BROCKTON HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BROCKTON HOSPITAL INC (EIN 22-2472997)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-08
- IRS object ID
- 201902209349300200
- Schema version
- 2017v2.3
- 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 | 2019-08-08T00:58:55-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | 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 | 2017-10-01 | 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 | 2019-08-07 | 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 | 183.83.70.163 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-07 | IPDt |
| IP Tm | 06:41:45 | IPTm |
| IP Timezone | US | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AB8BD5A88D4BA927D2DA994192B6818756100B67 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0E4C15207DC127BDB52450F77D4060F40C3F1AE4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | $378,742,343 | 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 | 1890 | 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 | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2270 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $22,433 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,062,018 | PYContributionsGrantsAmt |
| CY Contributions Grants | $264,538 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $270,502,327 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $276,873,704 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,488,776 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,440,199 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,469,349 | PYOtherRevenueAmt |
| CY Other Revenue | $7,644,939 | CYOtherRevenueAmt |
| PY Total Revenue | $281,522,470 | PYTotalRevenueAmt |
| CY Total Revenue | $295,223,380 | 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 | $160,072,570 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $167,256,291 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $104,456,059 | PYOtherExpensesAmt |
| CY Other Expenses | $108,021,563 | CYOtherExpensesAmt |
| PY Total Expenses | $264,528,629 | PYTotalExpensesAmt |
| CY Total Expenses | $275,277,854 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,993,841 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $19,945,526 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $240,748,890 | TotalAssetsBOYAmt |
| Total Assets EOY | $245,000,101 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $170,446,141 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $156,180,550 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $70,302,749 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $88,819,551 | 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 | $249,277,618 | ExpenseAmt |
| Revenue | $283,728,424 | 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 | $249,277,618 | 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 | 235 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2270 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 STREET | AddressLine1Txt |
| City | BROCKTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 023023395 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 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 |
|---|---|---|---|---|---|---|---|---|---|
| JAMES LEARY | |||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH DRIER III | |||||||||
| 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) | $697,581 | $0 | $27,891 | ||
| TIMOTHY CRUZ | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL L DERN MD | |||||||||
| TRUSTEE | 1.00 | 41.00 | Yes (X) | $0 | $506,345 | $29,758 | |||
| DAVID DRINKWATER MD | |||||||||
| VP SPECIALTY CARE | 1.00 | 41.00 | Yes (X) | $0 | $534,634 | $29,334 | |||
| DAVID F ENGELKEMEYER | |||||||||
| TRUSTEE (START 12/12/17) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID FRENETTE | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT S GREENBERG MD | |||||||||
| TRUSTEE | 1.00 | 41.00 | Yes (X) | $0 | $303,199 | $10,360 | |||
| REV CHERYL HARRIS | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN LANE MD | |||||||||
| PRES MEDICAL STAFF (START 1/22/18) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EUGENE MARROW | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERYL MCCALLION MD | |||||||||
| PRES MEDICAL STAFF (END 1/22/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| FRED NICCOLI | |||||||||
| CHAIRMAN BH FOUNDATION | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID M OFFUTT | |||||||||
| TRUSTEE (START 1/26/17) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WALLACE PECKHAM III | |||||||||
| TRUSTEE | 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 | |||||||||
| CFO/TREASURER | 40.00 | 2.00 | Yes (X) | $360,753 | $0 | $24,119 | |||
| DAVID J FISHER | |||||||||
| VP CORPORATE SERVICES | 40.00 | 0.00 | $208,067 | $0 | $21,187 | Yes (X) | |||
| KIMBERLY WALSH | |||||||||
| SENIOR VP PATIENT SERVICES | 40.00 | 0.00 | $248,801 | $0 | $11,167 | Yes (X) | |||
| STEPHEN BORGES | |||||||||
| VP OPERATIONS | 40.00 | 0.00 | $228,270 | $0 | $27,185 | Yes (X) | |||
| KAREN E MURPHY | |||||||||
| VP & GENERAL COUNSEL | 40.00 | 0.00 | $297,449 | $0 | $2,926 | Yes (X) | |||
| MITCHELL SELINGER MD | |||||||||
| VP POPULATION MEDICINE | 40.00 | 1.00 | $452,353 | $0 | $22,609 | Yes (X) | |||
| JEFFREY C MILLER | |||||||||
| VP PHILANTHROPY | 40.00 | 0.00 | $224,881 | $0 | $27,754 | Yes (X) | |||
| VERA ADEPALO MD | |||||||||
| FORMER CHIEF MEDICAL OFFICER | 40.00 | 1.00 | $407,665 | $0 | $5,281 | Yes (X) | |||
| MICHELLE L TAUTKUS | |||||||||
| PHYSICIAN ASSISTANT | 40.00 | 0.00 | $209,823 | $0 | $15,620 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,335,643 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,344,178 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $255,191 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 283 | 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 | BROCKTON | MA | 02302 | PHYSICIAN SERVICES | $3,942,296 |
| MM BROCKTON CC LLC | |||||
| 50 CHESTNUT ST | NEEDHAM | MA | 02492 | CONSTRUCTION/CONTRACTING SERVICES | $2,901,057 |
| SECURAMERICA LLC | |||||
| 3399 PEACHTREE RD STE 1000 | ATLANTA | GA | 30326 | SECURITY SERVICES | $1,422,946 |
| PRATT PEDIATRIC ASSOCIATES | |||||
| 800 WASHINGTON ST | BOSTON | MA | 20111 | PHYSICIAN SERVICES | $1,196,722 |
| HR CONCEPTS LLC | |||||
| 111 CHARLES ST | MANCHESTER | NH | 03101 | THIRD PARTY ADMINISTRATOR | $696,634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $192,032 | GovernmentGrantsAmt |
| All Other Contributions | $72,506 | AllOtherContributionsAmt |
| Total Contributions | $264,538 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REV. | 900099 | $258,468,343 | $258,468,343 | |
| INTERCOMPANY REVNUE | 900099 | $7,799,760 | $7,799,760 | |
| SCHOOL OF NURSING | 900099 | $4,657,484 | $4,657,484 | |
| INTERCOMPANY RENT | 900099 | $1,955,520 | $1,955,520 | |
| NONPATIENT LAB REVENUE | 900099 | $22,433 | $22,433 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,970,164 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,970,164 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $276,873,704 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,888,060 | TotalRevenueColumnAmt |
| Exclusion | $1,888,060 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $773,516 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,730 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $767,786 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $767,786 | TotalRevenueColumnAmt |
| Exclusion | $767,786 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $92,045,372 | SecuritiesAmt |
| Other | $20,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $83,461,475 | SecuritiesAmt |
| Other | $51,758 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,583,897 | SecuritiesAmt |
| Other | -$31,758 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,552,139 | TotalRevenueColumnAmt |
| Exclusion | $8,552,139 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHARMACY | 900099 | $4,926,998 | $4,926,998 |
| VANTAGE JOINT VENTURE | 900099 | $263,419 | $263,419 |
| SHIELDS JOINT VENTURE | 900099 | $247,792 | $247,792 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,438,944 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,438,944 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,877,153 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $295,223,380 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $283,728,424 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $22,433 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,207,985 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,743,472 | TotalAmt |
| Program Services | $1,656,298 | ProgramServicesAmt |
| Management And General | $87,174 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,746,083 | TotalAmt |
| Program Services | $125,870,563 | ProgramServicesAmt |
| Management And General | $8,875,520 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,313,093 | TotalAmt |
| Program Services | $5,108,009 | ProgramServicesAmt |
| Management And General | $1,205,084 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,100,794 | TotalAmt |
| Program Services | $13,378,793 | ProgramServicesAmt |
| Management And General | $1,722,001 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,352,849 | TotalAmt |
| Program Services | $8,710,364 | ProgramServicesAmt |
| Management And General | $642,485 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,047,288 | TotalAmt |
| Program Services | $5,047,288 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,793 | TotalAmt |
| Program Services | $220,171 | ProgramServicesAmt |
| Management And General | $85,622 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,200 | TotalAmt |
| Program Services | $254,944 | ProgramServicesAmt |
| Management And General | $95,256 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,198 | TotalAmt |
| Program Services | $226,198 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $919,060 | TotalAmt |
| Program Services | $704,205 | ProgramServicesAmt |
| Management And General | $214,855 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,990,826 | TotalAmt |
| Program Services | $3,356,010 | ProgramServicesAmt |
| Management And General | $634,816 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $974,089 | TotalAmt |
| Program Services | $741,256 | ProgramServicesAmt |
| Management And General | $232,833 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,452,204 | TotalAmt |
| Program Services | $5,365,587 | ProgramServicesAmt |
