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IN SERVICE TO OUR COMMUNITY. false false 14224597 14222639 *OBSTETRICS SERVICES* WINCHESTER HOSPITAL IS PROUD TO HAVE BEEN INVOLVED IN THE BEGINNING OF MANY NEW LIVES. RECOGNIZED AS ONE OF THE AREA'S MOST PROMINENT OBSTETRIC HOSPITALS, WINCHESTER HOSPITAL HAS NEARLY 2,000 BABIES BORN PER YEAR AT OUR MOTHER BABY UNIT. THE HOSPITAL ALSO OFFERS A SPECIAL CARE NURSERY FOR NEWBORNS IN NEED OF THE CLINICAL INTERVENTION OF A LEVEL IIB NURSERY. 14126908 13812935 *SURGICAL SERVICES* WINCHESTER HOSPITAL HAS RECEIVED NATIONAL AND STATE RECOGNITION FOR ITS COMMITMENT TO SAFE, HIGH QUALITY SURGICAL SERVICES. THE HOSPITAL WAS NAMED A NATIONAL BARIATRIC SURGERY CENTER OF EXCELLENCE (BSCOE) BY THE AMERICAN SOCIETY FOR BARIATRIC SURGERY. IN ADDITION, WE WERE RECOGNIZED TWICE BY BLUE CROSS/BLUE SHIELD OF MASSACHUSETTS AS A BLUE DISTINCTION CENTER - BOTH FOR BARIATRIC SURGERY AND KNEE AND HIP REPLACEMENT. THE BLUE DISTINCTION DESIGNATION IS AWARDED TO MEDICAL FACILITIES THAT EXHIBIT A COMMITMENT TO HIGH QUALITY CARE, RESULTING IN BETTER OVERALL OUTCOMES FOR PATIENTS. 13849498 12909660 *PULMONARY SERVICES* THE PULMONARY REHABILITATION PROGRAM AT WINCHESTER HOSPITAL HAS BEEN IN EXISTENCE FOR 20 YEARS. THE REHAB CENTER IS MORE THAN A PLACE TO EXERCISE, BUT RATHER A PLACE THAT COORDINATES A STRUCTURED, FULL PHASE PULMONARY REHABILITATION PROGRAM AIMED AT HELPING PATIENTS ACHIEVE A HEALTHY LEVEL OF PULMONARY FITNESS. 154701574 216947686 196902577 true true false true false false false false true true false false false true true false true false false false false false false true false true true false false true true false false false false false false false false false false true false false false false true true true false true 410 0 true 2976 true true true true CJ false false false true false false false false false X 40 30 false false false false false false false true false false false false true true true true false true true true false MA X X GARRETT MIZIOCH 7817562135 41 HIGHLAND AVENUE WINCHESTER MA 01890 X JONATHAN L ADLER MD- WH 1.0 X 0 656356 635 JAMES CONWAY - WH WHM 1.0 X 0 0 0 JAMES FICOCIELLO DDS - WH 1.0 X 0 0 0 ROBERT FORTUNATO MD - WH 1.0 X 0 0 0 JANICE HOUGHTON - WH WHM 1.0 X 0 0 0 JOHN C MARTINI - WH WHM 1.0 X 0 0 0 DEBORAH R MCDONOUGH - WH 2.0 X 0 0 0 RICHARD C OCKERBLOOM - WH 1.0 X 0 0 0 PETER J ROTOLO MD - WH 1.0 X 15250 0 0 JOSEPH TAYLOR MD - WH 1.0 X 34081 0 0 MICHAEL TRAVAGLINI - WH WHM 1.0 X 0 0 0 JAMES H YOUNG - WH WHM 1.0 X 0 0 0 JEANNINE BARRETT - WH WHM 1.0 X 0 0 0 GAIL CANZANO - WH WHM 1.0 X 0 0 0 ARTHUR LITTLE MD - WH 1.0 X 0 0 0 ANN R BLACKHAM - WF 1.0 X 0 0 0 DONNA BURKE - WF 1.0 X 0 0 0 DARINA CHESTERTON - WF 1.0 X 0 0 0 BRIAN J CONNOR - WF 1.0 X 0 0 0 KELLEY CORNELL MD - WF 1.0 X 20000 0 0 LEO C DONAHUE - WF 1.0 X 0 0 0 PATRICK FORTIN - WF 1.0 X 0 0 0 ANTHONY GATTINERI - WF 1.0 X 0 0 0 KAREN R MCALMON MD - WF 1.0 X 0 0 0 ANNE NEILSON - WF 1.0 X 0 0 0 ANN