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BAYSTATE NOBLE HOSPITAL CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BAYSTATE NOBLE HOSPITAL CORPORATION (EIN 22-2537423)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201212289349302006
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)
Timestamp2012-08-15T10:25:20-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222537423EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRUSTEES OF NOBLE HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTRUSNameControl
Phone4135682811Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 West Silver StreetAddressLine1
Address Line2P O Box 1634AddressLine2
CityWestfieldCity
StateMAState
ZIP Code010861634ZIPCode

Officer Officer

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

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Noble HospitalBusinessNameLine1
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 Code01086ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53253297GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.noblehospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionThe mission of Noble Hospital is to deliver the highest quality health care through a broad range of services to the diverse people of Greater Westfield and surrounding areas.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees745TotalNbrEmployees
Total Nbr Volunteers97TotalNbrVolunteers
Total Gross UBI95290TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year550084ContributionsGrantsPriorYear
Contributions Grants Current Year357128ContributionsGrantsCurrentYear
Program Service Revenue Prior Year51984624ProgramServiceRevenuePriorYear
Program Service Revenue CY52364980ProgramServiceRevenueCY
Investment Income Prior Year4899InvestmentIncomePriorYear
Investment Income Current Year20846InvestmentIncomeCurrentYear
Other Revenue Prior Year763286OtherRevenuePriorYear
Other Revenue Current Year417365OtherRevenueCurrentYear
Total Revenue Prior Year53302893TotalRevenuePriorYear
Total Revenue Current Year53160319TotalRevenueCurrentYear
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 Year29412205SalariesEtcPriorYear
Salaries Etc Current Year30103684SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year25829683OtherExpensePriorYear
Other Expenses Current Year24533109OtherExpensesCurrentYear
Total Expenses Prior Year55241888TotalExpensesPriorYear
Total Expenses Current Year54636793TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1938995RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1476474RevenuesLessExpensesCY
Total Assets BOY20176161TotalAssetsBOY
Total Assets EOY21125508TotalAssetsEOY
Total Liabilities BOY29278384TotalLiabilitiesBOY
Total Liabilities EOY34519717TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-9102223NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-13394209NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Noble Hospital is to deliver the highest quality health care through a broad range of services to the diverse people of Greater Westfield and surrounding areas.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense45941340Expense
Grants0Grants
Revenue52364980Revenue
DescriptionProvided acute care inpatient, outpatient and other health care services for Westfield and the surrounding communities.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense45941340TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
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 With1096131NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees745NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
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 Stockholders0MembersOrStockholders
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 West Silver StreetAddressLine1
Address Line2P O Box 1634AddressLine2
CityWestfieldCity
StateMAState
ZIP Code010861634ZIPCode

