BROCKTON HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BROCKTON HOSPITAL INC (EIN 22-2472997)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201422269349303087
- 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 H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-14T14:27:25-05:00 | 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 | 222472997 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROCKTON HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BROC | NameControl |
| Phone | 5089417000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1 |
| City | BROCKTON | City |
| State | MA | State |
| ZIP Code | 02302 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIM HOLLON | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 5089417000 | 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 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KIM HOLLON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1 |
| City | BROCKTON | City |
| State | MA | State |
| ZIP Code | 02302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 224753563 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SIGNATURE-HEALTHCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1890 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | THE HOSPITAL OPERATES A 245 BED ACUTE CARE FACILITY THAT PROVIDES HEALTH CARE SERVICES TO 20 COMMUNITIES IN SOUTHEASTERN MASSACHUSETTS. IN FISCAL YEAR 2013 THE HOSPITAL PROVIDED $22,397,360 OF UNREIMBURSED CHARITY CARE. THIS EQUATES TO THOUSANDS OF VISITS TO PRIMARY CARE AND SPECIALTY CLINICS. THE HOSPITAL'S CHILDREN AND YOUTH PROGRAM, A HOSPITAL-BASED PRIMARY CARE PRACTICE THAT TREATS UNDER-PRIVILEGED CHILDREN, ACCOMMODATED APPROXIMATELY 10,000 PATIENT VISITS. THOUSANDS OF UNDERINSURED PEOPLE TOOK ADVANTAGE OF ONGOING COMMUNITY HEALTH LECTURES, SCREENINGS, CLASSES AND SUPPORT GROUPS BOTH AT THE HOSPITAL AND IN THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1941 | TotalNbrEmployees |
| Total Nbr Volunteers | 160 | TotalNbrVolunteers |
| Total Gross UBI | 367689 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -287956 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 61926 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 53320 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 215014749 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 214142831 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1329410 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2288782 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7077171 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8268630 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 223483256 | TotalRevenuePriorYear |
| Total Revenue Current Year | 224753563 | 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 | 110239873 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 117168847 | 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 | 88279956 | OtherExpensePriorYear |
| Other Expenses Current Year | 88440305 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 198519829 | TotalExpensesPriorYear |
| Total Expenses Current Year | 205609152 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 24963427 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 19144411 | RevenuesLessExpensesCY |
| Total Assets BOY | 152503977 | TotalAssetsBOY |
| Total Assets EOY | 175530671 | TotalAssetsEOY |
| Total Liabilities BOY | 126398676 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 106838500 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 26105301 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 68692171 | NetAssetsOrFundBalancesEOY |
| Mission Description | BROCKTON HOSPITAL'S MISSION IS TO BE A PRIVATE NOT-FOR-PROFIT COMMUNITY BASED HOSPITAL THAT IS RECOGNIZED AS THE "HOSPITAL OF CHOICE" BY STAFF, PATIENTS, AND THE COMMUNITY IT SERVES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 178429816 | Expense |
| Revenue | 220320159 | Revenue |
| Description | THE HOSPITAL OPERATES A 245 BED ACUTE CARE FACILITY THAT PROVIDES HEALTH CARE SERVICES TO 20 COMMUNITIES IN SOUTHEASTERN MASSACHUSETTS. IN FISCAL YEAR 2013 THE HOSPITAL PROVIDED $22,397,360 OF UNREIMBURSED CHARITY CARE. THIS EQUATES TO THOUSANDS OF VISITS TO PRIMARY CARE AND SPECIALTY CLINICS. THE HOSPITAL'S CHILDREN AND YOUTH PROGRAM, A HOSPITAL-BASED PRIMARY CARE PRACTICE THAT TREATS UNDER-PRIVILEGED CHILDREN, ACCOMMODATED APPROXIMATELY 10,000 PATIENT VISITS. THOUSANDS OF UNDERINSURED PEOPLE TOOK ADVANTAGE OF ONGOING COMMUNITY HEALTH LECTURES, SCREENINGS, CLASSES AND SUPPORT GROUPS BOTH AT THE HOSPITAL AND IN THE COMMUNITY. | Description |
| Total Program Service Expense | 178429816 | 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 | 0 | 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 | 1 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 235 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1941 | 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 | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| 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 | KIM HOLLON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5089417000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1 |
| City | BROCKTON | City |
| State | MA | State |
| ZIP Code | 023023395 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY J CRUZ | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| JOSEPH P DRIER III | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| DAVID P FRENETTE | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| WALLACE H PECKHAM III | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| PATTI ROLAND | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| MICHAEL J SULLIVAN | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| ROBERT D SULLIVAN | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| MARY V WALDRON | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| DAVID R WOLOHOJIAN | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| KIM HOLLON | ||||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 567243 | 0 | 33950 | X | ||||
