2016-08-15T13:35:23-05:00 2015-09-30 135381590 BDO USA LLP 200 PORTLAND STREET BOSTON MA 02114 990 2014-10-01 134366504 HARRINGTON PHYSICIAN SERVICES INC HARR 5087653010 100 SOUTH STREET SOUTHBRIDGE MA 015508002 TOM SULLIVAN CFO 5087653010 2016-08-11 1 JEFFREY T ROGERS P01074284 6177427788 2014 2016-12-15 16:53:06Z TOM SULLIVAN 100 SOUTH STREET SOUTHBRIDGE MA 015508002 17969067 0 X WWW.HARRINGTONHOSPITAL.ORG X 2008 MA CHARITABLE-THE PROVISION OF HEALTHCARE SERVICES 6 5 276 0 0 0 0 0 16087631 17105850 733 1045 627727 862172 16716091 17969067 0 0 0 0 22123219 23816222 0 0 0 5454698 5229273 27577917 29045495 -10861826 -11076428 5241055 5487507 3206441 4096460 2034614 1391047 X TO PROVIDE OPTIMAL HEALTHCARE TO THE PATIENTS OF SOUTH CENTRAL MASSACHUSETTS AND NORTHEASTERN CONNECTICUT. HARRINGTON PHYSICIAN SERVICES IS COMMITTED TO TOTAL LOCAL CARE WHICH IT PROVIDES THROUGH PHYSICIAN OFFICES LOCATED IN COMMUNITIES THROUGHOUT THE HARRINGTON HOSPITAL SERVICE AREA. 0 0 27610866 17968022 HPS SERVES THE CHARITABLE PURPOSES OF HARRINGTON MEMORIAL HOSPITAL BY PROVIDING PHYSICIANS WHO ARE NEEDED TO SERVICE THE HOSPITAL'S COMMUNITY. 27610866 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 22 0 1 276 1 0 0 0 0 0 0 0 0 0 0 X 6 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X KRISTIN MORALES-LEMEUIX 5087652433 100 SOUTH STREET SOUTHBRIDGE MA 015508002 ARTHUR RUSSO MD DIRECTOR 1.00 32.00 X 0 294993 11540 THERESA COLOGNESI DIRECTOR 1.00 X 0 0 0 ANTHONY M DETARANDO DIRECTOR 1.00 X 0 0 0 RONALD CARLSON DIRECTOR 1.00 X 0 0 0 MARK PALMERINO DIRECTOR 1.00 X 0 0 0 ANTHONY J DETARANDO DIRECTOR/CHAIRPERSON 1.00 X 0 0 0 EDWARD MOORE PRESIDENT 40.00 X 0 532695 203400 THOMAS SULLIVAN TREASURER 40.00 X 0 330379 12734 KRISTIN MORALES-LEMEUIX EXECUTIVE DIRECTOR/ SECRET 40.00 X 177464 0 41781 CHARLES SOMMER MD PHYSICIAN 40.00 X 440677 0 23090 PAUL SANTOLUCITO MD PHYSICIAN 40.00 X 589389 0 38294 ELISABETH ROBINSON MD PHYSICIAN 40.00 X 439473 0 4686 KATHERINE MASON MD PHYSICIAN 40.00 X 388393 0 20146 YOUNG-HO OH MD PHYSICIAN 40.00 X 558570 0 14721 2593966 1158067 370392 47 0 1 0 BARTON ASSOCIATES 10 DEARBORN RD 2 PEABODY MA 01960 PHYSICIAN SERVICES 705837 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 60673 SOFTWARE CONTRACT 416777 BC CUSTOM HOMES LLC 53 CARON RD PO BOX 687 STURBRIDGE MA 01566 CONSTRUCTION SERVICES 242068 CRIMSON GROUP 1770 MASSACHUSETTS AVENUE CAMBRIDGE MA 02140 CONSULTING 184025 OAK TRANSCRIPTION INC 202 PRINCE ROAD SOUTHBRIDGE MA 01550 TRANSCRIPTION SERVICES 130909 5 NET PATIENT SERVICE REVENUE 621110 17105850 17105850 17105850 1045 1045 INCENTIVE PAYMENTS 621110 853763 853763 MEDICAL RECORDS INCOME 621110 8409 8409 862172 17969067 17968022 0 1045 226367 226367 20130170 19730533 399637 934430 905694 28736 1291072 1251369 39703 1234183 1196229 