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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-13T17:26:39-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO JERICHO PLAZA | AddressLine1 |
| City | JERICHO | City |
| State | NY | State |
| ZIP Code | 11753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222667354 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JORDAN HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | JORD | NameControl |
| Phone | 5087462000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 SANDWICH STREET | AddressLine1 |
| City | PLYMOUTH | City |
| State | MA | State |
| ZIP Code | 023602183 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JASON RADZEVICH | Name |
| Title | CFO | Title |
| Phone | 5087462000 | Phone |
| Date Signed | 2014-08-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTINE KAWECKI | Name |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | Phone |
| Date Prepared | 2014-08-05 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JASON RADZEVICH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 SANDWICH STREET | AddressLine1 |
| City | PLYMOUTH | City |
| State | MA | State |
| ZIP Code | 023602183 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 196687305 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BIDPLYMOUTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1607 | TotalNbrEmployees |
| Total Nbr Volunteers | 350 | TotalNbrVolunteers |
| Total Gross UBI | 1775643 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -997661 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5112671 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5165480 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 193077628 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 189766580 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1113475 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1655645 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 90127 | OtherRevenuePriorYear |
| Other Revenue Current Year | 86885 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 199393901 | TotalRevenuePriorYear |
| Total Revenue Current Year | 196674590 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 104809281 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 102214244 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 88368406 | OtherExpensePriorYear |
| Other Expenses Current Year | 92047361 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 193177687 | TotalExpensesPriorYear |
| Total Expenses Current Year | 194261605 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6216214 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2412985 | RevenuesLessExpensesCY |
| Total Assets BOY | 179578545 | TotalAssetsBOY |
| Total Assets EOY | 171748302 | TotalAssetsEOY |
| Total Liabilities BOY | 130525866 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 119878335 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 49052679 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 51869967 | NetAssetsOrFundBalancesEOY |
| Mission Description | SEE COMMUNITY BENEFIT REPORT FOR 2012 - SCHEDULE O | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 172304167 | Expense |
| Revenue | 187990937 | Revenue |
| Description | SERVICES RENDERED INCLUDE INPATIENT, OUTPATIENT AND EMERGENCY CARE DELIVERED WITHIN THE INSTITUTION'S SERVICE AREA. | Description |
| Total Program Service Expense | 172304167 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 256 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1607 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA HALEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5087462000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 SANDWICH ST | AddressLine1 |
| City | PLYMOUTH | City |
| State | MA | State |
| ZIP Code | 02360 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CLARK HINKLEY | ||||||||
| CHAIR | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| LYLE BAZZINOTTI | ||||||||
| VICE-CHAIR | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| PETER MUNCEY ESQ | ||||||||
| SECRETARY | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| KENNETH FOSDICK | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| ROBERT KELLY | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| LYON CARTER | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| KIMBERLY SCHEUB MD | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| WILFRED SHEEHAN | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| KEELAS SMALL | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| FREDERIC CLIFFORD | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| JOHN CARNUCCIO | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| SHAWN DAHLEN | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| STEPHEN TREHU MD | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| MICHAEL BABINI | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| DENISE NORRIS | ||||||||
| ASSISTANT SECRETARY | 40.00 | 1.00 | X | 62941 | 0 | 18615 | ||
| PETER HOLDEN | ||||||||
| PRESIDENT/CEO | 1.00 | 2.00 | X | 0 | 689851 | 30040 | ||
| JOSEPH IANNONI | ||||||||
| TREASURER/CFO | 1.00 | 2.00 | X | 0 | 367303 | 30040 | ||
| JOANNE FORD | ||||||||
| REGISTERED NURSE | 60.00 | 198408 | 0 | 24187 | X | |||
| GAIL ROBBINS | ||||||||
| ADMIN, FIN PLANNING | 40.00 | 168397 | 0 | 23514 | X | |||
| RON RUTHERFORD | ||||||||
| DEP. CHIEF INFO OFFICER | 40.00 | 156455 | 0 | 22857 | X | |||
| MARK TARLTON | ||||||||
| DIRECTOR OF FACILITIES | 40.00 | 153278 | 0 | 22825 | X | |||
| RUTH MCNAUGHTON | ||||||||
| SENIOR DIRECTOR | 40.00 | 155070 | 0 | 22870 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 894549 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1057154 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 194948 | TotalOtherCompensation |
| Number Individuals GT100 K | 72 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BAYSIDE EMERGENCY MEDICAL ASSOCIATES PC | |||||
| 1342 BELMONT STREET SUITE 205 | BROCKTON | MA | 02301 | EMERGENCY MEDICINE MGMNT | 6922015 |
| ALLIANCE ONCOLOGY LLC | |||||
| 100 BAYVIEW CIRCLE SUITE 400 | NEWPORT BEACH | CA | 92660 | RADIATION THERAPY MGMNT | 2180606 |
| ALLIANCE HEALTHCARE SERVICES | |||||
| 100 BAYVIEW CIRCLE SUITE 400 | NEWPORT BEACH | CA | 92660 | IMAGING SERVICE MGMNT | 1342849 |
| KAUFMAN HALL & ASSOCIATES INC | |||||
| 5202 OLD ORCHARD ROAD SUITE N700 | SKOKIE | IL | 60077 | FINANCIAL CONSULTANT | 1022254 |
| DONOGHUE BARRETT & SINGAL PC | |||||
| ONE BEACON STREET | BOSTON | MA | 02108 | LEGAL SERVICES | 624400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Government Grants | 2673307 | GovernmentGrants |
| All Other Contributions | 2492173 | AllOtherContributions |
| Noncash Contributions | 24156 | NoncashContributions |
| Total Contributions | 5165480 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | 187990937 | 187990937 | |
| NON-PATIENT LAB | 621500 | 1775643 | 1775643 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 189766580 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 676464 | TotalRevenueColumn |
| Exclusion | $676,464 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 86885 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 86885 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 86885 | TotalRevenueColumn |
| Exclusion | $86,885 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 991896 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 12715 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 991896 | Securities |
| Other | -12715 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 979181 | TotalRevenueColumn |
| Exclusion | $979,181 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 196674590 | TotalRevenueColumn |
| Related Or Exempt Function Income | 187990937 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1775643 | UnrelatedBusinessRevenue |
| Exclusion | $1,742,530 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81556 | Total |
| Management And General | 81556 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78499381 | Total |
| Program Services | 69603936 | ProgramServices |
| Management And General | 8895445 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3886173 | Total |
| Program Services | 3442221 | ProgramServices |
| Management And General | 443952 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13765972 | Total |
| Program Services | 12193362 | ProgramServices |
| Management And General | 1572610 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5981162 | Total |
| Program Services | 5297881 | ProgramServices |
| Management And General | 683281 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1959134 | Total |
| Program Services | 1959134 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 414807 | Total |
| Management And General | 414807 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7698471 | Total |
| Program Services | 7698471 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56906444 | Total |
| Program Services | 48162217 | ProgramServices |
| Management And General | 8744227 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8843750 | Total |
| Program Services | 7959375 | ProgramServices |
| Management And General | 884375 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258438 | Total |
| Program Services | 198997 | ProgramServices |
| Management And General | 59441 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 493734 | Total |
| Program Services | 315990 | ProgramServices |
| Management And General | 177744 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4889202 | Total |
| Program Services | 4889202 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9645942 | Total |
| Program Services | 9645942 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 937439 | Total |
| Program Services | 937439 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194261605 | Total |
| Program Services | 172304167 | ProgramServices |
| Management And General | 21957438 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12790425 | BOY |
| EOY | 6550912 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10029 | BOY |
| EOY | 7125 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21108678 | BOY |
| EOY | 19309676 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2350753 | BOY |
| EOY | 2532891 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5036275 | BOY |
| EOY | 6915934 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 186281378 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 103491767 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87155144 | BOY |
| EOY | 82789611 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26967759 | BOY |
| EOY | 29893090 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24159482 | BOY |
| EOY | 23749063 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179578545 | BOY |
| EOY | 171748302 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24138705 | BOY |
| EOY | 24064263 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77382596 | BOY |
| EOY | 75755611 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29004565 | BOY |
| EOY | 20058461 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130525866 | BOY |
| EOY | 119878335 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37992092 | BOY |
| EOY | 41111239 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1282064 | BOY |
| EOY | 514106 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9778523 | BOY |
| EOY | 10244622 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49052679 | BOY |
| EOY | 51869967 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179578545 | BOY |
| EOY | 171748302 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2412985 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -178347 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 582650 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | JORDAN 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11060587 | BeginningOfYearBalance |
| Contributions | 1326794 | Contributions |
| Investment Earnings Or Losses | 436271 | InvestmentEarningsOrLosses |
| Other Expenditures | 2064924 | OtherExpenditures |
| End Of Year Balance | 10758728 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9872294 | BeginningOfYearBalance |
| Contributions | 896256 | Contributions |
| Investment Earnings Or Losses | 1256631 | InvestmentEarningsOrLosses |
| Other Expenditures | 964594 | OtherExpenditures |
| End Of Year Balance | 11060587 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11143750 | BeginningOfYearBalance |
| Contributions | 1667255 | Contributions |
| Investment Earnings Or Losses | -763788 | InvestmentEarningsOrLosses |
| Other Expenditures | 2174923 | OtherExpenditures |
| End Of Year Balance | 9872294 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11541125 | BeginningOfYearBalance |
| Contributions | 1822428 | Contributions |
| Investment Earnings Or Losses | 162354 | InvestmentEarningsOrLosses |
| Other Expenditures | 2382157 | OtherExpenditures |
| End Of Year Balance | 11143751 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12515339 | BeginningOfYearBalance |
| Contributions | 858367 | Contributions |
| Investment Earnings Or Losses | -837782 | InvestmentEarningsOrLosses |
| Other Expenditures | 994799 | OtherExpenditures |
| End Of Year Balance | 11541125 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.95220 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.04780 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54225 | OtherCostOrOtherBasis |
| Book Value | 54225 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 79940727 | OtherCostOrOtherBasis |
| Depreciation | 31204638 | Depreciation |
| Book Value | 48736089 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31569607 | OtherCostOrOtherBasis |
| Depreciation | 15761057 | Depreciation |
| Book Value | 15808550 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 72959583 | OtherCostOrOtherBasis |
| Depreciation | 56526072 | Depreciation |
| Book Value | 16433511 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1757236 | OtherCostOrOtherBasis |
| Book Value | 1757236 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 82789611 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| FUNDS HELD BY TRUSTEE | 7061074 |
| DUE FROM AFFILIATES | 1966024 |
| FUNDS HELD BY OUTSIDE TRUSTEES | 9941868 |
| CURRENT LIMITED USE ASSETS | 4780097 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 23749063 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 20058461 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2280545 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2280545 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01170 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20111962 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15008302 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5103660 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02630 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22392507 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15008302 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7384205 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03800 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2043539 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2043539 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2043539 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2043539 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01050 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24436046 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15008302 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9427744 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04850 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 82805 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 82805 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 82805 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 82805 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 165610 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 165610 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,737,093 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 81342083 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 87202541 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5860458 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JORDAN HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 SANDWICH STREET | AddressLine1 |
| City | PLYMOUTH | City |
| State | MA | State |
| ZIP Code | 023602183 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JORDAN HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 400.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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 INTERVIEWEES | JORDAN 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. | ||
| MA | REPORTS FILED WITH STATES | PART 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER HOLDEN | ||||||||||||||
| PRESIDENT/CEO | 0 | 454953 | 0 | 69525 | 0 | 165373 | 0 | 0 | 0 | 30040 | 0 | 719891 | 0 | 0 |
| JOSEPH IANNONI | ||||||||||||||
| TREASURER/CFO | 0 | 315753 | 0 | 38316 | 0 | 13234 | 0 | 0 | 0 | 30040 | 0 | 397343 | 0 | 0 |
| JOANNE FORD | ||||||||||||||
| REGISTERED NURSE | 180955 | 0 | 200 | 0 | 17253 | 0 | 0 | 0 | 24187 | 0 | 222595 | 0 | 0 | 0 |
| GAIL ROBBINS | ||||||||||||||
| ADMIN, FIN PLANNING | 166458 | 0 | 0 | 0 | 1939 | 0 | 0 | 0 | 23514 | 0 | 191911 | 0 | 0 | 0 |
| RON RUTHERFORD | ||||||||||||||
| DEP. CHIEF INFO OFFICER | 150436 | 0 | 0 | 0 | 6019 | 0 | 0 | 0 | 22857 | 0 | 179312 | 0 | 0 | 0 |
| MARK TARLTON | ||||||||||||||
| DIRECTOR OF FACILITIES | 146852 | 0 | 0 | 0 | 6426 | 0 | 0 | 0 | 22825 | 0 | 176103 | 0 | 0 | 0 |
| RUTH MCNAUGHTON | ||||||||||||||
| SENIOR DIRECTOR | 148754 | 0 | 100 | 0 | 6216 | 0 | 0 | 0 | 22870 | 0 | 177940 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4A | ReturnReference |
| Explanation | UNDER 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHEFA SERIES E REVENUE BONDS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 042456011 | IssuerEIN |
| CUSIP Number | 57585K5J3 | CUSIPNumber |
| Date Issued | 2003-07-01 | DateIssued |
| Issue Price | 49935000 | IssuePrice |
| Description Of Purpose | CONSTRUCTION & CAPITAL PROJECTS | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 49935000 | AmountRetired |
| Total Proceeds | 49599080 | TotalProceeds |
| Capitalized Interest | 7384190 | CapitalizedInterest |
| Issuance Costs From Proceeds | 779069 | IssuanceCostsFromProceeds |
| Working Capital Expenditures | 217346 | WorkingCapitalExpenditures |
| Capital Expenditures | 37065899 | CapitalExpenditures |
| Year Of Subst Completion | 2005 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Percentage Of Prvt Business Re UBI | 0.00690 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00690 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 1 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 1 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K PART IV, ARBITRAGE, LINE 2C | Identifier |
| Return Reference | DATE REBATE COMPUTATION PERFORMED | ReturnReference |
| Explanation | ISSUER NAME: MHEFA SERIES E REVENUE BONDS DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2013 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART I LINE 1 AND PART III, LINE 1 | JORDAN 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 2 | MANY 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 11 | JORDAN 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 12C | JORDAN 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 19 | THE 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JORDAN PHYSICIAN ASSOCIATES INC | |||||||||||
| 275 SANDWICH STREET | PLYMOUTH | MA | 02360 | 043228556 | HEALTHCARE | MA | 501(C)(3) | LINE 9: 509(A)(2) | JHSI | 0 | |
| JORDAN AMBULATORY HEALTH CARE INC | |||||||||||
| 36 CORDAGE PARK CIRCLE | PLYMOUTH | MA | 02360 | 222667348 | HEALTHCARE | MA | 501(C)(3) | LINE 3: 170(B)(1)(A) | JHSI | 0 | |
| JORDAN HEALTH FOUNDATION INC | |||||||||||
| 275 SANDWICH STREET | PLYMOUTH | MA | 02360 | 510432984 | PHILANTHROPY | MA | 501(C)(3) | LINE 11, TYPE I: 509 | JHSI | 0 | |
| JORDAN HEALTH SYSTEMS INC | |||||||||||
| 275 SANDWICH STREET | PLYMOUTH | MA | 02360 | 042103805 | HEALTHCARE | MA | 501(C)(3) | LINE 7: 170(B)(1)(A) | 0 | N/A | |
| JH REALTY CORPORATION | |||||||||||
| 275 SANDWICH STREET | PLYMOUTH | MA | 02360 | 222667673 | REAL ESTATE | MA | 501(C)(3) | LINE 11, TYPE I: 509 | JHSI | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| ATLANTIC MEDICAL MANAGEMENT | |||||||||
| 275 SANDWICH STREET | PLYMOUTH | MA | 02360 | 043161451 | SUPPORT STAFFING | MA | JHSI | C | 0 |
| JORDAN COMMUNITY ACO INC | |||||||||
| 275 SANDWICH STREET | PLYMOUTH | MA | 02360 | 454047430 | HEALTH CARE SERVICES | MA | JHSI | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |