EMERSON HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- EMERSON HOSPITAL (EIN 04-2103565)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-08
- IRS object ID
- 201242219349301259
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-08T13:48:56-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042103565 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMERSON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EMER | NameControl |
| Phone | 9782873226 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 OLD ROAD TO NINE ACRE CORNER | AddressLine1 |
| City | CONCORD | City |
| State | MA | State |
| ZIP Code | 01742 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN WILHELM | Name |
| Title | SR VP & CFO | Title |
| Phone | 9782873226 | Phone |
| Date Signed | 2012-08-08 | DateSigned |
| 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 | JOHN WILHELM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 OLD ROAD TO NINE ACRE CORNER | AddressLine1 |
| City | CONCORD | City |
| State | MA | State |
| ZIP Code | 01742 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 177049844 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.EMERSONHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1924 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | EMERSON HOSPITAL IS AN ACUTE CARE NON PROFIT COMMUNITY HOSPITAL THAT OFFERS A WIDE RANGE OF MEDICAL, SURGICAL AND SPECIALTY CARE TO MORE THAN 300,000 INDIVIDUALS IN 25 TOWNS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1967 | TotalNbrEmployees |
| Total Nbr Volunteers | 525 | TotalNbrVolunteers |
| Total Gross UBI | 4821603 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1025904 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 585297 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 507313 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 169765165 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 166709447 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 119842 | InvestmentIncomePriorYear |
| Investment Income Current Year | 52079 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10541263 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9522898 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 181011567 | TotalRevenuePriorYear |
| Total Revenue Current Year | 176791737 | 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 | 102225979 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 95702579 | 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 | 79676677 | OtherExpensePriorYear |
| Other Expenses Current Year | 79037345 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 181902656 | TotalExpensesPriorYear |
| Total Expenses Current Year | 174739924 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -891089 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2051813 | RevenuesLessExpensesCY |
| Total Assets BOY | 177413006 | TotalAssetsBOY |
| Total Assets EOY | 172250255 | TotalAssetsEOY |
| Total Liabilities BOY | 128076343 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 128509991 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 49336663 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 43740264 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF EMERSON HOSPITAL IS TO DELIVER HIGH QUALITY, SAFE AND COST-EFFECTIVE CARE TO OUR PATIENTS AND TO MAINTAIN A PROFESSIONAL AND RESPECTFUL ENVIRONMENT FOR ALL MEMBERS OF THE EMERSON HOSPITAL COMMUNITY. WE DEFINE HIGH QUALITY AS MEETING OR EXCEEDING THE REQUIREMENTS OF OUR CUSTOMERS: PATIENTS, PHYSICIANS, EMPLOYEES, THE COMMUNITY AND PAYERS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 53700505 | Expense |
| Revenue | 62656782 | Revenue |
| Description | EMERSON HOSPITAL IS AN 197-BED ACUTE CARE NON-PROFIT COMMUNITY HOSPITAL THAT PROVIDES SERVICES TO INPATIENTS. THE FACILITY INCLUDES THE FOLLOWING UNITS: THREE MEDICAL/SURGICAL UNITS, A LOCKED BEHAVIORAL HEALTH UNIT, A LOCKED MATERNITY/OBSTETRICS UNIT, A CRITICAL CARE UNIT, A SHORT TERM REHABILITATION TRANSITIONAL CARE UNIT, A PEDIATRICS UNIT AND A SPECIAL CARE NURSERY. EMERSON HOSPITAL SERVED 8,586 INPATIENTS AND 1,678 OBSERVATION PATIENTS FOR A TOTAL OF 41,306 PATIENT DAYS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 84950193 | Expense |
| Revenue | 99118355 | Revenue |
| Description | EMERSON HOSPITAL IS AN ACUTE CARE NON-PROFIT COMMUNITY HOSPITAL THAT PROVIDES A VARIETY SERVICES ON AN OUTPATIENT BASIS. EMERSON PERFORMED 999,568 PROCEDURES ON OUTPATIENTS DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2011. IN ADDITION, THE HOSPITAL ALSO HAD 33,608 EMERGENCY DEPARTMENT VISITS AND 51,386 REHABILITATION SERVICE VISITS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4228991 | Expense |
| Revenue | 4934310 | Revenue |
