UMASS MEMORIAL HEALTH-MILFORD REGIONAL MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: UMASS MEMORIAL HEALTH-MILFORD REGIONAL MEDICAL CENTER INC (EIN 04-2103602)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201112279349303001
Schema version: 2009v1.2
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	2011-08-15T09:55:05-07:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	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	2011-08-15	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2009	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	01757	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	192381022	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	24	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	1998	TotalNbrEmployees
Total Nbr Volunteers	383	TotalNbrVolunteers
Total Gross UBI	519867	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	541641	ContributionsGrantsPriorYear
Contributions Grants Current Year	444254	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	179367380	ProgramServiceRevenuePriorYear
Program Service Revenue CY	180826582	ProgramServiceRevenueCY
Investment Income Prior Year	495099	InvestmentIncomePriorYear
Investment Income Current Year	496880	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7012526	OtherRevenuePriorYear
Other Revenue Current Year	7581002	OtherRevenueCurrentYear
Total Revenue Prior Year	187416646	TotalRevenuePriorYear
Total Revenue Current Year	189348718	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	98304281	SalariesEtcPriorYear
Salaries Etc Current Year	101878655	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	930869	TotalFundrsngExpCurrentYear
Other Expense Prior Year	79291701	OtherExpensePriorYear
Other Expenses Current Year	81629629	OtherExpensesCurrentYear
Total Expenses Prior Year	177595982	TotalExpensesPriorYear
Total Expenses Current Year	183508284	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9820664	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5840434	RevenuesLessExpensesCY
Total Assets BOY	178707294	TotalAssetsBOY
Total Assets EOY	180101338	TotalAssetsEOY
Total Liabilities BOY	109624020	TotalLiabilitiesBOY
Total Liabilities EOY	109858597	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	69083274	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	70242741	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	58100281	Expense
Grants	0	Grants
Revenue	40631730	Revenue
Description	Inpatient care - Milford Regional Medical Center Inc. (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 diginity, 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 the poor 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 obsterics 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 8,463 medical and surgical inpatients annually. Over the past several years, MRMC has made significant strides in the area of healthcare technology. For more efficient, cost effective and well-coordinated care, work on the development of a fully electronic medical record within the system has been ongoing, and the implementation of computerized physician order entry (CPOE) was achieved in FY10.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	89748554	Expense
Grants	0	Grants
Revenue	129196297	Revenue
Description	Outpatient and emergency room services - The Hyman and Shirley Hill Health Center at Milford Regional Medical Center, Inc. completed in 1994, is a complete outpatient facility dedicated to the care, education, and wellness of the 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. Diagnostic services include radiology, ultrasound, MRI, CT scans, PET services, nuclear medicine, cardiovascular and a full service laboratory/pathology. The Women's Pavillion, 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. In fiscal year 2010, the Breast Center at Milford Regional Medical Center received a full accreditation designation by the National Accreditation Program for Breast Centers (NAPBC), becoming one of only five nationally accredited centers in Massachusetts. 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 continium 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. In addition to the Hill Center facility, MRMC operates 5 satellite facilities including the 20,300 square foot Whitinsville Medical Center, providing family medicine, urgent care, physical therapy, laboratory services and radiology. 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 FY 10, the MRMC provided over 21,000 laboratory tests, CT Scans, MRIs 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 60 physicians and over 300 employess. 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	13533003	Expense
Grants	0	Grants
Revenue	10478688	Revenue
Description	Visiting Nurses Associations and 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. In FY 10, the VNA's new hospice program received full certification from the Massachusetts Department of Public Health. Evaluations of the first set of patients were overwhelmingly positive, with an overall rating of 100% satisfaction with care. The development of a hospice program supports the mission of MRMC, and strengthens its ability to reach important strategic goals related to patient care.	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	161381838	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	197	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	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Form1098 C Filed	0	Form1098CFiled
Nbr Voting Governing Body Members	24	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	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

Form990 Part VII Section A Form990PartVIISectionA (36 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	1488	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	288405	18668
Cynthia A Casey
Trustee	1	X	0	0	0
Henry C Papuga
Trustee	1	X	0	0	0
Albert A Crimaldi MD
Trustee	1	X	17250	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
Maryellen L Gray
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		645911	0	97702	X
Edward J Kelly
President	50		371606	0	48475	X
Jeanne P Lynskey
VP Finance & CFO	50		203004	0	4804	X
Salvatore Perla
VP Clinical Support	50		178135	0	18744		X
Cheryl L Bonasoro
VP Patient Care Serv	50		195566	0	3767		X
Linda Yates
VP Human Resources	50		168200	0	19573		X
Martin Richman
VP of Philanthropy & Executive Director	50		157330	0	9283		X
Laurence Fraize
Director Inform Serv	50		146570	0	18042			X
Maria Lorelei Tam
Registered Nurse	55		137145	0	933			X
Nancy Tomaso
Director Cardiovascular/Diagnostic Imaging	50		143352	0	3609			X
Kamala Murali
Chief of Pathology	50		130450	0	18033			X
Donna M Saul
Director of Inpatient Services	50		127885	0	18406			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2636892	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	288405	TotalReportableCompFrmRltdOrgs
Total Other Compensation	280039	TotalOtherCompensation
Number Individuals GT100 K	61	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
Consigli Construction Co Inc
72 Sumner Street	Milford	MA	01757	Construction	820743
Alliance Imaging Inc
PO Box 96485	Chicago	IL	60693	MRI Services/PET Services	4535436
Aramark
PO Box 33170	Newark	NJ	07188	BioMedical Engineering Services	1477020
Milford Anesthesia Associates Inc
113 Water Street 213	Milford	MA	01757	Anesthesia Services	695188
University of Massachusetts Medical
55 Lake Ave North	Worcester	MA	01655	Fee for Residency Program	989625

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	13	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	190480	FundraisingEvents
Related Organizations	0	RelatedOrganizations
Government Grants	0	GovernmentGrants
All Other Contributions	253774	AllOtherContributions
Noncash Contributions	105552	NoncashContributions
Total Contributions	444254	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Outpatient	621500	129716164	129196297	519867	$0
Inpatient	622000	40631730	40631730	0	$0
VNA	621610	10478688	10478688	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	180826582	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	419722	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$419,722	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

Rental Income Or Loss RentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2991991	Securities
Other	16500	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	2904801	Securities
Other	26532	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	87190	Securities
Other	-10032	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	77158	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$77,158	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	132446	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	100971	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	31475	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$31,475	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Cafeteria	900099	739438	0	0	$739,438
Rents	900099	2220034	0	0	$2,220,034

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4590055	TotalRevenueColumn
Related Or Exempt Function Income	4590055	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	7549527	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	189348718	TotalRevenueColumn
Related Or Exempt Function Income	184896770	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	519867	UnrelatedBusinessRevenue
Exclusion	$3,487,827	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	1256834	Total
Program Services	0	ProgramServices
Management And General	1256834	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	79320446	Total
Program Services	71393882	ProgramServices
Management And General	7546610	ManagementAndGeneral
Fundraising	379954	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1278122	Total
Program Services	1124747	ProgramServices
Management And General	140594	ManagementAndGeneral
Fundraising	12781	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13967059	Total
Program Services	12269435	ProgramServices
Management And General	1558199	ManagementAndGeneral
Fundraising	139425	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6056194	Total
Program Services	5329451	ProgramServices
Management And General	666181	ManagementAndGeneral
Fundraising	60562	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2063998	Total
Program Services	2008712	ProgramServices
Management And General	55286	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	384707	Total
Program Services	0	ProgramServices
Management And General	384707	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	83817	Total
Program Services	0	ProgramServices
Management And General	83817	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	0	Total
Fundraising	0	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	360191	Total
Program Services	0	ProgramServices
Management And General	360191	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	33835976	Total
Program Services	32466288	ProgramServices
Management And General	1226516	ManagementAndGeneral
Fundraising	143172	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	713311	Total
Program Services	618937	ProgramServices
Management And General	77367	ManagementAndGeneral
Fundraising	17007	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	7812525	Total
Program Services	6322068	ProgramServices
Management And General	1442643	ManagementAndGeneral
Fundraising	47814	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	381166	Total
Program Services	326268	ProgramServices
Management And General	49885	ManagementAndGeneral
Fundraising	5013	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	4476623	Total
Program Services	0	ProgramServices
Management And General	4476623	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	9427979	Total
Program Services	8296621	ProgramServices
Management And General	1037078	ManagementAndGeneral
Fundraising	94280	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1264138	Total
Program Services	1112442	ProgramServices
Management And General	139055	ManagementAndGeneral
Fundraising	12641	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Contract Services	8383188	7670977	693991	18220
Collection fee	462717	462717	0	0
Physician fees	2556226	2556226	0	0
Health Safety Net	1962579	1962579	0	0
Provision for bad debt	7460488	7460488	0	0

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	183508284	Total
Program Services	161381838	ProgramServices
Management And General	21195577	ManagementAndGeneral
Fundraising	930869	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4651	BOY
EOY	4300	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	36754799	BOY
EOY	39253020	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	726708	BOY
EOY	302405	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	22992791	BOY
EOY	22888786	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	2964257	BOY
EOY	2966540	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2726674	BOY
EOY	3544896	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	166339108	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	73491324	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	95924923	BOY
EOY	92847784	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	4452925	BOY
EOY	4968457	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	12159566	BOY
EOY	13325150	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	178707294	BOY
EOY	180101338	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	16009809	BOY
EOY	15307188	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	86000644	BOY
EOY	84098976	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	4162961	BOY
EOY	6329228	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	3450606	BOY
EOY	4123205	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	109624020	BOY
EOY	109858597	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	66491834	BOY
EOY	68006932	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1963499	BOY
EOY	1607868	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	69083274	BOY
EOY	70242741	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	178707294	BOY
EOY	180101338	EOY

Field	Value	IRS element (for citing)
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	$34,557	RalliesDemonstrationsAmount
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	34557	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 $34,557 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	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 Minus1 Year CurrentYearMinus1Year

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	86314478	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	22182041	Depreciation
Book Value	64132437	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	631995	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	339303	Depreciation
Book Value	292692	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	70030020	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	48370419	Depreciation
Book Value	21659601	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	5441787	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	2599561	Depreciation
Book Value	2842226	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	92847784	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Corporate stocks	2932393	F
Trusts	295720	F
Mutual funds	35311	F
Corporate bonds	1647386	F
United States Debt Securities	57647	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	4968457	TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
Accrued interest and dividends	20555
Funds held by trustee	13304595

Field	Value	IRS element (for citing)
Total Book Value Other Assets	13325150	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Amounts due to third party payors	Description
Amount	$4,123,205	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	4123205	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 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 Endowment 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_L00	Schedule D, Part X	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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Golf Tournament	NameOfEvent1
Gross Receipts Event1	245325	GrossReceiptsEvent1
Charitable Contributions Event1	186194	CharitableContributionsEvent1
Gross Revenue Event1	59131	GrossRevenueEvent1
Cash Prizes Event1	5000	CashPrizesEvent1
Non Cash Prizes Event1	10180	NonCashPrizesEvent1
Rent Facility Costs Event1	22777	RentFacilityCostsEvent1
Food And Beverage Event1	5861	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	2592	OtherDirectExpensesEvent1
Name Of Event2	Taste of Town	NameOfEvent2
Gross Receipts Event2	8888	GrossReceiptsEvent2
Charitable Contributions Event2	1751	CharitableContributionsEvent2
Gross Revenue Event2	7137	GrossRevenueEvent2
Cash Prizes Event2	327	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	0	RentFacilityCostsEvent2
Food And Beverage Event2	0	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	48791	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	68713	GrossReceiptsOtherEvents
Charitable Contrib Other Events	2535	CharitableContribOtherEvents
Gross Revenue Other Events	66178	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	500	RentFacilityCostsOtherEvents
Food And Beverage Other Events	2013	FoodAndBeverageOtherEvents
Entertainment Other Events	1800	EntertainmentOtherEvents
Other Direct Expenses Other Events	1130	OtherDirectExpensesOtherEvents
Gross Receipts Total	322926	GrossReceiptsTotal
Charitable Contributions Total	190480	CharitableContributionsTotal
Gross Revenue Total Events	132446	GrossRevenueTotalEvents
Cash Prizes Total Events	5327	CashPrizesTotalEvents
Non Cash Prizes Total Events	10180	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	23277	RentFacilityCostsTotalEvents
Food And Beverage Total Events	7874	FoodAndBeverageTotalEvents
Entertainment Total Events	1800	EntertainmentTotalEvents
Other Direct Expenses Total Events	52513	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	100971	DirectExpenseSummaryEvents
Net Income Summary	31475	NetIncomeSummary

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	4977598	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1851755	DirectOffsettingRevenue
Net Community Benefit Expense	3125843	NetCommunityBenefitExpense
Percent Of Total Expense	0.0178	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12825868	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9269022	DirectOffsettingRevenue
Net Community Benefit Expense	3556846	NetCommunityBenefitExpense
Percent Of Total Expense	0.0202	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2865937	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2007990	DirectOffsettingRevenue
Net Community Benefit Expense	857947	NetCommunityBenefitExpense
Percent Of Total Expense	0.0049	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	20669403	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13128767	DirectOffsettingRevenue
Net Community Benefit Expense	7540636	NetCommunityBenefitExpense
Percent Of Total Expense	0.0429	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	42	PersonsServed
Total Community Benefit Expense	173104	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	173104	NetCommunityBenefitExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1131530	TotalCommunityBenefitExpense
Direct Offsetting Revenue	627353	DirectOffsettingRevenue
Net Community Benefit Expense	504177	NetCommunityBenefitExpense
Percent Of Total Expense	0.0029	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	2525528	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2525528	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	1	NumberOfActivitiesOrPrograms
Persons Served	325	PersonsServed
Total Community Benefit Expense	4500	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	4500	NetCommunityBenefitExpense
Percent Of Total Expense	0.00	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	367	PersonsServed
Total Community Benefit Expense	3834662	TotalCommunityBenefitExpense
Direct Offsetting Revenue	627353	DirectOffsettingRevenue
Net Community Benefit Expense	3207309	NetCommunityBenefitExpense
Percent Of Total Expense	0.0182	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	367	PersonsServed
Total Community Benefit Expense	24504065	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13756120	DirectOffsettingRevenue
Net Community Benefit Expense	10747945	NetCommunityBenefitExpense
Percent Of Total Expense	0.0611	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	15967	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	15967	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	15967	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	15967	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,397,814	BadDebtExpenseAmount
Amount Attributable To	329758	AmountAttributableTo
Amount Reimbursed By Medicare	37256868	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	47482648	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-10225780	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

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	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.	CostingMethodUsed
Percent Of Total Expense Expln	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 $183,508,284 less line 24E, Provision for Bad Debt of $7,460,488, or $176,047,796.	PercentOfTotalExpenseExpln
Bad Debt Footnote	In line 2, Worksheet A in the instructions was used by taking bad debt as reported in the Hospital's audited financial statements multiplied by the cost-to-charge ratio calculated in Worksheet 2 in the instructions.	BadDebtFootnote
Shortfall As Community Benefit	The Hospital's Medicare Cost Report was used to determine the amount reported on Line 6.	ShortfallAsCommunityBenefit
Debt Collection Policy	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.	DebtCollectionPolicy
Needs Assessment	Milford Regional Medical Center 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. MRMC 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, MRMC engaged public health consultants Paul Hattis and Anthony Sclaff in FY10 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. Milford Regional 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.	NeedsAssessment
Patient Education Assistance	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 room, 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 Counselor 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 a leave a deposit or make a payment arrangement towards a large out of pocket expense are also encouraged to meet with a Financial Counselor.	PatientEducationAssistance
Community Information	Milford Regional Medical Center 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 has a population of just over 145,000 and consists of Milford, Franklin, Bellingham, Northbridge, Whitinsville, Uxbridge, Blackstone, Hopedale, Medway and Mendon. The Hospital's secondary service area has a population of approximately 96,000 and consists of Douglas, Grafton, Hopkinton, Holliston, Millis, Wrentham, Upton, Medfield and Millville. The population of the MRMC service area has grown significantly over the past decade, approximately 7% as compared to the statewide average of 3%. The residents of this region are primarily Caucasian, accounting for 95.5% of the population. Hispanics comprise 1.9% of the population, with Asians following at 1.5% and Blacks at 1.0%. The population is nearlyeven 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.	CommunityInformation
Community Building Activities	Milford Regional's Community Benefits program responds to the Community Health Needs Assessment of our service area and to health priorities for the Commonwealth identified by the Massachusetts Attorney General. In addition, we are active participants with a broad range of community partners in community building activities across our service area. Members of the senior management team serve on community boards, and are active participants with area Chambers of Commerce and other civic organizations. These include the 495/Metrowest Partnership for Economic Development, Blackstone Valley Chamber of Commerce and Education Foundation, Hopkinton Chamber of Commerce, Milford Area Chamber of Commerce, and the United Way of Tri-County. Milford Regional physicians are an essential resource for disaster preparedness in our service area, providing training for local EMS departments and acting as Medical Directors for towns in our service area. Our ongoing support for the Community Health Network in our region (CHNA-6) provides a platform for shared information and collaborative activity among our communities.	CommunityBuildingActivities
Other Information	Milford Regional 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 Milford Regional. Medical staff privileges are extended to all qualified physicians in our community. Surplus funds are consistently invested in strategic initiatives designed to improve efficiency and patient care. In FY10, Milford Regional made a $3 million investment in Computerized Provider Order Entry (CPOE), the final phase of full implementation of a fully electronic medical record. In addition, 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.	OtherInformation
Affiliated Health Care System	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. TCMA, 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. TCMA's vision is to consistently meet the changing healthcare needs and expectations of the communities it serves. The Foundation supports the mission of both the Hospital and TCMA through fund raising activities.	AffiliatedHealthCareSystem
Reports Filed With States	MA	ReportsFiledWithStates

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	1488	0	0	0	0	0	1488	0	2975	0
Patrick R McSweeney MD
0	288405	0	0	0	0	0	0	0	18668	0	307073	0	291270
Albert A Crimaldi MD
0	0	0	0	17250	0	0	0	0	0	17250	0	22500	0
John N Pandiscio
0	0	0	0	13000	0	0	0	0	0	13000	0	13000	0
Francis M Saba
417517	0	0	0	228394	0	75000	0	22702	0	743613	0	482688	0
Edward J Kelly
371606	0	0	0	0	0	25000	0	23475	0	420081	0	377341	0
Jeanne P Lynskey
203004	0	0	0	0	0	0	0	4804	0	207808	0	180714	0
Salvatore Perla
178135	0	0	0	0	0	0	0	18744	0	196879	0	164800	0
Cheryl L Bonasoro
195566	0	0	0	0	0	0	0	3767	0	199333	0	199245	0
Linda Yates
168200	0	0	0	0	0	0	0	19573	0	187773	0	167478	0
Martin Richman
157330	0	0	0	0	0	0	0	9283	0	166613	0	0	0
Laurence Fraize
146570	0	0	0	0	0	0	0	18042	0	164612	0	147935	0
Maria Lorelei Tam
137145	0	0	0	0	0	0	0	933	0	138078	0	157101	0
Nancy Tomaso
145352	0	0	0	0	0	0	0	3609	0	148961	0	145182	0
Kamala Murali
130450	0	0	0	0	0	0	0	18033	0	148483	0	0	0
Donna M Saul
127885	0	0	0	0	0	0	0	18406	0	146291	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 $75,000 and Edward J Kelly SERP $25,000. The compensation of Francis M Saba, CEO, includes the payout of fully vested SERP amounts of $228,394.	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 Schedule O	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	70279953	TotalProceeds
Amount In Reserve Fund	2662312	AmountInReserveFund
Amount Defeased	30555914	AmountDefeased
Amount Unspent	362354	AmountUnspent
Issuance Costs From Proceeds	833657	IssuanceCostsFromProceeds
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	35865716	CapitalExpenditures
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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Lawrence Hill
Trustee	176641	Mr Hill is owner of the M Hill Companies with which the Hospital has entered into lease agreements for rental of office space.	0
M Catherine Burke MD
Trustee	474809	Dr Burke is President of Orion Emergency Services Inc., the company that provides emergency room physician services to the hospital. Dr Burke is also Chair of the Emergency department.	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	105552	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (7 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	15	FMV
X	Travel packages for fund raising events	3	FMV
X	Gift certificates and gift baskets for fund raising events	10	FMV
X	Dinner packages and beverages for fund raising events	7	FMV
X	Miscellaneous toys	4	FMV
X	Freezer	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 but is planning to address this process for the future.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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	Two 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_L11	Form 990, Part VI, Section B, Line 11	The Form 990 has been reviewed in detail with the Chairman of the Board of Trustees.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The organizaton 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 managment 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 compensation 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 Public 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 financials 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. The W-2 reportable wages for Francis M Saba, CEO, includes the payout of fully vested SERP amounts of $228,394.
SchK_P01_S00_L00f	Schedule K, Part I, Column f	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 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.

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
124 Grove Street	Franklin	MA	02038	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	-15	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	1	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 (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Tri-County Medical Associates Inc
i	282749
Tri-County Medical Associates Inc
j	-64796
Tri-County Medical Associates Inc
q	8150000
Tri-County Medical Associates Inc
o	-3279582
Tri-County Medical Associates Inc
f	-1100