2021-02-15T14:01:55-06:00 2019-09-30 BDO USA LLP ONE INTERNATIONAL PLACE BOSTON MA 02110 990 2018-10-01 042103577 Harrington Memorial Hospital % TOM SULLIVAN HARR 5087658130 100 South Street Southbridge MA 015508002 THOMAS SULLIVAN VP/TREASURER 5087658130 2021-02-15 true Brian Vigneault P00540650 6174220700 2021-02-15 2018 2022-09-23 18:48:47Z X EDWARD MOORE 100 South Street Southbridge MA 015508002 147156781 false X www.harringtonhospital.org X 1928 MA CHARITABLE - TO PROVIDE HIGH QUALITY MEDICAL SERVICES IN A COST EFFICIENT AND COST EFFECTIVE MANNER TO THE RESIDENTS OF SOUTH CENTRAL MASSACHUSETTS. 13 13 1601 500 827719 269237 617603 228847 140287237 141800389 5013186 2373299 1943678 2208751 147861704 146611286 0 0 0 0 76311750 73680250 0 0 461423 59121824 59148830 135433574 132829080 12428130 13782206 137786230 135909792 62481713 61644277 75304517 74265515 THE PRIMARY MISSION OF THE HOSPITAL IS TO PROVIDE HIGH QUALITY MEDICAL SERVICES IN A COST EFFICIENT MANNER TO THE RESIDENTS OF SOUTH CENTRAL MASSACHUSETTS. false false 55716787 67120352 THE OPERATION OF AN ACUTE CARE HOSPITAL, WHICH HAD OVER 285,000 OUTPATIENT VISITS DURING THE YEAR ENDED SEPTEMBER 30, 2019. 32693079 42084532 THE OPERATION OF AN ACUTE CARE HOSPITAL, WHICH PROVIDED OVER 20,000 DAYS OF INPATIENT CARE DURING THE YEAR ENDED SEPTEMBER 30, 2019. IN FY 2019 THE HOSPITAL HAD 113 BEDS AND 12 NURSERIES. 22947618 34313670 THE OPERATION OF AN ACUTE CARE HOSPITAL, WHICH PROVIDED TREATMENT FOR OVER 41,000 EMERGENCY ROOM VISITS DURING THE YEAR ENDED SEPTEMBER 30, 2019. 111357484 true true false true false false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false true true false false false false false true false false false true 72 0 true 1601 true true true false false false false false false false false false false false X 13 13 true false false false true true true true true false false true true true true true true true true true true MA X X TOM SULLIVAN 5087658130 100 SOUTH STREET SOUTHBRIDGE MA 01550 RANDALL V BECKER VICE CHAIR 1.0 1.0 X 0 0 0 DEBORAH BOYD DIRECTOR 1.0 1.0 X 0 0 0 KATHLEEN CHARETTE DIRECTOR 1.0 1.0 X 0 0 0 ANTHONY M DETARANDO DIRECTOR 1.0 1.0 X 0 0 0 ANTHONY JAY DETARANDO PAST CHAIR 1.0 1.0 X 0 0 0 JOSE DINGUI DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL ENGEL SECRETARY 1.0 1.0 X 0 0 0 JAMES FAUST MD DIRECTOR 1.0 1.0 X 0 0 0 JOHN MICHAEL MCGLONE DIRECTOR 1.0 1.0 X 0 0 0 ROBERT MUENZBERG JR DIRECTOR 1.0 1.0 X 0 0 0 MARK PALMERINO CHAIR 1.0 1.0 X 0 0 0 JOHN TUMOLO MD DIRECTOR 1.0 0.0 X 0 0 0 NATALIE STANLEY DMD DIRECTOR 1.0 1.0 X 0 0 0 EDWARD H MOORE PRESIDENT/CEO 40.0 1.0 X 2666432 0 29872 THOMAS SULLIVAN VICE PRESIDENT/TREASURER 40.0 1.0 X 405017 0 20178 ARTHUR RUSSO MD VP OF MEDICAL AFFAIRS 32.0 1.0 X 344070 0 7701 THOMAS HIJECK MD VP OF NURSING 40.0 0.0 X 251429 0 10456 HAROLD R LEMIEUX VP AND CIO 40.0 0.0 X 257846 0 71177 CHRISTOPHER CANIFF VP OF HR 40.0 0.0 X 252592 0 51059 JAMES SULLIVAN JR MD Physician 40.0 0.0 X 509036 0 36020 ANDREW MARINO MD DIRECTOR 40.0 0.0 X 389456 0 35950 MARIE KING MD PHYSICIAN 40.0 0.0 X 330240 0 19239 THOMAS SIMEONE MD PHYSICIAN 40.0 0.0 X 367853 0 18446 JOYCE ROSENFELD MD PHYSICIAN 40.0 0.0 X 317241 0 29613 6091212 