UMASS MEMORIAL HEALTH-MILFORD REGIONAL MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: UMASS MEMORIAL HEALTH-MILFORD REGIONAL MEDICAL CENTER INC (EIN 04-2103602)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-09
IRS object ID: 201342219349301654
Schema version: 2011v1.2
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	2013-08-09T12:08:00-07:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	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	2013-08-09	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	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	017573090	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	216599835	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	23	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1947	TotalNbrEmployees
Total Nbr Volunteers	450	TotalNbrVolunteers
Total Gross UBI	526890	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	883873	ContributionsGrantsPriorYear
Contributions Grants Current Year	4465681	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	184662502	ProgramServiceRevenuePriorYear
Program Service Revenue CY	193589549	ProgramServiceRevenueCY
Investment Income Prior Year	324847	InvestmentIncomePriorYear
Investment Income Current Year	592954	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10172216	OtherRevenuePriorYear
Other Revenue Current Year	13943014	OtherRevenueCurrentYear
Total Revenue Prior Year	196043438	TotalRevenuePriorYear
Total Revenue Current Year	212591198	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	102450233	SalariesEtcPriorYear
Salaries Etc Current Year	107339021	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	25000	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	220246	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1242123	TotalFundrsngExpCurrentYear
Other Expense Prior Year	82030645	OtherExpensePriorYear
Other Expenses Current Year	82727312	OtherExpensesCurrentYear
Total Expenses Prior Year	184505878	TotalExpensesPriorYear
Total Expenses Current Year	190286579	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11537560	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	22304619	RevenuesLessExpensesCY
Total Assets BOY	185316781	TotalAssetsBOY
Total Assets EOY	210090678	TotalAssetsEOY
Total Liabilities BOY	107587749	TotalLiabilitiesBOY
Total Liabilities EOY	113400497	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	77729032	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	96690181	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
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	1	SignificantChange
Expense	58384441	Expense
Grants	0	Grants
Revenue	56618298	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 121-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 FY2012, MRMC added new services including a Center for Weight Loss Surgery, an interdisciplinary approach to bariatric surgery and support for patients facing chronic weight-related illnesses. Another significant 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	99559126	Expense
Grants	0	Grants
Revenue	127879225	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 are to improve access for our patients. In FY2012, MRMC made significant investment in improving diagnostic services, adding two SPECT/CT gamma cameras in nuclear medicine, and improving laboratory automation to provide faster test results. Another important outpatient program, The Center for Adolescent Health, provides comprehensive and multi-disciplinary care to more than 3,000 adolescent clients and their families on an annual basis. It is the only facility in Central Massachusetts offering a continuum of care with a multi-disciplinary team approach to health and lifestyle challenges faced by adolescents. MRMC is also the home of The Center for Multiple Sclerosis, offering comprehensive care for patients with MS, with an emphasis on education and compassion. Recognizing a need for comprehensive cancer treatment in the region, MRMC entered into a collaboration with Dana-Farber Cancer Institute and Brigham and Women's Physicians Organization to develop a comprehensive Cancer Center which includes medical oncology and radiation oncology. This 54,000 square foot structure opened in 2008 and has made a tremendous difference to the quality of life for residents seeking cancer treatment. In FY12, MRMC provided laboratory tests, CT scans, MRI's and PET Scans in the care and treatment of Cancer Center patients. Tri-County Medical Associates (TCMA) is a not-for-profit corporation that was established in 1992 as a medical group practice. It operates for the benefit of the Hospital by assisting the Hospital in carrying out its charitable purpose of promoting healthcare in its service area. TCMA employs over 70 physicians and over 300 employees. The group is principally comprised of primary care physicians including internal medicine, pediatrics, family medicine, and adolescent medicine. Specialists in the group include: obstetrics and gynecology, pulmonary and critical care, urology, sleep specialists, rheumatology, and endocrinology. In FY2012, thirteen TCMA physicians made the U.S. News & World Report top Doctor's list.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	7484623	Expense