NORBERG - WF 1.0 X 0 0 0 JOAN P O'NEIL - WF 1.0 X 0 0 0 SUSAN C POWERS - WF 1.0 X 127829 0 18901 RICHARD H SALTER - WF 1.0 X 0 0 0 DENNIS SARGENT - WF 1.0 X 0 0 0 JOHN J SULLIVAN - WF 1.0 X 0 0 0 MARVIN WEINER - WF 1.0 X 0 0 0 MARLENE WILLIAMSON - WF 1.0 X 143930 0 29611 MARIBETH CANNING - WF 1.0 X X 268389 0 6428 PAUL J ANDREWS 1.0 X X 0 0 0 JANE C WALSH - WH WHM 2.0 X X 0 0 0 KEVIN F SMITH - WH WHM WF 43.0 X X 1001888 0 96774 DALE M LODGE - WH WHM WF 43.0 X X 837062 0 114041 MATTHEW WOODS - WH WHM WF 43.0 X X 226877 0 30392 JOSEPH R TARBY III - WH WHM 1.0 X X 0 0 0 RICHARD J ISEKE MD 40.0 X 608233 0 15607 ANNE LANG TALBOT 40.0 X 301060 0 31177 KATHY ANN SCHULER 40.0 X 303281 0 24236 MARY SWEENEY 40.0 X 238953 0 7534 EDWARD SULLIVAN 40.0 X 211482 0 32046 4338315 656356 407382 340 false true false LABORATORY CORPORATION OF AMERICA PO BOX 4070 PORTSMOUTH NH 03082 LABORATORY SERVICES 1352382 SODEXHO MARRIOTT SERVICES PO BOX 905374 CHARLOTTE NC 28290 MANAGEMENT SERVICES 1329786 STRATA PATHOLOGY INC 1 CRANBERRY HILL SUITE 303 LEXINGTON MA 02421 LABORATORY SERVICES 1322163 DYNAMEX INC 12 CABOT ROAD WOBURN MA 01801 COURIER SERVICES 1029765 UNITED LINEN SERVICES 55 E 5TH STREET SUITE 960 ST PAUL MN 55101 LAUNDRY SERVICES 831830 28 279958 6655242 268416 6935200 NET PATIENT SERVICE 253036017 253036017 OTHER PROGRAMS 4856903 4856903 257892920 1248546 348493 900053 0 0 440501 0 241558 198943 0 198943 84356 114587 2280054 701196 2280054 701196 2981250 2981250 298237 279958 239867 58370 58370 0 0 0 LABORATORY 5448120 5448120 CAFETERIA 863665 863665 PEDIATRIC 846577 846577 1843141 511222 1331919 9001503 278316732 257892920 7238768 6249844 0 0 0 0 1857498 1857498 0 118836974 95968391 22155561 713022 0 28865381 23396308 5299167 169906 0 0 204308 61292 143016 112182 33655 78527 22586 22586 0 0 2446597 2349009 97588 990158 988624 1534 4257663 734971 3442624 80068 0 0 3270476 327048 2943428 0 0 297816 279163 18653 2853249 2853249 0 11594315 8027684 3541293 25338 3590423 3590423 SUPPLIES 62735200 48521500 14213700 PURCHASED SERVICES 9581691 6320142 3261549 PROVISION FOR BAD DEBT 6559162 6559162 HEALTH SAFETY NET 1966814 1966814 AGENCY FEES 694709 638909 55800 869357 140194 283892 445271 261606559 196902577 63250190 1453792 21626835 21221588 8726985 11594854 23610329 24140489 269801 182217 2705421 2837467 2225407 3150979 292790040 166306062 99756800 126483978 142175435 126504665 9992916 12951311 311089929 329067548 28754369 36174899 107531454 105320852 520964 1206078 17373294 17140642 154180081 159842471 X 137996467 147658089 12887684 15795148 6025697 5771840 156909848 169225077 311089929 329067548 X 16710173 -4394944 X false true true X false X X false false false WINCHESTER HOSPITAL 042104434 03 true 0 WINCHESTER HOSPITAL FOUNDATION INC 043399570 07 true 0 WINCHESTER HEALTHCARE INVESTMENTS INC 222701819 07 true 0 3 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 22586 false 22586 false false SCHEDULE C PART II - B LINE H MASSACHUSETTS