BROCKTON HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- BROCKTON HOSPITAL INC (EIN 22-2472997)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-12
- IRS object ID
- 201602259349301715
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-12T09:24:03-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135381590 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 PORTLAND STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222472997 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROCKTON HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BROC | BusinessNameControlTxt |
| Phone | 5089417000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1Txt |
| City | BROCKTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02302 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIM HOLLON | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 5089417000 | PhoneNum |
| Signature | 2016-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY T ROGERS | PreparerPersonNm |
| PTIN | P01074284 | PTIN |
| Phone | 6177427788 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KIM HOLLON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1Txt |
| City | BROCKTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $269,087,455 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SIGNATURE-HEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1890 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | THE HOSPITAL OPERATES A 245 BED ACUTE CARE FACILITY THAT PROVIDES HEALTH CARE SERVICES TO 20 COMMUNITIES IN SOUTHEASTERN MASSACHUSETTS. IN FISCAL YEAR 2015 THE HOSPITAL PROVIDED $10,838,759 OF UNREIMBURSED CHARITY CARE. THIS EQUATES TO THOUSANDS OF VISITS TO PRIMARY CARE AND SPECIALTY CLINICS. THE HOSPITAL'S CHILDREN AND YOUTH PROGRAM, A HOSPITAL-BASED PRIMARY CARE PRACTICE THAT TREATS UNDER-PRIVILEGED CHILDREN, ACCOMMODATED APPROXIMATELY 11,000 PATIENT VISITS. THOUSANDS OF UNDERINSURED PEOPLE TOOK ADVANTAGE OF ONGOING COMMUNITY HEALTH LECTURES, SCREENINGS, CLASSES AND SUPPORT GROUPS BOTH AT THE HOSPITAL AND IN THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 2145 | TotalEmployeeCnt |
| Total Volunteers | 125 | TotalVolunteersCnt |
| Total Gross UBI | $534,333 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$263,610 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $540,461 | PYContributionsGrantsAmt |
| CY Contributions Grants | $482,833 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $226,354,651 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $248,523,099 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,432,157 | PYInvestmentIncomeAmt |
| CY Investment Income | $204,849 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,111,224 | PYOtherRevenueAmt |
| CY Other Revenue | $9,941,789 | CYOtherRevenueAmt |
| PY Total Revenue | $244,438,493 | PYTotalRevenueAmt |
| CY Total Revenue | $259,152,570 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $128,057,630 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $142,658,660 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $90,725,164 | PYOtherExpensesAmt |
| CY Other Expenses | $103,008,330 | CYOtherExpensesAmt |
| PY Total Expenses | $218,782,794 | PYTotalExpensesAmt |
| CY Total Expenses | $245,666,990 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,655,699 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,485,580 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $184,968,651 | TotalAssetsBOYAmt |
| Total Assets EOY | $204,138,964 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $131,630,543 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $155,648,035 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $53,338,108 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $48,490,929 | NetAssetsOrFundBalancesEOYAmt |
| Mission | BROCKTON HOSPITAL'S MISSION IS TO BE A PRIVATE NOT-FOR-PROFIT COMMUNITY BASED HOSPITAL THAT IS RECOGNIZED AS THE "HOSPITAL OF CHOICE" BY STAFF, PATIENTS, AND THE COMMUNITY IT SERVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $220,563,468 | ExpenseAmt |
| Revenue | $253,699,246 | RevenueAmt |
| Desc | THE HOSPITAL OPERATES A 245 BED ACUTE CARE FACILITY THAT PROVIDES HEALTH CARE SERVICES TO 20 COMMUNITIES IN SOUTHEASTERN MASSACHUSETTS. IN FISCAL YEAR 2015 THE HOSPITAL PROVIDED $10,838,759 OF UNREIMBURSED CHARITY CARE. THIS EQUATES TO THOUSANDS OF VISITS TO PRIMARY CARE AND SPECIALTY CLINICS. THE HOSPITAL'S CHILDREN AND YOUTH PROGRAM, A HOSPITAL-BASED PRIMARY CARE PRACTICE THAT TREATS UNDER-PRIVILEGED CHILDREN, ACCOMMODATED APPROXIMATELY 11,000 PATIENT VISITS. THOUSANDS OF UNDERINSURED PEOPLE TOOK ADVANTAGE OF ONGOING COMMUNITY HEALTH LECTURES, SCREENINGS, CLASSES AND SUPPORT GROUPS BOTH AT THE HOSPITAL AND IN THE COMMUNITY. | Desc |
| Total Program Service Expenses | $220,563,468 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 218 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2145 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIM HOLLON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5089417000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1Txt |
| City | BROCKTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 023023395 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY J CRUZ | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| JOSEPH P DRIER III | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| DAVID P FRENETTE | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| WALLACE H PECKHAM III | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| PATTI ROLAND | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL J SULLIVAN | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT D SULLIVAN | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| MARY V WALDRON | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| DAVID R WOLOHOJIAN | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| KIM HOLLON | ||||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $719,808 | $0 | $35,541 | Yes (X) | ||||
| DAVID DRINKWATER MD | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $528,762 | $23,876 | 40.00 | ||||
| FRED NICCOLI | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| PATRICIA TORTORELLA | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL L DERN MD | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $612,864 | $20,761 | 40.00 | ||||
| ROBERT S GREENBERG MD | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $273,343 | $21,812 | 40.00 | ||||
| JAMES E LEARY | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| REV CHERYL HARRIS | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| EUGENE MARROW | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| KEITH MERLIN MD | ||||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $423,963 | $55,240 | 40.00 | ||||
| JAMES PAPADAKOS | ||||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $378,852 | $0 | $39,100 | Yes (X) | |||||
| STEPHEN BORGES | ||||||||||
| VICE PRESIDENT | 40.00 | $198,711 | $0 | $33,565 | Yes (X) | |||||
| DAVID J FISHER | ||||||||||
| VICE PRESIDENT | 40.00 | $213,595 | $0 | $29,577 | Yes (X) | |||||
| KIMBERLY WALSH | ||||||||||
| VICE PRESIDENT | 40.00 | $257,526 | $0 | $18,097 | Yes (X) | |||||
| KAREN MURPHY | ||||||||||
| VICE PRESIDENT & GEN'L COU | 40.00 | $297,015 | $0 | $17,093 | Yes (X) | |||||
| MARIE F GROSS | ||||||||||
| VICE PRESIDENT | 40.00 | $269,509 | $0 | $10,408 | Yes (X) | |||||
| JEFFREY MILLER | ||||||||||
| VICE PRESIDENT | 40.00 | $196,297 | $0 | $29,100 | Yes (X) | |||||
| MITCHELL SELINGER MD | ||||||||||
| VICE PRESIDENT | 40.00 | $492,070 | $0 | $26,382 | Yes (X) | |||||
| VERA A DEPALO MD | ||||||||||
| DIRECTOR | 40.00 | $395,146 | $0 | $19,674 | Yes (X) | |||||
| DALE J ELLENBERG MD | ||||||||||
| FORMER TRUSTEE | 0.00 | $0 | $246,433 | $26,377 | 40.00 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,418,529 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,085,365 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $406,603 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 198 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MATRIX ANESTHESIA PD | |||||
