BROCKTON HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: BROCKTON HOSPITAL INC (EIN 22-2472997)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-11
IRS object ID: 201532239349300113
Schema version: 2013v4.0
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-11T07:47:15-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	042684828	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FEELEY & DRISCOLL PC	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 PORTLAND STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02114	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	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	BusinessNameLine1

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	AddressLine1
City	BROCKTON	City
State	MA	State
ZIP Code	02302	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KIM HOLLON	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	5089417000	PhoneNum
Signature	2015-08-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFFREY T ROGERS	PreparerPersonNm
PTIN	P01074284	PTIN
Phone	6177427788	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SIGNATURE HEALTHCARE BROCKTON HOSPITAL	BusinessNameLine1

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	AddressLine1
City	BROCKTON	City
State	MA	State
ZIP Code	02302	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$244,438,493	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	THE HOSPITAL OPERATES A 245 BED ACUTE CARE FACILITY THAT PROVIDES HEALTH CARE SERVICES TO 20 COMMUNITIES IN SOUTHEASTERN MASSACHUSETTS. IN FISCAL YEAR 2014 THE HOSPITAL PROVIDED $15,483,835 OF UNREIMBURSED CHARITY CARE. THIS EQUATES TO THOUSANDS OF VISITS TO PRIMARY CARE AND SPECIALTY CLINICS. THE HOSPITAL'S CHILDREN AND YOUTH PROGRAM, A HOSPITAL-BASED PRIMARY CARE PRACTICE THAT TREATS UNDER-PRIVILEGED CHILDREN, ACCOMMODATED APPROXIMATELY 10,000 PATIENT VISITS. THOUSANDS OF UNDERINSURED PEOPLE TOOK ADVANTAGE OF ONGOING COMMUNITY HEALTH LECTURES, SCREENINGS, CLASSES AND SUPPORT GROUPS BOTH AT THE HOSPITAL AND IN THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2001	TotalEmployeeCnt
Total Volunteers	102	TotalVolunteersCnt
Total Gross UBI	$595,652	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$103,323	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$53,320	PYContributionsGrantsAmt
CY Contributions Grants	$540,461	CYContributionsGrantsAmt
PY Program Service Revenue	$214,142,831	PYProgramServiceRevenueAmt
CY Program Service Revenue	$226,354,651	CYProgramServiceRevenueAmt
PY Investment Income	$2,288,782	PYInvestmentIncomeAmt
CY Investment Income	$8,432,157	CYInvestmentIncomeAmt
PY Other Revenue	$8,268,630	PYOtherRevenueAmt
CY Other Revenue	$9,111,224	CYOtherRevenueAmt
PY Total Revenue	$224,753,563	PYTotalRevenueAmt
CY Total Revenue	$244,438,493	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	$117,168,847	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$128,057,630	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$88,440,305	PYOtherExpensesAmt
CY Other Expenses	$90,725,164	CYOtherExpensesAmt
PY Total Expenses	$205,609,152	PYTotalExpensesAmt
CY Total Expenses	$218,782,794	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,144,411	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,655,699	CYRevenuesLessExpensesAmt
Total Assets BOY	$175,530,671	TotalAssetsBOYAmt
Total Assets EOY	$184,968,651	TotalAssetsEOYAmt
Total Liabilities BOY	$106,838,500	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$131,630,543	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$68,692,171	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$53,338,108	NetAssetsOrFundBalancesEOYAmt
Mission	BROCKTON HOSPITAL'S MISSION IS TO BE A PRIVATE NOT-FOR-PROFIT COMMUNITY BASED HOSPITAL THAT IS RECOGNIZED AS THE "HOSPITAL OF CHOICE" BY STAFF, PATIENTS, AND THE COMMUNITY IT SERVES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$197,479,961	ExpenseAmt
Revenue	$231,991,911	RevenueAmt
Desc	THE HOSPITAL OPERATES A 245 BED ACUTE CARE FACILITY THAT PROVIDES HEALTH CARE SERVICES TO 20 COMMUNITIES IN SOUTHEASTERN MASSACHUSETTS. IN FISCAL YEAR 2014 THE HOSPITAL PROVIDED $15,483,835 OF UNREIMBURSED CHARITY CARE. THIS EQUATES TO THOUSANDS OF VISITS TO PRIMARY CARE AND SPECIALTY CLINICS. THE HOSPITAL'S CHILDREN AND YOUTH PROGRAM, A HOSPITAL-BASED PRIMARY CARE PRACTICE THAT TREATS UNDER-PRIVILEGED CHILDREN, ACCOMMODATED APPROXIMATELY 10,000 PATIENT VISITS. THOUSANDS OF UNDERINSURED PEOPLE TOOK ADVANTAGE OF ONGOING COMMUNITY HEALTH LECTURES, SCREENINGS, CLASSES AND SUPPORT GROUPS BOTH AT THE HOSPITAL AND IN THE COMMUNITY.	Desc
Total Program Service Expenses	$197,479,961	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	Yes (1)	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	2001	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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5089417000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	680 CENTRE STREET	AddressLine1
City	BROCKTON	City
State	MA	State
ZIP Code	023023395	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TIMOTHY J CRUZ
TRUSTEE	1.00	Yes (X)	$0	$0	$0
JOSEPH P DRIER III
TRUSTEE	1.00	Yes (X)	$0	$0	$0
DAVID P FRENETTE
TRUSTEE	1.00	Yes (X)	$0	$0	$0
WALLACE H PECKHAM III
TRUSTEE	1.00	Yes (X)	$0	$0	$0
PATTI ROLAND
TRUSTEE	1.00	Yes (X)	$0	$0	$0
MICHAEL J SULLIVAN
TRUSTEE	1.00	Yes (X)	$0	$0	$0
ROBERT D SULLIVAN
TRUSTEE	1.00	Yes (X)	$0	$0	$0
MARY V WALDRON
TRUSTEE	1.00	Yes (X)	$0	$0	$0
DAVID R WOLOHOJIAN
TRUSTEE	1.00	Yes (X)	$0	$0	$0
KIM HOLLON
CHIEF EXECUTIVE OFFICER	40.00	Yes (X)	$657,424	$0	$34,399	Yes (X)
DAVID DRINKWATER MD
TRUSTEE	1.00	Yes (X)	$0	$502,163	$22,549		40.00
PATRICIA TORTORELLA
TRUSTEE	1.00	Yes (X)	$0	$0	$0
MICHAEL L DERN MD
TRUSTEE	1.00	Yes (X)	$0	$589,524	$19,815		40.00
ROBERT S GREENBERG MD
TRUSTEE	1.00	Yes (X)	$0	$271,061	$20,781		40.00
JAMES E LEARY
TRUSTEE	1.00	Yes (X)	$0	$0	$0
REV CHERYL HARRIS
TRUSTEE	1.00	Yes (X)	$0	$0	$0
EUGENE MARROW
TRUSTEE	1.00	Yes (X)	$0	$0	$0
KEITH MERLIN
TRUSTEE	1.00	Yes (X)	$0	$472,530	$54,904		40.00
JAMES PAPADAKOS
CHIEF FINANCIAL OFFICER	40.00		$325,452	$0	$33,715	Yes (X)
STEPHEN BORGES
VICE PRESIDENT	40.00		$189,952	$0	$31,033			Yes (X)
DAVID J FISHER
VICE PRESIDENT	40.00		$189,381	$0	$28,706			Yes (X)
KIMBERLY WALSH
VICE PRESIDENT	40.00		$227,492	$0	$18,829			Yes (X)
KAREN MURPHY
VICE PRESIDENT & GEN'L COUNSEL	40.00		$289,466	$0	$17,843				Yes (X)
MARIE F GROSS
VICE PRESIDENT	40.00		$264,173	$0	$9,974				Yes (X)
JEFFREY MILLER
VICE PRESIDENT	40.00		$187,287	$0	$28,035				Yes (X)
DENNIS RENAUD
DIRECTOR	40.00		$177,544	$0	$9,042				Yes (X)
MITCHELL SELINGER
VICE PRESIDENT	40.00		$365,917	$112,407	$23,838				Yes (X)
TIMOTHY R LYNCH MD
FORMER TRUSTEE	0.00		$0	$20,629	$1,735		40.00			Yes (X)
ROBERT COVETT MD
FORMER TRUSTEE	0.00		$0	$361,952	$7,787		40.00			Yes (X)
DALE J ELLENBERG MD
FORMER TRUSTEE	0.00		$0	$251,185	$25,049		40.00			Yes (X)
KEN LAWSON
FORMER TRUSTEE	0.00		$0	$423,983	$27,446		40.00			Yes (X)
GEORGE C BROWN
FORMER TRUSTEE	0.00		$0	$596,012	$18,134		40.00			Yes (X)
JEAN-PIERRE GEAGEA
FORMER TRUSTEE	0.00		$0	$633,081	$3,757		40.00			Yes (X)
MARC GREENWALD
FORMER TRUSTEE	0.00		$0	$341,552	$11,830		40.00			Yes (X)
DANIEL MUSE
FORMER TRUSTEE	0.00		$0	$446,174	$18,190		40.00			Yes (X)
ABDEL-HAI HAMMO
FORMER TRUSTEE	0.00		$0	$197,789	$8,669		40.00			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,874,088	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,220,042	TotReportableCompRltdOrgAmt
Total Other Compensation	$476,060	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	138	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
MATRIX ANESTHESIA PD
1342 BELMONT STREET STE 205	BROCKTON	MA	02302	PHYSICIAN SERVICES	$3,070,816
SECURAMERICA LLC
3399 PEACHTREE RD SUITE 1000	ATLANTA	GA	30326	SECURITY SERVICES	$856,360
PRATT PEDIATRIC ASSOCIATES
750 WASHINGTON STREET	BOSTON	MA	02111	PHYSICIAN SERVICES	$808,090
ROPES & GRAY
ONE INTERNATIONAL PLACE	BOSTON	MA	02110	LEGAL SERVICES	$539,238
FISHER COLLEGE
118 BEACON STREET	BOSTON	MA	02116	EDUCATIONAL SERVICES	$419,242

