STRATEGY STUDIO / PUBLIC DATA EXPLORER

UMASS MEMORIAL HEALTH CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 13-4366504)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-08
IRS object ID
201302209349300840
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-08T14:08:38-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042684828EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN134366504EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARRINGTON PHYSICIAN SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHARRNameControl
Phone5087653010Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 SOUTH STREETAddressLine1
CitySOUTHBRIDGECity
StateMAState
ZIP Code015508002ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEDWARD MOOREName
TitleCEOTitle
Phone5087653010Phone
Date Signed2013-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN GAROFALOName
PTINP00744592PTIN
Phone6177427788Phone
Date Prepared2013-07-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEDWARD MOORENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 SOUTH STREETAddressLine1
CitySOUTHBRIDGECity
StateMAState
ZIP Code01550ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14844920GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HARRINGTONHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionCHARITABLE-THE PROVISION OF HEALTHCARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees225TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13844536ProgramServiceRevenuePriorYear
Program Service Revenue CY14518110ProgramServiceRevenueCY
Investment Income Prior Year522InvestmentIncomePriorYear
Investment Income Current Year394InvestmentIncomeCurrentYear
Other Revenue Prior Year138784OtherRevenuePriorYear
Other Revenue Current Year326416OtherRevenueCurrentYear
Total Revenue Prior Year13983842TotalRevenuePriorYear
Total Revenue Current Year14844920TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17544959SalariesEtcPriorYear
Salaries Etc Current Year18973014SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4243764OtherExpensePriorYear
Other Expenses Current Year4612809OtherExpensesCurrentYear
Total Expenses Prior Year21788723TotalExpensesPriorYear
Total Expenses Current Year23585823TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-7804881RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8740903RevenuesLessExpensesCY
Total Assets BOY2090520TotalAssetsBOY
Total Assets EOY2348317TotalAssetsEOY
Total Liabilities BOY1144348TotalLiabilitiesBOY
Total Liabilities EOY1612120TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY946172NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY736197NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE OPTIMAL HEALTHCARE TO THE PATIENTS OF SOUTH CENTRAL MASSACHUSETTS AND NORTHEASTERN CONNECTICUT. HARRINGTON PHYSICIAN SERVICES IS COMMITTED TO TOTAL LOCAL CARE WHICH IT PROVIDES THROUGH PHYSICIAN OFFICES LOCATED IN COMMUNITIES THROUGHOUT THE HARRINGTON HOSPITAL SERVICE AREA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense22399526Expense
Revenue14844526Revenue
DescriptionHPS SERVES THE CHARITABLE PURPOSES OF HARRINGTON MEMORIAL HOSPITAL BY PROVIDING PHYSICIANS WHO ARE NEEDED TO SERVICE THE HOSPITAL'S COMMUNITY.Description
Total Program Service Expense22399526TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees225NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KRISTIN WOLFF-MORALESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5087652433TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 SOUTH STREETAddressLine1
CitySOUTHBRIDGECity
StateMAState
ZIP Code015508002ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ARTHUR RUSSO MD
DIRECTOR1.00X02334489847
ALAN PEPPEL
DIRECTOR1.00X000
ANTHONY M DETARANDO
DIRECTOR1.00X000
EDWARD MOORE
CEO40.000486322218859X
THOMAS SULLIVAN
TREASURER40.00028911418469X
KRISTIN WOLFF-MORALES
EXECUTIVE DIRECTOR40.00144821020206X
CHARLES SOMMER MD
PHYSICIAN40.00450734020042X
RICHARD IRWIN MD
PHYSICIAN40.00368506028822X
JOHN REHEIS
PHYSICIAN40.00344934025840X
ELIAS BELEZOS MD
PHYSICIAN40.00413161026038X
YOUNG-HO OH
PHYSICIAN40.00449455012392X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2171611TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1008884TotalReportableCompFrmRltdOrgs
Total Other Compensation380515TotalOtherCompensation
Number Individuals GT100 K45NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BARTON ASSOCIATES
10 DEARBORN ROADPEABODYMA01960PHYSICIAN SERVICES259105
CHARLTON 10 NORTH MAIN ST LLC
354 TURNPIKE STREET COMPASS STE 30CANTONMA02021ADMINISTRATIVE SERVICES170029
CRIMSON INITIATIVE
PO BOX 79461BALTIMOREMD21279SOFTWARE MANAGEMENT156000
OAK TRANSCRIPTION INC
202 PRINCE ROADSOUTHBRIDGEMA01550TRANSCRIPTION SERVICES107338
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621110BusinessCode
Total Revenue Column14518110TotalRevenueColumn
Related Or Exempt Function Income14518110RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue14518110TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column394TotalRevenueColumn