COUNCIL OF COMMUNITY HOSPITALS (MCCH): THE MASSACHUSETTS COUNCIL OF COMMUNITY HOSPITALS IS A NON-PROFIT CORPORATION FORMED TO ADVOCATE FOR THE COMMONWEALTH'S COMMUNITY HOSPITALS. THESE HOSPITALS PLAY A VITAL ROLE IN PROVIDING CONVENIENT, HIGH QUALITY HEALTH CARE AT A REASONABLE COST. FOR A NUMBER OF REASONS OUR HOSPITALS ARE OFTEN DISADVANTAGED BY THE CURRENT FINANCING AND DELIVERY SYSTEM IN GAINING ACCESS TO CAPITAL, TECHNOLOGY AND CLINICAL RESOURCES. IT IS THE GOAL OF THE COUNCIL TO EDUCATE AND ARGUE OUR CASE TO POLICYMAKERS, EMPLOYERS AND PAYERS TO ELIMINATE INEQUITIES IN THE SYSTEM. ANNUAL PORTION OF DUES RELATED TO LOBBYING - $1,800 MASSACHUSETTS HOSPITAL ASSOCIATION (MHA): THE MASSACHUSETTS HOSPITAL ASSOCIATION IS A VOLUNTARY, NOT-FOR-PROFIT ORGANIZATION COMPRISED OF HOSPITALS AND HEALTH SYSTEMS, RELATED ORGANIZATIONS, AND OTHER MEMBERS WITH A COMMON INTEREST IN PROMOTING THE HEALTH OF THE PEOPLE OF THE COMMONWEALTH. THROUGH LEADERSHIP IN PUBLIC ADVOCACY, EDUCATION, AND INFORMATION, MHA REPRESENTS AND ADVOCATES FOR THE COLLECTIVE INTERESTS OF ITS MEMBER HOSPITALS AND HEALTH SYSTEMS, AND SUPPORTS THEIR EFFORTS TO PROVIDE HIGH QUALITY, COST EFFECTIVE, AND ACCESSIBLE CARE. ANNUAL PORTION OF DUES RELATED TO LOBBYING - $13,426 AMERICAN HOSPITAL ASSOCIATION (AHA): THE AMERICAN HOSPITAL ASSOCIATION (AHA) IS THE NATIONAL ORGANIZATION THAT REPRESENTS AND SERVES ALL TYPES OF HOSPITALS, HEALTH CARE NETWORKS, AND THEIR PATIENTS AND COMMUNITIES. CLOSE TO 5,000 HOSPITALS, HEALTH CARE SYSTEMS, NETWORKS, OTHER PROVIDERS OF CARE AND 37,000 INDIVIDUAL MEMBERS COME TOGETHER TO FORM THE AHA. THROUGH OUR REPRESENTATION AND ADVOCACY ACTIVITIES, AHA ENSURES THAT MEMBERS' PERSPECTIVES AND NEEDS ARE HEARD AND ADDRESSED IN NATIONAL HEALTH POLICY DEVELOPMENT, LEGISLATIVE AND REGULATORY DEBATES, AND JUDICIAL MATTERS. OUR ADVOCACY EFFORTS INCLUDE THE LEGISLATIVE AND EXECUTIVE BRANCHES AND INCLUDE THE LEGISLATIVE AND REGULATORY ARENAS. FOUNDED IN 1898, THE AHA PROVIDES EDUCATION FOR HEALTH CARE LEADERS AN IS A SOURCE OF INFORMATION ON HEALTH CARE ISSUES AND TRENDS. ANNUAL PORTION OF DUES RELATED TO LOBBYING - $7,360 18301006 2536588 20837594 17077593 1223413 18301006 18058471 -980878 17077593 0.67000 0.33000 0.00000 false false 0 12420585 12420585 0 118839710 52957816 65881894 0 13373637 6092907 7280730 0 127999807 107287105 20712702 0 20188067 20188067 126483978 0 DUE TO AFFILIATES 5883797 ACCRUED POSTRETIREMENT BENEFIT 540716 OTHER LIABILITIES 8174501 CURRENT PORTION OF LTD 2541628 17140642 ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS PART X, LINE 2 WINCHESTER HEALTHCARE MANAGEMENT, INC. AND AFFILIATES HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) TO BE TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND, ACCORDINGLY, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS FOR THESE ENTITIES. 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RADIOLOGY/ONCOLOGY SERVICES FACILITY WINCHESTER HOSPITAL - BALDWIN PARK I