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Government Grants	$405,151	GovernmentGrantsAmt
All Other Contributions	$135,310	AllOtherContributionsAmt
Total Contributions	$540,461	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENU	900099	$225,666,864	$225,666,864
OUTREACH LAB SERVICES	541380	$395,885		$395,885
MEANINGFUL USE EHR REV	900099	$291,902	$291,902

Field	Value	IRS element (for citing)
Total Program Service Revenue	$226,354,651	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,155,428	TotalRevenueColumnAmt
Exclusion	$1,155,428	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,957,722	SecuritiesAmt
Other	$319,007	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,957,722	SecuritiesAmt
Other	$319,007	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,276,729	TotalRevenueColumnAmt
Unrelated Business Revenue	$193,906	UnrelatedBusinessRevenueAmt
Exclusion	$7,082,823	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
SCHOOL OF NURSING	900099	$5,142,875	$5,142,875
MISCELLANEOUS	900099	$3,203,305	$131,087	$3,072,218
VANTAGE JOINT VENTURE	900099	$604,799	$604,799

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$160,245	TotalRevenueColumnAmt
Related Or Exempt Func Income	$154,384	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,861	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,111,224	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$244,438,493	TotalRevenueColumnAmt
Related Or Exempt Func Income	$231,991,911	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$595,652	UnrelatedBusinessRevenueAmt
Exclusion	$11,310,469	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,589,701	TotalAmt
Program Services	$1,430,731	ProgramServicesAmt
Management And General	$158,970	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$98,660,302	TotalAmt
Program Services	$90,786,306	ProgramServicesAmt
Management And General	$7,873,996	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,146,809	TotalAmt
Program Services	$3,860,107	ProgramServicesAmt
Management And General	$1,286,702	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,383,995	TotalAmt
Program Services	$13,505,249	ProgramServicesAmt
Management And General	$1,878,746	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,276,823	TotalAmt
Program Services	$5,457,617	ProgramServicesAmt
Management And General	$1,819,206	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,676,426	TotalAmt
Program Services	$4,676,426	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$415,247	TotalAmt
Program Services	$311,435	ProgramServicesAmt
Management And General	$103,812	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$208,000	TotalAmt
Program Services	$156,000	ProgramServicesAmt
Management And General	$52,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$156,671	TotalAmt
Program Services	$117,503	ProgramServicesAmt
Management And General	$39,168	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$744,742	TotalAmt
Program Services	$558,656	ProgramServicesAmt
Management And General	$186,086	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,555,381	TotalAmt
Program Services	$3,044,835	ProgramServicesAmt
Management And General	$510,546	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,555,184	TotalAmt
Program Services	$1,166,388	ProgramServicesAmt
Management And General	$388,796	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,963,080	TotalAmt
Program Services	$2,222,521	ProgramServicesAmt
Management And General	$740,559	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$186,079	TotalAmt
Program Services	$149,279	ProgramServicesAmt
Management And General	$36,800	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,010,646	TotalAmt
Program Services	$753,937	ProgramServicesAmt
Management And General	$256,709	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,508,242	TotalAmt
Program Services	$4,131,178	ProgramServicesAmt
Management And General	$1,377,064	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,861,212	TotalAmt
Program Services	$1,405,559	ProgramServicesAmt
Management And General	$455,653	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OTHER PROFESSIONAL SERV	$18,483,458	$17,776,997	$706,461
PURCHASED SERVICES	$10,841,053	$9,107,486	$1,733,567
MEDICAL & SURGICAL SUPP	$10,587,979	$10,558,875	$29,104
OTHER EXPENESE	$10,279,509	$8,649,944	$1,629,565

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,692,255	TotalAmt
Program Services	$17,652,932	ProgramServicesAmt
Management And General	$39,323	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$218,782,794	TotalAmt
Program Services	$197,479,961	ProgramServicesAmt
Management And General	$21,302,833	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,645,427	BOYAmt
EOY	$19,058,323	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,655,712	BOYAmt
EOY	$22,965,763	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$42,015,519	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,570,524	BOYAmt
EOY	$1,595,304	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,371,818	BOYAmt
EOY	$2,723,530	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$206,748,053	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$137,530,430	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$33,557,999	BOYAmt
EOY	$69,217,623	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,018,896	BOYAmt
EOY	$3,340,081	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$60,694,776	BOYAmt
EOY	$66,068,027	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$175,530,671	BOYAmt
EOY	$184,968,651	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,205,876	BOYAmt
EOY	$34,005,387	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,453,418	BOYAmt
EOY	$1,379,554	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,324,287	BOYAmt
EOY	$47,750,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,843,137	BOYAmt
EOY	$13,012,508	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,011,782	BOYAmt
EOY	$35,483,094	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$106,838,500	BOYAmt
EOY	$131,630,543	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$63,496,118	BOYAmt
EOY	$47,862,379	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,947,289	BOYAmt
EOY	$2,108,421	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,248,764	BOYAmt
EOY	$3,367,308	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$68,692,171	BOYAmt
EOY	$53,338,108	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$175,530,671	BOYAmt
EOY	$184,968,651	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,655,699	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,597,790	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$37,411,972	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	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	$156,670	OtherActivitiesAmt
Total Lobbying Expenditures	$156,670	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	THE HOSPITAL PAID THE FOLLOWING COMPANIES FOR LOBBYING ON BEHALF OF THE HOSPITAL REGARDING VARIOUS STATE AND FEDERAL LEGISLATION IMPACTING BOTH THE HOSPITAL AND THE HEALTHCARE INDUSTRY AS A WHOLE. THESE ACTIVITIES REPRESENT AN INSUBSTANTIAL PART OF THE HOSPITAL'S ACTIVITIES. $120,063 WENT TO ELLEN MURPHY & ASSOCIATES. THE ALLOCATED PORTION OF DUES TO THE FOLLOWING ORGANIZATIONS:$27,355 MASSACHUSETTS HOSPITAL ASSOCIATION; $9,252 AMERICAN HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,742,703	BeginningYearBalanceAmt
Investment Earnings Or Losses	$274,466	InvestmentEarningsOrLossesAmt
End Year Balance	$4,017,169	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,507,330	BeginningYearBalanceAmt
Investment Earnings Or Losses	$235,373	InvestmentEarningsOrLossesAmt
End Year Balance	$3,742,703	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,166,498	BeginningYearBalanceAmt
Investment Earnings Or Losses	$340,832	InvestmentEarningsOrLossesAmt
End Year Balance	$3,507,330	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,335,390	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$168,892	InvestmentEarningsOrLossesAmt
End Year Balance	$3,166,498	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,187,674	BeginningYearBalanceAmt
Investment Earnings Or Losses	$147,716	InvestmentEarningsOrLossesAmt
End Year Balance	$3,335,390	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.84000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,100,011	OtherCostOrOtherBasisAmt
Book Value	$2,100,011	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$94,184,631	OtherCostOrOtherBasisAmt
Depreciation	$45,694,386	DepreciationAmt
Book Value	$48,490,245	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$109,194,463	OtherCostOrOtherBasisAmt
Depreciation	$91,836,044	DepreciationAmt
Book Value	$17,358,419	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,268,948	OtherCostOrOtherBasisAmt
Book Value	$1,268,948	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$69,217,623	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
ASSETS WHOSE USE IS LIMITED	$54,468,893
UNAMORTIZED BOND ISSUANCE COSTS	$1,048,206
INVESTMENT IN JOINT VENTURE	$880,800
LOAN RECEIVABLE - SPLIT DOLLAR LIFE INSURANCE	$995,000
SECURITY DEPOSIT	$104,795
MALPRACTICE INSURANCE RESERVE	$7,272,000
OTHER INTANGIBLES	$1,298,333

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$66,068,027	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
AMOUNTS DUE TO 3RD PARTY PAYORS	$7,165,334
PENSION LIABILITY	$28,317,760

Field	Value	IRS element (for citing)
Total Liability	$35,483,094	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$244,438,493	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$244,438,493	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$244,438,493	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$218,782,794	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$218,782,794	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$218,782,794	TotalExpensesPerForm990Amt

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 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
Percent200 D	Yes (X)	Percent200DInd
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	$5,080,978	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,741,737	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,339,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,970,083	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,615,803	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,354,280	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,030,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,205,094	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,825,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,081,482	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,562,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,518,848	NetCommunityBenefitExpnsAmt
Total Expense	0.02060	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$162,916	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$162,916	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,112,926	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,207,527	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,905,399	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,296,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,675,060	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,621,828	NetCommunityBenefitExpnsAmt
Total Expense	0.02570	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,267	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,267	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,619,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,882,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,737,410	NetCommunityBenefitExpnsAmt
Total Expense	0.03530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$98,701,479	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,445,221	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,256,258	NetCommunityBenefitExpnsAmt
Total Expense	0.05590	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,002	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,002	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,002	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,002	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,149,292	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,420,350	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$58,054,409	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$54,369,252	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,685,157	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	680 CENTRE STREET	AddressLine1
City	BROCKTON	City
State	MA	State
ZIP Code	02302	ZIPCode

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
Other Needs Addressed	Yes (X)	OtherNeedsAddressedInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BROCKTON HOSPITAL	PART V, SECTION B, LINE 3: 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. FROM FEBRUARY TO DECEMBER 2013, THE STOUGHTON YOUTH COMMISSION CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE GREATER BROCKTON COMMUNITY HEALTH NETWORK AREA (CHNA 22) WITH THE GOAL OF IDENTIFYING UNMET COMMUNITY HEALTH NEEDS, VULNERABLE POPULATIONS AND GAPS IN EXISTING COMMUNITY HEALTH SERVICES. IN THIS VERSION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE GREATER BROCKTON CHNA FOCUSED ON THE FOLLOWING FOUR PRIORITY AREAS:- ASTHMA- NUTRITION AND FITNESS- ORAL HEALTH, AND- SUBSTANCE ABUSETHIS UPDATE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZED A FOUR PRONGED APPROACH TO UNCOVER THE STATE OF THE HEALTH OF THE CITY OF BROCKTON AND ITS SURROUNDING TOWNS: 1. CONDUCTING KEY INFORMANT INTERVIEWS WITH PEOPLE WHO WORK WITHIN THE CHNA 22 CITIES AND TOWNS INCLUDING BROCKTON TO DETERMINE HOW THE NEEDS OF THE RESIDENTS ARE MET BOTH INSIDE AND OUTSIDE THE CITY;2. REVIEWING EXISTING PROGRAMS/STRATEGIES AND SERVICES IN THE AREA TO DISCOVER GAPS;3. ANALYZING EXISTING DATA TO DETERMINE HOW HEALTH OUTCOMES IN THE CITY OF BROCKTON AND SURROUNDING TOWNS DIFFER FROM EACH OTHER AND THE STATE OF MASSACHUSETTS OVERALL;4. CONDUCTING FOCUS GROUPS WITHIN AND OUTSIDE OF BROCKTON TO EXAMINE THEIR PERCEPTIONS REGARDING THE FOUR AFOREMENTIONED HEALTH TOPICS AND THEIR IMPACT IN THE SERVICE AREA.AT LEAST ONE KEY INFORMANT WAS INTERVIEWED IN EVERY CHNA 22 TOWN AND A TOTAL OF 23 KEY INFORMANT INTERVIEWS WERE CONDUCTED OVERALL. ORGANIZATIONS INCLUDED LOCAL SUBSTANCE ABUSE AND VIOLENCE COALITIONS, VNAS, SCHOOL PERSONNEL, BOARD OF HEALTH, YMCA, COA'S AND MORE. THERE WERE A TOTAL OF FOUR (4) FOCUS GROUPS, ONE ON EACH OF THE CHNA 22 FOCUS AREAS. THESE FOCUS GROUPS TOOK PLACE AT THE MENS SOBER HOUSE IN BROCKTON, THE EAST BRIDGEWATER YMCA, SELF HELP, INC. AND TRINITY BAPTIST CHURCH.
BROCKTON HOSPITAL	PART V, SECTION B, LINE 4: STEWARD GOOD SAMARITAN HOSPITAL
BROCKTON HOSPITAL	PART V, SECTION B, LINE 5D: CHNA 22 ORGANIZATION WEBSITE: WWW.CHNA22.ORG.
BROCKTON HOSPITAL	PART V, SECTION B, LINE 6I: 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 AND SUPPORT RELATED TO THESE AREAS WAS NECESSARY. THROUGHOUT THE YEAR SIGNATURE HEALTHCARE'S NUTRITION AND ENDOCRINOLOGY STAFF AS WELL AS OUR DIABETES EDUCATORS WORKED AT CREATING AND PROVIDING EDUCATIONAL TOOLS AND SEMINARS. ON MANY OCCASIONS THROUGHOUT FISCAL 2014, SIGNATURE HEALTHCARE STAFF MEMBERS OFFERED INFORMATION AND HANDS ON ACTIVITIES TO THE COMMUNITY. ONE MAJOR EVENT EMPLOYEES TOOK PART IN ALONG WITH COMMUNITY PARTNERS WAS SIGNATURE HEALTHCARE'S THIRD ANNUAL "DIABETES DAY." THIS EVENT HAD MANY COMPONENTS INCLUDING: FREE SCREENINGS FOR VASCULAR AND METABOLIC DISEASE; A HEALTHY COOKING DEMONSTRATION IN COLLABORATION WITH VINCENTE'S MARKET, A LOCAL ETHNIC GROCER; HEALTHY RECIPES; AND A VENDOR AREA WHERE COMMUNITY PARTNERS ALONG WITH DEPARTMENTS OF SIGNATURE HEALTHCARE HIGHLIGHTED SERVICES THAT ARE PROVIDED SPECIFIC TO NUTRITION & DIABETES. AN EXERCISE AREA WITH ZUMBA FOR ADULTS AND AN OBSTACLE COURSE FOR CHILDREN WAS PROVIDED BY THE OLD COLONY YMCA. LASTLY, 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. THIS INFORMATION WAS SHARED WITH ALL SIGNATURE HEALTHCARE PRIMARY AND SECONDARY SERVICE AREAS. SIGNATURE HEALTHCARE CONTINUES TO BE PART OF A LARGER COMMUNITY WIDE "BROCKTON KNOCKS DOWN DIABETES" (BKDD) INITIATIVE. SIGNATURE HEALTHCARE KICKS OFF THE WEEK WITH DIABETES DAY AND HAS DONE SO FOR THE PAST THREE YEARS. SIGNATURE HEALTHCARE PROVIDES CLINICIANS, ASSISTS WITH COORDINATION AND STAFFING FOR VARIOUS EVENTS, AND OFFERS 