37954 55213 2800 52413 19774 19774 394723 393108 1615 74802 5706 69096 378516 296650 81866 262800 606 262194 887542 887156 386 23950 13872 10078 559592 516687 42905 848208 848208 PHARMACEUTICALS 871293 871293 MED/SURG SUPPLIES 493306 493306 359554 197649 161905 29045495 27610866 1434629 0 376863 14749 1674302 1494152 23298 31983 901799 2101970 3405967 1561314 2264793 1844653 5241055 5487507 3206441 4096460 3206441 4096460 X 2034614 1391047 2034614 1391047 5241055 5487507 X -11076428 10432861 X 0 1 X 1 0 X 13844536 14518110 14800903 16087631 17105850 76357030 13844536 14518110 14800903 16087631 17105850 76357030 0 0 0 76357030 522 394 880 733 1045 3574 522 394 880 733 1045 3574 139240 318687 538253 627727 862172 2486079 13984298 14837191 15340036 16716091 17969067 78846683 0.96840 0.97700 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER CLINICAL INCOME - 2010 AMOUNT: $ 139,240. 2011 AMOUNT: $ 318,687. 2012 AMOUNT: $ 538,253. 2013 AMOUNT: $ 627,727. 2014 AMOUNT: $ 862,172. 1117129 426426 690703 2233790 1134888 1098902 55048 55048 1844653 X PART X, LINE 2: THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. X X 0 1 0 0 0 0 0 0 0 ARTHUR RUSSO MD DIRECTOR 0 253047 0 23933 0 18013 0 10081 0 1459 0 306533 0 0 EDWARD MOORE PRESIDENT 0 438795 0 70463 0 23437 0 190400 0 13000 0 736095 0 0 THOMAS SULLIVAN TREASURER 0 279050 0 33421 0 17908 0 10400 0 2334 0 343113 0 0 KRISTIN MORALES-LEMEUIX EXECUTIVE DIRECTOR/ SECRET 160922 0 16542 0 0 0 25463 0 16318 0 219245 0 0 0 CHARLES SOMMER MD PHYSICIAN 440677 0 0 0 0 0 5200 0 17890 0 463767 0 0 0 PAUL SANTOLUCITO MD PHYSICIAN 450875 0 138514 0 0 0 3976 0 34318 0 627683 0 0 0 ELISABETH ROBINSON MD PHYSICIAN 429473 0 10000 0 0 0 2002 0 2684 0 444159 0 0 0 KATHERINE MASON MD PHYSICIAN 368080 0 20313 0 0 0 2540 0 17606 0 408539 0 0 0 YOUNG-HO OH MD PHYSICIAN 535424 0 23146 0 0 0 3660 0 11061 0 573291 0 0 0 PART I, LINE 4B EDWARD MOORE PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WITH A RELATED ORGANIZATION, WHICH WAS CREDITED WITH $293,153 IN DEFERRED COMPENSATION FOR CALENDAR YEAR 2014. THOMAS SULLIVAN PARTICIPATES IN A 457F PLAN WITH A RELATED ORGANIZATION, WHICH WAS CREDITED WITH $9,300 IN DEFERRED COMPENSATION FOR CALENDAR YEAR 2014. ARTHUR RUSSO PARTICIPATES IN A 457F PLAN WITH A RELATED ORGANIZATION, WHICH WAS CREDITED WITH $2,053 IN DEFERRED COMPENSATION FOR CALENDAR YEAR 2014. KRISTIN MORALES-LEMEUIX PARTICIPATES IN A 457F PLAN, WHICH WAS CREDITED WITH $22,072 IN DEFERRED COMPENSATION FOR CALENDAR YEAR 2014. FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION HAS TWO DIRECTORS, ANTHONY M. DETARANDO AND ANTHONY J. DETARANDO, THAT ARE RELATED. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS HARRINGTON HEALTHCARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER IS HARRINGTON HEALTHCARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE CORPORATE MEMBER IS HARRINGTON HEALTHCARE SYSTEM, INC. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION WORKS WITH ITS INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT TO COMPILE THE FORM 990 AND ITS RELATED DISCLOSURES. THE FORM 990 IS REVIEWED IN DETAIL WITH THE CERTIFIED PUBLIC ACCOUNTANT BY MANAGEMENT AND THEN PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATION REQUIRES THAT ALL EMPLOYEES, AND MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS OF THE CORPORATION AND ANY MEMBER OF ANY COMMITTEE DISCLOSE IN WRITING (AND UPDATE AT LEAST ANNUALLY) ALL BUSINESS AND OTHER RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST AND ALL CONFLICTS OF INTEREST AS DEFINED BY THE POLICY. THE WRITTEN DISCLOSURE SHALL INCLUDE AN ITEMIZATION OF ANY SUBSTANTIVE CONFLICT OF INTEREST FOR SUCH EMPLOYEE, OR OFFICER OR MEMBER OF THE BOARD OF DIRECTORS AND ANY MEMBER OF A COMMITTEE BY VIRTUE OF HIS OR HER ACTIVITIES OR THAT OF RELATED PARTIES. IF AN EMPLOYEE, A MEMBER OR AN OFFICER OF THE BOARD OF DIRECTORS OR A MEMBER OF ANY COMMITTEE BELIEVES THAT HE/SHE, OR A RELATED PARTY, HAS A CONFLICT OF INTEREST, HE/SHE MUST IMMEDIATELY DISCLOSE THIS IN WRITING TO THE EXECUTIVE DIRECTOR. DISCLOSURES BY MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS AND A MEMBER OF ANY COMMITTEE MUST ALSO BE MADE TO THE PRESIDENT (AND IF IT IS THE PRESIDENT WHO HAS THE CONFLICT OF INTEREST, HE OR SHE MUST MAKE DISCLOSURE TO THE VICE-PRESIDENT). IF, AFTER PROVIDING THE WRITTEN DISCLOSURE, AN ACTUAL OR POTENTIAL CONFLICT ARISES, THE EMPLOYEE OR MEMBER OR OFFICER OF THE BOARD OF DIRECTORS AND ANY MEMBER OF ANY COMMITTEE WITH THE CONFLICT SHALL IMMEDIATELY NOTIFY THE CORPORATION IN WRITING. THE NOTIFICATION SHALL BE DIRECTED TO THE EXECUTIVE DIRECTOR AND TO THE PRESIDENT FOR CONFLICTS OF INTEREST INVOLVING MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS AND ANY MEMBER OF ANY COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ANNUALLY, IN CONJUCTION WITH THE CEO, REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE AND DETERMINES COMPENSATION BASED ON MEASURES THAT INCLUDE THE ORGANIZATION'S FINANCIAL, CLINICAL AND COMMUNITY ACTIVITIES. THE BOARD USES INFORMATION FROM COMPARABLE PHYSICIAN ASSOCIATIONS IN MEASURING THE PROPRIETY OF THE EXECUTIVE DIRECTOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM SOLE MEMBER; HARRINGTON MEMORIAL HOSPITAL 10,432,861. HARRINGTON MEMORIAL HOSPITAL 100 SOUTH STREET SOUTHBRIDGE MA 01550 042103577 ACUTE CARE HOSPITAL MA 501(C)(3) 3 0 HARRINGTON HEALTHCARE SYSTEM INC 100 SOUTH STREET SOUTHBRIDGE MA 01550 800518491 HEALTHCARE SUPPORT MA 501(C)(3) 11C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 HARRINGTON MEMORIAL HOSPITAL S 10432861 COST