Exclusion$394ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INCENTIVE PAYMENTS621110239012239012
OTHER CLINICAL SERVICE6211107967579675
MEDICAL RECORDS INCOME62111077297729
FieldValueIRS element (for citing)
Total Other Revenue326416TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14844920TotalRevenueColumn
Related Or Exempt Function Income14844526RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$394ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total164148Total
Management And General164148ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15223537Total
Program Services14900250ProgramServices
Management And General323287ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total719958Total
Program Services697152ProgramServices
Management And General22806ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1752093Total
Program Services1696592ProgramServices
Management And General55501ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1113278Total
Program Services1078013ProgramServices
Management And General35265ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8578Total
Management And General8578ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12552Total
Management And General12552ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total473671Total
Program Services353018ProgramServices
Management And General120653ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total30892Total
Program Services3245ProgramServices
Management And General27647ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total270836Total
Program Services229439ProgramServices
Management And General41397ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total256579Total
Management And General256579ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total799647Total
Program Services799647ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total22608Total
Program Services7708ProgramServices
Management And General14900ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total168660Total
Program Services168346ProgramServices
Management And General314ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total956824Total
Program Services956824ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MED/SURG SUPPLIES515302515302
PHARMACEUTICALS392550392550
BAD DEBT EXPENSE364839364839

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total339271Total
Program Services236601ProgramServices
Management And General102670ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23585823Total
Program Services22399526ProgramServices
Management And General1186297ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY270573BOY
EOY134005EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1081156BOY
EOY1279926EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY19401BOY
EOY19175EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY316125BOY
EOY243396EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1140572LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec468757LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY403265BOY
EOY671815EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2090520BOY
EOY2348317EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1144348BOY
EOY1612120EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1144348BOY
EOY1612120EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY946172BOY
EOY736197EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY946172BOY
EOY736197EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2090520BOY
EOY2348317EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-8740903ReconcilationRevenueExpenses
Reconcilation Other Changes8530928ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years6224206CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11256734CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13844536CurrentTaxYearMinus1Year
Current Tax Year14518110CurrentTaxYear
Total45843586Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years6224206CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11256734CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13844536CurrentTaxYearMinus1Year
Current Tax Year14518110CurrentTaxYear
Total45843586Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50945843586PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years68CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year522CurrentTaxYearMinus1Year
Current Tax Year394CurrentTaxYear
Total1700Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years68CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year522CurrentTaxYearMinus1Year
Current Tax Year394CurrentTaxYear
Total1700Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years36399CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year139240CurrentTaxYearMinus1Year
Current Tax Year318687CurrentTaxYear
Total494326Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years6224274CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11293849CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13984298CurrentTaxYearMinus1Year
Current Tax Year14837191CurrentTaxYear
Total46339612Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER CLINICAL INCOMEGeneralExplanation
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: OTHER CLINICAL INCOME CONSISTS OF VARIOUS INCENTIVE PAYMENTS FROM MEDICARE AND MEDICAID FOR PHYSICIANS MEETING ELECTRONIC HEALTH RECORD BENCHMARKS AND INCENTIVE PAYMENTS FROM INSURANCE COMPANIES FOR MEETING AND EXCEEDING CERTAIN BENCHMARKS.GeneralExplanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis62578OtherCostOrOtherBasis
Depreciation6877Depreciation
Book Value55701BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1077994OtherCostOrOtherBasis
Depreciation461880Depreciation
Book Value616114BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings671815TotalOfBookValueLandBuildings
Total Revenue14844920TotalRevenue
Total Expenses23585823TotalExpenses
Excess Or Deficit For Year-8740903ExcessOrDeficitForYear
Other$8,530,928OtherAmount
Total Adjustments8530928TotalAdjustments
Excess Or Deficit Per FS-209975ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14844920TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal14844920RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014844920TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23585823TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal23585823ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023585823TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:EQUITY TRANSFERS FROM SOLE MEMBER; HARRINGTON MEMORIAL HOSPITAL 8,530,928.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ARTHUR RUSSO MD
0208780024668000835001497024329500
EDWARD MOORE
03871790837810153620203349015510070518100
THOMAS SULLIVAN
0248356040758000980008669030758300
KRISTIN WOLFF-MORALES
12983601498500030460171600165027000
CHARLES SOMMER MD
4507340000049000151420470776000
RICHARD IRWIN MD
3598520008654049000239220397328000
JOHN REHEIS
339934050000003370255030370774000
ELIAS BELEZOS MD
3949940181670003370257010439199000
YOUNG-HO OH
445993000346204900074920461847000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE CORPORATE MEMBER IS HARRINGTON HEALTHCARE SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S SOLE CORPORATE MEMBER IS HARRINGTON HEALTHCARE SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION'S SOLE CORPORATE MEMBER IS HARRINGTON HEALTHCARE SYSTEM, INC.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION WORKS WITH ITS INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT TO COMPILE THE FORM 990 AND ITS RELATED DISCLOSURES. THE FORM 990 IS REVIEWED IN DETAIL WITH THE CERTIFIED PUBLIC ACCOUNTANT BY MANAGEMENT AND THEN PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE CORPORATION REQUIRES THAT ALL EMPLOYEES, AND MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS OF THE CORPORATION AND ANY MEMBER OF ANY COMMITTEE DISCLOSE IN WRITING (AND UPDATE AT LEAST ANNUALLY) ALL BUSINESS AND OTHER RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST AND ALL CONFLICTS OF INTEREST AS DEFINED BY THE POLICY. THE WRITTEN DISCLOSURE SHALL INCLUDE AN ITEMIZATION OF ANY SUBSTANTIVE CONFLICT OF INTEREST FOR SUCH EMPLOYEE, OR OFFICER OR MEMBER OF THE BOARD OF DIRECTORS AND ANY MEMBER OF A COMMITTEE BY VIRTUE OF HIS OR HER ACTIVITIES OR THAT OF RELATED PARTIES. IF AN EMPLOYEE, A MEMBER OR AN OFFICER OF THE BOARD OF DIRECTORS OR A MEMBER OF ANY COMMITTEE BELIEVES THAT HE/SHE, OR A RELATED PARTY, HAS A CONFLICT OF INTEREST, HE/SHE MUST IMMEDIATELY DISCLOSE THIS IN WRITING TO THE EXECUTIVE DIRECTOR. DISCLOSURES BY MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS AND A MEMBER OF ANY COMMITTEE MUST ALSO BE MADE TO THE PRESIDENT (AND IF IT IS THE PRESIDENT WHO HAS THE CONFLICT OF INTEREST, HE OR SHE MUST MAKE DISCLOSURE TO THE VICE-PRESIDENT). IF, AFTER PROVIDING THE WRITTEN DISCLOSURE, AN ACTUAL OR POTENTIAL CONFLICT ARISES, THE EMPLOYEE OR MEMBER OR OFFICER OF THE BOARD OF DIRECTORS AND ANY MEMBER OF ANY COMMITTEE WITH THE CONFLICT SHALL IMMEDIATELY NOTIFY THE CORPORATION IN WRITING. THE NOTIFICATION SHALL BE DIRECTED TO THE EXECUTIVE DIRECTOR AND TO THE PRESIDENT FOR CONFLICTS OF INTEREST INVOLVING MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS AND ANY MEMBER OF ANY COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS ANNUALLY, IN CONJUCTION WITH THE CEO, REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE AND DETERMINES COMPENSATION BASED ON MEASURES THAT INCLUDE THE ORGANIZATION'S FINANCIAL, CLINICAL AND COMMUNITY ACTIVITIES. THE BOARD USES INFORMATION FROM COMPARABLE PHYSICIAN ASSOCIATIONS IN MEASURING THE PROPRIETY OF THE EXECUTIVE DIRECTOR'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL.
FORM 990, PART XI, LINE 5:EQUITY TRANSFERS FROM SOLE MEMBER; HARRINGTON MEMORIAL HOSPITAL 8,530,928. TOTAL TO FORM 990, PART XI, LINE 5: 8,530,928.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
HARRINGTON MEMORIAL HOSPITAL
100 SOUTH STREETSOUTHBRIDGEMA01550042103577ACUTE CARE HOSPITALMA501(C)(3)PUBLIC CHARITY0
HARRINGTON HEALTHCARE SYSTEM INC
100 SOUTH STREETSOUTHBRIDGEMA01550001014624HEALTHCARE SUPPORTMA501(C)(3)PUBLIC CHARITY0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg