2011-02-15T08:50:51-06:00 2010-03-31 990 2009-04-01 042104691 Martha's Vineyard Hospital Inc MART 6177249841 Linton Lane PO Box 1477 Oak Bluffs MA 02557 TIMOTHY WALSH 2011-02-15 2009 2016-02-24 21:20:13Z 54009885 false X http://www.mvhospital.com X 1921 MA Martha's Vineyard Hospital prodives and arranges for the provision of high-quality, accessible, medical care to all individuals in need of such care regardless of their ability to pay. 19 13 402 56 -13406 -15018 3594108 3355245 46517699 48884118 853134 503080 923324 1233882 51888265 53976325 0 0 0 0 28459164 31321063 0 0 560683 18776820 19061756 47235984 50382819 4652281 3593506 89267850 98902882 12236558 13840887 77031292 85061995 THE MISSION OF MARTHA'S VINEYARD HOSPITAL IS TO SAFEGUARD THE HEALTH OF MARTHA'S VINEYARD RESIDENTS (YEAR-ROUND, SEASONAL AND VISITORS) BY PROVIDING OR ARRANGING FOR THE PROVISION OF HIGH-QUALITY, ACCESSIBLE MEDICAL CARE. 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THE CORPORATION MAY ON OCCASION ALSO APPEAR BEFORE A LEGISLATIVE COMMITTEE CONFER WITH LEGISLATORS OR OTHERWISE ATTEMPT TO INFLUENCE LEGISLATION. HOWEVER, IT WILL NOT PARTICIPATE, IN ANY WAY, IN POLITICAL CAMPAIGNS. THE CORPORATION'S INVOLVEMENT IN LEGISLATIVE ACTIVITIES CONSTITUTES AN INSUBSTANTIAL PART OF ITS ACTIVITIES. 1268585 1268585 16329579 11164924 5164655 9654103 7625400 2028703 49976994 114213 49862781 58324724 INV IN PARTNERS POOL INV ACCT 20265922 F 20265922 0 DUE TO THIRD PARTY PAYORS 3054679 ASSET RETIREMENT OBLIGATION 629868 OTHER LONG-TERM LIABILTIIES 938853 4623400 Tournament 107767 107767 0 8946 0 4195 0 13497 Run/Walk Event 24916 24916 0 2975 0 185 0 3762 0 132683 132683 0 11921 0 4380 0 17259 33560 -33560 true true X true X true X true true false true true 1884601 736613 1147988 0.02420 4618221 4148930 469291 0.00990 6502822 4885543 1617279 0.03410 6502822 4885543 1617279 0.03410 false 1140302 13375401 15270052 -1894651 true true Martha's Vineyard Hospital

Linton Lane PO Box 1477 Oak Bluffs MA 02557

X X X X Partners' hospitals are tax-exempt entities, whose underlying mission is to provide services to all in need of medical care. Its hospitals maintain an "open door" policy and do not discriminate on the basis of race, color, national origin, citizenship, alienage, religion, creed, gender, sexual preference, age, or disability. The organization files its annual community benefit report with the Attorney General of Massachusetts as part of the Partners HealthCare System, Inc. Community Benefit Report. http://www.cbsys.ago.state.ma.us/healthcare/hccbar.asp The bad debt expense subtracted from total expenses for purposes of calculating the percentage column = $2,881,069 In addition to free care and inadequate funding from the Medicaid and Medicare programs, there are significant losses related to self-pay patients who fail to make payment for services rendered or insured patients who fail to remit co-payments and deductibles as required under the applicable health insurance arrangement. The provision of bad debts of $2,811,000 in 2010 and $2,429,000 in 2009 represents charges for services provided that are deemed to be uncollectible. The estimated cost of providing these services was approximately $1,144,416 and $1,019,208 for 2010 and 2009, respectively. Per Massachusetts regulation, patients that qualify for charity care are exempt from collection practices. The Hospital will take reasonable steps to ensure that no collection actions, including telephone calls, statements or letters, are initiated for those patient balances that may be exempt from collection action by regulation, including patients determined to be Low Income, or enrolled in Mass Health, CMSP, EAEDC, Healthy Start or Center Care excepting those deductibles and co-payments determined by those programs to be a patient responsibility. If it is determined that a patient is in one of those categories then all collection actions (except applicable co-payments and deductibles) with the patient will cease for services occurring during the patient's period of eligibility. Martha's Vineyard Hospital is continually evaluating and responding to the health needs of the community on the Vineyard. Needs and priorities are identified through the collection and analysis of data from various sources that include the following: - The Massachusetts Department of Public Health (DPH), including the DPH Rural Health Advisory Council - Martha's Vineyard Hospital's Emergency Department - Dukes County Health Council (DCHC) - formed in 1995, the Council's membership is made up of a variety of consumers and provider agencies and in FY2009 included five hospital representatives. The DCHC is a state-recognized subdivision of Community Health Network Area (CHNA) 27. MVH participates in the DCHC and its various working groups, including the Rural Scholars Advisory Committee, Elder Affairs Committee, Oral Health Working Group, Youth Task Force, and the Mental Health and Substance Abuse Working Group. - Dukes County Public Health Committee, with input from approximately 100 providers, consumers, institutional representatives, and local opinion leaders, evaluates the efficiency and effectiveness of the local public health system, as well as, gaps in services and still-needed linkages between providers. Press Ganey surveys are given to hospital patients who use the Emergency Department, Ambulatory Surgery Department, and Acute Care Services. The Hospital will seek to identify patients who may be uninsured or inadequately insured in order to provide counseling and assistance. The Hospital will provide financial counseling to these patients and their families, including screening for eligibility for other sources of coverage, such as government programs, and providing information regarding all acceptable methods of payment of the Hospital bill. The Hospital will encourage patients who are potentially eligible for coverage by MassHealth, Commonwealth Care, the Health Safety Net, or other government programs to apply for coverage and shall assist the patient in applying for benefits. Patients may also apply for and be approved for coverage by the HSN for co-insurance or other deductibles not covered by their primary insurance plan. The Hospital will post a notice (signs) of the availability of financial assistance programs and describe where to go to for assistance in the following locations: 1. Inpatient, clinic, emergency department, and community health center admission and/or registration areas; 2. Financial Counseling waiting areas 3. Central admission/registration areas that are open to patients 4. Business office waiting areas that are open to patients Signs will be translated into other languages to the extent that the language is the primary language of more than 10% of residents in the Hospital's service. Posted signs will be clearly visible and legible to patients visiting these areas. The Martha's Vineyard Hospital (MVH) Board of Trustees approved the following community benefit mission statement on March 14, 1996: Martha's Vineyard Hospital's Community Benefit mission is to strengthen hospital-community partnerships. The hospital continues to develop, in concert with other providers and social service agencies, comprehensive community-based primary and preventive health care programs that come from a needs assessment of major health issues for the people who live on and visit Martha's Vineyard. Martha's Vineyard Hospital (MVH) serves the year-round island community, as well as, visitors to the island. The hospital has long recognized and provided special programs that serve children, women, the elderly, and the underprivileged and will work to expand such programs. MVH will continue to respond to the needs of different cultures as they emerge in our community. Martha's Vineyard Hospital has a tradition of providing services to the uninsured and underinsured. MVH will continue to expend resources for charity care; no one is turned away because of an inability to pay. Recognizing that health care does not simply mean responding to illness, Martha's Vineyard Hospital pledges its resources to help the members of the island community protect themselves from disease and accidents through prevention and wellness programs that include education and screening. Martha's Vineyard Hospital will pursue these goals within the framework of the formal Community Benefits Plan adopted by the Board of Trustees, administration, and staff. This will include a review of the community's health status through an ongoing needs assessment. At all times, the process will include the opportunity for public input and comment. MVH is committed to the continued promotion of cooperative and collaborative relationships with other providers, agencies, schools, and with officials in the various towns that make up the island of Martha's Vineyard. Martha's Vineyard Hospital develops and ensures the vitality of its Community Benefit Program in collaboration with the following community organizations and groups: - Martha's Vineyard Community Services - Dukes County Health Council - Dukes County Public Health Committee - Vineyard Health Care Access Program - Partners Community Benefit Report 3 - Martha's Vineyard Association of EMTs - Towns of Oak Bluffs, Tisbury, and Edgartown Ambulance Services - Tri-town Ambulance Service - Municipal Health Officers (six island towns) - Continuum of Care Committee (island-wide) - Rural Scholars Advisory Committee - Elder Affairs Committee - Oral Health Working Group - Youth Task Force - Mental Health and Substance Abuse Working Group - Wampanoag Tribe of Gay Head (Aquinnah) - Island Health Plan - Elder Services of Cape Cod and The Islands - Windemere Nursing and Rehabilitation Center - Family Planning of Martha's Vineyard - Hospice of Martha's Vineyard - Martha's Vineyard Whole Health Alliance - Dukes County Veteran's Agency - Martha's Vineyard Regional High School - Visiting Nurse Service - Plum TV - Martha's Vineyard Vision Fellowship In addition to analyzing the data that is outlined above, Martha's Vineyard Hospital continues to review feedback from the community to help direct the Community Benefit Program. This feedback is collected from various sources each year. In FY2009 those sources included: - Dukes County Health Council - Continuum of Care Committee - MV Community Services - Island Health Care - Wampanoag Tribe of Gay Head (Aquinnah) - Vineyard Medical Group - MV Whole Health Alliance - Youth Task Force - Martha's Vineyard Community Services Domestic Violence survey - Elder Services of Cape Cod and the Islands Needs Assessment - Community Health Clerkship Survey - Injury and Fall Prevention for the Elders of Martha's Vineyard - Editorials and letters in the local newspapers - Correspondence with the hospital from members of the community - The hospital's Annual Appeals, which include a section for community comments - Press Ganey survey material generated by patients who visit various departments in the hospital, including the Emergency Department, Ambulatory Surgery Unit, Rehabilitation and Wellness Department, and Patient Care Unit Community building activities are described in detail in the organization's community benefit report as filed with the Attorney General of Massachusetts. This report can be accessed at: http://www.cbsys.ago.state.ma.us/healthcare/hccbar.asp In addition, the Hospital's commitment to the environment is demonstrated by the LEED Certification for the new hospital addition which is described at: http://www.mvhospital.com/mvh.php?page=about&pid=1&section=leeds0 Each of the hospitals that comprise the Partners network has a community benefit planning and service delivery structure. Each of these entities has filed a separate community benefit report. Coordinating activities on a system-wide basis is Matt Fishman, Vice President for Community Health for Partners HealthCare. 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ALTHOUGH THERE WAS NO WRITTEN POLICY AT THE TIME, THIS BENEFIT WAS REVIEWED IN ADVANCE BY A BOARD LEVEL COMPENSATION COMMITTEE AND APPROVED AS TERMS OF EMPLOYMENT BETWEEN THE EMPLOYEE AND THE ORGANIZATION. THE COMMITTEE WAS COMPRISED OF INDEPENDENT BOARD MEMBERS OF THE ORGANIZATION, AND RELIED ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH INCLUDED COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS, IN FUNCTIONALLY COMPARABLE POSITIONS, AT SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE WERE DOCUMENTED IN MINUTES OF THE MEETING. THIS BENEFIT WAS TREATED AS TAXABLE INCOME. Establishing CEO Compensation Part I, Line 3 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION WAS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE COMPENSATION WAS ESTABLISHED BY THE MASSACHUSETTS GENERAL HOSPITAL. COMPENSATION COMMITTEE. THE MASSACHUSETTS GENERAL HOSPITAL IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. Participation in a supplemental nonqualified retirement plan Part I, Line 4B Timothy J. Walsh - $18,477 James Ferriter - $7,080 Trustee Compensation PART II & SCHEDULE J-2 TRUSTEES RECEIVE NO COMPENSATION OR CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS FOR SERVICE ON THE BOARD OR ITS COMMITTEES. BOARD MEMBERS WHO ARE ALSO EMPLOYED BY THE CORPORATION OR A PARTNERS AFFILIATE RECEIVE COMPENSATION ONLY FOR THEIR SERVICES AS EMPLOYEES. Financial Statement Preparation Part XI, Line 2 The organization's financial statements are compiled and audited as part of the consolidated financial statments of Partners HealthCare System, Inc. and Affiliates. Form 990 Review Part VI, Section A, Line 10 A complete copy of the Organization's Form 990 was provided to all members of the Board of Directors prior to filing. In addition, Form 990 was reviewed by the President and Chief Financial Officer of the Organization. Public Availability of Financial Statements and Governing Documents Part VI, Section C, Line 19 The Organization's governing documents are filed with Masssachusetts Secretary of State and the Financial Statements are filed with Massachusetts Attorney General, all of which are open to public inspection. Process for Determining Compensation Form 990, Part VI, Line 15a&b The organization has a board level compensation committee that reviews and approves the compensation for all listed officers and key employees. The committee is comprised of members of the board who are not employed by the organization, and no member may participate in the review and approval of compensation if the member has a conflict of interest with respect to that compensation arrangement. The committee relies on data, provided by an independent compensation consultant, which includes comparable compensation for similarly qualified persons, in functionally comparable positions, at similarly situated organizations. The deliberations and decisions of the committee are documented in minutes of the meeting. This review process occurs on an annual basis. Conflict of Interest Policy Form 990, Part VI, Section B, Line 12c For purposes of its annual tax filing, Partners HealthCare has an annual questionnaire process for obtaining information on interests that may give rise to conflicts from all officers, directors, trustees and key employees. In addition, in connection with Partners' Conflict of Interest Policy, the Partners office of Compliance and Business Integrity and Office of General Counsel work together to periodically distribute, collect and review disclosure statements from these individuals. The information on each such disclosure is reviewed by each individual's supervisor (who in the case of directors and trustees is deemed to consist of the Chairman of the Board, the entity's President/CEO, and the General Counsel or attorney representatives of his office. In addition, under the Partners Conflict of Interest Policy, any time an officer, director, trustee, or key employee is aware of a transaction in which his/her interest may create a conflict, he/she is required to provide full disclosure of the interest, and may not be involved in the institutional decision-making about the transaction. In addition, with respect to such transactions, in appropriate circumstances, (i) the Corporation must consider at least two alternative disinterested competitive proposals; or must determine that two such competitive proposals do not exist or that it would be impractical to elicit or consider such competitive proposals; and (ii) the Corporation must determine that, notwithstanding the apparent conflict, the transaction is fair and reasonable to the Corporation and is in the best interests of the Corporation. A written record must be made of these determinations. Furthermore, transactions that present particularly significant conflicts are reviewed by an independent committee of the Partners Board for appropriate action, which review is also documented. 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