HENRY HEYWOOD MEMORIAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: HENRY HEYWOOD MEMORIAL HOSPITAL (EIN 04-2103581)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-11
IRS object ID: 202002259349301580
Schema version: 2018v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-11T11:51:05-07:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103581	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HENRY HEYWOOD MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HENR	BusinessNameControlTxt
Phone	9786306106	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	242 Green Street	AddressLine1Txt
City	Gardner	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01440	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael Abbatiello	PersonNm
Person Title	CFO / VP of Finance	PersonTitleTxt
Phone	9786306157	PhoneNum
Signature	2020-04-30	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	209.160.147.198	IPv4AddressTxt

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Heywood Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Michael Abbatiello	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	242 Green Street	AddressLine1Txt
City	Gardner	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01440	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$158,257,910	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.heywood.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1907	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	To be our community's trusted choice for exceptional patient care.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	1264	TotalEmployeeCnt
Total Volunteers	142	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,991,817	PYContributionsGrantsAmt
CY Contributions Grants	$1,530,476	CYContributionsGrantsAmt
PY Program Service Revenue	$126,273,610	PYProgramServiceRevenueAmt
CY Program Service Revenue	$145,004,554	CYProgramServiceRevenueAmt
PY Investment Income	$1,578,974	PYInvestmentIncomeAmt
CY Investment Income	$884,140	CYInvestmentIncomeAmt
PY Other Revenue	$2,293,257	PYOtherRevenueAmt
CY Other Revenue	$3,080,564	CYOtherRevenueAmt
PY Total Revenue	$132,137,658	PYTotalRevenueAmt
CY Total Revenue	$150,499,734	CYTotalRevenueAmt
PY Grants And Similar Paid	$206,681	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$256,111	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,832,671	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$68,580,975	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$65,407	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$84,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$518,205	CYTotalFundraisingExpenseAmt
PY Other Expenses	$63,208,558	PYOtherExpensesAmt
CY Other Expenses	$77,488,207	CYOtherExpensesAmt
PY Total Expenses	$129,313,317	PYTotalExpensesAmt
CY Total Expenses	$146,409,293	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,824,341	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,090,441	CYRevenuesLessExpensesAmt
Total Assets BOY	$93,519,747	TotalAssetsBOYAmt
Total Assets EOY	$95,608,319	TotalAssetsEOYAmt
Total Liabilities BOY	$40,553,298	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$42,090,507	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$52,966,449	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$53,517,812	NetAssetsOrFundBalancesEOYAmt
Mission	To be our community's trusted choice for exceptional patient care.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$92,329,711	ExpenseAmt
Revenue	$73,532,395	RevenueAmt
Desc	Heywood offers various outpatient services such as an Emergency Room, Outpatient oncology and hematology, advanced imaging, special procedures, rehabilitation services and many others on an outpatient basis. For FY 2019, there were 284,000 outpatient visits to the Hospital.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$30,327,409	ExpenseAmt
Revenue	$44,345,568	RevenueAmt
Desc	Heywood offers Inpatient services including telemetry, intensive care, maternity, pediatrics, geriatric and adult inpatient care and inpatient adult mental health. For FY 2019 the hospital provide 22,700 days of Inpatient Care.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$16,404,123	ExpenseAmt
Revenue	$19,311,931	RevenueAmt
Desc	Heywood has eleven specialty, and one Primary Care, provider based practices. The primary care practice focuses on Pediatrics and Family Practice, and the specialty care practices focus on the areas of Cardiology, Endocrinology, Gastroenterology, Gynecology/Obstetrics, Orthopedics, Pulmonology, Urology and General Surgery. In FY 2019, there were 89,583 visits to these practices.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$139,061,243	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	173	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1264	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Michael Abbatiello	PersonNm
Phone	9786306157	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	242 Green Street	AddressLine1Txt
City	Gardner	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01440	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Robert Chauvin
Trustee	0	0	Yes (X)	$0	$0	$0
Cheney Castine
Treasurer	0	0	Yes (X)	$0	$0	$0	Yes (X)
Craig Twohey
Trustee	0	0	Yes (X)	$0	$0	$0
Daniel Asquino
Trustee	0	0	Yes (X)	$0	$0	$0
Donald Mruk
Trustee	0	0	Yes (X)	$0	$0	$0
Glenn Hunt
Chairman	0	0	Yes (X)	$0	$0	$0	Yes (X)
James Garrison
Trustee	0	0	Yes (X)	$0	$0	$0
James Meehan
Trustee	0	0	Yes (X)	$0	$0	$0
JoAnne Parks
Clerk	0	0	Yes (X)	$0	$0	$0	Yes (X)
Joel Shaughnessy
Trustee	0	0	Yes (X)	$0	$0	$0
John Flick
Trustee	0	0	Yes (X)	$0	$0	$0
John Skrzypczak
Trustee	0	0	Yes (X)	$0	$0	$0
Joyce Fletcher
Trustee	0	0	Yes (X)	$0	$0	$0
Kenneth Pierce
Trustee	0	0	Yes (X)	$0	$0	$0
Michelle Parks
Trustee	0	0	Yes (X)	$0	$0	$0
Roy Lake
Trustee	0	0	Yes (X)	$0	$0	$0
Tina Sbrega
Trustee	0	0	Yes (X)	$0	$0	$0
Albert Rose
Trustee	0	0	Yes (X)	$0	$0	$0
Winfield Brown
CEO / President	40.00	0	Yes (X)	$879,061	$0	$79,628	Yes (X)
Elizabeth Nottleson
Trustee / Physician	0	28	Yes (X)	$0	$283,139	$20,272
Benjamin Prentiss
Trustee / Physician	0	36	Yes (X)	$0	$68,103	$5,157
Robert Crosby
Officer / CFO	40	0		$377,571	$0	$61,396	Yes (X)
Ellen Ray
Chief of Emergency Room Medicine	40	0		$637,490	$0	$70,415	Yes (X)
Andrew Cocchiarella
Director of Anesthesia Services	40			$834,499	$0	$54,675		Yes (X)
Daniel Wilson
ER Physician	30	0		$614,485	$0	$45,582		Yes (X)
Sarah Gilbert
ER Physician	30	0		$434,385	$0	$119,615		Yes (X)
Saleem Khanani
Oncology Physician	36	0		$493,914	$0	$56,906		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,271,405	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$351,242	TotReportableCompRltdOrgAmt
Total Other Compensation	$513,646	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	121	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Quartulli & Associates
PO Box 423	Gardner	MA	01440	Physical Therapy	$2,911,400
Alliance Healthcare Services
18201 Von Karman Ave Ste 600	Irving	CA	92612	MRI Services	$1,739,435
New England Inpatient Specialists
47 High St Ste 101	North Andover	MA	01845	Hospitalist services	$1,228,236
Spine and Pain Care Center
242 Green Street	Gardner	MA	01440	Physician Services	$1,199,704
Charles M Moran
54 Allen St	Clinton	MA	01510	Plumbing & Heating Services	$952,591