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
Chairman1X000
Mark Morin
Vice Chairman1X000
Robert LaPalme
Treasurer1X000
Mary O'Connell
Secretary1X000
Patti Andras
Trustee1X000
Donald Bieker
Trustee1X000
Barbara Braem-Jensen
Trustee1X000
Roger Butler Jr
Trustee1X000
Scott Cooper MD
Trustee1X000
Harriett Deverry
Trustee1X000
John Greaney
Trustee1X000
William Harmon
Trustee1X000
Carol Kaufman
Trustee1X000
Joseph P Keenan MD
Trustee1X000
Kevin Queenin
Trustee1X000
Robert Paul
Trustee1X000
David Peterson MD
Trustee1X000
Donald Pion
Trustee1X000
Denzil Reid MD
Trustee1X1461524533229078
Lance Reynolds MD
Trustee1X000
Robert P Perry
Interim President & Chief Executive Officer40X135756015150X
Ronald Bryant
President & Chief Executive Officer40X1410400X
Stanley Strzempko MD
VP Medical Affairs & Chief Medical Officer18X14220000X
Robert Blondin
Former Vice President, Finance40230112020081X
John Shaver
Chief Financial Officer4012857803179X
Sharon Cygan
RN51148532012998X
Diane Brunelle
Vice President of Patient Care Services40142654014905X
Hui-Wen Chia
Clinical Pharmacist4313303003419X
Timothy O'Neil
Director of Pharmacy4012951603588X
Brenda Theriaque
RN, CQI Coordinator48120235023130X
George Koller
Former President & Chief Executive Officer039881309086X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1738145TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs245332TotalReportableCompFrmRltdOrgs
Total Other Compensation134614TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
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 ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
RehabCare Group Inc
P O Box 502096St LouisMO631502096physical rehabilitation management1780716
Alliance Healthcare Services Inc
1900 S State College BlvdAnaheimCA92806diagnostic imaging844393Suite 600
Milford Anesthesia Associates PC
831 Boston Post RoadMilfordCT06460clinical anesthesiology services440090
Umass Memorial Medical Center
P O Box 417433BostonMA022417433laboratory testing and analysis425094
Morrison Management Specialists Inc
P O Box 102289AtlantaGA30368food and nutrition services382369
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events143640FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants77545GovernmentGrants
All Other Contributions135943AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions357128TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
hospital revenue622000522702075217491795290$0
rental income from affiliate53139094773947730$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 Revenue52364980TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5137TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,137ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other65282Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other49573Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other15709Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column15709TotalRevenueColumn
Related Or Exempt Function Income15709RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events43405GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events143640CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses43405FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
endowment principal and interest transfers9000991418611418610$0
vendor rebates and commissions90009937182371820$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column238322TotalRevenueColumn
Related Or Exempt Function Income238322RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue417365TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column53160319TotalRevenueColumn
Related Or Exempt Function Income52702764RelatedOrExemptFunctionIncome
Unrelated Business Revenue95290UnrelatedBusinessRevenue
Exclusion$5,137ExclusionAmount

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)
Total756638Total
Program Services0ProgramServices
Management And General756638ManagementAndGeneral
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)
Total23790210Total
Program Services21078057ProgramServices
Management And General2712153ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1086307Total
Program Services937640ProgramServices
Management And General148667ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2697611Total
Program Services2342777ProgramServices
Management And General354834ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1772918Total
Program Services1524710ProgramServices
Management And General248208ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total468587Total
Program Services0ProgramServices
Management And General468587ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total163794Total
Program Services1437ProgramServices
Management And General162357ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total211935Total
Program Services0ProgramServices
Management And General211935ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total58000Total
Program Services0ProgramServices
Management And General58000ManagementAndGeneral
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)
Total8356948Total
Program Services6614762ProgramServices
Management And General1742186ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total245131Total
Program Services7584ProgramServices
Management And General237547ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7545767Total
Program Services7263331ProgramServices
Management And General282436ManagementAndGeneral
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)
Total1754359Total
Program Services1198879ProgramServices
Management And General555480ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total38350Total
Program Services17524ProgramServices
Management And General20826ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22958Total
Program Services13374ProgramServices
Management And General9584ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total97129Total
Program Services82253ProgramServices
Management And General14876ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

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

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2416225Total
Program Services2013405ProgramServices
Management And General402820ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total242160Total
Program Services204053ProgramServices
Management And General38107ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Provision for uncollectible accounts2601295260129500
Dues137958106421273160
Equipment rentals6598226344396380

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total106531Total
Program Services3273ProgramServices
Management And General103258ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total54636793Total
Program Services45941340ProgramServices
Management And General8695453ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-43947BOY
EOY395912EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY689800BOY
EOY201782EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4762938BOY
EOY5223182EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY707782BOY
EOY773597EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY164095BOY
EOY182477EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50732715LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec39717464LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11875724BOY
EOY11015251EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY3300561EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2019769BOY
EOY32746EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20176161BOY
EOY21125508EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9650364BOY
EOY11231002EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY147005BOY
EOY98620EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6865659BOY
EOY6746758EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12615356BOY
EOY16443337EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY29278384BOY
EOY34519717EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-11293611BOY
EOY-16911821EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1713033BOY
EOY2637064EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY478355BOY
EOY880548EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-9102223BOY
EOY-13394209EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20176161BOY
EOY21125508EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1476474ReconcilationRevenueExpenses
Reconcilation Other Changes-2815512ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$58,000DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$16,925RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB74925TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationThe organization contracted directly with consultants to assist in pursuing its government affairs objectives. These consultants were paid to perform lobbying and other public affairs work. Lobbying was conducted on various initiatives related to the delivery and financing of health care. In addition, the organization paid membership dues to the Massachusetts Hospital Association and to the American Hospital Association, both of whom have advised that portions of those dues were used for lobbying purposes.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions3300943Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance3300943EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance0EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance0EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.27PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.73TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis927517OtherCostOrOtherBasis
Book Value927517BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis23524550OtherCostOrOtherBasis
Depreciation17629311Depreciation
Book Value5895239BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis436469OtherCostOrOtherBasis
Depreciation357778Depreciation
Book Value78691BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis25634895OtherCostOrOtherBasis
Depreciation21730375Depreciation
Book Value3904520BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis209284OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value209284BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11015251TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Accrued pension liability$16,146,182
Asset retirement obligation$297,155
FieldValueIRS element (for citing)
Total Of Amounts16443337TotalOfAmounts
Total Revenue53160319TotalRevenue
Total Expenses54636793TotalExpenses
Excess Or Deficit For Year-1476474ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$219,798OtherAmount
Total Adjustments-219798TotalAdjustments
Excess Or Deficit Per FS-1696272ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt52940521TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal52940521RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included219798OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt219798RevenueNotRptdOnFinStmt
Total Revenue Per Form99053160319TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt54636793TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal54636793ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99054636793TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4The organization's endowment funds are restricted primarily for the provision of health care services and the upkeep and maintenance of the physical plant.
SchD_P11_S00_L08Schedule D, Part XI, Line 8$219,798 is included in revenue in Form 990 but not in the audited financial statements.
SchD_P12_S00_L04bSchedule D, Part XII, Line 4b$219,798 is grants and contributions included in temporarily restricted net assets in the audited financial statements.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Noble BallNameOfEvent1
Gross Receipts Event1187045GrossReceiptsEvent1
Charitable Contributions Event1143640CharitableContributionsEvent1
Gross Revenue Event143405GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event124121FoodAndBeverageEvent1
Entertainment Event13385EntertainmentEvent1
Other Direct Expenses Event115899OtherDirectExpensesEvent1
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Gross Receipts Total187045GrossReceiptsTotal
Charitable Contributions Total143640CharitableContributionsTotal
Gross Revenue Total Events43405GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events24121FoodAndBeverageTotalEvents
Entertainment Total Events3385EntertainmentTotalEvents
Other Direct Expenses Total Events15899OtherDirectExpensesTotalEvents
Direct Expense Summary Events43405DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy0CharityCarePolicy
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense784399TotalCommunityBenefitExpense
Direct Offsetting Revenue322646DirectOffsettingRevenue
Net Community Benefit Expense461753NetCommunityBenefitExpense
Percent Of Total Expense0.0087PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6344284TotalCommunityBenefitExpense
Direct Offsetting Revenue5504968DirectOffsettingRevenue
Net Community Benefit Expense839316NetCommunityBenefitExpense
Percent Of Total Expense0.0161PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1109801TotalCommunityBenefitExpense
Direct Offsetting Revenue895853DirectOffsettingRevenue
Net Community Benefit Expense213948NetCommunityBenefitExpense
Percent Of Total Expense0.0041PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense8238484TotalCommunityBenefitExpense
Direct Offsetting Revenue6723467DirectOffsettingRevenue
Net Community Benefit Expense1515017NetCommunityBenefitExpense
Percent Of Total Expense0.0289PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense110005TotalCommunityBenefitExpense
Direct Offsetting Revenue10065DirectOffsettingRevenue
Net Community Benefit Expense99940NetCommunityBenefitExpense
Percent Of Total Expense0.0019PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2190TotalCommunityBenefitExpense
Net Community Benefit Expense2190NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense112195TotalCommunityBenefitExpense
Direct Offsetting Revenue10065DirectOffsettingRevenue
Net Community Benefit Expense102130NetCommunityBenefitExpense
Percent Of Total Expense0.0019PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense8350679TotalCommunityBenefitExpense
Direct Offsetting Revenue6733532DirectOffsettingRevenue
Net Community Benefit Expense1617147NetCommunityBenefitExpense
Percent Of Total Expense0.0308PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$955,716BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare18772246AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20754195CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1981949MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Noble HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1115 West Silver StreetAddressLine1
CityWestfieldCity
StateMAState
ZIP Code01086ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherPsychiatric and physical rehabilitation servicesOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Noble HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained0EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method0ExplainsApplicationMethod
Includes Publicity Measures0IncludesPublicityMeasures
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Gross Charges1GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1Noble Hospital Sports & Rehabilitation CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line174 Main StreetAddressLine1
CityWestfieldCity
StateMAState
ZIP Code01085ZIPCode
FieldValueIRS element (for citing)
Facility TypePhysical rehabilitation outpatient clinicFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L06aSchedule H, Part I, Line 6aThe organization filed its final Community Benefit report covering the tax year October 1 2010 through September 30 2011 on May 16, 2012 with the Attorney General's office of the Commonwealth of Massachusetts. It is available to the public through the Attorney General's website.
SchH_P01_S00_L07Schedule H, Part I, Line 7Financial Assistance at cost, Unreimbursed Medicaid and Unreimbursed costs - other means-tested government programs were calculated by using a cost to charge ratio derived from Worksheet 2 - Ratio of Patient Care Cost to Charges.
SchH_P03_S0A_L04Schedule H, Part III, Section A, Line 4Bad debt expense at cost was calculated using total bad debt from the financial statements multiplied by the Ratio of Patient Care Cost to Charges, which was derived using Worksheet 2 in the instructions for Schedule H.
SchH_P03_S0B_L08Schedule H, Part III, Section B, Line 8The Medicare allowable costs were obtained from the organization's Medicare cost report for the year ended September 30, 2011. The organization believes that Medicare underpayments should be treated as a community benefit since these services and related costs promoted the health of the community and were rendered as part of the organization's policy of providing care to any patient in need of medical care, regardless of the patient's ability to pay for such care.
SchH_P03_S0C_L09bSchedule H, Part III, Section C, Line 9bThe policy addresses both how the organization helps individuals who do not have health insurance find assistance when it is available and how these accounts are processed based on the insurance and type of claim involved.
SchH_P05_S0B_L21Schedule H, Part V, Section B, Line 21The organization has to initially bill all patients the same amount of gross charges regardless of their insurance plan or lack thereof.
SchH_P06_S00_L02Schedule H, Part VI, Line 2A Community Needs Assessment has been completed and will be finalized by August 31, 2012. The MUA application is in process and will be submitted for review by HRSA and the Commonwealth of Massachusetts. All elements of the assessment per HRSA requirements have been completed by the staff and contractor with mid-year reports on file at Region 1.
SchH_P06_S00_L03Schedule H, Part VI, Line 3The organization has established a charity program with the Greater Westfield Free Clinic. Currently we are working to include this program in the organization's credit and collection policy. We are currently working on enhancing this program to those patients who are in need of medical services and do not qualify for state funded programs but have no financial means to pay. These patients will be screened using the state eligibility tools and will be approved on a case by case basis.
SchH_P06_S00_L04Schedule H, Part VI, Line 4Westfield is an urban area that is relatively densely populated. The city of Westfield is bordered by West Springfield on the east, Southwick on the south, Granville on the southwest, Russell and Montgomery on the west, Southampton on the north and Holyoke on the northeast. Westfield is 99 miles from Boston and 85 miles from Albany, NY. Westfield has the second largest land area in the Commonwealth of Massachusetts, covering 30,000 acres. Westfield has a population of 42,133, of which 93.6% is white, 1.6% is black, 4.9% is Latino and 1.6% is Asian/Pacific Islander. The per capita income is $25,436. Westfield's educational attainment profile is slightly better than the state's, except for a lower rate of post-college education. Twelve percent of Westfield residents live below the Federal Povery Level and 23% live below 200% of the FPL. Over 43% of renters pay 35% or greater of their household income on rent. Westfield was a resettlement site for individuals from the former Soviet Union and over 2,400 have settled in the area. There is a growing Latino population as well as low income student population that study and work in the city.
SchH_P06_S00_L06Schedule H, Part VI, Line 6The organization provides services to all. The organization provided $2,135,000 in Free Care gross charges to the community during the year. Some of the organization's and related organization's providers served the Westfield Public Schools and worked at the Westfield Free Health Clinic. The organization has an active Patient and Family Advisory Council. The organization shared internal newsletter space with community events, fundraisers and information that was of interest to our employees. The organization allowed outside groups to use its facilities, including meeting and conference rooms, for free. Staff members participated in many different community events, school activities and health fairs in the greater Westfield area during the year. These staff members were able to give out educational materials, talk to visitors, perform blood pressure checks, blood glucose tests, skin analyses and other informational tests. Many of the brochures and pamphlets are available in English, Spanish and Russian, reaching out to more people in the community. Staff members also visited private homes, nursing homes and other facilities for "Noble Conversations" where questions about health care and offered services were answered. Whenever possible, the organization supported local non-profit groups with sponsorships, volunteer help at events and with other non-monetary donations. The organization also partnered with other for-profit and non-profit organizations in the area to enhance the awareness of good health maintenance and the services that are offered.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 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
1357560000000151500150906000
Ronald Bryant
1410400000000014104000
George Koller
000039881300090860407899000
Denzil Reid MD
146152453320000028140274331461527557900
Robert Blondin
20422000025892041130166990250924000
Sharon Cygan
148532000001299804740162004000
Diane Brunelle
1426540000027900128080158252000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aThe organization reimbursed the Interim President & Chief Executive Officer and the President & Chief Executive Officer for temporary lodging expenses incurred, in accordance with their respective contracts.
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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2Certain Trustees on the Board of Trustees ("Board") of the organization had various business relationships with certain other Trustees on the Board in their respective business capacities within the greater Westfield community.
F990_P06_S0A_L03Form 990, Part VI, Section A, Line 3The organization 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 the organization, with the organization being the surviving corporation. As a result of and in accordance with the mergers, the organization filed Restated Articles of Organization with the Commonwealth of Massachusetts and produced Amended and Restated By-Laws.
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 Trustees prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cAll trustees, 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 it's 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 a transfer of $1,995,710 of assets from merged affiliates, $169,815 of transfers from an affiliate to finance equipment additions, ($1,539,402) of forgiveness of an affiliated company's receivables, ($3,272,593) of pension-related changes other than net periodic benefit cost, ($139,817) of change in beneficial interest in net assets held by affiliate and ($29,225) of net assets released from temporary restrictions for operations.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Noble Health Systems Inc
115 West Silver StreetP O Box 1634WestfieldMA010861634042131755Marketing and development supportMA501(c)(3)11bN/A1
Silvermill Realty Corporation
115 West Silver StreetP O Box 1634WestfieldMA010861634222552923Real estate holding companyMA501(c)(3)11bN/A1
Westfield Medical Corporation
115 West Silver StreetWestfieldMA010853628043127730Physician medical servicesMA501(c)(3)11aN/A1
Noble Visiting Nurse & Hospice Services Inc
77 Mill StreetWestfieldMA01085222757446Home health care and hospiceMA501(c)(3)9N/A1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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 Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Westfield Medical Corporation
a-iv94773
Westfield Medical Corporation
b1518177
Noble Health Systems Inc
c141861
Noble Health Systems Inc
c170815
Noble Health Systems Inc
r3309089
Silvermill Realty Corporation
r537377

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationAn application for an additional three-month extension was approved by the IRS on June 11, 2012. The filing due date is August 15, 2012.Explanation