| 1342 BELMONT STREET STE 205 | BROCKTON | MA | 02302 | PHYSICIAN SERVICES | $3,592,571 |
| PRATT PEDIATRIC ASSOCIATES | |||||
| 750 WASHINGTON STREET | BOSTON | MA | 02111 | PHYSICIAN SERVICES | $1,232,127 |
| SECURAMERICA LLC | |||||
| 3399 PEACHTREE RD SUITE 1000 | ATLANTA | GA | 30326 | SECURITY SERVICES | $977,411 |
| PRICEWATERHOUSECOOPERS LLP | |||||
| PO BOX 7247-8001 | PHILADELPHIA | PA | 19170 | AUDIT SERVICES | $492,720 |
| ROPES & GRAY | |||||
| ONE INTERNATIONAL PLACE | BOSTON | MA | 02110 | LEGAL SERVICES | $462,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $333,884 | GovernmentGrantsAmt |
| All Other Contributions | $148,949 | AllOtherContributionsAmt |
| Total Contributions | $482,833 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENU | 900099 | $247,997,019 | $247,997,019 | |
| OUTREACH LAB SERVICES | 541380 | $534,333 | $534,333 | |
| MEANINGFUL USE EHR REV | 900099 | -$8,253 | -$8,253 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $248,523,099 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,180,592 | TotalRevenueColumnAmt |
| Exclusion | $1,180,592 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,142,211 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $140,620 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,001,591 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,001,591 | TotalRevenueColumnAmt |
| Exclusion | $2,001,591 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,313,298 | SecuritiesAmt |
| Other | $505,224 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,258,327 | SecuritiesAmt |
| Other | $535,938 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$945,029 | SecuritiesAmt |
| Other | -$30,714 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$975,743 | TotalRevenueColumnAmt |
| Exclusion | -$975,743 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| SCHOOL OF NURSING | 900099 | $4,515,954 | $4,515,954 | |
| MISCELLANEOUS | 900099 | $2,376,801 | $147,083 | $2,229,718 |
| VANTAGE JOINT VENTURE | 900099 | $1,047,443 | $1,047,443 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,940,198 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $259,152,570 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $253,699,246 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $534,333 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,436,158 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,768,493 | TotalAmt |
| Program Services | $1,591,643 | ProgramServicesAmt |
| Management And General | $176,850 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,389,828 | TotalAmt |
| Program Services | $100,298,160 | ProgramServicesAmt |
| Management And General | $8,091,668 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,899,701 | TotalAmt |
| Program Services | $7,325,779 | ProgramServicesAmt |
| Management And General | $2,573,922 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,690,430 | TotalAmt |
| Program Services | $12,570,392 | ProgramServicesAmt |
| Management And General | $2,120,038 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,910,208 | TotalAmt |
| Program Services | $5,853,554 | ProgramServicesAmt |
| Management And General | $2,056,654 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,093,869 | TotalAmt |
| Program Services | $4,093,869 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,138 | TotalAmt |
| Program Services | $307,202 | ProgramServicesAmt |
| Management And General | $107,936 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,000 | TotalAmt |
| Program Services | $175,380 | ProgramServicesAmt |
| Management And General | $61,620 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,009 | TotalAmt |
| Program Services | $117,667 | ProgramServicesAmt |
| Management And General | $41,342 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $911,482 | TotalAmt |
| Program Services | $674,776 | ProgramServicesAmt |
| Management And General | $236,706 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,663,942 | TotalAmt |
| Program Services | $3,147,217 | ProgramServicesAmt |
| Management And General | $516,725 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,874,672 | TotalAmt |
| Program Services | $1,387,257 | ProgramServicesAmt |
| Management And General | $487,415 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,663,089 | TotalAmt |
| Program Services | $2,711,022 | ProgramServicesAmt |
| Management And General | $952,067 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,702 | TotalAmt |
| Program Services | $149,073 | ProgramServicesAmt |
| Management And General | $37,629 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,034,985 | TotalAmt |
| Program Services | $1,505,889 | ProgramServicesAmt |
| Management And General | $529,096 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,467,268 | TotalAmt |
| Program Services | $5,525,777 | ProgramServicesAmt |
| Management And General | $1,941,491 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,705,609 | TotalAmt |
| Program Services | $1,272,825 | ProgramServicesAmt |
| Management And General | $432,784 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER PROFESSIONAL SERV | $21,528,196 | $20,489,950 | $1,038,246 |
| MEDICAL & SURGICAL SUPP | $12,546,027 | $12,517,322 | $28,705 |
| PURCHASED SERVICES | $11,563,329 | $9,683,824 | $1,879,505 |
| OTHER EXPENESES | $10,626,176 | $8,861,643 | $1,764,533 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,331,837 | TotalAmt |
| Program Services | $20,303,247 | ProgramServicesAmt |
| Management And General | $28,590 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,666,990 | TotalAmt |
| Program Services | $220,563,468 | ProgramServicesAmt |
| Management And General | $25,103,522 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,058,323 | BOYAmt |
| EOY | $13,936,109 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,965,763 | BOYAmt |
| EOY | $25,075,971 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,595,304 | BOYAmt |
| EOY | $1,776,954 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,723,530 | BOYAmt |
| EOY | $1,898,588 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $208,056,010 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $128,986,808 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,217,623 | BOYAmt |
| EOY | $79,069,202 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,340,081 | BOYAmt |
| EOY | $3,241,411 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,068,027 | BOYAmt |
| EOY | $79,140,729 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,968,651 | BOYAmt |
| EOY | $204,138,964 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,005,387 | BOYAmt |
| EOY | $36,563,138 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,379,554 | BOYAmt |
| EOY | $1,414,127 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,750,000 | BOYAmt |
| EOY | $45,044,628 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,012,508 | BOYAmt |
| EOY | $21,888,879 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,483,094 | BOYAmt |
| EOY | $50,737,263 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,630,543 | BOYAmt |
| EOY | $155,648,035 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,862,379 | BOYAmt |
| EOY | $43,069,333 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,108,421 | BOYAmt |
| EOY | $2,169,880 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,367,308 | BOYAmt |
| EOY | $3,251,716 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,338,108 | BOYAmt |
| EOY | $48,490,929 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,968,651 | BOYAmt |
| EOY | $204,138,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,485,580 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,590,688 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$15,742,071 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $159,009 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $159,009 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL PAID THE FOLLOWING COMPANIES FOR LOBBYING ON BEHALF OF THE HOSPITAL REGARDING VARIOUS STATE AND FEDERAL LEGISLATION IMPACTING BOTH THE HOSPITAL AND THE HEALTHCARE INDUSTRY AS A WHOLE. THESE ACTIVITIES REPRESENT AN INSUBSTANTIAL PART OF THE HOSPITAL'S ACTIVITIES. $120,536 WENT TO ELLEN MURPHY & ASSOCIATES. THE ALLOCATED PORTION OF DUES TO THE FOLLOWING ORGANIZATIONS:$29,420 MASSACHUSETTS HOSPITAL ASSOCIATION; $9,053 AMERICAN HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,017,169 | BeginningYearBalanceAmt |
| Contributions | $82,461 | ContributionsAmt |
| Investment Earnings Or Losses | -$288,537 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,763,490 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,742,703 | BeginningYearBalanceAmt |
| Contributions | $82,000 | ContributionsAmt |
| Investment Earnings Or Losses | $192,466 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,017,169 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,507,330 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $235,373 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,742,703 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,166,498 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $340,832 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,507,330 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,335,390 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$168,892 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,166,498 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.86000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.14000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,376,734 | OtherCostOrOtherBasisAmt |
| Book Value | $2,376,734 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,592,467 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,391,095 | DepreciationAmt |
| Book Value | $47,201,372 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $230,430 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,004 | DepreciationAmt |
| Book Value | $195,426 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,927,377 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,560,709 | DepreciationAmt |
| Book Value | $19,366,668 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,929,002 | OtherCostOrOtherBasisAmt |
| Book Value | $9,929,002 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $79,069,202 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS WHOSE USE IS LIMITED | $55,011,773 |
| UNAMORTIZED BOND ISSUANCE COSTS | $987,975 |
| INVESTMENT IN JOINT VENTURE | $652,800 |
| LOAN RECEIVABLE - SPLIT DOLLAR LIFE INSURANCE | $976,700 |
| SECURITY DEPOSIT | $295,359 |
| MALPRACTICE INSURANCE RESERVE | $3,335,905 |
| OTHER INTANGIBLES | $1,173,333 |
| PRATT PEDI RENT RECEIVABLE LONG TERM | $6,892 |
| DUE FROM THIRD PARTY PAYERS | $16,699,992 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $79,140,729 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| AMOUNTS DUE TO 3RD PARTY PAYORS | $5,580,480 |
| PENSION LIABILITY | $45,156,783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $50,737,263 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $259,152,570 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $259,152,570 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $259,152,570 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $245,666,990 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $245,666,990 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $245,666,990 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL'S ENDOWMENT CONSISTS OF INDIVIDUAL DONOR RESTRICTED ENDOWMENT FUNDS FOR A VARIETY OF PURPOSES AS WELL AS SPLIT INTEREST AGREEMENTS, WHICH HAVE BEEN DESIGNATED FOR ENDOWMENT. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 600.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,079,567 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,975,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,103,886 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,713,797 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,309,734 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,404,063 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01790 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,744,695 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,768,429 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $976,266 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,538,059 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,053,844 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,484,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $240,544 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $240,544 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,301,620 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,596,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,704,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,761,564 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,138,392 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,623,172 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03510 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $45,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,348,728 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,735,219 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,613,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04730 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $115,886,787 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $97,789,063 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,097,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07370 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,320 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,320 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,320 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,320 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,994,427 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $699,017 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $61,981,468 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $61,516,446 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $465,022 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 CENTRE STREET | AddressLine1Txt |
| City | BROCKTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SIGNATURE-HEALTHCARE.ORG | WebsiteAddressTxt |
| State License | 2118 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | TCU/PSYCH | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROCKTON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 600.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BROCKTON HOSPITAL | PART V, SECTION B, LINE 5: SIGNATURE HEALTHCARE WORKS COLLABORATIVELY WITH THE BROCKTON DEPARTMENT OF PUBLIC HEALTH, THE BROCKTON AREA NEIGHBORHOOD HEALTH CENTER AND NUMEROUS COMMUNITY SOCIAL SERVICE AGENCIES TO COORDINATE PUBLIC HEALTH INITIATIVES TO ADDRESS THE NEEDS OF THE AT-RISK POPULATION. FROM FEBRUARY TO DECEMBER 2013, THE STOUGHTON YOUTH COMMISSION CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE GREATER BROCKTON COMMUNITY HEALTH NETWORK AREA (CHNA 22) WITH THE GOAL OF IDENTIFYING UNMET COMMUNITY HEALTH NEEDS, VULNERABLE POPULATIONS AND GAPS IN EXISTING COMMUNITY HEALTH SERVICES. IN THIS VERSION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE GREATER BROCKTON CHNA FOCUSED ON THE FOLLOWING FOUR PRIORITY AREAS:- ASTHMA- NUTRITION AND FITNESS- ORAL HEALTH, AND- SUBSTANCE ABUSETHIS UPDATE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZED A FOUR PRONGED APPROACH TO UNCOVER THE STATE OF THE HEALTH OF THE CITY OF BROCKTON AND ITS SURROUNDING TOWNS: 1. CONDUCTING KEY INFORMANT INTERVIEWS WITH PEOPLE WHO WORK WITHIN THE CHNA 22 CITIES AND TOWNS INCLUDING BROCKTON TO DETERMINE HOW THE NEEDS OF THE RESIDENTS ARE MET BOTH INSIDE AND OUTSIDE THE CITY;2. REVIEWING EXISTING PROGRAMS/STRATEGIES AND SERVICES IN THE AREA TO DISCOVER GAPS;3. ANALYZING EXISTING DATA TO DETERMINE HOW HEALTH OUTCOMES IN THE CITY OF BROCKTON AND SURROUNDING TOWNS DIFFER FROM EACH OTHER AND THE STATE OF MASSACHUSETTS OVERALL;4. CONDUCTING FOCUS GROUPS IN AND OUTSIDE OF BROCKTON TO EXAMINE THEIR PERCEPTIONS REGARDING THE FOUR PRIORITY AREAS AND THEIR IMPACT IN THE SERVICE AREA.AT LEAST ONE KEY INFORMANT WAS INTERVIEWED IN EVERY CHNA 22 TOWN AND A TOTAL OF 23 KEY INFORMANT INTERVIEWS WERE CONDUCTED OVERALL. ORGANIZATIONS INCLUDED LOCAL SUBSTANCE ABUSE AND VIOLENCE COALITIONS, VNAS, SCHOOL PERSONNEL, BOARD OF HEALTH, YMCA, COA'S AND MORE. THERE WERE A TOTAL OF FOUR (4) FOCUS GROUPS, ONE ON EACH OF THE CHNA 22 FOCUS AREAS. THESE FOCUS GROUPS TOOK PLACE AT THE MENS SOBER HOUSE IN BROCKTON, THE EAST BRIDGEWATER YMCA, SELF HELP, INC. AND TRINITY BAPTIST CHURCH. |