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$61,085	FundraisingAmt
Related Organizations	$113,512	RelatedOrganizationsAmt
Government Grants	$1,203,737	GovernmentGrantsAmt
All Other Contributions	$152,142	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$1,530,476	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Ancillary OP Services	622110	$92,826,844	$92,826,844	$0	$0
Anciliar and Routine IP Services	622110	$44,352,705	$44,352,705	$0	$0
HMG Patient Revenue (Net)	621111	$3,806,201	$3,806,201	$0	$0
Contracted Services Revenue	900099	$3,481,920	$3,481,920	$0	$0
Physician Hospital Service Revenue	900099	$415,346	$415,346	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$121,538	TotalRevenueColumnAmt
Related Or Exempt Func Income	$121,538	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$145,004,554	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$612,377	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$612,377	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$406,401	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$406,401	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$406,401	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$406,401	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,895,105	SecuritiesAmt
Other	$249	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,581,668	SecuritiesAmt
Other	$41,923	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$313,437	SecuritiesAmt
Other	-$41,674	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$271,763	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$271,763	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$169,077	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$61,085	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$134,585	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,492	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$34,492	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Pharmacy 340B Contracted Revenue	900099	$1,304,987	$0	$0	$1,304,987
Meal Revenue	900099	$824,629	$0	$0	$824,629
Purchase Discounts	900099	$210,563	$0	$0	$210,563

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$299,492	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$299,492	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,639,671	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$150,499,734	TotalRevenueColumnAmt
Related Or Exempt Func Income	$145,004,554	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,964,704	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$255,361	TotalAmt
Program Services	$255,361	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$750	TotalAmt
Program Services	$750	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,627,762	TotalAmt
Program Services	$1,240,983	ProgramServicesAmt
Management And General	$1,245,674	ManagementAndGeneralAmt
Fundraising	$141,105	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,214,739	TotalAmt
Program Services	$52,493,824	ProgramServicesAmt
Management And General	$1,557,749	ManagementAndGeneralAmt
Fundraising	$163,166	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$963,571	TotalAmt
Program Services	$834,632	ProgramServicesAmt
Management And General	$104,106	ManagementAndGeneralAmt
Fundraising	$24,833	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,370,113	TotalAmt
Program Services	$5,848,522	ProgramServicesAmt
Management And General	$479,929	ManagementAndGeneralAmt
Fundraising	$41,662	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,404,790	TotalAmt
Program Services	$4,147,885	ProgramServicesAmt
Management And General	$232,488	ManagementAndGeneralAmt
Fundraising	$24,417	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$342,517	TotalAmt
Program Services	$12,066	ProgramServicesAmt
Management And General	$330,451	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$187,899	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$187,899	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$84,000	TotalAmt
Fundraising	$84,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,524,456	TotalAmt
Program Services	$29,320,840	ProgramServicesAmt
Management And General	$203,616	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$204,122	TotalAmt
Program Services	$201,003	ProgramServicesAmt
Management And General	$3,119	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,749,017	TotalAmt
Program Services	$18,585,451	ProgramServicesAmt
Management And General	$157,487	ManagementAndGeneralAmt
Fundraising	$6,079	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,774,592	TotalAmt
Program Services	$1,684,031	ProgramServicesAmt
Management And General	$89,105	ManagementAndGeneralAmt
Fundraising	$1,456	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,709,669	TotalAmt
Program Services	$2,573,821	ProgramServicesAmt
Management And General	$135,848	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$99,000	TotalAmt
Program Services	$73,410	ProgramServicesAmt
Management And General	$25,554	ManagementAndGeneralAmt
Fundraising	$36	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$191,354	TotalAmt
Program Services	$153,294	ProgramServicesAmt
Management And General	$37,861	ManagementAndGeneralAmt
Fundraising	$199	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$495,185	TotalAmt
Program Services	$495,185	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,357,837	TotalAmt
Program Services	$3,340,705	ProgramServicesAmt
Management And General	$16,367	ManagementAndGeneralAmt
Fundraising	$765	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$742,469	TotalAmt
Program Services	$618,019	ProgramServicesAmt
Management And General	$124,450	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Bad Debt	$6,778,177	$6,778,177	$0	$0
Other Outside Fees	$4,372,665	$3,426,243	$922,214	$24,208
Free Care	$1,825,405	$1,825,405	$0	$0
Subscriptions & Dues	$1,296,141	$418,865	$861,502	$15,774

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,837,702	TotalAmt
Program Services	$4,732,771	ProgramServicesAmt
Management And General	$114,426	ManagementAndGeneralAmt
Fundraising	-$9,495	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$146,409,293	TotalAmt
Program Services	$139,061,243	ProgramServicesAmt
Management And General	$6,829,845	ManagementAndGeneralAmt
Fundraising	$518,205	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,978,349	BOYAmt
EOY	$3,637,618	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$341,313	BOYAmt
EOY	$219,483	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,415,401	BOYAmt
EOY	$15,225,323	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$33,928	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,791,744	BOYAmt
EOY	$1,924,145	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$599,365	BOYAmt
EOY	$1,539,278	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$110,493,404	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$65,916,010	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$43,628,405	BOYAmt
EOY	$44,577,394	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$24,691,675	BOYAmt
EOY	$25,382,170	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,066,749	BOYAmt
EOY	$1,215,367	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$169,206	BOYAmt
EOY	$180,644	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,803,612	BOYAmt
EOY	$1,706,897	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$93,519,747	BOYAmt
EOY	$95,608,319	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,374,415	BOYAmt
EOY	$15,956,241	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$333,889	BOYAmt
EOY	$532,509	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,838,464	BOYAmt
EOY	$19,746,884	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$112,087	BOYAmt
EOY	$2,154,673	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,894,443	BOYAmt
EOY	$3,700,200	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$40,553,298	BOYAmt
EOY	$42,090,507	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$48,704,695	BOYAmt
EOY	$49,326,832	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,255,251	BOYAmt
EOY	$3,184,372	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,006,503	BOYAmt
EOY	$1,006,608	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$52,966,449	BOYAmt
EOY	$53,517,812	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$93,519,747	BOYAmt
EOY	$95,608,319	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,090,441	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$582,249	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$2,956,829	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,317,164	BeginningYearBalanceAmt
Contributions	$5,932	ContributionsAmt
Investment Earnings Or Losses	$780,373	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$176,658	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$24,926,811	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,599,932	BeginningYearBalanceAmt
Contributions	$4,030	ContributionsAmt
Investment Earnings Or Losses	$1,873,273	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$3,160,071	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$24,317,164	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,460,789	BeginningYearBalanceAmt
Contributions	$2,504	ContributionsAmt
Investment Earnings Or Losses	$2,793,312	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	-$343,327	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$25,599,932	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,377,782	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,888,246	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	-$194,761	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$22,460,789	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,170,666	BeginningYearBalanceAmt
Contributions	$18,245	ContributionsAmt
Investment Earnings Or Losses	-$665,620	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	-$854,491	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$20,377,782	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.8894	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0404	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0702	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$210,871	OtherCostOrOtherBasisAmt
Book Value	$210,871	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$67,649,820	OtherCostOrOtherBasisAmt
Depreciation	$31,865,961	DepreciationAmt
Book Value	$35,783,859	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$37,864,308	OtherCostOrOtherBasisAmt
Depreciation	$32,574,630	DepreciationAmt
Book Value	$5,289,678	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,768,405	OtherCostOrOtherBasisAmt
Depreciation	$1,475,419	DepreciationAmt
Book Value	$3,292,986	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$44,577,394	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Estimated Settlements with Third Party Payors	$2,042,136
Estimated Malpractice Liability	$1,658,064

Field	Value	IRS element (for citing)
Total Liability	$3,700,200	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4

Permanent Endowment funds are established by donor restricted gifts and maintained to provide a permanent source of income, the principal of which is kept in perpetuity. Board Designated Endowment funds are established by the governing body to fund capital projects and/or improvements of the organization. Temporary restricted funds are established by donor restricted gifts that maintain a source of income for a specific period of time.

Schedule D, Part X, Line 2

Heywood Healthcare, Heywood Hospital, Athol, HMGI, Charitable Foundation, Quabbin, and NMTC have been determined to be not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the "Code"), and the Realty Corp. has been determined to be a not-for-profit corporation as described in Section 501(c)(2) of the code. All of the entities are exempt from federal income taxes on related income pursuant to Section 501(a) of the code. The Organization annually evaluates its tax status and tax positions taken with respect to its operations and financial position. Under Accounting Standards Codification ("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. Additionally, the Organization has filed IRS Form 990 information returns, as required, and all other applicable returns in jurisdictions where so required. For the years ended September 30, 2019 and 2018, there were no interest or penalties recorded or included in the consolidated statement of operations.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JNB & Associates	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	21 Water St	AddressLine1Txt
City	Amesbury	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01913	ZIPCd

Field	Value	IRS element (for citing)
Activity	Fundraising Consultant	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$84,000	RetainedByContractorAmt
Net To Organization	-$84,000	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$84,000	TotalRetainedByContractorsAmt
Total Net To Organization	-$84,000	TotalNetToOrganizationAmt
Licensed States	MA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Classic	Event1Nm
Gross Receipts Event1	$117,125	GrossReceiptsEvent1Amt
Charitable Contri Event1	$45,725	CharitableContriEvent1Amt
Gross Revenue Event1	$71,400	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$13,171	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$18,001	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$25,965	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,550	EntertainmentEvent1Amt
Other Direct Expenses Event1	$6,150	OtherDirectExpensesEvent1Amt
Event2	Winter Affair	Event2Nm
Gross Receipts Event2	$73,203	GrossReceiptsEvent2Amt
Charitable Contri Event2	$15,120	CharitableContriEvent2Amt
Gross Revenue Event2	$58,083	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$2,546	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$4,773	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$19,103	FoodAndBeverageEvent2Amt
Entertainment Event2	$4,694	EntertainmentEvent2Amt
Other Direct Expenses Event2	$8,099	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$54,834	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$240	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$54,594	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$510	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$826	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$3,044	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$1,864	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$1,600	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$22,689	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$245,162	GrossReceiptsTotalAmt
