BETH ISRAEL DEACONESS HOSPITAL- MILTON INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- BETH ISRAEL DEACONESS HOSPITAL- MILTON INC (EIN 04-2103604)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-10
- IRS object ID
- 201142239349300619
- Schema version
- 2009v1.7
- 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 H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-10T15:44:20-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FEELEY & DRISCOLL PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 PORTLAND STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042103604 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILTON HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MILT | NameControl |
| Phone | 6176964600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 199 Reedsdale Road | AddressLine1 |
| City | Milton | City |
| State | MA | State |
| ZIP Code | 02186 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | joseph v morrissey | Name |
| Title | President | Title |
| Phone | 6176964600 | Phone |
| Date Signed | 2011-07-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Alan Garofalo | Name |
| Phone | 6177427788 | Phone |
| 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 | Joseph V Morrissey | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 199 reedsdale road | AddressLine1 |
| City | milton | City |
| State | MA | State |
| ZIP Code | 02186 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 67582648 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.miltonhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1952 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | Milton Hospital, Inc. and Affiliates are commited to improving the health of our community by providing high quality, personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe environment, the hospital strives to continuously provide personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe environment. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 743 | TotalNbrEmployees |
| Total Nbr Volunteers | 141 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 518986 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 328585 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 61471036 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 65661678 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1409606 | InvestmentIncomePriorYear |
| Investment Income Current Year | 193994 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1267377 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1386865 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 61847793 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67571122 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31941628 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 31095201 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 34787820 | OtherExpensePriorYear |
| Other Expenses Current Year | 35425685 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 66729448 | TotalExpensesPriorYear |
| Total Expenses Current Year | 66520886 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4881655 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1050236 | RevenuesLessExpensesCY |
| Total Assets BOY | 103905322 | TotalAssetsBOY |
| Total Assets EOY | 101793873 | TotalAssetsEOY |
| Total Liabilities BOY | 68876018 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 68257778 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 35029304 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 33536095 | NetAssetsOrFundBalancesEOY |
| Mission Description | Milton Hospital, Inc. and Affiliates are commited to improving the health of our community by providing high quality, personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe enviroment, the hospital strives to continuously personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe enviroment. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 32507507 | Expense |
| Revenue | 30027892 | Revenue |
| Description | Inpatient healthcare services - Providing general medical and surgical inpatient care for people of all ages in Milton, Quincy, Braintree, Randolph, Canton, Hyde Park, Dorchester and other local communities consistent with our core values of patient convenience, comfort and confidentiality. During FY10, Milton Hospital, Inc. provided 16,191 patient days of inpatient services, with 4,741 discharges. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 16839882 | Expense |
| Revenue | 25204976 | Revenue |
| Description | Outpatient healthcare services - Providing a complete complement of outpatient health services for people of all ages in Milton, Quincy, Braintree, Randolph, Canton, Hyde Park, Dorchester and other local communities consistent with our core values of patient convenience, comfort and confidentiality. During FY10, Milton Hospital, Inc. had 29,633 outpatient visits. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6967764 | Expense |
| Revenue | 10428910 | Revenue |
| Description | Emergency room services - Providing 24-hour emergency services in our renovated and expanded Emergency Department for people of all ages in Milton, Quincy, Braintree, Randolph, Canton, Hyde Park, Dorchester and other local communities consistent with our core values of patient convenience, comfort and confidentiality. These services are provided to all patients regardless of their ability to pay for the care provided. During FY10, Milton Hospital, Inc. had 22,640 emergency room visits, representing a 5% increase in emergency room visits from prior year. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 56315153 | 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 | 1 | 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 | 0 | 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 | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | 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 | 198 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 743 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | jason radzevich | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6176964600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Milton Hospital 199 Reedsdale Rd | AddressLine1 |
| City | Milton | City |
| State | MA | State |
| ZIP Code | 02186 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| michael Brady | ||||||||
| Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| Jane K Hodgman | ||||||||
| vice chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| ellen needham | ||||||||
| treasurer | 1.00 | X | X | 0 | 0 | 0 | ||
| katie conlon | ||||||||
| Clerk | 1.00 | X | 0 | 0 | 0 | |||
| Joseph V Morrissey | ||||||||
| President | 40.00 | X | X | 471548 | 0 | 32744 | ||
| george barrett md | ||||||||
| board Member | 1.00 | X | 0 | 0 | 0 | |||
| carol fallon | ||||||||
| board Member | 1.00 | X | 0 | 0 | 0 | |||
| Frank l Davis iii | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| christopher heavy | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| mary joyce | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| brook longmaid md | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| mario marsano | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| mitchell rabkin md | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| John J Looney MD | ||||||||
| Board Member | 1.00 | X | 1700 | 40000 | 0 | |||
| stuart rosenberg md | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Stanley Lewis MD | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| richard ward | ||||||||
| board Member | 1.00 | X | 0 | 0 | 0 | |||
| bruce alexander | ||||||||
| board Member | 1.00 | X | 0 | 0 | 0 | |||
| helene haddad | ||||||||
| board Member | 1.00 | X | 0 | 0 | 0 | |||
| patrick stapleton | ||||||||
| board Member | 1.00 | X | 0 | 0 | 0 | |||
| James C Holleran | ||||||||
| V.P. Finance | 40.00 | X | 299091 | 0 | 6348 | |||
| doris sinkevich | ||||||||
| v.p. nursing | 40.00 | 159805 | 0 | 258 | X | |||
| Kathleen M Harrington | ||||||||
| V.P. Human Resources | 40.00 | 138951 | 0 | 10797 | X | |||
| CYNTHIA M PAGE | ||||||||
| V.P. clincal services | 40.00 | 131858 | 0 | 21580 | X | |||
| anne marie drysdale | ||||||||
| registered nurse | 40.00 | 125643 | 0 | 9152 | X | |||
| JEAN M FERNANDEZ | ||||||||
| CHIEF INFO OFFICER | 40.00 | 128569 | 0 | 19603 | X | |||
| REGINA CARNATHAN | ||||||||
| Registered Nurse | 40.00 | 154973 | 0 | 19854 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1612138 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 40000 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 120336 | TotalOtherCompensation |
| Number Individuals GT100 K | 29 | 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 |
|---|---|---|---|---|---|
| farnam street financial | |||||
| 240 pondview plaza 5850 opus parkw | minnetonka | MN | 55343 | financial services | 994957 |
| medtronic usa | |||||
| 4642 collections center dr | chicago | IL | 60693 | medical services | 797403 |
| south shore anesthesia associates | |||||
| 163 libbey parkway suite 301 | weymouth | MA | 02189 | anesthesia group | 696667 |
| Quest Diagnostics | |||||
| 12436 collections center drive | chicago | IL | 60693 | Lab Services | 450624 |
| leaders for today | |||||
| 38 resnick road suite 104 | plymouth | MA | 02360 | executive placement services | 350565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Government Grants | 100000 | GovernmentGrants |
| All Other Contributions | 228585 | AllOtherContributions |
| Total Contributions | 328585 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| net Patient Care Reven | 623000 | 65181484 | 65181484 |
| other ancillary servic | 621110 | 480194 | 480194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 65661678 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 196394 | TotalRevenueColumn |
| Exclusion | $196,394 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 600287 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 600287 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 600287 | TotalRevenueColumn |
| Exclusion | $600,287 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9126 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 11526 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9126 | Securities |
| Other | -11526 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2400 | TotalRevenueColumn |
| Exclusion | -$2,400 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| cafeteria/ Vending Mac | 722210 | 279313 | $279,313 | |
| rebates and refunds | 900099 | 69522 | $69,522 | |
| education income | 611710 | 5859 | 5859 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 431884 | TotalRevenueColumn |
| Exclusion | $431,884 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 786578 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67571122 | TotalRevenueColumn |
| Related Or Exempt Function Income | 65667537 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,575,000 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1475507 | Total |
| Management And General | 1475507 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24998151 | Total |
| Program Services | 21695135 | ProgramServices |
| Management And General | 3303016 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204172 | Total |
| Program Services | 177630 | ProgramServices |
| Management And General | 26542 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2507668 | Total |
| Program Services | 2181671 | ProgramServices |
| Management And General | 325997 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1909703 | Total |
| Program Services | 1661442 | ProgramServices |
| Management And General | 248261 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171275 | Total |
| Management And General | 171275 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93092 | Total |
| Management And General | 93092 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57294 | Total |
| Program Services | 57294 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108333 | Total |
| Management And General | 108333 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7442774 | Total |
| Program Services | 6085186 | ProgramServices |
| Management And General | 1357588 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 362449 | Total |
| Management And General | 362449 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12820919 | Total |
| Program Services | 11571258 | ProgramServices |
| Management And General | 1249661 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 978470 | Total |
| Program Services | 851269 | ProgramServices |
| Management And General | 127201 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1706488 | Total |
| Program Services | 1484645 | ProgramServices |
| Management And General | 221843 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10007 | Total |
| Program Services | 7563 | ProgramServices |
| Management And General | 2444 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36169 | Total |
| Program Services | 10862 | ProgramServices |
| Management And General | 25307 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2518978 | Total |
| Program Services | 2191511 | ProgramServices |
| Management And General | 327467 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4655136 | Total |
| Program Services | 4011939 | ProgramServices |
| Management And General | 643197 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750112 | Total |
| Program Services | 750112 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| bad debt expense | 2070870 | 2070870 | |
| other expenses | 1050409 | 913856 | 136553 |
| uncompensated care | 592910 | 592910 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66520886 | Total |
| Program Services | 56315153 | ProgramServices |
| Management And General | 10205733 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1510973 | BOY |
| EOY | 1401549 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 530462 | BOY |
| EOY | 396842 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7325609 | BOY |
| EOY | 7045024 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1014900 | BOY |
| EOY | 868045 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2502825 | BOY |
| EOY | 1669781 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1056340 | BOY |
| EOY | 1009218 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 709387 | BOY |
| EOY | 973714 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 112189238 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 52687649 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61857833 | BOY |
| EOY | 59501589 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22229976 | BOY |
| EOY | 23750782 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5167017 | BOY |
| EOY | 5177329 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103905322 | BOY |
| EOY | 101793873 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7498429 | BOY |
| EOY | 7976315 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7000 | BOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42486179 | BOY |
| EOY | 41285060 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7365641 | BOY |
| EOY | 6678343 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11518769 | BOY |
| EOY | 12318060 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68876018 | BOY |
| EOY | 68257778 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23051960 | BOY |
| EOY | 20968901 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9210010 | BOY |
| EOY | 9799860 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2767334 | BOY |
| EOY | 2767334 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35029304 | BOY |
| EOY | 33536095 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103905322 | BOY |
| EOY | 101793873 | 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 Both | X | FinancialStatementBoth |
| 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 | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $57,882 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 57882 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | Milton Hospital has contracted during the year a consultant to directly lobby for healthcare issues. The Hospital also indirectly contributes for lobbying through membership dues paid to various healthcare organizations. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13570314 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1300596 | InvestmentEarningsOrLosses |
| End Of Year Balance | 14870910 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22702395 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1050341 | InvestmentEarningsOrLosses |
| Other Expenditures | 8081740 | OtherExpenditures |
| End Of Year Balance | 13570314 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1297475 | OtherCostOrOtherBasis |
| Book Value | 1297475 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 64233205 | OtherCostOrOtherBasis |
| Depreciation | 17337346 | Depreciation |
| Book Value | 46895859 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2815 | OtherCostOrOtherBasis |
| Depreciation | 2815 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35859400 | OtherCostOrOtherBasis |
| Depreciation | 30144292 | Depreciation |
| Book Value | 5715108 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10796343 | OtherCostOrOtherBasis |
| Depreciation | 5203196 | Depreciation |
| Book Value | 5593147 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 59501589 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Short-term investments | 10892650 | F |
| Board designated investments | 602461 | F |
| Donor restricted investments | 12255671 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 23750782 | TotalOfBookValueSecurities |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Debt Service Reserve Funds | 4392479 |
| Deferred Financing Costs, net | 461234 |
| Other Intangible Assets | 49000 |
| security deposits | 105863 |
| other assets | 168753 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5177329 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Obligation under capital lease | $141,074 |
| Pension Liability | $9,534,664 |
| Asset Retirement Obligation | $120,785 |
| Due to Third party payors | $2,521,537 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12318060 | TotalOfAmounts |
| Total Revenue | 67571122 | TotalRevenue |
| Total Expenses | 66520886 | TotalExpenses |
| Excess Or Deficit For Year | 1050236 | ExcessOrDeficitForYear |
| Other | -$2,543,445 | OtherAmount |
| Total Adjustments | -2543445 | TotalAdjustments |
| Excess Or Deficit Per FS | -1493209 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 68338474 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 756379 | NetUnrealizedGainsInvestments |
