UMASS MEMORIAL HEALTH-MILFORD REGIONAL MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: UMASS MEMORIAL HEALTH-MILFORD REGIONAL MEDICAL CENTER INC (EIN 04-2103602)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-14
IRS object ID: 201222279349303322
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-14T14:46:29-07:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103602	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MILFORD REGIONAL MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MILF	NameControl
Phone	5084731190	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14 PROSPECT STREET	AddressLine1
City	MILFORD	City
State	MA	State
ZIP Code	017573090	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JEANNE P LYNSKEY	Name
Title	VP, FINANCE & CFO	Title
Phone	5084731190	Phone
Date Signed	2012-08-15	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Jeanne P Lynskey	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	14 Prospect Street	AddressLine1
City	Milford	City
State	MA	State
ZIP Code	017573090	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	199347841	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MILFORDREGIONAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1903	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	Milford Regional Medical Center Inc mission statement is to provide quality healthcare services to our community with dignity, compassion, and respect.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1998	TotalNbrEmployees
Total Nbr Volunteers	412	TotalNbrVolunteers
Total Gross UBI	455413	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	444254	ContributionsGrantsPriorYear
Contributions Grants Current Year	883873	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	180826582	ProgramServiceRevenuePriorYear
Program Service Revenue CY	184662502	ProgramServiceRevenueCY
Investment Income Prior Year	496880	InvestmentIncomePriorYear
Investment Income Current Year	324847	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7581002	OtherRevenuePriorYear
Other Revenue Current Year	10172216	OtherRevenueCurrentYear
Total Revenue Prior Year	189348718	TotalRevenuePriorYear
Total Revenue Current Year	196043438	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	101878655	SalariesEtcPriorYear
Salaries Etc Current Year	102450233	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	25000	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	934455	TotalFundrsngExpCurrentYear
Other Expense Prior Year	81629629	OtherExpensePriorYear
Other Expenses Current Year	82030645	OtherExpensesCurrentYear
Total Expenses Prior Year	183508284	TotalExpensesPriorYear
Total Expenses Current Year	184505878	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5840434	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11537560	RevenuesLessExpensesCY
Total Assets BOY	180101338	TotalAssetsBOY
Total Assets EOY	185316781	TotalAssetsEOY
Total Liabilities BOY	109858597	TotalLiabilitiesBOY
Total Liabilities EOY	107587749	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	70242741	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	77729032	NetAssetsOrFundBalancesEOY
Mission Description	Milford Regional Medical Center Inc provides medical and hospital services for the sick and disabled of any race, creed, color, or nationality regardless of an individuals ability to pay. It also carries on such educational, philanthropic and scientific activities and functions as are designed to promote the general health of the communities served.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	57215315	Expense
Grants	0	Grants
Revenue	50698525	Revenue
Description	Inpatient care - Milford Regional Medical Center (MRMC) serves the healthcare needs of the residents of 20 communities in Central Massachusetts, a population now approaching 250,000. Guided by its mission "to provide quality healthcare services to our community with dignity, compassion and respect," MRMC strives to be responsive to diverse constituencies-individuals and families of all ages, employees and employers of large and small businesses, physicians and other healthcare providers, our school systems, our local and area officials and safety personnel, churches, community organizations, our insurers and payers and our own employees and volunteers. As a charitable hospital, we acknowledge our special concern for the needs of the unserved and underserved, especially low-income and minority populations. A full-service community and regional teaching hospital, MRMC is a 121-bed, nonprofit acute-care facility. There are approximately 200 physicians on the active medical staff and an additional 100 courtesy or consulting physicians. MRMC is affiliated with UMass Memorial Health Care as a major teaching hospital. In addition to providing basic acute care services (medical, surgical, emergency medicine, family-centered obstetrics and pediatrics), MRMC has eight state-of-the-art operating suites, consolidated surgical services (including admitting and pre-admission testing) and a medical/surgical floor with private rooms, many with advanced patient monitoring capabilities. MRMC serves approximately 8,800 medical and surgical inpatients annually. In FY2011, MRMC made further progress toward the development of a fully electronic medical record, qualifying for Meaningful Use reimbursement. In recognition of its advancements in technology and clinical excellence, MRMC was one of only two hospitals in Central Massachusetts to be named one of the region's top ranking hospitals in U.S. News & World Report's list of Best Hospitals. In addition, CEO Frank Saba was selected as the 2011 Health Executive of the year by the American College of Healthcare Executives (ACHE) in Massachusetts.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	89796417	Expense
Grants	0	Grants
Revenue	122646090	Revenue
