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BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC (EIN 22-2667354)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201422259349303272
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-13T17:26:39-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TWO JERICHO PLAZAAddressLine1
CityJERICHOCity
StateNYState
ZIP Code11753ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222667354EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JORDAN HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJORDNameControl
Phone5087462000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1275 SANDWICH STREETAddressLine1
CityPLYMOUTHCity
StateMAState
ZIP Code023602183ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJASON RADZEVICHName
TitleCFOTitle
Phone5087462000Phone
Date Signed2014-08-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRISTINE KAWECKIName
PTINP00743140PTIN
Phone5169187000Phone
Date Prepared2014-08-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJASON RADZEVICHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1275 SANDWICH STREETAddressLine1
CityPLYMOUTHCity
StateMAState
ZIP Code023602183ZIPCode
FieldValueIRS element (for citing)
Gross Receipts196687305GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BIDPLYMOUTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1607TotalNbrEmployees
Total Nbr Volunteers350TotalNbrVolunteers
Total Gross UBI1775643TotalGrossUBI
Net Unrelated Business Txbl Income-997661NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5112671ContributionsGrantsPriorYear
Contributions Grants Current Year5165480ContributionsGrantsCurrentYear
Program Service Revenue Prior Year193077628ProgramServiceRevenuePriorYear
Program Service Revenue CY189766580ProgramServiceRevenueCY
Investment Income Prior Year1113475InvestmentIncomePriorYear
Investment Income Current Year1655645InvestmentIncomeCurrentYear
Other Revenue Prior Year90127OtherRevenuePriorYear
Other Revenue Current Year86885OtherRevenueCurrentYear
Total Revenue Prior Year199393901TotalRevenuePriorYear
Total Revenue Current Year196674590TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year104809281SalariesEtcPriorYear
Salaries Etc Current Year102214244SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year88368406OtherExpensePriorYear
Other Expenses Current Year92047361OtherExpensesCurrentYear
Total Expenses Prior Year193177687TotalExpensesPriorYear
Total Expenses Current Year194261605TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6216214RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2412985RevenuesLessExpensesCY
Total Assets BOY179578545TotalAssetsBOY
Total Assets EOY171748302TotalAssetsEOY
Total Liabilities BOY130525866TotalLiabilitiesBOY
Total Liabilities EOY119878335TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY49052679NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY51869967NetAssetsOrFundBalancesEOY
Mission DescriptionSEE COMMUNITY BENEFIT REPORT FOR 2012 - SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense172304167Expense
Revenue187990937Revenue
DescriptionSERVICES RENDERED INCLUDE INPATIENT, OUTPATIENT AND EMERGENCY CARE DELIVERED WITHIN THE INSTITUTION'S SERVICE AREA.Description
Total Program Service Expense172304167TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096256NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1607NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PATRICIA HALEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5087462000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1275 SANDWICH STAddressLine1
CityPLYMOUTHCity
StateMAState
ZIP Code02360ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CLARK HINKLEY
CHAIR1.002.00XX000
LYLE BAZZINOTTI
VICE-CHAIR1.002.00XX000
PETER MUNCEY ESQ
SECRETARY1.002.00XX000
KENNETH FOSDICK
DIRECTOR1.002.00X000
ROBERT KELLY
DIRECTOR1.002.00X000
LYON CARTER
DIRECTOR1.002.00X000
KIMBERLY SCHEUB MD
DIRECTOR1.002.00X000
WILFRED SHEEHAN
DIRECTOR1.002.00X000
KEELAS SMALL
DIRECTOR1.002.00X000
FREDERIC CLIFFORD
DIRECTOR1.002.00X000
JOHN CARNUCCIO
DIRECTOR1.002.00X000
SHAWN DAHLEN
DIRECTOR1.002.00X000
STEPHEN TREHU MD
DIRECTOR1.002.00X000
MICHAEL BABINI
DIRECTOR1.002.00X000
DENISE NORRIS
ASSISTANT SECRETARY40.001.00X62941018615
PETER HOLDEN
PRESIDENT/CEO1.002.00X068985130040
JOSEPH IANNONI
TREASURER/CFO1.002.00X036730330040
JOANNE FORD
REGISTERED NURSE60.00198408024187X
GAIL ROBBINS
ADMIN, FIN PLANNING40.00168397023514X
RON RUTHERFORD
DEP. CHIEF INFO OFFICER40.00156455022857X
MARK TARLTON
DIRECTOR OF FACILITIES40.00153278022825X
RUTH MCNAUGHTON
SENIOR DIRECTOR40.00155070022870X
FieldValueIRS element (for citing)
Total Reportable Comp From Org894549TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1057154TotalReportableCompFrmRltdOrgs
Total Other Compensation194948TotalOtherCompensation
Number Individuals GT100 K72NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BAYSIDE EMERGENCY MEDICAL ASSOCIATES PC
1342 BELMONT STREET SUITE 205BROCKTONMA02301EMERGENCY MEDICINE MGMNT6922015
ALLIANCE ONCOLOGY LLC
100 BAYVIEW CIRCLE SUITE 400NEWPORT BEACHCA92660RADIATION THERAPY MGMNT2180606
ALLIANCE HEALTHCARE SERVICES
100 BAYVIEW CIRCLE SUITE 400NEWPORT BEACHCA92660IMAGING SERVICE MGMNT1342849
KAUFMAN HALL & ASSOCIATES INC
5202 OLD ORCHARD ROAD SUITE N700SKOKIEIL60077FINANCIAL CONSULTANT1022254
DONOGHUE BARRETT & SINGAL PC
ONE BEACON STREETBOSTONMA02108LEGAL SERVICES624400
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants2673307GovernmentGrants
All Other Contributions2492173AllOtherContributions
Noncash Contributions24156NoncashContributions
Total Contributions5165480TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE900099187990937187990937
NON-PATIENT LAB62150017756431775643
FieldValueIRS element (for citing)
Total Program Service Revenue189766580TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column676464TotalRevenueColumn
Exclusion$676,464ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real86885Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real86885Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column86885TotalRevenueColumn
Exclusion$86,885ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities991896Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other12715Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities991896Securities
Other-12715Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column979181TotalRevenueColumn
Exclusion$979,181ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column196674590TotalRevenueColumn
Related Or Exempt Function Income187990937RelatedOrExemptFunctionIncome
Unrelated Business Revenue1775643UnrelatedBusinessRevenue
Exclusion$1,742,530ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total81556Total
Management And General81556ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total78499381Total
Program Services69603936ProgramServices
Management And General8895445ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3886173Total
Program Services3442221ProgramServices
Management And General443952ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13765972Total
Program Services12193362ProgramServices
Management And General1572610ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5981162Total
Program Services5297881ProgramServices
Management And General683281ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1959134Total
Program Services1959134ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total414807Total
Management And General414807ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7698471Total
Program Services7698471ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total56906444Total
Program Services48162217ProgramServices
Management And General8744227ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8843750Total
Program Services7959375ProgramServices
Management And General884375ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total258438Total
Program Services198997ProgramServices
Management And General59441ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total493734Total
Program Services315990ProgramServices
Management And General177744ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4889202Total
Program Services4889202ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9645942Total
Program Services9645942ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total937439Total
Program Services937439ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total194261605Total
Program Services172304167ProgramServices
Management And General21957438ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12790425BOY
EOY6550912EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY10029BOY
EOY7125EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21108678BOY
EOY19309676EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2350753BOY
EOY2532891EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5036275BOY
EOY6915934EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis186281378LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec103491767LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY87155144BOY
EOY82789611EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY26967759BOY
EOY29893090EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY24159482BOY
EOY23749063EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY179578545BOY
EOY171748302EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24138705BOY
EOY24064263EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY77382596BOY
EOY75755611EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29004565BOY
EOY20058461EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY130525866BOY
EOY119878335EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY37992092BOY
EOY41111239EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1282064BOY
EOY514106EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9778523BOY
EOY10244622EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49052679BOY
EOY51869967EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY179578545BOY
EOY171748302EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2412985ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-178347ReconciliationUnrealizedInvest
Reconcilation Other Changes582650ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Total Lobbying Expenditures IIB0TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationJORDAN HOSPITAL PAID MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. THEREFORE, A PORTION OF THE DUE MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance11060587BeginningOfYearBalance
Contributions1326794Contributions
Investment Earnings Or Losses436271InvestmentEarningsOrLosses
Other Expenditures2064924OtherExpenditures
End Of Year Balance10758728EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance9872294BeginningOfYearBalance
Contributions896256Contributions
Investment Earnings Or Losses1256631InvestmentEarningsOrLosses
Other Expenditures964594OtherExpenditures
End Of Year Balance11060587EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11143750BeginningOfYearBalance
Contributions1667255Contributions
Investment Earnings Or Losses-763788InvestmentEarningsOrLosses
Other Expenditures2174923OtherExpenditures
End Of Year Balance9872294EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11541125BeginningOfYearBalance
Contributions1822428Contributions
Investment Earnings Or Losses162354InvestmentEarningsOrLosses
Other Expenditures2382157OtherExpenditures
End Of Year Balance11143751EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12515339BeginningOfYearBalance
Contributions858367Contributions
Investment Earnings Or Losses-837782InvestmentEarningsOrLosses
Other Expenditures994799OtherExpenditures
End Of Year Balance11541125EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.95220PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.04780TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis54225OtherCostOrOtherBasis
Book Value54225BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis79940727OtherCostOrOtherBasis
Depreciation31204638Depreciation
Book Value48736089BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis31569607OtherCostOrOtherBasis
Depreciation15761057Depreciation
Book Value15808550BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis72959583OtherCostOrOtherBasis
Depreciation56526072Depreciation
Book Value16433511BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1757236OtherCostOrOtherBasis
Book Value1757236BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings82789611TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
FUNDS HELD BY TRUSTEE7061074
DUE FROM AFFILIATES1966024
FUNDS HELD BY OUTSIDE TRUSTEES9941868
CURRENT LIMITED USE ASSETS4780097
FieldValueIRS element (for citing)
Total Book Value Other Assets23749063TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ESTIMATED 3RD PARTY SETTLEMENT$1,399,299
OTHER CURRENT LIABILITIES$8,588,072
OTHER LIABILITIES$569,776
CAPITAL LEASE$381,365
ADDTL MINIMUM PENSION LIABILITY$9,119,949
FieldValueIRS element (for citing)
Total Of Amounts20058461TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationTHE ORGANIZATION'S ENDOWMENT FUNCTIONS TO SUPPORT AND PROVIDE INCOME FOR THE FURTHERANCE OF THE HEALTHCARE MISSION OF JORDAN HOSPITAL, INC AND ITS AFFILIATES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

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Net Community Benefit Expense2280545NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

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Net Community Benefit Expense7384205NetCommunityBenefitExpense
Percent Of Total Expense0.03800PercentOfTotalExpense

Community Health Services CommunityHealthServices

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Health Professions Education HealthProfessionsEducation

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Research Research

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Physical Improvements And Housing PhysicalImprovementsAndHousing

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Economic Development EconomicDevelopment

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Community Support CommunitySupport

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Percent Of Total Expense0.00040PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

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Net Community Building Expense165610NetCommunityBuildingExpense
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Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,737,093BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare81342083AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare87202541CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5860458MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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Cost To Charge RatioXCostToChargeRatio
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Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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Name Name

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CityPLYMOUTHCity
StateMAState
ZIP Code023602183ZIPCode
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Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

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CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
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Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
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Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
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Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
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FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
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Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
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Explains Application Method1ExplainsApplicationMethod