| Description | EMERSON HOSPITAL PROVIDES HOMECARE SERVICES. HOME CARE IS AVAILABLE 24 HOURS PER DAY AND 7 DAYS PER WEEK TO HOMEBOUND PATIENTS OF ALL AGES. PRIMARY HOMECARE SERVICES INCLUDE PROFESSIONAL NURSES WHO DELIVER MEDICAL CARE AS ORDERED BY PHYSICIANS, REHABILITATION PROFESSIONALS WHO WORK WITH PATIENTS TO RESTORE FUNCTION AND INDEPENDENCE AND HOME HEALTH AIDES WHO ASSIST WITH PERSONAL CARE TASKS. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2011 EMERSON HOSPITAL SAW 2,094 NEW HOMECARE PATIENTS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 142879689 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 289 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1967 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN WILHELM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9782873226 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | OLD ROAD TO NINE ACRE CORNER | AddressLine1 |
| City | CONCORD | City |
| State | MA | State |
| ZIP Code | 01742 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 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 |
|---|---|---|---|---|---|---|---|---|
| PAUL BIRCH | ||||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| GLORIA CLOUGH | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RICHARD CHURCHILL | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| PAUL D'AMBROSIO MD | ||||||||
| EX OFFICIO PRES ELECT MEDI | 2.00 | X | 38940 | 16760 | 0 | |||
| ERIC HAARTZ | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| WINSTON R HINDLE JR | ||||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | ||
| JAMES DIGIOVANNI | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MARY B JOHNSON | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RONALD H JOHNSON | ||||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | ||
| DONALD A DRISCOLL JR MD | ||||||||
| EX OFFICIO PRES MEDICAL STAFF | 2.00 | X | 60000 | 0 | 0 | |||
| JOHN M LOWE III | ||||||||
| DIRECTOR | 4.00 | X | 0 | 0 | 0 | |||
| ROSE ANN GIORDANO | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN HICKLING | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| AMARESH MAHAPATRA | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| CHRISTINE SCHUSTER | ||||||||
| EX OFFICIO PRESIDENT & CEO | 60.00 | X | X | 655053 | 0 | 14791 | ||
| DAVID ROSE MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MICHAEL ZAK | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT CANTU MD | ||||||||
| DIRECTOR | 2.00 | X | 40000 | 8226 | 0 | |||
| PATRICK FLYNN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JILL STANSKY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN O WILHELM | ||||||||
| SR. VP FINANCE & ADMIN | 40.00 | X | 407871 | 0 | 0 | |||
| C GREGORY MARTIN MD | ||||||||
| SR. VP CLINICAL AFFIARS | 40.00 | 395049 | 0 | 10942 | X | |||
| KEVIN WHITNEY | ||||||||
| VP NURSING | 40.00 | 191249 | 0 | 0 | X | |||
| JOSEPH PIECHOCKI | ||||||||
| VP CLINICAL & ADMIN SERV | 40.00 | 250099 | 0 | 6679 | X | |||
| JOYCE WELSH | ||||||||
| VP PATIENT CARE SERVICES AND CNO | 40.00 | 166833 | 0 | 20717 | X | |||
| BRIAN T CALLAHAN JR MD | ||||||||
| GENERAL SURGEON | 40.00 | 341749 | 0 | 42357 | X | |||
| STEPHEN DYDA DO | ||||||||
| PHYSICIAN | 40.00 | 355856 | 0 | 21040 | X | |||
| JEFFREY RILEY MD | ||||||||
| CHAIR OF OBSTETRICS AND GY | 40.00 | 359514 | 0 | 21567 | X | |||
| BENJAMIN TILLINGER MD | ||||||||
| PHYSICIAN | 40.00 | 335555 | 0 | 29925 | X | |||
| LINDA TANG MD | ||||||||
| PHYSICIAN | 40.00 | 250980 | 0 | 7402 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3848748 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 24986 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 175420 | TotalOtherCompensation |
| Number Individuals GT100 K | 79 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DELPHI CONSTRUCTION CORPORATION | |||||
| 130 OVERLOOK ROAD | WALTHAM | MA | 02451 | CONSTRUCTION SERVICES | 4825144 |
| SPECIALTY LABORATORIES | |||||
| PO BOX 92722 | LOS ANGELES | CA | 90009 | LAB TESTING SERVICES | 1338822 |
| SODEXO INC & AFFILIATES | |||||
| PO BOX 81049 | WOBURN | MA | 01813 | ENVIRONMENTAL/CAFETERIA SERVICES | 971993 |
| LEVI WONG DESIGN ASSOCIATES INC | |||||
| 45 WALDEN STREET | CONCORD | MA | 01742 | ARCHITECT | 966879 |
| PARTNERS COMMUNITY HEALTHCARE | |||||
| PO BOX 3955 | BOSTON | MA | 02241 | RADIATION THERAPY | 670426 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 54 | NumberOfContractorsGT100K |
| Related Organizations | 507313 | RelatedOrganizations |
| Total Contributions | 507313 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 166709447 | TotalRevenueColumn |
| Related Or Exempt Function Income | 166709447 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 166709447 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47973 | TotalRevenueColumn |
| Exclusion | $47,973 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 783764 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 243750 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 540014 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 540014 | TotalRevenueColumn |
| Related Or Exempt Function Income | 321725 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 218289 | UnrelatedBusinessRevenue |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 18463 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14357 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4106 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4106 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4106 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| LAB SERVICES | 621500 | 4603314 | 4603314 | |
| CAFETERIA AND OTHER | 900099 | 4379570 | $4,379,570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 8982884 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 176791737 | TotalRevenueColumn |
| Related Or Exempt Function Income | 167035278 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4821603 | UnrelatedBusinessRevenue |
| Exclusion | $4,427,543 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2128328 | Total |
| Program Services | 1809079 | ProgramServices |
| Management And General | 319249 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79051921 | Total |
| Program Services | 67745654 | ProgramServices |
| Management And General | 11306267 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 646355 | Total |
| Program Services | 549402 | ProgramServices |
| Management And General | 96953 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8200811 | Total |
| Program Services | 6970689 | ProgramServices |
| Management And General | 1230122 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5675164 | Total |
| Program Services | 4823889 | ProgramServices |
| Management And General | 851275 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5862780 | Total |
| Program Services | 5862780 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 352610 | Total |
| Management And General | 352610 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 637985 | Total |
| Management And General | 637985 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68295 | Total |
| Program Services | 68295 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1525550 | Total |
| Management And General | 1525550 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1383998 | Total |
| Management And General | 1383998 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 693261 | Total |
| Management And General | 693261 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7434073 | Total |
| Program Services | 5339336 | ProgramServices |
| Management And General | 2094737 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191852 | Total |
| Management And General | 191852 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3380011 | Total |
| Management And General | 3380011 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11230998 | Total |
| Program Services | 11230998 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2178881 | Total |
| Management And General | 2178881 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 20540874 | 20496318 | 44556 |
| REPAIRS & MAINTENANCE | 7432344 | 6347305 | 1085039 |
| MISCELLANEOUS | 5922004 | 4447216 | 1474788 |
| EQUIPMENT RENTAL | 2873505 | 2873505 | |
| PROVISION FOR DOUBTFUL | 2669613 | 2669613 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4658711 | Total |
| Program Services | 1645610 | ProgramServices |
| Management And General | 3013101 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174739924 | Total |
| Program Services | 142879689 | ProgramServices |
| Management And General | 31860235 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15502881 | BOY |
| EOY | 27356857 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18828511 | BOY |
| EOY | 18565467 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2269604 | BOY |
| EOY | 1399676 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1706416 | BOY |
| EOY | 1876879 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4216173 | BOY |
| EOY | 4474779 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 264012276 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 160500937 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101955207 | BOY |
| EOY | 103511339 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19575750 | BOY |
| EOY | 5606512 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5449468 | BOY |
| EOY | 3689510 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7908996 | BOY |
| EOY | 5769236 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177413006 | BOY |
| EOY | 172250255 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14938845 | BOY |
| EOY | 13470875 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61883965 | BOY |
| EOY | 61062933 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17520814 | BOY |
| EOY | 14186510 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33732719 | BOY |
| EOY | 39789673 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128076343 | BOY |
| EOY | 128509991 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43803510 | BOY |
