2017-08-03T11:38:28-05:00 2016-09-30 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2015-10-01 222472997 BROCKTON HOSPITAL INC BROC 5089417000 680 CENTRE STREET BROCKTON MA 02302 JAMES PAPADAKOS CFO 5089417000 2017-07-31 1 CHRISTINE KAWECKI P00743140 5169187000 2017-07-17 2015 2021-01-29 14:40:06Z SIGNATURE HEALTHCARE BROCKTON HOSP KIM HOLLON 680 CENTRE STREET BROCKTON MA 02302 319733586 0 X WWW.SIGNATURE-HEALTHCARE.ORG X 1890 MA SIGNATURE HEALTHCARE BROCKTON HOSPITAL IS A COMMUNITY-BASED NOT-FOR-PROFIT TEACHING HOSPITAL SERVING MORE THAN 460,000 RESIDENTS IN MORE THAN 20 SOUTHEASTERN MASSACHUSETTS COMMUNITIES. THE HOSPITAL HAS 245 LICENSED BEDS AND PROVIDES A FULL RANGE OF CLINICAL SERVICES INCLUDING MEDICAL/SURGICAL, PEDIATRICS, OBSTETRICS, INPATIENT AND OUTPATIENT PSYCHIATRY, RADIATION 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. 20 15 2189 106 37062 -1659 482833 1882714 248523099 260549269 204849 1833541 9941789 5008109 259152570 269273633 0 0 0 0 142658660 139927175 0 0 0 103008330 115586896 245666990 255514071 13485580 13759562 204138964 208172504 155648035 163482364 48490929 44690140 X SEE SCHEDULE O 0 0 232216179 265123263 BROCKTON HOSPITAL IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE 245 ACUTE CARE BEDS (COMPOSED OF 131 MEDICAL/SURGICAL, 16 INTENSIVE CARE, 8 PEDIATRIC, 20 OBSTETRIC, 22 PSYCHIATRIC, 29 TRANSITIONAL CARE), 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). 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, 2016 THE HOSPITAL HAD 16,445 TOTAL ADMISSIONS AND OBSERVATIONS AND 55,089 TOTAL PATIENT DAYS. THE HOSPITAL'S EMERGENCY ROOM IS OPEN 24 HOURS A DAY, EVERY DAY OF THE YEAR AND PROVIDES CARE REGARDLESS OF ONE'S ABILITY TO PAY. THE EMERGENCY DEPARTMENT HAD 52,973 VISITS DURING THE FISCAL YEAR. 232216179 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 221 0 1 2189 1 1 1 0 0 0 0 0 0 0 0 0 X 20 15 1 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 0 MA X X KIM HOLLON 5089417000 680 CENTRE STREET BROCKTON MA 023023395 TIMOTHY CRUZ TRUSTEE 1.00 1.00 X 0 0 0 DAVID FRENETTE TRUSTEE 1.00 1.00 X 0 0 0 PATTI ROLAND TRUSTEE 1.00 1.00 X 0 0 0 ROBERT SULLIVAN TRUSTEE 1.00 1.00 X 0 0 0 DAVID WOLOHOJIAN TRUSTEE 1.00 1.00 X 0 0 0 WALLACE PECKHAM TRUSTEE 1.00 1.00 X 0 0 0 JOSEPH DRIER TRUSTEE 1.00 1.00 X 0 0 0 JAMES LEARY VICE CHAIRMAN, BOARD OF TRUSTEES 1.00 1.00 X 0 0 0 MICHAEL SULLIVAN CHAIRMAN, BOARD OF TRUSTEES 1.00 1.00 X 0 0 0 MARY WALRDON TRUSTEE 1.00 1.00 X 0 0 0 PATRICIA TORTORELLA TRUSTEE 1.00 1.00 X 0 0 0 REV CHERYL HARRIS TRUSTEE 1.00 1.00 X 0 0 0 EUGENE MARROW TRUSTEE 1.00 1.00 X 0 0 0 CHERYL MCCALLION PRES MEDICAL STAFF AS OF 1/25/16 1.00 1.00 X 0 0 0 FRED NICCOLI CHAIRMAN, BROCKTON HOSPITAL FDN 1.00 1.00 X 0 0 0 ROBERT S GREENBERG MD TRUSTEE 1.00 40.00 X 0 273228 28984 DAVID DRINKWATER MD PHYSICIAN ELECT/TRUSTEE 1.00 40.00 X 0 525812 25886 KIM N HOLLON PRES/CEO/CLERK 40.00 2.00 X X 684300 0 24626 MICHAEL L DERN MD TRUSTEE 1.00 40.00 X 0 600072 43493 JAMES PAPADAKOS CFO AND TREASURER 40.00 1.00 X X 348867 0 26522 KEITH MERLIN PRES MEDICAL STAFF THROUGH 1/25/16 1.00 1.00 X 0 526047 35698 STEPHEN BORGES VP 40.00 0.00 X 195119 0 24335 DAVID J FISHER VP 40.00 0.00 X 204052 0 19120 KIMBERLY WALSH VP 40.00 0.00 X 245956 0 10584 MITCHELL SELINGER MD VP 40.00 1.00 X 487093 0 18007 VERA ADEPALO MD CMO 40.00 1.00 X 402707 0 13388 MARIE F GROSS VP 40.00 0.00 X 263053 0 4876 KAREN E MURPHY VP & GEN'L COUNSEL 40.00 0.00 X 261160 0 2666 KATHLEEN M MESSERE RN 40.00 0.00 X 198811 0 24885 3291118 1925159 303070 202 0 1 0 MATRIX ANESTHESIA 1342 BELMONT STREET BROCKTON MA 02302 PHYSICIAN SERVICES 3593096 PRATT PEDIATRIC ASSOCIATES 750 WASHINGTON STREET BOSTON MA 02111 PHYSICIAN SERVICES 1313084 SECURAMERICA 3399 PEACHTREE ROAD SUITE 1000 ATLANTA GA 30326 SECURITY SERVICES 1085679 SOUTHWEST CONSULTING ASSOCIATES 2805 N DALLAS PARKWAY SUITE 620 PLANO TX 75093 CONSULTING SERVICES 618813 JENNINGS 110 BANKS DRIVESUITE 200 CHAPEL HILL NC 27514 ADVERTISING SERVICES 503453 20 1626768 255946 1882714 PATIENT SERVICE REVENU 900099 254087170 254087170 SCHOOL OF NURSING 900099 4567089 4567089 INTERCOMPANY RENT 900099 1857948 1857948 NONPATIENT LAB REVENUE 621500 37062 37062 260549269 1296504 1296504 407172 10119 397053 397053 397053 50695052 291819 50144378 305456 550674 -13637 537037 537037 VANTAGE JOINT VENTURE 900099 756400 756400 SHIELDS JOINT VENTURE 900099 85575 85575 3769081 3769081 4611056 269273633 265123263 37062 2230594 1678293 1510464 167829 113089772 104982780 8106992 5794955 4531813 1263142 11081225 10269278 811947 8282930 6983915 1299015 5062076 5062076 882413 661810 220603 204000 153000 51000 106472 106472 730230 548752 181478 3852997 3298559 554438 827883 645807 182076 4885280 3663975 1221305 168059 141466 26593 2263522 1697641 565881 9027379 6768005 2259374 1355758 1026879 328879 MD CONTRACTED 29309569 27881994 1427575 PURCHASED SERVICES 15474295 12866155 2608140 MEDICAL & SURGICAL SUPP 13979188 13966413 12775 DRUGS & MEDICATIONS 8698523 8680435 18088 18759252 16768490 1990762 255514071 232216179 23297892 0 0 13936109 5038225 25075971 33673864 976700 1071900 1776954 2354557 1898588 2929778 182253109 98020104 79069202 84233005 3241411 3641200 0 1056667 78164029 74173308 204138964 208172504 36563138 35092977 1414127 1271101 45044628 42037278 21888879 26011469 50737263 59069539 155648035 163482364 X 43069333 39173025 2169880 2192894 3251716 3324221 48490929 44690140 204138964 208172504 X 13759562 4358690 -21919041 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 106472 106472 0 PART II-B, LINE 1: THE ORGANIZATION PAID A LOBBYING FIRM $50,023 DURING FISCAL 2016 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 HOSPITAL ASSOCIATIONS, $56,449 OF THE TOTAL AMOUNT OF DUES PAID TO THESE ASSOCIATIONS WAS USED BY THESE ASSOCIATIONS FOR LOBBYING. THESE ACTIVITIES REPRESENT AN INSUBSTANTIAL PART OF THE HOSPITAL'S ACTIVITIES. 0 3763490 1539 325965 0 0 0 4090994 4017169 82461 -288537 0 47603 0 3763490 3742703 82000 192466 0 0 0 4017169 3507330 0 235373 0 0 0 3742703 3166498 0 340832 0 0 0 3507330 0.00000 0.81000 0.19000 1 1 1 2947952 2947952 94369618 47619047 46750571 279414 99275 180139 83529086 50301782 33227304 1127039 1127039 84233005 ASSETS WHOSE USE IS LIMITED 65050216 UNAMORTIZED BOND ISSUANCE COSTS 1010166 INVESTMENT IN JOINT VENTURES 1004775 SECURITY DEPOSIT 360206 MALPRACTICE INSURANCE RESERVE 3617660 PRATT PEDI RENT RECEIVABLE LONG TERM 5743 DUE FROM THIRD PARTY PAYERS 3124542 74173308 AMOUNTS DUE TO 3RD PARTY PAYORS 5335722 PENSION LIABILITY 53733817 59069539 PART V, LINE 4: THE HOSPITAL'S ENDOWMENT CONSISTS OF INDIVIDUAL DONOR RESTRICTED ENDOWMENT FUNDS FOR A VARIETY OF PURPOSES AS WELL AS SPLIT INTEREST AGREEMENTS, WHICH HAVE BEEN DESIGNATED FOR ENDOWMENT. 1 1 1 X 600.000000000000 1 X 600.000000000000 1 0 1 1 5422919 2882192 2540727 0.00990 73975451 66350427 7625024 0.02980 5555860 4342805 1213055 0.00470 84954230 73575424 11378806 0.04440 208128 208128 0.00080 8405768 5624751 2781017 0.01090 30127033 22334032 7793001 0.03050 41000 41000 0.00020 38781929 27958783 10823146 0.04240 123736159 101534207 22201952 0.08680 1500 1500 0.00010 3000 3000 0.00120 14685 14685 0.00570 5138 5138 0.00200 4000 4000 0.00160 11900 11900 0.00470 895 895 0.00020 41118 41118 0.01550 1 3283148 710916 61033567 59691829 1341738 X 1 1 1 1 SIGNATURE HEALTHCARE BROCKTON HOSPITAL 680 CENTRE STREET BROCKTON MA 02302 WWW.MYSIGNATURECARE.ORG 2118 X X X X TCU/PSYCH SIGNATURE HEALTHCARE BROCKTON HOSPITAL 1 0 0 1 X X X X X X X X 15 1 0 1 1 X WWW.MYSIGNATURECARE.ORG X HTTP://WWW.CBSYS.AGO.STATE.MA.US/CBPUBLIC/PUBLIC/ANNUAL_REPORTS_START.ASPX X 1 15 1 HTTP://SIGNATURE-HEALTHCARE.ORG/ABOUTUS/COMMUNITYBENEFITS.ASPX 0 0 1 X 600.000000000000 600.000000000000 1 1 X X X 1 X X 1 X 0 X X X X 1 X 0 0 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 IT'S 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, UNPACKED 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 IT HELPED IDENTIFY MAJOR GAPS IN THE COMMUNITIES AND HOW THESE COULD POSSIBLY BE FILLED. SIGNATURE HEALTHCARE BROCKTON HOSPITAL PART V, SECTION B, LINE 6B: OLD COLONY YMCA, GREATER BROCKTON HEALTH ALLIANCE, COMMUNITY CONNECTIONS IN PARTNERSHIP WITH STONEHILL COLLEGE CENTER FOR COMMUNITY BASED LEARNING, BROCKTON NEIGHBORHOOD HEALTH CENTER SIGNATURE HEALTHCARE BROCKTON HOSPITAL PART V, SECTION B, LINE 11: THE SUMMARY OF FINDINGS FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENT CONTINUED TO SHOW CONCERN FOR DIABETES AND NUTRITION THUS THIS IS WHERE SIGNATURE HEALTHCARE PRIMARILY FOCUSED ITS RESOURCES. ACCORDING TO THE DATA COLLECTED AS WELL AS INFORMATION OBTAINED FROM KEY INFORMANTS AND COMMUNITY MEMBERS, CONTINUED EDUCATION, AWARENESS AND SUPPORT RELATED TO THESE AREAS WAS NECESSARY. THROUGHOUT THE YEAR SIGNATURE HEALTHCARE'S NUTRITION AND ENDOCRINOLOGY STAFF AS WELL AS OUR DIABETES EDUCATORS WORK AT CREATING AND PROVIDING EDUCATIONAL TOOLS AND SEMINARS ON THESE TOPICS AND ISSUES. ON MANY OCCASIONS THROUGHOUT FISCAL 2016, SIGNATURE HEALTHCARE STAFF MEMBERS OFFERED EDUCATION AND HANDS ON ACTIVITIES TO THE COMMUNITY. ONE MAJOR EVENT OFFERED TO EMPLOYEES THAT COMMUNITY MEMBERS TOOK PART IN ALONG WITH COMMUNITY PARTNERS WAS SIGNATURE HEALTHCARE'S FIFTH ANNUAL "HEALTH & WELLNESS EXPO". THIS EVENT HAD MANY COMPONENTS INCLUDING: FREE SCREENINGS FOR VASCULAR AND METABOLIC DISEASE; A HEALTHY COOKING DEMONSTRATION; HEALTHY RECIPES; AND A VENDOR AREA WHERE COMMUNITY PARTNERS, ALONG WITH DEPARTMENTS FROM SIGNATURE HEALTHCARE, HIGHLIGHTED SERVICES THEY PROVIDE SPECIFIC TO NUTRITION AND DIABETES. THERE WAS AN EXERCISE AREA WITH HIP HOP AND CHAIR YOGA FOR ADULTS AND AN OBSTACLE COURSE FOR CHILDREN PROVIDED BY THE OLD COLONY YMCA. AN "ASK THE EXPERT" AREA MADE SIGNATURE HEALTHCARE PROVIDERS AVAILABLE FOR ATTENDEES TO ASK A VARIETY OF QUESTIONS ON A ONE ON ONE BASIS. THIS EVENT WAS A GREAT SUCCESS WITH OVER 250 PEOPLE IN ATTENDANCE AND OVER 100 OF THOSE SCREENED. 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 FOR THE PAST FIVE YEARS, PROVIDING CLINICIANS WHEN 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 HAS WORKED DILIGENTLY ON CREATING PROGRAMMING THE COMMUNITY WILL FIND BENEFICIAL. THE ACTIVITIES PLANNED INCLUDE EDUCATIONAL PRESENTATIONS AS WELL AS FITNESS CLASSES. ONE GOAL FOR THE COMING YEAR IS TO BRING THE LATEST IN DIABETES CARE TO THE SOUTH SHORE AREA THROUGH A DIABETES SYMPOSIUM FOR LOCAL PHYSICIANS, SOCIAL WORKERS, NURSES AND NUTRITIONISTS. 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. 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 THE 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. THROUGH COMMUNITY OUTREACH WITH LOCAL BUSINESSES, COMMUNITY GROUPS, AND EVENTS, HOSPITAL STAFF MEMBERS WERE ABLE TO EDUCATE THE COMMUNITY ON OBESITY AND DIABETES IN A VARIETY OF WAYS. SIGNATURE PROVIDED EDUCATIONAL TOOLS ON DIABETES, HEALTHY RECIPES, FREE EXERCISE CLASSES AND OPPORTUNITIES FOR QUESTIONS AND ANSWERS WITH CLINICAL STAFF. DURING FY16, HOSPITAL STAFF PARTICIPATED IN MORE THAN TWENTY-FIVE COMMUNITY EVENTS TO PROMOTE EDUCATION ON THE TOPIC OF DIABETES, NUTRITION AND OBESITY. THE EVENTS INCLUDED: - BAMSI WRAPAROUND SERVICES "SUMMER KICKOFF AND RESOURCE FAIR- EMMANUEL HOUSE - VARIOUS PRESENTATIONS GIVEN TO STAFF- CAPE VERDEAN ASSOCIATION - AFTER SCHOOL PROGRAM - NUTRITION PRESENTATIONS - EASTON SENIOR CENTER - HEALTH & WELLNESS EXPO- WEST BRIDGEWATER COA - SENIOR HEALTH & WELLNESS EXPO- MASSASOIT COMMUNITY COLLEGE - CANTON CAMPUS- MASSASOIT COMMUNITY COLLEGE - BROCKTON CAMPUS: MONTHLY EDUCATIONAL TABLES FOR STUDENTS AND FACULTY.- TABERNACLE OF PRAISE - HAITIAN COMMUNITY PARTNERS - HEALTH & SAFETY FAIR- METRO SOUTH CHAMBER OF COMMERCE, TASTE OF METRO SOUTH EVENT- HAITIAN PASTORAL ASSOCIATION - FAITH, FUN AND FITNESS FAIR - MARY CRUISE KENNEDY SENIOR CENTER - "HEALTHY EATING FOR THE HOLIDAYS" BY SANDY AMBROSE, RD, CDE- DAVIS COMMONS - RESIDENT APPRECIATION EVENT- BEACON COMMUNITIES - THE PINES AND CHATHAM WEST- SPRING OF WATER CHRISTIAN ASSEMBLY HEALTH FAIR - BRIDGEWATER SENIOR CENTER - HEALTH & PUBLIC SAFETY EXPO- NEW LIFE COMMUNITY EMPOWERMENT CENTER - ANGELS OF CARE HEALTH FAIR- OLD COLONY YMCA YOUTH DIVISION BROCKTON BRANCH, "HEALTHY KIDS DAY"- OLD COLONY YMCA STOUGHTON BRANCH "HEALTHY KIDS DAY"- OLD COLONY YMCA NUMEROUS KICKOFF AND MIDPOINT EVENTS AS PART OF THE "SMALLEST WINNER" PROGRAM.- OLD COLONY YMCA- JOAN CONKLING RD HELD MULTIPLE WORKSHOPS ON NUTRITION FOR THE LIVESTRONG PROGRAM AT THE EAST BRIDGEWATER, STOUGHTON AND BROCKTON BRANCHES.- OLD COLONY YMCA ANNUAL YOUTH CONFERENCE - GREATER TAUNTON HEALTH & WELLNESS FAIR - POLAND SPRINGS HEALTH & WELLNESS FAIR - EAST BRIDGEWATER COA - HEALTH & SAFETY FAIR - SPANISH CHURCH OF GOD - COMMUNITY WELLNESS FAIR - SUMMERFEST- TAUNTON WIC "CELEBRATION OF THE YOUNG PARENT"- ANNUAL RAYNHAM COMMUNITY PRIDE DAY- PORTER AND CHESTER INSTITUTE- RANDOLPH COMMUNITY HEALTH FAIR- SOUTH SHORE LEADERSHIP CONFERENCE SIGNATURE HEALTHCARE IS A DISPROPORTIONATE SHARE HOSPITAL. SIGNATURE HEALTHCARE OFFERS SPECIALTY CARE CLINICS IN TB, ENDOCRINOLOGY AND GYNECOLOGY TO WHICH THE BROCKTON NEIGHBORHOOD HEALTH CENTER REFERS PATIENTS. SIGNATURE HEALTHCARE DEVELOPED THE CENTER FOR HEALTHY BEGINNINGS, A COMMUNITY OUTREACH PROGRAM FOR PREGNANT WOMEN WHO REQUIRE MEDICAL CARE, SOCIAL SUPPORT, FINANCIAL COUNSELING AND TRANSLATOR SERVICES. GIVEN THE DIVERSE NATURE OF THE PATIENT POPULATION, SIGNATURE HEALTHCARE SUPPLIES 24/7 TRANSLATOR SERVICES WITHIN FIFTEEN EMPLOYED TRANSLATORS SPEAKING THIRTY SIX LANGUAGES. SIGNATURE HEALTHCARE, IN COLLABORATION WITH THE CHNA 22, DEVELOPED A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT FOR THE GREATER BROCKTON AREA IN DECEMBER, 2010. THE ASSESSMENT REVEALED FOUR KEY AREAS OF NEED: ASTHMA, NUTRITION AND FITNESS, ORAL HEALTH, AND SUBSTANCE ABUSE. IN DECEMBER, 2013 THE CHNA 22 AGAIN CONDUCTED A NEEDS ASSESSMENT WHICH FOCUSED SOLELY ON THESE FOUR AREAS OF NEED. IN FISCAL YEAR 2016 SIGNATURE HEALTHCARE ADDRESSED ALL BUT THE ORAL HEALTH NEEDS AS THE ORGANIZATION DOES NOT PROVIDE ORAL HEALTH SERVICES. SIGNATURE HEALTHCARE PRIORITIZED OUR EFFORTS TO ADDRESS THE NUTRITION AND DIABETES NEEDS AND ADDRESSED THE OTHER COMMUNITY NEEDS AS FOLLOWS: 1. SUBSTANCE ABUSE A. PARTICIPATED IN THE BROCKTON MAYOR'S OPIOID OVERDOSE PREVENTION COALITION B. PARTICIPATED IN BROCKTON CABLE ACCESS "OPIOIDS IN THE CITY"C. PROVIDED EDUCATION TO PARENTS AND STAFF OF AREA HIGH SCHOOLS ON THE USE OF PERFORMANCE ENHANCING SUPPLEMENTS IN ATHLETES AND PROVIDED FISCAL SUPPORT OF BAMSI, BROCKTON AREA MULTI SERVICES AREA, INC. AND HELPLINE.2. ASTHMA A. SIGNATURE HEALTHCARE PEDIATRICS STAFF HELD A TEDDY BEAR CLINIC TO PROVIDE EDUCATION AND TOOLS NEEDED FOR CHILDREN AND FAMILIES TO MANAGE THEIR ASTHMA. 3. ORAL HEALTH A. SIGNATURE HEALTHCARE DOES NOT EMPLOY OR PROVIDE GENERAL DENTISTRY CARE. WE WORK COLLABORATIVELY WITH THE BROCKTON NEIGHBORHOOD HEALTH CENTER TO TEND TO THE ORAL HEALTH NEEDS OF THE COMMUNITY. 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 7 F-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 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 HEALTH 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 THE MEDICAID MANAGEMENT INFORMATION SYSTEM. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT 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 AT SERVICE DELIVERY AREAS WHERE THERE IS A REGISTRATION OR CHECK-IN AREA (INCLUDING, BUT NOT LIMITED TO, INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENTS, AND AFFILIATED COMMUNITY HEALTH CENTER LOCATIONS), IN CERTIFIED APPLICATION COUNSELOR ("CAC") OFFICES, AND IN GENERAL BUSINESS OFFICE AREAS THAT ARE CUSTOMARILY USED BY PATIENTS (E.G., ADMISSIONS AND REGISTRATION AREAS, OR PATIENT FINANCIAL SERVICES OFFICES THAT ARE ACTIVELY OPEN TO THE PUBLIC). THE GENERAL NOTICE WILL INFORM THE PATIENT ABOUT THE AVAILABILITY OF PUBLIC ASSISTANCE AND HOSPITAL FINANCIAL ASSISTANCE (INCLUDING MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PROGRAM, THE HEALTH SAFETY NET AND MEDICAL HARDSHIP) AS WELL AS THE LOCATION(S) WITHIN THE HOSPITAL AND/OR THE PHONE NUMBERS TO CALL TO SCHEDULE AN APPOINTMENT WITH A CAC. INFORMATION ABOUT APPLYING FOR FINANCIAL ASSISTANCE IS ALSO AVAILABLE ON LINE AT WWW.SIGNATURE-HEALTHCARE.ORG. THE GOAL OF THESE NOTICES IS TO ASSIST INDIVIDUALS IN APPLYING FOR COVERAGE WITHIN ONE OR MORE OF THESE PROGRAMS. PART VI, LINE 4: SHBH SERVES OVER 100,000 PATIENTS ON AN ANNUAL BASIS. AS A DISPROPORTIONATE SHARE HOSPITAL AND THE HUB AND SOLE HOSPITAL OF SIGNATURE HEALTHCARE, WE PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY CARE SERVICES FOR ECONOMICALLY DISADVANTAGED AND AT-RISK INDIVIDUALS. THE POVERTY IN OUR SERVICE AREA IS SO SEVERE (72% OF PATIENTS QUALIFY FOR GOVERNMENT INSURANCE) AND RESIDENTS LACK RESOURCES FOR BASIC LIVING EXPENSES. 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, 47% OF THEM DESCRIBE SPEAKING IT AS "LESS THAN WELL." (SOURCE: COMMUNITY HEALTH NEEDS ASSESSMENT 2010)OUR SERVICE AREA ALSO INCLUDES LARGE NUMBERS OF IMMIGRANT AND FIRST-GENERATION FAMILIES FROM HAITI AND CAPE VERDE, AMONG OTHER COUNTRIES, 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 5: SIGNATURE MEDICAL GROUP SUBSIDY -SIGNATURE HEALTHCARE PROVIDES ADDITIONAL COMMUNITY BENEFITS VIA THE PROVISION OF SIGNATURE MEDICAL GROUP CLINIC SERVICES FOR THE SAFETY NET POPULATION. THE SMG CLINIC SUBSIDY OF $19,089,843 IS THE DIFFERENCE BETWEEN CLINIC PAYMENTS AND CLINIC COSTS. THIS IS BASED ON THE FISCAL YEAR 15 UCCR REPORT. THE REVENUE AND EXPENSES ARE DETERMINED USING MEDICARE PRINCIPLES. THE CLINIC SUBSIDY INCLUDES THE OPERATIONS OF SIGNATURE MEDICAL GROUP. THE CLINIC SUBSIDY IS NOT INCLUDED IN THE FREE CARE SHORTFALL OR UNCOMPENSATED CARE VALUE REPORTED ABOVE. THE FOLLOWING PROGRAMS HAVE BEEN DEVELOPED BY SIGNATURE HEALTHCARE TO HELP FACILITATE THE QUALITY, SAFETY AND CONTINUUM OF CARE FOR OUR PATIENTS IN THE COMMUNITY. THE FUNDING ASSOCIATED WITH THESE PROGRAMS HAS NOT BEEN INCORPORATED INTO THE COMMUNITY BENEFITS CALCULATION. CHRONIC DISEASE MANAGEMENT: COPDBUILDING ON THE LEARNING AND SUCCESSES OF OUR CONGESTIVE HEART FAILURE PROGRAM, SIGNATURE HEALTHCARE IS EXPANDING OUR CHRONIC DISEASE MANAGEMENT PROGRAM TO MANAGE COPD PATIENTS WITH A GOAL TO DECREASE ADMISSIONS FOR THIS POPULATION. COPD AND CHF ARE SERIOUS AND WIDELY PREVALENT DISEASES, WHICH ARE PROGRESSIVE AND TREATABLE IN THEIR EARLY STAGES WITH A WELL ACCEPTED SET OF OUTPATIENT AND HOSPITAL BASED PATHWAYS. ATTENTION TO LOWERING RISKS, ACCURATE DIAGNOSIS, AGGRESSIVE THERAPY AND OVERSIGHT CAN YIELD A HIGHER QUALITY OF LIFE FOR PATIENTS AS WELL AS REDUCE HOSPITALIZATIONS, READMISSIONS, AND COST OF CARE. IN FY 16 WE REDUCED OUR COPD RE-ADMISSION RATE BY ALMOST 20%. COMMUNITY LINKS:THE COMMUNITY LINKS PROGRAM IS DESIGNED TO SERVE PATIENTS WHO ARE FOLLOWED BY PRIMARY CARE PHYSICIANS IN THE OUTPATIENT DEPARTMENT. WE UNDERSTAND MANY PATIENTS WHO VISIT THEIR PCPS HAVE UNMET PSYCHOSOCIAL NEEDS. THIS PROGRAM PROVIDES THESE PATIENTS WITH THE OPPORTUNITY TO WORK WITH A COMMUNITY LINKS REPRESENTATIVE FOR ASSISTANCE WITH REFERRALS TO AREA AGENCIES TO ADDRESS NEEDS INCLUDING HOUSING, FOOD, INCOME SUPPORTS, EMPLOYMENT/ADULT EDUCATION, COUNSELING, PHARMACY PROGRAMS, CLOTHING, FUEL/UTILITIES ASSISTANCE, ADULT DAY PROGRAMS AND CHILDCARE.THIS PROGRAM IS ALSO AN INTERNSHIP OPPORTUNITY FOR UNDERGRADUATE STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES. THE PROGRAM IS MANAGED BY A MASTER'S LEVEL SOCIAL WORKER WHO SUPERVISES 2 STUDENTS EACH SEMESTER. SINCE THE INTRODUCTION OF THIS NEW SERVICE FOR PATIENTS IN THE SIGNATURE HEALTHCARE OUTPATIENT DEPARTMENT, 675 PATIENTS WERE SUPPORTED, SEVERAL OF WHOM CONTINUE TO BE FOLLOWED. A PROVIDER SATISFACTION SURVEY HAS BEEN CONDUCTED TWICE SINCE THE START OF THE PROGRAM IN OCTOBER WITH 100% SATISFACTION. THIS SERVICE HAS RESULTED IN INCREASING THE THERAPEUTIC RELATIONSHIP BETWEEN THE PATIENT AND PROVIDER WHILE HELPING PATIENTS ACCESS NEEDED NON-CLINICAL SERVICES. PERSONALIZED CARE TEAM:SIGNATURE HEALTHCARE'S COMPLEX CARE INITIATIVE IDENTIFIES AND CREATES A PROCESS TO MANAGE THE HIGH RISK COMPLEX CARE FOR ELDERLY PATIENTS. SIGNATURE HEALTHCARE ACCOMPLISHES THIS BY CREATING INFRASTRUCTURE TO IDENTIFY HIGH RISK ELDERS, AND DEVELOP SYSTEMS AND PROCESSES TO ENGAGE THESE PATIENTS IN A TEAM BASED, PATIENT CENTERED APPROACH TO CARE. THE AIM IS TO INCORPORATE A TEAM OF PROVIDERS DEDICATED AND PREPARED TO MEET THE CHALLENGING NEEDS OF THE HIGH RISK ELDER POPULATION; TO INTERVENE IN A WAY THAT FOSTERS FUNCTIONAL INDEPENDENCE, WITH THE HIGHEST REGARD TO MAINTAINING A QUALITY OF LIFE. THE STRATEGY AND TACTICS TO ACHIEVE THIS ARE BASED ON THE PATIENT'S FUNCTIONAL GOALS; AND ARE DEVELOPED IN A WAY THAT IDENTIFIES THE UNIQUE NEEDS OF THE POPULATION. THRU THE PERSONALIZED CARE TEAM, PATIENTS THAT ARE IN THIS CLINIC ARE IDENTIFIED WHEN THEY ENTER THE EMERGENCY ROOM FOR EXAMINATION; THIS HAS REDUCED AVOIDABLE ADMISSIONS BY 45%. PATIENTS ARE EDUCATED TO CALL THE TEAM BEFORE THEY GO TO THE EMERGENCY ROOM. THIS TEAM HAS ASSISTED IN CUTTING DOWN THE NUMBER OF VISITS THE PATIENT HAS TO SPECIALISTS, HAS IMPROVED THE TRANSITION OF CARE, MEDICATION COMPLIANCE AND THE QUALITY OF CARE IS TRULY PERSONALIZED FOR THE PATIENT AND THEIR FAMILY.DIABETIC MANAGEMENT PROGRAM: SIGNATURE MEDICAL GROUP ENGAGED THE PROVIDERS AND STAFF IN POPULATION HEALTH REVIEWS. OUR FOCUS IS THE DIABETIC PATIENTS WITHIN EACH PRACTICE. THE CARE TEAM MEETS QUARTERLY TO REVIEW ALL DIABETIC PATIENTS AND MONITOR HOW WELL THEIR DIABETES IS IN CONTROL. THE CARE TEAM CONSISTS OF THE PRIMARY CARE PHYSICIAN, NURSE PRACTITIONER, CLINICAL & CLERICAL STAFF, PHARMACIST, AND ENDOCRINOLOGISTS. OUR GOAL IS TO ASSURE EACH PATIENT IS UP TO DATE WITH ANNUAL LABS, EYE EXAM, KIDNEY FUNCTION AND BLOOD PRESSURE CONTROL. MEDICATIONS ARE ADJUSTED AND FREQUENT FOLLOW UP APPOINTMENTS ARE SCHEDULED. EACH PATIENT'S UNIQUE COPING MECHANISMS ARE DISCUSSED AND IF BARRIERS TO CARE ARE IDENTIFIED, THE TEAM ENGAGES OUR CASE MANAGEMENT AND/OR SOCIAL WORK DEPARTMENTS TO SUPPORT PATIENTS WITH MEDICATIONS, NUTRITIONAL OR TRANSPORTATION NEEDS. ADDITIONALLY, SIGNATURE MEDICAL GROUP HAS BEEN HOLDING GROUP CLASSES FOR PATIENTS TO HELP PATIENTS MANAGE THEIR CHRONIC DISEASE.CARETRACKER:A MAJOR FOCUS OF SIGNATURE MEDICAL GROUP IS ON THE GENERALIZED HEALTH AND WELLNESS OF OUR COMMUNITY. WITHIN SIGNATURE WE HAVE A DEPARTMENT OF POPULATION HEALTH AND A DEPARTMENT OF MANAGED CARE. THE DEPARTMENT OF POPULATION HEALTH PROVIDES TO EMPLOYERS FOR THEIR EMPLOYEES ON SITE NURSE PRACTITIONER SERVICES AS WELL AS COACHING AND HEALTH EDUCATION TEACHING. THE DEPARTMENT OF MANAGED CARE IS FOCUSED ON IMPROVING THE HEALTH STATUS OF COMMUNITY PATIENTS WITH CHRONIC ILLNESS SUCH AS DIABETES AND HYPERTENSION. A CUSTOM SOFTWARE TOOL HAS BEEN CREATED TO MAINTAIN AN UPDATED DATABASE OF QUALITY METRICS TO ASSIST PCPS AND PATIENTS ON MAINTAINING HEDIS STANDARDS. THIS TOOL, OR CARETRACKER, IS AVAILABLE TO ALL SIGNATURE PCPS AT THE TIME OF AN ARRIVED APPOINTMENT. BY PROVIDING CURRENT AND ACTIONABLE DATA SIGNATURE HAS IMPROVED OUTCOMES SUCH AS A1C OR BLOOD PRESSURE TARGETS YEAR OVER YEAR.HEART FAILURE DISEASE MANAGEMENT PROGRAM:THE FOCUS OF THIS PROGRAM IS TO ENROLL HIGH RISK PATIENTS WITH A PRIMARY ADMISSION OF ACUTE DECOMPENSATED HEART FAILURE. ACHIEVEMENTS WHICH IMPROVE THE CARE OF THIS PATIENT POPULATION ARE THE USE OF TEACH BACK IN EDUCATION OF OUR PATIENTS, THE IMPLEMENTATION OF A HOSPITAL WIDE CASE MANAGEMENT RISK ASSESSMENT TOOL, AND FURTHER EXPANSION OF OUR MULTIDISCIPLINARY ROUNDS TO INCLUDE REPRESENTATION FROM THE PHARMACY. POLYPHARMACY ISSUES ARE COMMON IN THE CHALLENGES IDENTIFIED FOR CARE OF THE CHF PATIENT POPULATION.HOMEWARD BOUND: HOMEWARD BOUND, INITIATED IN 2012, MOBILIZED STUDENTS FROM THE BROCKTON HOSPITAL SCHOOL OF NURSING, AND SUPERVISED BY NURSING INSTRUCTORS, INTO THE HOMES OF PATIENTS WITH CONGESTIVE HEART FAILURE TO DO STATUS CHECKS ON THE PATIENTS' ADHERENCE TO TREATMENT PLANS PROVIDED UPON HOSPITAL DISCHARGE. TRAVELING IN PAIRS, THE STUDENTS SERVE AS "HEALTH COACHES" BY ASSESSING PRE-ESTABLISHED PARAMETERS INCLUDING WEIGHT AND BLOOD PRESSURE AND TRANSMITTING DATA TO THE HOSPITAL'S HOMEWARD BOUND OFFICE FOR EVALUATION BY THE PROGRAM'S NURSING STAFF. AS PART OF THE STUDENT'S CLINICAL ROTATION, HOMEWARD BOUND PROVIDES STUDENTS INVALUABLE KNOWLEDGE AND THE OPPORTUNITY TO SHARPEN VOCATIONAL SKILLS BY WORKING CLOSELY WITH PATIENTS IN THEIR HOMES FOLLOWING HOSPITALIZATIONS OF CHF. AS A RESULT OF HOMEWARD BOUND'S SUCCESS IN PROVIDING BETTER PATIENT CARE AND REDUCING READMISSIONS AND VISITS TO THE EMERGENCY DEPARTMENT, THE PROGRAM RECENTLY EXPANDED TO ENCOMPASS THE DIAGNOSIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE. NEW PARTNERSHIPS HAVE BEEN ADDED WITH TWO LOCAL NURSING PROGRAMS: MASSASOIT COMMUNITY COLLEGE AND CURRY COLLEGE.THIS REPLICABLE MODEL HAS SHOWN MARKED REDUCTIONS IN EMERGENCY ROOM VISITS, HOSPITAL ADMISSIONS AND VISITS TO CARDIOLOGISTS AND PRIMARY CARE PROVIDERS. BEGINNING WITH 22 CHF PATIENTS ENTERED INTO THE PROGRAM IN 2013 WITH ZERO READMISSIONS, THE PROGRAM HAS GROWN TO 33 COPD PATIENTS AND 14 CHF PATIENTS FOR A TOTAL OF 47 ACTIVELY ENROLLED HOMEWARD BOUND PATIENTS IN FY16 WITH ZERO READMISSIONS FOR SEVEN MONTHS OUT OF THE FISCAL YEAR. A 47% INCREASE IN ENROLLMENT AND THE EXPANSION TO INCLUDE COPD PATIENTS, SIGNATURE HEALTHCARE AND BROCKTON HOSPITAL SCHOOL OF NURSING ARE MAKING A SERIOUS IMPACT IN THE LIVES OF THOSE PATIENTS IN THIS CHRONICALLY ILL POPULATION. IN FY 17 THE PROGRAM IS LOOKING TO EXPAND ONCE AGAIN 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. THESE MEALS ARE PREPARED AT THE SIGNATURE HEALTHCARE BROCKTON HOSPITAL CAFETERIA. THE MEALS WILL INCLUDE A FRESH SALAD, TWO SANDWICHES, AND TWO BALANCED ENTREE MEALS WITH A FRUIT/DESSERT OPTION THREE TIMES A WEEK. HEALTHY EATING IS AN IMPORTANT PART OF MAINTAINING HEALTH AND THE HOMEWARD BOUND PROGRAM IS DEDICATED TO ASSISTING PATIENTS WITH DIETARY NEEDS AND MEETING THEIR GOALS. HPI:IN 2014 SIGNATURE HEALTHCARE INITIATED A PARTNERSHIP WITH HE 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 0 1 0 0 0 0 0 1 0 ROBERT S GREENBERG MD TRUSTEE 0 267928 0 0 0 5300 0 11095 0 17889 0 302212 0 0 DAVID DRINKWATER MD PHYSICIAN ELECT/TRUSTEE 0 515612 0 10200 0 0 0 0 0 25886 0 551698 0 0 KIM N HOLLON PRES/CEO/CLERK 553378 0 114747 0 16175 0 0 0 24626 0 708926 0 0 0 MICHAEL L DERN MD TRUSTEE 0 594772 0 0 0 5300 0 23947 0 19546 0 643565 0 0 JAMES PAPADAKOS CFO AND TREASURER 328282 0 6900 0 13685 0 0 0 26522 0 375389 0 0 0 KEITH MERLIN PRES MEDICAL STAFF THROUGH 1/25/16 0 521227 0 0 0 4820 0 17085 0 18613 0 561745 0 0 STEPHEN BORGES VP 176932 0 5900 0 12287 0 0 0 24335 0 219454 0 0 0 DAVID J FISHER VP 183737 0 6100 0 14215 0 0 0 19120 0 223172 0 0 0 KIMBERLY WALSH VP 226952 0 9500 0 9504 0 0 0 10584 0 256540 0 0 0 MITCHELL SELINGER MD VP 437910 0 32300 0 16883 0 0 0 18007 0 505100 0 0 0 VERA ADEPALO MD CMO 368236 0 19300 0 15171 0 0 0 13388 0 416095 0 0 0 MARIE F GROSS VP 247791 0 5200 0 10062 0 0 0 4876 0 267929 0 0 0 KAREN E MURPHY VP & GEN'L COUNSEL 249642 0 0 0 11518 0 0 0 2666 0 263826 0 0 0 KATHLEEN M MESSERE RN 198811 0 0 0 0 0 0 0 24885 0 223696 0 0 0 PART I, LINE 3 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. PART I, LINE 4B DURING THE YEAR ENDED 12/31/2015 THE ORGANIZATION MADE 457(F) SUPPLEMENTAL NONQUALIFIED 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 ONE YEAR OF PLAN SERVICE. 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 DURING THE YEAR. PART 1 LINE 7 PHYSICIANS ARE ELIGIBLE TO ENTER A PRODUCTIVITY BASED COMPENSATION PLAN ("PLAN") AND BE COMPENSATED BASED ON THE GREATER OF BASE SALARY OR THE PLAN BASED ON PRODUCTIVITY. AN ADDITIONAL INCENTIVE PLAN FOR PHYSICIANS ON PRODUCTIVITY WILL COMPENSATE FOR POSITIVE PERFORMANCE UNDER PATIENT SATISFACTION, QUALITY, AND CITIZENSHIP CRITERIA. A MASSACHUSETTS DEVELOPMENT FINANCING AGENCY 043431814 000000000 2014-09-30 47750000 REFINANCE DEBT AND FINANCE CONSTRUCTION, RENOVATIONS AND CAPITAL PURCHASES 0 0 0 A 5712722 47750000 47750000 1 0 1 1 A 0 1 1 1 0 0.00730 0.00000 0.00730 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART II, PROCEEDS: PROCEEDS FROM THE SERIES 2014A, 2014B AND 2014C MDFA BONDS WERE USED TO RETIRE A PORTION OF THE ORGANIZATION'S AUGUST 3, 2000 MDFA SERIES K-1 BONDS IN THE AMOUNT OF $28,895,894, RETIRE A PORTION OF TAXABLE NOTES PAYABLE ISSUED IN 2008 FROM A COMMERCIAL BANK IN THE AMOUNT OF $20,509,803. MICHAEL CONNORS FORMER CFO SPLIT DOLLAR LIFE X 1071900 1071900 0 1 1 1071900 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 VI, SECTION A, LINE 2 TIMOTHY CRUZ, DAVID FRENETTE, PATTI ROLAND, ROBERT SULLIVAN, DAVID WOLOHOJIAN, WALLACE PECKHAM, JOSEPH DRIER, JAMES LEARY, MICHAEL SULLIVAN, MARY WALRDON, 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, AND KEITH MERLIN 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 11 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. 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: TRANSFERS (TO) FROM AFFILIATES -15,946,941. PENSION RELATED CHANGES -6,976,677. CHANGE IN INTEREST IN INVESTMENTS OF SHC 360,255. CHANGE IN FAIR VALUE OF SPLIT-INTEREST AGREEMENTS 80,827. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF PP&E 563,495. SIGNATURE HEALTHCARE CORPORATION INC 680 CENTRE STREET BROCKTON MA 02302 042103554 MANAGEMENT AND FUNDRAISING MA 501(C)(3) 11B N/A 0 SIGNATURE HEALTHCARE MEDICAL GROUP INC 680 CENTRE STREET BROCKTON MA 02302 043306782 MEDICAL CARE MA 501(C)(3) 9 SIGNATURE HEALTHCARE CORPORATION 0 BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATESINC 680 CENTRE STREET BROCKTON MA 02302 042530255 PHYSICIAN ACTIVITY MA N/A C 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 1