| BROCKTON HOSPITAL | PART V, SECTION B, LINE 6A: STEWARD GOOD SAMARITAN HOSPITAL |
| BROCKTON HOSPITAL | PART V, SECTION B, LINE 6B: CHNA 22 (GREATER BROCKTON HEALTH ALLIANCE). THE COMPLETION OF THIS ASSESSMENT WOULD NOT HAVE BEEN POSSIBLE WITHOUT THE ENTHUSIASTIC PARTICIPATION OF COMMUNITY ORGANIZATIONS AND RESIDENTS WITHIN EACH CHNA CITY AND TOWN. WE WOULD LIKE TO THANK THE RESIDENTS WHO SHARED THEIR THOUGHTS ON OUR FOUR FOCUS AREAS IN THEIR COMMUNITIES AND THE KEY INFORMANTS WHO GRACIOUSLY PROVIDED THEIR TIME AND EXPERTISE. |
| BROCKTON HOSPITAL | PART V, SECTION B, LINE 7D: CHNA 22 ORGANIZATION WEBSITE: WWW.CHNA22.ORG. |
| BROCKTON HOSPITAL | PART V, SECTION B, LINE 11: THE SUMMARY OF FINDINGS FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENT CONTINUED TO SHOW CONCERN FOR DIABETES AND NUTRITION. RESULTANTLY, THIS IS WHERE SIGNATURE HEALTHCARE PRIMARILY FOCUSED ITS RESOURCES. ACCORDING TO THE DATA COLLECTED AS WELL AS INFORMATION OBTAINED FROM KEY INFORMANTS AND COMMUNITY MEMBERS; CONTINUED EDUCATION, AWARENESS AND SUPPORT RELATED TO THESE AREAS WAS NECESSARY. THROUGHOUT THE YEAR, SIGNATURE HEALTHCARE'S NUTRITION AND ENDOCRINOLOGY STAFF, AS WELL AS OUR DIABETES EDUCATORS, WORK AT CREATING AND PROVIDING EDUCATIONAL TOOLS AND SEMINARS ON THESE TOPICS AND ISSUES. ON MANY OCCASIONS THROUGHOUT FISCAL 2015, SIGNATURE HEALTHCARE STAFF MEMBERS OFFERED EDUCATION AND HANDS ON ACTIVITIES TO THE COMMUNITY. ONE MAJOR EVENT WAS SIGNATURE HEALTHCARE'S FOURTH ANNUAL "DIABETES DAY" NOW RENAMED THE "HEALTH & WELLNESS EXPO." THE NAME OF THIS EVENT WAS CHANGED WITH THE GOAL OF ATTRACTING A BROADER POPULATION. EMPLOYEES AND COMMUNITY PARTNERS JOINED FORCES TO OFFER COMMUNITY MEMBERS MANY COMPONENTS INCLUDING: FREE SCREENINGS FOR VASCULAR AND METABOLIC DISEASE; A HEALTHY COOKING DEMONSTRATION; HEALTHY RECIPES; AND A VENDOR AREA WHERE COMMUNITY PARTNERS, ALONG WITH DEPARTMENTS FROM SIGNATURE HEALTHCARE, HIGHLIGHTED SPECIFIC NUTRITION AND DIABETES SERVICES. THE OLD COLONY YMCA PROVIDED AN EXERCISE AREA WITH HIP HOP AND CHAIR YOGA FOR ADULTS AND AN OBSTACLE COURSE FOR CHILDREN. AN "ASK THE EXPERT" AREA MADE SIGNATURE HEALTHCARE PROVIDERS AVAILABLE FOR ATTENDEES TO ASK QUESTIONS ON A ONE-ON-ONE BASIS. THIS EVENT WAS A GREAT SUCCESS WITH OVER 250 PEOPLE IN ATTENDANCE AND OVER 100 OF THOSE SCREENED. SIGNATURE HEALTHCARE CONTINUES TO BE PART OF A LARGER COMMUNITY WIDE "BROCKTON KNOCKS DOWN DIABETES" (BKDD) INITIATIVE, KICKING IT OFF WITH THE HEALTH & WELLNESS EXPO, PROVIDING CLINICIANS WHEN NEEDED, ASSISTING WITH COORDINATION AND STAFFING FOR VARIOUS EVENTS, AND OFFERING CLASSES THROUGHOUT THE WEEK. BKDD IS A WEEKLONG INITIATIVE TO PROVIDE EDUCATION AND AWARENESS AROUND DIABETES. NUMEROUS LOCAL PARTNERS PARTICIPATE IN THIS EVENT INCLUDING THE OLD COLONY YMCA, HARBOR ONE, BROCKTON VNA AND THE AMERICAN DIABETES ASSOCIATION. THIS GROUP HAS WORKED DILIGENTLY CREATING PROGRAMMING THE COMMUNITY WILL FIND BENEFICIAL. THE ACTIVITIES PLANNED INCLUDE EDUCATIONAL PRESENTATIONS AS WELL AS FITNESS CLASSES. ONE GOAL FOR THE COMING YEAR IS TO BRING THE LATEST IN DIABETES CARE TO THE SOUTH SHORE AREA THROUGH A DIABETES SYMPOSIUM FOR LOCAL PHYSICIANS, SOCIAL WORKERS, NURSES AND NUTRITIONISTS. THROUGH COMMUNITY OUTREACH WITH LOCAL BUSINESS, COMMUNITY GROUPS, AND EVENTS, HOSPITAL STAFF MEMBERS EDUCATED THE COMMUNITY ON OBESITY AND DIABETES IN A VARIETY OF WAYS. SIGNATURE HEALTHCARE PROVIDED EDUCATIONAL TOOLS, HEALTHY RECIPES, FREE EXERCISE CLASSES AND OPPORTUNITIES FOR QUESTIONS AND ANSWERS WITH CLINICAL STAFF. DURING FY15, SHC STAFF PARTICIPATED IN MORE THAN TWENTY-FIVE COMMUNITY EVENTS TO PROMOTE EDUCATION ON THE TOPIC OF DIABETES, NUTRITION AND OBESITY. THE EVENTS INCLUDED: - LINCOLN TECHNICAL INSTITUTE, COMMUNITY RESOURCE FAIR- BAMSI WRAPAROUND SERVICES "SUMMER KICKOFF AND RESOURCE FAIR- COMMUNITY CARE SERVICES, HEALTH & SAFETY FAIR- CAPE VERDEAN ASSOCIATION - AFTER SCHOOL PROGRAM - NUTRITION PRESENTATIONS - EASTON SENIOR CENTER - HEALTH & WELLNESS EXPO- WEST BRIDGEWATER COA - SENIOR HEALTH & WELLNESS EXPO- MASSASOIT COMMUNITY COLLEGE - CANTON CAMPUS- MASSASOIT COMMUNITY COLLEGE - BROCKTON CAMPUS- TABERNACLE OF PRAISE - HAITIAN COMMUNITY PARTNERS - HEALTH & SAFETY FAIR- METRO SOUTH CHAMBER OF COMMERCE, TASTE OF METRO SOUTH EVENT- BROCKTON HIGH SCHOOL ANNUAL WELLNESS FAIR "TAKE POSITIVE STEPS"- GREATER BROCKTON HEALTH FAIR - MARY CRUISE KENNEDY SENIOR CENTER - "A CRASH COURSE ON SENSIBLE WEIGHT LOSS" BY SANDY AMBROSE, RD, CDE - MARY CRUISE KENNEDY SENIOR CENTER - "GARDEN TO TABLE: PLANNING HEALTHY MEALS USING FRESH PRODUCE" BY SANDY AMBROSE, RD, CDE- MARY CRUISE KENNEDY SENIOR CENTER - "NUTRITION FACTS FOR DIABETICS" BY SANDY AMBROSE, RD, CDE- DAVIS COMMONS - RESIDENT APPRECIATION EVENT- BEACON COMMUNITIES - THE PINES AND CHATHAM WEST- SPRING OF WATER CHRISTIAN ASSEMBLY HEALTH FAIR - BRIDGEWATER SENIOR CENTER - HEALTH & PUBLIC SAFETY EXPO- NEW LIFE COMMUNITY EMPOWERMENT CENTER - ANGELS OF CARE HEALTH FAIR- OLD COLONY YMCA YOUTH DIVISION BROCKTON BRANCH, "HEALTHY KIDS DAY"- OLD COLONY YMCA STOUGHTON BRANCH "HEALTHY KIDS DAY"- OLD COLONY YMCA (NUMEROUS KICKOFF AND MIDPOINT EVENTS AS PART OF THE "SMALLEST WINNER" PROGRAM.- OLD COLONY YMCA BRANCHES (EAST BRIDGEWATER, EASTON, BROCKTON, STOUGHTON, MIDDLEBORO AND TAUNTON) PROVIDED SCREENINGS AS PART OF HEART HEALTH MONTH- OLD COLONY YMCA ANNUAL YOUTH CONFERENCE - JOAN CONKLING RD HELD A WORKSHOP ON "HEALTH EATING AND NUTRITIONAL NEEDS FOR TEENAGERS"- BROCKTON PUBLIC SCHOOLS, SUMMER FUN IN THE CITY RESOURCE FAIR- CITY OF BROCKTON "NIGHT OUT AGAINST CRIME"- SUMMERFEST- TAUNTON WIC "CELEBRATION OF THE YOUNG PARENT"- ANNUAL RAYNHAM COMMUNITY PRIDE DAY- PORTER AND CHESTER INSTITUTE- RANDOLPH COMMUNITY HEALTH FAIR- SOUTH SHORE LEADERSHIP CONFERENCE SIGNATURE HEALTHCARE IS A DISPROPORTIONATE SHARE HOSPITAL OFFERING SPECIALTY CARE CLINICS IN TB, ENDOCRINOLOGY AND GYNECOLOGY TO WHICH THE BROCKTON NEIGHBORHOOD HEALTH CENTER REFERS PATIENTS. SIGNATURE HEALTHCARE DEVELOPED THE CENTER FOR HEALTHY BEGINNINGS, A COMMUNITY OUTREACH PROGRAM FOR PREGNANT WOMEN WHO REQUIRE MEDICAL CARE, SOCIAL SUPPORT, FINANCIAL COUNSELING AND TRANSLATOR SERVICES. GIVEN THE DIVERSE NATURE OF THE PATIENT POPULATION, SIGNATURE HEALTHCARE SUPPLIES 24/7 TRANSLATOR SERVICES WITH FIFTEEN EMPLOYED TRANSLATORS SPEAKING THIRTY SIX LANGUAGES. SIGNATURE HEALTHCARE, IN COLLABORATION WITH THE CHNA 22, DEVELOPED A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT FOR THE GREATER BROCKTON AREA IN DECEMBER, 2010. THE ASSESSMENT REVEALED FOUR KEY AREAS OF NEED: ASTHMA, NUTRITION AND FITNESS, ORAL HEALTH, AND SUBSTANCE ABUSE. IN DECEMBER, 2013 THE CHNA 22 AGAIN CONDUCTED A NEEDS ASSESSMENT WHICH FOCUSED SOLELY ON THESE FOUR AREAS OF NEED. IN FISCAL YEAR 2015, SIGNATURE HEALTHCARE ADDRESSED ALL BUT ORAL HEALTH NEEDS AS THE ORGANIZATION DOES NOT PROVIDE ORAL HEALTH SERVICES. SIGNATURE HEALTHCARE PRIORITIZED OUR EFFORTS ON NUTRITION AND DIABETES NEEDS AND ADDRESSED THE OTHER COMMUNITY NEEDS AS FOLLOWS: 1. SUBSTANCE ABUSE A. PARTICIPATED IN THE BROCKTON MAYOR'S OPIOID OVERDOSE PREVENTION COALITION B. PARTICIPATED IN BROCKTON CABLE ACCESS "OPIOIDS IN THE CITY" C. PROVIDED EDUCATION TO PARENTS AND STAFF OF AREA HIGH SCHOOLS ON THE USE OF PERFORMANCE ENHANCING SUPPLEMENTS IN ATHLETES AND PROVIDED FISCAL SUPPORT OF BAMSI, BROCKTON AREA MULTI SERVICES AREA, INC. AND HELPLINE.2. ASTHMA A. SIGNATURE HEALTHCARE PEDIATRICS STAFF HOLDS AN ANNUAL "ASTHMA CAMP" TO PROVIDE EDUCATION AND TOOLS NEEDED FOR CHILDREN AND FAMILIES TO MANAGE THEIR ASTHMA. 3. ORAL HEALTH A. SIGNATURE HEALTHCARE DOES NOT EMPLOY OR PROVIDE GENERAL DENTISTRY CARE. WE WORK COLLABORATIVELY WITH THE BROCKTON NEIGHBORHOOD HEALTH CENTER TO ADDRESS THE ORAL HEALTH NEEDS OF THE COMMUNITY. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | COSTS FOR FIGURES USED IN THE LINE 7 TABLE ARE DERIVED USING WORKSHEET 2 FOR 7 A-D, DIRECT COSTS FOR 7E AND 7I, AND THE HOSPITAL'S COST ACCOUNTING SYSTEM FOR 7F-G. |
| SCHEDULE H, PART II | SIGNATURE HEALTHCARE COLLABORATES WITH AND SUPPORTS AREA ORGANIZATIONS BOTH FINANCIALLY AND WITH OUR CLINICAL EXPERTISE. WE BELIEVE BY SUPPORTING AND WORKING WITH COMMUNITY PARTNERS, WE ARE ABLE TO MAKE A LARGER IMPACT ON THE OVERALL HEALTH OF OUR COMMUNITY. |
| SCHEDULE H, PART III, LINE 2 | THE HOSPITAL USED THE RATIO OF ITS TOTAL COSTS TO CHARGES FROM WORKSHEET 2 TO CALCULATE THE AMOUNT OF BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, LINE 3 | THE HOSPITAL USED THE RATIO OF ITS TOTAL COSTS TO CHARGES FROM WORKSHEET 2 TO CALCULATE THE AMOUNT OF BAD DEBT EXPENSE FOR THOSE PATIENTS ELIGIBLE FOR CHARITY CARE. |
| SCHEDULE H, PART III, LINE 4 | THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS EQUAL TO ESTIMATED BAD DEBT LOSSES. THE ESTIMATED LOSSES ARE BASED ON HISTORICAL COLLECTION EXPERIENCE TOGETHER WITH A REVIEW OF THE CURRENT STATUS OF EXISTING RECEIVABLES. THE FOOTNOTE IS FOUND ON PAGE 31 OF THE AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | THE HOSPITAL USED THE MEDICARE COST REPORT AS THE COST ACCOUNTING SYSTEM TO CALCULATE ITS MEDICARE ALLOWABLE COSTS. |
| SCHEDULE H, PART III, LINE 9B | THE HOSPITAL WILL NOT UNDERTAKE COLLECTION ACTION AGAINST AN INDIVIDUAL THAT HAS BEEN APPROVED FOR MEDICAL HARDSHIP UNDER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM WITH RESPECT TO THE AMOUNT OF THE BILL THAT EXCEEDS THE MEDICAL HARDSHIP CONTRIBUTION. THE HOSPITAL WILL FURTHER CEASE ANY COLLECTION EFFORTS AGAINST AN EMERGENCY BAD DEBT CLAIM THAT IS APPROVED FOR MEDICAL HARDSHIP UNDER THE HEALTH SAFETY NET PROGRAM OR WHERE THE HOSPITAL HAS FAILED TO SUBMIT THE COMPLETED APPLICATION TO THE HEALTH SAFETY NET WITHIN THE REQUIRED TIME FRAME, OR WHERE A PATIENT HAS BEEN APPROVED FOR FREE OR DISCOUNTED CARE. |
| SCHEDULE H, PART VI, LINE 3 - SUPPLEMENTAL INFORMATION | 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:SIGNAGE AND WRITTEN INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE IS AVAILABLE IN BROCKTON HOSPITAL EMERGENCY SERVICE AND PATIENT REGISTRATION AREAS. INFORMATION ABOUT APPLYING FOR FINANCIAL ASSISTANCE IS ALSO AVAILABLE ON LINE AT WWW.SIGNATURE-HEALTHCARE.ORG. |
| SCHEDULE H, PART VI, LINE 4 - SUPPLEMENTAL INFORMATION | 4 COMMUNITY INFORMATION:THE PAYER MIX OF SIGNATURE HEALTHCARE'S PATIENT PANEL IS AS EXPECTED GIVEN THE DEMOGRAPHICS OF THE COMMUNITY WITH 2% RESIDUALLY UNINSURED, 29% MEDICAID AND MEDICAID MANAGED CARE, AND 72% PUBLIC PAY IN TOTAL. ADDITIONALLY THE COMMERCIAL PAYER RATES VARY CONSIDERABLY IN MASSACHUSETTS PER THE ATTORNEY GENERAL'S 2008 REPORT WHICH REVEALED A GREATER THAN 300 PERCENT VARIATION IN RATES PAID TO THE HOSPITALS BY A COMMERCIAL PAYER. SIGNATURE HEALTHCARE BROCKTON HOSPITAL FELL IN THE LOWEST QUARTILE AND HAD THE 14TH LOWEST RATES OF ALL SIXTY-EIGHT (68) HOSPITALS. SIGNATURE HEALTH HAS BEEN RECOGNIZED AS A LOW COST, HIGH QUALITY PROVIDER OF CARE:- LEAPFROG GROUP AWARDED SIGNATURE HEALTHCARE WITH AN "A" HOSPITAL SAFETY SCORE - ITS TOP GRADE FOR PATIENT SAFETY. SIGNATURE HAS EARNED AN "A" RANKING EVERY YEAR SINCE 2013 AND IS ONE OF ONLY 152 HOSPITALS NATIONALLY TO DO SO. THE HOSPITAL SAFETY SCORE IS COMPILED UNDER THE GUIDANCE OF THE NATION'S LEADING EXPERTS ON PATIENT SAFETY AND IS ADMINISTERED BY THE LEAPFROG GROUP (LEAPFROG), AN INDEPENDENT INDUSTRY WATCHDOG. THE FIRST AND ONLY HOSPITAL SAFETY RATING TO BE PEER-REVIEWED IN THE JOURNAL OF PATIENT SAFETY, THE SCORE IS FREE TO THE PUBLIC AND DESIGNED TO GIVE CONSUMERS INFORMATION THEY CAN USE TO PROTECT THEMSELVES AND THEIR FAMILIES WHEN FACING A HOSPITAL STAY.- SIGNATURE HEALTHCARE BROCKTON HOSPITAL AND SIGNATURE MEDICAL GROUP WERE BOTH RECOGNIZED IN HARVARD PILGRIM HEALTH CARE'S HOSPITAL AND PHYSICIAN GROUP HONOR ROLLS. THIS PRESTIGIOUS AWARD HONORS HOSPITALS WITH PERFORMANCE AMONG THE TOP 25% MEASURED NATIONALLY ON A SET OF CLINICAL QUALITY AND PATIENT EXPERIENCE MEASURES. THE PHYSICIAN HONOR ROLL RECOGNIZES A COMMITMENT TO HIGH QUALITY CARE, BASED ON PERFORMANCE AGAINST NATIONAL QUALITY BENCHMARKS, AS REPORTED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE.- SIGNATURE HEALTHCARE EARNED "TOP PERFORMER ON KEY QUALITY MEASURES" RECOGNITION FROM THE JOINT COMMISSION, THE LEADING ACCREDITOR OF HEALTH CARE ORGANIZATIONS IN AMERICA. SIGNATURE HEALTHCARE WAS RECOGNIZED FOR EXEMPLARY PERFORMANCE IN EVIDENCE BASED CLINICAL PROCESSES SHOWN TO IMPROVE CARE FOR CERTAIN CONDITIONS. SIGNATURE HEALTHCARE IS ONE OF 1,099 HOSPITALS IN THE U.S. EARNING THE TOP PERFORMER DISTINCTION FOR ATTAINING AND SUSTAINING EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE, AND ONE OF ONLY 17 HOSPITALS IN MA. IN ADDITION, SIGNATURE HEALTHCARE BROCKTON HOSPITAL WAS ONE OF ONLY 8 IN THE STATE TO BE RECOGNIZED IN ALL FOUR OF THE FOLLOWING MEASURE SETS: HEART ATTACK, HEART FAILURE, SURGERY AND PNEUMONIA AND THE ONLY HOSPITAL IN SOUTHEASTERN MA RECEIVING THIS DESIGNATION. - SIGNATURE HEALTHCARE WAS RANKED A TOP HOSPITAL BY US NEWS & WORLD REPORT, RANKING NUMBER 11 IN THE BOSTON METRO AREA AND NUMBER 15 IN MASSACHUSETTS. THE HOSPITAL RECEIVED A HIGH PERFORMING RANKING IN THE AREAS OF DIABETES, ENDOCRINOLOGY AND PULMONOLOGY.- JACKSON HEALTHCARE HOSPITAL CHARITABLE SERVICE AWARD FINALIST 2014 FOR HOMEWARD BOUND PROGRAM- WOMEN'S CHOICE AWARD FOR AMERICA'S BEST HOSPITALS FOR PATIENT SAFETY- STROKE GOLD PLUS AWARD AND TARGET - STROKE HONOR ROLL (GWTG) - AMERICAN STROKE ASSOCIATIONIN 2008 SIGNATURE HEALTHCARE ACQUIRED A GEOGRAPHICALLY DISPERSED MULTI-SPECIALTY GROUP OF EMPLOYED PHYSICIANS COMPRISED OF SEVENTEEN (17) SPECIALTIES, NOW CALLED SIGNATURE MEDICAL GROUP. SIGNATURE MEDICAL GROUP HAS LONG EMBRACED PROVIDING CARE FOR THE MEDICALLY COMPLEX, UNDERINSURED PATIENTS WHO ARE UNDERSERVED BY BOTH PRIMARY CARE AND SPECIALISTS IN THE AREA: MANY PHYSICIAN PRACTICES, OUTSIDE OF SIGNATURE HEALTHCARE AND THE BROCKTON AREA NEIGHBORHOOD HEALTH CENTER, LIMIT THEIR PRACTICES' ACCEPTANCE OF MEDICAID AND HEALTH SAFETY NET PATIENTS. SIGNATURE MEDICAL GROUP, WHICH SERVES A TOTAL OF 81,000 PATIENTS, IS COMMITTED TO THECARE OF THIS NEEDY POPULATION WHICH HAS RESULTED IN SIGNIFICANT FINANCIAL LOSSES. |
| SCHEDULE H, PART VI, LINE 5 - SUPPLEMENTAL INFORMATION | 5 PROMOTION OF COMMUNITY HEALTH:SIGNATURE MEDICAL GROUP SUBSIDY -SIGNATURE HEALTHCARE PROVIDES ADDITIONAL COMMUNITY BENEFITS VIA THE PROVISION OF SIGNATURE MEDICAL GROUP CLINIC SERVICES FOR THE SAFETY NET POPULATION. THE SMG CLINIC SUBSIDY OF $17,160,286 IS THE DIFFERENCE BETWEEN CLINIC PAYMENTS AND CLINIC COSTS. THIS IS BASED ON THE FISCAL YEAR 2015 UCCR REPORT FILED. THE REVENUE AND EXPENSES ARE BOTH DETERMINED USING MEDICARE PRINCIPLES. THE CLINIC SUBSIDY INCLUDES THE OPERATIONS OF SIGNATURE MEDICAL GROUP. THE CLINIC SUBSIDY IS NOT INCLUDED IN THE SUBSIDIES REPORTED ON FORM 990 SCHEDULE H. THE FOLLOWING PROGRAMS HAVE BEEN DEVELOPED BY SIGNATURE HEALTHCARE TO HELP FACILITATE THE QUALITY, SAFETY AND CONTINUUM OF CARE FOR OUR PATIENTS IN THE COMMUNITY. THE FUNDING ASSOCIATED WITH THESE PROGRAMS HAS NOT BEEN INCORPORATED INTO THE COMMUNITY BENEFITS CALCULATION. CHRONIC DISEASE MANAGEMENT: COPD BUILDING ON THE LEARNING AND SUCCESSES OF OUR CONGESTIVE HEART FAILURE PROGRAM, SIGNATURE HEALTHCARE EXPANDED OUR CHRONIC DISEASE MANAGEMENT PROGRAM TO MANAGE COPD PATIENTS WITH A GOAL TO DECREASE ADMISSIONS FOR THIS POPULATION. COPD IS A SERIOUS AND WIDELY PREVALENT DISEASE, WHICH IS PROGRESSIVE AND TREATABLE IN THEIR EARLY STAGES WITH A WELL ACCEPTED SET OF OUTPATIENT AND HOSPITAL BASED PATHWAYS. ATTENTION TO LOWERING RISKS, ACCURATE DIAGNOSIS, AGGRESSIVE THERAPY AND OVERSIGHT CAN YIELD A HIGHER QUALITY OF LIFE FOR PATIENTS AS WELL AS REDUCE HOSPITALIZATIONS, READMISSIONS, AND COST OF CARE. IN FY 15 WE REDUCED OUR COPD ADMISSION RATE BY ALMOST 20%. COMMUNITY LINKSTHE COMMUNITY LINKS PROGRAM IS DESIGNED TO SERVE PATIENTS WHO ARE FOLLOWED BY PRIMARY CARE PHYSICIANS IN THE OUTPATIENT DEPARTMENT (OPD). WE UNDERSTAND MANY PATIENTS WHO VISIT THEIR PCPS HAVE UNMET PSYCHOSOCIAL NEEDS. THIS PROGRAM PROVIDES THESE PATIENTS THE OPPORTUNITY TO WORK WITH A COMMUNITY LINKS REPRESENTATIVE FOR ASSISTANCE WITH REFERRALS TO AREA AGENCIES -ADDRESSING NEEDS INCLUDING HOUSING, FOOD, INCOME SUPPORTS, EMPLOYMENT/ADULT EDUCATION, COUNSELING, PHARMACY PROGRAMS, CLOTHING, FUEL/UTILITIES ASSISTANCE, ADULT DAY PROGRAMS AND CHILDCARE.THIS PROGRAM IS ALSO AN INTERNSHIP OPPORTUNITY FOR UNDERGRADUATE STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES. THE PROGRAM IS MANAGED BY A MASTER'S LEVEL SOCIAL WORKER WHO SUPERVISES 2 STUDENTS EACH SEMESTER. SINCE THE INTRODUCTION OF THIS NEW SERVICE FOR PATIENTS IN THE SIGNATURE HEALTHCARE OUTPATIENT DEPARTMENT, 604 PATIENTS WERE SUPPORTED, SEVERAL OF WHOM CONTINUE TO BE FOLLOWED. A PROVIDER SATISFACTION SURVEY HAS BEEN CONDUCTED TWICE SINCE THE INCEPTION OF THE PROGRAM IN OCTOBER 2014 - WITH 100% SATISFACTION. SOME COMMENTS RECEIVED FROM THE PROVIDERS INCLUDE, "A VERY GOOD SERVICE TO OPD AND WE NEED IT," "I CANNOT IMAGINE WORKING WITHOUT ASSISTANCE FROM THIS PROGRAM. FOR THE PATIENT POPULATION WE HAVE HERE IN THE OPD, IT IS A MUST," "THIS SERVICE HAS RESULTED IN INCREASING THE THERAPEUTIC RELATIONSHIP BETWEEN THE PATIENT AND PROVIDER. IT MAKES THE WRAP UP PROCESS OF MANY VISITS SMOOTHER, AND PROVIDES GREATER SATISFACTION FOR MY WORK AND FOR MY PATIENTS." PATIENTS CONSISTENTLY REPORT SATISFACTION WITH THE ASSISTANCE THEY HAVE RECEIVED THROUGH COMMUNITY LINKS.THE FOLLOWING INFORMATION PROVIDES SPECIFIC DATA REGARDING THE PATIENTS WHO HAVE BENEFITED FROM THIS PROGRAM. INITIAL CONCERN IDENTIFIED:ISSUE INDICATED PATIENTS AVERAGE AGE FY 14 / FY 15 FY 14 / FY 15ADULT ED 1 / 3 63.0 / 30CHILDCARE 1 / 0 39.0 / 0CLOTHING 1 / 9 31.0 / 46.8COUNSELING 127 / 317 49.0 / 57DAY PRGM 4 / 7 33.5 / 68EMPLOYMENT 8 / 4 34.9 / 33.8FOOD 34 / 17 49.3 / 49HOUSING 25 / 37 50.1 / 53.7INCOME 8 / 11 54.0 / 45INSURANCE 23 / 46 62.0 / 59.5MEDICATION 37 / 59 57.2 / 59.3OTHER 60 / 165 62.4 / 62.8UTILITIES 8 / 12 48.6 / 41.9GRAND TOTAL 337 / 604 52.8 / 50.6SOME OF THE ISSUES IN THE "OTHER" CATEGORY INCLUDE TRANSPORTATION; REFERRALS FOR COMMUNITY AGENCIES FOR SERVICES INCLUDING HOSPICE, VNA, ELDER SERVICES; CARE COORDINATION; AND ASSISTANCE WITH COMPLETION OF HEALTH CARE PROXIES.PERSONALIZED CARE TEAM SIGNATURE HEALTHCARE'S COMPLEX CARE INITIATIVE IDENTIFIES AND CREATES A PROCESS TO MANAGE THE HIGH RISK COMPLEX CARE ELDERLY PATIENTS. SIGNATURE HEALTHCARE ACCOMPLISHES THIS BY CREATING INFRASTRUCTURE TO IDENTIFY HIGH RISK ELDERS, AND DEVELOP SYSTEMS AND PROCESSES TO ENGAGE THESE PATIENTS IN A TEAM BASED, PATIENT CENTERED APPROACH TO CARE. THE AIM IS TO INCORPORATE A TEAM OF PROVIDERS DEDICATED AND PREPARED TO MEET THE CHALLENGING NEEDS OF THE HIGH RISK ELDER POPULATION; INTERVENING IN A WAY THAT FOSTERS FUNCTIONAL INDEPENDENCE, WITH THE HIGHEST REGARD TO MAINTAINING A QUALITY OF LIFE. THE STRATEGY AND TACTICS TO ACHIEVE THIS ARE BASED ON THE PATIENT'S FUNCTIONAL GOALS; AND ARE DEVELOPED IN A WAY THAT IDENTIFIES THE UNIQUE NEEDS OF THE POPULATION. WITHIN THIS STRATEGY IS AN EMPHASIS ON FALL RISK AND DEPRESSION SCREENING TOOLS. DIABETIC MANAGEMENT PROGRAM SIGNATURE MEDICAL GROUP ENGAGED THE PROVIDERS AND STAFF IN POPULATION HEALTH REVIEWS. OUR FOCUS IS THE DIABETIC PATIENTS WITHIN EACH PRACTICE. THE CARE TEAM MEETS QUARTERLY TO REVIEW ALL DIABETIC PATIENTS AND MONITOR HOW WELL THEIR DIABETES IS IN CONTROL. THE CARE TEAM CONSISTS OF THE PRIMARY CARE PHYSICIAN, NURSE PRACTITIONER, CLINICAL & CLERICAL STAFF, PHARMACIST AND ENDOCRINOLOGISTS. OUR GOAL IS TO ASSURE EACH PATIENT IS UP TO DATE WITH ANNUAL LABS, EYE EXAM, KIDNEY FUNCTION AND BLOOD PRESSURE CONTROL. MEDICATIONS ARE ADJUSTED AND FREQUENT FOLLOW UP APPOINTMENTS ARE SCHEDULED. EACH PATIENT'S UNIQUE COPING MECHANISMS ARE DISCUSSED AND IF BARRIERS TO CARE ARE IDENTIFIED, THE TEAM ENGAGES OUR CASE MANAGEMENT AND/OR SOCIAL WORK DEPARTMENTS TO SUPPORT PATIENTS WITH MEDICATIONS, NUTRITIONAL OR TRANSPORTATION NEEDS. ADDITIONALLY, SIGNATURE MEDICAL GROUP HAS BEEN HOLDING GROUP CLASSES FOR PATIENTS TO HELP PATIENTS MANAGE THEIR CHRONIC DISEASE. |
| SCHEDULE H, PART VI, LINE 5 - SUPPLEMENTAL INFORMATION | CARETRACKERCARETRACKER IS A CUSTOMIZED SOFTWARE MANAGEMENT TOOL WHICH HELPS PROVIDE SUSTAINED IMPROVEMENTS IN COMPLIANCE WITH RECOMMENDED PREVENTATIVE SCREENINGS THROUGHOUT THE ORGANIZATION. TO DATE, EVERY PCP HAS DEMONSTRATED >5% REDUCTION IN MISSING TESTS ON AT LEAST 1 OF THE 6 MEASURES, 80% OF PCPS IMPROVED ON 4 OF 6 MEASURES, AND 50% OF PCPS IMPROVED ON 5 OF 6 MEASURES. IN SOME CASES, PCPS WERE ABLE TO REDUCE THE PERCENTAGE OF MISSING TESTS IN THEIR PATIENT PANEL BY >40%. SIGNATURE HEALTHCARE PLANS TO ADVANCE THIS APPROACH TO POPULATION MANAGEMENT AS WE ADDRESS THE HIGH PREVALENCE OF MULTIPLE CHRONIC CONDITIONS. HEART FAILURE DISEASE MANAGEMENT PROGRAMTHE PROGRAM FOCUSES ON HIGH RISK PATIENTS WITH A PRIMARY ADMISSION OF ACUTE DECOMPENSATED HEART FAILURE. WE'VE FOUND SUCCESS THROUGH THE USE OF TEACH BACK IN EDUCATION OF OUR PATIENTS, IMPLEMENTATION OF A HOSPITAL WIDE CASE MANAGEMENT RISK ASSESSMENT TOOL, AND FURTHER EXPANSION OF OUR MULTIDISCIPLINARY ROUNDS INCLUDING REPRESENTATION FROM THE PHARMACY. HOMEWARD BOUND HOMEWARD BOUND, INITIATED IN 2012, MOBILIZED STUDENTS FROM THE BROCKTON HOSPITAL SCHOOL OF NURSING-(SUPERVISED BY NURSING INSTRUCTORS), INTO THE HOMES OF PATIENTS WITH CONGESTIVE HEART FAILURE FOR STATUS CHECKS ON PATIENTS' ADHERENCE TO TREATMENT PLANS PROVIDED UPON HOSPITAL DISCHARGE. TRAVELING IN PAIRS, THE STUDENTS SERVE AS "HEALTH COACHES" BY ASSESSING PRE-ESTABLISHED PARAMETERS INCLUDING WEIGHT AND BLOOD PRESSURE AND TRANSMITTING DATA TO THE HOSPITAL'S HOMEWARD BOUND OFFICE FOR EVALUATION BY THE PROGRAM'S NURSING STAFF. AS PART OF THE STUDENTS' CLINICAL ROTATION, HOMEWARD BOUND PROVIDES INVALUABLE KNOWLEDGE AND THE OPPORTUNITY TO SHARPEN VOCATIONAL SKILLS BY WORKING CLOSELY WITH PATIENTS IN THEIR HOMES FOLLOWING HOSPITALIZATIONS FROM CHF. AS A RESULT OF HOMEWARD BOUND'S SUCCESS IN PROVIDING BETTER PATIENT CARE AND REDUCING READMISSIONS AND VISITS TO THE EMERGENCY DEPARTMENT, THE PROGRAM RECENTLY EXPANDED TO ENCOMPASS THE DIAGNOSIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE. NEW PARTNERSHIPS WERE ADDED WITH TWO LOCAL NURSING PROGRAMS: MASSASOIT COMMUNITY COLLEGE AND CURRY COLLEGE.THIS REPLICABLE MODEL HAS SHOWN MARKED REDUCTIONS IN EMERGENCY ROOM VISITS, HOSPITAL ADMISSIONS AND VISITS TO CARDIOLOGISTS AND PRIMARY CARE PROVIDERS. THE CHF PROGRAM DEMONSTRATED A DECREASE IN HOSPITAL READMISSION RATES FROM 27% TO 18% FROM THE PROGRAM'S INCEPTION IN 2012 TO THE ELEVEN MONTH PERIOD OF APRIL 2015-FEBRUARY 2016. ALTHOUGH THE ADDITION OF COPD TO THIS PROGRAM IS STILL FAIRLY NEW, WE ARE SEEING THE SAME DECREASE TRAJECTORY AS WITH CHF. READMISSION RATES FOR COPD AVERAGED 14% OVER THE SAME ELEVEN MONTHS, A REDUCTION FROM THE ORIGINAL RATE OF 21%. HEALTHCARE PERFORMANCE IMPROVEMENTIN 2014 SIGNATURE HEALTHCARE INITIATED A PARTNERSHIP WITH HEALTHCARE PERFORMANCE IMPROVEMENT (HPI) TO CONDUCT A SAFETY ASSESSMENT AND DEVELOP AN INTERVENTION PLAN TO REDUCE SERIOUS ADVERSE EVENTS IN THE HOSPITAL BY 50-80% IN TWO YEARS. SIGNATURE HEALTHCARE IDENTIFIED 20 EMPLOYEES FROM ACROSS ALL AREAS OF THE ORGANIZATION TO BECOME SAFETY INSTRUCTORS. THESE INDIVIDUALS RECEIVED CULTURE OF SAFETY INSTRUCTOR TRAINING ALONG WITH A RESOURCE MANUAL. THESE TRAINERS TRAINED 2,761 EMPLOYEES DURING 123 CLASSES FROM SEPTEMBER - OCTOBER 2015. SIGNATURE HEALTHCARE INSTITUTED MANDATORY CULTURE OF SAFETY TRAINING TO ALL NEW EMPLOYEES. WE LAUNCHED AN INTEGRATED EMPLOYEE MARKETING CAMPAIGN TO KEEP PATIENT SAFETY TOP OF MIND FOR EMPLOYEES. IN ADDITION TO THE TRAINING, TOOLS AND PROMOTIONAL MATERIALS WERE PROVIDED. THROUGHOUT THE ORGANIZATION, SAFETY KICKOFF EVENTS WERE HELD TO SHARE AND REINFORCE SAFETY MESSAGES WITH OUR EMPLOYEES. THE EMPLOYEES VIEWED THE CULTURE OF SAFETY VIDEOS AS WELL AS A SPECIAL VIDEO MESSAGE FROM THE CEO. AS REINFORCEMENT FOR THE NEW CULTURE, EMPLOYEES WERE PROVIDED WITH "CULTURE OF SAFETY" LANYARDS, RETRACTABLE BADGE HOLDERS, BUTTONS, PENS AND NOTEPADS. THE SAFETY TOOLS AND TONES ARE REINFORCED MONTHLY THROUGHOUT THE ORGANIZATION BY USING POSTERS, STANDEES, "I CHOOSE SAFETY" WALL CLINGS, PHONE AND PRINTER STICKERS, CAFETERIA TABLE TENTS AND NAPKINS. THIS YEAR, OVER 35 EMPLOYEES HAVE BEEN CHOSEN ACROSS THE ORGANIZATION AS SAFETY COACHES. THESE COACHES ARE CHARTERED WITH IDENTIFYING, ADVISING, AND PROMOTING SPECIFIC SAFETY TOOLS AND TONES TO HELP KEEP OUR PATIENTS AND EMPLOYEES FREE FROM HARM. PRE-DIABETES PILOTAT THE BEGINNING OF FY 14, THE SIGNATURE HEALTHCARE BRIDGEWATER OFFICE CREATED A PROGRAM AIMED AT REDUCING THE PERCENTAGE OF PATIENTS WITH RISK FACTORS FOR PRE-DIABETES. THE FIRST CHALLENGE WAS HOW TO IDENTIFY THE TARGET POPULATION. A PRE-VISIT PREPARATION WORKSHEET FOR MEDICAL ASSISTANTS TO COMPLETE PRIOR TO PATIENT APPOINTMENTS WAS DEVELOPED. THE MEDICAL ASSISTANTS RECORDED THE PATIENT'S LAST HEMOGLOBIN A1C RESULT AND SCREENING NEED BASED ON AGE (45 OR OLDER) OR BMI (25 OR GREATER). THE PATIENTS WERE THEN FLAGGED WHEN THEY WERE IN NEED OF SCREENING AT POINT OF SERVICE. THE OFFICE DEVELOPED STANDARD REPORTS FOR USE WITHIN THE PRACTICE TO MONITOR THE 'AT RISK' POPULATION'S SCREENING DEFECT RATE OVER TIME. A FOUR COMPONENT SCREENING PROCESS WAS DEVELOPED. FIRST, IMPLEMENTATION OF POINT OF CARE HBA1C TESTING, WHERE RESULTS WERE DETERMINED WITHIN 3 MINUTES AFTER SPECIMEN COLLECTION. SECOND, CLINICAL STAFF PERFORMED TESTING BASED ON STANDING ORDERS WITH RESULTS AVAILABLE BEFORE PROVIDERS ENTERED THE EXAM ROOM. THIS STANDARD PROCESS ALLOWED THE PRIMARY CARE PHYSICIAN TO PROVIDE REAL TIME INTERVENTION AT THE TIME OF THE APPOINTMENT. THIRD, THE OFFICE TOOK STEPS TO ASSIST THE PATIENT IN MANAGING LIFESTYLE CHANGES. PATIENT EDUCATION MATERIALS WERE DEVELOPED WITH INFORMATION ABOUT HEALTHY EATING AND PHYSICAL ACTIVITY. SIGNATURE HEALTHCARE PARTNERED WITH THE OLD COLONY YMCA DIABETES PREVENTION PROGRAM (DPP) TO PROVIDE LIFESTYLE COACHING AFTER HOURS. FOURTH, RESOURCES WERE LEVERAGED WITHIN THE PRACTICE, SUCH AS NUTRITION COUNSELING AND ENDOCRINOLOGY CONSULTS TO MEET A PATIENT'S NEEDS. IN THE FIRST YEAR OF THIS PROJECT, 2,755 PATIENTS WERE SCREENED WITHIN THE 6,100 PATIENT PRIMARY CARE PRACTICE, REDUCING THE SCREENING DEFECT RATE FROM 85% TO 29%. OF THIS, 988 PATIENTS (36.3%) WERE DIAGNOSED WITH PRE-DIABETES AND 49 PATIENTS DIAGNOSED WITH TYPE 2 DIABETES. OF THE PATIENTS DIAGNOSED WITH PRE-DIABETES, OVER 64% LOST WEIGHT OVER THE COURSE OF THE YEAR, WITH 31% LOSING AT LEAST 5% OF THEIR BODY WEIGHT. AS ANTICIPATED, THE PRE-DIABETIC PATIENT'S WEIGHT LOSS GENERATED A CORRESPONDING IMPROVEMENT IN HEMOGLOBIN A1C LEVELS WITH 72% OF PRE-DIABETIC PATIENTS HBA1C DECREASING OVER BASELINE, AND 25% OF PRE-DIABETIC PATIENTS ACHIEVING NORMAL HBA1C VALUES. ONE HUNDRED PERCENT OF PATIENTS WHO PARTICIPATED IN THE YMCA DPP PROGRAM IN FY 15 ACHIEVED AT LEAST 5% WEIGHT LOSS AND REDUCED THEIR A1C'S TO BELOW THE PRE-DIABETIC RANGE. A SECOND SESSION OF THE YMCA DIABETES PREVENTION PROGRAM BEGAN WITHIN SIGNATURE MEDICAL GROUP IN JANUARY 2016. SIGNATURE HEALTHCARE/WALGREENS PHARMACY PROGRAMSIGNATURE HEALTHCARE PHARMACY AND WALGREENS PARTNERED IN 2012 TO PROVIDE DISCHARGE MEDICATIONS TO PATIENTS AT THE BEDSIDE. A WALGREENS EMPLOYEE VISITS THE PATIENT, FILLS THE MEDICATIONS AND RETURNS THEM TO THE PATIENT BEFORE DISCHARGE. APPROXIMATELY 100 PATIENTS PER MONTH PARTICIPATE IN THIS PROGRAM. MOST IMPORTANTLY FOR OUR PATIENTS, THIS PROGRAM MEANS MORE PERSONAL ATTENTION AND HELP UNDERSTANDING HOW AND WHEN TO TAKE NEW DRUGS, AS WELL AS WHICH DRUGS MIGHT CONFLICT WITH DRUGS THEY'RE ALREADY TAKING AT HOME. PATIENT COMPLIANCE WITH MEDICATION REGIMENS IS KEY TO IMPROVING AND MAINTAINING GOOD HEALTH - AVOIDING HOSPITAL READMISSIONS. |
| SCHEDULE H, PART VI, LINE 5 - SUPPLEMENTAL INFORMATION | WEIGHT & WELLNESS THROUGH HARD WORK AND DEDICATION, SIGNATURE HEALTHCARE'S WEIGHT AND WELLNESS CENTER BECAME AN MBASQIP ACCREDITED CENTER IN 2015. A BARIATRIC SURGICAL CENTER ACHIEVES ACCREDITATION FOLLOWING A RIGOROUS REVIEW PROCESS DURING WHICH IT PROVES IT CAN MEET CERTAIN PHYSICAL RESOURCES, HUMAN RESOURCES AND STANDARDS OF PRACTICE. ALL ACCREDITED CENTERS REPORT THEIR OUTCOMES TO THE MBASQIP DATABASE. ALSO, IN FY 14 OUR WEIGHT AND WELLNESS CENTER ADDED A DOCTOR-SUPERVISED MEDICAL WEIGHT LOSS PROGRAM TO QUALIFIED PATIENTS. THIS IS A 12 WEEK PROGRAM WITH DR. DEB ABELES, DIRECTOR OF THE WEIGHT & WELLNESS CENTER AND BARIATRIC SURGEON, AT THE HELM. THE FIRST GROUP AS PART OF THIS PROGRAM GRADUATED IN SEPTEMBER 2014 WITH GREAT OUTCOMES. THE AVERAGE WEIGHT LOSS WAS 11.2% AND THE AVERAGE DECREASE IN HVA1C WAS 0.7%. OUR WEIGHT & WELLNESS CENTER PROVIDES CONVENIENT ACCESS TO A WIDE RANGE OF ADVANCED SURGICAL AND NONSURGICAL WEIGHT LOSS OPTIONS, UTILIZING AN INDIVIDUAL APPROACH, INCLUDING A SURGEON, PHYSICIAN, DIETICIAN AND BEHAVIORAL THERAPIST. WHETHER ON A SURGICAL OR NON-SURGICAL PATH, OUR CENTER STRIVES TO TEACH PATIENTS NUTRITIONAL AND LIFESTYLE CHANGES NEEDED FOR LONG-TERM SUCCESS. WELLNESS TOGETHER EMPLOYEE PROGRAMSIGNATURE HEALTHCARE ESTABLISHED THE WELLNESS TOGETHER PROGRAM IN 2013 TO SUPPORT, IMPROVE AND INSPIRE THE HEALTH AND WELL BEING OF SIGNATURE EMPLOYEES. TO ASSIST IN ACHIEVING THIS GOAL, SIGNATURE PARTNERED WITH THE VITALITY GROUP, A PROPRIETARY WELLNESS PROGRAM WITH AN ONLINE PORTAL THAT DELIVERS EVIDENCE BASED RESULTS. THE PROGRAM IS DESIGNED SPECIFICALLY TO MITIGATE HEALTH RISKS AND LOWER HEALTHCARE COSTS BY REDUCING LIFESTYLE RISK FACTORS ASSOCIATED WITH CHRONIC DISEASES. REPLICATING THE SAME WELLNESS PLATFORM, SIGNATURE HEALTHCARE IS REACHING OUT TO COMMUNITY EMPLOYERS TO ASSIST THEM IN IMPROVING THE HEALTH AND WELLBEING OF THEIR EMPLOYED POPULATION AND ULTIMATELY REDUCING THEIR HEALTHCARE COST. 360 CONCIERGE PROGRAMTHE 360 DEGREE CONCIERGE PROGRAM PROACTIVELY MANAGES CARE FOR ITS HIGHEST RISK PATIENTS. THIS INSURANCE BASED PROGRAM ALLOWS PARTICIPANTS TO RECEIVE MANAGED CARE AT EVERY HEALTH TOUCH POINT. NURSE PRACTITIONERS AND RN'S REVIEW A HIGH-RISK PATIENT'S CASE PRIOR TO A PRIMARY CARE VISIT SO THAT ANY PRESSING MEDICAL ISSUES ARE BROUGHT TO LIGHT. SIGNATURE HEALTHCARE'S HOSPITAL-BASED 360 CONCIERGE PROGRAM DEMONSTRATES SIGNIFICANT RESULTS IN REDUCING TOTAL MEDICAL EXPENSE OF THE MANAGED MEDICARE POPULATION. THIS PROGRAM WAS THE BASIS FOR DEVELOPING A MIRROR PROGRAM WITH A COMPLEX CARE CLINIC IN THE AMBULATORY SETTING. COMPLEX ELDERLY PATIENTS ARE OUR MOST VULNERABLE PATIENTS WITH MULTIPLE CHRONIC ILLNESS, FUNCTIONAL LIMITATIONS, AND UNIQUE SOCIAL NEEDS. |
| SCHEDULE H, PART VI, LINE 6 - SUPPLEMENTAL INFORMATION | 6 AFFILIATED HEALTH CARE SYSTEM: SIGNATURE HEALTHCARE AFFILIATED WITH BETH ISRAEL DEACONESS MEDICAL CENTER IN JUNE OF 2013 FOR THE PROVISION OF ADULT MEDICAL AND SURGICAL SERVICES. THIS AFFILIATION IS AIMED AT PROVIDING THE PATIENTS OF GREATER BROCKTON WITH ENHANCED ACCESS TO TERTIARY LEVEL SERVICES CLOSE TO HOME AND COORDINATED CARE MANAGEMENT FOR PATIENTS WHO MUST SEEK CARE AT THE TERTIARY LEVEL HOSPITAL IN BOSTON, MA.SIMILARLY, SIGNATURE HEALTHCARE EXPANDED UPON ITS AFFILIATION WITH TUFTS FLOATING HOSPITAL FOR CHILDREN IN JUNE OF 2013. WITH THIS EXPANDED AFFILIATION, SIGNATURE HEALTHCARE BUILDS ON THE HOSPITALS' EXISTING COLLABORATION TO CARE FOR NEWBORNS; FLOATING HOSPITAL NEONATOLOGISTS HAVE CARED FOR BABIES IN SIGNATURE HEALTHCARE BROCKTON HOSPITAL'S LEVEL II NURSERY SINCE 2010. SIGNATURE HEALTHCARE HAS ENABLED THOUSANDS OF CHILDREN TO RECEIVE THEIR CARE CLOSER TO HOME. WHEN KIDS NEED TERTIARY CARE AT FLOATING HOSPITAL, OUR HOSPITALISTS HELP MAKE THAT TRANSITION SEAMLESS. SIGNATURE HEALTHCARE PEDIATRICIANS ARE ABLE TO COMMUNICATE DIRECTLY WITH THE HOSPITALISTS DURING AND FOLLOWING THEIR PATIENT'S HOSPITALIZATION TO ENABLE EASY TRANSITION OF CARE.TUFTS FLOATING PROVIDES PEDIATRIC SPECIALTY CARE AT SIGNATURE HEALTHCARE IN THE FOLLOWING AREAS:- CARDIOLOGY- ENDOCRINOLOGY- GASTROENTEROLOGY- GENETICS- NEPHROLOGY- NEUROLOGY- PULMONOLOGY - RHEUMATOLOGY |
| SCHEDULE H, PART VI, LINE 7 - SUPPLEMENTAL INFORMATION | 7 STATE FILING OF COMMUNITY BENEFIT REPORT:SIGNATURE HEALTHCARE FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIM HOLLON | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $719,808 | $0 | $0 | $0 | $0 | $0 | $11,825 | $0 | $23,716 | $0 | $755,349 | $0 | $0 | $0 |
| DAVID DRINKWATER MD | ||||||||||||||
| TRUSTEE | $0 | $528,762 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $23,876 | $0 | $552,638 | $0 | $0 |
| MICHAEL L DERN MD | ||||||||||||||
| TRUSTEE | $0 | $612,864 | $0 | $0 | $0 | $0 | $0 | $5,200 | $0 | $15,561 | $0 | $633,625 | $0 | $0 |
| ROBERT S GREENBERG MD | ||||||||||||||
| TRUSTEE | $0 | $273,343 | $0 | $0 | $0 | $0 | $0 | $5,200 | $0 | $16,612 | $0 | $295,155 | $0 | $0 |
| KEITH MERLIN MD | ||||||||||||||
| TRUSTEE | $0 | $423,963 | $0 | $0 | $0 | $0 | $0 | $31,363 | $0 | $23,877 | $0 | $479,203 | $0 | $0 |
| JAMES PAPADAKOS | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $378,852 | $0 | $0 | $0 | $0 | $0 | $13,015 | $0 | $26,085 | $0 | $417,952 | $0 | $0 | $0 |
| STEPHEN BORGES | ||||||||||||||
| VICE PRESIDENT | $198,711 | $0 | $0 | $0 | $0 | $0 | $11,566 | $0 | $21,999 | $0 | $232,276 | $0 | $0 | $0 |
| DAVID J FISHER | ||||||||||||||
| VICE PRESIDENT | $213,595 | $0 | $0 | $0 | $0 | $0 | $13,170 | $0 | $16,407 | $0 | $243,172 | $0 | $0 | $0 |
| KIMBERLY WALSH | ||||||||||||||
| VICE PRESIDENT | $257,526 | $0 | $0 | $0 | $0 | $0 | $9,367 | $0 | $8,730 | $0 | $275,623 | $0 | $0 | $0 |
| KAREN MURPHY | ||||||||||||||
| VICE PRESIDENT & GEN'L COU | $297,015 | $0 | $0 | $0 | $0 | $0 | $14,321 | $0 | $2,772 | $0 | $314,108 | $0 | $0 | $0 |
| MARIE F GROSS | ||||||||||||||
| VICE PRESIDENT | $269,509 | $0 | $0 | $0 | $0 | $0 | $7,082 | $0 | $3,326 | $0 | $279,917 | $0 | $0 | $0 |
| JEFFREY MILLER | ||||||||||||||
| VICE PRESIDENT | $196,297 | $0 | $0 | $0 | $0 | $0 | $6,523 | $0 | $22,577 | $0 | $225,397 | $0 | $0 | $0 |
| MITCHELL SELINGER MD | ||||||||||||||
| VICE PRESIDENT | $492,070 | $0 | $0 | $0 | $0 | $0 | $9,301 | $0 | $17,081 | $0 | $518,452 | $0 | $0 | $0 |
| VERA A DEPALO MD | ||||||||||||||
| DIRECTOR | $395,146 | $0 | $0 | $0 | $0 | $0 | $8,235 | $0 | $11,439 | $0 | $414,820 | $0 | $0 | $0 |
| DALE J ELLENBERG MD | ||||||||||||||
| FORMER TRUSTEE | $0 | $246,433 | $0 | $0 | $0 | $0 | $0 | $2,500 | $0 | $23,877 | $0 | $272,810 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1B | THE COMPENSATION ELEMENTS INDICATED ON SCHEDULE J, PART I (TAX INDEMNIFICATION/GROSS-UP PAYMENTS) WERE PROVIDED PURSUANT TO THE EMPLOYMENT CONTRACT MAINTAINED BETWEEN THE HOSPITAL AND THE INDIVIDUAL. |
| PART I, LINE 4B | DURING THE YEAR ENDED 12/31/2014 THE HOSPITAL MADE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS FOR FIVE EMPLOYEES. CONSISTENT WITH REPORTING REQUIREMENTS FOR IRS FORM 990, THE HOSPITAL REPORTS COMPENSATION AND OTHER PAYMENTS TO EMPLOYEES AND FORMER EMPLOYEES ON A CALENDAR YEAR (FORM W-2) BASIS. CONSEQUENTLY, THE FOLLOWING AMOUNTS ARE REPORTED FOR THE FISCAL YEAR ENDING 9/30/2015: DAVID FISHER - $1,451 MARIE F GROSS - $362 KEITH MERLIN - $4,012 GEORGE BROWN - $5,483 DANIEL MUSE - $2,901 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MASSACHUSETTS DEVELOPMENT FINANCING AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 043431814 | BondIssuerEIN |
| Bond Issued | 2014-09-30 | BondIssuedDt |
| Issue Price | $47,750,000 | IssuePriceAmt |
| Purpose | REFINANCING OF EXISTING LONG-TERM DEBT AND RETIREMENT OF PRIOR MDFA BONDS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $47,754,099 | TotalProceedsAmt |
| In Reserve Fund | $313,785 | InReserveFundAmt |
| Other Spent Proceeds | $47,440,313 | OtherSpentProceedsAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00730 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00730 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL L CONNORS | PersonNm |
| Relationship With Org | FMR CFO | RelationshipWithOrgTxt |
| Loan Purpose | LOAN RECEIVABLE - SPLIT DOLLAR LIFE INSURANCE POLICY | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $976,700 | OriginalPrincipalAmt |
| Balance Due | $976,700 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $976,700 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION'S FORM 990 IS PREPARED BY AN OUTSIDE INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT IN CONJUCTION WITH INPUT PROVIDED BY ORGANIZATION MANAGEMENT. THE COMPLETED FORM 990 WAS PROVIDED TO EACH BOARD MEMBER ELECTRONICALLY. IN ADDITION, A BOARD MEETING WAS CONVENED TO REVIEW THE FORM 990 IN ADVANCE OF THE FILING DATE. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR THE ORGANIZATION CIRCULATES A CONFLICT OF INTEREST QUESTIONNAIRE. RESPONSES TO THE STATEMENT ARE REVIEWED AND PRESENTED TO THE BOARD FOR REVIEW AND ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND ADJUSTMENTS TO COMPENSATION ARE BASED ON PERFORMANCE STANDARDS AND COMPARISON OF COMPENSATION LEVELS TO SIMILAR PROVIDER ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS 990 AND 990-T AVAILABLE UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE WEBSITE OF THE MASSACHUSETTS ATTORNEY GENERAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST, FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE WEBSITE OF THE MASSACHUSETTS ATTORNEY GENERAL AS WELL AS WITH THE MUNICIPAL SECURITIES RULEMAKING BOARD. |
| FORM 990, PART XI, LINE 9: | PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -9,577,578. CHANGE IN INTEREST IN INVESTMENTS OF SIGNATURE HEALTHCARE, INC. -94,356. TRANSFERS (TO) FROM AFFILIATES -5,902,354. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF P,P&E 12,609. CHANGE IN FAIR VALUE OF SPLIT INTEREST AGREEMENTS -180,392. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SIGNATURE HEALTHCARE CORPORATION | |||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 042103554 | MANAGEMENT | MA | 501(C)(3) | PUBLIC CHARITY | N/A | 0 | |
| SIGNATURE HEALTHCARE MEDICAL GROUP | |||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 043306782 | MEDICAL CARE | MA | 501(C)(3) | PUBLIC CHARITY | 0 | SIGNATURE HEALTHCARE CORPORATION | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BROCKTON RADIATION ONCOLOGY LLC | ||||||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 222472997 | RADIATION ONCOLOGY SERVICES | MA | N/A | RELATED | $1,047,443 | $652,800 | 0 | 0 | 0.40000 | |
| 110 LIBERTY STREET REALTY LLC | ||||||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 320048951 | REALTY COMPANY | MA | RELATED | 0 | 0 | SIGNATURE HEALTHCARE CORPORATION | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BROCKTON PHYSICIAN HOSPITAL ORGANIZATION | ||||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 043189274 | MEDICAL MANAGEMENT | MA | N/A | C | $129,765 | 0.50000 | 0 | |
| BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES | ||||||||||||
| 680 CENTRE STREET | BROCKTON | MA | 02302 | 042530255 | PHYSICIAN GROUP | MA | C | 0 | SIGNATURE HEALTHCARE CORPORATION | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (16 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SIGNATURE HEALTHCARE MEDICAL GROUP | ||
| H | $2,500 | FMV |
| SIGNATURE HEALTHCARE CORPORATION | ||
| I | $450,950 | FMV |
| SIGNATURE HEALTHCARE MEDICAL GROUP | ||
| I | $6,353,304 | FMV |
| SIGNATURE HEALTHCARE MEDICAL GROUP | ||
| J | $1,746,720 | FMV |
| SIGNATURE HEALTHCARE CORPORATION | ||
| K | $420,000 | FMV |
| SIGNATURE HEALTHCARE MEDICAL GROUP | ||
| K | $785,185 | FMV |
| SIGNATURE HEALTHCARE CORPORATION | ||
| O | $383,621 | FMV |
| SIGNATURE HEALTHCARE MEDICAL GROUP | ||
| O | $18,247,844 | FMV |
| SIGNATURE HEALTHCARE CORPORATION | ||
| P | $37,881 | FMV |
| SIGNATURE HEALTHCARE MEDICAL GROUP | ||
| P | $20,318 | FMV |
| SIGNATURE HEALTHCARE CORPORATION | ||
| Q | $168,051 | FMV |
| SIGNATURE HEALTHCARE MEDICAL GROUP | ||
| Q | $9,267,389 | FMV |
| SIGNATURE HEALTHCARE CORPORATION | ||
| R | $124,122 | FMV |
| SIGNATURE HEALTHCARE MEDICAL GROUP | ||
| R | $40,584,111 | FMV |
| SIGNATURE HEALTHCARE CORPORATION | ||
| S | $668,863 | FMV |
| SIGNATURE HEALTHCARE MEDICAL GROUP | ||
| S | $26,189,069 | FMV |