Grants	0	Grants
Revenue	8565136	Revenue
Description	The VNA and Hospice of Greater Milford (VNA) has been a part of the community since 1918, and a department of MRMC in 1997. After careful consideration, MRMC made the decision to sell the VNA to Salmon Health and Retirement (Salmon). Salmon acquired the VNA on August 1, 2012 and this acquisition completes their post-acute continuum and enhances their opportunities to support and partner with doctors and hospitals in the Greater Milford Area. The transition was seemless for the VNA patients and allows for Salmon patients to be able to be served by the VNA. The transition continues the VNA's mission of providing patient-centered care in patient's homes.	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	165428190	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	173	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1947	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	23	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Kevin P Meehan
Trustee	1	X	0	0	0
Christine H Burke
Trustee	1	X	0	0	0
Bartholomew R Lawless
Trustee	1	X	0	0	0
M Catherine Burke MD
Trustee	1	X	0	0	0
Francis J Larkin
Trustee	1	X	0	0	0
John A Rauth
Treasurer	1	X	0	0	0
John J Burns
Trustee	1	X	0	0	0
Stephen G Ellis
Trustee	1	X	0	0	0
Patrick R McSweeney MD
Trustee	1	X	0	352447	28105
William G Burrill
Trustee	1	X	0	0	0
Albert A Crimaldi MD
Chairman	1	X	9100	0	0
Warren S Heller
Trustee	10	X	0	0	0
Harold D Gould Jr
Trustee	1	X	0	0	0
John N Pandiscio
Trustee	1	X	13000	0	0
Louis P Bertonazzi
Clerk	1	X	0	0	0
Lawrence J Hill
Trustee	1	X	0	0	0
Tina Afonso
Trustee	1	X	0	0	0
Richard G Buma
Trustee	1	X	0	0	0
Roger V Calarese
Trustee	1	X	0	0	0
Marjorie E Kenney
Trustee	1	X	0	0	0
Linda L Varney
Trustee	1	X	0	0	0
Nancy F Gannett
Trustee	1	X	0	0	0
William B Gannett
Trustee	1	X	0	0	0
Francis M Saba
CEO	50		481247	0	211212	X
Edward J Kelly
President	50		515518	0	57870	X
Jeanne P Lynskey
VP Finance & CFO	50		221872	0	17480	X
Salvatore Perla
VP Clinical Support	50		198925	0	22626		X
Cheryl L Bonasoro
VP Patient Care Service	50		201605	0	7181		X
Linda Yates
VP Human Resources	50		171179	0	23034		X
Martin Richman
VP of Philanthropy & Executive Director	50		155879	0	19483		X
Laurence Fraize
Director Information Services	50		154630	0	20681			X
Jennifer Childs-Roshak
Medical Director	50		197939	0	20869			X
Nancy Tomaso
Director Cardiovascular/Diagnostic Imaging	50		154362	0	5595			X
Kamala Murali
Chief of Pathology	50		139063	0	20065			X
Donna M Saul
Director of Inpatient Services	50		133141	0	23496			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2747460	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	352447	TotalReportableCompFrmRltdOrgs
Total Other Compensation	477697	TotalOtherCompensation
Number Individuals GT100 K	86	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Alliance Healthcare Inc
PO Box 96485	Chicago	IL	60693	MRI Services/PET Services	3644616
Aramark
12483 Collections Center Drive	Chicago	IL	60693	BioMedical Engineering Services	1279243
Milford Anesthesia Associates Inc
113 Water Street 213	Milford	MA	01757	Anesthesia Services	1415938
University of Massachusetts Medical
55 Lake Ave North	Worcester	MA	01655	Fee for Residency Program	1106598
Quest Diagnostics Nichols Institute
12436 Collections Center Drive	Chicago	IL	60693	Outside lab fees	797839

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	9	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	755690	FundraisingEvents
Related Organizations	0	RelatedOrganizations
Government Grants	0	GovernmentGrants
All Other Contributions	3709991	AllOtherContributions
Noncash Contributions	109675	NoncashContributions
Total Contributions	4465681	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Outpatient Revenue	621500	128406115	127879225	526890	$0
Inpatient Revenue	621500	56618298	56618298	0	$0
VNA & Hospice Revenue	621500	8565136	8565136	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	193589549	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	380272	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$380,272	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	3926079	Securities
Other	11000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	3694195	Securities
Other	30202	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	231884	Securities
Other	-19202	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	212682	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$212,682	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	281802	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	755690	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	278742	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	3060	TotalRevenueColumn
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,060	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	47116	GrossIncomeGaming
Gaming Direct Expenses	5498	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	41618	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$41,618	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
Sale of VNA	900099	3506410	$3,506,410
Cancer Center	900099	3394354	$3,394,354
Rents	900099	2242442	$2,242,442

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4755130	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$4,755,130	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	13898336	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	212591198	TotalRevenueColumn
Related Or Exempt Function Income	193062659	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	526890	UnrelatedBusinessRevenue
Exclusion	$14,535,968	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1395735	Total
Management And General	1395735	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	84712396	Total
Program Services	75429012	ProgramServices
Management And General	8882673	ManagementAndGeneral
Fundraising	400711	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1501467	Total
Program Services	1321291	ProgramServices
Management And General	165161	ManagementAndGeneral
Fundraising	15015	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13393721	Total
Program Services	11786475	ProgramServices
Management And General	1473309	ManagementAndGeneral
Fundraising	133937	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6335702	Total
Program Services	5575418	ProgramServices
Management And General	696927	ManagementAndGeneral
Fundraising	63357	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1927034	Total
Program Services	1873831	ProgramServices
Management And General	53203	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	67811	Total
Management And General	67811	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	48800	Total
Management And General	48800	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	220246	Total
Fundraising	220246	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	385397	Total
Management And General	385397	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	34482285	Total
Program Services	33001426	ProgramServices
Management And General	1302061	ManagementAndGeneral
Fundraising	178798	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	825877	Total
Program Services	702837	ProgramServices
Management And General	87855	ManagementAndGeneral
Fundraising	35185	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7518465	Total
Program Services	5907680	ProgramServices
Management And General	1566262	ManagementAndGeneral
Fundraising	44523	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	374261	Total
Program Services	325321	ProgramServices
Management And General	46250	ManagementAndGeneral
Fundraising	2690	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	4254621	Total
Management And General	4254621	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9231368	Total
Program Services	8123604	ProgramServices
Management And General	1015450	ManagementAndGeneral
Fundraising	92314	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1072360	Total
Program Services	943677	ProgramServices
Management And General	117959	ManagementAndGeneral
Fundraising	10724	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Contract services	8285486	6184071	2056792	44623
Physician fees & collection fees	3442016	3442016	0	0
Health Safety Net & Community health service initiative	1692180	1692180	0	0
Provision for bad debt	9119351	9119351	0	0

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	190286579	Total
Program Services	165428190	ProgramServices
Management And General	23616266	ManagementAndGeneral
Fundraising	1242123	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3940	BOY
EOY	3640	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	51505316	BOY
EOY	69993935	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	236410	BOY
EOY	2848636	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	23541315	BOY
EOY	25358673	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3367070	BOY
EOY	3319645	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1778778	BOY
EOY	3971880	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	172560521	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	87485765	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	87768175	BOY
EOY	85074756	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4922247	BOY
EOY	6039881	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	12193530	BOY
EOY	13479632	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	185316781	BOY
EOY	210090678	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17531574	BOY
EOY	22107319	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	82072308	BOY
EOY	80020640	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4177679	BOY
EOY	7247803	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3806188	BOY
EOY	4024735	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	107587749	BOY
EOY	113400497	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	75304261	BOY
EOY	91030391	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1796830	BOY
EOY	5031849	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	77729032	BOY
EOY	96690181	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	185316781	BOY
EOY	210090678	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	22304619	ReconcilationRevenueExpenses
Reconcilation Other Changes	-3343470	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	1	RalliesDemonstrations
Rallies Demonstrations	$28,460	RalliesDemonstrationsAmount
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	28460	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	Letter D and G - From time to time, the Hospital reaches out to our state and federal legislators on matters relating to Hospital Operations. Letter H - The $28,460 shown on letter H 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	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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	0.31	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.69	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	87270164	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	27565360	Depreciation
Book Value	59704804	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	568616	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	369954	Depreciation
Book Value	198662	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	75816248	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	56690159	Depreciation
Book Value	19126089	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	4984665	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	2860292	Depreciation
Book Value	2124373	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	85074756	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
Funds Held by Trustees	13470499
Accrued Interest and Dividends	9133

Field	Value	IRS element (for citing)
Total Book Value Other Assets	13479632	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Amounts due to third party payors	Description
Amount	$4,024,735	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	4024735	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 identified as Unrelated Business Income: Non patient laboratory testing provided to nursing homes and non-affililated (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	113341
East Asia and the Pacific	Investments	119010
Europe (including Iceland and Greenland)	Investments	741050
North America (including Canada and Mexico, but not the United States)	Investments	10621

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	984022	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	211650	GrossReceipts
Amount Retained By Contractor	230246	AmountRetainedByContractor
Net To Organization	-18596	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	211650	TotalGrossReceipts
Total Retained By Contractors	230246	TotalRetainedByContractors
Total Net To Organization	-18596	TotalNetToOrganization
Licensed States	MA	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Golf	NameOfEvent1
Gross Receipts Event1	250555	GrossReceiptsEvent1
Charitable Contributions Event1	232920	CharitableContributionsEvent1
Gross Revenue Event1	17635	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	10311	NonCashPrizesEvent1
Rent Facility Costs Event1	21942	RentFacilityCostsEvent1
Food And Beverage Event1	3560	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	14121	OtherDirectExpensesEvent1
Name Of Event2	Melange	NameOfEvent2
Gross Receipts Event2	693340	GrossReceiptsEvent2
Charitable Contributions Event2	520695	CharitableContributionsEvent2
Gross Revenue Event2	172645	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	0	RentFacilityCostsEvent2
Food And Beverage Event2	54708	FoodAndBeverageEvent2
Entertainment Event2	7140	EntertainmentEvent2
Other Direct Expenses Event2	107831	OtherDirectExpensesEvent2
Total Number Of Other Events	11	TotalNumberOfOtherEvents
Gross Receipts Other Events	93597	GrossReceiptsOtherEvents
Charitable Contrib Other Events	2075	CharitableContribOtherEvents
Gross Revenue Other Events	91522	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	150	FoodAndBeverageOtherEvents
Entertainment Other Events	1975	EntertainmentOtherEvents
Other Direct Expenses Other Events	57004	OtherDirectExpensesOtherEvents
Gross Receipts Total	1037492	GrossReceiptsTotal
Charitable Contributions Total	755690	CharitableContributionsTotal
Gross Revenue Total Events	281802	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	10311	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	21942	RentFacilityCostsTotalEvents
Food And Beverage Total Events	58418	FoodAndBeverageTotalEvents
Entertainment Total Events	9115	EntertainmentTotalEvents
Other Direct Expenses Total Events	178956	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	278742	DirectExpenseSummaryEvents
Net Income Summary	3060	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Bingo	0	GrossRevenueBingo
Cash Prizes Bingo	0	CashPrizesBingo
Non Cash Prizes Bingo	0	NonCashPrizesBingo
Rent Facility Costs Bingo	0	RentFacilityCostsBingo
Other Direct Expenses Bingo	0	OtherDirectExpensesBingo
Gross Revenue Pull Tabs	0	GrossRevenuePullTabs
Cash Prizes Pull Tabs	0	CashPrizesPullTabs
Non Cash Prizes Pull Tabs	0	NonCashPrizesPullTabs
Rent Facility Costs Pull Tabs	0	RentFacilityCostsPullTabs
Other Direct Expenses Pull Tabs	0	OtherDirectExpensesPullTabs
Gross Revenue Other Gaming	47116	GrossRevenueOtherGaming
Cash Prizes Other Gaming	5358	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	0	NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming	0	RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming	140	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGaming
Gross Revenue Total Gaming	47116	GrossRevenueTotalGaming
Cash Prizes Total Gaming	5358	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	0	NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming	0	RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming	140	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	5498	DirectExpenseSummaryGaming
Net Gaming Income Summary	41618	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	01757	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 $10,746 was paid to Ghiorsi & Sorrenti Inc for travel and lodging during FY 12. 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	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9855043	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4774097	DirectOffsettingRevenue
Net Community Benefit Expense	5080946	NetCommunityBenefitExpense
Percent Of Total Expense	0.028	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14737846	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12953815	DirectOffsettingRevenue
Net Community Benefit Expense	1784031	NetCommunityBenefitExpense
Percent Of Total Expense	0.0098	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3910567	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2730818	DirectOffsettingRevenue
Net Community Benefit Expense	1179749	NetCommunityBenefitExpense
Percent Of Total Expense	0.0065	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	28503456	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20458730	DirectOffsettingRevenue
Net Community Benefit Expense	8044726	NetCommunityBenefitExpense
Percent Of Total Expense	0.0443	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	381813	TotalCommunityBenefitExpense
Direct Offsetting Revenue	84406	DirectOffsettingRevenue
Net Community Benefit Expense	297407	NetCommunityBenefitExpense
Percent Of Total Expense	0.0016	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1459390	TotalCommunityBenefitExpense
Direct Offsetting Revenue	712167	DirectOffsettingRevenue
Net Community Benefit Expense	747223	NetCommunityBenefitExpense
Percent Of Total Expense	0.0041	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2998739	TotalCommunityBenefitExpense
Direct Offsetting Revenue	356080	DirectOffsettingRevenue
Net Community Benefit Expense	2642659	NetCommunityBenefitExpense
Percent Of Total Expense	0.0146	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
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)
Total Community Benefit Expense	20913	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	20913	NetCommunityBenefitExpense
Percent Of Total Expense	0.0001	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	4860855	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1152653	DirectOffsettingRevenue
Net Community Benefit Expense	3708202	NetCommunityBenefitExpense
Percent Of Total Expense	0.0204	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	33364311	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21611383	DirectOffsettingRevenue
Net Community Benefit Expense	11752928	NetCommunityBenefitExpense
Percent Of Total Expense	0.0647	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2500	TotalCommunityBuildingExpense
Net Community Building Expense	2500	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	358718	TotalCommunityBuildingExpense
Net Community Building Expense	358718	NetCommunityBuildingExpense
Percent Of Total Expense	0.002	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	361218	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	361218	NetCommunityBuildingExpense
Percent Of Total Expense	0.002	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,898,641	BadDebtExpenseAmount
Amount Attributable To	596962	AmountAttributableTo
Amount Reimbursed By Medicare	44839751	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	48887872	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4048121	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 $190,286,579 less line 24D, Provision for Bad Debt of $9,119,351 or $181,167,228.
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 the 495/MetroWest Partnership for Economic Development and the Blackstone Valley, Hopkinton and Milford Area Chambers of Commerce. For the second year, CEO Francis Saba led the Greater Milford Health Access Coalition, made possible by a Synergy Initiative pilot grant from the Health Foundation of Central Massachusetts. This coalition of health leaders and community members shared the common goal of improving access to care for uninsured and underinsured residents of our service area by facilitating the development of a satellite site of Edward M. Kennedy Community Health Center, the first of its kind in the town of Milford.
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) auditied financial statements 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	The hospital will make every attemp to address the needs identified within the Needs Assessment, through policies such as its own non-smoking campus and employee wellness and through leadership of community partnerships to address specific issues related to youth mental health, chronic disease prevention and obesity prevention. Given the scope of issues identified in the assessment, this work will be ongoing.
SchH_P05_S0B_L11	Schedule H, Part V, Section B, Line 11	Asset level is used for Medicare patients only. This follows Medicare guidelines.
SchH_P05_S0B_L21	Schedule H, Part V, Section B, Line 21	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 Medical Center Inc 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 and other community coalitions provide 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 communities in Central Massachusetts, spanning 3 separate counties: Worcester, Norfolk and Middlesex. The Hospital's primary service area consists of Milford, Franklin, Bellingham, Northbridge, Whitinsville, Uxbridge, Blackstone, Hopedale, Medway and Mendon, a population of 145,362 according to 2010 US Census data. The Hospital's secondary service area consists of Doulgas, Grafton, Hopkinton, Holliston, Millis, Wrentham, Upton, Medfield and Millville, a population of 96,310. The population of the MRMC service area has grown almost 9% over the past decade, as opposed to the statewide average of 3%. The residents of this region are primarily Caucasian, accounting for 93.6% of the population. Hispanics comprise 2.7% of the population, with Asians also at 2.7% and Blacks at 1.0%. The population is nearly even in terms of gender, with 51% females. The bulk of the adult population (71.6%) is between the ages of 18-54, slightly higher than the state percentage, which is 68%. There has been an influx of Egyptian, Central American and Brazilian immigrants into the area, most likely not represented in these totals, but estimated at several thousand additional residents.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	Milford Regional Medical Center Inc 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 received a second Synergy Initiative grant from the Health Foundation of Central Massachusetts to support the pilot phase of an effort to improve access to care for uninsured and underinsured residents of our service area. Grant funds continued to support the work of the Greater Milford Health Access Coalition to facilitate the planned opening of a satellite location of the Edward M. Kennedy Community Health Center in Milford 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 communitites its 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)
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	0	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 (16 entries)

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
M Catherine Burke MD
0	0	0	0	0	0	0	0	0	0	0	0	0	0
Patrick R McSweeney MD
0	352447	0	0	0	0	0	0	0	28105	0	380552	0	0
Albert A Crimaldi MD
0	0	0	0	9100	0	0	0	0	0	9100	0	0	0
John N Pandiscio
0	0	0	0	13000	0	0	0	0	0	13000	0	0	0
Francis M Saba
431247	0	50000	0	0	0	188925	0	22287	0	692459	0	90406	0
Edward J Kelly
358866	0	40000	0	116652	0	32717	0	25153	0	573388	0	37468	0
Jeanne P Lynskey
221872	0	0	0	0	0	0	0	17480	0	239352	0	0	0
Salvatore Perla
198925	0	0	0	0	0	0	0	22626	0	221551	0	0	0
Cheryl L Bonasoro
201605	0	0	0	0	0	0	0	7181	0	208786	0	0	0
Linda Yates
171179	0	0	0	0	0	0	0	23034	0	194213	0	0	0
Martin Richman
155879	0	0	0	0	0	0	0	19483	0	175362	0	0	0
Laurence Fraize
154630	0	0	0	0	0	0	0	20681	0	175311	0	0	0
Nancy Tomaso
154362	0	0	0	0	0	0	0	5595	0	159957	0	0	0
Kamala Murali
139063	0	0	0	0	0	0	0	20065	0	159128	0	0	0
Donna M Saul
133141	0	0	0	0	0	0	0	23496	0	156637	0	0	0
Jennifer Childs-Roshak
197939	0	0	0	0	0	0	0	20869	0	218808	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SchJ_P01_S00_L04	Identifier
Return Reference	Schedule J, Part I, Line 4	ReturnReference
Explanation	Francis M Saba and Edward J Kelly had deposits to their SERPs of $188,925 and $32,717, respectively. The compensation of Edward J. Kelly, President, includes the payout of fully vested SERP amounts of $116,652.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Amount Retired	2540000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	70279953	TotalProceeds
Amount In Reserve Fund	2662312	AmountInReserveFund
Capitalized Interest	1509967	CapitalizedInterest
Refunding Escrow	30555914	RefundingEscrow
Issuance Costs From Proceeds	833657	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	34718103	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)
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
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
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
Exception To Rebate	0	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SchK_P01_S00_L00f	Identifier
Return Reference	Schedule K, Part I, Column f	ReturnReference
Explanation	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.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Lawrence Hill
Trustee	183061	Payments were made to M Hill Companies with which the Hospital has entered into lease agreements.	0
M Catherine Burke MD
Trustee	301676	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	384283	Payments were made to Milford Gastroenterology Associates Inc which provides services to the Hospital. Dr. Crimaldi is part owner of Milford Gastroenterolgy Associates Inc. Payments were also made to Milford Gastroenterolgy Realty with which the Hospital has entered into a lease agreement. Dr Crimaldi is part owner of Milford Gastroenterology Realty.	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	2	NumberOfContributions
Noncash Contribs Rptd F990	109675	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (10 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Food and supplies for charitable fund raising event	5	FMV
X	Tickets to sporting events or entertainment for fund raising event	16	FMV
X	Travel package for fund raising event	5	FMV
X	Gift certificates and gift baskets for fund raising event	11	FMV
X	Dinner packages and beverages for fund raising events	8	FMV
X	Miscellaneous toys	8	FMV
X	Freezer for fund raising event	1	FMV
X	Computers for fund raising event	3	FMV
X	Seiko mens watch	1	FMV
X	Nike golf club putter	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	MRMC, Inc. does not currently account for certain non-cash contributions or in-kind donations as revenue.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P03_S00_L03	Form 990, Part III, Line 3	The VNA and Hospice of Greater Milford (VNA) has been a part of the community since 1918, and a department of MRMC in 1997. After careful consideration, MRMC made the decision to sell the VNA to Salmon Health and Retirement (Salmon). Salmon acquired the VNA on August 1, 2012 and this acquisition completes their post-acute continuum and enhances their opportunities to support and partner with doctors and hospitals in the Greater Milford area. The transition was seemless for the VNA patients and allows for Salmon patients to be able to be served by the VNA. The transition continues the VNA's mission of providing patient-centered care in patients homes.
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_L04	Form 990, Part VI, Section A, Line 4	The bylaws were amended for term limits for 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 approves all compensation plans and guidelines, as well as all compensation for the orgaznization's senior management employees in accordance with such plans and guidelines. 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 organization's conflict of interest policy, through the annual filing of the Massachusetts Division of Public Charities Form PC. The Form PC is available for viewing by the public on the Massachusetts Attorney General's website and is also attached to the annual filing of the Massachusetts Form 3ABC which is submitted to town offices where the organization owns or leases property. The organization's financial statements are included in the Form PC filing and are also included in a quarterly filing to the organization's bond holders.
F990_P07_S0A_L01a	Form 990, Part VII, Section A, Line 1a	Two executives, as disclosed in Schedule J, receive supplemental retirement benefits.
F990_P11_S00_L05	Form 990, Part XI, Line 5	The Change in Net Assets results from transferring to affiliates ($4,743,475), Auxiliary activity ($17,997), change in market value $271,345, Unrealized gains $1,146,659 and rounding ($2).

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

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
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	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 (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Tri-County Medical Associates Inc
i	283149	Market value
Tri-County Medical Associates Inc
j	-75203	Market value
Tri-County Medical Associates Inc
q	7850000	Cost
Tri-County Medical Associates Inc
o	-3330470	Cost