2017-08-14T10:09:59-07:00 2016-09-30 990 2015-10-01 042103602 MILFORD REGIONAL MEDICAL CENTER INC MILF 5084731190 14 PROSPECT STREET MILFORD MA 017573090 JEANNE P LYNSKEY VP, FINANCE & CFO 5084731190 2017-08-14 2015 2021-01-29 14:40:06Z Jeanne P Lynskey 14 Prospect Street Milford MA 01757 210433716 0 X WWW.MILFORDREGIONAL.ORG X 1903 MA Milford Regional Medical Center Inc mission statement is to provide quality healthcare services to our community with dignity, compassion, and respect. 15 9 2077 511 583463 -150540 4353982 265137 189052589 195605423 1149277 637619 9443254 9738388 203999102 206246567 0 0 0 0 113105430 122414514 93538 0 1115910 79032191 84431499 192231159 206846013 11767943 -599446 266978436 255392637 145360849 138442164 121617587 116950473 Milford Regional Medical Center Inc is committed to providing exceptional healthcare services to our community with dignity, compassion and respect. 0 0 179430616 195021960 Milford Regional Medical Center serves the healthcare needs of the residents of 20-plus communities in Central Massachusetts, a population now approaching 250,000. Guided by its mission to provide exceptional healthcare services to the community with dignity, compassion and respect, MRMC strives to be responsive to diverse constituencies - individuals and families of all ages, employees and employers of large and small businesses, physicians and other healthcare providers, our school systems, our local and state officials and safety personnel, churches, community organizations, our insurers and payers and our own employees and volunteers. As a non-profit hospital, we acknowledge the needs of the underserved, especially, low-income and minority populations. A full-service community and regional teaching hospital, Milford Regional is a 145-bed acute care facility. There 300 primary care and specialty physicians on the medical staff, our physicians are skilled in the most advanced procedures and technology, and provide personalized patient care in a warm and caring environment. MRMC is an affiliate of UMASS Memorial as a teaching hospital. It is also affiliated with Children's Hospital, Dana Farber Cancer Institute, Brigham and Women's Hospital, and Brigham and Women's Physician Organization. In addition to providing basic acute care services (medical, surgical, emergency medicine, family-centered obstetrics and pediatrics)MRMC has eight state-of-the-art operating suites, consolidated surgical services (including admitting and pre-admission testing), and a medical/surgical floor with advanced patient monitoring capabilities. Milford Regional recorded 13,214 inpatient discharges/observation stays and 5,910 day surgeries in FY 2016. In FY 2016, Milford Regional introduced the Elder Wellness Program, which is designed to prevent a decline in mental and physical abilities often seen in older adults during hospitalization. Milford Regional earned the designation of 2016 Center of Excellence in Neonatal Abstinence Syndrome Care. In response to the increased opioid use in pregnant women resulting in a rise in the number of newborns developing severe signs of opioid withdrawal, Milford Regional became one of 110 medical centers around the country to enroll in a national quality improvement collaborative dedicated to improving the quality, safety and value of care for substance-exposed infants and their families. As a result, the Milford Regional team implemented Baby Steps, a new program to help prepare families to care for their newborn that has been exposed to medications, drugs or alcohol. Another program introduced in FY 2016 that provides support for moms with their newborns was The Snuggle Squad, a group of highly trained volunteers who comfort and soothe newborns in Milford Regional's Maternity Center. Their role is particularly important in assisting babies with Neonatal Abstinence Syndrome, and new mothers recovering from a difficult birth. Milford Regional has also invested in many