| Management And General | $2,086,617 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,992 | TotalAmt |
| Program Services | $150,059 | ProgramServicesAmt |
| Management And General | $38,933 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,770,805 | TotalAmt |
| Program Services | $1,994,980 | ProgramServicesAmt |
| Management And General | $775,825 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,311,153 | TotalAmt |
| Program Services | $8,144,030 | ProgramServicesAmt |
| Management And General | $3,167,123 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,364,530 | TotalAmt |
| Program Services | $1,164,047 | ProgramServicesAmt |
| Management And General | $200,483 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $17,492,662 | $14,541,286 | $2,951,376 |
| MEDICAL & SURGICAL SUPP | $14,018,941 | $13,986,478 | $32,463 |
| DRUGS & MEDICATIONS | $12,997,033 | $12,981,204 | $15,829 |
| MD CONTRACTED SERVICES | $8,877,815 | $8,619,111 | $258,704 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,733,974 | TotalAmt |
| Program Services | $17,056,737 | ProgramServicesAmt |
| Management And General | $2,677,237 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,277,854 | TotalAmt |
| Program Services | $249,277,618 | ProgramServicesAmt |
| Management And General | $26,000,236 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,135 | BOYAmt |
| EOY | $2,135 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,781,071 | BOYAmt |
| EOY | $8,218,858 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,305,258 | BOYAmt |
| EOY | $31,548,383 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,581 | BOYAmt |
| EOY | $1,180,331 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,769,870 | BOYAmt |
| EOY | $3,127,889 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,474,392 | BOYAmt |
| EOY | $5,035,724 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $227,408,791 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $114,419,244 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,906,507 | BOYAmt |
| EOY | $112,989,547 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,523,937 | BOYAmt |
| EOY | $3,738,570 | 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 | $81,868,139 | BOYAmt |
| EOY | $78,168,664 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,748,890 | BOYAmt |
| EOY | $245,000,101 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,519,417 | BOYAmt |
| EOY | $43,748,663 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,522,778 | BOYAmt |
| EOY | $4,235,191 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,991,855 | BOYAmt |
| EOY | $50,000,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,954,135 | BOYAmt |
| EOY | $22,999,529 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,457,956 | BOYAmt |
| EOY | $35,197,167 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,446,141 | BOYAmt |
| EOY | $156,180,550 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,792,648 | BOYAmt |
| EOY | $81,492,448 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,083,324 | BOYAmt |
| EOY | $3,828,486 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,426,777 | BOYAmt |
| EOY | $3,498,617 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,302,749 | BOYAmt |
| EOY | $88,819,551 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,748,890 | BOYAmt |
| EOY | $245,000,101 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $19,945,526 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,725,381 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,296,657 | 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
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 | $226,198 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $226,198 | 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 $57,000 DURING FISCAL YEAR 2018 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, AMERICA'S ESSENTIAL HOSPITALS AND THE MASSACHUSETTS COUNCIL OF COMMUNITY HOSPITALS $169,198 OF THE TOTAL AMOUNT OF DUES PAID TO THESE NOT FOR PROFIT ASSOCIATIONS WAS USED FOR LOBBYING. LOBBYING ACTIVITIES REPRESENT AN INSUBSTANTIAL PART OF BROCKTON HOSPITAL'S ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,090,994 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $411,199 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $4,502,193 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,742,703 | BeginningYearBalanceAmt |
| Contributions | $82,000 | ContributionsAmt |
| Investment Earnings Or Losses | $192,466 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $4,017,169 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.74000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.26000 | 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 | $2,947,951 | OtherCostOrOtherBasisAmt |
| Book Value | $2,947,951 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $122,212,797 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,749,857 | DepreciationAmt |
| Book Value | $68,462,940 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,596,932 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,030,094 | DepreciationAmt |
| Book Value | $7,566,838 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $86,534,379 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,639,293 | DepreciationAmt |