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Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
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Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART III, LINE 4: THE SYSTEM PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY.THE SYSTEM GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY ARRANGEMENTS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS.
PART III, LINE 8: MEDICARE INPATIENT, MEDICARE OUTPATIENT AND PSYCHIATRIC SERVICES TOTAL $5,815,832 OF THE LOSS REPORTED ON LINE 7. THESE LOSSES REPRESENT SUBSIDIZED HEALTH SERVICES PROVIDED TO THE MEDICARE POPULATION AND SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIOS TAKEN FROM THE MEDICARE COST REPORT.
PART V, SECTION B, LINE 3: NINE INTERVIEWS WERE CONDUCTED WITH COMMUNITY AND HOSPITAL GROUPS IDENTIFIED BY JORDAN HOSPITAL AS BEING KEY STAKEHOLDERS. BETWEEN ONE TO TWENTY INDIVIDUALS WERE PRESENT AT EACH INTERVIEW. INTERVIEWS WERE CONDUCTED BY INSTITUTE FOR COMMUNITY HEALTH (ICH) STAFF INDECEMBER 2012 AND JANUARY 2013 USING A SEMI-STRUCTURED INTERVIEW GUIDE DEVELOPED BY ICH.INTERVIEWS RECORDINGS AND NOTES WERE ANALYZED BY ICH STAFF TO IDENTIFY KEY THEMES IN RESPONSES.INTERVIEW QUESTIONS EXPLORED:- MAIN HEALTH CONCERNS IN THE JORDAN HOSPITAL SERVICE AREA- BIGGEST BARRIERS TO PREVENTING OR ADDRESSING HEALTH ISSUES- VULNERABLE POPULATIONS- EXISTING PROGRAMS AND SERVICES- IDEAS FOR NEW PROGRAMS, SERVICES, AND PARTNERSHIPINTERVIEWEES WERE ALSO SURVEYED TO ASSESS TOWN OF RESIDENCE, TOWN OF EMPLOYMENT, LENGTH OF TIME THE INTERVIEWEE HAS LIVED OR WORKED IN THE TOWN OF RESIDENCE OR EMPLOYMENT, AND THE TYPE OF ORGANIZATION THE INTERVIEWEE WORKS AT.63 INTERVIEWEES FILLED OUT THE SURVEY. WHILE MANY INTERVIEWEES LIVE OR WORK IN PLYMOUTH, OTHER TOWNS IN THE JORDAN HOSPITAL SERVICE AREA WERE NOT AS WELL REPRESENTED. IN PARTICULAR, NONE OF THE INTERVIEWEES LIVE OR WORK IN BOURNE OR SANDWICH.TOWN OF RESIDENCE:- PLYMOUTH: 28 INTERVIEWEES- MARSHFIELD: 3 INTERVIEWEES- KINGSTON: 3 INTERVIEWEES- DUXBURY: 3 INTERVIEWEES- HALIFAX: 2 INTERVIEWEES- PEMBROKE: 1 INTERVIEWEE- TOWNS OUTSIDE OF THE SERVICE AREA: 22 INTERVIEWEESTOWN OF EMPLOYMENT (SOME INTERVIEWEES WORK IN MULTIPLE TOWNS):- PLYMOUTH: 54 INTERVIEWEES- DUXBURY: 5 INTERVIEWEES- KINGSTON: 4 INTERVIEWEES- MIDDLEBORO: 4 INTERVIEWEES- WAREHAM: 4 INTERVIEWEES- CARVER: 3 INTERVIEWEES- HALIFAX: 3 INTERVIEWEES- MARSHFIELD: 3 INTERVIEWEES - PEMBROKE: 3 INTERVIEWEES- PLYMPTON: 3 INTERVIEWEES- TOWNS OUTSIDE OF THE SERVICE AREA: 8 INTERVIEWEESJORDAN HOSPITAL, INC
PART V, SECTION B, LINE 18E: NEITHER THE JORDAN HOSPITAL NOR ANY AUTHORIZED THIRD PARTY TOOK ANY OF THE ACTIONS LISTED IN FORM 990, SCHEDULE H, PART V, SECTION B, QUESTION 17 OR 18.JORDAN HOSPITAL, INC
PART V, SECTION B, LINE 20D: ACCOUNTING USES THE FPIG FEDERAL POVERTY INCOME GUIDELINES PUBLISHED ANNUALLY TO DETERMINE ELIGIBILITY FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THESE ARE ALSO THE STATE LOW INCOME PATIENT GUIDELINES.JORDAN HOSPITAL, INC
PART VI, LINE 2: NEEDS ASSESSMENT:JORDAN HOSPITAL SEEKS COMMUNITY INVOLVEMENT IN THE HOSPITAL'S DEVELOPMENT AND EVALUATION OF ITS HEALTH AND EDUCATION PROGRAMS. BY SOLICITING FEEDBACK AT COMMUNITY EVENTS AND WORKSHOPS, AND CONDUCTING LARGER COMMUNITY HEALTH ASSESSMENTS, JORDAN HOSPITAL IS ABLE TO FOCUS ITS RESOURCES ON CLINICAL SERVICES AND OTHER INITIATIVES THAT DIRECTLY SUPPORT OUR COMMUNITY'S HEALTH NEEDS. IN ADDITION, COMMUNITY MEMBERS SERVE ON COMMITTEES THROUGHOUT JORDAN HOSPITAL, PROVIDING FEEDBACK AND WORKING WITH STAFF TO IMPROVE COMMUNITY HEALTH CARE INITIATIVES. THE HOSPITAL'S PARTNERS THROUGHOUT THE REGION PARTICIPATE IN JORDAN HOSPITAL PROGRAMS, COMMITTEES AND OTHER COMMUNITY-FOCUSED ACTIVITIES AND HELP INFORM THE HOSPITAL'S COMMUNITY BENEFITS PLANNING BASED ON THEIR DATA COLLECTION REGARDING THE COMMUNITY'S HEALTH DISPARITIES. IN SUPPORT OF THE IDENTIFIED HEALTH PRIORITIES AND PROGRAM INITIATIVES WITHIN GREATER PLYMOUTH, JORDAN HOSPITAL COLLABORATES WITH MORE THAN 90 COMMUNITY ORGANIZATIONS. ACTIVE COLLABORATORS ARE MARKED WITH A +; THOSE MARKED WITH * PARTICIPATED IN HEALTHY PLYMOUTH (WWW.HEALTHYPLYMOUTH.ORG) ACTIVITIES: - AD MAKEPEACE + * - AMERICAN HEART ASSOCIATION - BAY STATE COLLEGE - BAYSIDE RUNNERS + * - BEAT CANCER BOOT CAMP - BOSTON COLLEGE - BOSTON PUBLIC HEALTH COMMISSION-RYAN WHITE PART A - BOSTON UNIVERSITY SCHOOL OF MEDICINE - BOYS & GIRLS CLUB OF BROCKTON* - BOYS & GIRLS CLUB OF PLYMOUTH* - BRIDGEWATER STATE COLLEGE* - BRISTOL COMMUNITY COLLEGE - CAPE COD CANAL REGION CHAMBER OF COMMERCE + * - CAPE COD COMMUNITY COLLEGE - COLCHESTER NEIGHBORHOOD FARMS* - COMMUNITIES MOBILIZING FOR CHANGE ON ALCOHOL (CMCA) + * - COMMUNITY HEALTH EDUCATION NETWORK AREA 23 (CHNA 23) + * - CURRY COLLEGE - DUXBURY COUNCIL ON AGING + * - EIGHT-TOWN TOBACCO CONTROL PROGRAM - ESSENTIAL COMMUNITY PROVIDER TRUST FUND - EXPLORE HISTORIC PLYMOUTH* - FITNESS MANAGEMENT SYSTEMS - GREATER ATTLEBORO-TAUNTON REGIONAL TRANSIT AUTHORITY (GATRA)* - GREATER PLYMOUTH AIDS CONSORTIUM + - GREATER PLYMOUTH FOOD WAREHOUSE + * - GREATER PLYMOUTH COUNCIL OF HUMAN SERVICES AGENCIES - HEALTH RESOURCE & SERVICE ADMINISTRATION (HRSA)-RYAN WHITE PART C + - HEALTHY PLYMOUTH + * - JORDAN HOSPITAL COMMUNITY BUSINESS PARTNERS (-69 BUSINESSES)* - KIWANIS CLUB OF PLYMOUTH - LABOURE COLLEGE - LEAGUE OF WOMEN VOTERS* - LESLEY COLLEGE - MARIBETT FARMS + * - MASS BAY COMMUNITY COLLEGE - MASSACHUSETTS COLLEGE OF PHARMACY & ALLIED HEALTH SCIENCES - MASSACHUSETTS DEPT OF PUBLIC HEALTH + * - MA DEPARTMENT OF PUBLIC HEALTH PEDIATRIC PALLIATIVE CARE NETWORK + * - MASSASOIT COMMUNITY COLLEGE - MASSACHUSETTS GENERAL HOSPITAL INSTITUTE OF HEALTH PROFESSIONS - METROPOLITAN AREA PLANNING COUNCIL (MAPC) + * - MGH INSTITUTE OF HEALTH PROFESSIONS - NEW ENGLAND INSTITUTE OF TECHNOLOGY - NEW ENGLAND VILLAGES* - NORTH RIVER FARMERS* - NORTHEASTERN UNIVERSITY - OFFICE OF YOUTH AND ADOLESCENT DEVELOPMENT* - OLD COLONY ELDER SERVICES + * - OLD COLONY PLANNING COUNCIL + * - PINEHILLS LLC + * - PLIMOTH PLANTATION + *- PLYMOUTH AREA COMMUNITY ACCESS TELEVISION (PACTV) + * - PLYMOUTH BOARD OF SELECTMEN + * - PLYMOUTH CHAMBER OF COMMERCE + * - PLYMOUTH CONSERVATION COMMISSION + * - PLYMOUTH COUNCIL ON AGING + * - PLYMOUTH COUNTY DISTRICT ATTORNEY'S OFC + - PLYMOUTH DEPARTMENT OF PUBLIC WORKS (DPW) + * - PLYMOUTH FAMILY NETWORK + * - PLYMOUTH GARDEN CLUB* - PLYMOUTH HOUSING AUTHORITY* - PLYMOUTH LIONS CLUB - PLYMOUTH PUBLIC LIBRARY + * - PLYMOUTH PUBLIC SCHOOLS + * - PLYMOUTH PUBLIC SCHOOLS HEALTH ADVISORY COMMITTEE + * - PLYMOUTH ROTARY + * - PLYMOUTH TOWN HALL + * - PLYMOUTH YOUTH DEVELOPMENT COALITION + * - QUINCY COLLEGE - QUINNIPIAC UNIVERSITY - RED CROSS BLOOD DRIVE + - REGION V MASSACHUSETTS DPH BIO-TERRORISM COMMITTEE + - REGIS COLLEGE - SCHWARTZ CENTER ROUNDS + - SALEM STATE UNIVERSITY - SOUTH SHORE CHAMBER OF COMMERCE* - SIGNATURE HEALTHCARE BROCKTON - SIMMONS COLLEGE - SODEXO + - SOULE HOMESTEAD EDUCATION CENTER* - SOUTH SHORE COMMUNITY ACTION COUNCIL + * - SOUTH SHORE WOMEN'S RESOURCE CENTER (SSWRC) + * - SOUTH SHORE BOARDS OF HEALTH TOBACCO COLLABORATIVE PROGRAM - SOUTHEASTERN MASSACHUSETTS AGRICULTURAL PARTNERSHIP, INC. (SEMAP)* - SOUTHEASTERN MA AREA HEALTH EDUCATION CENTER (SMAHEC) - SOUTHEASTERN REGIONAL OFFICE OF THE MA DEPT OF MENTAL RETARDATION - THE MAGNIFICENT LEAVEN + * - THE PARENT CONNECTION OF DUXBURY + * - THORBAHN + * - TOWN OF PLYMOUTH + * - TOWN OF PLYMOUTH OPEN SPACE COMM. + * - TUFTS UNIVERSITY SCHOOL OF MEDICINE - UNITED WAY + * - UNIVERSITY OF NEW ENGLAND COLLEGE OF HEALTH PROFESSIONS - UPPER CAPE COD REGIONAL TECHNICAL SCHOOL - VILLAGE AT DUXBURY + * - WILDLANDS TRUST + *
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:JORDAN HOSPITAL'S FINANCIAL COUNSELING SERVICES PROVIDE CONSULTATION AND ASSISTANCE TO ALL PATIENTS ABOUT INSURANCE, MEDICAL EXPENSES AND FINANCIAL OPTIONS. COUNSELING ALSO IS AVAILABLE ON METHODS OF PAYMENT, MANAGED CARE PLANS, AND ASSISTANCE IN PROCESSING APPLICATIONS OR APPLYING FOR FREE CARE AND OTHER AVAILABLE PROGRAMS THAT MAY COVER YOUR MEDICAL EXPENSES.
PART VI, LINE 4: COMMUNITY INFORMATION:THIS WORK HAS ALREADY MADE PROGRESS IN LAUNCHING HEALTH-ENHANCING INITIATIVES: JORDAN HEALTH SYSTEM HOSTED A WELL-ATTENDED COMPLETE STREETS TRAINING PROGRAM FOR AREA MUNICIPALITIES TO EDUCATE DIVERSE COMMUNITY LEADERS ABOUT HOW STREETS DESIGNED FOR MULTIPLE MODES OF TRANSPORTATION SUPPORT HEALTH AND TO INTRODUCE IDEAS FOR IMPLEMENTATION THROUGHOUT THE REGION. THE HOSPITAL, ALONG WITH THE TOWN OF PLYMOUTH AND OLD COLONY PLANNING COUNCIL, HAS DEVELOPED A THREE-YEAR WORK PLAN THAT INCLUDES INPUT FROM RESIDENTS, INTERESTED GROUPS, AND MUNICIPAL LEADERSHIP. NEW POLICIES WILL ENSURE ROADWAY IMPROVEMENTS AND RENOVATIONS THAT ENABLE RESIDENTS TO WALK, BIKE AND DRIVE SAFELY TO THEIR DESTINATIONS, EXPANDING HEALTH-ENHANCING TRANSPORTATION OPTIONS FOR ALL RESIDENTS, INCLUDING THE UNDERSERVED AND ADDRESSING OBESITY AND RESULTING CHRONIC ILLNESS. THE HEALTHY COMMUNITY INITIATIVE'S TRAILS, PARKS, AND RECREATION GROUP IS SUPPORTING THE WORK OF THE PLYMOUTH OPEN SPACE COMMITTEE TO CONNECT TRAILS THROUGHOUT THE REGION, GIVING RESIDENTS ACCESS TO BUSINESSES AND BASIC SERVICES THAT THEY USE ALL THE TIME. THIS WORK FURTHER SIMPLIFIES THE PROCESS OF MAKING ACTIVE LIFESTYLE CHOICES THAT ARE COST EFFECTIVE AND GIVE GREATER ACCESS TO BASIC SERVICES TO THE UNDERSERVED. PLYMOUTH YOUTH DEVELOPMENT COUNCIL IS BROADENING ITS FOCUS BEYOND MANAGING SUBSTANCE ABUSE IN AT-RISK YOUTH TO ENCOURAGING HEALTHY YOUTH CHOICES BY INCLUDING ACTIVE LIVING AND HEALTHY EATING IN THE SPECTRUM OF ISSUES WHERE THEY PROVIDE SUPPORT AND EDUCATION. THIS WORK ADDRESSES OUR FINDINGS OF A HIGH INCIDENCE OF SMOKING, LUNG AND HEART DISEASE IN OUR COMMUNITY AND PROVIDES PROACTIVE PREVENTION MEASURES FOR AT-RISK YOUTH. THE HEALTHY COMMUNITY INITIATIVE'S COMMUNITY NUTRITION GROUP, WILL THE SUPPORT OF JORDAN HOSPITAL, HAS DEVELOPED A THREE-YEAR WORK PLAN, FOCUSING ON THE DEVELOPMENT OF HEALTHY NEIGHBORHOOD MARKETS AND ASSISTING THE PLYMOUTH PUBLIC SCHOOLS IN IMPROVING SCHOOL NUTRITION. FOR ALL HEALTHY COMMUNITY INITIATIVE EFFORTS, WORK PLANS WITH MEASURABLE GOALS TIED TO CDC AND STATE HEALTH PRIORITIES FOCUS ON REDUCING OBESITY BY ENCOURAGING NUTRITION, EXERCISE, AND SMOKING CESSATION. JORDAN HOSPITAL'S WORK TO MERGE THE MISSION OF HEALTHCARE, BUSINESS AND CONSERVATION GROUPS GENERATES SUSTAINABLE SOLUTIONS THAT HAVE THE POTENTIAL TO BRING BETTER HEALTH TO ALL MEMBERS OF THE COMMUNITY, FOR MANY GENERATIONS. JORDAN HOSPITAL SUCCESSFULLY APPLIED FOR $XXX IN GRANTS TO SUPPORT COMMUNITY HEALTH INITIATIVES ADDRESSING AIDS/HIV, CANCER, PARENTING, BIOTERRORISM AND PEDIATRIC PALLIATIVE CARE AMONG OTHERS. OTHER SUCCESSFUL GRANTS SUPPORTED HOSPITAL-BASED CLINICAL AND PATIENT CARE IMPROVEMENTS. JORDAN HOSPITAL CONTINUES TO ADDRESS THE HIGH PREVALENCE OF HEART AND LUNG DISEASE AND SMOKING DURING PREGNANCY IN PLYMOUTH COUNTY THROUGH OUR OUTREACH PROGRAM TO LOCAL SCHOOLS, EDUCATING PARENTS AND STUDENTS ABOUT TOBACCO AVOIDANCE, NUTRITION AND EXERCISE. THIS PROGRAMMING SUPPORTS STATE INITIATIVES TO REDUCE OBESITY AND SERVES TO ADDRESS THE LOCAL INCIDENCE OF CHRONIC DISEASES, SUCH AS DIABETES AND HEART DISEASE, WHICH OFTEN RESULT FROM OBESITY AND WERE SHOWN TO BE SIGNIFICANT COMMUNITY HEALTH ISSUES IN OUR REGION. JORDAN HOSPITAL WORKED WITH THE STATE TO COMMUNICATE NEW HEALTH COVERAGE PLANS FOR THE UNINSURED AND ENROLL THOSE WHO QUALIFY. FINANCIAL COUNSELORS SCREEN AND ENROLLED PATIENTS FOR MASSHEALTH, HEALTH SAFETY NET, MEDICAL HARDSHIP AND COMMONWEALTH CARE. THE HOSPITAL ASSISTED PEOPLE WITH ENROLLMENT IN STATE INSURANCE PARTNERSHIP PROGRAMS. PLANS FOR THE NEXT REPORTING YEAR: JORDAN HOSPITAL WILL REVIEW THE DATA COLLECTED THROUGH ITS 2010 COMMUNITY NEEDS ASSESSMENT AND ONGOING WORK IN LIGHT OF IDENTIFIED HEALTH AND HUMAN SERVICES (EOHHS) STATEWIDE PRIORITIES TO SUPPORT HEALTH CARE REFORM, MANAGE CHRONIC DISEASE IN DISADVANTAGED POPULATIONS, REDUCE HEALTH DISPARITIES, AND PROMOTE WELLNESS OF VULNERABLE POPULATIONS. THE HOSPITAL WILL ALSO CONTINUE TO GATHER DATA AND FEEDBACK THROUGH ITS WORK WITH THE WIDE- REACHING HEALTHY COMMUNITY INITIATIVE. JORDAN HOSPITAL WILL CONTINUE TO PLAY A LEADERSHIP ROLE IN BUILDING COMMUNITY-WIDE COALITIONS TO DEVELOP INFRASTRUCTURE AND PROGRAMS THAT FACILITATE HEALTHY LIFESTYLE CHOICES FOR ALL, INCLUDING DISADVANTAGED POPULATIONS. OUR OUTREACH WILL CONTINUE TO SUPPORT STUDENT EDUCATION AND AWARENESS OF HEALTH AND WELLNESS ISSUES. JORDAN HOSPITAL WILL CONTINUE TO OFFER ITS CURRENT ROSTER OF COMMUNITY EDUCATION PROGRAMS AT LITTLE OR NO CHARGE TO THE PUBLIC THROUGH THE USE OF GRANTS AND OTHER FUNDING SOURCES. THE HEALTHY COMMUNITY INITIATIVE PROGRAMS AS WELL AS THE HOSPITAL'S FAMILY EDUCATION, DIABETES EDUCATION, AND ACCESS PROGRAM (AIDS COMPREHENSIVE CARE, EDUCATION & SUPPORT SERVICES PROGRAM) ARE INITIATIVES THAT THE HOSPITAL PLANS TO FOSTER AND FURTHER DEVELOP. THE HOSPITAL WILL CONTINUE TO STRIVE, WITH OUR COMMUNITY PARTNERS, TO MEET THE COMMUNITY HEALTH NEEDS IN OUR REGION AND TO GO BEYOND BY EXTENDING OPTIONS FOR HEALTHY LIFESTYLES TO ALL COMMUNITY MEMBERS, MAKING BETTER HEALTH SUSTAINABLE AND COST EFFECTIVE. CONTACT: FOR FURTHER INFORMATION, PLEASE CONTACT ANDREA HOLLERAN, VICE PRESIDENT OF EXTERNAL AFFAIRS, JORDAN HOSPITAL, 275 SANDWICH STREET, PLYMOUTH, MA 02360. TEL: (508) 830- 2427. EMAIL: AHOLLERAN@JORDANHOSPITAL.ORGSELECT COMMUNITY BENEFITS PROGRAMS: ACCESS PROGRAM BRIEF DESCRIPTION OR OBJECTIVE ACCESS (AIDS COMPREHENSIVE CARE, EDUCATION & SUPPORT SERVICES PROGRAM) PROVIDES