2016-08-10T11:42:31-07:00 2015-09-30 990 2014-10-01 042103602 MILFORD REGIONAL MEDICAL CENTER INC MILF 5084731190 14 PROSPECT STREET MILFORD MA 017573090 JEANNE P LYNSKEY VP, FINANCE & CFO 5084731190 2016-08-15 2014 2016-09-27 15:27:22Z Edward Kelly 14 Prospect St Milford MA 01757 208494523 0 X WWW.MILFORDREGIONAL.ORG X 1903 MA Milford Regional Medical Center Inc mission statement is to provide quality healthcare services to our community with dignity, compassion, and respect. 15 8 1914 501 656377 -172235 9197482 4353982 177441922 189052589 1061430 1149277 9724343 9443254 197425177 203999102 0 0 0 0 105684869 113105430 278264 93538 1607513 76007110 79032191 181970243 192231159 15454934 11767943 260484079 266978436 145053098 145360849 115430981 121617587 Milford Regional Medical Center Inc provides medical and hospital services for the sick and disabled of any race, creed, color, or nationality regardless of an individuals ability to pay. It also carries on such educational, philanthropic and scientific activities and functions as are designed to promote the general health of the communities served. 0 0 167475491 188396212 Milford Regional Medical Center serves the healthcare needs of the residents of 19 communities in Central Massachusetts, a population now approaching 250,000. Guided by its mission "to provide quality healthcare services to our community with dignity, compassion and respect," MRMC strives to be responsive to diverse constituencies - individuals and families of all ages, employees and employers of large and small businesses, physicians and other healthcare providers, our school systems, our local and area officials and safety personnel, churches, community organizations, our insurers and payers and our own employees and volunteers. As a nonprofit hospital, we acknowledge the needs of the underserved, especially low-income and minority populations. A full-service community and regional teaching hospital, Milford Regional is a 145-bed, acute-care facility. There are approximately 200 physicians on the active medical staff and an additional 100 courtesy or consulting physicians. MRMC is an affiliate of UMASS Memorial as a teaching hospital. It is also affiliated with Children's Hospital, Dana Faber Cancer Institute, Brigham and Woman's Hospital, and Brigham and Women's Physician Organization. In addition to providing basic acute care services (medical, surgical, emergency medicine, family-centered obstetrics and pediatrics), MRMC has eight state-of-the-art operating suites, consolidated surgical services (including admitting and pre-admission testing) and a medical/surgical floor many with advanced patient monitoring capabilities. The Medical Center treated 5,265 medical and surgical inpatients in 2015. In 2015 Milford Regional built a 78,000 square foot facility doubling the size of the current ED, increasing the number of rooms in the ICU and creating all private patient rooms where currently up to four patients currently share a room. The $54 million new facility opening was planned for October 2015. In Northbridge, a brand new 24,000 square foot facility called Milford Regional in the Blackstone Valley opened in October 2014. Milford Regional and its physician practice group, Tri-County Medical Associates, share space inside this building which houses family medicine and OB/GYN along with Milford Regional rehabilitation, laboratory and radiology services. Our physician base also grew as Tri-County Medical Associates, welcomed 24 new physicians to our active medical staff. Family Medical Associates in Medway became Tri-County's first practice to receive Patient Center Medical Home (PCMH) certification. Four more practices are preparing for certification this coming year. The Milford Regional Emergency Department (ED) saw 55,570 patients in 2015. The Medical Center was awarded with a three year grant to support a bilingual Community Health Worker to direct patients without a primary care provider to the Edward M. Kennedy Community Health Center in Milford. 