EMERSON HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
EMERSON HOSPITAL (EIN 04-2103565)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-11
IRS object ID
201422239349301372
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-11T13:14:00-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042103565EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMERSON HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEMERNameControl
Phone9782873226Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT TREMBLAYName
TitleSR DIRECTOR OF FINANCETitle
Phone9782873233Phone
Date Signed2014-08-11DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT TREMBLAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1133 OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode
FieldValueIRS element (for citing)
Gross Receipts188028509GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.EMERSONHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionEMERSON HOSPITAL IS AN ACUTE CARE NON PROFIT COMMUNITY HOSPITAL THAT OFFERS A WIDE RANGE OF MEDICAL, SURGICAL AND SPECIALTY CARE TO MORE THAN 300,000 INDIVIDUALS IN 25 TOWNS.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees1920TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI4730675TotalGrossUBI
Net Unrelated Business Txbl Income748883NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1051204ContributionsGrantsPriorYear
Contributions Grants Current Year1522796ContributionsGrantsCurrentYear
Program Service Revenue Prior Year172372643ProgramServiceRevenuePriorYear
Program Service Revenue CY175548400ProgramServiceRevenueCY
Investment Income Prior Year41885InvestmentIncomePriorYear
Investment Income Current Year-25037InvestmentIncomeCurrentYear
Other Revenue Prior Year10259982OtherRevenuePriorYear
Other Revenue Current Year10721556OtherRevenueCurrentYear
Total Revenue Prior Year183725714TotalRevenuePriorYear
Total Revenue Current Year187767715TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99026848SalariesEtcPriorYear
Salaries Etc Current Year101084135SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year80851502OtherExpensePriorYear
Other Expenses Current Year85268643OtherExpensesCurrentYear
Total Expenses Prior Year179878350TotalExpensesPriorYear
Total Expenses Current Year186352778TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3847364RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1414937RevenuesLessExpensesCY
Total Assets BOY180977832TotalAssetsBOY
Total Assets EOY185562354TotalAssetsEOY
Total Liabilities BOY134078095TotalLiabilitiesBOY
Total Liabilities EOY135610220TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY46899737NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY49952134NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF EMERSON HOSPITAL IS TO DELIVER HIGH QUALITY, SAFE AND COST-EFFECTIVE CARE TO OUR PATIENTS AND TO MAINTAIN A PROFESSIONAL AND RESPECTFUL ENVIRONMENT FOR ALL MEMBERS OF THE EMERSON HOSPITAL COMMUNITY. WE DEFINE HIGH QUALITY AS MEETING OR EXCEEDING THE REQUIREMENTS OF OUR CUSTOMERS: PATIENTS, PHYSICIANS, EMPLOYEES, THE COMMUNITY AND PAYERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense55977668Expense
Revenue64764854Revenue
DescriptionEMERSON HOSPITAL IS AN 199-BED ACUTE CARE NON-PROFIT COMMUNITY HOSPITAL THAT PROVIDES SERVICES TO INPATIENTS. THE FACILITY INCLUDES THE FOLLOWING UNITS: THREE MEDICAL/SURGICAL UNITS, A LOCKED BEHAVIORAL HEALTH UNIT, A LOCKED MATERNITY/OBSTETRICS UNIT, A CRITICAL CARE UNIT, A SHORT TERM REHABILITATION TRANSITIONAL CARE UNIT, A PEDIATRICS UNIT AND A SPECIAL CARE NURSERY. EMERSON HOSPITAL SERVED 7,961 INPATIENTS AND 2,556 OBSERVATION PATIENTS FOR A TOTAL OF 42,254 PATIENT DAYS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense91660621Expense
Revenue106049197Revenue
DescriptionEMERSON HOSPITAL IS AN ACUTE CARE NON-PROFIT COMMUNITY HOSPITAL THAT PROVIDES A VARIETY SERVICES ON AN OUTPATIENT BASIS. EMERSON PERFORMED 1,033,907 PROCEDURES ON OUTPATIENTS DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2013. IN ADDITION, THE HOSPITAL ALSO HAD 33,395 EMERGENCY DEPARTMENT VISITS AND 61,129 REHABILITATION SERVICE VISITS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4092001Expense
Revenue4734349Revenue
DescriptionEMERSON HOSPITAL PROVIDES HOMECARE SERVICES. HOME CARE IS AVAILABLE 24 HOURS PER DAY AND 7 DAYS PER WEEK TO HOMEBOUND PATIENTS OF ALL AGES. PRIMARY HOMECARE SERVICES INCLUDE PROFESSIONAL NURSES WHO DELIVER MEDICAL CARE AS ORDERED BY PHYSICIANS, REHABILITATION PROFESSIONALS WHO WORK WITH PATIENTS TO RESTORE FUNCTION AND INDEPENDENCE AND HOME HEALTH AIDES WHO ASSIST WITH PERSONAL CARE TASKS. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 EMERSON HOSPITAL SAW 2,023 NEW HOMECARE PATIENTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense151730290TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096238NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1920NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT TREMBLAYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9782873233TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PAUL BIRCH
TREASURER6.00XX000
GLORIA CLOUGH
DIRECTOR6.00X000
RICHARD CHURCHILL
DIRECTOR6.00X000
PAUL D'AMBROSIO MD
EX OFFICIO PRESIDENT MEDICAL STAFF6.00X60000183400
ERIC HAARTZ
DIRECTOR6.00X000
WINSTON R HINDLE JR
SECRETARY6.00XX000
JAMES DIGIOVANNI
DIRECTOR6.00X000
MARY B JOHNSON
DIRECTOR6.00X000
RONALD H JOHNSON
CHAIRMAN12.00XX000
DONALD A DRISCOLL JR MD
DIRECTOR6.00X000
JOHN M LOWE III
DIRECTOR6.00X000
ROSE ANN GIORDANO
DIRECTOR6.00X000
JOHN HICKLING
DIRECTOR6.00X000
AMARESH MAHAPATRA
DIRECTOR6.00X000
CHRISTINE SCHUSTER
EX OFFICIO PRESIDENT & CEO60.00XX764586041030
MICHAEL ZAK
DIRECTOR6.00X000
JAMES STREET MD
EX OFFICIO PRESIDENT ELECT MEDICAL STAFF6.00X1625000
PATRICK FLYNN
DIRECTOR6.00X000
JILL STANSKY
DIRECTOR6.00X000
JOSEPH BERGEN DO
DIRECTOR6.00X1650016800
JOHN O WILHELM
SR. VP ADMINISTRATION40.00X464724018500
C GREGORY MARTIN MD
SR. VP CLINICAL AFFIARS40.00412013038683X
JOYCE WELSH
VP PATIENT CARE SERVICES A40.00285107036526X
MAUREEN DAYE
PHYSICIAN40.00339829025502X
ROBERT STERN MD
DIRECTOR BEHAVIORAL HEALTH40.00273923029502X
ROBERT TREMBLAY
SENIOR DIRECTOR OF FINANCE40.0026908009996X
JEFFREY RILEY MD
CHAIR OF OBSTETRICS AND GY40.00359153040186X
ERIC STASTNY
VP HUMAN RESOURCES40.0027230007834X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3533465TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs20020TotalReportableCompFrmRltdOrgs
Total Other Compensation247759TotalOtherCompensation
Number Individuals GT100 K82NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELPHI CONSTRUCTION CORPORATION
130 OVERLOOK ROADWALTHAMMA02451CONSTRUCTION SERVICES3423204
SODEXO INC & AFFILIATES
PO BOX 81049WOBURNMA01813ENVIRONMENTAL/CAFETERIA SERVICES2098583
UNITED LINEN SERVICE INC
65 MANCHESTER STREETLAWRENCEMA01841LINEN CLEANING SERVICES592410
EMERSON ANESTHESIA ASSOCIATES PC
133 ORNACCONCORDMA01742ANESTHESIOLOGY SERVICES550372
BWPO OBSTETRICS BRIGHAM & WOMEN'S HOSPIT
75 FRANCIS STREETBOSTONMA02115PHYSICIAN CONTRACTED SERVICES529857
FieldValueIRS element (for citing)
Number Of Contractors GT100 K43NumberOfContractorsGT100K
Related Organizations1522796RelatedOrganizations
Total Contributions1522796TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column175548400TotalRevenueColumn
Related Or Exempt Function Income175548400RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue175548400TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column25138TotalRevenueColumn
Exclusion$25,138ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real653983Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real190194Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real463789Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column463789TotalRevenueColumn
Related Or Exempt Function Income245679RelatedOrExemptFunctionIncome
Unrelated Business Revenue218110UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other20425Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other70600Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-50175Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-50175TotalRevenueColumn
Related Or Exempt Function Income-50175RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA AND OTHER9000995745202$5,745,202
LAB SERVICES62150045125654512565
FieldValueIRS element (for citing)
Total Other Revenue10257767TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column187767715TotalRevenueColumn
Related Or Exempt Function Income175743904RelatedOrExemptFunctionIncome
Unrelated Business Revenue4730675UnrelatedBusinessRevenue
Exclusion$5,770,340ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2035180Total
Program Services1646470ProgramServices
Management And General388710ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total83651442Total
Program Services71757855ProgramServices
Management And General11893587ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1046798Total
Program Services889778ProgramServices
Management And General157020ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8482038Total
Program Services7209732ProgramServices
Management And General1272306ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5868677Total
Program Services4988375ProgramServices
Management And General880302ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8377167Total
Program Services8377167ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total364685Total
Management And General364685ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total573433Total
Management And General573433ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total64580Total
Program Services64580ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1214641Total
Management And General1214641ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1527565Total
Management And General1527565ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total693093Total
Management And General693093ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9262478Total
Program Services6502283ProgramServices
Management And General2760195ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total345226Total
Management And General345226ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3312102Total
Management And General3312102ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12054172Total
Program Services12054172ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2483759Total
Management And General2483759ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES225010282245159949429
REPAIRS & MAINTENANCE862073075099911110739
MISCELLANEOUS674869447035942045100
EQUIPMENT RENTAL19246041924604

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5200686Total
Program Services1650090ProgramServices
Management And General3550596ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total186352778Total
Program Services151730290ProgramServices
Management And General34622488ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY33399191BOY
EOY27347122EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20162986BOY
EOY23635016EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY902844BOY
EOY2613613EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1894986BOY
EOY1634740EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4560931BOY
EOY4826390EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis291926735LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec181143283LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY104177871BOY
EOY110783452EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4988005BOY
EOY4856522EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3759041BOY
EOY3431806EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7131977BOY
EOY6433693EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY180977832BOY
EOY185562354EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15262223BOY
EOY17503184EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY60206900BOY
EOY59320868EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15862787BOY
EOY16931785EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY5000000BOY
EOY7000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY37746185BOY
EOY34854383EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY134078095BOY
EOY135610220EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY43783212BOY
EOY46652558EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1661923BOY
EOY1793187EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1454602BOY
EOY1506389EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46899737BOY
EOY49952134EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY180977832BOY
EOY185562354EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1414937ReconcilationRevenueExpenses
Reconcilation Other Changes1637460ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$32,290DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$32,290RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB64580TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE AMOUNTS INCLUDED IN LOBBYING EXPENSES REPRESENT A PORTION OF DUES PAID TO ORGANIZATIONS WHO LOBBY ON BEHALF OF THEIR MEMBERS AND THE HOSPITAL INDUSTRY AS A WHOLE AS WELL AS FEES PAID TO A CONSULTANT WHO ALSO LOBBIES ON BEHALF OF HOSPITAL INTERESTS.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1454602BeginningOfYearBalance
Contributions49197Contributions
Investment Earnings Or Losses55471InvestmentEarningsOrLosses
Other Expenditures52881OtherExpenditures
End Of Year Balance1506389EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1399339BeginningOfYearBalance
Contributions45714Contributions
Investment Earnings Or Losses62557InvestmentEarningsOrLosses
Other Expenditures53008OtherExpenditures
End Of Year Balance1454602EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1322908BeginningOfYearBalance
Contributions71732Contributions
Investment Earnings Or Losses67070InvestmentEarningsOrLosses
Other Expenditures62371OtherExpenditures
End Of Year Balance1399339EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1214920BeginningOfYearBalance
Contributions105075Contributions
Investment Earnings Or Losses143410InvestmentEarningsOrLosses
Other Expenditures140497OtherExpenditures
End Of Year Balance1322908EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1101230BeginningOfYearBalance
Contributions119654Contributions
Investment Earnings Or Losses67442InvestmentEarningsOrLosses
Other Expenditures73406OtherExpenditures
End Of Year Balance1214920EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2722757OtherCostOrOtherBasis
Book Value2722757BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis157178008OtherCostOrOtherBasis
Depreciation86587048Depreciation
Book Value70590960BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis121567166OtherCostOrOtherBasis
Depreciation93156593Depreciation
Book Value28410573BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10458804OtherCostOrOtherBasis
Depreciation1399642Depreciation
Book Value9059162BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings110783452TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION PAYABLE$28,725,460
ACCRUED PAYROLL$5,155,062
FIN47 REMEDIATION OBLIGATION$536,685
DEFERRED REVENUE$437,176
FieldValueIRS element (for citing)
Total Of Amounts34854383TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt187535830TotRevenueEtcAuditedFinclStmt
Other Revenues1729661OtherRevenues
Revenue Not Rptd F9901729661RevenueNotRptdF990
Revenue Subtotal185806169RevenueSubtotal
Other Revenues Not Included1961546OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1961546RevenueNotRptdOnFinStmt
Total Revenue Per Form990187767715TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt186352778TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal186352778ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990186352778TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE PRINCIPAL BALANCE OF THE ENDOWMENT FUND IS PERMANENTLY RESTRICTED FROM USE. INCOME ON THE ENDOWMENT FUND THAT HAS BEEN DESIGNATED FOR A SPECIFIC PURPOSE BY THE DONOR IS USED AS SPECIFIED. OTHERWISE THE INCOME IS USED TO ADVANCE THE ORGANIZATION'S GENERAL CHARITABLE PURPOSE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:IN FISCAL 2013 THERE WAS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENT REFERENCING FIN48 BECAUSE THE ORGANIZATION DID NOT FILE UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS FOR FOUNDATION 1,729,661.
PART XI, LINE 4B - OTHER ADJUSTMENTS:NON OPERATING GAINS FROM AUDIT REPORT 438,750. CONTRIBUTIONS 1,522,796.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3519594TotalCommunityBenefitExpense
Net Community Benefit Expense3519594NetCommunityBenefitExpense
Percent Of Total Expense0.01890PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10326691TotalCommunityBenefitExpense
Direct Offsetting Revenue8497250DirectOffsettingRevenue
Net Community Benefit Expense1829441NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2050760TotalCommunityBenefitExpense
Direct Offsetting Revenue1619689DirectOffsettingRevenue
Net Community Benefit Expense431071NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense15897045TotalCommunityBenefitExpense
Direct Offsetting Revenue10116939DirectOffsettingRevenue
Net Community Benefit Expense5780106NetCommunityBenefitExpense
Percent Of Total Expense0.03100PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense682025TotalCommunityBenefitExpense
Net Community Benefit Expense682025NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense22000TotalCommunityBenefitExpense
Net Community Benefit Expense22000NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense704025TotalCommunityBenefitExpense
Net Community Benefit Expense704025NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense16601070TotalCommunityBenefitExpense
Direct Offsetting Revenue10116939DirectOffsettingRevenue
Net Community Benefit Expense6484131NetCommunityBenefitExpense
Percent Of Total Expense0.03480PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,107,558BadDebtExpenseAmount
Amount Reimbursed By Medicare34566531AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare40890298CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6323767MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 RADIATION ONCOLOGY CENTER MANAGEMENT COMPANY LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityOPERATE A RADIATION ONCOLOGY FACILITYDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMERSON HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1133 OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EMERSON HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Permit Other ActionsXPermitOtherActions
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: EMERSON HOSPITAL USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
PART I, LINE 6A: THE ANNUAL COMMUNITY BENEFIT'S REPORT IS DISTRIBUTED TO THE HOSPITAL BOARD OF DIRECTORS AND TO THE COMMUNITIES SERVED BY THE HOSPITAL. THE REPORT IS ALSO AVAILABLE WITHIN THE HOSPITAL, ON THE WEBSITE, AND AT LOCAL LIBRARIES. IN ADDITION, INFORMATION REGARDING COMMUNITY BENEFITS PLAN ACTIVITIES IS DISSEMINATED THROUGH THE HOSPITAL'S INFORMATIONAL MATERIALS, INCLUDING HEALTHWORKS MAGAZINE, WHICH IS MAILED TO AREA RESIDENTS. THE REPORT IS ALSO FILED WITH THE STATE OF MASSACHUSETTS AND IS AVAILABLE THROUGH THE STATE.
PART I, LINE 7: FINANCIAL ASSISTANCE AT COST IS DETERMINED USING THE MASSACHUSETTS HEALTHCARE SAFETY NET ASSESSMENT INCLUDING ANY SHORTFALL FUNDING TO THE HEALTHCARE SAFETY NET POOL.
PART III, LINE 4: IN ANALYZING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES IT PAST HISTORY AND IDENTIFIES TRENDS OF COLLECTION TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. AFTER ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED, THE HOSPITAL WILL WRITE OFF THE DIFFERENCE BETWEEN STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED.BELOW IS THE PORTION OF THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS OF EMERSON HEALTH SYSTEM, INC (OF WHICH EMERSON HOSPITAL IS PART OF THE CONSOLIDATION) WHICH CONCERNS BAD DEBT EXPENSE:CONCENTRATION OF CREDIT RISKTHE HEALTH SYSTEM GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD PARTY PAYOR AGREEMENTS. THE HEALTH SYSTEM RECEIVES A SIGNIFICANT PORTION OF ITS PAYMENTS FOR SERVICES RENDERED FROM A LIMITED NUMBER OF GOVERNMENT AND COMMERCIAL THIRD PARTY PAYORS, INCLUDING MEDICARE, MEDICAID, BLUE CROSS OF MASSACHUSETTS, HARVARD PILGRIM HEALTH CARE, AND TUFTS ASSOCIATED HEALTH PLAN. THE HEALTH SYSTEM HAS NOT HISTORICALLY INCURRED ANY SIGNIFICANT CREDIT LOSSES OUTSIDE THE NORMAL COURSE OF BUSINESS. LINE 2 BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES (CALCULATED USING WORKSHEET 2 ON PAGE 11 OF THE IRS FORM 990 SCHEDULE H INSTRUCTIONS) MULTIPLIED BY THE ACTUAL BAD DEBT EXPENSE.
PART III, LINE 8: THE COSTING METHODOLOGY USED IN DETERMINING ALLOWABLE COSTS OF CARE FOR MEDICARE IS THE COST TO CHARGE RATIO. MEDICARE COSTS ARE OBTAINED FROM THE COST REPORT FOR ALL SERVICES PROVIDED.
PART III, LINE 9B: EMERSON HOSPITAL MAINTAINS VERIFICATION OF A PATIENT'S INSURANCE DATA AND CHARITY CARE ELIGIBLITY PERMANENTLY WITHIN THE HOSPITAL'S MEDITECH DATABASE. AT EACH SERVICE DATE, VERIFICATION OF CHARITY CARE APPROVAL THROUGH THE STATE PROGRAM (HSNO) IS PERFORMED BY THE PATIENT ACCOUNTS DEPARTMENT. PATIENTS WHO ARE NOT ENROLLED ARE SCREENED FOR OTHER HEALTH INSURANCE ENROLLMENT BY REGISTRATION AND PATIENT ACCOUNTS DEPARTMENT.ONCE CHARITY CARE APPROVAL HAS BEEN VERIFIED, ALL BILLING AND COLLECTION ATTEMPTS ARE CEASED. COPAYMENTS AND SOME HOSPITAL SERVICES, I.E. HOME CARE, ARE EXCLUDED FROM THE STATE'S CHARITY CARE PROGRAM.
PART V, SECTION B, LINE 3: IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. THE INPUT WAS OBTAINED THROUGH ONE ON ONE INTEREVIEWS, TELEPHONE INVERVIEWS AND FOCUS GROUPS.INDIVIDUALS CONSULTED INCLUDED MEMBERS OF THE HOSPITAL MEDICAL STAFF,LOCAL SCHOOL NURSES, HOSPITAL CORPORATORS REPRESENTING SEVERAL TOWNS IN THE SERVICE AREA, THE EXECUTIVE DIRECTOR OF THE CONCORD-CARLISLE COMMUNITY CHEST, THE DIRECTOR OF EMERSON HOSPITAL HOME CARE AND HOMECARE NURSES, THE DIRECTOR OF CARE MANAGEMENT, DIRECTOR OF REHABILITATION SERVICES AND DIRECTORY OF BEHAVIOURAL HEALTH AT EMERSON HOSPITAL. THE HOSPITAL ALSO OBTAINED INPUT FROM THE "CARE TRANSITIONS TEAM" WHICH INCLUDES REPRESENTATIVES OF SKILLED NURSING FACILITIES, LOCAL EMS, COUNCILS ON AGING, PHYSICIANS, NURSES AND SOCIAL WORKERS.EMERSON HOSPITAL
PART V, SECTION B, LINE 5C: A SUMMARY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS INCLUDED IN THE COMMUNITY BENEFITS REPORT WHICH WAS POSTED ON THE HOSPITAL'S WEBSITE.EMERSON HOSPITAL
PART V, SECTION B, LINE 16E: REPORTING TO CREDIT AGENCIES IS NOT PERMITTED UNDER EMERSON'S CREDIT AND COLLECTION POLICY. ALTHOUGH LIENS AND LAWSUITS ARE PERMITTED, THE HOSPITAL DID NOT EXECUTE ANY LAWSUITS OR LIENS DURING THE 2012 TAX YEAR. THE HOSPITAL DOES ENGAGE COLLECTION AGENCIES TO PURSUE UNDPAID BALANCES, BUT DOES NOT ALLOW THE COLLECTION AGENCIES TO REPORT TO CREDIT AGENCIES, FILE LAWSUITS OR PLACE LIENS.EMERSON HOSPITAL
PART V, SECTION B, LINE 20D: ALL PATIENTS REGARDLESS OF INSURANCE OR FINANCIAL MEANS ARE CHARGED THE SAME STANDARD RATE AS DETERMINED BY EMERSON HOSPITAL ON A PERIODIC BASIS. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE OR PARTIAL FREE CARE, THEN DISCOUNTS ARE APPLIED TO THE CHARGES.EMERSON HOSPITAL
PART V, SECTION B, LINE 22: ALL PATIENTS REGARDLESS OF INSURANCE OR FINANCIAL MEANS ARE CHARGED THE SAME STANDARD RATE AS DETERMINED BY EMERSON HOSPITAL ON A PERIODIC BASIS. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE OR PARTIAL FREE CARE, DISCOUNTS ARE THEN APPLIED TO CHARGES.EMERSON HOSPITAL
PART VI, LINE 2: EVERY THREE YEARS, EMERSON CONDUCTS A COMPREHENSIVE HEALTH CARE NEEDS ASSESSMENT. THE MOST RECENT ASSESSMENT WAS CONDUCTED IN 2011-2012 AMONG LEADERS AND REPRESENTATIVES OF COMMUNITY ORGANIZATIONS. THIS ASSESSMENT ALSO INCLUDED AN EXTENSIVE SEARCH OF HEALTH STATUS INFORMATION FROM THE PUBLIC DOMAIN INCLUDING THE CENTER FOR DISEASE CONTROL'S "HEALTHY PEOPLE 2020" OBJECTIVES. THE OBJECTIVES OF THE COMMUNITY NEEDS ASSESSMENT WERE TO:- EVALUATE THE COMMUNITY'S PERCEPTIONS OF ITS UNMET HEALTH NEEDS. THE COMMUNITY IS DEFINED AS THE 18 TOWNS IN THE PRIMARY SERVICE AREA.- ESTABLISH A BASELINE OF DATA ON THE HEALTH OF THE COMMUNITY USING DATA FROM THE US CENSUS AND MA DEPARTMENT OF PUBLIC HEALTH, CDC AND THE EMERSON YOUTH RISK BEHAVIOUR SURVEY.- EXPLORE OPPORTUNITIES TO PROVIDE NEW HEALTH SERVICES AND PROGRAMS IN UNMET AREAS.- DETERMINE HOW BEST TO ALLOCATE COMMUNITY BENEFIT RESOURCES TO MEET THE COMMUNITY NEEDS.- EXPLORE OPPORTUNITIES IN THE COMMUNITY TO INITIATE NEW HEALTH PROGRAMS- MEET ALL PROVISIONS OF THE AFFORDABLE CARE ACT RELATING TO COMMUNITY HEALTH NEEDS ASSESSMENT.
PART VI, LINE 3: ALL PATIENTS ARE PROVIDED FINANCIAL ASSISTANCE LITERATURE THROUGH THE STATE ON ALL BILLING STATEMENTS AND SIGNS ARE POSTED AT ALL PATIENT REGISTRATION LOCATIONS. WE PROVIDE THE CURRENT YEAR FEDERAL POVERTY GUIDLINES ON ALL BILLING STATEMENTS. IN ADDITION, THESE GUIDELINES ARE POSTED IN OUR INPATIENT AREA, OUTPATIENT AREA AND AT OFFSITE LOCATIONS. FINANCIAL ASSISTANCE CONTACT INFORMATION BROCHURES ARE PROVIDED IN OUR SURGICAL DAY SERVICE PACKETS AND ALL ADMISSION PACKETS.
PART VI, LINE 4: EMERSON HOSPITAL IS A FULL SERVICE NON-PROFIT ACUTE CARE REGIONAL HOSPITAL THAT SERVES A 25 TOWN SUBURBAN COMMUNITY WITH A GROWING POPULATION OF ALMOST 300,000. EMERSON IS THE ONLY HOSPITAL LOCATED WITHIN THE PRIMARY TWELVE TOWNS THAT THE HOSPITAL SERVES. THE MEDIAN HOUSEHOLD INCOME FOR THE TOWNS SERVED BY EMERSON RANGE FROM APPROXIMATELY 74,000 TO 192,000 AND LESS THAN 7% OF THE POPULATION CURRENTLY HAVE INCOME LEVELS BELOW THE FEDERAL POVERTY GUIDELINE. THERE ARE NO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED POPULATIONS IN THE COMMUNITIES SERVED BY EMERSON AND APPROXIMATELY 5% OF THE COMMUNITY'S PATIENTS ARE MEDICAID RECIPIENTS.
PART VI, LINE 5: EMERSON PROVIDES MANY COMMUNITY SERVICES SOME OF WHICH ARE DESCRIBED BELOW:-EMERGENCY RESPONSE AND DISASTER PLANNING IN CONJUNCTION WITH LOCAL AGENCIES, THE HOSPITAL PLANS AND COORDINATES EMERGENCY PREPAREDNESS AND HAS PROVIDED AND AT TIMES SUBSIDIZED AN ADVANCED LIFE SUPPORT SERVICE.-PREVENTATIVE CARE PROGRAMS SUCH AS FLU VACCINES, CANCER AWARENESS DAY, FREE HEALTH SCREENINGS INCLUDING CHOLETEROL, THYROID, DIABETES, BLOOD PRESSURE, SKIN CANCER AND PULMONARY.-YOUTH PROGRAMS WHICH INCLUDE THE YOUTH RISK BEHAVIOUR SURVEY, JOB SHADOWING AND VOLUNTEER OPPORTUNITIES FOR YOUTH.-SENIOR SERVICES WHICH INCLUDE HOME CARE HEALTH SCREENINGS AND MONTHLY WELLNESS PROGRAMS.-HEALTH EDUCATION WHICH INVOLVES EMERSON STAFF PRESENTING FREE LECTURES TO THE COMMUNITY ON VARIOUS HEALTH CARE ISSUES SUCH AS BREAST CANCER, CARDIAC HEALTH, SPORTS MEDICINE, PRENATAL CARE AND OTHERS.
PART VI, LINE 6: N/A
MAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHRISTINE SCHUSTER
EX OFFICIO PRESIDENT & CEO57021201835320108420185000225300805616000
JOHN O WILHELM
SR. VP ADMINISTRATION358226010649800018500000483224000
C GREGORY MARTIN MD
SR. VP CLINICAL AFFIARS319225089224035640185000201830450696000
JOYCE WELSH
VP PATIENT CARE SERVICES A229080052875031520125240240020321633000
MAUREEN DAYE
PHYSICIAN3398290000015000240020365331000
ROBERT STERN MD
DIRECTOR BEHAVIORAL HEALTH23729002977506858015000280020303425000
ROBERT TREMBLAY
SENIOR DIRECTOR OF FINANCE218065050500051501500084960279076000
JEFFREY RILEY MD
CHAIR OF OBSTETRICS AND GY35558900035640161840240020399339000
ERIC STASTNY
VP HUMAN RESOURCES224839046975048601500063340280134000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BEMERSON HOSPITAL OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO A SELECT CLASS OF MANAGEMENT. SUPPLEMENTAL RETIREMENT INCOME IS ASSESSED BY AN INDEPENDENT ACTUARY TO DETERMINE ANNUAL CONTRIBUTION AMOUNTS BY EMERSON HOSPITAL. PLAN CONTRIBUTIONS BECOME INCOME TO THE PARTICIPANT BASED ON A CLIFF VESTING SCHEDULE, WHICH IS EVERY FIVE YEARS FROM THE DATE OF PLAN ENROLLMENT. THE FOLLOWING PERSONS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CHRISTINE SCHUSTER JOHN O. WILHELM C. GREGORY MARTIN KEVIN WHITNEY JOSEPH PIECHOCKI JEFFREY RILEY, M.D.
PART I, LINE 6EXECUTIVES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN THE AMOUNT OF 5% OF BASE SALARY IF THE ORGANIZATION ACHIEVES THE BOARD APPROVED BUDGETED GAIN FROM OPERATIONS FOR THE FISCAL YEAR.
PART I, LINE 7EXECUTIVES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN THE AMOUNT OF 15-25% OF BASE SALARY IF THEY ACHIEVE SPECIFIC INDIVIDUAL GOALS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
A04245601157586CMF92005-08-2464805965SEE SCHEDULE O - SERIES E000
MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
B0424560112010-03-317300000SEE SCHEDULE O - SERIES F000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A5150000679787934590681315908527777051230965306419222594668420101011
B492190473089781460003667699349527920111011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000100
B0000100

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDue
A100001
B000001000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DONOGHUE BARRET AND SINGAL PCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipFOUNDING PARTNER IS SON IN LAW OF BOARD MEMBER WINSTON HINDLERelationship
Amount Of Transaction211592AmountOfTransaction
Description Of TransactionINTERESTED PERSON, ROGER DONOGHUE, IS FOUNDING PARTNER OF DONOGHUE BARRET AND SINGAL,PC, A LAW FIRM THAT PROVIDES LEGAL SERVICES TO EMERSON HOSPITAL.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3EMERSON HOSPITAL OUTSOURCED THE MANAGEMENT OF THE FOLLOWING OPERATIONS: 1. TRANSITIONAL CARE UNIT TO RADIUS 2. NUTRITION ENGINEERING AND ENVIRONMENTAL SERVICES TO SODEXHO 3. WOUND CARE CLINIC TO DIVERSIFIED CLINICAL SERVICES 4. SLEEP LAB TO NEUROCARE 5. PROPERTY MANAGEMENT OF SELECTED SATELLITE LOCATIONS TO CHARLES JAMES ASSOCIATES
FORM 990, PART VI, SECTION A, LINE 6EMERSON HEALTH SYSTEM, INC, ACTING THROUGH ITS BOARD OF DIRECTORS, IS THE MEMBER FOR EMERSON HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7ATHE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BTHE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11THE COMPLETED FORM 990 WAS PRESENTED TO THE EMERSON HOSPITAL BOARD OF DIRECTORS DURING A REGULARLY SCHEDULED BOARD MEETING AND WAS OPEN FOR REVIEW, DISCUSSION, QUESTIONS AND COMMENTS. FURTHER EDUCATIONAL SESSIONS WERE OFFERED FOR ANY BOARD MEMBER TO REVIEW THE FORM 990 IN MORE DETAIL WITH THE CHIEF FINANCIAL OFFICER. IN ADDITION, THE SCHEDULE J WAS REVIEWED IN DETAIL IN A SESSION WITH THE COMPENSATION COMMITTEE AND THE FORM 990 WAS REVIEWED IN ITS ENTIRETY IN DETAIL IN A SESSION WITH THE AUDIT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS REQUIRES THAT ALL BOARD MEMBERS AND SENIOR MANAGERS COMPLETE AND SIGN THE CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE CEO REVIEWS THESE QUESTIONNAIRES AND SUMMARIZES ANY ISSUES THAT COULD CREATE A CONFLICT OF INTEREST. THIS SUMMARY IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS AND IS PRESENTED TO THE ENTIRE BOARD ANNUALLY SO THAT ALL BOARD MEMBERS ARE AWARE OF POTENTIAL CONFLICTS OF INTEREST AND HAVE INFORMATION THEY CAN RELY ON IF THEY FEEL AN INDIVIDUAL MAY HAVE DIVIDED LOYALTIES ON A DECISION COMING BEFORE THE BOARD OF DIRECTORS. THE BOARD CHAIR IS RESPONSIBLE FOR EVALUATING ANY CONFLICT OF INTEREST AND DETERMINING THE TREATMENT OF THE SITUATION ACCORDING TO BOARD POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS HOLDS THE SOLE RESPONSIBILITY FOR ESTABLISHING THE COMPENSATION OF EMERSON HOSPITAL'S CEO. THE COMPENSATION COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF AT LEAST THREE INDEPENDENT BOARD MEMBERS, IS RESPONSIBLE FOR THE REVIEW AND RECOMMENDATION OF THE CEO'S COMPENSATION. THIS ANALYSIS INCLUDES AN ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF HUMAN RESOURCES, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WAS USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL. THE COMPENSATION COMMITTEE ALSO REVIEWS AND APPROVES THE CEO'S RECOMMEDATION OF COMPENSATION FOR KEY EMPLOYEES INCLUDING OFFICERS AND VICE PRESIDENTS OF THE HOSPITAL. THIS ANALYSIS INCLUDES ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF HUMAN RESOURCES, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WAS USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL.
FORM 990, PART VI, SECTION C, LINE 18FORM 990 IS AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORMS 1023, 990, AND 990T ARE AVAILABLE UPON REQUEST TO THE HOSPITAL.
FORM 990, PART VI, SECTION C, LINE 19HOSPITAL'S BY-LAWS ARE AVAIALABLE ON THE MASSACHUSETTS SECRETARY OF STATE'S WEBSITE. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:NET ASSETS RELEASED FOR PLANT AND EQUIPMENT 470,738. BENEFIT FLAN RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 936,265. TEMPORARILY RESTRICTED CHANGE IN INTEREST IN FOUNDATION 103,285. PERMANENTLY RESTRICTED CHANGE IN INTEREST IN THE FOUNDATION 51,787. NET ASSETS RELEASED TO THE FOUNDATION 234,844. CHANGE IN UNREALIZED DEPRECIATION ON INVESTMENTS -159,459.CHANGES IN NET ASSETS OR FUND BALANCES:
SCHEDULE K, PART I, COLUMN F DESCRIPTION OF TAX EXEMPT BOND PURPOSESERIES E BOND PROCEEDS WERE USED TO: (I) PROVIDE FOR THE CURRENT REFUNDING OF PRIOR BONDS, THE PROCEEDS OF WHICH WERE USED TO CONSTRUCT, RENOVATE, AND EQUIP PORTIONS OF THE INSTITUTIONS CAMPUS INCLUDING CONSTRUCTING THE JOHN CUMMING BUILDING, AN ADDITION TO THE WHEELER BUILDING, CONSTRUCTION OF A BUILDING TO HOUSE PATIENT CARE SERVICES, LABORATORY AND REHABILITATION SERVICES, A 31-BED PSYCHIATRIC UNIT, A 32-BED MEDICAL SURGICAL UNIT, 24 OBSTETRICS BEDS, 8 BIRTHING ROOMS, 2 DELIVERY ROOMS, A NEWBORN NURSERY AND CONSTRUCTION OF A FIVE LEVEL PARKING GARAGE WITH APPROXIMATELY 465 PARKING SPACES AND RENOVATING THE WHEELER BUILDING; (II) PROVIDE FOR THE FINANCING AND REFINANCING OF (A) RENOVATIONS TO EXISTING PRE AND POST OPERATING SURGICAL DAY CARE SUITES, THE CONSTRUCTION OF A NEW CYSTOSCOPY ROOM, CONSTRUCTION OF TWO OPERATING ROOMS AND RENOVATION OF THE POST ANESTHESIA CARE UNIT, (B) EXPANSION OF EXISTING SPACE USED FOR RADIOLOGY SERVICES INCLUDING CONSTRUCTION OF SEPARATE ENTRANCES AND SEGREGATED PREPARATION ACCESS FOR INPATIENT VERSUS OUTPATIENT USE AND THE ADDITION OF NEW RADIOLOGY EQUIPMENT, (C) EXPANSION OF THE EXISTING OBSTETRICS UNIT IN ORDER TO CREATE PRIVATE ROOMS AND (D) THE ACQUISITION AND INSTALLATION OF CAPITAL EQUIPMENT; (III) FUND THE DEBT SERVICE REVENUE FUND; (IV) PAY THE PREMIUM FOR THE BOND INSURANCE POLICY; AND (V) PAY CERTAIN COSTS AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES E BONDS. SERIES F PROCEEDS WERE USED TO FINANCE A LINEAR ACCELERATOR VAULT, TO REPAY THE POOL LOAN AND TO PAY CERTAIN COSTS IN CONNECTION WITH THE ISSUANCE OF THE SERIES F BONDS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EMERSON HEALTH SYSTEM
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042770977PROVIDES ITS HEALTHCARE SUBSIDIARIES WITH A MANAGEMENT TEAMMA501(C)3509(A)(3) TYPE IN/A0
EMERSON HEALTH CARE FOUNDATION
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042770980COORDINATE AND DEVELOP THE FUNDRAISING EFFORT FOR EMERSON HOSPITALMA501(C)3509(A)(3) TYPE I0EMERSON HEALTH SYSTEM INC
EMERSON PRACTICE ASSOCIATES
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742043111240PROVIDE HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITALMA501(C)3170(B)(1)(A)(III)0EMERSON HOSPITAL
EMERSON PRACTICE ASSOCIATES II
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742800482067PROVIDE HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITALMA501(C)3170(B)(1)(A)(III)0EMESON HOSPITAL

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1RADIATION ONCOLOGY CENTER MANAGEMENT COMPANY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode
FieldValueIRS element (for citing)
EIN043410861EIN
Primary ActivityOPERATE A RADIATION ONCOLOGY FACILITYPrimaryActivity
Legal Domicile StateMALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income1263534ShareOfTotalIncome
Share Of EOY Assets287199ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EMERSON PHYSICIAN HOSPITAL ORGANIZATION
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742043205706HEALTH SERVICES CONTRACTINGMAN/AC-5657812242230.500000
EMERSON PROPERTY DEVELOPMENT CORP
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042793599PROPERTY MANAGEMENTMAC0EMERSON HEALTH SYSTEM INC
EMERSON OCCUPATIONAL HEALTH SERVICES
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042800607HEALTH SERVICESMAC0EMERSON HEALTH SYSTEM INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
EMERSON PRACTICE ASSOCIATES
O7033841REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES
Q348659REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES II
O687258REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES II
N167993REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES II
Q675814REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES
N173006REPORTED AT FAIR VALUE

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