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STURDY MEMORIAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
STURDY MEMORIAL HOSPITAL (EIN 04-2768252)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-13
IRS object ID
202022269349302517
Schema version
2018v3.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-13T16:35:03-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line175 STATE STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042768252EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sturdy Memorial Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% AMY PFEFFERInCareOfNm
Business Name ControlSTURBusinessNameControlTxt
Phone5082225200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 Park Street PO Box 2963AddressLine1Txt
CityAttleboroCityNm
State AbbreviationMAStateAbbreviationCd
ZIP027030963ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY PFEFFERPersonNm
Person TitleCFOPersonTitleTxt
Phone5082368150PhoneNum
Signature2020-08-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone6177237900PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.232.176.125IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id56917520202265000004FederalOriginalSubmissionId
Federal Original Submission Id2020-08-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id57942369B23AF8A4EA3FCCA2052C9A8DC356319DAtSubmissionCreationDeviceId
At Submission Filing Device IdD630D68E957553469DE07FA9F3B9F7290754183BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJoseph FX CaseyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 Park Street PO Box 2963AddressLine1Txt
CityAttleboroCityNm
State AbbreviationMAStateAbbreviationCd
ZIP027030963ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$307,680,730GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.sturdymemorial.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1913FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionPROVIDING SAFE, HIGH QUALITY, COST-EFFICIENT HEALTH CARE, AND A BROAD RANGE OF DIAGNOSTIC, INPATIENT, OUTPATIENT AND EMERGENCY SERVICES FOR OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1769TotalEmployeeCnt
Total Volunteers489TotalVolunteersCnt
Total Gross UBI$103,458TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$52,562NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$337,617PYContributionsGrantsAmt
CY Contributions Grants$854,060CYContributionsGrantsAmt
PY Program Service Revenue$190,513,196PYProgramServiceRevenueAmt
CY Program Service Revenue$209,040,488CYProgramServiceRevenueAmt
PY Investment Income$12,425,982PYInvestmentIncomeAmt
CY Investment Income$13,930,754CYInvestmentIncomeAmt
PY Other Revenue$30,600PYOtherRevenueAmt
CY Other Revenue$8,913,711CYOtherRevenueAmt
PY Total Revenue$203,307,395PYTotalRevenueAmt
CY Total Revenue$232,739,013CYTotalRevenueAmt
PY Grants And Similar Paid$6,604,181PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,837,018CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$111,251,901PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$122,056,815CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$68,515,148PYOtherExpensesAmt
CY Other Expenses$84,294,807CYOtherExpensesAmt
PY Total Expenses$186,371,230PYTotalExpensesAmt
CY Total Expenses$214,188,640CYTotalExpensesAmt
PY Revenues Less Expenses$16,936,165PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,550,373CYRevenuesLessExpensesAmt
Total Assets BOY$468,076,226TotalAssetsBOYAmt
Total Assets EOY$440,585,898TotalAssetsEOYAmt
Total Liabilities BOY$33,423,838TotalLiabilitiesBOYAmt
Total Liabilities EOY$38,559,549TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$434,652,388NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$402,026,349NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE HOSPITAL'S MISSION IS TO PROVIDE HIGH QUALITY CARE TO THE SICK AND INJURED, ON BOTH AN INPATIENT AND OUTPATIENT BASIS, WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN, AGE, GENDER, DISABILITY, OR ABILITY TO PAY. (CONTINUED ON SCHEDULE O).MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$187,530,496ExpenseAmt
Grant$7,837,018GrantAmt
Revenue$209,040,488RevenueAmt
DescSturdy Memorial Hospital, Inc. is a not-for-profit acute care community hospital which is dedicated to providing a broad range of health care services to the residents of Attleboro, Massachusetts and surrounding communities. The Hospital generates virtually all of its revenues in pursuit of its exempt purposes, which is to provide comprehensive diagnostic, therapeutic, and educational health care services to residents of its communities. (CONTINUED ON SCHEDULE O)Desc
Total Program Service Expenses$187,530,496TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document200IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1769EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAMY PFEFFERPersonNm
Phone5082368150PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 PARK STREET PO BOX 2963AddressLine1Txt
CityAttleboroCityNm
State AbbreviationMAStateAbbreviationCd
ZIP027030963ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERT THRESHER
CHAIR/DIRECTOR2.03.0Yes (X)Yes (X)$0$0$0
COLLEEN MCGAHAN
CLERK/DIRECTOR (AS OF 1/19)2.01.0Yes (X)Yes (X)$0$0$0
RICHARD DIGIACOMO
DIRECTOR2.01.0Yes (X)$0$0$0
MARCO ARISMENDI
DIRECTOR2.01.0Yes (X)$0$0$0
PATRICIA COCHRANE
DIRECTOR2.01.0Yes (X)$0$0$0
MARK COOPER
DIRECTOR2.01.0Yes (X)$0$0$0
DWANE DEMOND
DIRECTOR2.01.0Yes (X)$0$0$0
EDWARD DION JR
DIRECTOR2.01.0Yes (X)$0$0$0
LAURA GIGNAC
DIRECTOR2.01.0Yes (X)$0$0$0
PAUL HEROUX
DIRECTOR2.01.0Yes (X)$0$0$0
DENNIS KELLY
DIRECTOR2.01.0Yes (X)$0$0$0
JOHN KORONA
DIRECTOR2.01.0Yes (X)$0$0$0
THOMAS NOEL
DIRECTOR2.01.0Yes (X)$0$0$0
JEAN SIDDALL-BENSSON MD
DIRECTOR & PHYSICIAN2.041.0Yes (X)$0$196,604$32,840
RALPH SCHLENKER
DIRECTOR2.03.0Yes (X)$0$0$0
CATHERINE WHITE
CLERK/DIRECTOR (THRU 12/18)2.01.0Yes (X)Yes (X)$0$0$0
JOSEPH CASEY
PRESIDENT & CEO37.011.0Yes (X)$962,628$0$76,186
AMY PFEFFER
CFO & TREASURER35.010.0Yes (X)$383,892$0$84,288
ROBIN MORRIS
VP OF CLINICAL OPS & INTEGRITY45.00.0$264,010$0$54,038Yes (X)
DAVID SPOOR
VP OF PATIENT SRVS/CHF. OF NSG45.05.0$211,277$0$37,166Yes (X)
BRIAN KELLY MD
VP & CMO40.05.0$525,326$0$65,137Yes (X)
CHERYL BARROWS
VP HR (THRU 11/18)32.05.0$261,770$0$42,507Yes (X)
BRIAN PATEL MD
CHIEF AMBULATORY40.08.0$459,276$0$31,354Yes (X)
RONALD VANESS-OTUNNU MD
PHYSICIAN40.00.0$381,575$0$51,441Yes (X)
MARK MCGUIRE MD
PHYSICIAN40.00.0$390,838$0$29,235Yes (X)
ALLAN RASKIN MD
PHYSICIAN40.00.0$305,486$0$79,249Yes (X)
LAURINE THORNTON-POTTER MD
PHYSICIAN40.01.0$291,762$0$66,723Yes (X)
BRUCE AUERBACH MD
FORMER EXEC DIRECTOR0.00.0$734,442$0-$33,966Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,172,282TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$196,604TotReportableCompRltdOrgAmt
Total Other Compensation$616,198TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K158IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARUP LABORATORIES INC
PO BOX 27964SALT LAKE CITYUT84127REFERENCE LAB$908,300
MEDASSETS SUPPLY CHAIN SYSTEMS
PO BOX 742081ATLANTAGA30374CONTRACT LABOR$751,764
INTEGRATED PHARMACY SOLUTIONS
50 TREMONT ST SUITE 201MELROSEMA02176CONSULTING/CONT$367,378
MCLEAN HOSPITAL
PO BOX 3122BOSTONMA024413122PHYSICIAN SERVICES$337,318
COMPHEALTH
PO BOX 972651DALLASTX753972651CONTRACT LABOR$307,553
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Related Organizations$29,153RelatedOrganizationsAmt
Government Grants$67,322GovernmentGrantsAmt
All Other Contributions$757,585AllOtherContributionsAmt
Noncash Contributions$29,153NoncashContributionsAmt
Total Contributions$854,060TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE621400$205,068,797$205,068,797$0$0
PATIENT RELATED REVENUE, OTHER621990$1,573,510$1,573,510$0$0
CAFETERIA SALES722514$994,690$0$0$994,690
INCENTIVE PAYMENTS900099$593,757$593,757$0$0
REBATES, REFUNDS AND DISCOUNTS621990$426,846$426,846$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$382,888TotalRevenueColumnAmt
Related Or Exempt Func Income$297,210RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$85,678UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$209,040,488TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,660,822TotalRevenueColumnAmt
Unrelated Business Revenue$17,780UnrelatedBusinessRevenueAmt
Exclusion$8,643,042ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$33,911RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$33,911RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,911TotalRevenueColumnAmt
Exclusion$33,911ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$80,196,649SecuritiesAmt
Other$15,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$74,928,428SecuritiesAmt
Other$13,289OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,268,221SecuritiesAmt
Other$1,711OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,269,932TotalRevenueColumnAmt
Exclusion$5,269,932ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPENSION/POST RETIREMENT ADJUSTMENTSDesc
Business900099BusinessCd
Total Revenue Column$8,879,800TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,879,800ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,879,800OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,739,013TotalRevenueColumnAmt
Related Or Exempt Func Income$207,960,120RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$103,458UnrelatedBusinessRevenueAmt
Exclusion$23,821,375ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,837,018TotalAmt
Program Services$7,837,018ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,630,693TotalAmt
Management And General$2,630,693ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$537,286TotalAmt
Management And General$537,286ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$89,309,360TotalAmt
Program Services$79,077,586ProgramServicesAmt
Management And General$10,231,774ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,260,501TotalAmt
Program Services$9,683,287ProgramServicesAmt
Management And General$1,577,214ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,791,551TotalAmt
Program Services$10,999,889ProgramServicesAmt
Management And General$1,791,662ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,527,424TotalAmt
Program Services$4,536,436ProgramServicesAmt
Management And General$990,988ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$439,179TotalAmt
Management And General$439,179ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$182,100TotalAmt
Management And General$182,100ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$237,147TotalAmt
Management And General$237,147ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$855,284TotalAmt
Management And General$855,284ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,440,819TotalAmt
Program Services$8,122,045ProgramServicesAmt
Management And General$2,318,774ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$217,603TotalAmt
Management And General$217,603ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,108,490TotalAmt
Program Services$3,235,594ProgramServicesAmt
Management And General$872,896ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,400,286TotalAmt
Program Services$4,998,494ProgramServicesAmt
Management And General$401,792ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,164,107TotalAmt
Program Services$3,103,690ProgramServicesAmt
Management And General$60,417ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$171,035TotalAmt
Program Services$92,249ProgramServicesAmt
Management And General$78,786ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$217,434TotalAmt
Program Services$96,956ProgramServicesAmt
Management And General$120,478ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,050,234TotalAmt
Program Services$8,050,234ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,343,912TotalAmt
Program Services$1,039,923ProgramServicesAmt
Management And General$303,989ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$35,475,454$35,462,300$13,154$0
PROVISION FOR DOUBTFUL DEBTS$7,423,956$7,423,956$0$0
MAINTENANCE & REPAIRS$3,261,877$3,021,064$240,813$0
LICENSES AND TAXES$2,380,410$53,114$2,327,296$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$925,480TotalAmt
Program Services$696,661ProgramServicesAmt
Management And General$228,819ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$214,188,640TotalAmt
Program Services$187,530,496ProgramServicesAmt
Management And General$26,658,144ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$210,312BOYAmt
EOY$1,598EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,866,925BOYAmt
EOY$4,687,678EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,883,169BOYAmt
EOY$18,645,467EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,941,865BOYAmt
EOY$4,227,155EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,901,846BOYAmt
EOY$4,867,822EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$165,537,534LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$113,060,314LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$53,709,013BOYAmt
EOY$52,477,220EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$302,223,143BOYAmt
EOY$314,696,903EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$22,730,974BOYAmt
EOY$22,788,460EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$637,246BOYAmt
EOY$543,804EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$44,971,733BOYAmt
EOY$17,649,791EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$468,076,226BOYAmt
EOY$440,585,898EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,991,422BOYAmt
EOY$32,406,807EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$250,721BOYAmt
EOY$73,792EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,181,695BOYAmt
EOY$6,078,950EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,423,838BOYAmt
EOY$38,559,549EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$434,629,797BOYAmt
EOY$402,003,758EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,591BOYAmt
EOY$22,591EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$434,652,388BOYAmt
EOY$402,026,349EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$468,076,226BOYAmt
EOY$440,585,898EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,550,373ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,043,259NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$50,133,153OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$55,000DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$182,147OtherActivitiesAmt
Total Lobbying Expenditures$237,147TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1bHOSPITAL EMPLOYEES MAY MEET WITH LOCAL AND STATE REPRESENTATIVES TO DISCUSS CURRENT ISSUES AFFECTING THE DELIVERY OF HEALTHCARE IN OUR SERVICE AREA. THE HOSPITAL WORKS TO ADVANCE INITIATIVES TO ENHANCE AND IMPROVE ACCESS TO HEALTH CARE SERVICES.
Schedule C, Part II-B, Line 1gREGISTERED LOBBYIST MURPHY DONOGHUE WORKED ON BEHALF OF STURDY MEMEORIAL HOSPITAL ON MATTERS RELATED TO THE DELIVERY OF HEALTH CARE IN MASSACHUSETTS.
SCHEDULE C, PART II-B, LINE 1ITHE AMOUNT REPRESENTS A PERCENTAGE OF THE HOSPITAL'S ANNUAL APPORTIONMENT OF MHA/AHA AND ASSOCIATED INDUSTRIES OF MASSACHUSETTS DUES ATTRIBUTED TO LOBBYING EXPENSES. FOR FISCAL 2019 IT WAS ESTIMATED THAT 44.47% ($181,417) AND 19.72% ($730), RESPECTIVELY, WAS USED FOR LOBBYING PURPOSES.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,672,420OtherCostOrOtherBasisAmt
Book Value$1,672,420BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,393,412OtherCostOrOtherBasisAmt
Depreciation$69,403,213DepreciationAmt
Book Value$37,990,199BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,790,203OtherCostOrOtherBasisAmt
Depreciation$42,184,779DepreciationAmt
Book Value$12,605,424BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,681,499OtherCostOrOtherBasisAmt
Depreciation$1,472,322DepreciationAmt
Book Value$209,177BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,477,220TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescALTERNATIVE INVESTMENTSDesc
Book Value$22,788,460BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$22,788,460TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
INSURANCE CLAIMS, LONG TERM$1,630,000
WORKERS COMP. SELF-INSURANCE RESV.$1,430,505
DUE TO AFFILIATE$1,205,342
ASSET RETIREMENT OBLIGATION$962,603
ACCRD. POSTRETIREMENT HEALTH BENF.$850,500
FieldValueIRS element (for citing)
Total Liability$6,078,950TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$223,532,650TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,043,259NetUnrealizedGainsInvstAmt
Other Revenue-$7,306,109OtherRevenueAmt
Revenue Not Reported-$8,349,368RevenueNotReportedAmt
Revenue Subtotal$231,882,018RevenueSubtotalAmt
Investment Expenses Not Incld$855,284InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,711OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$856,995RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$232,739,013TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$205,907,689TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$205,907,689ExpensesSubtotalAmt
Investment Expenses Not Incld2$855,284InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$7,425,667OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$8,280,951ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$214,188,640TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4 STURDY MEMORIAL FOUNDATION, INC. MAINTAINS ENDOWMENT FUNDS (RESTRICTED TO PRINCIPAL) FOR THE BENEFIT OF STURDY MEMORIAL FOUNDATION AND STURDY MEMORIAL HOSPITAL, INC. THE ENDOWMENTS CONSIST OF BOTH DONOR RESTRICTED EARNED INCOME AND UNRESTRICTED EARNED INCOME. THE FOUNDATIONS ENDOWMENT INVESTMENT POLICY IS TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO SUPPORT BOTH THE DONOR RESTRICTED REQUIREMENTS AND THE FOUNDATION SPENDING POLICY FOR UNRESTRICTED FUNDS. ANNUALLY, INCOME EARNED ON THE RESTRICTED ENDOWMENT FUNDS IN SUPPORT OF THE DONOR SPECIFIC REQUIREMENTS IS TRANSFERRED TO STURDY MEMORIAL HOSPITAL. A SMALL PORTION OF THE ENDOWMENT IS HELD IN A FUND WITH THE INCOME RESTRICTED FOR "FREE CARE" FOR PATIENTS. THE INCOME ON THIS FUND IS TRANSFERRED ANNUALLY TO STURDY MEMORIAL HOSPITAL, INC. PER THE FOUNDATION RESTRICTED INVESTMENT POLICY, 5% OF THE GENERAL ENDOWMENT IS AVAILABLE FOR SPENDING ANNUALLY AND IS PAID TO THE FOUNDATION. ANNUAL THE INVESTMENT POLICY IS UPDATED AND REVIEWED BY THE INVESTMENT COMMITTEE.
ASC 740SCHEDULE D, PART X, LINE 2 THE HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED (THE CODE), AND IS GENERALLY EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS REQUIRED TO ASSESS UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE WERE NO SUCH POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.
Reconciliation of Revenue Per Audited Financial StatementsSCHEDULE D, PART XI, Line 2D RECLASS FOR BAD DEBT PROVISION $(7,423,956) NET ASSETS RELEASED FROM RESTRICTIONS $117,847 Schedule D, Part XI, Line 4b Gain on Sale of Fixed Assets $1,711 reconciliation of expenses per audited financial statements schedule d, part xii, line 4b Gain on Sale of Fixed of Assets $1,711 RECLASS FOR BAD DEBT PROVISION $7,423,956

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,945,573TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,458DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,869,115NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,089,407TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,124,317DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,965,090NetCommunityBenefitExpnsAmt
Total Expense0.03370TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,946,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,857,178DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,569NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,981,727TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,057,953DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,923,774NetCommunityBenefitExpnsAmt
Total Expense0.04310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$784,858TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$784,858NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,255,560TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,045,154DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,210,406NetCommunityBenefitExpnsAmt
Total Expense0.03000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,975TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,975NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,079,393TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,045,154DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,034,239NetCommunityBenefitExpnsAmt
Total Expense0.03400TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,061,120TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,103,107DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,958,013NetCommunityBenefitExpnsAmt
Total Expense0.07710TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$8,305TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,305NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,730TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,730NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Total Community Benefit Expns$134,233TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$134,233NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$79,482TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$79,482NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Total Community Benefit Expns$223,750TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$223,750NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$3,614,204BadDebtExpenseAmt
Bad Debt Expense Attributable$836,327BadDebtExpenseAttributableAmt
Reimbursed By Medicare$67,753,584ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$78,191,094CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,437,510MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sturdy Memorial Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2963 211 Park StreetAddressLine1Txt
CityAttleboroCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02703ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.sturdymemorial.orgWebsiteAddressTxt
State License2100StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Sturdy Memorial Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INPUT FROM PERSONS WHO REPRESENT THE COMMUNITYSCHEDULE H, PART V, SECTION B, LINE 5 Community engagement and feedback was an integral part of Sturdys CHNA process. Holleran Consulting, an independent research and consulting firm, collected AND interpreted information from secondary sources and Key Informants. Key Informants were defined as community stakeholders with expert knowledge, including public health and health care professionals, social service providers, non-profit leaders, business leaders, faith-based organizations, and other community leaders. The Hospital identified these individuals with assistance from Holleran Consulting. From April 5 through May 6, 2019, an Online Key Informant Survey was conducted. The survey was designed to understand health issues in the community, missing resources/services, access to health care, identification of underserved, low income and minority populations, and community assets. The purpose of the survey was to obtain a combination of quantitative ratings and qualitative feedback through closed and open-ended questions around health issues and barriers to health care access in the community. Sixty-seven key informants completed the survey. A copy of the survey tool and list of survey participants and their connection to the community is incorporated in the CHNA.