| Book Value | $27,895,086 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,116,732 | OtherCostOrOtherBasisAmt |
| Book Value | $6,116,732 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $112,989,547 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS WHOSE USE IS LIMITED | $65,153,317 |
| INVESTMENT IN JOINT VENTURES | $695,427 |
| SECURITY DEPOSITS | $564,477 |
| MALPRACTICE INSURANCE RESERVES | $2,771,077 |
| PRATT PEDI RENT RECEIVABLE LONG TERM | $11,936 |
| DUE FROM THIRD PARTY PAYORS | $8,972,430 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $78,168,664 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| AMOUNTS DUE TO THIRD PARTY PAYORS | $3,285,441 |
| PENSION LIABILITY | $31,911,726 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $35,197,167 | 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 | $4,146,342 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $221,724 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,924,618 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,788,191 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $74,955,360 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $832,831 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,237,315 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,402,687 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $834,628 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,171,848 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,579,771 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,592,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02030 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,497 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $147,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,720,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,492,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,227,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,415,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,064,768 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,350,567 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01580 | 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 | $34,347,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,557,280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,790,705 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $120,519,833 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $107,137,051 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,382,782 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04850 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,988 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,416 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | 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 | $27,329 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,300 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,161 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,194 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,666,375 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,789,362 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $63,020,041 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $68,944,737 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,924,696 | 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 | WWW.SIGNATURE-HEALTHCARE.ORG/ABOUT/COM | 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 | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | 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 | 17 | 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 (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | PART V, SECTION B, LINE 5: SIGNATURE HEALTHCARE IS PART OF THE GREATER BROCKTON HEALTH ALLIANCE WHICH PROVIDED FUNDING TO COMMUNITY CONNECTIONS. COMMUNITY CONNECTIONS HAD A GOAL TO DEVELOP A GRASSROOTS COMMUNITY PLANNING, PARTICIPATION AND ACTION PROCESS AMONG ITS RESIDENTS THAT INFORMS, EDUCATES AND IDENTIFIES STRATEGIC PRIORITIES THAT WILL IMPROVE HEALTH AND QUALITY OF LIFE ISSUES FOR ALL RESIDENTS IN THE BROCKTON AREA. COMMUNITY CONNECTIONS DEVELOPED A CONVERSATION/SURVEY INSTRUMENT TO CONDUCT COMMUNITY QUALITY AND KNOWLEDGE "ONE ON ONES AND NEIGHBORHOOD CIRCLE DISCUSSIONS/CAMPAIGNS THAT INFORMED AND DISCUSSED THE HEALTH PRIORITIES THAT HAD BEEN IDENTIFIED IN PREVIOUS COMMUNITY ASSESSMENTS. THE CONVERSATIONS CREATED INFORMATION SHARING, PEOPLE SPOKE ON HEALTH PRIORITIES FROM THEIR OWN EXPERIENCE, BEGAN STRATEGICALLY THINKING ABOUT COMMUNITY CHANGE AND SOUGHT PEOPLE'S VISIONS FOR THE FUTURE. ALONG WITH THESE COMMUNITY DISCUSSIONS/FOCUS GROUPS, SIGNATURE HEALTHCARE HELD KEY INFORMANT INTERVIEWS WITH INDIVIDUALS FROM VARIOUS SECTORS INCLUDING HEALTHCARE, EDUCATION AND LAW ENFORCEMENT. BY HOLDING THESE INTERVIEWS, THE ORGANIZATION HELPED IDENTIFY MAJOR GAPS IN THE COMMUNITIES AND HOW THESE COULD POSSIBLY BE FILLED. |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | PART V, SECTION B, LINE 6B: THE OLD COLONY YMCA, GREATER BROCKTON HEALTH ALLIANCE, COMMUNITY CONNECTIONS IN PARTNERSHIP WITH STONEHILL COLLEGE CENTER FOR COMMUNITY BASED LEARNING, BROCKTON NEIGHBORHOOD HEALTH CENTER. |
| PART V, SECTION B, LINE 7A: | HTTPS://WWW.SIGNATURE-HEALTHCARE.ORG/SIGNATUREHEALTHCARE/MEDIA/PDF/NEEDS-ASSESSMENT-2016-AND-ADDENDUM_1.PDF |
| PART V, SECTION B, LINE 10A: | HTTPS://WWW.SIGNATURE-HEALTHCARE.ORG/SIGNATUREHEALTHCARE/MEDIA/PDF/NEEDS-ASSESSMENT-2016-AND-ADDENDUM_1.PDF |
| PART V, SECTION B, LINE 11: | HOUSING AND HOMELESSNESS: HOUSING 101 IS A WORKSHOP OFFERED AT SIGNATURE HEALTHCARE'S 110 LIBERTY ST. LOCATION IN BROCKTON. THIS WORKSHOP AIMS TO ENSURE PARTICIPANTS ARE RECEIVING ALL OF THE BENEFITS FOR WHICH THEY ARE ELIGIBLE AND WILL APPLY THEM FOR BENEFITS, INCLUDING SNAP (FOOD STAMPS), CASH ASSISTANCE, AND UTILITY DISCOUNTS. ALSO, IF THE INDIVIDUAL IS CURRENTLY EXPERIENCING A HOUSING CRISIS AND/OR NEEDS ANY LANDLORD MEDIATION ONE OF THE ADVOCATES CAN ASSIST AND CONNECT THE INDIVIDUAL WITH RESOURCES IN THEIR COMMUNITY. THIS IS A PARTNERSHIP BETWEEN SIGNATURE HEALTHCARE AND THE MASSACHUSETTS COALITION FOR THE HOMELESS. IN FY 18, 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 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 FAMILY 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 WITH HIRING GRADUATES FROM BOTH PROGRAMS INTO VARIOUS PART TIME, PER DIEM AND FULL TIME POSITIONS WITHIN THE HOSPITAL SETTING.HEALTH CARE ACCESS: SIGNATURE HEALTHCARE 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 OCTOBER 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 7 PEDIATRICIANS IN BROCKTON AND EASTON. SIGNATURE HEALTHCARE BROCKTON HOSPITAL HAS AN INPATIENT PEDIATRICS DEPT. WHICH IS STAFFED 24/7 BY TUFTS FLOATING HOSPITALISTS. 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: SIGNATURE HEALTHCARE PEDIATRICS OFFICES ARE EVALUATING EDUCATIONAL MATERIALS PROVIDED BY THE BROCKTON AREA PREVENTION COLLABORATIVE. THE DATA SHOWS EDUCATION IS NEEDED PRIOR TO HIGH SCHOOL SO WE'RE LOOKING AT PROVIDING EDUCATIONAL TOOLS TO PATIENTS WHEN THEY COME IN FOR THEIR ANNUAL PHYSICALS STARTING AT AGE 11.SIGNATURE HEALTHCARE CONTINUES TO WORK WITH STAFF FROM THE BROCKTON AREA PREVENTION COLLABORATIVE AND THE PLYMOUTH COUNTY DRUG ABUSE TASK FORCE. THE PLYMOUTH COUNTY DRUG ABUSE TASK FORCE PUBLISHED A PAPER IN 2017 TITLED "WOULD YOU PRESCRIBE YOUR PATIENT HEROIN? PLYMOUTH COUNTY'S RESPONSE TO THE OPIOID CRISIS". DR. DAN MUSE AND LISA HARRINGTON, RN FROM SIGNATURE HEALTHCARE'S EMERGENCY DEPARTMENT BOTH AUTHORED SECTIONS OF THIS PAPER. DR. MUSE PROVIDED THE INTRODUCTION AND FOCUSED ON PRESCRIBING PRACTICES AND RECOMMENDATIONS. LISA FOCUSED HER EFFORTS ON REASONS FOR COLLECTING DATA, LEVEL OF DATA REPORTING AND COMPONENTS OF DATA TO BE COLLECTED. SIGNATURE HEALTHCARE HOSTED "LUNCH AND LEARNS" TO SHARE INFORMATION ON THIS RESEARCH WITH OUR EMPLOYEES. ATTENDEES RECEIVED A BACKGROUND ON THE OPIOID EPIDEMIC, RECOMMENDATIONS ON HOW HEALTHCARE PROFESSIONALS CAN DO THEIR PART IN REVERSING THE CRISIS, AND COMMUNITY-BASED RESOURCES TO ADDRESS SUBSTANCE ABUSE PREVENTION. DAN MUSE, EMERGENCY DEPARTMENT PHYSICIAN FROM SIGNATURE HEALTHCARE AND HILLARY DUBOIS, HIGH POINT TREATMENT CENTER PRESENTED AND ANSWERED QUESTIONS. THESE PRESENTATIONS WERE HELD AT BOTH SIGNATURE HEALTHCARE BROCKTON HOSPITAL AND OUR SIGNATURE MEDICAL GROUP LOCATION AT 110 LIBERTY ST. IN BROCKTON. IN JUNE 2018, SIGNATURE HEALTHCARE HOSTED "HIDDEN IN PLAIN SIGHT," A HANDS ON PRESENTATION DESIGNED TO PREPARE PARENTS ON THE SIGNS AND HIDDEN SIGHTS OF SUBSTANCE USE. THIS WAS AN INTERACTIVE EVENT CENTERED ON A TEENAGER'S "MOCK" BEDROOM, ALLOWING ATTENDEES THE OPPORTUNITY TO EXPLORE AND SEE IF THEY COULD IDENTIFY DRUG PARAPHERNALIA AND HIDING PLACES ALONG WITH OTHER SIGNS INDICATING ALCOHOL OR OTHER DRUG USE BY A TEEN. AS PART OF THE PROGRAM, A PREVENTION SPECIALIST FROM THE BROCKTON AREA PREVENTION COLLABORATIVE ATTENDED TO GUIDE ATTENDEES THROUGH THE BEDROOM AND EXPLAIN VARIOUS SUBSTANCE USE TRENDS, SIGNS AND SYMPTOMS IN AN EFFORT TO BRING AWARENESS AND LOCAL RESOURCE OPTIONS. SIGNATURE HEALTHCARE ALSO OFFERED MULTIPLE TRAININGS TO OUR ASSOCIATES WHERE THE BROCKTON AREA PREVENTION COLLABORATIVE PROVIDED EDUCATION AND ALLOWED STAFF TO REVIEW THE "HIDDEN IN PLAIN SITE" DEMONSTRATION. SIGNATURE HEALTHCARE EMERGENCY DEPARTMENT PHYSICIANS WORK WITH LOCAL POLICE AND FIRE DEPARTMENTS TO PROVIDE 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 CONCUSSIONS, SPORTS INJURIES AND SUBSTANCE ABUSE. DR. MUSE SERVES AS THE EMS MEDICAL DIRECTOR FOR 14 LOCAL FIRE DEPARTMENTS, AND IS VERY ACTIVE IN OTHER MATTERS RELATED TO SUBSTANCE ABUSE, INCLUDING THE BROCKTON MAYOR'S OPIOID COALITION, INDEPENDENCE ACADEMY, AND PLYMOUTH COUNTY'S SUBSTANCE ABUSE COALITION. 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 THE 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 ARE 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 ON AN ONGOING BASIS. IN OUR CONTINUED COMMITMENT TO PROMOTE THE HEALTH OF STUDENT ATHLETES, SIGNATURE HEALTHCARE SUPPORTED THE SPORTSMART SCHOOLS WITH FUNDING IN 2018. THESE FUNDS PROVIDE FUNDING FOR INJURY PREVENTION, EDUCATION AND EQUIPMENT. STAFF FROM SIGNATURE HEALTHCARE'S SPORTSMART PROGRAM OFFERED IN-SERVICES AND A LECTURE SERIES WHICH PROVIDED CONTINUING EDUCATION FOR ATHLETIC TRAINERS AND SCHOOL NURSES. SOME OF THE TOPICS COVERED INCLUDE CONCUSSION MANAGEMENT, SUBSTANCE ABUSE AND THE ROLE OF NALOXONE AND UPPER AND LOWER EXTREMITY INJURY MANAGEMENT. |
| CHRONIC DISEASE: | ASTHMA - IDENTIFIED THE NEED AND HIRED AN ADDITIONAL FULL TIME PULMONOLOGIST THEREBY EXPANDING THIS SERVICE LINE TO INCREASE PATIENT ACCESS. DIABETES - BASED ON THE FINDINGS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, SIGNATURE HEALTHCARE CONTINUED ITS WELLNESS PROGRAM. ELEMENTS INCLUDED FREE EXERCISE CLASSES, FREE HEALTH SCREENINGS, HEALTHY COOKING DEMONSTRATIONS, AND FREE HEALTHY RECIPES. SIGNATURE HEALTHCARE OFFERS FREE YOGA AND ZUMBA 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. THE PROGRAM IS IN ITS 8TH YEAR AND CONTINUES TO THRIVE. MASSASOIT COMMUNITY COLLEGE HOSTS THE CLASSES, PROVIDING ADDITIONAL SPACE AND AFFORDING THE OPPORTUNITY FOR COLLEGE FACULTY, STAFF AND STUDENTS TO ATTEND. IN JANUARY 2015, SIGNATURE HEALTHCARE BEGAN WORKING WITH THE LOCAL "BLESSINGS IN A BACKPACK" PROGRAM AFTER A MEETING WITH SCHOOL COMMITTEE MEMBERS AND STAFF OF THE KENNEDY SCHOOL IN BROCKTON. BLESSINGS IN A BACKPACK HAS A HIGH NUMBER OF STUDENTS ON THE FREE AND REDUCED BREAKFAST AND LUNCH PROGRAM AT THE SCHOOL AND WANTED TO ENSURE THESE SAME STUDENTS HAD HEALTHY FOOD FOR WEEKENDS AS WELL. SIGNATURE HEALTHCARE WORKED WITH SODEXO, OUR FOOD SERVICES PROVIDER, TO PUT TOGETHER MEALS FOR THE 60 STUDENTS AT THE KENNEDY SCHOOL. EACH WEEKEND, THESE CHILDREN ARE PROVIDED NUTRITIOUS FOOD TO TAKE HOME SUCH AS SOUPS, FRESH FRUIT AND HEALTHY GRAINS. SIGNATURE HEALTHCARE IS NOW IN ITS THIRD YEAR OF WORKING WITH THIS PROGRAM AND WILL CONTINUE TO HELP EXPAND TO OTHER CHILDREN IN OUR COMMUNITY. ON MANY OCCASIONS THROUGHOUT FISCAL 2018, SIGNATURE HEALTHCARE STAFF MEMBERS OFFERED NUTRITION INFORMATION AND HANDS-ON ACTIVITIES TO THE COMMUNITY. ONE MAJOR EVENT WAS THE "HEALTH & WELLNESS EXPO." THIS EVENT HAD MANY COMPONENTS INCLUDING: FREE SCREENINGS FOR VASCULAR AND METABOLIC DISEASE, A HEALTHY COOKING DEMONSTRATION, HEALTHY RECIPES, AND AN AREA WHERE SIGNATURE AND COMMUNITY PARTNERS HIGHLIGHTED NUTRITION & DIABETES SERVICES. THERE WAS AN EXERCISE AREA WITH KICKBOXING AND ZUMBA FOR ADULTS AND AN OBSTACLE COURSE FOR CHILDREN PROVIDED BY THE EASTON CHILDREN'S MUSEUM. THIS EVENT WAS A GREAT SUCCESS WITH MORE THAN 250 PEOPLE IN ATTENDANCE AND MORE THAN 100 OF THOSE SCREENED. FOR THE SEVENTH YEAR, SIGNATURE HEALTHCARE CONTINUES TO BE PART OF A LARGER COMMUNITY-WIDE "BROCKTON KNOCKS DOWN DIABETES" (BKDD) INITIATIVE; KICKING IT OFF WITH THE HEALTH & WELLNESS EXPO, PROVIDING CLINICIANS WHERE NEEDED, ASSISTING WITH COORDINATION AND STAFFING FOR VARIOUS EVENTS, AND OFFERING CLASSES THROUGHOUT THE WEEK. BKDD IS A WEEKLONG INITIATIVE TO PROVIDE EDUCATION AND AWARENESS AROUND DIABETES. NUMEROUS LOCAL PARTNERS PARTICIPATE IN THIS EVENT INCLUDING THE OLD COLONY YMCA, HARBOR ONE, BROCKTON VNA AND THE AMERICAN DIABETES ASSOCIATION. THIS GROUP WORKED DILIGENTLY ON CREATING PROGRAMMING THE COMMUNITY WOULD FIND BENEFICIAL. ACTIVITIES PLANNED INCLUDED EDUCATIONAL PRESENTATIONS AS WELL AS FITNESS CLASSES.ONCOLOGY:IN OCTOBER 2017, THE SIGNATURE HEALTHCARE CANCER CENTER IN AFFILIATION WITH BETH ISRAEL DEACONESS MEDICAL CENTER AND HARVARD MEDICAL SCHOOL TEACHING HOSPITAL HOSTED "CONVERSATIONS ON CANCER - WHAT YOU NEED TO KNOW ABOUT THE CHANGING LANDSCAPE." THIS EVENT PROVIDED FREE DINNER AND PRICELESS INFORMATION TO COMMUNITY MEMBERS IN ATTENDANCE. THEY LEARNED 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 WAS PROVIDED. NONPROFIT ORGANIZATION LOOKING AND FEELING FAB, INC. IS THE FIRST OF ITS KIND IN THE COUNTRY, STAFFED WITH LICENSED AESTHETICIANS WHO ARE ONCOLOGY-TRAINED. THEY OFFER CUSTOMIZED SKIN CARE TREATMENTS TO COMBAT THE SKIN SIDE EFFECTS RESULTING FROM CHEMOTHERAPY, RADIATION, SURGERY AND A MIX OF MEDICATIONS. MODERATE TO SEVERE SKIN REACTIONS RESULTING FROM TREATMENT CAN HAVE A DEVASTATING EFFECT, DECREASING ONE'S QUALITY OF LIFE. LOOKING AND FEELING FAB, INC. BEGAN OFFERING THIS SERVICE TO OUR SIGNATURE HEALTHCARE PATIENTS IN JUNE 2016. THEY TREATED 16 PATIENTS IN FY 18 WHO EXPERIENCED SKIN SIDE EFFECTS FROM CANCER TREATMENT. THE PROGRAM IS FULLY FUNDED BY THE CHRISTINE M. SULLIVAN FOUNDATION AND ALLOWS THE PATIENTS TO TAKE ADVANTAGE OF THE SERVICE AT NO COST. INDIGENT MEDICATION PROGRAM: SIGNATURE HEALTHCARE BROCKTON HOSPITAL'S INDIGENT MEDICATION PROGRAM HAS BEEN IN PLACE FOR MORE THAN 20 YEARS AND STANDS ALONE IN THE COMMUNITY PROVIDING FREE MEDICATIONS TO INPATIENTS, OUTPATIENTS, AND EMERGENCY PATIENTS WHO ARE UNABLE TO PAY FOR THEIR REQUIRED PRESCRIPTION DRUGS. THE HOSPITAL PROVIDES UP TO A 30-DAY SUPPLY OF PRESCRIPTION DRUGS TO ITS MOST NEEDY PATIENTS. IN FY18, THE HOSPITAL PROVIDED 220 FREE MEDICATIONS TO 85 PATIENTS VALUED AT OVER $22,000 AND COLLABORATED WITH LOCAL PHARMACIES FOR FOLLOW-UP CARE AS REQUIRED. IN ADDITION, 341 PRESCRIPTIONS WERE PROVIDED TO 105 PATIENTS VALUED AT APPROXIMATELY $45,000 THROUGH SIGNATURE HEALTHCARE'S PATIENT ADVOCACY FUND. ANOTHER 115 PRESCRIPTIONS WERE PROVIDED TO 41 PATIENTS VALUED AT APPROXIMATELY $18,000 THROUGH AN ELDER GRANT.TRANSPORTATION: THE NEED FOR TRANSPORTATION ASSISTANCE AMONG OUR PATIENTS 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 TRANSPORTED BY AMBULANCE AND DO NOT HAVE THE PHYSICAL OR FINANCIAL MEANS TO GET HOME WHEN DISCHARGED FROM THE HOSPITAL. AT TIMES, PATIENTS ARE REFERRED FOR POST-HOSPITAL TREATMENT WHICH IT IS NOT MEDICALLY NECESSARY, AND THUS NOT COVERED BY INSURANCE. IN FY 18, SIGNATURE HEALTHCARE COVERED THE COST OF TRANSPORTATION VIA TAXI FOR 790 PATIENTS COSTING $10,089. IN ADDITION, FUNDRAISING FROM EVENTS THROUGHOUT THE YEAR SUPPORTS THE SENATOR THOMAS P. KENNEDY ADVOCACY FUND. IN FY 18, $7,761 WAS USED FROM THIS FUND TO ASSIST OUR PATIENTS WITH TRANSPORTATION NEEDS. SIGNATURE HEALTHCARE RECEIVED COMMUNITY FUNDING DESIGNATED SPECIFICALLY FOR PATIENTS AGED 60 AND OLDER; THE ELDER GRANT, WHICH ALSO ASSISTED 179 PATIENTS THROUGHOUT THE YEAR AT A TOTAL COST OF $3,104. COMMUNITY HEALTH AND WELLNESS PROGRAMS:SIGNATURE HEALTHCARE BROCKTON HOSPITAL CONTINUES TO OFFER THE COMMUNITYA WIDE RANGE OF HEALTH AND WELLNESS PROGRAMS, SCREENINGS AND SPECIALLECTURES AND EVENTS DESIGNED TO PREVENT DISEASE AND PROMOTE HEALTHYLIFESTYLES. FOR EXAMPLE, OUR RELATIONSHIP WITH THE OLD COLONY YMCAHELPED DEVELOP COLLABORATIVE HEALTH AND WELLNESS PROGRAMS THROUGHOUTSOUTHEASTERN MASSACHUSETTS, INCLUDING HEALTH EDUCATION EVENTS ANDSCREENINGS.THE SENIOR CELEBRATION IN MAY 2018 - FIVE HUNDRED AREA SENIORS HEARD NUMEROUS PRESENTATIONS ON A VARIETY OF TOPICS INCLUDING JOINT CARE AND CANCER PREVENTION. SIGNATURE HEALTHCARE STAFF ALSO PROVIDED VASCULAR AND CHOLESTEROL SCREENINGS TO OVER 100 INDIVIDUALS.SIGNATURE HEALTHCARE CONTINUES TO SUPPORT A LOCAL GRASSROOTS PROGRAM, "KIDS ROAD RACES." THIS 30-YEAR-OLD PROGRAM IS LED BY BROCKTON RESIDENT DAVE GORMAN AND HIS WIFE WITH TWO 8-WEEK SESSIONS, ONE IN THE FALL AND ANOTHER IN THE SPRING. CHILDREN COME EACH WEEK AND RUN A 2-MILE ROAD RACE AT DW FIELD PARK. THIS PROGRAM PROMOTES CHILDHOOD PHYSICAL HEALTH AND PROVIDES THEM WITH A SENSE OF ACCOMPLISHMENT AND PRIDE. SIGNATURE HEALTHCARE PROVIDES AN EDUCATIONAL SERIES AT THE EAST BRIDGEWATER AND BROCKTON SENIOR CENTERS EACH MONTH. THESE PRESENTATIONS HAVE BEEN COINED "THE SIGNATURE SERIES AND COVER TOPICS INCLUDING EYE HEALTH, DIABETES EDUCATION, COLON CANCER AWARENESS, JOINT CARE, BREAST CANCER AWARENESS AND ONCOLOGY. WHEN THE HEALTH SERVICE DEPARTMENT WAS ELIMINATED AT MASSASOIT COMMUNITY COLLEGE IN BROCKTON, THE DIRECTOR OF THE WOMEN'S CENTER REACHED OUT TO SIGNATURE HEALTHCARE. SHE FELT THERE WAS A VOID BY ELIMINATING HEALTH EDUCATION TO STUDENTS. SIGNATURE HEALTHCARE STEPPED IN AND 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 LUNCH TIME. SUCH TOPICS INCLUDE SUBSTANCE ABUSE, VAPING, NUTRITION, SLEEP, AND STRESS AND A VARIETY OF OTHERS. |
| HOMEWARD BOUND: | HOMEWARD BOUND, INITIATED IN 2012, ENGAGES NURSING STUDENTS FROM THE BROCKTON HOSPITAL SCHOOL OF NURSING, CURRY COLLEGE AND MASSASOIT COMMUNITY COLLEGE TO VISIT PATIENTS WITH CONGESTIVE HEART FAILURE OR CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN THEIR HOMES. STUDENTS AND FACULTY ASSESS THE PATIENT'S UNDERSTANDING OF THE TREATMENT PLANS, ENSURE PATIENTS KNOW HOW TO MONITOR THEIR OWN HEALTH, PROVIDE SUPPORT, AND REVIEW THE PROCESS OF DAILY PATIENT TRANSMITTAL OF HEALTH DATA VIA TELEHEALTH IPAD. BOTH THE HEART FAILURE AND COPD TEAMS HAVE AN RN ACCESS COORDINATOR AVAILABLE AT SIGNATURE HEALTHCARE WHO FOLLOWS EACH PATIENT'S PROGRESS AND SERVES AS A RESOURCE TO STUDENTS AND FACULTY. THE PROGRAM CURRENTLY HAS A CAPACITY OF 50 COPD AND 10 CHF PATIENTS. THIS REPLICABLE MODEL HAS SHOWN MARKED REDUCTIONS IN EMERGENCY ROOM VISITS, HOSPITAL ADMISSIONS AND VISITS TO CARDIOLOGISTS AND PRIMARY CARE PROVIDERS. THE CURRENT HOMEWARD BOUND CENSUS IS 57 WITH A COPD READMISSION RATE OF 10%. IN FY 17, THE PROGRAM EXPANDED BY OFFERING "LUNCH EXPRESSON," A UNIQUE PROGRAM FOR PATIENTS ENROLLED IN HOMEWARD BOUND WHERE THEY RECEIVE A WEEKLY MEAL DELIVERY TO THEIR HOMES BY STUDENTS FROM BROCKTON HOSPITAL SCHOOL OF NURSING. MEALS ARE PREPARED AT THE SIGNATURE HEALTHCARE BROCKTON HOSPITAL CAFETERIA AND INCLUDE A FRESH SALAD, TWO SANDWICHES, AND TWO BALANCED ENTRE MEALS WITH A FRUIT/DESSERT OPTION THREE TIMES A WEEK. HEALTHY EATING IS AN IMPORTANT PART OF MAINTAINING YOUR HEALTH AND THE HOMEWARD BOUND PROGRAM IS DEDICATED TO ASSISTING PATIENTS WITH DIETARY NEEDS AND MEETING THEIR GOALS. THIS SERVICE IS CURRENTLY OFFERED TO 27 HOMEWARD BOUND PARTICIPANTS WITH 5 LUNCHES WEEKLY. THIS IS A FREE PROGRAM FOR PARTICIPANTS DUE TO GRANT FUNDING RECEIVED. |
| 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 OF ITS 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 HOSPITALENCOURAGES PATIENTS TO CONTACT STAFF TO DETERMINE IF THEY AND/OR AFAMILY MEMBER ARE IN NEED OF AND ELIGIBLE FOR FINANCIAL ASSISTANCE. THEHOSPITAL POSTS GENERAL NOTICES AT SERVICE DELIVERY AREAS WHERE THERE ISREGISTRATION OR A CHECK-IN AREA(INCLUDING, BUT NOT LIMITED TO,INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENTS AND AFFILIATED HEALTHCENTER LOCATIONS, CERTIFIED APPLICATION COUNSELORS ("CAC") OFFICES ANDIN GENERAL BUSINESS OFFICE AREAS CUSTOMARILY USED BY PATIENTS THATINFORM PATIENTS ABOUT THE AVAILABILITY OF PUBLIC ASSISTANCE ANDHOSPITAL FINANCIAL ASSISTANCE AS WELL AS THE LOCATIONS WITHIN THEHOSPITAL AND/OR THE PHONE NUMBERS TO CALL TO SCHEDULE AN APPOINTMENTWITH 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 PAPERCOPIES OF THE FAP DOCUMENTS AVAILABLE UPON REQUEST AND WITHOUT CHARGE,BOTH BY MAIL AND AT SERVICE DELIVERY AREAS WHERE THERE IS A REGISTRATIONOR 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 OFFICESTHAT ARE ACTIVELY OPEN TO THE PUBLIC). IN ADDITION, THE HOSPITAL POSTSNOTICES IN LOCAL COMMUNITY HEALTH CENTERS, SENIOR AND EDUCATIONFACILITIES. THE GENERAL NOTICE WILL INFORM THE PATIENT ABOUT THEAVAILABILITY OF PUBLIC ASSISTANCE AND HOSPITAL FINANCIAL ASSISTANCE(INCLUDING MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BYTHE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PROGRAM, THE HEALTHSAFETY NET AND MEDICAL HARDSHIP) AS WELL AS THE LOCATION(S) WITHIN THEHOSPITAL AND/OR THE PHONE NUMBERS TO CALL TO SCHEDULE AN APPOINTMENT WITHA CAC. INFORMATION ABOUT APPLYING FOR FINANCIAL ASSISTANCE IS ALSOAVAILABLE ON LINE AT WWW.SIGNATURE-HEALTHCARE.ORG. THE GOAL OF THESENOTICES IS TO ASSIST INDIVIDUALS IN APPLYING FOR COVERAGE WITHIN ONE ORMORE 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.TWO OF THE LARGEST COMMUNITIES WE SERVE - BROCKTON AT 35.3% FOLLOWED BY BRIDGEWATER AT 27.8% - HAVE THE HIGHEST PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL AS COMPARED TO 14.8% STATEWIDE. (SOURCE: CITY-DATA.COM 2015).ADDITIONALLY, SHBH SERVES PATIENTS FOR WHOM ENGLISH IS NOT ONLY THEIR SECOND LANGUAGE, 37% OF THEM DESCRIBE SPEAKING IT AS "LESS THAN WELL." (SOURCE: COMMUNITY HEALTH NEEDS ASSESSMENT 2016)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 | Yes (1) | 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 | $604,714 | $0 | $71,066 | $0 | $21,801 | $0 | $0 | $0 | $27,891 | $0 | $725,472 | $0 | $0 | $0 |
| MICHAEL L DERN MD | ||||||||||||||
| TRUSTEE | $0 | $500,945 | $0 | $0 | $0 | $5,400 | $0 | $424 | $0 | $29,334 | $0 | $536,103 | $0 | $0 |
| DAVID DRINKWATER MD | ||||||||||||||
| VP SPECIALTY CARE | $0 | $531,341 | $0 | $0 | $0 | $3,293 | $0 | $0 | $0 | $29,334 | $0 | $563,968 | $0 | $0 |
| ROBERT S GREENBERG MD | ||||||||||||||
| TRUSTEE | $0 | $297,799 | $0 | $0 | $0 | $5,400 | $0 | $196 | $0 | $10,164 | $0 | $313,559 | $0 | $0 |
| JAMES PAPADAKOS | ||||||||||||||
| CFO/TREASURER | $342,475 | $0 | $0 | $0 | $18,278 | $0 | $0 | $0 | $24,119 | $0 | $384,872 | $0 | $0 | $0 |
| DAVID J FISHER | ||||||||||||||
| VP CORPORATE SERVICES | $191,931 | $0 | $0 | $0 | $16,136 | $0 | $0 | $0 | $21,187 | $0 | $229,254 | $0 | $0 | $0 |
| KIMBERLY WALSH | ||||||||||||||
| SENIOR VP PATIENT SERVICES | $229,341 | $0 | $0 | $0 | $19,460 | $0 | $0 | $0 | $11,167 | $0 | $259,968 | $0 | $0 | $0 |
| STEPHEN BORGES | ||||||||||||||
| VP OPERATIONS | $186,342 | $0 | $29,000 | $0 | $12,928 | $0 | $0 | $0 | $27,185 | $0 | $255,455 | $0 | $0 | $0 |
| KAREN E MURPHY | ||||||||||||||
| VP & GENERAL COUNSEL | $274,116 | $0 | $0 | $0 | $23,333 | $0 | $0 | $0 | $2,926 | $0 | $300,375 | $0 | $0 | $0 |
| MITCHELL SELINGER MD | ||||||||||||||
| VP POPULATION MEDICINE | $419,018 | $0 | $0 | $0 | $33,335 | $0 | $0 | $0 | $22,609 | $0 | $474,962 | $0 | $0 | $0 |
| JEFFREY C MILLER | ||||||||||||||
| VP PHILANTHROPY | $182,917 | $0 | $30,000 | $0 | $11,964 | $0 | $0 | $0 | $27,754 | $0 | $252,635 | $0 | $0 | $0 |
| VERA ADEPALO MD | ||||||||||||||
| FORMER CHIEF MEDICAL OFFICER | $364,953 | $0 | $0 | $0 | $42,712 | $0 | $0 | $0 | $5,281 | $0 | $412,946 | $0 | $0 | $0 |
| MICHELLE L TAUTKUS | ||||||||||||||
| PHYSICIAN ASSISTANT | $190,445 | $0 | $14,975 | $0 | $4,403 | $0 | $0 | $0 | $15,620 | $0 | $225,443 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 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 4A: | A SEVERANCE AGREEMENT WAS ENTERED INTO BETWEEN THE ORGANIZATION AND VERA DEPALO, VP, CMO EFFECTIVE JUNE 2017. THE AGREEMENT PROVIDED FOR 26 WEEKS OF SEVERANCE AT HER CURRENT REGULAR BASE SALARY LESS LEGALLY REQUIRED TAXES AND WITHHOLDINGS. DURING CALENDAR YEAR 2017 THE FORMER CMO RECEIVED $212,940 OF SEVERANCE PAY AS PART OF A SEPARATION OF EMPLOYMENT AGREEMENT. |
| PART I, LINE 4B: | DURING THE YEAR ENDED 12/31/2017 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 | $38,365,252 | OtherSpentProceedsAmt |
| Unspent | $3,305,211 | UnspentAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | 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 | 0.00730 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00730 | 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 (10 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, 2018 THE HOSPITAL HAD 14,611 TOTAL DISCHARGES AND OBSERVATIONS, 48,527 TOTAL PATIENT DAYS, 9,896 PEDIATRIC CLINIC VISITS AND 84,568 OTHER OUTPATIENT CLINIC VISITS. THE HOSPITAL'S EMERGENCY DEPARTMENT HAD 48,737 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, WALLACE PECKHAM, III, JOSEPH DRIER, III, JAMES LEARY, MICHAEL SULLIVAN, PATRICIA TORTORELLA, REV. CHERYL HARRIS, EUGENE MARROW, CHERYL MCCALLION, FRED NICCOLI, ROBERT S. GREENBERG, M.D., DAVID DRINKWATER, M.D., KIM N. HOLLON, MICHAEL L. DERN, M.D., JAMES PAPADAKOS, DAVID ENGELKEMEYER, DAVID OFFUTT, AND STEVEN LANE, M.D. HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER AS THEY ARE ALSO TRUSTEES OF SIGNATURE HEALTHCARE CORPORATION. |
| 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 COMPENSATION 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 -6,386,434. PENSION RELATED CHANGES 10,322,637. CHANGE IN INTEREST IN INVESTMENTS OF SHC 90,485. CHANGE IN FAIR VALUE OF SPLIT-INTEREST AGREEMENTS 53,969. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF PP&E 1,216,000. |
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 PRACTICES | 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 |