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Westfield Medical Corporation: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
Westfield Medical Corporation (EIN 04-3127730)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201212289349301921
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T10:30:23-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043127730EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTFIELD MEDICAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone4135682811Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 W Silver StreetAddressLine1
CityWestfieldCity
StateMAState
ZIP Code01085ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRonald BryantName
TitlePresident & CEOTitle
Phone4135682811Phone
Date Signed2012-08-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRonald BryantNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1115 West Silver StreetAddressLine1
CityWestfieldCity
StateMAState
ZIP Code01085ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3617028GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.noblehospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTo operate a non-profit group medical practice exclusively for the benefit of The Trustees of Noble Hospital, Inc. ("Hospital") in furtherance of the Hospital's mission.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees39TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4166498ProgramServiceRevenuePriorYear
Program Service Revenue CY3303170ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year68477OtherRevenuePriorYear
Other Revenue Current Year313858OtherRevenueCurrentYear
Total Revenue Prior Year4234975TotalRevenuePriorYear
Total Revenue Current Year3617028TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3983199SalariesEtcPriorYear
Salaries Etc Current Year3499116SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2427428OtherExpensePriorYear
Other Expenses Current Year1865486OtherExpensesCurrentYear
Total Expenses Prior Year6410627TotalExpensesPriorYear
Total Expenses Current Year5364602TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2175652RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1747574RevenuesLessExpensesCY
Total Assets BOY846966TotalAssetsBOY
Total Assets EOY535913TotalAssetsEOY
Total Liabilities BOY255741TotalLiabilitiesBOY
Total Liabilities EOY174085TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY591225NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY361828NetAssetsOrFundBalancesEOY
Mission DescriptionTo operate a non-profit group medical practice exclusively for the benefit of The Trustees of Noble Hospital, Inc. ("Hospital") in furtherance of the Hospital's mission.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5213478Expense
Grants0Grants
Revenue3303170Revenue
DescriptionPhysician medical services provided at Noble Hospital and in the Hospital's service area.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense5213478TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees39NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRonald BryantNamePerson
Telephone Number4135682811TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1115 W Silver StreetAddressLine1
CityWestfieldCity
StateMAState
ZIP Code010851634ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Robert Bacon
Chairman0.25X000
Mark Morin
Vice Chairman0.25X000
Robert LaPalme
Treasurer0.25X000
Mary O'Connell
Secretary0.25X000
Donald Bieker
Director0.25X000
Barbara Braem-Jensen
Director0.25X000
Roger Butler
Director0.25X000
Scott Cooper
Director0.25X000
Harriett Deverry
Director0.25X000
John Greaney
Director0.25X000
William Harmon
Director0.25X000
Carol Kaufman
Director0.25X000
Joseph Keenan
Director0.25X000
Kevin Queenin
Director0.25X000
David Peterson
Director0.25X000
Donald Pion
Director0.25X000
Lance Reynolds
Director0.25X000
John Dillingham
Clerk0.25X000
Russell Klaubert
Trustee0.25X000
Robert P Perry
Interim President & Chief Executive Officer0.25X013575615150X
Ronald Bryant
President & Chief Executive Officer0.25X0141040X
Stanley Strzempko
VP Medical Affairs & Chief Medical Officer0.25X01422000X
Denzil Reid
Physician40X2453321461529078X
Robert Blondin
Former Vice President, Finance0.25023011220081X
John Shaver
Chief Financial Officer0.2501285783179X
Gurpal S Kingra
Physician4042293205667X
Heidi Kolek
Physician40310260019848X
Kacem A Sekkal
Physician40281584023664X
Nathan L Emerson
Physician40250192012848X
Armand A Aliotta
Physician4020077400X
George Koller
Former Chairman003988139086X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1711074TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1064178TotalReportableCompFrmRltdOrgs
Total Other Compensation138601TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Staff Care Inc
5001 Statesman DriveIrvingTX75063Health Care Professionals582149
Convergent Solutions Inc
9501 Post Office ParkWilbrahamMA01095Physician Billing256701
Barton Associates Inc
10 Dearborn RoadPeabodyMA01960Health Care Professionals178912
Baystate Medical Education & Research Foundation Inc
759 Chestnut StreetSpringfieldMA01199Health Care Professionals154631
Comphealth Associates Inc
PO Box 972651DallasTX753972651Health Care Professionals139144
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Patient medical care621110325338632533860$0
Rental income53119049784497840$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue3303170TotalProgramServiceRevenue

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionThird party settlementsDescription
Business Code621110BusinessCode
Total Revenue Column217491TotalRevenueColumn
Related Or Exempt Function Income217491RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column96367TotalRevenueColumn
Related Or Exempt Function Income96367RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue313858TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3617028TotalRevenueColumn
Related Or Exempt Function Income3617028RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total278299Total
Program Services278299ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2812468Total
Program Services2702582ProgramServices
Management And General109886ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total48424Total
Program Services46373ProgramServices
Management And General2051ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total206551Total
Program Services199003ProgramServices
Management And General7548ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total153374Total
Program Services146840ProgramServices
Management And General6534ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1277566Total
Program Services1274803ProgramServices
Management And General2763ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total87952Total
Program Services84705ProgramServices
Management And General3247ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total164219Total
Program Services164219ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total14815Total
Program Services13815ProgramServices
Management And General1000ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21498Total
Program Services18761ProgramServices
Management And General2737ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total153735Total
Program Services139083ProgramServices
Management And General14652ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionProvision for uncollectible accountsDescription
Total137916Total
Program Services137916ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7785Total
Program Services7079ProgramServices
Management And General706ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5364602Total
Program Services5213478ProgramServices
Management And General151124ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY182879BOY
EOY242045EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY580739BOY
EOY241638EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2111BOY
EOY390EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16313BOY
EOY2928EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis259999LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec211087LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY64924BOY
EOY48912EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY846966BOY
EOY535913EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY255741BOY
EOY174085EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY255741BOY
EOY174085EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY591225BOY
EOY361828EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY591225BOY
EOY361828EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY846966BOY
EOY535913EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1747574ReconcilationRevenueExpenses
Reconcilation Other Changes1518177ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRUSTEES OF NOBLE HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN222537423EIN
Type Of OrganizationHospitalTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis27080OtherCostOrOtherBasis
Depreciation22462Depreciation
Book Value4618BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis232919OtherCostOrOtherBasis
Depreciation188625Depreciation
Book Value44294BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings48912TotalOfBookValueLandBuildings
Total Revenue3617028TotalRevenue
Total Expenses5364602TotalExpenses
Excess Or Deficit For Year-1747574ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-1747574ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3567243TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal3567243RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included49785OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt49785RevenueNotRptdOnFinStmt
Total Revenue Per Form9903617028TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5314817TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal5314817ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included49785OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt49785ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905364602TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bRental income from physicians not employed by the organization was reported as a reduction of rent expense in the audited financial statements.
SchD_P13_S00_L04bSchedule D, Part XIII, Line 4bRental income from physicians not employed by the organization was reported as a reduction of rent expense in the audited financial statements.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Robert P Perry
0135756000000015150015090600
Ronald Bryant
0141040000000001410400
Denzil Reid
245332146150000281402743302755791461500
Robert Blondin
02042200002589204113016699025092400
Gurpal S Kingra
1422250280707000489209430428767000
Heidi Kolek
25036005990000037150173430331318000
Kacem A Sekkal
2815840000000247840306368000
Nathan L Emerson
250192000004900091580264250000
Armand A Aliotta
20077400000009400201714000
George Koller
000003988130009086040789900

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L04Schedule J, Part I, Line 4The organization entered into a severance agreement in September 2009 with George Koller, the Former President & Chief Executive Officer of the organization. The agreement provided for one year of salary to be paid weekly through September 2010 ($5,231 gross weekly) and continuance on the organization's group medical plan through September 2010 at a net cost of approximately $800 monthly. In addition, Mr. Koller received $158,000 as a one-time severance payment on March 12, 2010 and $36,119 as a one-time severance payment on April 8, 2010, all less applicable payroll taxes. The organization entered into a severance agreement in November 2010 with the Former Vice President, Finance. This agreement provided for six months of salary, at his then current rate, to be paid weekly through May 2011 ($3,407 gross weekly) and continuance on the organization's group medical plan through May 2011 at a net cost of approximately $1,289 monthly.
SchJ_P01_S00_L06Schedule J, Part I, Line 6The organization paid two physician employees additional compensation which was based on the excess of cash collections over expenses of their individual respective practices.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2Certain Directors of the organization had various business relationships with certain other Directors in their respective business capacities within the greater Westfield community.
F990_P06_S0A_L03Form 990, Part VI, Section A, Line 3On behalf of the organization, the Board of Trustees of a related organization, Trustees of Noble Hospital Inc., contracted both with an executive management company and directly with outside consultants for the services of president and executive vice president. Collectively, those services began on September 23, 2009 and ended on June 30, 2011.
F990_P06_S0A_L04Form 990, Part VI, Section A, Line 4Effective September 30, 2011, two previously-related companies, Noble Health Systems Inc and Silvermill Realty Corporation, merged with and into another related company, Trustees of Noble Hospital Inc. ("Hospital") with Hospital being the surviving corporation. In connection with the merger, the organization adopted the Amended and Restated Bylaws of Westfield Medical Corporation ("Bylaws") effective September 22, 2011. The Bylaws increased the number of Directors serving on the Board of Directors and stipulated that the Directors of the organization be the same individuals who serve as Trustees of the Hospital.
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6The Member of the organization shall be a physician associated with the practice conducted by the organization. The Member was the Vice President of Medical Affairs of The Trustees of Noble Hospital Inc., an affiliated related organization.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bA copy of this Form 990 was provided to the organization's Finance Committee for their review, discussion and comment prior to filing. It was also distributed to the full Board of Directors prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cAll directors, officers and senior management employees are required to disclose annually any interests that could give rise to conflicts. Administration periodically reviews the submitted conflict of interest statements to ensure full compliance with the policy.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The organization makes its governing documents, conflict of interest policy and audited financial statements available to the public upon request. These documents can be reviewed in a conference room adjacent to the Administration offices at Noble Hospital during the regular business hours of 8:00 a.m. through 4:30 p.m. Monday through Friday, excluding recognized holidays. The Form 990 and audited financial statements are also available at various state agencies' offices and websites.
F990_P11_S00_L05Form 990, Part XI, Line 5The change in net assets includes forgiveness of $1,518,177 of payables due to a related organization.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Noble Health Systems Inc
115 West Silver StreetWestfieldMA010861634042131755Marketing and development supportMA501(c)(3)11bN/A0
Trustees of Noble Hospital Inc
115 West Silver StreetWestfieldMA010861634222537423Acute care hospitalMA501(c)(3)3N/A0
Silvermill Realty Corporation
115 West Silver StreetWestfieldMA010861634222552923Real estate holding companyMA501(c)(3)11bN/A0
Noble Visiting Nurse & Hospice Services Inc
77 Mill StreetWestfieldMA01085222757446Home health care and hospiceMA501(c)(3)9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Trustees of Noble Hospital Inc
c1518177
Trustees of Noble Hospital Inc
j94773

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationAn application for an additional three-month extension was approved by the IRS on June 4, 2012. The filing due date is August 15, 2012.Explanation