2,009 patients were referred to the health center in 2015. In addition, a six month grant from MA EOHHS supports a multidisciplinary team of providers to expand behavioral health care in the ED. Milford Regional was nationally recognized by HIMSS Analytics for achieving stage 6 on the Electronic Medical Records Adoption Model. Seven of our maternity nurses received the International Board Certified Lactation Care Award. In June 2015 we received the American Heart Association /American Stroke Association's Get with the Guidelines- Stroke Gold Plus Qualify Achievement Award. We were also awarded $1.3 million for CHART Phase 2 to decrease hospital readmissions over the next two years. All of these advancements at Milford Regional in 2015 and the high standard of patient care the hospital sets for itself resulted in local, regional and national recognitions. Milford Regional was chosen for the seventh straight year as the region's choice for healthcare and the number one choice locally by the annual Community Newspapers' survey. In addition, Milford Regional earned a patient safety grade of A from the Leapfrog Group in the spring and fall of 2015. 0 0 0 167475491 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 1 1 1 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 0 0 0 1 312 0 1914 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 8 1 0 0 0 1 0 0 1 1 0 1 1 1 1 1 1 1 0 1 1 0 MA X Jeanne P Lynskey 5084731190 14 PROSPECT STREET MILFORD MA 017573090 William G Muller MD Trustee 1 0 X 21017 0 0 Paul Darcy Trustee 1 0 X 6975 0 0 Jeff Hopkins MD Trustee 1 0 X 3475 0 0 John N Pandiscio MD Trustee 1 0 X 2850 0 0 Kevin P Meehan Trustee 1 0 X 0 0 0 Vascen J Bogigian Trustee 1 0 X 0 0 0 John J Burns Chairman 1 0 X 0 0 0 Steven G Ellis Trustee 1 0 X 0 0 0 William G Burrill Trustee 1 0 X 0 0 0 Beverly Swymer Trustee 1 0 X 0 0 0 Barbara A Auger Trustee 1 0 X 0 0 0 Loriann Baranauskas Trustee 1 0 X 0 0 0 Robert L Kilroy Vice Chairman 1 0 X 0 0 0 Delia Vetter Trustee 1 0 X 0 0 0 John Brabazon Treasurer 1 0 X 0 0 0 Robert Littleton Jr Trustee 1 0 X 0 0 0 Laura Mann Clerk 1 0 X 0 0 0 Francis Saba CEO 40 0 X 586866 0 179163 Edward J Kelly President 40 0 X 512267 0 56323 Jeanne P Lynskey VP Finance and CFO 40 0 X 268698 0 25060 Nancy Tomaso VP Patient Care Services 40 0 X 231961 0 7905 Linda Yates VP Human Resources 40 0 X 189152 0 25618 Martin Richman VP of Philanthropy 40 0 X 185532 0 20396 Nicole A Heim Chief Information Officer 40 0 X 176912 0 24247 Peggy Novick VP Clinical Support 40 0 X 164317 0 5258 2350022 0 343970 134 0 1 1 Consigli Construction Co Inc 72 Summber Street Milford MA 01757 Construction 28868256 Alliance Healthcare Inc PO Box 96485 Chicago IL 60693 MRI Services/PET Services 4299628 Sodexo Inc & Affiliates PO BOX 360170 Pittsburgh PA 15251 Nutrition Management 1708525 Orion Emergency Services 26 Old Brook Rd Shrewsbury MA 01545 Emergency Room Management 1380403 Aramark 12483 Collections Center Drive Chicago IL 60693 BioMedical Engineering Services 1280768 36 0 0 705610 0 0 3648372 205000 4353982 Total Inpatient/Outpatient Revenue 622000 189052589 188396212 656377 0 0 0 0 0 189052589 593492 0 0 593492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4697776 9460 4095599 55852 602177 -46392 555785 0 0 555785 361092 0 336813 24279 0 24279 32776 7157 25619 0 0 25619 Cancer Center 900099 4057327 0 0 4057327 Rents 900099 2134010 0 0 2134010 Cafeteria 900099 934715 0 0 934715 2267304 0 0 2267304 9393356 203999102 188396212 656377 10592531 0 0 0 0 0 0 0 0 1642785 0 1642785 0 0 0 0 0 89646706 78761994 10402774 481938 1479934 1302342 162793 14799 13594320 11963002 1495375 135943 6741685 5932683 741585 67417 2506609 2205816 275727 25066 216831 0 216831 0 63597 0 63597 0 0 0 0 0 93538 93538 0 0 0 0 0 0 0 0 364920 321130 40141 3649 35688750 34074360 1122702 491688 1820260 1601828 200229 18203 0 0 0 0 8001183 7041041 880130 80012 152181 134839 16740 602 0 0 0 0 0 0 0 0 3745518 0 3745518 0 0 0 0 0 9363355 8239752 1029969 93634 1051402 925234 115654 10514 Contract Services 9050957 7964842 995605 90510 Collection fee 512552 512552 0 0 Physician fees 4808689 4808689 0 0 Health Safety Net 1685387 1685387 0 0 192231159 167475491 23148155 1607513 3540 3340 82313906 80276053 10283000 10990481 24410076 25185992 0 0 0 0 0 0 3683786 3791098 4483069 2922187 234355900 110231695 93716130 124124205 0 0 7655686 8009740 0 0 0 0 33934886 11675340 260484079 266978436 25787713 27204471 0 0 0 0 110494484 109472287 0 0 0 0 3411031 1748022 0 0 5359870 6936069 145053098 145360849 X 101611304 107749200 13191736 13240446 627941 627941 115430981 121617587 260484079 266978436 X 11767943 -554819 0 0 0 -5026518 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 0 1 32196 32196 0 Schedule C, Part II-B, Line 1 Letter G - From time to time, the Hospital reaches out to our state and federal legislators on matters relating to Hospital Operations. Letter I - the $32,196 shown represents a portion of Massachusetts Hospital and American Hospital Association dues used for lobbying purposes as defined by Medicare. 2531270 0 35261 0 44375 0 2522156 2257571 0 313258 0 39559 0 2531270 2004918 0 290165 0 37512 0 2257571 1667003 0 373387 0 35472 0 2004918 1660561 0 25807 0 19365 0 1667003 0 0.25 0.75 0 0 5410627 0 5410627 87671259 0 35597555 52073704 1499453 0 538392 961061 86477591 0 70760396 15717195 4254372 49042598 3335352 49961618 124124205 0 Due to Third Party Contractors 6936069 6936069 X Schedule D, Part V, Line 4 The organization has a Spending Policy which provides a policy with regards to the use of Investment Income and gains on amounts held in the Endowment Funds. Further to provide a consistent, predictable level of support to operations and permit the organization to maintain the purchasing power of the amounts held in the Endowment Fund. the amounts to be made available to the operating fund will be calculated at the end of the third quarter of each fiscal year. Schedule D, Part X, Line 2 A review has been performed of each of the Organizations revenue streams in relation to FIN 48. The result of the review is that the following has been identified as Unrelated Business Income: Non patient laboratory testing provided to nursing homes and non-affiliated (non Tri-County Medical Association) physician offices. East Asia and the Pacific 0 0 Investments 81729 Europe (including Iceland and Greenland) 0 0 Investments 190637 North America (including Canada and Mexico, but not the United States) 0 0 Investments 21482 0 0 293848 0 0 0 0 0 0 X X X X X X 1 Ghiorsi & Sorrenti 255 Madison Avenue Wyckoff NJ 07481 Capital Campaign Management 0 2539413 28122 2511291 2539413 28122 2511291 MA Golf 15 317550 259890 57660 0 5623 30807 0 0 8214 Melange Event 661375 441535 219840 0 0 0 53303 4550 189143 4 87777 4185 83592 0 0 0 379 2225 42569 1066702 705610 361092 0 5623 30807 53682 6775 239926 336813 24279 0 0 0 0 0 0 0 0 0 0 0 0 32776 5536 0 0 1621 0 32776 5536 0 0 1621 7157 25619 MA 1 0 1 0 0 1 Martin Richman 14 Prospect Street Milford MA 01757 0 Martin Richman Vice President Philanthropy X 0 0 Schedule G, Part I, Line 1 A total of $5622 was paid to Ghiorsi & Sorrenti inc for travel and lodging during FY15. The agreement distinguishes between professional fundraising and expense payments. 1 1 1 X 1 X 1 1 1 0 1 1 3877715 1670369 2207346 0.0118 20456008 16517593 3938415 0.0204 2382217 1669703 712514 0.0037 0 0 26715940 19857665 6858275 0.0359 445066 0 445066 0.0023 1637459 638579 998880 0.0051 2983610 0 2983610 0.0155 0 0 0 0 23190 0 23190 0.0001 0 0 5089325 638579 4450746 0.0230 0 0 31805265 20496244 11309021 0.0589 0 2153776 345935 46480078 58516419 -12036341 X 1 1 1 1 Milford Regional Medical Center Inc 14 Prospect Street Milford MA 01757 2105 X X X Milford Regional Medical Center Inc 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X foundation.milfordregional.org X 0 0 1 X 200 400 X X X X 1 1 X X X 1 X X 0 X 0 1 X 0 1 Schedule H, Part V, Section B, Line 5-Milford Regional Medical Center Inc Milford Regional Medical Center completed our Community Health Needs Assessment (CHA) in September 2015. The process was led by Community Benefits Steering Committee with support from HRiA and under the leadership of MRMC CEO Frank Saba. The CHA included quantitative data analysis, a community survey with over 1000 respondents and interviews with key stakeholders. Interviewees represented health care, public safety, government, education and the clergy. A Strategic Implementation Plan for FY 2014-2016 developed by the steering committee was reviewed and evaluated addressing goals and objectives of the priority areas addressing behavioral health, healthy weight for youth, access to care, and chronic disease prevention. Community Benefits Steering Committee has expanded to include community leaders outside the hospital walls