upgrades to provide the most up-to-date diagnostic technologies by installing the region's very first 3T MRI, as well as upgrades in digital radiology, low dose CT scanners and interventional radiology equipment. Milford Regional has earned awards in the past year, including a patient safety grade of A from the Leapfrog Group and the Stroke Gold Plus Quality Achievement Award from the American Heart Association/American Stroke Association. The awards also extend to our physicians. Four Tri-County Medical Associates (TCMA) primary care sites were recognized this year by National Committee for Quality Assurance (NCQA) as a Patient Centered Medical Homes; two practices received local recognition with Community Newspaper Company's Readers' Choice Gold Awards; and TCMA was named to Harvard Pilgrim's Honor Roll in 2016. In addition, TCMA was rated highly by patients in the Massachusetts Health Quality Partners (MHQP) annual patient experience survey. 0 0 0 179430616 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 1 1 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 0 0 0 1 240 0 2077 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 9 0 0 0 0 1 0 0 1 1 0 1 1 1 1 1 1 1 0 1 1 0 MA X Jeanne P Lynskey 5084731190 14 PROSPECT STREET MILFORD MA 017573090 William G Muller MD Trustee 1 0 X 42033 0 0 Paul Darcy Trustee 1 0 X 6775 0 0 Jeff Hopkins MD Trustee 1 0 X 3050 0 0 Vascen J Bogigian Trustee 1 0 X 0 0 0 John J Burns Vice Chairman 1 0 X 0 0 0 William G Burrill Trustee 1 0 X 0 0 0 Beverly Swymer Trustee 1 0 X 0 0 0 Barbara A Auger Trustee 1 0 X 0 0 0 Loriann Baranauskas Trustee 1 0 X 0 0 0 Robert L Kilroy Chairman 1 0 X 0 0 0 John Brabazon Treasurer 1 0 X 0 0 0 Robert Littleton Jr Trustee 1 0 X 0 0 0 Laura Mann Clerk 1 0 X 0 0 0 Delia Vetter Trustee 1 0 X 0 0 0 Richard J Daly Trustee 1 0 X 0 0 0 Francis Saba CEO 40 0 X 576842 0 25778 Edward J Kelly President 40 0 X 538097 0 29202 Jeanne P Lynskey VP Finance and CFO 40 0 X 247531 0 25427 Mary Czymbor Chief Medical Officer 40 0 X 344320 0 16565 Judy Kelly VP of Patient Care Services 40 0 X 166469 0 21145 Nancy Tomaso VP Patient Care Services 40 0 X 236785 0 8044 Linda Yates VP Human Resources 40 0 X 190308 0 27069 Martin Richman VP of Philanthropy 40 0 X 188146 0 21611 Nicole A Heim Chief Information Officer 40 0 X 176320 0 23401 Peggy Novick VP Clinical Support 40 0 X 194756 0 6180 2911432 0 204422 173 0 1 0 Consigli Construction Co Inc 72 Summber Street Milford MA 01757 Construction 23974938 Alliance Healthcare Inc PO Box 96485 Chicago IL 60693 MRI Services/PET Services 3915187 Sodexo Inc & Affiliates PO BOX 360170 Pittsburgh PA 15251 Nutrition Management 1381003 Orion Emergency Services 26 Old Brook Rd Shrewsbury MA 01545 Emergency Room Management 1276039 Aramark 12483 Collections Center Drive Chicago IL 60693 BioMedical Engineering Services 1496142 30 0 0 654718 0 0 -389581 186923 265137 Total Inpatient/Outpatient Revenue 622000 195605423 195021960 583463 0 0 0 0 0 195605423 729676 0 0 729676 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3783482 300 3789081 86758 -5599 -86458 -92057 0 0 -92057 350018 654718 303893 46125 0 46125 53013 7417 45596 0 0 45596 0 0 0 0 0 0 Cancer Center 900099 4210059 0 0 4210059 Rents 900099 2145046 0 0 2145046 Cafeteria 900099 900060 0 0 900060 2391502 0 0 2391502 9646667 206246567 195021960 583463 10376007 0 0 0 0 0 0 0 0 2049305 0 2049305 0 0 0 0 0 96658270 85712699 10498284 447287 1559447 1372314 171539 15594 14676772 12915559 1614445 146768 7470720 6574234 821779 74707 2287915 2139743 148172 0 193269 0 193269 0 79799 0 79799 0 0 0 0 0 0 0 0 0 0 0 0 0 0 255148 224531 28066 2551 36930530 35453945 1358946 117639 2206478 1924200 240525 41753 0 0 0 0 7993071 7400136 522264 70671 166246 88353 76690 1203 0 0 0 0 0 0 0 0 5697984 0 5697984 0 0 0 0 0 9780334 8606693 1075837 97804 1060647 933370 116671 10606 Contract Services 10144916 8503429 1605912 35575 Collection fee 611239 611239 0 0 Physician fees 4779178 4779178 0 0 Health Safety Net 1603908 1603908 0 0 640837 587085 0 53752 206846013 179430616 26299487 1115910 3340 3340 80276053 60731046 10990481 8100498 25185992 26138586 0 0 0 0 0 0 3791098 4263916 2922187 3465537 242161387 109469763 124124205 132691624 0 0 8009740 8111640 0 0 0 0 11675340 11886450 266978436 255392637 27204471 21354148 0 0 0 0 109472287 108405090 0 0 0 0 1748022 711511 0 0 6936069 7971415 145360849 138442164 X 107749200 105267571 13240446 11054961 627941 627941 121617587 116950473 266978436 255392637 X -599446 924003 0 0 0 -4991671 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 0 1 50886 50886 0 Schedule C, Part II-B, Line 1 Letter G - From time to time, the Hospital reaches out to our state and federal legislators on matters relating to Hospital Operations. Letter I - the $50,886 shown represents a portion of Massachusetts Hospital and American Hospital Association dues used for lobbying purposes as defined by Medicare. 2522157 0 210118 0 6497 0 2725778 2531270 0 35261 0 44375 0 2522156 2257571 0 313258 0 39559 0 2531270 2004918 0 290165 0 37512 0 2257571 1667003 0 373387 0 35472 0 2004918 0 0.23 0.77 0 0 5681087 0 5681087 135853453 0 38471879 97381574 1459890 0 588390 871500 95381932 0 67685708 27696224 3785025 0 2723786 1061239 132691624 0 Due to Third Party Contractors 7971415 7971415 X Schedule D, Part V, Line 4 The organization has a Spending Policy which provides a policy with regards to the use of Investment Income and gains on amounts held in the Endowment Funds. Further to provide a consistent, predictable level of support to operations and permit the organization to maintain the purchasing power of the amounts held in the Endowment Fund. The amounts to be made available to the operating fund will be calculated at the end of the third quarter of each fiscal year. Schedule D, Part X, Line 2 A review has been performed of each of the Organizations' revenue streams in relation to FIN 48. The result of the review is that the following has been identified as Unrelated Business Income: Non patient laboratory testing provided to nursing homes and non-affiliated (non Tri-County Medical Association) physician offices. Central America and the Caribbean 0 0 Investments 129127 Europe (including Iceland and Greenland) 0 0 Investments 254130 0 0 383257 0 0 0 0 0 0 Golf 16 295340 242673 52667 0 0 30159 0 0 9805 Melange Event 636350 407800 228550 0 0 0 51250 5550 171039 3 73047 4245 68802 0 0 0 0 450 35640 1004737 654718 350019 0 0 30159 51250 6000 216484 303893 46126 0 0 53013 5440 1977 0 53013 5440 0 0 1977 7417 45596 MA 1 0 1 0 0 1 Emily Quinn 14 Prospect St Milford MA 01757 0 Emily Quinn 0 Vice President Philanthropy X 0 0 1 1 1 X 1 X 1 1 1 0 0 0 0 5030202 1354931 3675271 0.0178 0 0 21296631 17866938 3429693 0.0166 0 0 3363754 2475670 888084 0.0043 0 0 29690587 21697539 7993048 0.0387 11 0 534632 0 534632 0.0026 1 0 1680500 616245 1064255 0.0051 2 0 5130163 1670666 3459497 0.0167 0 0 0 0 0 0 1 0 25127 0 25127 0.0001 15 0 7370422 2286911 5083511 0.0245 15 0 37061009 23984450 13076559 0.0632 0 2607593 346735 47310792 61887933 -14577141 X 1 1 1 1 Milford Regional Medical Center Inc 14 Prospect Street Milford MA 01757 www.milfordregional.org 2105 X X X X Milford Regional Medical Center Inc 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X foundation.milfordregional.org 0 0 1 X 200 350 X X X X 1 1 X X X 1 X www.milfordregional.org/financialservices X www.milfordregional.org/financialservices X www.milfordregional.org/financialservices X X X X 0 X 0 1 X 0 1 Schedule H, Part V, Section B, Line 5-Milford Regional Medical Center Inc Milford Regional Medical Center completed our Community Health Needs Assessment (CHNA) in September 2015. The process was led by the Community Benefits Steering Committee with support from HRiA and under the leadership of then-CEO Frank Saba. The CHNA included quantitative data analysis, a community survey with over 1,000 respondents and interviews with key stakeholders. Interviewees represented health care, public safety, government, education and the clergy. A Strategic Implementation Plan for FY 2014-2016 developed by the Steering Committee was reviewed and evaluated, addressing goals and objectives of the priority areas: behavioral health, healthy weight for youth, access to care, and chronic disease prevention. With community partnerships, support from hospital departments, and grant funding through the Executive Office of Health and Human Services and Metrowest Health Foundation, Milford Regional has addressed many of these issues in a substantive way. Milford Regional plays a leadership role in convening groups to improve health outcomes and works closely with the other agencies and institutions including Metrowest Health Foundation, MA Department of Public Health, Health Care for All, MA Executive Office of Health and Human Services, local elected officials, and 70 partner organizations within CHNA 6. Given the scope of the issues identified in the assessment, this work is ongoing. Schedule H, Part V, Section B, Line 11-Milford Regional Medical Center Inc Milford Regional Medical Center Inc. - The Community Needs Assessment was presented to community leaders, CEOs, school superintendents and boards of health directors at a leadership roundtable hosted by Milford Regional. The focus was on access to care with a panel representing primary care, behavioral health and specialty care. Milford Regional continues to work with community partners to focus on the four priority areas of behavioral health, chronic disease management, access to care and healthy weight for youth. Working as part of CHNA 6, grants have been awarded for work being done in those priority areas. The hospital continues to work internally, as well, with nutrition, diabetes, maternity, volunteer services and care management departments to address these priorities. Schedule H, Part V, Section B, Line 13h-Milford Regional Medical Center Inc Asset level is used for Medicare patients only. This follows Medicare guidelines. Schedule H, Part V, Section B, Line 22d-Milford Regional Medical Center Inc The Hospital used the Amount Generally Billed (AGB) method to determine the amount that can be charged to FAP-eligible individuals for emergency or other medical necessary care. The AGB is calculated using twelve months of Medicare and Commercial claims paid data and by dividing the total payments received from all parties by the covered charges. Schedule H, Part V, Section B, Line 24-Milford Regional Medical Center Inc At the Hospital, all patients are charged the gross charges for any services. Upon contact from an uninsured patient, a discussion occurs which may result in the discounting of gross charges. Schedule H, Part I, Line 7 Line 7 a/b/c were calculated using worksheets 1,2,3 provided in the instructions. Schedule H, Part I, Line 7, Column f Line 7F was determined by the cost and reimbursement information on the Medicare Cost Report. It was calculated by dividing Column E, Net Community Benefit Expense by total of Part IX Line 25 of Form 990 Core Form of $ Schedule H, Part III, Section A, Line 2 The Hospital's bad debt expense was estimated as the product of the Hospital's bad debt multiplied by the Hospital's overall cost-to-charge ratio calculated on Worksheet 2 of the instructions. Schedule H, Part III, Section A, Line 3 Bad debt expense attributable to patients eligibility for financial assistance was calculated as the accounts for which patients were unemployed to the time of service multiplied by the Hospital's overall cost-to-charge ratio. Schedule H, Part III, Section A, Line 4 In Line 2, Worksheet A in the instructions was used by taking bad debt as reported in the Hospital's audited financial statements multiplied by the cost-to-change ratio calculated in Worksheet 2 in the instructions. Schedule H, Part III, Section B, Line 8 The Hospital's Medicare Cost Report was used to