Charitable Contributions Tot	$61,085	CharitableContributionsTotAmt
Gross Revenue Total Events	$184,077	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$510	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$16,543	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$25,818	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$46,932	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$7,844	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$36,938	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$134,585	DirectExpenseSummaryEventsAmt
Net Income Summary	$49,492	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,968,765	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$888,284	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,080,481	NetCommunityBenefitExpnsAmt
Total Expense	0.0074	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,204,965	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,098,046	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,106,919	NetCommunityBenefitExpnsAmt
Total Expense	0.0212	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$29,173,730	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,986,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,187,400	NetCommunityBenefitExpnsAmt
Total Expense	0.0286	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,990,430	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,967,208	NetCommunityBenefitExpnsAmt
Total Expense	0.0135	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$414,038	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$414,038	NetCommunityBenefitExpnsAmt
Total Expense	0.0028	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,922	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,922	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,513,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,490,168	NetCommunityBenefitExpnsAmt
Total Expense	0.0170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$31,687,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,009,552	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,677,568	NetCommunityBenefitExpnsAmt
Total Expense	0.0456	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,445	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,445	NetCommunityBenefitExpnsAmt
Total Expense	0.00	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$173,860	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$173,860	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$367,065	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$367,065	NetCommunityBenefitExpnsAmt
Total Expense	0.0025	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$547,370	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$547,370	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,710,022	BadDebtExpenseAmt
Bad Debt Expense Attributable	$21,409	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$31,140,814	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$28,242,772	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,898,042	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Henry Heywood Memorial Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	242 Green Street	AddressLine1Txt
City	Gardner	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01440	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.heywood.org	WebsiteAddressTxt
State License	MA License # 2036	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Henry Heywood Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.heywood.org/about/community-benefit	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.chna9.com/resources.html	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.heywood.org/about/community-benefit	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.heywood.org/financialservices	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.heywood.org/financial services	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.heywood.org/financialservices	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Henry Heywood Memorial Hospital	In 2018, Heywood Healthcare conducted a comprehensive Community Health Needs Assessment (CHNA). A priority of the health assessment is to understand the needs of under-resourced populations and to identify and prioritize health issues and related socioeconomic determinants of health. Health disparities, health equity, and "communities within communities" received special attention during the assessment. Supplemental qualitative data collected from 596 Surveys, 17 Focus Groups, and 12 Healthcare Professional Interviews provided information and perceptions from under-represented racial/ethnic, socioeconomic, and geographic groups.
Schedule H, Part V, Section B, Line 6a-Henry Heywood Memorial Hospital	The CHNA was a collaborative effort conducted by Heywood Hospital and Athol Hospital. The assessment focuses on the 15 primary communities served by Heywood and Athol Hospitals. The data was analyzed and presented in three ways the Heywood Healthcare total service area of 15 communities, the Heywood Hospital service area of 6 towns, and the Athol Hospital service area of 9 communities.
Schedule H, Part V, Section B, Line 6b-Henry Heywood Memorial Hospital	A collaboration among Mont Reg Plan Comm, UMASS Mem, Health Alliance Clinton Hosp, Comm Hlth Ntwk of Nrth Cent MA and John Snow Inc. Quantitative data came from MA Comm Hlth Info Profile, MA Dpt of Pub Hlth; Youth Risk Behav Survey data; US Census data, including data from the Amer Comm Survey and other Cmmwlth and Fed Govt orgs. Staff at MRPC was responsible for conducting research. The Comm Bene Leadership Team made up of dpt heads from Athol and Heywood Hosps, Nrth Quabbin Comm Coalit, CHNA9 Grp, and other comm partners. Leadership Team members assisted with reviewing rpts. Other orgs assisting to the review include the Nrth Quabbin Recov Plan Grp; Jail to Comm Task Force; Children's Hlth and Wellness; Multicult Task Force; GAIT; Substance Abuse Task Force; GGRC; Schwartz Cntr Rnds; Greater Gardner Chamb of Comm; Heywd Sr Team; Reg Behav Hlth Collab; Gardner MENders Sup Grp; Mont Suicide Prev Task Force; North Quabbin Comm Coalit; Comm Hlth Conn Bd; Mont Public Hlth Ntwk and CHNA9
Schedule H, Part V, Section B, Line 7d-Henry Heywood Memorial Hospital	Hospital staff presented the CHNA findings with community members, stakeholders, and partners and solicited input in response to the CHNA to help inform the development of a Community Health Improvement Plan (CHIP). Numerous community groups provided feedback on the assessment findings and helped to identify priority health focus areas and strategies. These groups included the Multicultural Task Force; Gardner Area Interagency Team; Substance Abuse Task Force; Greater Gardner Religious Council; Schwartz Center Rounds; Heywood Leadership Team; Regional Behavioral Health Collaborative; Athol and Heywood Hospital Medical Ethics; Athol and Heywood PFAC; Montachusett Suicide Prevention Task Force; North Quabbin Community Coalition; Heywood Charitable Foundation Community Investment Committee and CHNA-9.
Schedule H, Part V, Section B, Line 11-Henry Heywood Memorial Hospital	The Community Health Improvement Plan (CHIP) prioritizes health focus areas (Social Determinants, Interpersonal Violence and Injuries, Mental Health and Substance Use, and Wellness and Chronic Disease). It identifies at risk populations (racial and ethnic minorities, older adults, veterans, low socioeconomic, and youth/adolescents). The CHIP outlines the strategies and community partners the hospital will partner with to respond to the health needs. Heywoods approach to addressing the critical health needs is to collaborate with crosssector coalitions, healthcare and behavioral health providers, community, and faith-based organizations and businesses to develop and implement our plan, goals, and strategies. We engage community-based organizations, our P.F.A.C, and the Community Benefits Advisory Committee in the development of the CHIP To ensure that the CHIP has input from persons who represent the broad interests and special knowledge of the significant health needs of our community
Schedule H, Part V, Section B, Line 12a-Henry Heywood Memorial Hospital	LINE 11: Social Determinants of Health: Assisted 58 community members to overcome barriers and address psycho-social needs by providing information and referrals on issues related to housing, food, transportation, behavioral, and substance abuse. Provided financial and health insurance information and enrollment assistance to 4,048 individuals reducing financial barriers to accessing healthcare. Assisted and paid for legal services (such as healthcare proxy, guardianship, advanced directives) for 14 patients who did not have the means to pay. Assisted 260 patients with transportation, and as a result, they were able to follow up with their healthcare and prevented missed appointments. Provided over 30,000 hours of mentorship to 200 students pursuing careers in healthcare and subsequently hired six into permanent paid positions
Schedule H, Part V, Section B, Line 12b-Henry Heywood Memorial Hospital	LINE 11: Interpersonal Violence and Injuries: Convened the Regional Behavioral Health Collaborative (RBHC), a multi-sector partnership of school, emergency responders, social service organizations, medical, and behavioral health providers. The RBHC organized the implementation of Handle With Care (HWC)- an initiative to address and minimize the adverse effects of childhood trauma. The RBHC hosted trainings to increase the partnership's knowledge of the HWC model, adverse childhood experiences, and how to provide trauma-informed care. Subsequently, the police, school districts, and community partners in the towns of Ashburnham, Westminster, Gardner, Templeton, Petersham, and Winchendon developed the processes for identifying, communicating, and providing appropriate trauma-informed supports for the student and family exposed to trauma
Schedule H, Part V, Section B, Line 13-Henry Heywood Memorial Hospital	LINE 11: Mental Health/Substance Use: Spearheaded the Montachusett Suicide Prev Task Force providing ed., resources, and support groups. They trained 52 community members on Mental Health First Aid and increased ability to identify, understand, and respond to signs of mental illnesses/substance use disorders. They trained 100 community members on opioid overdose prev and Narcan administration. Offered support groups for military families, men who struggle with depression, those who have lost loved ones to suicide and for survivors of suicide, providing peer exchange and coping skills for managing symptoms associated with mental illness/substance use. Community Health Workers, located in Narragansett and Gardner School Districts, provided school based care coordination/behavioral health supports. 271 youth with mental health counseling either in person or via tele-behavioral health and helped over 140 families with accessing community-based services such as food, fuel, and housing assistance
Schedule H, Part V, Section B, Line 13d-Henry Heywood Memorial Hospital	LINE 11: Wellness and Chronic Disease: Partnered with the Gardner Public School District to distribute 7,600 backpacks with nutritious food for the weekend distributed weekly to 190 low- income youth and their families. Offered wellness instruction and self-care techniques to 240 individuals to manage symptoms associated with having a chronic condition.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	The costing methodology used to calculate the amounts reported in the table in Part I, for lines 7a through 7c was based on the cost to charge ratio derived from the supplied Worksheet 2, in the IRS schedule H instructions.
Schedule H, Part I, Line 7, Column f	6,778,177
Schedule H, Part I, Line 7g	not applicable
Schedule H, Part II	The Heywood Hospital's Community Benefits Mission Statement is "Heywood Hospital is dedicated to the community benefit goals of improving the health status of our community, addressing the specific health needs of the under-served and collaborating with others to enhance quality and contain the growth of community healthcare costs."
Schedule H, Part III, Section A, Line 2	The costing methodology used for line 2 was based on the cost charge ratio derived from the supplied worksheet 2 in the IRS Schedule H instructions. The methodology used for line 3 was to take the percentage of financial assistance applications that were due to inadequate documentation divided by the total applications received for FY 2019. This amounted to approximately 0.79% which was applied against the number on line 2. As a tax exempt hospital, we must provide necessary services regardless of the patient's ability to pay for the service provided. As a not for profit, patient care is provided to all, regardless of ability to pay for that care, making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as community benefit.
Schedule H, Part III, Section A, Line 3	The costing methodology used for line 2 was based on the cost charge ratio derived from the supplied worksheet 2 in the IRS Schedule H instructions. The methodology used for line 3 was to take the percentage of financial assistance applications that were due to inadequate documentation divided by the total applications received for FY 2019. This amounted to approximately 0.79% which was applied against the number on line 2. As a tax exempt hospital, we must provide necessary services regardless of the patient's ability to pay for the service provided. As a not for profit, patient care is provided to all, regardless of ability to pay for that care, making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as community benefit.
Schedule H, Part III, Section A, Line 4	The footnote can be found on page 17 of the financial statements.
Schedule H, Part III, Section B, Line 8	There is no shortfall. The allowable costs on line 6 were obtained from our FY 2019 Medicare Cost Report, Worksheet D schedules.
Schedule H, Part III, Section C, Line 9b	Heywood Hospital provides patients with information about financial assistance programs that are available through the Commonwealth of MA or through Heywood Hospital's own financial assistance program, which may cover all or some of their unpaid hospital bills. For those patients that request such assistance, Heywood Hospital assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. These programs include but are not limited to MassHealth, Commonwealth Care, Children's Medical Security Plan, Healthy Start, Health Safety Net and others. It is the patient's obligation to provide Heywood Hospital with accurate and timely information to determine if the patient is eligible to apply for certain health insurance programs. If the patient of guarantor is unable to provide the necessary information, Heywood Hospital may make reasonable efforts to obtain any additional information from other sources. Information the Hospital obtains will be maintained in accordance with applicable federal and state privacy and security laws. The screening and application process for public health insurance programs is done through Virtual Gateway, which is an internet portal designed by the MA Executive Office of Health and Human Services. The Virtual Gateway manages the application process from the programs listed above, which is available for children, adults, seniors, veterans, homeless and disabled individuals. Heywood specifically assists the patient in completing the application and secure the necessary documentation required by the applicable financial assistance program. Heywood Hospital will then submit this document to the Commonwealth Office of Medicaid and assist the patient in any additional documentation if such is required by the Commonwealth of MA, Office of Medicaid. Special circumstance applications are reviewed and approved by the MA Division of Health Care Finance and Policy. The Hospital has no role in determination of program eligibility made by the Commonwealth, but at the patient's request may take a direct role in appealing decisions made by the Commonwealth to ensure accurate and timely adjudication of all hospital bills. If the patient does not comply with the requests for documentation, then our standard collection procedures apply.
Schedule H, Part VI, Line 2	Needs Assessment: In addition to conducting the CHNA, the organization monitors hospital data and actively engages with the hospital leadership team and Community Benefits Advisory Committee to continuously monitor and assess any changing or emerging community and healthcare needs.
Schedule H, Part VI, Line 3	Role of Hospital Certified Financial Counselors and other Finance Staff: The hospital will try to identify available coverage options for patients who may be uninsured or underinsured with their current insurance program when the patient is scheduling their services, while the patient is in the hospital, upon discharge, and for a reasonable time following discharge from the hospital. The hospital will direct all patients seeking available coverage options, or those that the hospital determines may be eligible, to the hospital's patient financial counseling to screen for eligibility in an appropriate coverage option. The hospital will then assist the patient in applying for the appropriate coverage options that are available or notify them of availability of financial assistance through the hospital's own internal financial assistance program, if available. Notification Practices: Individual printed notices are available by contacting a Financial Counselor or through the Patient Accounts Office. Notices indicate the criteria used to determine eligibility for MassHealth and the Health Safety Net Trust Fund and where or how patients may apply. 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, and Health Safety Net. When applicable, the hospital may also assist patients in applying for coverage of services as a Medical Hardship based on the patient's documented income and allowable medical expenses. When a patient contacts the hospital, Patient Accounting, Financial Counseling or Social Service Staff will attempt to identify if a patient qualifies for a public financial assistance program or payment plan. Patients who are already enrolled in a public financial assistance program, such as MassHealth or Health Safety Net, may qualify for certain federal, state and private assistance agencies. Patients may also qualify for additional assistance based on the hospital's own internal criteria for financial assistance, or qualify for coverage of services as a Medical Hardship based on the patient's documented income and allowable medical expenses. The following items outline more specifically the notification process, criteria, and availability of information beyond the signs that are posted in the hospital. 1. The hospital will provide an individual notice of the availability of financial assistance programs and other programs of public assistance to a patient expected to incur charges for which he/she will be personally responsible, exclusive of personal convenience items or services that may not be paid in full by third party coverage. 2. The hospital or its agents will include a notice or statement about Eligible Services to Low Income Patients and other programs of public assistance in its initial bill and subsequent correspondence with the patient. All correspondence will direct the patient where and how they can receive more information or additional assistance and will inform the patient that they may apply or reapply for financial and public assistance before, during or after care, or after collection agency assignment if their situation changes. 3. The hospital will include a notice regarding the availability of financial assistance and other programs of public assistance to Low Income Patients in all written collection actions. The hospital will notify the patient that it offers a payment plan if the patient is determined to be eligible for MassHealth or free care/uncompensated care through the Health Safety Net Trust Fund as a low income patient or due to Medical Hardship. These payment plans are consistent with 1016 CMR 6613.08 (1)(f)(4). The hospital will also offer payment plan options for those individuals who do not qualify for Low Income Patient status. 4. Heywood Hospital will include language on its written notices that reads: "You may be eligible for assistance through our Financial Assistance Program. For eligibility information, please contact our Customer Services Department at 1-800-305-6757." Verbiage may change to accommodate changes of department information. 5. There is no primary language other than English that is spoken by 5% or more of the hospital's service area. Signage and other documentation will be provided in English. The hospital provides translator services for several other languages and this service may be accessed for those individuals whose primary language is not English or Spanish. 6. For cases where the hospital continues to determine eligibility for free care/uncompensated care through the Health Safety Net Trust Fund application, then MassHealth will provide written notice of determination that the patient is or is not eligible within 30 days of receiving a completed application and the required supporting documentation. The vast majority of patients will however be screened via the common intake process and processed through the Virtual Gateway and MA-21 system. 7. Whether the hospital is using the MassHealth application process through the Virtual Gateway or submitting a MassHealth application directly, the hospital will assist the patient in completing the application or intake process for enrollment and eligibility screening.
Schedule H, Part VI, Line 4	Community Information: The primary service area served by Heywood Hospital includes Gardner, Templeton, Winchendon, Ashburnham, Westminster, and Hubbardston. The Service Area varies significantly in terms of the demographics, social, and economic factors. Due to these factors, the health disparities and inequities experienced by people in the region vary widely from community to community. The overall population of the Service Area has grown a modest 6% since 2000. This rate is less than the US overall (9.7%), but double that of the Commonwealth of MA (3.1%). It is essential to note the change in racial makeup over time and the growth of the Hispanic/Latino population between 2000 and 2016, especially in Gardner. The Service Area has a median age seven years higher than the State and Nation, including a more significant number of those aged 65 and older living alone and increased 7% between 2010 and 2016. The rural nature of Heywood Hospital's communities and the social isolation of older adults living alone make it more challenging to access basic daily needs. The Social and Economic inequities experienced by people in the region vary widely from community to community. There are lower poverty rates overall throughout the Service Area compared to the State and Nation, but pockets of poverty persist throughout. Gardner has the highest poverty rate at 19%, compared to the MA rate of 11.4%. Gardner's childhood poverty rates have increased by 6.4% and 22.6%, respectively, since the last CHNA in 2015 with data from 2013 and 2016. Overall, wages in the Service Area have increased by nearly $200 million since 2000, but wages have decreased significantly in select communities. Veterans in the Service Area are better off when compared to the State and Nation when it comes to health outcomes and financial stability. However, disparities in unemployment and disability compared to non-veterans are prevalent throughout the Service Area.
Schedule H, Part VI, Line 5	Promotion of Community Health: Heywood Hospital's approach to addressing the critical health needs identified by the CHNA is to participate on cross-sector coalitions actively and collaborate with healthcare and behavioral health providers, community, and faith-based organizations and businesses. These collaborations help to develop and implement our plan, goals, and strategies. Partners include CHNA9; Gardner Area Interagency Team (GAIT); Suicide Prevention Task Force; Regional Behavioral Health Collaborative; North Central MA Minority Coalition; Health Disparities Collaborative; Community Health Connections FQHC; GVNA Healthcare; Community Health Link; LUK, Inc.; AED Foundation; SHINE Initiative; Gardner Community Action Team (GCAT); Montachusett Opioid Prevention Coalition (MOPC); Greater Gardner Religious Council; Unitarian Church; Gardner CAC; HOPE House; Gardner, Ashburnham, Narragansett, Winchendon, and Westminster Public School Districts; Montachusett Vocational Technical High School; The Winchendon School; Mount Wachusett Community College; Fitchburg State University; Framingham State University; Bates College; Gardner Rotary Club; Greater Gardner and North Central MA Chamber of Commerce; Fitchburg and Gardner Housing Authority; United Way of North Central MA; Hannaford Supermarkets; Gardner News.
Schedule H, Part VI, Line 6	Heywood Hospital is part of Heywood Healthcare, an independent, community-owned healthcare system serving north-central Massachusetts and southern New Hampshire. It is comprised of Heywood Hospital, Athol Hospital, a 25-bed not-for-profit, Critical Access Hospital in Athol, MA; Heywood Medical Group, with primary care physicians and specialists located throughout the region; and the Quabbin Retreat, our premier destination for treatment of mental health and substance misuse. The organization includes six satellite facilities in MA; Heywood Rehabilitation Center, Heywood Family Medicine and Urgent Care in Gardner; Winchendon Health Center and Murdock School-based Health Center in Winchendon; Tully Family Medicine and Walk-in in Athol; and West River Health Center in Orange. The organization also includes the Heywood Healthcare Charitable Foundation.
Schedule H, Part VI, Line 7	Community Benefit Report is filed with the Attorney General's Office, State of Massachusetts. https://www.heywood.org/about/community-benefit

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
Montachusett Home Care Corp
680 Mechanic St	Leominster	MA	01453	042551175	501(c)(3)	$36,414	$0	cash	home care-elderly & disabled
Boys and Girls Club of Fitchburg
365 Lindell Ave	Leominster	MA	01453	135562976	501(c)(3)	$10,000	$0	cash	general support of youths
United Way of North Central MA
649 John Fitch Highway	Fitchburg	MA	01420	042233021	501(c)(3)	$10,000	$0	cash	general support
Heywood Healthcare Charitable Foundation Inc
242 Green Street	Gardner	MA	01440	222720562	501(c)(3)	$120,000		cash	support local organizations

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	Heywood Hospital has reporting systems in place to monitor grantee expenditures within each budget period and within the overall project period. This includes the requirements that grantees submit mid-year and end of year grant reports, to include a detailed report on the project budget expenditures. Heywood Hospital's Community Investment Committee reviews mid and end of year reports for financial and operational compliance to assure that use of funds are consistent with the approved project and budget. Montachusett Home Care Corp files an annual report with the Office of Healthy Communities that contains a summary of how funds are allocated.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Winfield Brown
CEO / President	$527,347	$0	$71,091	$0	$280,623	$0	$24,000	$0	$55,628	$0	$958,689	$0	$0	$0
Elizabeth Nottleson
Trustee / Physician	$0	$271,951	$0	$0	$0	$11,189	$0	$5,487	$0	$14,785	$0	$303,412	$0	$0
Robert Crosby
Officer / CFO	$305,215	$0	$29,856	$0	$42,500	$0	$24,000	$0	$37,396	$0	$438,967	$0	$0	$0
Andrew Cocchiarella
Director of Anesthesia Services	$704,549	$0	$68,250	$0	$61,700	$0	$4,274	$0	$50,401	$0	$889,174	$0	$0	$0
Ellen Ray
Chief of Emergency Room Medicine	$546,095	$0	$68,095	$0	$23,300	$0	$24,000	$0	$46,415	$0	$707,905	$0	$0	$0
Daniel Wilson
ER Physician	$505,753	$0	$55,720	$0	$53,012	$0	$0	$0	$45,582	$0	$660,067	$0	$0	$0
Sarah Gilbert
ER Physician	$377,505	$0	$55,680	$0	$1,200	$0	$21,959	$0	$40,956	$0	$497,300	$0	$0	$0
Saleem Khanani
Oncology Physician	$493,914	$0	$0	$0	$0	$0	$13,773	$0	$43,133	$0	$550,820	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	Social Club membership dues were paid for Winfield Brown, CEO, per his employment contract.
Schedule J, Part I, Line 1b	There is no written policy for payment of Social Club Membership dues, this is paid based off an employment contract with the CEO/President.
Schedule J, Part I, Line 3	Other Reportable Compensation - Mr. Winfield Brown, CEO, and Mr. Robert Crosby, CFO received deferred compensation payments, which are subject to multi-year vesting upon fulfilling ongoing contractual obligations.
Schedule J, Part I, Line 6	Heywood Hospital accrued bonuses for the executive teams salary and 25% of the CEO's salary as part of an incentive compensation program and service goals set by the Hospital.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MA Health and Educ Facility
A	042456011	57586EGT2	2019-03-21	$17,785,000	Funds used for new inpatient building	0	0	0
MA Health and Educ Facility
B	042456011	57586C7E9	2008-06-19	$6,715,000	Refinancing used for new IP Building	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$66,235	$0	$0	$0	$281,690	$0	$0	$17,569,545	$0	$0	2010	0	0	Yes (1)	Yes (1)
B	$0	$0	$19,154	$0	$0	$0	$329,467	$0	$3,597,891	$2,806,796	$0	$0	2008	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0	Yes (1)	0	Yes (1)
B	0	0	0	0	0	0	0	Yes (1)	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Td Bank
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	18.7	0	0	0	0	Yes (1)
Piper Jaffery
B	0	0	0	Yes (1)	Yes (1)	Yes (1)	18.7	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part IV, Line 2c-03/21/2019 17,785,000 MA Health and Educ Facility	The rebate computation was performed on 10/31/2018
Schedule K, Part IV, Line 2c-06/19/2008 6,715,000 MA Health and Educ Facility	The rebate computation was performed on 10/31/2018

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Eliot Nottleson
spouse of trustee - E.Nottleson	$151,692	salary as a physician assistant	0
Kaitlin Fletcher
family member of trustee	$85,764	salary as RN	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11b	The Accounting Department at Heywood Hospital prepares the Form 990 and provides to the Controller for review. The form is then sent to the CFO for final review. Once reviewed, the 990 is received by the Board of Trustees. The 990 is then submitted to the IRS by the Accounting Department.
Form 990, Part VI, Section B, Line 12c	Annually, a Conflict of Interest form is sent out to the managers, trustees and employees with broad discretionary authority. These forms are required to be signed and are monitored by the Corporate Compliance office for completion.
Form 990, Part VI, Section B, Line 15	* The Board of Directors holds the sole responsibility for establishing the compensation of Heywood Healthcare's CEO. The Compensation Committee is responsible for the review and recommendation of the CEO's compensation. The Compensation Committee engages an independent compensation consultant who prepares an evaluation of compensation of CEO's of comparable institutions. The compensation committee also reviews and approves the CEO's recommendation of compensation for the Senior Leadership team. This analysis includes information from the independent compensation consultant's evaluation of compensation of key employees on our Senior Leadership team compared to similar institution's. The types of comparable data that were used to determine the fair market value for our CEO and key employees of our Senior Leadership team includes 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 19	The Organization makes the governing documents, conflict of interest policy and financial statements available to the public by providing completed copies to the Administrative Assistant, who provides copies upon request.
Form 990, Part IX, Line 11g	Other Non-Employee Fees for Services consist of the following: Outside Physician Fees $12,437,983 / Outside Clinical Fees $ 5,666,379 / Temp Employees $ 70,030 / Medical Staff $19,439 / Other Fees for Services $11,323,625
Form 990, Part XI, Line 9	The amount that makes up the other changes in net assets or fund balance is from discounts on pledge receivables, $11,419, and transfers to related organizations to support their operations, $2,968,248

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Heywood Healthcare Inc (HHI)
242 Green St	Gardner	MA	01440	222720658	Parent Corp	MA	501(c)(3)	12b	N/A	0
Athol Memorial Hospital
2033 Main St	Athol	MA	01331	042126583	Critical Access Hospital	MA	501(C)(3)	3		0	Heywood Healthcare Inc
Herywood Medical Group
242 Green St	Gardner	MA	01440	043136589	Multi Specialty Physicians	MA	501(c)(3)	10		0	Heywood Helathcare Inc
Quabbin Healthcare Inc
242 Green St	Gardner	MA	01440	812053488	Behavioral Health	MA	501(C)(3)	12b		0	Heywood Healthcare Inc
Heywood Realty Corp
242 Green St	Gardner	MA	01440	043327447	Property Holding Corp	MA	501(c)(2)			0	Heywood Healthcare Inc
Heywood Healthcare Charitable Foundation Inc
242 Green St	Gardner	MA	01440	222720562	Charitable Foundation	MA	501(c)(3)	7		0	Heywood Healthcare Inc
Athol Memorial Hospital NMTC Holdings Inc
2033 Main St	Athol	MA	01331	822171549	Supports Athol Hospital	MA	501(c)(3)	12a		0	Heywood Healthcare inc
HHMH Aid Association
242 Green St	Gardner	MA	01440	042198019	raising funds for hospital	MA	501(c)(3)	10	N/A	0
Winchendon Health Foundation
87 Central St	Winchendon	MA	01475	042113276	supports organization	MA	501(c)(3)	PF	N/A	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (1)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Heywood Realty Corp
k	$290,186	cost per square foot
Heywood Realty Corp
m	$208,500	contract

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Filed extension and received approval	ExplanationTxt