2026-08-13T15:42:11-05:00 2025-09-30 991856619 GRANT THORNTON ADVISORS LLC 53 STATE STREET SUITE 1600 BOSTON MA 02109 990 2024-10-01 042768252 STURDY MEMORIAL HOSPITAL INC STUR 5082225200 211 PARK STREET PO BOX 2963 ATTLEBORO MA 027030963 AMY PFEFFER CFO 5082368150 2026-08-13 1 0 ERIN COUTURE P01390592 6177237900 2024 2025-03-06 01:10:19Z AIMEE B BREWER 211 PARK STREET PO BOX 2963 ATTLEBORO MA 027030963 414045095 0 X WWW.STURDYHEALTH.ORG X 1913 MA PROVIDING SAFE, HIGH QUALITY, COST EFFICIENT HEALTH CARE, AND A BROAD (CONTINUED ON SCH O).RANGE OF DIAGNOSTICS, INPATIENT, OUTPATIENT AND EMERGENCY SERVICES FOR OUR COMMUNITY. 14 12 1917 743 21787 9531 0 58296 271417066 277792080 13315358 25569366 11437643 12346721 296170067 315766463 18143475 21536394 0 0 151644398 150549159 0 0 0 121506194 124641514 291294067 296727067 4876000 19039396 660621287 709403993 103102815 100205504 557518472 609198489 X THE HOSPITAL'S MISSION IS TO PROVIDE HIGH QUALITY CARE TO THE SICK AND INJURED, ON BOTH AN INPATIENT AND OUTPATIENT BASIS, WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN, AGE, GENDER, DISABILITY, OR ABILITY TO PAY. (CONTINUED ON SCHEDULE O).ORGANIZATION'S MISSION (CONTINUED)THE HOSPITAL WORKS TO ENSURE THAT AMPLE, HIGH-QUALITY PRIMARY AND SPECIALTY PHYSICIAN SERVICES ARE ACCESSIBLE TO AREA RESIDENTS. ADDITIONALLY, WE TRY TO AVOID COSTLY DUPLICATION OF HEALTH CARE SERVICES BY COORDINATING WITH OTHER AREA HEALTH CARE PROVIDERS TO THE EXTENT PRACTICABLE. THE HOSPITAL PROVIDES LEADERSHIP WHILE WORKING IN COOPERATION WITH PUBLIC AND PRIVATE HEALTH ORGANIZATIONS, AS WELL AS CIVIC AND BUSINESS ORGANIZATIONS, TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITIES. 0 0 258191068 21536394 277792080 STURDY MEMORIAL HOSPITAL, INC. IS A NOT-FOR-PROFIT ACUTE CARE COMMUNITY HOSPITAL WHICH IS DEDICATED TO PROVIDING A BROAD RANGE OF HEALTH CARE SERVICES TO THE RESIDENTS OF ATTLEBORO, MASSACHUSETTS AND SURROUNDING COMMUNITIES. THE HOSPITAL GENERATES VIRTUALLY ALL OF ITS REVENUES IN PURSUIT OF ITS EXEMPT PURPOSES, WHICH IS TO PROVIDE COMPREHENSIVE DIAGNOSTIC, THERAPEUTIC, AND EDUCATIONAL HEALTH CARE SERVICES TO RESIDENTS OF ITS COMMUNITIES. THE HOSPITAL PROVIDES HIGH QUALITY CARE TO THE SICK AND INJURED, ON BOTH AN INPATIENT AND OUTPATIENT BASIS, WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN AGE, GENDER, DISABILITY, OR ABILITY TO PAY. THE HOSPITAL TREATED 11,790 INPATIENTS AND OBSERVATION PATIENTS, INCLUDING BIRTHS, OF WHICH THERE WERE 616. (CONTINUED ON SCHEDULE O). THE HOSPITAL TREATED 50,957 PATIENTS IN THE EMERGENCY ROOM AND PERFORMED SURGERY ON 1,404 INPATIENTS AND 11,058 OUTPATIENTS.THE HOSPITAL PROVIDES MANY OTHER SERVICES OF WHICH THE FOLLOWING IS A PARTIAL LIST: ONCOLOGY 7,548 VISITS; CARDIAC REHABILITATION- 9,850 VISITS; AND WOUND CARE- 3,623 VISITS. IN ADDITION, THE HOSPITAL PROVIDES A VARIETY OF ANCILLARY SERVICES - A PARTIAL LIST INCLUDES: LABORATORY, RADIOLOGY, MAMMOGRAPHY, COMPUTERIZED TOMOGRAPHY, MRI, NUCLEAR MEDICINE, VASCULAR, ULTRASOUND, SLEEP STUDY AND PHYSICAL THERAPY.THE HOSPITAL PROVIDED APPROXIMATELY $14,623,743 IN SERVICES FOR THOSE WHO COULD NOT PAY (FREE CARE) OR WOULD NOT PAY (BAD DEBT) IN FISCAL YEAR 2025. IN ADDITION, THE HOSPITAL PROVIDED APPROXIMATELY $14,194,190 IN UN-REIMBURSED MASSHEALTH (MEDICAID) SERVICES DURING THE YEAR. FURTHER, THE HOSPITAL PROVIDES A NUMBER OF PROGRAMS TO BENEFIT OUR COMMUNITY EITHER AT NO CHARGE OR AT REDUCED RATES. THE HOSPITAL ALSO PROVIDES LEADERSHIP IN THE INTEGRATION OF HEALTH SERVICES FOR THE COMMUNITIES IT SERVES. STURDY MEMORIAL HOSPITAL CONTINUES TO PARTNER WITH COLUMN HEALTH TO BRING SUBSTANCE USE DISORDER TREATMENT TO OUR COMMUNITY. 258191068 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 116 0 1 1917 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 X 14 12 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MA X AMY PFEFFER 5082368150 211 PARK STREET PO BOX 2963 ATTLEBORO MA 027030963 NITHIN KARANTH MD PHYSICIAN DIRECTOR 42.00 6.00 X 0 1051760 68570 ROSE LARSON CLERK 2.00 1.00 X X 0 0 0 ANDY BEISE DIRECTOR (THRU 06/2025) 2.00 1.00 X 0 0 0 STEPHEN BURLONE DIRECTOR 2.00 1.00 X 0 0 0 FRANK COOK DIRECTOR 2.00 1.00 X 0 0 0 KEVIN CRYAN DIRECTOR 2.00 1.00 X 0 0 0 JAMES DELISIO DIRECTOR 2.00 1.00 X 0 0 0 CATHLEEN MAYOR DESIMONE DIRECTOR 2.00 1.00 X 0 0 0 RICHARD DIGIACOMO DIRECTOR 2.00 1.00 X 0 0 0 ROGER FORMAN DIRECTOR 2.00 1.00 X 0 0 0 LAURA GIGNAC DIRECTOR 2.00 1.00 X 0 0 0 DONNA N KIMMEL DIRECTOR 2.00 3.00 X 0 0 0 DENNIS LEAHY DIRECTOR 2.00 1.00 X 0 0 0 THOMAS NOEL DIRECTOR 2.00 1.00 X 0 0 0 RALPH SCHLENKER DIRECTOR 2.00 3.00 X 0 0 0 AIMEE BREWER PRESIDENT & CEO 37.00 11.00 X 1359087 0 214891 AMY PFEFFER CFO & TREASURER 35.00 10.00 X 695710 0 296686 WAYNE GIETZ EVP/COO 20.00 25.00 X 684108 0 155885 BRIAN PATEL MD DIRECTOR/ CHIEF MEDICAL OFFICER 40.00 0.50 X 744905 0 208114 NATALIE COOK CHIEF HUMAN RESOURCES OFFICER 45.00 0.00 X 544984 0 94362 DENIS TANGUAY VP, CHIEF INFO. OFFICER 45.00 0.00 X 451128 0 90690 ROBIN MORRIS SVP OF CLINICAL OPS & INTEGRITY 45.00 0.00 X 400930 0 129777 JUSTINE ZILLIKEN CHIEF STRATEGY OFFICER 40.00 0.00 X 392913 0 89020 LISA SALAMEH SVP FOR PAT. SVCS & CHIEF NURSING OFF. 45.00 0.00 X 319754 0 76647 RONALD VAN NESS-OTUNNU PHYSICIAN ASSOCIATE DIRECTOR 42.00 1.00 X 568957 0 155995 MARK MCGUIRE MD PHYSICIAN 40.00 0.00 X 474193 0 185006 LAURINE THORNTON-POTTER PHYSICIAN 40.00 0.00 X 415501 0 127151 ALICIA BLAZEJEWSKI MD PHYSICIAN 40.00 0.00 X 405451 0 49189 ZACHARY HARNETT MD PHYSICIAN 40.00 0.00 X 405641 0 27468 BRIAN KELLY MD FORMER VP/PHYSICIAN 40.00 0.00 X 154860 0 82206 8018122 1051760 2051657 320 1 1 0 CONSIGLI CONSTRUCTION CO 72 SUMNER STREET MILFORD MA 01757 CONTRACTOR 25092402 ATLANTIC ANESTHESIA PC 191 PECUNIT STREET CANTON MA 02021 PHYSICIAN SERVICES 3013660 KAUFMAN HALL & ASSOCIATES LLC 5202 OLD ORCHARD ROAD SUITE N700 SKOKIE IL 60077 CONSULTING 2255953 NBBJ LP 223 YALE AVENUE NORTH SEATTLE WA 98109 ARCHITECTS 2130671 ARUP LABORATORIES INC PO BOX 27964 SALT LAKE CITY UT 84127 REFERENCE LABS 1309277 35 58296 58296 NET PATIENT SERVICE REVENUE 621400 264352445 264352445 INCENTIVE PAYMENTS 900099 6451298 6451298 CAFETERIA SALES 722514 1019570 1019570 REBATES, REFUNDS AND DISCOUNTS 621990 912114 912114 PATIENT RELATED REVENUE, OTHER 621990 339627 339627 4717026 4708825 8201 277792080 9387540 13586 9373954 47417 0 47417 47417 47417 114408495 51963 98174495 104137 16234000 -52174 16181826 16181826 PENSION/POST RETIREMENT ADJ. 900099 12299304 12299304 12299304 315766463 276764309 21787 38922071 21536394 21536394 7504643 7504643 107513222 94268472 13244750 11476968 10244324 1232644 17524338 14663934 2860404 6529988 5403604 1126384 672844 672844 215004 215004 90610 90610 458043 458043 18083698 14526561 3557137 164223 164223 3028198 2389967 638231 10363819 8576060 1787759 4145132 3430097 715035 18840 15590 3250 227339 195547 31792 11165085 9239108 1925977 1672209 1383753 288456 MEDICAL SUPPLIES 54622340 54622340 PROVISION FOR BAD DEBT 11474946 11474946 LICENSES & TAXES 3532371 2927183 605188 REPAIRS AND MAINTENANCE 3313275 2696728 616547 1393538 596460 797078 296727067 258191068 38535999 0 1145 1915 26513102 18501743 29181523 25625623 4975718 5061319 4615180 5894251 305987556 164758702 103674887 141228854 310924534 299302952 38023291 35967162 2128597 3296299 140583310 174523875 660621287 709403993 43656925 38271351 587554 587554 48898750 48950746 9959586 12395853 103102815 100205504 X 557495881 609175898 22591 22591 557518472 609198489 660621287 709403993 X 19039396 4412888 28227733 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 90610 90610 0 SCHEDULE C, PART II-B, LINE 1B PAID STAFF OR MANAGEMENT HOSPITAL EMPLOYEES MAY MEET WITH LOCAL AND STATE REPRESENTATIVES TO DISCUSS CURRENT ISSUES AFFECTING THE DELIVERY OF HEALTHCARE IN OUR SERVICE AREA. THE HOSPITAL WORKS TO ADVANCE INITIATIVES TO ENHANCE AND IMPROVE ACCESS TO HEALTH CARE SERVICES. SCHEDULE C, PART II-B, LINE 1I DIRECT CONTACT THE AMOUNT REPRESENTS LOBBYING EXPENSES PAID TO TREMONT STRATEGIES GROUP (90,610) AND A PERCENTAGE OF THE HOSPITAL'S ANNUAL APPORTIONMENT OF MHA DUES ATTRIBUTED TO LOBBYING EXPENSES. FOR FISCAL 2025 IT WAS ESTIMATED THAT 15.85% ($22,317) OF MHA DUES WAS USED FOR LOBBYING PURPOSES. 6515404 532845 718808 10919 7756138 8218304 88750 1551799 3343449 6515404 7621753 900 902383 306732 8218304 9576106 11145 -1599479 366019 7621753 8325598 14097 1539830 303419 9576106 0.22000 0.78000 0 1 1 3051643 3051643 202538192 91223704 111314488 87050953 66033730 21017223 13346768 7501268 5845500 141228854 35967162 F 35967162 PREPAID PENSION 164891600 INSURANCE RECOVERIES 5447506 DUE FROM AFFILIATES 2562120 ROU ASSETS 1622649 174523875 INSURANCE CLAIMS, LONG TERM 5397506 ACCRD. POSTRETIREMENT HEALTH BENF. 2521089 ROU LIABILITY 1622651 WORKERS COMP. SELF-INSURANCE RESV. 1099833 ASSET RETIREMENT OBLIGATION 1047535 DUE TO AFFILIATE 707239 12395853 X 308339795 4412888 -11381513 -6968625 315308420 458043 458043 315766463 284794078 0 284794078 458043 11474946 11932989 296727067 PART V, LINE 4: ENDOWMENT FUNDS STURDY HEALTH FOUNDATION, INC. MAINTAINS ENDOWMENT FUNDS (RESTRICTED TO PRINCIPAL) FOR THE BENEFIT OF STURDY HEALTH FOUNDATION AND STURDY MEMORIAL HOSPITAL, INC. AND AFFILIATES. THE ENDOWMENTS CONSIST OF BOTH DONOR RESTRICTED EARNED INCOME AND UNRESTRICTED EARNED INCOME. THE FOUNDATION'S ENDOWMENT INVESTMENT POLICY IS TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO SUPPORT BOTH THE DONOR RESTRICTED REQUIREMENTS AND THE FOUNDATION SPENDING POLICY FOR UNRESTRICTED FUNDS. ANNUALLY, INCOME EARNED ON THE RESTRICTED ENDOWMENT FUNDS IN SUPPORT OF THE DONOR SPECIFIC REQUIREMENTS IS TRANSFERRED TO STURDY MEMORIAL HOSPITAL. A SMALL PORTION OF THE ENDOWMENT IS HELD IN A FUND WITH THE INCOME RESTRICTED FOR "FREE CARE" FOR PATIENTS. THE INCOME ON THIS FUND IS TRANSFERRED ANNUALLY TO STURDY MEMORIAL HOSPITAL, INC. PER THE FOUNDATION RESTRICTED INVESTMENT POLICY, 5% OF THE GENERAL ENDOWMENT IS AVAILABLE FOR SPENDING ANNUALLY AND IS PAID TO THE FOUNDATION. THE INVESTMENT POLICY IS UPDATED AND REVIEWED BY THE INVESTMENT COMMITTEE ANNUALLY. PART X, LINE 2: ASC 740 THE HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED (THE "CODE"), AND IS GENERALLY EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS REQUIRED TO ASSESS UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE WERE NO SUCH POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT -11,474,946. NET ASSETS RELEASED FROM RESTRICTION 93,433. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 11,474,946. 1 1 1 X 1 X 1 1 1 0 1 1 7613779 1078029 6535750 0.02290 33433893 23216980 10216913 0.03590 8845252 7883582 961670 0.00340 49892924 32178591 17714333 0.06220 806485 806485 0.00280 14481009 4493501 9987508 0.03510 32368 0 32368 0.00010 15319862 4493501 10826361 0.03800 65212786 36672092 28540694 0.10020 2 16857 16857 0.00010 1 2593 2593 0.00000 4 96543 96543 0.00030 1 103028 103028 0.00040 8 219021 219021 0.00080 0 4832052 1118137 107612426 128320036 -20707610 X 1 1 1 1 STURDY MEMORIAL HOSPITAL INC PO BOX 2963 211 PARK STREET ATTLEBORO MA 02703 WWW.STURDYHEALTH.ORG 2100 X X X STURDY MEMORIAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE SECTION C X 1 25 1 SEE SECTION C 0 1 X 150.000000000000 300.000000000000 X X X X 1 1 X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 STURDY MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 5: INPUT FROM PERSONS WHO REPRESENT THE COMMUNITYCOMMUNITY ENGAGEMENT AND FEEDBACK WERE INTEGRAL TO STURDY HEALTH'S CURRENT CHNA PROCESS. THROUGHOUT THE CHNA PROCESS, STURDY WORKED TO ENSURE COMMUNITY VOICES AND INPUT WERE ENGAGED AND INCORPORATED INTO ITS FINDINGS. STURDY SOUGHT COMMUNITY INPUT THROUGH A PUBLIC SURVEY, KEY INFORMANT INTERVIEWS, AND A FOCUS GROUP OF COMMUNITY LEADERS THAT INCLUDED MEMBERS OF THE COMMUNITY BENEFIT ADVISORY COMMITTEE. COMMUNITY PARTNERS THROUGHOUT THE SERVICE AREA, INCLUDING GOVERNMENT OFFICES, COMMUNITY-BASED ORGANIZATIONS, AND LOCAL ASSOCIATIONS, ASSISTED IN DISTRIBUTING THE SURVEY. STURDY HEALTH CONDUCTED A COMMUNITY SURVEY BETWEEN MARCH AND JUNE 2025 TO GATHER INPUT ON COMMUNITY HEALTH NEEDS, SERVICE GAPS, AND AREAS FOR IMPROVEMENT. THE SURVEY WAS ADMINISTERED ONLINE AND MADE AVAILABLE IN ENGLISH, SPANISH, PORTUGUESE, ARABIC, AND HAITIAN CREOLE. DISTRIBUTION EFFORTS INCLUDED EMAILS TO STURDY HEALTH'S MAILING LIST OF PATIENTS AND COMMUNITY MEMBERS, SOCIAL MEDIA OUTREACH, AND FLYERS WITH QR CODES POSTED THROUGHOUT STURDY HEALTH FACILITIES AND COMMUNITY PARTNER LOCATIONS. COMMUNITY BASED ORGANIZATIONS AND OTHER PARTNERS, INCLUDING THE CITY OF ATTLEBORO, SUPPORTED OUR EFFORT THROUGH COORDINATED OUTREACH USING THEIR MAILING LISTS AND SOCIAL MEDIA CHANNELS. IN ADDITION TO THE COMMUNITY SURVEY, STURDY HEALTH CONDUCTED KEY INFORMANT INTERVIEWS WITH COMMUNITY CLINICAL AND SOCIAL SERVICE LEADERS AND CONVENED A FOCUS GROUP WITH MEMBERS OF THE COMMUNITY BENEFIT ADVISORY COUNCIL. THIS QUALITATIVE ENGAGEMENT PROCESS CAPTURED IN-DEPTH PERSPECTIVES FROM MORE THAN 20 COMMUNITY LEADERS REGARDING LOCAL HEALTH NEEDS, PRIORITIES, EXISTING ASSETS, AND RECOMMENDATIONS FOR HEALTH IMPROVEMENT. COLLECTIVELY, THE COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS, AND FOCUS GROUP DISCUSSIONS PROVIDED IMPORTANT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY AND INFORMED THE IDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS ADDRESSED IN THE CHNA.STURDY MEMORIAL HOSPITAL, INC:PART V, SECTION B, LINE 7A:HOSPITAL FACILITY'S WEBSITE - CHNA REPORTSTURDY MEMORIAL HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT:HTTPS://WWW.STURDYHEALTH.ORG/APP/FILES/PUBLIC/3BC26275-6724-4F78-AE31-82BF31765135/SH_2026_CHNA%20REPORT.PDFSTURDY MEMORIAL HOSPITAL, INC: PART V, SECTION B, LINE 10A:THE HOSPITAL'S MOST RECENTLY ADOPTED CHNA IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.STURDYHEALTH.ORG/APP/FILES/PUBLIC/B6FAAE48-1574-4678-BC30-81FE14C4FF19/2023%202025%20IMPLEMENTATION%20PLAN.PDF STURDY MEMORIAL HOSPITAL, INC.: PART V, SECTION B, LINE 11: SIGNIFICANT NEEDSTHE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED FOUR KEY COMMUNITY HEALTH ISSUES: CHRONIC DISEASE BURDEN, BEHAVIORAL HEALTH NEEDS, ACCESS TO CARE, AND HEALTH-RELATED SOCIAL NEEDS. COMMUNITY FEEDBACK FROM PARTNERS, INCLUDING HEALTH CARE PROVIDERS, PUBLIC HEALTH EXPERTS, HEALTH AND HUMAN SERVICE AGENCIES, AND OTHER COMMUNITY REPRESENTATIVES EMPHASIZED ACCESS TO CARE AND FURTHER HIGHLIGHTED NEED FOR HEALTH EDUCATION, AND ADDRESSING SOCIAL ISOLATION.AS A RESULT OF THESE FINDINGS STURDY HEALTH HAS COMMITTED TO FOCUSING OUR COMMUNITY HEALTH IMPROVEMENT EFFORTS ON: INCREASED HEALTHCARE ACCESS AND HEALTH EDUCATION, IMPROVED SERVICES FOR OLDER ADULTS, ADDRESSING TOP HEALTH-RELATED SOCIAL NEEDS, AND PREVENTING ESCALATION OF MENTAL HEALTH NEEDS.CHRONIC DISEASE BURDEN: THE SERVICE AREA CONTINUES TO EXPERIENCE HIGH RATES OF CHRONIC DISEASE, INCLUDING HYPERTENSION, CORONARY HEART DISEASE, HIGH CHOLESTEROL, DIABETES, OBESITY, AND COPD. BRISTOL COUNTY COMMUNITIES HAVE HIGHER PREVALENCE OF OBESITY AND SMOKING THAN NORFOLK COUNTY AND THE STATE, CONTRIBUTING TO ELEVATED DISEASE BURDEN. FOR EXAMPLE, SELF REPORTED OBESITY IN ATTLEBORO (32.6%) EXCEEDS THE MASSACHUSETTS AVERAGE (28.5%), AND SMOKING RATES IN BRISTOL COUNTY REMAIN SIGNIFICANTLY HIGHER THAN IN NEIGHBORING COMMUNITIES. KEY INFORMANTS IDENTIFIED LACK OF PHYSICAL ACTIVITY, FOOD INSECURITY, AND LIMITED ACCESS TO PREVENTIVE CARE AS DRIVERS OF THESE CONDITIONS. TO ADDRESS THESE NEEDS, STURDY WILL CONTINUE TO EXPAND CHRONIC DISEASE MANAGEMENT PROGRAMS, INCLUDING COLLABORATIVE CARE MODELS WITH CLINICAL PHARMACISTS, NURSE CARE MANAGERS, AND COMMUNITY PARTNERS. STURDY WILL ALSO CONTINUE TO SUPPORT NUTRITION AND PHYSICAL ACTIVITY PROGRAMS THROUGH PARTNERSHIPS WITH ORGANIZATIONS SUCH AS THE YMCA, PROVIDE TARGETED EDUCATION FOR HIGH RISK POPULATIONS, AND INCREASE SCREENING FOR HEALTH RELATED SOCIAL NEEDS THAT CONTRIBUTE TO CHRONIC DISEASE. THESE EFFORTS WILL HELP IMPROVE DISEASE MANAGEMENT, REDUCE PREVENTABLE EMERGENCY DEPARTMENT UTILIZATION, AND SUPPORT HEALTHIER LIFESTYLES ACROSS THE SERVICE AREA.BEHAVIORAL HEALTH NEEDS: MENTAL HEALTH AND SUBSTANCE USE DISORDERS REMAIN SIGNIFICANT UNMET NEEDS IN THE REGION. BRISTOL COUNTY RESIDENTS REPORT 5.8 POOR MENTAL HEALTH DAYS PER MONTH, COMPARED TO 4.9 DAYS STATEWIDE, AND ACCESS TO PROVIDERS VARIES WIDELY ACROSS ZIP CODES. FOLLOW UP AFTER EMERGENCY DEPARTMENT VISITS IS LOW, WITH ONLY 41% OF PATIENTS WITH MENTAL HEALTH CONDITIONS AND 35% WITH SUBSTANCE USE DISORDERS CONNECTING TO CARE WITHIN 30 DAYS. KEY INFORMANTS IDENTIFIED LONG WAIT TIMES, LIMITED SPECIALTY PROVIDERS, AND INCREASING DEMAND ACROSS ALL AGE GROUPS. TO ADDRESS THESE GAPS, STURDY WILL CONTINUE TO EXPAND BEHAVIORAL HEALTH ACCESS THROUGH CARE COORDINATION, PATIENT NAVIGATION, AND COMMUNITY PARTNERSHIPS THAT SUPPORT TIMELY CONNECTIONS TO TREATMENT AND RECOVERY SERVICES.ACCESS TO CARE: RESIDENTS EXPERIENCE VARIABLE ACCESS TO PRIMARY CARE, MENTAL HEALTHCARE, SPECIALTY CARE, AND DRUG TREATMENT SERVICES. BRISTOL COUNTY'S PATIENT TO PRIMARY CARE PROVIDER RATIO IS 1,980:1, MORE THAN DOUBLE THAT OF NORFOLK COUNTY (840:1). SOME AMBULATORY CLINICS REPORT THIRD NEXT AVAILABLE APPOINTMENT WAIT TIMES EXCEEDING 200 DAYS FOR NEW PATIENTS. PREVENTABLE EMERGENCY DEPARTMENT UTILIZATION REMAINS HIGH, PARTICULARLY AMONG OLDER ADULTS. COMMUNITY MEMBERS IDENTIFIED THE NEED FOR MORE PRIMARY CARE PROVIDERS, MENTAL HEALTH SERVICES, AND SUBSTANCE USE TREATMENT OPTIONS. TO IMPROVE ACCESS, STURDY WILL CONTINUE TO RECRUIT PROVIDERS, EXPAND AMBULATORY CAPACITY, ENHANCE CARE TRANSITION WORKFLOWS, AND STRENGTHEN PARTNERSHIPS THAT INCREASE AVAILABILITY OF SPECIALTY AND BEHAVIORAL HEALTH SERVICES. HEALTH-RELATED SOCIAL NEEDS: HOUSING AFFORDABILITY, FOOD INSECURITY, AND FINANCIAL STRAIN ARE SIGNIFICANT DRIVERS OF POOR HEALTH IN THE SERVICE AREA. APPROXIMATELY 30% OF HOMEOWNERS AND RENTERS ARE HOUSING COST BURDENED, AND FOOD INSECURITY IS SUBSTANTIALLY HIGHER IN BRISTOL COUNTY (15%+) COMPARED TO NORFOLK COUNTY (7.3%). MANY OLDER ADULTS LIVE ALONE AND REPORT UNCERTAINTY ABOUT WHERE TO SEEK HELP. TO ADDRESS THESE NEEDS, STURDY WILL CONTINUE TO SCREEN FOR HEALTH RELATED SOCIAL NEEDS, CONNECT PATIENTS TO COMMUNITY RESOURCES, SUPPORT HOUSING AND FOOD SECURITY PARTNERSHIPS, AND COLLABORATE WITH LOCAL ORGANIZATIONS TO IMPROVE STABILITY AND ACCESS TO BASIC NEEDS.HEALTH EDUCATION: COMMUNITY MEMBERS IDENTIFIED A STRONG NEED FOR CULTURALLY RESPONSIVE HEALTH EDUCATION, PARTICULARLY AMONG IMMIGRANT POPULATIONS. SURVEY DATA SHOW THAT 50% OF IMMIGRANT RESPONDENTS LACK A PRIMARY CARE PROVIDER, AND 75% LACK ACCESS TO DENTAL OR MENTAL HEALTH SERVICES. MANY ALSO REPORT LIMITED UNDERSTANDING OF HEALTHCARE COSTS, NAVIGATION, AND MEDICATION MANAGEMENT. TO ADDRESS THESE GAPS, STURDY WILL CONTINUE TO PROVIDE HEALTH EDUCATION THROUGH COMMUNITY HEALTH WORKERS AND PEER RECOVERY SPECIALISTS, EXPAND MULTILINGUAL RESOURCES, AND PARTNER WITH COMMUNITY BASED ORGANIZATIONS TO SUPPORT HEALTH LITERACY AND NAVIGATION.SOCIAL ISOLATION: SOCIAL ISOLATION IS A GROWING CONCERN AFFECTING OLDER ADULTS, CHILDREN, AND YOUTH. MANY OLDER ADULTS LIVE ALONE, PARTICULARLY IN ATTLEBORO, FOXBORO, TAUNTON, AND WALPOLE, AND NEARLY 30% HAVE PREVIOUSLY REPORTED NOT KNOWING WHERE TO SEEK HELP WHEN NEEDED. KEY INFORMANTS NOTED THAT ISOLATION CONTRIBUTES TO WORSENING MENTAL HEALTH, CHRONIC DISEASE MANAGEMENT CHALLENGES, AND PREVENTABLE EMERGENCY DEPARTMENT USE. TO ADDRESS THIS ISSUE, STURDY WILL WORK WITH COMMUNITY PARTNERS TO SUPPORT PROGRAMS THAT FOSTER CONNECTION, ENGAGE ISOLATED RESIDENTS, AND INCREASE AWARENESS OF AVAILABLE SERVICES AND SUPPORTS.TO ADDRESS MANY OF THESE PRIORITIES, STURDY HEALTH ALIGNED DISTRIBUTION OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (DPH) APPROVED COMMUNITY HEALTH INITIATIVE (CHI) FUNDS WITH THE 2025 CHNA FINDINGS AND IMPLEMENTATION PLAN. AWARDED PROJECTS WILL SEEK TO ACHIEVE THE FOLLOWING: REDUCE SOCIAL ISOLATION AND INCREASE PARTICIPATION IN SUPPORTIVE COMMUNITY ACTIVITIES; ADDRESS FOOD INSECURITY, HOUSING STABILITY, BEHAVIORAL HEALTH ACCESS, AND SOCIAL ISOLATION; EXPAND ACCESS TO SCREENING, NAVIGATION, TRANSPORTATION, AND EARLY INTERVENTION; REDUCE HOUSING INSTABILITY AND HOMELESSNESS RISK; AND ENSURE RESIDENTS CAN ACCESS AND MAINTAIN PRIMARY, SPECIALTY, AND BEHAVIORAL HEALTH CARE. STURDY HEALTH IS ADDRESSING ALL SIGNIFICANT NEEDS IDENTIFIED IN THE 2025 CHNA THROUGH DIRECT PROGRAMS, COMMUNITY PARTNERSHIPS, AND TARGETED INVESTMENTS, INCLUDING THE ALIGNMENT OF DPH APPROVED CHI FUNDS WITH CHNA PRIORITIES. ACCESS TO CARE: RESPONDENTS TO THE CHNA STRESSED THAT SERVICES WERE LACKING OR MISSING IN OUR AREA. ALTHOUGH NEARLY ALL OF THE RESIDENTS IN OUR SERVICE AREA HAVE HEALTH INSURANCE, THIS WAS NOT THE SOLE DETERMINANT OF ABILITY TO OBTAIN CARE. THE NUMBER OF PRIMARY AND SPECIALIST PHYSICIANS, LACK OF DENTAL CARE, LACK OF EVENING AND WEEKEND APPOINTMENT HOURS, ACCESS TO TRANSPORATION AND ACCESS TO TRANSLATION SERVICES AND TECHNOLOGY WERE ALL SEEN AS BARRIERS TO ACCESSING SERVICES. STURDY WILL ADDRESS BARRIERS TO ACCESSING CARE BY INCREASING PROVIDERS IN ITS SERVICE AREA. THE CHNA DETERMINED THAT PROVIDER DENSITY (BOTH PRIMARY CARE PHYSICIANS AND SPECIALISTS) IN STURDY'S PRIMARY SERVICE AREA IS LOWER THAN OTHER MASSACHUSETTS COMMUNITIES. STURDY PLANS TO RECRUIT AND RETAIN MORE PROVIDERS AT BOTH THE HOSPITAL AND STURDY HEALTH, INC., AN AFFILIATE. STURDY ALSO PLANS TO REDUCE BARRIERS TO CARE BY CONTINUING TO PROVIDE TELEMEDICINE OPPORTUNITIES. DUE TO COVID, THE HOSPITAL AND ASSOCIATES WERE HAMPERED IN THEIR ABILITY TO PROVIDE OFF-HOURS CLINICS THAT CAN ACCOMMODATE INDIVIDUALS WHO HAVE LIMITED DAYTIME FLEXIBILITY, HOWEVER ONE INTERNAL MEDICINE PROVIDER WITH EVENING HOURS WAS ADDED. STURDY RECEIVED A GRANT TO PROVIDE TRANSPORTATION AND WILL CONTINUE TO PARTICIPATE IN THE YMCA'S CARS (COMMUNITY ACCESS TO RIDES) PROGRAM TO ASSIST INDIVIDUALS WHO LACK TRANSPORTATION OPTIONS. OTHER INITIATIVES WILL HELP CONNECT EMERGENCY DEPARTMENT PATIENTS WITH PRIMARY CARE PHYSICIANS, HELP CONNECT THE UNINSURED/UNDERINSURED TO FINANCIAL COUNSELORS AND PARTNER WITH LOCAL DENTIST OFFICES FOR SCREENINGS. BEHAVIORAL HEALTH AND SUBSTANCE ABUSE: MANY RESPONDENTS TO THE KEY INFORMANT SURVEY CONDUCTED THROUGH THE CHNA PROCESS LISTED ACCESS TO BEHAVIORAL HEALTH AND TREATMENT OF SUBSTANCE ABUSE DISORDERS AS THE MOST SIGNIFICANT PROBLEMS FACING STURDY'S PRIMARY AND SECONDARY SERVICE AREAS. ACCESS AND INTEGRATION/COORDINATION OF SERVICES WAS SEEN AS INADEQUATE COMPARED TO THE NEEDS OF THE COMMUNITY. STURDY PLANS TO ADDRESS THIS NEED BY CONTINUING TO PROVIDE TREATMENT AND SERVICES, AS WELL AS PARTNER WITH COLUMN HEALTH, A PROVIDER OF INTEGRATED MENTAL HEALTH/SUBSTANCE ABUSE PROGRAMS. OTHER INITIATIVES WILL CONTINUE SCREENING AND EDUCATION, INCREASE PRIMARY AND SPECIALTY PROVIDERS WITHIN SMA WITH INTEGRATED BEHAVIORAL HEALTH SERVICES TO BE PROVIDED BY CONCERT HEALTH, COLLABORATE WITH LOCAL ORGANIZATIONS TO ADDRESS THE HIGH PERCENTAGE OF AT-RISK YOUTH IN THE SERVICE AREA, WORK WITH COMMUNITY ORGANIZATIONS TO CREATE A COMPREHENSIVE LIST OF MENTAL HEALTH PROVIDERS IN STURDY'S SERVICE AREA, AND EXPLORE TELEHEALTH OPTIONS FOR BEHAVIORAL HEALTH PATIENTS. MORTALITY AND CHRONIC DISEASE MANAGEMENT: KEY INFORMANTS RECOGNIZED THAT HEALTH BEHAVIORS ARE OFTEN CORRELATED WITH CERTAIN CHRONIC HEALTH CONDITIONS. CHRONIC ILLNESSES, SUCH AS CANCER AND HEART DISEASE, ARE THE LEADING CAUSES OF DEATH IN STURDY'S PRIMARY AND SECONDARY SERVICE AREAS. INDIVIDUALS OFTEN LACK THE TIME, KNOWLEDGE AND RESOURCES TO MANAGE CHRONIC ILLNESS. STURDY PLANS TO CONTINUE TO HOLD HEALTH FAIRS FOR SCREENING AND COMMUNITY EDUCATION. ALSO, THE HOSPITAL WILL SUPPORT CURRENT PROGRAMS THAT INCREASE PHYSICAL ACTIVITY OPPORTUNITIES FOR AT-RISK INDIVIDUALS. STURDY PLANS TO IMPROVE CARE COORDINATION FOR DIABETIC/PRE-DIABETIC PATIENTS AND INCREASE SCREENING FOR PRE-DIABETIC PATIENTS. STURDY WILL EXPLORE OPPORTUNITIES/PROGRAMS THAT INCREASE ACCESS TO HEALTHY FOODS AND SUPPORT NUTRITION EDUCATION. THE HOSPITAL WILL CONTINUE TO COLLABORATE WITH THE HEALTHY LIVING CONSORTIUM TO INCREASE EDUCATION AND AWARENESS IN THE COMMUNITY. OBESITY AND WEIGHT MANAGEMENT: KEY INFORMANTS CITED BEING OVERWEIGHT/OBESE AS BEING AMONG THE TOP FIVE HEALTH ISSUES IN THE REGION. LACK OF HEALTHY FOOD AND THE KNOWLEDGE TO PREPARE IT, AS WELL AS LACK OF TIME TO EXERCISE, WERE ALL SEEN AS CONTRIBUTING FACTORS. PHYSICAL INACTIVITY, POOR NUTRITION AND LACK OF ACCESS TO HEALTHY FOODS ARE ALL KNOWN RISK FACTORS THAT CONTRIBUTE TO OBESITY AND OTHER CHRONIC CONDITIONS SUCH AS DIABETES, CANCER AND HEART DISEASE. ADDITIONALLY FOOD INSECURITY AFFECTS SOME RESIDENTS IN OUR SERVICE AREA. TO ADDRESS THESE NEEDS, STURDY WILL WORK WITH OUR FOOD SERVICES DEPARTMENT TO PROVIDE HEALTHIER MEAL OPTIONS TO INPATIENTS AND CAFETERIA CUSTOMERS, PROVIDE IN-PERSON AND VIRTUAL FOOD AND NUTRITION EDUCATION, PROVIDE AND SUPPORT HEALTH EDUCATION SUCH AS YOGA, MEDITATION AND TAI CHI, AND WILL HOST COMMUNITY EVENTS INVOLVING EXERCISE HEALTHY LIVING AND WELLNESS. LACK OF AFFORDABLE HOUSING IN OUR PRIMARY AND SECONDARY SERVICE AREAS WAS NOTED BY MANY RESPONDENTS AS A BARRIER TO CARE. STURDY MEMORIAL HOSPITAL ACKNOWLEDGES THAT THE INABILITY TO SECURE AFFORDABLE HOUSING IS A DIFFICULTY FACED BY MANY RESIDENTS IN OUR AREA. STURDY WILL SUPPORT THE CONSTRUCTION OF AFFORDABLE HOUSING BY SUPPORTING HABITAT FOR HUMANITY FINANCIALLY AND THROUGH VOLUNTEER SERVICE. THE HOSPITAL WILL ALSO SUPPORT INTERNSHIP AND VOLUNTEER PROGRAMS TO DEVELOP EMPLOYMENT OPPORTUNITIES IN THE COMMUNITY.SCHEDULE H, PART V, SECTION B, LINE 16A: STURDY MEMORIAL HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:HTTPS://WWW.STURDYHEALTH.ORG/APP/FILES/PUBLIC/0D143EB5-AA77-402D-9CE5-C21E6EFEE627/SMH%20FAP%20POLICY%20-%20REVISED%20FOR%20FY25.PDFSCHEDULE H, PART V, SECTION B, LINE 16B: THE HOSPITAL'S FAP APPLICATION FORMS CAN BE FOUND AT THE HOW DO I KNOW IF I'M ELIGIBLE SECTION: HTTPS://WWW.STURDYHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/SCHEDULE H, PART V, SECTION B, LINE 16C: THE HOSPITAL'S FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND AT:HTTPS://WWW.STURDYHEALTH.ORG/APP/FILES/PUBLIC/72131D72-B8FC-4328-9532-3ED0CC4FFD06/FAP-SUMMARY.PDF STURDY MEMORIAL HOSPITAL, INC.: PART V, SECTION B, LINE 16J: THE HOSPITAL'S POLICY IS ATTACHED TO BILLING INVOICES. ADDITIONALLY, STURDY MEMORIAL MAKES THIS INFORMATION AVAILABLE AT LOCATIONS THROUGHOUT ITS FACILITY-IN THE MAIN LOBBY, EMERGENCY DEPARTMENT, PATIENT REGISTRATION, AND FINANCIAL COUNSELORS' OFFICE. INDIVIDUALS IN OUR COMMUNITY WITHOUT INSURANCE ARE DIRECTED TO A FINANCIAL COUNSELOR WHO WILL PROVIDE THEM WITH STURDY'S FINANCIAL ASSISTANCE POLICY AS WELL AS RESOURCES AVAILABLE TO THEM THROUGH MASSHEALTH OR THE COMMONWEALTH'S HEALTH SAFETY NET. FINANCIAL COUNSELORS WILL ASSIST ANYONE IN COMPLETING AN APPLICATION FOR FREE OR SUBSIDIZED CARE, AS WELL AS MASSHEALTH. THIS SERVICE IS AVAILABLE TO ANYONE IN THE COMMUNITY.PART V, SECTION B, LINE 20:FOR PLANNED ADMISSIONS, PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PRIOR TO ADMISSION. EMERGENT PATIENTS ARE NOTIFIED PRIOR TO DISCHARGE OR THE FOLLOWING BUSINESS DAY. PATIENTS ARRIVING AT THE HOSPITAL FOR OUTPATIENT VISITS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE POLICY AT THE TIME OF REGISTRATION (IF REGISTERED AT THE MAIN REGISTRATION AREA). NOTIFICATION IS ALSO INCLUDED WITH PATIENT BILLS. 1 1 - MANSFIELD HEALTH CENTER 200 COPELAND DRIVE MANSFIELD MA 02488 LICENSED OUTPATIENT CLINIC PHYSICIAN PRACTICE PART I, LINE 7: FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS CALCULATIONSTURDY MEMORIAL HOSPITAL USES THE COST TO CHARGE RATIO FOR CALCULATING AMOUNTS IN THE TABLE FOR LINE 7. THE COST TO CHARGE RATIO IS TOTAL PATIENT CARE COSTS DIVIDED BY TOTAL PATIENT CARE CHARGES PER WORKSHEET S-10, LINE 1 OF THE MEDICARE COST REPORT. BAD DEBT IS NOT INCLUDED IN ANY AMOUNTS REPORTED IN THE TABLE. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $11,474,946 ATTRIBUTABLE TO PATIENT ACCOUNTS HAS BEEN EXCLUDED FROM THE COMPUTATION OF ALL COMMUNITY BENEFIT EXPENSE SHOWN IN PART I, LINE 7, COLUMN F.PART II, COMMUNITY BUILDING ACTIVITIES:STURDY MEMORIAL HOSPITAL UNDERTAKES COMMUNITY BUILDING ACTIVITIES DESIGNED TO PROMOTE THE HEALTH AND WELL-BEING OF RESIDENTS IN ITS PRIMARY AND SECONDARY SERVICE AREAS. THE HOSPITAL IS INVOLVED IN EMERGENCY MANAGEMENT AND PREPAREDNESS AND WORKS WITH OTHERS IN ITS REGION TO COORDINATE ITS PREPARATION AND RESPONSE TO CATASTROPHIC HEALTH EVENTS. THE ORGANIZATION WORKS WITH LOCAL, STATE AND FEDERAL LAW ENFORCEMENT AND OTHER FIRST RESPONDERS ON MATTERS OF PUBLIC SAFETY. THE HOSPITAL PROVIDES TRAINING OPPORTUNITIES FOR LOCAL STUDENTS COMPLETING MEDICAL LABORATORY TECHNICIAN AND PHLEBOTOMY PROGRAMS. HIGH SCHOOL STUDENTS INTERESTED IN HEALTH CARE CAREERS MAY SHADOW STAFF MEMBERS OR PARTICIPATE IN INTERNSHIPS. PART III, LINE 2: EFFECTIVE OCTOBER 1, 2020, THE HOSPITAL ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS UPDATE ("ASU") 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) ("ASC 606"), USING THE RETROSPECTIVE METHOD OF APPLICATION TO ALL CONTRACTS EXISTING ON OCTOBER 1, 2020. THE CORE PRINCIPLE OF THE STANDARD IS THAT AN ENTITY SHOULD RECOGNIZE REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS OR SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS OR SERVICES. THE ADOPTION OF THE STANDARD HAD NO IMPACT ON THE HOSPITAL'S CURRENT OR HISTORICAL FINANCIAL POSITION, RESULTS OF OPERATIONS OR CASH FLOWS. THE HOSPITAL NOW RECOGNIZES ITS PREVIOUSLY REPORTED PROVISION FOR BAD DEBTS, PRIMARILY RELATED TO ITS SELF-PAY PATIENT POPULATION, AS A DIRECT REDUCTION TO REVENUES AND RECEIVABLES AS AN IMPLICIT PRICING CONCESSION, INSTEAD OF SEPARATELY AS A DISCRETE DEDUCTION TO ARRIVE AT NET PATIENT SERVICE REVENUE IN THE STATEMENT OF OPERATIONS OR AS A PARENTHETICAL NOTE ON ACCOUNTS RECEIVABLE FOR SERVICES TO PATIENTS IN THE BALANCE SHEET. PART III, LINE 8: SHORTFALL TREATED AS COMMUNITY BENEFITSTURDY MEMORIAL HOSPITAL, IN KEEPING WITH ITS CHARITABLE MISSION, PROVIDES CARE TO MEDICARE ELIGIBLE PATIENTS OF THE COMMUNITY IT SERVES BEYOND THE AMOUNT IT RECEIVES FROM THE MEDICARE PROGRAM. THESE INDIVIDUALS WOULD HAVE TO TRAVEL OUT OF OUR AREA OR POSSIBLY FORGO MEDICAL TREATMENT WITHOUT THE SERVICES THE HOSPITAL PROVIDES. THE MEDICARE SHORTFALL INCURRED BY THE HOSPITAL IS VIEWED AS LESSENING THE BURDEN OF GOVERNMENT, THEREFORE PROVIDING A VALUABLE COMMUNITY BENEFIT. PART III, LINE 9B: DEBT COLLECTION POLICYTHE HOSPITAL'S COLLECTION POLICY CONTAINS PROCEDURES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. ONCE IT IS DETERMINED THAT A PATIENT QUALIFIES FOR FREE CARE, ALL COLLECTION PROCEDURES CEASE AND THE FULL BALANCE IS WRITTEN OFF. IF THE PATIENT QUALIFIES FOR PARTIAL FREE CARE, THE AMOUNT THAT QUALIFIES UNDER PARTIAL FREE CARE IS WRITTEN OFF AND THE REMAINING BALANCE IS SUBJECT TO NORMAL COLLECTION PROCEDURES. MASSACHUSETTS HOSPITALS ARE REQUIRED TO ADOPT CREDIT AND COLLECTION POLICIES. STATE REGULATIONS (101 CMR 613.00) OUTLINE THE SPECIFIC PROCESS FOR DETERMINING ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS AND HOSPITAL COLLECTION PRACTICES. THE HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT FREE CARE AVAILABLE THROUGH THE HOSPITAL (A SIGNIFICANT PORTION OF WHICH IS COORDINATED THROUGH THE STATE'S HEALTH SAFETY NET PROGRAM, AS WELL AS FINANCIAL ASSISTANCE PROGRAMS, SUCH AS MASSHEALTH AND COMMONWEALTH CARE, THAT ARE AVAILABLE THROUGH THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES). THE HOSPITAL EMPLOYS TWO FULL-TIME FINANCIAL COUNSELORS THAT ASSIST PATIENTS, AND ANYONE ELSE PRESENTING WHO REQUIRES ASSISTANCE, IN APPLYING FOR FREE CARE AND STATE FINANCIAL ASSISTANCE PROGRAMS THROUGH THE STATE'S UNIFORM APPLICATION. THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND BILLING & COLLECTION POLICY, THAT OUTLINES ITS CHARITY CARE PRACTICES, IS FILED WITH THE MASSACHUSETTS CENTER FOR HEALTH INFORMATION AND ANALYSIS AND ALSO AVAILABLE TO PATIENTS UPON REQUEST. PART VI, LINE 2: WITH GUIDANCE AND OVERSIGHT FROM THE HOSPITAL'S PLANNING COMMITTEE, STURDY'S COMMUNITY BENEFITS REPORT IS DEVELOPED TO REFLECT ON ACTIVITIES FROM THE PRIOR YEAR AND PROVIDE RECOMMENDATIONS FOR THE HOSPITAL'S FOCUS ON COMMUNITY INVOLVEMENT FOR THE FOLLOWING YEAR. COMMUNITY BENEFITS PLANNING IS INTEGRATED INTO STURDY'S ANNUAL PLANNING AND BUDGETING PROCESS TO ENSURE WE EFFECTIVELY SUPPORT COMMUNITY BENEFITS PROGRAMMING. STURDY MEMORIAL HOSPITAL IS INVOLVED IN ONGOING ASSESSMENTS OF THE HEALTH NEEDS IN OUR COMMUNITIES AND PARTICIPATES IN A NUMBER OF COMMUNITY BASED PROGRAMS. CONTINUALLY BEING ENGAGED IN AND FAMILIAR WITH OUR COMMUNITIES PROVIDES US WITH OPPORTUNITIES TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN TO OUR CARE PROVIDERS AND COMMUNITY PARTNERS AND CONSIDER COMMITTING BUDGETED RESOURCES TO THOSE AREAS, WHENEVER APPROPRIATE, TO GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS. THE HOSPITAL CONSTANTLY MONITORS THE RESULTS OF PATIENT SATISFACTION SURVEYS, SERVICE STATISTICS, PROVIDER AND COMMUNITY FEEDBACK, INSURER DATA, AND OTHER LOCAL AND REGIONAL DATA. IN ADDITION, THE HOSPITAL CONTINUALLY WORKS CLOSELY WITH COMMUNITY LEADERS, SCHOOL AND SOCIAL SERVICES PERSONNEL, AND OTHER HEALTH CARE PROVIDERS TO IDENTIFY HEALTH CARE TRENDS AND NEEDS. PART VI, LINE 3: PATIENTS ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE BY WAY OF POSTED NOTICES THROUGHOUT THE HOSPITAL AS WELL AS PRINTED FINANCIAL ASSISTANCE BROCHURES AVAILABLE IN COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON ALL ITEMIZED BILLS AND PATIENT STATEMENTS. SCHEDULED SELF-PAY SURGICAL DAY CARE (SDC) & INPATIENTS ARE REVIEWED PRIOR TO ADMISSION TO DETERMINE PAYMENT ARRANGEMENTS OR TO COORDINATE A MEETING WITH A FINANCIAL COUNSELOR. SDC & INPATIENTS WHO ARE UNABLE TO LEAVE A DEPOSIT OR MAKE A PAYMENT ARRANGEMENT TOWARDS A LARGE OUT OF POCKET EXPENSE ARE ALSO ENCOURAGED TO MEET WITH A FINANCIAL COUNSELOR. UPON DISCHARGE FROM THE EMERGENCY CARE CENTER (ECC), UNINSURED PATIENTS ARE ENCOURAGED TO MEET WITH A FINANCIAL COUNSELOR. IF UNABLE TO SEE A FINANCIAL COUNSELOR FOLLOWING DISCHARGE, THE PATIENT IS GIVEN A FINANCIAL ASSISTANCE LETTER OUTLINING THE APPLICATION PROCESS, THE DOCUMENTS REQUIRED, TELEPHONE NUMBERS AND DIRECTIONS TO THE FINANCIAL COUNSELOR'S OFFICE. FOLLOWING AN ECC VISIT, UNINSURED PATIENTS RECEIVE A PHONE CALL FROM A PATIENT FINANCIAL SERVICES REPRESENTATIVE ENCOURAGING THE PATIENT TO MEET WITH A FINANCIAL COUNSELOR FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATIONTHE HOSPITAL SERVES NEARLY 324,158 INDIVIDUALS (BASED ON 2024 U.S. CENSUS POPULATION ESTIMATE DATA) IN 14 SUBURBAN COMMUNITIES. THE INDIVIDUALS IN THE COMMUNITIES WE SERVE ARE LARGELY EDUCATED (COMPLETED HIGH SCHOOL), EMPLOYED AND ENGLISH SPEAKING. INCLUDED IN THE POPULATION ABOVE, THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES THE TOWNS OF ATTLEBORO, FOXBORO, MANSFIELD, NORTH ATTLEBORO, NORTON, PLAINVILLE, SEEKONK, REHOBOTH, AND WRENTHAM. NORFOLK, SHARON, RAYNHAM, TAUNTON AND WALPOLE ARE CONSIDERED PART OF OUR SECONDARY SERVICE AREA. ADDITIONALLY, WE SERVE THE COMMUNITIES WITHIN NEIGHBORING RHODE ISLAND. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHSTURDY MEMORIAL HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH AND WELLBEING OF MEMBERS OF THE COMMUNITIES IT SERVES, IN ADDITION TO PROVIDING HEALTH CARE TO ALL, REGARDLESS OF ABILITY TO PAY. IN FISCAL 2025, THE HOSPITAL OFFERED OVER 50 COMMUNITY BENEFIT PROGRAMS. IN-PERSON PROGRAMS AND SUPPORT GROUPS RESUMED IN FY23 AND THE HOSPITAL WAS ABLE TO OFFER ADDITIONAL PROGRAMS VIRTUALLY. STURDY PROVIDES EMS EDUCATION AND INTERN/EXTERN PROGRAMS SERVING MEDICAL, NURSING AND STUDENT INTERNS FROM OVER 50 SCHOOLS AND COLLEGES. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR SERVICE AREA. A MAJORITY OF THE HOSPITAL'S BOARD OF MANAGERS ARE COMPRISED OF INDIVIDUALS LIVING IN THE COMMUNITY WHO ARE INDEPENDENT CIVIC, HEALTH CARE AND BUSINESS LEADERS. SURPLUS FUNDS ARE USED TO IMPROVE OUR FACILITIES, PURCHASE STATE-OF-THE ART MEDICAL EQUIPMENT AND EXPAND OUR COMMUNITY OFFERINGS. PART VI, LINE 6: STURDY MEMORIAL HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. UNDER THE CONTROL OF ITS PARENT ORGANIZATION, STURDY HEALTH FOUNDATION, AFFILIATES STURDY MEMORIAL HOSPITAL AND STURDY HEALTH, INC. F/K/A STURDY MEMORIAL ASSOCIATES COORDINATE THE PROVISION OF HEALTH CARE SERVICES TO RESIDENTS IN ITS SERVICE AREA OF BRISTOL AND NORFOLK COUNTIES IN MASSACHUSETTS. PART VI, LINE 7, REPORTS FILED WITH STATES MA 1 STURDY HEALTH INC 211 PARK STREET PO BOX 2963 ATTLEBORO MA 02703 042709501 501(C)(3) 21440990 0 COMMUNITY SUPPORT 1 0 PART I, LINE 2: PROCEDURES FOR MONITORING USE OF GRANT FUNDS THE HOSPITAL PROVIDES GRANTS IN FURTHERANCE OF ITS CHARITABLE MISSION AND TO PROMOTE GENERAL WELLBEING IN THE COMMUNITIES IT SERVES. WHEN GRANTS ARE MADE, THEY ARE REVIEWED AND APPROVED BY THE BOARD OF MANAGERS. THE HOSPITAL MONITORS GRANTS TO ENSURE THEY ARE USED FOR THEIR INTENDED PURPOSE. 1 X X X X 0 1 0 0 0 0 0 1 0 AIMEE BREWER PRESIDENT & CEO 827447 0 374850 0 156790 0 189670 0 25221 0 1573978 0 0 0 NITHIN KARANTH MD PHYSICIAN DIRECTOR 0 767617 0 283333 0 810 0 66434 0 2136 0 1120330 0 0 AMY PFEFFER CFO & TREASURER 476430 0 95806 0 123474 0 272027 0 24659 0 992396 0 0 0 BRIAN PATEL MD DIRECTOR/ CHIEF MEDICAL OFFICER 526990 0 107423 0 110492 0 180455 0 27659 0 953019 0 0 0 WAYNE GIETZ EVP/COO 521846 0 116699 0 45563 0 130734 0 25151 0 839993 0 0 0 RONALD VAN NESS-OTUNNU PHYSICIAN ASSOCIATE DIRECTOR 528547 0 15493 0 24917 0 129523 0 26472 0 724952 0 0 0 MARK MCGUIRE MD PHYSICIAN 411676 0 41242 0 21275 0 160853 0 24153 0 659199 0 0 0 NATALIE COOK CHIEF HUMAN RESOURCES OFFICER 350044 0 78188 0 116752 0 68931 0 25431 0 639346 0 0 0 LAURINE THORNTON-POTTER PHYSICIAN 382604 0 9216 0 23681 0 102764 0 24387 0 542652 0 0 0 DENIS TANGUAY VP, CHIEF INFO. OFFICER 344535 0 78177 0 28416 0 62094 0 28596 0 541818 0 0 0 ROBIN MORRIS SVP OF CLINICAL OPS & INTEGRITY 266009 0 59017 0 75904 0 119779 0 9998 0 530707 0 0 0 JUSTINE ZILLIKEN CHIEF STRATEGY OFFICER 283996 0 71210 0 37707 0 77703 0 11317 0 481933 0 0 0 ALICIA BLAZEJEWSKI MD PHYSICIAN 377029 0 9576 0 18846 0 26062 0 23127 0 454640 0 0 0 ZACHARY HARNETT MD PHYSICIAN 379499 0 7552 0 18590 0 3362 0 24106 0 433109 0 0 0 LISA SALAMEH SVP FOR PAT. SVCS & CHIEF NURSING OF 247396 0 56650 0 15708 0 49768 0 26879 0 396401 0 0 0 BRIAN KELLY MD FORMER VP/PHYSICIAN 153410 0 1450 0 0 0 82206 0 0 0 237066 0 0 0 PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CERTAIN LISTED INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFED RETIREMENT PLAN. AS REQUIRED BY IRS INSTRUCTIONS, THE CONTRIBUTIONS TO THESE PLANS, WHICH ARE NOT VESTED AND SUBJECT TO RISK OF FORFEITURE, ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). AMOUNTS VESTED ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). PART I, LINE 7: NON-FIXED PAYMENTS COMPENSATION PACKAGES FOR THE CEO, SENIOR MANAGERS, AND LISTED PHYSICIANS INCLUDE OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON A COMBINATION OF MEETING OR EXCEEDING PRE-DETERMINED GOALS. ALL INCENTIVE COMPENSATION IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE AND HAS BEEN REPORTED ON SCHEDULE J, PART II, COLUMN B (II). PART II, COLUMN B(III): A ONE-TIME PAYOUT FOR TERMINATION OF EXECUTIVE EARNED TIME PLAN GENERATED ADDITIONAL EMPLOYEE COMPENSATION DURING THE YEAR. PART II, COLUMN (C): DEFERRED COMPENSATION THIS COLUMN INCLUDES AN ACCRUAL OF BENEFITS RELATED TO THE HOSPITAL'S DEFINED BENEFIT PLAN. THIS ACCRUAL CALCULATION IS COMPLETED BY A THIRD PARTY AND THE ACCRUAL AMOUNT MAY SHIFT DEPENDING ON THE REQUIRED DISCOUNT RATE APPLIED. A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57585BANB 2024-05-16 50000000 REVENUE BONDS, STURDY MEMORIAL HOSPITAL ISSUE, SERIES 2024 0 0 0 A 50570638 3453240 1000000 38360185 7757213 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 0 A 0 PART II, LINE 3: LINE 3 REFLECTS THE TOTAL PROCEEDS PLUS INTEREST EARNED IN THE CONSTRUCTION FUND. CRYAN LANDSCAPE CONTRACTORS INC TRUSTEE IS OWNER 1720292 LANDSCAPING/SNOW REMOVALKEVIN CRYAN, A MEMBER OF THE BOARD OF DIRECTORS, IS THE OWNER OF CRYAN LANDSCAPING. THE COMPANY PROVIDED LANDSCAPING AND SNOW REMOVAL SERVICES TO STURDY MEMORIAL HOSPITAL, INC. THE AMOUNT PAID IS REVIEWED AND COMPARED TO OTHER COMPARABLE COMPANIES. 0 FORM 990, PART V, LINE 2A: EMPLOYEES REPORTED ON FORM W-3 STURDY MEMORIAL HOSPITAL, INC. IS THE COMMON PAYMASTER FOR STURDY HEALTH, INC. AND STURDY HEALTH FOUNDATION, INC. THE TOTAL NUMBER OF EMPLOYEES LISTED ON PART V, LINE 2A REPRESENTS HOSPITAL EMPLOYEES INCLUDED UNDER THE COMMON PAYMASTER FILING. FORM 990, PART VI, SECTION A, LINE 1A VOTING RIGHTS OF GOVERNING BODY THE BYLAWS OF STURDY MEMORIAL HOSPITAL, INC. STATE THAT "THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF MANAGERS EXCEPT FOR SUCH MATTERS AS ARE SPECIFIED IN SECTION 55 OF THE [MASSACHUSETTS] GENERAL LAWS, CHAPTER 156B." THE EXECUTIVE COMMITTEE CONSISTS ONLY OF MEMBERS OF THE BOARD OF MANAGERS OF STURDY MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS WITH GOVERNING BODY OTHER PERSONS LISTED IN PART VII HAVE A "BUSINESS RELATIONSHIP" WITH ONE ANOTHER DUE TO THE OVERLAPPING BOARD STRUCTURE OF STURDY HEALTH FOUNDATION AND ITS AFFILIATES. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS STURDY HEALTH FOUNDATION, INC., A MASSACHUSETTS CHARITABLE CORPORATION, ACTING THROUGH ITS BOARD OF DIRECTORS, IS THE SOLE MEMBER OF STURDY MEMORIAL HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO MAY ELECT MEMBERS OF GOVERNING BODY THE BOARD OF MANAGERS OF STURDY MEMORIAL HOSPITAL, INC. CONSISTS OF THOSE PERSONS WHO SERVE AS THE DIRECTORS OF STURDY HEALTH FOUNDATION, INC. FOUNDATION MEMBERS ARE ELIGIBLE TO ATTEND ALL MEETINGS OF THE CORPORATION AND TO HOLD OFFICE. NEW MEMBERS ARE ELECTED TO MEMBERSHIP BY THE EXISTING MEMBERS FOR THREE YEAR TERMS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS FORM 990 IS PREPARED BY STURDY MEMORIAL'S TAX PROVIDERS, GRANT THORNTON, USING INFORMATION PROVIDED BY MANAGEMENT UPON COMPLETION OF THE ANNUAL INDEPENDENT AUDIT. THE INFORMATION PROVIDED IS THE RESPONSIBILITY OF THE CFO AND STURDY'S FISCAL SERVICES DEPARTMENT. THE RETURN IS REVIEWED BY GRANT THORNTON, THE CONTROLLER AND CFO, AND COMPENSATION AND BENEFIT SECTIONS ARE SPECIFICALLY REVIEWED BY THE CHIEF HUMAN RESOURCES OFFICER FOR STURDY MEMORIAL HOSPITAL, INC. FORM 990 IS THEN PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW AND RECOMMENDATION OF APPROVAL. EVERY BOARD MEMBER RECEIVES FORM 990 AND ALL SCHEDULES PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT ALL HOSPITAL LEADERSHIP AND BOARD MEMBERS COMPLETE AND SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE STATEMENT REQUIRES DISCLOSURE OF ANY OUTSIDE INTERESTS IN ANY BUSINESS, OUTSIDE ACTIVITY, GIFTS, OR ENTERTAINMENT THAT MAY HAVE INFLUENCED THE RESPONDENT. IN ADDITION, THESE SIGNED STATEMENTS ARE REVIEWED BY THE INTEGRITY OFFICER AND ANY POTENTIAL CONFLICTS ARE ADDRESSED AND RESOLVED. THE INTEGRITY OFFICER DISCUSSES DISCLOSED POTENTIAL CONFLICTS WITH EMPLOYEES, OFFICERS AND DIRECTORS OF THE HOSPITAL, SO THAT THEY UNDERSTAND WHAT CONSTITUTES AN INAPPROPRIATE BUSINESS ACTIVITY. GIFTS THAT CREATE A CONFLICT OF INTEREST MUST BE RETURNED. INDIVIDUALS WITH DOCUMENTED CONFLICTS MUST ABSTAIN FROM ANY DECISION MAKING SPECIFIC TO THE IDENTIFIED AREA. AN ANNUAL REPORT IS PREPARED AND PROVIDED TO THE HOSPITAL'S PRESIDENT AND CEO AS WELL AS BOARD OF MANAGERS; THIS COMPREHENSIVE REPORT INCLUDES ALL INTEGRITY COMPLIANCE ISSUES AS WELL AS ANY NEWLY IDENTIFIED CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION COMPENSATION DECISIONS FOR THE ORGANIZATION'S CEO, CFO AND SENIOR MANAGEMENT (KEY EMPLOYEES) ARE MADE THROUGH ITS EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS SOLELY OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH REGARDS TO COMPENSATION MATTERS. THE BOARD UTILIZES AN INDEPENDENT OUTSIDE CONSULTANT TO DETERMINE EXECUTIVE COMPENSATION. THE CONSULTANT PRESENTS NATIONAL AND REGIONAL COMPARABILITY DATA FOR SIMILAR ORGANIZATIONS. THE DATA INCLUDES COMPREHENSIVE SALARY AND BENEFITS INFORMATION FOR THE CEO, CFO AND KEY EMPLOYEES INCLUDING COMPARISON OF BASE PAY, INCENTIVE PAY, BENEFITS AND TOTAL COMPENSATION. THE EXECUTIVE COMMITTEE REVIEWS THE COMPARATIVE DATA FOR THE CEO AND CFO AND VOTES TO APPROVE THEIR COMPENSATION. THE CEO USES COMPARATIVE MARKET DATA TO DETERMINE PROPOSED BASE PAY COMPENSATION INCREASES AND POTENTIAL INCENTIVE PAY FOR ALL OTHER SENIOR MANAGERS AND PRESENTS THIS TO THE EXECUTIVE COMMITTEE FOR THEIR CONSIDERATION. THE EXECUTIVE COMMITTEE REVIEWS ALL RELEVANT INFORMATION AND VOTES TO ACCEPT THE RECOMMENDATIONS OF THE CEO FOR SENIOR MANAGER PAY. ALL DATA PRESENTED, AS WELL AS COMPENSATION DELIBERATIONS AND VOTES, ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. THE MOST RECENT COMPENSATION STUDY WAS PERFORMED IN 2025. FORM 990, PART VI, SECTION B, LINE 16B: PARTICIPATION IN JOINT VENTURE ARRANGEMENTS STURDY MEMORIAL HOSPITAL HAS A POLICY REQUIRING EVALUATION OF ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL AND STATE LAW. THE HOSPITAL REQUIRES THAT ANY VENTURE OR ARRANGEMENT WITH THIRD PARTIES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE HOSPITAL'S EXEMPTION, SUCH AS POLITICAL ACTIVITIES, SUBSTANTIAL LOBBYING, PRIVATE INUREMENT OR SUBSTANTIAL NONEXEMPT ACTIVITIES. THE HOSPITAL SHALL MAINTAIN CONTROL, PRIORITIZE ITS EXEMPT PURPOSES, ENTER CONTRACTS AT ARMS-LENGTH, REQUIRE TRANSPARENT REPORTING, AND ENSURE ANY VENTURE COMPLY WITH INTERNAL REVENUE CODE SECTION 501(R). THE HOSPITAL'S MANAGEMENT SHALL NEGOTIATE ANY VENTURES OR ARRANGEMENTS WITH THE ASSISTANCE OF LEGAL COUNSEL, IF NECESSARY, AND THE HOSPITAL'S BOARD OF MANAGERS APPROVES ANY VENTURE OR ARRANGEMENT. THE HOSPITAL CURRENTLY PARTICIPATES IN SEVERAL VENTURES, ALL RELATED TO HEALTH CARE OPERATIONS. FORM 990, PART VI, SECTION C, LINE 19 HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THE HOSPITAL MAKES AVAILABLE COPIES OF ITS BY-LAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION ADJUSTMEMT 28,134,300. RELEASE FROM RESTRICTIONS 93,433. STURDY HEALTH INC 211 PARK STREET PO BOX 2963 ATTLEBORO MA 02703 042709501 PHYSICIANS MA 501(C)(3) LINE 12B, II SHF 0 STURDY HEALTH FOUNDATION INC 211 PARK STREET PO BOX 2963 ATTLEBORO MA 02703 042103631 DEVELOPMENT MA 501(C)(3) LINE 12B, II N/A 0 EMORY STREET RADIOLOGY ASSOCIATES INC 211 PARK STREET PO BOX 2963 ATTLEBORO MA 02703 043137282 RADIOLOGY MA 501(C)(3) LINE 12B, II SHF 1 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 RELATED TAX-EXEMPT ORGANIZATIONS SCHEDULE R, PART II STURDY HEALTH, INC.'S PRIMARY ACTIVITIES: PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE IN THE STURDY MEMORIAL HOSPITAL SERVICE AREA AND RECRUIT PHYSICIANS TO EXPAND AND PROVIDE QUALITY MEDICAL CARE. STURDY HEALTH FOUNDATION, INC.'S PRIMARY ACTIVITIES: ENGAGE IN PHILANTHROPIC ACTIVITIES THAT SUPPORT THE MISSION AND PURPOSE OF STURDY MEMORIAL HOSPITAL, INC.