| DAVID DRINKWATER MD | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 533077 | 22325 | 40.00 | ||||
| PATRICIA TORTORELLA | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| DALE J ELLENBERG MD | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 235787 | 24825 | 40.00 | ||||
| MICHAEL L DERN MD | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 530116 | 19491 | 40.00 | ||||
| ROBERT S GREENBERG MD | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 276562 | 21948 | 40.00 | ||||
| JAMES E LEARY | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| JAMES PAPADAKOS | ||||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 178992 | 0 | 14695 | X | |||||
| STEPHEN BORGES | ||||||||||
| VICE PRESIDENT | 40.00 | 185827 | 0 | 28763 | X | |||||
| DAVID J FISHER | ||||||||||
| VICE PRESIDENT | 40.00 | 200400 | 0 | 27121 | X | |||||
| KIMBERLY WALSH | ||||||||||
| VICE PRESIDENT | 40.00 | 239211 | 0 | 19560 | X | |||||
| KAREN MURPHY | ||||||||||
| LAWYER | 40.00 | 283192 | 0 | 11453 | X | |||||
| MARIE F GROSS | ||||||||||
| VICE PRESIDENT | 40.00 | 263646 | 0 | 9080 | X | |||||
| JEFFREY MILLER | ||||||||||
| VICE PRESIDENT | 40.00 | 189187 | 0 | 27505 | X | |||||
| DENNIS RENAUD | ||||||||||
| DIRECTOR | 40.00 | 176740 | 0 | 4584 | X | |||||
| KIM MCCARTHY-WALSH | ||||||||||
| CONTROLLER | 40.00 | 166227 | 0 | 7978 | X | |||||
| TIMOTHY R LYNCH MD | ||||||||||
| FORMER TRUSTEE | 1.00 | 0 | 282195 | 22325 | 40.00 | X | ||||
| ROBERT COVETT MD | ||||||||||
| FORMER TRUSTEE | 1.00 | 0 | 372242 | 9369 | 40.00 | X | ||||
| KEN LAWSON | ||||||||||
| FORMER TRUSTEE | 0.00 | 0 | 412260 | 33531 | 40.00 | X | ||||
| GEORGE C BROWN | ||||||||||
| PHYSICIAN | 1.00 | 0 | 604623 | 17365 | 40.00 | X | ||||
| JEAN-PIERRE GEAGEA | ||||||||||
| PHYSICIAN | 1.00 | 0 | 681497 | 3764 | 40.00 | X | ||||
| MARC GREENWALD | ||||||||||
| PHYSICIAN | 1.00 | 0 | 350965 | 20457 | 40.00 | X | ||||
| DANIEL MUSE | ||||||||||
| PHYSICIAN | 1.00 | 0 | 446685 | 16710 | 40.00 | X | ||||
| ABDEL-HAI HAMMO | ||||||||||
| PHYSICIAN | 1.00 | 0 | 528012 | 22325 | 40.00 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2450665 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5254021 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 419124 | TotalOtherCompensation |
| Number Individuals GT100 K | 126 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MATRIX ANESTHESIA PD | |||||
| 1342 BELMONT STREET STE 205 | BROCKTON | MA | 02302 | PHYSICIAN SERVICES | 2486950 |
| FTI CONSULTING | |||||
| 5310 MARYLAND WAY SUITE 250 | BRENTWOOD | TN | 37027 | CONSULTING SERVICES | 946788 |
| SECURAMERICA LLC | |||||
| 3399 PEACHTREE RD SUITE 1000 | ATLANTA | GA | 30326 | SECURITY SERVICES | 941079 |
| PRATT PEDIATRIC ASSOCIATES | |||||
| 750 WASHINGTON STREET | BOSTON | MA | 02111 | PHYSICIAN SERVICES | 687988 |
| ROPES & GRAY | |||||
| ONE INTERNATIONAL PLACE | BOSTON | MA | 02110 | LEGAL | 456261 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 27 | NumberOfContractorsGT100K |
| Government Grants | 53320 | GovernmentGrants |
| Total Contributions | 53320 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENU | 900099 | 211441007 | 211441007 | |
| MEANINGFUL USE EHR REV | 900099 | 2334135 | 2334135 | |
| OUTREACH LAB SERVICES | 541380 | 367689 | 367689 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 214142831 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1105318 | TotalRevenueColumn |
| Exclusion | $1,105,318 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1183464 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1183464 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1183464 | TotalRevenueColumn |
| Exclusion | $1,183,464 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| SCHOOL OF NURSING | 900099 | 5187658 | 5187658 | |
| MISCELLANEOUS | 900099 | 1958660 | 235047 | $1,723,613 |
| VANTAGE JOINT VENTURE | 900099 | 1122312 | 1122312 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 8268630 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 224753563 | TotalRevenueColumn |
| Related Or Exempt Function Income | 220320159 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 367689 | UnrelatedBusinessRevenue |
| Exclusion | $4,012,395 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1495762 | Total |
| Program Services | 1346186 | ProgramServices |
| Management And General | 149576 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92479700 | Total |
| Program Services | 82802409 | ProgramServices |
| Management And General | 9677291 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6587593 | Total |
| Program Services | 4413687 | ProgramServices |
| Management And General | 2173906 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9910431 | Total |
| Program Services | 7998536 | ProgramServices |
| Management And General | 1911895 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6695361 | Total |
| Program Services | 4485892 | ProgramServices |
| Management And General | 2209469 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4399372 | Total |
| Program Services | 4399372 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1275234 | Total |
| Program Services | 854407 | ProgramServices |
| Management And General | 420827 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228000 | Total |
| Program Services | 152760 | ProgramServices |
| Management And General | 75240 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165534 | Total |
| Program Services | 149699 | ProgramServices |
| Management And General | 15835 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 813789 | Total |
| Program Services | 549716 | ProgramServices |
| Management And General | 264073 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3494998 | Total |
| Program Services | 2854320 | ProgramServices |
| Management And General | 640678 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1607352 | Total |
| Program Services | 1076926 | ProgramServices |
| Management And General | 530426 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2685940 | Total |
| Program Services | 1799623 | ProgramServices |
| Management And General | 886317 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106331 | Total |
| Program Services | 80347 | ProgramServices |
| Management And General | 25984 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1507343 | Total |
| Program Services | 1009920 | ProgramServices |
| Management And General | 497423 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5001672 | Total |
| Program Services | 3351120 | ProgramServices |
| Management And General | 1650552 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1935707 | Total |
| Program Services | 1307905 | ProgramServices |
| Management And General | 627802 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| OTHER PROFESSIONAL SERV | 17159884 | 15961392 | 1198492 |
| OTHER EXPENSES | 12477342 | 10083576 | 2393766 |
| MEDICAL & SURGICAL SUPP | 10330414 | 10227110 | 103304 |
| PURCHASED SERVICES | 8862525 | 7251761 | 1610764 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16388868 | Total |
| Program Services | 16273152 | ProgramServices |
| Management And General | 115716 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205609152 | Total |
| Program Services | 178429816 | ProgramServices |
| Management And General | 27179336 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5639672 | BOY |
| EOY | 5645427 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23209504 | BOY |
| EOY | 23655712 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25373910 | BOY |
| EOY | 42015519 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1388976 | BOY |
| EOY | 1570524 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5462561 | BOY |
| EOY | 5371818 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 162347623 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 128789624 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33875171 | BOY |
| EOY | 33557999 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3494570 | BOY |
| EOY | 3018896 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54059613 | BOY |
| EOY | 60694776 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152503977 | BOY |
| EOY | 175530671 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31309581 | BOY |
| EOY | 33205876 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1480235 | BOY |
| EOY | 1453418 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35619790 | BOY |
| EOY | 34324287 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5960784 | BOY |
| EOY | 5843137 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52028286 | BOY |
| EOY | 32011782 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126398676 | BOY |
| EOY | 106838500 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21503571 | BOY |
| EOY | 63496118 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1388667 | BOY |
| EOY | 1947289 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3213063 | BOY |
| EOY | 3248764 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26105301 | BOY |
| EOY | 68692171 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152503977 | BOY |
| EOY | 175530671 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 19144411 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 3464755 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 19977704 | 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 | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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 | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $165,534 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 165534 | 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 | PART II-B, LINE 1 (I) - THE HOSPITAL PAID THE FOLLOWING COMPANIES FOR LOBBYING ON BEHALF OF THE HOSPITAL REGARDING VARIOUS STATE AND FEDERAL LEGISLATION IMPACTING BOTH THE HOSPITAL AND THE HEALTHCARE INDUSTRY AS A WHOLE. THESE ACTIVITIES REPRESENT AN INSUBSTANTIAL PART OF THE HOSPITAL'S ACTIVITIES. $130,138 WENT TO ELLEN MURPHY & ASSOCIATES. THE ALLOCATED PORTION OF DUES TO THE FOLLOWING ORGANIZATIONS:$26,326 MASSACHUSETTS HOSPITAL ASSOCIATION; $9,070 AMERICAN HOSPITAL ASSOCIATION. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3507330 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 235373 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3742703 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3166498 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 340832 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3507330 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3335390 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -168892 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3166498 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3187674 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 147716 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3335390 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3404596 | BeginningOfYearBalance |
| Contributions | 250 | Contributions |
| Investment Earnings Or Losses | -217172 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3187674 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.87000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.13000 | 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 | 30564 | OtherCostOrOtherBasis |
| Book Value | 30564 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 59232472 | OtherCostOrOtherBasis |
| Depreciation | 38552918 | Depreciation |
| Book Value | 20679554 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 102412637 | OtherCostOrOtherBasis |
| Depreciation | 90236706 | Depreciation |
| Book Value | 12175931 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 671950 | OtherCostOrOtherBasis |
| Book Value | 671950 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 33557999 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS WHOSE USE IS LIMITED | 52431737 |
| UNAMORTIZED BOND ISSUANCE COSTS | 116731 |
| INVESTMENT IN JOINT VENTURE | 974063 |
| LOAN RECEIVABLE - SPLIT DOLLAR LIFE INSURANCE | 895000 |
| SECURITY DEPOSIT | 62245 |
| MALPRACTICE INSURANCE RESERVE | 6215000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 60694776 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| AMOUNTS DUE TO 3RD PARTY PAYORS | $5,930,889 |
| PENSION LIABILITY | $26,080,893 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 32011782 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 225214809 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 461246 | OtherRevenues |
| Revenue Not Rptd F990 | 461246 | RevenueNotRptdF990 |
| Revenue Subtotal | 224753563 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 224753563 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 205609152 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 205609152 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 205609152 | 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 HOSPITAL'S ENDOWMENT CONSISTS OF INDIVIDUAL DONOR RESTRICTED ENDOWMENT FUNDS FOR A VARIETY OF PURPOSES AS WELL AS SPLIT INTEREST AGREEMENTS, WHICH HAVE BEEN DESIGNATED FOR ENDOWMENT. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 461,246. NONOPERATING INCOME |
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 |
| Pcent200 D | X | Pcent200D |
| 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 | 7581526 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4710238 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2871288 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01400 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43891953 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42339439 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1552514 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00760 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8208207 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5649507 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2558700 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01240 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 59681686 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52699184 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6982502 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03400 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 132023 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 132023 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7479545 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5929464 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1550081 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19716140 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13969431 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5746709 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02790 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41490 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 41490 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27369198 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19898895 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7470303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03620 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 87050884 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 72598079 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14452805 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07020 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 22340 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 22340 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 22340 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 22340 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,849,433 | BadDebtExpenseAmount |
| Amount Attributable To | 1789239 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 54414842 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 51053860 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 3360982 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| 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 | BROCKTON HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1 |
| City | BROCKTON | City |
| State | MA | State |
| ZIP Code | 02302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | TCU/PSYCH | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROCKTON HOSPITAL | 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 |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Develop Community Plan | X | DevelopCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART III, LINE 4: THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS EQUAL TO ESTIMATED BAD DEBT LOSSES. THE ESTIMATED LOSSES ARE BASED ON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF EXISTING RECEIVABLES.THE HOSPITAL USED A RATIO OF ITS TOTAL COSTS TO CHARGES TO CALCULATE THE AMOUNT OF BAD DEBT EXPENSE AT COST. | ||
| PART III, LINE 8: THE HOSPITAL USED A RATIO OF ITS TOTAL COSTS TO CHARGES TO CALCULATE THE ALLOWABLE COSTS RELATED TO MEDICARE REVENUE RECEIVED. | ||
| PART V, SECTION B, LINE 3: SIGNATURE HEALTHCARE WORKS COLLABORATIVELY WITH THE BROCKTON DEPARTMENT OF PUBLIC HEALTH, THE BROCKTON AREA NEIGHBORHOOD HEALTH CENTER AND NUMEROUS COMMUNITY SOCIAL SERVICE AGENCIES TO COORDINATE PUBLIC HEALTH INITIATIVES AND ADDRESS THE NEEDS OF THE AT-RISK POPULATION. FROM FEBRUARY TO DECEMBER 2013, THE STOUGHTON YOUTH COMMISSION CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE GREATER BROCKTON COMMUNITY HEALTH NETWORK AREA (CHNA 22) WITH THE GOAL OF IDENTIFYING UNMET COMMUNITY HEALTH NEEDS, VULNERABLE POPULATIONS AND GAPS IN EXISTING COMMUNITY HEALTH SERVICES. IN THIS VERSION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE GREATER BROCKTON CHNA 22 FOCUSED ON THE FOLLOWING FOUR PRIORITY AREAS:- ASTHMA- NUTRITION AND FITNESS- ORAL HEALTH, AND- SUBSTANCE ABUSETHIS UPDATE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZED A FOUR PRONGED APPROACH TO UNCOVER THE STATE OF THE HEALTH OF THE CITY OF BROCKTON AND ITS SURROUNDING TOWNS: 1. CONDUCTING KEY INFORMANT INTERVIEW WITH PEOPLE WHO WORK WITHIN THE CHNA 22 CITIES AND TOWNS INCLUDING BROCKTON TO DETERMINE HOW THE NEEDS OF THE RESIDENTS ARE MET BOTH INSIDE AND OUTSIDE THE CITY;2. REVIEWING EXISTING PROGRAMS/STRATEGIES AND SERVICES IN THE AREA TO DISCOVER GAPS;3. ANALYZING EXISTING DATA TO DETERMINE HOW HEALTH OUTCOMES IN THE CITY OF BROCKTON AND SURROUNDING TOWNS DIFFER FROM EACH OTHER AND THE STATE OF MASSACHUSETTS OVERALL;4. CONDUCTING FOCUS GROUPS WITHIN AND OUTSIDE OF BROCKTON TO EXAMINE THEIR PERCEPTIONS REGARDING THE FOUR AFOREMENTIONED HEALTH TOPICS AND THEIR IMPACT IN THE SERVICE AREA.AT LEAST ONE KEY INFORMANT WAS INTERVIEWED IN EVERY CHNA 22 TOWN AND A TOTAL OF 23 KEY INFORMANT INTERVIEWS WERE CONDUCTED. ORGANIZATIONS INCLUDED LOCAL SUBSTANCE ABUSE AND VIOLENCE COALITIONS, VNAS, SCHOOL PERSONNEL, BOARD OF HEALTH, YMCA, COA'S AND MORE. THERE WERE A TOTAL OF FOUR (4) FOCUS GROUPS, ONE ON EACH OF THE CHNA 22 FOCUS AREAS. THESE FOCUS GROUPS TOOK PLACE AT THE MENS SOBER HOUSE IN BROCKTON, THE EAST BRIDGEWATER YMCA, SELF HELP, INC. AND TRINITY BAPTIST CHURCH. MOREOVER, SIGNATURE HEALTHCARE BROCKTON HOSPITAL IS A DISPROPORTIONATE SHARE HOSPITAL AND IS OFTEN THE PROVIDER OF LAST RESORT. SIGNATURE HEALTHCARE BROCKTON HOSPITAL OFFERS SPECIALTY CARE CLINICS IN TB, ENDOCRINOLOGY, AND GYNECOLOGY TO WHICH THE BROCKTON AREA NEIGHBORHOOD HEALTH CENTER (FEDERAL 330 CENTER) REFERS PATIENTS. SIGNATURE HEALTHCARE DEVELOPED HEALTHY BEGINNINGS, A COMMUNITY OUTREACH PROGRAM FOR PREGNANT WOMEN WHO REQUIRE MEDICAL CARE, SOCIAL SUPPORT, FINANCIAL COUNSELING AND TRANSLATOR SERVICES. GIVEN THE DIVERSE NATURE OF THE PATIENT POPULATION, SIGNATURE HEALTHCARE SUPPLIES 24/7 TRANSLATOR SERVICES WITH 15 EMPLOYED TRANSLATORS SPEAKING 36 LANGUAGES.THE PAYER MIX OF SIGNATURE HEALTHCARE'S PATIENT PANEL IS AS EXPECTED GIVEN THE DEMOGRAPHICS OF THE COMMUNITY WITH A 3.4% RESIDUALLY UNINSURED, 22% MEDICAID AND MEDICAID MANAGED CARE, AND 66% PUBLIC PAY IN TOTAL. ADDITIONALLY, THE COMMERCIAL PAYER RATES VARY CONSIDERABLY IN MASSACHUSETTS PER THE ATTORNEY GENERAL'S 2008 REPORT WHICH REVEALED A GREATER THAN 300 PERCENT VARIATION IN RATES PAID TO THE HOSPITALS BY A COMMERCIAL PAYER. SIGNATURE HEALTHCARE BROCKTON HOSPITAL FELL IN THE LOWEST QUARTILE AND HAD THE 14TH LOWEST RATES OF ALL 68 HOSPITALS.SIGNATURE HEALTHCARE HAS BEEN RECOGNIZED AS A LOW COST, HIGH QUALITY PROVIDER OF CARE. IN 2013 SIGNATURE HEALTHCARE EARNED "TOP PERFORMER" ON KEY QUALITY MEASURES FROM THE JOINT COMMISSION, ONE OF ONLY 17 HOSPITALS IN MASSACHUSETTS TO RECEIVE THIS DISTINCTION AND ONE OF 8 ACHIEVING EXCELLENCE IN FOUR MEASURE SETS: HEART ATTACK, HEART FAILURE, SURGERY AND PNEUMONIA.IN 2008, SIGNATURE HEALTHCARE ACQUIRED A GEOGRAPHICALLY DISPERSED MULTI-SPECIALTY GROUP OF EMPLOYED PHYSICIANS COMPRISED OF 17 DIFFERENT SPECIALTIES, NOW CALLED SIGNATURE MEDICAL GROUP. SIGNATURE MEDICAL GROUP HAS LONG EMBRACED PROVIDING CARE FOR THE MEDICALLY COMPLEX, UNDERINSURED PATIENTS WHO ARE UNDERSERVED BY BOTH PRIMARY CARE AND SPECIALISTS IN THE AREA. MANY PHYSICIAN PRACTICES OUTSIDE OF SIGNATURE HEALTHCARE AND THE BROCKTON NEIGHBORHOOD HEALTH CENTER LIMIT THEIR PRACTICES AND ACCEPTANCE OF MEDICAID AND HEALTH SAFETY NET PATIENTS. SIGNATURE MEDICAL GROUP WHICH SERVES A TOTAL OF 60,000 PATIENTS IS COMMITTED TO THE CARE OF THE NEEDY POPULATION WHICH HAS RESULTED IN SIGNIFICANT FINANCIAL LOSSES. | BROCKTON HOSPITAL | |
| PART V, SECTION B, LINE 4: STEWARD GOOD SAMARITAN HOSPITAL | BROCKTON HOSPITAL | |
| PART V, SECTION B, LINE 5C: CHNA 22 ORGANIZATION WEBSITE: WWW.CHNA22.ORG. | BROCKTON HOSPITAL | |
| PART V, SECTION B, LINE 7: SIGNATURE HEALTHCARE, IN COLLABORATION WITH THE CHNA22, DEVELOPED A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT FOR THE GREATER BROCKTON AREA IN DECEMBER, 2010. THE ASSESSMENT REVEALED FOUR KEY AREAS OF NEED: ASTHMA, NUTRITION AND FITNESS, ORAL HEALTH, AND SUBSTANCE ABUSE. IN DECEMBER, 2013 THE CHNA 22 AGAIN CONDUCTED A NEEDS ASSESSMENT WHICH FOCUSED SOLELY IN THESE FOUR AREAS OF NEED. IN 2013 SIGNATURE HEALTHCARE ADDRESSED ALL BUT THE ORAL HEALTH NEEDS AND PRIORITIZED THEIR EFFORTS TO ADDRESS THE NUTRITION AND DIABETES NEEDS. SIGNATURE HEALTHCARE ADDRESSED THE OTHER COMMUNITY NEEDS AS FOLLOWS: 1. SUBSTANCE ABUSE- PARTICIPATED IN BROCKTON MAYOR'S OPIOID OVERDOSE PREVENTION COALITION - PARTICIPATED IN AVON COALITION FOR EVERY STUDENT (K2 SPICE EDUCATION)- PROVIDED EDUCATION TO TEN AREA SCHOOLS AND PARENT TEACHER'S ASSOCIATIONS ON THE USE OF PERFORMANCE ENHANCING SUPPLEMENTS IN ATHLETES AND FINALLY, FISCAL SUPPORT OF THE BAMSI, BROCKTON AREA MULTI SERVICES AREA, INC. HELPLINE. 