12 ALFRED STREET WOBURN MA 01890

COMMUNITY HEALTH INST., SLEEP CARE & ADMIN OFFICES WINCHESTER HOSPITAL - BALDWIN PARK II

12 ALFRED STREET WOBURN MA 01890

BREAST CARE, IMAGING HEMOTOLOGY/ONCOLOGY LAB, PHARMACY, CHIRO FAMILY MEDICAL CENTER

500 SALEM STREET WILMINGTON MA 01887

AUDIOLOGY, OB/GYN, CARDIO-PUL, LAB, PT, URGENT CARE, PEDI WINCHESTER HOSPITAL

262/264 W CUMMINGS PARK WOBURN MA 01801

LAB & HOME CARE SERVICE WINCHESTER HOSPITAL

RUSSELL HILL BUILDING 955 MAIN STRE WINCHESTER MA 01890

LAB, RADIOLOGY, & PHYSICAL THERAPY WINCHESTER HOSPITAL

150 PRUDENTIAL WAY WOBURN MA 01801

MRI SERVICE READING HEALTH CENTER

20 POND MEADOW DRIVE READING MA 01867

LAB PATIENT SPECIMEN COLLECTION &SERVICE CTR

3 WOODLAND ROAD STONEHAM MA 02180

LAB MONTVALE DIAGNOSTIC CENTER

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LAB WINCHESTER HOSPITAL

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LAB WINCHESTER HOSPITAL

100 BYPASS ROAD NORTH ANDOVER MA 01845

LAB WINCHESTER HOSPITAL

101 CAMBRIDGE STREET BURLINGTON MA 01803

LAB WINCHESTER PLACE

11 SHORE ROAD WINCHESTER MA 01890

LAB WINCHESTER HOSPITAL

75 RIVERSIDE AVENUE MEDFORD MA 02155

LAB, WEIGHT MGMT, WOUND CARE CENTER WINCHESTER HOSPITAL

1OP COMMERCE WAY WOBURN MA 01801

ENDOSCOPY CENTER WINCHESTER HOSPITAL

21 MAIN STREET NORTH READING MA 01864

DIAGNOSTIC CENTER PAIN MANAGEMENT CENTER

444 WASHINGTON STREET WOBURN MA 01801

PAIN CLINIC CENTER CHOATE MEDICAL CENTER

23 WARREN AVENUE WOBURN MA 01801

PHYSICAL THERAPY PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN(F) BAD DEBT EXPENSE OF $6,559,162 WAS SUBTRACTED FROM TOTAL EXPENSES REPORTED IN FORM 990, PART IX IN CALCULATING THE PERCENTAGES IN PART 1, LINE 7, COLUMN (F). COSTING METHODOLOGY PART I, LINE 7 WINCHESTER HEALTHCARE MANAGEMENT, INC. AFFILIATES USED THEIR OWN COST ACCOUNTING SYSTEM TO DERIVE THE NUMBER SET FORTH IN PART I, LINE 7 INSTEAD OF THE CHARGE TO COST RATIO OPTION. BAD DEBT EXPENSE PART III, LINE 4 WINCHESTER HEALTHCARE MANAGEMENT INC. AND AFFILIATES GRANT CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF A PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. WINCHESTER HEALTHCARE MANAGEMENT INC. AND AFFILIATES UTILIZED WORKSHEET A: ESTIMATED BAD DEBT EXPENSE (AT COST) TO DETERMINE THE AMOUNT FOR SCHEDULE H, PART III, LINE 2. WINCHESTER HEALTHCARE MANAGEMENT INC. AND AFFILIATES USED NET FREE CARE PROVIDED AS A PERCENTAGE OF NET PATIENT SERVICE REVENUE TO REASONABLE ESTIMATE THE AMOUNT IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE POLICY HAD SUFFICIENT INFORMATION BEEN SUBMITTED IN ORDER TO DETERMINE ELIGBILITY. THE METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART III, LINE 3 IS AS FOLLOWS: USED HEALTH SAFETY NET AS A PERCENTAGE OF NET PATIENT SERVICE REVENUE FROM THE DIVISION OF HEALTH CARE FINANCE AND POLICY 403 COST REPORT SCHEDULE VA. HEALTH SAFETY NET - NET REVENUE (SCHEDULE VA LINE 52.01 COLUMN 14) OF $1,966,814 DIVIDED BY TOTAL NET PATIENT SERVICE REVENUE (SCHEDULE VA LINE 52.01 COLUMN 2) OF $258,486,227. THIS YIELDED A .76% THAT WAS MULTIPLIED BY THE BAD DEBT EXPENSE AT COST OF $3,410,764 RESULTING IN THE $25,949 APPLICABLE TO PATIENTS THAT WOULD HAVE QUALIFIED UNDER THE FINANCIAL ASSISTANCE POLICY. EXPLANATION OF SHORTFALLS AS A COMMUNITY BENEFIT PART III, LINE 8 ALL MEDICARE COSTS ARE ALLOCATED BY COST CENTER IN ACCORDANCE WITH MEDICARE REGULATIONS. THIS IS A SIGNIFICANT BENEFIT TO THE COMMUNITY SINCE REIMBURSEMENT FROM THE FEDERAL GOVERNMENT'S MEDICARE PROGRAM IS LESS THAN THE ACTUAL COST FOR THE HEALTHCARE SERVICES PROVIDED OT THE INDIVIDUALS RECEIVING IT. COLLECTION PRACTICES FOR QUALIFIED PATIENTS PART III, LINE 9B THE HOSPITAL HAS A FIDUCIARY DUTY TO SEEK REIMBURSEMENT FOR SERVICES IT HAS PROVIDED FROM INDIVIDUALS WHO ARE ABLE TO PAY, FROM THIRD PARTY INSURERS WHO COVER THE COST OF CARE, AND FROM OTHER PROGRAMS OF ASSISTANCE FOR WHICH THE PATIENT IS ELIGIBLE. TO DETERMINE WHETHER A PATIENT IS ABLE TO PAY FOR THE SERVICES PROVIDED AS WELL AS TO ASSIST THE PATIENT IN FINDING ALTERNATIVE COVERAGE OPTIONS IT THEY ARE UNINSURED OR UNDERINSURED, THE HOSPITAL FOLLOWS THE FOLLOWING CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. THE HOSPITAL MAKES THE SAME REASONABLE EFFORT AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. THE HOSPITAL WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO THE PATIENT AND NOT COVERED BY A PRIVATE INSURER OR A FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL FOLLOWS REASONABLE COLLECTION/BILLING PROCEDURES, WHICH INCLUDE MULTIPLE PROGRESSIVE BILLING NOTICES THAT CONTAIN INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS, DOCUMENTATION OF CONTINUOUS BILLING EFFORTS, CHECKING THE MASSACHUSETTS ELIGIBILITY VERIFICATION SYSTEM TO ENSURE THE PATIENT IS NOT A LOW INCOME PATIENT, AND OUTSIDE COLLECTION AGENCIES. WINCHESTER HOSPITAL (1) AMOUNTS BILLED TO INDIVIDUALS WITH NO INSURANCE, PART V, SEC. B, LINE 19D THE HOSPITAL BILLS PATIENTS WITH NO INSURANCE AND THEY SUBSEQUENTLY APPLY FOR FINANCIAL ASSISTANCE. COMMUNITY HEALTH NEEDS ASSESSMENT PART VI, LINE 2 THE COMMUNITY HEALTH INSTITUTE AND THE DEPARTMENT OF PLANNING AND BUSINESS DEVELOPMENT COLLABORATED ON THE COMMUNITY NEEDS ASSESSMENT. THE PURPOSE OF THE WINCHESTER HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (WHCHNA) IS TO INFORM AND GUIDE THE HOSPITAL'S SELECTION OF AND COMMITMENT TO PROGRAM AND SERVICE INITIATIVES THAT ADDRESS THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITIES IT SERVES. THE WHCHNA IS UNDERTAKEN EVERY 3 YEARS AND INCLUDES THE FOLLOWING: - RESEARCH THE CHANGING DEMOGRAPHICS OF THE CITIES AND TOWNS THAT COMPRISE THE HOSPITAL'S SERVICE AREA, BASED ON AVAILABLE SECONDARY DATA SOURCES. - STUDY PRELIMINARY DEMOGRAPHIC FINDINGS, ESPECIALLY WITH REGARD TO DEFINED STATEWIDE HEALTH PRIORITIES - SUPPORTING HEALTH CARE REFORM - CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATION - REDUCING HEALTH DISPARITIES - PROMOTING THE WELLNESS OF VULNERABLE POPULATIONS - IDENTIFY POTENTIAL POPULATION GROUPS, RISK FACTORS, AND CAUSES OF ILL HEALTH THAT MAY BE THE TARGET OF PROGRAM AND SERVICE INITIATIVES; PURSUE PRIMARY DATA SOURCES TO VALIDATE AND REFINE PRELIMINARY FINDINGS - COMMUNICATE WITH COMMUNITY LEADERS AND OTHER AGENCIES TO PURSUE PRIMARY DATA SOURCES TO VALIDATE AND REFINE PRELIMINARY FINDINGS - COLLABORATE WITH COMMUNITY LEADERS AND OTHER AGENCIES TO IDENTIFY OPPORTUNITIES FOR PARTNERSHIP IN MEETING HEALTH NEEDS AND IMPROVING HEALTH STATUS - RECOMMEND SPECIFIC PROGRAM AND SERVICE INITIATIVES FOR BUDGET APPROVAL - ESTABLISH METRICS TO MEASURE PROGRAM EFFORTS AND OUTCOMES - ENSURE COMPLIANCE WITH STATE AND FEDERAL REQUIREMENTS FOR COMMUNITY BENEFIT PROGRAMMING BY THE HOSPITAL THE SPECIFIC METHODOLOGY UTILIZED WAS TO: - FOCUS THE ANALYSIS ON THE SIX TOWNS IN THE PSA THAT ARE MOST DEPENDENT OF WINCHESTER HOSPITAL - WOBURN - WILMINGTON - READING - WINCHESTER - STONEHAM - NORTH READING - REVIEW AND ANALYZE DEMOGRAPHIC DATA USING 2009 AND PROJECTED 2014 DATA ON RACE, AGE, GENDER AND INCOME - RESEARCH AVAILABLE SECONDARY SOURCE DATA (MASSCHIP) REPORTS TO DETERMINE HEALTH STATUS OF THE POPULATION - SOLICIT AND REVIEW AVAILABLE PRIMARY SOURCE DATA, GENERATED THROUGH FACE-TO-FACE INTERVIEWS, TO VALIDATE FINDINGS OF UNMET HEALTH NEEDS THAT CAN DRIVE EFFECTIVE COMMUNITY BENEFIT PROGRAM DEVELOPMENT - IDENTIFY COMMUNITY PROGRAM INITIATIVES BASED ON POPULATION NEEDS AND BARRIERS TO CARE THE COMMUNITY BENEFIT ADVISORY BOARD ADDED NEW MEMBERS FROM UNREPRESENTED TOWNS IN WINCHESTER HOSPITAL'S GEOGRAPHIC AREA TO PROVIDE ADDITIONAL COMMUNITY NEEDS INFORMATION. ALL OF THE NOTED SOURCES WERE UTILIZED TO ESTABLISH THE COMMUNITY BENEFIT PROGRAMS FOR THE 2011 AND 2012 FISCAL YEAR. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 PATIENTS IN NEED OF FINANCIAL ASSISTANCE ARE REFERRED TO THE HOSPITAL'S DEDICATED PATIENT FINANCIAL SERVICES ACCOUNT REPRESENTATIVE THAT PROVIDES FINANCIAL ASSISTANCE COUNSELING. THE REPRESENTATIVE PROVIDES PATIENTS WITH INFORMATION ON THE AVAILABLE PROGRAMS AND ASSISTS PATIENTS THROUGHOUT THE APPLICATION PROCESS, INCLUDING COMPLETION OF REQUIRED FORMS TO DETERMINE ELIGIBILITY. COMMUNITY INFORMATION PART VI, LINE 4 WINCHESTER HOSPITAL IS THE NORTHWEST SUBURBAN BOSTON AREA'S LEADING PROVIDER OF COMPREHENSIVE HEALTH CARE SERVICES. WITH A TOTAL OF 229 BEDS AND BASSINETS, WINCHESTER HOSPITAL SERVES THE HEALTH CARE NEEDS OF ANDOVER, ARLINGTON, BILLERICA, BURLINGTON, MALDEN, MEDFORD, MELROSE, METHUEN, NORTH ANDOVER, NORTH READING, READING, STONEHAM, TEWKSBURY, WAKEFIELD, WINCHESTER, WILMINGTON, AND WOBURN AND SEVERAL OTHER SURROUNDING COMMUNITIES. IN ADDITION TO ACUTE CARE INPATIENT SERVICES, WINCHESTER HOSPITAL ALSO PROVIDES INTEGRATED HOME CARE. IN REVIEWING THE DEMOGRAPHIC DATA ON THE SIX TOWNS THAT ARE MOST DEPENDENT ON WINCHESTER HOSPITAL FOR THE YEARS 2008 - 2013, THE 0 - 14 YEAR OLD AGE GROUP REMAINS THE LARGEST AGE COHORT; THE 35 - 44 YEAR OLD AGE GROUP IS EXPECTED TO DECLINE AND THE 55+ AGE GROUP IS PROJECTED TO INCREASE. THE FEMALE POPULATION IN THE 55+ AGE GROUP IS ALSO PROJECTED TO INCREASE. IN ADDITION, THE FASTEST GROWING ETHNIC GROUP IN WINCHESTER HOSPITAL'S SERVICE AREA IS THE ASIAN POPULATION. HEALTH INDICATORS SHOW THAT HIGHER-THAN-STATE RATES OF TOTAL CANCER DEATHS ARE FOUND IN THREE OF OUR TARGETED TOWNS. FOUR OF OUR TARGETED TOWNS HAVE HIGHER-THAN-STATE RATES OF BREAST CANCER DEATHS AND A HIGHER-THAN-STATE RATE OF CARDIOVASCULAR DISEASE DEATHS IS FOUND IN THREE OF OUR TARGETED TOWNS. HOSPITAL DISCHARGES FOR ASTHMA, ANGINA, AND BACTERIAL PNEUMONIA ARE ABOVE-THE-STATE RATE IN FIVE OF OUR TARGETED TOWNS. AS A RESULT, WINCHESTER HOSPITAL'S COMMUNITY BENEFIT PROGRAMMING TARGETS THE NOTED POPULATIONS AND THE CHRONIC DISEASES THAT ACCOMPANY THEM. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 WINCHESTER HOSPITAL IS COMMITTED TO BENEFITING ALL OF THE COMMUNITIES WE SERVE BY COLLABORATING WITH COMMUNITY PARTNERS TO IDENTIFY HEALTH NEEDS, IMPROVING THE HEALTH STATUS OF COMMUNITY RESIDENTS, ADDRESSING HEALTH DISPARITIES AND EDUCATING COMMUNITY MEMBERS ABOUT PREVENTION AND SELF-CARE. THROUGHOUT 2010-2011 WINCHESTER HOSPITAL WILL RUN 18 FREE COMMUNITY BENEFIT PROGRAMS DESIGNED TO REDUCE HEALTH CARE DISPARITIES, PROMOTE WELLNESS IN AT-RISK POPULATIONS, AND TEACH RESIDENTS HOW TO PROPERLY MANAGE CHRONIC DISEASES. WINCHESTER HOSPITAL OFFERS SERVICES TO COMMUNITY MEMBERS THROUGH OSTEOPOROSIS SCREENINGS, PEDIATRIC ASTHMA HOME VISITS AND EDUCATION SESSIONS, TELEPHONIC HEART FAILURE COUNSELING SESSIONS, EDUCATIONAL AND SOCIAL SENIOR CITIZEN OUTREACH INITIATIVES, A FREE HOME BLOOD DRAW PROGRAM FOR QUALIFIED INDIVIDUALS, AN ANTICOAGULATION CLINIC, AND BLOOD PRESSURE CLINICS. PARTNERING WITH WOBURN COUNCIL FOR SOCIAL CONCERN AND WOBURN BOYS AND GIRLS CLUB, THE HOSPITAL ALSO OFFERS COMMUNITY MEMBERS FITNESS CLASSES FOR BOTH ADULTS AND CHILDREN, NUTRITION EDUCATION AND INSTRUCTIONAL DISEASE MANAGEMENT SESSIONS FOR CHILD CARE PROVIDERS. THROUGH PARTNERSHIPS WITH AREA SCHOOLS AND THE WINCHESTER MULTICULTURAL NETWORK, WINCHESTER HOSPITAL PROMOTES WELLNESS IN VARIOUS COMMUNITY POPULATIONS. AFFILIATED HEALTH SYSTEM PART VI, LINE 6 N/A. WINCHESTER HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 WINCHESTER HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MASSACHUSETTS. X X X X X false true false false false false false false false JONATHAN L ADLER MD- WH 0 647679 0 0 0 8677 0 0 0 635 0 656991 0 0 MARLENE WILLIAMSON - WF 134293 0 8435 0 1202 0 0 0 29611 0 173541 0 0 0 MARIBETH CANNING - WF 235707 0 27810 0 4872 0 0 0 6428 0 274817 0 0 0 KEVIN F SMITH - WH WHM WF 436789 0 228998 0 336101 0 67492 0 29282 0 1098662 0 73248 0 DALE M LODGE - WH WHM WF 489109 0 280573 0 67380 0 75928 0 38113 0 951103 0 105354 0 MATTHEW WOODS - WH WHM WF 183296 0 43200 0 381 0 0 0 30392 0 257269 0 0 0 RICHARD J ISEKE MD 393521 0 209682 0 5030 0 0 0 15607 0 623840 0 0 0 ANNE LANG TALBOT 229760 0 69489 0 1811 0 0 0 31177 0 332237 0 0 0 KATHY ANN SCHULER 245333 0 56979 0 969 0 0 0 24236 0 327517 0 0 0 MARY SWEENEY 192010 0 45258 0 1685 0 0 0 7534 0 246487 0 0 0 EDWARD SULLIVAN 198383 0 12133 0 966 0 0 0 32046 0 243528 0 0 0 METHODS TO ESTABLISH COMPENSATION PART I, LINE 3 WINCHESTER HEALTHCARE MANAGEMENT, INC. AND AFFILIATE'S OFFICER SALARIES AND BENEFITS ARE PAID AND DETERMINED UNDER THE COMPENSATION POLICIES OF WINCHESTER HOSPITAL WHICH IS PART OF THE 990 FILING FOR WINCHESTER HEALTHCARE MANAGEMENT, INC. AND AFFILIATES. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART I, LINE 4A KEVIN SMITH, PRESIDENT OF WINCHESTER HOSPITAL PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE AMOUNT REPORTED BELOW WAS PAID AND REPORTED IN TAXABLE WAGES IN CALENDAR YEAR 2010. KEVIN SMITH $ 332,415 COMPENSATION PART II, COLUMN B(II) DALE LODGE AND KEVIN SMITH, PRESIDENTS PARTICIPATE IN A LONG -TERM EXECUTIVE DEFERRED COMPENSATION PLAN. PURSUANT TO THE PLAN, THE OFFICERS MAY RECEIVE NO MORE THAN 15% OF THEIR ANNUAL COMPENSATION AS A BONUS IN SUBSEQUENT YEARS. THE ACTUAL AMOUNT OF THE BONUS DEPENDS ON WHETHER CERTAIN OBJECTIVES ARE MET. 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PROGRAM SERVICE ACCOMPLISHMENTS PART III, LINE 4D PROVIDING CARE IN MAJOR CLINICAL CATEGORIES INCLUDING MEDICINE, SURGERY, PEDIATRICS, OBSTETRICS/GYNECOLOGY AND A LEVEL IIB SPECIAL CARE NURSERY, WINCHESTER HOSPITAL IS THE LEADING PROVIDER IN SUCH IMPORTANT SUBSPECIALTIES AS CARDIOLOGY, PULMONARY MEDICINE, ONCOLOGY, GASTROENTEROLOGY, ORTHOPEDICS, REHABILITATION, RADIATION ONCOLOGY AND PAIN MANAGEMENT. CONTEMPORANEOUSLY DOCUMENT MEETINGS PART VI, SECTION A, LINE 8B WINCHESTER HEALTHCARE MANAGEMENT INC. AND AFFILIATES DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. REVIEW PROCESS PART VI, SECTION B, LINE 11A THE PRESIDENT/CEO, VICE PRESIDENT OF FINANCE/CFO, DIRECTOR OF FINANCE, AND THE MANAGER OF GENERAL ACCOUNTING REVIEW THE FORM 990 BY COMPARING THE PRIOR YEAR RETURN WITH THE CURRENT YEAR FILING. THE FORM 990 IS REVIEWED BY THE PRESIDENT/CEO, VICE PRESIDENT OF FINANCE/CFO, DIRECTOR OF FINANCE, AND THE MANAGER OF GENERAL ACCOUNTING BEFORE THE RETURN IS FILED. THE FORM 990 IS AVAILABLE UPON REQUEST TO BOARD MEMBERS. CONFLICT OF INTEREST POLICY PART VI, SECTION B, LINE 12C SEMI-ANNUAL AUDIT AND COMPLIANCE COMMITTEE REVIEWS COMPILED CONFLICT OF INTEREST REPORT FROM LEGAL SERVICES QUESTIONNAIRES SENT TO ALL AFFILIATES, DIRECTORS, AND TRUSTEES. THE CHAIR OF THE AUDIT/COMPLIANCE COMMITTEE, IN COOPERATION WITH THE COMPLIANCE OFFICER, SHALL CONDUCT THE INITIAL REVIEW OF ANY POTENTIAL CONFLICTS OF INTEREST IDENTIFIED IN THE DISCLOSURES AND SHALL ADOPT A FINDING THAT THE ACTIVITY RAISING THE POTENTIAL CONFLICT OF INTEREST: SHOULD BE PERMITTED UNDER THE POLICY; SHOULD BE PERMITTED WITH MODIFICATION OR OVERSIGHT; IF UNDERTAKEN, WILL REQUIRE THE DIRECTOR, OR COMPLIANCE OFFICER TO ABSTAIN FROM PARTICIPATING IN GOVERNANCE/MANAGEMENT ACTIVITIES RELATED TO THE ACTIVITY; OR SHOULD NOT BE UNDERTAKEN. UPON FINAL DISPOSITION OF THE POTENTIAL CONFLICT, THE RESULTS OF THE REVIEW SHALL BE REPORTED TO THE AFFECTED LEADER. THE AUDIT/COMPLIANCE COMMITTEE SHALL PROVIDE AN ANNUAL REPORT OF ITS REVIEW TO THE BOARD OF DIRECTORS OF WINCHESTER. THE BOARD OF DIRECTORS OF WINCHESTER SHALL, UPON WRITTEN REQUEST OF THE MEMBER OF THE BOARD OF DIRECTORS OR THE COMPLIANCE OFFICER, REVIEW A FINDING OF THE AUDIT/COMPLIANCE COMMITTEE. THE BOARD OF DIRECTORS OF WINCHESTER SHALL EITHER REAFFIRM OR REVIEW THE FINDING AND SHALL REPORT SUCH FINDING TO THE AUDIT/COMPLIANCE COMMITTEE AND TO THE LEADER. THIS CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY BY AND ON BEHALF OF WINCHESTER AND ITS AFFILIATES. COMPENSATION POLICY PART VI, SECTION B, LINE 15 WINCHESTER HEALTHCARE MANAGEMENT, INC. AND AFFILIATE'S OFFICER SALARIES AND BENEFITS ARE PAID AND DETERMINED UNDER THE COMPENSATION POLICIES OF WINCHESTER HOSPITAL WHICH IS PART OF THE 990 FILING FOR WINCHESTER HEALTHCARE MANAGEMENT, INC. AND AFFILIATES. THIS INCLUDES THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE REVIEWS COMPARABILITY DATA PROVIDED BY AN INDEPENDENT EXTERNAL CONSULTANT, LAL ASSOCIATES INC., TO ESTABLISH COMPENSATION. PUBLIC DISCLOSURE PART VI, SECTION C, LINE 19 WINCHESTER HEALTHCARE MANAGEMENT, INC AND AFFILIATES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. COMPENSATION OF DIRECTORS PART VII THE COMPENSATION REPORTED FOR PETER ROTOLO, JOSEPH TAYLOR, AND KELLEY CORNELL ARE FOR THEIR SERVICES AS MEDICAL DIRECTORS. NO COMPENSATION IS PROVIDED TO DIRECTORS FOR VOTING MEMBER SERVICES. OTHER CHANGE IN NET ASSETS PART XI, LINE 5 TRANSFERS TO AFFILIATES (1,938,000) UNREALIZED LOSS ON INTEREST RATE SWAP (2,504,270) UNREALIZED CHANGE IN ANNUITY (208,583) CHANGE IN BENEFICIAL INTEREST IN TRUST (253,857) PLEDGE DISCOUNTS (33,194) UNREALIZED GAIN ON INVESTMENTS 583,381 IMPAIRMENT LOSS ON SECURITIES (40,421) TOTAL (4,394,944) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JONATHAN L. ADLER, M.D.- WH & TITLE:WHM DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES CONWAY - WH & WHM TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES FICOCIELLO, D.D.S. - WH TITLE:& WHM DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT FORTUNATO, M.D. - WH & TITLE:WHM DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JANICE HOUGHTON - WH & WHM TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN C. MARTINI - WH & WHM TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEBORAH R. MCDONOUGH - WH, TITLE:WHM, & WF DIR. & WF-CHAIRMAN HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD C. OCKERBLOOM - WH & TITLE:WHM DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PETER J. ROTOLO, M.D. - WH & TITLE:WHM DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH TAYLOR, M.D. - WH & TITLE:WHM DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL TRAVAGLINI - WH & WHM TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES H. YOUNG - WH & WHM TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEANNINE BARRETT - WH & WHM TITLE:EX-OFFICIO HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GAIL CANZANO - WH & WHM TITLE:EX-OFFICIO HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARTHUR LITTLE, M.D. - WH & TITLE:WHM EX-OFFICIO HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL J. ANDREWS TITLE:CHAIRMAN OF THE BOARD HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JANE C. WALSH - WH & WHM TITLE:VICE CHAIRMAN & WHI CHAIRMAN HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEVIN F. SMITH - WH, WHM, WF, TITLE:WI PRESIDENT & CEO OF WH HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DALE M. LODGE - WH, WHM, WF, TITLE:WI PRESIDENT & CEO OF WHM HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MATTHEW WOODS - WH, WHM, WF, TITLE:WI TREASURER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH R. TARBY, III - WH & WHM TITLE:CLERK HOURS:1 WINCHESTER HEALTHCARE MANAGEMENT INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701817 MGMT. SERVICE MA 501(C)(3) 11A NA WINCHESTER SURGICARE 41 HIGHLAND AVENUE WINCHESTER MA 01890 222137856 SURGERY CNTR. 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