BAYSTATE NOBLE HOSPITAL CORPORATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- BAYSTATE NOBLE HOSPITAL CORPORATION (EIN 22-2537423)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201102279349303000
- Schema version
- 2009v1.2
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T10:08:41-07:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222537423 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRUSTEES OF NOBLE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRUS | NameControl |
| Phone | 4135682811 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 West Silver Street | AddressLine1 |
| Address Line2 | P O Box 1634 | AddressLine2 |
| City | Westfield | City |
| State | MA | State |
| ZIP Code | 010861634 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Ronald Bryant | Name |
| Title | President and CEO | Title |
| Phone | 4135682811 | Phone |
| Date Signed | 2011-08-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Noble Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Ronald Bryant | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 West Silver Street | AddressLine1 |
| Address Line2 | P O Box 1634 | AddressLine2 |
| City | Westfield | City |
| State | MA | State |
| ZIP Code | 01086 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 53302893 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.noblehospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | The mission of Noble Hospital is to deliver the highest quality health care through a broad range of services to the diverse people of Greater Westfield and surrounding areas. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 688 | TotalNbrEmployees |
| Total Nbr Volunteers | 120 | TotalNbrVolunteers |
| Total Gross UBI | 64040 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1051529 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 550084 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 53541134 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 51984624 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 68136 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4899 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 451611 | OtherRevenuePriorYear |
| Other Revenue Current Year | 763286 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 55112410 | TotalRevenuePriorYear |
| Total Revenue Current Year | 53302893 | 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 | 30648565 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 29412205 | 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 | 25240370 | OtherExpensePriorYear |
| Other Expenses Current Year | 25829683 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 55888935 | TotalExpensesPriorYear |
| Total Expenses Current Year | 55241888 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -776525 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1938995 | RevenuesLessExpensesCY |
| Total Assets BOY | 25166502 | TotalAssetsBOY |
| Total Assets EOY | 20176161 | TotalAssetsEOY |
| Total Liabilities BOY | 27856276 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 29278384 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -2689774 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -9102223 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of Noble Hospital is to deliver the highest quality health care through a broad range of services to the diverse people of Greater Westfield and surrounding areas. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 47074721 | Expense |
| Grants | 0 | Grants |
| Revenue | 51984624 | Revenue |
| Description | Provided acute care inpatient, outpatient and other health care services for Westfield and the surrounding communities. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 47074721 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | 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 |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | 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 |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 119 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 688 | 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 |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Ronald Bryant | NamePerson |
| Telephone Number | 4135682811 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 West Silver Street | AddressLine1 |
| Address Line2 | P O Box 1634 | AddressLine2 |
| City | Westfield | City |
| State | MA | State |
| ZIP Code | 010861634 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Roger Butler Jr | ||||||||
| Chairman | 1 | X | 0 | 0 | 0 | |||
| Robert Bacon | ||||||||
| Vice Chairman | 1 | X | 0 | 0 | 0 | |||
| William Harmon | ||||||||
| Treasurer | 1 | X | 0 | 0 | 0 | |||
| Mary O'Connell | ||||||||
| Secretary | 1 | X | 0 | 0 | 0 | |||
| Patti Andras | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Donald Bieker | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Barbara Braem | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Scott Cooper MD | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Carol Kaufman | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| William Lopes | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Pablo Nyarady | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Robert Paul | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| David Peterson MD | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Donald Pion | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Denzil Reid MD | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Lance Reynolds MD | ||||||||
| Trustee | 1 | X | 0 | 0 | 0 | |||
| Robert P Perry | ||||||||
| Interim President & Chief Executive Officer | 40 | X | 11367 | 0 | 0 | X | ||
| Ronald Bryant | ||||||||
| Executive Vice President & Chief Operating Officer | 40 | 0 | 0 | 0 | X | |||
| Robert Blondin | ||||||||
| Vice President & Chief Financial Officer | 40 | 177944 | 0 | 34061 | X | |||
| Sharon Cygan | ||||||||
| RN | 58 | 170241 | 0 | 13515 | X | |||
| Norma Bessette | ||||||||
| RN | 51 | 146908 | 0 | 23354 | X | |||
| Diane Brunelle | ||||||||
| Vice President of Patient Care Services | 40 | 137763 | 0 | 18531 | X | |||
| Timothy O'Neil | ||||||||
| Director of Pharmacy | 40 | 130085 | 0 | 2276 | X | |||
| John Shaver | ||||||||
| Controller | 40 | 129186 | 0 | 8129 | X | |||
| George Koller | ||||||||
| Former President & Chief Executive Officer | 0 | 1961436 | 0 | 41285 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2864930 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 141151 | TotalOtherCompensation |
| Number Individuals GT100 K | 19 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|
| RehabCare Group Inc | ||||||
| P O Box 502096 | St Louis | MO | 631502096 | physical rehabilitation management | 1909199 | |
| Alliance Healthcare Services Inc | ||||||
| 1900 S State College Blvd | Anaheim | CA | 92806 | diagnostic imaging | 936372 | Suite 600 |
| Raymond R Houle Construction Inc | ||||||
| 5 Miller Street | Ludlow | MA | 01056 | construction | 603588 | |
| Umass Memorial Medical Center | ||||||
| P O Box 415366 | Boston | MA | 02241 | laboratory testing and analysis | 377130 | |
| Novamed Corporation | ||||||
| 30 Nutmeg Drive | Trumbull | CT | 06611 | medical equipment maintenance | 291446 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 542486 | GovernmentGrants |
| All Other Contributions | 7598 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 550084 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| hospital revenue | 622000 | 51889851 | 51825811 | 64040 | $0 |
| rental income from affiliate | 531390 | 94773 | 94773 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 51984624 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4899 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $4,899 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| endowment principal and interest transfers | 900099 | 467768 | 467768 | 0 | $0 |
| vendor rebates and commissions | 900099 | 95586 | 95586 | 0 | $0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 199932 | TotalRevenueColumn |
| Related Or Exempt Function Income | 199932 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 763286 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53302893 | TotalRevenueColumn |
| Related Or Exempt Function Income | 52683870 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 64040 | UnrelatedBusinessRevenue |
| Exclusion | $4,899 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204148 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 204148 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24035888 | Total |
| Program Services | 21166455 | ProgramServices |
| Management And General | 2869433 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 932967 | Total |
| Program Services | 816894 | ProgramServices |
| Management And General | 116073 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2445503 | Total |
| Program Services | 2139268 | ProgramServices |
| Management And General | 306235 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1793699 | Total |
| Program Services | 1560518 | ProgramServices |
| Management And General | 233181 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 478860 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 478860 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119094 | Total |
| Program Services | 2413 | ProgramServices |
| Management And General | 116681 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203452 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 203452 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8274232 | Total |
| Program Services | 6401439 | ProgramServices |
| Management And General | 1872793 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 271931 | Total |
| Program Services | 1902 | ProgramServices |
| Management And General | 270029 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8223772 | Total |
| Program Services | 7913013 | ProgramServices |
| Management And General | 310759 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1845587 | Total |
| Program Services | 1266615 | ProgramServices |
| Management And General | 578972 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26539 | Total |
| Program Services | 19415 | ProgramServices |
| Management And General | 7124 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44649 | Total |
| Program Services | 27467 | ProgramServices |
| Management And General | 17182 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102766 | Total |
| Program Services | 91711 | ProgramServices |
| Management And General | 11055 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2383058 | Total |
| Program Services | 2094309 | ProgramServices |
| Management And General | 288749 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 343462 | Total |
| Program Services | 303818 | ProgramServices |
| Management And General | 39644 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Provision for uncollectible accounts | 3232424 | 3232424 | 0 | 0 |
| Dues | 129559 | 9794 | 119765 | 0 |
| Equipment rentals | 59873 | 24572 | 35301 | 0 |
| Miscellaneous | 90425 | 2694 | 87731 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55241888 | Total |
| Program Services | 47074721 | ProgramServices |
| Management And General | 8167167 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1461960 | BOY |
| EOY | -43947 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1607337 | BOY |
| EOY | 689800 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5550391 | BOY |
| EOY | 4762938 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 786960 | BOY |
| EOY | 707782 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146513 | BOY |
| EOY | 164095 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 49968145 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 38092421 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12972793 | BOY |
| EOY | 11875724 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2640548 | BOY |
| EOY | 2019769 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25166502 | BOY |
| EOY | 20176161 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10556796 | BOY |
| EOY | 9650364 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153397 | BOY |
| EOY | 147005 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6930541 | BOY |
| EOY | 6865659 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10215542 | BOY |
| EOY | 12615356 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27856276 | BOY |
| EOY | 29278384 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5168146 | BOY |
| EOY | -11293611 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2000017 | BOY |
| EOY | 1713033 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 478355 | BOY |
| EOY | 478355 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2689774 | BOY |
| EOY | -9102223 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25166502 | BOY |
| EOY | 20176161 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 | $39,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $18,889 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 57889 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchC_P2B_S00_L01 | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | The organization contracted directly with a consultant to assist in pursuing its government affairs objectives. This consultant was paid to perform lobbying and other public affairs work. Lobbying was conducted on various initiatives related to the delivery and financing of health care. In addition, the organization paid membership dues to the Massachusetts Hospital Association and to the American Hospital Association, both of which have advised that portions of those dues were used for lobbying purposes. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 0 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 0 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 0 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 0 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.24 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.76 | TermEndowmentEOYBalance |
| 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) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 369469 | OtherCostOrOtherBasis |
| Book Value | 369469 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 23260875 | OtherCostOrOtherBasis |
| Depreciation | 16677615 | Depreciation |
| Book Value | 6583260 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 436469 | OtherCostOrOtherBasis |
| Depreciation | 348646 | Depreciation |
| Book Value | 87823 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 25555199 | OtherCostOrOtherBasis |
| Depreciation | 21066160 | Depreciation |
| Book Value | 4489039 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 346133 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 346133 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11875724 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Beneficial interest in endowment assets of affiliate | 1990574 |
| Board-designated cash | 22435 |
| Amount due from affiliate | 6760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2019769 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued pension liability | $12,331,352 |
| Asset retirement obligation | $283,004 |
| Amount due to affiliate | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12615356 | TotalOfAmounts |
| Total Revenue | 53302893 | TotalRevenue |
| Total Expenses | 55241888 | TotalExpenses |
| Excess Or Deficit For Year | -1938995 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 0 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | -$38,567 | OtherAmount |
| Total Adjustments | -38567 | TotalAdjustments |
| Excess Or Deficit Per FS | -1977562 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 53264326 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 53264326 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 38567 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 38567 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 53302893 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 55241888 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 55241888 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 55241888 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P05_S00_L04 | Schedule D, Part V, Line 4 | The organization receives quarterly distributions from the temporarily restricted endowment assets of its affiliate, Noble Health Systems, Inc., for the purpose of supporting the organization's mission of delivering health care. |
| SchD_P10_S00_L00 | Schedule D, Part X | Included in the organization's Summary of Significant Accounting Principles footnote is the following disclosure related to income taxes: "The Hospital is a not-for-profit corporation under the provisions of Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes and related income pursuant to Section 501(a) of the Code." Accordingly, the organization has not recorded a provision for income taxes under FIN 48. |
| SchD_P11_S00_L08 | Schedule D, Part XI, Line 8 | Contributions and grants included in temporarily restricted net assets in the audited financial statements. |
| SchD_P12_S00_L04b | Schedule D, Part XII, Line 4b | Contributions and grants included in temporarily restricted net assets in the audited financial statements. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 0 | CharityCarePolicy |
| 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 | 533960 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 262271 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 271689 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0052 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5595457 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4722398 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 873059 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0168 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1402954 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1100009 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 302945 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0058 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 7532371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6084678 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1447693 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0278 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 127867 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6779 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 121088 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0023 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1395 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1395 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 129262 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6779 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 122483 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0023 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 7661633 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6091457 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1570176 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0301 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,230,907 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 18911867 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19582538 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -670671 | 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 V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Noble Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 West Silver Street | AddressLine1 |
| City | Westfield | City |
| State | MA | State |
| ZIP Code | 01086 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | Psychiatric and physical rehabilitation services | Other |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Noble Health Systems Inc. | AnnualCommunityBenefitExpln |
| Costing Method Used | Charity care at cost, Unreimbursed Medicaid and Unreimbursed costs - other means-tested government programs were calculated by using a cost to charge ratio derived from Worksheet 2 - Ratio of Patient Care Cost to Charges. | CostingMethodUsed |
| Percent Of Total Expense Expln | The percent of total expenses is calculated by using the denominator of total functional expenses less bad debt expense of $3,232,424. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Bad debt expense at cost was calculated using total bad debt from the financial statements multiplied by the Ratio of Patient Care to Charges, which was derived from Worksheet 2, Line 11 of the IRS instructions for Schedule H. | BadDebtFootnote |
| Shortfall As Community Benefit | The Medicare allowable costs were obtained from the organization's Medicare cost report for the year ended September 30, 2010. The organization believes that Medicare underpayments should be treated as a community benefit since these services and related costs promoted the health of the community and were rendered as part of the organization's policy of providing care to any patient in need of medical care, regardless of the patient's ability to pay for such care. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | The policy addresses both how the organization helps individuals who do not have health insurance find assistance when it is available and how these accounts are processed based on the insurance and type of claims involved. | DebtCollectionPolicy |
| Needs Assessment | As needed, the organization will contract for the services of well-known professionals for the completion of a comprehensive assessment that explores both the need and demand for services from the community as well as the supply of services and the strength of the existing service system. The emphasis will be on the uninsured, low income, and/or underserved populations in the service area and the safety net system in place for this target population. The issues of the capacity for culturally competent healthcare in the service area will be explored in focus groups with current patients and minority group member from the service area. Consumer focus groups will help identify significant but subtle barriers to healthcare and we expect that our consumer representatives on the FQHC Team will be able to translate their experiences so that we may develop a responsive CHC model. Interviews with individual providers of social support and healthcare, as well as providing organizations and CBOs, will also inform this part of the Needs Assessment. The Needs Assessment process will encompass access to oral health, mental health, and substance abuse related services as well as primary medical care and will examine the needs and methods for outreach, case management and other enabling services. Methods include data analysis, interviews, surveys and focus groups. It will identify further detail on the service area and its population as follows: Health status and health indicators for the target population including subpopulations of the homeless, MSFWs, refugees, immigrants and Latinos. Data sources include state databases: MassCHIP (DPH), the Uniform Data System (including the UDS Mapper tool) and data from hospitals and state agencies. Economic factors will be examined through the American Community Survey data from the US Census Bureau, MassCHIP, and the Massachusetts Institute for Social and Economic Research (MISER), current unemployment data (MA DET) and health insurance data from the Division of Healthcare Finance and Policy (DHCFP) . Socio-demographic factors will be analyzed from U.S. Census data, MassCHIP, MISER, MassHealth Data Consortium and the HRSA Geospatial Warehouse. Consultants will conduct an assessment that explores both the need and demand for services from the community as well as the supply of services and the strength of the existing service system. The emphasis will be on the uninsured, low income, and/or underserved populations in the service area and the safety net system in place for this target population. The issues of the capacity for culturally competent healthcare in the service area will be explored in focus groups with current patients and minority group members from the service area. Consumer focus groups will help identify significant but subtle barriers to healthcare and we expect that our consumer representatives on the FQHC Team will be able to translate their experiences so that we may develop a responsive CHC model. Interviews with individual providers of social support and healthcare as well as providing organizations and CBOs will also inform this part of the Needs Assessment. | NeedsAssessment |
| Patient Education Assistance | The organization has established a charity program with the Greater Westfield Free Clinic. Currently we are working to include this program in the hospitals credit and collection policy. We are currently working on enhancing this program to those patients who are in need of medical services and do not qualify for state funded programs but have no financial means to pay. These patients will be screened using the state eligibility tools and will be approved on a case by case basis. | PatientEducationAssistance |
| Community Information | Westfield is an urban area that is relatively densely populated. The city of Westfield is bordered by West Springfield on the east, Southwick on the south, Granville on the southwest, Russell and Montgomery on the west, Southampton on the north and Holyoke on the northeast. Westfield is 99 miles from Boston and 85 miles from Albany, N.Y. Westfield has the second largest land area in the Commonwealth of Massachusetts, covering 30,000 acres. Westfield has a population of 42,133, of which 93.6% is white, 1.6% is Black, 4.9% is Latino and 1.6% is Asian/Pacific Islander. The per capita income is $25,436. Westfield's educational attainment profile is slightly better than the state's, except for a lower rate of post-college education. Twelve percent of Westfield residents live below the Federal Poverty Level and 23% live below 200% of the FPL. Over 43% of renters pay 35% or greater of their household income on rent. Westfield was a resettlement site for individuals from the former Soviet Union and over 2,400 have settled in the area. There is a growing Latino population as well as low income student population that study and work in the city. | CommunityInformation |
| Other Information | The organization provides services to all. The organization provided $1,400,000 in Free Care gross charges to the community during the year. Some of the organization's and related organization's providers served the Westfield Public Schools and worked at the Westfield Free Health Clinic. The organization has an active Patient and Family Advisory Council. The organization shared internal newsletter space with community events, fundraisers and information that was of interest to our employees. The organization allowed outside groups to use our facilities, including meeting and conference rooms, for free. Hospital departments and staff members participate in many different community events, school activities, and health fairs in the greater Westfield area during the year. These staff members are able to give out educational materials, talk to visitors, and even perform blood pressure, blood glucose, skin analyses, and other informational tests. We are able to reach not only visitors of the event, but also the other vendors/displayers as well. Many times, visitors at events might feel more comfortable with a "stranger" taking their blood pressure or glucose level, versus asking their doctor questions about these conditions. Many of our brochures and pamphlets are now available in English, Spanish, and Russian thanks to in-house translation and printing so we are able to give information out to more people in our community. We also partner with other for-profit and non-profit organizations in our area to enhance the awareness of good health maintenance and the services that the Hospital has to offer. Hospital staff also visit private homes, nursing homes, and other facilities for "Noble Conversations" where they answer questions about healthcare and Hospital services | OtherInformation |
| Reports Filed With States | MA | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert P Perry | |||||||||||||
| 11367 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11367 | 0 | 0 | 0 |
| George Koller | |||||||||||||
| 207816 | 0 | 0 | 0 | 1753620 | 0 | 25445 | 0 | 17496 | 0 | 2004377 | 0 | 0 | 0 |
| Robert Blondin | |||||||||||||
| 177944 | 0 | 0 | 0 | 0 | 0 | 14313 | 0 | 21758 | 0 | 214015 | 0 | 0 | 0 |
| Sharon Cygan | |||||||||||||
| 170241 | 0 | 0 | 0 | 0 | 0 | 13515 | 0 | 257 | 0 | 184013 | 0 | 0 | 0 |
| Norma Bessette | |||||||||||||
| 146908 | 0 | 0 | 0 | 0 | 0 | 14820 | 0 | 8767 | 0 | 170495 | 0 | 0 | 0 |
| Diane Brunelle | |||||||||||||
| 137763 | 0 | 0 | 0 | 0 | 0 | 3243 | 0 | 16770 | 0 | 157776 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L01a | Schedule J, Part I, Line 1a | The organization reimbursed the Interim President & Chief Executive Officer for temporary lodging expenses incurred, in accordance with his contract. |
| SchJ_P01_S00_L04 | Schedule J, Part I, Line 4 | 4a and 4b The organization entered into a severance agreement in September 2009 with George Koller, the Former President & Chief Executive Officer ("President") of the organization. The agreement provided for one year of salary, at his then current rate, to be paid weekly through September 2010 ($5,231 gross weekly) and continuance on the organization's group medical plan through September 2010 at a cost of approximately $800 monthly, net of contributions. In addition, Mr. Koller received an aggregate of $1,607,547 in distributions from two IRC section 457 plans on October 1, 2009, $158,000 as a one-time severance payment on March 12, 2010 and $36,119 as a one-time severance payment on April 8, 2010, all less applicable payroll taxes. Also, title of a certain automobile owned by the organization was transferred to Mr. Koller on September 30, 2009. The value of the automobile was $12,075. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L02 | Form 990, Part VI, Section A, Line 2 | Certain Trustees on the Board of Trustees ("Board") of the organization had various business relationships with certain other Trustees on the Board in their respective business capacities within the greater Westfield community. |
| F990_P06_S0A_L03 | Form 990, Part VI, Section A, Line 3 | The organization contracted with an executive management company for the services of the Interim President & Chief Executive Officer, whose services began on September 23, 2009. The interim President & Chief Executive Officer served as a voting member on the Boards of Trustees of the organization and its affiliates during the year. The organization also contracted with this same management company for the services of the Executive Vice President & Chief Operating Officer, whose services began on August 2, 2010. |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | The sole member of the corporation is Noble Health Systems Inc. |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | The Member has the power to elect the Board of Trustees and to remove any Trustee at any time. |
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | The Member has all rights and powers conferred on members of non-profit corporations under the laws of the Commonwealth of Massachusetts. The Member has such other powers as are specified in the Articles of Organization and the By-laws. |
| F990_P06_S0B_L11 | Form 990, Part VI, Section B, Line 11 | A copy of this Form 990 was provided to the organization's Finance Committee for their review, discussion and comment prior to filing. It was also distributed to the full Board of Trustees prior to filing. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | All trustees, officers and senior management employees are required to disclose annually any interests that could give rise to conflicts. Administration periodically reviews the submitted conflict of interest statements to ensure full compliance with the policy. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | The Board of Trustees ("Board") normally utilizes a Compensation Committee ("Committee") of the Board to evaluate the compensation of the President & Chief Executive Officer ("President") and other members of senior management. Members of the Committee include the President and the Vice President, Human Resources. The Committee reviews regional salary survey results. The Committee recommends to the full Board a compensation package for the President and other members of senior management. The last review was in 2008. The Committee did not meet in 2010 because the organization contracted with an executive management company for the services of the Interim President & Chief Executive Officer, whose services began on September 23, 2009. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The organization makes it's governing documents, conflict of interest policy and audited financial statements available to the public upon request. These documents can be reviewed in a conference room adjacent to the Administration offices at Noble Hospital during the regular business hours of 8:00 a.m. through 4:30 p.m. Monday through Friday, excluding recognized holidays. The Form 990 and audited financial statements are also available at various state agencies' offices and on various state websites. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|
| Noble Health Systems Inc | ||||||||||
| 115 West Silver Street | P O Box 1634 | Westfield | MA | 010861634 | 042131755 | Marketing and development support | MA | 501(c)(3) | 11b | N/A |
| Silvermill Realty Corporation | ||||||||||
| 115 West Silver Street | P O Box 1634 | Westfield | MA | 010861634 | 222552923 | Real estate holding company | MA | 501(c)(3) | 11b | N/A |
| Westfield Medical Corporation | ||||||||||
| 115 West Silver Street | Westfield | MA | 010853628 | 043127730 | Physician medical services | MA | 501(c)(3) | 11a | N/A | |
| Noble Visiting Nurse & Hospice Services Inc | ||||||||||
| 77 Mill Street | Westfield | MA | 01085 | 222757446 | Home health care and hospice | MA | 501(c)(3) | 9 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | 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 | 1 | 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 | 0 | 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 (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Westfield Medical Corporation | |
| a-iv | 94773 |
| Westfield Medical Corporation | |
| b | 2574160 |
| Silvermill Realty Corporation | |
| b | 55736 |
| Noble Health Systems Inc | |
| c | 1064837 |
| Noble Health Systems Inc | |
| p | 158000 |
| Noble Visiting Nurse & Hospice Services Inc | |
| p | 418517 |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | An application for an additional three-month extension was approved by the IRS on May 30, 2011. The filing due date is August 15, 2011. | Explanation |
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