| Other Revenues | 10973 | OtherRevenues |
| Revenue Not Rptd F990 | 767352 | RevenueNotRptdF990 |
| Revenue Subtotal | 67571122 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 67571122 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 66520886 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 66520886 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 66520886 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | The intended use of the organization's endowment funds are directed in accordance with the donor's intent including the preservation of the original gift and various purposes. |
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The Hospital has been determined to be a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the 'Code') and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying financial statements. The Hospital annually evaluates its tax status and tax positions taken with respect to its operations and financial position. Tax years from 2006 through the current year remain open for examination by federal and state taxing authorities. |
| Part XI, Line 8 - Other Adjustments: | adjustment to Additional Minimun Pension Liability: -1090725. unrealized unrestricted appreciation on investments: 756379. Unrealized temp restricted appreciation on investments: 326890. net transfer to affiliates: -2731740. net unrealized loss on funds held by others: 195751. | |
| Part XII, Line 2d - Other Adjustments: | net assets released from restrictions used in operations |
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 | 814569 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 287292 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 527277 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00790 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3499284 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2905611 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 593673 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4313853 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3192903 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1120950 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01680 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 87042 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6618 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 80424 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24148 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 24148 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 111190 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6618 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 104572 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4425043 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3199521 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1225522 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01840 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $834,182 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 26128586 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 24618152 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1510434 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| 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 | Milton Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 199 Reedsdale Road | AddressLine1 |
| City | Milton | City |
| State | MA | State |
| ZIP Code | 02186 | 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) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: The Hospital follows the Commonwealth of MA (DHCFP's) regulations for eligibility free & discounted care. The regulations do consider Federal Poverty Guidelines in determining eligibility for services. | IncomeBasedCriteria |
| Costing Method Used | Part I, Line 7: The cost/charge ratio was derived from the FY 10 DHCFP 403 cost report Schedule II. | CostingMethodUsed |
| Bad Debt Footnote | Part III, Line 4: The Hospital provides an allowance for doubtful accounts equal to estimated bad debt losses. The estimated losses are based upon historical collection experience together with a review of the current status of the existing receivables. The bad debt cost is based on the cost/charge ratio which was derived from the FY 10 DHCFP 403 cost report Schedule II. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: The allocation of costs to the Medicare program is based on Medicare charges to total charges from the FY 10 HCFA-2552. There is no Medicare shortfall for this year to report as a community benefit. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: These patients would be excluded from the collection process based on much they would be eligible for financial assistance. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: The Hospital's last assessment was completed in 2008 using data collected from the Hospital's primary & secondary service towns in collaboration with a research firm. Currently the Hospital is working with graduate students from Boston University's School of Public Health to determine its current needs in the community. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: The Hospital posts information about financial assistance programs throughout the Hospital. During the registration process, the patient is notified that they may be eligible for financial assistance if they do not have insurance. In addition, the patient is notified on their bill to contact the Hospital's credit office to pursue assistance programs they feel they may be eligible for. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Milton Hospital serves both an urban & suburban community south of Boston. Large portions of the Hospital's patients are Medicare, the Hospital also serves patients whom are uninsured or qualify for Medicaid. | CommunityInformation |
| Other Information | Part VI, Line 6: Almost all the Hospital's governing body resides in the primary & secondary service area. Milton Hospital extends privileges to all health care providers/physicians whom qualify based on its medical credentialing policies. | OtherInformation |
| Reports Filed With States | MA | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joseph V Morrissey | |||||||||||||