Description	Outpatient care - The Hyman and Shirley Hill Health Center at Milford Regional Medical Center, completed in 1994, is a complete outpatient facility dedicated to the care, education, and wellness of thousands of patients who visit regularly for care, but rarely stay overnight. The Center provides a variety of services including laboratory, cardiac rehabilitation, endoscopic surgery, and other minor surgical services. The Women's Pavilion, opened in 1998, provides a full range of services to meet women's health needs, including digital mammography, ultrasound, bone densitrometry and advanced breast biopsy. Other diagnostic services offered to outpatients throughout the Milford Regional system include radiology, ultrasound, MRI, CT scans, PET services, nuclear medicine, cardiovascular and laboratory/pathology. Testing and rehabilitation services are offered in several locations throughout the hospital's service area to improve access for our patients. Another important outpatient program, The Center for Adolescent Health, provides comprehensive and multi-disciplinary care to more than 3,000 adolescent clients and their families on an annual basis. It is the only facility in Central Massachusetts offering a continuum of care with a multi-disciplinary team approach to health and lifestyle challenges faced by adolescents. MRMC is also the home of The Center for Multiple Sclerosis, offering comprehensive care for patients with MS, with an emphasis on education and compassion. Recognizing a need for comprehensive cancer treatment in the region, MRMC entered into a collaboration with Dana-Farber Cancer Institute and Brigham and Women's Physicians Organization to develop a comprehensive Cancer Center which includes medical oncology and radiation oncology. This 54,000 square foot structure opened in 2008 and has made a tremendous difference to the quality of life for residents seeking cancer treatment. In FY11, MRMC provided laboratory tests, CT scans, MRI's and PET scans in the care and treatment of Cancer Center patients. Tri-County Medical Associates (TCMA) is a not-for-profit corporation that was established in 1992 as a medical group practice. It operates for the benefit of the Hospital by assisting the Hospital in carrying out its charitable purpose of promoting healthcare in its service area. TCMA employs over 70 physicians and over 300 employees. The group is principally comprised of primary care physicians including internal medicine, pediatrics, family medicine, and adolescent medicine. Specialists in the group include: obstetrics and gynecology, pulmonary and critical care, urology, sleep specialists, rheumatology, and endocrinology.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	13708280	Expense
Grants	0	Grants
Revenue	10862474	Revenue
Description	VNA & Hospice - The VNA and Hospice of Greater Milford (VNA) has been a part of the community since 1918, and became a department of MRMC in 1997. This merger has helped both organizations serve a broader public more efficiently and to enhance health related services across the continuum of care. The VNA provides a dignified and compassionate alternative to institutionalized care by offering professional and supportive health services in the home. The VNA has successfully integrated technology to enhance home health services, utilizing a Telehealth program that provides remote, daily monitoring of vital patient signs such as blood pressure, pulse, oxygen levels and weight, so that critical changes can be detected before an acute episode occurs requiring emergency physician or hospital care. They have also taken a leadership role in utilizing phototherapy, and were the first home health agency in Massachusetts to offer VitalStim to restore speech and improve swallowing. VNA staff share their knowledge of the community and the patients they serve across the Milford Regional system through their service on the Community Benefits Steering Committee and the Patient Care Transitions Team.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	160720012	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	195	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1998	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	1	NonDeductibleContributions
Non Deductible Disclosure	1	NonDeductibleDisclosure
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Jeanne P Lynskey	NamePerson
Telephone Number	5084731190	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	14 PROSPECT STREET	AddressLine1
City	MILFORD	City
State	MA	State
ZIP Code	017573090	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Lawrence J Hill
Trustee	1	X	0	0	0
Kevin P Meehan
Trustee	1	X	0	0	0
Christine H Burke
Trustee	1	X	0	0	0
Bartholomew R Lawless
Trustee	1	X	0	0	0
M Catherine Burke MD
Trustee	1	X	0	0	0
Francis J Larkin
Trustee	1	X	0	0	0
John A Rauth
Treasurer	1	X	0	0	0
Nancy F Gannett
Trustee	1	X	0	0	0
Stephen G Ellis
Trustee	1	X	0	0	0
Patrick R McSweeney MD
Trustee	1	X	0	324439	24997
Henry C Papuga
Trustee	1	X	0	0	0
Albert A Crimaldi MD
Trustee	1	X	6250	0	0
William B Gannett
Trustee	1	X	0	0	0
Richard G Buma
Trustee	1	X	0	0	0
Warren S Heller
Trustee	1	X	0	0	0
Marjorie E Kenney
Trustee	1	X	0	0	0
Harold D Gould Jr
Trustee	1	X	0	0	0
Roger V Calarese
Chairman	10	X	0	0	0
Tina Afonso
Trustee	1	X	0	0	0
Linda L Varney
Trustee	1	X	0	0	0
John N Pandiscio
Trustee	1	X	13000	0	0
Louis P Bertonazzi
Clerk	1	X	0	0	0
Francis M Saba
CEO	50		490905	0	112327	X
Edward J Kelly
President	50		398810	0	62185	X
Jeanne P Lynskey
VP Finance & CFO	50		218571	0	15284	X
Salvatore Perla
VP Clinical Support	50		199411	0	21413		X
Cheryl L Bonasoro
VP Patient Care Serv	50		199604	0	7110		X
Linda Yates
VP Human Resources	50		171577	0	22539		X
Martin Richman
VP of Philanthropy & Executive Director	50		155921	0	18581		X
Laurence Fraize
Director Inform Serv	50		151479	0	20445			X
Jennifer Childs-Roshak
Medical Director	50		163544	0	19449			X
Nancy Tomaso
Director Cardiovascular/Diagnostic Imaging	50		149223	0	5434			X
Kamala Murali
Chief of Pathology	50		136025	0	19972			X
Donna M Saul
Director of Inpatient Services	50		131830	0	23283			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2586150	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	324439	TotalReportableCompFrmRltdOrgs
Total Other Compensation	373019	TotalOtherCompensation
Number Individuals GT100 K	77	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Alliance Healthcare Inc
PO Box 96485	Chicago	IL	60693	MRI Services/PET Services	3870815
Aramark
12483 Collections Center Drive	Chicago	IL	60693	BioMedical Engineering Services	1459149
Milford Anesthesia Associates Inc
113 Water Street 213	Milford	MA	01757	Anesthesia Services	1530188
University of Massachusetts Medical
55 Lake Ave North	Worcester	MA	01655	Fee for Residency Program	1015856
Quest Diagnostics Nichols Institute
12436 Collections Center Drive	Chicago	IL	60693	Outside lab fees	980680

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	10	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	591207	FundraisingEvents
Related Organizations	0	RelatedOrganizations
Government Grants	0	GovernmentGrants
All Other Contributions	292666	AllOtherContributions
Noncash Contributions	102603	NoncashContributions
Total Contributions	883873	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Outpatient care	621500	123101503	122646090	455413	$0
Inpatient care	622000	50698525	50698525	0	$0
VNA care	621610	10862474	10862474	0	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	184662502	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	304450	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$304,450	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3009911	Securities
Other	117390	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	2943259	Securities
Other	163645	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	66652	Securities
Other	-46255	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	20397	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$20,397	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	238306	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	192362	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	45944	TotalRevenueColumn
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$45,944	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	45700	GrossIncomeGaming
Gaming Direct Expenses	5137	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	40563	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$40,563	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria	900099	802776	$802,776
Rents	900099	2246500	$2,246,500
Meaningful use	900099	2017816	$2,017,816

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5018617	TotalRevenueColumn
Related Or Exempt Function Income	5018617	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	10085709	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	196043438	TotalRevenueColumn
Related Or Exempt Function Income	189225706	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	455413	UnrelatedBusinessRevenue
Exclusion	$5,478,446	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1327849	Total
Program Services	0	ProgramServices
Management And General	1327849	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	80006836	Total
Program Services	71551227	ProgramServices
Management And General	8081747	ManagementAndGeneral
Fundraising	373862	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1354716	Total
Program Services	1192150	ProgramServices
Management And General	149019	ManagementAndGeneral
Fundraising	13547	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13795841	Total
Program Services	12140340	ProgramServices
Management And General	1517543	ManagementAndGeneral
Fundraising	137958	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5964991	Total
Program Services	5249192	ProgramServices
Management And General	656149	ManagementAndGeneral
Fundraising	59650	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1983558	Total
Program Services	1936328	ProgramServices
Management And General	47230	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	743325	Total
Program Services	0	ProgramServices
Management And General	743325	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	75916	Total
Program Services	0	ProgramServices
Management And General	75916	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	25000	Total
Fundraising	25000	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	347690	Total
Program Services	0	ProgramServices
Management And General	347690	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	33621325	Total
Program Services	32383365	ProgramServices
Management And General	1118841	ManagementAndGeneral
Fundraising	119119	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	840264	Total
Program Services	723133	ProgramServices
Management And General	90392	ManagementAndGeneral
Fundraising	26739	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7594719	Total
Program Services	6131373	ProgramServices
Management And General	1417059	ManagementAndGeneral
Fundraising	46287	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	372091	Total
Program Services	325573	ProgramServices
Management And General	42350	ManagementAndGeneral
Fundraising	4168	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	4401258	Total
Program Services	0	ProgramServices
Management And General	4401258	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9567258	Total
Program Services	8419187	ProgramServices
Management And General	1052398	ManagementAndGeneral
Fundraising	95673	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	987934	Total
Program Services	869382	ProgramServices
Management And General	108673	ManagementAndGeneral
Fundraising	9879	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Contract Services	8356690	6660145	1673972	22573
Collection fee	440378	440378	0	0
Physician fees	2579920	2579920	0	0
Provision for bad debt	8333807	8333807	0	0
Health Safety Net	1784512	1784512	0	0

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	184505878	Total
Program Services	160720012	ProgramServices
Management And General	22851411	ManagementAndGeneral
Fundraising	934455	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4300	BOY
EOY	3940	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	39253020	BOY
EOY	51505316	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	302405	BOY
EOY	236410	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	22888786	BOY
EOY	23541315	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2966540	BOY
EOY	3367070	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3544896	BOY
EOY	1778778	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	168182582	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	80414407	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	92847784	BOY
EOY	87768175	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4968457	BOY
EOY	4922247	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	13325150	BOY
EOY	12193530	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	180101338	BOY
EOY	185316781	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	15307188	BOY
EOY	17531574	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	84098976	BOY
EOY	82072308	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	6329228	BOY
EOY	4177679	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4123205	BOY
EOY	3806188	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	109858597	BOY
EOY	107587749	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	68006932	BOY
EOY	75304261	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1607868	BOY
EOY	1796830	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	627941	BOY
EOY	627941	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	70242741	BOY
EOY	77729032	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	180101338	BOY
EOY	185316781	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	11537560	ReconcilationRevenueExpenses
Reconcilation Other Changes	-4051269	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	1	RalliesDemonstrations
Rallies Demonstrations	$30,708	RalliesDemonstrationsAmount
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	30708	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	The $30,708 shown on Letter H represents a portion of Massachusetts Hospital and American Hospital Association dues used for lobbying purposes as defined by Medicare.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1660561	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	25807	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	19365	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	1667003	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1561182	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	118549	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	19170	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	1660561	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1597614	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	-12267	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	24165	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	1561182	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.38	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.62	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3920828	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Book Value	3920828	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	87199730	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	24810406	Depreciation
Book Value	62389324	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	613300	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	355705	Depreciation
Book Value	257595	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	72204989	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	52546543	Depreciation
Book Value	19658446	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	4243735	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	2701753	Depreciation
Book Value	1541982	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	87768175	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
Funds Held by Trustees	12176414
Accrued Interest and Dividends	17116

Field	Value	IRS element (for citing)
Total Book Value Other Assets	12193530	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Amounts due to third party payors	Description
Amount	$3,806,188	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	3806188	TotalOfAmounts
Total Revenue	196043438	TotalRevenue
Total Expenses	184505878	TotalExpenses
Excess Or Deficit For Year	11537560	ExcessOrDeficitForYear
Net Unrealized GL On Investments	0	NetUnrealizedGLOnInvestments
Donated Services And Facilities	0	DonatedServicesAndFacilities
Investment Expenses	0	InvestmentExpenses
Prior Period Adjustments	0	PriorPeriodAdjustments
Other	-$4,240,230	OtherAmount
Total Adjustments	-4240230	TotalAdjustments
Excess Or Deficit Per FS	7297330	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	195655602	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	0	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	0	OtherRevenues
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	195655602	RevenueSubtotal
Investment Expenses Not Included	0	InvestmentExpensesNotIncluded
Other Revenues Not Included	387836	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	387836	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	196043438	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	183889994	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	183889994	ExpensesSubtotal
Investment Expenses Not Included2	0	InvestmentExpensesNotIncluded2
Other Expenses Not Included	615884	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	615884	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	184505878	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P05_S00_L04	Schedule D, Part V, Line 4	The organization has a Spending Policy which provides a policy with regard to the use of Investment Income and gains on amounts held in the Endowment Funds. Further to provide a consistent, predictable level of support to operations and permit the organization to maintain the purchasing power of the amounts held in the Enodwment Fund. The amount to be made available to the operating fund will be calculated at the end of the third quarter of each fiscal year.
SchD_P10_S00_L02	Schedule D, Part X, Line 2	A review has been performed of each of the Organization's Revenue Streams in relation to FIN 48. The result of the review is that the following has been identified as Unrelated Business Income: Non patient laboratory testing provided to nursing homes and non-affiliated (non Tri-County Medical Associates) physician offices.
SchD_P11_S00_L08	Schedule D, Part XI, Line 8	The amount transferred to/from an affiliate is ($4,471,946). The auxiliary/gift shop income is $3,667, net change in the endowment fund $455,945, and fund raising activities ($227,902), rounding $6.
SchD_P12_S00_L04b	Schedule D, Part XII, Line 4b	The other amount represents the following: Net Change in Endowment fund $455,945, fund raising revenue $1,910,385, Fund raising eliminations ($1,066,599) and rounding ($5).
SchD_P13_S00_L04b	Schedule D, Part XIII, Line 4b	The other amount represents the fund raising expenses of $615,884.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

Field	Value	IRS element (for citing)
Business Name Line1	Ghiorsi & Sorrenti	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	Mack-Cali Center	AddressLine1
Address Line2	50 Tice Boulevard Suite 390	AddressLine2
City	Woodcliff Lake	City
State	NJ	State
ZIP Code	07677	ZIPCode

Field	Value	IRS element (for citing)
Activity	Campaign Planning Study	Activity
Fundraiser Control Of Funds	0	FundraiserControlOfFunds
Gross Receipts	0	GrossReceipts
Amount Retained By Contractor	25000	AmountRetainedByContractor
Net To Organization	-25000	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	0	TotalGrossReceipts
Total Retained By Contractors	25000	TotalRetainedByContractors
Total Net To Organization	-25000	TotalNetToOrganization
Licensed States	MA	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Golf 11	NameOfEvent1
Gross Receipts Event1	249385	GrossReceiptsEvent1
Charitable Contributions Event1	230852	CharitableContributionsEvent1
Gross Revenue Event1	18533	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	8190	NonCashPrizesEvent1
Rent Facility Costs Event1	23511	RentFacilityCostsEvent1
Food And Beverage Event1	3640	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	10024	OtherDirectExpensesEvent1
Name Of Event2	Melange Event FY 11	NameOfEvent2
Gross Receipts Event2	512000	GrossReceiptsEvent2
Charitable Contributions Event2	354775	CharitableContributionsEvent2
Gross Revenue Event2	157225	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	0	RentFacilityCostsEvent2
Food And Beverage Event2	39968	FoodAndBeverageEvent2
Entertainment Event2	3000	EntertainmentEvent2
Other Direct Expenses Event2	64031	OtherDirectExpensesEvent2
Total Number Of Other Events	5	TotalNumberOfOtherEvents
Gross Receipts Other Events	68128	GrossReceiptsOtherEvents
Charitable Contrib Other Events	5580	CharitableContribOtherEvents
Gross Revenue Other Events	62548	GrossRevenueOtherEvents
Cash Prizes Other Events	322	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	500	RentFacilityCostsOtherEvents
Food And Beverage Other Events	2565	FoodAndBeverageOtherEvents
Entertainment Other Events	2575	EntertainmentOtherEvents
Other Direct Expenses Other Events	34036	OtherDirectExpensesOtherEvents
Gross Receipts Total	829513	GrossReceiptsTotal
Charitable Contributions Total	591207	CharitableContributionsTotal
Gross Revenue Total Events	238306	GrossRevenueTotalEvents
Cash Prizes Total Events	322	CashPrizesTotalEvents
Non Cash Prizes Total Events	8190	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	24011	RentFacilityCostsTotalEvents
Food And Beverage Total Events	46173	FoodAndBeverageTotalEvents
Entertainment Total Events	5575	EntertainmentTotalEvents
Other Direct Expenses Total Events	108091	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	192362	DirectExpenseSummaryEvents
Net Income Summary	45944	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Bingo	0	GrossRevenueBingo
Cash Prizes Bingo	0	CashPrizesBingo
Gross Revenue Pull Tabs	0	GrossRevenuePullTabs
Cash Prizes Pull Tabs	0	CashPrizesPullTabs
Gross Revenue Other Gaming	45700	GrossRevenueOtherGaming
Cash Prizes Other Gaming	5000	CashPrizesOtherGaming
Other Direct Expenses Other Gaming	137	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGaming
Gross Revenue Total Gaming	45700	GrossRevenueTotalGaming
Cash Prizes Total Gaming	5000	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	0	NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming	0	RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming	137	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	5137	DirectExpenseSummaryGaming
Net Gaming Income Summary	40563	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MA	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	1	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	1	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	Martin Richman	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	14 Prospect Street	AddressLine1
City	Milford	City
State	MA	State
ZIP Code	01757	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	Martin Richman	GamingManagerNamePerson
Gaming Manager Compensation	0	GamingManagerCompensation
Gaming Manager Services Provided	Vice-President of Philanthropy	GamingManagerServicesProvided
Gaming Manager Is Director Officer	X	GamingManagerIsDirectorOfficer
Charitable Distrib Required	0	CharitableDistribRequired
Amount Distributed	0	AmountDistributed

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4790244	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2200335	DirectOffsettingRevenue
Net Community Benefit Expense	2589909	NetCommunityBenefitExpense
Percent Of Total Expense	0.0147	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13659079	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11638470	DirectOffsettingRevenue
Net Community Benefit Expense	2020609	NetCommunityBenefitExpense
Percent Of Total Expense	0.0115	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3163340	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2273664	DirectOffsettingRevenue
Net Community Benefit Expense	889676	NetCommunityBenefitExpense
Percent Of Total Expense	0.0051	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	21612663	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16112469	DirectOffsettingRevenue
Net Community Benefit Expense	5500194	NetCommunityBenefitExpense
Percent Of Total Expense	0.0313	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	373468	TotalCommunityBenefitExpense
Direct Offsetting Revenue	90545	DirectOffsettingRevenue
Net Community Benefit Expense	282923	NetCommunityBenefitExpense
Percent Of Total Expense	0.0016	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	1405847	TotalCommunityBenefitExpense
Direct Offsetting Revenue	684694	DirectOffsettingRevenue
Net Community Benefit Expense	721153	NetCommunityBenefitExpense
Percent Of Total Expense	0.0041	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	2884368	TotalCommunityBenefitExpense
Direct Offsetting Revenue	370492	DirectOffsettingRevenue
Net Community Benefit Expense	2513876	NetCommunityBenefitExpense
Percent Of Total Expense	0.0143	PercentOfTotalExpense

