2015-08-13T08:26:15-07:00 2014-09-30 990 2013-10-01 042103602 MILFORD REGIONAL MEDICAL CENTER INC MILF 5084731190 14 PROSPECT STREET MILFORD MA 017573090 JEANNE P LYNSKEY VP, FINANCE & CFO 5084731190 2015-08-15 2013 2016-03-07 17:11:31Z Milford Regional Medical Center 14 Prospect St Milford MA 01757 199372108 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 1844 477 654173 0 3995840 9197482 173162259 177441922 651431 1061430 9948085 9724343 187757615 197425177 0 0 0 0 100742405 105684869 359441 278264 1439732 75118382 76007110 176220228 181970243 11537387 15454934 217450156 260484079 112767133 145053098 104683023 115430981 X 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. 1 0 61564461 0 69975442 Inpatient Services -Milford Regional Medical Center (MRMC) 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 charitable hospital, we acknowledge our special concern for the needs of the underserved, especially low-income and minority populations. A full-service community and regional teaching hospital, MRMC is a 145-bed, nonprofit acute-care facility. There are approximately 200 physicians on the active medical staff and an additional 100 courtesy or consulting physicians. MRMC is affiliated with UMass Memorial Health Care and most recently, Children's Hospital, as a major teaching hospital. 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. MRMC serves approximately 8,800 medical and surgical inpatients annually. In FY 14, one year after launching the Center for Weight Loss Surgery, MRMC successfully treated a total of 27 patients including 20 with a vertical sleeve and 7 with Gastric Bypass. An interdisciplinary team successfully treated patients facing chronic weight-related illnesses with bariatric surgery and support. Growth and expansion seemed to be pervasive throughout our corporation in 2014 beginning with the construction of two building projects. On hospital grounds, Milford Regional celebrated a groundbreaking and the first stages of a new 78,000 square foot building that will double the size of the current ED, increase the number of rooms in the ICU and create all private patient rooms where currently up to four patients currently share a room. The $54 million new facility will open in the fall of 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 is leased, which houses family medicine and OB/GYN along with Milford Regional rehabilitation, laboratory and radiology services. 96561897 0 106812307 Outpatient Services -Another area of expansion at Milford Regional in 2014 was the introduction of new, leading edge technologies, including 3D mammography and the smallest, insertable cardiac monitor available. Milford Regional was the first hospital in Massachusetts to implant this cardiac monitor which can wirelessly monitor a patient's heart for up to three years. Additionally, the Medical Center's focus on patient safety was elevated with the purchase of two Xenex disinfection robots that use ultraviolet light (UV-C) to kills deadly pathogens and multi-drug resistant organisms in patient rooms. Our physician base also grew as Milford Regional welcomed 25 new physicians to our active medical staff. Pediatrics expanded through our partnership with Boston Children's Physicians that not only provides around-the-clock inpatient care and ED coverage, but also offers specialty clinics including general surgery, gastroenterology, urology, endocrinology and allergy/asthma. Parents now have easy access to Boston Children's physicians in Milford. Our new physicians broadened the scope of care provided at Milford Regional with such adult specialties as reproductive endocrinology and infertility, breast and thoracic surgeries. All of these advancements at Milford Regional in 2014 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 sixth straight year as the regional choice for healthcare and the number one choice locally by the annual Community Newspapers' survey. The hospital was also recognized by U.S. News & World Report as a Best Regional Hospital for the fourth consecutive year. In addition, Milford Regional was honored as a Top Hospital by The Leapfrog Group. This award is widely cited as the nation's most competitive hospital quality award. Milford Regional was one of 94 hospitals out of 1,400 nationwide to earn this honor. Milford Regional Emergency Department - The Milford Regional Emergency Department sees over 55,500 patients per year and the number of those with behavioral health and substance use issues has increased dramatically. A collaboration with Riverside Community Care continues after 18 years at the hospital to provide behavioral medicine inside Milford Regional's internal medicine department. This partnership with the Milford Regional's Department of Care Management provides the framework for a proactive approach to patient care. The collaborative team tackled the epidemic of opioid abuse and heroin overdoses this year by establishing the Substance Abuse Task Force to better manage Withdrawal Syndrome, increase the awareness of hospital providers, and connect with community resources. The Medical Center was again awarded with two state grants totaling $240,000 to target activity in the Emergency Department. One was to support a referral system with Edward M. Kennedy Health Center for the one in five patients who do not have primary care, and the other was to fund a behavioral health initiative in the ED and develop an integrated multidisciplinary team to better meet the needs of patients seen in the ED with behavioral health issues. The Patient and Family Advisory Council's (PFAC) Behavioral Health Task Force continued to address the high volume and length of stay in the ED of behavioral health patients compared to those with medical and surgical complaints. Through the state grant support, behavioral health nurses, patient safety assistants and clinical social workers provided care tailored to the needs of behavioral health patients seen in the ED. Improvements included a decrease in restraint use for behavioral health patients, individualized management care plans developed to help patients reduce chronic ED visits by identifying and addressing underlying emotional issues, improved ED staff satisfaction, and decreased ED patient and family grievances. Strong community linkages with mental health providers, schools and community coalitions to improve the care of individuals with behavioral health and substance abuse needs were ongoing. This program was recognized across the state and by the Secretary of Health and Human Services at the 2014 statewide PFAC conference. We have employed two bilingual Community Health Workers in the ED to address the critical need to connect patients to primary care. Working later hours in the day and on weekends, Community Health Workers helped identify patients who came to the ED due to a lack of primary care or health insurance. Patients are helped with enrollment in state- subsidized health care when appropriate, and directed to a primary care provider. The Edward M Kennedy Community Health Center opened March 2014 and over 975 patients without PCPs were directed there for primary care through the end of the fiscal year in October 2014 by the Community Health Workers. Over 40% of these patients became enrolled in health insurance and were seen at the health center having obtained access to affordable, comprehensive primary care close to home. 0 0 0 158126358 1 1 0 1 0 0 0 0 0 1 1 0 0 1 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 1 190 0 1 1844 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 X 15 8 1 0 0 0 1 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 MA X Jeanne P Lynskey 5084731190 14 PROSPECT STREET MILFORD MA 017573090 Kevin P Meehan Trustee 1 0 X 0 0 0 Judge Francis J Larkin 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 Patrick R McSweeney MD Trustee 50 0 X 0 408896 29235 William G Burrill Trustee 1 0 X 0 0 0 Warren S Heller Trustee 1 0 X 0 0 0 Harold D Gould Jr Trustee 1 0 X 0 0 0 John N Pandiscio MD Trustee 1 0 X 15825 0 0 Barbara A Auger Trustee 1 0 X 0 0 0 Loriann Baranauskas Trustee 1 0 X 0 0 0 Jeff Hopkins MD Trustee 1 0 X 3700 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 Paul Darcy Trustee 1 0 X 6975 0 0 Robert Littleton Jr Trustee 1 0 X 0 0 0 Laura Mann Clerk 1 0 X 0 0 0 Francis M Saba CEO 50 0 X 1040392 0 171920 Edward J Kelly President 50 0 X 459410 0 54070 Jeanne P Lynskey VP Finance and CFO 50 0 X 260048 0 25038 Salvatore Perla Former VP Clinical Support 50 0 X 234435 0 23739 Nancy Tomaso VP Patient Care Services 50 0 X 217534 0 7424 Linda Yates VP Human Resources 50 0 X 183910 0 25431 Martin Richman VP of Philanthropy 50 0 X 172140 0 20135 Nicole Heim Chief Information Officer 50 0 X 163667 0 19758 Peggy Novick VP Clinical Support 50 0 X 115411 0 3781 Michael Newstein Medical Director, Infection Controler 50 0 X 166586 0 24129 Karen A Sergi Registered Nurse 50 0 X 157460 0 20966 Joan A Quinlan Registered Nurse 50 0 X 152465 0 9993 Maria DaSilva Director of Emergency Services 50 0 X 149484 0 21450 Judy Kelly Director of Inpatient Services 50 0 X 148744 0 21917 Cheryl L Bonasoro Former VP Patient Care Services 50 0 X 208894 0 525 3857080 408896 479511 123 1 1 1 Alliance Healthcare Inc PO Box 96485 Chicago IL 60693 MRI Services/PET Services 3816054 Aramark 12483 Collections Center Drive Chicago IL 60693 BioMedical Engineering Services 1460166 TRO JUNG BRANNEN INC 22 BOSTON WHARF RD BOSTON MA 02210 ARCHITECT 1194594 University of Massachusetts Medical 55 Lake Ave North Worcester MA 01655 Fee for Residency Program 1191091 Milford Anesthesia Associates Inc 113 Water Street 213 Milford MA 01757 Anesthesia Services 1075188 12 0 0 653205 0 0 8544277 193431 9197482 Outpatient Revenue 622000 107466480 106812307 654173 0 Inpatient Revenue 622000 69975442 69975442 0 0 0 0 0 0 177441922 475885 0 0 475885 0 0 0 0 0 0 0 0 0 0 2143181 20125 1575630 2131 567551 17994 585545 0 0 585545 387991 0 362309 25682 0 25682 46899 6861 40038 0 0 40038 Cancer Center 900099 3488518 0 0 3488518 Rents 900099 2234143 0 0 2234143 Cafeteria 900099 914428 0 0 914428 3021534 0 0 3021534 9658623 197425177 176787749 654173 10785773 0 0 0 0 0 0 0 0 1646677 1646677 0 0 0 0 82080482 72763985 8909241 407256 1410504 1241244 155155 14105 14490298 12751462 1593933 144903 6056908 5330079 666260 60569 2102778 2036224 66554 114324 114324 72204 72204 278264 278264 315212 315212 33458490 32084076 1101619 272795 1691985 1465556 184860 41569 7401696 6528568 828906 44222 146090 103172 42293 625 3888343 3888343 9981089 8783358 1097920 99811 900470 792413 99052 9005 Contract Services 9548223 7860015 1621600 66608 Heath Safety Net 1724476 1724476 0 0 Physician Fee 4196874 4196874 0 0 Other 464856 464856 0 0 181970243 158126358 22404153 1439732 3640 3540 76025082 82313906 4669551 10283000 24125483 24410076 4008426 3683786 4920911 4483069 197494516 103778386 87821290 93716130 6735800 7655686 9139973 33934886 217450156 260484079 23834580 25787713 77848972 110494484 5233888 3411031 5849693 5359870 112767133 145053098 X 95796902 101611304 8258180 13191736 627941 627941 104683023 115430981 217450156 260484079 X 15454934 444308 0 0 0 -5151284 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 25599 25599 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 $25,599 shown represents a portion of Massachusetts Hospital and American Hospital Association dues used for lobbying purposes as defined by Medicare. 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 1561182 0 118549 0 19170 0 1660561 0 0.25 0.75 0 0 4655508 0 4655508 87671259 0 32936203 54735056 1298690 0 450573 848117 85669264 0 67211285 18457979 18199795 0 3180325 15019470 93716130 Funds Held by Trustees 33934886 33934886 0 Amounts due to third party party payors 5359870 5359870 X Schedule D, Part V, Line 4 The organizatioin has a Spending Policy which provides a policy with regard to the use of Investment Income and gains on amounts held in the Endowment Funds. Further to provide a consistent, predictable level of support to operations and permit the organization to maintain the purchasing power of the amounts held in the Endowment Fund. The amounts to be made available to the operating fund will be calculated at the end of the third quarter of each fiscal year. Schedule D, Part X, Line 2 A review has been performed of each of the Organizations revenue streams in relation to FIN 48. The result of the review is that the following has been identified as Unrelated Business Income: Non patient laboratory testing provided to nursing homes and non-affiliated (non Tri-County Medical Association) physician offices. Central America and the Caribbean 0 0 Investments 183652 Europe (including Iceland and Greenland) 0 0 Investments 265807 North America (including Canada and Mexico, but not the United States) 0 0 Investments 15419 0 0 464878 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 2150235 326377 1823858 2150235 326377 1823858 MA Golf 321170 232775 88395 0 15166 30897 0 0 13386 Melange 643250 418025 225225 0 0 0 53457 4950 192363 16 76776 2405 74371 0 0 0 0 0 52090 1041196 653205 387991 0 15166 30897 53457 4950 257839 362309 25682 46899 4649 2212 0 46899 4649 0 0 2212 6861 40038 MA 1 0 1 0 0 1 Martin Richman 14 Prospect Street Milford MA 01757 0 Martin Richman 0 Vice President of Philanthropy X 0 0 Schedule G, Part I, Line 1 A total of $11,377 was paid to Ghiorsi and Sorrenti Inc for travel and lodging during FY14. The agreement distinguishes between professional fund raising and expense payments. 1 1 1 X 1 X 1 1 0 1 1 0 0 4214659 1223982 2990677 0.0164 0 0 17562422 13804832 3757590 0.0206 0 0 2831085 2078417 752668 0.0041 0 0 24608166 17107231 7500935 0.0411 9 0 441787 101218 340569 0.0019 1 0 1641321 677741 963580 0.0053 2 0 2120153 0 2120153 0.0117 0 0 0 0 0 1 0 19950 0 19950 0.0001 13 0 4223211 778959 3444252 0.0190 13 0 28831377 17886190 10945187 0.0601 0 2917569 392275 43200216 53945391 -10745175 X 1 1 1 1 Milford Regional Medical Center Inc 14 Prospect Street Milford MA 01757 X X X Milford Regional Medical Center Inc 1 1 X X X X X X X X X 12 1 0 1 X foundation.milfordregional.org X X X X X X X X X X 0 0 1 1 200 1 400 1 X X X X X X 1 1 X 0 0 1 X 0 1 Schedule H, Part V, Section B, Line 3-Milford Regional Medical Center Inc Milford Regional completed a community health needs assessment in 2012 working with Health Resources in Action. Community input was included through a series of key informant interviews and two public Community Health Dialogues conducted by the consultants. Key informants were selected across a broad range of sectors, and included public safety officials, educators, mental health agencies, councils on aging, and the department of transitional assistance. Schedule H, Part V, Section B, Line 5-Milford Regional Medical Center Inc The report was also made available to the public through a meeting with the Community Health Network Area (CHNA) in our area and online. Schedule H, Part V, Section B, Line 7-Milford Regional Medical Center Inc CEO Frank Saba chairs the Community Benefits Steering Committee charged with a comprehensive process of data analysis and priority setting that includes inviting community members to participate on the Community Benefits Steering Committee and aligning hospital goals from the Strategic Implementation Plan with community health goals developing through the CHNA 6. The areas of focus identified in the Strategic Implementation Plan address behavioral health, healthy weight for youth, adolescent health, and chronic disease prevention. Efforts are underway to conduct the 2015 Community Health Assessment to include data collection, key informant interviews and a community survey. Milford Regional stays current with state, local and national data and resources institutions including Metrowest Adolescent Health Survey analyzed by Metrowest Health Foundation, MA Department of Public Health, Health Care for All, SAMSHA, Association of Community Health Improvement, American Public Health Association to name a few. Given the scope of issues identified in the assessment, this work will be ongoing Schedule H, Part V, Section B, Line 12-Milford Regional Medical Center Inc Asset level is used for Medicare patients only. This follows Medicare guidelines. Schedule H, Part V, Section B, Line 22-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, Inc. prepares and distributes a printed community benefits report, 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 Schedule H, Part I, Line 7 - Lines 7 a/b/c were calculated using worksheets 1,2,3 provided in the instructions. 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 $181,970,243. 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-charge ratio calculated in Worksheet 2 in the instructions. Schedule H, Part III, Section B, Line 8 The Hospital's Medicare Cost Report was used to determine the amount reported in Line 6. Schedule H, Part III, Section C, Line 9b Once it has been determined that a patient qualifies for full or partial free care, all collection procedures cease and the full balance, or amount that qualifies under partial free care, is written off. Massachusetts hospitals are required to adopt a credit and collections policy under the Health Safety Net (HSN) regulations (114.6 CMR 13.08 (1) (c)) that outlines the specific process for determining eligibility for public assistance programs and hospital collection practices. Schedule H, Part VI, Line 2 Milford Regional stays current with data and resources from state, local and national institutions including Metrowest Adolescent Health Survey analyzed by Metrowest Health Foundation, MA Department of Public Health, Health Care for All, SAMSHA, Association of Community Health Improvement, American Public Health Association to name a few. Active participation in the Community Health Network area 6 (CHNA 6) and other community coalitions provides another important source of information on emerging health needs. Schedule H, Part VI, Line 3 Patients are informed of the availability of financials 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 is 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 towards 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. Schedule H, Part VI, Line 5 Milford Regional furthers its exempt purpose by striving to fulfill its mission "to provide quality healthcare to our community with dignity, compassion and respect". We do this by providing inpatient and outpatient health care services to the residents of our service area without regard to their ability to pay, and through a range of community benefits programs and partnerships. Our corporate board represents the communities we serve, and the majority is comprised of members who reside in our service area and are not employed by Milford Regional. Surplus funds are consistently invested in strategic initiatives designed to improve efficiency and patient care. Our ongoing collaboration with Dana-Farber Institute and Brigham and Women's Hospital to operate a comprehensive Cancer Center including medical oncology and radiation oncology has made a tremendous difference to the quality of life for residents seeking cancer treatment. Our new partnership with Children's Hospital offers expert, specialized pediatric care close to home and our expansion into the Blackstone Valley with state-of -the-art primary care promotes quality care for more of our communities. We work with a broad range of community partners to address unmet health needs identified by the Community Health Needs Assessment. We have paid particular attention to behavioral health supporting a local mental health referral line for residents and organizing an annual mental health networking breakfast for over 100 providers. We have strong linkages to address youth obesity and chronic diseases with partnerships with the Hockomock YMCA, local schools, local municipalities and statewide initiatives, such as statewide PFAC and Health Care for All. We maintain an active role in the success of the Edward M Kennedy Community Health Center in Milford through funding from the Health Foundation of Central Massachusetts and the Metrowest Health Foundation to improve access to care for uninsured and underinsured residents in the Greater Milford area and strive to develop relationships across the service area. To expand primary care, the MRMC Community Benefits Steering Committee and the CHNA 6, of which MRMC plays a leadership role, work together to align community health needs with community and hospital resources and support. Schedule H, Part VI, Line 6 The Organization consists of Milford Regional Medical Center, Inc. (the Hospital or Parent), Tri-County Medical Associates (Tri-County), and Milford Regional Healthcare Foundation, Inc. (the Foundation), collectively referred to as the "Organization". The Hospital provides medical and hospital services for the sick and disabled of any race, creed, color or nationality regardless of an individual's ability to pay. Tri-County, a large multi-specialty group practice, operates for the benefit of the Hospital by assisting the Hospital in carrying out its charitable mission purposes of promoting healthcare in its service area. Tri-County's vision is to consistently meet the changing healthcare needs and expectations of the communities it serves. The Foundation supports the mission of both the Hospital and Tri-County through fund raising activities. Schedule H, Part VI, Line 7 Massachusetts X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 Patrick R McSweeney MD Trustee 0 408896 0 0 0 0 0 0 0 29235 0 438131 0 0 John N Pandiscio MD Trustee 0 0 0 0 15825 0 0 0 0 0 15825 0 0 0 Jeff Hopkins MD Trustee 0 0 0 0 3700 0 0 0 0 0 3700 0 0 0 Paul Darcy Trustee 0 0 0 0 6975 0 0 0 0 0 6975 0 0 0 Francis M Saba CEO 487698 0 0 0 552694 0 147620 0 24300 0 1212312 0 165182 0 Edward J Kelly President 431864 0 0 0 27546 0 26552 0 27518 0 513480 0 27324 0 Jeanne P Lynskey VP Finance and CFO 236681 0 23367 0 0 0 0 0 25038 0 285086 0 0 0 Salvatore Perla Former VP Clinical Support 234435 0 0 0 0 0 0 0 23739 0 258174 0 0 0 Nancy Tomaso VP Patient Care Services 217534 0 0 0 0 0 0 0 7424 0 224958 0 0 0 Cheryl L Bonasoro Former VP Patient Care Services 208894 0 0 0 0 0 0 0 525 0 209419 0 0 0 Linda Yates VP Human Resources 183910 0 0 0 0 0 0 0 25431 0 209341 0 0 0 Martin Richman VP of Philanthropy 172140 0 0 0 0 0 0 0 20135 0 192275 0 0 0 Nicole Heim Chief Information Officer 163667 0 0 0 0 0 0 0 19758 0 183425 0 0 0 Peggy Novick VP Clinical Support 115411 0 0 0 0 0 0 0 3781 0 119192 0 0 0 Michael Newstein Medical Director, Infection Controler 166586 0 0 0 0 0 0 0 24129 0 190715 0 0 0 Karen A Sergi Registered Nurse 157460 0 0 0 0 0 0 0 20966 0 178426 0 0 0 Joan A Quinlan Registered Nurse 152465 0 0 0 0 0 0 0 9993 0 162458 0 0 0 Maria DaSilva Director of Emergency Services 149484 0 0 0 0 0 0 0 21450 0 170934 0 0 0 Judy Kelly Director of Inpatient Services 148744 0 0 0 0 0 0 0 21917 0 170661 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 Cheryl Bonasoro received severance pay in 2013 of $208,894. Francis M Saba and Edward J Kelly had deposits to their SERPS of $144,010 and $27,147, respectively. The compensation of Francis M Saba, CEO, includes the payout of his fully vested SERP amounts of $552,694 covering three benefit years. The compensation of Edward J Kelly, President, includes the payout of fully vested SERP amounts of $27,546. 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 5140000 0 70279953 2664107 1509967 30555914 823473 0 0 34726491 0 0 0 1 1 1 B 0 0 45825887 1747073 2743850 12282441 772110 0 0 7313785 0 21013222 0 1 1 1 A 0 1 1 1 0 0.018 0 0.018 1 0 0 B 0 1 1 1 0 0 0 1 0 0 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 Schedule K, Part I, Column f-02/21/2007 70,279,953 Massachusetts Health & Education Facilities Autho The proceeds from the sale of the Series E Bonds and certain other available moneys will be used to finance and refinance the following: (i) construction, furnishing and equipping of an approximately 54,013 square foot building to be known as the Cancer Center (the "Cancer Center") and expansion of an existing parking lot, (ii) demolition of certain existing structures on the site of the Cancer Center, (iii) renovation, construction, furnishing, expansion and equipping of the Institution's cardiac catheterization lab, operating room area, cardiovascular department and its Gannett Inpatient Unit, (iv) various improvements, equipment and furnishings at the Institution's facilities in Milford Massachusetts and Whitinsville Massachusetts, (v) the advance refunding of the Authority's Milford Whitinsville Regional Hospital Issue, Series D, dated June 15, 2002 (the "Refunded Bonds"), (vi) the funding of a Debt Service Reserve Fund for the Series E Bonds, and (vii) the payment of costs of issuance associated with the Series E Bonds. Schedule K, Part I, Column f-01/29/2014 45,825,887 Massachusetts Devolopment Finance Agency The proceeds from the sale of the Series F Bonds and certain other available moneys will be used to finance and refinance the following: (i) the construction, furnishing and equipping of, and site preparation for, a two-story addition to the Institution's main hospital building, (ii) the refunding of the Massachusetts Health and Educational Facilities Authority Revenue Bonds, Milford Whitinsville Regional Hospital Issue, Series C (the "Refunded Bonds") currently outstanding in the aggregate principal amount of $12,205,000, (iii) the funding of a Debt Service Reserve Fund for the Series F Bonds, and (iv) the payment of costs of issuance associated with the Series F Bonds (collectively, the "Project'). The Refunded Bonds are expected to be redeemed approximately thirty-five (35) days following the issuance of the Series F Bonds at a redemption price equal to 100% of the principal amount thereof. Schedule K, Part IV, Line 2c-02/21/2007 70,279,953 Massachusetts Health & Education Facilities Autho The rebate calculation has been performed annually in July of each year Schedule K, Part IV, Line 2c-01/29/2014 45,825,887 Massachusetts Devolopment Finance Agency Calculation is performed annually in July Jeffrey Hopkins MD Trustee 694646 Payments of $694,646 were made to Orion Emergency Services for services provided to the Hospital. Dr. Hopkins is an employee of Orion Emergency Services, Inc. 0 Robert Kilroy Trustee 107496 Payments of $107,496 were made to Mirick O'Connell for services provided to the Hospital. Mr. Kilroy is an employee of Mirick O'Connell. 0 M Catherine Burke MD Former Trustee 0 Payments of $694,646 were made to Orion Emergency Services for services rendered to the Hospital. Dr. Burke is President of Orion Emergency Services, Inc. 0 Albert Crimaldi MD Former Trustee 527922 Payments were made to Milford Gastroenterology Associates, Inc. which provide services to the Hospital. Dr. Crimaldi is part owner of Milford Gastroenterology Associates, Inc. Payments were also made to Milford Gastroenterology Realty with which the Hospital has entered into lease a lease agreement. Dr. Crimladi is part owner of Milford Gastroenterology Realty. 0 X 0 FMV X 5 193431 FMV X Food and supplies for fund raising event 1 0 FMV X Tickets to sporting events for fund raising event 8 0 FMV X Travel packages for fund raising event 6 0 FMV X Gift Certificates and gift baskets for fund raising event 7 0 FMV X Dinner packages and beverages for fund raising event 12 0 FMV X Miscellaneous Toys 14 0 FMV X Savin Copiers 2 0 FMV X 770C Upright Exercise Bike 1 0 FMV X iPad Mini's 3 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 III, Line 2 Milford Regional was the first hospital to implant the smallest, insertible cardiac monitor available which can wirelessly monitor a patient's heart up to three years. Milford Regional also launched its 3D mammography services and its partnership with Boston Children's Hospital to include ED coverage. 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 reviewed with Chairman of the Board. Form 990, Part VI, Section B, Line 12c The Organization has a written Code of Business Conduct which states its conflict of interest policy. A conflict of interest disclosure statement is mailed annually to members of the Board of Trustees and senior management. They are required to complete the form and submit it to the Corporate Compliance Officer. The forms are reviewed and monitored. The organization also has established a hotline for any staff who may wish to discuss a potential violation of the code, our policy, or law on an anonymous basis. 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 it 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 organization's financial statements are included in the Form PC and are also included in a quarterly filing to the organization's bond holders. Form 990, Part XI, Line 9 The change in net assets results from transferring to affiliates ($5,276,720) and change in market value $125,436. 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 i 35266 Market Value Tri-County Medical Associates Inc j 156300 Market Value Tri-County Medical Associates Inc k -78625 Market Value Tri-County Medical Associates Inc p -2721936 Cost Tri-County Medical Associates Inc r 7800000 Cost