NORTH ADAMS REGIONAL HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NORTH ADAMS REGIONAL HOSPITAL (EIN 04-1676720)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-08
- IRS object ID
- 201222219349300712
- Schema version
- 2010v3.7
- 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 K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-08T08:05:43-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 041676720 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH ADAMS REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 4136643701 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 HOSPITAL AVENUE | AddressLine1 |
| City | NORTH ADAMS | City |
| State | MA | State |
| ZIP Code | 01247 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTOPHER HICKEY | Name |
| Title | CFO | Title |
| Date Signed | 2012-07-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD PALMISANO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 HOSPITAL AVENUE | AddressLine1 |
| City | NORTH ADAMS | City |
| State | MA | State |
| ZIP Code | 01247 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 62104764 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NBHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1884 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | NORTH ADAMS REGIONAL HOSPITAL PROVIDES PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES TO INDIVIDUALS IN THE COMMUNITY. A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES ARE AVAILABLE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 566 | TotalNbrEmployees |
| Total Nbr Volunteers | 116 | TotalNbrVolunteers |
| Total Gross UBI | 136213 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 45598 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 481225 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 819023 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 59843216 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 60476258 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 347558 | InvestmentIncomePriorYear |
| Investment Income Current Year | 179455 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 155750 | OtherRevenuePriorYear |
| Other Revenue Current Year | 141726 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 60827749 | TotalRevenuePriorYear |
| Total Revenue Current Year | 61616462 | 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 | 34264604 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32661920 | 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 | 31152663 | OtherExpensePriorYear |
| Other Expenses Current Year | 30383419 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 65417267 | TotalExpensesPriorYear |
| Total Expenses Current Year | 63045339 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4589518 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1428877 | RevenuesLessExpensesCY |
| Total Assets BOY | 67265935 | TotalAssetsBOY |
| Total Assets EOY | 69695108 | TotalAssetsEOY |
| Total Liabilities BOY | 67369259 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 71278500 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -103324 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1583392 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF NORTH ADAMS REGIONAL HOSPITAL IS TO PROVIDE EXCEPTIONAL HEALTHCARE FROM THE HEART. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 22237745 | Expense |
| Revenue | 22667539 | Revenue |
| Description | THE ORGANIZATION PROVIDES INPATIENT SERVICES, INCLUDING INTERNAL MEDICINE, SURGERY, PEDIATRICS, GYNECOLOGY, OBSTETRICS, AND PSYCHIATRY ALONG WITH A CRITICAL-CARE UNIT FOR INTENSIVE-CARE AND CORONARY CARE PATIENTS. SEE SCHEDULE O FOR ADDITIONAL DETAILS ON PROGRAM SERVICE ACCOMPLISHMENTS AND COMMUNITY BENEFIT. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13746439 | Expense |
| Revenue | 26901409 | Revenue |
| Description | THE HOSPITAL HAS A BROAD RANGE OF OUTPATIENT SERVICES, INCLUDING ONCOLOGY SERVICES, A DIAGNOSTIC IMAGING DEPARTMENT, CLINICAL LABORATORY SERVICES, CARDIAC TESTING, REHABILITATION CENTER, SPEECH THERAPY, ENDOSCOPY CENTER, AND SPECIALTY CLINICS. SEE SCHEDULE O FOR ADDITIONAL DETAILS ON PROGRAM SERVICE ACCOMPLISHMENTS AND COMMUNITY BENEFIT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9055676 | Expense |
| Revenue | 10771097 | Revenue |
| Description | THE ORGANIZATION OPERATES AN EMERGENCY ROOM, PROVIDING 24-HOUR SERVICE TO NEARLY 21,000 PATIENTS EACH YEAR. SEE SCHEDULE O FOR ADDITIONAL DETAILS ON PROGRAM SERVICE ACCOMPLISHMENTS AND COMMUNITY BENEFIT. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 45039860 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 157 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 566 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHRISTOPHER HICKEY | NamePerson |
| Telephone Number | 4136645507 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 HOSPITAL AVENUE | AddressLine1 |
| City | NORTH ADAMS | City |
| State | MA | State |
| ZIP Code | 01247 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BRUCE GRINNELL ESQ | ||||||||
| CHAIR THROUGH 12/2010 | 1.0 | X | X | 0 | 0 | 0 | ||
| STEPHEN FIX | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| JULIA BOLTON | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| JONATHAN CLUETT MD | ||||||||
| VICE CHAIR BEG. 01/2011 | 1.0 | X | 0 | 0 | 0 | |||
| ERWIN STUEBNER MD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| STEPHEN KLASS | ||||||||
| TRUSTEE THROUGH 01/2011 | 1.0 | X | 0 | 0 | 0 | |||
| JANE ALLEN | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| WILLIAM GREENWALD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| MARTHA STOREY | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| ARTHUR TURTON MD | ||||||||
| CHAIR BEG. 01/2011 | 10.0 | X | X | 0 | 0 | 0 | ||
| ELLEN BERNSTEIN | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| BRYON SHERMAN | ||||||||
| SECRETARY | 1.0 | X | X | 0 | 0 | 0 | ||
| RICHARD JETTE | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| RICHARD PALMISANO | ||||||||
| CEO/PRESIDENT | 10.0 | X | X | 523126 | 27533 | 38081 | ||
| SUSAN YATES MD | ||||||||
| TRUSTEE BEG. 01/2011 | 1.0 | X | 0 | 249808 | 17889 | |||
| JEFFERY BATH MD | ||||||||
| MEDICAL STAFF PRESIDENT | 1.0 | X | 5000 | 0 | 0 | |||
| WILLIAM FRADO | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| CHRISTOPHER HICKEY | ||||||||
| CFO/TREASURER | 10.0 | X | 269262 | 0 | 6387 | |||
| ROBERT CALWAY | ||||||||
| VICE PRESIDENT OF BUSINESS DEV | 10.0 | 144754 | 96503 | 28335 | X | |||
| ROBERT SILLS MD | ||||||||
| ED PHYSICIAN | 36.0 | 267125 | 0 | 28923 | X | |||
| OSCAR RODRIGUEZ MD | ||||||||
| ED PHYSICIAN | 36.0 | 284743 | 0 | 35280 | X | |||
| FRED LANDES MD | ||||||||
| ED PHYSICIAN | 36.0 | 308884 | 0 | 29982 | X | |||
| FERNANDO PONCE MD | ||||||||
| HOSPITAL PHYSICIAN | 36.0 | 258090 | 0 | 23028 | X | |||
| PAUL DONOVAN MD | ||||||||
| ED PHYSICIAN | 36.0 | 331727 | 0 | 37779 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2392711 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 373844 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 245684 | TotalOtherCompensation |
| Number Individuals GT100 K | 26 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| MOLARI INC | |
| TEMP EMPLOYMENT SVCS | 586157 |
| SCHWARTZ HANNUM PC | |
| LEGAL SERVICES | 1083339 |
| SOUND PHYSICIANS OF MASSACHUSETTS | |
| HOSPITALIST MGMT CO | 1428889 |
| NATIONAL WOUND CARE INC | |
| WOUND CARE MGMT | 554094 |
| SODEXHO USA | |
| DIETARY & HSKP MGMT | 882191 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Government Grants | 126765 | GovernmentGrants |
| All Other Contributions | 692258 | AllOtherContributions |
| Total Contributions | 819023 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 624100 | 58952402 | 58952402 | |
| OTHER REVENUE | 624100 | 1387643 | 1387643 | |
| MAINTENANCE INCOME | 811000 | 45188 | 45188 | |
| HOUSEKEEPING INCOME | 812900 | 91025 | 91025 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 60476258 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68770 | TotalRevenueColumn |
| Exclusion | $68,770 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 141726 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 141726 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 141726 | TotalRevenueColumn |
| Exclusion | $141,726 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 598987 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 488302 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 110685 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 110685 | TotalRevenueColumn |
| Exclusion | $110,685 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61616462 | TotalRevenueColumn |
| Related Or Exempt Function Income | 60340045 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 136213 | UnrelatedBusinessRevenue |
| Exclusion | $321,181 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 996707 | Total |
| Management And General | 996707 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23385096 | Total |
| Program Services | 18314556 | ProgramServices |
| Management And General | 5070540 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2697264 | Total |
| Program Services | 2053752 | ProgramServices |
| Management And General | 643512 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3625064 | Total |
| Program Services | 2751790 | ProgramServices |
| Management And General | 873274 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1957789 | Total |
| Program Services | 1474208 | ProgramServices |
| Management And General | 483581 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3527389 | Total |
| Management And General | 3527389 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 872763 | Total |
| Management And General | 872763 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19219 | Total |
| Management And General | 19219 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7290 | Total |
| Management And General | 7290 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9366647 | Total |
| Program Services | 7053051 | ProgramServices |
| Management And General | 2313596 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125337 | Total |
| Program Services | 94378 | ProgramServices |
| Management And General | 30959 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5370717 | Total |
| Program Services | 4044130 | ProgramServices |
| Management And General | 1326587 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6454 | Total |
| Program Services | 4860 | ProgramServices |
| Management And General | 1594 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 926400 | Total |
| Program Services | 697576 | ProgramServices |
| Management And General | 228824 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57135 | Total |
| Program Services | 43022 | ProgramServices |
| Management And General | 14113 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79257 | Total |
| Program Services | 59680 | ProgramServices |
| Management And General | 19577 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2405453 | Total |
| Program Services | 1811297 | ProgramServices |
| Management And General | 594156 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3201996 | Total |
| Program Services | 2411091 | ProgramServices |
| Management And General | 790905 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 540729 | Total |
| Program Services | 407167 | ProgramServices |
| Management And General | 133562 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 1713089 | 1713089 | |
| LICENSES, DUES & SUBSCRIPTIONS | 231217 | 174106 | 57111 |
| RECRUITING | 891 | 671 | 220 |
| MEDICAL SUPPLIES & DRUGS | 1931436 | 1931436 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63045339 | Total |
| Program Services | 45039860 | ProgramServices |
| Management And General | 18005479 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 715826 | BOY |
| EOY | 4742293 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5556882 | BOY |
| EOY | 4820789 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5000 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5533666 | BOY |
| EOY | 5955719 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1288171 | BOY |
| EOY | 1281948 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1133175 | BOY |
| EOY | 1208426 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 82251162 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 50262769 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33494647 | BOY |
| EOY | 31988393 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1954657 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17583911 | BOY |
| EOY | 19697540 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67265935 | BOY |
| EOY | 69695108 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30054486 | BOY |
| EOY | 32753327 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 631274 | BOY |
| EOY | 153784 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28731896 | BOY |
| EOY | 28773476 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6491554 | BOY |
| EOY | 7558065 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 384262 | BOY |
| EOY | 200956 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1075787 | BOY |
| EOY | 1838892 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67369259 | BOY |
| EOY | 71278500 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1899160 | BOY |
| EOY | -3423052 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 536137 | BOY |
| EOY | 573543 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1259699 | BOY |
| EOY | 1266117 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -103324 | BOY |
| EOY | -1583392 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67265935 | BOY |
| EOY | 69695108 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1428877 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -51191 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1(I) | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE MASSACHUSETTS HOSPITAL ASSOCIATION. THESE ORGANIZATIONS LOBBY ON MEMBERS' BEHALF USING 24.60% AND 20.52%, RESPECTIVELY, OF THEIR TIME. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 913063 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 170 | InvestmentEarningsOrLosses |
| End Of Year Balance | 913233 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 863063 | BeginningOfYearBalance |
| Contributions | 50000 | Contributions |
| End Of Year Balance | 913063 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 843063 | BeginningOfYearBalance |
| Contributions | 20000 | Contributions |
| End Of Year Balance | 863063 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24830 | OtherCostOrOtherBasis |
| Book Value | 24830 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 45023740 | OtherCostOrOtherBasis |
| Depreciation | 23788333 | Depreciation |
| Book Value | 21235407 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34477566 | OtherCostOrOtherBasis |
| Depreciation | 25451657 | Depreciation |
| Book Value | 9025909 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2725026 | OtherCostOrOtherBasis |
| Depreciation | 1022779 | Depreciation |
| Book Value | 1702247 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 31988393 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SECURITY DEPOSITS | 10000 |
| LIFE INSURANCE CSV | 89811 |
| OTHER ASSETS | 11272 |
| BENEFICIAL INT IN TRUSTS | 599811 |
| DUE FROM RELATED PARTY | 18726989 |
| OTHER RECEIVABLES | 259657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 19697540 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST DUE TO 3RD PARTIES | $1,511,700 |
| ASSET RETIREMENT OBLIGATION | $327,192 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1838892 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | INTENDED USES OF ENDOWMENT FUNDS | Identifier |
| Return Reference | SCHEDULE D, PART V, LINE 4 | ReturnReference |
| Explanation | ENDOWMENT FUNDS ARE RESTRICTED, BUT THE INCOME GENERATED IS AVAILABLE FOR USE BY THE ORGANIZATION. IT IS USUALLY UNRESTRICTED WITH A SPENDING CAP ON THE AMOUNT OF INCOME. THE EARNINGS MAY BE USED FOR A NUMBER OF USES INCLUDING DAY TO DAY OPERATIONS AND CAPITAL EXPENDITURES. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1082906 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 287731 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 795175 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01300 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8196239 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7707456 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 488783 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00800 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2002099 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1294700 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 707399 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01150 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11281244 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9289887 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1991357 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03250 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 122309 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 122309 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6288832 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4918351 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1370481 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02230 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6411141 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4918351 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1492790 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02430 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17692385 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14208238 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3484147 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05680 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $679,504 | BadDebtExpenseAmount |
| Amount Attributable To | 78822 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 18116293 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 21614928 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3498635 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | 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 | NORTH ADAMS REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 HOSPITAL AVENUE | AddressLine1 |
| City | NORTH ADAMS | City |
| State | MA | State |
| ZIP Code | 01247 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH ADAMS REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADAMS REHABILITATION CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 COMMERCIAL STREET | AddressLine1 |
| City | ADAMS | City |
| State | MA | State |
| ZIP Code | 01220 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | PHYSICAL THERAPY | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PERCENT OF TOTAL EXPENSE | SCHEDULE H, PART I, LINE 7, COLUMN F | TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE. |
| COST TO CHARGE RATIO | SCHEDULE H, PART I, LINE 7 | THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1, 3, AND 6. |
| BAD DEBT EXPENSE | SCHEDULE H, PART III, SECTION A, LINE 4 | THERE WAS NOT A FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS AS NO FORMAL REPORT WAS PREPARED. HOWEVER, THE COSTING METHODOLOGY IS THE HOSPITAL'S COST TO CHARGE RELATIONSHIP APPLIED TO THE BAD DEBT PROVISION WHICH APPEARS ON THE INCOME STATEMENT. THIS SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE SERVICE IS PROVIDED REGARDLESS OF ABILITY TO PAY AND FAILURE TO PAY DOES NOT RESULT IN ANY ACTION OTHER THAN SENDING STATEMENTS AND USING A COLLECTIONS AGENCY, TO ATTEMPT TO COLLECT THE PAYMENT. THE HOSPITAL DOES NOT PUT LIENS ON PATIENT ASSETS, REPORT NON PAYMENT TO CREDIT REPORTING AGENCIES, AND DOES NOT CHARGE INTEREST ON PATIENT DEBT. THE HOSPITAL WILL NOT REFUSE TO TREAT A PATIENT THAT CURRENTLY IS IN A BAD DEBT STATUS REGARDING PREVIOUS SERVICES AT THE HOSPITAL. LINE 2 WAS CALCULATED USING THE COST TO CHARGE RATIO TIMES BAD DEBT EXPENSE. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. |
| COMMUNITY BENEFIT | SCHEDULE H, PART III, SECTION B, LINE 8 | ALL OF THE SHORTFALL REPORTED ON LINE 7 SHOULD BE CONSIDERED A COMMUNITY BENEFIT. MEDICARE PAYMENTS DO NOT COVER THE COST OF DELIVERING THE SERVICE. PAYMENTS ARE DICTATED NOT BY ACTUAL COST BUT BY WHAT THE GOVERNMENT HAS TO SPEND. THE SHORTFALL HAS TO BE MADE UP BY OTHER PAYORS, IF POSSIBLE, SINCE MEDICARE BENEFICIARIES CANNOT BE BILLED FOR THE MEDICARE SHORTFALL. MEDICARE AS THE LARGEST PAYOR RESULTS IN A SIGNIFICANT SHORTFALL WHICH IS NOT RECOVERABLE GIVEN THAT OTHER PAYORS ARE BARELY PAYING AT COST. THE HOSPITAL DOES NOT DENY ANYONE SERVICE BECAUSE OF THEIR ABILITY TO PAY OR INSURANCE COVERAGE. THE AMOUNT FOR LINE 6 WAS TAKEN FROM THE MEDICARE COST REPORT WORKSHEET D-1 PART II AND WORKSHEET E PART B. |
| COLLECTION POLICY | SCHEDULE H, PART III, SECTION C, LINE 9B | PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES PURSUANT TO STATE REGULATIONS. THE HOSPITAL MAY SEEK COLLECTION ACTION FOR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY THE FINANCIAL ASSISTANCE PROGRAM THE PATIENT IS ENROLLED IN. THE HOSPITAL WILL NOT UNDERTAKE COLLECTION ACTION AGAINST ANY INDIVIDUAL THAT HAS BEEN APPROVED FOR MEDICAL HARDSHIP. THE HOSPITAL WILL NOT GARNISH LOW INCOME PATIENTS OR THEIR GUARANTOR'S WAGES OR EXECUTE LIENS. THE HOSPITALS INTERNAL FINANCIAL ASSISTANCE PROGRAM ALLOWS THE HOSPITAL TO CEASE ANY COLLECTION OR BILLING ACTIONS AGAINST A PATIENT WHO IS UNABLE TO PAY THE HOSPITAL BILL AT ANY TIME DURING THE BILLING PROCESS. |
| NEEDS ASSESSMENT: | REACH FOR COMMUNITY HEALTH, A DEPARTMENT OF NORTH ADAMS REGIONAL HOSPITAL, HAS OVERSIGHT RESPONSIBILITY FOR THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. THE MISSION OF REACH IS TO IMPROVE THE HEALTH OF THE NORTHERN BERKSHIRE COMMUNITY THROUGH EDUCATION, OUTREACH, ADVOCACY, AND TREATMENT, IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS. REACH EXECUTES THE MAJORITY OF COMMUNITY BENEFITS PROGRAMS AND RESPONDS TO THE NEEDS OF THE COMMUNITY WITH ITS DIRECT HEALTH-RELATED PROGRAMMING, MUCH OF WHICH IS GRANT FUNDED. AS A DEPARTMENT OF NORTH ADAMS REGIONAL HOSPITAL, REACH HAS FINANCIAL SUPPORT FOR ITS CORE ADMINISTRATIVE FUNCTIONS; THIS SUPPORT ALLOWS REACH TO MAXIMIZE ITS CAPACITY TO DEVELOP, IMPLEMENT, AND EVALUATE THE NUMEROUS PROGRAMS AND INTERVENTIONS THAT IT PROVIDES IN THE COMMUNITY. A COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED BY THE DIRECTOR OF REACH AND THE VP OF EXTERNAL AFFAIRS OF NORTH ADAMS REGIONAL HOSPITAL IN SEPTEMBER 2009 THAT INCLUDED DATA GATHERING AS WELL AS COMMUNITY SURVEYS. INFORMATION WAS COLLECTED FROM NARH DISCHARGE DATA, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MASSCHIP DATA AND BUREAU OF ENVIRONMENTAL HEALTH DATA), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) DATA , U.S. CENSUS 2000 AND NORTHERN BERKSHIRE COMMUNITY COALITION 2009 PREVENTION NEEDS ASSESSMENT SURVEY, WHICH FOCUSES ON YOUTH. THE PROCESS INCLUDED A SURVEY THAT ASKED RESPONDENTS TO RATE DISEASES/HEALTH RISKS BY MOST CONCERN AND RATE CONTRIBUTING FACTORS TO HEALTH BY MOST CONCERN (E.G.: PCP AVAILABILITY). RESPONDENT GROUPS INCLUDED 13 AREA PHYSICIANS (15.6% RESPONSE RATE), 78 COMMUNITY ORGANIZATIONS, AND 1235 NBH CORPORATORS (30% RESPONSE RATE); THEY WERE SURVEYED USING AN INTERNET-BASED SURVEY. TWO GROUPS WERE SURVEYED THROUGH THE NORTHERN BERKSHIRE COMMUNITY COALITION. AT A COMMUNITY PLANNING MEETING THERE WERE 68 RESPONDENTS AND THE COALITION COMMUNITY OUTREACH WORKERS SURVEYED 69 AREA RESIDENTS. BASED UPON ALL OF THE COLLECTED DATA, THE COMMUNITY BENEFITS COMMITTEE IDENTIFIED THE FOLLOWING TARGET POPULATIONS: LOWER INCOME RESIDENTS, YOUTH, 18-34 YEAR OLD, AND ELDERS. THE COMMITTEE SELECTED THE FOLLOWING COMMUNITY BENEFITS PRIORITIES: HEALTHY EATING, PHYSICAL ACTIVITY, EMOTIONAL WELL-BEING & SUPPORT, AND SAFE CHOICES, ALL OF WHICH FALL UNDER THE UMBRELLA OF HEALTHY LIFESTYLES. REACH TARGETS ALL RESIDENTS OF NORTHERN BERKSHIRE COUNTY, WITH A PARTICULAR EMPHASIS ON THE UNINSURED AND UNDERINSURED. PRIMARY PREVENTION AND EARLY DETECTION ARE AT THE CORE OF REACH'S COMMUNITY INITIATIVES. EACH OF REACH'S NUMEROUS PROGRAMS IS BASED ON ASSESSMENT OF COMMUNITY NEED AND INCLUDES SPECIFIC PROCESS AND OUTCOME MEASURES. | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | IN NORTH BERKSHIRE COUNTY, ECU-HEALTH CARE, WHICH IS THE AREA'S ENROLLMENT SITE FOR ALL PUBLIC HEALTH PROGRAMS, PROVIDES FINANCIAL COUNSELING SERVICES FOR THE PATIENTS OF NORTH ADAMS REGIONAL HOSPITAL. ALL SELF-PAY PATIENTS, AT TIME OF SERVICE, ARE GIVEN INFORMATION ABOUT ECU-HEALTH CARE'S SERVICES AND ECU-HEALTH CARE CONTACTS PATIENTS IMMEDIATELY. ECU-HEALTH CARE'S PROGRAM SERVICES INCLUDE: - PROVIDING ONE-TO-ONE ENROLLMENT ASSISTANCE FOR ALL PUBLIC HEALTH PROGRAMS. THIS INCLUDES CASE-MANAGEMENT TO INSURE THAT PATIENTS COMPLETE APPLICATION PROCESSES. - CONDUCTING COMMUNITY OUTREACH AND MARKETING CAMPAIGNS FOR MASSHEALTH, COMMONWEALTH CARE, THE MEDICAL SECURITY PLAN, COMMONWEALTH CHOICE, PRESCRIPTION ADVANTAGE, AND ALL OTHER MEDICARE ASSISTANCE PROGRAMS. - WORKING CLOSELY WITH AREA PHYSICIAN GROUPS TO ENSURE THAT APPLICANTS HAVE PRIMARY CARE PROVIDERS. ECU-HEALTH CARE ALSO MAINTAINS A VOLUNTARY PHYSICIAN PROGRAM FOR THOSE NOT ELIGIBLE FOR PUBLIC HEALTH COVERAGE. IN ADDITION, WE HAVE AN AGREEMENT WITH A NUMBER OF LOCAL DENTISTS WHO HAVE AGREED TO PROVIDE SERVICES AT A REDUCED FEE TO LOWER INCOME RESIDENTS WITHOUT DENTAL COVERAGE. | |
| COMMUNITY INFORMATION: | THE PRIMARY SERVICE AREA (PSA) FOR NORTH ADAMS REGIONAL HOSPITAL (NARH) IS COMPRISED OF THE FOLLOWING TOWNS: NORTH ADAMS, ADAMS, FLORIDA, CLARKSBURG, AND WILLIAMSTOWN. COMPARED TO MASSACHUSETTS, NORTH ADAMS REGIONAL HOSPITAL SERVES A POORER AND LESS EDUCATED POPULATION OF RESIDENTS. THIS IS IMPORTANT BECAUSE RESEARCH HAS DEMONSTRATED THAT SOCIOECONOMIC STATUS AFFECTS HEALTH. ACCORDING TO THE U.S. CENSUS IN 2000, 726 FAMILIES IN THE PSA LIVED BELOW THE FEDERAL POVERTY LEVEL. OF THOSE, 603 INCLUDED RELATED CHILDREN UNDER 18 AND 298 CHILDREN UNDER FIVE. THE RATES OF ELDERS AGE 65 PLUS WHO LIVE BELOW THE POVERTY LEVEL ALSO EXCEED STATE RATES. RESIDENTS WITH LESS THAN A NINTH GRADE EDUCATION EXCEED THAT FOR THE STATE IN ALL BUT WILLIAMSTOWN, AND EVEN THERE THE PERCENTAGE IS ONLY 5/10THS LESS THAN THE STATE RATE. IN ADAMS AND NORTH ADAMS, THE PERCENTAGE OF PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA EXCEEDS THE STATE RATE BY 5.9 PERCENTAGE POINTS AND 6.7 PERCENTAGE POINTS, RESPECTIVELY. BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) DATA (2002-2007) INDICATES THE RATE OF INSURED PEOPLE IN THE BERKSHIRES COMMUNITY HEALTH NETWORK ASSOCIATION (CHNA) IS BELOW THE STATE FOR MEN BUT ABOVE THE STATE RATE OVERALL AND FOR WOMEN. WHILE 13 PERCENT OF MASSACHUSETTS RESIDENTS 18-34 REPORTED BEING WITHOUT INSURANCE, THE RATE IS 19 PERCENT IN THE BERKSHIRES. THE RATE OF UNINSURED PEOPLE 55-64 IS 25 PERCENT HIGHER IN THE BERKSHIRES THAN IN THE STATE, AND TWO PERCENT OF PEOPLE 65+ IN THE BERKSHIRES REPORT BEING UNINSURED. FURTHER, ACCORDING TO BRFSS DATA, THE PERCENTAGE OF RESPONDENTS REPORTING THEY WERE UNABLE TO SEE A DOCTOR IN THE PAST YEAR (2003-2007) DUE TO COST WAS HIGHER OVERALL AND FOR WOMEN THAN THE STATE AND THE PERCENTAGE OF RESPONDENTS IN THE BERKSHIRES AGES 45-54 WHO SAID THEY COULD NOT SEE A DOCTOR BECAUSE OF COST WAS 49 PERCENT HIGHER THAN THE STATE RATE. THE ELDER POPULATION IN NORTHERN BERKSHIRE COMPRISES A MUCH HIGHER PERCENTAGE OF THE POPULATION AS A WHOLE THAN IT DOES FOR THE STATE OF MASSACHUSETTS. THE PERCENTAGE OF THE ELDERLY PEOPLE 85 AND OLDER, IS MORE THAN 1% HIGHER IN NORTHERN BERKSHIRE. THE PERCENTAGES OF THE YOUNGER ELDERS ARE HIGHER IN NORTHERN BERKSHIRE AS WELL. | |
| COMMUNITY BUILDING ACTIVITIES: | THE NORTHERN BERKSHIRE COMMUNITY IS KNOWN FOR ITS COLLABORATIVE APPROACH IN WORKING ON VARIOUS PROBLEMS. TO SERVE OUR TARGET POPULATION, REACH AND NORTH ADAMS REGIONAL HOSPITAL OFTEN COLLABORATE WITH LOCAL ENTITIES, INCLUDING THE FOLLOWING: NORTHERN BERKSHIRE COMMUNITY COALITION; ECU HEALTH CARE; CHILDCARE OF THE BERKSHIRES; BERKSHIRE COMMUNITY ACTION COUNCIL; WILLIAMSTOWN MEDICAL ASSOCIATES AND OTHER MEDICAL GROUPS; BERKSHIRE NURSING FAMILIES; THE HORIZON ADVISORY BOARD AND ELDER SERVICES OF BERKSHIRE COUNTY; AREA COUNCILS ON AGING; NORTHERN BERKSHIRE UNITED WAY; TARGET: HUNGER; WILLIAMS COLLEGE; MASSACHUSETTS COLLEGE OF LIBERAL ARTS (MCLA); THE NORTH ADAMS PUBLIC SCHOOLS, ADAMS AND CHESHIRE REGIONAL SCHOOL DISTRICT, MASS MOCA AND THE BERKSHIRE FOOD PROJECT, AMONG OTHERS. | |
| OTHER INFORMATION: | IN ADDITION TO THE GOVERNING BOARD, THE NBH BOARD OF TRUSTEES, A COMMUNITY BOARD, NORTHERN BERKSHIRE HEALTHCARE CORPORATORS, SERVES AS LIAISON TO THE NORTHERN BERKSHIRE COMMUNITY AND HAS THE AUTHORITY TO APPROVE NOMINATIONS TO THE BOARD OF CORPORATORS AND THE NBH BOARD OF TRUSTEES, AND MAKE ADJUSTMENTS IN THE BYLAWS GOVERNING NBH. CORPORATORS ARE ELECTED FROM THE COMMUNITIES SERVED BY NBH AND ITS AFFILIATES. | |
| AFFILIATED HEALTH CARE SYSTEM ROLES: | NORTH ADAMS REGIONAL HOSPITAL IS A SUBSIDIARY OF NORTHERN BERKSHIRE HEALTHCARE, LOCATED IN BERKSHIRE COUNTY IN THE NORTHWESTERN CORNER OF MASSACHUSETTS. THE HEALTH SYSTEM, IN ADDITION TO THE HOSPITAL, INCLUDES THE VISITING NURSE ASSOCIATION AND HOSPICE OF NORTHERN BERKSHIRE. REACH FOR COMMUNITY HEALTH EXECUTES THE MAJORITY OF COMMUNITY BENEFITS PROGRAMS AND RESPONDS TO THE NEEDS OF THE COMMUNITY WITH ITS DIRECT HEALTH-RELATED PROGRAMMING, MUCH OF WHICH IS GRANT FUNDED. AS A DEPARTMENT OF NORTH ADAMS REGIONAL HOSPITAL, REACH HAS FINANCIAL SUPPORT FOR ITS CORE ADMINISTRATIVE FUNCTIONS; THIS SUPPORT ALLOWS REACH TO MAXIMIZE ITS CAPACITY TO DEVELOP, IMPLEMENT, AND EVALUATE THE NUMEROUS PROGRAMS AND INTERVENTIONS THAT IT PROVIDES IN THE COMMUNITY. THE REACH COMMUNITY BENEFITS COMMITTEE, IS A STANDING COMMITTEE OF THE NBH BOARD OF TRUSTEES AND HAS DIRECT OVERSIGHT OF THE NARH COMMUNITY BENEFIT PLAN AND SUBSEQUENT ACTIVITY. REACH FOR COMMUNITY HEALTH IS MANAGED BY A DIRECTOR WITH OVERSIGHT BY THE SENIOR EXECUTIVE GROUP OF NORTHERN BERKSHIRE HEALTHCARE. | |
| ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: | MASSACHUSETTS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD PALMISANO | |||||||||||||
| 340527 | 17922 | 47500 | 2500 | 135099 | 7111 | 17480 | 920 | 18697 | 984 | 559303 | 29437 | 122695 | 6458 |
| CHRISTOPHER HICKEY | |||||||||||||
| 232072 | 0 | 34800 | 0 | 2390 | 0 | 5756 | 0 | 631 | 0 | 275649 | 0 | 0 | 0 |
| ROBERT SILLS MD | |||||||||||||
| 265556 | 0 | 0 | 0 | 1569 | 0 | 12500 | 0 | 16423 | 0 | 296048 | 0 | 0 | 0 |
| OSCAR RODRIGUEZ MD | |||||||||||||
| 281049 | 0 | 0 | 0 | 3694 | 0 | 15946 | 0 | 19334 | 0 | 320023 | 0 | 0 | 0 |
| FRED LANDES MD | |||||||||||||
| 304375 | 0 | 0 | 0 | 4509 | 0 | 10648 | 0 | 19334 | 0 | 338866 | 0 | 0 | 0 |
| FERNANDO PONCE MD | |||||||||||||
| 255492 | 0 | 0 | 0 | 2598 | 0 | 15000 | 0 | 8028 | 0 | 281118 | 0 | 0 | 0 |
| ROBERT CALWAY | |||||||||||||
| 128113 | 85409 | 15302 | 10201 | 1339 | 893 | 6939 | 4626 | 10062 | 6708 | 161755 | 107837 | 0 | 0 |
| SUSAN YATES MD | |||||||||||||
| 0 | 245758 | 0 | 0 | 0 | 4050 | 0 | 7500 | 0 | 10389 | 0 | 267697 | 0 | 0 |
| PAUL DONOVAN MD | |||||||||||||
| 327218 | 0 | 0 | 0 | 4509 | 0 | 19293 | 0 | 18486 | 0 | 369506 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION DETERMINATION | SCHEDULE J, PART I, LINE 3 | NORTHERN BERKSHIRE HEALTHCARE, A RELATED ORGANIZATION, DETERMINES COMPENSATION FOR THE CEO USING THE FOLLOWING METHODS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | RICHARD PALMISANO, CEO/PRESIDENT, PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. IN THE CURRENT YEAR, HE TOOK A DISTRIBUTION FROM THE PLAN OF $129,153. THIS AMOUNT WAS INCLUDED IN HIS COMPENSATION IN PART VII AND SCHEDULE J, PART II, AND IS SHOWN IN SCHEDULE J, PART II, COLUMN F, AS IT WAS INCLUDED IN INCOME ON PRIOR FORM 990'S AS CONTRIBUTIONS. |
| BONUSES | SCHEDULE J | RICHARD PALMISANO, CHRISTOPHER HICKEY, AND ROBERT CALWAY RECEIVE AN ANNUAL BONUS OF UP TO A CERTAIN PERCENT OF BASE SALARY UPON ACCOMPLISHMENT OF GOALS AND OBJECTIVES ESTABLISHED ANNUALLY BY THE BOARD. THEY ARE PAID BY NORTHERN BERKSHIRE HEALTHCARE, WITH A PORTION OF COMPENSATION, INCLUDING BONUS, ALLOCATED TO RELATED ORGANIZATIONS. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MASSACHUSETTS HEALTH & FACILITIES AUTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 042456011 | IssuerEIN |
| CUSIP Number | 57586CDS1 | CUSIPNumber |
| Date Issued | 2004-10-13 | DateIssued |
| Issue Price | 26014649 | IssuePrice |
| Description Of Purpose | CAPITAL IMPROVEMENTS, REFUND PRIOR | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 26014649 | TotalProceeds |
| Amount In Reserve Fund | 2607120 | AmountInReserveFund |
| Refunding Escrow | 5988818 | RefundingEscrow |
| Issuance Costs From Proceeds | 555293 | IssuanceCostsFromProceeds |
| Capital Expenditures | 16863419 | CapitalExpenditures |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | false | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MISSION | FORM 990, PART I, LINE 1 | THE MISSION OF NORTHERN BERKSHIRE HEALTHCARE IS TO PROVIDE EXCEPTIONAL HEALTHCARE FROM THE HEART. NORTHERN BERKSHIRE HEALTHCARE INCLUDES NORTH ADAMS REGIONAL HOSPITAL, THE VISITING NURSE ASSOCIATION & HOSPICE OF NORTHERN BERKSHIRE, NORTHERN BERKSHIRE COMMUNITY SERVICES, NORTHERN BERKSHIRE REALTY, AND THE NBH PHYSICIANS GROUP. A FULL SERVICE COMMUNITY HOSPITAL, NARH INCLUDES 24 HOUR EMERGENCY CARE, DIAGNOSTIC IMAGING, LABORATORY, BIRTHING CENTER, OB, SURGERY, PSYCHIATRY, PHYSICAL REHABILITATION, INPATIENT, AND OUTPATIENT CARE. IT IS THE PRIMARY HOSPITAL FOR OVER 40,000 RESIDENTS OF NORTHERN BERKSHIRE COUNTY. REACH IS THE HEALTH EDUCATION AND HEALTH PROMOTION ARM OF NORTHERN BERKSHIRE HEALTHCARE AND OVERSEES THE COMMUNITY BENEFITS PROGRAM FOR NORTH ADAMS REGIONAL HOSPITAL. THE MISSION OF REACH IS TO IMPROVE THE HEALTH OF THE NORTHERN BERKSHIRE COMMUNITY THROUGH EDUCATION, OUTREACH, ADVOCACY AND TREATMENT, IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS. REACH IS NOW A DEPARTMENT OF NARH AND THEY CONTINUE TO HAVE THE RESPONSIBILITY OF OVERSEEING COMMUNITY HEALTH BENEFITS AND NEEDS. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4 | NORTH ADAMS REGIONAL HOSPITAL (NARH) IS A NON-PROFIT, ACUTE-CARE, COMMUNITY HOSPITAL LICENSED BY THE MASSACHUSETTS DEPARTMENT OF HEALTH TO PROVIDE PRIMARY-CARE SERVICES, SPECIALTY-PHYSICIAN SERVICES, DIAGNOSTIC AND TREATMENT SERVICES, AND WOUND CARE SERVICES. NARH IS A DESIGNATED MEDICARE-DEPENDENT HOSPITAL. IN ADDITION, THE ADAMS AND NORTH ADAMS ARE DESIGNATED AS A LOW INCOME PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA FOR ADULT PRIMARY CARE, OBSTETRICS AND DENTISTRY AND MAINTAINS A HPSA SCORE OF 13. THE HOSPITAL PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES, INCLUDING THE MAJOR SPECIALTIES OF INTERNAL MEDICINE, SURGERY, PEDIATRICS, GYNECOLOGY, OBSTETRICS, AND PSYCHIATRY. IN ADDITION, IT HAS A CRITICAL-CARE UNIT, WHICH CARES FOR BOTH INTENSIVE-CARE PATIENTS AND CORONARY-CARE PATIENTS. MEDICAL/SURGICAL SERVICES: THE HOSPITAL HAS ONE MEDICAL/SURGICAL FLOOR WITH 25 BEDS INCLUDING 5 BEDS FOR PEDIATRIC PATIENTS. THERE ARE 14 DUAL OCCUPANCY PATIENT ROOMS AND 3 PRIVATE ROOMS. THIS FLOOR WAS MOST RECENTLY RENOVATED IN 2009. CRITICAL CARE & TELEMETRY UNIT: THIS UNIT CAN MONITOR 8 CCU AND 4 TELEMETRY PATIENTS. THE UNIT WAS FULLY RENOVATED IN 2006 AND IS LICENSED FOR 13 BEDS. FIVE BEDS ARE NON-MONITORED AND USED FOR TELEMETRY OR STEP-DOWN BEDS AND 8 ARE CRITICAL CARE BEDS. TELEMETRY PATIENTS REQUIRE CARDIAC MONITORING BUT DO NOT REQUIRED CRITICAL CARE NURSING. NARH DOES NOT CARE FOR TRAUMA PATIENTS. THESE PATIENTS ARE REFERRED OUT TO TERTIARY CARE FACILITIES IN EITHER ALBANY OR SPRINGFIELD, MASSACHUSETTS. PEDIATRICS: THE HOSPITAL'S PEDIATRIC UNIT IS LOCATED ON THE MEDICAL/SURGICAL FLOOR OF THE HOSPITAL. OBSTETRICAL SERVICES: THE HOSPITAL'S MATERNITY WARD OFFERS FAMILY-CENTERED MATERNITY CARE, WHICH IS A FLEXIBLE PROGRAM DESIGNED TO MEET THE NEEDS OF NEW PARENTS AND INFANTS. THE HOSPITAL CURRENTLY HAS FIVE BOARD CERTIFIED OBSTETRICIANS/GYNECOLOGISTS ON STAFF. THE ENTIRE SUITE WAS RENOVATED IN 2007. IMPROVEMENTS INCLUDED THE ENLARGEMENT OF THE INDIVIDUAL PATIENT ROOMS AND THE ADDITION OF PRIVATE BATHROOMS AND OTHER AMENITIES. RENOVATIONS INCLUDED FIVE PRIVATE POST-PARTUM ROOMS, A MODERNIZED NURSERY, THREE LABOR AND DELIVERY ROOMS, A NEW NURSES' STATION AND A NEW FATHERS' AND FAMILY WAITING AREA. SURGERY DEPARTMENT: THE HOSPITAL MAINTAINS THREE FULL-SERVICE OPERATING ROOMS (WITH A FOURTH USED TO IMPROVE CASE TURNAROUND AND FOR FUTURE EXPANSION) AND SIXTEEN PRE- AND POST-OPERATIVE AMBULATORY-CARE OPERATING ROOMS WITH NINE RECOVERY BEDS FOR USE IN THE POST-SURGICAL STABILIZATION OF PATIENTS. THE HOSPITAL HAS 30 BOARD CERTIFIED SURGEONS, 3 BOARD ELIGIBLE SURGEONS, AND 1 ADDITIONAL SURGEON ON STAFF, REPRESENTING MAJOR SURGICAL SPECIALTIES SUCH AS GENERAL SURGERY, UROLOGY, GYNECOLOGY AND ORTHOPEDIC SURGERY. THE AMBULATORY SURGERY DEPARTMENT WAS COMPLETELY RENOVATED IN 2007 AND CONTAINS THREE FULLY-EQUIPPED OPERATING ROOMS, TWO FULLY-EQUIPPED ENDOSCOPY SUITES, PRIVATE EXAMINATION, CONSULTATION AND RECOVERY ROOMS, AND A NEW WAITING LOUNGE. PSYCHIATRIC SERVICES: THE HOSPITAL'S PSYCHIATRIC UNIT, GREYLOCK PAVILION ("GREYLOCK"), COMMENCED OPERATION IN 1989. IT IS A LOCKED UNIT WITH 20 BEDS. GREYLOCK TREATS A RANGE OF PATIENTS FROM AGE 16 AND UP AND OPERATES A UNIT SPECIALIZING IN THE TREATMENT OF PATIENTS DUALLY DIAGNOSED WITH MENTAL ILLNESS AND SUBSTANCE ABUSE. EILEEN A. BARRETT ONCOLOGY CENTER: IN 1994, THE HOSPITAL OPENED THE EILEEN A. BARRETT ONCOLOGY CENTER, WHICH WAS FINANCED BY PRIVATE CONTRIBUTIONS, TO PROVIDE TREATMENT OF AND SERVICES TO CANCER PATIENTS. TREATMENT AVAILABLE AT THE HOSPITAL FOR ONCOLOGY CARE INCLUDES CHEMOTHERAPY AND SURGERY. OUTPATIENT CHEMOTHERAPY IS AVAILABLE AT THE HOSPITAL THROUGH COLLABORATION WITH NORTHERN BERKSHIRE HEMATOLOGY AND ONCOLOGY. THE HOSPITAL HAS FIVE BOARD CERTIFIED ONCOLOGISTS AND REFERRAL ARRANGEMENTS WITH VARIOUS HOSPITAL AND HOSPICE PROGRAMS. DIAGNOSTIC IMAGING SERVICES: THE HOSPITAL PROVIDES A RANGE OF DIAGNOSTIC AND THERAPEUTIC SERVICES TO BOTH INPATIENTS AND OUTPATIENTS, INCLUDING 64-SLIDE CT SCAN, DIGITAL ECHOCARDIOGRAPHY, NUCLEAR MEDICINE, DIGITAL X-RAY, DIGITAL ULTRASOUND, DIGITAL MAMMOGRAPHY, MRI, STEREOTACTIC BREAST BIOPSY AND DIGITAL BONE DENSITOMETRY. TO MEET THE GROWING DEMAND FOR DIAGNOSTIC IMAGING SERVICES, THE HOSPITAL ADDED A PICTURE ARCHIVING AND COMMUNICATIONS SYSTEMS (PACS) IN 2007. MAMMOGRAPHY, ECHOCARDIOLOGY, ULTRASOUND AND BONE DENSITOMETRY WERE UPGRADED TO DIGITAL TECHNOLOGY IN 2009 AND THE MRI IS SCHEDULED TO BE REPLACED WITH A FIXED UNIT, LARGE BORE OPEN MAGNET IN THE SUMMER OF 2010. THE HOSPITAL HAS 3 BOARD CERTIFIED RADIOLOGISTS ON STAFF. CLINICAL LABORATORY: THE LABORATORY OFFERS BOTH ANATOMICAL AND CLINICAL PATHOLOGY PROGRAMS AND THERE ARE 3 BOARD CERTIFIED PATHOLOGISTS ON STAFF. THE LABORATORY PERFORMS 400,000 TESTS EACH YEAR. PHARMACY: THE HOSPITAL PHARMACY MAINTAINS AN INPATIENT LICENSE ONLY AND SERVES AN EMPLOYEE BENEFIT FUNCTION BY FILLING PRESCRIPTION REQUESTS FOR EMPLOYEES. PHARMACY SERVICES TO THE BEDSIDE ARE DELIVERED VIA OMNICELL MEDICATION CABINETS ON EACH OF THE MEDICAL FLOORS AND UTILIZATION OF THE MEDITECH PHARMACY MODULE. PHARMACY SERVICES ARE AVAILABLE SIXTEEN HOURS PER DAY AND NIGHT HOURS ARE COVERED BY CARDINAL HEALTH SERVICES VIA REMOTE ACCESS TO MEDITECH. REHABILITATION PROGRAMS: THE HOSPITAL HAS A LONG HISTORY AS AN OUTPATIENT REHABILITATION PROVIDER. THE HOSPITAL'S OUTPATIENT REHABILITATION CENTER INCLUDES A FULL RANGE OF SPEECH THERAPY, OCCUPATIONAL THERAPY, AND PHYSICAL THERAPY. THE HOSPITAL MAINTAINS A COMMUNITY REHABILITATION SERVICE IN ADAMS, MASSACHUSETTS. ENDOSCOPY CENTER: THE ENDOSCOPY UNIT OF THE HOSPITAL HOUSES ONE OF THE FASTEST GROWING SERVICES OFFERED BY THE HOSPITAL. THE ENDOSCOPY SUITE WAS RENOVATED AS PART OF THE ORGANIZATION'S 2004-7 RENOVATION PROJECT AND FULL HIGH-DEFINITION ENDOSCOPY IMAGING WAS ADDED IN 2009. OUTPATIENT SERVICES: THE HOSPITAL HAS A BROAD RANGE OF OUTPATIENT SERVICES. THESE SERVICES INCLUDE THE EMERGENCY DEPARTMENT; ONCOLOGY SERVICES; A DIAGNOSTIC IMAGING DEPARTMENT, INCLUDING MRI, 64-SLICE CT SCAN, DIGITAL X-RAY, DIGITAL MAMMOGRAPHY, DIGITAL ULTRASOUND, DIGITAL BONE DENSITY; NUCLEAR MEDICINE AND A PACS SYSTEM; CLINICAL LABORATORY SERVICES; CARDIAC TESTING; REHABILITATION CENTER FOR PHYSICAL OCCUPATIONAL, AND SPEECH THERAPY; ENDOSCOPY CENTER; AND SPECIALTY CLINICS. EMERGENCY SERVICES: THE HOSPITAL'S EMERGENCY DEPARTMENT IS AN ACTIVE COMPONENT OF THE HOSPITAL. THE HOSPITAL'S EMERGENCY DEPARTMENT PROVIDES 24-HOUR SERVICE TO NEARLY 21,0000 PATIENTS EACH YEAR. ALL PHYSICIANS WORKING IN THE EMERGENCY DEPARTMENT ARE CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT AND ADVANCED TRAUMA LIFE SUPPORT. ALL NURSES WORKING IN THE EMERGENCY DEPARTMENT ARE CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT AND PEDIATRIC EMERGENCY NURSING. THE EMERGENCY DEPARTMENT UNDERWENT A SIGNIFICANT RENOVATION AND EXPANSION IN 2007. THE IMPROVEMENTS INCLUDED AN EXPANSION OF THE SERVICE AREA BY 50% WITH ADDITIONAL EXAM ROOMS AND THE ADDITION OF RADIOLOGY SERVICES IN THE DEPARTMENT TO EXPEDITE DIAGNOSTIC SERVICES. THESE RENOVATIONS CREATED AN EMERGENCY DEPARTMENT THAT CONTAINS SEVENTEEN ROOMS, INCLUDING FOUR NEW CARDIAC OBSERVATION ROOMS, FIVE ACUTE- AND SUB-ACUTE EXAMINATION AREAS, TWO PRIVATE CARDIAC EXAMINATION ROOMS, A NEW GYNECOLOGICAL EXAMINATION AREA AND A PRIVATE OBSERVATION ROOM. |
| AUDITED FINANCIAL STATEMENTS | FORM 990, PART IV, LINE 20B | THE ORGANIZATION ATTACHED ITS MOST RECENT AUDITED FINANCIAL STATEMENTS FOR FISCAL YEAR ENDED 9/30/09. THE ORGANIZATION DID NOT HAVE AUDITED FINANCIAL STATEMENTS FOR FISCAL YEARS ENDED 9/30/10 OR 9/30/11. MANAGEMENT SERVICES FORM 990, PART VI, SECTION A, LINE 3 NORTHERN BERKSHIRE HEALTHCARE, A RELATED ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. THE MANAGEMENT FEES PAID ASSOCIATED WITH THIS SERVICE IS SHOWN ON PART IX, LINE 11A. |
| MEMBERS | FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B | NORTHERN BERKSHIRE HEALTHCARE IS THE SOLE MEMBER OF THE CORPORATION. THE ACT OF A MAJORITY OF THE MEMBER'S TRUSTEES PRESENT AT ANY MEETING OF THE MEMBER AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE MEMBER, EXCEPT WHERE OTHERWISE PROVIDED BY LAW OR THE GOVERNING DOCUMENTS OF THE ORGANIZATION. IN ADDITION, THERE ARE APPROXIMATELY 132 CORPORATORS OF NBH ("CORPORATORS"). THESE CORPORATORS ARE DRAWN FROM THE PROFESSIONAL AND BUSINESS COMMUNITY OF NORTHERN BERKSHIRE COUNTY AND ARE ELECTED EACH YEAR AT THE NBH ANNUAL MEETING. CORPORATORS ARE EMPOWERED TO ADOPT OR AMEND NBH CORPORATE ARTICLES AND BYLAWS AND TO ELECT INDIVIDUALS TO SERVE AS TRUSTEES OF NBH. NBH IS GOVERNED BY A SEVENTEEN MEMBER BOARD OF TRUSTEES, FIFTEEN OF WHOM ARE ELECTED BY THE CORPORATORS, ONE OF WHOM IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF NBH, AND ONE OF WHOM IS THE PRESIDENT OF THE HOSPITAL'S MEDICAL STAFF. ELECTED TRUSTEES SERVE FOR TERMS OF THREE YEARS, AND MAY BE ELECTED FOR UP TO TWO ADDITIONAL, CONSECUTIVE THREE-YEAR TERMS. EACH MEMBER OF THE BOARD OF TRUSTEES RESIDES IN THE SYSTEM'S PRIMARY SERVICE AREA AND HAS DEMONSTRATED A STRONG COMMITMENT TO THE COMMUNITY AND TO ENSURING THE AVAILABILITY OF LOCALLY MANAGED HEALTH CARE SERVICES. THE HEALTH SYSTEM HAS CORPORATORS WHICH ARE MEMBERS OF THE COMMUNITY THAT APPROVE THE SELECTION OF THE BOARD OF TRUSTEES. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS INITIALLY INTERNALLY REVIEWED BY THE CFO. AFTER THIS REVIEW, THE FORM 990 IS GIVEN TO THE BOARD OF DIRECTORS AT THEIR JULY MEETING. THIS ALLOWS FOR BOARD MEMBERS TO ASK QUESTIONS, PROVIDE COMMENTS, OR MAKE CHANGES BEFORE THE FINAL FORM 990 IS FILED. |
| CONFLICT OF INTEREST POLICY COMPLIANCE | FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY BOARD MEMBERS AND THE SENIOR EXECUTIVE TEAM ARE REQUIRED TO FILL OUT A QUESTIONNAIRE REGARDING CONFLICTS OF INTEREST. THIS YEAR THESE INDIVIDUALS ALSO RESPONDED TO A QUESTIONNAIRE DESIGNED SPECIFICALLY FOR THE FORM 990. IF THERE IS A CONFLICT OF INTEREST, THE BOARD MEMBERS OR EXECUTIVE TEAM MEMBER WOULD RECUSE THEMSELVES FROM THE VOTE. |
| COMPENSATION DETERMINATION | FORM 990, PART VI, SECTION B, LINES 15A & 15B | THE BOARD COMPENSATION COMMITTEE OF NORTHERN BERKSHIRE HEALTHCARE, A RELATED ORGANIZATION, IS COMPOSED OF INDEPENDENT TRUSTEES. THIS COMMITTEE CONDUCTS AN ANNUAL PERFORMANCE EVALUATION. THE EVALUATION IS BASED ON DIRECT OBSERVATION, THE CEO'S COMPLETION OF PRE-DETERMINED GOALS, A CEO SELF-EVALUATION, AND THE RESULTS OF WRITTEN SURVEYS DISTRIBUTED BY THE COMMITTEE TO ALL TRUSTEES, HOSPITAL AND HEALTH SYSTEM EXECUTIVES, AND EMPLOYED PHYSICIANS. THE COMMITTEE ALSO REVIEWS INDEPENDENTLY COLLECTED AND PUBLISHED MARKET DATA FOR CEO COMPENSATION AT SIMILAR FACILITIES, SUCH AS THE ANNUAL MASSACHUSETTS HOSPITAL ASSOCIATION EXECUTIVE COMPENSATION AND/OR SIMILAR DOCUMENTS. CONSIDERING THE PERFORMANCE EVALUATION AND THE MARKET DATA, THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION FOR ANY CHANGES TO THE CEO'S COMPENSATION, WHICH THEN REQUIRES APPROVAL BY A VOTE OF THE FULL BOARD. DURING THE ANNUAL REVIEW PROCESS, THE COMPENSATION COMMITTEE ALSO DEVELOPS THE CEO'S PERFORMANCE GOALS FOR THE UPCOMING YEAR. THE CEO CONDUCTS ANNUAL PERFORMANCE EVALUATIONS FOR EACH EXECUTIVE OR OFFICER, CONSIDERING PERFORMANCE AGAINST PRE-DETERMINED ANNUAL PERFORMANCE GOALS, PERFORMANCE AGAINST THE JOB DESCRIPTION, AND FEEDBACK SURVEYS DISTRIBUTED BY THE HUMAN RESOURCES STAFF TO A GROUP OF PEERS AND SUBORDINATES. AT THIS TIME, THE CEO ALSO REVIEWS INDEPENDENTLY COLLECTED AND PUBLISHED MARKET DATA FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. BASED ON THE MERITS OF THE PERFORMANCE EVALUATION AND THE COMPARISON TO MARKET DATA, THE CEO DETERMINES ANY CHANGE TO THE OFFICERS' COMPENSATION. COMPENSATION FOR ALL EXECUTIVES AND OFFICERS IS PRESENTED TO THE BOARD OF TRUSTEES ANNUALLY FOR THEIR REVIEW AND COMMENT, BUT CHANGES TO EXECUTIVE COMPENSATION, WITH THE EXCEPTION OF THE CEO, DO NOT REQUIRE BOARD APPROVAL. ALL EXECUTIVE COMPENSATION DECISIONS ARE GUIDED BY THE ORGANIZATION'S STATEMENT OF COMPENSATION PHILOSOPHY AS WELL AS BY GUIDELINES AND REGULATIONS REGARDING EXECUTIVE COMPENSATION IN NON-PROFIT ORGANIZATIONS PUT FORWARD BY THE IRS, THE ATTORNEY GENERAL, AND OTHER RELEVANT GOVERNING BODIES. |
| DOCUMENT AVAILABILITY | FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S 990 IS AVAILABLE FOR VIEWING ON-SITE UPON WRITTEN REQUEST TO THE CFO. |
| BOARD MEMBERS | FORM 990, PART VII, SECTION A | RICHARD PALMISANO, CEO/PRESIDENT, AND CHRISTOPHER HICKEY, CFO/TREASURER, WORK APPROXIMATELY 40 HOURS PER WEEK BETWEEN NORTH ADAMS REGIONAL HOSPITAL, NORTHERN BERKSHIRE HEALTHCARE, NORTHERN BERKSHIRE REALTY, NORTHERN BERKSHIRE HEALTHCARE PHYSICIANS, NORTHERN BERKSHIRE COMMUNITY SERVICES, AND VISITING NURSE ASSOCIATION & HOSPICE. ROBERT CALWAY, VP OF BUSINESS DEVELOPMENT, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN NORTH ADAMS REGIONAL HOSPITAL, NORTHERN BERKSHIRE HEALTHCARE, AND NORTHERN BERKSHIRE HEALTHCARE PHYSICIANS. IN ADDITION, MANY OF THE BOARD MEMBERS SPLIT THEIR TIME BETWEEN THESE RELATED ORGANIZATIONS. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | UNREALIZED LOSS ON INVESTMENTS $(49,970) PRIOR PERIOD ADJUSTMENTS (89,469) NET TRANSFERS TO/FROM AFFILIATES 88,248 --------- $(51,191) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| NORTHERN BERKSHIRE HEALTHCARE | |||||||||
| 71 HOSPITAL AVENUE | NORTH ADAMS | MA | 01247 | 222563466 | MANAGEMENT CO | MA | 501(C)(3) | 7 | NA |
| NORTHERN BERKSHIRE REALTY CO | |||||||||
| 71 HOSPITAL AVENUE | NORTH ADAMS | MA | 01247 | 222563465 | PROPERTY MGMT | MA | 501(C)(3) | 11A I | NA |
| NORTHERN BERKSHIRE HEALTHCARE PHYSICIANS | |||||||||
| 71 HOSPITAL AVENUE | NORTH ADAMS | MA | 01247 | 743253218 | PHYS SERVICES | MA | 501(C)(3) | 9 | NA |
| NORTHERN BERKSHIRE COMMUNITY SERVICES | |||||||||
| 71 HOSPITAL AVENUE | NORTH ADAMS | MA | 01247 | 222563464 | RESIDENT CARE | MA | 501(C)(3) | 9 | NA |
| VISITING NURSE ASSOCIATION & HOSPICE | |||||||||
| 71 HOSPITAL AVENUE | NORTH ADAMS | MA | 01247 | 042910547 | HOME HEALTH | MA | 501(C)(3) | 9 | NA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
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