2011-08-15T11:01:55-07:00 2010-09-30 990 2009-10-01 043127730 WESTFIELD MEDICAL CORPORATION WEST 4135682811 115 W Silver Street Westfield MA 010853628 Ronald Bryant 4135682811 2011-08-15 2009 2016-02-24 21:20:13Z Ronald Bryant 115 WEST SILVER STREET WESTFIELD MA 01085 4234975 0 X X 1991 MA Healthcare 5 5 39 0 0 0 0 0 3486357 4166498 0 0 48768 68477 3535125 4234975 0 0 0 0 3370583 3983199 0 0 0 1905429 2427428 5276012 6410627 -1740887 -2175652 407435 846966 214718 255741 192717 591225 Healthcare 0 0 6034727 0 4234975 Ambulatory & Primary Healthcare: Physician Medical Services provided at Noble Hospital and in the Hospital's service area. 0 0 0 6034727 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 39 1 0 0 0 0 0 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X WESTFIELD MEDICAL CORPORATION 4135682811 115 W Silver Street Westfield MA 010853628 John Dillingham 0 X 0 0 0 WILLIAM HARMON 0 X 0 0 0 RUSSELL KLAUBERT 0 X 0 0 0 Robert P Perry 40 X X 0 11367 0 Robert Blondin 40 X 0 177944 34061 Gurpal S Kingra 40 X 445490 0 5710 Richard J Lofrumento 40 X 298181 0 29137 Heidi Kolek 40 X 289767 0 22593 Pratibha Vagal 40 X 265647 0 24065 Denzil Reid 40 X 243868 11667 30064 George Koller 0 X 0 1961436 41285 Francis Horrigan MD 0 X 0 0 0 1542953 2162414 186915 10 1 1 0 Comphealth Associates Inc PO Box 972651 Dallas TX 753972651 Health Care Professionals 493024 Barton Associates Inc 10 Dearborn Road Peabody MA 01960 Health Care Professionals 441817 Convergent Solutions Inc 9501 Post Office Park Wilbraham MA 01095 Physician Billing 205830 Baystate Medical Education & Research Foundation Inc 759 Chestnut Street Springfield MA 01199 Health Care Professionals 197057 4 0 Direct Patient Care 621110 3730688 3730688 0 0 Capitation 621110 119026 119026 0 0 Third Party Settlements 621110 294772 294772 0 0 Rental Income 621110 22012 22012 0 0 0 0 0 0 4166498 0 0 0 0 Physician Professional Services 621110 25055 25055 0 0 Management Fees 621110 41364 41364 0 0 2058 2058 0 0 68477 4234975 4234975 0 0 3531240 3416198 115042 43997 41669 2328 229148 220575 8573 178814 170606 8208 7973 7973 1559280 1323444 235836 1999 1999 106514 101769 4745 5549 5549 239290 239290 4533 4533 7421 6828 593 23353 23353 266091 266091 Bad Debt Expense 195538 195538 0 9887 9312 575 6410627 6034727 375900 0 84888 182879 253179 580739 2427 2111 396 16313 254513 189589 66545 64924 407435 846966 214718 255741 0 214718 255741 X 192717 591225 0 0 0 0 192717 591225 407435 846966 X 0 1 1 X 0 X X 0 0 0 TRUSTEES OF NOBLE HOSPITAL INC 222537423 Hospital 1 1 1 0 1 0 0 0 0 0 0 0 0 0 27080 21420 5660 0 227433 168169 59264 0 0 0 0 64924 4234975 6410627 -2175652 0 0 0 0 0 0 -2175652 4212963 0 0 0 0 0 4212963 0 22012 22012 4234975 6388615 0 0 0 0 0 6388615 0 22012 22012 6410627 SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Rental income from physicians not affiliated with WMC periodically see patients at WMC's physician offices. The income was recorded as a reduction of rental office expense. SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b Expenses were reduced which was a result of rental income from physicians not affiliated with WMC who periodically see patients at WMC physician offices. 1 0 0 0 0 0 0 0 0 Gurpal S Kingra 445490 0 0 0 0 0 5385 0 448 0 451323 0 0 0 Heidi Kolek 289767 0 0 0 0 0 4546 0 19993 0 314306 0 0 0 Pratibha Vagal 265647 0 0 0 0 0 5543 0 20460 0 291650 0 0 0 Richard J Lofrumento 248181 0 0 0 50000 0 5938 0 25144 0 329263 0 0 0 Denzil Reid 232201 0 0 0 0 11667 5578 0 28016 0 265795 11667 0 0 Robert Blondin 0 177944 0 0 0 0 0 14313 0 21758 0 214015 Robert P Perry 0 11367 0 0 0 0 0 0 0 0 0 11367 George Koller 0 207816 0 0 0 1753620 0 25445 0 17496 0 2004377 SchJ_P01_S00_L04 Schedule J, Part I, Line 4 The organization entered into a severance agreement in November 2009 with Dr. Richard J. Lofrumento. The agreement provided a one-time payment of $50,000, (2) times the employee's base compensation. In addition to this payment, WMC agreed to pay WMC's portion of the employee's group health insurance premium for health insurance coverage through October 31, 2009. F990_P06_S0A_L03 Form 990, Part VI, Section A, Line 3 On behalf of the organization, the Board of Trustees of an affiliate, Trustees of Noble Hospital, Inc., contracted with an executive management company for the services of an Interim President & Chief Executive Officer, whose services began on September 23, 2009. The interim President & Chief Executive Officer serves as a member of the Board of Trustees of the organization. F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 A copy of this Form 990 was distributed to the full Board of Trustees of it's affiliate, Noble Health Systems Inc., prior to filing. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c All trustees, officers and management employees are required to disclose annually any interest that could give rise to conflicts. Administration periodically reviews the submitted conflict of interest statements to ensure full compliance with the policy. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 On behalf of the organization, the Board of Trustees("Board") of an affiliate, Trustees of Noble Hospital, Inc., utilizes a Compensation Committee ("Committee") of the Board to evaluate the compensation of the President & Chief Executive Officer ("President") and other members of senior management. Members of the Committee include the President and the Vice President, Human Resources. The Committee reviews regional salary survey results on a regular basis. The Committee recommends to the full Board a compensation package for the President and other members of senior management. The last review was in 2008. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The corporation makes it governing documents, conflict of interest policy and audited financial statements available to the public upon request. These documents can be reviewed in a conference room adjacent to the Administrative Offices at Noble Hospital during the regular business hours of 8:00 a.m. through 4:30 p.m. Monday through Friday, excluding recognized holidays. The Form 990 and audited financial statements are also available at various state agency offices and on various state websites. Noble Health Systems Inc 115 West Silver Street Westfield MA 010861634 042131755 Marketing and development support MA 501(c)(3) 11b N/A Trustees of Noble Hospital Inc 115 West Silver Street Westfield MA 010861634 222537423 Hospital providing quality health care MA 501(c)(3) 11b N/A Silvermill Realty Corporation 115 West Silver Street Westfield MA 010861634 222552923 Real estate holding company MA 501(c)(3) 11b N/A Noble Visiting Nurse & Hospice Services Inc 77 Mill Street Westfield MA 01085 222757446 Home health care and hospice MA 501(c)(3) 9 N/A 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 Trustees of Noble Hospital Inc j 94773 Trustees of Noble Hospital Inc c 2574160 An application for an additional three month extension was approved by the IRS on May 30, 2011. The filing due date is August 15, 2011.