UMASS MEMORIAL HEALTH-MILFORD REGIONAL MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: UMASS MEMORIAL HEALTH-MILFORD REGIONAL MEDICAL CENTER INC (EIN 04-2103602)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-12
IRS object ID: 201442249349302579
Schema version: 2012v2.0
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 F
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-12T12:25:22-07:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103602	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MILFORD REGIONAL MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MILF	NameControl
Phone	5084731190	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14 PROSPECT STREET	AddressLine1
City	MILFORD	City
State	MA	State
ZIP Code	017573090	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JEANNE P LYNSKEY	Name
Title	VP, FINANCE & CFO	Title
Phone	5084731190	Phone
Date Signed	2014-08-12	DateSigned

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	Jeanne P Lynskey	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	14 Prospect Street	AddressLine1
City	Milford	City
State	MA	State
ZIP Code	01757	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	190299278	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MILFORDREGIONAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1903	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	Milford Regional Medical Center Inc mission statement is to provide quality healthcare services to our community with dignity, compassion, and respect.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	1925	TotalNbrEmployees
Total Nbr Volunteers	436	TotalNbrVolunteers
Total Gross UBI	666957	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4465681	ContributionsGrantsPriorYear
Contributions Grants Current Year	3995840	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	184563697	ProgramServiceRevenuePriorYear
Program Service Revenue CY	173162259	ProgramServiceRevenueCY
Investment Income Prior Year	592954	InvestmentIncomePriorYear
Investment Income Current Year	651431	InvestmentIncomeCurrentYear
Other Revenue Prior Year	13943014	OtherRevenuePriorYear
Other Revenue Current Year	9948085	OtherRevenueCurrentYear
Total Revenue Prior Year	203565346	TotalRevenuePriorYear
Total Revenue Current Year	187757615	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	107339021	SalariesEtcPriorYear
Salaries Etc Current Year	100742405	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	220246	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	359441	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1447824	TotalFundrsngExpCurrentYear
Other Expense Prior Year	73701460	OtherExpensePriorYear
Other Expenses Current Year	75118382	OtherExpensesCurrentYear
Total Expenses Prior Year	181260727	TotalExpensesPriorYear
Total Expenses Current Year	176220228	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	22304619	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11537387	RevenuesLessExpensesCY
Total Assets BOY	210090678	TotalAssetsBOY
Total Assets EOY	217450156	TotalAssetsEOY
Total Liabilities BOY	113400497	TotalLiabilitiesBOY
Total Liabilities EOY	112767133	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	96690181	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	104683023	NetAssetsOrFundBalancesEOY
Mission Description	Milford Regional Medical Center Inc provides medical and hospital services for the sick and disabled of any race, creed, color, or nationality regardless of an individuals ability to pay. It also carries on such educational, philanthropic and scientific activities and functions as are designed to promote the general health of the communities served.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	62349068	Expense
Grants	0	Grants
Revenue	54853347	Revenue
Description	Milford Regional Medical Center (MRMC) serves the healthcare needs of the residents of 19 communities in Central Massachusetts, a population now approaching 250,000. Guided by its mission "to provide quality healthcare services to our community with dignity, compassion and respect," MRMC strives to be responsive to diverse constituencies-individuals and families of all ages, employees and employers of large and small businesses, physicians and other healthcare providers, our school systems, our local and area officials and safety personnel, churches, community organizations, our insurers and payors and our own employees and volunteers. As a charitable hospital, we acknowledge our special concern for the needs of the underserved , especially low-income and minority populations. A full-service community and regional teaching hospital, MRMC is a 145-bed, nonprofit acute-care facility. There are approximately 200 physicians on the active medical staff and an additional 100 courtesy or consulting physicians. MRMC is affiliated with UMass Memorial Health Care as a major teaching hospital. In addition to providing basic acute care services (medical, surgical, emergency medicine, family-centered obstetrics and pediatrics), MRMC has eight state-of-the-art operating suites, consolidated surgical services (including admitting and pre-admission testing) and a medical/surgical floor with private rooms, many with advanced patient monitoring capabilities. MRMC serves approximately 8,800 medical and surgical inpatients annually. In FY2013, MRMC has seen impressive results with our Center for achievement was the introduction of Palliative Care Services under the direction of a physician who is board certified in Hospice and Palliative Medicine. MRMC was recognized for the second consecutive year in US News & World Report's list of Best Hospitals, received a Top 10 Safety Rating from Consumer Reports and an "A" Hospital Safety Score from The Leapfrog Group. Perhaps most important, MRMC completed a feasibility study for a $54-million building expansion, the construction of a new emergency department, ICU and 24 new medical/surgical rooms to eliminate multi-patient rooms. It is estimated that the project will break ground in 2014.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	91218206	Expense
Grants	0	Grants
Revenue	117641955	Revenue
Description	The Hyman and Shirley Hill Health Center at Milford Regional Medical Center, completed in 1994, is a complete outpatient facility dedicated to the care, education, and wellness of thousands of patients who visit regularly for care, but rarely stay overnight. The Center provides a variety of services including laboratory, cardiac rehabilitation, endoscopic surgery, and other minor surgical services. The Women's Pavilion, opened in 1998, provides a full range of services to meet women's health needs, including digital mammography, ultrasound, bone densitrometry and advanced breast biopsy. Other diagnostic services offered to outpatients throughout the Milford Regional system include radiology, ultrasound, MRI, CT scans, PET services, nuclear medicine, cardiovascular and laboratory/pathology. Testing and rehabilitation services are offered in several locations throughout the hospital's service area to improve access for our patients. In FY 2013, MRMC saw the introduction of the DaVinci Surgical Systems, a sophisticated robotic platform designed to expand the surgeon's capabilities and offers patients a minimally invasive option for major surgery. The benefits for our patients are shorter hospital stays, reduced pain, lower risk of infection, less blood clots, fewer transfusions, less scarring and faster recovery. Robotic surgeons at Milford Regional have been performing gynecological, urological and gall bladder surgeries. FY13 marked the five-year anniversary of Milford Regional's partnership with Dana-Farber/Brigham and Women's Cancer Center. The Cancer Center which openedin 2008 provides to develop a comprehensive cancer treatment in the region. MRMC entered into a collaboration with Cancer Center which includes medical oncology and radiation oncology, laboratory tests, CT scans, MRI's and PET scnas in the care and treatment of Cancer Center patients. This year, the Cancer Center began offering clinical trials in our community. Patient volume has more than doubled in 5 years and the number of patients seen for radiation oncology has increase from 369 in 2009 to more than 10,000 in 2013. The 54,000 square foot facility has made a tremendous difference to the quality of life for residents seeking cancer treatment. Milford Regional forged a new partnership with Boston Children's Hospital to bring the expertise of one of the nation's top-ranked hospitals in pediatric care closer to those living in Metrowest and Central Massachusetts. Children admitted to Milford Regional, as well as newborns in the Maternity Center, now benefit from around-the-clock careprovided by Boston Children's pediatric hospitalists. Plans are underway to expand services to our emergency department. Rehabilitation and sports medicine expanded at MRMC with the opening of a 10,000 square foot facility in Franklin, MA. This tripled the space from a previous location offering the latest treatment in rehab therapies and sports medicine. the site offers 14 treatment rooms, new equipment, a 3000 square foot indoor sports simulation are and industrial conditioning area. Milford Regional Emergency Department: The Milford Regional Emergency Department sees over 55,000 patients per year and the number of those with behavioral health and substance use issues has increased dramatically. A collaboration with Riverside Community Care has been enhanced after 17 years the the hospital to create a formal division of behavioral medicine inside Milford Regional's internal medicine department. This partnership with the Milford Regional department of care management provides the framework for a much more proactive approach to patient care. This new structure allows the behavioral health specialists to do more than provide consultations on a case by case basis as they did in the past. The fully integrated team can now anticipate patient challenges through programs like the Delirium Task Force helping to reduce confusion and disorientation of older patients. In another significant move, they have instituted daily behavoiral health rounds in the Emergency Department and provide individualized management plans to patients to help reduce chronic ED visits by identifying and then addressing underlying emotional issues through community linkages and resources. The Medical Center was awarded two state grants totalling $240,000 to target activity in the Emergency Department. One was to develop a referral relationship with Edward M. Kennedy Health Center for the one in five patients who do not have primary care, and the other was to fund behavioral health nurses in the ED and develop an integrated multidisciplinary team to better meet the needs of patients seen in the Ed with behavioral health issues. The Patient and Family Advisory Council (PFAC) convened a Behavioral Health Task Force to address the high volume and length of stay in the ED of behavioral health patients compared to those with medical and surgical complaints. The Task Force has created strong community linkages with mental health providers, schools and community coalitions to improve the care of individuals with behavioral health and substance abuse needs and advocate for mental health parity. This program has been recognized across the state and by the Secretary of Health and Human Services in his keynote remarks at the statewide PFAC conference. We have employed bilingual community health workers in the ED to address the critical need to connect patients to primary care. Working later hours in the day and on weekends, community health workers help identify patients who come to the ED due to a lack of primary care or health insurance. Patients are helped with enrollment in state-subsidized health care when appropriate, and directed to a primary care physicain. When the health center opens in late 2013, these patients will have an option for affordable, comprehensive primary care close to home.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	153567274	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	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	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	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	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	199	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1925	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	1	NonDeductibleContributions
Non Deductible Disclosure	1	NonDeductibleDisclosure
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Form1098 C Filed	0	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	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	1	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	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	0	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	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Jeanne P Lynskey	NamePerson
Telephone Number	5084731190	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	14 PROSPECT STREET	AddressLine1
City	MILFORD	City
State	MA	State
ZIP Code	017573090	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Kevin P Meehan
Trustee	1	0	X	0	0	0
Christine H Burke
Trustee	1	0	X	0	0	0
Bartholomew R Lawless
Trustee	1	0	X	0	0	0
M Catherine Burke MD
Trustee	1	0	X	0	0	0
Francis J Larkin
Treasurer	1	0	X	0	0	0
Vascen J Bogigian
Trustee	1	0	X	0	0	0
John J Burns
Chairman	1	0	X	0	0	0
Stephen G Ellis
Trustee	1	0	X	0	0	0
Patrick R McSweeney MD
Trustee	1	50	X	0	391057	29085
William G Burrill
Trustee	1	0	X	0	0	0
Albert A Crimaldi MD
Trustee	1	0	X	5300	0	0
Warren S Heller
Clerk	1	0	X	0	0	0
Harold D Gould Jr
Trustee	1	0	X	0	0	0
John N Pandiscio
Trustee	1	0	X	15725	0	0
Louis P Bertonazzi
Trustee	1	0	X	0	0	0
Barbara A Auger
Trustee	1	0	X	0	0	0
Loriann Baranauskas
Trustee	1	0	X	0	0	0
Jeff Hopkins MD
Trustee	1	0	X	4375	0	0
Robert L Kilroy
Trustee	1	0	X	0	0	0
Delia Vetter
Trustee	1	0	X	0	0	0
Francis M Saba
CEO	50	5		492082	0	188869	X
Edward J Kelly
President	50	0		435440	0	54122	X
Jeanne P Lynskey
VP Finance & CFO	50	0		251904	0	24351	X
Salvatore Perla
VP Clinical Support	50	0		209300	0	25669		X
Linda Yates
VP Human Resources	50	0		181488	0	24793		X
Martin Richman
VP of Philanthropy & Executive Director	50	0		166418	0	20263		X
Nicole Heim
Chief Information Officer	50	0		155976	0	23298		X
Nancy Tomaso
VP Patient Care Services	50	0		167115	0	5945		X
Karen Sergi
Registered Nurse	50	0		147822	0	20167			X
Kamala Murali
Chief of Pathology	50	0		143401	0	20373			X
Donna M Saul
Director of Inpatient Services	50	0		144662	0	24200			X
Maria DaSilva
Director of Emergency Service	50	0		147799	0	23615			X
Judy Kelly
Director of Inpatient Services	50	0		142078	0	21719			X
Cheryl L Bonasoro
Former VP Patient Care Service	0	0		239853	0	7840				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3050738	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	391057	TotalReportableCompFrmRltdOrgs
Total Other Compensation	514309	TotalOtherCompensation
Number Individuals GT100 K	105	NumberIndividualsGT100K
Formers Listed	1	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
Alliance Healthcare Inc
PO Box 96485	Chicago	IL	60693	MRI Services/PET Services	3832597
Aramark
12483 Collections Center Drive	Chicago	IL	60693	BioMedical Engineering Services	973002
Milford Anesthesia Associates Inc
113 Water Street 213	Milford	MA	01757	Anesthesia Services	1745188
University of Massachusetts Medical
55 Lake Ave North	Worcester	MA	01655	Fee for Residency Program	1210212
Quest Diagnostics Nichols Institute
12436 Collections Center Drive	Chicago	IL	60693	Outside lab fees	586659

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	12	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	652360	FundraisingEvents
Related Organizations	0	RelatedOrganizations
Government Grants	0	GovernmentGrants
All Other Contributions	3343480	AllOtherContributions
Noncash Contributions	173493	NoncashContributions
Total Contributions	3995840	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Outpatient	622000	118308912	117641955	666957	$0
Inpatient	622000	54853347	54853347	0	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	173162259	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	361813	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$361,813	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2502139	Securities
Other	11050	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	2163686	Securities
Other	59885	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	338453	Securities
Other	-48835	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	289618	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$289,618	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	323561	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	309854	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	13707	TotalRevenueColumn
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$13,707	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	51180	GrossIncomeGaming
Gaming Direct Expenses	8238	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	42942	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$42,942	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	0	GrossSalesOfInventory
Cost Of Goods Sold	0	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cancer Center	900099	3321555	$3,321,555
Rents	900099	2188309	$2,188,309
Meaningful Use	900099	1381282	$1,381,282

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3000290	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,000,290	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	9891436	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	187757615	TotalRevenueColumn
Related Or Exempt Function Income	172495302	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	666957	UnrelatedBusinessRevenue
Exclusion	$10,599,516	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2094724	Total
Program Services	0	ProgramServices
Management And General	2094724	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	78544874	Total
Program Services	70156959	ProgramServices
Management And General	7931782	ManagementAndGeneral
Fundraising	456133	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1329263	Total
Program Services	1169751	ProgramServices
Management And General	146219	ManagementAndGeneral
Fundraising	13293	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12815758	Total
Program Services	11277867	ProgramServices
Management And General	1409733	ManagementAndGeneral
Fundraising	128158	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5957786	Total
Program Services	5242851	ProgramServices
Management And General	655356	ManagementAndGeneral
Fundraising	59579	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2046677	Total
Program Services	1971341	ProgramServices
Management And General	75336	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	-274187	Total
Program Services	0	ProgramServices
Management And General	-274187	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	67200	Total
Program Services	0	ProgramServices
Management And General	67200	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	359441	Total
Fundraising	359441	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	379034	Total
Program Services	0	ProgramServices
Management And General	379034	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	35104396	Total
Program Services	33625669	ProgramServices
Management And General	1257137	ManagementAndGeneral
Fundraising	221590	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	993781	Total
Program Services	855812	ProgramServices
Management And General	106976	ManagementAndGeneral
Fundraising	30993	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7494157	Total
Program Services	6006034	ProgramServices
Management And General	1445658	ManagementAndGeneral
Fundraising	42465	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	192917	Total
Program Services	121916	ProgramServices
Management And General	70412	ManagementAndGeneral
Fundraising	589	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	4132937	Total
Program Services	0	ProgramServices
Management And General	4132937	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9451201	Total
Program Services	8317057	ProgramServices
Management And General	1039632	ManagementAndGeneral
Fundraising	94512	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1225482	Total
Program Services	1078424	ProgramServices
Management And General	134803	ManagementAndGeneral
Fundraising	12255	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Contract Services	7776368	7215174	532378	28816
Collection fees	482433	482433	0	0
Physician fees & Community health service initiative	4370806	4370806	0	0
Health Safety Net	1675180	1675180	0	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	176220228	Total
Program Services	153567274	ProgramServices
Management And General	21205130	ManagementAndGeneral
Fundraising	1447824	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3640	BOY
EOY	3640	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	69993935	BOY
EOY	76025082	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2848636	BOY
EOY	4669551	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	25358673	BOY
EOY	24125483	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3319645	BOY
EOY	4008426	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3971880	BOY
EOY	4920911	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	182170446	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	94349156	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	85074756	BOY
EOY	87821290	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	6039881	BOY
EOY	6735800	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	13479632	BOY
EOY	9139973	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	210090678	BOY
EOY	217450156	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	22107319	BOY
EOY	23834580	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	80020640	BOY
EOY	77848972	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7247803	BOY
EOY	5233888	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4024735	BOY
EOY	5849693	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	113400497	BOY
EOY	112767133	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	91030391	BOY
EOY	95796902	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5031849	BOY
EOY	8258180	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	627941	BOY
EOY	627941	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	96690181	BOY
EOY	104683023	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	210090678	BOY
EOY	217450156	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	11537387	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	605007	ReconciliationUnrealizedInvest
Reconcilation Donated Services	0	ReconcilationDonatedServices
Reconcilation Invest Expenses	0	ReconcilationInvestExpenses
Reconcilation Prior Adjustment	0	ReconcilationPriorAdjustment
Reconcilation Other Changes	-4149552	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	1	MailingsMembers
Mailings Members	$0	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$30,451	OtherActivitiesAmount
Total Lobbying Expenditures IIB	30451	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	Schedule C, Part II-B line 1- Letter D & G -From time to time, the Hospital reaches out to our state and federal legislilators on matters relating to Hospital Operations. Letter H - The $30,451 shown on letter I represents a portion of Massachusetts Hospital and American Hospital Association dues used for lobbying purposes as defined by Medicare.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2004918	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	290165	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	37512	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	2257571	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1667003	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	373387	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	35472	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	2004918	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1660561	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	25807	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	19365	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	1667003	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1561182	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	118549	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	19170	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	1660561	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1597614	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	-12267	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	24165	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	1561182	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.28	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.72	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3920828	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Book Value	3920828	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	87639968	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	30182092	Depreciation
Book Value	57457876	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1363066	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	432336	Depreciation
Book Value	930730	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	82326983	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	60714549	Depreciation
Book Value	21612434	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	6919601	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	3020179	Depreciation
Book Value	3899422	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	87821290	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Amounts due to third party payors	Description
Amount	$5,849,693	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	5849693	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P05_S00_L04	Schedule D, Part V, Line 4	The organization has a Spending Policy which provides a policy with regard to the use of Investment Income and gains on amounts held in the Endowment Funds. Further to provide a consistent, predictable level of support to operations and permit the organization to maintain the purchasing power of the amounts held in the Endowment Fund. The amount to be made available to the operating fund will be calculated at the end of the third quarter of each fiscal year.
SchD_P10_S00_L02	Schedule D, Part X, Line 2	A review has been performed of each of the Organization's Revenue Streams in relation to FIN 48. The result of the review is that the following has been identifited as Unrelated Business Income: Non patient laboratory testing provided to nursing homes and non-affiliated (non Tri-County Medical Associates) physician offices.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures
Central America and the Caribbean	Investments	159578
Europe (including Iceland and Greenland)	Investments	162551
North America (including Canada and Mexico, but not the United States)	Investments	31770
East Asia and the Pacific	Investments	12994

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	366893	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

Field	Value	IRS element (for citing)
Business Name Line1	Ghiorsi & Sorrenti	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	255 Madison Avenue	AddressLine1
City	Wyckoff	City
State	NJ	State
ZIP Code	07481	ZIPCode

Field	Value	IRS element (for citing)
Activity	Capital Campaign Management	Activity
Fundraiser Control Of Funds	0	FundraiserControlOfFunds
Gross Receipts	956882	GrossReceipts
Amount Retained By Contractor	280405	AmountRetainedByContractor
Net To Organization	676477	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	956882	TotalGrossReceipts
Total Retained By Contractors	280405	TotalRetainedByContractors
Total Net To Organization	676477	TotalNetToOrganization
Licensed States	MA	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Golf	NameOfEvent1
Gross Receipts Event1	275625	GrossReceiptsEvent1
Charitable Contributions Event1	231330	CharitableContributionsEvent1
Gross Revenue Event1	44295	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	9600	NonCashPrizesEvent1
Rent Facility Costs Event1	27701	RentFacilityCostsEvent1
Food And Beverage Event1	4174	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	18697	OtherDirectExpensesEvent1
Name Of Event2	Melange	NameOfEvent2
Gross Receipts Event2	601125	GrossReceiptsEvent2
Charitable Contributions Event2	419325	CharitableContributionsEvent2
Gross Revenue Event2	181800	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	0	RentFacilityCostsEvent2
Food And Beverage Event2	48624	FoodAndBeverageEvent2
Entertainment Event2	6550	EntertainmentEvent2
Other Direct Expenses Event2	130763	OtherDirectExpensesEvent2
Total Number Of Other Events	15	TotalNumberOfOtherEvents
Gross Receipts Other Events	99171	GrossReceiptsOtherEvents
Charitable Contrib Other Events	1705	CharitableContribOtherEvents
Gross Revenue Other Events	97466	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	0	RentFacilityCostsOtherEvents
Food And Beverage Other Events	105	FoodAndBeverageOtherEvents
Entertainment Other Events	1925	EntertainmentOtherEvents
Other Direct Expenses Other Events	61715	OtherDirectExpensesOtherEvents
Gross Receipts Total	975921	GrossReceiptsTotal
Charitable Contributions Total	652360	CharitableContributionsTotal
Gross Revenue Total Events	323561	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	9600	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	27701	RentFacilityCostsTotalEvents
Food And Beverage Total Events	52903	FoodAndBeverageTotalEvents
Entertainment Total Events	8475	EntertainmentTotalEvents
Other Direct Expenses Total Events	211175	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	309854	DirectExpenseSummaryEvents
Net Income Summary	13707	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	51180	GrossRevenueOtherGaming
Cash Prizes Other Gaming	5590	CashPrizesOtherGaming
Other Direct Expenses Other Gaming	2648	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGaming
Gross Revenue Total Gaming	51180	GrossRevenueTotalGaming
Cash Prizes Total Gaming	5590	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	0	NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming	0	RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming	2648	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	8238	DirectExpenseSummaryGaming
Net Gaming Income Summary	42942	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MA	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	1	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	1	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	Martin Richman	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	14 Prospect Street	AddressLine1
City	Milford	City
State	MA	State
ZIP Code	01747	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	Martin Richman	GamingManagerNamePerson
Gaming Manager Compensation	0	GamingManagerCompensation
Gaming Manager Services Provided	Vice-President of Philanthropy	GamingManagerServicesProvided
Gaming Manager Is Director Officer	X	GamingManagerIsDirectorOfficer
Charitable Distrib Required	0	CharitableDistribRequired
Amount Distributed	0	AmountDistributed

Form990 Schedule G Part IV Form990ScheduleGPartIV

Field	Value	IRS element (for citing)
Identifier	SchG_P01_S00_L01	Identifier
Return Reference	Schedule G, Part I, Line 1	ReturnReference
Explanation	A total of $10,405 was paid to Ghiorsi & Sorrenti Inc for travel and lodging during FY 13. The agreement distinguishes between professional fund raising and expense payments.	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	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	4744525	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1136140	DirectOffsettingRevenue
Net Community Benefit Expense	3608385	NetCommunityBenefitExpense
Percent Of Total Expense	0.021	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	13820291	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12845748	DirectOffsettingRevenue
Net Community Benefit Expense	974543	NetCommunityBenefitExpense
Percent Of Total Expense	0.0055	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	3969474	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3000572	DirectOffsettingRevenue
Net Community Benefit Expense	968902	NetCommunityBenefitExpense
Percent Of Total Expense	0.0055	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	22534290	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16982460	DirectOffsettingRevenue
Net Community Benefit Expense	5551830	NetCommunityBenefitExpense
Percent Of Total Expense	0.0320	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	405472	TotalCommunityBenefitExpense
Direct Offsetting Revenue	71824	DirectOffsettingRevenue
Net Community Benefit Expense	333648	NetCommunityBenefitExpense
Percent Of Total Expense	0.0019	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1588291	TotalCommunityBenefitExpense
Direct Offsetting Revenue	685245	DirectOffsettingRevenue
Net Community Benefit Expense	903046	NetCommunityBenefitExpense
Percent Of Total Expense	0.0051	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	3776663	TotalCommunityBenefitExpense
Direct Offsetting Revenue	411321	DirectOffsettingRevenue
Net Community Benefit Expense	3365342	NetCommunityBenefitExpense
Percent Of Total Expense	0.0191	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	11900	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	11900	NetCommunityBenefitExpense
Percent Of Total Expense	0.0001	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	5782326	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1168390	DirectOffsettingRevenue
Net Community Benefit Expense	4613936	NetCommunityBenefitExpense
Percent Of Total Expense	0.0262	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	28316616	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18150850	DirectOffsettingRevenue
Net Community Benefit Expense	10165766	NetCommunityBenefitExpense
Percent Of Total Expense	0.0582	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	125700	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	125700	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	125700	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	125700	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,691,670	BadDebtExpenseAmount
Amount Attributable To	542305	AmountAttributableTo
Amount Reimbursed By Medicare	42096540	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	51271855	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-9175315	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	1	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	Milford Regional Medical Center Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	14 Prospect Street	AddressLine1
City	Milford	City
State	MA	State
ZIP Code	01757	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Milford Regional Medical Center 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
On Request	X	OnRequest
Other Method	X	OtherMethod
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	0	AllNeedsAddressed
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
State Regulation	X	StateRegulation
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	0	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L06a	Schedule H, Part I, Line 6a	Milford Regional Medical Center prepares and distributes a printed community benefits report, made available on the hospital website. In addition, the annual report filed with the Massachusetts Attorney General is published online and available to the public.
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Lines 7 a/b/c were calculated using Worksheets 1, 2, 3 provided in the instructions. Line 7f was determined by the cost & reimbursement information on the Medicare Cost Report. It was calculated by dividing Column E, Net Community Benefit Expense by total of Part IX Line 25 of Form 990 Core Form of $175,745,292.
SchH_P02_S00_L00	Schedule H, Part II	Milford Regional plays an active role in the economic development of our service area, supporting organizations such as 495/MetroWest Partnership for Economic Development and the Blackstone Valley, Hopkinton and Milford Area Chambers of Commerce. Milford Regional continues to be involved in the development of the Edward M Kennedy Community Health Center satellite site in Milford. A Physician Leadership Group has been formed to provide assistance with communication of the new site and the development of access to specialty services and key linkages with the hospital. The health center is under construction with an expected opening date of late 2013. Milford Regional's ongoing support of this project, the first of its kind in Milford, with funding from the Health Foundation of Central Massachusetts and the Metrowest Health Foundation has promoted the common goal of improving access to care for uninsured and underinsured residents of our service area.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	In Line 2, Worksheet A in the instructions was used by taking bad debt as reported in Milford Regional Medical Center, Inc.'s (the Hospital) audited financial statemetns multiplied by the cost-to-charge ratio calculated in Worksheet 2 in the instructions.
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	The Hospital's Medicare Cost Report was used to determine the amount reported on Line 6.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	Once it is determined that a patient qualifies for full or partial free care, all collection procedures cease and the full balance, or the amount that qualifies under partial free care, is written off. Massachusetts hospitals are required to adopt a credit and collection policy under the Health Safety Net (HSN) regulations (114.6 CMR 13.08(1)(c)) that outlines the specific process for determining eligibility for public assistance programs and hospital collection practices. Hospitals make reasonable and diligent efforts to collect the patient's insurance and other information to verify other coverage for the health care services provided by the hospital prior to deeming the services to be charity care. The Hospital provides patients with information about financial assistance programs that are available through the Massachusetts Executive Office of Health and Human Services, including charity care services that are provided through HSN, and also assist patients in applying for these services through the State's uniform application. The Hospital credit and collection policy, that outlines its charity care practices, is filed with the Massachusetts Division of Health Care Finance and Policy and also available to patients upon request.
SchH_P05_S0B_L03	Schedule H, Part V, Section B, Line 3	Milford Regional Medical Center Inc completed a community health needs assessment in 2012 working with Health Resources in action. Community input was included through a series of key informant interviews and two public Community Health Dialogues conducted by the consultants. Key informants were selected across a broad range of sectors, and included public safety officials, educators, mental health agencies, councils on aging, and the department of transitional assistance.
SchH_P05_S0B_L05	Schedule H, Part V, Section B, Line 5	The Needs Assessment report was also made available to the public through a meeting of the Community Health Network in our area that was open to the public, led by Health Resources in Action.
SchH_P05_S0B_L07	Schedule H, Part V, Section B, Line 7	CEO Frank Saba chairs the Community Benefits Steering Committee charged with a comprehensive process of data analysis and priority setting that includes continuing dialogue with internal and external stakeholders. The areas of focus identified in the Health Assessment address behavioral health, healthy weight for youth, adolescent health, and chronic disease prevention. Milford Regional stays current with studies conducted by other agencies and institutions including Metrowest Adolescent Helath Survey analyzed by Metrowest Health Foundation, MA Department of Public Health, Health Care for All. Given the scope of issues identified in the assessment, this work will be ongoing.
SchH_P05_S0B_L12	Schedule H, Part V, Section B, Line 12	Asset level is used for Medicare patients only. This follows Medicare guidelines.
SchH_P05_S0B_L22	Schedule H, Part V, Section B, Line 22	At the Hospital, all patients are charged the gross charges for any services. Upon contact from an uninsured patient, a discussion occurs which may result in the discounting of gross charges.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	Milford Regional stays current with studies by other agencies, particularly the Adolescent Health survey conducted by the MetroWest Health Foundation. Active participation in the community Health Network areas (CHNA) and other community coalitions provides another important source of information on emerging health needs.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	Patients are informed of the availability of financial assistance by way of patient statements printed with financial assistance information. At the time of discharge from the Emergency Department, uninsured patients are encouraged to meet with an on-site Financial Counselor. If unable to see a Financial Counselor at the time of discharge, the patient is given a screening letter that gives contact information for our financial assistance department. The day following an emergency room visit a form is generated on each uninsured patient and sent to the Financial Counselors. At that time, the Financial Counselors contacts the patient to coordinate a meeting to apply for assistance. Scheduled self-pay Surgical Day Care (SDC) & inpatients are reviewed prior to admission to determine payment arrangements or to coordinate a meeting with a Financial Counselor. Insured SDC & inpatients who are unable to leave a deposit or make payment arrangements towards a large out of pocket expense are also encouraged to meet with a Financial Counselor.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	Milford Regional Medical Center serves the healthcare needs of the residents of 19 communitites in Central Massachusetts, spanning 3 separate counties: Worcester, Norfolk and Middlesex. The Hospital's primary service area consists of Milford, Franklin, Bellingham, Northbridge, Whitinsville, Uxbridge, Blackstone, Hopedale, Medway and Mendon, a population of 145,362 according to 2010 US Census data. The Hospital's secondary service area consists of Douglas, Grafton, Hopkinton, Holliston, Millis, Wrentham, Upton, Medfield and Millville, a population of 96,310. The population of the MRMC service area has grown almost 9% over the past decade, as opposed to the statewide average of 3%.The residents of this region are primarily Caucasian, accounting for 93.6% of the population. Hispanics comprise 2.7% iof the population, with Asians also at 2.7% and African Americans at 1.0%. The population is nearly even in terms of gender, with 51% females. The bulk of the adult population (71.6%) is between the ages of 18-54, slightly higher than the state percentage, which is 68%. There has been an influx of Egyptian, Central American and Brazilian immigrants into the area, most likely not represented in these totals, but estimated at several thousand additional residents.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	Milford Regional furthers its exempt purpose by striving to fulfill its mission "to provide quality healthcare services to our community with dignity, compassion and respect." We do this by providing inpatient and outpatient health care services to the residents of our service area without regard to their ability to pay, and through a range of community benefits programs and partnerships. Our corporate board represents the communities we serve, and the majority is comprised of members who reside in our service area and are not employed by Milford Regional. Surplus funds are consistently invested in strategic initiatives designed to improve efficiency and patient care. Our ongoing collaboration with Dana-Farber Cancer Institute and Brigham and Women's Hospital to operate a comprehensive Cancer Center including medical oncology and radiation oncology has made a tremendous difference to the quality of life for residents seeking cancer treatment. We worked with a broad range of community partners to address unmet health needs identified by our community health needs assessment. We maintain an active role in the development of the Edward M. Kennedy Community Health Center in Milford through funding from the Health Foundation of Central Massachusetts and the Metrowest Health Foundation to improve access to care for uninsured and underinsured residents of our service area. The MRMC Community Benefits Steering Committee and a MRMC Physician Leadership Group have continued the work of the Greater Health Access Coalition to guarantee access to primary care for residents of the Milford area and facilitate the planned opening of a satellite location in 2013.
SchH_P06_S00_L06	Schedule H, Part VI, Line 6	The Organization consists of Milford Regional Medical Center, Inc. (the "Hospital" or "Parent"), Tri-County Medical Associates("Tri-County"), and Milford Regional Healthcare Foundation, Inc. (the "Foundation"), collectively referred to as the "Organization". The Hospital provides medical and hospital services for the sick and disabled of any race, creed, color, or nationality regardless of an individual's ability to pay. Tri-County, a large multi-specialty group practice, operates for the benefit of the Hospital by assisting the Hospital in carrying out its charitable mission purpose of promoting healthcare in its service area. Tri-County's vision is to consistently meet the changing healthcare needs and expectations of the communities it serves. The Foundation supports the mission of both the Hospital and Tri-County through fund raising activities.
SchH_P06_S00_L07	Schedule H, Part VI, Line 7	Massachusetts

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	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 (18 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
Jeff Hopkins MD
Trustee	0	0	0	0	4375	0	0	0	0	0	4375	0	0	0
Patrick R McSweeney MD
Trustee	0	391057	0	0	0	0	0	0	0	29085	0	420142	0	0
Albert A Crimaldi MD
Trustee	0	0	0	0	5300	0	0	0	0	0	5300	0	0	0
John N Pandiscio
Trustee	0	0	0	0	15725	0	0	0	0	0	15725	0	0	0
Francis M Saba
CEO	432082	0	60000	0	0	0	165182	0	23687	0	680951	0	0	188925
Edward J Kelly
President	382940	0	52500	0	0	0	27324	0	26798	0	489562	0	0	32717
Jeanne P Lynskey
VP Finance & CFO	229328	0	22576	0	0	0	0	0	24351	0	276255	0	0	0
Salvatore Perla
VP Clinical Support	209300	0	0	0	0	0	0	0	25669	0	234969	0	0	0
Cheryl L Bonasoro
Former VP Patient Care Service	227801	0	0	0	12052	0	0	0	7840	0	247693	0	0	0
Linda Yates
VP Human Resources	181488	0	0	0	0	0	0	0	24793	0	206281	0	0	0
Martin Richman
VP of Philanthropy & Executive Director	166418	0	0	0	0	0	0	0	20263	0	186681	0	0	0
Nicole Heim
Chief Information Officer	155976	0	0	0	0	0	0	0	23298	0	179274	0	0	0
Nancy Tomaso
VP Patient Care Services	167115	0	0	0	0	0	0	0	5945	0	173060	0	0	0
Kamala Murali
Chief of Pathology	143401	0	0	0	0	0	0	0	20373	0	163774	0	0	0
Donna M Saul
Director of Inpatient Services	144662	0	0	0	0	0	0	0	24200	0	168862	0	0	0
Judy Kelly
Director of Inpatient Services	142078	0	0	0	0	0	0	0	21719	0	163797	0	0	0
Karen Sergi
Registered Nurse	147822	0	0	0	0	0	0	0	20167	0	167989	0	0	0
Maria DaSilva
Director of Emergency Service	145799	0	0	0	0	0	0	0	23615	0	169414	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L01a	Schedule J, Part I, Line 1a	Payments made to some members of senior management for insurance premiums are grossed up.
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	Cheryl Bonasoro received sevrance pay in 2012 for $12,051.60. Francis M Saba and Edward J Kelly had deposits to their SERPs of $165,182 and $27,324, respectively.

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	Massachusetts Health & Education Facilities Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	042456011	IssuerEIN
CUSIP Number	57586CXJ9	CUSIPNumber
Date Issued	2007-02-21	DateIssued
Issue Price	70279953	IssuePrice
Description Of Purpose	See Supplemental Information	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	4230000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	70279953	TotalProceeds
Amount In Reserve Fund	2664107	AmountInReserveFund
Capitalized Interest	1509967	CapitalizedInterest
Refunding Escrow	30555914	RefundingEscrow
Issuance Costs From Proceeds	823473	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	34726492	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2008	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	1	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	1	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	1	EngageBondCounselContracts
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.018	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.018	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	1	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	0	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	0	WrittenProcToMonitorReqs

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchK_P01_S00_L00f	Schedule K, Part I, Column f	The proceeds of the Series E Bonds were applied to the following (1) Constructing, furnishing and equipping an approximately 54,013 gross square feet, two story building on the Milford campus across the street from the Hospital building. The Cancer Center will be owned and partially occupied by the Hospital for diagnostic imaging services (including MRI, CT scan and diagnostic radiology), laboratory services and other administrative space. In addition, the Hospital has executed leases with two tenants for the Cancer Center. Dana-Farber Cancer Institute to provide medical/oncology services and Brigham and Women's Physicians Organization to provide radiation/oncology services. (2) Purchasing of four properties and demolishing three existing structures located thereon for the purpose of constructing the Cancer Center. (3) Renovating, constructing, furnishing and equipping for the approximately 2,438 gross square feet of existing space for a Cardiac Catheterization Lab on the Milford Campus. (4) Renovating approximately 8,800 square feet of existing space which previously served as the Hospital's operating room area (prior to the issuance of the Series D Bonds in 2002), to relocate outpatient and other administrative spaces. (5) Renovating the Gannett Inpatient Unit consisting of approximately 9,569 gross square feet. (6) Renovating and expanding the Cardiovascular Department consisting of approximately 1,982 gross square feet. (7) Various renovations, improvements, equipment and furnishings at the Milford Campus and the Whitinsville Division. (8) Refinancing the Series D Bonds, the proceeds of which were applied primarily for the purpose of modernizing and expanding surgical services and expanding the maternity unit.
SchK_P04_S00_L02c	Schedule K, Part IV, Line 2c	The rebate calculation has been performed annually in July of each year.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
M Catherine Burke MD
Trustee	441129	Payments were made to Orion Emergency Services Inc for services provided to the Hospital. Dr Burke is President of Orion Emergency Services, Inc.	0
Albert Crimaldi MD
Trustee	431750	Payments were made to Milford Gastroenterology Associates Inc which provides services to the Hospital. Dr. Crimaldi is part owner of Milford Gastroenterology Associates Inc. Payments were also made to Milford Gastroenterology Realty with which the Hospital has entered into a lease agreement. Dr. Crimaldi is part owner of Milford Gastroenterology Realty.	0
Jeffrey Hopkins MD
Trustee	0	Payments of $441,129 were made to Orion Emergency Services for services rendered to the Hospital. Dr. Hopkins is an employee of Orion Emergency Services, Inc.	0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	173493	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (12 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Food and supplies for charitable fund raising event	3	FMV
X	Tickets to sporting events or entertainment for fund raising event	13	FMV
X	Travel packages for fund raising events	9	FMV
X	Gift certificates and gift baaskets for fund raising event	11	FMV
X	Dinner packages and beverages for fund raising event	13	FMV
X	Miscellaneous toys	4	FMV
X	Freezer for fund raising event	1	FMV
X	2 Motorcycle helmets	1	FMV
X	Recumbent bicycle for fund raising event	1	FMV
X	Coolpix camera	1	FMV
X	Wurlitzer piano	1	FMV
X	Cordless drill	1	FMV

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	SchM_P01_S00_L33	Identifier
Return Reference	Schedule M, Part I, Line 33	ReturnReference
Explanation	Schedule M, Part I, Line 33 - MRMC Inc. does not currently account for certain non-cash contributions or in-kind donations as revenue.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0A_L02	Form 990, Part VI, Section A, Line 2	Three board of trustee members have disclosed via the organization's conflict of interest disclosure process that they have business relationships with other board members.
F990_P06_S0A_L06	Form 990, Part VI, Section A, Line 6	The organization is governed by a Board of Trustees. In addition, the organization has incorporators who serve in an advisory capacity to the Board of Trustees.
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	The FORM 990 was reviewed with the Chairman of the Board.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The organization has a written Code of Business Conduct which states its conflict of interest policy. A conflict of interest disclosure statement is mailed annually to members of the Board of Trustees and senior management. They are required to complete the form and submit it to the Corporate Compliance Officer. The forms are reviewed and monitored. The organization also has established a hotline for any staff member who may wish to discuss a potential violation of the code, our policy, or law on an annonymous basis.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	The Compensation Committee reviews the compensation of the President and CEO. The committee may consult with a nationally recognized consultant to assist it in determining that the organization's compensation structure and ranges are reasonable.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The organization makes it governing documents available to the public, such as it's bylaws which include the organizaion's conflict of Interest policy, through the annual filing of the Massachusetts Division of Public Charities Form PC. The Form PC is available for viewing by the public on the Massachusetts Attorney General's website and is also attached to the annual filing of the Massachusetts Form 3ABC which is submitted to town offices where the organization owns or leases property. The organization's financial statements are included in the Form PC filing and are also included in a quarterly filing to the organization's bond holders.
F990_P11_S00_L09	Form 990, Part XI, Line 9	The Change in Net Assets results from transferring to affiliates ($4,330,114), Auxiliary activitiy $8,453, change in market value $172,109.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA
Tri-County Medical Associates Inc
9 Industrial Road Suite 5	Milford	MA	01757	043159969	Physician Group	MA	501(C)(3)	11A	N/A
MWRH Management Services Inc
14 Prospect Street	Milford	MA	01757	311631252	Provides office space, support to satellite clinics	MA	501(C)(3)	11A	N/A
Milford Regional Healthcare Foundation Inc
14 Prospect Street	Milford	MA	01757	200773697	Fundraising	MA	501(C)(3)	11A	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Milford Whitinsville Healthcare Consortium Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	14 Prospect Street	AddressLine1
City	Milford	City
State	MA	State
ZIP Code	01757	ZIPCode

Field	Value	IRS element (for citing)
EIN	043248004	EIN
Primary Activity	Physician Hospital Organization	PrimaryActivity
Legal Domicile State	MA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	366	ShareOfEOYAssets
Percentage Ownership	0.5	PercentageOwnership
Controlled Org	0	ControlledOrg

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	1	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	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	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Tri-County Medical Associates Inc
i	186396	Market value
Tri-County Medical Associates Inc
k	-77941	Market value
Tri-County Medical Associates Inc
q	7550000	Cost
Tri-County Medical Associates Inc
o	-3417327	Cost
Tri-County Medical Associates Inc
h	-1035	Market Value