HOSPITAL FACILITY'S WEBSITE - CHNA REPORTSCHEDULE H, PART V, SECTION B, LINE 7A Sturdy Memorial Hospitals most recent Community Health Needs Assessment can be found at: https://www.sturdymemorial.org/app/files/public/682/2019-CHNA.pdf
HOSPITAL FACILITY'S WEBSITE - IMPLEMENTATION STRATEGYSCHEDULE H, PART V, SECTION B, LINE 9 Sturdy Memorials Community Health Needs Assessment was approved by the Board of Managers on September 23, 2019. The Board of Managers approved the 2019 Community Health Needs Assessment Implementation Plan on January 27, 2020, within the statutory adoption period. SCHEDULE H, PART V, SECTION B, LINE 10A The Hospitals most recently adopted CHNA implementation strategy can be found at: https://www.sturdymemorial.org/app/files/public/860/2020-2020-Implementati on-Plan.pdf
SIGNIFICANT NEEDSSCHEDULE H, PART V, SECTION B, LINE 11 The 2019 Community Health Needs Assessment (CHNA) identified five key community health issues: access to care, behavioral health and substance abuse, cancer, chronic disease management, and obesity. The Hospitals implementation plan further prioritized its community health needs as: access to care, behavioral health and substance abuse, chronic disease management and prevention, and cancer prevention education and screening. It was determined that obesity would be addressed as part of chronic disease management and prevention. Access to care: Sturdy will address barriers to accessing care by increasing providers in its service area. The CHNA determined that the provider density in Sturdys primary service area is lower thaN other Massachusetts communities. StuRdy plans to recruit and retain more providers at both the Hospital and Sturdy Memorial Associates (SMA), an affiliate. StuRdy also plans to reduce barriers to care by investigating/identifying telemedicine opportunities and off-hours clinics that can accommodate individuals who have limited daytime flexibility. Other initiatives will assist individuals with limited transportation options, help connect EMERGENCY DEPARTMENT patients with primary care physicians, help connect the uninsured/underinsured to financial counselors and partner with local dentist offices for screening. Behavioral Health and Substance Abuse: Many respondents to the Key Informant Survey conducted through the CHNA process listed access to behavioral health and treatment of substance abuse disorders as the most significant problems facing Sturdys primary and secondary service areas. Access and integration/coordination of services was seen as inadequate compared to the needs of the community. Sturdy plans to address this need by continuing to provide treatment and services, as well as partner with Column Health, a provider of integrated mental health/substance abuse programs. Other initiatives will continue screening and education, increase primary and specialty providers within SMA with integrated behavioral health services, collaborate with local organizations to address the high percentage of at-risk youth in the service area, work with community organizations to create a comprehensive list of mental health providers in Sturdys service area, and explore telehealth options for behavioral health patients. Chronic Disease Prevention and Management: Key Informants recognized that health behaviors are often correlated with certain chronic health conditions. Chronic illnesses such as cancer and heart disease, are THE leading causes of death in Sturdys primary and secondary service areas. Individuals often lack the time, knowledge and resources to manage chronic illness. Sturdy plans to continue to hold health fairs for screening and community education. Also, the Hospital will support current programs that increase physical activity opportunities for at-risk individuals. Sturdy plans to improve care coordination for diabetic/pre-diabetic patients and increase screening for pre-diabetic patients. Sturdy will explore opportunities/programs that increase access to healthy foods, support nutrition education and determine if a new smoking cessation program should be implemented. The Hospital will continue to collaborate with the Healthy Living Consortium to increase education and awareness in the community. Cancer Prevention Education and Screening: Cancer is a leading cause of death in both the Hospitals primary and secondary service areas. Sturdys objective is to provide services to decrease cancer mortality within its service area. To do this, the Hospital will continue to offer early detection and prevention through various screenings, education and support programs. This includes providing early intervention and screening and early navigation for patients with abnormal findings on breast imaging. Sturdy will enhance its current oncology program and develop additional services, adding providers and facilitating relationships between primary care providers and oncologists. Nurse navigations will reduce barriers to care by identifying uninsured/underinsured patients and helping patients with transportation. Lack of affordable housing in our primary and secondary service areas was noted by many respondents as a barrier to care. Sturdy Memorial Hospital acknowledges that the inability to secure affordable housing is a difficulty faced by many residents in our area but is unable to fully address this issue as it is beyond our scope as a healthcare provider.
OTHER FINANCIAL ASSISTANCE POLICY PUBLICITY METHODSSCHEDULE H, PART V, SECTION B, LINE 16A Sturdy Memorial Hospitals Financial Assistance Policy can be found at: https://www.sturdymemorial.org/app/files/public/530/smh-fap-policy---updat ed-for-fy19.pdf SCHEDULE H, PART V, SECTION B, LINE 16B The Hospitals FAP application forms can be found AT: https://www.sturdymemorial.org/patients-visitors/billing-insurance/financi al-assistance/ under the section 'How do I know if Im eligible?' SCHEDULE H, PART V, SECTION B, LINE 16C The Hospitals FAP Plain Language Summary can be found at: https://www.sturdymemorial.org/app/files/public/711/FAP-Plain-language-FY2 0-english.pdf SCHEDULE H, PART V, SECTION B, LINE 16J The Hospitals policy is attached to billing invoices. Additionally, Sturdy Memorial makes this information available at locations throughout its facility-in the Main Lobby, Emergency Department, Patient Registration, and Financial Counselors Office. Individuals in our community without insurance are directed to a financial counselor who will provide them with Sturdys Financial Assistance Policy as well as resources available to them through MassHealth or the Commonwealths Health Safety Net. Financial counselors will assist anyone in completing an application for free or subsidized care, as well as MassHealth. This service is available to anyone in the community.
NOTIFICATION OF FINANCIAL ASSISTANCESCHEDULE H, PART V, SECTION B, LINE 20 For planned admissions, patients are notified of the Hospitals Financial Assistance Policy prior to admission. Emergent patients are notified prior to discharge or the following business day. Patients arriving at the Hospital for outpatient visits are notified of the financial assistance policy at the time of registration (if registered at the main registration area). Notification is also included with patient bills.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mansfield Health CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 Copeland DriveAddressLine1Txt
CityMansfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02488ZIPCd
FieldValueIRS element (for citing)
FacilityLicensed output clinic PHYSICIAN PRACTICEFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS CALCULATIONSCHEDULE H, PART I, LINE 7 Sturdy Memorial Hospital uses the cost to charge ratio for calculating amounts in the table for Line 7. The cost to charge ratio is total patient care costs divided by total patient care charges per Worksheet S-10, line 1 of the Medicare Cost Report. Bad debt is not included in any amounts reported in the table.
Schedule H, Part I, Line 7, column (f)Bad debt expense of $7,423,956 attributable to patient accounts has been excluded from the computation of all community benefit expense shown in Part I, Line 7, column F.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART II Sturdy Memorial Hospital undertakes community building activities designed to promote the wellbeing of residents in its primary and secondary service areas. The Hospital is involved in emergency management and preparedness and works with others in ITS region to coordinate ITS preparation and response to catastrophic health events. The Organinization works with local, state and federal law enforcement and other first responders on matters of public safety. The Hospital provides training opportunities for local students completing medical laboratory technician and phlebotomy programs. High school students interested in health care careers may shadow staff members or participate in internships.
BAD DEBT EXPENSESCHEDULE H, PART III, LINES 2, 3, AND 4 Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductibles and copayment balances due), the Hospital records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.
SHORTFALL TREATED AS COMMUNITY BENEFITSchedule H, Part III, Line 8 Sturdy Memorial Hospital, in keeping with its charitable mission, provides care to Medicare eligible patients of the community it serves beyond the amount it receives from the Medicare program. These individuals would have to travel out of our area or possibly forgo medical treatment without the services the Hospital provides. The Medicare shortfall incurred by the Hospital is viewed as lessening the burden of government, therefore providing a valuable community benefit.
DEBT COLLECTION POLICYSchedule H, Part III, Line 9b The Hospital's collection policy contains procedures to be followed for patients who are known to qualify for financial assistance. Once it is determined that a patient qualifies for free care, all collection procedures cease and the full balance is written off. If the patient qualifies for partial free care, the amount that qualifies under partial free care is written off and the remaining balance is subject to normal collection procedures. Massachusetts hospitals are required to adopt credit and collection policies. State regulations (101 CMR 613.00) outline the specific process for determining eligibility for public assistance programs and hospital collection practices. The Hospital provides patients with information about free care available through the hospital (a significant portion of which is coordinated through the state's Health Safety Net program, as well as financial assistance programs, such as MassHealth and Commonwealth Care, that are available through the Massachusetts Executive Office of Health and Human Services). The Hospital employs two full-time financial counselors that assist patients, and anyone else presenting who requires assistance, in applying for free care and state financial assistance programs through the state's uniform application. The Hospital Financial Assistance policy and Billing & Collection policy, that outlines its charity care practices, is filed with the Massachusetts Center for Health Information and Analysis and also available to patients upon request.
SCHEDULE H, PART VI, LINE 2With guidance and oversight from the Hospitals Planning Committee, Sturdys Community Benefits report is developed to reflect on activities from the prior year and provide recommendations for the Hospitals focus on community involvement for the following year. Community benefits planning is integrated into Sturdys annual planning and budgeting process to ensure we effectively support community benefits programming. Sturdy Memorial Hospital is involved in ongoing assessments of the health needs in our communities and participates in a number of community based programs. Continually being engaged in and familiar with our communities provides us with opportunities to identify health issues of greatest concern to our care providers and community partners and consider committing budgeted resources to those areas, whenever appropriate, to guide efforts to improve community health and wellness. The Hospital constantly monitors the results of patient satisfaction surveys, service statistics, provider and community feedback, insurer data, and other local and regional data. In addition, the Hospital continually works closely with community leaders, school and social services personnel, and other health care providers to identify health care trends and needs.
SCHEDULE H, PART VI, LINE 3Patients are informed of the availability of financial assistance by way of posted notices throughout the hospital as well as printed financial assistance brochures available in common areas of the hospital. Financial assistance information is printed on all itemized bills and patient statements. Scheduled Self Pay Surgical Day Care (SDC) & Inpatients are reviewed prior to admission to determine payment arrangement or to coordinate a meeting with a Financial Counselor. SDC & Inpatients who are unable to leave a deposit or make a payment arrangement towards a large out of pocket expense are also encouraged to meet with a Financial Counselor. Upon discharge from the Emergency Care Center (ECC), uninsured patients are encouraged to meet with a Financial Counselor. If unable to see a Financial Counselor following discharge, the patient is given a financial assistance letter outlining the application process, the documents required, telephone numbers and directions to the financial counselor's office. Following an ECC visit, uninsured patients receive a phone call from a Patient Financial Services Representative encouraging the patient to meet with a Financial Counselor for financial assistance.
COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINE 4 The Hospital serves a total population base of 228,800 (based on 2010 U.S. Census data) in 12 suburban communities located between Boston, MA and Providence, RI that is largely educated (completed high school), employed, and English speaking. As a community resource, the Hospital has a primary commitment to serve the residents of Attleboro, Foxboro, Mansfield, North Attleboro, Norton, Plainville, Seekonk, Rehoboth, and Wrentham. Norfolk, Sharon, and Walpole are considered part of our secondary service area. We also serve bordering towns in nearby Rhode Island. However, anyone who requires care will receive it, regardless of place of residence.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5 Sturdy Memorial Hospital furthers its exempt purpose by promoting the health and wellbeing of members of the communities it serves. In addition to providing health care to all, regardless of ability to pay, the Hospital annually offers nearly one hundred community benefit programs and events. The Hospital extends medical staff privileges to all qualified physicians in our service area. A majority of the Hospitals Board of Managers are comprised of individuals living in the community who are independent civic, health care and business leaders. Surplus funds are used to improve our facilities, purchase state-of-the art medical equipment and expand our community offerings. SCHEDULE H, PART VI, LINE 6 Sturdy Memorial Hospital is part of an affiliated health care system. Under the control of its parent organization, Sturdy Memorial Foundation, affiliates Sturdy Memorial Hospital and Sturdy Memorial Associates coordinate the provision of health care services to residents in its service area of Bristol and Norfolk counties in Massachusetts.
STATE FILING OF COMMUNITY BENEFITS REPORTSCHEDULE H, PART VI, LINE 7 Sturdy Memorial Hospital files its Community Benefits Report in Massachusetts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
CITY OF ATTLEBORO
77 Park StreetATTLEBOROMA02703046001378GOVT$18,500$0COMMUNITY SUPPORT
STURDY MEMORIAL ASSOCIATES
211 Park St 2963ATTLEBOROMA02703042706501501(C)(3)$7,779,893$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePROCEDURES FOR MONITORING USE OF GRANT FUNDSFormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2 THE HOSPITAL PROVIDES GRANTS IN FURTHERANCE OF ITS CHARITABLE MISSION AND TO PROMOTE GENERAL WELL-BEING IN THE COMMUNITIES IT SERVES. WHEN GRANTS ARE MADE, THEY ARE REVIEWED AND APPROVED BY THE BOARD OF MANAGERS. THE HOSPITAL MONITORS GRANTS TO ENSURE THEY ARE USED FOR THEIR INTENDED PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEAN SIDDALL-BENSSON MD
DIRECTOR & PHYSICIAN$0$194,562$0$1,317$0$725$0$22,823$0$10,017$0$229,444$0$0
JOSEPH CASEY
PRESIDENT & CEO$486,579$0$201,205$0$274,844$0$46,611$0$29,575$0$1,038,814$0$0$0
AMY PFEFFER
CFO & TREASURER$281,661$0$21,971$0$80,260$0$59,217$0$25,071$0$468,180$0$0$0
ROBIN MORRIS
VP OF CLINICAL OPS & INTEGRITY$219,440$0$43,205$0$1,365$0$40,693$0$13,345$0$318,048$0$0$0
DAVID SPOOR
VP OF PATIENT SRVS/CHF. OF NSG$194,667$0$16,205$0$405$0$24,390$0$12,776$0$248,443$0$0$0
BRIAN KELLY MD
VP & CMO$442,453$0$35,205$0$47,668$0$36,280$0$28,857$0$590,463$0$0$0
CHERYL BARROWS
VP HR (THRU 11/18)$201,648$0$36,084$0$24,038$0$13,000$0$29,507$0$304,277$0$0$0
BRIAN PATEL MD
CHIEF AMBULATORY$425,144$0$15,205$0$18,927$0$2,371$0$28,983$0$490,630$0$0$0
RONALD VANESS-OTUNNU MD
PHYSICIAN$349,934$0$15,674$0$15,967$0$25,358$0$26,083$0$433,016$0$0$0
MARK MCGUIRE MD
PHYSICIAN$356,214$0$16,923$0$17,701$0$3,152$0$26,083$0$420,073$0$0$0
ALLAN RASKIN MD
PHYSICIAN$283,392$0$7,484$0$14,610$0$53,166$0$26,083$0$384,735$0$0$0
LAURINE THORNTON-POTTER MD
PHYSICIAN$274,734$0$2,044$0$14,984$0$40,640$0$26,083$0$358,485$0$0$0
BRUCE AUERBACH MD
FORMER EXEC DIRECTOR$379,518$0$126,205$0$228,719$0-$61,356$0$27,390$0$700,476$0$0$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
TAX INDEMNIFICATION AND GROSS-UP PAYMENTSSchedule J, Part I, Line 1a HOSPITAL PAYMENTS TO RETIREMENT PLANS THAT ARE TAXABLE UPFRONT, ARE PARTIALLY GROSSED UP FOR TAXES. DURING CALENDER YEAR 2018, THE EXECUTIVE DIRECTOR RECEIVED A PAYMENT (SEE SCHEDULE J, PART I, LINE 4 EXPLANATION FOR MORE DETAIL). ALSO, THE HOSPITAL PAID A BONUS TO ALL HOSPITAL EMPLOYEES. EMPLOYEES RECEIVED SAME NET AMOUNT (PRORATED FOR HOURS WORKED), WITH THE HOSPITAL EFFECTIVELY PAYING TAXES. THE HOSPITAL ALSO PROVIDES ITS SENIOR MANAGERS WITH LONG-TERM DISABILITY INSURANCE. THE COST OF THIS INSURANCE IS GROSSED UP TO EFFECTIVELY PAY FOR THE RELATED TAXES AND IS ADDED TO THE MANAGERS' GROSS EARNINGS. THIS BENEFIT WAS PROVIDED TO JOSEPH CASEY, BRUCE AUERBACH, MD, AMY PFEFFER, CHERYL BARROWS, DAVID SPOOR, ROBIN MORRIS, BRIAN PATEL, MD, AND BRIAN KELLY, MD DURING CALENDAR YEAR 2018.
APPROVAL FOR GROSS-UP PAYMENTSSchedule J, Part I, Line 1b THE EXECUTIVE COMMITTEE APPROVES THE SUPPLEMENTAL RETIREMENT PLAN. THE ANNUAL BONUS AND DECISION TO GROSS UP THE AMOUNT IS DISCRETIONARY AND IS APPROVED BY THE BOARD OF MANAGERS.
SEVERANCE AGREEMENTSSchedule J, Part I, Line 4a BRUCE AUERBACH, MD, EXECUTIVE DIRECTOR THROUGH 8/2018, RECEIVED $203,191 IN SEVERANCE PAY IN 2018 FROM STURDY MEMORIAL HOSPITAL. CHERYL BARROWS, VP OF HUMAN RESOURCES THROUGH 11/2018, RECEIVED $12,692 IN SEVERANCE PAY IN 2018 FROM STURDY MEMORIAL HOSPITAL. ALL AMOUNTS WERE TREATED AS TAXABLE INCOME AND ARE INCLUDED IN SCHEDULE J, PART II,COLUMN (B)(III).
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSchedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN STURDY MEMORIAL HOSPITAL PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. SUPPLEMENTAL RETIREMENT CONTRIBUTIONS WERE MADE THROUGH NON-QUALIFIED RETIREMENT PLANS FOR QUALIFIED EMPLOYEES IN CALENDAR YEAR 2018. THE TOTAL OF NON-QUALIFIED RETIREMENT CONTRIBUTIONS IN 2018 ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). JOSEPH CASEY ($14,455) PARTICIPATED IN THE PLAN IN 2018.
NON-FIXED PAYMENTSSchedule J, Part I, Line 7 COMPENSATION PACKAGES FOR THE CEO, SENIOR MANAGERS, AND LISTED PHYSICIANS INCLUDE OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON A COMBINATION OF MEETING OR EXCEEDING PRE-DETERMINED GOALS. ALL INCENTIVE COMPENSATION IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE AND HAS BEEN REPORTED ON SCHEDULE J, PART II, COLUMN B (II).
DEFERRED COMPENSATIONSchedule J, Part II, Column C The actuarial adjustment for the deferred compensation plan for Bruce Auerbach resulted in a negative accrual for the year.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$29,153NoncashContributionsRptF990Amt
Method Of Determining RevenuesBLUE BOOK VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION'S MISSION (CONTINUED)FORM 990, PART III, LINE 1 THE HOSPITAL WORKS TO ENSURE THAT AMPLE, HIGH QUALITY PRIMARY AND SPECIALTY PHYSICIAN SERVICES ARE ACCESSIBLE TO AREA RESIDENTS. ADDITIONALLY, WE TRY TO AVOID COSTLY DUPLICATION OF HEALTH CARE SERVICES BY COORDINATING WITH OTHER AREA HEALTH CARE PROVIDERS TO THE EXTENT PRACTICABLE. THE HOSPITAL PROVIDES LEADERSHIP WHILE WORKING IN COOPERATION WITH PUBLIC AND PRIVATE HEALTH ORGANIZATIONS, AS WELL AS CIVIC AND BUSINESS ORGANIZATIONS, TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITIES.
PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)FORM 990, PART III, LINE 4A THE HOSPITAL PROVIDES HIGH QUALITY CARE TO THE SICK AND INJURED, ON BOTH AN INPATIENT AND OUTPATIENT BASIS, WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN AGE, GENDER, DISABILITY, OR ABILITY TO PAY. IN FISCAL YEAR 2019, THE HOSPITAL PROVIDED 3,579 FREE CARE VISITS AND 477 PARTIAL FREE CARE VISITS. THE HOSPITAL TREATED 10,732 INPATIENTS AND OBSERVATION PATIENTS, INCLUDING BIRTHS, OF WHICH THERE WERE 645. THE HOSPITAL TREATED 48,588 PATIENTS IN THE EMERGENCY ROOM AND PERFORMED SURGERY ON 1,546 INPATIENTS AND 9,457 OUTPATIENTS. THE HOSPITAL PROVIDES MANY OTHER SERVICES OF WHICH THE FOLLOWING IS A PARTIAL LIST: ONCOLOGY 7,833 VISITS; MANSFIELD HEALTH CENTER- 20,613 VISITS; CARDIAC REHABILITATION- 17,238 VISITS; AND WOUND CARE- 4,226 VISITS. IN ADDITION, THE HOSPITAL PROVIDES A VARIETY OF ANCILLARY SERVICES - A PARTIAL LIST INCLUDES: LABORATORY, RADIOLOGY, MAMMOGRAPHY, COMPUTERIZED TOMOGRAPHY, MRI, NUCLEAR MEDICINE, VASCULAR, ULTRASOUND, SLEEP STUDY AND PHYSICAL THERAPY. THE HOSPITAL PROVIDED APPROXIMATELY $6,457,000 IN SERVICES FOR THOSE WHO COULD NOT PAY (FREE CARE) OR WOULD NOT PAY (BAD DEBT) IN FISCAL YEAR 2019. IN ADDITION, THE HOSPITAL PROVIDED APPROXIMATELY $9,148,000 IN UN-REIMBURSED MASSHEALTH (MEDICAID) SERVICES DURING THE YEAR. FURTHER, THE HOSPITAL PROVIDES A NUMBER OF PROGRAMS TO BENEFIT OUR COMMUNITY EITHER AT NO CHARGE OR AT REDUCED RATES. THE HOSPITAL ALSO PROVIDES LEADERSHIP IN THE INTEGRATION OF HEALTH SERVICES FOR THE COMMUNITIES IT SERVES. IN APRIL 2019, IN RESPONSE TO THE OPIOID CRISIS, STURDY PARTNERED WITH COLUMN HEALTH TO BRING SUBSTANCE USE DISORDER TREATMENT TO OUR COMMUNITY.
EMPLOYEES REPORTED ON FORM W-3FORM 990, PART V, LINE 2A STURDY MEMORIAL HOSPITAL, INC. IS THE COMMON PAYMASTER FOR STURDY MEMORIAL ASSOCIATES, INC. AND STURDY MEMORIAL FOUNDATION, INC. THE TOTAL NUMBER OF EMPLOYEES LISTED ON PART V, LINE 2A REPRESENTS HOSPITAL EMPLOYEES INCLUDED UNDER THE COMMON PAYMASTER FILING.
VOTING RIGHTS OF GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 1A THE BYLAWS OF STURDY MEMORIAL HOSPITAL, INC. STATE THAT "THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF MANAGERS EXCEPT FOR SUCH MATTERS AS ARE SPECIFIED IN SECTION 55 OF THE [MASSACHUSETTS] GENERAL LAWS, CHAPTER 156B." THE EXECUTIVE COMMITTEE CONSISTS ONLY OF MEMBERS OF THE BOARD OF MANAGERS OF STURDY MEMORIAL HOSPITAL.
BUSINESS RELATIONSHIPS WITH GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 2 JOSEPH CASEY, DENNIS KELLY AND EDWARD DION-BUSINESS RELATIONSHIP. PAUL HEROUX AND LAURA GIGNAC-BUSINESS RELATIONSHIP. IN ADDITION, OTHER PERSONS LISTED IN PART VII HAVE A "BUSINESS RELATIONSHIP" WITH ONE ANOTHER DUE TO THE OVERLAPPING BOARD STRUCTURE OF STURDY MEMORIAL FOUNDATION AND ITS AFFILIATES.
MEMBERS OR STOCKHOLDERSFORM 990, PART VI, SECTION A, LINE 6 STURDY MEMORIAL FOUNDATION, INC., A MASSACHUSETTS CHARITABLE CORPORATION, ACTING THROUGH ITS BOARD OF DIRECTORS, IS THE SOLE MEMBER OF THE STURDY MEMORIAL HOSPITAL, INC.
MEMBERS OR STOCKHOLDERS WHO MAY ELECT MEMBERS OF GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF MANAGERS OF STURDY MEMORIAL HOSPITAL, INC. CONSISTS OF THOSE PERSONS WHO SERVE AS THE DIRECTORS OF STURDY MEMORIAL FOUNDATION, INC. FOUNDATION MEMBERS ARE ELIGIBLE TO ATTEND ALL MEETINGS OF THE CORPORATION AND TO HOLD OFFICE. NEW MEMBERS ARE ELECTED TO MEMBERSHIP BY THE EXISTING MEMBERS FOR THREE YEAR TERMS.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY STURDY MEMORIAL'S TAX PROVIDERS, GRANT THORNTON LLP, USING INFORMATION PROVIDED BY MANAGEMENT UPON COMPLETION OF THE ANNUAL INDEPENDENT AUDIT. THE INFORMATION PROVIDED IS THE RESPONSIBILITY OF THE CFO AND STURDY'S FISCAL SERVICES DEPARTMENT. THE RETURN IS REVIEWED BY GRANT THORNTON LLP, THE CONTROLLER AND CFO, AND COMPENSATION AND BENEFIT SECTIONS ARE SPECIFICALLY REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES FOR STURDY MEMORIAL HOSPITAL, INC. FORM 990 IS THEN PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW AND RECOMMENDATION OF APPROVAL. EVERY BOARD MEMBER RECEIVES FORM 990 AND ALL SCHEDULES PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE.
CONFLICT OF INTEREST POLICY MONITORING AND ENFORCEMENTFORM 990, PART VI, SECTION B, LINE 12C ALL HOSPITAL LEADERSHIP AND BOARD MEMBERS COMPLETE AND SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE STATEMENT REQUIRES DISCLOSURE OF ANY OUTSIDE INTERESTS IN ANY BUSINESS, OUTSIDE ACTIVITY, GIFTS, OR ENTERTAINMENT THAT MAY HAVE INFLUENCED THE RESPONDENT. IN ADDITION, THESE SIGNED STATEMENTS ARE REVIEWED BY THE INTEGRITY OFFICER AND ANY POTENTIAL CONFLICTS ARE ADDRESSED AND RESOLVED. THE INTEGRITY OFFICER DISCUSSES DISCLOSED POTENTIAL CONFLICTS WITH EMPLOYEES, OFFICERS AND DIRECTORS OF THE HOSPITAL, SO THAT THEY UNDERSTAND WHAT CONSTITUTES AN INAPPROPRIATE BUSINESS ACTIVITY. ANY GIFTS RECEIVED THAT CREATE A CONFLICT OR ARE IN VIOLATION OF THE CONFLICT OF INTEREST POLICY MUST BE RETURNED. INDIVIDUALS WITH DOCUMENTED CONFLICTS MUST ABSTAIN FROM ANY DECISION MAKING SPECIFIC TO THE IDENTIFIED AREA. AN ANNUAL REPORT IS PREPARED AND PROVIDED TO THE HOSPITAL'S PRESIDENT AND CEO AS WELL AS BOARD OF MANAGERS; THIS COMPREHENSIVE REPORT INCLUDES ALL INTEGRITY COMPLIANCE ISSUES AS WELL AS ANY NEWLY IDENTIFIED CONFLICTS OF INTEREST.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15A INDEPENDENT MEMBERS OF STURDY MEMORIAL HOSPITAL'S EXECUTIVE COMMITTEE, ACTING AS THE COMPENSATION COMMITTEE, MAKE COMPENSATION DECISIONS FOR THE ORGANIZATION'S CEO. THE HOSPITAL OBTAINS COMPARATIVE MARKET DATA FROM AN OUTSIDE CONSULTANT AND ALSO RELIES ON PERFORMANCE METRICS FOR MASSACHUSETTS HOSPITALS FROM THE CENTER FOR HEALTH INFORMATION AND ANALYSIS. THE COMPENSATION COMMITTEE REVIEWS COMPARATIVE DATA FOR CEO TOTAL COMPENSATION, INCLUDING BASE SALARY, INCENTIVES AND BENEFITS. ONLY COMMITTEE MEMBERS WHO ARE INDEPENDENT WITH REGARDS TO COMPENSATION MATTERS MAY PARTICIPATE IN DELIBERATIONS AND VOTES. THE COMMITTEE'S REVIEW AND APPROVAL PROCESS TAKES PLACE ANNUALLY FOR IMPLEMENTATION AT THE START OF THE FISCAL YEAR. DELIBERATIONS AND VOTES ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15B THE CEO USES COMPARATIVE MARKET DATA OBTAINED FROM AN INDEPENDENT CONSULTANT TO DETERMINE ANNUAL COMPENSATION ADJUSTMENTS FOR THE CFO AND HOSPITAL KEY EMPLOYEES. THE EXECUTIVE COMMITTEE REVIEWS THE SURVEY INFORMATION, AS WELL AS PROPOSED BASE AND INCENTIVE PAY, AND VOTES TO ACCEPT THE RECOMMENDATION OF THE CEO FOR SENIOR MANAGER COMPENSATION. THE INDEPENDENT MEMBERS OF THE EXECUTIVE COMMITTEE, ACTING AS THE COMPENSATION COMMITTEE, VOTES TO APPROVE THE CFO'S COMPENSATION. THE VOTE IS DOCUMENTED IN THE BOARD MINUTES.
PARTICIPATION IN JOINT VENTURE ARRANGEMENTSFORM 990, PART VI, SECTION B, LINE 16B STURDY MEMORIAL HOSPITAL HAS A POLICY REQUIRING EVALUATION OF ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL AND STATE LAW. THE HOSPITAL REQUIRES THAT ANY VENTURE OR ARRANGEMENT WITH THIRD PARTIES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE HOSPITAL'S EXEMPTION, SUCH AS POLITICAL ACTIVITIES, SUBSTANTIAL LOBBYING, PRIVATE INUREMENT OR SUBSTANTIAL NONEXEMPT ACTIVITIES. THE HOSPITAL SHALL MAINTAIN CONTROL, PRIORITIZE ITS EXEMPT PURPOSES, ENTER CONTRACTS AT ARMS-LENGTH, REQUIRE TRANSPARENT REPORTING, AND ENSURE ANY VENTURE COMPLY WITH INTERNAL REVENUE CODE SECTION 501(R). THE HOSPITAL'S MANAGEMENT SHALL NEGOTIATE ANY VENTURES OR ARRANGEMENTS WITH THE ASSISTANCE OF LEGAL COUNSEL, IF NECESSARY, AND THE HOSPITAL'S BOARD OF MANAGERS APPROVES ANY VENTURE OR ARRANGEMENT. THE HOSPITAL CURRENTLY PARTICIPATES IN SEVERAL VENTURES, ALL RELATED TO HEALTH CARE OPERATIONS.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL MAKES AVAILABLE COPIES OF ITS BY-LAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9 Pension Adjustment $(50,251,000) NET ASSETS RELEASED FROM RESTRICTION $117,847 --------------- TOTAL $(50,133,153)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Sturdy Memorial Associates Inc
211 Park Street PO Box 2963AttleboroMA02703042709501PhysiciansMA501(c)(3)12-IISMFfalse
Sturdy Memorial Foundation Inc
212 Park Street PO Box 2963AttleboroMA02703042103631DevelopmentMA501(c)(3)12-IINAfalse
Emory Street Radiology Associates Inc
213 Park Street PO Box 2963AttleboroMA02703043137282RADIOLOGYMA501(c)(3)12-IISMHYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SHV IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1127 Pearl StreetAddressLine1Txt
CityAttleboroCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02703ZIPCd
FieldValueIRS element (for citing)
EIN042855097EIN
Primary ActivitiessalES AND rentalPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SMFBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
RELATED TAX-EXEMPT ORGANIZATIONSSCHEDULE R, PART II STURDY MEMORIAL ASSOCIATES, INC.'S PRIMARY ACTIVITIES: RECRUIT PHYSICIANS TO EXPAND AND IMPROVE THE AVAILABILITY OF QUALITY MEDICAL CARE IN THE STURDY MEMORIAL HOSPITAL SERVICE AREA. STURDY MEMORIAL FOUNDATION, INC.'S PRIMARY ACTIVITIES: ENGAGING IN PHILANTHROPHIC ACTIVITIES TO SUPPORT THE MISSION AND PURPOSE OF STURDY MEMORIAL HOSPITAL, INC
RELATED ORGANIZATION TAXABLE AS A CORPORATIONSchedule R, Part IV SHV Inc., which does business under the trade name Attleboro Area Medical Equipment Co, is a for-profit corporation actively engaged in the sale and rental of medical equipment and accessories in the Greater Attleboro Area. The company extends credit to its customers and is paid directly or by private insurance.