determine the amount reported in line 6. Schedule H, Part III, Section C, Line 9b Once it has been determined that a patient qualifies for full or partial free care, all collection procedures cease and the full balance, or amount that qualifies under partial free care, is written off. Massachusetts hospitals are required to adopt a credit and collections policy under the Health Safety Net (HSN) regulations (114.6 CMR 13.08 (1) (c)) that outlines the specific process for determining eligibility for public assistance programs and hospital collection practices. Schedule H, Part VI, Line 2 Milford Regional stays current with studies by other agencies, particularly the Metrowest Adolescent Health Survey conducted by the MetroWest Health Foundation and state and local data. The Office of Community Benefits is actively engaged with the Community Health Network Are (CHNA) and other community coalitions/committees focusing on substance abuse, access to services, interpersonal violence prevention, cancer prevention and nutrition/physical activity/wellness to address emerging health needs. Schedule H, Part VI, Line 3 Patients are informed of the availability of financial assistance by way of payment statements printed with financial assistance information. At the time of discharge from the Emergency department, uninsured patients are encouraged to meet with an on-site Financial Counselor. If unable to meet with a Financial Counselor at the time of discharge, the patients are given a screening letter that gives contact information for our financial assistance department. The day following any emergency room visit, a form is generated on each uninsured patient and sent to the Financial Counselors. At that time, the Financial Counselors contact the patient to coordinate a meeting to apply for assistance, Scheduled self-pay Surgical Day Care (SDC) and inpatients are reviewed prior to admission to determine payment arrangements or to coordinate a meeting with a Financial Counselor. Insured SDC and inpatients who are unable to leave a deposit or make payment arrangements toward a large out of pocket expense are also encouraged to meet with a Financial Counselor. Schedule H, Part VI, Line 4 Milford Regional Medical Center serves the healthcare needs of the residents of 19 communities in Central Massachusetts, spanning 3 separate counties: Worcester, Norfolk and Middlesex. The Hospital's primary service area consists of Milford, Franklin, Bellingham, Northbridge, Whitinsville, Uxbridge, Blackstone, Hopedale, Medway and Mendon, a population of 145,362 according to 2010 US Census data. The Hospital's secondary service are consists of Douglas, Grafton, Hopkinton, Holliston, Millis, Wrentham, Upton, Medfield and Millville, a population of 96,310. The population of the MRMC service area has grown almost 9% over the past decade as opposed to the statewide average of 3%. The residents of this region are primarily Caucasian, accounting for 93.6% of the population. Hispanics comprise 2.7% of the population, with Asians also at 2.7% and Blacks at 1.0%. The population is nearly even in terms of gender, with 51% females. The bulk of the adult population (71.6%) is between the ages of 18-54, slightly higher than the state percentage, which is 68%. There has been an influx of Egyptian, Central American and Brazilian immigrants into the area, most likely not represented in these totals, but estimated at several thousand additional residents. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Vascen J Bogigian Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 John J Burns Vice Chairman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Delia Vetter Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 William G Burrill Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 William G Muller MD Trustee 0 0 0 0 42033 0 0 0 0 0 42033 0 0 0 Beverly Swymer Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Barbara A Auger Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Loriann Baranauskas Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Jeff Hopkins MD Trustee 0 0 0 0 3050 0 0 0 0 0 3050 0 0 0 Robert L Kilroy Chairman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 John Brabazon Treasurer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Paul Darcy Trustee 0 0 0 0 6775 0 0 0 0 0 6775 0 0 0 Robert Littleton Jr Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Laura Mann Clerk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Francis Saba CEO 475942 0 100900 0 0 0 146780 0 25778 0 749400 0 0 0 Edward J Kelly President 433597 0 104500 0 0 0 26708 0 29202 0 594007 0 0 0 Jeanne P Lynskey VP Finance and CFO 247531 0 0 0 0 0 0 0 25427 0 272958 0 0 0 Nancy Tomaso VP Patient Care Services 236785 0 0 0 0 0 0 0 8044 0 244829 0 0 0 Linda Yates VP Human Resources 190308 0 0 0 0 0 0 0 27069 0 217377 0 0 0 Peggy Novick VP Clinical Support 194756 0 0 0 0 0 0 0 6180 0 200936 0 0 0 Martin Richman VP of Philanthropy 188146 0 0 0 0 0 0 0 21611 0 209757 0 0 0 Nicole A Heim Chief Information Officer 176320 0 0 0 0 0 0 0 23401 0 199721 0 0 0 Richard J Daly Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Mary Czymbor Chief Medical Officer 344320 0 0 0 0 0 25131 0 16565 0 386016 0 0 0 Judy Kelly VP of Patient Care Services 166469 0 0 0 0 0 0 0 21145 0 187614 0 0 0 Schedule J, Part I, Line 1a Payments made to some members of senior management for insurance premiums are grossed up. Schedule J, Part I, Line 4 Francis M Saba and Edward J Kelly had payouts to their SERPS in FY16 of $436,602.11 and $21,120.79, respectively. Mary Czymbor received severance pay in FY16 A Massachusetts Health & Education Facilities Authority 042456011 57586CXJ9 2007-02-21 70279953 See Supplemental Information 0 0 0 B Massachusetts Devolopment Finance Agency 043431814 57583UC48 2014-01-29 45825887 See Supplemental Information 0 0 0 A 6195000 0 70279953 2664107 1509967 30555914 823473 0 0 34726491 0 0 0 1 1 1 B 0 0 45825887 1747073 2743850 12282441 772110 0 0 28280393 0 0 0 1 1 1 A 0 1 1 1 0 0.018 0 0.018 1 0 0 B 0 1 1 1 0 0 0 1 0 0 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 Schedule K, Part I, Column f-02/21/2007 70,279,953 Massachusetts Health & Education Facilities Autho The proceeds from the sale of the Series E Bonds and certain other available moneys will be used to finance and refinance the following: (I) construction, furnishing and equipping of an approximately 54,013 square foot building to be known as the Cancer Center (the "Cancer Center") and expansion of an existing parking lot, (ii) demolition of certain existing structures on the site of the Cancer Center, (iii) renovation, construction, furnishing, expansion and equipping of the Institution's cardiac catheterization lab, operating room area, cardiovascular department and its Gannett Inpatient Unit, (iv) various improvements, equipment and furnishings at the Institution's facilities in Milford, Massachusetts, and Whitinsville, Massachusetts, (v) the advance refunding of the Authority's Milford Whitinsville Regional Hospital issue, Series D, dated June 15, 2002 (the "Refunded Bonds"), (vi) the funding of a Debt Service Reserve Fund for the Series E Bonds, and (vii) the payment of costs of issuance associated with the Series E Bonds. Schedule K, Part I, Column f-01/29/2014 45,825,887 Massachusetts Devolopment Finance Agency The proceeds from the sale of the Series F Bonds and certain other available moneys will be used to finance and refinance the following: (i) the construction, furnishing and equipping of, and site preparation for, a two-story addition to the Institution's main hospital building, (ii) the refunding of the Massachusetts Health and Educational Facilities Authority Revenue Bonds, Milford Whitinsville Regional Hospital Issue, Series C (the "Refunded Bonds") currently outstanding in the aggregate principal amount of $12,205,000, (iii) the funding of a Debt Service Reserve Fund for the Series F Bonds, and (iv) the payment of costs of issuance associated with the Series F Bonds (collectively, the "Project"). The Refunded Bonds are expected to be redeemed approximately thirty-five (35) days following the issuance of the Series F bonds at a redemption price equal to 100% of the principal amount thereof. Schedule K, Part IV, Line 2c-02/21/2007 70,279,953 Massachusetts Health & Education Facilities Autho The rebate calculation has been performed annually in July of each year. Schedule K, Part IV, Line 2c-01/29/2014 45,825,887 Massachusetts Devolopment Finance Agency Calculation is performed annually in July. Alliance Healthcare Services Vendor/Contributor 3947212 Payments of $3,947,212 were made to Alliance Healthcare Services for services provided to the Hospital. 0 Aramark Healthcare Vendor/Contributor 1280345 Payments of $1,280,345 were made to Aramark Healthcare for services provided to the Hospital. Aramark also made contributions to the Hospital. 0 Atlantic Charter Insurance Company Vendor/Contributor 818275 Payments of $818,275 were made to Atlantic Charter Insurance Company for services provided to the Hospital. Atlantic Charter Insurance Company also made contributions to the Hospital. 0 M Catherine Burke Former Trustee 1280247 Payments of $1,280,247 were made to Orion Emergency Services for services rendered to the Hospital. Dr. Burke is President of Orion Emergency Services, Inc. Dr. Burke also made contributions to the Hospital. 0 Claflin Company Vendor/Contributor 5030946 Payments of $5,030,946 were made to Claflin Company for services rendered to the Hospital. Claflin Company also made contributions to the Hospital. 0 Consigli Contruction Vendor/Contributor 6283017 Payments of $6,283,017 were made to Consigli Construction for services rendered to the Hospital. Consigli Construction also made contributions to the Hospital. 0 Albert Crimaldi Former Trustee 501000 Payments were made to Milford Gastroenterology Associates, Inc. which provide services to the Hospital. Dr. Crimaldi is part owner of MIlford Gastroenterology Associates, Inc. Payments were also made to Milford Gastroenterology Realty with which the Hospital has entered into a lease agreement. Dr. Crimaldi is part owner of Milford Gastroenterology Realty. Dr. Crimaldi also made contributions to the Hospital 0 Paul Darcy Trustee 460358 Payments of $460,358 were made to Milford Anesthesia Associates for services rendered to the Hospital. Dr. Darcy is the owner of Milford Anesthesia Associates. 0 Harvard Pilgrim Health Care Vendor/Contributor 3427099 Payments of $3,427,099 were made to Harvard Pilgrim Healthcare for services rendered to the Hospital. Harvard Pilgrim also made contributions to the Hospital. 0 Jeffrey Hopkins MD Trustee 309522 Payments of $309,522 were made to Connecticut Medical Insurance Company for services rendered to the Hospital. Dr. Hopkins is a board member of CMIC. Dr. Hopkins also made contributions to the Hospital. 0 Jeffrey Hopkins MD Trustee 1280247 Payments of $1,280,247 were made to Orion Emergency Services for services provided to the Hospital. Dr. Hopkins is an employee of Orion Emergency Services, Inc. 0 Kevin Meehan Former Trustee 96261 Payments of $96,261 were made to the Imperial dealerships and MIlford National Bank & Trust. Mr. Meehan is the owner of the Imperial dealerships, and a shareholder in Milford National Bank & Trust. Mr. Meehan also made contributions to the Hospital. 0 Robert Kilroy Trustee 118064 Payments of $118,064 were made to Mirick O'Connell for services provided to the Hospital. Mr. Kilroy is an employee of MIrick O'Connell. 0 Murphy & McManus LLC Vendor/Contributor 237558 Payments of $237,558 were made to Murphy & McManus LLC for services rendered to the Hospital. Murphy & McManus LLC also made contributions to the Hospital. 0 Orion Emergency Services Vendor/Contributor Vendor/Contributor 1280247 Payments of $1,280,247 were made to Orion Emergency Services for services rendered to the Hospital. Orion Emergency Services also made contributions to the Hospital. 0 Osterman Management Vendor/Contributor 259752 Payments of $259,752 were made to Osterman Management for services rendered to the Hospital. Osterman Management also made contributions to the Hospital. 0 TLC Janitorial Vendor/Contributor 182833 Payments of $182,833 were made to TLC Janitorial for services rendered to the Hospital. TLC Janitorial also made contributions to the Hospital. 0 TRO Jung Brannen Corp Vendor/Contributor 93824 Payments of $93,824 were made to TRO Jung/Brannen Corp for services rendered to the Hospital. TRO Jung/Brannen Corp also made contributions to the Hospital. 0 X 0 FMV X 5 186923 FMV X Food and Supplies for Fundraisers 5 0 FMV X Tickets to sporting events 8 0 FMV X Golf 6 0 FMV X Vacations 6 0 FMV X Other Miscellaneous 169 0 FMV 0 0 1 0 Schedule M, Part I, Line 33 MRMC Inc. does not currently account for certain non-cash contributions or in-kind donations as revenue. Form 990, Part VI, Section A, Line 6 The organization is governed by a Board of Trustees. In addition, the organization has incorporators who serve as an advisory capacity to the Board of Trustees. Form 990, Part VI, Section B, Line 11b The Form 990 was provided to the Board of Trustees prior to filing via a link to the document. Form 990, Part VI, Section B, Line 12c The Organization has a written Code of Business Conduct which includes its conflict of interest policy. The By-laws of the Organization also include a Conflict of Interest section. Conflict of Interest disclosure statements are mailed annually to the Board of Trustees, senior management, and any person who is a member of a Board committee. The completed form is submitted to the President and CEO who summarizes the results and provides them to the Board of Trustees for their review and discussion. A subcommittee of the Board has been created to review any potential conflict of interest matters as they arise. Form 990, Part VI, Section B, Line 15 The Compensation Committee reviews the compensation of the President and CEO. The committee may consult with a nationally recognized consultant to assist it in determining that the organization's compensation structure and ranges are reasonable. Form 990, Part VI, Section C, Line 19 The organization makes its governing documents available to the public, such as its bylaws which include the organization's conflict of interest policy, through the annual filing of the Massachusetts Division of Public Charities Form PC. The Form PC is available for viewing by the public on the Massachusetts Attorney General's website and is also attached to the annual filing of the Massachusetts Form 3ABC which is submitted to town offices where the organization owns or leases property. The organizations' financial statements are included in the Form PC and are also included in a quarterly filing to the organization's bond holders. Form 990, Part XI, Line 9 The change in net assets results from transferring to affiliates ($5,157,326) and change in market value ($165,655.00). Tri-County Medical Associates Inc 9 Industrial Road Suite 5 Milford MA 01757 043159969 Physician Group MA 501(C)(3) 11A N/A MWRH Management Services Inc 14 Prospect Street Milford MA 01757 311631252 Provides office space, support to satellite clinics MA 501(C)(3) 11A N/A Milford Regional Healthcare Foundation Inc 14 Prospect Street Milford MA 01757 200773697 Fundraising MA 501(C)(3) 11A N/A Milford Whitinsville Healthcare Consortium Inc 14 Prospect Street Milford MA 01757 043248004 Physician Hospital Organization MA N/A C 366 0.5 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 1 0 Tri-County Medical Associates Inc j -22000 Market Value. Tri-County Medical Associates Inc k 90422 Market Value Tri-County Medical Associates Inc r -7950000 Cost Tri-County Medical Associates Inc p 2836537 Cost Tri-County Medical Associates Inc q -76632 Extension granted.