who are instrumental in furthering goals and increasing visibility of hospital mission and mandate. With community partnerships, support from hospital departments, and grant funding through the Executive Office of Health and Human Services and the Metrowest Health Foundation, Milford Regional has addressed many of these issues in a substantive way. Milford Regional plays a leadership role in convening groups to improve health outcomes and works closely with the other agencies and institutions including Metrowest Health Foundation, MA Department of Public Health, Health Care for All, MA Executive Office of Health and Human Services, local elected officials, and coordinating 70 partner organizations as the chair of CHNA 6. Given the scope of issues identified in the assessment, this work will be ongoing. Schedule H, Part V, Section B, Line 11-Milford Regional Medical Center Inc The Community Needs Assessment was presented to community leaders, CEOs, School Superintendents and Boards of Health Directors at a Leadership Roundtable hosted by Milford Regional. The focus was on Access to Care with a panel representing primary care, behavioral health care and specialty care. Schedule H, Part V, Section B, Line 13h-Milford Regional Medical Center Inc Asset level is used for Medicare patients only. This follows Medicare guidelines. Schedule H, Part V, Section B, Line 24-Milford Regional Medical Center Inc At the Hospital, all patients are charged the gross charges for any services. Upon contact from an uninsured patient, a discussion occurs which may result in the discounting of gross charges. Schedule H, Part I, Line 6a Milford Regional Medical Center completed the 2015 Community Health Needs Assessment and shared with stakeholders, distributed to community partners, and made available on Foundation website. Prepared and distributed printed Community Benefits Annual Report and made available on the hospital website. In addition, the Annual Report filed with the Massachusetts Attorney General is published online and available to the public. Schedule H, Part I, Line 7 Lines 7 a/b/c were calculated using worksheets 1,2,3 provided in the instructions. Schedule H, Part I, Line 7, Column f Line 7F was determined by the cost and reimbursement information on the Medicare Cost Report. It was calculated by dividing Column E, Net Community Benefit Expense by total of Part IX Line 25 of Form 990 Core Form of $192,231,159. Schedule H, Part III, Section A, Line 2 The Hospital's bad debt expense was estimated as the product of the Hospital's bad debt multiplied by the Hospital's overall cost-to-charge ratio calculated on Worksheet 2 of the instructions. Schedule H, Part III, Section A, Line 3 Bad debt expense attributable to patients eligibility for financial assistance was calculated as the accounts for which patients were unemployed to the time of service multiplied by the Hospital's overall cost-to-charge ratio. Schedule H, Part III, Section A, Line 4 In Line 2, Worksheet A in the instructions was used by taking bad debt as reported in the Hospital's audited financial statements multiplied by the cost-to-change ratio calculated in Worksheet 2 in the instructions. Schedule H, Part III, Section B, Line 5 Milford Regional Medical Center completed our Community Health Needs Assessment (CHA) in September 2015. The process was led by Community Benefits Steering Committee with support from HRiA and under the leadership of MRMC CEO Frank Saba. The CHA included quantitative data analysis, a community survey with over 1000 respondents and interviews with key stakeholders. Interviewees represented health care, public safety, government, education and the clergy. A Strategic Implementation Plan for FY 2014-2016 developed by the steering committee was reviewed and evaluated addressing goals and objectives of the priority areas addressing behavioral health, healthy weight for youth, access to care, and chronic disease prevention. Community Benefits Steering Committee has expanded to include community leaders outside the hospital walls who are instrumental in furthering goals and increasing visibility of hospital mission and mandate. With community partnerships, support from hospital departments, and grant funding through the Executive Office of Health and Human Services and the Metrowest Health Foundation, Milford Regional has addressed many of these issues in a substantive way. Milford Regional plays a leadership role in convening groups to improve health outcomes and works closely with the other agencies and institutions including Metrowest Health Foundation, MA Department of Public Health, Health Care for All, MA Executive Office of Health and Human Services, local elected officials, and coordinating 70 partner organizations as the chair of CHNA 6. Given the scope of issues identified in the assessment, this work will be ongoing. Schedule H, Part III, Section B, Line 8 The Hospital's Medicare Cost Report was used to determine the amount reported in Line 6. Schedule H, Part III, Section C, Line 9b Once it has been determined that a patient qualifies for full or partial free care, all collection procedures cease and the full balance, or amount that qualifies under partial free care, is written off. Massachusetts hospitals are required to adopt a credit and collections policy under the Health Safety Net (HSN) regulations (114.6 CMR 13.08 (1) (c)) that outlines the specific process for determining eligibility for public assistance programs and hospital collection practices. Schedule H, Part VI, Line 2 Milford Regional stays current with studies by other agencies, particularly the Metrowest Adolescent Health Survey conducted by the MetroWest Health Foundation and state and local data. The Office of Community Benefits is actively engaged with the Community Health Network Area (CHNA) and other community coalitions/committees focusing on substance abuse, access to services, interpersonal violence prevention, cancer prevention and nutrition /physical activity/wellness to address emerging health needs. Schedule H, Part VI, Line 3 Patients are informed of the availability of financial assistance by way of payment statements printed with financial assistance information. At the time of discharge from the Emergency department, uninsured patients are encouraged to meet with an on-site Financial Counselor. If unable to meet with a Financial Counselor at the time of discharge, the patients are given a screening letter that gives contact information for our financial assistance department. The day following any emergency room visit, a form is generated on each uninsured patient and sent to the Financial Counselors. At that time, the Financial Counselors contact the patient to coordinate a meeting to apply for assistance. Scheduled self-pay Surgical Day Care (SDC) and inpatients are reviewed prior to admission to determine payment arrangements or to coordinate a meeting with a Financial Counselor. Insured SDC and inpatients who are unable to leave a deposit or make payment arrangements toward a large out of pocket expense are also encouraged to meet with a Financial Counselor. Schedule H, Part VI, Line 4 Milford Regional Medical Center serves the healthcare needs of the residents of 19 communities in Central Massachusetts, spanning 3 separate counties: Worcester, Norfolk and Middlesex. The Hospital's primary service area consists of Milford, Franklin, Bellingham, Northbridge, Whitinsville, Uxbridge, Blackstone, Hopedale, Medway and Mendon, a population of 145,362 according to 2010 US Census data. The Hospital's secondary service area consists of Douglas, Grafton, Hopkinton, Holliston, Millis, Wrentham, Upton, Medfield and Millville, a population of 96,310. The population of the MRMC service area has grown almost 9% over the past decade, as opposed to the statewide average of 3%. The residents of this region are primarily Caucasian, accounting for 93.6% of the population. Hispanics comprise 2.7% of the population, with Asians also at 2.7% and Blacks at 1.0%. The population is nearly even in terms of gender, with 51% females. The bulk of the adult population (71.6%) is between the ages of 18 54, slightly higher than the state percentage, which is 68%. There has been an influx of Egyptian, Central American and Brazilian immigrants into the area, most likely not represented in these totals, but estimated at several thousand additional residents. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Francis Saba CEO 485966 0 100900 0 0 0 154713 0 24450 0 766029 0 0 0 Edward J Kelly President 431882 0 80385 0 0 0 28655 0 27668 0 568590 0 0 0 Jeanne P Lynskey VP Finance and CFO 244818 0 23880 0 0 0 0 0 25060 0 293758 0 0 0 Nancy Tomaso VP Patient Care Services 231961 0 0 0 0 0 0 0 7905 0 239866 0 0 0 Linda Yates VP Human Resources 189152 0 0 0 0 0 0 0 25618 0 214770 0 0 0 Martin Richman VP of Philanthropy 185532 0 0 0 0 0 0 0 20396 0 205928 0 0 0 Nicole A Heim Chief Information Officer 176912 0 0 0 0 0 0 0 24247 0 201159 0 0 0 Peggy Novick VP Clinical Support 164317 0 0 0 0 0 0 0 5258 0 169575 0 0 0 William G Muller MD Trustee 0 0 0 0 21017 0 0 0 0 0 21017 0 0 0 Paul Darcy Trustee 0 0 0 0 6975 0 0 0 0 0 6975 0 0 0 Jeff Hopkins MD Trustee 0 0 0 0 3475 0 0 0 0 0 3475 0 0 0 John N Pandiscio MD Trustee 0 0 0 0 2850 0 0 0 0 0 2850 0 0 0 Kevin P Meehan Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Vascen J Bogigian Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 John J Burns Chairman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Steven G Ellis Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 William G Burrill Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Beverly Swymer Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Barbara A Auger Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Loriann Baranauskas Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Robert L Kilroy Vice Chairman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Delia Vetter Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 John Brabazon Treasurer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Robert Littleton Jr Trustee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Laura Mann Clerk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule J, Part I, Line 1a Payments made to some members of senior management for insurance premiums are grossed up. Schedule J, Part I, Line 4 Francis M Saba and Edward J Kelly had deposits to their SERPS in FY15 of $137,878 and $22,989, respectively. A Massachusetts Health & Education Facilities Authority 042456011 57586CXJ9 2007-02-21 70279953 See Supplemental Information 0 0 0 B Massachusetts Devolopment Finance Agency 043431814 57583UC48 2014-01-29 45825887 See Supplemental Information 0 0 0 A 6095000 0 70279253 2664107 1509967 30555914 823473 0 0 34726491 0 0 0 1 1 1 B 0 0 45825887 1747073 2743850 12282441 772110 0 0 28280393 0 0 0 1 1 1 A 0 1 1 1 0 0.018 0 0.018 1 0 0 B 0 1 1 1 0 0 0 1 0 0 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 Schedule K, Part I, Column f-02/21/2007 70,279,953 Massachusetts Health & Education Facilities Autho The proceeds from the sale of the Series E Bonds and certain other available moneys will be used to finance and refinance the following: (I) construction, furnishing and equipping of an approximately 54,013 square foot building to be known as the Cancer Center (the "Cancer Center") and expansion of an existing parking lot, (ii) demolition of certain existing structures on the site of the Cancer Center, (iii) renovation, construction, furnishing, expansion and equipping of the Institution's cardiac catheterization lab, operating room area, cardiovascular department and its Gannett Inpatient Unit, (iv) various improvements, equipment and furnishings at the Institution's facilities in Milford, Massachusetts, and Whitinsville, Massachusetts, (v) the advance refunding of the Authority's Milford Whitinsville Regional Hospital Issue, Series D, dated June 15, 2002 (the "Refunded Bonds"), (vi) the funding of a Debt Service Reserve Fund for the Series E Bonds, and (vii) the payment of costs of issuance associated with the Series E Bonds. Schedule K, Part I, Column f-01/29/2014 45,825,887 Massachusetts Devolopment Finance Agency The proceeds from the sale of the Series F Bonds and certain other available moneys will be used to finance and refinance the following: (I) the construction, furnishing and equipping of, and site preparation for, a two-story addition to the Institution's main hospital building, (ii) the refunding of the Massachusetts Health and Educational Facilities Authority Revenue Bonds, Milford Whitinsville Regional Hospital Issue, Series C (the "Refunded Bonds") currently outstanding in the aggregate principal amount of $12,205,000, (iii) the funding of a Debt Service Reserve Fund for the Series F Bonds, and (iv) the payment of costs of issuance associated with the Series F Bonds (collectively, the "Project"). The Refunded Bonds are expected to be redeemed approximately thirty-five (35) days following the issuance of the Series F bonds at a redemption price equal to 100% of the principal amount thereof. Schedule K, Part IV, Line 2c-02/21/2007 70,279,953 Massachusetts Health & Education Facilities Autho 02/21/2007 $70,279,953 Massachusetts Health & Education Facilities Autho - The rebate calculation has been performed annually in July of each year. Schedule K, Part IV, Line 2c-01/29/2014 45,825,887 Massachusetts Devolopment Finance Agency 01/29/14 $45,825,887 Massachusetts Development Finance Agency - Calculation is performed annually in July. Alliance Healthcare Services Vendor/Contributor 3972973 Payments of $3,972,973 were made to Alliance Healthcare Services for services provided to the Hospital. Alliance also gave the Hospital contributions. 0 Aramark Healthcare Vendor/Contributor 1280768 Payments of $1,280,768 were made to Aramark Healthcare for services provided to the Hospital. Aramark also made contributions to the Hospital. 0 Atlantic Charter Insurance Company Vendor/Contributor 750564 Payments of $750,564 were made to Atlantic Charter Insurance Company for services provided to the Hospital. Atlantic Charter Insurance Company also made contributions to the Hospital. 0 Boston Children's Hospital Vendor/Contributor 117675 Payments of $117,675 were made to Boston Children's Hospital for services rendered to the Hospital. Boston Children's Hospital also made contributions to the Hospital. 0 M Catherine Burke Former Trustee 1274705 Payments of $1,274705 were made to Orion Emergency Services for services rendered to the Hospital. Dr. Burke is President of Orion Emergency Services, Inc. Dr. Burke also made contributions to the Hospital. 0 Claflin Company Vendor/Contributor 4458338 Payments of $4,458,338 were made to Claflin Company for services rendered to the Hospital. Claflin Company also made contributions to the Hospital. 0 Consigli Construction Vendor/Contributor 26868256 Payments of $26,868,256 were made to Consigli Construction for services rendered to the Hospital. Consigli Construction also made contributions to the Hospital. 0 Albert Crimaldi Former Trustee 514854 Payments were made to Milford Gastroenterology Associates, Inc. which provide services to the Hospital. Dr. Crimaldi is part owner of Milford Gastroenterolgy Associates, Inc. Payments were also made to Milford Gastroenterology Realty with which the Hospital has entered into a lease agreement. Dr. Crimaldi is part owner of Milford Gastroenterology Realty. Dr. Crimaldi also made contributions to the Hospital. 0 Paul Darcy Trustee 469788 Payments of $469,788 were made to Milford Anesthesia Associates for services rendered to the Hospital. Dr. Darcy is the owner of Milford Anesthesia Associates. Dr. Darcy made contributions to the Hospital. 0 Harvard Pilgrim Healthcare Vendor/Contributor 2925458 Payments of $2,925,458 were made to Harvard Pilgrim Healthcare for services rendered to the Hospital. Harvard Pilgrim also made contributions to the Hospital. 0 Jeffrey Hopkins MD Trustee 309522 Payments of $309,522 were made to Connecticut Medical Insurance Company for services rendered to the Hospital. Dr. Hopkins is a board member of CMIC. Dr. Hopkins also made contributions to the Hospital. 0 Jeffrey Hopkins MD Trustee 1274705 Payments of $1,274,705 were made Orion Emergency Services for services provided to the Hospital. Dr. Hopkins is an employee of Orion Emergency Services, Inc. 0 Kevin Meehan Former Trustee 121189 Payments of $121,189 were made to the Imperial dealerships and Milford National Bank & Trust. Mr. Meehan is the owner of the Imperial dealerships, and a shareholder in Milford National Bank & Trust. Mr. Meehan also made contributions to the Hospital. 0 Robert Kilroy Trustee 193090 Payments of $193,090 were made to Mirick O'Connell for services provided to the Hospital. Mr. Kilroy is an employee of Mirick O'Connell. Mr. Kilroy also made contributions to the Hospital. 0 Murphy & McManus LLC Vendor/Contributor 438506 Payments of $438,506 were made to Murphy & McManus LLC for services rendered to the Hospital. Murphy & McManus LLC also made contributions to the Hospital. 0 Orion Emergency Services Vendor/Contributor 1274705 Payments of $1,274,705 were made to Orion Emergency Services for services rendered to the Hospital. Orion Emergency Services also made contributions to the Hospital. 0 Osterman Management Vendor/Contributor 216460 Payments of $216,460 were made to Osterman Management for services rendered to the Hospital. Osterman Management also made contributions to the Hospital. 0 TLC Janitorial Vendor/Contributor 179271 Payments of $179,271 were made to TLC Janitorial for services rendered to the Hospital. TLC Janitorial also made contributions to the Hospital. 0 TRO Jung Brannen Corp Vendor/Contributor 406089 Payments of $406,089 were made to TRO Jung/Brannen Corp for services rendered to the Hospital. TRO Jung/Brannen Corp also made contributions to the Hosptial. 0 X 0 FMV X 8 205000 FMV X Food and Supplies for Fundraisers 8 0 FMV X Tickets to sporting events 2 0 FMV X Golf 3 0 FMV X Other Miscellaneous 11 0 FMV 0 0 1 0 Schedule M, Part I, Line 33 MRMC Inc. does not currently account for certain non-cash contributions or in-kind donations as revenue. Form 990, Part VI, Section A, Line 2 Two board of trustee members have disclosed via the organization's conflict of interest disclosure process that they have business relationships with other board members. Form 990, Part VI, Section A, Line 6 The organization is governed by a Board of Trustees. In addition, the organization has incorporators who serve as an advisory capacity to the Board of Trustees. Form 990, Part VI, Section B, Line 11b The Form 990 was provided to the Board of Trustees prior to filing via a link to the document. Form 990, Part VI, Section B, Line 12c The Organization has a written Code of Business Conduct which includes its conflict of interest policy. The By-laws of the Organization also include a Conflict of Interest section. Conflict of Interest disclosure statements are mailed annually to the Board of Trustees, senior management and any person who is a member of a Board committee. The completed form is submitted to the President and CEO who summarizes the results and provides them to the Board of Trustees for their review and discussion. A subcommittee of the Board has been created to review any potential conflict of interest matters as they arise. Form 990, Part VI, Section B, Line 15 The Compensation Committee reviews the compensation of the President and CEO. The committee may consult with a nationally recognized consultant to assist it in determining that the organization's compensation structure and ranges are reasonable. Form 990, Part VI, Section C, Line 19 The organization makes its governing documents available to the public, such as its bylaws which include the organization's conflict of interest policy, through the annual filing of the Massachusetts Division of Public Charities Form PC. The Form PC is available for viewing by the public on the Massachusetts Attorney General's website and is also attached to the annual filing of the Massachusetts Form 3ABC which is submitted to town offices where the organization owns or leases property. The organizations' financial statements are included in the Form PC and are also included in a quarterly filing to the organization's bond holders. Form 990, Part XI, Line 9 The change in net assets results from transferring to affiliates ($4,905,932) and change in market value ($120,586). Tri-County Medical Associates Inc 9 Industrial Road Suite 5 Milford MA 01757 043159969 Physician Group MA 501(C)(3) 11A N/A MWRH Management Services Inc 14 Prospect Street Milford MA 01757 311631252 Provides office space, support to satellite clinics MA 501(C)(3) 11A N/A Milford Regional Healthcare Foundation Inc 14 Prospect Street Milford MA 01757 200773697 Fundraising MA 501(C)(3) 11A N/A Milford Whitinsville Healthcare Consortium Inc 14 Prospect Street Milford MA 01757 043248004 Physician Hospital Organization MA N/A C 366 0.5 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 1 0 Tri-County Medical Associates Inc j 27700 Market Value Tri-County Medical Associates Inc k -76062 Market Value Tri-County Medical Associates Inc r 7600000 Cost Tri-County Medical Associates Inc p -2852058 Cost Tri-County Medical Associates Inc q 186601 Extension granted