2013-08-13T10:04:42-07:00 2012-09-30 990 2011-10-01 043127730 WESTFIELD MEDICAL CORPORATION WEST 4135682811 115 W Silver Street Westfield MA 01085 Ronald Bryant 4135682811 2013-08-13 2011 2016-02-24 21:20:13Z Ronald Bryant 115 West Silver Street Westfield MA 01085 3263012 0 X www.noblehospital.org X 1991 MA To operate a non-profit group medical practice exclusively for the benefit of The Trustees of Noble Hospital, Inc. ("Hospital") in furtherance of the Hospital's mission. 20 18 36 19 0 0 0 0 3303170 2992392 0 0 313858 270620 3617028 3263012 0 0 0 0 3499116 4063267 0 0 0 1865486 1546650 5364602 5609917 -1747574 -2346905 535913 564994 174085 382506 361828 182488 To operate a non-profit group medical practice exclusively for the benefit of The Trustees of Noble Hospital, Inc. ("Hospital") in furtherance of the Hospital's mission. 0 0 5472215 0 2992392 Physician medical services provided at Noble Hospital and in the Hospital's service area. 0 0 0 5472215 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 36 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 18 1 0 0 0 1 0 0 1 1 0 0 1 1 0 1 1 1 0 0 0 MA X X Ronald Bryant 4135682811 115 W Silver Street Westfield MA 010851634 X Robert Bacon 0.25 X 0 0 0 Mark Morin 0.25 X 0 0 0 Robert LaPalme 0.25 X 0 0 0 Kevin Queenin 0.25 X 0 0 0 Donald Bieker 0.25 X 0 0 0 Barbara Braem-Jensen 0.25 X 0 0 0 Roger Butler Jr 0.25 X 0 0 0 Scott Cooper MD 0.25 X 0 0 0 Harriett Deverry 0.25 X 0 0 0 John Greaney 0.25 X 0 0 0 William Harmon 0.25 X 0 0 0 Carol Kaufman 0.25 X 0 0 0 Joseph Keenan MD 0.25 X 0 0 0 Michael McCabe 0.25 X 0 0 0 Mary O'Connell 0.25 X 0 0 0 David Peterson MD 0.25 X 0 0 0 Donald Pion 0.25 X 0 0 0 Denzil Reid MD 40 X 242952 10000 29893 Lance Reynolds MD 0.25 X 0 0 0 Deborah Strycharz 0.25 X 0 0 0 Ronald Bryant 0.25 X X 0 246642 19365 Stanley Strzempko MD 0.25 X X 0 315000 0 John Shaver 0.25 X 0 136496 3297 Gurpal Kingra MD 40 X 288392 0 6095 A Kacem Sekkal MD 40 X 276200 0 24433 Heidi Kolek MD 40 X 260583 0 20171 Nathan Emerson MD 40 X 255985 0 13109 Thomas Percy MD 40 X 212333 0 30294 Robert P Perry 0 X 0 108334 7000 1536445 816472 153657 12 1 1 1 Staff Care Inc 5001 Statesman Drive Irving TX 75063 Health Care Professionals 381329 Convergent Solutions Inc 9501 Post Office Park Wilbraham MA 01095 Physician Billing 237949 Barton & Associates Inc 10 Dearborn Road Peabody MA 01960 Health Care Professionals 235753 Locum Medical Group LLC 13792 Collections Center Drive Chicago IL 60693 Health Care Professionals 122192 Baystate Medical Education & Research Foundation Inc 759 Chestnut Street Springfield MA 01199 Health Care Professionals 112500 5 0 Patient medical care 621110 2952713 2952713 0 0 Rental income 531190 39679 39679 0 0 0 0 0 0 2992392 0 0 0 0 Third party settlements 621110 115710 115710 0 0 154910 154910 0 0 270620 3263012 3263012 0 0 0 0 0 0 0 0 0 0 283526 283526 0 0 0 0 0 0 3349342 3264593 84749 0 64247 62881 1366 0 180197 179383 814 0 185955 177488 8467 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 934314 925650 8664 0 0 0 0 0 66816 64511 2305 0 0 0 0 0 0 0 0 0 172127 172127 0 0 25557 24557 1000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19203 16938 2265 0 243279 216716 26563 0 Medical supplies 69830 69830 0 0 15524 14015 1509 0 5609917 5472215 137702 0 242045 44254 241638 275349 390 2928 17880 306619 229108 48912 77511 150000 535913 564994 174085 178438 0 0 0 0 0 0 0 204068 174085 382506 X 361828 182488 0 0 0 0 361828 182488 535913 564994 X -2346905 2167565 X 0 1 1 X 0 X X X 0 0 0 TRUSTEES OF NOBLE HOSPITAL INC 222537423 Hospital 1 1 1 0 1 0 0 0 0 0 0 0 0 0 27080 23502 3578 0 279539 205606 73933 0 0 0 0 77511 Malpractice insurance recovery receivables 150000 150000 0 Medical malpractice claims liability 204068 204068 3263012 5609917 -2346905 0 0 0 0 0 0 -2346905 3223333 0 0 0 0 0 3223333 0 39679 39679 3263012 5569722 0 0 0 0 0 5569722 0 40195 40195 5609917 SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Rental income from physicians not employed by the organization is reported as a reduction of rent expense in the audited financial statements. SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b Rental income from physicians not employed by the organization of $39,679 is reported as a reduction of rent expense in the audited financial statements and $516 is included in the audited financial statements in non-operating losses. 0 0 0 0 0 1 0 0 0 Robert P Perry 0 108334 0 0 0 0 0 0 0 0 0 108334 0 0 Ronald Bryant 0 246642 0 0 0 0 0 0 0 19847 0 266489 0 0 Stanley Strzempko MD 0 315000 0 0 0 0 0 0 0 0 0 315000 0 0 Denzil Reid MD 242952 10000 0 0 0 0 2860 0 28207 0 274019 10000 0 0 Gurpal Kingra MD 139533 0 148859 0 0 0 4900 0 1369 0 294661 0 0 0 A Kacem Sekkal MD 276200 0 0 0 0 0 0 0 25607 0 301807 0 0 0 Heidi Kolek MD 245552 0 15031 0 0 0 3728 0 17617 0 281928 0 0 0 Nathan Emerson MD 255985 0 0 0 0 0 4900 0 9383 0 270268 0 0 0 Thomas Percy MD 212333 0 0 0 0 0 2221 0 29099 0 243653 0 0 0 SchJ_P01_S00_L06 Schedule J, Part I, Line 6 The organization paid two physician employees additional compensation which was based on the excess of cash collections over expenses of their individual respective practices. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Certain Directors of the organization had various business relationships with certain other Directors in their respective business capacities within the greater Westfield community. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 The Member of the organization shall be a physician associated with the practice conducted by the organization. The Member is the Vice President of Medical Affairs of The Trustees of Noble Hospital, Inc., a related organization. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b A copy of this Form 990 was provided to the organization's Finance Committee for their review, discussion and comment prior to filing. It was also distributed to the full Board of Directors prior to filing. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c All directors, upon appointment to the Board and annually thereafter, are required to disclose any interests that could give rise to conflicts in a signed Trustee's Declaration. The Declaration forms are reviewed and signed by the Board's Chairman and Vice Chairman, then forwarded to the President & CEO of the organization for further review. As matters come before the Board and in the event of any conflict, the Chairman (or Vice Chairman) will require that the director(s) involved be removed from any further discussion and voting on the matter. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The organization makes its governing documents, conflict of interest policy and audited financial statements available to the public upon request. These documents can be reviewed by contacting the Administration offices at Noble Hospital during the regular business hours of 8:00 a.m. through 4:30 p.m. Monday through Friday, excluding recognized holidays. The Form 990 and audited financial statements are also available at various state agencies' offices and websites. F990_P07_S0A_L01a Form 990, Part VII, Section A, Line 1a Ronald Bryant worked an average of 40 hours per week as President & Chief Executive Officer of the Trustees of Noble Hospital Inc. ("Noble Hospital"), a related organization. Stanley Strzempko MD worked an average of 30 hours per week as VP Medical Affairs & Chief Medical Officer of Noble Hospital. John Shaver worked an average of 40 hours per week as Chief Financial Officer of Noble Hospital. Denzil Reid served on the Board of Trustees of Noble Hospital for a portion of the tax year; additionally he received compensation as the president of the medical staff of Noble Hospital. F990_P11_S00_L05 Form 990, Part XI, Line 5 The change in net assets includes forgiveness of $2,167,565 of payables due to a related organization. Trustees of Noble Hospital Inc 115 West Silver Street Westfield MA 010861634 222537423 Acute care hospital MA 501(c)(3) 3 N/A 0 Noble Visiting Nurse & Hospice Services Inc 77 Mill Street Westfield MA 01085 222757446 Home health care and hospice MA 501(c)(3) 9 N/A 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 Trustees of Noble Hospital Inc c 2167565 Trustees of Noble Hospital Inc j 106625 An application for an additional three-month extension was approved by the IRS on June 17, 2013. The filing due date is August 15, 2013.