EMERSON HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
EMERSON HOSPITAL (EIN 04-2103565)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-10
IRS object ID
201102229349301210
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-10T14:30:09-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042103565EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMERSON HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEMERNameControl
Phone9782873226Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn WilhelmName
TitleSR VP & CFOTitle
Phone9782873226Phone
Date Signed2011-08-10DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn WilhelmNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1133 Old Road to Nine Acre COrnerAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode
FieldValueIRS element (for citing)
Gross Receipts181300126GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.emersonhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionEMERSON 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 Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1943TotalNbrEmployees
Total Nbr Volunteers520TotalNbrVolunteers
Total Gross UBI4543412TotalGrossUBI
Net Unrelated Business Txbl Income717351NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1175293ContributionsGrantsPriorYear
Contributions Grants Current Year585297ContributionsGrantsCurrentYear
Program Service Revenue Prior Year163998450ProgramServiceRevenuePriorYear
Program Service Revenue CY169765165ProgramServiceRevenueCY
Investment Income Prior Year-53680InvestmentIncomePriorYear
Investment Income Current Year119842InvestmentIncomeCurrentYear
Other Revenue Prior Year10848954OtherRevenuePriorYear
Other Revenue Current Year10541263OtherRevenueCurrentYear
Total Revenue Prior Year175969017TotalRevenuePriorYear
Total Revenue Current Year181011567TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year96580486SalariesEtcPriorYear
Salaries Etc Current Year102225979SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year78208135OtherExpensePriorYear
Other Expenses Current Year79676677OtherExpensesCurrentYear
Total Expenses Prior Year174788621TotalExpensesPriorYear
Total Expenses Current Year181902656TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1180396RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-891089RevenuesLessExpensesCY
Total Assets BOY167477991TotalAssetsBOY
Total Assets EOY177413006TotalAssetsEOY
Total Liabilities BOY117460915TotalLiabilitiesBOY
Total Liabilities EOY128076343TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY50017076NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY49336663NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense53617795Expense
Revenue61895205Revenue
DescriptionEmerson 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 8,670 inpatients and 1,973 observation patients for a total of 42,038 patient days.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense89467111Expense
Revenue103278868Revenue
DescriptionEmerson Hospital is an acute care non-profit community hospital that provides a variety services on an outpatient basis. emerson performed 944,964 procedures on outpatients during the fiscal year ending september 30, 2010. in addition, the hospital also had 35,110 emergency department visits and 50,503 rehabilitation service visits.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3977113Expense
Revenue4591092Revenue
DescriptionEmerson 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, 2010 emerson hospital saw 2,077 new homecare patients.Description
FieldValueIRS element (for citing)
Total Program Service Expense147062019TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096245NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1943NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1john wilhelmBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9782873226TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1Old Road to Nine Acre CornerAddressLine1
CityConcordCity
StateMAState
ZIP Code01742ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Paul Birch
Treasurer2.00XX000
Gloria Clough
Director2.00X000
RIchard Churchill
Director2.00X000
Paul D'Ambrosio MD
EX OFFICIO PRES ELECT ME2.00X3778000
Eric Haartz
Director2.00X000
Winston R Hindle Jr
Secretary2.00XX000
James DiGiovanni
Director2.00X000
Mary B Johnson
Director2.00X000
Ronald H Johnson
VICE CHAIR2.00XX000
Donald A Driscoll Jr
EX OFFICIO PRES MEDICINE2.00X2250000
John M Lowe III
Chairman4.00XX000
Rose Ann Giordano
Director2.00X000
John Hickling
Director2.00X000
Amaresh Mahapatra
Director2.00X000
Christine Schuster
EX OFFICIO President & C60.00XX734309023822
David Rose MD
Director2.00X500009800
Michael Zak
DIRECTOR2.00X000
ROBERT CANTU MD
DIRECTOR2.00X4000000
Philip Cheney
director2.00X000
John O Wilhelm
sr. vp finance & Admin40.00X431359015500
C gregory Martin MD
SR. VP Clinical Affiars40.00434756010173X
Kevin Whitney
VP Patient Care SVC & Nu40.0023887800X
Joseph Piechocki
VP Clinical & Admin SVC40.0026097809438X
BRIAN T CALLAHAN JR MD
General Surgeon40.00251621011874X
COLETTE WHITBY MD
PHYSICIAN40.00266419013899X
JEFFREY RILEY md
CHAIR OF OBSTETRICS AND40.00342846020368X
CHRISTINE GALLERY
VP OF PLANNING AND MARKE40.00251312019668X
JOHN DRESSER
VICE PRESIDENT DEVELOPME40.00259233020268X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3621991TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs980TotalReportableCompFrmRltdOrgs
Total Other Compensation145010TotalOtherCompensation
Number Individuals GT100 K132NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Delphi Construction Corporation
130 Overlook RoadWalthamMA02451Construction services2980193
FTI CONSULTING
PO BOX 631916BALTIMOREMD21263CONSULTING SERVICES1768309
SPECIALTY LABORATORIES
PO BOX 92722LOS ANGELESCA90009LAB TESTING SERVICES1365373
EMERSON HOSPITAL EMERGENCY PHYSICIANS
24 SCHOOL STREETBOSTONMA02108EMERGENCY SERVICES762348
SODEXO INC & AFFILIATES
PO BOX 81049WOBURNMA01813ENVIRONMENTAL/CAFETERIA SERVICES744643
FieldValueIRS element (for citing)
Number Of Contractors GT100 K52NumberOfContractorsGT100K
Related Organizations585297RelatedOrganizations
Total Contributions585297TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column169765165TotalRevenueColumn
Related Or Exempt Function Income169765165RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue169765165TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column64120TotalRevenueColumn
Exclusion$64,120ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real806860Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real249200Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real557660Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column557660TotalRevenueColumn
Related Or Exempt Function Income359057RelatedOrExemptFunctionIncome
Unrelated Business Revenue198603UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other95081Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other39359Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other55722Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column55722TotalRevenueColumn
Related Or Exempt Function Income55722RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria and other9000995638794$5,638,794
Lab Services62150043448094344809
FieldValueIRS element (for citing)
Total Other Revenue9983603TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column181011567TotalRevenueColumn
Related Or Exempt Function Income170179944RelatedOrExemptFunctionIncome
Unrelated Business Revenue4543412UnrelatedBusinessRevenue
Exclusion$5,702,914ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2058442Total
Program Services1749675ProgramServices
Management And General308767ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total85641452Total
Program Services72306793ProgramServices
Management And General13334659ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total891435Total
Program Services757720ProgramServices
Management And General133715ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7694766Total
Program Services6540551ProgramServices
Management And General1154215ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5939884Total
Program Services5048901ProgramServices
Management And General890983ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6395171Total
Program Services6395171ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total389623Total
Management And General389623ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total689545Total
Management And General689545ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total60702Total
Program Services60702ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1710049Total
Management And General1710049ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1679970Total
Management And General1679970ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total725014Total
Management And General725014ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7269320Total
Program Services5234328ProgramServices
Management And General2034992ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total206925Total
Management And General206925ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3460886Total
Management And General3460886ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11293664Total
Program Services11293664ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2275203Total
Management And General2275203ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES206003002055514945151
REPAIRS & MAINTENANCE66846735727669957004
MISCELLANEOUS640834145589961849345
EQUIPMENT RENTAL26482052648205
provision for doubtful24066552406655

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4772431Total
Program Services1777840ProgramServices
Management And General2994591ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total181902656Total
Program Services147062019ProgramServices
Management And General34840637ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12782737BOY
EOY15502881EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20350035BOY
EOY18828511EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY2269604EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1666960BOY
EOY1706416EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3957576BOY
EOY4216173EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis253035990LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec151080783LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY101312926BOY
EOY101955207EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY19542651BOY
EOY19575750EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3298829BOY
EOY5449468EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4566277BOY
EOY7908996EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY167477991BOY
EOY177413006EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12491079BOY
EOY14938845EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY62619997BOY
EOY61883965EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15037213BOY
EOY17520814EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY27312626BOY
EOY33732719EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY117460915BOY
EOY128076343EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY46631450BOY
EOY43803510EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2170706BOY
EOY4210245EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1214920BOY
EOY1322908EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY50017076BOY
EOY49336663EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY167477991BOY
EOY177413006EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$30,351DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$30,351RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB60702TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1214920BeginningOfYearBalance
Contributions105075Contributions
Investment Earnings Or Losses143410InvestmentEarningsOrLosses
Other Expenditures140497OtherExpenditures
End Of Year Balance1322908EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1101230BeginningOfYearBalance
Contributions119654Contributions
Investment Earnings Or Losses67442InvestmentEarningsOrLosses
Other Expenditures73406OtherExpenditures
End Of Year Balance1214920EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2722757OtherCostOrOtherBasis
Book Value2722757BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis139897690OtherCostOrOtherBasis
Depreciation70746992Depreciation
Book Value69150698BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis103038875OtherCostOrOtherBasis
Depreciation79000978Depreciation
Book Value24037897BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7376668OtherCostOrOtherBasis
Depreciation1332813Depreciation
Book Value6043855BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings101955207TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION PAYABLE$21,160,876
ACCRUED PAYROLL$5,886,464
LINE OF CREDIT$5,000,000
fin47 remediation obligation$1,129,334
DEFERRED REVENUE$556,045
FieldValueIRS element (for citing)
Total Of Amounts33732719TotalOfAmounts
Total Revenue181011567TotalRevenue
Total Expenses181902656TotalExpenses
Excess Or Deficit For Year-891089ExcessOrDeficitForYear
Other$210,676OtherAmount
Total Adjustments210676TotalAdjustments
Excess Or Deficit Per FS-680413ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt181882794TotRevenueEtcAuditedFinclStmt
Other Revenues871227OtherRevenues
Revenue Not Rptd F990871227RevenueNotRptdF990
Revenue Subtotal181011567RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990181011567TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt181902656TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal181902656ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990181902656TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds: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.
Part X:Description of Uncertain Tax Positions Under FIN 48:IN FISCAL 2010 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: 85922. BENEFIT FLAN RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS: -2561294. TEMPorarily RESTRICTED change in interest in foundation: 2052825. PERMANENTLY RESTRICTED Change in interest in the foundation: 107988. net assets released to the foundation: 272644. CHANGE IN UNREALIZED DEPRECIATION ON INVESTMENTS: 252591.
Part XII, Line 2d - Other Adjustments:NET ASSETS RELEASED FROM RESTRICTIONS FOR FOUNDATION: 871227.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3073927TotalCommunityBenefitExpense
Net Community Benefit Expense3073927NetCommunityBenefitExpense
Percent Of Total Expense0.01690PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense9606514TotalCommunityBenefitExpense
Direct Offsetting Revenue7657240DirectOffsettingRevenue
Net Community Benefit Expense1949274NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1031577TotalCommunityBenefitExpense
Direct Offsetting Revenue891867DirectOffsettingRevenue
Net Community Benefit Expense139710NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense13712018TotalCommunityBenefitExpense
Direct Offsetting Revenue8549107DirectOffsettingRevenue
Net Community Benefit Expense5162911NetCommunityBenefitExpense
Percent Of Total Expense0.02840PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense517606TotalCommunityBenefitExpense
Net Community Benefit Expense517606NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense123274TotalCommunityBenefitExpense
Net Community Benefit Expense123274NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense37000TotalCommunityBenefitExpense
Net Community Benefit Expense37000NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense677880TotalCommunityBenefitExpense
Net Community Benefit Expense677880NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14389898TotalCommunityBenefitExpense
Direct Offsetting Revenue8549107DirectOffsettingRevenue
Net Community Benefit Expense5840791NetCommunityBenefitExpense
Percent Of Total Expense0.03210PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$974,095BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare36668923AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare42314224CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5645301MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1RADIATION ONCOLOGY CENTER MANAGEMENT COMPANY LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityOPERATE A RADIATION ONCOLOGY FACILITYDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMERSON HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1133 OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart I, Line 3c: EMERSON HOSPITAL USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.IncomeBasedCriteria
Annual Community Benefit ExplnPart 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.AnnualCommunityBenefitExpln
Subsidized Health Services ExplnPart I, Line 7g: SUBSIDIZED HEALTH SERVICES INCLUDE LABORATORY CHARGES FOR FREE HEALTH CLINICS OFFERED TO THE COMMMUNITY.SubsidizedHealthServicesExpln
Bad Debt FootnotePart 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.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: The costing methodology used in determining allowable costs of care for Medicare is the cost to charge ratio.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
General ExplanationPART 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.GeneralExplanation
Needs AssessmentPart VI, Line 2: Every three years, Emerson conducts a comprehensive Health Care Needs Assessment. The most recent assessment was conducted in 2007-2008 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.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart 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.CommunityInformation
Other InformationPart 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.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: N/AAffiliatedHealthCareSystem
Reports Filed With StatesMAReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Christine Schuster
5328030174596026910000238220758131000
John O Wilhelm
315741099000016618015500000446859000
C gregory Martin MD
313046097335024375000101730444929000
Kevin Whitney
17936704593701357400000238878000
Joseph Piechocki
17646005150003301807804016340270416000
BRIAN T CALLAHAN JR MD
208309025000018312000118740263495000
COLETTE WHITBY MD
2559330100000486000138990280318000
JEFFREY RILEY md
31737800025468000203680363214000
CHRISTINE GALLERY
184312050372016628000196680270980000
JOHN DRESSER
182691059448017094000202680279501000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 4aEmerson 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 suspended contributions to the 457(f) plan for the 2009 fiscal year. During Fiscal 2009, 139,309 was funded for 2007 and 116,358 was funded for 2008.
Part I, Line 6EXECUTIVES 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 7EXECUTIVES 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 EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
04245601157586CMF92005-08-2464805965See Schedule O - Series E00
MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
0424560112010-03-317300000See Schedule O - Series F00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
6480596577075602594668423652054500002833651620101011
730696634952796966146000365872120111001

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010.000000.000000.000001
000010.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100000
000000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ORTHOPEDIC AFFILIATES PC
ENTITY MORE THAN 35% OWNED BY DONALD DRISCOLL, MD, EX-OFFICIO BOARD MEMBER129819PHYSICIAN INCOME GUARANTEE AGREEMENT0
DONOGHUE BARRET AND SINGAL PC
FOUNDING PARTNER IS SON IN LAW OF BOARD MEMBER WINSTON HINDLE162616INTERESTED 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, CHAIRMAN126000EMERSON HOSPITAL SPONSORS SIMMONS COLLEGE HEALTH CARE ADMINISTRATION COURSES FOR STAFF0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 3EMERSON HOSPITAL OUTSOURCED THE MANAGEMENT OF THE FOLLOWING OPERATIONS: 1. TRANSITIONAL CARE UNIT TO RADIUS 2. NUTRITION 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 6EMERSON HEALTH SYSTEM, INC, ACTING THROUGH ITS BOARD OF DIRECTORS, IS THE MEMBER FOR EMERSON HOSPITAL.
Form 990, Part VI, Section A, line 7aTHE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM.
Form 990, Part VI, Section A, line 7bTHE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM.
Form 990, Part VI, Section B, line 11THE 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.
Form 990, Part VI, Section B, line 12cTHE 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 15The 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 C, line 18FORM 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 19HOSPITAL'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 XI, LINE 2CFINANCIAL STATEMENT AUDIT EMERSON HOSPITAL'S FINANCIAL STATEMENTS WRE AUDITED BY AN INDEPENDENT ACCOUNTANT AS PART OF A CONSOLIDATED AUDIT OF EMERSON HEALTH SYSTEM, INC.
SCHEDULE K, PART I, COLUMN F DESCRIPTION OF TAX EXEMPT BOND PURPOSESERIES 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 R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EMERSON HEALTH SYSTEM
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042770977PROVIDES ITS HEALTHCARE SUBSIDIARIES WITH A MANAGEMENT TEAMMA501(C)3509(a)(3) TYPE IN/A
EMERSON HEALTH CARE FOUNDATION
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042770980COORDINATE AND DEVELOP THE FUNDRAISING EFFORT FOR EMERSON HOSPITALMA501(C)3509(a)(3) TYPE IEMERSON HEALTH SYSTEM INC
EMERSON PRACTICE ASSOCIATES
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742043111240PROVIDE HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITALMA501(C)3170(b)(1)(A)(iii)EMERSON HOSPITAL
EMERSON PRACTICE ASSOCIATES II
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742800482067PROVIDE HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITALMA501(C)3170(b)(1)(A)(iii)EMESON HOSPITAL

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1RADIATION ONCOLOGY CENTER MANAGEMENT COMPANY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1OLD ROAD TO NINE ACRE CORNERAddressLine1
CityCONCORDCity
StateMAState
ZIP Code01742ZIPCode
FieldValueIRS element (for citing)
EIN043410861EIN
Primary ActivityOPERATE A RADIATION ONCOLOGY FACILITYPrimaryActivity
Legal Domicile StateMALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeRELATEDPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EMERSON PHYSICIAN HOSPITAL ORGANIZATION
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742043205706HEALTH SERVICES CONTRACTINGMAN/AC2425320052670.50000
EMERSON PROPERTY DEVELOPMENT CORP
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042793599PROPERTY MANAGEMENTMACEMERSON HEALTH SYSTEM INC
EMERSON OCCUPATIONAL HEALTH SERVICES
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042800607HEALTH SERVICESMACemerSON HEALTH SYSTEM INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
EMERSON HEALTH CARE FOUNDATION
N472997
EMERSON HEALTH CARE FOUNDATION
P200237
EMERSON HEALTH CARE FOUNDATION
L10175
EMERSON PRACTICE ASSOCIATES
N4967564
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RADIATION ONCOLOGY CENTER MANAGEMENT COMPANY LLC
M235821
EMERSON PHYSICIAN HOSPITAL ORGANIZATION
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