MEDICAL CARE, EDUCATION, SUPPORT AND MEDICAL CASE MANAGEMENT TO PEOPLE WITH HIV/AIDS AND THEIR FAMILIES. IN ADDITION TO PATIENT CARE, THE PROGRAM OFFERS HIV EDUCATION TO THE COMMUNITY. FREE AND ANONYMOUS HIV TESTING IS ALSO AVAILABLE. PROGRAM TYPE DIRECT SERVICES TARGET POPULATION REGIONS SERVED: COUNTY- PLYMOUTH HEALTH INDICATOR: OTHER: HIV/AIDS SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS AIDS BUREAU OF THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) (HTTP://HAB.HRSA.GOV/) CONTACT INFORMATION: RUTH COOPER, RN, PROGRAM DIRECTOR, AT (508) 732- 8981 OR EMAIL AT RCOOPER@JORDANHOSPITAL.ORG. FOR FREE ANONYMOUS COUNSELING AND TESTING INFORMATION, PLEASE CONTACT ASHLEY FRAZIER, (508) 732- 8982 OR EMAIL AT AFRAZIER@JORDANHOSPITAL.ORG. DETAILED DESCRIPTION: JORDAN HOSPITAL PROVIDES PRIMARY MEDICAL CARE AND MEDICAL CASE MANAGEMENT SERVICES FOR PERSONS LIVING WITH HIV/AIDS IN THE GREATER PLYMOUTH AREA. FREE AND ANONYMOUS HIV COUNSELING AND TESTING IS ALSO PROVIDED. PARTS A AND C FUNDING IS RECEIVED FOR THESE SERVICES THROUGH THE RYAN WHITE CARE ACT. PART C FUNDING IS PROVIDED THROUGH THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) FOR EARLY INTERVENTION SERVICES. PART A FUNDING IS PROVIDED THROUGH THE BOSTON PUBLIC HEALTH COMMISSION (BPHC) FOR MEDICAL CASE MANAGEMENT. THE AIDS COMPREHENSIVE CARE EDUCATION AND SUPPORT SERVICES PROGRAM (ACCESS) PROVIDES PRIMARY MEDICAL CARE TO HIV/AIDS CLIENTS. CARE INCLUDES: PHYSICAL EXAMINATIONS; TREATMENT PLANNING; LABORATORY TESTING; IMMUNIZATIONS AND SCREENING; REFERRALS TO SPECIALTY CARE AND CLINICAL TRIALS AS WELL AS MEDICAL CASE MANAGEMENT. FOR INFORMATION ABOUT ELIGIBILITY AND SERVICES PROVIDED UNDER THE GRANT, PLEASE CONTACT RUTH COOPER, RN, ,PROGRAM DIRECTOR, AT (508) 732-8981. FOR FREE ANONYMOUS COUNSELING AND TESTING, PLEASE CONTACT ASHLEY FRAZIER AT (508) 732- 8982 OR AFRAZIER@JORDANHOSPITAL.ORGJORDAN HOSPITAL PHYSICIAN SPEAKING PROGRAM: BRIEF DESCRIPTION OR OBJECTIVE: JORDAN HOSPITAL HEALTHCARE PROFESSIONALS, FROM PHYSICIANS TO DIETICIANS, OFFER A RANGE OF PROGRAMS TO COMMUNITY RESIDENTS. THE RECENT COMMUNITY NEEDS ASSESSMENT INSTRUCTS PROGRAM CONTENT. JORDAN HOSPITAL OFFERED SEMINARS FOCUSED ON BREAST CANCER, SLEEP DISORDERS, DIABETES, OBESITY, DEMENTIA, HEART DISEASE, PREGNANCY, SPORT INJURIES, SINUSITIS, AND ARTHRITIS. PROGRAM TYPE COMMUNITY EDUCATION TARGET POPULATION REGIONS SERVED: COUNTY- PLYMOUTH HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: NUTRITION, OTHER: PROSTATE DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, PHYSICAL ACTIVITY, DEMENTIA, EXERCISE AND SPORTS INJURY PREVENTION SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS: NOT SPECIFIED CONTACT INFORMATION ALL HOUSE CALLS EVENTS ARE FREE AND OPEN TO THE PUBLIC. PRE-REGISTRATION IS REQUIRED. REGISTER AT 800-2JORDAN (800-256-7326).DETAILED DESCRIPTION: JORDAN HOSPITAL LAUNCHED HOUSE CALLS IN 2005 AS AN EDUCATIONAL SPEAKER SERIES THAT BRINGS IMPORTANT HEALTH AND PREVENTION INFORMATION TO THE COMMUNITY. JORDAN HOSPITAL PHYSICIANS AND OTHER HEALTH CARE PROVIDERS WILL PROVIDE REGULAR HEALTH INFORMATION SEMINARS AT VARIOUS LOCATIONS THROUGHOUT THE 12-TOWN JORDAN HOSPITAL SERVICE AREA.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:BRIEF DESCRIPTION OR OBJECTIVE: JORDAN HOSPITAL, WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS, HAS BROUGHT TOGETHER MORE THAN 60 COMMUNITY PARTNERS- FROM CITY OFFICIALS TO LOCAL FARMERS- TO ENVISION AND BUILD A MORE HEALTH SUSTAINING COMMUNITY, WHERE THE HEALTHY CHOICE IS THE EASY CHOICE. PROGRAM TYPE: COMMUNITY EDUCATION, COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, HEALTHY COMMUNITIES PARTNERSHIP, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP.TARGET POPULATION REGIONS SERVED: COUNTY- PLYMOUTHHEALTH INDICATOR: OBESITY, HEART DISEASE, LUNG DISEASE, CANCER, DIABETES, NUTRITION, SEX: ALLAGE GROUP: ALLETHNIC GROUP: NOT SPECIFIEDPARTNERS: TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTHCONTACT: ANDREA HOLLERAN, VP OF EXTERNAL AFFAIRS JORDAN HOSPITAL, 275 SANDWICH STREET, PLYMOUTH, MA 02360 (508) 830-2029 AHOLLERAN@JORDANHOSPITAL.ORGDETAILED DESCRIPTION: AS A RESULT OF THE COLLABORATIVE WORK INITIATED BY JORDAN HOSPITAL, THE TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS AND OTHER COMMUNITY PARTNERS ARE NOW FINDING NEW WAYS TO WORK TOGETHER WITH JORDAN HOSPITAL TO FOSTER BETTER HEALTH IN OUR COMMUNITY, LONG-TERM, AND AT A LOWER COST, THROUGH THE HEALTHY COMMUNITY INITIATIVE (HCI). SUPPORTED BY JORDAN HOSPITAL'S VICE PRESIDENT OF EXTERNAL AFFAIRS, THE HOSPITAL HAS MADE A COMMUNITY-WIDE COMMITMENT TO THE SHARED GOAL OF EXPANDING THE BREADTH AND IMPACT OF HEALTH INITIATIVES IN THE REGION. AS PART OF THE MASS IN MOTION MUNICIPAL WELLNESS PROGRAM, THE HOSPITAL HAS BEEN ACTIVELY INVOLVED IN ALL STAGES, FROM VISION TO IMPLEMENTATION, AND HAS COMMITTED WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS TO FOCUSING ON FOUR KEY AREAS TO REDUCE OBESITY, IMPROVE NUTRITION AND PROMOTE ACTIVE LIVING COMMUNITY-WIDE. THE PROGRAM'S THREE-YEAR PLAN HAS MEASURABLE OBJECTIVES BASED ON THE HIGHEST PRIORITIES IDENTIFIED THROUGH COMMUNITY INPUT. THE PLAN ADDRESSES:1. SAFE ROUTES TO SCHOOL: IMPROVING WALKABILITY AND BIKEABILITY TO AREA SCHOOLS. OBJECTIVE: BY SEPTEMBER 30, 2012, PLYMOUTH WILL PROMOTE THE MASSDOT SAFE ROUTES TO SCHOOL PROGRAM SO THAT THE TOWN HAS A MINIMUM OF 50% OF ELEMENTARY AND MIDDLE SCHOOL STUDENTS ENROLLED IN AN ACTIVE SAFE ROUTE TO SCHOOL PROGRAM;2. SCHOOL NUTRITION: IMPROVING NUTRITIONAL QUALITY OF FOODS AND BEVERAGES IN LOCAL SCHOOLS. OBJECTIVE: BY SEPTEMBER 30,2014, 100% OF THE PLYMOUTH SCHOOL SYSTEM WILL HAVE IMPLEMENTED THE BASIC NUTRITIONAL GUIDELINES IN THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH GUIDELINES. 