Research Research

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

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	22790	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	22790	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	4686473	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1145731	DirectOffsettingRevenue
Net Community Benefit Expense	3540742	NetCommunityBenefitExpense
Percent Of Total Expense	0.0200	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	26299136	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17258200	DirectOffsettingRevenue
Net Community Benefit Expense	9040936	NetCommunityBenefitExpense
Percent Of Total Expense	0.0513	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	3500	TotalCommunityBuildingExpense
Net Community Building Expense	3500	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	79781	TotalCommunityBuildingExpense
Net Community Building Expense	79781	NetCommunityBuildingExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Building Expense	0	TotalCommunityBuildingExpense
Net Community Building Expense	0	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	83281	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	83281	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,569,749	BadDebtExpenseAmount
Amount Attributable To	499732	AmountAttributableTo
Amount Reimbursed By Medicare	39187327	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	45862970	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6675643	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Milford Regional Medical Center Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	14 Prospect Street	AddressLine1
City	Milford	City
State	MA	State
ZIP Code	017573090	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Milford Regional Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	09	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200	FPGFreePercent
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	0	ExplainsBasis
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	0	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L06a	Schedule H, Part I, Line 6a	MRMC, Inc prepares and distributes a community benefits report, made available on the hospital website and published online by the Massachusetts Attorney General.
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Lines 7a/b/c were calculated using Worksheets 1,2,3 provided in the instructions. Line 7f was determined by the cost & reimbursement information on the Medicare Cost Report.
SchH_P01_S00_L072f	Schedule H, Part I, Line 7, Column f	Was calculated by dividing Column E, Net Community Benefit Expense, by the total of Part IX line 25 of the Form 990 Core Form of $184,505,878 less line 24D, Provision for Bad Debt of $8,333,807 or $176,172,071.
SchH_P02_S00_L00	Schedule H, Part II	MRMC, Inc. plays an active role in the economic development of our service area. Members of the senior management team serve on community boards such as the 495/Metrowest Partnership for Economic Development, Blackstone Valley Chamber of Commerce, Hopkinton Chamber of Commerce, Milford Area Chamber of Commerce, and the United Way of Tri-County. MRMC, Inc. CEO Francis Saba convened the Greater Milford Health Access Coalition to oversee a Synergy Initiative planning grant awarded by the Health Foundation of Central Massachusetts. The goal of the planning year was to develop a pilot project to improve access to healthcare for uninsured and underinsured residents of the hospital's service area. Coalition members included representatives from providers and community organizations including Tri-River Family Health Center, Reliant Medical Group, Tri-County Medical Associates, Inc., Edward M. Kennedy Community Health Center, Riverside Community Care, Milford Board of Health, Health Education and Advocacy for Latinos, Milford Public Schools.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	In line 2, Worksheet A in the instructions was used by taking bad debt as reported in Milford Regional Medical Center, Inc.'s (the Hospital) audited financial statements multiplied by the cost-to-charge ratio calculated in Worksheet 2 in the Instructions.
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	The Hospital's Medicare Cost Report was used to determine the amount reported on Line 6.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	Once it is determined that a patient qualifies for full or partial free care, all collection procedures cease and the full balance, or the amount that qualifies under partial free care, is written off. Massachusetts hospitals are required to adopt a credit and collection policy under the Health Safety Net (HSN) regulations (114.6 CMR 13.08(1)(c)) that outlines the specific process for determining eligibility for public assistance programs and hospital collection practices. Hospitals make reasonable and diligent efforts to collect the patient's insurance and other information to verify other coverage for the health care services provided by the hospital prior to deeming the services to be charity care. The Hospital provides patients with information about financial assistance programs that are available through the Massachusetts Executive Office of Health and Human Services, including charity care services that are provided through HSN, and also assist patients in applying for these services through the State's uniform application. The Hospital credit and collection policy, that outlines its charity care practices, is filed with the Massachusetts Division of Health Care Finance and Policy and also available to patients upon request.
SchH_P05_S0B_L03	Schedule H, Part V, Section B, Line 3	Milford Regional Medical Center, Inc. is a member of and host site for Region 6 of the Community Health Network Area (CHNA-6), one of 27 coalitions across the state established by the Massachusetts Department of Public Health. This group meets bi-monthly throughout the year to discuss healthcare issues relevant to our service area. Membership is made up of representatives from a variety of social service agencies, schools, councils on aging, area and individual town health agents and departments, as well as disease prevention advocates. The hospital partnered with CHNA-6 in 2009 to complete a formal community health needs assessment conducted by independent consultant Sarah Lange of Legacy Consulting. In addition, the hospital engaged public health consultants Paul Hattis and Anthony Schlaff in FY 10 to conduct internal and external focus groups to ensure that the data in this assessment continues to accurately reflect the needs of our service area. Their report included recommendations to improve the utilization of assessment data to inform community benefits programming and to strengthen oversight and evaluation. The hosptial's CEO Frank Saba chairs the Community Benefits Steering Committee, charged with a comprehensive process of data analysis and priority setting that includes continuing dialogue with internal and external stakeholders.
SchH_P05_S0B_L05	Schedule H, Part V, Section B, Line 5	The Needs Assessment was made available to the members of CHNA-6 and to other community coalitions.
SchH_P05_S0B_L07	Schedule H, Part V, Section B, Line 7	The Hospital has made every attempt to address the needs identified within the Needs Assessment through policies such as its own non-smoking campus and through leadership of community partnerships to address specific issues. Given the scope of issues identified in the assessment, this work will be ongoing.
SchH_P05_S0B_L21	Schedule H, Part V, Section B, Line 21	At the Hospital, all patients are charged the gross charges for any services. Upon contact from an uninsured patient, a discussion occurs which may result in the discounting of gross charges.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	The Hospital stays current with studies by other agencies, including a recent Central Massachusetts Agency on Aging survey of Central Massachusetts and the annual Adolescent Health Survey conducted by the MetroWest Health Foundation. In addition to CHNA-6, other community coalitions provide another important source of information on emerging health needs.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	Patients are informed of the availability of financial assistance by way of patient statements printed with financial assistance information. At the time of discharge from the Emergency Department, uninsured patients are encouraged to meet with an on-site Financial Counselor. If unable to see a Financial Counselor at the time of discharge, the patient is given a screening letter that gives contact information for our financial assistance department. The day following an emergency room visit a form is generated on each uninsured patient and sent to the Financial Counselors. At that time, the Financial Counselors contacts the patient to coordinate a meeting to apply for assistance. Scheduled self-pay Surgical Day Care (SDC) & Inpatients are reviewed prior to admission to determine payment arrangements or to coordinate a meeting with a Financial Counselor. Insured SDC & Inpatients who are unable to leave a deposit or make payment arrangements towards a large out of pocket expense are also encouraged to meet with a Financial Counselor.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	The Hospital serves the healthcare needs of the residents of 19 communities in Central Massachusetts, spanning 3 separate counties: Worcester, Norfolk and Middlesex. The Hospital's primary service area consists of Milford, Franklin, Bellingham, Northbridge, Whitinsville, Uxbridge, Blackstone, Hopedale, Medway and Mendon, a population of 145,362 according to 2010 US Census data. The Hospital's secondary service area consists of Douglas, Grafton, Hopkinton, Holliston, Millis, Wrentham, Upton, Medfield and Millville, a population of 96,310. The population of the Hospital service area has grown almost 9% over the past decade, as opposed to the statewide average of 3%. The residents of this region are primarily Caucasian, accounting for 93.6% of the population. Hispanics comprise 2.7% of the population, with Asians also at 2.7% and Blacks at 1.0%. The population is nearly even in terms of gender, with 51% females. The bulk of the adult population (71.6%) is between the ages of 18-54, slightly higher than the state percentage, which is 68%. There has been an influx of Egyptian, Central American and Brazilian immigrants into the area, most likely not represented in these totals, but estimated at several thousand additional residents.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	The Hospital furthers its exempt purpose by striving to fulfill its mission "to provide quality healthcare services to our community with dignity, compassion and respect." We do this by providing inpatient and outpatient health care services to the residents of our service area without regard to their ability to pay, and through a range of community benefits programs and partnerships. Our corporate board represents the communities we serve, and the majority is comprised of members who reside in our service area and are not employed by the Hospital. Surplus funds are consistently invested in strategic initiatives designed to improve efficiency and patient care. In FY 11, the Hospital qualified for Meaningful Use reimbursement as a result of significant progress toward the development of a fully electronic medical record. We worked with a broad range of community partners to address unmet health needs identified by our community health needs assessment. We received a Synergy Initiative planning grant from the Health Foundation of Central Massachusetts to convene a community-wide coalition of health leaders to improve access to care for uninsured and underinsured residents of our service area. Our ongoing collaboration with Dana-Farber Cancer Institute and Brigham and Women's Physicians Organization to operate a comprehensive Cancer Center including medical oncology and radiation oncology has made a tremendous difference to the quality of life for residents seeking cancer treatment.
SchH_P06_S00_L06	Schedule H, Part VI, Line 6	The Organization consists of Milford Regional Medical Center, Inc. (the "Hospital" or "Parent"), Tri-County Medical Associates, Inc. ("Tri-County"), and Milford Regional Healthcare Foundation, Inc. (the "Foundation"), collectively referred to as the "Organization". The Hospital provides medical and hospital services for the sick and disabled of any race, creed, color, or nationality regardless of an individual's ability to pay. Tri-County, a large multi-specialty group practice, operates for the benefit of the Hospital by assisting the Hospital in carrying out its charitable mission purpose of promoting healthcare in its service area. Tri-County's vision is to consistently meet the changing healthcare needs and expectations of the communitites it serves. The Foundation supports the mission of both the Hospital and Tri-County through fund raising activites.
SchH_P06_S00_L07	Schedule H, Part VI, Line 7	Massachusetts

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
M Catherine Burke MD
0	0	0	0	0	0	0	0	0	0	0	0	1488	0
Patrick R McSweeney MD
0	324439	0	0	0	0	0	0	0	24997	0	349436	0	307073
Albert A Crimaldi MD
0	0	0	0	6250	0	0	0	0	0	6250	0	17250	0
John N Pandiscio
0	0	0	0	13000	0	0	0	0	0	13000	0	13000	0
Francis M Saba
440905	0	50000	0	0	0	90406	0	21921	0	603232	0	743613	0
Edward J Kelly
358810	0	40000	0	0	0	37468	0	24717	0	460995	0	420081	0
Jeanne P Lynskey
218571	0	0	0	0	0	0	0	15284	0	233855	0	207808	0
Salvatore Perla
199411	0	0	0	0	0	0	0	21413	0	220824	0	196879	0
Cheryl L Bonasoro
199604	0	0	0	0	0	0	0	7110	0	206714	0	199333	0
Linda Yates
171577	0	0	0	0	0	0	0	22539	0	194116	0	187773	0
Martin Richman
155921	0	0	0	0	0	0	0	18581	0	174502	0	166613	0
Laurence Fraize
151479	0	0	0	0	0	0	0	20445	0	171924	0	164612	0
Nancy Tomaso
149223	0	0	0	0	0	0	0	5434	0	154657	0	148961	0
Kamala Murali
136025	0	0	0	0	0	0	0	19972	0	155997	0	148483	0
Donna M Saul
131830	0	0	0	0	0	0	0	23283	0	155113	0	146291	0
Jennifer Childs-Roshak
163544	0	0	0	0	0	0	0	19449	0	182993	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SchJ_P01_S00_L04	Identifier
Return Reference	Schedule J, Part I, Line 4	ReturnReference
Explanation	Francis M Saba SERP $90,406 and Edward J Kelly SERP $37,468.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Massachusetts Health & Education Facilities Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	042456011	IssuerEIN
CUSIP Number	57586CXJ9	CUSIPNumber
Date Issued	2007-02-21	DateIssued
Issue Price	70279953	IssuePrice
Description Of Purpose	See Supplemental Information	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	1755000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	70279953	TotalProceeds
Amount In Reserve Fund	2662312	AmountInReserveFund
Capitalized Interest	1509967	CapitalizedInterest
Refunding Escrow	30555914	RefundingEscrow
Issuance Costs From Proceeds	833657	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	34447316	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	270787	AmountUnspent
Year Of Subst Completion	2008	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	1	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	1	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.018	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.018	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SchK_P01_S00_L00f	Identifier
Return Reference	Schedule K, Part I, Column f	ReturnReference
Explanation	The proceeds of the Series E Bonds were applied to the following: (1) Constructing, furnishing and equipping an approximately 54,013 gross square feet, two story building on the Milford campus across the street from the Hospital building. The Cancer Center will be owned and partially occupied by the Hospital for diagnostic imaging services (including MRI, CT scan and diagnostic radiology), laboratory services and other administrative space. In addition, the Hospital has executed leases with two tenants for the Cancer Center. Dana-Farber Cancer Institute to provide medical/oncology services and Brigham and Women's Physicians Organization to provide radiation/oncology services. (2) Purchasing of four properties and demolishing three existing structures located thereon for the purpose of constructing the Cancer Center. (3) Renovating, constructing, furnishing and equipping for the approximately 2,438 gross square feet of existing space for a Cardiac Catheterization Lab on the Milford Campus. (4) Renovating approximately 8,800 square feet of existing space which previously served as the Hospital's operating room area (prior to the issuance of the Series D Bonds in 2002), to relocate outpatient and other administrative spaces. (5) Renovating the Gannett Inpatient Unit consisting of approximately 9,569 gross square feet. (6) Renovating and expanding the Cardiovascular Department consisting of approximately 1,982 gross square feet. (7) Various renovations, improvements, equipment and furnishings at the Milford Campus and the Whitinsville Division. (8) Refinancing the Series D Bonds, the proceeds of which were applied primarily for the purpose of modernizing and expanding surgical services and expanding the maternity unit.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Lawrence Hill
Trustee	183061	Payments were made to M Hill Companies with which the Hospital has entered into lease agreements.	0
M Catherine Burke MD
Trustee	418081	Payments were made to Orion Emergency Services Inc for services provided to the Hospital. Dr. Burke is President of Orion Emergency Services, Inc.	0
Albert Crimaldi MD
Trustee	133700	Payments were made to Milford Gastroenterology Associates Inc which provides services to the Hospital. Dr. Crimaldi is part owner of Milford Gastroenterology Associates, Inc.	0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

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

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	102603	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (9 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Food for charitable fund raising event	1	FMV
X	Tickets to sporting events or entertainment for fund raising event	19	FMV
X	Travel package for fund raising events	5	FMV
X	Gift certificates and gift baskets for fund raising events	21	FMV
X	Dinner packages and beverages for fund raising events	27	FMV
X	Miscellaneous toys	8	FMV
X	Freezer for fund raising event	1	FMV
X	Computer and Ipod for fund raising event	2	FMV
X	Zoom lens for marketing department	1	FMV

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	SchM_P01_S00_L33	Identifier
Return Reference	Schedule M, Part I, Line 33	ReturnReference
Explanation	MRMC Inc. does not currently account for certain non-cash contributions or in-kind donations as revenue.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P04_S00_L20b	Form 990, Part IV, Line 20b	Prior year figures for FY 10 contain restatements of certain assets and liabilities.
F990_P04_S00_L24a	Form 990, Part IV, Line 24a	The proceeds of the Series E Bonds were applied to the following: (1) Constructing, furnishing and equipping an approximately 54,013 gross square feet, two story building on the Milford campus across the street from the main Hospital building. The Cancer Center will be owned and partially occupied by the Hospital for diagnostic imaging services (including MRI, CT scan and diagnostic radiology), laboratory services and other administrative space. In addition, the Hospital has executed leases with two tenants for the Cancer Center. Dana-Farber Cancer Institute to provide medical/oncology services and Brigham and Women's Physicians Organization to provide radiation/oncology services. (2) Purchasing of four properties and demolishing three existing structures located thereon for the purpose of constructing the Cancer Center. (3) Renovating, constructing, furnishing and equipping for the approximately 2,438 gross square feet of existing space for a Cardiac Catheterization Lab on the Milford campus. (4) Renovating approximately 8,800 square feet of existing space which previously served as the Hospital's operating room are (prior to the issuance of the Series D Bonds in 2002), to relocate outpatient and other administrative spaces. (5) Renovating the Gannett Inpatient Unit consisting of approximately 9,569 gross square feet. (6) Renovating and expanding the Cardiovascular Department consisting of approximately 1,982 gross square feet. (7) Various renovations, improvements, equipment and furnishings at the Milford Campus and the Whitinsville Division. (8) Refinancing of the Series D Bonds, the proceeds of which were applied primarily for the purpose of modernizing and expanding surgical services and expanding the maternity unit.
F990_P05_S00_L07g	Form 990, Part V, Line 7g	The organization did not receive any contributions of qualified property during the tax year.
F990_P05_S00_L07h	Form 990, Part V, Line 7h	The organization did not receive any contributions of cars, boats, airplanes or other vehicles during the tax year.
F990_P06_S0A_L02	Form 990, Part VI, Section A, Line 2	Three board of trustee members have disclosed via the organization's conflict of interest disclosure process that they have business relationships with other board members. Two board of trustee members are married to each other.
F990_P06_S0A_L06	Form 990, Part VI, Section A, Line 6	The organization is governed by a Board of Trustees. In addition, the organization has incorporators who serve in an advisory capacity to the Board of Trustees.
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	The FORM 990 was provided to the Board of Trustee Compensation Committee and reviewed by them. The FORM 990 was made available to all Trustees in the Hospital's Administration Department.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The organization has a written Code of Business Conduct which states its conflict of interest policy. A conflict of interest disclosure statement is mailed annually to members of the board of trustees and senior management. They are required to complete the form and submit it to the Corporate Compliance Officer. The forms are reviewed and monitored. The organization also has established a hotline for any staff member who may wish to discuss a potential violation of the Code, our policy or law on an anonymous basis.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	The Compensation Committee approves all compensation plans and guidelines, as well as all compensation for the organization's senior management employees in accordance with such plans and guidelines. The committee may consult with a nationally-recognized consultant to assist it in determining that the organization's compensaton structure and ranges are reasonable.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The organization makes it governing documents available to the public, such as it's bylaws which include the organization's conflict of interest policy, through the annual filing of the Massachusetts Division of Pulbic Charities Form PC. The Form PC is available for viewing by the public on the Massachusetts Attorney General's website and is also attached to the annual filing of the Massachusetts Form 3ABC which is submitted to town offices where the organization owns or leases property. The organization's financial statements are included in the Form PC Filing and are also included in a quarterly filing to the organization's bond holders.
F990_P07_S0A_L01a	Form 990, Part VII, Section A, Line 1a	Two executives, as disclosed in Schedule J, receive supplemental retirement benefits.
F990_P11_S00_L05	Form 990, Part XI, Line 5	The Change in Net Assets results from transferring to affiliates ($4,471,946), Auxiliary activity $3,667, fund raising activities $227,902, and change in market value $189,108.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA
Tri-County Medical Associates Inc
9 Industrial Road Suite 5	Milford	MA	01757	043159969	Physician Group	MA	501(C)(3)	11A	N/A
MWRH Management Services Inc
14 Prospect Street	Milford	MA	01757	311631252	Provides office space, support to satellite clinics	MA	501(C)(3)	11A	N/A
Milford Regional Healthcare Foundation Inc
14 Prospect Street	Milford	MA	01757	200773697	Fundraising	MA	501(C)(3)	11A	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Milford Whitinsville Healthcare Consortium Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	14 Prospect Street	AddressLine1
City	Milford	City
State	MA	State
ZIP Code	01757	ZIPCode

Field	Value	IRS element (for citing)
EIN	043248004	EIN
Primary Activity	Physician Hospital Organization	PrimaryActivity
Legal Domicile State	MA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	366	ShareOfEOYAssets
Percentage Ownership	0.5	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Tri-County Medical Associates Inc
i	283149	Market value
Tri-County Medical Associates Inc
j	-75203	Market value
Tri-County Medical Associates Inc
q	7800000	Cost
Tri-County Medical Associates Inc
o	-3535999	Cost