0 329711 97 false true false TRI COMM ANESTHESIA ASSO 100 SOUTH STREET 110 SOUTHBRIDGE MA 01550 PHYSICIAN SERVICES 949602 TRIMEDEX 12483 COLLECTION CENTER DRIVE CHICAGO IL 60693 RADIOLOGY 1210182 BERKELEY RESEARCH GROUP LLC STE 1200 2200 POWERLL ST EMERYVILLE CA 94608 CONSULTING 5875884 RP MASIELLO INC PO BOX 742 38 MAIN ST BOYLSTON MA 01505 CONSTRUCTION 876005 ARAMARK DALLAS LOCKBOX 4 SOUTHBRIDGE STREET AUBURN MA 01501 FOOD SERVICES 558475 112 228847 228847 NET PATIENT SERVICE REVENUE 900099 136978323 136150604 827719 CONTRACT REVENUE 900099 2396333 2396333 OTHER CLINICAL REVENUE 900099 2425733 2425733 141800389 1549449 1549449 0 0 208362 545495 -337133 0 -337133 -337133 697288 126562 697288 126562 823850 823850 0 0 0 0 0 0 0 0 0 PHARMACY 900099 1352942 1352942 INCENTIVE PAYMENTS 900099 338732 338732 CAFETERIA 900099 580726 580726 273484 273484 2545884 146611286 143518554 827719 2036166 0 0 0 0 4369609 4369609 0 60546278 53462364 7005204 78710 7276933 5996978 1264814 15141 1487430 1302836 182410 2184 0 0 150493 150493 0 0 0 0 7615527 7092755 522007 765 381893 294669 84971 2253 1222675 943416 272045 7214 1331150 1027115 296181 7854 0 5622343 4338200 1250971 33172 100265 77364 22309 592 0 71676 55305 15948 423 794371 780152 14219 0 6111885 4304601 1762056 45228 490898 476770 14128 0 MEDICAL/SURGICAL SUPPLIES 5614233 4331942 1282291 PHARMACEUTICALS 4559226 3528476 1030750 PHYSICIAN FEES 3829948 3023774 782029 24145 DEPARTMENTAL SUPPLIES & EXPENS 4494702 3778075 687738 28889 16757545 16542692 214853 132829080 111357484 21010173 461423 2970003 3635955 0 0 0 0 16095915 17585905 0 0 0 0 509253 612845 1549214 1735928 1895236 2000211 157266291 109007863 46300096 48258428 67293304 60367068 0 0 0 0 0 0 1173209 1713452 137786230 135909792 27035020 24128102 0 0 0 0 28179039 28569101 0 0 0 0 0 0 0 0 7267654 8947074 62481713 61644277 X 67361889 66721163 1295060 1148927 6647568 6395425 75304517 74265515 137786230 135909792 X 13782206 -321021 -14500187 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 47203 47203 false false Political Activities The Hospital pays dues to the American Hospital Association. The portion of the Hospital's annual dues allocated to lobbying by the Association was $6,670 for the year ended September 30, 2019. The Hospital pays dues to the Massachusetts Health Association. The portion of the Hospital's annual dues allocated to lobbying by the Association was $40,532 for the year ended September 30, 2019. 57686699 1032541 5810382 52908858 60511862 2727908 5553071 57686699 56432299 7284568 3205005 60511862 54967463 4438201 2973365 56432299 56747795 1740261 -1790459 1730134 54967463 0.87680 0.12320 0.00000 true false 1032436 1032436 13386673 8178349 5208324 66113221 29537453 36575768 69273763 68711226 562537 7460198 2580835 4879363 48258428 0 ESTIMATED SETTLEMENTS WITH THI 610163 PENSION LIABILITY 6462216 CAPITAL LEASE OBLIGATION 715885 HEFA LEASE 1158810 8947074 X PART V, LINE 4: TO SUPPORT THE OPERATIONS AND FUNCTIONS OF THE ORGANIZATION. PART X, LINE 2: Under ASC 740, an organization must recognize the financial statement effects of a tax position taken for tax return purposes when it is more likely than not that the position will not be sustained upon examination by a taxing authority. The Organization does not believe it has taken any material uncertain tax positions, and, accordingly, it has not recorded any liability for unrecognized tax benefits. true true X true X true X true true true false true true 2464658 879298 1585360 0.00010 28820738 23406925 5413873 0.00040 3455959 2272683 1183276 0.00010 34741355 26558906 8182509 0.00060 2462813 1138818 1323995 0.00010 0 0 0 0.00000 1127268 699500 427768 0 0 0 0.00000 0 0 0 0.00000 3590081 1838318 1751763 0.00010 38331436 28397224 9934272 0.00070 true 2226708 24470204 11242507 13227697 X 10 N Main Street Medical Office Space 0.5 0.0 0.0 Central Mass Compreh Medical Facility 0.22 0.0 0.0 1 1 Harrington Memorial Hospital 100 South Street Southbridge MA 015508002 X X X See Sched. O Note HARRINGTON MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 17 true false false true X WWW.HARRINGTONHOSPITAL.ORG X true 17 true HTTP://HARRINGTONHOSPITAL.ORG/FOR-PATIENTS/PA false true X 200. 400. X X X true true X true X WWW.HARRINGTONHOSPITAL.ORG X X X X true X X true X X X X X X true X false true PART V, SECTION B, LINE 5: A TOTAL OF THREE FOCUS GROUPS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING THESE POPULATIONS OF INTEREST IN THE HARRINGTON CATCHMENT AREA: (1) SENIOR CITIZENS (OLDER ADULTS), (2) LATINOS, AND (3) SUBSTANCE USERS IN RECOVERY. HARRINGTON LEADERSHIP CHOSE THESE POPULATIONS BASED ON THEIR IDENTIFICATION AS PARTICULARLY VULNERABLE POPULATIONS IN THE HOSPITAL CATCHMENT AREA. THE SENIOR AND RECOVERY GROUPS WERE COMPRISED OF LAY COMMUNITY MEMBERS, WHILE THE LATINO GROUP CONSISTED OF KEY STAKEHOLDERS REPRESENTING COMMUNITY ORGANIZATIONS SERVING THE LATINO POPULATION. REFER TO THE CHNA FOR FURTHER INFORMATION. PART V, SECTION B, LINE 11: AS NOTED ON ITS WEBSITE, THE HOSPITAL DEVELOPED A STRATEGIC PLAN TO IDENTIFY PROGRAMS AND FUTURE PROJECTS THAT WILL ENABLE THE HOSPITAL TO ADDRESS THE SIGNIFICANT NEEDS IN ITS CHNA. PART V, SECTION B, LINE 18D: REFERRAL TO COLLECTION AGENCY. PART V, SECTION B, LINE 19D: COLLECTION AGENCY ACTIVITIES. PART V, SECTION B, LINE 22D: PATIENT RESPONSIBLE AMOUNTS ARE BASED ON FAMILY SIZE AND RELATIONSHIP OF THE FAMILY'S INCOME TO THE FEDERAL POVERTY GUIDELINES, PER THE HOSPITAL'S UNINSURED RELIEF POLICY. RELIEF IS AVAILABLE FOR INDIVIDUALS WHOSE FAMILY INCOME IS 400% OR LESS OF THE FEDERAL POVERTY GUIDELINES. RELIEF PROVIDED TO THE PATIENT RANGES FROM 100% RELIEF TO 20% RELIEF OF OUTSTANDING AMOUNTS DEPENDING ON FAMILY SIZE AND INCOME LEVEL. PART V, SECTION B, LINE 24: ALL HOSPITAL PATIENTS ARE CHARGED ACCORDING TO THE HOSPITAL'S ESTABLISHED CHARGES FOR SERVICES. IT IS INCUMBENT UPON THE PATIENT TO AVAIL HIMSELF/HERSELF OF RELIEF THROUGH THE HOSPITAL'S UNINSURED RELIEF PROGRAM. PART II, COMMUNITY BUILDING ACTIVITIES: AFTER-CARE NURSES & HOME VISITING PROGRAMS FREE-CARE VAN INTERPRETER SERVICES MENTAL HEALTH CLINIC PREVENTIVE HEALTH DEPARTMENT (HEALTH EDUCATION, MAMMOGRAMS, ETC.) PROVISION OF MEETING SPACES FOR RECOVERY COMMUNITY MEETINGS SENIOR CITIZEN LUNCHES VETERANS MEALS VOLUNTEER PROGRAM PART III, LINE 2: THE ORGANIZATION USED A RATIO OF ITS TOTAL COSTS TO CHARGES APPLIED TO ITS TOTAL BAD DEBT EXPENSE. PART III, LINE 4: THE ORGANIZATION PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS EQUAL TO ESTIMATED BAD DEBT LOSSES. THE ESTIMATED LOSSES ARE BASED ON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF EXISTING RECEIVABLES. THE ORGANIZATION USED A RATIO OF ITS TOTAL COSTS TO CHARGES TO CALCULATE THE AMOUNT OF BAD DEBT EXPENSE AT COST. PART III, LINE 8: THE SHORTFALL EXPERIENCED BY THE ORGANIZATION FROM PROVIDED CARE TO MEDICARE BENEFICIARIES SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IT REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO PROVIDING CARE TO THE FRAIL AND ELDER CITIZENS OF THE COMMUNITY IT SERVES BEYOND THE AMOUNT IT RECEIVES FROM THE MEDICARE PROGRAM. THIS CONTRIBUTION LEVEL IS CONSISTENT WITH THE ORGANIZATION'S OVERALL CHARITABLE MISSION TO PROVIDE CARE TO ALL INDIVIDUALS, REGARDLESS OF THE LEVEL OF PAYMENT RECEIVED FOR PROVIDING THAT CARE. THE ORGANIZATION USED A RATIO OF ITS TOTAL COSTS TO CHARGES TO CALCULATE THE ALLOWANCE COSTS RELATED TO MEDICARE REVENUE RECEIVED. PART III, LINE 9B: CO-PAYMENT AND/OR DEDUCTIBLE AMOUNTS FOR NON-EMERGENT OR NON-URGENT SERVICES IN ACCORDANCE WITH EMTALA SHALL BE COLLECTED AT TIME OF SERVICES OR REQUESTED BY SENDING A DAY AFTER LETTER. THE FIRST STATEMENT WILL INCLUDE INFORMATION ABOUT THE AVAILABILITY OF A FINANCIAL ASSISTANCE, MEDICAL HARDSHIP, BUDGETS, AND THE HOSPITAL'S UNINSURED RELIEF PROGRAM THAT MIGHT BE ABLE TO COVER THE COST OF THE HOSPITAL'S BILL, ALONG WITH NOTICE OF A PROMPT PAYMENT DISCOUNT FOR UNINSURED PATIENTS OF 20% IF PAID IN FULL WITHIN 10 BUSINESS DAYS OF RECEIVING THE FIRST STATEMENT. A TOTAL OF 3 STATEMENTS AND A FINAL NOTICE LETTER, TELEPHONE CALL ON ALL ACCOUNTS OVER $500.00, COLLECTION LETTERS, PERSONAL CONTACT NOTICES, DAY AFTER LETTER TO COLLECT COPAY AND/OR DEDUCTIBLE AT TIME OF SERVICE, COMPUTER NOTIFICATIONS, OR ANY OTHER NOTIFICATION METHOD THAT CONSTITUTES A GENUINE EFFORT TO CONTACT THE PARTY RESPONSIBLE FOR THE OBLIGATION. DOCUMENTATION OF ALL COLLECTION EFFORTS TO LOCATE THE PARTY RESPONSIBLE FOR THE OBLIGATION OR THE CORRECT ADDRESS ON BILLINGS. SENDING A FINAL NOTICE BY CERTIFIED MAIL FOR UNINSURED PATIENTS (THOSE WHO ARE NOT ENROLLED IN A PUBLIC PROGRAM SUCH AS THE HEALTH SAFETY NET OF MASSHEALTH). THE HOSPITAL SHALL NOT ASSIGN A PATIENT'S ACCOUNTS FOR COLLECTION TO AN OUTSIDE AGENCY PRIOR TO 120 DAYS AFTER THE INITIAL BILL. CHECKING THE ELIGIILITY VERIFICATION SYSTEM (EVS) TO ENSURE THAT THE PATIENT IS NOT A LOW INCOME PATIENT AS DETERMINED BY THE OFFICE OF MEDICAID AND HAS NOT SUBMITTED AN APPLICATION TO THE VIRTUAL GATEWAY SYSTEM FOR COVERAGE OF THE SERVICES UNDER A PUBLIC PROGRAM, PRIOR TO SUBMITTING CLAIMS TO THE HEALTH SAFETY NET OFFICE FOR EMERGENCY BAD DEBT COVERAGE OF AN EMERGENCY LEVEL OR URGENT CARE SERVICE. THE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS: PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO: MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN, HEALTHY START, CHILDREN'S MEDICAL SECURITY PLAN, "LOW INCOME PATIENTS" AS DETERMINED BY THE OFFICE OF MEDICAID SUBJECT TO CERTAIN EXCEPTIONS AS DESCRIBED IN ITS CREDIT AND COLLECTION POLICY. PART VI, LINE 2: Most of our community outreach has remained consistent, and we have expanded even more in our behavioral health field for access to care, including a co-occurring disorders unit in Webster, MA, but as far as 2017, our findings in top health concerns were: For overall community health concerns, 68% of participants cited obesity, followed by cancer (61%), opioid/heroin addiction (58%), mental health disorders/depression (57%) and diabetes (54%). In response to this, Harrington continues to provide outreach and education to underserved populations including Hispanic, elderly and low income. Through free health screenings like blood pressure and workplace seminars about nutrition and Diabetes, we have been able to connect with over 500 community members annually to provide education and resources to life healthier lifestyles. Our Self Wellness Program has been working in conjunction with several regional agencies to provide outreach to ages 13-26 surrounding healthy relationships, pregnancy, bullying and self-esteem. Harrington additionally has expanded its behavioral health footprint, opened two new Child and Family Services Center and double its therapy team which has allowed for greater access to mental health services in the community, including walk-in intakes. PART VI, LINE 3: FOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL AND ITS FINANCIAL COUNSELORS WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH THE UNINSURED RELIEF PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT AVAILABLE PAYMENT PLANS THAT MAY BE AVAILABLE TO THEM BASED ON THEIR FAMILY SIZE AND INCOME. THE HOSPITAL SHALL POST A NOTICE (SIGNS) OF AVAILABILITY OF FINANCIAL ASSISTANCE IN THE FOLLOWING LOCATIONS: I. INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT ADMISSION AND/OR REGISTRATION AREAS; II. PATIENT FINANCIAL COUNSELOR AREAS; III. CENTRAL ADMISSION/REGISTRATION AREAS; AND IV. BUSINESS OFFICE AREAS THAT IS OPEN TO PATIENTS. PART VI, LINE 4: THE HARRINGTON HEALTHCARE SYSTEM CATCHMENT AREA FOCUSED ON FOR THE ASSESSMENT IS LOCATED PRIMARILY IN THE SOUTHERN REGION OF CENTRAL MASSACHUSETTS, AND INCLUDES 17 MASSACHUSETTS COMMUNITIES (BRIMFIELD, BROOKFIELD, CHARLTON, DOUGLAS, DUDLEY, EAST BROOKFIELD, HOLLAND, NORTH BROOKFIELD, OXFORD, PALMER, SOUTHBRIDGE, SPENCER, STURBRIDGE, WALES, WARREN, WEBSTER, WEST BROOKFIELD) AS WELL AS TWO COMMUNITIES (THOMPSON AND WOODSTOCK) IN NORTHERN CONNECTICUT. PART VI, LINE 5: REFER TO THE CHNA AND HOSPITAL WEBSITE FOR FURTHER DETAILS. PART VI, LINE 6: NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: MA X X false true false false false false false false false EDWARD H MOORE PRESIDENT/CEO 595771 0 355999 0 1714662 0 0 0 29872 0 2696304 0 1057672 0 THOMAS SULLIVAN VICE PRESIDENT/TREASURER 321770 0 70660 0 12587 0 13325 0 6853 0 425195 0 0 0 ARTHUR RUSSO MD VP OF MEDICAL AFFAIRS 270394 0 55768 0 17908 0 4972 0 2729 0 351771 0 0 0 THOMAS HIJECK MD VP OF NURSING 214669 0 35270 0 1490 0 8520 0 1936 0 261885 0 0 0 HAROLD R LEMIEUX VP AND CIO 221717 0 36129 0 0 0 45488 0 25689 0 329023 0 0 0 CHRISTOPHER CANIFF VP OF HR 216183 0 36409 0 0 0 42490 0 8569 0 303651 0 0 0 JAMES SULLIVAN JR MD Physician 466773 0 32000 0 10263 0 11000 0 25020 0 545056 0 0 0 ANDREW MARINO MD DIRECTOR 354021 0 28000 0 7435 0 11000 0 24950 0 425406 0 0 0 MARIE KING MD PHYSICIAN 308240 0 22000 0 0 0 11000 0 8239 0 349479 0 0 0 THOMAS SIMEONE MD PHYSICIAN 333203 0 0 0 34650 0 11000 0 7446 0 386299 0 0 0 JOYCE ROSENFELD MD PHYSICIAN 309562 0 4600 0 3079 0 4642 0 24971 0 346854 0 0 0 PART I, LINE 4B: THOMAS SULLIVAN PARTICIPATES IN A 457F PLAN, WHICH WAS CREDITED WITH $13,325 IN DEFERRED COMPENSATION FOR CALENDAR YEAR 2018. ARTHUR RUSSO PARTICIPATES IN A 457F PLAN, WHICH WAS CREDITED WITH $4,972 IN DEFERRED COMPENSATION FOR CALENDAR YEAR 2018. HAROLD LEMIEUX PARTICIPATES IN A 457F PLAN, WHICH WAS CREDITED WITH $36,835 IN DEFERRED COMPENSATION FOR CALENDAR YEAR 2018. CHRISTOPHER CANIFF PARTICIPATES IN A 457F PLAN, WHICH WAS CREDITED WITH $36,085 IN DEFERRED COMPENSATION FOR CALENDAR YEAR 2018. PART II: COLUMN C: PENSION PLAN: THE HOSPITAL MAINTAINS A NONCONTRIBUTORY, QUALIFIED DEFINED BENEFIT PENSION PLAN (THE "PLAN") THAT COVERS SUBSTANTIALLY ALL OF ITS ELIGIBLE EMPLOYEES. THE HOSPITAL'S POLICY IS TO MAKE CONTRIBUTIONS TO THE PLAN IN SUCH AMOUNTS NECESSARY TO FUND BENEFITS PROVIDED UNDER THE PLAN ON THE BASIS OF INFORMATION FURNISHED BY THE ACTUARY. 403(B) PLAN: THE HOSPITAL MAINTAINS A 403(B) EMPLOYEE SAVINGS PLAN. THE 403(B) PLAN COVERS ALL ELIGIBLE EMPLOYEES OF THE HOSPITAL AND PROVIDES BOTH AN ANNUAL CORE CONTRIBUTION, AS WELL AS A MATCHING CONTRIBUTION TO THE CONTRIBUTING EMPLOYEES. RETIREMENT PLAN: THE ORGANIZATION MAINTAINS A NON-QUALIFIED POST RETIREMENT BENEFIT PLAN FOR KEY EMPLOYEES. COLUMN D: BENEFITS PLANS: THE HOSPITAL OFFERS MEDICAL INSURANCE, EXCESS LIFE INSURANCE, DENTAL INSURANCE AND DISABILITY INSURANCE TO ALL ELIGIBLE EMPLOYEES. PART II: EDWARD MOORE'S OTHER COMPENSATION OF $1,714,662 IS A DISTRIBUTION FROM HIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") OF WHICH $1,057,672 HAVE BEEN REPORTED AS DEFERRED IN COLUMN C OF PREVIOUSLY FILED TAX RETURNS. THE FIRST CONTRIBUTION TO THE SERP WAS ON JULY 1, 2009 AND THE FINAL CONTRIBUTION TO THE SERP WAS ON JANUARY 1, 2018. A Massachusetts Development Finance Agency NONEAVAIL 2017-09-01 30495000 REFUND MHEFA, DEVELOPMENT, CONSTRU false false false A 0 0 30495000 0 1763869 0 443731 0 0 0 10500000 17944616 false false false true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true false false false false 0 false false false 0 false false A true SCHEDULE K, PART 1, BOND ISSUES: (A) ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY JRD REALTY TRUST TRUSTEES OF THE TRUST 284117 THE HOSPITAL false SCH. L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: JRD REALTY TRUST (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TRUSTEES OF THE TRUST ARE INDIVIDUAL BOARD MEMBERS OF THE HOSPITAL. (D) DESCRIPTION OF TRANSACTION: THE HOSPITAL LEASED SPACE OWNED BY THE JRD REALTY TRUST, THE TRUSTEES OF WHICH ARE ANTHONY M. DETARANDO AND ANTHONY J. DETARANDO, BOTH OF WHOM ARE INDIVIDUAL BOARD MEMBERS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 2: BOARD MEMBERS ANTHONY M. DETARANDO AND ANTHONY JAY DETARANDO ARE RELATED AS FATHER AND SON. FORM 990, PART VI, SECTION A, LINE 6: THE HOSPITAL'S SOLE CORPORATE MEMBER IS HARRINGTON HEALTHCARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A: THE HOSPITAL'S SOLE CORPORATE MEMBER IS HARRINGTON HEALTHCARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7B: THE HOSPITAL'S SOLE CORPORATE MEMBER IS HARRINGTON HEALTHCARE SYSTEM, INC. FORM 990, PART VI, SECTION B, LINE 11: THE FORM 990 IS PREPARED BY THE HOSPITAL'S OUTSIDE INDEPENDENT ACCOUNTANT WITH INFORMATION GIVEN TO THEM BY THE HOSPITAL STAFF. AFTER COMPLETION, IT IS REVIEWED BY THE HOSPITAL'S CONTROLLER AND VP OF FINANCE BEFORE BEING PRESENTED TO THE BOARD OF DIRECTORS. FORM 990, PART VI SECTION B, LINE 12C: THE CORPORATION REQUIRES THAT ALL EMPLOYEES, AND MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS OF THE CORPORATION AND ANY MEMBER OF ANY COMMITTEE DISCLOSE IN WRITING (AND UPDATE ANNUALLY) ALL BUSINESS AND OTHER RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST AND ALL CONFLICTS OF INTEREST AS DEFINED BY THE POLICY. FORM 990, PART VI, SECTION B, LINE 15: THE BOARD OF DIRECTORS REVIEW AND APPROVE THE COMPENSATION OF THE CEO AND TOP MANAGEMENT. THE CEO REVIEWS AND APPROVES TOP MANAGEMENT SALARIES. TOP MANAGEMENT WILL THEN REVIEW AND APPROVE KEY EMPLOYEE SALARIES. FORM 990, PART VI, SECTION C, LINE 18: THE HOSPITAL MAKES ITS FORM 990 AND 990-T AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE HOSPITAL'S FORM 990 AND 990-T ARE AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART VI, SECTION C, LINE 19: THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE HOSPITAL'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART XI, LINE 9, CHANGE IN NET ASSETS ADJUSTMENT TO MINIMUM PENSION LIABILITY ($3,310,209) EQUITY TRANSFERS TO AFFILIATE ($10,948,114) NET ASSETS RELEASED FROM EXPENDITURES $312,656 NET ASSETS RELEASED FROM RESTRICTION $ 10,731 OTHER ADJUSTMENTS ($565,251) Total to FORM 990, PART XI, LINE 9 ($14,500,187) FORM 990, PART I, COLUMN B, AMENDED RETURN: THIS RETURN IS BEING AMENDED TO ACCURATELY REFLECT EDWARD MOORE'S COMPENSATION AND ACCOMPANYING NARRATIVES. REFERENCE SCHEDULE J FOR THE AFOREMENTIONED UPDATES TO THE COMPENSATION DETAIL AND ACCOMPANYING NARRATIVES. FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:16757545 PROGRAM SERVICES:16542692 MANAGEMENT AND GENERAL:FUNDRAISING:214853 Harrington Physician Services Inc 100 South Street Southbridge MA 01550 134366504 Health Svcs MA 501(C)(3) 10 HHS INC false Harrington HealthCare System Inc 100 South Street Southbridge MA 01550 800518491 Health Supprt MA 501(C)(3) 10 na false Central Massachusetts Comprehensive Care 55 Sayles Street Southbridge MA 01550 261795998 Healthcare MA NE RADIATION TH related 597045 334960 false 0 false 0.22000 10 North Main Street LLC 10 North Main Street Charlton MA 01507 000000001 Healthcare MA Compass DeVELOP related 56897 2254424 false 0 false 0.50000 false false false false false false false false false false false false false false true false false true false PART III, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP: NAME OF RELATED ORGANIZATION: CENTRAL MASSACHUSETTS COMPREHENSIVE CANCER CENTER, LLC EIN: 26-1795998 ADDRESS: 55 SAYLES STREETSOUTHBRIDGE, MA 01550 DIRECT CONTROLLING ENTITY: NEW ENGLAND RADIATION THERAPY MANAGEMENT SERVICES, INC.