3. COMPLETE STREETS INITIATIVE: MAKING STREETS SAFE FOR ALL USERS (PEDESTRIANS, BICYCLISTS AND USERS OF PUBLIC TRANSPORTATION) BY ESTABLISHING COMMUNITY DESIGN STANDARDS. OBJECTIVE: BY SEPTEMBER 30, 2014, A COMPLETE STREETS POLICY WILL BE PROMULGATED AND IMPLEMENTED IN PLYMOUTH;4. HEALTHY NEIGHBORHOOD MARKET: INCREASING ACCESSIBILITY, AVAILABILITY, AFFORDABILITY AND IDENTIFICATION OF HEALTHY FOODS IN COLLABORATION WITH LOCAL RETAILERS. OBJECTIVE: BY SEPTEMBER 30, 2014, A MINIMUM OF 25% OF CONVENIENCE/SMALL STORES WITHIN THE TOWN OF PLYMOUTH WILL OFFER AND PROMOTE HEALTHIER FOOD AND BEVERAGES (INCLUDING FRESH FRUITS AND VEGETABLES, WHOLE GRAIN PRODUCTS, LOWER SODIUM OPTIONS, AND LOW FAT DAIRY) THROUGH AN ESTABLISHED HEALTHY NEIGHBORHOOD MARKET PROGRAM.PEDIATRIC PALLATIVE CARE:BRIEF DESCRIPTION OR OBJECTIVE: THE FRAGILE FOOTPRINTS PEDIATRIC PALLATIVE CARE PROGRAM IS PART OF THE MASSACHUSETTS PEDIATRIC CARE NETWORK ADMINISTERED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, DIVISION FOR PERINATAL, EARLY CHILDHOOD AND SPECIAL HEALTH NEEDS. THE PROGRAM PROVIDES MEDICAL CASE MANAGEMENT ADN SUPPORT TO MEDICALLY FRAGILE CHILDREN AND THEIR FAMILIES. PROGRAM TYPE DIRECT SERVICE TARGET POPULATION REGIONS SERVED: 48 TOWNS IN PLYMOUTH, BRISTON, BARNSTABLE AND DUKES COUNTIES.HEALTH INDICATOR: CHILD CARE, BEREAVEMENT, HOSPICE. SEX: ALLAGE GROUP: PRENATAL TO 19 YEARSETHIC GROUP: NOT SPECIFIEDLANGUAGE: NOT SPECIFIEDPARTNERS MASSACHUSETTS DEPARTMENT OF PUBLIC HELATH, PEDIATRIC PALLIATIVE CARE NETWORK CONTACT INFORMATION: DEBORAL DOLAWAY, LICSW. ADMINISTRATOR, CRANBERRY HOSPICE & PALLIATIVE CARE, 36 CORDAGE PARK CIRCLE, PLYMOUTH. 508-746-0215. DDOLAWAY@JORDANHOSPITAL.ORGDETAILED DESCRIPTION: FRAGILE FOOTPRINTS PEDIATRIC PALLIATIVE CARE PROGRAM IS DESIGNED TO IMPROVE THE QUALITY OF LIFE FOR CHILDREN WITH POTENTIALLY LIFE-LIMITING ILLNESS AND THEIR FAMILIES. AN INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS, CHILD LIFE SPECIALISTS, SPIRITUAL CARE, COMPLEMENTARY THERAPY ADN EXPRESSIVE ARTS PRACTITIONERS AND TRAINED VOLUNTEERS HELP TO DESIGN A PLAY OF CARE THAT WILL COORDINATE AND AUGMENT EXISTING SERVICES. BY PROVIDING A COLLATORATIVE APPROACH, FRAGILE FOOTPRINTS WORKS TO ADDRESS PROBLEMS COMMONLY EXPERIENECED BY FAMILIES OF MEDICALLY FRAGILE CHILDREN INCLUDING EMOTIONAL STRESS AND ANXIETY, SCHOOL AND ACTIVITY INTERRUPTIONS OF SIBLINGS, ISOLATION, FINANCIAL AND RELATIONSHIP ISSUES CREATED BY COMPLEX MEDICAL DEMANDS AND DISRUPTION OF "NORMAL" ROUTINES. THE FRAGILE FOOTPRINTS STAFF WORKS CLOSELY WITH AREA HEALTH PROVIDERS, TERTIARY HOSPITALS, AND COMMUNITY SUPPORT PROGRAMS TO SIMPLIFY AND CREATE A COMPREHENSIVE PLAN TO SUPPORT CHILDREN, PARENTS AND SIBLINGS. BIOTERRORISM PROGRAM (IN CONJUNCTION WITH MASS DPH ASPR GRANT):BRIEF DESCRIPTION OR OBJECTIVE THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MDPH) HAS BEEN AWARDED, FOR THE TENTH YEAR, COOPERATIVE AGREEMENT FUNDING FROM THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE ASSISTANT SECRETARY FOR PREPAREDNESS PROGRAM (HPP). THE PURPOSE OF THIS FUNDING IS TO CONTINUE TO DEVELOP AND SUPPORT AN EFFECTIVE STATEWIDE HOSPITAL AND HEALTH CARE EMERGENCY PREPAREDNESS AND RESPONSE SYSTEM IN MASSACHUSETTS. JORDAN HOSPITAL HAS A REPRESENTATIVE THAT PARTICIPATES IN HOSPITAL PREPAREDNESS AND COLLABORATES WITH ALL THE OTHER ACUTE CARE HOSPITALS WITHIN REGION 5 IN HOSPITAL PREPAREDNESS AND IN DEVELOPING PRIORITIES FOR BOTH THE REGION AND THE HOSPITAL. THE JORDAN HOSPITAL EMERGENCY PREPAREDNESS REPRESENTATIVE ATTENDS MONTHLY MEETINGS, WORKS WITH COMMUNITY PARTNERS SUCH AS POLICE, FIRE, EMD AND THE JORDAN HOSPITAL STAFF TO ASSURE READINESS IN THE CASE OF A DISASTER. PROGRAM TYPE OUTREACH TO UNDERSERVED, PREVENTION TARGET POPULATIONREGIONS SERVED: COUNTY-PLYMOUTH, REGION 5HEALTH INDICATOR: ENVIRONMENTAL QUALITYSEX: ALLETHNIC GROUP: NOT SPECIFIEDLANGUAGE: NOT SPECIFIEDPARTNERS REGION 5 HOSPITALS CONTACT INFORMATION: JANE STILES RN, MM- EMERGENCY PREPAREDNESS COORDATION, AT 508-830-2812, JSTILES@JORDANHOSPITAL.ORGDETAILED DESCRIPTION: THE FUNDING HAS OVERARCHING REQUIREMENTS SUCH AS NATIONAL INCIDENT MANAGEMENT SYSTEMS (NIMS), NEEDS FOR AT-RISK POPULATIONS, EDUCATION, PREPAREDNESS TRAINING, EXERCISES, EVALUATIONS AND CORRECTIVE ACTIONS. ALSO LEVEL ONE SUB-CAPABILITIES SUCH AS INTEROPERABLE COMMUNICATION SYSTEM, HOSPITAL AVAILABLE BED TRACKING SYSTEM (HAVBED), PARTIALLY MANAGEMENT PLANS, HOSPITAL EVACUATION AND SELTER-IN-PLACE PLANS, DECONTAMINATION PROCEDURES AND THE MDU (MASS DECONTAIMINATION UNIT WITH PLYMOUTH FIRE DEPARTMENT), PHARMACEUTICAL CACHES, PERSONAL PROTECTIVE EQUIPMET, REGIONAL PROJECT DEVELOPMENT AND LABORATORY RESPONSE NETOWRK. ESSENTIAL COMMUNITY PROVIDER PROGRAM:BRIEF DESCRIPTION OR OBJECTIVE OF EHR (ELECTRONIC HEALTH RECORD) COMMITTEE WAS FORMED TO DESIGN, IMPLEMENT, AND ADOPT A FULLY FUNCTIONAL EHR TO INCLUDE COMPUTERIZED PHYSICIAL ORDER ENTRY (CPOE) AND ELECTRONIC PHYSICIAL DOCUMENTATION. PROGRAM TYPE DIRECT SERVICE TARGET POPULATION:REGIONS SERVED: COUNTY-PLYMOUTHHEALTH INDICATOR: ALLSEX: ALLAGE GROUP: ALLETHNIC GROUP: NOT SPECIFIEDLANGUAGE: NOT SPECIFIEDPARTNERS CONTACT INFORMATION: RON RUTHERFORD, DEPUTY CIO JORDAN HOSPITAL, INC. 275 SANDWICH ST, PLYMOUTH, MA 02360; (508) 830-2286 OR EMAIL: RRUTHERFORD@JORDANHOSPITAL.ORGDETAILED DESCRIPTION: THE ESSENTIAL COMMUNITY PROVIDED FUNDING ASSISTS IN THE TRANSITION TOWARDS PROVIDING MORE ACCESSIBLE AND COST-EFFECTIVE HEALTH CARE AND ALLOWS US TO FOCUS ON AREAS FOR INNOVATION AND IMPROVEMENT TO BENEFIT OUR RESIDENTS. MAJOR INITIATIVES INCLUDE: THE TARGETED AREAS OF FOCUS INCLUDE CONVERSION OF PAPER-BASED DOCUMENTATION, INFRASTRUCTURE DEVELOPMENT, AND PLANNING FOR A FUNCTIONAL HEALTH INFORMATION EXCHANGE (HIE). THESE INITIATIVES ARE CRITICAL TO THE DEVELOPMENT OF A COMPLETE AND FULLY FUCNTIONAL ELECTRONIC HEALTH RECORD THAT IS PLANNED FOR COMPLETED IMPLEMENTATION BY 2013. THE MAJOR COMPONENETS OF THE EHR HAVE BEEN SPORADICALLY IMPLEMENETED OVER THE PAST FEW YEARS AT JORDAN HOSPITAL. SIGNIFICANT INVESTMENTS IN CAPITAL AND LABOR HAVE BEEN MADE TO FULLY IMPLEMENT ALL COMPONENTS OF THE EMR IN AN EFFORT TO IMPROVE PATIENT SAFETY AND QUALIFY FOR FEDERAL FUNDS UNDER MEANINGFUL USE STAGE I. THIS INCLUDES COMPUTERIZED PHYSICIAN ORDER ENTRY, PHYSICIAN ELECTRONIC DOCUMENTATION, CLINICIAN DOCUMENTATION, ELECTRONICMEDICATION ADMINISTRATION RECORDS AND OTHER REQUIREMENTS FOR ACHIEVING MEANINGFUL
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:JORDAN HEALTH SYSTEMS, INC. (THE PARENT), AND AFFILIATES (COLLECTIVELY, THE SYSTEM) IS COMPOSED OF A NONPROFIT HOSPITAL CORPORATION, JORDAN HOSPITAL, INC. (THE HOSPITAL), A REAL ESTATE CORPORATION (JH REALTYCORPORATION), AN AMBULATORY CARE PROVIDER (JORDAN AMBULATORY HEALTH CARE, INC.), LOCAL PHYSICIAN PRACTICES (JORDAN PHYSICIAN ASSOCIATES, INC.), A FOUNDATION (JORDAN HEALTH FOUNDATION, INC.), A FOR PROFIT ACCOUNTABLE CARE ORGANIZATION (JORDAN COMMUNITY ACO, INC.) AND A FOR-PROFIT MANAGEMENT CORPORATION(ATLANTIC MEDICAL MANAGEMENT, INC.). THE SYSTEM WORKS COLLABORATIVELY TO PROMOTE THE HEALTH OF THE GREATER PLYMOUTH AREA.
MAREPORTS FILED WITH STATESPART VI, LINE 7
HEALTHY COMMUNITY INITIATIVE (NOW HEALTHY PLYMOUTH) BRIEF DESCRIPTION OR OBJECTIVE JORDAN HOSPITAL, WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS, HAS BROUGHT TOGETHER MORE THAN 60 COMMUNITY PARTNERS - FROM CITY OFFICIALS TO LOCAL FARMERS - TO ENVISION AND BUILD A MORE HEALTH-SUSTAINING COMMUNITY, WHERE THE HEALTHY CHOICE IS THE EASY CHOICE. PROGRAM TYPE COMMUNITY EDUCATION, COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, HEALTHY COMMUNITIES PARTNERSHIP, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH HEALTH INDICATOR: OBESITY, HEART DISEASE, LUNG DISEASE, CANCER, DIABETES, NUTRITION SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: NOT SPECIFIED PARTNERS TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH CONTACT INFORMATION ANDREA HOLLERAN, VP OF EXTERNAL AFFAIRS JORDAN HOSPITAL, 275 SANDWICH ST, PLYMOUTH, MA 02360 (508) 830-2029 AHOLLERAN@BIDPLYMOUTH.ORG DETAILED DESCRIPTION AS A RESULT OF THE COLLABORATIVE WORK INITIATED BY JORDAN HOSPITAL, THE TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS AND OTHER COMMUNITY PARTNERS ARE NOW FINDING NEW WAYS TO WORK TOGETHER WITH JORDAN HOSPITAL TO FOSTER BETTER HEALTH IN OUR COMMUNITY, LONG-TERM, AND AT A LOWER COST, THROUGH THE HEALTHY COMMUNITY INITIATIVE (HCI). SUPPORTED BY JORDAN HOSPITAL'S VICE PRESIDENT OF EXTERNAL AFFAIRS, THE HOSPITAL HAS MADE A COMMUNITY-WIDE COMMITMENT TO THE SHARED GOAL OF DEVELOPING POLICY LEVEL CHANGES THAT WILL EXPAND THE BREADTH AND IMPACT OF HEALTH INITIATIVES IN THE REGION. AS PART OF THE MASS IN MOTION MUNICIPAL WELLNESS PROGRAM, THE HOSPITAL HAS BEEN ACTIVELY INVOLVED IN ALL STAGES, FROM VISION TO IMPLEMENTATION, AND HAS COMMITTED WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS TO FOCUS ON FOUR KEY AREAS TO REDUCE OBESITY, IMPROVE NUTRITION AND PROMOTE ACTIVE LIVING COMMUNITY-WIDE. THE PROGRAM'S THREE-YEAR PLAN HAS MEASURABLE OBJECTIVES BASED ON THE HIGHEST PRIORITIES IDENTIFIED THROUGH COMMUNITY INPUT. ACCOUNTABLE CARE ORGANIZATION PHYSICIAN SPEAKING PROGRAM BRIEF DESCRIPTION OR OBJECTIVE JORDAN HOSPITAL HEALTHCARE PROFESSIONALS, FROM PHYSICIANS TO DIETICIANS, OFFER A RANGE OF EDUCATIONAL TALKS FOR THE COMMUNITY. THE HOSPITAL'S RECENT COMMUNITY NEEDS ASSESSMENT AND FEEDBACK FROM ACO INITIATIVES INSTRUCTS PROGRAM EDUCATIONAL CONTENT. IN ADDITION TO THE TALKS, WHICH ARE BROADCAST LOCALLY FOR WIDER DISTRIBUTION, MONTHLY ARTICLES COVERING THE TOPICS APPEAR IN THE LOCAL NEWSPAPER. THE PROGRAM FOCUSES ON PREVENTION AND CONSIDERS TOPICS OF PARTICULAR INTEREST TO UNDERSERVED ACO BENEFICIARIES. PROGRAM TYPE COMMUNITY EDUCATION TARGET POPULATION - REGIONS SERVED: COUNTY-PLYMOUTH - HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: NUTRITION, OTHER: PROSTATE DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, PHYSICAL ACTIVITY, DEMENTIA, EXERCISE AND SPORTS INJURY PREVENTION - SEX: ALL - AGE GROUP: ADULT - ETHNIC GROUP: ALL - LANGUAGE: NOT SPECIFIED PARTNERS NOT SPECIFIED CONTACT INFORMATION EVENTS ARE FREE AND OPEN TO THE PUBLIC. PRE-REGISTRATION IS REQUIRED. REGISTER AT 855-4-BIDPLY (855-424-3759). DETAILED DESCRIPTION JORDAN HOSPITAL HEALTHCARE PROFESSIONALS, FROM PHYSICIANS TO DIETICIANS, OFFER A RANGE OF PREVENTION-FOCUSED EDUCATIONAL TALKS FOR THE COMMUNITY, COVERING TOPICS OF INTEREST TO THE UNDERSERVED COMMUNITY OF ACO BENEFICIARIES. THE HOSPITAL'S RECENT COMMUNITY NEEDS ASSESSMENT AND INPUT FROM CURRENT ACO INITIATIVES INSTRUCTS PROGRAM EDUCATIONAL CONTENT. IN ADDITION TO THE TALKS, WHICH ARE BROADCAST LOCALLY FOR WIDER DISTRIBUTION, MONTHLY ARTICLES APPEAR IN THE LOCAL NEWSPAPER AND ARE PROMOTED ON THE HOSPITAL WEBSITE AND SOCIAL MEDIA. TOPICS IN 2013 INCLUDED: GLAUCOMA; MANAGING CHOLESTEROL; GETTING THE MOST OUT OF VISITS WITH YOUR DOCTOR; MEDICATION MANAGEMENT; CARE TRANSITIONS; PREVENTIVE EFFECT OF EXERCISE, NUTRITION, AND SOCIAL ENGAGEMENT; MEMORY LOSS; PHYSIOLOGY OF GRACEFUL AGING; HEART DISEASE; FALL PREVENTION; AND SEASONAL AFFECTIVE DISORDER. 2014 PROGRAMS ARE LIKELY TO ADDRESS: NON-SURGICAL METHODS OF MANAGING OSTEOARTHRITIS PAIN, EYE HEALTH, MEDICATION SAFETY, DEPRESSION, ADVANCE DIRECTIVES, KIDNEY FUNCTION, MANAGING DEHYDRATION, ACID REFLUX, HEALTH EFFECTS OF POOR SLEEP, STAYING HEALTHY WITH COPD.LINE 5, PROMOTION OF COMMUNITY HEALTH CONT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER HOLDEN
PRESIDENT/CEO0454953069525016537300030040071989100
JOSEPH IANNONI
TREASURER/CFO031575303831601323400030040039734300
JOANNE FORD
REGISTERED NURSE1809550200017253000241870222595000
GAIL ROBBINS
ADMIN, FIN PLANNING1664580001939000235140191911000
RON RUTHERFORD
DEP. CHIEF INFO OFFICER1504360006019000228570179312000
MARK TARLTON
DIRECTOR OF FACILITIES1468520006426000228250176103000
RUTH MCNAUGHTON
SENIOR DIRECTOR148754010006216000228700177940000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationUNDER A SEPARATION AGREEMENT,JOANNE FORD RECEIVED COMPENSATION, BENEFITS AND OUTPLACEMENT SERVICES. AMOUNTS PAID UNDER THE SEVERANCE AGREEMENT AS OF JUNE 30, 2013 WERE $66,851.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MHEFA SERIES E REVENUE BONDSBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN042456011IssuerEIN
CUSIP Number57585K5J3CUSIPNumber
Date Issued2003-07-01DateIssued
Issue Price49935000IssuePrice
Description Of PurposeCONSTRUCTION & CAPITAL PROJECTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired49935000AmountRetired
Total Proceeds49599080TotalProceeds
Capitalized Interest7384190CapitalizedInterest
Issuance Costs From Proceeds779069IssuanceCostsFromProceeds
Working Capital Expenditures217346WorkingCapitalExpenditures
Capital Expenditures37065899CapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Percentage Of Prvt Business Re UBI0.00690PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00690TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test1BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due1NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K PART IV, ARBITRAGE, LINE 2CIdentifier
Return ReferenceDATE REBATE COMPUTATION PERFORMEDReturnReference
ExplanationISSUER NAME: MHEFA SERIES E REVENUE BONDS DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2013Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I LINE 1 AND PART III, LINE 1JORDAN HOSPITAL SEEKS TO PROMOTE HEALTH AND WELLNESS SERVICES WITH EXCELLENCE. SERVING THE GREATER PLYMOUTH REGION, THE HOSPITAL COLLABORATES WITH COMMUNITY LEADERS, PUBLIC AND PRIVATE AGENCIES AND BUSINESSES, TO PROVIDE HEALTH PROMOTION, HEALTH PROTECTION AND PREVENTIVE SERVICES TO MEET THE BROAD RANGE OF OUR COMMUNITY'S HEALTH AND WELLNESS NEEDS AS IDENTIFIED THROUGH COMMUNITY FEEDBACK AND FORMAL COMMUNITY NEEDS ASSESSMENTS. AS PART OF ITS MISSION TO SUPPORT COMMUNITY HEALTH, JORDAN HOSPITAL IS COMMITTED TO ASSESSING ROOT CAUSES OF HEALTH DISPARITIES AND TO ASSISTING IN IMPROVING HEALTH CARE FOR THE DISADVANTAGED AND UNDERSERVED.
FORM 990, PART VI, SECTION A, LINE 2MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON BOARDS OF ENTITIES RELATED TO JORDAN HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11JORDAN HOSPITAL, INC'S FORM 990 IS INITIALLY PREPARED BY AN OUTSIDE PAID PREPARER. THE 990 IS REVIEWED BY INTERNAL MANAGEMENT AND FOLLOWING THAT REVIEW, IT IS PRESENTED BY MANAGEMENT TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CJORDAN HEALTH SYSTEMS, INC. HAS A WRITTEN CONFLICT OF INTEREST POLICY, WHISTLES BLOWER POLICY, AND DOCUMENT RETENTION AND DESTRUCTION POLICY IN PLACE WHICH APPLIES TO THE SYSTEM AND ITS RELATED ORGANIZATIONS. ALL OFFICERS AND BOARD MEMBERS ARE SUBJECT TO THE POLICIES. OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE, IN WRITING, ANNUALLY, TO DISCLOSE ANY FINANCIAL OR BUSINESS RELATIONSHIPS THAT HE, SHE OR ANY FAMILY MEMBER MAY HAVE WITHIN THE JORDAN SYSTEM. THE QUESTIONNAIRE RESPONSES ARE REVIEWED BY THE ORGANIZATION. ALL CONFLICTS ARE RESOLVED AT THIS REVIEW IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATIONS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:NET TRANSFERS TO AFFILIATES -3,047,230. PENSION ADJUSTMENT 3,629,880.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
JORDAN PHYSICIAN ASSOCIATES INC
275 SANDWICH STREETPLYMOUTHMA02360043228556HEALTHCAREMA501(C)(3)LINE 9: 509(A)(2)JHSI0
JORDAN AMBULATORY HEALTH CARE INC
36 CORDAGE PARK CIRCLEPLYMOUTHMA02360222667348HEALTHCAREMA501(C)(3)LINE 3: 170(B)(1)(A)JHSI0
JORDAN HEALTH FOUNDATION INC
275 SANDWICH STREETPLYMOUTHMA02360510432984PHILANTHROPYMA501(C)(3)LINE 11, TYPE I: 509JHSI0
JORDAN HEALTH SYSTEMS INC
275 SANDWICH STREETPLYMOUTHMA02360042103805HEALTHCAREMA501(C)(3)LINE 7: 170(B)(1)(A)0N/A
JH REALTY CORPORATION
275 SANDWICH STREETPLYMOUTHMA02360222667673REAL ESTATEMA501(C)(3)LINE 11, TYPE I: 509JHSI0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
ATLANTIC MEDICAL MANAGEMENT
275 SANDWICH STREETPLYMOUTHMA02360043161451SUPPORT STAFFINGMAJHSIC0
JORDAN COMMUNITY ACO INC
275 SANDWICH STREETPLYMOUTHMA02360454047430HEALTH CARE SERVICESMAJHSIC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg