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MORTON PHYSICIAN ASSOCIATES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MORTON PHYSICIAN ASSOCIATES INC (EIN 04-3288841)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201232289349301563
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)
Timestamp2012-08-15T12:28:07-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043288841EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MORTON PHYSICIAN ASSOCIATES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMORTNameControl
Phone5088287000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 WASHINGTON STREETAddressLine1
CityTAUNTONCity
StateMAState
ZIP Code02780ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID GAYName
TitleDIRECTORTitle
Phone5088287000Phone
Date Signed2012-07-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN GAROFALOName
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID GAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line188 WASHINGTON STREETAddressLine1
CityTAUNTONCity
StateMAState
ZIP Code02780ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4479542GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MORTONHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY BY ENGAGING IN THE PRACTICE OF MEDICINE AND RELATED HEALTHCARE SERVICES AND HEALTH EDUCATION THROUGH OUR PHYSICIANS AND HOSPITAL IN SUPPORT OF THE COMMUNITY SERVED BY MORTON HEALTH FOUNDATION, INC. AND AFFILIATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees33TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year125759ContributionsGrantsPriorYear
Contributions Grants Current Year125010ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4564463ProgramServiceRevenuePriorYear
Program Service Revenue CY4309876ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year-37044OtherRevenuePriorYear
Other Revenue Current Year-46578OtherRevenueCurrentYear
Total Revenue Prior Year4653178TotalRevenuePriorYear
Total Revenue Current Year4388308TotalRevenueCurrentYear
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 Year5436671SalariesEtcPriorYear
Salaries Etc Current Year4275469SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2418412OtherExpensePriorYear
Other Expenses Current Year1953329OtherExpensesCurrentYear
Total Expenses Prior Year7855083TotalExpensesPriorYear
Total Expenses Current Year6228798TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3201905RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1840490RevenuesLessExpensesCY
Total Assets BOY1047837TotalAssetsBOY
Total Assets EOY764432TotalAssetsEOY
Total Liabilities BOY2465296TotalLiabilitiesBOY
Total Liabilities EOY2935112TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1417459NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2170680NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH STATUS OF OUR COMMUNITIES BY PROVIDING ACCESS TO COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE AND EFFICIENT HEALTH CARE SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5297204Expense
Revenue4309876Revenue
DescriptionPHYSICIAN SERVICES - TO PROMOTE HEALTH BY ENGAGING IN THE PRACTICE OF MEDICINE AND RELATED HEALTHCARE SERVICES. ENGAGED IN MEDICAL RESEARCH AS A MEANS OF SEEKING TO ALLEVIATE HUMAN SUFFERING AND TOOK AN ACTIVE PART IN PLANNING FOR AND PROMOTION OF THE GENERAL PHYSICAL HEALTH AND HUMAN NEEDS OF THE COMMUNITIES SERVICED BY MORTON HOSPITAL AND MEDICAL CENTER, INC.Description
Total Program Service Expense5297204TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109682NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees33NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID GAYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5088287000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line188 WASHINGTON STREETAddressLine1
CityTAUNTONCity
StateMAState
ZIP Code02780ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MAUREEN A BRYANT
PRESIDENT/CEO40.00XX080304215791
TERRENCE GOMES ED D
DIRECTOR2.00X000
BARBARA LAFRANCE
DIRECTOR2.00X000
RICHARD RENAUD MD
DIRECTOR2.00X000
EDWARD ROSTER
DIRECTOR2.00X000
DAVID ST YVES
DIRECTOR2.00X000
VICTOR SANTOS
DIRECTOR2.00X000
MAUREEN SROCZYNSKI
DIRECTOR2.00X000
CHARLES THAYER MD
DIRECTOR2.00X000
KARA PITT MD
OBGYN PHYSICIAN40.0054729306163X
GEORGE MUNDANTHANAM
ORTHO PHYSICIAN40.0033393309018X
MARIA DEVERA MD
OBGYN PHYSICIAN40.0023417903530X
ELIZABETH MONTEIRO MD
INT MED PHYSICIAN40.00173616018987X
PATRICIA SONG
INT MED PHYSICIAN40.00169089018932X
RICHARD JEFFCOTE
FORMER VICE PRESIDENT/CFO40.00045885503X
LAWRENCE SECK
FORMER DIRECTOR40.00036903937787X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1458110TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1172081TotalReportableCompFrmRltdOrgs
Total Other Compensation110208TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE BUSINESS CENTER INC
322 STANDISH STREETDUXBURYMA02332BILLING SERVICE1079535
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397TEMP SERVICES FOR MD'S165575
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants125010GovernmentGrants
Total Contributions125010TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621400BusinessCode
Total Revenue Column4309876TotalRevenueColumn
Related Or Exempt Function Income4309876RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4309876TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real21600Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real91234Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-69634Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-69634TotalRevenueColumn
Exclusion-$69,634ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column23056TotalRevenueColumn
Related Or Exempt Function Income23056RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue23056TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4388308TotalRevenueColumn
Related Or Exempt Function Income4332932RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$69,634ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3508360Total
Program Services2982106ProgramServices
Management And General526254ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total498720Total
Program Services423912ProgramServices
Management And General74808ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total268389Total
Program Services228131ProgramServices
Management And General40258ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total618162Total
Program Services525437ProgramServices
Management And General92725ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3894Total
Management And General3894ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total285476Total
Program Services242655ProgramServices
Management And General42821ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total433435Total
Program Services368420ProgramServices
Management And General65015ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total16578Total
Program Services14091ProgramServices
Management And General2487ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total96490Total
Program Services82017ProgramServices
Management And General14473ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total459059Total
Program Services390200ProgramServices
Management And General68859ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionBAD DEBT EXPENSEDescription
Total40235Total
Program Services40235ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6228798Total
Program Services5297204ProgramServices
Management And General931594ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY211792BOY
EOY89019EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY429402BOY
EOY404560EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY63999BOY
EOY24394EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1612972LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1366513LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY342644BOY
EOY246459EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1047837BOY
EOY764432EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY449100BOY
EOY183159EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY52201BOY
EOY22912EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1963995BOY
EOY2729041EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2465296BOY
EOY2935112EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1417459BOY
EOY-2170680EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1417459BOY
EOY-2170680EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1047837BOY
EOY764432EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1840490ReconcilationRevenueExpenses
Reconcilation Other Changes1087269ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MORTON HOSPITAL AND MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN042780816EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified0SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$1,834,231Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1834231SumOfAmounts

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis519428OtherCostOrOtherBasis
Depreciation449223Depreciation
Book Value70205BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1093544OtherCostOrOtherBasis
Depreciation917290Depreciation
Book Value176254BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings246459TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY BORROWINGS$120,914
LONG-TERM PENSION OBLIGATION$2,608,127
FieldValueIRS element (for citing)
Total Of Amounts2729041TotalOfAmounts
Total Revenue4388308TotalRevenue
Total Expenses6228798TotalExpenses
Excess Or Deficit For Year-1840490ExcessOrDeficitForYear
Other$1,087,269OtherAmount
Total Adjustments1087269TotalAdjustments
Excess Or Deficit Per FS-753221ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFER FROM AFFILIATE 1,834,231. ADJUSTMENT TO RELIEVE PENSION LIABILITY -716,962. TRANSFER TO AFFILIATES -30,000.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
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
MAUREEN A BRYANT
07691460003389600015791081883300
KARA PITT MD
401007012933601695000061630553456000
GEORGE MUNDANTHANAM
33373900019400090180342951000
MARIA DEVERA MD
2183510001582800035300237709000
ELIZABETH MONTEIRO MD
15425700019359000189870192603000
PATRICIA SONG
15324300015846000189320188021000
LAWRENCE SECK
03646620004377016500021287040682600

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BSINCE 1992, THE HOSPITAL HAS PROVIDED THE FORMER PRESIDENT OF THE HOSPITAL WITH SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFITS THROUGH A SPLIT DOLLAR LIFE INSURANCE AGREEMENT. DURING 2008, THE HOSPITAL REVIEWED THE SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT AGREEMENT AND DETERMINED THAT THE BENEFIT THAT WOULD HAVE BEEN PROVIDED FROM THIS PLAN WOULD NOT HAVE BEEN CONSISTENT WITH THE LEVEL OF RETIREMENT BENEFIT COMMONLY PROVIDED TO EXECUTIVES IN THE INDUSTRY. IN 2008, THE HOSPITAL RESTRUCTURED THIS SPLIT DOLLAR POLICY AGREEMENT AND CONVERTED IT TO A TRADITIONAL NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT IS IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 457(F) AND 409A. IN 2009, THE HOSPITAL PAID OFF THE RELATED LIABILITY.
PART IIIPART II, COLUMN (F): DEFERRED COMPENSATION - SINCE 1992, THE HOSPITAL HAS PROVIDED THE FORMER PRESIDENT OF THE HOSPITAL WITH SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFITS THROUGH A SPLIT DOLLAR LIFE INSURANCE AGREEMENT. DURING 2008, THE HOSPITAL REVIEWED THE SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT AGREEMENT AND DETERMINED THAT THE BENEFIT THAT WOULD HAVE BEEN PROVIDED FROM THIS PLAN WOULD NOT HAVE BEEN CONSISTENT WITH THE LEVEL OF RETIREMENT BENEFIT COMMONLY PROVIDED TO EXECUTIVES IN THE INDUSTRY. IN 2008, THE HOSPITAL RESTRUCTURED THIS SPLIT DOLLAR POLICY AGREEMENT AND CONVERTED IT TO A TRADITIONAL NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT IS IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 457(F) AND 409A. IN 2009, THE HOSPITAL PAID OFF THE RELATED LIABILITY.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCHARLES A THAYER MDNamePerson
FieldValueIRS element (for citing)
RelationshipBOARD MEMBER OF HOSPITALRelationship
Amount Of Transaction95425AmountOfTransaction
Description Of TransactionTHE ORGANIZATION RENTS OFFICE SPACE FROM ROCKYKNOLL ESTATES, INC, AN ENTITY OF THE THEODORE R. THAYER IRREVOCABLE TRUST, OF WHICH DR. THAYER IS A TRUSTEE.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2KATHLEEN AND JAMES HOYE ARE MEMBERS OF THE BOARD THAT ARE BROTHER AND SISTER IN-LAW.
FORM 990, PART VI, SECTION A, LINE 6MORTON HEALTH FOUNDATION IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. MORTON HEALTH FOUNDATION HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7AMORTON HEALTH FOUNDATION IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. MORTON HEALTH FOUNDATION HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BMORTON HEALTH FOUNDATION IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD OF DIRECTORS. THERE ARE NO CLASSES OF DIRECTORS. MORTON HEALTH FOUNDATION HAS THE POWER TO REMOVE DIRECTORS, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION PREPARES THE FORM 990 AND THE RELATED DISCLOSURES WITH ASSISTANCE AND GUIDANCE FROM ITS INDIVIDUAL TAX ADVISORS (CPA FIRM). THE FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO SUBMISSION TO THE BOARD OF DIRECTORS AND THE IRS.
THE ORGANIZATION REQUIRES THAT ALL EMPLOYEES, MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS AND ANY MEMBER OF ANY COMMITTEE DISCLOSE IN WRITING (AND UPDATE ANNUALLY) ALL BUSINESS AND OTHER RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST AS DEFINED BY THE POLICY. THE WRITTEN DISCLOSURE SHALL INCLUDE AN ITEMIZATION OF ANY SUBSTANTIVE CONFLICT OF INTEREST FOR SUCH INDIVIDUAL BY VIRTUE OF HIS OR HER ACTIVITIES. THE CONFLICT OF INTEREST POLICY IS REVIEWED AND COMMUNICATED TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION IN WHICH THEY ARE NOT INDEPENDENT.FORM 990, PART VI, SECTION B, LINE 12C
ALL COMPENSATION FOR THE CEO AND SENIOR EXECUTIVES ARE GOVERNED AND OVERSEEN BY THE BOARD OF DIRECTORS. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL SENIOR EXECUTIVES. THE COMPENSATION COMMITTEE PERFORMS ANNUAL REVIEWS AND APPROVES EXECUTIVE COMPENSATION. IN ORDER TO ASSIST THE COMMITTEE IN ITS RESPONSIBILITIES, THE COMPENSATION COMMITTEE HIRES INDEPENDENT, OUTSIDE COMPENSATION CONSULTANTS TO ADVICE THE COMMITTEE ON THE REASONABLENESS OF THE OVERALL EXECUTIVE COMPENSATION. THE COMMITTEE WORKS WITH THESE CONSULTANTS TO ENSURE THAT ALL COMPENSATION IS REASONABLE, MEETS ALL REGULATORY REQUIREMENTS AND IS COMPETITIVE WITHIN THE RELEVANT MARKET.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:TRANSFER FROM AFFILIATE 1,834,231. ADJUSTMENT TO RELIEVE PENSION LIABILITY -716,962. TRANSFER TO AFFILIATES -30,000. TOTAL TO FORM 990, PART XI, LINE 5: 1,087,269.FORM 990, PART XI, LINE 5:
THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM. ON MARCH 29, 2011, THE HOSPITAL TOGETHER WITH CERTAIN OF ITS AFFILIATES (MP AND MPA) ENTERED INTO AN ASSET PURCHASE AGREEMENT WITH STEWARD MEDICAL HOLDINGS SUBSIDIARY THREE, INC. (STEWARD), PURSUANT TO WHICH THE HOSPITAL AGREED TO SELL AND ASSIGN SUBSTANTIALLY ALL OF ITS BUSINESS, ASSETS, AND OPERATIONS TO STEWARD AND/OR ITS DESIGNATED AFFILIATES. THE CLOSING OF THE TRANSACTION SET FORTH IN THE ASSET PURCHASE AGREEMENT (THE TRANSACTION) WAS EFFECTIVE OCTOBER 1, 2011. AS PART OF THE TRANSACTION, ALL OF THE HOSPITAL'S INVESTMENTS, EXCEPT THOSE IN ITS SELF-INSURANCE DEPOSIT AND CERTAIN RESTRICTED INVESTMENTS, WERE EITHER LIQUIDATED OR PLACED IN ESCROW IN ORDER TO REPAY OR DEFEASE ITS DEBT OBLIGATIONS UNDER THE MHEFA REVENUE BONDS, AND SUBSTANTIALLY ALL OF ITS OTHER DEBT, EXCEPT FOR CERTAIN CAPITAL LEASES AND BANK MORTGAGES, WAS EITHER REPAID OR ASSUMED BY THE ESCROW AGENT FOR FUTURE LIQUIDATION (NOTE 13). THE HOSPITAL INCURRED EXPENSES OF APPROXIMATELY $2,160,000 RELATED TO THE TRANSACTION. PURSUANT TO THE TRANSACTION, THE HOSPITAL TRANSFERRED ALL OF ITS NET ASSETS EFFECTIVE OCTOBER 1, 2011, INCLUDING ITS NET UNFUNDED OBLIGATIONS UNDER THE MORTON HOSPITAL EMPLOYEES' PENSION PLAN, VALUED AT $46,641,104 IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENT. IN ADDITION, STEWARD AGREED TO THE FOLLOWING: -A PENSION TRANSFER AGREEMENT, UNDER WHICH STEWARD AGREED TO ASSUME THE NET UNFUNDED OBLIGATIONS OF THE MORTON HOSPITAL EMPLOYEES' PENSION PLAN WITH RESPECT TO ITS CURRENT AND FORMER EMPLOYEES, EFFECTIVE ON THE CLOSING DATE OF THE TRANSACTION, ESTIMATED AT $46,641,104. -AGGREGATE CAPITAL EXPENDITURES FOR STEWARD AND ITS WHOLLY-OWNED SUBSIDIARIES OF $85 MILLION OVER THE FIVE-YEAR PERIOD FOLLOWING THE TRANSACTION AND A MAXIMUM OF $35 MILLION DURING YEARS SIX (6) THROUGH TEN (10). -OTHER COMMITMENTS AND OPERATING RESTRICTIONS AS IMPOSED BY THE MASSACHUSETTS ATTORNEY GENERAL AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MORTON HEALTH FOUNDATION INC
88 WASHINGTON STREETTAUNTONMA02780042103605PARENT CORPORATIONMA501 (C)(3)SUPPORTING-TYPE IIIN/A0
MORTON HOSPITAL AUXILIARY INC
88 WASHINGTON STREETTAUNTONMA02780042789935FUNDRAISING FOR THE BENEFIT OF MORTON HOSPITAL AND MEDICAL CENTERMA501 (C)(3)SUPPORTING-TYPE III0MORTON HEALTH FOUNDATION INC
COMMUNITY COUNSELING OF BRISTOL COUNTY INC
1 WASHINGTON STREETTAUNTONMA02780043035697PROVIDE MENTAL HEALTH ASSESSMENT AND TREATMENT TO CLIENTSMA501 (C)(3)SUPPORTED0MORTON HEALTH FOUNDATION INC
MORTON HOSPITAL AND MEDICAL CENTER INC
88 WASHINGTON STREETTAUNTONMA02780042780816PROVIDE COMPREHENSIVE/COMPASSIONATE HEALTHCARE TO THE COMMUNITYMA501 (C)(3)HOSPITAL0MORTON HEALTH FOUNDATION INC

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MORTON PROPERTY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line188 WASHINGTON STREETAddressLine1
CityTAUNTIONCity
StateMAState
ZIP Code02780ZIPCode
FieldValueIRS element (for citing)
EIN042810927EIN
Primary ActivityLEASING OF REAL ESTATE FOR MEDICAL PURPOSESPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MORTON HEALTH FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MORTON HOSPITAL AND MEDICAL CENTER INC
D120914
MORTON PROPERTY INC
J83311
MORTON HOSPITAL AND MEDICAL CENTER INC
E1834231
MORTON HOSPITAL AND MEDICAL CENTER INC
J84092