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. THROUGH COMMUNITY OUTREACH WITH LOCAL BUSINESS, 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, HEALTHY RECIPES, FREE EXERCISE CLASSES AND OPPORTUNITIES FOR QUESTIONS AND ANSWERS WITH CLINICAL STAFF. DURING FY14, HOSPITAL STAFF PARTICIPATED IN MORE THAN TWENTY-FIVE COMMUNITY EVENTS TO PROMOTE EDUCATION ON THE TOPIC OF DIABETES, NUTRITION AND OBESITY. THE EVENTS INCLUDED: -LINCOLN TECHNICAL INSTITUTE, COMMUNITY RESOURCE FAIR-BAMSI'S ANNUAL CONFERENCE -COMMUNITY CARE SERVICES, HEALTH & SAFETY FAIR-MASSASOIT COMMUNITY COLLEGE - CANTON CAMPUS-MASSASOIT COMMUNITY COLLEGE - BROCKTON CAMPUS-FULL GOSPEL TABERNACLE - MEN'S & WOMEN'S MINISTRIES -TABERNACLE OF PRAISE -HAITIAN COMMUNITY PARTNERS - HEALTH & SAFETY FAIR-GE OIL AND ELECTRIC - NUMEROUS HEALTH & WELLNESS PRESENTATIONS -METRO SOUTH CHAMBER OF COMMERCE, TASTE OF METRO SOUTH EVENT-BROCKTON HIGH SCHOOL ANNUAL WELLNESS FAIR-GREATER BROCKTON HEALTH FAIR SPONSORED BY CHNA 22 AND WALGREENS-MARY CRUISE KENNEDY SENIOR CENTER - HEALTHY COOKING AND MEAL PLANNING -BEACON COMMUNITIES - THE PINES AND CHATHAM WEST-SPRING OF WATER CHRISTIAN ASSEMBLY HEALTH FAIR -BRIDGEWATER SENIOR CENTER - HEALTH & PUBLIC SAFETY EXPO-NEIGHBORHOOD HEALTH CENTER " NATIONAL HEALTH CENTER WEEK" HEALTH FAIR -NEW LIFE COMMUNITY EMPOWERMENT CENTER-OLD COLONY YMCA YOUTH DIVISION BROCKTON BRANCH, "HEALTHY KIDS DAY"-OLD COLONY YMCA CENTRAL BRANCH - DIABETES WELLNESS DAY-OLD COLONY YMCA (NUMEROUS KICKOFF AND MIDPOINT EVENTS AS PART OF THE "SMALLEST WINNER" PROGRAM.-BROCKTON PUBLIC SCHOOLS, SUMMER FUN IN THE CITY RESOURCE FAIR-CITY OF BROCKTON "NIGHT OUT AGAINST CRIME"-SUMMERFEST-TAUNTON WIC "CELEBRATION OF THE YOUNG PARENT"-ANNUAL RAYNHAM COMMUNITY PRIDE DAY-WHITMAN HANSON KIDS FITNESS FESTIVALSIGNATURE 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 WITH FIFTEEN EMPLOYED TRANSLATORS SPEAKING THIRTY SIX LANGUAGES.
BROCKTON HOSPITAL	PART V, SECTION B, LINE 7: SIGNATURE HEALTHCARE, IN COLLABORATION WITH THE CHNA22, 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 2014 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- PARTICIPATED IN BROCKTON MAYOR'S OPIOID OVERDOSE PREVENTION COALITION - PARTICIPATED IN BROCKTON CABLE ACCESS "OPIOIDS IN THE CITY"- PROVIDED EDUCATION TO PARENTS AND STAFF OF AREA HIGH SCHOOLS ON THE USE OF PERFORMANCE ENHANCING SUPPLEMENTS IN ATHLETES AND PROVIDED FISCAL SUPPORT OF BROCKTON AREA MULTI SERVICES, INC. (BAMSI) AND HELPLINE.2. ASTHMA - SIGNATURE HEALTHCARE PEDIATRICS STAFF HOLDS AN ANNUAL "ASTHMA CAMP" TO PROVIDE EDUCATION AND TOOLS NEEDED FOR CHILDREN AND FAMILIES TO MANAGE THEIR ASTHMA.3. ORAL HEALTH - SIGNATURE HEALTHCARE DOES NOT EMPLOY OR PROVIDE GENERAL DENTISTRY CARE. WE WORK COLLABORATIVELY WITH THE BROCKTON NEIGHBORHOOD HEALTH CENTER TO ATTEND TO THE ORAL HEALTH NEEDS OF OUR COMMUNITY.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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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.
SCHEDULE H, PART II	SIGNATURE HEALTHCARE COLLABORATES WITH AND SUPPORTS AREA ORGANIZATIONS BOTH FINANCIALLY AND WITH OUR CLINICAL EXPERTISE. WE BELIEVE COLLABORATION WITH OUR COMMUNITY PARTNERS ALLOWS US TO MAKE A LARGER IMPACT ON THE OVERALL HEALTH OF OUR COMMUNITY.
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 USED THE MEDICARE COST REPORT AS THE COST ACCOUNTING SYSTEM TO CALCULATE ITS MEDICARE ALLOWABLE COSTS.
SCHEDULE H, 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.
SCHEDULE H, PART VI, LINE 3 - SUPPLEMENTAL INFORMATION	3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE AND RELATED SIGNAGE IS AVAILABLE FOR PATIENTS IN BROCKTON HOSPITAL EMERGENCY SERVICE AND PATIENT REGISTRATION AREAS. SIMILARLY THIS INFORMATION IS ALSO AVAILABLE ON LINE AT WWW.SIGNATURE-HEALTHCARE.ORG.
SCHEDULE H, PART VI, LINE 4 - SUPPLEMENTAL INFORMATION	4 COMMUNITY INFORMATION:THE PAYER MIX OF SIGNATURE HEALTHCARE'S PATIENT PANEL IS AS EXPECTED GIVEN THE DEMOGRAPHICS OF THE COMMUNITY WITH 2% RESIDUALLY UNINSURED, 27% MEDICAID AND MEDICAID MANAGED CARE, AND 70% PUBLIC PAY IN TOTAL. ADDITIONALLY THE COMMERCIAL PAYER RATES VARY CONSIDERABLY IN MASSACHUSETTS PER THE ATTORNEY GENERAL'S 2008 REPORT WHICH REVEALED A GREATER THAN 300 PERCENT VARIATION IN RATES PAID TO THE HOSPITALS BY A COMMERCIAL PAYER. SIGNATURE HEALTHCARE BROCKTON HOSPITAL FELL IN THE LOWEST QUARTILE AND HAD THE 14TH LOWEST RATES OF ALL SIXTY-EIGHT (68) HOSPITALS. SIGNATURE HEALTH HAS BEEN RECOGNIZED AS A LOW COST, HIGH QUALITY PROVIDER OF CARE:- DESIGNED TO RATE HOW WELL HOSPITALS PROTECT PATIENTS FROM ACCIDENTS, ERRORS, INJURIES AND INFECTIONS, THE LATEST (FALL 2014) HOSPITAL SAFETY SCORE HONORED SIGNATURE HEALTHCARE WITH AN "A" - ITS TOP GRADE IN PATIENT SAFETY. THE HOSPITAL SAFETY SCORE IS COMPILED UNDER THE GUIDANCE OF THE NATION'S LEADING EXPERTS ON PATIENT SAFETY AND IS ADMINISTERED BY THE LEAPFROG GROUP, AN INDEPENDENT INDUSTRY WATCHDOG. THE FIRST AND ONLY HOSPITAL SAFETY RATING TO BE PEER-REVIEWED IN THE JOURNAL OF PATIENT SAFETY, THE SCORE IS FREE TO THE PUBLIC AND DESIGNED TO GIVE CONSUMERS INFORMATION THEY CAN USE TO PROTECT THEMSELVES AND THEIR FAMILIES WHEN FACING A HOSPITAL STAY. - SIGNATURE HEALTHCARE BROCKTON HOSPITAL AND SIGNATURE MEDICAL GROUP WERE BOTH RECOGNIZED IN HARVARD PILGRIM HEALTH CARE'S 2014 HOSPITAL AND PHYSICIAN GROUP HONOR ROLLS. THIS PRESTIGIOUS AWARD HONORS HOSPITALS WITH PERFORMANCE AMONG THE TOP 25% MEASURED NATIONALLY ON A SET OF CLINICAL QUALITY AND PATIENT EXPERIENCE MEASURES. THE PHYSICIAN HONOR ROLL RECOGNIZES A COMMITMENT TO HIGH QUALITY CARE, BASED ON PERFORMANCE AGAINST NATIONAL QUALITY BENCHMARKS, AS REPORTED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE.- SIGNATURE HEALTHCARE EARNED "TOP PERFORMER ON KEY QUALITY MEASURES" RECOGNITION FROM THE JOINT COMMISSION, THE LEADING ACCREDITING AGENCY OF HEALTH CARE ORGANIZATIONS IN AMERICA. SIGNATURE HEALTHCARE WAS RECOGNIZED FOR EXEMPLARY PERFORMANCE IN EVIDENCE BASED CLINICAL PROCESSES SHOWN TO IMPROVE CARE FOR CERTAIN CONDITIONS. SIGNATURE HEALTHCARE IS ONE OF 1,099 HOSPITALS IN THE U.S. EARNING THE TOP PERFORMER DISTINCTION FOR ATTAINING AND SUSTAINING EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE, AND ONE OF ONLY 17 HOSPITALS IN MA. IN ADDITION, SIGNATURE HEALTHCARE BROCKTON HOSPITAL WAS ONE OF ONLY 8 IN THE STATE TO BE RECOGNIZED IN ALL FOUR OF THE FOLLOWING MEASURE SETS: HEART ATTACK, HEART FAILURE, SURGERY AND PNEUMONIA AND THE ONLY HOSPITAL IN SOUTHEASTERN MA. - SIGNATURE HEALTHCARE WAS RECENTLY RANKED A TOP HOSPITAL BY US NEWS & WORLD REPORT, RANKING NUMBER 11 IN THE BOSTON METRO AREA AND NUMBER 15 IN MASSACHUSETTS. THE HOSPITAL RECEIVED A HIGH PERFORMING RANKING IN THE AREAS OF DIABETES, ENDOCRINOLOGY AND PULMONOLOGY.- SIGNATURE HEALTHCARE WAS AWARDED THE TUFTS HEALTH PLAN 2014 QUALITY INNOVATION AWARD FOR THE MEDICATION RECONCILIATION PROJECT. IN 2008 SIGNATURE HEALTHCARE ACQUIRED A GEOGRAPHICALLY DISPERSED MULTI-SPECIALTY GROUP OF EMPLOYED PHYSICIANS COMPRISED OF SEVENTEEN (17) SPECIALTIES, NOW CALLED SIGNATURE MEDICAL GROUP. SIGNATURE MEDICAL GROUP HAS LONG EMBRACED PROVIDING CARE FOR THE MEDICALLY COMPLEX, UNDERINSURED PATIENTS WHO ARE UNDERSERVED BY BOTH PRIMARY CARE AND SPECIALISTS IN THE AREA: MANY PHYSICIAN PRACTICES, OUTSIDE OF SIGNATURE HEALTHCARE AND THE BROCKTON AREA NEIGHBORHOOD HEALTH CENTER, LIMIT THEIR PRACTICES' ACCEPTANCE OF MEDICAID AND HEALTH SAFETY NET PATIENTS. SIGNATURE MEDICAL GROUP, WHICH SERVES A TOTAL OF 78,000 PATIENTS, IS COMMITTED TO THECARE OF THIS NEEDY POPULATION WHICH HAS RESULTED IN SIGNIFICANT FINANCIAL LOSSES.
SCHEDULE H, PART VI, LINE 5 - SUPPLEMENTAL INFORMATION	5 PROMOTION OF COMMUNITY HEALTH: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: COPD AND ASTHMABUILDING ON THE LEARNING AND SUCCESSES OF OUR CONGESTIVE HEART FAILURE PROGRAM, SIGNATURE HEALTHCARE IS EXPANDING OUR CHRONIC DISEASE MANAGEMENT PROGRAM TO MANAGE COPD AND ASTHMA PATIENTS WITH A GOAL OF DECREASING ADMISSIONS FOR THIS POPULATION. COPD AND ASTHMA 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. COMMUNITY LINKSTHE 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 3-4 STUDENTS EACH SEMESTER. SINCE THE INTRODUCTION OF THIS NEW SERVICE FOR PATIENTS IN THE SIGNATURE HEALTHCARE OUTPATIENT DEPARTMENT, 337 PATIENTS WERE SUPPORTED, 95 OF WHOM CONTINUE TO BE FOLLOWED. DURING 2014, THE PARTNERSHIP WITH LOCAL SCHOOLS WAS EXPANDED TO INCLUDE STONEHILL COLLEGE. A PROVIDER SATISFACTION SURVEY HAS BEEN CONDUCTED TWICE SINCE THE START OF THE PROGRAM IN OCTOBER WITH 100% SATISFACTION. SOME OF THE COMMENTS RECEIVED FROM THE PROVIDERS INCLUDE, "A VERY GOOD SERVICE TO OPD AND WE NEED IT," "I CANNOT IMAGINE WORKING WITHOUT ASSISTANCE FROM THIS PROGRAM. FOR THE PATIENT POPULATION WE HAVE HERE IN THE OPD, IT IS A MUST," "THIS SERVICE HAS RESULTED IN INCREASING THE THERAPEUTIC RELATIONSHIP BETWEEN THE PATIENT AND PROVIDER. IT MAKES THE WRAP UP PROCESS OF MANY VISITS SMOOTHER, AND PROVIDES GREATER SATISFACTION FOR MY WORK AND FOR MY PATIENTS." WE HAVE PREPARED A PATIENT SATISFACTION SURVEY TO BE MAILED IN THE FALL; DATA RECEIVED FROM THAT SURVEY WILL BE SUMMARIZED IN A REPORT. THE FOLLOWING INFORMATION PROVIDES SPECIFIC DATA REGARDING THE PATIENTS WHO HAVE BENEFITED FROM THIS PROGRAM. INITIAL CONCERN IDENTIFIED:ISSUE INDICATED PATIENTS AVERAGE AGEADULT EDUCATION 1 63.0CHILDCARE 1 39.0CLOTHING 1 31.0COUNSELING 127 49.0DAY PROGRAM 4 33.5EMPLOYMENT 8 34.9FOOD 34 49.3HOUSING 25 50.1INCOME 8 54.0INSURANCE 23 62.0MEDICATION 37 57.2OTHER 60 62.4UTILITIES 8 48.6GRAND TOTAL 337 52.8SOME OF THE ISSUES IN THE "OTHER" CATEGORY INCLUDE TRANSPORTATION; REFERRALS FOR COMMUNITY AGENCIES FOR SERVICES INCLUDING HOSPICE, VNA, ELDER SERVICES; CARE COORDINATION AND ASSISTANCE WITH COMPLETION OF HEALTH CARE PROXIES.COMPLEX CARE COORDINATIONSIGNATURE HEALTHCARE'S COMPLEX CARE INITIATIVE IDENTIFIES AND CREATES A PROCESS TO MANAGE THE HIGH RISK COMPLEX CARE 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. WITHIN THIS STRATEGY IS AN EMPHASIS ON FALL RISK AND DEPRESSION SCREENING TOOLS. DIABETIC ROSTERSIGNATURE 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 AND CLERICAL STAFF, PHARMACIST AND ENDOCRINOLOGISTS. OUR GOAL IS TO ENSURE EACH PATIENT IS UP TO DATE WITH ANNUAL LABS, EYE EXAM, KIDNEY FUNCTION AND BLOOD PRESSURE CONTROL. THE TEAM VERIFIES THE PATIENT'S LAB WORK IS WITHIN NORMAL RANGE TO PREVENT COMPLICATIONS OF DIABETES. 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.EXPANSION OF SERVICESIN ALL OF OUR AMBULATORY SITES, WE ARE REMODELING AND EXPANDING TO ACCOMMODATE ADDITIONAL PHYSICIANS TO PROVIDE HEALTHCARE TO THE GROWING POPULATION. HEALTHCARE GAPS: VERISK SIGNATURE HEALTHCARE RECENTLY PURCHASED A LICENSE FOR THE VERISK HEALTH PRODUCT. THIS DATABASE PROVIDES DETAILED INFORMATION RELATING TO THE QUALITY AND COST OF SIGNATURE MEDICAL GROUP PATIENTS UNDER CONTRACTUAL RISK. THIS INFORMATION ADDS TO THE ABILITY OF SMG PROVIDERS TO IMPROVE QUALITY PROCESSES AND OUTCOMES FOR THEIR PATIENTS. FOR EXAMPLE, SMG PCPS, WITH THE ASSISTANCE OF VERISK HEALTH DATA, CAN NOW IDENTIFY DIABETICS WITH LESS THAN 80% COMPLIANCE TO FILLING CHOLESTEROL REDUCING DRUG PRESCRIPTIONS. THIS DATA IS CRITICAL IN PCP FOLLOW-UP TO THEIR PATIENTS.USING PROVIDER INTELLIGENCE FOR COMMUNITY-BASED POPULATION HEALTH, VERISK HEALTH SOFTWARE WAS SUCCESSFULLY INTEGRATED WITH SIGNATURE HEALTHCARE'S DATA WAREHOUSE, CARETRACKER. DATA FROM 75,500 PATIENTS IN SIGNATURE MEDICAL GROUP'S PRIMARY CARE PRACTICES FROM 2012 TO 2013 IN CLAIMS FOR FIVE HEALTH INSURANCE PLANS WERE UPLOADED. THE EXPERIENCE WITH VERISK HAS IMPROVED SIGNATURE HEALTHCARE'S ABILITY TO DOWNLOAD CLAIMS, INTEGRATE TABLES WITH THE EMR ALLSCRIPTS PROGRAM, AND INTERNALLY QUERY CARETRACKER. IN ADDITION TO GENERATING DATA ON UTILIZATION AND COST, THE DIAGNOSTIC COST GROUPS (DXCG) STATISTICAL ALGORITHM AND PREDICTIVE MODELING, WHICH ARE PART OF VERISK, PROVIDE STATISTICAL PREDICTIONS OF THE "LIKELIHOOD OF HOSPITALIZATION" AND FUTURE COSTS. THIS ABILITY TO STRATIFY POPULATIONS BY DISEASE BURDEN, UTILIZATION, AND COST THROUGH PREDICTIVE MODELING PROVIDES A DATA-DRIVEN SYSTEM FOR EFFECTIVE POPULATION MANAGEMENT.SMG UTILIZES MULTIPLE DATABASES AND TOOLS TO GUIDE THE PCPS IN FOCUSING ON QUALITY DEFECTS. IN COMPARING DIABETIC QUALITY PROCESS MEASURES, SMG DEFECTS HAVE DECLINED IN FAMILY PRACTICE FROM 19% TO 16% AND INTERNAL MEDICINE 38% TO 23%.
SCHEDULE H, PART VI, LINE 5 - SUPPLEMENTAL INFORMATION	CARETRACKERCARETRACKER IS A CUSTOMIZED SOFTWARE MANAGEMENT TOOL USED TO HELP PROVIDE SUSTAINED IMPROVEMENTS IN COMPLIANCE WITH RECOMMENDED PREVENTATIVE SCREENINGS DEEP AND WIDE THROUGHOUT THE ORGANIZATION. TO DATE, EVERY PCP HAS DEMONSTRATED >5% REDUCTION IN MISSING TESTS ON AT LEAST 1 OF THE 6 MEASURES; 80% OF PCPS IMPROVED ON 4 OF 6 MEASURES; AND 50% OF PCPS IMPROVED ON 5 OF 6 MEASURES. IN SOME CASES, PCPS WERE ABLE TO REDUCE THE PERCENTAGE IN MISSING TESTS IN THEIR PATIENT PANEL BY >40%. SIGNATURE HEALTHCARE PLANS TO ADVANCE THIS APPROACH TO POPULATION MANAGEMENT AS WE ADDRESS THE HIGH PREVALENCE OF MULTIPLE CHRONIC CONDITIONS. HEART FAILURE DISEASE MANAGEMENT PROGRAMTHE 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 BOUNDHOMEWARD BOUND IS AN INNOVATIVE PARTNERSHIP BETWEEN BROCKTON HOSPITAL AND BROCKTON HOSPITAL SCHOOL OF NURSING TO COORDINATE THE CARE FOR PATIENTS WHO HAVE BEEN HOSPITALIZED WITH CONGESTIVE HEART FAILURE (CHF). APPROXIMATELY 28% OF BROCKTON HOSPITAL PATIENTS WITH CHF ARE READMITTED TO THE HOSPITAL WITHIN 30 DAYS COMPARED TO THE NATIONAL AVERAGE OF 24.7%. HOMEWARD BOUND WAS SPECIFICALLY DESIGNED TO LOWER THE 30-DAY READMISSION RATE FOR THESE PATIENTS. ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, 90% OF ALL READMISSIONS FOR HEART FAILURE ARE UNPLANNED OR PREVENTABLE.(STAMP,ET.AL.,2013) MOST READMISSIONS ARE DUE TO PATIENTS' POOR UNDERSTANDING OF THEIR DIAGNOSIS, NON-COMPLIANCE WITH THEIR MEDICATION REGIME, AND LACK OF MOTIVATION TO CHANGE THEIR DIET AND/OR EXERCISE. THE NURSING STUDENTS, HOSPITAL STAFF AND FACULTY WORK TOGETHER TO MONITOR PATIENT'S CONDITIONS ON A DAILY BASIS THROUGH HOME VISITS AND TELEMEDICINE. THE GOAL OF THESE VISITS IS TO REDUCE THE 30-DAY READMISSION RATES FOR CHF PATIENTS. IN THE FIRST YEAR, HOMEWARD BOUND WORKED WITH 22 PATIENTS, NONE OF WHOM WERE RE-HOSPITALIZED. HPIIN 2014 SIGNATURE HEALTHCARE INITIATED A PARTNERSHIP WITH HEALTHCARE PERFORMANCE IMPROVEMENT (HPI) TO CONDUCT A SAFETY ASSESSMENT AND DEVELOP AN INTERVENTION PLAN DESIGNED TO REDUCE SERIOUS ADVERSE EVENTS IN THE HOSPITAL BY 50-80% IN TWO YEARS. THE INITIAL ASSESSMENT IDENTIFIED OPPORTUNITIES IN SIGNATURE HEALTHCARE'S CURRENT SAFETY CULTURE. WE ENGAGED THE SERVICES OF HPI TO LEAD SIGNATURE HEALTHCARE IN A JOURNEY TOWARDS ZERO-HARM. HPI IS CURRENTLY EDUCATING MANAGEMENT STAFF AND PHYSICIAN LEADERSHIP ON IMPLEMENTING A CULTURE OF SAFETY, LEADING TO PRACTICE, PROCESS AND BEHAVIORAL CHANGES AIMED AT REDUCING EVENTS WHICH CAUSE HARM TO PATIENTS. PERAHEALTHPERATREND SOFTWARE FROM PERAHEALTH WAS INTEGRATED INTO THE MEDITECH ELECTRONIC MEDICAL RECORD (EMR) FOR USE ON MEDICAL/SURGICAL WARD A5 IN SIGNATURE HEALTHCARE BROCKTON HOSPITAL. PERATREND SOFTWARE IS AN EMR-COMPLIMENT THAT UTILIZES THE ROTHMAN INDEX (RI), A GENERAL MEASURE OF INDIVIDUAL PATIENT CONDITION. IN IMPLEMENTING THIS TOOL, NURSING DOCUMENTATION HAD TO BE RESTRUCTURED WHICH LED TO IMPROVED CLINICAL DOCUMENTATION. CLINICAL PROVIDERS, NURSING STAFF AND HOSPITALISTS ROUTINELY REVIEW THE RI ON EACH PATIENT IN ORDER TO PROMPT REASSESSMENTS, FACILITATE COMMUNICATION BETWEEN CLINICIANS, AND MAKE DECISIONS ABOUT CARE TRANSITIONS. STAFF EXPERIENCE WITH PERATREND ON WARD A5 HAS BEEN POSITIVE WITH 88% OF STAFF REPORTING THAT THE RI IS A VALUABLE TOOL AND WOULD RECOMMEND EXTENDING THE TOOL HOSPITAL-WIDE. INDEED, SIGNATURE HEALTHCARE PLANS TO EXPAND THE USE OF THE PERATREND TOOL AND THE IMPROVED NURSING DOCUMENTATION ACROSS THE HOSPITAL IN 2015.PRE-DIABETES PILOTAT THE BEGINNING OF FY 14, THE SIGNATURE HEALTHCARE BRIDGEWATER OFFICE CREATED A PROGRAM AIMED AT REDUCING THE PERCENTAGE OF PATIENTS WITH RISK FACTORS FOR PRE-DIABETES. THIS PROGRAM HAD MANY COMPONENTS, THE FIRST OF WHICH WAS HOW TO IDENTIFY THE TARGET POPULATION. A PRE-VISIT PREPARATION WORKSHEET FOR MEDICAL ASSISTANTS TO COMPLETE PRIOR TO PATIENT APPOINTMENTS WAS DEVELOPED. THEY RECORDED THE PATIENT'S LAST HEMOGLOBIN A1C RESULT AND SCREENING NEED BASED ON AGE (45 OR OLDER) OR BMI (25 OR GREATER). THE PATIENTS WERE THEN FLAGGED WHEN THEY WERE IN NEED OF SCREENING AT POINT OF SERVICE. THE OFFICE DEVELOPED STANDARD REPORTS FOR USE WITHIN THE PRACTICE TO MONITOR THE 'AT RISK' POPULATION'S SCREENING DEFECT RATE OVER TIME. A FOUR COMPONENT SCREENING PROCESS WAS DEVELOPED. FIRST, THE POINT OF CARE HBA1C TESTING WAS IMPLEMENTED ALLOWING RESULTS TO BE DETERMINED WITHIN 3 MINUTES AFTER SPECIMEN COLLECTION. SECOND, THE CLINICAL STAFF PERFORMED TESTING BASED ON STANDING ORDERS WITH RESULTS AVAILABLE BEFORE THE PROVIDERS ENTERED THE EXAM ROOM. THIS STANDARD PROCESS ALLOWED THE PRIMARY CARE PHYSICIAN TO PROVIDE REAL TIME INTERVENTION AT THE TIME OF THE APPOINTMENT. THIRD, THE OFFICE STAFF TOOK STEPS TO ASSIST THE PATIENT IN MANAGING LIFESTYLE CHANGES. PATIENT EDUCATION MATERIALS WERE DEVELOPED WITH INFORMATION ABOUT HEALTHY EATING AND PHYSICAL ACTIVITY. SIGNATURE HEALTHCARE PARTNERED WITH THE OLD COLONY YMCA DIABETES PREVENTION PROGRAM TO PROVIDE LIFESTYLE COACHING AFTER HOURS. FOURTH, RESOURCES WERE LEVERAGED WITHIN THE PRACTICE, SUCH AS NUTRITION COUNSELING AND ENDOCRINOLOGY CONSULTS TO MEET A PATIENT'S NEEDS. IN THE FIRST YEAR OF THIS PROJECT, 2,755 PATIENTS OF THE 6,100 PATIENT PRIMARY CARE PRACTICE WERE SCREENED, REDUCING THE SCREENING DEFECT RATE FROM 85% TO 29%. OF THIS, 988 PATIENTS (36%) WERE DIAGNOSED WITH PRE-DIABETES AND 49 PATIENTS DIAGNOSED WITH TYPE 2 DIABETES. OF THE PATIENTS DIAGNOSED WITH PRE-DIABETES, MORE THAN 64% LOST WEIGHT OVER THE COURSE OF THE YEAR, WITH 31% LOSING AT LEAST 5% OF THEIR BODY WEIGHT. AS ANTICIPATED, THE PRE-DIABETIC PATIENT'S WEIGHT LOSS GENERATED A CORRESPONDING IMPROVEMENT IN HEMOGLOBIN A1C LEVELS WITH 72% OF PRE-DIABETIC PATIENTS HBA1C DECREASING OVER BASELINE, AND 25% OF PRE-DIABETIC PATIENTS ACHIEVING NORMAL HBA1C VALUES. SUBSTANCE ABUSE INITIATIVESIGNATURE HEALTHCARE EMERGENCY DEPARTMENT PHYSICIANS WORK WITH LOCAL POLICE AND FIRE DEPARTMENTS - PROVIDING TRAINING AND MEDICAL GUIDANCE. POLICE DEPARTMENTS FROM NORFOLK, PLYMOUTH AND BRISTOL COUNTIES WERE TRAINED ON PROPER USE OF NASAL NARCAN. THE ED PHYSICIANS ARE ALSO WORKING ON PROJECTS WITH THE NORFOLK AND PLYMOUTH COUNTY DISTRICT ATTORNEY'S OFFICES TO PROVIDE LECTURES TO STUDENTS, PARENTS, TEACHERS AND OTHER HEALTHCARE PROFESSIONALS ON CONCUSSIONS, SPORTS INJURIES AND SUBSTANCE ABUSE. A SECOND INITIATIVE WITHIN THE SIGNATURE HEALTHCARE EMERGENCY DEPARTMENT HAS BEEN CREATED TO ADDRESS THE NEEDS OF OVERDOSE PATIENTS. AT TIME OF DISCHARGE, THESE PATIENTS WILL RECEIVE NASAL NARCAN, A LIST OF DETOXIFICATION FACILITIES AND COUNSELING. THE ED PHYSICIANS ARE ALSO LIMITING THE NUMBER OF NARCOTICS THEY ARE PRESCRIBING TO PATIENTS. THEY WILL NOT FILL LOST PRESCRIPTIONS AND THEY ARE ADVANCING USE OF THE STATE'S "PRESCRIPTION MONITORING PROGRAM." SIGNATURE HEALTHCARE/WALGREENS PHARMACY PROGRAMSIGNATURE HEALTHCARE PHARMACY AND WALGREENS PARTNERED IN 2012 TO PROVIDE DISCHARGE MEDICATIONS TO PATIENTS AT THE BEDSIDE. A WALGREENS EMPLOYEE VISITS THE PATIENT, FILLS THE MEDICATIONS AND RETURNS THEM TO THE PATIENT BEFORE DISCHARGE. APPROXIMATELY 100 PATIENTS PER MONTH PARTICIPATE IN THIS PROGRAM. MOST IMPORTANTLY FOR OUR PATIENTS, THIS PROGRAM MEANS MORE PERSONAL ATTENTION AND HELP UNDERSTANDING HOW AND WHEN TO TAKE NEW DRUGS, AS WELL AS WHICH MIGHT CONFLICT WITH WHAT THEY'RE ALREADY TAKING AT HOME. PATIENT COMPLIANCE WITH MEDICATION REGIMENS IS KEY TO IMPROVING AND MAINTAINING GOOD HEALTH - AVOIDING HOSPITAL READMISSIONS.
SCHEDULE H, PART VI, LINE 5 - SUPPLEMENTAL INFORMATION	WEIGHT & WELLNESS CENTERTHROUGH HARD WORK AND DEDICATION, SIGNATURE HEALTHCARE'S WEIGHT AND WELLNESS CENTER BECAME AN MBASQIP ACCREDITED CENTER. A BARIATRIC SURGICAL CENTER ACHIEVES ACCREDITATION FOLLOWING A RIGOROUS REVIEW PROCESS DURING WHICH IT DEMONSTRATES AN ABILITY TO MEET CERTAIN PHYSICAL RESOURCES, HUMAN RESOURCES AND STANDARDS OF PRACTICE. ALL ACCREDITED CENTERS REPORT THEIR OUTCOMES TO THE MBASQIP DATABASE. ALSO, IN FY 14 OUR WEIGHT AND WELLNESS CENTER ADDED A DOCTOR-SUPERVISED MEDICAL WEIGHT LOSS PROGRAM TO QUALIFIED PATIENTS. THIS IS A 12 WEEK PROGRAM LED BY DR. DEB ABELES, DIRECTOR OF THE WEIGHT & WELLNESS CENTER AND BARIATRIC SURGEON. THE FIRST GROUP ENROLLED IN THIS PROGRAM GRADUATED IN SEPTEMBER 2014 WITH GREAT OUTCOMES. THE AVERAGE WEIGHT LOSS WAS 11.2% AND THE AVERAGE DECREASE IN HVA1C WAS 0.7%. OUR WEIGHT & WELLNESS CENTER PROVIDES CONVENIENT ACCESS TO A WIDE RANGE OF ADVANCED SURGICAL AND NONSURGICAL WEIGHT LOSS OPTIONS, UTILIZING AN INDIVIDUAL APPROACH, INCLUDING A SURGEON, PHYSICIAN, DIETICIAN AND BEHAVIORAL THERAPIST. WHETHER ON A SURGICAL OR NON-SURGICAL PATH, OUR CENTER STRIVES TO TEACH PATIENTS NUTRITIONAL AND LIFESTYLE CHANGES NEEDED FOR LONG-TERM SUCCESS. WELLNESS TOGETHER EMPLOYEE PROGRAMSIGNATURE HEALTHCARE ESTABLISHED THE WELLNESS TOGETHER PROGRAM IN 2013 TO SUPPORT, IMPROVE AND INSPIRE THE HEALTH AND WELL BEING OF SIGNATURE EMPLOYEES. TO ASSIST IN ACHIEVING THIS GOAL, SIGNATURE PARTNERED WITH THE VITALITY GROUP, A PROPRIETARY WELLNESS PROGRAM WITH AN ONLINE PORTAL THAT DELIVERS EVIDENCE BASED RESULTS. THE PROGRAM IS DESIGNED SPECIFICALLY TO MITIGATE HEALTH RISKS AND LOWER HEALTHCARE COSTS BY REDUCING LIFESTYLE RISK FACTORS ASSOCIATED WITH CHRONIC DISEASES. REPLICATING THE SAME WELLNESS PLATFORM, SIGNATURE HEALTHCARE IS REACHING OUT TO COMMUNITY EMPLOYERS TO ASSIST THEM IN IMPROVING THE HEALTH AND WELLBEING OF THEIR EMPLOYED POPULATION AND ULTIMATELY REDUCING THEIR HEALTHCARE COST. 360 CONCIERGE PROGRAMSIGNATURE HEALTHCARE'S HOSPITAL-BASED 360 CONCIERGE PROGRAM DEMONSTRATES SIGNIFICANT RESULTS IN REDUCING TOTAL MEDICAL EXPENSE OF THE MANAGED MEDICARE POPULATION. THIS PROGRAM WAS THE BASIS FOR DEVELOPING A MIRROR PROGRAM WITH A COMPLEX CARE CLINIC IN THE AMBULATORY SETTING. COMPLEX ELDERLY PATIENTS ARE OUR MOST VULNERABLE PATIENTS WITH MULTIPLE CHRONIC ILLNESS, FUNCTIONAL LIMITATIONS, AND UNIQUE SOCIAL NEEDS.
SCHEDULE H, PART VI, LINE 6 - SUPPLEMENTAL INFORMATION	6 AFFILIATED HEALTH CARE SYSTEM: SIGNATURE HEALTHCARE AFFILIATED WITH BETH ISRAEL DEACONESS MEDICAL CENTER IN JUNE OF 2013 FOR THE PROVISION OF ADULT MEDICAL AND SURGICAL SERVICES. THIS AFFILIATION IS AIMED AT PROVIDING THE PATIENTS OF GREATER BROCKTON WITH ENHANCED ACCESS TO TERTIARY LEVEL SERVICES CLOSE TO HOME AND COORDINATED CARE MANAGEMENT FOR PATIENTS WHO MUST SEEK CARE AT THE TERTIARY LEVEL HOSPITAL IN BOSTON, MA.SIMILARLY, SIGNATURE HEALTHCARE EXPANDED UPON ITS AFFILIATION WITH TUFTS FLOATING HOSPITAL FOR CHILDREN IN JUNE OF 2013. WITH THIS EXPANDED AFFILIATION, SIGNATURE HEALTHCARE BUILDS ON THE HOSPITALS' EXISTING COLLABORATION TO CARE FOR NEWBORNS; FLOATING HOSPITAL NEONATOLOGISTS HAVE CARED FOR BABIES IN SIGNATURE HEALTHCARE BROCKTON HOSPITAL'S LEVEL II NURSERY SINCE 2010. SIGNATURE HEALTHCARE HAS ENABLED THOUSANDS OF CHILDREN TO RECEIVE THEIR CARE CLOSER TO HOME. WHEN CHILDREN NEED TERTIARY CARE AT FLOATING HOSPITAL, OUR HOSPITALISTS HELP MAKE THAT TRANSITION SEAMLESS. SIGNATURE HEALTHCARE PEDIATRICIANS ARE ABLE TO COMMUNICATE DIRECTLY WITH THE HOSPITALISTS DURING AND FOLLOWING THEIR PATIENT'S HOSPITALIZATION TO ENABLE EASY TRANSITION OF CARE.TUFTS FLOATING HOSPITAL PROVIDES PEDIATRIC SPECIALTY CARE AT SIGNATURE HEALTHCARE IN THE FOLLOWING AREAS:-CARDIOLOGY-ENDOCRINOLOGY-GASTROENTEROLOGY-GENETICS-NEPHROLOGY-NEUROLOGY-PULMONOLOGY -RHEUMATOLOGY
SCHEDULE H, PART VI, LINE 7 - SUPPLEMENTAL INFORMATION	7 STATE FILING OF COMMUNITY BENEFIT REPORT:SIGNATURE HEALTHCARE FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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 HOLLON
CHIEF EXECUTIVE OFFICER	$657,424	$0	$0	$0	$0	$0	$11,475	$0	$22,924	$0	$691,823	$0	$0	$0
DAVID DRINKWATER MD
TRUSTEE	$0	$502,163	$0	$0	$0	$0	$0	$0	$0	$22,549	$0	$524,712	$0	$0
MICHAEL L DERN MD
TRUSTEE	$0	$589,524	$0	$0	$0	$0	$0	$5,100	$0	$14,715	$0	$609,339	$0	$0
ROBERT S GREENBERG MD
TRUSTEE	$0	$271,061	$0	$0	$0	$0	$0	$5,100	$0	$15,681	$0	$291,842	$0	$0
KEITH MERLIN
TRUSTEE	$0	$472,530	$0	$0	$0	$0	$0	$32,355	$0	$22,549	$0	$527,434	$0	$0
JAMES PAPADAKOS
CHIEF FINANCIAL OFFICER	$325,452	$0	$0	$0	$0	$0	$8,751	$0	$24,964	$0	$359,167	$0	$0	$0
STEPHEN BORGES
VICE PRESIDENT	$189,952	$0	$0	$0	$0	$0	$11,016	$0	$20,017	$0	$220,985	$0	$0	$0
DAVID J FISHER
VICE PRESIDENT	$189,381	$0	$0	$0	$0	$0	$12,872	$0	$15,834	$0	$218,087	$0	$0	$0
KIMBERLY WALSH
VICE PRESIDENT	$227,492	$0	$0	$0	$0	$0	$9,232	$0	$9,597	$0	$246,321	$0	$0	$0
KAREN MURPHY
VICE PRESIDENT & GEN'L COUNSEL	$289,466	$0	$0	$0	$0	$0	$14,847	$0	$2,996	$0	$307,309	$0	$0	$0
MARIE F GROSS
VICE PRESIDENT	$264,173	$0	$0	$0	$0	$0	$6,633	$0	$3,341	$0	$274,147	$0	$0	$0
JEFFREY MILLER
VICE PRESIDENT	$187,287	$0	$0	$0	$0	$0	$6,425	$0	$21,610	$0	$215,322	$0	$0	$0
DENNIS RENAUD
DIRECTOR	$177,544	$0	$0	$0	$0	$0	$7,990	$0	$1,052	$0	$186,586	$0	$0	$0
MITCHELL SELINGER
VICE PRESIDENT	$365,917	$112,407	$0	$0	$0	$0	$7,650	$0	$16,188	$0	$389,755	$112,407	$0	$0
TIMOTHY R LYNCH MD
FORMER TRUSTEE	$0	$20,629	$0	$0	$0	$0	$0	$0	$0	$1,735	$0	$22,364	$0	$0
ROBERT COVETT MD
FORMER TRUSTEE	$0	$361,952	$0	$0	$0	$0	$0	$0	$0	$7,787	$0	$369,739	$0	$0
DALE J ELLENBERG MD
FORMER TRUSTEE	$0	$251,185	$0	$0	$0	$0	$0	$2,500	$0	$22,549	$0	$276,234	$0	$0
KEN LAWSON
FORMER TRUSTEE	$0	$423,983	$0	$0	$0	$0	$0	$4,898	$0	$22,548	$0	$451,429	$0	$0
GEORGE C BROWN
FORMER TRUSTEE	$0	$596,012	$0	$0	$0	$0	$0	$2,454	$0	$15,680	$0	$614,146	$0	$0
JEAN-PIERRE GEAGEA
FORMER TRUSTEE	$0	$633,081	$0	$0	$0	$0	$0	$3,676	$0	$81	$0	$636,838	$0	$0
MARC GREENWALD
FORMER TRUSTEE	$0	$341,552	$0	$0	$0	$0	$0	$3,446	$0	$8,384	$0	$353,382	$0	$0
DANIEL MUSE
FORMER TRUSTEE	$0	$446,174	$0	$0	$0	$0	$0	$17,885	$0	$305	$0	$464,364	$0	$0
ABDEL-HAI HAMMO
FORMER TRUSTEE	$0	$197,789	$0	$0	$0	$0	$0	$0	$0	$8,669	$0	$206,458	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1B

THE COMPENSATION ELEMENTS INDICATED ON SCHEDULE J, PART I (TAX INDEMNIFICATION/GROSS-UP PAYMENTS) WERE PROVIDED PURSUANT TO THE EMPLOYMENT CONTRACT MAINTAINED BETWEEN THE HOSPITAL AND THE INDIVIDUAL.

PART I, LINE 4B

DURING THE YEAR ENDED 9/30/2014 THE HOSPITAL MADE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS FOR FOUR EMPLOYEES. CONSISTENT WITH REPORTING REQUIREMENTS FOR IRS FORM 990, THE HOSPITAL REPORTS COMPENSATION AND OTHER PAYMENTS TO EMPLOYEES AND FORMER EMPLOYEES ON A CALENDAR YEAR (FORM W-2) BASIS. CONSEQUENTLY, THE FOLLOWING AMOUNTS ARE REPORTED FOR THE FISCAL YEAR ENDING 9/30/2014: JAMES PAPADAKOS - $1,326 KAREN MURPHY - $3,372 DAVID FISHER - $1,126 MARIE F GROSS - $427

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 FINANCING AGENCY	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	043431814	BondIssuerEIN
Bond Issued	2014-09-30	BondIssuedDt
Issue Price	$47,750,000	IssuePriceAmt
Purpose	REFINANCING OF EXISTING LONG-TERM DEBT AND RETIREMENT OF PRIOR MDFA BONDS	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	$47,750,000	TotalProceedsAmt
In Reserve Fund	$385,000	InReserveFundAmt
Other Spent Proceeds	$46,865,000	OtherSpentProceedsAmt
Substantial Completion	2014	SubstantialCompletionYr
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	0	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	0	WrittenProcToMonitorReqsInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	MICHAEL L CONNORS	PersonNm
Relationship With Org	FMR CFO	RelationshipWithOrgTxt
Loan Purpose	LOAN RECEIVABLE - SPLIT DOLLAR LIFE INSURANCE POLICY	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$995,000	OriginalPrincipalAmt
Balance Due	$995,000	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$995,000	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION'S FORM 990 IS PREPARED BY AN OUTSIDE INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT IN CONJUCTION WITH INPUT PROVIDED BY ORGANIZATION MANAGEMENT. THE COMPLETED FORM 990 WAS PROVIDED TO EACH BOARD MEMBER ELECTRONICALLY. IN ADDITION, A BOARD MEETING WAS CONVENED TO REVIEW THE FORM 990 IN ADVANCE OF THE FILING DATE.
FORM 990, PART VI, SECTION B, LINE 12C	EACH YEAR THE ORGANIZATION CIRCULATES A CONFLICT OF INTEREST QUESTIONNAIRE. RESPONSES TO THE STATEMENT ARE REVIEWED AND PRESENTED TO THE BOARD FOR REVIEW AND ACTION.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND ADJUSTMENTS TO COMPENSATION ARE BASED ON PERFORMANCE STANDARDS AND COMPARISON OF COMPENSATION LEVELS TO SIMILAR PROVIDER ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION MAKES ITS 990 AND 990-T AVAILABLE UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE WEBSITE OF THE MASSACHUSETTS ATTORNEY GENERAL.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST, FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE WEBSITE OF THE MASSACHUSETTS ATTORNEY GENERAL AS WELL AS WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD.
FORM 990, PART XI, LINE 9:	PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -4,952,111. CHANGE IN INTEREST IN INVESTMENTS OF SIGNATURE HEALTHCARE, INC. 71,480. TRANSFERS (TO) FROM AFFILIATES -32,505,210. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHACE OF P,P&E 30,979. LOSS ON EARLY EXTINGUISHMENT OF DEBT -181,011. CHANGE IN FAIR VALUE OF SPLIT INTEREST AGREEMENTS 41,901. GIFT AND BEQUESTS 82,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SIGNATURE HEALTHCARE CORPORATION
680 CENTRE STREET	BROCKTON	MA	02302	042103554	MANAGEMENT	MA	501(C)(3)	PUBLIC CHARITY	N/A	0
SIGNATURE HEALTHCARE MEDICAL GROUP
680 CENTRE STREET	BROCKTON	MA	02302	043306782	MEDICAL CARE	MA	501(C)(3)	PUBLIC CHARITY		0	SIGNATURE HEALTHCARE CORPORATION

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BROCKTON RADIATION ONCOLOGY LLC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	680 CENTRE STREET	AddressLine1
City	BROCKTON	City
State	MA	State
ZIP Code	02302	ZIPCode

Field	Value	IRS element (for citing)
EIN	222472997	EIN
Primary Activities	RADIATION ONCOLOGY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$1,085,720	ShareOfTotalIncomeAmt
Share Of EOY Assets	$880,800	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.40000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES
680 CENTRE STREET	BROCKTON	MA	02302	042530255	PHYSICIAN GROUP	MA	N/A	C	0
BROCKTON PHYSICIAN HOSPITAL ORGANIZATION
680 CENTRE STREET	BROCKTON	MA	02302	043189274	MEDICAL MANAGEMENT	MA	N/A	C	0	$840	$135,810	0.50000

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	Yes (1)	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	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
110 LIBERTY STREET LLC
H	$30,362,603	FMV
SIGNATURE HEALTHCARE CORPORATION
I	$14,751,784	FMV
BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES
I	$1,956,736	FMV
110 LIBERTY STREET LLC
I	$30,362,103	FMV
SIGNATURE HEALTHCARE MEDICAL GROUP
J	$70,041	FMV
SIGNATURE HEALTHCARE CORPORATION
K	$645,000	FMV
SIGNATURE HEALTHCARE MEDICAL GROUP
K	$177,776	FMV
SIGNATURE HEALTHCARE CORPORATION
O	$354,973	FMV
SIGNATURE HEALTHCARE MEDICAL GROUP
O	$16,195,549	FMV
SIGNATURE HEALTHCARE CORPORATION
P	$44,722	FMV
SIGNATURE HEALTHCARE MEDICAL GROUP
P	$445,130	FMV
SIGNATURE HEALTHCARE CORPORATION
Q	$198,086	FMV
BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES
Q	$670,554	FMV
110 LIBERTY STREET LLC
Q	$500	FMV
SIGNATURE HEALTHCARE MEDICAL GROUP
Q	$9,396,023	FMV
SIGNATURE HEALTHCARE CORPORATION
R	$5,481,875	FMV
BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES
R	$600,932	FMV
SIGNATURE HEALTHCARE MEDICAL GROUP
R	$14,237,068	FMV
SIGNATURE HEALTHCARE CORPORATION
S	$150,050	FMV
BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES
S	$3,108,578	FMV
SIGNATURE HEALTHCARE MEDICAL GROUP
S	$6,958,008	FMV