2. ASTHMA - SIGNATURE HEALTHCARE IS A MEMBER OF THE GREATER BROCKTON ASTHMA COALITION AND AS PART OF OUR MEMBERSHIP, OUR PHYSICIANS CONTRIBUTED ASTHMA EDUCATION TO BROCKTON AREA RESIDENTS.3. ORAL HEALTH - SIGNATURE HEALTHCARE DOES NOT EMPLOY OR PROVIDE GENERAL DENTISTRY CARE. WE WORK COLLABORATIVELY WITH THE BROCKTON NEIGHBORHOOD HEALTH CENTER TO ATTEND TO THE ORAL HEALTH NEEDS OF OUR COMMUNITY.THE SUMMARY OF FINDINGS FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENT CONTINUED TO SHOW CONCERN FOR DIABETES AND NUTRITION THUS THAT IS WHERE SIGNATURE HEALTHCARE PRIMARILY FOCUSED ITS RESOURCES. ACCORDING TO THE DATA COLLECTED AS WELL AS INFORMATION OBTAINED FROM KEY INFORMANTS AND COMMUNITY MEMBERS, CONTINUED EDUCATION AND SUPPORT RELATED TO THESE AREAS WAS NECESSARY. THROUGHOUT THE YEAR OUR NUTRITION AND ENDOCRINOLOGY STAFF AS WELL AS OUR DIABETES EDUCATIONS WORK AT CREATING AND PROVIDING EDUCATIONAL TOOLS AND SEMINARS. DUE TO MANY OF THE FINDINGS IN THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, SIGNATURE HEALTHCARE IMPLEMENTED THE "WELLNESS WEDNESDAY" PROGRAM. THERE ARE MANY ELEMENTS TO THIS PROGRAM WHICH INCLUDE FREE EXERCISE CLASSES, FREE HEALTH SCREENINGS, HEALTHY COOKING DEMONSTRATIONS AND FREE HEALTHY RECIPES. SINCE COST AND SAFETY WERE IDENTIFIED AS BARRIERS KEEPING THE COMMUNITY FROM STAYING ACTIVE, SIGNATURE HEALTHCARE OFFERS FREE ZUMBA CLASSES TO THE COMMUNITY AND EMPLOYEES EVERY WEDNESDAY EVENING FROM 5:00PM TO 6:00PM. THESE CLASSES, ATTENDED BY 20 TO 30 PEOPLE WEEKLY, HAVE BEEN EXTREMELY WELL RECEIVED. THE PROGRAM HAS BEEN RUNNING FOR TWO AND ONE-HALF YEARS AND CONTINUES TO THRIVE. SIGNATURE HEALTHCARE STARTED FY 14 BY MOVING THE CLASSES TO MASSASOIT COMMUNITY COLLEGE, A WONDERFUL COMMUNITY PARTNER, TO PROVIDE ADDITIONAL SPACE AS WELL AS THE POTENTIAL FOR NEW PARTICIPANTS FROM THE FACULTY AND STUDENTS OF THE COLLEGE. ON MANY OCCASIONS THROUGHOUT FY 2013 OUR SIGNATURE HEALTHCARE STAFF OFFERED INFORMATION AND HANDS-ON ACTIVITIES TO THE COMMUNITY. ONE MAJOR EVENT IN WHICH SIGNATURE HEALTHCARE EMPLOYEES TOOK PART, ALONG WITH COMMUNITY PARTNERS, WAS OUR SECOND ANNUAL "DIABETES DAY". THIS EVENT INCLUDED MANY COMPONENTS: FREE SCREENINGS INCLUDING VASCULAR, A1C, GLUCOSE AND CHOLESTEROL; A HEALTHY COOKING DEMONSTRATION INCLUDING THE DISTRIBUTION OF RECIPE CARDS FOR THE DISHES PREPARED DURING THE EVENT; AND THERE WAS A VENDOR AREA WHERE COMMUNITY PARTNERS AND SIGNATURE HEALTHCARE DEPARTMENTS HIGHLIGHTED THEIR NUTRITIONAL AND DIABETES RELATED SERVICES. THERE WAS AN EXERCISE AREA WITH ZUMBA FOR ADULTS AND AN OBSTACLE COURSE FOR CHILDREN. LASTLY THERE WAS AN "ASK THE EXPERT" AREA WHERE SIGNATURE HEALTHCARE PROVIDERS WERE AVAILABLE FOR THE ATTENDEES TO ASK A VARIETY OF QUESTIONS ON A ONE-ON-ONE BASIS. THIS EVENT WAS A GREAT SUCCESS WITH OVER 400 PEOPLE IN ATTENDANCE AND 165 OF THOSE SCREENED. SIGNATURE HEALTHCARE BROCKTON HOSPITAL IS PART OF THE BROCKTON'S PROMISE HEALTH START TEAM. THE CITY OF BROCKTON RECEIVED THE MASS IN MOTION GRANT WHICH IS FOCUSED ON POLICY AND ENVIRONMENTAL CHANGES PERTAINING TO EXERCISE AND HEALTHY EATING. THIS GRANT FUNDING IS PROVIDED IN TWO PHASES WITH THE FIRST PHASE FOCUSING ON DATA COLLECTION TO IDENTIFY THE ISSUES PERTAINING TO EXERCISE AND HEALTHY EATING. MUCH OF THE DATA COLLECTED REVEALED SIMILAR FINDINGS TO THE COMMUNITY NEEDS ASSESSMENT FROM 2010. MANY INDIVIDUALS BELIEVE ACCESS AND AFFORDABILITY WERE ISSUES IN PURCHASING HEALTHY FOODS. A SECOND MAJOR COMMENT WAS THAT MEMBERSHIP TO FITNESS FACILITIES IS TOO EXPENSIVE AND RESPONDENTS BELIEVE IT IS UNSAFE TO EXERCISE OUT OF DOORS. ANOTHER PROJECT OF THE HEALTHY START TEAM WAS A CLEANUP OF HILSTROM PARK TO PROVIDE A SAFE AND CLEAN AREA TO WALK OUTDOORS. MANY VOLUNTEERS ASSISTED IN PREPARING THIS BEAUTIFUL WOODED AREA BY CLEANING OUT GARBAGE, REMOVING BRANCHES AND OVERGROWN VEGETATION AND BUILDING WALKWAYS TO CREATE A SAFE AND ENJOYABLE AREA. THE HEALTHY START TEAM WORKS TO PROVIDE LOCATIONS FOR MANY COMMUNITY RAISED BED GARDENS, MANY OF WHICH ARE LOCATED PROXIMATE TO THE TARGETED POPULATIONS; I.E., THE SENIOR CENTER, BROCKTON PUBLIC SCHOOLS, HOUSING AUTHORITY LOCATIONS, BOYS & GIRLS CLUB, ETC. THE GOAL IS TO HAVE INDIVIDUALS LIVING OR VISITING THESE SITES TO TAKE AN ACTIVE ROLE IN GROWING THEIR OWN FRESH FOOD. A COROLLARY INITIATIVE UNDERWAY IS THE ADDITION OF ELECTRONIC BENEFIT TRANSFER (EBT) MACHINES AT THE FARMER'S MARKET WHICH TAKES PLACE AT BROCKTON CITY HALL DURING THE GROWING SEASON. THIS COMMITTEE IS COMPRISED OF MEMBERS FROM THE OLD COLONY PLANNING COUNCIL WHO ARE WORKING WITH THE GROUP TO OFFER SAFER AREAS TO WALK, RUN AND BIKE TO AND FROM SCHOOLS, ETC. THROUGH COMMUNITY OUTREACH WITH LOCAL BUSINESS, COMMUNITY GROUP AND EVENTS, HOSPITAL STAFF MEMBERS WERE ABLE TO EDUCATE THE COMMUNITY ON OBESITY AND DIABETES IN A VARIETY OF WAYS. SIGNATURE HEALTHCARE PROVIDED EDUCATIONAL TOOLS ON DIABETES, HEALTHY RECIPES, FREE EXERCISE CLASESS AND OPPORTUNITIES FOR QUESTIONS AND ANSWERS WITH OUR PROFESSIONAL STAFF. DURING FY 13, HOSPITAL STAFF ALSO PARTICIPATED IN MORE THAN TWENTY FIVE (25) COMMUNITY EVENTS TO PROMOTE EDUCATION ON OF DIABETES, NUTRITION AND OBESITY. - LINCOLN TECHNICAL INSTITUTE, COMMUNITY RESOURCE FAIR- COMMUNITY CARE SERVICES, HEALTH & SAFETY FAIR- MASSASOIT COMMUNITY COLLEGE - CANTON CAMPUS- MASSASOIT COMMUNITY COLLEGE - BROCKTON CAMPUS- STOUGHTON PARENT ENGAGEMENT CENTER- STONEHILL COLLEGE- FULL GOSPEL CHURCH - WOMEN'S MINISTRY- METRO SOUTH CHAMBER OF COMMERCE, TASTE OF METRO SOUTH EVENT- BROCKTON PUBLIC SCHOOLS, PARENT'S ACADEMY RESOURCE FAIR- BROCKTON HIGH SCHOOL ANNUAL WELLNESS FAIR- GREATER BROCKTON HEALTH FAIR SPONSORED BY CHNA 22 AND WALGREENS- NEW LIFE COUNSELING & WELLNESS CENTER INC.- KEYS OF THE KINGDOM TABERNACLE OF PRAYER FOR ALL PEOPLE, INC.- NEIGHBORHOOD HEALTH CENTER "NATIONAL HEALTH CENTER WEEK" HEALTH FAIR NEW LIFE COMMUNITY EMPOWERMENT CENTER- OLD COLONY YMCA YOUTH DIVISION BROCKTON BRANCH, "HEALTHY KIDS DAY"- OLD COLONY YMCA (NUMEROUS KICKOFF AND MIDPOINT EVENTS AS PART OF THE "SMALLEST WINNER" PROGRAM.- BROCKTON PUBLIC SCHOOLS, SUMMER FUN IN THE CITY RESOURCE FAIR- OLD COLONY YMCA EAST BRIDGEWATER BRANCH, SENIOR HEALTH FAIR- CITY OF BROCKTON "NIGHT OUT AGAINST CRIME"- SUMMERFEST- TAUNTON WIC "CELEBRATION OF THE YOUNG PARENT"- ANNUAL RAYNHAM COMMUNITY PRIDE DAYSIGNATURE HEALTHCARE IS A DISPROPORTIONATE SHARE HOSPITAL AND IS OFTEN THE PROVIDER OFLAST RESORT. SIGNATURE HEALTHCARE BROCKTON HOSPITAL OFFERS SPECIALTY CARE CLINICS IN TB, ENDOCRINOLOGY AND GYNECOLOGY TO WHICH THE BROCKTON AREA NEIGHBORHOOD HEALTH CENTER (FEDERAL 330 CENTER) REFERS PATIENTS. SIGNATURE HEALTHCARE DEVELOPED HEALTHY BEGINNINGS: A COMMUNITY OUTREACH PROGRAM FOR PREGNANT WOMEN WHO REQUIRE MEDICAL CARE, SOCIAL SUPPORT, FINANCIAL COUNSELING AND TRANSLATOR SERVICES. GIVEN THE DIVERSE NATURE OF THE PATIENT POPULATION, SIGNATURE HEATLHCARE SUPPLIES 24/7 TRANSLATOR SERVICES WITH FIFTEEN (15) EMPLOYED TRANSLATORS SPEAKING THIRTY-SIX (36) LANGUAGES. | BROCKTON HOSPITAL | |
| PART V, SECTION B, LINE 7: THE PAYER MIX OF SIGNATURE HEALTHCARE'S PATIENT PANEL IS AS EXPECTED GIVEN THE DEMOGRAPHICS OF THE COMMUNITY WITH 3.4% RESIDUALLY UNINSURED, 22% MEDICAID AND MEDICAID MANAGED CARE, AND 66% OF THE TOTAL ON PUBLIC PAY. ADDITIONALLY THE COMMERCIAL PAYER RATES VARY CONSIDERABLY IN MASSACHUSETTS PER THE ATTORNEY GENERAL'S 2008 REPORT WHICH REVEALED A GREATER THAN 300% VARIATION IN RATES PAID TO THE HOSPITALS BY A COMMERCIAL PAYER. SIGNATURE HEALTHCARE BROCKTON HOSPITAL FELL IN THE LOWEST QUARTILE AND HAD THE 14TH LOWEST RATES OF ALL SIXTY-EIGHT (68) HOSPITALS. SIGNATURE HEALTH HAS BEEN RECOGNIZED AS A LOW COST, HIGH QUALITY PROVIDER OF CARE. IN 2013 SIGNATURE HEALTHCARE EARNED "TOP PERFORMER ON KEY QUALITY MEASURES" FROM THE JOINT COMMISSION, ONE OF ONLY 17 HOSPITALS IN MASSACHUSETTS TO RECEIVE THIS DISTINCTION AND ONE OF EIGHT (8) ACHIEVING EXCELLENCE IN FOUR MEASURE SETS: HEART ATTACK, HEART FAILURE, SURGERY AND PNEUMONIA. IN 2008 SIGNATURE HEALTHCARE ACQUIRED A GEOGRAPHICALLY DISPERSED MULTI-SPECIALTY GROUP OF EMPLOYED PHYSICIANS COMPRISED OF SEVENTEEN (17) SPECIALTIES, NOW CALLED SIGNATURE MEDICAL GROUP. SIGNATURE MEDICAL GROUP HAS LONG EMBRACED PROVIDING CARE FOR THE MEDICALLY COMPLEX, UNDERINSURED PATIENTS WHO ARE UNDERSERVED BY BOTH PRIMARY CARE AND SPECIALISTS IN THE AREA: MANY PHYSICIAN PRACTICES, OUTSIDE OF SIGNATURE HEALTHCARE AND THE BROCKTON AREA NEIGHBORHOOD HEALTH CENTER, LIMIT THEIR PRACTICES' ACCEPTANCE OF MEDICAID AND HEALTH SAFETY NET PATIENTS. SIGNATURE MEDICAL GROUP, WHICH SERVES A TOTAL OF 60,000 PATIENTS, IS COMMITTED TO THE CARE OF THE NEED POPULATION WHICH HAS RESULTED IN SIGNIFICANT FINANCIAL LOSSES. | BROCKTON HOSPITAL | |
| SIGNAGE AND WRITTEN INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE IS AVAILABLE IN BROCKTON HOSPITAL EMERGENCY SERVICE AND PATIENT REGISTRATION AREAS. INFORMATION ABOUT APPLYING FOR FINANCIAL ASSISTANCE IS ALSO AVAILABLE ON LINE AT WWW.SIGNATURE-HEALTHCARE.ORG. | PART V, SECTION B, LINE 9 | |
| SIGNATURE HEALTHCARE AFFILIATED WITH BETH ISRAEL DEACONESS MEDICAL CENTER IN JUNE OF 2013 FOR THE PROVISION OF ADULT MEDICAL AND SURGICAL SERVICES. THIS AFFILIATION IS AIMED AT PROVIDING THE PATIENTS OF GREATER BROCKTON WITH ENHANCED ACCESS TO TERTIARY LEVEL SERVICES CLOSE TO HOME AND COORDINATED CARE MANAGEMENT FOR PATIENTS WHO MUST SEEK CARE AT THE TERTIARY LEVEL HOSPITAL IN BOSTON, MA.SIMILARLY, SIGNATURE HEALTHCARE EXPANDED UPON ITS AFFILIATION WITH TUFTS FLOATING HOSPITAL FOR CHILDREN IN JUNE OF 2013. WITH THIS EXPANDED AFFILIATION, SIGNATURE HEALTHCARE BUILDS ON THE HOSPITALS' EXISTING COLLABORATION TO CARE FOR NEWBORNS; FLOATING HOSPITAL NEONATOLOGISTS HAVE CARED FOR BABIES IN SIGNATURE HEALTHCARE BROCKTON HOSPITAL'S LEVEL II NURSERY SINCE 2005. WE HAVE ALREADY ENABLED THOUSANDS OF CHILDREN TO RECEIVE THEIR CARE CLOSER TO HOME. WHEN KIDS NEED TERTIARY CARE AT FLOATING HOSPITAL, OUR HOSPITALISTS HELP MAKE THAT TRANSITION SEAMLESS. SIGNATURE HEALTHCARE PEDIATRICIANS ARE ABLE TO COMMUNICATE DIRECTLY WITH THE HOSPITALISTS DURING AND FOLLOWING THEIR PATIENTS' HOSPITALIZATION TO ENABLE EASY TRANSITIONS OF CARE. | PART VI, LINE 6 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 (22 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIM HOLLON | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 567243 | 0 | 0 | 0 | 0 | 0 | 11250 | 0 | 22700 | 0 | 601193 | 0 | 0 | 0 |
| DAVID DRINKWATER MD | ||||||||||||||
| TRUSTEE | 0 | 533077 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22325 | 0 | 555402 | 0 | 0 |
| DALE J ELLENBERG MD | ||||||||||||||
| TRUSTEE | 0 | 235787 | 0 | 0 | 0 | 0 | 0 | 2500 | 0 | 22325 | 0 | 260612 | 0 | 0 |
| MICHAEL L DERN MD | ||||||||||||||
| TRUSTEE | 0 | 530116 | 0 | 0 | 0 | 0 | 0 | 5000 | 0 | 14491 | 0 | 549607 | 0 | 0 |
| ROBERT S GREENBERG MD | ||||||||||||||
| TRUSTEE | 0 | 276562 | 0 | 0 | 0 | 0 | 0 | 5000 | 0 | 16948 | 0 | 298510 | 0 | 0 |
| JAMES PAPADAKOS | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 178992 | 0 | 0 | 0 | 0 | 0 | 2365 | 0 | 12330 | 0 | 193687 | 0 | 0 | 0 |
| STEPHEN BORGES | ||||||||||||||
| VICE PRESIDENT | 185827 | 0 | 0 | 0 | 0 | 0 | 8100 | 0 | 20663 | 0 | 214590 | 0 | 0 | 0 |
| DAVID J FISHER | ||||||||||||||
| VICE PRESIDENT | 200400 | 0 | 0 | 0 | 0 | 0 | 11713 | 0 | 15408 | 0 | 227521 | 0 | 0 | 0 |
| KIMBERLY WALSH | ||||||||||||||
| VICE PRESIDENT | 239211 | 0 | 0 | 0 | 0 | 0 | 11250 | 0 | 8310 | 0 | 258771 | 0 | 0 | 0 |
| KAREN MURPHY | ||||||||||||||
| LAWYER | 283192 | 0 | 0 | 0 | 0 | 0 | 8681 | 0 | 2772 | 0 | 294645 | 0 | 0 | 0 |
| MARIE F GROSS | ||||||||||||||
| VICE PRESIDENT | 263646 | 0 | 0 | 0 | 0 | 0 | 6025 | 0 | 3055 | 0 | 272726 | 0 | 0 | 0 |
| JEFFREY MILLER | ||||||||||||||
| VICE PRESIDENT | 189187 | 0 | 0 | 0 | 0 | 0 | 6299 | 0 | 21206 | 0 | 216692 | 0 | 0 | 0 |
| DENNIS RENAUD | ||||||||||||||
| DIRECTOR | 176740 | 0 | 0 | 0 | 0 | 0 | 4543 | 0 | 41 | 0 | 181324 | 0 | 0 | 0 |
| KIM MCCARTHY-WALSH | ||||||||||||||
| CONTROLLER | 166227 | 0 | 0 | 0 | 0 | 0 | 6981 | 0 | 997 | 0 | 174205 | 0 | 0 | 0 |
| TIMOTHY R LYNCH MD | ||||||||||||||
| FORMER TRUSTEE | 0 | 282195 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22325 | 0 | 304520 | 0 | 0 |
| ROBERT COVETT MD | ||||||||||||||
| FORMER TRUSTEE | 0 | 372242 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9369 | 0 | 381611 | 0 | 0 |
| KEN LAWSON | ||||||||||||||
| FORMER TRUSTEE | 0 | 412260 | 0 | 0 | 0 | 0 | 0 | 9048 | 0 | 24483 | 0 | 445791 | 0 | 0 |
| GEORGE C BROWN | ||||||||||||||
| PHYSICIAN | 0 | 604623 | 0 | 0 | 0 | 0 | 0 | 1908 | 0 | 15457 | 0 | 621988 | 0 | 0 |
| JEAN-PIERRE GEAGEA | ||||||||||||||
| PHYSICIAN | 0 | 681497 | 0 | 0 | 0 | 0 | 0 | 3683 | 0 | 81 | 0 | 685261 | 0 | 0 |
| MARC GREENWALD | ||||||||||||||
| PHYSICIAN | 0 | 350965 | 0 | 0 | 0 | 0 | 0 | 5000 | 0 | 15457 | 0 | 371422 | 0 | 0 |
| DANIEL MUSE | ||||||||||||||
| PHYSICIAN | 0 | 446685 | 0 | 0 | 0 | 0 | 0 | 14964 | 0 | 1746 | 0 | 463395 | 0 | 0 |
| ABDEL-HAI HAMMO | ||||||||||||||
| PHYSICIAN | 0 | 528012 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22325 | 0 | 550337 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1B | THE COMPENSATION ELEMENTS INDICATED ON SCHEDULE J, PART I (TAX INDEMNIFICATION/GROSS-UP PAYMENTS) WERE PROVIDED PURSUANT TO THE EMPLOYMENT CONTRACT MAINTAINED BETWEEN THE HOSPITAL AND THE INDIVIDUAL. |
| PART I, LINE 4B | DURING THE YEAR ENDED 9/30/2013 THE HOSPITAL MADE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS FOR THREE EMPLOYEES. CONSISTENT WITH REPORTING REQUIREMENTS FOR IRS FORM 990, THE HOSPITAL REPORTS COMPENSATION AND OTHER PAYMENTS TO EMPLOYEES AND FORMER EMPLOYEES ON A CALENDAR YEAR (FORM W-2) BASIS. CONSEQUENTLY, THE FOLLOWING AMOUNTS ARE REPORTED FOR THE FISCAL YEAR ENDING 9/30/2013: JAMES PAPADAKOS - $2,365 KAREN MURPHY - $3,008 DAVID FISHER - $861 |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHAEL L CONNORS | NamePerson |
| Purpose Of Loan | LOAN RECEIVABLE - SPLIT DOLLAR LIFE INSURANCE POLICY | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $895,000 | OriginalPrincipalAmount |
| Balance Due | 895000 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 895000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION'S FORM 990 IS PREPARED BY AN OUTSIDE INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT IN CONJUCTION WITH INPUT PROVIDED BY ORGANIZATION MANAGEMENT. THE COMPLETED FORM 990 WAS PROVIDED TO EACH BOARD MEMBER ELECTRONICALLY. IN ADDITION, A BOARD MEETING WAS CONVENED TO REVIEW THE FORM 990 IN ADVANCE OF THE FILING DATE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR THE ORGANIZATION CIRCULATES A CONFLICT OF INTEREST QUESTIONNAIRE. RESPONSES TO THE STATEMENT ARE REVIEWED AND PRESENTED TO THE BOARD FOR REVIEW AND ACTION. | |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND ADJUSTMENTS TO COMPENSATION ARE BASED ON PERFORMANCE STANDARDS AND COMPARISON OF COMPENSATION LEVELS TO SIMILAR PROVIDER ORGANIZATIONS. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS 990 AND 990-T AVAILABLE UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE WEBSITE OF THE MASSACHUSETTS ATTORNEY GENERAL. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST, FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE WEBSITE OF THE MASSACHUSETTS ATTORNEY GENERAL AS WELL AS WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD. | |
| FORM 990, PART XI, LINE 9: | PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST 19,182,794. CHANGE IN INTEREST IN INVESTMENTS OF SIGNATURE HEALTHCARE, INC. -509,831. TRANSFERS (TO) FROM AFFILIATES 799,184. CHANGE IN FAIR VALUE OF SPLIT-INTEREST AGREEMENTS 44,311. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 461,246. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 110 LIBERTY STREET REALTY COMPANY LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1 |
| City | BROCKTON | City |
| State | MA | State |
| ZIP Code | 02302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320048951 | EIN |
| Primary Activities | REALTY COMPANY | PrimaryActivities |
| Legal Domicile State | MA | LegalDomicileState |
| Total Income | 1764000 | TotalIncome |
| EOY Assets | 31420007 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIGNATURE HEALTHCARE CORPORATION | BusinessNameLine1 |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SIGNATURE HEALTHCARE CORPORATION | |||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 042103554 | FUNDRAISING | MA | 501(C)(3) | PUBLIC CHARITY | N/A | 0 | |
| SIGNATURE HEALTHCARE MEDICAL GROUP | |||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 043306782 | MEDICAL CARE | MA | 501(C)(3) | PUBLIC CHARITY | 0 | SIGNATURE HEALTHCARE CORPORATION | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROCKTON RADIATION ONCOLOGY LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1 |
| City | BROCKTON | City |
| State | MA | State |
| ZIP Code | 02302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222472997 | EIN |
| Primary Activity | RADIATION ONCOLOGY SERVICES | PrimaryActivity |
| Legal Domicile State | MA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 1122312 | ShareOfTotalIncome |
| Share Of EOY Assets | 1036000 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.40000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES | ||||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 042530255 | PHYSICIAN GROUP | MA | N/A | C | 0 | |||
| BROCKTON PHYSICIAN HOSPITAL ORGANIZATION | ||||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 043189274 | MEDICAL MANAGEMENT | MA | N/A | C | 0 | 741 | 140376 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |