STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

EMERSON HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
EMERSON HOSPITAL (EIN 04-2103565)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-11
IRS object ID
202232239349302563
Schema version
2020v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-11T15:24:36-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN464547996PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1E J CALLAHAN & ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE PLEASURE ISLAND ROAD SUITE 2AAddressLine1Txt
CityWAKEFIELDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01880ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042103565EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMERSON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEMERBusinessNameControlTxt
Phone9782878709PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 OLD ROAD TO NINE ACRE CORNERAddressLine1Txt
CityCONCORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01742ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN COCOPersonNm
Person TitleSR VP CHIEF FINANCIAL OFFICERPersonTitleTxt
Phone9782878709PhoneNum
Signature2022-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEPHENPersonFirstNm
Person LastCOCOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD J CALLAHAN CPAPreparerPersonNm
PTINP00314334PTIN
Phone6179747697PhoneNum
Preparation2022-08-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN COCOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 OLD ROAD TO NINE ACRE CORNERAddressLine1Txt
CityCONCORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01742ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$319,688,027GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EMERSONHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1924FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionEMERSON HOSPITAL IS AN ACUTE CARE NON PROFIT COMMUNITY HOSPITAL THAT OFFERS A WIDE RANGE OF MEDICAL, SURGICAL AND SPECIALTY CARE TO APPROXIMATELY 300,000 INDIVIDUALS IN 25 TOWNS.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee2390TotalEmployeeCnt
Total Volunteers446TotalVolunteersCnt
Total Gross UBI$2,850,535TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,983,782NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$275,996PYContributionsGrantsAmt
CY Contributions Grants$1,036,758CYContributionsGrantsAmt
PY Program Service Revenue$237,135,604PYProgramServiceRevenueAmt
CY Program Service Revenue$300,936,943CYProgramServiceRevenueAmt
PY Investment Income$169,087PYInvestmentIncomeAmt
CY Investment Income$495,678CYInvestmentIncomeAmt
PY Other Revenue$25,862,009PYOtherRevenueAmt
CY Other Revenue$16,737,117CYOtherRevenueAmt
PY Total Revenue$263,442,696PYTotalRevenueAmt
CY Total Revenue$319,206,496CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$155,701,560PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$166,455,737CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$130,376,620PYOtherExpensesAmt
CY Other Expenses$148,369,023CYOtherExpensesAmt
PY Total Expenses$286,078,180PYTotalExpensesAmt
CY Total Expenses$314,824,760CYTotalExpensesAmt
PY Revenues Less Expenses-$22,635,484PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,381,736CYRevenuesLessExpensesAmt
Total Assets BOY$233,345,597TotalAssetsBOYAmt
Total Assets EOY$265,964,885TotalAssetsEOYAmt
Total Liabilities BOY$188,100,053TotalLiabilitiesBOYAmt
Total Liabilities EOY$177,762,675TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$45,245,544NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$88,202,210NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF EMERSON HOSPITAL IS TO DELIVER HIGH QUALITY, SAFE AND COST-EFFECTIVE CARE TO OUR PATIENTS AND TO MAINTAIN A PROFESSIONAL AND RESPECTFUL ENVIRONMENT FOR ALL MEMBERS OF THE EMERSON HOSPITAL COMMUNITY. WE DEFINE HIGH QUALITY AS MEETING OR EXCEEDING THE REQUIREMENTS OF OUR CUSTOMERS: PATIENTS, PHYSICIANS, EMPLOYEES, THE COMMUNITY AND PAYERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$99,449,263ExpenseAmt
Revenue$115,309,640RevenueAmt
DescEMERSON HOSPITAL IS AN 199-BED ACUTE CARE NON-PROFIT COMMUNITY HOSPITAL THAT PROVIDES SERVICES TO INPATIENTS. THE FACILITY INCLUDES THE FOLLOWING UNITS: THREE MEDICAL/SURGICAL UNITS, A LOCKED BEHAVIORAL HEALTH UNIT, A LOCKED MATERNITY/OBSTETRICS UNIT, A CRITICAL CARE UNIT, A SHORT TERM REHABILITATION TRANSITIONAL CARE UNIT, A PEDIATRICS UNIT AND A SPECIAL CARE NURSERY. EMERSON HOSPITAL SERVED 6,377 INPATIENTS AND 1,744 OBSERVATION PATIENTS FOR A TOTAL OF 35,980 PATIENT DAYS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$155,872,237ExpenseAmt
Revenue$180,731,068RevenueAmt
DescEMERSON HOSPITAL IS AN ACUTE CARE NON-PROFIT COMMUNITY HOSPITAL THAT PROVIDES A VARIETY OF SERVICES ON AN OUTPATIENT BASIS. EMERSON PERFORMED 1,680,524 PROCEDURES ON OUTPATIENTS DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2021 IN ADDITION, THE HOSPITAL ALSO HAD 28,583 EMERGENCY DEPARTMENT VISITS AND 9,357 REHABILITATION SERVICE VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,222,778ExpenseAmt
Revenue$4,896,235RevenueAmt
DescEMERSON HOSPITAL PROVIDES HOMECARE SERVICES. HOME CARE IS AVAILABLE 24 HOURS PER DAY AND 7 DAYS PER WEEK TO HOMEBOUND PATIENTS OF ALL AGES. PRIMARY HOMECARE SERVICES INCLUDE PROFESSIONAL NURSES WHO DELIVER MEDICAL CARE AS ORDERED BY PHYSICIANS, REHABILITATION PROFESSIONALS WHO WORK WITH PATIENTS TO RESTORE FUNCTION AND INDEPENDENCE AND HOME HEALTH AIDES WHO ASSIST WITH PERSONAL CARE TASKS. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2021 EMERSON HOSPITAL SAW 1,507 NEW HOMECARE PATIENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$259,544,278TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document73IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2390EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEPHEN COCOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9782878709PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1OLD ROAD TO NINE ACRE CORNERAddressLine1Txt
CityCONCORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01742ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GLORIA CLOUGH
CHAIR14.005.00Yes (X)Yes (X)$0$0$0
PAUL BIRCH
VICE CHAIR8.001.00Yes (X)Yes (X)$0$0$0
JAMES DIGIOVANNI
SECRETARY8.001.00Yes (X)Yes (X)$0$0$0
RICHARD CHURCHILL
TREASURER7.001.00Yes (X)Yes (X)$0$0$0
CHRISTINE SCHUSTER
EX OFFICIO PRESIDENT & CEO50.0010.00Yes (X)Yes (X)$1,137,869$0$271,195
JEFF CAMPBELL
DIRECTOR7.005.00Yes (X)$0$0$0
CHRISTOPHER COLOIAN
DIRECTOR6.001.00Yes (X)$0$0$0
EILEEN DEIGNAN MD
DIRECTOR6.001.00Yes (X)$0$0$0
ROSE ANN GIORDANO
DIRECTOR6.001.00Yes (X)$0$0$0
JOHN HICKLING
DIRECTOR7.001.00Yes (X)$0$0$0
DAVID LAUTZ MD
DIRECTOR6.001.00Yes (X)$0$0$0
JOHN LIBERTINO MD
DIRECTOR6.001.00Yes (X)$0$0$0
DAVID ROSE MD
DIRECTOR6.001.00Yes (X)$0$0$0
WILLIAM RYAN
DIRECTOR7.001.00Yes (X)$0$0$0
JILL STANSKY
DIRECTOR7.005.00Yes (X)$0$0$0
JAMES STREET MD
DIRECTOR6.001.00Yes (X)$0$0$0
MICHAEL ZAK
DIRECTOR6.001.00Yes (X)$0$0$0
JOHN BOYNTON
DIRECTOR6.001.00Yes (X)$0$0$0
THOMAS LAMATTINA MD
EX OFFICIO MED STAFF PRESIDENT6.001.00Yes (X)Yes (X)$0$0$0
CHRISTINA TROTTA
ASSISTANT SECRETARY38.002.00Yes (X)$93,567$0$12,042
ERIC STASTNY
CHIEF OPERATING OFFICER40.00$534,270$0$85,598Yes (X)
BARRETT KITCH MD
SR VP CLINICAL AFFAIRS40.00$488,549$0$44,932Yes (X)
CHRISTINE GALLERY
SR VP PLANNING & MARKETING40.00$360,972$0$64,334Yes (X)
CRAIG NESTA
VP EMERSON PRACTICE AS40.00$289,682$0$34,527Yes (X)
RENEE FOSBERG
CHIEF INFORMATION OFFICER40.00$271,733$0$26,249Yes (X)
KARL KUSSIN
VP DEVELOPMENT & CPO40.00$287,697$0$52,225Yes (X)
MICHAEL HACHEY
SR VP CFO30.0010.00$616,538$0$75,004Yes (X)
JOYCE WELSH
VP PATIENT CARE SERVICES40.00$491,104$0$12,035Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,571,981TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$678,141TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SODEXO INC & AFFILIATES
PO BOX 81049WOBURNMA01813ENVIRONMENTAL/CAFETERIA SERVICES$4,341,178
STERLING CONSTRUCTION
134 HEYWOD RDSTERLINGMA01564CONSTRUCTION SERVICES$3,197,792
PARTNERS COMMUNITY PHYSICIANS
39 REVOLUTION DR SUITE 1030SOMERVILLEMA01245MEDICAL MANAGEMENT$1,943,624
MASSACHUSETTS GENERAL PHYSICIANS
151 MERRIMAC STREET 4TH FLOORBOSTONMA02114MEDICAL SERVICES$1,794,196
ADVANTEDGE HEALTHCARE SOLUTIONS
PO BOX 674415DETROITMI48267ACCOUNTS RECEIVABLE SERVICE$1,373,488
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K73CntrctRcvdGreaterThan100KCnt
Related Organizations$1,036,758RelatedOrganizationsAmt
Total Contributions$1,036,758TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621990BusinessCd
Total Revenue Column$300,936,943TotalRevenueColumnAmt
Related Or Exempt Func Income$300,936,943RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$300,936,943TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$573,507TotalRevenueColumnAmt
Exclusion$573,507ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$739,096RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$403,702RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$335,394RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$335,394TotalRevenueColumnAmt
Unrelated Business Revenue$335,394UnrelatedBusinessRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$77,829OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$77,829OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$77,829TotalRevenueColumnAmt
Related Or Exempt Func Income-$77,829RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA AND OTHER900099$12,633,031$12,633,031
LAB SERVICES621500$2,515,141$2,515,141
GAIN ON SWAP623990$1,253,551$1,253,551
FieldValueIRS element (for citing)
Other Revenue Total$16,401,723OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$319,206,496TotalRevenueColumnAmt
Related Or Exempt Func Income$313,492,145RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,850,535UnrelatedBusinessRevenueAmt
Exclusion$1,827,058ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$12,196,054TotalAmt
Program Services$10,415,863ProgramServicesAmt
Management And General$1,780,191ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$127,487,900TotalAmt
Program Services$108,315,498ProgramServicesAmt
Management And General$19,172,402ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,799,367TotalAmt
Program Services$2,379,462ProgramServicesAmt
Management And General$419,905ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,929,424TotalAmt
Program Services$12,690,010ProgramServicesAmt
Management And General$2,239,414ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,042,992TotalAmt
Program Services$7,686,543ProgramServicesAmt
Management And General$1,356,449ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$22,804,527TotalAmt
Program Services$22,804,527ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$777,001TotalAmt
Management And General$777,001ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,896,851TotalAmt
Management And General$3,896,851ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,398,940TotalAmt
Management And General$2,398,940ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,468,525TotalAmt
Management And General$1,468,525ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$652,114TotalAmt
Management And General$652,114ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,853,200TotalAmt
Program Services$9,584,921ProgramServicesAmt
Management And General$4,268,279ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$306,386TotalAmt
Management And General$306,386ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,650,772TotalAmt
Management And General$2,650,772ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,633,283TotalAmt
Program Services$10,633,283ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,848,356TotalAmt
Management And General$2,848,356ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$53,016,018$52,964,350$51,668
REPAIRS & MAINTENANCE$12,719,424$11,603,388$1,116,036
MISCELLANEOUS$10,694,997$6,955,818$3,739,179
BILLING COLLECTION$3,600,694$3,600,694

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,047,935TotalAmt
Program Services$3,510,615ProgramServicesAmt
Management And General$2,537,320ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$314,824,760TotalAmt
Program Services$259,544,278ProgramServicesAmt
Management And General$55,280,482ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$64,497,457BOYAmt
EOY$71,138,374EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,850,647BOYAmt
EOY$36,375,155EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,164,177BOYAmt
EOY$2,743,723EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,772,353BOYAmt
EOY$6,344,019EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,887,512BOYAmt
EOY$8,826,590EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$376,431,319LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$253,829,708LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$109,592,875BOYAmt
EOY$122,601,611EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,724,360BOYAmt
EOY$7,391,809EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$10,582,519BOYAmt
EOY$10,543,604EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$273,697BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$233,345,597BOYAmt
EOY$265,964,885EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,034,138BOYAmt
EOY$35,149,900EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,149,069BOYAmt
EOY$49,882,836EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$15,837,938BOYAmt
EOY$29,401,030EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,000,000BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$85,078,908BOYAmt
EOY$63,328,909EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$188,100,053BOYAmt
EOY$177,762,675EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$40,748,634BOYAmt
EOY$82,126,876EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,496,910BOYAmt
EOY$6,075,334EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$45,245,544BOYAmt
EOY$88,202,210EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$233,345,597BOYAmt
EOY$265,964,885EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,381,736ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$80,320NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$38,494,610OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,452,598BeginningYearBalanceAmt
Contributions$262,343ContributionsAmt
Investment Earnings Or Losses$513,718InvestmentEarningsOrLossesAmt
Other Expenditures$120,208OtherExpendituresAmt
End Year Balance$3,108,451EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,315,726BeginningYearBalanceAmt
Contributions$121,795ContributionsAmt
Investment Earnings Or Losses$127,798InvestmentEarningsOrLossesAmt
Other Expenditures$112,721OtherExpendituresAmt
End Year Balance$2,452,598EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,197,719BeginningYearBalanceAmt
Contributions$111,039ContributionsAmt
Investment Earnings Or Losses$109,254InvestmentEarningsOrLossesAmt
Other Expenditures$102,286OtherExpendituresAmt
End Year Balance$2,315,726EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,084,029BeginningYearBalanceAmt
Contributions$99,540ContributionsAmt
Investment Earnings Or Losses$104,363InvestmentEarningsOrLossesAmt
Other Expenditures$90,213OtherExpendituresAmt
End Year Balance$2,197,719EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,868,612BeginningYearBalanceAmt
Contributions$195,907ContributionsAmt
Investment Earnings Or Losses$100,612InvestmentEarningsOrLossesAmt
Other Expenditures$81,102OtherExpendituresAmt
End Year Balance$2,084,029EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,722,757OtherCostOrOtherBasisAmt
Book Value$2,722,757BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$190,639,346OtherCostOrOtherBasisAmt
Depreciation$121,684,632DepreciationAmt
Book Value$68,954,714BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$178,327,006OtherCostOrOtherBasisAmt
Depreciation$130,142,861DepreciationAmt
Book Value$48,184,145BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,742,210OtherCostOrOtherBasisAmt
Depreciation$2,002,215DepreciationAmt
Book Value$2,739,995BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$122,601,611TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ACCRUED PENSION PAYABLE$33,716,181
ACCRUED PAYROLL$16,956,980
FIN47 REMEDIATION OBLIGATION$774,392
DEFERRED REVENUE$154,534
BOND INTEREST RATE SWAP LIABILITY$1,837,175
DUE TO THIRD PARTY PAYORS$9,889,647
FieldValueIRS element (for citing)
Total Liability$63,328,909TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$316,085,115TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,253,551NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,253,551RevenueNotReportedAmt
Revenue Subtotal$317,338,666RevenueSubtotalAmt
Other Revenues Not Included$1,867,830OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,867,830RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$319,206,496TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$314,824,758TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$314,824,758ExpensesSubtotalAmt
Other Expenses Not Included$2OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$314,824,760TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE PRINCIPAL BALANCE OF THE ENDOWMENT FUND IS PERMANENTLY RESTRICTED FROM USE. INCOME ON THE ENDOWMENT FUND THAT HAS BEEN DESIGNATED FOR A SPECIFIC PURPOSE BY THE DONOR IS USED AS SPECIFIED. OTHERWISE THE INCOME IS USED TO ADVANCE THE ORGANIZATION'S GENERAL CHARITABLE PURPOSE.
PART X, LINE 2:IN FISCAL 2021 THERE WAS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENT REFERENCING FIN48 BECAUSE THE ORGANIZATION DID NOT FILE UNCERTAIN TAX POSITIONS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS 1,036,758. NON OPERATING GAINS FROM AUDIT REPORT 831,072.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ROUNDING 2.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,846,674TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$156,941DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,689,733NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,753,774TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,207,308DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,546,466NetCommunityBenefitExpnsAmt
Total Expense0.01440TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,999,311TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,299,695DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,599,759TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,663,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,236,199NetCommunityBenefitExpnsAmt
Total Expense0.02290TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$297,052TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$297,052NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$297,052TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$297,052NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,896,811TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,663,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,533,251NetCommunityBenefitExpnsAmt
Total Expense0.02380TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,386,335BadDebtExpenseAmt
Reimbursed By Medicare$49,143,199ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$65,407,197CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$16,263,998MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 RADIATION ONCOLOGY CENTER MANAGEMENT COMPANY LLC
OPERATE A RADIATION ONCOLOGY FACILITY0.500000.000000.00000
2 SHIELDS IMAGING MANAGEMENT AT EMERSON HOSPITAL LLC
IMAGING SERVICES0.500000.000000.00000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMERSON HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 OLD ROAD TO NINE ACRE CORNERAddressLine1Txt
CityCONCORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01742ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EMERSON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.EMERSONHOSPITAL.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.EMERSONHOSPITAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.EMERSONHOSPITAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.EMERSONHOSPITAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
EMERSON HOSPITALPART V, SECTION B, LINE 5: IN CONDUCTING THE MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM KEY INFORMANT INTERVIEWS WITH COMMUNITY RESIDENTS AND STAKEHOLDERS. INDIVIDUALS CONSULTED INCLUDED LOCAL AND STATE PUBLIC HEALTH DEPARTMENTS, REPRESENTATIVES FROM COUNCILS ON AGING, HOUSING AUTHORITIES, SCHOOL NURSES, GUIDANCE COUNSELORS, THE UNITED WAY, LOCAL VETERAN'S AGENTS, THE DOMESTIC VIOLENCE NETWORK, EMERSON HOSPITAL'S BEHAVIORAL HEALTH SERVICES, AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.
EMERSON HOSPITALPART V, SECTION B, LINE 11: EMERSON HOSPITAL IS FOCUSING PROGRAMS AND PLANNING ON THE KEY AREAS IDENTIFIED IN THE CHNA INCLUDING CANCER PREVENTION, DETECTION, AND CARE; MENTAL HEALTH AND SUBSTANCE ABUSE CARE; CARE COORDINATION FOR ELDERLY PATIENTS; DOMESTIC VIOLENCE AWARENESS AND ADVOCACY; AND HEALTH CARE SERVICES IN MAYNARD, MASSACHUSETTS. THE COMMUNITY BENEFITS ADVISORY COMMITTEE MEETS QUARTERLY TO REVIEW PROGRESS AND PROVIDE FURTHER INPUT. ALL KEY AREAS ARE IN THE PROCESS OF BEING ADDRESSED.
EMERSON HOSPITALPART V, SECTION B, LINE 18E: REPORTING TO CREDIT AGENCIES IS NOT PERMITTED UNDER EMERSON'S CREDIT AND COLLECTION POLICY. ALTHOUGH LIENS AND LAWSUITS ARE PERMITTED, THE HOSPITAL DID NOT EXECUTE ANY LAWSUITS OR LIENS DURING THE 2019 TAX YEAR. THE HOSPITAL DOES ENGAGE COLLECTION AGENCIES TO PURSUE UNDPAID BALANCES, BUT DOES NOT ALLOW THE COLLECTION AGENCIES TO REPORT TO CREDIT AGENCIES, FILE LAWSUITS OR PLACE LIENS.
EMERSON HOSPITALPART V, SECTION B, LINE 24: ALL PATIENTS REGARDLESS OF INSURANCE OR FINANCIAL MEANS ARE CHARGED THE SAME STANDARD RATE AS DETERMINED BY EMERSON HOSPITAL ON A PERIODIC BASIS. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE OR PARTIAL FREE CARE, DISCOUNTS ARE THEN APPLIED TO CHARGES.
PART I, 7FEMERSON HOSPITAL IS A NON-PROFIT ACUTE CARE COMMUNITY HOSPITAL THAT SERVES APPROXIMATELY 300,000 RESIDENTS IN 25 TOWNS. EMERSON WAS INCORPORATED AS TAX-EXEMPT INSTITUTION IN 1911 AND, SINCE THAT TIME HAS BEEN COMMITTED TO PROVIDING BOTH EMERGENCY AND NON-EMERGENCY CARE TO ALL IN NEED, REGARDLESS OF THEIR ABILITY TO PAY.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:EMERSON HOSPITAL USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
PART I, LINE 6A:THE ANNUAL COMMUNITY BENEFIT'S REPORT IS DISTRIBUTED TO THE HOSPITAL BOARD OF DIRECTORS AND TO THE COMMUNITIES SERVED BY THE HOSPITAL. THE REPORT IS ALSO AVAILABLE WITHIN THE HOSPITAL, ON THE WEBSITE, AND AT LOCAL LIBRARIES. IN ADDITION, INFORMATION REGARDING COMMUNITY BENEFITS PLAN ACTIVITIES IS DISSEMINATED THROUGH THE HOSPITAL'S INFORMATIONAL MATERIALS, INCLUDING HEALTHWORKS MAGAZINE, WHICH IS MAILED TO AREA RESIDENTS. THE REPORT IS ALSO FILED WITH THE STATE OF MASSACHUSETTS AND IS AVAILABLE THROUGH THE STATE.
PART I, LINE 7:FINANCIAL ASSISTANCE AT COST IS DETERMINED USING THE MASSACHUSETTS HEALTHCARE SAFETY NET ASSESSMENT INCLUDING ANY SHORTFALL FUNDING TO THE HEALTHCARE SAFETY NET POOL.
PART III, LINE 4:IN ANALYZING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS OF COLLECTION TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. AFTER ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED, THE HOSPITAL WILL WRITE OFF THE DIFFERENCE BETWEEN STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED.BELOW IS THE PORTION OF THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS OF EMERSON HEALTH SYSTEM, INC (OF WHICH EMERSON HOSPITAL IS PART OF THE CONSOLIDATION) WHICH CONCERNS BAD DEBT EXPENSE:CONCENTRATION OF CREDIT RISKTHE HEALTH SYSTEM GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD PARTY PAYOR AGREEMENTS. THE HEALTH SYSTEM RECEIVES A SIGNIFICANT PORTION OF ITS PAYMENTS FOR SERVICES RENDERED FROM A LIMITED NUMBER OF GOVERNMENT AND COMMERCIAL THIRD PARTY PAYORS, INCLUDING MEDICARE, MEDICAID, BLUE CROSS OF MASSACHUSETTS, HARVARD PILGRIM HEALTH CARE, AND TUFTS ASSOCIATED HEALTH PLAN. THE HEALTH SYSTEM HAS NOT HISTORICALLY INCURRED ANY SIGNIFICANT CREDIT LOSSES OUTSIDE THE NORMAL COURSE OF BUSINESS. LINE 2 BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES MULTIPLIED BY THE ACTUAL BAD DEBT EXPENSE.
PART III, LINE 8:THE COSTING METHODOLOGY USED IN DETERMINING ALLOWABLE COSTS OF CARE FOR MEDICARE IS THE COST TO CHARGE RATIO. MEDICARE COSTS ARE OBTAINED FROM THE COST REPORT FOR ALL SERVICES PROVIDED.
PART III, LINE 9B:EMERSON HOSPITAL MAINTAINS VERIFICATION OF A PATIENT'S INSURANCE DATA AND CHARITY CARE ELIGIBLITY PERMANENTLY WITHIN THE HOSPITAL'S MEDITECH DATABASE. AT EACH SERVICE DATE, VERIFICATION OF CHARITY CARE APPROVAL THROUGH THE STATE PROGRAM (HSNO) IS PERFORMED BY THE PATIENT ACCOUNTS DEPARTMENT. PATIENTS WHO ARE NOT ENROLLED ARE SCREENED FOR OTHER HEALTH INSURANCE ENROLLMENT BY REGISTRATION AND PATIENT ACCOUNTS DEPARTMENT.ONCE CHARITY CARE APPROVAL HAS BEEN VERIFIED, ALL BILLING AND COLLECTION ATTEMPTS ARE CEASED. COPAYMENTS AND SOME HOSPITAL SERVICES, I.E. HOME CARE, ARE EXCLUDED FROM THE STATE'S CHARITY CARE PROGRAM.
PART VI, LINE 2:EVERY THREE YEARS EMERSON HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND AND ADDRESS THE HEALTH NEEDS OF THE EMERSON HOSPITAL COMMUNITY AND TO MEET ALL PROVISIONS OF SECTION 501(R) OF THE AFFORDABLE CARE ACT. THE MOST RECENT ASSESSMENT WAS CONDUCTED IN 2016-2018. THE CHNA REPORT CONTAINS SECONDARY DATA FROM EXISTING SOURCES SUCH AS THE U.S. CENSUS, THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, THE CDC BEHAVIOR RISK FACTOR SURVEILLANCE SURVEY DATA, YOUTH RISK BEHAVIOUR SURVEY, AMONG OTHERS IN THE PUBLIC DOMAIN AS WELL AS INPUT FROM INTERVIEWS WITH COMMUNITY RESIDENTS AN STAKEHOLDERS.
PART VI, LINE 3:ALL PATIENTS ARE PROVIDED FINANCIAL ASSISTANCE LITERATURE THROUGH THE STATE ON ALL BILLING STATEMENTS AND SIGNS ARE POSTED AT ALL PATIENT REGISTRATION LOCATIONS. WE PROVIDE THE CURRENT YEAR FEDERAL POVERTY GUIDLINES ON ALL BILLING STATEMENTS. IN ADDITION, THESE GUIDELINES ARE POSTED IN OUR INPATIENT AREA, OUTPATIENT AREA AND AT OFFSITE LOCATIONS. FINANCIAL ASSISTANCE CONTACT INFORMATION BROCHURES ARE PROVIDED IN OUR SURGICAL DAY SERVICE PACKETS AND ALL ADMISSION PACKETS.
PART VI, LINE 4:EMERSON HOSPITAL IS A FULL SERVICE NON-PROFIT ACUTE CARE REGIONAL HOSPITAL THAT SERVES A 25 TOWN SUBURBAN COMMUNITY WITH A GROWING POPULATION OF APPROXIMATELY 300,000. EMERSON IS THE ONLY HOSPITAL LOCATED WITHIN THE PRIMARY TWELVE TOWNS THAT THE HOSPITAL SERVES. THE MEDIAN HOUSEHOLD INCOME FOR THE TOWNS SERVED BY EMERSON RANGE FROM APPROXIMATELY 75,000 TO 272,000 AND APPROXIMATELY 2% OF THE HOUSEHOLDS CURRENTLY HAVE INCOME LEVELS BELOW THE FEDERAL POVERTY GUIDELINE. THERE ARE NO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED POPULATIONS IN THE COMMUNITIES SERVED BY EMERSON AND APPROXIMATELY 9% OF THE COMMUNITY'S PATIENTS ARE MEDICAID RECIPIENTS.
PART VI, LINE 5:EMERSON PROVIDES MANY COMMUNITY SERVICES SOME OF WHICH ARE DESCRIBED BELOW:-EMERGENCY RESPONSE AND DISASTER PLANNING IN CONJUNCTION WITH LOCAL AGENCIES, THE HOSPITAL PLANS AND COORDINATES EMERGENCY PREPAREDNESS AND HAS PROVIDED AND AT TIMES SUBSIDIZED AN ADVANCED LIFE SUPPORT SERVICE.-PREVENTATIVE CARE PROGRAMS SUCH AS FLU VACCINES, CANCER AWARENESS DAY, FREE HEALTH SCREENINGS INCLUDING CHOLETEROL, THYROID, DIABETES, BLOOD PRESSURE, SKIN CANCER AND PULMONARY.-YOUTH PROGRAMS WHICH INCLUDE THE YOUTH RISK BEHAVIOUR SURVEY, JOB SHADOWING AND VOLUNTEER OPPORTUNITIES FOR YOUTH.-SENIOR SERVICES WHICH INCLUDE HOME CARE HEALTH SCREENINGS AND MONTHLY WELLNESS PROGRAMS.-HEALTH EDUCATION WHICH INVOLVES EMERSON STAFF PRESENTING FREE LECTURES TO THE COMMUNITY ON VARIOUS HEALTH CARE ISSUES SUCH AS BREAST CANCER, CARDIAC HEALTH, SPORTS MEDICINE, PRENATAL CARE AND OTHERS.
PART VI, LINE 6:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESMA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTINE SCHUSTER
EX OFFICIO PRESIDENT & CEO$865,564$0$259,141$0$13,164$0$271,195$0$0$0$1,409,064$0$0$0
MICHAEL HACHEY
SR VP CFO$462,245$0$150,771$0$3,522$0$58,640$0$16,364$0$691,542$0$0$0
ERIC STASTNY
CHIEF OPERATING OFFICER$439,951$0$93,509$0$810$0$55,571$0$30,027$0$619,868$0$0$0
BARRETT KITCH MD
SR VP CLINICAL AFFAIRS$400,727$0$85,500$0$2,322$0$44,932$0$0$0$533,481$0$0$0
JOYCE WELSH
VP PATIENT CARE SERVICES$431,599$0$56,900$0$2,605$0$4,500$0$7,535$0$503,139$0$0$0
CHRISTINE GALLERY
SR VP PLANNING & MARKETING$295,553$0$64,177$0$1,242$0$34,307$0$30,027$0$425,306$0$0$0
KARL KUSSIN
VP DEVELOPMENT & CPO$247,568$0$35,365$0$4,764$0$28,399$0$23,826$0$339,922$0$0$0
CRAIG NESTA
VP EMERSON PRACTICE AS$258,440$0$30,000$0$1,242$0$4,500$0$30,027$0$324,209$0$0$0
RENEE FOSBERG
CHIEF INFORMATION OFFICER$255,923$0$15,000$0$810$0$26,249$0$0$0$297,982$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BEMERSON HOSPITAL OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO A SELECT CLASS OF MANAGEMENT. SUPPLEMENTAL RETIREMENT INCOME IS ASSESSED BY AN INDEPENDENT ACTUARY TO DETERMINE ANNUAL CONTRIBUTION AMOUNTS BY EMERSON HOSPITAL. PLAN CONTRIBUTIONS BECOME INCOME TO THE PARTICIPANT BASED ON A CLIFF VESTING SCHEDULE, WHICH IS EVERY FIVE YEARS FROM THE DATE OF PLAN ENROLLMENT. THE FOLLOWING PERSONS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CHRISTINE SCHUSTER $247,695 MICHAEL HACHEY $35,140 ERIC STASTNY $32,071 BARRETT KITCH, MD $21,432 CHRISTINE GALLERY $10,807 RENEE FOSBERG $2,749 KARL KUSSIN $4,899
PART I, LINE 6EXECUTIVES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN THE AMOUNT OF 5% OF BASE SALARY IF THE ORGANIZATION ACHIEVES THE BOARD APPROVED BUDGETED GAIN FROM OPERATIONS FOR THE FISCAL YEAR.
PART I, LINE 7EXECUTIVES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN THE AMOUNT OF 15-25% OF BASE SALARY IF THEY ACHIEVE SPECIFIC INDIVIDUAL GOALS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCY-SERIES 2015BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2015-09-28BondIssuedDt
Issue Price$62,255,000IssuePriceAmt
PurposeFINANCE CAPITAL EXP, REPAY CERTAIN TAXABLE LOANS REFUND SERIES E BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$62,255,000TotalProceedsAmt
In Reserve Fund$4,516,595InReserveFundAmt
Issuance Costs From Proceeds$451,277IssuanceCostsFromProceedsAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestYes (1)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSARAH POWERSPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDAUGHTER OF BOARD MEMBERRelationshipDescriptionTxt
Transaction$0TransactionAmt
TransactionDAUGHTER IS EMPLOYEE OF EMERSON HOSPITALTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH L PART IVFormAndLineReferenceDesc
ExplanationBOARD MEMBER / TREASURER RICHARD CHURCHILL'S DAUGHTER IS AN EMPLOYEE OF EMERSON HOSPITALExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3EMERSON HOSPITAL OUTSOURCED THE MANAGEMENT OF THE FOLLOWING OPERATIONS: 1. TRANSITIONAL CARE UNIT TO RADIUS 2. NUTRITION ENGINEERING AND ENVIRONMENTAL SERVICES TO SODEXO 3. WOUND CARE CLINIC TO RESTORIX 4. SLEEP LAB TO NEUROCARE 5. PROPERTY MANAGEMENT OF SELECTED SATELLITE LOCATIONS TO CHARLES JAMES ASSOCIATES 6. PROPERTY MANAGEMENT OF SELECT LOCATIONS TO AVISON YOUNG 7. SECURITY SERVICES TO APG RHODE ISLAND, LLC
FORM 990, PART VI, SECTION A, LINE 6EMERSON HEALTH SYSTEM, INC, ACTING THROUGH ITS BOARD OF DIRECTORS, IS THE MEMBER FOR EMERSON HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7ATHE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BTHE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11BTHE COMPLETED FORM 990 WAS PRESENTED TO THE EMERSON HOSPITAL BOARD OF DIRECTORS DURING A REGULARLY SCHEDULED BOARD MEETING AND WAS OPEN FOR REVIEW, DISCUSSION, QUESTIONS AND COMMENTS. FURTHER EDUCATIONAL SESSIONS WERE OFFERED FOR ANY BOARD MEMBER TO REVIEW THE FORM 990 IN MORE DETAIL WITH THE CHIEF FINANCIAL OFFICER. IN ADDITION, THE SCHEDULE J WAS REVIEWED IN DETAIL IN A SESSION WITH THE COMPENSATION COMMITTEE AND THE FORM 990 WAS REVIEWED IN ITS ENTIRETY IN DETAIL IN A SESSION WITH THE AUDIT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS REQUIRES THAT ALL BOARD MEMBERS AND SENIOR MANAGERS COMPLETE AND SIGN THE CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE CEO REVIEWS THESE QUESTIONNAIRES AND SUMMARIZES ANY ISSUES THAT COULD CREATE A CONFLICT OF INTEREST. THIS SUMMARY IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS AND IS PRESENTED TO THE ENTIRE BOARD ANNUALLY SO THAT ALL BOARD MEMBERS ARE AWARE OF POTENTIAL CONFLICTS OF INTEREST AND HAVE INFORMATION THEY CAN RELY ON IF THEY FEEL AN INDIVIDUAL MAY HAVE DIVIDED LOYALTIES ON A DECISION COMING BEFORE THE BOARD OF DIRECTORS. THE BOARD CHAIR IS RESPONSIBLE FOR EVALUATING ANY CONFLICT OF INTEREST AND DETERMINING THE TREATMENT OF THE SITUATION ACCORDING TO BOARD POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS HOLDS THE SOLE RESPONSIBILITY FOR ESTABLISHING THE COMPENSATION OF EMERSON HOSPITAL'S CEO. THE COMPENSATION COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF AT LEAST THREE INDEPENDENT BOARD MEMBERS, IS RESPONSIBLE FOR THE REVIEW AND RECOMMENDATION OF THE CEO'S COMPENSATION. THIS ANALYSIS INCLUDES AN ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF OPERATIONS AND CHIEF HUMAN RESOURCES OFFICER, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WERE USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL. THE COMPENSATION COMMITTEE ALSO REVIEWS AND APPROVES THE CEO'S RECOMMEDATION OF COMPENSATION FOR KEY EMPLOYEES INCLUDING OFFICERS AND VICE PRESIDENTS OF THE HOSPITAL. THIS ANALYSIS INCLUDES ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF OPERATIONS AND CHIEF HUMAN RESOURCES OFFICER, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WAS USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL.
FORM 990, PART VI, SECTION C, LINE 18FORM 990 IS AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORMS 1023, 990, AND 990T ARE AVAILABLE UPON REQUEST TO THE HOSPITAL.
FORM 990, PART VI, SECTION C, LINE 19HOSPITAL'S BY-LAWS ARE AVAIALABLE ON THE MASSACHUSETTS SECRETARY OF STATE'S WEBSITE. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:NET ASSETS RELEASED FOR PLANT AND EQUIPMENT BENEFIT PLAN RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 36,708,120. TEMPORARILY RESTRICTED CHANGE IN INTEREST IN FOUNDATION 1,481,593. PERMANENTLY RESTRICTED CHANGE IN INTEREST IN THE FOUNDATION NET ASSETS RELEASED TO THE FOUNDATION -2,019,784. TRANSFER TO AFFILIATES 2,266,613. OTHER 58,068.
SCHEDULE K, PART I, COLUMN F DESCRIPTION OF TAX EXEMPT BOND PURPOSESERIES E BOND PROCEEDS WERE USED TO: (I) PROVIDE FOR THE CURRENT REFUNDING OF PRIOR BONDS, THE PROCEEDS OF WHICH WERE USED TO CONSTRUCT, RENOVATE, AND EQUIP PORTIONS OF THE INSTITUTIONS CAMPUS INCLUDING CONSTRUCTING THE JOHN CUMMING BUILDING, AN ADDITION TO THE WHEELER BUILDING, CONSTRUCTION OF A BUILDING TO HOUSE PATIENT CARE SERVICES, LABORATORY AND REHABILITATION SERVICES, A 31-BED PSYCHIATRIC UNIT, A 32-BED MEDICAL SURGICAL UNIT, 24 OBSTETRICS BEDS, 8 BIRTHING ROOMS, 2 DELIVERY ROOMS, A NEWBORN NURSERY AND CONSTRUCTION OF A FIVE LEVEL PARKING GARAGE WITH APPROXIMATELY 465 PARKING SPACES AND RENOVATING THE WHEELER BUILDING; (II) PROVIDE FOR THE FINANCING AND REFINANCING OF (A) RENOVATIONS TO EXISTING PRE AND POST OPERATING SURGICAL DAY CARE SUITES, THE CONSTRUCTION OF A NEW CYSTOSCOPY ROOM, CONSTRUCTION OF TWO OPERATING ROOMS AND RENOVATION OF THE POST ANESTHESIA CARE UNIT, (B) EXPANSION OF EXISTING SPACE USED FOR RADIOLOGY SERVICES INCLUDING CONSTRUCTION OF SEPARATE ENTRANCES AND SEGREGATED PREPARATION ACCESS FOR INPATIENT VERSUS OUTPATIENT USE AND THE ADDITION OF NEW RADIOLOGY EQUIPMENT, (C) EXPANSION OF THE EXISTING OBSTETRICS UNIT IN ORDER TO CREATE PRIVATE ROOMS AND (D) THE ACQUISITION AND INSTALLATION OF CAPITAL EQUIPMENT; (III) FUND THE DEBT SERVICE REVENUE FUND; (IV) PAY THE PREMIUM FOR THE BOND INSURANCE POLICY; AND (V) PAY CERTAIN COSTS AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES E BONDS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EMERSON HEALTH SYSTEM
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042770977PROVIDES ITS HEALTHCARE SUBSIDIARIES WITH A MANAGEMENT TEAMMA501(C)3509(A)(3) TYPE IN/A0
EMERSON HEALTH CARE FOUNDATION
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042770980COORDINATE AND DEVELOP THE FUNDRAISING EFFORT FOR EMERSON HOSPITALMA501(C)3509(A)(3) TYPE I0EMERSON HEALTH SYSTEM INC
EMERSON PRACTICE ASSOCIATES
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742043111240PROVIDE HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITALMA501(C)3170(B)(1)(A)(III)0EMERSON HEALTH SYSTEM INC
EMERSON PRACTICE ASSOCIATES II
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742800482067PROVIDE HEALTH CARE SERVICES IN THE COMMUNITIES SERVED BY EMERSON HOSPITALMA501(C)3170(B)(1)(A)(III)0EMERSON HEALTH SYSTEM INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
RADIATION ONCOLOGY CENTER MANAGEMENT COMPANY LLC
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742043410861OPERATE A RADIATION ONCOLOGY FACILITYMAN/ARELATED$2,039,4980Yes (1)0.50000
SHIELDS IMAGING MANAGEMENT AT EMERSON
700 CONGRESS STREET SUITE 204QUINCYMA02169851985836IMAGING SERVICESMAN/ARELATED$1,614,5910Yes (1)0.50000
MASSACHUSETTS VALUE ALLIANCE LLC
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742812596766HEALTHCARE AFFORDABILITYMAN/ARELATED-$39,157000.16670
EMERSON ENDOSCOPY AND DIGESTIVE HEALTH CENTER LLC
2500 YORK RD STE 300JAMISONPA18929999993604ENDOSCOPY AND DIGESTIVE HEALTHMAN/ARELATED000.75000
SHIELDS PET-CT AT EMERSON HOSPITAL LLC
700 CONGRESS STREET SUITE 204QUINCYMA02169852016078PET-CTMAN/ARELATED$172,031000.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EMERSON PHYSICIAN HOSPITAL ORGANIZATION
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742043205706HEALTH SERVICES CONTRACTINGMAN/AC$217,1500.500000
EMERSON PROPERTY DEVELOPMENT CORP
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042793599PROPERTY MANAGEMENTMAC-$14,5351.000000EMERSON HEALTH SYSTEM INC
EMERSON OCCUPATIONAL HEALTH SERVICES
OLD ROAD TO NINE ACRE CORNERCONCORDMA01742042800607HEALTH SERVICESMAC$7661.000000EMERSON HEALTH SYSTEM INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EMERSON PRACTICE ASSOCIATES
N$1,547,573REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES
O$28,528,200REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES
Q$6,241,802REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES II
N$36,296REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES II
O$409,626REPORTED AT FAIR VALUE
EMERSON PRACTICE ASSOCIATES II
Q$75,667REPORTED AT FAIR VALUE