BAYSTATE NOBLE HOSPITAL CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BAYSTATE NOBLE HOSPITAL CORPORATION (EIN 22-2537423)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-15
- IRS object ID
- 201412279349301776
- Schema version
- 2012v2.1
- 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 G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-15T13:00:57-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042684828 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FEELEY & DRISCOLL PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222537423 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRUSTEES OF NOBLE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRUS | NameControl |
| Phone | 4135682811 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 WEST SILVER STREET PO BOX 1634 | AddressLine1 |
| City | WESTFIELD | City |
| State | MA | State |
| ZIP Code | 010861634 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RONALD BRYANT | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 4135682811 | Phone |
| Date Signed | 2014-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALAN GAROFALO | Name |
| PTIN | P00744592 | PTIN |
| Phone | 6177427788 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOBLE HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RONALD BRYANT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 WEST SILVER STREET PO BOX 1634 | AddressLine1 |
| City | WESTFIELD | City |
| State | MA | State |
| ZIP Code | 010861634 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 55737971 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NOBLEHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF NOBLE HOSPITAL IS TO DELIVER THE HIGHEST QUALITY HEALTH CARE THROUGH A BROAD RANGE OF SERVICES TO THE DIVERSE PEOPLE OF GREATER WESTFIELD AND SURROUNDING AREAS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 638 | TotalNbrEmployees |
| Total Nbr Volunteers | 111 | TotalNbrVolunteers |
| Total Gross UBI | 45182 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2121228 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2694143 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 51984243 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 52429279 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 84896 | InvestmentIncomePriorYear |
| Investment Income Current Year | -20936 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 532431 | OtherRevenuePriorYear |
| Other Revenue Current Year | 56427 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 54722798 | TotalRevenuePriorYear |
| Total Revenue Current Year | 55158913 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 29375728 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 29570464 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 23580668 | OtherExpensePriorYear |
| Other Expenses Current Year | 24723685 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 52956396 | TotalExpensesPriorYear |
| Total Expenses Current Year | 54294149 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1766402 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 864764 | RevenuesLessExpensesCY |
| Total Assets BOY | 24316129 | TotalAssetsBOY |
| Total Assets EOY | 25592324 | TotalAssetsEOY |
| Total Liabilities BOY | 37289103 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 27546300 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -12972974 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1953976 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF NOBLE HOSPITAL IS TO DELIVER THE HIGHEST QUALITY HEALTH CARE THROUGH A BROAD RANGE OF SERVICES TO THE DIVERSE PEOPLE OF GREATER WESTFIELD AND SURROUNDING AREAS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 44034776 | Expense |
| Revenue | 52429279 | Revenue |
| Description | PROVIDED ACUTE CARE INPATIENT, OUTPATIENT, AND OTHER HEALTH CARE SERVICES FOR WESTFIELD AND THE SURROUNDING COMMUNITIES. | Description |
| Total Program Service Expense | 44034776 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 125 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 638 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD BRYANT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4135682811 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 WEST SILVER STREET PO BOX 1634 | AddressLine1 |
| City | WESTFIELD | City |
| State | MA | State |
| ZIP Code | 01086 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ROBERT BACON | ||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | |||
| MARK MORIN | ||||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT LAPALME | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | |||
| KEVIN QUEENIN | ||||||||
| SECRETAREY | 1.00 | X | 0 | 0 | 0 | |||
| DONALD BIEKER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BARBARA BRAEM-JENSEN UNTIL 112013 | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ROGER BUTLER JR | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SCOTT COOPER MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| HARRIET DEVERRY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOHN GREANEY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM HARMON | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| CAROL KAUFFMAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOSEPH P KEENAN MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL MCCABE | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DAVID PETERSON MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DONALD PION | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| LANCE REYNOLDS MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DEBORAH STRYCHARZ | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RONALD BRYANT | ||||||||
| PRESIDENT & CEO | 40.00 | X | 357127 | 0 | 30033 | X | ||
| STANLEY STRZEMPKO MD | ||||||||
| VP MEDICAL AFFAIRS & CMO | 30.00 | X | 352512 | 0 | 1098 | X | ||
| ROBIN JENSEN STARTED 1012012 | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOHN SHAVER | ||||||||
| CFO | 40.00 | 186604 | 0 | 4613 | X | |||
| DIANE BRUNELLE | ||||||||
| VP OF PATIENT CARE SERVICES | 40.00 | 162157 | 0 | 15640 | X | |||
| TIMOTHY O'NEIL | ||||||||
| DIRECTOR OF PHARMACY | 40.00 | 125241 | 0 | 21189 | X | |||
| HUI-WEN CHIA | ||||||||
| CLINICAL PHARMACIST | 42.00 | 123356 | 0 | 4877 | X | |||
| STEVEN P CUMMINGS | ||||||||
| CHIEF INFORMATION OFFICER & VP OF OPERATIONS | 40.00 | 112890 | 0 | 14230 | X | |||
| DAVID ROSINSKI | ||||||||
| DIRECTOR OF ENGINEERING | 40.00 | 110851 | 0 | 5939 | X | |||
| EUNICE ACQUAH | ||||||||
| PHARMACIST | 40.00 | 109175 | 0 | 18340 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1639913 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 115959 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REHABCARE GROUP EAST INC | |||||
| 12567 W CEDAR DRIVE | LAKEWOOD | CO | 80228 | PHYSICIAL REHABILITATION | 2179279 |
| RAYMOND R HOULE CONSTRUCTION | |||||
| 5 MILLER STREET | LUDLOW | MA | 01056 | CONSTRUCTION | 1345033 |
| MORRISON MANAGEMENT SPECIALISTS INC | |||||
| 5801 PEACHTREE DUNWOODY ROAD NE | ATLANTA | GA | 30368 | FOOD AND NUTRITION SERVICES | 1236037 |
| CROTHALL HEALTHCARE INC | |||||
| 955 CHESTERBROOK BLVD 300 | WAYNE | PA | 19087 | LAUNDRY & OTHER SUPPLIES | 787540 |
| NEW ENGLAND PATHOLOGY | |||||
| 271 CAREW STREET | SPRINGFIELD | MA | 01104 | HEALTHCARE/PATHOLOGY | 344788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Fundraising Events | 239123 | FundraisingEvents |
| Government Grants | 1324805 | GovernmentGrants |
| All Other Contributions | 1130215 | AllOtherContributions |
| Total Contributions | 2694143 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HOSPITAL REVENUE | 622000 | 52282792 | 52282792 |
| RENTAL INCOME FROM AFFILIATE | 531390 | 146487 | 146487 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 52429279 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57846 | TotalRevenueColumn |
| Exclusion | $57,846 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 435621 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 514403 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -78782 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -78782 | TotalRevenueColumn |
| Related Or Exempt Function Income | -78782 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 64655 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 239123 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 64655 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | VENDOR REBATES AND COMMISSIONS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 56427 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11245 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 45182 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 56427 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 55158913 | TotalRevenueColumn |
| Related Or Exempt Function Income | 52361742 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 45182 | UnrelatedBusinessRevenue |
| Exclusion | $57,846 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 931894 | Total |
| Management And General | 931894 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23427202 | Total |
| Program Services | 20038348 | ProgramServices |
| Management And General | 3388854 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1172989 | Total |
| Program Services | 961851 | ProgramServices |
| Management And General | 211138 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2294391 | Total |
| Program Services | 1881401 | ProgramServices |
| Management And General | 412990 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1743988 | Total |
| Program Services | 1430070 | ProgramServices |
| Management And General | 313918 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225541 | Total |
| Program Services | 1475 | ProgramServices |
| Management And General | 224066 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125465 | Total |
| Management And General | 125465 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86476 | Total |
| Management And General | 86476 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11346416 | Total |
| Program Services | 9026675 | ProgramServices |
| Management And General | 2319741 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276681 | Total |
| Program Services | 1601 | ProgramServices |
| Management And General | 275080 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1129747 | Total |
| Program Services | 710678 | ProgramServices |
| Management And General | 419069 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1705157 | Total |
| Program Services | 1196331 | ProgramServices |
| Management And General | 508826 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46523 | Total |
| Program Services | 15693 | ProgramServices |
| Management And General | 30830 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29909 | Total |
| Program Services | 11702 | ProgramServices |
| Management And General | 18207 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50378 | Total |
| Program Services | 24489 | ProgramServices |
| Management And General | 25889 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2286617 | Total |
| Program Services | 1851781 | ProgramServices |
| Management And General | 434836 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256290 | Total |
| Management And General | 256290 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 6922676 | 6850796 | 71880 |
| DUES | 116950 | 10596 | 106354 |
| MISCELLANEOUS | 76475 | 21289 | 55186 |
| CONTINGENCY | 40000 | 40000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2384 | Total |
| Management And General | 2384 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54294149 | Total |
| Program Services | 44034776 | ProgramServices |
| Management And General | 10259373 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50144 | BOY |
| EOY | 245906 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1694388 | BOY |
| EOY | 1008781 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5494477 | BOY |
| EOY | 4683647 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789907 | BOY |
| EOY | 902133 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149683 | BOY |
| EOY | 170685 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 55818647 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 43120419 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10883578 | BOY |
| EOY | 12698228 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3763452 | BOY |
| EOY | 4171944 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1490500 | BOY |
| EOY | 1711000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24316129 | BOY |
| EOY | 25592324 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11996146 | BOY |
| EOY | 13343345 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133558 | BOY |
| EOY | 60883 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6900647 | BOY |
| EOY | 7791297 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18258752 | BOY |
| EOY | 6350775 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37289103 | BOY |
| EOY | 27546300 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -16910969 | BOY |
| EOY | -6358506 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3057447 | BOY |
| EOY | 3523982 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 880548 | BOY |
| EOY | 880548 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -12972974 | BOY |
| EOY | -1953976 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24316129 | BOY |
| EOY | 25592324 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 864764 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 10154234 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $70,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $16,476 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 86476 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE ORGANIZATION CONTRACTED DIRECTLY WITH A CONSULTANT TO ASSIST IN PURSUING ITS GOVERMENT AFFAIRS OBJECTIVES. THIS CONSULTANT WAS PAID TO PERFORM LOBBYING AND OTHER PUBLIC AFFAIRS WORK. LOBBYING WAS CONDUCTED ON VARIOUS INITIATIVES RELATED TO THE DELIVERY AND FINANCING OF HEALTH CARE. IN ADDITION, THE ORGANIZATION PAID MEMBERSHIP DUES TO THE MASSACHUSETTS HOSPITAL ASSOCIATION AND TO THE AMERICAN HOSPITAL ASSOCIATION, BOTH OF WHOM HAVE ADVISED THAT PORTIONS OF THOSE DUES WERE USED FOR LOBBYING PURPOSES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3740947 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 794284 | InvestmentEarningsOrLosses |
| Other Expenditures | 365317 | OtherExpenditures |
| End Of Year Balance | 4169914 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3300943 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 598094 | InvestmentEarningsOrLosses |
| Other Expenditures | 158090 | OtherExpenditures |
| End Of Year Balance | 3740947 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 3300943 | Contributions |
| End Of Year Balance | 3300943 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.21000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.79000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 822598 | OtherCostOrOtherBasis |
| Book Value | 822598 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24685204 | OtherCostOrOtherBasis |
| Depreciation | 19095169 | Depreciation |
| Book Value | 5590035 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 459563 | OtherCostOrOtherBasis |
| Depreciation | 373210 | Depreciation |
| Book Value | 86353 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27154294 | OtherCostOrOtherBasis |
| Depreciation | 23652040 | Depreciation |
| Book Value | 3502254 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2696988 | OtherCostOrOtherBasis |
| Book Value | 2696988 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12698228 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MALPRACTICE INSURANCE RECOVERY RECEIVABLES | Description |
| Book Value | 1711000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1711000 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $4,200,000 |
| MEDICAL MALPRACTICE CLAIMS LIABILITY | $1,853,620 |
| ASSET RETIREMENT OBLIGATION | $297,155 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6350775 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 54477194 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 54477194 | RevenueSubtotal |
| Other Revenues Not Included | 681719 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 681719 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 55158913 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 54294149 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 54294149 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 54294149 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT FUNDS ARE RESTRICTED PRIMARILY FOR THE PROVISION OF HEALTH CARE SERVICES AND THE UPKEEP AND MAINTENANCE OF THE PHYSICAL PLANT. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | OTHER CHANGES IN NET ASSETS 681,719. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | NOBLE BALL | NameOfEvent1 |
| Gross Receipts Event1 | 280570 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 215915 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 64655 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 4245 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 31385 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 8000 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 21025 | OtherDirectExpensesEvent1 |
| Name Of Event2 | 5K | NameOfEvent2 |
| Gross Receipts Event2 | 23208 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 23208 | CharitableContributionsEvent2 |
| Gross Receipts Total | 303778 | GrossReceiptsTotal |
| Charitable Contributions Total | 239123 | CharitableContributionsTotal |
| Gross Revenue Total Events | 64655 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 4245 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 31385 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 8000 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 21025 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 64655 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 729053 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 340001 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 389052 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7536903 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5920280 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1616623 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02980 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1541627 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1058221 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 483406 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9807583 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7318502 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2489081 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04590 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9807583 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7318502 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2489081 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04590 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,195,998 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 22688231 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 20733001 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1955230 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOBLE HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 WEST SILVER STREET | AddressLine1 |
| City | WESTFIELD | City |
| State | MA | State |
| ZIP Code | 01086 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | PSYCHIATRIC AND PHYSICAL REHABILITATION SERVICES | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOBLE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 0 | EligibilityCriteriaExplained |
| Uses FPG Free | 0 | UsesFPGFree |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 0 | ExplainsBasis |
| Explains Application Method | 0 | ExplainsApplicationMethod |
| Includes Publicity Measures | 0 | IncludesPublicityMeasures |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOBLE HOSPITAL SPORTS & REHAB CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 74 MAIN STREET | AddressLine1 |
| City | WESTFIELD | City |
| State | MA | State |
| ZIP Code | 01086 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | PHYSICAL REHABILITATION OUTPATIENT CLINIC | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART III, LINE 4: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS INCLUDE ADOPTED ASU 2011-7 FOR HEALTH CARE ENTITIES: PRESENTATION AND DISCLOSURE OF NET REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. UNDER THE NEW GUIDANCE, BAD DEBTS RELATING TO PATIENT SERVICES REVENUE WILL BE SEPERATELY DISCLOSED IN THE STATEMENT OF OPERATIONS AND REPORTED AS A COMPONENT OF NET PATIENT SERVICE REVENUE. BAD DEBTS ASSOCIATED WITH ACTIVITIES OTHER THAN PATIENT SERVICE REVENUE WILL CONTINUE TO BE REPORTED AS AN OPERATING EXPENSE.ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE, ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.COSTING METHODOLOGY - BAD DEBT EXPENSE AT COST WAS CALCULATED USING TOTAL BAD DEBT FROM THE FINANCIAL STATEMENTS MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES, WHICH WAS DERIVED USING WORKSHEET 2 IN THE INSTRUCTIONS FOR SCHEDULE H. | ||
| PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE ORGANIZATION'S MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2013 FOR INPATIENT, PSYCHIATRIC, AND OUTPATIENT SERVICES. IN ADDITION, FEE BASED SERVICES INCLUDING LABORATORY FEES ARE DETERMINED THROUGH PS&R CHARGES TIMES OUTPATIENT COST TO CHARGE RATIO. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THESE SERVICES ARE RELATED COSTS PROMOTED THE HEALTH OF THE COMMUNITY AND WERE RENDERED AS PART OF THE ORGANIZATION'S POLICY OF PROVIDING CARE TO ANY PATIENT IN NEED OF MEDICAL CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SUCH CARE. | ||
| PART III, LINE 9B: THE POLICY ADDRESSES BOTH HOW THE ORGANIZATION HELPS INDIVIDUALS WHO DO NOT HAVE HEALTH INSURANCE FIND ASSISTANCE WHEN IT IS AVAILABLE AND HOW THESE ACCOUNTS ARE PROCESSED BASED ON THE INSURANCE AND TYPE OF CLAIM INVOLVED. | ||
| PART V, SECTION B, LINE 3: CONTACT WAS MADE WITH PROVIDERS AND COMMUNITY MEMBERS IN MUNICIPAL, PUBLIC, AND PRIVATE PROGRAMS AND ORGANIZATIONS, SCHOOLS, RESETTLEMENT PROGRAMS, HOUSING AGENCIES, COMMUNITY-BASED SOCIAL PROGRAMS AND SERVICES, AND ETHNIC ORGANIZATIONS. INFORMANTS MADE RECOMMENDATIONS FOR OTHER CONTACTS, LEADING TO A BROAD NETWORK OF CONNECTIONS IN VARIOUS ORGANIZATIONS THROUGHOUT THE CITY OF WESTFIELD. INTERVIEWS WERE CONDUCTED IN PERSON OR BY PHONE USING A NUMBER OF OPEN ENDED QUESTIONS WHICH WERE TAILORED TO THE EXPERTISE AND EXPERIENCE OF EACH INFORMANT. | NOBLE HOSPITAL, INC. | |
| PART V, SECTION B, LINE 4: HOLYOKE HEALTH CENTER | NOBLE HOSPITAL, INC. | |
| PART V, SECTION B, LINE 22: THE ORGANIZATION HAS TO INITIALLY BILL ALL PATIENTS THE SAME AMOUNT OF GROSS CHARGES REGARDLESS OF THEIR INSURANCE PLAN OR LACK THEREOF. | NOBLE HOSPITAL, INC. | |
| THE HOSPITAL RESPONDS TO PRIORITY HEALTH NEEDS IN MANY WAYS, AND IN TIMES THAT ARE CRITICAL FOR PATIENTS IN CRISIS. IN ADDITION TO CHARITY CARE, INDIGENT CARE, A SIGNFICANT NUMBER OF PROGRAMS AND SERVICES OFFERED ADDRESS THE PRIORITY NEEDS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT DATED JULY 2012. OUR HOSPITAL DOES NOT HAVE THE AVAILABLE RESOURCES TO DEVELOP INITIATIVES TO MEET EVERY PRIORITY HEALTH NEED IDENTIFIED, WHICH MAKES COLLABORATION WITH COMMUNITY NEEDS CRITICAL. | LINE 7 | |
| THE ORGANIZATION HAS ESTABLISHED A CHARITY PROGRAM WITH THE GREATER WESTFIELD FREE CLINIC. CURRENTLY WE ARE WORKING TO INCLUDE THIS PROGRAM IN THE ORGANIZATION'S CREDIT AND COLLECTION POLICY. WE ARE CURRENTLY WORKING ON ENHANCING THIS PROGRAM TO THOSE PATIENTS WHO ARE IN NEED OF MEDICAL SERVICES AND DO NOT QUALIFY FOR STATE FUNDED PROGRAMS BUT HAVE NO FINANCIAL MEANS TO PAY. THESE PATIENTS WILL BE SCREENED USING THE STATE ELIGIBILITY TOOLS AND WILL BE APPROVED ON A CASE BY CASE BASIS. | PART VI, LINE 3 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD BRYANT | ||||||||||||||
| PRESIDENT & CEO | 312427 | 0 | 44700 | 0 | 0 | 0 | 3033 | 0 | 27000 | 0 | 387160 | 0 | 0 | 0 |
| STANLEY STRZEMPKO MD | ||||||||||||||
| VP MEDICAL AFFAIRS & CMO | 330672 | 0 | 21840 | 0 | 0 | 0 | 0 | 0 | 1098 | 0 | 353610 | 0 | 0 | 0 |
| JOHN SHAVER | ||||||||||||||
| CFO | 177704 | 0 | 8900 | 0 | 0 | 0 | 3616 | 0 | 997 | 0 | 191217 | 0 | 0 | 0 |
| DIANE BRUNELLE | ||||||||||||||
| VP OF PATIENT CARE SERVICES | 154658 | 0 | 7499 | 0 | 0 | 0 | 2894 | 0 | 12746 | 0 | 177797 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | CERTAIN TRUSTEES ON THE BOARD OF TRUSTEES ("BOARD") OF THE ORGANIZATION HAD VARIOUS BUSINESS RELATIONSHIPS WITH CERTAIN OTHER TRUSTEES ON THE BOARD IN THEIR RESPECTIVE BUSINESS CAPACITIES WITHIN THE GREATER WESTFIELD COMMUNITY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THIS FORM 990 WAS PROVIDED TO THE ORGANIZATION'S FINANCE COMMITTEE FOR THEIR REVIEW, DISCUSSION, AND COMMENT PRIOR TO FILING. IT WAS ALSO DISTRIBUTED TO THE FULL BOARD PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL TRUSTEES UPON APPOINTMENT TO THE BOARD AND ANNUALLY THEREAFTER, ARE REQUIRED TO DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS IN A SIGNED TRUSTEE'S DECLARATION. THE DECLARATION FORMS ARE REVIEWED AND SIGNED BY THE BOARD'S CHAIRMAN AND VICE CHAIRMAN, THEN FORWARDED TO THE PRESIDENT & CEO OF THE ORGANIZATION FOR FURTHER REVIEW. AS MATTERS COME BEFORE THE BOARD AND IN THE EVENT OF ANY CONFLICT, THE CHAIRMAN (OR VICE CHAIRMAN) WILL REQUIRE THAT THE TRUSTEE(S) INVOLVED BE REMOVED FROM ANY FURTHER DISCUSSION AND VOTING ON THAT MATTER. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THESE DOCUMENTS CAN BE REVIEWED BY CONTACTING THE ADMINISTRATION OFFICES AT NOBLE HOSPITAL DURING THE REGULAR BUSINESS HOURS OF 8:00 A.M. THROUGH 4:30 P.M. MONDAY THROUGH FRIDAY, EXCLUDING RECOGNIZED HOLIDAYS. THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE AT VARIOUS STATE AGENCIES' OFFICES AND WEBSITES. | |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,723,140. MANAGEMENT AND GENERAL EXPENSES 801,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,525,112. CONTRACTS: PROGRAM SERVICE EXPENSES 1,893,825. MANAGEMENT AND GENERAL EXPENSES 703,134. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,596,959. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 1,409,710. MANAGEMENT AND GENERAL EXPENSES 814,635. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,224,345. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | TEMPORARY RESTRICTED ACTIVITY -162,050. FORGIVENESS OF INTER-COMPANY -2,592,837. ADJUSTMENT FOR PENSION 4,359,651. GAIN ON PENSION SETTLEMENT 8,355,383. NET ASSETS RELEASED FOR EQUIP 194,087. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| WESTFIELD MEDICAL CORPORATION | ||||||||||
| 115 WEST SILVER STREET | WESTFIELD | MA | 010853628 | 043127730 | PHYSICIAN MEDICAL SERVICES | MA | 501(C)(3) | LINE 11A, I | N/A | 1 |
| NOBLE VISITING NURSE & HOSPICE SERVICES INC | ||||||||||
| 77 MILL STREET | WESTFIELD | MA | 010853628 | 222757446 | HOME HEALTH CARE AND HOSPICE | MA | 501(C)(3) | LINE 9 | N/A | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| WESTFIELD MEDICAL CORPORATION | |
| A | 146487 |
| WESTFIELD MEDICAL CORPORATION | |
| B | 2592837 |
| NOBLE VISITING NURSE & HOSPICE SERVICES INC | |
| Q | 47998 |