| 471548 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32744 | 0 | 504292 | 0 | 0 | 0 |
| James C Holleran | |||||||||||||
| 299091 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6348 | 0 | 305439 | 0 | 0 | 0 |
| doris sinkevich | |||||||||||||
| 159805 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 258 | 0 | 160063 | 0 | 0 | 0 |
| CYNTHIA M PAGE | |||||||||||||
| 131858 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21580 | 0 | 153438 | 0 | 0 | 0 |
| REGINA CARNATHAN | |||||||||||||
| 154973 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 19854 | 0 | 174827 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | massachusetts health & educational facilities authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 042456011 | IssuerEIN |
| CUSIP Number | 57586Cnm3 | CUSIPNumber |
| Date Issued | 2005-11-01 | DateIssued |
| Issue Price | 33000000 | IssuePrice |
| Description Of Purpose | MHEFA Series D Bonds for Capital Expenditures | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 32392907 | TotalProceeds |
| Amount In Reserve Fund | 1752287 | AmountInReserveFund |
| Amount Unspent | 94655 | AmountUnspent |
| Issuance Costs From Proceeds | 502360 | IssuanceCostsFromProceeds |
| Capital Expenditures | 28410735 | CapitalExpenditures |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | 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 | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | 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
Loan Table LoanTable (5 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Richard Brooks | ||||||
| split dollar life insurance policy | X | $73,823 | 73823 | 0 | 1 | 1 |
| robert duncan | ||||||
| split dollar life insurance policy | X | $256,966 | 256966 | 0 | 1 | 1 |
| samuel b edelstein | ||||||
| split dollar life insurance policy | X | $144,512 | 144512 | 0 | 1 | 1 |
| george geary | ||||||
| split dollar life insurance policy | X | $272,451 | 272451 | 0 | 1 | 1 |
| dennis e smith | ||||||
| split dollar life insurance policy | X | $120,293 | 120293 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 868045 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Bruce Alexander | |||
| Board Member | 253676 | Purchased insurance from B.R. Alexander & Co. | 0 |
| mark t hodgman | |||
| mark is the husband of a board member, jane hodgman | 14375 | mark t. hodgman was paid by the organization for his position as chief of medicine | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | milton hospital foundation, inc. is the sole member of the Organization and elects the board of directors. There are no classes of directors. milton hospital foundation, inc. 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 7a | milton hospital foundation, inc. is the sole member of the Organization and elects the board of directors. There are no classes of directors. milton hospital foundation, inc. 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 7b | milton hospital foundation, inc. is the sole member of the Organization and elects the board of directors. There are no classes of directors. milton hospital foundation, inc. 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 11 | The organization prepares the Form 990 and the related disclosures with assistance and guidance from the hospital's tax advisors (CPA firm). The Form 990 is reviewed by the entities management team prior to submission to the board of directors and the IRS. |
| Form 990, Part VI, Section B, line 12c | The organization requires that 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. There have been no compliance issues to address, however if one did occur management would investigate the situation and address it as deemed necessary. |
| Form 990, Part VI, Section B, line 15 | The Executive Committee of the Board of Directors selects an executive compensation survey vendor to supply the committee with comparative detail on the compensation and benefit plan levels of the CEO, CFO and other senior level positions within the organization. The comparative data from this survey, which includes organizational size and scope of responsibilities,is assessed and the Executive Committee then determines the salary level for the CEO and CFO. |
| Form 990, Part VI, Section C, line 19 | 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 I, Line 1 Continuation | Also, a physician-led lecture added a final component to Milton Hospital's awareness campaign. Topics covered included the risks of colorectal cancer and the importance of colonoscopies in early detection and prevention. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Milton Hospital Physician Organization | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 199 Reedsdale Road | AddressLine1 |
| City | milton | City |
| State | MA | State |
| ZIP Code | 02186 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043213042 | EIN |
| Primary Activities | physician organization | PrimaryActivities |
| Legal Domicile State | MA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | milton hospital inc | BusinessNameLine1 |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Milton Hospital Foundation | |||||||||
| 199 Reedsdale Road | Milton | MA | 02186 | 222566792 | promote healthcare | MA | 501(C)3 | supporting - type 1 | |
| Milton hospital development fund | |||||||||
| 199 Reedsdale Road | milton | MA | 02186 | 222567057 | fundraising | MA | 501(C)3 | supported org. | Milton Hospital Foundation |
| community physician associates | |||||||||
| 199 Reedsdale Road | milton | MA | 02186 | 043243146 | provide medical care | MA | 501(C)3 | medical care provide | Milton Hospital Foundation |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | horizon ventures | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 199 reedsdale road | AddressLine1 |
| City | milton | City |
| State | MA | State |
| ZIP Code | 02186 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042853249 | EIN |
| Primary Activity | physician billing | PrimaryActivity |
| Legal Domicile State | MA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | milton hospital foundation inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | 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 | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |