FURP.ORG / PUBLIC DATA EXPLORER

BETH ISRAEL DEACONESS HOSPITAL- MILTON INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BETH ISRAEL DEACONESS HOSPITAL- MILTON INC (EIN 04-2103604)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201202269349301705
Schema version
2010v3.4
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)
Timestamp2012-08-13T13:03:16-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042103604EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MILTON HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMILTNameControl
Phone6176964600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1199 REEDSDALE ROADAddressLine1
CityMILTONCity
StateMAState
ZIP Code02186ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH V MORRISSEYName
TitlePRESIDENTTitle
Phone6176964600Phone
Date Signed2012-07-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN GAROFALOName
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOSEPH V MORRISSEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1199 REEDSDALE ROADAddressLine1
CityMILTONCity
StateMAState
ZIP Code02186ZIPCode
FieldValueIRS element (for citing)
Gross Receipts68664590GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MILTONHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1952YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionMILTON HOSPITAL, INC. AND AFFILIATES ARE COMMITED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY, PERSONALIZED HEALTH CARE WITH COMPASSION, DIGNITY AND RESPECT FOR PATIENT RIGHTS IN A COST EFFECTIVE AND SAFE ENVIRONMENT, THE HOSPITAL STRIVES TO CONTINUOUSLY PROVIDE PERSONALIZED HEALTH CARE WITH COMPASSION, DIGNITY AND RESPECT FOR PATIENT RIGHTS IN A COST EFFECTIVE AND SAFE ENVIRONMENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees727TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year328585ContributionsGrantsPriorYear
Contributions Grants Current Year227658ContributionsGrantsCurrentYear
Program Service Revenue Prior Year65661678ProgramServiceRevenuePriorYear
Program Service Revenue CY66451485ProgramServiceRevenueCY
Investment Income Prior Year193994InvestmentIncomePriorYear
Investment Income Current Year620900InvestmentIncomeCurrentYear
Other Revenue Prior Year1386865OtherRevenuePriorYear
Other Revenue Current Year1364547OtherRevenueCurrentYear
Total Revenue Prior Year67571122TotalRevenuePriorYear
Total Revenue Current Year68664590TotalRevenueCurrentYear
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 Year31095201SalariesEtcPriorYear
Salaries Etc Current Year32445984SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year35425685OtherExpensePriorYear
Other Expenses Current Year35757161OtherExpensesCurrentYear
Total Expenses Prior Year66520886TotalExpensesPriorYear
Total Expenses Current Year68203145TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1050236RevenuesLessExpensesPriorYear
Revenues Less Expenses CY461445RevenuesLessExpensesCY
Total Assets BOY101793873TotalAssetsBOY
Total Assets EOY97692407TotalAssetsEOY
Total Liabilities BOY68257778TotalLiabilitiesBOY
Total Liabilities EOY70481491TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33536095NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27210916NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMILTON HOSPITAL, INC. AND AFFILIATES ARE COMMITED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY, PERSONALIZED HEALTH CARE WITH COMPASSION, DIGNITY AND RESPECT FOR PATIENT RIGHTS IN A COST EFFECTIVE AND SAFE ENVIROMENT, THE HOSPITAL STRIVES TO CONTINUOUSLY PERSONALIZED HEALTH CARE WITH COMPASSION, DIGNITY AND RESPECT FOR PATIENT RIGHTS IN A COST EFFECTIVE AND SAFE ENVIROMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense32206283Expense
Revenue30080040Revenue
DescriptionINPATIENT HEALTHCARE SERVICES - PROVIDING GENERAL MEDICAL AND SURGICAL INPATIENT CARE FOR PEOPLE OF ALL AGES IN MILTON, QUINCY, BRAINTREE, RANDOLPH, CANTON, HYDE PARK, DORCHESTER AND OTHER LOCAL COMMUNITIES CONSISTENT WITH OUR CORE VALUES OF PATIENT CONVENIENCE, COMFORT AND CONFIDENTIALITY. DURING FY11, MILTON HOSPITAL, INC. PROVIDED 16,414 PATIENT DAYS OF INPATIENT SERVICES, WITH 4,522 DISCHARGES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17249637Expense
Revenue25255708Revenue
DescriptionOUTPATIENT HEALTHCARE SERVICES - PROVIDING A COMPLETE COMPLEMENT OF OUTPATIENT HEALTH SERVICES FOR PEOPLE OF ALL AGES IN MILTON, QUINCY, BRAINTREE, RANDOLPH, CANTON, HYDE PARK, DORCHESTER AND OTHER LOCAL COMMUNITIES CONSISTENT WITH OUR CORE VALUES OF PATIENT CONVENIENCE, COMFORT AND CONFIDENTIALITY. DURING FY11, MILTON HOSPITAL, INC. HAD 31,648 OUTPATIENT VISITS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7596374Expense
Revenue11120140Revenue
DescriptionEMERGENCY ROOM SERVICES - PROVIDING 24-HOUR EMERGENCY SERVICES IN OUR RENOVATED AND EXPANDED EMERGENCY DEPARTMENT FOR PEOPLE OF ALL AGES IN MILTON, QUINCY, BRAINTREE, RANDOLPH, CANTON, HYDE PARK, DORCHESTER AND OTHER LOCAL COMMUNITIES CONSISTENT WITH OUR CORE VALUES OF PATIENT CONVENIENCE, COMFORT AND CONFIDENTIALITY. THESE SERVICES ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THE CARE PROVIDED. DURING FY11, MILTON HOSPITAL, INC. HAD 23,956 EMERGENCY ROOM VISITS, REPRESENTING A 6% INCREASE IN EMERGENCY ROOM VISITS FROM PRIOR YEAR.Description
FieldValueIRS element (for citing)
Total Program Service Expense57052294TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096219NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees727NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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 Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JASON RADZEVICHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6176964600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1MILTON HOSPITAL 199 REEDSDALE RDAddressLine1
CityMILTONCity
StateMAState
ZIP Code02186ZIPCode

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
MICHAEL BRADY
CHAIRMAN1.00XX000
JANE K HODGMAN
VICE CHAIRMAN1.00XX000
ELLEN NEEDHAM
TREASURER1.00XX000
KATIE CONLON
CLERK1.00X000
JOSEPH V MORRISSEY
PRESIDENT40.00XX461949027731
GEORGE BARRETT MD
BOARD MEMBER1.00X000
CAROL FALLON
BOARD MEMBER1.00X000
FRANK L DAVIS III
BOARD MEMBER1.00X000
CHRISTOPHER HEAVY
BOARD MEMBER1.00X000
MARY JOYCE
BOARD MEMBER1.00X000
BROOK LONGMAID MD
BOARD MEMBER1.00X000
MARIO MARSANO
BOARD MEMBER1.00X000
MITCHELL RABKIN MD
BOARD MEMBER1.00X000
JOHN J LOONEY MD
BOARD MEMBER1.00X0300000
STUART ROSENBERG MD
BOARD MEMBER1.00X000
STANLEY LEWIS MD
BOARD MEMBER1.00X000
BRUCE ALEXANDER
BOARD MEMBER1.00X000
ANTHONY CICHELLOE
BOARD MEMBER1.00X000
PATRICK STAPLETON
BOARD MEMBER1.00X000
JAMES C HOLLERAN
V.P. FINANCE40.00X2629340276
JASON RADZEVICH
V.P. FINANCE40.00X1726840125
KATHLEEN M HARRINGTON
V.P. HUMAN RESOURCES40.0015129706960X
DORIS SINKEVICH
V.P. NURSING40.002351490258X
CYNTHIA M PAGE
V.P. CLINCAL SERVICES40.00135129017635X
RACHEL KLEIMAN-WEXLER
DIRECTOR OF PHARMACY40.001314010765X
JEAN M FERNANDEZ
CHIEF INFO OFFICER40.00133791018410X
ROSIE S YANSON
REGISTERED NURSE40.00128448099X
REGINA CARNATHAN
REGISTERED NURSE40.00132343017639X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1945125TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs30000TotalReportableCompFrmRltdOrgs
Total Other Compensation89898TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
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
THE CLAFLIN COMPANY
465 WARWICK INDUSTRIAL DRIVEWARWICKRI02886MEDICAL SERVICES1869560
FARNAM STREET FINANCIAL
5850 OPUS PKWY 240MINNETONKAMN55343LEASE OF MEDICAL EQUIPMENT971940
SOUTH SHORE ANESTHESIA ASSOCIATES
163 LIBBEY PARKWAY SUITE 301WEYMOUTHMA02189ANESTHESIA GROUP950000
MEDTRONIC USA
4642 COLLECTIONS CENTER DRIVECHICAGOIL60693MEDICAL/SURGICAL SUPPLIES650694
MEDICAL CARE OF BOSTON MGMT CORP
60 DEDHAM AVENEEDHAMMA02494PHYSICIAN SERVICES605000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants13121GovernmentGrants
All Other Contributions214537AllOtherContributions
Total Contributions227658TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT CARE REVEN6230006589474265894742
OTHER ANCILLARY SERVIC621110556743556743
FieldValueIRS element (for citing)
Total Program Service Revenue66451485TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column218276TotalRevenueColumn
Exclusion$218,276ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real607810Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real607810Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column607810TotalRevenueColumn
Exclusion$607,810ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities396424Securities
Other6200Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities396424Securities
Other6200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column402624TotalRevenueColumn
Exclusion$402,624ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA/ VENDING MAC722210282746$282,746
REBATES AND REFUNDS90009962922$62,922
EDUCATION INCOME61171044034403

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column406666TotalRevenueColumn
Exclusion$406,666ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue756737TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column68664590TotalRevenueColumn
Related Or Exempt Function Income66455888RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,981,044ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1270943Total
Management And General1270943ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total25887566Total
Program Services22256381ProgramServices
Management And General3631185ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total527639Total
Program Services453770ProgramServices
Management And General73869ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2790722Total
Program Services2400021ProgramServices
Management And General390701ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1969114Total
Program Services1693438ProgramServices
Management And General275676ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total411056Total
Management And General411056ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total463319Total
Management And General463319ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total268872Total
Management And General268872ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total46983Total
Program Services46983ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total108333Total
Management And General108333ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7187350Total
Program Services6181121ProgramServices
Management And General1006229ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total454460Total
Management And General454460ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12056226Total
Program Services10897148ProgramServices
Management And General1159078ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1147012Total
Program Services986430ProgramServices
Management And General160582ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1950199Total
Program Services1677171ProgramServices
Management And General273028ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total28290Total
Program Services20823ProgramServices
Management And General7467ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40955Total
Program Services9513ProgramServices
Management And General31442ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2443451Total
Program Services2101368ProgramServices
Management And General342083ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4787287Total
Program Services4117067ProgramServices
Management And General670220ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total720810Total
Program Services720810ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE19965601996560
OTHER EXPENSES1087915935607152308
UNCOMPENSATED CARE558083558083

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total68203145Total
Program Services57052294ProgramServices
Management And General11150851ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1401549BOY
EOY932636EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY396842BOY
EOY181892EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7045024BOY
EOY7707535EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY868045BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1669781BOY
EOY2772579EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1009218BOY
EOY1064611EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY973714BOY
EOY722826EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis113760946LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec57429802LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY59501589BOY
EOY56331144EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY23750782BOY
EOY22135187EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5177329BOY
EOY5843997EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY101793873BOY
EOY97692407EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7976315BOY
EOY10198484EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY41285060BOY
EOY40018941EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6678343BOY
EOY5974673EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12318060BOY
EOY14289393EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY68257778BOY
EOY70481491EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20968901BOY
EOY15207097EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9799860BOY
EOY9236485EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2767334BOY
EOY2767334EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33536095BOY
EOY27210916EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY101793873BOY
EOY97692407EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses461445ReconcilationRevenueExpenses
Reconcilation Other Changes-6786624ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$53,381OtherActivitiesAmount
Total Lobbying Expenditures IIB53381TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationMILTON HOSPITAL HAS CONTRACTED DURING THE YEAR A CONSULTANT TO DIRECTLY LOBBY FOR HEALTHCARE ISSUES. THE HOSPITAL ALSO INDIRECTLY CONTRIBUTES FOR LOBBYING THROUGH MEMBERSHIP DUES PAID TO VARIOUS HEALTHCARE ORGANIZATIONS.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance14870910BeginningOfYearBalance
Investment Earnings Or Losses-603914InvestmentEarningsOrLosses
Other Expenditures541318OtherExpenditures
End Of Year Balance13725678EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance13570314BeginningOfYearBalance
Investment Earnings Or Losses1300596InvestmentEarningsOrLosses
End Of Year Balance14870910EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance22702395BeginningOfYearBalance
Investment Earnings Or Losses-1050341InvestmentEarningsOrLosses
Other Expenditures8081740OtherExpenditures
End Of Year Balance13570314EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.12500BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.20200PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.67300TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1297475OtherCostOrOtherBasis
Book Value1297475BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65107079OtherCostOrOtherBasis
Depreciation20285489Depreciation
Book Value44821590BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2815OtherCostOrOtherBasis
Depreciation2815Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis37190821OtherCostOrOtherBasis
Depreciation31652346Depreciation
Book Value5538475BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10162756OtherCostOrOtherBasis
Depreciation5489152Depreciation
Book Value4673604BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings56331144TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
SHORT-TERM INVESTMENTS10158014F
BOARD DESIGNATED INVESTMENTS130938F
DONOR RESTRICTED INVESTMENTS11846235F
FieldValueIRS element (for citing)
Total Of Book Value Securities22135187TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEBT SERVICE RESERVE FUNDS4389724
DEFERRED FINANCING COSTS, NET417777
OTHER INTANGIBLE ASSETS49000
SECURITY DEPOSITS105863
OTHER ASSETS881633
FieldValueIRS element (for citing)
Total Book Value Other Assets5843997TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
OBLIGATION UNDER CAPITAL LEASE$115,273
PENSION LIABILITY$11,761,753
ASSET RETIREMENT OBLIGATION$126,817
DUE TO THIRD PARTY PAYORS$2,285,550
FieldValueIRS element (for citing)
Total Of Amounts14289393TotalOfAmounts
Total Revenue68664590TotalRevenue
Total Expenses68203145TotalExpenses
Excess Or Deficit For Year461445ExcessOrDeficitForYear
Other-$6,786,624OtherAmount
Total Adjustments-6786624TotalAdjustments
Excess Or Deficit Per FS-6325179ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt68545732TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-118858NetUnrealizedGainsInvestments
Revenue Not Rptd F990-118858RevenueNotRptdF990
Revenue Subtotal68664590RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99068664590TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt68203145TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal68203145ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99068203145TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE DIRECTED IN ACCORDANCE WITH THE DONOR'S INTENT INCLUDING THE PRESERVATION OF THE ORIGINAL GIFT AND VARIOUS PURPOSES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE HOSPITAL HAS BEEN DETERMINED TO BE A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE 'CODE') AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. TAX YEARS FROM 2006 THROUGH THE CURRENT YEAR REMAIN OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:ADJUSTMENT TO ADDITIONAL MINIMUN PENSION LIABILITY -3,077,345. UNREALIZED UNRESTRICTED APPRECIATION ON INVESTMENTS -233,625. UNREALIZED TEMP RESTRICTED APPRECIATION ON INVESTMENTS 114,768. NET TRANSFER TO AFFILIATES -3,126,698. NET UNREALIZED LOSS ON FUNDS HELD BY OTHERS -463,724.

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 Expense700888TotalCommunityBenefitExpense
Direct Offsetting Revenue146825DirectOffsettingRevenue
Net Community Benefit Expense554063NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4411840TotalCommunityBenefitExpense
Direct Offsetting Revenue3779385DirectOffsettingRevenue
Net Community Benefit Expense632455NetCommunityBenefitExpense
Percent Of Total Expense0.00930PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5112728TotalCommunityBenefitExpense
Direct Offsetting Revenue3926210DirectOffsettingRevenue
Net Community Benefit Expense1186518NetCommunityBenefitExpense
Percent Of Total Expense0.01740PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense84185TotalCommunityBenefitExpense
Net Community Benefit Expense84185NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense7791TotalCommunityBenefitExpense
Net Community Benefit Expense7791NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense91976TotalCommunityBenefitExpense
Net Community Benefit Expense91976NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5204704TotalCommunityBenefitExpense
Direct Offsetting Revenue3926210DirectOffsettingRevenue
Net Community Benefit Expense1278494NetCommunityBenefitExpense
Percent Of Total Expense0.01870PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$778,658BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare24959258AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare23424183CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1535075MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
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 Line1MILTON HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1199 REEDSDALE ROADAddressLine1
CityMILTONCity
StateMAState
ZIP Code02186ZIPCode
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 Line1MILTON HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Uninsured DiscountXUninsuredDiscount
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
Collection Activities1CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: THE HOSPITAL FOLLOWS THE COMMONWEALTH OF MA (DHCFP'S) REGULATIONS FOR ELIGIBILITY FREE & DISCOUNTED CARE. THE REGULATIONS DO CONSIDER FEDERAL POVERTY GUIDELINES IN DETERMINING ELIGIBILITY FOR SERVICES.
PART I, LINE 7: THE COST/CHARGE RATIO WAS DERIVED FROM THE FY 11 DHCFP 403 COST REPORT SCHEDULE II.
PART III, LINE 4: THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS EQUAL TO ESTIMATED BAD DEBT LOSSES. THE ESTIMATED LOSSES ARE BASED UPON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF THE EXISTING RECEIVABLES. THE BAD DEBT COST IS BASED ON THE COST/CHARGE RATIO WHICH WAS DERIVED FROM THE FY 11 DHCFP 403 COST REPORT SCHEDULE II.
PART III, LINE 8: THE ALLOCATION OF COSTS TO THE MEDICARE PROGRAM IS BASED ON MEDICARE CHARGES TO TOTAL CHARGES FROM THE FY 10 HCFA-2552. THERE IS NO MEDICARE SHORTFALL FOR THIS YEAR TO REPORT AS A COMMUNITY BENEFIT.
PART III, LINE 9B: THESE PATIENTS WOULD BE EXCLUDED FROM THE COLLECTION PROCESS BASED ON MUCH THEY WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 19D: THE HOSPITAL CHARGES ALL PATIENTS THE PUBLISHED RATES BASED ON THE HOSPITAL'S CHARGE MASTER. WHEN IT HAS BEEN DETERMINED THAT A PATIENT NEEDS A DISCOUNT, A DISCOUNTED RATE IS DETERMINED AND APPLIED TO THE TOTAL CHARGE TO REDUCE THE AMOUNT OWED BY THE PATIENT.MILTON HOSPITAL, INC.
PART V, SECTION B, LINE 20: THE HOSPITAL CHARGES ALL PATIENTS THE PUBLISHED RATES BASED ON THE HOSPITAL'S CHARGE MASTER. WHEN IT HAS BEEN DETERMINED THAT A PATIENT NEEDS A DISCOUNT, A DISCOUNTED RATE IS DETERMINED AND APPLIED TO THE TOTAL CHARGE TO REDUCE THE AMOUNT OWED BY THE PATIENT.MILTON HOSPITAL, INC.
PART V, SECTION B, LINE 21: THE HOSPITAL CHARGES ALL PATIENTS THE PUBLISHED RATES BASED ON THE HOSPITAL'S CHARGE MASTER. WHEN IT HAS BEEN DETERMINED THAT A PATIENT NEEDS A DISCOUNT, A DISCOUNTED RATE IS DETERMINED AND APPLIED TO THE TOTAL CHARGE TO REDUCE THE AMOUNT OWED BY THE PATIENT.MILTON HOSPITAL, INC.
PART VI, LINE 2: THE HOSPITAL'S LAST ASSESSMENT WAS COMPLETED IN 2008 USING DATA COLLECTED FROM THE HOSPITAL'S PRIMARY & SECONDARY SERVICE TOWNS IN COLLABORATION WITH A RESEARCH FIRM. CURRENTLY THE HOSPITAL IS WORKING WITH GRADUATE STUDENTS FROM BOSTON UNIVERSITY'S SCHOOL OF PUBLIC HEALTH TO DETERMINE ITS CURRENT NEEDS IN THE COMMUNITY.
PART VI, LINE 3: THE HOSPITAL POSTS INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THROUGHOUT THE HOSPITAL. DURING THE REGISTRATION PROCESS, THE PATIENT IS NOTIFIED THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IF THEY DO NOT HAVE INSURANCE. IN ADDITION, THE PATIENT IS NOTIFIED ON THEIR BILL TO CONTACT THE HOSPITAL'S CREDIT OFFICE TO PURSUE ASSISTANCE PROGRAMS THEY FEEL THEY MAY BE ELIGIBLE FOR.
PART VI, LINE 4: MILTON HOSPITAL SERVES BOTH AN URBAN & SUBURBAN COMMUNITY SOUTH OF BOSTON. LARGE PORTIONS OF THE HOSPITAL'S PATIENTS ARE MEDICARE, THE HOSPITAL ALSO SERVES PATIENTS WHOM ARE UNINSURED OR QUALIFY FOR MEDICAID.
PART VI, LINE 6: ALMOST ALL THE HOSPITAL'S GOVERNING BODY RESIDES IN THE PRIMARY & SECONDARY SERVICE AREA. MILTON HOSPITAL EXTENDS PRIVILEGES TO ALL HEALTH CARE PROVIDERS/PHYSICIANS WHOM QUALIFY BASED ON ITS MEDICAL CREDENTIALING POLICIES.
MAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base 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
JOSEPH V MORRISSEY
4619490000000277310489680000
JAMES C HOLLERAN
26293400000002760263210000
JASON RADZEVICH
17268400000001250172809000
KATHLEEN M HARRINGTON
151297000000069600158257000
DORIS SINKEVICH
23514900000002580235407000
CYNTHIA M PAGE
1351290000000176350152764000
JEAN M FERNANDEZ
1337910000000184100152201000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS HEALTH & EDUCATIONAL FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN042456011IssuerEIN
CUSIP Number57586CNM3CUSIPNumber
Date Issued2005-11-01DateIssued
Issue Price32620479IssuePrice
Description Of PurposeMHEFA SERIES D BONDS FOR CAPITAL EXPENDITURESDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds34392687TotalProceeds
Amount In Reserve Fund1773293AmountInReserveFund
Issuance Costs From Proceeds593056IssuanceCostsFromProceeds
Capital Expenditures28410735CapitalExpenditures
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BRUCE ALEXANDER
BOARD MEMBER49956PURCHASED INSURANCE FROM B.R. ALEXANDER & CO.0
MARK T HODGMAN
MARK IS THE HUSBAND OF A BOARD MEMBER, JANE HODGMAN30000MARK T. HODGMAN WAS PAID BY THE ORGANIZATION FOR HIS POSITION AS CHIEF OF MEDICINE0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6MILTON HOSPITAL FOUNDATION, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. MILTON HOSPITAL FOUNDATION, INC. HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7AMILTON HOSPITAL FOUNDATION, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. MILTON HOSPITAL FOUNDATION, INC. HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BMILTON HOSPITAL FOUNDATION, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. MILTON HOSPITAL FOUNDATION, INC. HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION PREPARES THE FORM 990 AND THE RELATED DISCLOSURES WITH ASSISTANCE AND GUIDANCE FROM THE HOSPITAL'S TAX ADVISORS (CPA FIRM). THE FORM 990 IS REVIEWED BY THE ENTITIES MANAGEMENT TEAM PRIOR TO SUBMISSION TO THE BOARD OF DIRECTORS AND THE IRS.
THE ORGANIZATION REQUIRES THAT EMPLOYEES, MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS AND ANY MEMBER OF ANY COMMITTEE DISCLOSE IN WRITING (AND UPDATE ANNUALLY) ALL BUSINESS AND OTHER RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST AS DEFINED BY THE POLICY. THE WRITTEN DISCLOSURE SHALL INCLUDE AN ITEMIZATION OF ANY SUBSTANTIVE CONFLICT OF INTEREST FOR SUCH INDIVIDUAL BY VIRTUE OF HIS OR HER ACTIVITIES. THE CONFLICT OF INTEREST POLICY IS REVIEWED AND COMMUNICATED TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION IN WHICH THEY ARE NOT INDEPENDENT. THERE HAVE BEEN NO COMPLIANCE ISSUES TO ADDRESS, HOWEVER IF ONE DID OCCUR MANAGEMENT WOULD INVESTIGATE THE SITUATION AND ADDRESS IT AS DEEMED NECESSARY.FORM 990, PART VI, SECTION B, LINE 12C
THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SELECTS AN EXECUTIVE COMPENSATION SURVEY VENDOR TO SUPPLY THE COMMITTEE WITH COMPARATIVE DETAIL ON THE COMPENSATION AND BENEFIT PLAN LEVELS OF THE CEO, CFO AND OTHER SENIOR LEVEL POSITIONS WITHIN THE ORGANIZATION. THE COMPARATIVE DATA FROM THIS SURVEY, WHICH INCLUDES ORGANIZATIONAL SIZE AND SCOPE OF RESPONSIBILITIES,IS ASSESSED AND THE EXECUTIVE COMMITTEE THEN DETERMINES THE SALARY LEVEL FOR THE CEO AND CFO.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:ADJUSTMENT TO ADDITIONAL MINIMUN PENSION LIABILITY -3,077,345. UNREALIZED UNRESTRICTED APPRECIATION ON INVESTMENTS -233,625. UNREALIZED TEMP RESTRICTED APPRECIATION ON INVESTMENTS 114,768. NET TRANSFER TO AFFILIATES -3,126,698. NET UNREALIZED LOSS ON FUNDS HELD BY OTHERS -463,724. TOTAL TO FORM 990, PART XI, LINE 5: -6,786,624.FORM 990, PART XI, LINE 5:
ALSO, A PHYSICIAN-LED LECTURE ADDED A FINAL COMPONENT TO MILTON HOSPITAL'S AWARENESS CAMPAIGN. TOPICS COVERED INCLUDED THE RISKS OF COLORECTAL CANCER AND THE IMPORTANCE OF COLONOSCOPIES IN EARLY DETECTION AND PREVENTION.FORM 990, PART I, LINE 1 CONTINUATION

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MILTON HOSPITAL PHYSICIAN ORGANIZATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1199 REEDSDALE ROADAddressLine1
CityMILTONCity
StateMAState
ZIP Code02186ZIPCode
FieldValueIRS element (for citing)
EIN043213042EIN
Primary ActivitiesPHYSICIAN ORGANIZATIONPrimaryActivities
Legal Domicile StateMALegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MILTON HOSPITAL INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MILTON HOSPITAL FOUNDATION
199 REEDSDALE ROADMILTONMA02186222566792PROMOTE HEALTHCAREMA501(C)3SUPPORTING - TYPE 10
MILTON HOSPITAL DEVELOPMENT FUND
199 REEDSDALE ROADMILTONMA02186222567057FUNDRAISINGMA501(C)3SUPPORTED ORG.0MILTON HOSPITAL FOUNDATION
COMMUNITY PHYSICIAN ASSOCIATES
199 REEDSDALE ROADMILTONMA02186043243146PROVIDE MEDICAL CAREMA501(C)3MEDICAL CARE PROVIDE0MILTON HOSPITAL FOUNDATION

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HORIZON VENTURESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1199 REEDSDALE ROADAddressLine1
CityMILTONCity
StateMAState
ZIP Code02186ZIPCode
FieldValueIRS element (for citing)
EIN042853249EIN
Primary ActivityPHYSICIAN BILLINGPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MILTON HOSPITAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
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
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg