisAmt
Depreciation	$55,600,820	DepreciationAmt
Book Value	$36,098,539	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,448,427	OtherCostOrOtherBasisAmt
Book Value	$5,448,427	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$124,987,726	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ASSETS WHOSE USE IS LIMITED	$61,800,670
INVESTMENT IN JOINT VENTURES	$783,066
SECURITY DEPOSITS	$382,227
MALPRACTICE INSURANCE RESERVES	$2,393,572
DUE FROM THIRD PARTY PAYORS	$8,552,886

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$73,912,421	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
AMOUNTS DUE TO THIRD PARTY PAYORS	$8,646,326
PENSION LIABILITY	$46,103,816

Field	Value	IRS element (for citing)
Total Liability	$54,750,142	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL'S ENDOWMENT CONSISTS OF INDIVIDUAL DONOR RESTRICTED ENDOWMENT FUNDS HELD FOR A VARIETY OF PURPOSES AS WELL AS SPLIT INTEREST AGREEMENTS, WHICH HAVE BEEN DESIGNATED FOR ENDOWMENT.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	605.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,730,343	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,091,324	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,639,019	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,326,297	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,438,782	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,887,515	NetCommunityBenefitExpnsAmt
Total Expense	0.01690	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,849,681	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,146,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,703,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$86,906,321	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,676,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,229,703	NetCommunityBenefitExpnsAmt
Total Expense	0.03540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$151,796	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$151,796	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,180,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,601,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,578,471	NetCommunityBenefitExpnsAmt
Total Expense	0.01240	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,813,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,541,803	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,271,765	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,210,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,143,613	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,067,032	NetCommunityBenefitExpnsAmt
Total Expense	0.02440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,116,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$94,820,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,296,735	NetCommunityBenefitExpnsAmt
Total Expense	0.05980	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,494	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,494	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,350	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,350	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,230	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,230	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,410	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,410	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,134	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$73,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,038,501	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,351,599	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$65,762,535	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$73,193,625	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,431,090	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SIGNATURE HEALTHCARE BROCKTON HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	680 CENTRE STREET	AddressLine1Txt
City	BROCKTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02302	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.SIGNATURE-HEALTHCARE.ORG/	WebsiteAddressTxt
State License	2118	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PSYCH	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SIGNATURE HEALTHCARE BROCKTON HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	605.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SIGNATURE HEALTHCARE BROCKTON HOSPITAL	PART V, SECTION B, LINE 5: THE GOAL OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS TO IDENTIFY UNMET HEALTH NEEDS, VULNERABLE POPULATIONS AND GAPS IN EXISTING COMMUNITY HEALTH SERVICES. THIS NEEDS ASSESSMENT USED A MULTI-PRONGED APPROACH WHICH INCLUDED ANALYZING EXISTING DATA AS WELL AS HOLDING FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. THE PROCESS BEGAN WITH QUANTITATIVE DATA GATHERING AROUND DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, OTHER HEALTH RISK AND PROTECTIVE FACTORS, AND HEALTH OUTCOMES. THE QUALITATIVE DATA WAS COLLECTED THROUGH A SERIES OF KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. TO ENSURE THE COMMUNITY VOICE WAS AT THE HEART OF THIS NEEDS ASSESSMENT, COMMUNITY MEMBERS AND KEY INFORMANTS WERE ASKED TO MAKE SUGGESTIONS FOR WHAT OTHER VOICES THEY WOULD LIKE REPRESENTED IN ADDITION TO THEIR OWN. THIS LED TO A SECONDARY SET OF QUALITATIVE DATA. THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIPS WITH LOCAL COMMUNITY LEADERS. THE FOCUS GROUPS WERE DETERMINED BY FIRST EXAMINING QUANTITATIVE DEMOGRAPHIC DATA TO DETERMINE THE LARGEST DEMOGRAPHIC GROUPS IN SIGNATURE HEALTHCARE'S SERVICE AREA, ALONG WITH GROUPS THAT ARE GROWING MOST RAPIDLY. FOCUS GROUPS WERE CONDUCTED IN BROCKTON, WEST BRIDGEWATER, EAST BRIDGEWATER AND HOLBROOK. OVER 85 RESIDENTS PARTICIPATED IN THE FOCUS GROUPS AND RANGED IN AGES FROM 18-92. REPRESENTATIVES IDENTIFIED THEIR RACE/ETHNICITY AND DEMOGRAPHICS REPRESENTATED WERE LARGELY REFLECTIVE OF THE COMMUNITIES IN SIGNATURE HEALTHCARE'S SERVICE AREA. THE FIVE FOCUS GROUPS HAD A MEAN SIZE OF 17. FOCUS GROUP PARTICIPANTS WERE ASKED TO IDENTIFY ADDITIONAL STAKEHOLDERS WHO SHOULD PROVIDE INPUT. THIS LED TO INTERVIEWS WITH POLICE, HOSPITAL STAFF, A COUNCILWOMAN, CULTURALLY FOCUSED NON-PROFITS, AND LOCAL SUBSTANCE USE PREVENTION EXPERTS.
PART V, SECTION B, LINE 7A:	HTTPS://WWW.SIGNATURE-HEALTHCARE.ORG/SIGNATUREHEALTHCARE/MEDIA/PDF/2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
PART V, SECTION B, LINE 10A:	HTTPS://WWW.SIGNATURE-HEALTHCARE.ORG/SIGNATUREHEALTHCARE/MEDIA/PDF/2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
PART V, SECTION B, LINE 11:	HOUSING AND HOMELESSNESSWE TREAT A LARGE POPULATION OF HOMELESS PATIENTS. THEY RECEIVE TREATMENT REGARDLESS OF THEIR RESIDENCY. WE ARE EXPLORING OPPORTUNITIES TO FURTHER SUPPORT THIS POPULATION WITH THEIR HOUSING NEEDS. IN FEBRUARY 2018, SIGNATURE HEALTHCARE BEGAN HOSTING "HOUSING 101" A WORKSHOP AIMED TO HELP INDIVIDUALS APPLY FOR HOUSING AND, IN PARTICULAR, SECTION 8 HOUSING, AND OTHER BENEFITS THEY MAY BE ELIGIBLE FOR INCLUDING BUT NOT LIMITED TO; SNAP (FOOD STAMPS), CASH ASSISTANCE AND UTILITY DISCOUNTS. IN ADDITION, IF THE INDIVIDUAL IS CURRENTLY EXPERIENCING A HOUSING CRISIS AND/OR NEEDS LANDLORD MEDIATION ONE OF THE ADVOCATES CAN ASSIST AND CONNECT THE INDIVIDUAL WITH THE RESOURCES IN THEIR COMMUNITY. THIS IS A PARTNERSHIP BETWEEN SIGNATURE HEALTHCARE AND THE MASSACHUSETTS COALITION FOR THE HOMELESS. IN FY 19, SIGNATURE HEALTHCARE BROADENED THE OFFERINGS BY INCLUDING A REPRESENTATIVE FROM DTA (DEPARTMENT OF TRANSITIONAL ASSISTANCE) AND THE OLD COLONY YMCA SOCIAL SERVICE AND HEALTHY LIVING PROGRAMS. THROUGHOUT THE YEAR, 50 OF OUR SIGNATURE HEALTHCARE PATIENTS WERE ABLE TO TAKE ADVANTAGE OF THIS SERVICE. SIGNATURE HEALTHCARE BROCKTON HOSPITAL PARTNERS WITH FATHER BILLS AND MAINSPRING HOUSE JOB DEVELOPERS, ALONG WITH OTHER SUPPORTERS OF LOCAL BUSINESSES INCLUDING BRIDGEWATER STATE UNIVERSITY, DEPARTMENT OF TRANSITIONAL ASSISTANCE, ARBELLA INSURANCE FOUNDATION, STATE STREET, UNITED WAY OF GREATER PLYMOUTH COUNTY AND CITIZENS BANK. WE RECRUIT GRADUATES FROM THE WORK EXPRESS AND WORK READY PROGRAM INTO PAYING JOBS WHERE THEY CAN WORK TO BROADEN THEIR SKILLS AND EXPERIENCE VARIOUS HEALTHCARE EMPLOYMENT OPPORTUNITIES. IN MANY CASES, PARTICIPATION IN THIS PROGRAM HELPS REBUILD THEIR LIVES AND PROVIDE FOR THEIR FAMILIES. SIGNATURE HEALTHCARE HAS BEEN SUCCESSFUL IN HIRING GRADUATES FROM BOTH PROGRAMS INTO VARIOUS PART TIME, PER DIEM AND FULL TIME POSITIONS WITHIN THE HOSPITAL SETTING. HEALTH CARE ACCESS: SIGNATURE HEALTHCARE AIMS TO LINK THOSE WHO FACE BARRIERS TO HEALTHCARE ACCESS OR DISPARITIES IN HEALTH OUTCOMES DUE TO THE SOCIAL DETERMINANTS OF HEALTH TO APPROPRIATE COMMUNITY BASED SERVICES, SCHEDULE APPOINTMENTS WITH PRIMARY AND SPECIALTY CARE PROVIDERS AND OFFER FREE SCREENINGS. SIGNATURE HEALTHCARE ALSO PROVIDES PHYSICIAN OUTREACH DIRECTLY IN THE COMMUNITIES WHERE SIGNATURE HEALTHCARE CORPORATION PATIENTS RESIDE FOR "ONE ON ONE" INTERACTION. ONE EXAMPLE IS LADIES NIGHT, WHICH WE HOST EACH FALL IN RECOGNITION OF BREAST CANCER AWARENESS MONTH. WE HAVE CLINICIANS FROM SIGNATURE HEALTHCARE COME AND EDUCATE ATTENDEES ON TOPICS SUCH AS THE IMPORTANCE OF PRIMARY CARE, THE NEED FOR ANNUAL OB/GYN VISITS AND SCREENING CRITERIA INCLUDING WHEN TO HAVE MAMMOGRAMS AND COLONOSCOPIES. DURING THIS EVENT WE ALSO HAVE EDUCATION STATIONS WHICH INCLUDE OPPORTUNITIES TO MEET WITH OUR STAFF AND SCHEDULE APPOINTMENTS THAT ATTENDEES MIGHT NEED. WE PROVIDE INTERPRETER SERVICES WHEN NEEDED. SAFETY: DOMESTIC VIOLENCE WAS SEEN AS AN ISSUE IN THE BROCKTON AREA. OUR CLINICIANS HAVE PROVIDED EDUCATION ON HEALTHY RELATIONSHIPS TO AREA COMMUNITY GROUPS.MATERNAL AND CHILD HEALTH: SIGNATURE HEALTHCARE HAS A HEALTHY BEGINNINGS PROGRAM WHICH ASSISTS WOMEN THROUGHOUT THEIR PREGNANCY AND BEYOND. THEY CAN WALK IN AND RECEIVE A FREE PREGNANCY TEST AND IF THEY ARE EXPECTING, ARE SET UP WITH ALL PRE AND POST NATAL CARE. THE PATIENT NAVIGATORS FROM HEALTHY BEGINNINGS ARE TRAINED IN FINANCIAL COUNSELING, SO IF PATIENTS ARE IN NEED OF INSURANCE THEY CAN RECEIVE ASSISTANCE WITH APPLYING FOR HEALTH INSURANCE AS WELL. THIS PROGRAM HAS RELATIONSHIPS WITH A VARIETY OF COMMUNITY RESOURCES, SO IF THE EXPECTANT MOMS ARE IN NEED OF CLOTHING, DIAPERS, CAR SEATS ETC., WE WORK WITH THEM TO ASSIST WITH THESE NEEDS AS WELL. SIGNATURE HEALTHCARE HAS 10 OB/GYN PHYSICIANS WITHIN ALL SIGNATURE MEDICAL GROUP LOCATIONS ALONG WITH 10 PEDIATRICIANS IN BROCKTON, HANSON, EASTON, RANDOLPH AND RAYNHAM. SIGNATURE HEALTHCARE BROCKTON HOSPITAL HAS AN INPATIENT PEDIATRICS DEPT. WHICH IS STAFFED 24/7 BY TUFTS FLOATING HOSPITALISTS. SIGNATURE HEALTHCARE IS A "BABY FRIENDLY DESIGNATED HOSPITAL AND STRIVES TO SUPPORT MOTHERS TO BREASTFEED BABIES FOR THE BEST START IN LIFE. SIGNATURE HEALTHCARE WROTE A BREASTFEEDING POLICY THAT IS ROUTINELY COMMUNICATED TO ALL HEALTHCARE STAFF AND PROVIDES EDUCATION AND INFORMATION TO ALL EXPECTING MOTHERS ON THE BENEFITS OF BREASTFEEDING. MATERNITY STAFF HELP MOTHERS INITIATE BREASTFEEDING WITHIN ONE HOUR OF BIRTH AND CONTINUE TO SHOW MOTHERS HOW TO BREASTFEED AND MAINTAIN LACTATION EVEN IF THEY ARE SEPARATED FROM THEIR INFANTS. SIGNATURE HEALTHCARE OFFERS BABE-E-NEWS, A FREE; OPT-IN, ELECTRONIC NEWSLETTER PROVIDING EDUCATION, TOOLS, AND RESOURCES FOR PREGNANCY INTO EARLY CHILDHOOD. THE INFORMATION IS TAILORED TO A MOTHER'S DUE DATE OR CHILD'S BIRTH DATE, MAKING THE WEEKLY INFORMATION RELEVANT AND USEFUL. THIS NEWSLETTER CAN ALSO BE SHARED WITH ANY NUMBER OF FAMILY MEMBERS WHO CAN SELECT TO READ THE NEWSLETTER IN MULTIPLE LANGUAGES. COMMUNICATING TO PATIENTS IN THEIR NATIVE LANGUAGE HELPS TO PROMOTE COMPLIANCE AND UNDERSTANDING OF THEIR PERSONAL HEALTHCARE. STD HIV/AIDS - REFER TO FAMILY PLANNING FOR EVALUATION AND TREATMENT AND WITH THE POSSIBILITY OF BEING REFERRED TO OUR INFECTIOUS DISEASE PHYSICIAN FOR FURTHER TREATMENT AND FUTURE HEALTH CARE NEEDS.RISKY BEHAVIORS AND HEALTH SCREENINGS:IN FY 19, SIGNATURE HEALTHCARE OFFERED MULTIPLE TRAININGS TO OUR ASSOCIATES ON "VAPING: WHAT IS IT?" A CONVERSATION ABOUT VAPING PRESENTED BY THE GREATER BOSTON TOBACCO FREE PARTNERSHIP. THE PURPOSE OF THESE PRESENTATIONS WAS TO PROVIDE EDUCATION ON WHAT E-CIGARETTE AND VAPE PRODUCTS ARE, WHY THEY ARE HARMFUL, HOW THE TOBACCO AND VAPING INDUSTRY ARE TARGETING YOUTH, AND HOW TO PROTECT THEM FROM THE LATEST TRENDS. SIGNATURE HEALTHCARE CONTINUES TO WORK WITH STAFF FROM HIGH POINT, THE BROCKTON AREA PREVENTION COLLABORATIVE AND THE PLYMOUTH COUNTY DRUG ABUSE TASK FORCE. SIGNATURE HEALTHCARE EMERGENCY DEPARTMENT PHYSICIANS WORK WITH LOCAL POLICE AND FIRE DEPARTMENTS PROVIDING TRAINING AND MEDICAL GUIDANCE. POLICE DEPARTMENTS FROM NORFOLK, PLYMOUTH AND BRISTOL COUNTIES WERE TRAINED ON THE PROPER USE OF NASAL NARCAN. THE ED PHYSICIANS ALSO WORKED ON PROJECTS WITH THE NORFOLK, PLYMOUTH AND MIDDLESEX COUNTY DISTRICT ATTORNEY'S OFFICES TO PROVIDE LECTURES TO STUDENTS, PARENTS, TEACHERS AND OTHER HEALTHCARE PROFESSIONALS ON SUBSTANCE USE AND OTHER HEALTH CONCERNS FACING OUR AREA YOUTH. DR. MUSE SERVES AS THE EMS MEDICAL DIRECTOR FOR 14 LOCAL FIRE DEPARTMENTS, AND IS VERY ACTIVE IN OTHER MATTERS RELATED TO SUBSTANCE USE, INCLUDING THE BROCKTON MAYOR'S OPIOID COALITION, INDEPENDENCE ACADEMY, AND PLYMOUTH COUNTIES SUBSTANCE ABUSE COALITION. DR. DAN MUSE, SIGNATURE HEALTHCARE ED PHYSICIAN, IS A BOARD MEMBER OF PLYMOUTH COUNTY OUTREACH AND IS THE CHAIRMAN OF THE MEDICAL ADVISORY COMMITTEE. THE COMMITTEE PRODUCED A "WHITE PAPER" ON THE OPIOID EPIDEMIC ALONG WITH SPONSORING A CONFERENCE ON PAIN MANAGEMENT, "SCOPE OF PAIN". THIS CONFERENCE PROVIDED AN IN DEPTH TRAINING THAT FOCUSED ON EFFECTIVE COMMUNICATION SKILLS AND THE POTENTIAL RISKS AND BENEFITS OF OPIOIDS FOR MANAGING CHRONIC PAIN. THE TRAINING INCLUDES THE ASSESSMENT OF OPIOID MISUSE RISK AND HOW TO MANAGE OPIOID THERAPY INCLUDING OPIOID TAPERS USING A PATIENT CENTERED APPROACH. SIGNATURE HEALTHCARE AND DR. DAN MUSE HAVE ESTABLISHED A VERY CLOSE RELATIONSHIP WITH THE CITY OF BROCKTON. DR. MUSE IS THE MEDICAL DIRECTOR FOR BROCKTON POLICE AND FIRE. HE ALSO SERVES AS THE MEDICAL DIRECTOR FOR THE BROCKTON FIRE DEPARTMENT DISPATCH. FOR THE LAST FOUR YEARS, DR. MUSE HAS BEEN PART OF THE BROCKTON POLICE DEPARTMENT'S YEARLY MENTAL HEALTH TRAINING. HE ALSO WORKS CLOSELY WITH LOCAL POLICE AND FIRE ON SPECIAL PROGRAMS IN THEIR DEPARTMENTS AND TOWNS. A NEW PROGRAM "SAVE A LIFE" IS BEING LAUNCHED IN 2020. THIS PROGRAMS WORKS IN CONJUNCTION WITH LOCAL EMS TO TRAIN CITIZENS OF THEIR COMMUNITIES IN LIFE SAVING TECHNIQUES OF CPR, AED USE, NARCAN ADMINISTRATION AND "STOP THE BLEED" SKILLS.
WITHIN THE SIGNATURE HEALTHCARE EMERGENCY DEPARTMENT, OVERDOSE PATIENTS	RECEIVE NASAL NARCAN, A LIST OF DETOX FACILITIES, AND COUNSELING. THE ED PHYSICIANS ARE ALSO LIMITING THE NUMBER OF NARCOTICS THEY PRESCRIBE TO PATIENTS. THEY WILL NOT FILL LOST PRESCRIPTIONS AND ARE ADVANCING USE OF THE STATE'S "PRESCRIPTION MONITORING PROGRAM."SIGNATURE HEALTHCARE CREATED A PAIN AND OPIOID MANAGEMENT COMMITTEE WHO DEVELOPED A CHARTER TO GUIDE OUR PURPOSE AND ENSURE WE'RE MEETING THE REGULATORY REQUIREMENTS OF THE JOINT COMMISSION AS THEY RELATE TO PAIN AND OPIOID MANAGEMENT. WE STARTED BY ENSURING APPROPRIATE PAIN AND OPIOID MANAGEMENT POLICIES WERE DEVELOPED TO MEET THE NEEDS OF OUR PATIENT POPULATIONS. AT THE SAME TIME, WE HAVE BEEN MONITORING THE EFFECTIVENESS OF PATIENT PAIN ASSESSMENTS AND PAIN MANAGEMENT THROUGHOUT THE ORGANIZATION. PART OF OUR EFFORT INCLUDES RAISING AWARENESS OF AVAILABLE SERVICES FOR CONSULTATION AND REFERRAL FOR PATIENTS WITH COMPLEX PAIN MANAGEMENT NEEDS AMONG STAFF AND OUR LICENSED INDEPENDENT PRACTITIONERS. THE COMMITTEE WORKS TO ENSURE EDUCATIONAL RESOURCES AND PROGRAMS ARE AVAILABLE TO IMPROVE PAIN ASSESSMENT, PAIN MANAGEMENT, AND SAFE USE OF OPIOID MEDICATIONS THROUGHOUT THE ORGANIZATION IN AN ONGOING BASIS.DUE TO THE ALARMING SPIKES IN ADDICTION AND UNINTENDED OVERDOSE DEATHS AND A DRAMATIC RISE IN DIVERSION AND NON-MEDICAL USE OF THESE DANGEROUS DRUGS, SIGNATURE HEALTHCARE ASKED "WHAT'S GOING ON WITH PRESCRIBING PHARMACEUTICALS WITHIN SIGNATURE MEDICAL GROUP?" A GROUP OF EMPLOYEES CAME TOGETHER WITH AN AIM TO ENCOURAGE RESPONSIBLE OPIOID PRESCRIBING PRACTICES FOR SIGNATURE HEALTHCARE PATIENTS WITH CHRONIC PAIN. THE GOAL WAS TO DECREASE THE NUMBER OF OPIOIDS PRESCRIBED BY SIGNATURE HEALTHCARE PRIMARY CARE PROVIDERS WHEN INDICATED BY SUPPORTING RESPONSIBLE OPIOID PRESCRIBING. THERE WERE SEVERAL ACTIONS TAKEN TO ENSURE FOR A SUCCESSFUL PROGRAM WHICH INCLUDED MEETING WITH AND EDUCATING ALL SIGNATURE MEDICAL GROUP PRIMARY CARE PROVIDERS WHO HAD PATIENTS AT HIGH RISK. A MEDICAL MANAGEMENT CLINIC WAS OPENED TO ASSIST PCP'S WITH THE HIGHEST RISK PATIENTS AND DEVELOPING NEW POLICIES. THE HIGH RISK PATIENTS WERE MONITORED EVERY 3-4 MONTHS FOR SUCCESSFUL WEANING FROM OPIOIDS AND BENZODIAZEPINES. DATA WAS PROVIDED TO PCP'S ABOUT THEIR PATIENT'S PROGRESS AND STORYTELLING WAS USED TO SHARE SUCCESSFUL WEANING WITH OTHER PCP'S AND COMMITTEE MEMBERS. THE RESULTS HELP TO TELL THE STORY, AS PCP'S WITH HIGH RISK PATIENTS SAW A 67% REDUCTION, AND OVERALL TOTAL MME (MORPHINE MILLIGRAM EQUIVALENTS) PRESCRIBED PER DAY SAW A 63% REDUCTION. THIS PROCESS SHOWS HOW A COMMUNITY HOSPITAL CAN SUCCESSFULLY, SIGNIFICANTLY, AND SAFELY REDUCE OPIOID PRESCRIBING.CHRONIC DISEASE:SIGNATURE HEALTHCARE IN AFFILIATION WITH BETH ISRAEL DEACONESS MEDICAL CENTER AND HARVARD MEDICAL SCHOOL TEACHING HOSPITAL WILL HOST "CONVERSATIONS ON CANCER WHAT YOU NEED TO KNOW ABOUT THE CHANGING LANDSCAPE." THIS EVENT WILL OFFER A FREE DINNER AND PRICELESS INFORMATION TO COMMUNITY MEMBERS IN ATTENDANCE. THEY WILL LEARN ABOUT DRAMATIC ADVANCES IN CANCER RESEARCH AND CLINICAL CARE. AN OPPORTUNITY TO JOIN THE CONVERSATION WITH LOCAL EXPERTS FROM THE CANCER CENTER AT BETH ISRAEL DEACONESS MEDICAL CENTER AND THE GREENE CANCER CENTER AT SIGNATURE HEALTHCARE WILL BE PROVIDED.SIGNATURE HEALTHCARE WILL CONTINUE TO OFFER "LADIES NIGHT", A FREE EVENING FOR WOMEN IN THE COMMUNITIES WE SERVE TO ENJOY DINNER, EDUCATION AND SCREENING OPPORTUNITIES. DURING THE EVENING, ATTENDEES WILL HAVE THE OPPORTUNITY TO HEAR FROM A PROVIDER ON THE IMPORTANCE OF PREVENTION AND ANNUAL SCREENINGS, ACCESS TO CLINICAL STAFF TO ANSWER THEIR QUESTIONS AND THE CHANCE TO SCHEDULE APPOINTMENTS FOR MAMMOGRAMS, PAP SMEARS AND PRIMARY CARE VISITS. THIS EVENT WILL INCLUDE LOCAL COMMUNITY PARTNERS IN THE AREA OF HEALTH INSURANCE AND CHRONIC DISEASE SELF MANAGEMENT. SIGNATURE HEALTHCARE WORKS WITH ENT ASSOCIATES TO PROVIDE A FREE HEAD & NECK CANCER SCREENING. ATTENDEES WILL RECEIVE A PERSONALIZED RISK ASSESSMENT ALONG WITH INFORMATION ON HOW TO PREVENT HEAD AND NECK CANCERS. WE WILL CONTINUE TO LOOK INTO OTHER OPTIONS FOR CANCER SCREENINGS TO SCHEDULE THROUGHOUT OUR SERVICE AREA.DIABETES/HYPERTENSION: BASED ON THE FINDINGS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, SIGNATURE HEALTHCARE CONTINUED ITS WELLNESS PROGRAM -WITH MANY ELEMENTS. THESE INCLUDE FREE EXERCISE CLASSES, FREE HEALTH SCREENINGS, HEALTHY COOKING DEMONSTRATIONS, AND FREE HEALTHY RECIPES. SIGNATURE HEALTHCARE OFFERS FREE ZUMBA AND YOGA CLASSES TO THE COMMUNITY AND EMPLOYEES EVERY TUESDAY AND WEDNESDAY EVENING FROM 5-6PM, TO COMBAT COST AND SAFETY CONCERNS CITED AS REASONS FOR A SEDENTARY COMMUNITY. THESE CLASSES, ATTENDED BY 20-30 PEOPLE WEEKLY, ARE WELL RECEIVED. MASSASOIT COMMUNITY COLLEGE HOSTS THE CLASSES, PROVIDING ADDITIONAL SPACE AND AFFORDING THE OPPORTUNITY TO FACULTY, STAFF AND STUDENTS FROM THE COLLEGE TO ATTEND. SIGNATURE HEALTHCARE CONTINUES TO WORK WITH "BLESSINGS IN A BACKPACK; A PROGRAM THAT SUPPORTS CHILDREN WHO ARE ON THE FREE AND REDUCED BREAKFAST AND LUNCH PROGRAM WITHIN BROCKTON PUBLIC SCHOOLS. SIGNATURE PROVIDES THE 50 CHILDREN, IDENTIFIED FROM THE KENNEDY SCHOOL, NUTRITIOUS FOOD TO TAKE HOME FOR THE WEEKEND.SIGNATURE HEALTHCARE CONTINUES TO BE PART OF THE LARGER COMMUNITY WIDE "BROCKTON KNOCKS DOWN DIABETES" INITIATIVE AND PROVIDES CLINICIANS WHEN NEEDED, ASSISTS WITH COORDINATION AND STAFFING FOR VARIOUS EVENTS AND OFFER HEALTHCARE EDUCATION CLASSES WHEN APPROPRIATE. WE WILL CONTINUE TO WORK WITH OUR COMMUNITY PARTNERS INCLUDING THE OLD COLONY YMCA, BROCKTON VNA, CAPE VERDEAN ADULT DAY HEALTH CENTER AND THE BROCKTON COA. SIGNATURE HEALTHCARE WILL, IN AN EFFORT TO ADDRESS THE COMMUNITY'S NUTRITION AND FITNESS NEEDS, CONTINUE TO SUPPORT "KIDS ROAD RACES", A GRASSROOTS PROGRAM LED BY A COMMUNITY RESIDENT FOR OVER 30 YEARS. SIGNATURE HEALTHCARE WILL CONTINUE TO PROVIDE FUNDING FOR THE INSURANCE COVERAGE FOR THE EVENT AND HEALTHY FOOD OPTIONS AT THE END OF EACH RACE.MENTAL HEALTHSIGNATURE HEALTHCARE CONTINUES TO WORK WITH MASSASOIT COMMUNITY COLLEGE ON HEALTH EDUCATION FOR THE STUDENTS AND FACULTY. SIGNATURE HEALTHCARE WORKS WITH THE WOMEN'S CENTER TO BUILD A CALENDAR EACH YEAR, WHERE EACH MONTH THROUGHOUT THE SEMESTER A DIFFERENT HEALTH TOPIC IS COVERED DURING THE LUNCH TIME. TOPICS TO BE COVERED INCLUDE SUBSTANCE USE, VAPING, NUTRITION, SLEEP AND STRESS AND A VARIETY OF OTHERS.SIGNATURE HEALTHCARE WORKS WITH LOCAL SENIOR CENTERS AND ADULT DAY HEALTH CENTERS AS PART OF THE "SIGNATURE SERIES". THIS IS A MONTHLY EDUCATION PRESENTATION TO OUR LOCAL SENIORS TO PROVIDE THEM WITH THE RESOURCES THEY NEED TO DEAL WITH MENTAL HEALTH AMONGST OTHER HEALTH CONCERNS.SIGNATURE HEALTHCARE WILL WORK WITH LOCAL CABLE ACCESS CHANNELS TO PROVIDE FREE EDUCATION FOR THOSE INDIVIDUALS IN SOCIAL ISOLATION, SPECIFICALLY SENIORS. SIGNATURE HEALTHCARE WILL WORK WITH A FITNESS INSTRUCTOR TO RECORD FITNESS CLASSES FOR LOCAL CABLE CHANNELS TO PROVIDE FREE PHYSICAL FITNESS ACTIVITIES AND EDUCATION TO THOSE IN ISOLATION.TRANSPORTATIONTHE NEED FOR TRANSPORTATION ASSISTANCE CONTINUES TO GROW SINCE SIGNATURE HEALTHCARE BEGAN HELPING WITH THIS NEED IN THE LATE 1990'S. PATIENTS WHO ARE HOSPITALIZED OR TREATED IN THE EMERGENCY DEPARTMENT ARE MOST OFTEN SENT BY AMBULANCE AND DO NOT HAVE PHYSICAL OR FINANCIAL MEANS TO GET HOME WHEN THEY ARE DISCHARGED. AT TIMES, PATIENTS ARE REFERRED FOR POST-HOSPITAL TREATMENT WHICH IS NOT MEDICALLY NECESSARY, AND THUS NOT COVERED BY INSURANCE.IN FY 19, SIGNATURE HEALTHCARE COVERED THE COST OF TRANSPORTATION VIA TAXI FOR 215 PATIENTS COSTING $2505 AND FOR AN ADDITIONAL 495 PATIENTS WHO WERE RELEASED FROM THE EMERGENCY DEPARTMENT; TOTALING $7109 FOR A COMBINED 710 PATIENTS COSTS $9614.
PART V, LINE 16A, FAP WEBSITE:	HTTPS://WWW.SIGNATURE-HEALTHCARE.ORG/PATIENTS-VISITORS/PATIENT-FORMS/FINANCIAL-ASSISTANCE
PART V, LINE 16B, FAP APPLICATION WEBSITE:	HTTPS://WWW.SIGNATURE-HEALTHCARE.ORG/PATIENTS-VISITORS/PATIENT-FORMS/FINANCIAL-ASSISTANCE
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:	HTTPS://WWW.SIGNATURE-HEALTHCARE.ORG/PATIENTS-VISITORS/PATIENT-FORMS/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16H:	THE HOSPITAL, IN COLLABORATION WITH LOCAL NOT FOR PROFIT ORGANIZATIONS SUCH AS THE UNITED WAY AND MASSASOIT COMMUNITY COLLEGE, MAINTAINS COPIES OF ITS ONE PAGE PLAIN LANGUAGE SUMMARY FINANCIAL ASSISTANCE POLICY ON-SITE AT THESE ORGANIZATIONS IN AN EFFORT TO NOTIFY MEMBERS OFITS COMMUNITIES WHO ARE MOST LIKELY IN NEED OF FINANCIAL ASSISTANCE ABOUT THE AVAILABILITY OF SUCH ASSISTANCE.
PART V, SECTION B, LINE 16J:	WHEN REGISTERING FOR SERVICES OR IF RECEIVING A BILL, THE HOSPITAL ENCOURAGES PATIENTS TO CONTACT STAFF TO DETERMINE IF THEY AND/OR A FAMILY MEMBER ARE IN NEED OF AND ELIGIBLE FOR FINANCIAL ASSISTANCE. THE HOSPITAL POSTS GENERAL NOTICES AT SERVICE DELIVERY AREAS WHERE THERE IS REGISTRATION OR A CHECK-IN AREA (INCLUDING, BUT NOT LIMITED TO, INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENTS AND AFFILIATED HEALTH CENTER LOCATIONS, CERTIFIED APPLICATION COUNSELORS ("CAC") OFFICES AND IN GENERAL BUSINESS OFFICE AREAS CUSTOMARILY USED BY PATIENTS THAT INFORM PATIENTS ABOUT THE AVAILABILITY OF PUBLIC ASSISTANCE AND HOSPITAL FINANCIAL ASSISTANCE AS WELL AS THE LOCATIONS WITHIN THE HOSPITAL AND/OR THE PHONE NUMBERS TO CALL TO SCHEDULE AN APPOINTMENT WITH A CAC.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COSTS FOR FIGURES USED IN THE LINE 7 TABLE ARE DERIVED USING WORKSHEET 2 FOR 7 A-D, DIRECT COSTS FOR 7E AND 7I, AND THE HOSPITAL'S COST ACCOUNTING SYSTEM FOR 7F-G.
PART II, COMMUNITY BUILDING ACTIVITIES:	SIGNATURE HEALTHCARE COLLABORATES WITH AND SUPPORTS AREA ORGANIZATIONS BOTH FINANCIALLY AND WITH OUR CLINICAL EXPERTISE. WE BELIEVE THAT BY SUPPORTING AND WORKING WITH COMMUNITY PARTNERS, WE ARE ABLE TO MAKE A LARGER IMPACT ON THE OVERALL HEALTH OF OUR COMMUNITY.
PART III, LINE 2:	THE HOSPITAL USED THE RATIO OF ITS TOTAL COSTS TO CHARGES FROM WORKSHEET 2 TO CALCULATE THE AMOUNT OF BAD DEBT EXPENSE.
PART III, LINE 3:	THE HOSPITAL USED THE RATIO OF ITS TOTAL COSTS TO CHARGES FROM WORKSHEET 2 TO CALCULATE THE AMOUNT OF BAD DEBT EXPENSE FOR THOSE PATIENTS ELIGIBLE FOR CHARITY CARE.
PART III, LINE 4:	THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS EQUAL TO ESTIMATED BAD DEBT LOSSES. THE ESTIMATED LOSSES ARE BASED ON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF EXISTING RECEIVABLES. THE FOOTNOTE IS FOUND ON PAGE 32 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE HOSPITAL CONTINUES TO SERVE ITS VULNERABLE INDIGENT POPULATION AMIDST RISING COSTS WHILE MANY AREAS OF REIMBURSEMENT CONTINUE TO ERODE. THE CHANGE IN DSH PAYMENT METHODOLOGY, AS ONE SIGNIFICANT EXAMPLE, HAS REDUCED THE HOSPITAL'S DSH PAYMENT BY NEARLY HALF OF WHAT IT WAS UNDER THE FORMER METHODOLOGY. THE HOSPITAL USES THE MEDICARE COST REPORT AS THE COST ACCOUNTING SYSTEM TO CALCULATE ITS MEDICARE COSTS.
PART III, LINE 9B:	THE FOLLOWING PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES PURSUANT TO STATE REGULATIONS AND POLICIES: PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN (EAEDC), CHILDREN'S MEDICAL SECURITY PLAN (CMSP), IF MAGI INCOME IS EQUAL TO OR LESS THAN 300% OF THE FPL; LOW INCOME PATIENTS AS DETERMINED BY MASSHEALTH AND SAFETY NET, INCLUDING THOSE WITH MAGI HOUSEHOLD INCOME OR MEDICAL HARDSHIP FAMILY COUNTABLE INCOME BETWEEN 150.1% TO 300% OF THE FPL; AND MEDICAL HARDSHIP, SUBJECT TO THE FOLLOWING EXCEPTIONS: (A) THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY PATIENT ENROLLED IN THE ABOVE MENTIONED PROGRAMS FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM; (B) THE HOSPITAL MAY ALSO INITIATE BILLING OR COLLECTION FOR A PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT FAILS TO PROVIDE PROOF OF SUCH PARTICIPATION. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM (INCLUDING RECEIPT OR VERIFICATION OF SIGNED APPLICATION) THE HOSPITAL SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES; (C) THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW INCOME PATIENT STATUS HAS BEEN TERMINATED, EXPIRED, OR NOT OTHERWISE IDENTIFIED ON THE STATE ELIGIBILITY VERIFICATION SYSTEM OR MEDICAID MANAGEMENT INFORMATION SYSTEM. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN MASSHEALTH, THE PREMIUM ASSISTANCE PROGRAM OPERATED BY THE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PLAN, OR MEDICAL HARDSHIP, THE HOSPITAL WILL CEASE COLLECTION ACTIVITY FOR SERVICES (WITH THE EXCEPTION OF ANY COPAYMENTS AND DEDUCTIBLES) PROVIDED PRIOR TO THE BEGINNING OF THEIR ELIGIBILITY. (D) THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR SUCH SERVICE(S). HOWEVER, EVEN IN THESE CIRCUMSTANCES, THE HOSPITAL MAY NOT BILL THE PATIENT FOR CLAIMS RELATED TO MEDICAL ERRORS OR CLAIMS DENIED BY THE PATIENT'S PRIMARY INSURER DUE TO AN ADMINISTRATIVE OR BILLING ERROR.
PART VI, LINE 2:	SIGNATURE HEALTHCARE WORKS COLLABORATIVELY WITH THE BROCKTON DEPARTMENT OF PUBLIC HEALTH, THE BROCKTON AREA NEIGHBORHOOD HEALTH CENTER AND NUMEROUS COMMUNITY SOCIAL SERVICE AGENCIES TO COORDINATE PUBLIC HEALTH INITIATIVES TO ADDRESS THE NEEDS OF THE AT-RISK POPULATION. SIGNATURE HEALTHCARE FOLLOWS THE GUIDELINES BY PARTICIPATING IN A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. WE USE A FOUR PRONGED APPROACH TO THESE ASSESSMENTS THAT INCLUDES: CONDUCTING KEY INFORMANT INTERVIEWS WITH PEOPLE WHO WORK WITHIN OUR SERVICE AREA TO DETERMINE HOW THE NEEDS OF THE RESIDENTS ARE MET, BY REVIEWING EXISTING PROGRAMS/STRATEGIES AND SERVICES IN THE AREA, BY ANALYZING DATA TO DETERMINE HOW HEALTH OUTCOMES IN THE CITY AND SURROUNDING TOWNS COMPARE TO THE STATE AVERAGE AND LASTLY BY PARTICIPATING IN FOCUS GROUPS TO EXAMINE PERCEPTIONS ON HOW PARTICULAR ISSUES IMPACT THOSE INDIVIDUALS.
PART VI, LINE 3:	FOR THOSE INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH PATIENTS TO ASSIST THEM IN APPLYING FOR PUBLIC ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS FIND AVAILABLE AND APPROPRIATE OPTIONS, THE HOSPITAL WILL PROVIDE ALL INDIVIDUALS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PUBLIC ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAMS DURING THE PATIENT'S INITIAL IN-PERSON REGISTRATION AT A HOSPITAL LOCATION FOR A SERVICE, IN ALL BILLING INVOICES THAT ARE SENT TO A PATIENT OR GUARANTOR, AND WHEN THE PROVIDER IS NOTIFIED OR THROUGH ITS OWN DUE DILIGENCE BECOMES AWARE OF A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS FOR PUBLIC OR PRIVATE INSURANCE COVERAGE. IN ADDITION, THE HOSPITAL ALSO POSTS GENERAL NOTICES AND MAKES PAPER COPIES OF THE FAP DOCUMENTS AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH BY MAIL AND AT SERVICE DELIVERY AREAS WHERE THERE IS A REGISTRATION OR CHECK-IN AREA (INCLUDING, BUT NOT LIMITED TO, INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENTS, AND AFFILIATED COMMUNITY HEALTH CENTER LOCATIONS), IN CERTIFIED APPLICATION COUNSELOR ("CAC") OFFICES, AND IN GENERAL BUSINESS OFFICE AREAS THAT ARE CUSTOMARILY USED BY PATIENTS (E.G., ADMISSIONS AND REGISTRATION AREAS, OR PATIENT FINANCIAL SERVICES OFFICES THAT ARE ACTIVELY OPEN TO THE PUBLIC). IN ADDITION, THE HOSPITAL POSTS NOTICES IN LOCAL COMMUNITY HEALTH CENTERS, SENIOR AND EDUCATION FACILITIES. THE GENERAL NOTICE WILL INFORM THE PATIENT ABOUT THE AVAILABILITY OF PUBLIC ASSISTANCE AND HOSPITAL FINANCIAL ASSISTANCE (INCLUDING MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PROGRAM, THE HEALTH SAFETY NET AND MEDICAL HARDSHIP) AS WELL AS THE LOCATION(S) WITHIN THE HOSPITAL AND/OR THE PHONE NUMBERS TO CALL TO SCHEDULE AN APPOINTMENT WITH A CAC. INFORMATION ABOUT APPLYING FOR FINANCIAL ASSISTANCE IS ALSO AVAILABLE ON LINE AT WWW.SIGNATURE-HEALTHCARE.ORG. THE GOAL OF THESE NOTICES IS TO ASSIST INDIVIDUALS IN APPLYING FOR COVERAGE WITHIN ONE OR MORE OF THESE PROGRAMS.
PART VI, LINE 4:	SHBH SERVES OVER 100,000 PATIENTS ON AN ANNUAL BASIS. AS A DISPROPORTIONATE SHARE HOSPITAL AND THE HUB AND SOLE HOSPITAL OF SIGNATURE HEALTHCARE, WE PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY CARE SERVICES FOR ECONOMICALLY DISADVANTAGED AND AT-RISK INDIVIDUALS. THE POVERTY IN OUR SERVICE AREA IS SO SEVERE (72% OF PATIENTS QUALIFY FOR GOVERNMENT INSURANCE) AND RESIDENTS LACK RESOURCES FOR BASIC LIVING EXPENSES. ADD TO THAT THE FEAR OF NAVIGATING A CANCER DIAGNOSIS.OUR SERVICE AREA ALSO INCLUDES LARGE NUMBERS OF IMMIGRANT AND FIRST-GENERATION FAMILIES FROM HAITI AND CAPE VERDE, AMONG OTHERS, FOR WHOM ENGLISH IS A STRUGGLE. MASSACHUSETTS HAS THE HIGHEST CAPE VERDEAN POPULATION - 53,174 - IN THE UNITED STATES. THE MAJORITY - 11,709 - RESIDE IN BROCKTON, MASSACHUSETTS. MASSACHUSETTS IS ALSO A TOP STATE IN THE UNITED STATES FOR HAITIAN POPULATION AT NEARLY 37,000 OF LEGAL RESIDENCE. THE BROCKTON AREA IS, IN FACT, HOME TO THE LARGEST HAITIAN COMMUNITY IN THE UNITED STATES. (SOURCE: CENTER FOR IMMIGRATION STUDIES)WITH EXTENSIVE TRANSLATION SERVICES, A HIGH PERCENTAGE OF STAFF WHO SPEAK MORE THAN ONE LANGUAGE AND A FULL UNDERSTANDING OF THE MULTICULTURAL POPULATION IN OUR COMMUNITIES, SHBH IS UNIQUELY ABLE TO ASSIST PATIENTS AND THEIR FAMILIES THROUGHOUT THE COMMUNITIES WE SERVE. THE IMPORTANCE OF CLEAR COMMUNICATION, SUPPORT AND ACCESS TO QUALITY CARE WHEN FACING A MEDICAL CHALLENGE CANNOT BE OVERSTATED.
PART VI, LINE 6:	BROCKTON HOSPITAL (BH) IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. UNDER THE CONTROL OF ITS PARENT ORGANIZATION, SIGNATURE HEALTHCARE CORPORATION, INC. (SHC) AFFILIATES BH AND SIGNATURE HEALTHCARE MEDICAL GROUP, INC. (SMG) COORDINATE THE PROVISION OF HEALTH CARE AND RELATED SERVICES TO THE RESIDENTS OF BROCKTON AND ITS SURROUNDING CITIES AND TOWNS.
PART VI, LINE 7, REPORTS FILED WITH STATES	MA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KIM N HOLLON
PRESIDENT/CEO	$681,531	$0	$104,230	$0	$6,755	$0	$0	$0	$29,184	$0	$821,700	$0	$0	$0
MICHAEL L DERN MD
TRUSTEE	$0	$435,983	$0	$0	$0	$5,500	$0	$0	$0	$25,664	$0	$467,147	$0	$0
DAVID DRINKWATER MD
VICE PRESIDENT SPECIALTY CARE	$0	$614,243	$0	$0	$0	$5,500	$0	$0	$0	$31,141	$0	$650,884	$0	$0
ROBERT S GREENBERG MD
TRUSTEE	$0	$195,374	$0	$75,000	$0	$5,500	$0	$0	$0	$10,420	$0	$286,294	$0	$0
JAMES PAPADAKOS
SENIOR VP/CFO RESIGN 4/19/19	$357,218	$0	$55,000	$0	$14,185	$0	$0	$0	$25,282	$0	$451,685	$0	$0	$0
STEPHEN BORGES
INTERIM CFO (START 4/19/19)	$191,922	$0	$19,100	$0	$13,403	$0	$0	$0	$28,802	$0	$253,227	$0	$0	$0
DAVID J FISHER
VP CORPORATE SERVICES	$205,641	$0	$30,000	$0	$11,855	$0	$0	$0	$22,407	$0	$269,903	$0	$0	$0
KIMBERLY WALSH
SENIOR VP PATIENT SERVICES	$241,829	$0	$61,700	$0	$18,279	$0	$0	$0	$30,847	$0	$352,655	$0	$0	$0
MITCHELL SELINGER MD
VP POPULATION MEDICINE	$447,571	$0	$60,000	$0	$15,740	$0	$0	$0	$22,371	$0	$545,682	$0	$0	$0
KAREN E MURPHY
SENIOR VP GENERAL COUNSEL	$329,401	$0	$36,000	$0	$7,027	$0	$0	$0	$3,021	$0	$375,449	$0	$0	$0
JEFFREY C MILLER
VP PHILANTHROPY	$192,700	$0	$17,000	$0	$13,255	$0	$0	$0	$29,006	$0	$251,961	$0	$0	$0
BARBARA M CURLEY
VP QUALITY/CHIEF QUALITY OFFICER	$179,882	$0	$18,000	$0	$11,955	$0	$0	$0	$23,475	$0	$233,312	$0	$0	$0
MICHELLE L TAUTKUS
PHYSICIAN ASSISTANT	$174,217	$0	$11,980	$0	$7,098	$0	$0	$0	$24,566	$0	$217,861	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

THE STANDING COMMITTEE OF THE BOARD OF TRUSTEES OF THE ORGANIZATION'S PARENT, SIGNATURE HEALTHCARE CORPORATION, SERVES AS THE COMPENSATION COMMITTEE OF THE ORGANIZATION AND IS EMPOWERED TO REVIEW AND APPROVE ALL MATTERS PERTAINING TO COMPENSATION AND SHALL REPORT ALL ACTIONS TAKEN BY IT ON THESE MATTERS TO THE BOARD OF TRUSTEES. ANNUALLY, THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO PREPARE AN EXECUTIVE COMPENSATION ANALYSIS WHICH INCLUDES A COMPETITIVE ASSESSMENT OF THE TOTAL COMPENSATION PROGRAM FOR THE ORGANIZATION'S EXECUTIVE POSITIONS (CEO, CFO AND VICE PRESIDENTS) FOR REVIEW BY THE COMPENSATION COMMITTEE. THE MINUTES OF THE COMPENSATION COMMITTEE REFLECT THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE.

PART I, LINE 4B:

DURING THE YEAR ENDED 12/31/2018 THE ORGANIZATION MADE 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN CONTRIBUTIONS FOR ELIGIBLE PLAN PARTICIPANTS. THE PLAN WAS CREATED BY SIGNATURE HEALTHCARE FOR THE PURPOSE OF PROVIDING DEFERRED COMPENSATION FOR A SELECT GROUP OF EMPLOYED PHYSICIANS UPON MEETING THE ELIGIBILITY REQUIREMENT OF COMPLETING TWO YEARS OF PLAN SERVICE. FOR YEARS IN WHICH THE ORGANIZATION MEETS ITS OPERATIONAL MARGIN GOAL THE ORGANIZATION WILL CONTRIBUTE TO THE PLAN. THE ORGANIZATION MAY CREDIT TO THE ACCOUNT OF EACH PARTICIPANT UP TO 4% OF THE PARTICIPANT'S TOTAL CASH COMPENSATION FOR THE PRIOR PLAN YEAR. PARTICIPANT'S REMAIN PARTICIPANTS IN THE PLAN UNTIL FORFEITURE OR DISTRIBUTION OF HIS/HER ACCOUNT. COMMENCEMENT OF DISTRIBUTIONS BEGIN UPON THE LAPSE OF FORFEITURE RISK AND ARE MADE IN SINGLE LUMP-SUM DISTRIBUTIONS NET OF APPLICABLE FEDERAL AND STATE WITHHOLDING TAXES. NO DISTRIBUTIONS WERE MADE FROM THE PLAN TO ANY LISTED PERSONS DURING THE YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MASSACHUSETTS DEVELOPMENT FINANCE AGENCY(MDFA)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	043431814	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2017-12-21	BondIssuedDt
Issue Price	$50,000,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$50,047,441	TotalProceedsAmt
Issuance Costs From Proceeds	$483,298	IssuanceCostsFromProceedsAmt
Capital Expenditures	$8,376,978	CapitalExpendituresAmt
Other Spent Proceeds	$41,670,463	OtherSpentProceedsAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00710	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00710	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, COLUMN (F)	FormAndLineReferenceDesc
Explanation	(A) ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCING AGENCY ("MDFA") (F) DESCRIPTION OF PURPOSE: REFINANCE DEBT ISSUED 9/30/2014 AND FINANCE CONSTRUCTION, RENOVATIONS AND ACQUISITIONS OF CAPITAL EQUIPMENT.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1:	SIGNATURE HEALTHCARE BROCKTON HOSPITAL IS A PRIVATE, NOT-FOR-PROFIT, COMMUNITY-BASED TEACHING HOSPITAL SERVING MORE THAN 460,000 RESIDENTS IN MORE THAN 20 SOUTHEASTERN MASSACHUSETTS COMMUNITIES. OUR MISSION IS TO BE THE LEADING COMMUNITY BASED HEALTHCARE DELIVERY SYSTEM IN SOUTHEASTERN MASSACHUSETTS, PROVIDING THE FULL RANGE OF INTEGRATED PRIMARY CARE, SPECIALTY CARE, ACUTE HOSPITAL CARE AND RELATED ANCILLARY HEALTHCARE SERVICES. SIGNATURE HEALTHCARE PHYSICIANS AND SIGNATURE HEALTHCARE BROCKTON HOSPITAL STRIVE TO BE RECOGNIZED AS THE "PROVIDERS OF CHOICE" BY STAFF, PATIENTS AND THE COMMUNITY. SIGNATURE HEALTHCARE IS GUIDED BY THESE PRINCIPLES: - TAKE A LEADERSHIP ROLE IN ASSESSING THE HEALTH CARE NEEDS OF THE METRO SOUTH AREA BY COMMITTING TO A HOSPITAL-COMMUNITY PARTNERSHIP AND BY COLLABORATING WITH OTHER PROVIDERS AND COMMUNITY MEMBERS TO OFFER A BROAD RANGE OF EDUCATION, HEALTH SERVICES AND OTHER ACTIVITIES FOR ALL PATIENTS AND, IN PARTICULAR, THE UNDERSERVED AND DISADVANTAGED POPULATIONS. - DEVELOP NEW SERVICES AND PROGRAMS, AND PARTICIPATE IN ALTERNATIVE DELIVERY AND REGIONAL HEALTH CARE SYSTEMS TO RESPOND TO COMMUNITY NEED AND ENHANCE ACCESS TO CARE. - PARTICIPATE IN THE EDUCATION OF HEALTH CARE PROFESSIONALS TO ENHANCE THE HOSPITAL'S ACCESS TO MEDICAL EXPERTISE AND TO ASSURE THE MOST UP-TO-DATE APPROACHES FOR PROVIDING CARE. - COMMIT TO AN ELECTRONIC MEDICAL RECORD ENVIRONMENT AIMED AT (I) REDUCING MEDICAL ERRORS WITH MORE ACCURATE AND TIMELY INFORMATION FOR PROVIDERS, (II) ENHANCING PHYSICIAN PRODUCTIVITY AND JOB SATISFACTION, (III) RESPONDING TO CONSUMER REQUESTS FOR ELECTRONIC COMMUNICATION. - BE AN EQUITABLE EMPLOYER THAT VALUES AND REWARDS EXCELLENCE IN ITS ASSOCIATES. - MANAGE FINANCES AGGRESSIVELY TO REMAIN COST EFFECTIVE AND FISCALLY SOUND. PART OF SIGNATURE HEALTHCARE BROCKTON HOSPITAL'S COMMUNITY FOCUS, AND INDEED THE VERY CORE OF OUR MISSION, IS TO CARE FOR THOSE IN GREATEST NEED. WE ARE ESPECIALLY PROUD OF OUR DISTINGUISHED, CENTURY-PLUS TRADITION OF REACHING OUT TO ALL PATIENTS IN OUR COMMUNITY, FROM EVERY WALK OF LIFE, REGARDLESS OF THEIR ABILITY TO PAY.
FORM 990, PART III, LINE 4A:	THE HOSPITAL PROVIDES FREE CARE TO THOSE WHO ARE UNABLE TO PAY, SPONSORS FREE HEALTH SCREENINGS, VARIOUS SUPPORT GROUPS AND EDUCATIONAL PROGRAMS, INCLUDING PUBLIC HEALTH EDUCATION, WELLNESS PROGRAMS AND THE TRAINING OF HEALTH PROFESSIONALS SUCH AS FIRST RESPONDER EDUCATION AND TRAINING. DURING THE YEAR ENDED SEPTEMBER 30, 2019 THE HOSPITAL HAD 14,872 TOTAL DISCHARGES AND OBSERVATIONS, 52,429 TOTAL PATIENT DAYS, AND 86,519 OUTPATIENT CLINIC VISITS. THE HOSPITAL'S EMERGENCY DEPARTMENT HAD 59,325 VISITS DURING THE FISCAL YEAR AND IS OPEN 24 HOURS A DAY, EVERY DAY OF THE YEAR AND PROVIDES CARE REGARDLESS OF ONE'S ABILITY TO PAY.
FORM 990, PART VI, SECTION A, LINE 2	TIMOTHY CRUZ, DAVID FRENETTE, PATTI ROLAND, ROBERT SULLIVAN, DAVID WOLOHOJIAN, JOSEPH DRIER, III, JAMES LEARY, MICHAEL SULLIVAN, PATRICIA TORTORELLA, REV. CHERYL HARRIS, EUGENE MARROW, FRED NICCOLI, ROBERT S. GREENBERG, M.D., DAVID DRINKWATER, M.D., KIM N. HOLLON, MICHAEL L. DERN, M.D., DAVID ENGELKEMEYER, DAVID OFFUTT, MARIA FERNANDES, LUKE MCCABE AND STEVEN LANE, MD HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER AS THEY ARE ALSO TRUSTEES OF SIGNATURE HEALTHCARE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 4	THE QUALITY IMPROVEMENT COMMITTEE WAS ESTABLISHED TO BRING COMBINED EXPERTISE AND QUALITY OVERSIGHT BY THE CORPORATION OF THE ACO AND THE ACTIVITIES OF ITS AFFILIATES, AND CONSISTS OF THOSE INDEPENDENT TRUSTEES SERVING ALSO FROM TIME OT TIME AS THE MEMBERS OF THE SIGNATURE HEALTHCARE CORPORATION QUALITY IMPROVEMENT COMMITTEE AND AT LEAST (1) OF THE FOUR (4) TRUSTEES SHALL BE EITHER A CONSUMER ADVOCATE OR HAVE CONSUMED HEALTH CARE SERVICES DELIVERED BY THE CORPORATION THROUGH ITS AFFILIATES AND SHALL BE DESIGNATED THE "CONSUMER TRUSTEE".
FORM 990, PART VI, SECTION A, LINE 6	SIGNATURE HEALTHCARE CORPORATION, A CHARITABLE ORGANIZATION ORGANIZED UNDER THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS, ACTING THROUGH ITS BOARD OF TRUSTEES, IS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S FORM 990 IS PREPARED BY AN OUTSIDE INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AND IS PRESENTED TO AND REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER AND COPIES OF FORM 990 ARE PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES SHALL BE SUBMITTED TO THE PRESIDENT OR HIS DESIGNEE BY DECEMBER 1ST, PRIOR TO THE BEGINNING OF EACH CALENDAR YEAR. THE PRESIDENT OR HIS DESIGNEE SHALL, IN WRITING, ADVISE MEMBERS (TRUSTEES, SENIOR MANAGEMENT, DEPARTMENT MANAGERS AND PHYSICIANS) AND INDIVIDUALS ON THE MEDICAL EXECUTIVE COMMITTEE WHO ARE NOT MEMBERS OF THE CONFLICT OF INTEREST POLICY AND REQUEST THAT EACH INDIVIDUAL COMPLETE AND SUBMIT TO THE PRESIDENT OR HIS DESIGNEE, A QUESTIONNAIRE OUTLINING ANY POSSIBLE CONFLICTS OF INTEREST OR INDICATING THAT NO SUCH CONFLICT OF INTEREST EXISTS. THE PRESIDENT OR HIS DESIGNEE SHALL REVIEW ALL CONFLICT OF INTEREST QUESTIONNAIRES AND AT LEAST ANNUALLY DISCLOSE TO THE EXECUTIVE COMMITTEE THE RESULTS OF THE QUESTIONNAIRES. AT LEAST ANNUALLY THE PRESIDENT OR HIS DESIGNEE SHALL REQUEST A COMMITTEE OF THE BOARD TO REVIEW STANDARD RELATIONSHIPS WITH LOCAL BANKS, INSURANCE FIRMS, VENDORS AND OTHER ENTITIES SERVING THE INSTITUTION TO ASSURE THAT THE RELATIONSHIP IS IN THE BEST INTEREST OF THE INSTITUTION AND IS OTHERWISE CONSISTENT WITH THE TERMS OF THE CONFLICT OF INTEREST POLICY. ANY MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE, USE HIS/HER PERSONAL INFLUENCE OR MAKE AN ADMINISTRATIVE DECISION ON THE MATTER, AND IN THE CASE OF A TRUSTEE, SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE ACTION OF THE MATTER. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A FULL AND ACCURATE DISCLOSURE WAS MADE, THAT THE MEMBER ABSTAINED FROM VOTING OR DECISION MAKING AND THE QUORUM OTHERWISE PRESENT. THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY BY THE MEMBERS AND EACH NEW MEMBER SHALL BE ADVISED OF THE POLICY PRIOR TO THE INDIVIDUAL'S SELECTION AS A MEMBER, AND SHALL BE REQUIRED TO FILE WITHIN 30 DAYS THEREAFTER A COMPLETED QUESTIONNAIRE.
FORM 990, PART VI, SECTION B, LINE 15	THE STANDING COMMITTEE OF THE BOARD OF TRUSTEES OF THE ORGANIZATION'S PARENT, SIGNATURE HEALTHCARE CORPORATION, SERVES AS THE COMPENSATION COMMITTEE OF THE ORGANIZATION AND IS EMPOWERED TO REVIEW AND APPROVE ALL MATTERS PERTAINING TO COMPENSATION AND SHALL REPORT ALL ACTIONS TAKEN BY IT ON THESE MATTERS TO THE BOARD OF TRUSTEES. ANNUALLY, THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO PREPARE AN EXECUTIVE COMPENSATION ANALYSIS WHICH INCLUDES A COMPETITIVE ASSESSMENT OF THE TOTAL COMPENSATION PROGRAM FOR THE ORGANIZATION'S EXECUTIVE POSITIONS (CEO, CFO AND VICE PRESIDENTS) FOR REVIEW BY THE COMPENSATION COMMITTEE. THE MINUTES OF THE COMPENSATION COMMITTEE REFLECT THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 18	FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE LOCATED AT WWW.MASS.GOV .
FORM 990, PART VI, SECTION C, LINE 19	THE ARTICLES OF ORGANIZATION ARE OPEN TO THE PUBLIC ON THE MASSACHUSETTS SECRETARY OF STATE'S WEBSITE AND THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.
FORM 990, PART XI, LINE 9:	TRANSFER (TO) FROM AFFILIATES -17,059,351. PENSION RELATED CHANGES -17,098,878. CHANGE IN INTEREST IN INVESTMENT 125,190. CHANGE IN FAIR VALUE OF SPLIT-INTEREST AGREEMENT -48,793. NET ASSETS RELEASED FROM RESTRICTION 1,175,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SIGNATURE HEALTHCARE CORPORATION INC
680 CENTRE STREET	BROCKTON	MA	02302	042103554	MANAGEMENT AND FUNDRAISING	MA	501(C)(3)	12B	N/A	0
SIGNATURE HEALTHCARE MEDICAL GROUP INC
680 CENTRE STREET	BROCKTON	MA	02302	043306782	PHYSICIAN PRACTICE	MA	501(C)(3)	10		0	SIGNATURE HEALTHCARE CORPORATION

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	680 CENTRE STREET	AddressLine1Txt
City	BROCKTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02302	ZIPCd

Field	Value	IRS element (for citing)
EIN	042530255	EIN
Primary Activities	PHYSICIAN PRACTICE	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FMV
FMV
FMV
FMV
FMV
FMV
FMV
FMV
FMV
FMV
FMV
FMV
FMV