| EOY | 40373362 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4210245 | BOY |
| EOY | 1967563 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1322908 | BOY |
| EOY | 1399339 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49336663 | BOY |
| EOY | 43740264 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177413006 | BOY |
| EOY | 172250255 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2051813 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -7648212 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | 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) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $34,147 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $34,147 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 68294 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1322908 | BeginningOfYearBalance |
| Contributions | 71732 | Contributions |
| Investment Earnings Or Losses | 67070 | InvestmentEarningsOrLosses |
| Other Expenditures | 62371 | OtherExpenditures |
| End Of Year Balance | 1399339 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1214920 | BeginningOfYearBalance |
| Contributions | 105075 | Contributions |
| Investment Earnings Or Losses | 143410 | InvestmentEarningsOrLosses |
| Other Expenditures | 140497 | OtherExpenditures |
| End Of Year Balance | 1322908 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1101230 | BeginningOfYearBalance |
| Contributions | 119654 | Contributions |
| Investment Earnings Or Losses | 67442 | InvestmentEarningsOrLosses |
| Other Expenditures | 73406 | OtherExpenditures |
| End Of Year Balance | 1214920 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2722757 | OtherCostOrOtherBasis |
| Book Value | 2722757 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 146749359 | OtherCostOrOtherBasis |
| Depreciation | 76036507 | Depreciation |
| Book Value | 70712852 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 105222307 | OtherCostOrOtherBasis |
| Depreciation | 83113921 | Depreciation |
| Book Value | 22108386 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9317853 | OtherCostOrOtherBasis |
| Depreciation | 1350509 | Depreciation |
| Book Value | 7967344 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 103511339 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION PAYABLE | $28,450,106 |
| ACCRUED PAYROLL | $4,649,041 |
| LINE OF CREDIT | $5,000,000 |
| FIN47 REMEDIATION OBLIGATION | $1,182,977 |
| DEFERRED REVENUE | $507,549 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 39789673 | TotalOfAmounts |
| Total Revenue | 176791737 | TotalRevenue |
| Total Expenses | 174739924 | TotalExpenses |
| Excess Or Deficit For Year | 2051813 | ExcessOrDeficitForYear |
| Other | -$7,648,212 | OtherAmount |
| Total Adjustments | -7648212 | TotalAdjustments |
| Excess Or Deficit Per FS | -5596399 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 178201486 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1409749 | OtherRevenues |
| Revenue Not Rptd F990 | 1409749 | RevenueNotRptdF990 |
| Revenue Subtotal | 176791737 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 176791737 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 174739924 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 174739924 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 174739924 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE PRINCIPAL BALANCE OF THE ENDOWMENT FUND IS PERMANENTLY RESTRICTED FROM USE. INCOME ON THE ENDOWMENT FUND THAT HAS BEEN DESIGNATED FOR A SPECIFIC PURPOSE BY THE DONOR IS USED AS SPECIFIED. OTHERWISE THE INCOME IS USED TO ADVANCE THE ORGANIZATION'S GENERAL CHARITABLE PURPOSE. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | IN FISCAL 2011 THERE WAS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENT REFERENCING FIN48 BECAUSE THE ORGANIZATION DID NOT FILE UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FOR PLANT AND EQUIPMENT 1,871,120. BENEFIT FLAN RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS -8,300,555. TEMPORARILY RESTRICTED CHANGE IN INTEREST IN FOUNDATION -2,195,117. PERMANENTLY RESTRICTED CHANGE IN INTEREST IN THE FOUNDATION 76,431. NET ASSETS RELEASED TO THE FOUNDATION 854,869. CHANGE IN UNREALIZED DEPRECIATION ON INVESTMENTS 45,040. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS FOR FOUNDATION 1,409,749. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3307667 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3307667 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01890 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8933745 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7332667 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1601078 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00920 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1715138 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1440710 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 274428 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13956550 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8773377 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5183173 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 622569 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 622569 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 15000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 637569 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 637569 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14594119 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8773377 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5820742 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03340 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $956,291 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 33001224 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 39879367 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -6878143 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 RADIATION ONCOLOGY CENTER MANAGEMENT COMPANY LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | OPERATE A RADIATION ONCOLOGY FACILITY | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.00000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | EMERSON HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 OLD ROAD TO NINE ACRE CORNER | AddressLine1 |
| City | CONCORD | City |
| State | MA | State |
| ZIP Code | 01742 | 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 | EMERSON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: EMERSON HOSPITAL USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. | ||
| PART I, LINE 6A: THE ANNUAL COMMUNITY BENEFIT'S REPORT IS DISTRIBUTED TO THE HOSPITAL BOARD OF DIRECTORS AND TO THE COMMUNITIES SERVED BY THE HOSPITAL. THE REPORT IS ALSO AVAILABLE WITHIN THE HOSPITAL, ON THE WEBSITE, AND AT LOCAL LIBRARIES. IN ADDITION, INFORMATION REGARDING COMMUNITY BENEFITS PLAN ACTIVITIES IS DISSEMINATED THROUGH THE HOSPITAL'S INFORMATIONAL MATERIALS, INCLUDING HEALTHWORKS MAGAZINE, WHICH IS MAILED TO AREA RESIDENTS. THE REPORT IS ALSO FILED WITH THE STATE OF MASSACHUSETTS AND IS AVAILABLE THROUGH THE STATE. | ||
| PART III, LINE 4: BELOW IS THE PORTION OF THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS OF EMERSON HEALTH SYSTEM, INC (OF WHICH EMERSON HOSPITAL IS PART OF THE CONSOLIDATION) WHICH CONCERNS BAD DEBT EXPENSE:CONCENTRATION OF CREDIT RISKTHE HEALTH SYSTEM GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD PARTY PAYOR AGREEMENTS. THE HEALTH SYSTEM RECEIVES A SIGNIFICANT PORTION OF ITS PAYMENTS FOR SERVICES RENDERED FROM A LIMITED NUMBER OF GOVERNMENT AND COMMERCIAL THIRD PARTY PAYORS, INCLUDING MEDICARE, MEDICAID, BLUE CROSS OF MASSACHUSETTS, HARVARD PILGRIM HEALTH CARE, AND TUFTS ASSOCIATED HEALTH PLAN. THE HEALTH SYSTEM HAS NOT HISTORICALLY INCURRED ANY SIGNIFICANT CREDIT LOSSES OUTSIDE THE NORMAL COURSE OF BUSINESS. LINE 2 BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES (CALCULATED USING WORKSHEET 2 ON PAGE 11 OF THE IRS FORM 990 SCHEDULE H INSTRUCTIONS) MULTIPLIED BY THE ACTUAL BAD DEBT EXPENSE. | ||
| PART III, LINE 8: THE COSTING METHODOLOGY USED IN DETERMINING ALLOWABLE COSTS OF CARE FOR MEDICARE IS THE COST TO CHARGE RATIO. | ||
| PART III, LINE 9B: EMERSON HOSPITAL MAINTAINS VERIFICATION OF A PATIENT'S INSURANCE DATA AND CHARITY CARE ELIGIBLITY PERMANENTLY WITHIN THE HOSPITAL'S MEDITECH DATABASE. AT EACH SERVICE DATE, VERIFICATION OF CHARITY CARE APPROVAL THROUGH THE STATE PROGRAM (HSNO) IS PERFORMED BY THE PATIENT ACCOUNTS DEPARTMENT. PATIENTS WHO ARE NOT ENROLLED ARE SCREENED FOR OTHER HEALTH INSURANCE ENROLLMENT BY REGISTRATION AND PATIENT ACCOUNTS DEPARTMENT.ONCE CHARITY CARE APPROVAL HAS BEEN VERIFIED, ALL BILLING AND COLLECTION ATTEMPTS ARE CEASED. COPAYMENTS AND SOME HOSPITAL SERVICES, I.E. HOME CARE, ARE EXCLUDED FROM THE STATE'S CHARITY CARE PROGRAM. | ||
| PART V, SECTION B, LINE 15E: REPORTING TO CREDIT AGENCIES IS NOT PERMITTED UNDER EMERSON'S CREDIT AND COLLECTION POLICY. ALTHOUGH LIENS AND LAWSUITS ARE PERMITTED, THE HOSPITAL DID NOT EXECUTE ANY LAWSUITS OR LIENS DURING THE 2010 TAX YEAR. THE HOSPITAL DOES ENGAGE COLLECTION AGENCIES TO PURSUE UNDPAID BALANCES, BUT DOES NOT ALLOW THE COLLECTION AGENCIES TO REPORT TO CREDIT AGENCIES, FILE LAWSUITS OR PLACE LIENS. | EMERSON HOSPITAL | |
| PART V, SECTION B, LINE 19D: ALL PATIENTS REGARDLESS OF INSURANCE OR FINANCIAL MEANS ARE CHARGED THE SAME STANDARD RATE AS DETERMINED BY EMERSON HOSPITAL ON A PERIODIC BASIS. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE OR PARTIAL FREE CARE, THEN DISCOUNTS ARE APPLIED TO THE CHARGES. | EMERSON HOSPITAL | |
| PART V, SECTION B, LINE 21: ALL PATIENTS REGARDLESS OF INSURANCE OR FINANCIAL MEANS ARE CHARGED THE SAME STANDARD RATE AS DETERMINED BY EMERSON HOSPITAL ON A PERIODIC BASIS. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE OR PARTIAL FREE CARE, DISCOUNTS ARE THEN APPLIED TO CHARGES. | EMERSON HOSPITAL | |
| PART I, 7FEMERSON HOSPITAL IS A NON-PROFIT ACUTE CARE COMMUNITY HOSPITAL THAT SERVES APPROXIMATELY 300,000 RESIDENTS IN 25 TOWNS. EMERSON WAS INCORPORATED AS TAX-EXEMPT INSTITUTION IN 1911 AND, SINCE THAT TIME HAS BEEN COMMITTED TO PROVIDING BOTH EMERGENCY AND NON-EMERGENCY CARE TO ALL IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. | ||
| PART VI, LINE 2: EVERY THREE YEARS, EMERSON CONDUCTS A COMPREHENSIVE HEALTH CARE NEEDS ASSESSMENT. THE MOST RECENT ASSESSMENT WAS CONDUCTED IN 2011-2012 AMONG LEADERS AND REPRESENTATIVES OF COMMUNITY ORGANIZATIONS. THIS ASSESSMENT ALSO INCLUDED AN EXTENSIVE SEARCH OF HEALTH STATUS INFORMATION FROM THE PUBLIC DOMAIN INCLUDING THE CENTER FOR DISEASE CONTROL'S "TEN LEADING HEALTH INDICATORS." THE OBJECTIVES OF THE COMMUNITY NEEDS ASSESSMENT WERE TO:- EVALUATE THE COMMUNITY'S PERCEPTIONS OF ITS UNMET HEALTH NEEDS. THE COMMUNITY IS DEFINED AS THE 18 TOWNS IN THE PRIMARY SERVICE AREA.- ESTABLISH A BASELINE OF DATA ON THE HEALTH OF THE COMMUNITY USING DATA FROM THE US CENSUS AND MA DEPARTMENT OF PUBLIC HEALTH, CDC AND THE EMERSON YOUTH RISK BEHAVIOUR SURVEY.- EXPLORE OPPORTUNITIES TO PROVIDE NEW HEALTH SERVICES AND PROGRAMS IN UNMET AREAS.- DETERMINE HOW BEST TO ALLOCATE COMMUNITY BENEFIT RESOURCES TO MEET THE COMMUNITY NEEDS.- EXPLORE OPPORTUNITIES IN THE COMMUNITY TO INITIATE NEW HEALTH PROGRAMS- MEET ALL PROVISIONS OF THE AFFORDABLE CARE ACT RELATING TO COMMUNITY HEALTH NEEDS ASSESSMENT. | ||
| PART VI, LINE 3: ALL PATIENTS ARE PROVIDED FINANCIAL ASSISTANCE LITERATURE THROUGH THE STATE ON ALL BILLING STATEMENTS AND SIGNS ARE POSTED AT ALL PATIENT REGISTRATION LOCATIONS. WE PROVIDE THE CURRENT YEAR FEDERAL POVERTY GUIDLINES ON ALL BILLING STATEMENTS. IN ADDITION, THESE GUIDELINES ARE POSTED IN OUR INPATIENT AREA, OUTPATIENT AREA AND AT OFFSITE LOCATIONS. FINANCIAL ASSISTANCE CONTACT INFORMATION BROCHURES ARE PROVIDED IN OUR SURGICAL DAY SERVICE PACKETS AND ALL ADMISSION PACKETS. | ||
| PART VI, LINE 4: EMERSON HOSPITAL IS A FULL SERVICE NON-PROFIT ACUTE CARE REGIONAL HOSPITAL THAT SERVES A 25 TOWN SUBURBAN COMMUNITY WITH A GROWING POPULATION OF ALMOST 300,000. EMERSON IS THE ONLY HOSPITAL LOCATED WITHIN THE PRIMARY TWELVE TOWNS THAT THE HOSPITAL SERVES. THE MEDIAN HOUSEHOLD INCOME FOR THE TOWNS SERVED BY EMERSON RANGE FROM APPROXIMATELY 46,000 TO 129,000 AND LESS THAN 8% OF THE POPULATION CURRENTLY HAVE INCOME LEVELS BELOW THE FEDERAL POVERTY GUIDELINE. THERE ARE NO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED POPULATIONS IN THE COMMUNITIES SERVED BY EMERSON AND APPROXIMATELY 5% OF THE COMMUNITY'S PATIENTS ARE MEDICAID RECIPIENTS. | ||
| PART VI, LINE 6: EMERSON PROVIDES MANY COMMUNITY SERVICES SOME OF WHICH ARE DESCRIBED BELOW:-EMERGENCY RESPONSE AND DISASTER PLANNING IN CONJUNCTION WITH LOCAL AGENCIES, THE HOSPITAL PLANS AND COORDINATES EMERGENCY PREPAREDNESS AND HAS PROVIDED AND AT TIMES SUBSIDIZED AN ADVANCED LIFE SUPPORT SERVICE.-PREVENTATIVE CARE PROGRAMS SUCH AS FLU VACCINES, CANCER AWARENESS DAY, FREE HEALTH SCREENINGS INCLUDING CHOLETEROL, THYROID, DIABETES, BLOOD PRESSURE, SKIN CANCER AND PULMONARY.-YOUTH PROGRAMS WHICH INCLUDE THE YOUTH RISK BEHAVIOUR SURVEY, JOB SHADOWING AND VOLUNTEER OPPORTUNITIES FOR YOUTH.-SENIOR SERVICES WHICH INCLUDE HOME CARE HEALTH SCREENINGS AND MONTHLY WELLNESS PROGRAMS.-HEALTH EDUCATION WHICH INVOLVES EMERSON STAFF PRESENTING FREE LECTURES TO THE COMMUNITY ON VARIOUS HEALTH CARE ISSUES SUCH AS BREAST CANCER, CARDIAC HEALTH, SPORTS MEDICINE, PRENATAL CARE AND OTHERS. | ||
| PART VI, LINE 7: N/A | ||
| MA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTINE SCHUSTER | |||||||||||||
| 481299 | 0 | 130344 | 0 | 43410 | 0 | 0 | 0 | 14791 | 0 | 669844 | 0 | 0 | 0 |
| JOHN O WILHELM | |||||||||||||
| 322898 | 0 | 67978 | 0 | 16995 | 0 | 0 | 0 | 0 | 0 | 407871 | 0 | 0 | 0 |
| C GREGORY MARTIN MD | |||||||||||||
| 279851 | 0 | 73001 | 0 | 42197 | 0 | 0 | 0 | 10942 | 0 | 405991 | 0 | 0 | 0 |
| KEVIN WHITNEY | |||||||||||||
| 179261 | 0 | 0 | 0 | 11988 | 0 | 0 | 0 | 0 | 0 | 191249 | 0 | 0 | 0 |
| JOSEPH PIECHOCKI | |||||||||||||
| 172145 | 0 | 37132 | 0 | 40822 | 0 | 0 | 0 | 6679 | 0 | 256778 | 0 | 0 | 0 |
| JOYCE WELSH | |||||||||||||
| 166558 | 0 | 0 | 0 | 275 | 0 | 0 | 0 | 20717 | 0 | 187550 | 0 | 0 | 0 |
| BRIAN T CALLAHAN JR MD | |||||||||||||
| 340507 | 0 | 0 | 0 | 1242 | 0 | 17640 | 0 | 24717 | 0 | 384106 | 0 | 0 | 0 |
| STEPHEN DYDA DO | |||||||||||||
| 326870 | 0 | 12000 | 0 | 16986 | 0 | 323 | 0 | 20717 | 0 | 376896 | 0 | 0 | 0 |
| JEFFREY RILEY MD | |||||||||||||
| 333950 | 0 | 0 | 0 | 25564 | 0 | 0 | 0 | 21567 | 0 | 381081 | 0 | 0 | 0 |
| BENJAMIN TILLINGER MD | |||||||||||||
| 306569 | 0 | 12000 | 0 | 16986 | 0 | 15300 | 0 | 14625 | 0 | 365480 | 0 | 0 | 0 |
| LINDA TANG MD | |||||||||||||
| 223816 | 0 | 12500 | 0 | 14664 | 0 | 308 | 0 | 7094 | 0 | 258382 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 4B | EMERSON HOSPITAL OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO A SELECT CLASS OF MANAGEMENT. SUPPLEMENTAL RETIREMENT INCOME IS ASSESSED BY AN INDEPENDENT ACTUARY TO DETERMINE ANNUAL CONTRIBUTION AMOUNTS BY EMERSON HOSPITAL. PLAN CONTRIBUTIONS BECOME INCOME TO THE PARTICIPANT BASED ON A CLIFF VESTING SCHEDULE, WHICH IS EVERY FIVE YEARS FROM THE DATE OF PLAN ENROLLMENT. THE FOLLOWING PERSONS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CHRISTINE SCHUSTER JOHN O. WILHELM C. GREGORY MARTIN KEVIN WHITNEY JOSEPH PIECHOCKI JEFFREY RILEY, M.D. EMERSON HOSPITAL RESUMED CONTRIBUTIONS TO THE 457(F) PLAN FOR THE 2011 FISCAL YEAR. DURING FISCAL 2011, 139,487 WAS FUNDED FOR THE 2010 CALENDAR YEAR. |
| PART I, LINE 6 | EXECUTIVES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN THE AMOUNT OF 5% OF BASE SALARY IF THE ORGANIZATION ACHIEVES THE BOARD APPROVED BUDGETED GAIN FROM OPERATIONS FOR THE FISCAL YEAR. |
| PART I, LINE 7 | EXECUTIVES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN THE AMOUNT OF 15-25% OF BASE SALARY IF THEY ACHIEVE SPECIFIC INDIVIDUAL GOALS. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | |||||||
| 042456011 | 57586CMF9 | 2005-08-24 | 64805965 | SEE SCHEDULE O - SERIES E | 0 | 0 | 0 |
| MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | |||||||
| 042456011 | 2010-03-31 | 7300000 | SEE SCHEDULE O - SERIES F | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3490000 | 68095610 | 4707498 | 3159085 | 2777705 | 1230965 | 30641922 | 25946684 | 2010 | 1 | 0 | 1 | 1 | |
| 2001672 | 7308621 | 121300 | 3125371 | 3495279 | 2011 | 1 | 0 | 0 | 1 | 566671 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ORTHOPEDIC AFFILIATES PC | |||
| ENTITY MORE THAN 35% OWNED BY DONALD DRISCOLL, MD, EX-OFFICIO BOARD MEMBER | 76100 | PHYSICIAN INCOME GUARANTEE AGREEMENT | 0 |
| DONOGHUE BARRET AND SINGAL PC | |||
| FOUNDING PARTNER IS SON IN LAW OF BOARD MEMBER WINSTON HINDLE | 163859 | INTERESTED PERSON, ROGER DONOGHUE, IS FOUNDING PARTNER OF DONOGHUE BARRET AND SINGAL,PC, A LAW FIRM THAT PROVIDES LEGAL SERVICES TO EMERSON HOSPITAL. | 0 |
| SIMMONS COLLEGE | |||
| CHAIR OF SIMMONS HEALTH CARE ADMIN IS JOHN LOWE, BOARD MEMBER | 144000 | EMERSON HOSPITAL SPONSORS SIMMONS COLLEGE HEALTH CARE ADMINISTRATION COURSES FOR STAFF | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | EMERSON HOSPITAL OUTSOURCED THE MANAGEMENT OF THE FOLLOWING OPERATIONS: 1. TRANSITIONAL CARE UNIT TO RADIUS 2. NUTRITION ENGINEERING AND ENVIRONMENTAL SERVICES TO SODEXHO 3. WOUND CARE CLINIC TO DIVERSIFIED CLINICAL SERVICES 4. SLEEP LAB TO NEUROCARE 5. PROPERTY MANAGEMENT OF SELECTED SATELLITE LOCATIONS TO CHARLES JAMES ASSOCIATES | |
| FORM 990, PART VI, SECTION A, LINE 6 | EMERSON HEALTH SYSTEM, INC, ACTING THROUGH ITS BOARD OF DIRECTORS, IS THE MEMBER FOR EMERSON HOSPITAL. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE COMPLETED FORM 990 WAS PRESENTED TO THE EMERSON HOSPITAL BOARD OF DIRECTORS DURING A REGULARLY SCHEDULED BOARD MEETING AND WAS OPEN FOR REVIEW, DISCUSSION, QUESTIONS AND COMMENTS. FURTHER EDUCATIONAL SESSIONS WERE OFFERED FOR ANY BOARD MEMBER TO REVIEW THE FORM 990 IN MORE DETAIL WITH THE CHIEF FINANCIAL OFFICER. IN ADDITION, THE SCHEDULE J WAS REVIEWED IN DETAIL IN A SESSION WITH THE COMPENSATION COMMITTEE AND THE FORM 990 WAS REVIEWED IN ITS ENTIRETY IN DETAIL IN A SESSION WITH THE AUDIT COMMITTEE. | |
| THE BOARD OF DIRECTORS REQUIRES THAT ALL BOARD MEMBERS AND SENIOR MANAGERS COMPLETE AND SIGN THE CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE CEO REVIEWS THESE QUESTIONNAIRES AND SUMMARIZES ANY ISSUES THAT COULD CREATE A CONFLICT OF INTEREST. THIS SUMMARY IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS AND IS PRESENTED TO THE ENTIRE BOARD ANNUALLY SO THAT ALL BOARD MEMBERS ARE AWARE OF POTENTIAL CONFLICTS OF INTEREST AND HAVE INFORMATION THEY CAN RELY ON IF THEY FEEL AN INDIVIDUAL MAY HAVE DIVIDED LOYALTIES ON A DECISION COMING BEFORE THE BOARD OF DIRECTORS. THE BOARD CHAIR IS RESPONSIBLE FOR EVALUATING ANY CONFLICT OF INTEREST AND DETERMINING THE TREATMENT OF THE SITUATION ACCORDING TO BOARD POLICY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE BOARD OF DIRECTORS HOLDS THE SOLE RESPONSIBILITY FOR ESTABLISHING THE COMPENSATION OF EMERSON HOSPITAL'S CEO. THE COMPENSATION COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF AT LEAST THREE INDEPENDENT BOARD MEMBERS, IS RESPONSIBLE FOR THE REVIEW AND RECOMMENDATION OF THE CEO'S COMPENSATION. THIS ANALYSIS INCLUDES AN ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF HUMAN RESOURCES, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WAS USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL. THE COMPENSATION COMMITTEE ALSO REVIEWS AND APPROVES THE CEO'S RECOMMEDATION OF COMPENSATION FOR KEY EMPLOYEES INCLUDING OFFICERS AND VICE PRESIDENTS OF THE HOSPITAL. THIS ANALYSIS INCLUDES ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF HUMAN RESOURCES, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WAS USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL. | FORM 990, PART VI, SECTION B, LINE 15 | |
| FORM 990 IS AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORMS 1023, 990, AND 990T ARE AVAILABLE UPON REQUEST TO THE HOSPITAL. | FORM 990, PART VI, SECTION C, LINE 18 | |
| HOSPITAL'S BY-LAWS ARE AVAIALABLE ON THE MASSACHUSETTS SECRETARY OF STATE'S WEBSITE. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET ASSETS RELEASED FOR PLANT AND EQUIPMENT 1,871,120. BENEFIT FLAN RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS -8,300,555. TEMPORARILY RESTRICTED CHANGE IN INTEREST IN FOUNDATION -2,195,117. PERMANENTLY RESTRICTED CHANGE IN INTEREST IN THE FOUNDATION 76,431. NET ASSETS RELEASED TO THE FOUNDATION 854,869. CHANGE IN UNREALIZED DEPRECIATION ON INVESTMENTS 45,040. TOTAL TO FORM 990, PART XI, LINE 5: -7,648,212. | FORM 990, PART XI, LINE 5: |
| SERIES E BOND PROCEEDS WERE USED TO: (I) PROVIDE FOR THE CURRENT REFUNDING OF PRIOR BONDS, THE PROCEEDS OF WHICH WERE USED TO CONSTRUCT, RENOVATE, AND EQUIP PORTIONS OF THE INSTITUTIONS CAMPUS INCLUDING CONSTRUCTING THE JOHN CUMMING BUILDING, AN ADDITION TO THE WHEELER BUILDING, CONSTRUCTION OF A BUILDING TO HOUSE PATIENT CARE SERVICES, LABORATORY AND REHABILITATION SERVICES, A 31-BED PSYCHIATRIC UNIT, A 32-BED MEDICAL SURGICAL UNIT, 24 OBSTETRICS BEDS, 8 BIRTHING ROOMS, 2 DELIVERY ROOMS, A NEWBORN NURSERY AND CONSTRUCTION OF A FIVE LEVEL PARKING GARAGE WITH APPROXIMATELY 465 PARKING SPACES AND RENOVATING THE WHEELER BUILDING; (II) PROVIDE FOR THE FINANCING AND REFINANCING OF (A) RENOVATIONS TO EXISTING PRE AND POST OPERATING SURGICAL DAY CARE SUITES, THE CONSTRUCTION OF A NEW CYSTOSCOPY ROOM, CONSTRUCTION OF TWO OPERATING ROOMS AND RENOVATION OF THE POST ANESTHESIA CARE UNIT, (B) EXPANSION OF EXISTING SPACE USED FOR RADIOLOGY SERVICES INCLUDING CONSTRUCTION OF SEPARATE ENTRANCES AND SEGREGATED PREPARATION ACCESS FOR INPATIENT VERSUS OUTPATIENT USE AND THE ADDITION OF NEW RADIOLOGY EQUIPMENT, (C) EXPANSION OF THE EXISTING OBSTETRICS UNIT IN ORDER TO CREATE PRIVATE ROOMS AND (D) THE ACQUISITION AND INSTALLATION OF CAPITAL EQUIPMENT; (III) FUND THE DEBT SERVICE REVENUE FUND; (IV) PAY THE PREMIUM FOR THE BOND INSURANCE POLICY; AND (V) PAY CERTAIN COSTS AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES E BONDS. SERIES F PROCEEDS WERE USED TO FINANCE A LINEAR ACCELERATOR VAULT, TO REPAY THE POOL LOAN AND TO PAY CERTAIN COSTS IN CONNECTION WITH THE ISSUANCE OF THE SERIES F BONDS. | SCHEDULE K, PART I, COLUMN F DESCRIPTION OF TAX EXEMPT BOND PURPOSE |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| EMERSON HEALTH SYSTEM | |||||||||||
| OLD ROAD TO NINE ACRE CORNER | CONCORD | MA | 01742 | 042770977 | PROVIDES ITS HEALTHCARE SUBSIDIARIES WITH A MANAGEMENT TEAM | MA | 501(C)3 | 509(A)(3) TYPE I | N/A | 0 | |
| EMERSON HEALTH CARE FOUNDATION | |||||||||||
| OLD ROAD TO NINE ACRE CORNER | CONCORD | MA | 01742 | 042770980 | COORDINATE AND DEVELOP THE FUNDRAISING EFFORT FOR EMERSON HOSPITAL | MA | 501(C)3 | 509(A)(3) TYPE I | 0 | EMERSON HEALTH SYSTEM INC | |
| EMERSON PRACTICE ASSOCIATES | |||||||||||
| OLD ROAD TO NINE ACRE CORNER | CONCORD | MA | 01742 | 043111240 | PROVIDE HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITAL | MA | 501(C)3 | 170(B)(1)(A)(III) | 0 | EMERSON HOSPITAL | |
| EMERSON PRACTICE ASSOCIATES II | |||||||||||
| OLD ROAD TO NINE ACRE CORNER | CONCORD | MA | 01742 | 800482067 | PROVIDE HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITAL | MA | 501(C)3 | 170(B)(1)(A)(III) | 0 | EMESON HOSPITAL | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RADIATION ONCOLOGY CENTER MANAGEMENT COMPANY LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | OLD ROAD TO NINE ACRE CORNER | AddressLine1 |
| City | CONCORD | City |
| State | MA | State |
| ZIP Code | 01742 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043410861 | EIN |
| Primary Activity | OPERATE A RADIATION ONCOLOGY FACILITY | PrimaryActivity |
| Legal Domicile State | MA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 1598876 | ShareOfTotalIncome |
| Share Of EOY Assets | 504883 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.50000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMERSON PHYSICIAN HOSPITAL ORGANIZATION | ||||||||||||
| OLD ROAD TO NINE ACRE CORNER | CONCORD | MA | 01742 | 043205706 | HEALTH SERVICES CONTRACTING | MA | N/A | C | -3326 | 1743305 | 0.50000 | |
| EMERSON PROPERTY DEVELOPMENT CORP | ||||||||||||
| OLD ROAD TO NINE ACRE CORNER | CONCORD | MA | 01742 | 042793599 | PROPERTY MANAGEMENT | MA | C | EMERSON HEALTH SYSTEM INC | ||||
| EMERSON OCCUPATIONAL HEALTH SERVICES | ||||||||||||
| OLD ROAD TO NINE ACRE CORNER | CONCORD | MA | 01742 | 042800607 | HEALTH SERVICES | MA | C | EMERSON HEALTH SYSTEM INC | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| EMERSON PRACTICE ASSOCIATES | |
| N | 4802260 |
| EMERSON PRACTICE ASSOCIATES | |
| P | 195899 |
| EMERSON PRACTICE ASSOCIATES II | |
| N | 2113578 |
| EMERSON PRACTICE ASSOCIATES II | |
| M | 149057 |
| EMERSON PRACTICE ASSOCIATES II | |
| P | 351946 |
Comments