TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) ROBERT KELLY CHAIR	1.00	X		0	0
(2) LYLE BAZZINOTTI VICE-CHAIR	1.00	X		0	0
(3) MICHAEL BABINI DIRECTOR	1.00	X		0	0
(4) KENNETH FOSDICK DIRECTOR	1.00	X		0	0
(5) CLARK HINKLEY DIRECTOR	1.00	X		0	0
(6) LYON CARTER DIRECTOR	1.00	X		0	0
(7) KIMBERLY MELLONI MD DIRECTOR	1.00	X		0	0
(8) EDWARD SANTOS DIRECTOR	1.00	X		0	0
(9) WILFRED SHEEHAN DIRECTOR	1.00	X		0	0
(10) KEELAS SMALL DIRECTOR	1.00	X		0	0
(11) FREDERIC CLIFFORD DIRECTOR	1.00	X		0	0
(12) JOHN CARNUCCIO DIRECTOR	1.00	X		0	0
(13) SHAWN DAHLEEN DIRECTOR	1.00	X		0	0
(14) STEPHEN TREHU MD DIRECTOR	1.00	X		0	0
(15) PETER MUNCEY ESQ DIRECTOR	1.00	X		0	0
(16) DAVID DELANEY SECRETARY	1.00		X	0	0
(17) DENISE NORRIS ASSISTANT SECRETARY	1.00		X	63,493	19,106

(A) Name and business address	(B) Description of services	(C) Compensation
BAYSIDE EMERGENCY MEDICAL ASSOCIATES PC 1342 BELMONT ST SUITE 205 BROCKTON,MA02301	EMERGENCY MEDICINE MGMNT	6,868,806
ALLIANCE ONCOLOGY LLC 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH,CA92660	RADIATION THERAPY MGMNT	2,144,852
ALLIANCE HEALTHCARE SERVICES 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH,CA92660	IMAGING SERVICES MANAGEMENT	1,560,364
ANGELICA TEXTILE SERVICES 482 PAWTUCKET AVENUE PAWTUCKET,RI02860	LINEN MGMNT	756,053
PLYMOUTH ROCK LITHOTRIPSY 437 TURNPIKE STREET CANTON,MA02021	MEDICAL LITHOTRIPSY SVCS	492,700
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 13

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	82,308,407	72,258,000	10,050,407
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	3,804,650	3,340,077	464,573
9	Other employee benefits .......	12,663,153	11,116,897	1,546,256
10	Payroll taxes ...........	5,954,360	5,227,293	727,067
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	575,258	575,258
c	Accounting ...........	443,635		443,635
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........
12	Advertising and promotion ....
13	Office expenses .......	53,287,337	45,092,408	8,194,929
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	7,529,755	6,781,550	748,205
17	Travel ............	205,411	158,166	47,245
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	421,595	269,821	151,774
20	Interest ...........	4,898,458	4,898,458
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	9,279,375	9,279,375
23	Insurance ..............	1,076,203	1,076,203
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	PHYSICIAN EXPENSE	7,598,562	7,598,562
b	BAD DEBT EXPENSE	4,961,332	4,961,332
c
d
e
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	195,007,491	172,633,400	22,374,091	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........		1
2	Savings and temporary cash investments .......	16,509,266	2	8,461,205
3	Pledges and grants receivable, net .........	181,278	3	109,746
4	Accounts receivable, net .........	21,356,270	4	21,122,008
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	2,073,728	8	2,392,733
9	Prepaid expenses and deferred charges ............	2,613,015	9	2,376,836
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	184,605,081
b	Less: accumulated depreciation. .....	10b	97,294,630	90,509,033	10c	87,310,451
11	Investments—publicly traded securities ..........	12,166,301	11	22,735,448
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	24,281,643	15	23,079,971
16	Total assets. Add lines 1 through 15 (must equal line 34)...	169,690,534	16	167,588,398
	17	Accounts payable and accrued expenses .	25,055,549	17	20,995,267
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	79,590,000	20	78,145,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	19,027,187	25	24,830,574
26	Total liabilities. Add lines 17 through 25.....	123,672,736	26	123,970,841
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	34,874,047	27	33,745,263
28	Temporarily restricted net assets .....	1,758,828	28	1,216,895
29	Permanently restricted net assets .....	9,384,923	29	8,655,399
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	46,017,798	33	43,617,557
34	Total liabilities and net assets/fund balances .....	169,690,534	34	167,588,398

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

JORDAN HOSPITAL INC

Employer identification number

22-2667354

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

JORDAN HOSPITAL INC

Employer identification number

22-2667354

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization JORDAN HOSPITAL INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization JORDAN HOSPITAL INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
JORDAN HOSPITAL INC

Employer identification number

22-2667354

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

JORDAN HOSPITAL INC

Employer identification number

22-2667354

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Total. lines 1c through 1i ...................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES:	PART II-B, LINE 1I:	JORDAN HOSPITAL PAID MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

JORDAN HOSPITAL INC

Employer identification number

22-2667354

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	11,143,750	11,541,125	12,515,339
b	Contributions ........	1,667,255	1,822,428	858,367
c	Investment earnings or losses ...	-763,788	162,354	-837,782
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	2,174,923	2,382,157	994,799
f	Administrative expenses ....
g	End of year balance ......	9,872,294	11,143,751	11,541,125

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

0 %

Permanent endowment: SchDMd Bullet

87.670 %

Term endowment: SchDMd Bullet

12.330 %

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	54,225		54,225
b	Buildings ................	80,471,902	27,080,534	53,391,368
c	Leasehold improvements ............	30,198,603	14,578,720	15,619,883
d	Equipment ................	73,186,139	55,635,376	17,550,763
e	Other .................	694,212		694,212
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				87,310,451

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) FUNDS HELD BY TRUSTEE				7,255,484
(2) DUE FROM AFFILIATES				1,475,273
(3) FUNDS HELD BY OUTSIDE TRUSTEES				9,072,922
(4) OTHER RECEIVABLES				64,360
(5) CURRENT LIMITED USE ASSETS				4,693,145
(6) ASSETS HELD AS COLLATERAL				518,787



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				23,079,971

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
ESTIMATED 3RD PARTY SETTLEMENT		6,396,225
OTHER CURRENT LIABILITIES		5,265,885
OTHER LIABILITIES		514,704
CAPITAL LEASE		365,690
ADDTL MINIMUM PENSION LIABILITY		12,288,070




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		24,830,574
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT FUNCTIONS TO SUPPORT AND PROVIDE INCOME FOR THE FURTHERANCE OF THE HEALTHCARE MISSION OF JORDAN HOSPITAL, INC AND ITS AFFILIATES.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

JORDAN HOSPITAL INC

Employer identification number

22-2667354

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	3,882,661	3,882,661	1.990 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	6,378,806	6,378,806	3.270 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	10,261,467	10,261,467	5.260 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	2,069,592	2,069,592	1.060 %
f Health professions education (from Worksheet 5) ..
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..
jTotal Other Benefits ...	2,069,592	2,069,592	1.060 %
kTotal. Add lines 7d and 7j. ..	12,331,059	12,331,059	6.320 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	51,173	51,173	0.030 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	51,173	51,173	0.030 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	102,346	102,346	0.060 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

4,961,332

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

77,722,516

Enter Medicare allowable costs of care relating to payments on line 5.....

82,876,695

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-5,154,179

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 JORDAN SURGICAL MANAGEMENT COMPANY LLC	MANAGEMENT OF OPERATING ROOM	50.000 %	50.000 %
22 SOUTHEASTERN MASS PETCT IMAGING CENTER	PET & CT IMAGING SERVICES	45.000 %	10.000 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	JORDAN HOSPITAL INC 275 SANDWICH STREET PLYMOUTH,MA023602183	X	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NA

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART I, LINE 7: THE COSTING METHODOLOGY USED WAS DERIVED FROM WORKSHEET 2. RATIO OF CARE COST-TO-CHARGES.
		PART II: 2012 PROGRAM PLANS ARE LIKELY TO ADDRESS: HEART HEALTH, COLON CANCER AWARENESS, ARTHRITIS TREATMENT, DIABETES, SLEEP DISORDERS, WOUND TREATMENT, AND DEMENTIA. ALL HOUSECALLS EVENTS ARE FREE AND OPEN TO THE PUBLIC. PRE-REGISTRATION IS REQUIRED. REGISTER AT 800-2JORDAN (800-256-7326). PEDIATRIC PALLIATIVE CARE: BRIEF DESCRIPTION OR OBJECTIVE. THE FRAGILE FOOTPRINTS PEDIATRIC PALLIATIVE CARE PROGRAM IS PART OF THE MASSACHUSETTS PEDIATRIC CARE NETWORK ADMINISTERED BY THE MASSACHUSETTS DEPT. OF PUBLIC HEALTH, DIVISION FOR PERINATAL, EARLY CHILDHOOD AND SPECIAL HEALTH NEEDS. THE PROGRAM PROVIDES MEDICAL CASE MANAGEMENT AND SUPPORT TO MEDICALLY FRAGILE CHILDREN AND THEIR FAMILIES. PROGRAM TYPE DIRECT SERVICE TARGET POPULATION REGIONS SERVED: 48 TOWNS IN PLYMOUTH, BRISTOL, BARNSTABLE AND DUKES COUNTIES.HEALTH INDICATOR: CHILD CARE, BEREAVEMENT, HOSPICE. SEX: ALL. AGE GROUP: PRENATAL TO 19 YEARS. ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, PEDIATRIC PALLIATIVE CARE NETWORK CONTACT INFORMATION DEBORAH DOLAWAY, LICSW. ADMINISTRATOR, CRANBERRY HOSPICE & PALLIATIVE CARE, 36 CORDAGE PARK CIRCLE, PLYMOUTH. 508-746-0215 DDOLAWAY@JORDANHOSPITAL.ORG. DETAILED DESCRIPTION: FRAGILE FOOTPRINTS PEDIATRIC PALLIATIVE CARE PROGRAM IS DESIGNED TO IMPROVE THE QUALITY OF LIFE FOR CHILDREN WITH POTENTIALLY LIFE-LIMITING ILLNESS AND THEIR FAMILIES. AN INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS, CHILD LIFE SPECIALISTS, SPIRITUAL CARE, COMPLEMENTARY THERAPY AND EXPRESSIVE ARTS PRACTITIONERS AND TRAINED VOLUNTEERS HELP TO DESIGN A PLAN OF CARE THAT WILL COORDINATE AND AUGMENT EXISTING SERVICES. BY PROVIDING A COLLABORATIVE APPROACH, FRAGILE FOOTPRINTS WORKS TO ADDRESS PROBLEMS COMMONLY EXPERIENCED BY FAMILIES OF MEDICALLY FRAGILE CHILDREN INCLUDING EMOTIONAL STRESS AND ANXIETY, SCHOOL AND ACTIVITY INTERRUPTIONS OF SIBLINGS, ISOLATION, FINANCIAL AND RELATIONSHIP ISSUES CREATED BY COMPLEX MEDICAL DEMANDS AND DISRUPTION OF "NORMAL" ROUTINES. THE FRAGILE FOOTPRINTS STAFF WORKS CLOSELY WITH AREA HEALTH PROVIDERS, TERTIARY HOSPITALS, AND COMMUNITY SUPPORT PROGRAMS TO SIMPLIFY AND CREATE A COMPREHENSIVE PLAN TO SUPPORT CHILDREN, PARENTS AND SIBLINGS. BIOTERRORISM PROGRAM (IN CONJUNCTION WITH MASS DPH ASPR GRANT): BRIEF DESCRIPTION OR OBJECTIVE THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MDPH) HAS BEEN AWARDED, FOR THE TENTH YEAR, COOPERATIVE AGREEMENT FUNDING FROM THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE (ASPR). THE FY2011 AWARD WILL SUPPORT MASSACHUSETTS'S FY2011 HOSPITAL PREPAREDNESS PROGRAM (HPP). THE PURPOSE OF THIS FUNDING IS TO CONTINUE TO DEVELOP AND SUPPORT AN EFFECTIVE STATEWIDE HOSPITAL AND HEALTH CARE EMERGENCY PREPAREDNESS AND RESPONSE SYSTEM IN MASSACHUSETTS. JORDAN HOSPITAL HAS A REPRESENTATIVE THAT PARTICIPATES IN HOSPITAL PREPAREDNESS AND COLLABORATES WITH ALL THE OTHER ACUTE CARE HOSPITALS WITHIN REGION 5 IN HOSPITAL PREPAREDNESS AND IN DEVELOPING PRIORITIES FOR BOTH THE REGION AND THE HOSPITAL. THE JORDAN HOSPITAL EMERGENCY PREPAREDNESS REPRESENTATIVE ATTENDS MONTHLY MEETINGS, WORKS WITH COMMUNITY PARTNERS SUCH AS POLICE, FIRE AND EMS AND THE JORDAN HOSPITAL STAFF TO ASSURE READINESS IN THE CASE OF A DISASTER. PROGRAM TYPE OUTREACH TO UNDERSERVED, PREVENTION TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH, REGION 5 HEALTH INDICATOR: ENVIRONMENTAL QUALITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS REGION 5 HOSPITALS CONTACT INFORMATION JANE STILES RN, MM- EMERGENCY PREPAREDNESS COORDINATOR, AT 508-830-2812, JSTILES@JORDANHOSPITAL.ORG DETAILED DESCRIPTION THE FUNDING HAS OVERARCHING REQUIREMENTS SUCH AS NATIONAL INCIDENT MANAGEMENT SYSTEMS (NIMS), NEEDS FOR AT-RISK POPULATIONS, EDUCATION, PREPAREDNESS TRAINING, EXERCISES, EVALUATIONS AND CORRECTIVE ACTIONS. ALSO LEVEL ONE SUB-CAPABILITIES SUCH AS INTEROPERABLE COMMUNICATION SYSTEM, HOSPITAL AVAILABLE BED TRACKING SYSTEM (HAVBED), FATALITY MANAGEMENT PLANS, HOSPITAL EVACUATION AND SHELTER-IN-PLACE PLANS, DECONTAMINATION PROCEDURES AND THE MDU (MASS DECONTAMINATION UNIT WITH PLYMOUTH FIRE DEPARTMENT), PHARMACEUTICAL CACHES, PERSONAL PROTECTIVE EQUIPMENT, REGIONAL PROJECT DEVELOPMENT AND LABORATORY RESPONSE NETWORK. ESSENTIAL COMMUNITY PROVIDER PROGRAM: BRIEF DESCRIPTION OR OBJECTIVE AN EHR (ELECTRONIC HEALTH RECORD) COMMITTEE WAS FORMED TO DESIGN, IMPLEMENT AND ADOPT A FULLY FUNCTIONAL EHR TO INCLUDE COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) AND ELECTRONIC PHYSICIAN DOCUMENTATION. PROGRAM TYPE DIRECT SERVICE TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH HEALTH INDICATOR: ALL SEX: ALL AGE GROUP: ALL ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS CONTACT INFORMATION RON RUTHERFORD, DEPUTY CIO JORDAN HOSPITAL, INC., 275 SANDWICH ST, PLYMOUTH, MA 02360(508) 830-2286 OR E-MAIL: RRUTHERFORD@JORDANHOSPITAL.ORG DETAILED DESCRIPTION: THE ESSENTIAL COMMUNITY PROVIDER FUNDING ASSISTS IN THE TRANSITION TOWARDS PROVIDING MORE ACCESSIBLE AND COST-EFFECTIVE HEALTH CARE AND ALLOWS US TO FOCUS ON AREAS FOR INNOVATION AND IMPROVEMENT TO BENEFIT OUR RESIDENTS. MAJOR INITIATIVES INCLUDE: THE TARGETED AREAS OF FOCUS INCLUDE CONVERSION OF PAPER-BASED DOCUMENTATION, INFRASTRUCTURE DEVELOPMENT, AND PLANNING FOR A FUNCTIONAL HEALTH INFORMATION EXCHANGE (HIE). THESE INITIATIVES ARE CRITICAL TO THE DEVELOPMENT OF A COMPLETE AND FULLY FUNCTIONAL ELECTRONIC HEALTH RECORD THAT IS PLANNED FOR COMPLETED IMPLEMENTATION BY 2013. THE MAJOR COMPONENTS OF THE EHR HAVE BEEN SPORADICALLY IMPLEMENTED OVER THE PAST FEW YEARS AT JORDAN HOSPITAL. SIGNIFICANT INVESTMENTS IN CAPITAL AND LABOR HAVE BEEN MADE TO FULLY IMPLEMENT ALL COMPONENTS OF THE EMR IN AN EFFORT TO IMPROVE PATIENT SAFETY AND QUALIFY FOR FEDERAL FUNDS UNDER MEANINGFUL USE STAGE I. THIS INCLUDES COMPUTERIZED PHYSICIAN ORDER ENTRY, PHYSICIAN ELECTRONIC DOCUMENTATION, CLINICIAN DOCUMENTATION, ELECTRONIC MEDICATION ADMINISTRATION RECORDS AND OTHER REQUIREMENTS FOR ACHIEVING MEANINGFUL USE STAGE I IN FY 2012 AS OUTLINED BY ARRA/HITECH. THE IMPLEMENTATION OF EHR WILL PROVIDE COORDINATED CONNECTION OF PATIENT HEALTH INFORMATION SO WE CAN BEST CARE FOR PATIENTS. THIS IS PARTICULARLY IMPORTANT FOR PATIENTS WITH CO-MORBIDITIES WHO SEE MULTIPLE PRACTITIONERS IN MULTIPLE LOCATIONS. THE EHR WILL GIVE ALL PROVIDERS THE ABILITY TO ACCESS ALL CARE A PATIENT RECEIVES FROM ANY PRACTITIONER TO OPTIMIZE PATIENT CARE.
		PART III, LINE 8: MEDICARE OUTPATIENT, PSYCHIATRIC AND HOSPICE SERVICES TOTAL $4,591,240 OF THE LOSS REPORTED ON LINE 7. THESE LOSSES REPRESENT SUBSIDIZED HEALTH SERVICES PROVIDED TO THE MEDICARE POPULATION AND SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIOS TAKEN FROM THE MEDICARE COST REPORT.
		PART VI, LINE 2: COMMUNITY BENEFITS MISSION STATEMENT: JORDAN HOSPITAL SEEKS TO PROMOTE HEALTH AND WELLNESS SERVICES WITH EXCELLENCE. SERVING THE GREATER PLYMOUTH REGION, THE HOSPITAL COLLABORATES WITH COMMUNITY LEADERS, PUBLIC AND PRIVATE AGENCIES AND BUSINESSES, TO PROVIDE HEALTH PROMOTION, HEALTH PROTECTION AND PREVENTIVE SERVICES TO MEET THE BROAD RANGE OF OUR COMMUNITY'S HEALTH AND WELLNESS NEEDS AS IDENTIFIED THROUGH COMMUNITY FEEDBACK AND FORMAL COMMUNITY NEEDS ASSESSMENTS. AS PART OF ITS MISSION TO SUPPORT COMMUNITY HEALTH, JORDAN HOSPITAL IS COMMITTED TO ASSESSING ROOT CAUSES OF HEALTH DISPARITIES AND TO ASSISTING IN IMPROVING HEALTH CARE FOR THE DISADVANTAGED AND UNDERSERVED. PROGRAM ORGANIZATION AND MANAGEMENT: JORDAN HOSPITAL IS A NON-PROFIT,501 (C)(3), ORGANIZATION. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF JORDAN HOSPITAL, AND AS SUCH, THE PARENT BOARD OF JORDAN HEALTH SYSTEMS, INC., THE HOSPITAL'S SENIOR MANAGEMENT TEAM AND THE BOARD OF DIRECTORS, HAVE ULTIMATE OVERSIGHT OF ALL COMMUNITY BENEFIT INITIATIVES. THE BOARD IS COMPRISED OF COMMUNITY RESIDENTS REPRESENTING HEALTH AND HUMAN SERVICE AGENCIES AND OTHER COMMUNITY ORGANIZATIONS, BUSINESS LEADERS, AND INDIVIDUAL RESIDENTS. SENIOR STAFF: PETER J. HOLDEN, PRESIDENT AND CHIEF EXECUTIVE OFFICER; WILLIAM KIRKWOOD, VICE PRESIDENT ORGANIZATIONAL DEVELOPMENT; ANDREA HOLLERAN, VICE PRESIDENT OF EXTERNAL AFFAIRS; DONNA DOHERTY, VICE PRESIDENT OF NURSING & CNO; JOSEPH IANNONI, VICE PRESIDENT OF FINANCE & CFO; CYNTHIA OUTHOUSE, VICE PRESIDENT OF PHILANTHROPY; JAMES FANALE, M.D., SR. VICE PRESIDENT OF SYSTEM DEVELOPMENT; JAMES ALBERT, VICE PRESIDENT & CIO; BOARD MEMBERS: CLARK HINKLEY - RETIRED, MICHAEL BABINI - REAL ESTATE SERVICES CONSULTANT, LYLE BAZZINOTTI - MASS. HEFA, JOHN CARNUCCIO - MGMT CONSULTANT, LYON CARTER II - PARTNER, CARTER CRANBERRY, FREDERIC M.CLIFFORD - PRINCIPAL, CLIFFORD ASSOCIATES, SHAWN DAHLEN - CONTRACTOR, SHAWN DAHLEN & CO., KENNETH FOSDICK - MARINE ENGINEERING, ROBERT KELLY - RETIRED, KIMBERLY MELLONI, M.D. - EMERGENCY MEDICINE, PETER MUNCEY, ESQ. - LAWYER, EDWARD SANTOS - RETIRED BANKER, WILFRED SHEEHAN - RETIRED, KEELAS SMALL - OWNER, COMFORT INN, STEPHEN TREHU, M.D. RADIOLOGIST. EX-OFFICIO DIRECTORS:PETER HOLDEN, PRESIDENT AND CEO, JORDAN HOSPITAL, INC., MARK DEMATTEO, M.D. PRESIDENT OF MEDICAL-DENTAL STAFF. KEY COLLABORATIONS AND PARTNERSHIPS: JORDAN HOSPITAL PARTNERS WITH A WIDE RANGE OF COMMUNITY LEADERS AND LOCAL GROUPS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE LIVING IN OUR COMMUNITIES AND TO PROVIDE CARE FOR THEM AT THE RIGHT PLACE, AT THE RIGHT TIME. HOSPITAL LEADERS, CLINICAL AND ADMINISTRATIVE STAFF, AND VOLUNTEERS MEET REGULARLY WITH LEADERS FROM OUR COMMUNITY INCLUDING ELECTED OFFICIALS, BUSINESS OWNERS, COMMUNITY SERVICE PROVIDERS, EMERGENCY PERSONNEL, SCHOOL ADMINISTRATORS, MEDIA REPRESENTATIVES AND OTHERS WITH INSIGHT INTO THE COMMUNITY'S HEALTH NEEDS. BEYOND ITS WALLS, JORDAN HOSPITAL PLAYS AN ACTIVE ROLE IN COALITION BUILDING, WORKING TO EMPOWER A RANGE OF COMMUNITY LEADERS TO FOSTER SUSTAINABLE, HEALTHY LIFESTYLES THAT LEAD TO BETTER HEALTH FOR ALL MEMBERS OF THE COMMUNITY. JORDAN HOSPITAL SEEKS COMMUNITY INVOLVEMENT IN THE HOSPITAL'S DEVELOPMENT AND EVALUATION OF ITS HEALTH AND EDUCATION PROGRAMS. BY SOLICITING FEEDBACK AT COMMUNITY EVENTS AND WORKSHOPS, AND CONDUCTING LARGER COMMUNITY HEALTH ASSESSMENTS, JORDAN HOSPITAL IS ABLE TO FOCUS ITS RESOURCES ON CLINICAL SERVICES AND OTHER INITIATIVES THAT DIRECTLY SUPPORT OUR COMMUNITY'S HEALTH NEEDS. IN ADDITION, COMMUNITY MEMBERS SERVE ON COMMITTEES THROUGHOUT JORDAN HOSPITAL, PROVIDING FEEDBACK AND WORKING WITH STAFF TO IMPROVE COMMUNITY HEALTH CARE INITIATIVES. IN SUPPORT OF THE IDENTIFIED HEALTH PRIORITIES AND PROGRAM INITIATIVES WITHIN GREATER PLYMOUTH, JORDAN HOSPITAL COLLABORATES WITH OVER 90 COMMUNITY PARTNERS. KEY COLLABORATORS (THOSE MARKED WITH * ARE HEALTHY COMMUNITY INITIATIVE PARTNERS) INCLUDE: AD MAKEPEACE, AMERICAN HEART ASSOCIATION, BAY STATE COLLEGE, BAYSIDE RUNNERS, BEAT CANCER BOOT CAMP, BOSTON COLLEGE, BOSTON PUBLIC HEALTH COMMISSION-RYAN WHITE PART A, BOYS & GIRLS CLUB OF BROCKTON, BOYS & GIRLS CLUB OF PLYMOUTH, BRIDGEWATER STATE COLLEGE, CAPE COD CANAL REGION CHAMBER OF COMMERCE, CAPE COD COMMUNITY COLLEGE, COLCHESTER NEIGHBORHOOD FARMS, COMMUNITIES MOBILIZING FOR CHANGE ON ALCOHOL (CMCA), COMMUNITY HEALTH EDUCATION NETWORK AREA 23 (CHNA 23), CURRY COLLEGE, DUXBURY COUNCIL ON AGING, EIGHT-TOWN TOBACCO CONTROL PROGRAM, ESSENTIAL COMMUNITY PROVIDER TRUST FUND, EXPLORE HISTORIC PLYMOUTH, FITNESS MANAGEMENT SYSTEMS GREATER ATTLEBORO-TAUNTON REGIONAL TRANSIT AUTHORITY (GATRA), GREATER PLYMOUTH AIDS CONSORTIUM, GREATER PLYMOUTH FOOD WAREHOUSE, GREATER PLYMOUTH COUNCIL OF HUMAN SERVICES AGENCIES, HEALTH RESOURCE & SERVICE ADMINISTRATION (HRSA)-RYAN WHITE PART C, JORDAN HOSPITAL COMMUNITY BUSINESS PARTNERS (APPROXIMATELY 69 BUSINESSES), KIWANIS CLUB OF PLYMOUTH, LABOURE COLLEGE, LEAGUE OF WOMEN VOTERS, MARIBETT FARMS, MASS BAY COMMUNITY COLLEGE, MASSACHUSETTS COLLEGE OF PHARMACY & ALLIED HEALTH SCIENCES, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH PEDIATRIC PALLIATIVE CARE NETWORK, MASSASOIT COMMUNITY COLLEGE, MASSACHUSETTS GENERAL HOSPITAL INSTITUTE OF HEALTH PROFESSIONS, METROPOLITAN AREA PLANNING COUNCIL (MAPC) , NEW ENGLAND INSTITUTE OF TECHNOLOGY, NEW ENGLAND VILLAGES, NORTH RIVER FARMERS, NORTHEASTERN UNIVERSITY, OFFICE OF YOUTH AND ADOLESCENT DEVELOPMENT - EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES, OLD COLONY ELDER SERVICES, OLD COLONY PLANNING COUNCIL, PINEHILLS LLC PLIMOTH PLANTATION, PLYMOUTH AREA COMMUNITY ACCESS TELEVISION (PACTV) , PLYMOUTH BOARD OF SELECTMEN, PLYMOUTH CHAMBER OF COMMERCE, PLYMOUTH CONSERVATION COMMISSION, PLYMOUTH COUNCIL ON AGING, PLYMOUTH COUNTY DISTRICT ATTORNEY'S OFFICE, PLYMOUTH DEPARTMENT OF PUBLIC WORKS (DPW), PLYMOUTH FAMILY NETWORK, PLYMOUTH GARDEN CLUB, PLYMOUTH HOUSING AUTHORITY, PLYMOUTH LIONS CLUB, PLYMOUTH PUBLIC LIBRARY, PLYMOUTH PUBLIC SCHOOLS, PLYMOUTH PUBLIC SCHOOLS HEALTH ADVISORY COMMITTEE, PLYMOUTH ROTARY, PLYMOUTH TOWN HALL, PLYMOUTH YOUTH DEVELOPMENT COALITION, QUINCY COLLEGE, QUINNIPIAC UNIVERSITY RED CROSS BLOOD DRIVE, REGION V MASSACHUSETTS DPH BIO-TERRORISM COMMITTEE, REGIS COLLEGE, SCHWARTZ CENTER ROUNDS, SOUTH SHORE CHAMBER OF COMMERCE, SIGNATURE HEALTHCARE BROCKTON, SIMMONS COLLEGE, SODEXO, SOULE HOMESTEAD EDUCATION CENTER, SOUTHEAST CENTER FOR HEALTHY COMMUNITIES (FORMERLY MASS. PREVENTION CENTER), SOUTH SHORE COMMUNITY ACTION COUNCIL, SOUTH SHORE WOMEN'S RESOURCE CENTER (SSWRC), SOUTH SHORE BOARDS OF HEALTH TOBACCO COLLABORATIVE, SOUTHEASTERN MASSACHUSETTS AGRICULTURAL PARTNERSHIP, INC. (SEMAP), SOUTHEASTERN MASSACHUSETTS AREA HEALTH EDUCATION CENTER (SMAHEC), SOUTHEASTERN REGIONAL OFFICE OF THE MASSACHUSETTS DEPARTMENT OF MENTAL RETARDATION, THE MAGNIFICENT LEAVEN, THE PARENT CONNECTION OF DUXBURY, THORBAHN, TOWN OF PLYMOUTH, TOWN OF PLYMOUTH OPEN SPACE COMMITTEE, TUFTS UNIVERSITY SCHOOL OF MEDICINE, UNITED WAY, UNIVERSITY OF MASSACHUSETTS AT AMHERST, UNIVERSITY OF MASSACHUSETTS AT BOSTON, UNIVERSITY OF MASSACHUSETTS AT DARTMOUTH, UNIVERSITY OF MASSACHUSETTS AT WORCESTER, UPPER CAPE COD REGIONAL TECHNICAL SCHOOL, VILLAGE AT DUXBURY, WILDLANDS TRUST*. COMMUNITY HEALTH NEEDS ASSESSMENT: JORDAN HOSPITAL ENGAGED SOUTHEAST CENTER FOR HEALTHY COMMUNITIES TO BEGIN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT OF BOTH ARCHIVAL AND QUALITATIVE DATA GATHERED FROM JORDAN HOSPITAL'S CATCHMENT AREAS, WHICH INCLUDE 12 LOCAL TOWNS. THE ASSESSMENT EVALUATES HEALTH NEEDS OF DISADVANTAGED POPULATIONS, AMONG OTHER COMMUNITY HEALTH NEEDS. THE ASSESSMENT WAS COMPLETED IN THE FALL OF 2010. RESEARCH INTO COMMUNITY HEALTH NEEDS FOR JORDAN HOSPITAL'S SERVICE AREA COMPRISES FOUR DISTINCT SOURCES OF INFORMATION GATHERING: 1. DEPARTMENT OF PUBLIC HEALTH DATA FROM MASSCHIP, WHICH ALLOWS JORDAN HOSPITAL TO COMPARE NATIONAL-AND STATE-LEVEL INFORMATION ON HEALTH STATUS INDICATORS FOR A RANGE OF HEALTH ISSUES, SUCH AS DIABETES, ELDER HEALTH, AND ADOLESCENT HEALTH; 2. FOCUS GROUPS HELD WITH DIVERSE LOCAL COMMUNITY MEMBERS, AGE 18 AND OLDER, TO DETERMINE THEIR PERCEIVED HEALTH NEEDS, ACCESS TO HEALTH CARE AND ANY OBSTACLES IN ACCESSING HEALTH SERVICES, AND WHAT THEY CONSIDER TO BE MAJOR PROBLEMS IN HEALTHCARE; 3. KEY INFORMANT INTERVIEWS WITH PROFESSIONALS WHO WORK WITH THE LOCAL BRAZILIAN, PORTUGUESE-SPEAKING POPULATION TO DETERMINE HOW HEALTH CARE ACCESS HAD CHANGED FOR THIS POPULATION SINCE THE MASSACHUSETTS HEALTH CARE REFORM INITIATIVE AND HOW THEIR HEALTH STATUS HAS CHANGED WITH NEW INSURANCE REQUIREMENTS; 4. A REVIEW OF EXISTING PROGRAMS AND SERVICES IN THE JORDAN HOSPITAL CATCHMENT AREA. IN COLLECTING THIS DATA, JORDAN HOSPITAL SEEKS TO DETERMINE WHERE OTHER COMMUNITY PROGRAMS ARE ALREADY MEETING HEALTH AND WELLNESS NEEDS AND TO DETERMINE WHAT COMMUNITY HEALTH NEEDS ARE UNMET.
		PART VI, LINE 3: OUR EVALUATION OF THE REGIONAL COMMUNITY IDENTIFIED THE FOLLOWING KEY COMMUNITY HEALTH INDICATORS: HIGHER THAN STATE AVERAGE MORTALITY RATE FROM LUNG CANCER; HIGHER THAN STATE AVERAGE PERCENTAGE OF WOMEN REPORTING SMOKING DURING PREGNANCY; HIGHER THAN STATE AVERAGE HOSPITALIZATION FOR CORONARY HEART DISEASE; HIGHER THAN STATE AVERAGE PERCENTAGE OF PEOPLE AGE 18 AND OLDER REPORTING THEY HAD BEEN DIAGNOSED WITH DIABETES IN THE SOUTH AREA; HIGHER THAN AVERAGE EXPOSURE TO RISK OF BIOTERRORISM IN REGION, FROM PROXIMITY TO NUCLEAR POWER PLANT; DIFFICULT ACCESS TO SERVICES AND RESOURCES FOR FAMILIES WITH MEDICALLY FRAGILE CHILDREN; DIFFICULT ACCESS TO HEALTH CARE FOR RESIDENTS, REGARDLESS OF BACKGROUND: DIFFICULTY FINDING PRIMARY CARE PHYSICIAN, FEW TAKING NEW PATIENTS, COST. IN ADDITION TO THIS ASSESSMENT, JORDAN HOSPITAL RELIES ON DATA COLLECTED THROUGH ITS SPEAKER'S BUREAU PROGRAM, HOUSECALLS. SINCE 2005, HOUSECALLS STAFF HAS GATHERED SURVEY DATA BY ASKING THOSE WHO ATTEND THE HEALTH EDUCATION PROGRAMS TO PROVIDE FEEDBACK ON THE PROGRAM AND IDENTIFY HEALTH-RELATED TOPICS THEY WOULD LIKE TO HEAR. DURING 2011, MORE THAN 570 AREA RESIDENTS PARTICIPATED IN JORDAN HOSPITAL'S HOUSECALLS EDUCATIONAL PROGRAMS. PRESENTATIONS COVERED TOPICS INCLUDING BREAST CANCER, SLEEP DISORDERS, DIABETES, OBESITY, DEMENTIA, HEART DISEASE, PREGNANCY, SPORTS INJURIES, SINUSITIS,AND ARTHRITIS. OF THOSE ATTENDING THE PROGRAMS, 99% OF THE SURVEY RESPONDENTS RATED THE PRESENTATION AS EXCELLENT OR VERY GOOD WHILE 98% FELT THEY COULD APPLY THE HEALTH INFORMATION PRESENTED TO THEIR LIVES. JORDAN HOSPITAL WORKS WITH OUR PATIENT FAMILY ADVISORY COUNCIL (PFAC). THIS COMMITTEE MEETS QUARTERLY AND PROVIDES US FEEDBACK TO MAKE IMPROVEMENTS THROUGHOUT THE HOSPITAL INCLUDING MODIFICATIONS IN OUR PATIENT FAMILY GUIDEBOOK TO MAKE IT MORE USER-FRIENDLY, MODIFICATION OF THE COMMUNICATION "WHITE BOARDS" DISPLAYED IN PATIENT ROOMS TO BE MORE PATIENT-FAMILY ORIENTED AND CHANGES TO THE SEXUAL ASSAULT PROGRAM IN THE EMERGENCY DEPARTMENT WHERE WE CREATED A MORE PRIVATE SETTING BASED ON FEEDBACK FROM MEMBERS TO BETTER SERVE THE NEEDS OF THE COMMUNITY. COMMUNITY BENEFITS PLAN: THE HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF WELLNESS/HEALTH PROMOTION, DISEASE RISK REDUCTION AND SAFETY EDUCATION CLASSES, AND SUPPORT GROUPS. SURVEYS ARE PROVIDED TO PROGRAM PARTICIPANTS AND THE ONGOING VALUE OF COMMUNITY PROGRAMS IS ASSESSED ON A REGULAR BASIS. THE PROGRAMS THE HOSPITAL PRESENTED DURING 2011 WERE DEVELOPED, IN PART, BASED UPON OUR PRIOR COMMUNITY NEEDS ASSESSMENT AND OUR ONGOING INTERACTION WITH OUR COMMUNITY LEADERS AND COMMUNITY SERVICE AGENCIES. GOING FORWARD, WE ANTICIPATE THAT OUR PROGRAMS WILL EVOLVE BASED ON THE COMMUNITY NEEDS ASSESSMENT WE COMPLETED IN 2010 AND OUR GROWING ROLE OF LEADERSHIP IN A COMMUNITY-WIDE EFFORT TO CREATE A MORE HEALTH-SUSTAINING ENVIRONMENT FOR ALL RESIDENTS. DATA COLLECTED WILL HELP US TARGET OUR PROGRAMS TO MEET SPECIFIC UNMET COMMUNITY HEALTH NEEDS AND REDUCE HEALTH DISPARITIES FOR DISADVANTAGED POPULATIONS IN OUR AREA. IN THE HOSPITAL'S COLLABORATIVE WORK WITH THE TOWN OF PLYMOUTH THROUGH THE HEALTHY COMMUNITIES INITIATIVE, TEAMS COMPOSED OF HOSPITAL STAFF, COMMUNITY BUSINESS LEADERS, PUBLIC SCHOOL REPRESENTATIVES, MUNICIPAL AND ELECTED LEADERS, AND OTHER PARTNERS WILL CONTINUE TO DEVELOP WORK PLANS WITH MEASURABLE GOALS AND A DEFINED AUDIENCE. FURTHER, OUR DATA COLLECTED THROUGH OUR COMMUNITY INITIATIVES WILL SUPPORT OUR EVALUATION OF OUR PROGRAMS TO DETERMINE WHETHER OUR PROGRAMS IMPROVE THE OVERALL LEVEL OF COMMUNITY HEALTH. THIS LATEST ASSESSMENT AND OUR OUTREACH EFFORTS IN 2012 WILL STRENGTHEN JORDAN HOSPITAL'S WORK WITH LOCAL HEALTH AND HUMAN SERVICE AGENCIES INCLUDING COMMUNITY HEALTH EDUCATION NETWORK (CHNA). THIS ONGOING WORK WILL HELP JORDAN HOSPITAL DEVELOP PROGRAMS WITH MEASURABLE GOALS TO ENSURE WE ADDRESS KEY FINDINGS FROM OUR 2010 COMMUNITY ASSESSMENT: CHRONIC DISEASE- CORONARY, LUNG, DIABETES; STATE HEALTH PRIORITIES OF REDUCING OBESITY BY ENCOURAGING NUTRITION, EXERCISE, AND SMOKING CESSATION. KEY ACCOMPLISHMENTS OF REPORTING YEAR:IN JANUARY 2011, JORDAN HEALTH SYSTEM BROUGHT TOGETHER KEY COMMUNITY MEMBERS AND POSED THIS QUESTION: INSTEAD OF TRYING ONLY TO FIX DISEASE, WHAT IF WE TRANSFORMED OUR COMMUNITY SO IT ENCOURAGED A HEALTHY LIFESTYLE? AS A RESULT OF THE COLLABORATIVE WORK INITIATED BY JORDAN HOSPITAL, THE TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS AND OTHER COMMUNITY PARTNERS ARE NOW FINDING NEW WAYS TO WORK TOGETHER WITH US TO FOSTER BETTER HEALTH IN OUR COMMUNITY, LONG-TERM, AND AT A LOWER COST, THROUGH OUR HEALTHY COMMUNITY INITIATIVE (HCI). JORDAN HOSPITAL HAS DEDICATED VP-LEVEL STAFF TO SUPPORTING AND FURTHERING THIS COMMUNITY OUTREACH. THE INITIAL TEAM MEETING INSPIRED A SERIES OF SPIRITED DISCUSSIONS AND BROUGHT MORE PARTNERS AND RESOURCES TO THE TABLE. THE MEETING RESULTED IN A COMMUNITY-WIDE COMMITMENT TO THE SHARED GOAL OF EXPANDING THE BREADTH AND IMPACT OF HEALTH INITIATIVES IN OUR REGION. JORDAN HOSPITAL PLAYED A KEY LEADERSHIP ROLE IN WRITING AND WINNING A GRANT FOR THE TOWN OF PLYMOUTH TO RECEIVE A COMMUNITY TRANSFORMATION AWARD FROM THE CENTERS FOR DISEASE CONTROL (CDC) AND MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MDPH) IN JANUARY 2011. PLYMOUTH IS ONE OF A SELECT GROUP OF TOWNS TO BE ACCEPTED INTO THE MASS IN MOTION MUNICIPAL WELLNESS PROGRAM. THE HOSPITAL HAS BEEN ACTIVELY INVOLVED IN ALL STAGES, FROM VISION TO IMPLEMENTATION, AND HAS COMMITTED WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS TO FOCUSING ON FOUR KEY AREAS TO REDUCE OBESITY, IMPROVE NUTRITION AND PROMOTE ACTIVE LIVING COMMUNITY-WIDE. THE AWARD RECOGNIZES COMMUNITIES THAT HAVE DEMONSTRATED STRATEGIC PLANNING COMBINED WITH SOLIDARITY AND FOCUS. OUR THREE-YEAR PLAN HAS MEASURABLE OBJECTIVES BASED ON THE HIGHEST PRIORITIES IDENTIFIED THROUGH COMMUNITY INPUT. THE PLAN ADDRESSES: 1. SAFE ROUTES TO SCHOOL: IMPROVING WALKABILITY AND BIKEABILITY TO AREA SCHOOLS. OBJECTIVE: BY SEPTEMBER 30, 2012, PLYMOUTH WILL PROMOTE THE MASSDOT SAFE ROUTES TO SCHOOL PROGRAM SO THAT THE TOWN HAS A MINIMUM OF 50% OF ELEMENTARY AND MIDDLE SCHOOL STUDENTS ENROLLED IN AN ACTIVE SAFE ROUTE TO SCHOOL PROGRAM; 2. SCHOOL NUTRITION: IMPROVING NUTRITIONAL QUALITY OF FOODS AND BEVERAGES IN LOCAL SCHOOLS. OBJECTIVE: BY SEPTEMBER 30, 2014, 100% OF THE PLYMOUTH SCHOOL SYSTEM WILL HAVE IMPLEMENTED THE BASIC NUTRITIONAL GUIDELINES IN THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH GUIDELINES; 3. COMPLETE STREETS INITIATIVE: MAKING STREETS SAFE FOR ALL USERS (PEDESTRIANS, BICYCLISTS AND USERS OF PUBLIC TRANSPORTATION) BY ESTABLISHING COMMUNITY DESIGN STANDARDS. OBJECTIVE: BY SEPTEMBER 30, 2014, A COMPLETE STREETS POLICY WILL BE PROMULGATED AND IMPLEMENTED IN PLYMOUTH; 4. HEALTHY NEIGHBORHOOD MARKET: INCREASING ACCESSIBILITY, AVAILABILITY, AFFORDABILITY AND IDENTIFICATION OF HEALTHY FOODS IN COLLABORATION WITH LOCAL RETAILERS. OBJECTIVE: BY SEPTEMBER 30, 2014, A MINIMUM OF 25% OF CONVENIENCE/SMALL STORES WITHIN THE TOWN OF PLYMOUTH WILL OFFER AND PROMOTE HEALTHIER FOOD AND BEVERAGES (INCLUDING FRESH FRUITS AND VEGETABLES, WHOLE GRAIN PRODUCTS, LOWER SODIUM OPTIONS, AND LOW FAT DAIRY) THROUGH AN ESTABLISHED HEALTHY NEIGHBORHOOD MARKET PROGRAM. AS PART OF THE HEALTHY COMMUNITIES INITIATIVE, IN JUNE 2011, JORDAN HOSPITAL HOSTED A COMMUNITY-WIDE SUMMIT OF OVER 60 DIVERSE MEMBERS. AT THIS SUMMIT, EVERYONE FROM LOCAL FARMERS AND TRANSIT AUTHORITY STAFF TO SCHOOL AND HEALTHCARE LEADERS CAME TOGEHTER TO FOCUS ON COMBATING CHRONIC DISEASE BY TRANSFORMING HOW WE LIVE IN THE COMMUNITY WE SHARE-MAKING IT EASIER FOR AREA RESIDENTS FROM ALL SOCIO-ECONOMIC BACKGROUNDS TO CHOOSE BETTER NUTRITION AND ACTIVE LIFESTYLES. JORDAN HOSPITAL ENGAGED MARK FENTON-A NATIONALLY RESPECTED AUTHORITY ON BUILDING COMMUNITIES THAT SUPPORT A HEALTHIER, MORE ACTIVE POPULATION AND MORE SUSTAINABLE LIFESTYLES-AS KEYNOTE SPEAKER FOR THE SUMMIT AND AS A SPEAKER AT OTHER PUBLIC VENUES TO EDUCATE AND INSPIRE HCI PARTICIPATION. MR. FENTON FACILITATED DISCUSSION ON TOPICS SUCH AS: WHAT IT MEANS TO BUILD A HEALTHIER COMMUNITY; IMPORTANCE OF COALITION BUILDING AND CREATING POLICY LEVEL CHANGE FOR SUSTAINABLE IMPACT: MAKING THE HEALTHY CHOICE THE EASY CHOICE FOR ALL RESIDENTS; EFFECTIVENESS OF PROGRAM DEVELOPMENT ARISING FROM POLICY CHANGE, SO PROGRAMS SUPPORT POLICY GOALS. FOR EXAMPLE, SCHOOL NUTRITION AND SAFE ROUTES TO SCHOOL INITIATIVES SUPPORT LONG-TERM, ONGOING PROGRAMS THAT OCCUR MORE THAN ONCE AND HAVE LONG-TERM, BROAD IMPACT; CONNECTION BETWEEN HOSPITAL AND MUNICIPAL LEADERS, TO DRIVE INITIATIVES SUCH AS ADDING BIKE RACKS TO PUBLIC BUSSES, FACILITATING HEALTHY CHOICES FOR THE ENTIRE COMMUNITY AND, IN PARTICULAR, FOR DISADVANTAGED POPULATIONS, WHO ARE THE GREATEST USERS OF PUBLIC TRANSPORTATION. AT THE HCI SUMMIT, MULTI-DISCIPLINARY TEAMS DEVELOPED ACTION PLANS FOR IMPLEMENTING A RANGE OF POLICY LEVEL CHANGES WITH LONG-TERM HEALTH IMPROVEMENT GOALS AND THE POTENTIAL FOR SYSTEMIC, SUSTAINABLE IMPACT.
		PART VI, LINE 4: THIS WORK HAS ALREADY MADE PROGRESS IN LAUNCHING HEALTH-ENHANCING INITIATIVES: JORDAN HEALTH SYSTEM HOSTED A WELL-ATTENDED COMPLETE STREETS TRAINING PROGRAM FOR AREA MUNICIPALITIES TO EDUCATE DIVERSE COMMUNITY LEADERS ABOUT HOW STREETS DESIGNED FOR MULTIPLE MODES OF TRANSPORTATION SUPPORT HEALTH AND TO INTRODUCE IDEAS FOR IMPLEMENTATION THROUGHOUT THE REGION. THE HOSPITAL, ALONG WITH THE TOWN OF PLYMOUTH AND OLD COLONY PLANNING COUNCIL, HAS DEVELOPED A THREE-YEAR WORK PLAN THAT INCLUDES INPUT FROM RESIDENTS, INTERESTED GROUPS, AND MUNICIPAL LEADERSHIP. NEW POLICIES WILL ENSURE ROADWAY IMPROVEMENTS AND RENOVATIONS THAT ENABLE RESIDENTS TO WALK, BIKE AND DRIVE SAFELY TO THEIR DESTINATIONS, EXPANDING HEALTH-ENHANCING TRANSPORTATION OPTIONS FOR ALL RESIDENTS, INCLUDING THE UNDERSERVED AND ADDRESSING OBESITY AND RESULTING CHRONIC ILLNESS. THE HEALTHY COMMUNITY INITIATIVE'S TRAILS, PARKS, AND RECREATION GROUP IS SUPPORTING THE WORK OF THE PLYMOUTH OPEN SPACE COMMITTEE TO CONNECT TRAILS THROUGHOUT THE REGION, GIVING RESIDENTS ACCESS TO BUSINESSES AND BASIC SERVICES THEY USE ALL THE TIME. THIS WORK FURTHER SIMPLIFIES THE PROCESS OF MAKING ACTIVE LIFESTYLE CHOICES THAT ARE COST EFFECTIVE AND GIVE GREATER ACCESS TO BASIC SERVICES TO THE UNDERSERVED. PLYMOUTH YOUTH DEVELOPMENT COUNCIL IS BROADENING ITS FOCUS BEYOND MANAGING SUBSTANCE ABUSE IN AT-RISK YOUTH TO ENCOURAGING HEALTHY YOUTH CHOICES BY INCLUDING ACTIVE LIVING AND HEALTHY EATING IN THE SPECTRUM OF ISSUES WHERE THEY PROVIDE SUPPORT AND EDUCATION. THIS WORK ADDRESSES OUR FINDINGS OF A HIGH INCIDENCE OF SMOKING, LUNG AND HEART DISEASE IN OUR COMMUNITY AND PROVIDES PROACTIVE PREVENTION MEASURES FOR AT-RISK YOUTH. THE HEALTHY COMMUNITY INITIATIVE'S COMMUNITY NUTRITION GROUP, WITH THE SUPPORT OF JORDAN HOSPITAL, HAS DEVELOPED A THREE-YEAR WORK PLAN, FOCUSING ON THE DEVELOPMENT OF HEALTHY NEIGHBORHOOD MARKETS AND ASSISTING THE PLYMOUTH PUBLIC SCHOOLS IN IMPROVING SCHOOL NUTRITION. FOR ALL HEALTHY COMMUNITY INITIATIVE EFFORTS, WORK PLANS WITH MEASURABLE GOALS TIED TO CDC AND STATE HEALTH PRIORITIES FOCUS ON REDUCING OBESITY BY ENCOURAGING NUTRITION, EXERCISE, AND SMOKING CESSATION. JORDAN HOSPITAL'S WORK TO MERGE THE MISSIONS OF HEALTHCARE, BUSINESS AND CONSERVATION GROUPS GENERATES SUSTAINABLE SOLUTIONS THAT HAVE THE POTENTIAL TO BRING BETTER HEALTH TO ALL MEMBERS OF THE COMMUNITY, FOR MANY GENERATIONS. JORDAN HOSPITAL SUCCESSFULLY APPLIED FOR $518,298 IN GRANTS TO SUPPORT COMMUNITY HEALTH INITIATIVES ADDRESSING AIDS/HIV, CANCER, PARENTING, BIOTERRORISM AND PEDIATRIC PALLIATIVE CARE AMONG OTHERS. OTHER SUCCESSFUL GRANTS SUPPORTED HOSPITAL-BASED CLINICAL AND PATIENT CARE IMPROVEMENTS. JORDAN HOSPITAL CONTINUES TO ADDRESS THE HIGH PREVALENCE OF HEART AND LUNG DISEASE AND SMOKING DURING PREGNANCY IN PLYMOUTH COUNTY THROUGH OUR OUTREACH PROGRAM TO LOCAL SCHOOLS, EDUCATING PARENTS AND STUDENTS ABOUT TOBACCO AVOIDANCE, NUTRITION AND EXERCISE. THIS PROGRAMMING SUPPORTS STATE INITIATIVES TO REDUCE OBESITY AND SERVES TO ADDRESS THE LOCAL INCIDENCE OF CHRONIC DISEASES, SUCH AS DIABETES AND HEART DISEASE, WHICH OFTEN RESULT FROM OBESITY AND WERE SHOWN AS SIGNIFICANT COMMUNITY HEALTH ISSUES IN OUR REGION. JORDAN HOSPITAL WORKED WITH THE STATE TO COMMUNICATE NEW HEALTH COVERAGE PLANS FOR THE UNINSURED AND ENROLL THOSE WHO QUALIFY. FINANCIAL COUNSELORS SCREENED AND ENROLLED PATIENTS FOR MASSHEALTH, HEALTH SAFETY NET, MEDICAL HARDSHIP AND COMMONWEALTH CARE. THE HOSPITAL ASSISTED PEOPLE WITH ENROLLMENT IN STATE INSURANCE PARTNERSHIP PROGRAMS. PLANS FOR NEXT REPORTING YEAR: JORDAN HOSPITAL WILL REVIEW THE DATA COLLECTED THROUGH ITS 2010 COMMUNITY NEEDS ASSESSMENT AND ONGOING WORK IN LIGHT OF IDENTIFIED HEALTH AND HUMAN SERVICES (EOHHS) STATEWIDE PRIORITIES TO SUPPORT HEALTH CARE REFORM, MANAGE CHRONIC DISEASE IN DISADVANTAGED POPULATIONS, REDUCE HEALTH DISPARITIES, AND PROMOTE WELLNESS OF VULNERABLE POPULATIONS. THE HOSPITAL WILL ALSO CONTINUE TO GATHER DATA AND FEEDBACK THROUGH ITS WORK WITH THE WIDE-REACHING HEALTHY COMMUNITY INITIATIVE. JORDAN HOSPITAL WILL CONTINUE TO PLAY A LEADERSHIP ROLE IN BUILDING COMMUNITY-WIDE COALITIONS TO DEVELOP INFRASTRUCTURE AND PROGRAMS THAT FACILITATE HEALTHY LIFESTYLE CHOICES FOR ALL, INCLUDING DISADVANTAGED POPULATIONS. OUR OUTREACH WILL CONTINUE TO SUPPORT STUDENT EDUCATION AND AWARENESS OF HEALTH AND WELLNESS ISSUES. JORDAN HOSPITAL WILL CONTINUE TO OFFER ITS CURRENT ROSTER OF COMMUNITY EDUCATION PROGRAMS AT LITTLE OR NO CHARGE TO THE PUBLIC THROUGH THE USE OF GRANTS AND OTHER FUNDING SOURCES. THE HEALTHY COMMUNITY INITIATIVE PROGRAMS AS WELL AS THE HOSPITAL'S FAMILY EDUCATION, DIABETES EDUCATION AND ACCESS PROGRAM (AIDS COMPREHENSIVE CARE, EDUCATION & SUPPORT SERVICES PROGRAM) ARE INITIATIVES THAT THE HOSPITAL PLANS TO FOSTER AND FURTHER DEVELOP. THE HOSPITAL WILL CONTINUE TO STRIVE, WITH OUR COMMUNITY PARTNERS, TO MEET THE COMMUNITY HEALTH NEEDS IN OUR REGION AND TO GO BEYOND BY EXTENDING OPTIONS FOR HEALTHY LIFESTYLES TO ALL COMMUNITY MEMBERS, MAKING BETTER HEALTH SUSTAINABLE AND COST EFFECTIVE. CONTACT: FOR FURTHER INFORMATION, PLEASE CONTACT ANDREA HOLLERAN, VICE PRESIDENT OF EXTERNAL AFFAIRS, JORDAN HOSPITAL, 275 SANDWICH STREET, PLYMOUTH, MA 02360. TEL: (508) 830-2427. EMAIL: AHOLLERAN@JORDANHOSPITAL.ORG. SELECT COMMUNITY BENEFITS PROGRAMS: ACCESS PROGRAM BRIEF DESCRIPTION OR OBJECTIVE ACCESS (AIDS COMPREHENSIVE CARE, EDUCATION & SUPPORT SERVICES PROGRAM) PROVIDES MEDICAL CARE, EDUCATION, SUPPORT, AND MEDICAL CASE MANAGEMENT TO PEOPLE WITH HIV/AIDS AND THEIR FAMILIES. IN ADDITION TO PATIENT CARE, THE PROGRAM OFFERS HIV EDUCATION TO THE COMMUNITY. FREE AND ANONYMOUS HIV TESTING IS ALSO AVAILABLE. PROGRAM TYPE DIRECT SERVICES TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH HEALTH INDICATOR: OTHER: HIV/AIDS SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS AIDS BUREAU OF THE U. S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA)(HTTP://HAB.HRSA.GOV/) CONTACT INFORMATION RUTH COOPER, RN, PROGRAM DIRECTOR, AT (508) 732-8981 OR EMAIL AT RCOOPER@JORDANHOSPITAL.ORG. FOR FREE ANONYMOUS COUNSELING AND TESTING INFORMATION, PLEASE CONTACT ASHLEY FRAZIER, (508) 732-8982 OR EMAIL AT AFRAZIER@JORDANHOSPITAL.ORG. DETAILED DESCRIPTION JORDAN HOSPITAL PROVIDES PRIMARY MEDICAL CARE AND MEDICAL CASE MANAGEMENT SERVICES FOR PERSONS LIVING WITH HIV/AIDS IN THE GREATER PLYMOUTH AREA. FREE AND ANONYMOUS HIV COUNSELING AND TESTING IS ALSO PROVIDED. PARTS A AND C FUNDING IS RECEIVED FOR THESE SERVICES THROUGH THE RYAN WHITE CARE ACT. PART C FUNDING IS PROVIDED THROUGH THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) FOR EARLY INTERVENTION SERVICES. PART A FUNDING IS PROVIDED THROUGH THE BOSTON PUBLIC HEALTH COMMISSION (BHPC) FOR MEDICAL CASE MANAGEMENT. THE AIDS COMPREHENSIVE CARE EDUCATION AND SUPPORT SERVICES PROGRAM (ACCESS) PROVIDES PRIMARY MEDICAL CARE TO HIV/AIDS CLIENTS. CARE INCLUDES PHYSICAL EXAMINATIONS; TREATMENT PLANNING; LABORATORY TESTING; IMMUNIZATIONS AND SCREENING; REFERRALS TO SPECIALTY CARE AND CLINICAL TRIALS AS WELL AS MEDICAL CASE MANAGEMENT. FOR INFORMATION ABOUT ELIGIBILITY AND SERVICES PROVIDE UNDER THE GRANT, PLEASE CONTACT RUTH COOPER, RN,PROGRAM DIRECTOR, AT (508) 732-8981. FOR FREE ANONYMOUS COUNSELING AND TESTING, PLEASE CONTACT ASHLEY FRAZIER AT (508) 732-8982 OR AFRAZIER@JORDANHOSPITAL.ORG. JORDAN HOSPITAL PHYSICIAN SPEAKING PROGRAM: BRIEF DESCRIPTION OR OBJECTIVE JORDAN HOSPITAL HEALTHCARE PROFESSIONALS, FROM PHYSICIANS TO DIETICIANS, OFFER A RANGE OF PROGRAMS TO COMMUNITY RESIDENTS. THE RECENT COMMUNITY NEEDS ASSESSMENT INSTRUCTS PROGRAM CONTENT. JORDAN HOSPITAL OFFERED SEMINARS FOCUSED ON BREAST CANCER, SLEEP DISORDERS, DIABETES, OBESITY, DEMENTIA, HEART DISEASE, PREGNANCY, SPORTS INJURIES, SINUSITIS, AND ARTHRITIS. PROGRAM TYPE COMMUNITY EDUCATION TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: NUTRITION, OTHER: PROSTATE DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, PHYSICAL ACTIVITY, DEMENTIA, EXERCISE AND SPORTS INJURY PREVENTION SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS NOT SPECIFIED CONTACT INFORMATION ALL HOUSECALLS EVENTS ARE FREE AND OPEN TO THE PUBLIC. PRE-REGISTRATION IS REQUIRED. REGISTER AT 800-2JORDAN (800-256-7326). DETAILED DESCRIPTION JORDAN HOSPITAL LAUNCHED HOUSECALLS IN 2005 AS AN EDUCATIONAL SPEAKER SERIES THAT BRINGS IMPORTANT HEALTH AND PREVENTION INFORMATION TO THE COMMUNITY. JORDAN HOSPITAL PHYSICIANS AND OTHER HEALTH CARE PROVIDERS WILL PROVIDE REGULAR HEALTH INFORMATION SEMINARS AT VARIOUS LOCATIONS THROUGHOUT THE 12-TOWN JORDAN HOSPITAL SERVICE AREA. 2011 HOUSECALLS PROGRAMS INCLUDED: SPORTS INJURIES IN YOUNG ATHLETES, PREGNANCY AND BACK PAIN, SINUS PAIN RELIEF, TREATMENT OF ARTHRITIS, HEART DISEASE, BARIATRIC SURGERY, DIABETES TREATMENTS, ADVANCES IN BREAST CANCER, SLEEP DISORDERS, AND DEMENTIA.
		PART VI, LINE 6: HEALTHY COMMUNITY INITIATIVE: BRIEF DESCRIPTION OR OBJECTIVE JORDAN HOSPITAL, WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS, HAS BROUGHT TOGETHER MORE THAN 60 COMMUNITY PARTNERS-FROM CITY OFFICIALS TO LOCAL FARMERS-TO ENVISION AND BUILD A MORE HEALTH SUSTAINING COMMUNITY, WHERE THE HEALTHY CHOICE IS THE EASY CHOICE. PROGRAM TYPE COMMUNITY EDUCATION, COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, HEALTHY COMMUNITIES PARTNERSHIP, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH HEALTH INDICATOR: OBESITY, HEART DISEASE, LUNG DISEASE, CANCER, DIABETES, NUTRITION SEX: ALL AGE GROUP: ALL ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH CONTACT INFORMATION ANDREA HOLLERAN, VP OF EXTERNAL AFFAIRS JORDAN HOSPITAL, 275 SANDWICH ST, PLYMOUTH, MA 02360 (508) 830-2029 AHOLLERAN@JORDANHOSPITAL.ORG DETAILED DESCRIPTION: AS A RESULT OF THE COLLABORATIVE WORK INITIATED BY JORDAN HOSPITAL, THE TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS AND OTHER COMMUNITY PARTNERS ARE NOW FINDING NEW WAYS TO WORK TOGETHER WITH JORDAN HOSPITAL TO FOSTER BETTER HEALTH IN OUR COMMUNITY, LONG-TERM, AND AT A LOWER COST, THROUGH THE HEALTHY COMMUNITY INITIATIVE (HCI). SUPPORTED BY JORDAN HOSPITAL'S VICE PRESIDENT OF EXTERNAL AFFAIRS, THE HOSPITAL HAS MADE A COMMUNITY-WIDE COMMITMENT TO THE SHARED GOAL OF EXPANDING THE BREADTH AND IMPACT OF HEALTH INITIATIVES IN THE REGION. AS PART OF THE MASS IN MOTION MUNICIPAL WELLNESS PROGRAM, THE HOSPITAL HAS BEEN ACTIVELY INVOLVED IN ALL STAGES, FROM VISION TO IMPLEMENTATION, AND HAS COMMITTED WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS TO FOCUSING ON FOUR KEY AREAS TO REDUCE OBESITY, IMPROVE NUTRITION AND PROMOTE ACTIVE LIVING COMMUNITY-WIDE. THE PROGRAM'S THREE-YEAR PLAN HAS MEASURABLE OBJECTIVES BASED ON THE HIGHEST PRIORITIES IDENTIFIED THROUGH COMMUNITY INPUT. THE PLAN ADDRESSES: 1. SAFE ROUTES TO SCHOOL: IMPROVING WALKABILITY AND BIKEABILITY TO AREA SCHOOLS. OBJECTIVE: BY SEPTEMBER 30, 2012, PLYMOUTH WILL PROMOTE THE MASSDOT SAFE ROUTES TO SCHOOL PROGRAM SO THAT THE TOWN HAS A MINIMUM OF 50% OF ELEMENTARY AND MIDDLE SCHOOL STUDENTS ENROLLED IN AN ACTIVE SAFE ROUTE TO SCHOOL PROGRAM; 2. SCHOOL NUTRITION: IMPROVING NUTRITIONAL QUALITY OF FOODS AND BEVERAGES IN LOCAL SCHOOLS. OBJECTIVE: BY SEPTEMBER 30, 2014, 100% OF THE PLYMOUTH SCHOOL SYSTEM WILL HAVE IMPLEMENTED THE BASIC NUTRITIONAL GUIDELINES IN THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH GUIDELINES; 3. COMPLETE STREETS INITIATIVE: MAKING STREETS SAFE FOR ALL USERS (PEDESTRIANS, BICYCLISTS AND USERS OF PUBLIC TRANSPORTATION) BY ESTABLISHING COMMUNITY DESIGN STANDARDS. OBJECTIVE: BY SEPTEMBER 30, 2014, A COMPLETE STREETS POLICY WILL BE PROMULGATED AND IMPLEMENTED IN PLYMOUTH; 4. HEALTHY NEIGHBORHOOD MARKET: INCREASING ACCESSIBILITY, AVAILABILITY, AFFORDABILITY AND IDENTIFICATION OF HEALTHY FOODS IN COLLABORATION WITH LOCAL RETAILERS. OBJECTIVE: BY SEPTEMBER 30, 2014, A MINIMUM OF 25% OF CONVENIENCE/SMALL STORES WITHIN THE TOWN OF PLYMOUTH WILL OFFER AND PROMOTE HEALTHIER FOOD AND BEVERAGES (INCLUDING FRESH FRUITS AND VEGETABLES, WHOLE GRAIN PRODUCTS, LOWER SODIUM OPTIONS, AND LOW FAT DAIRY) THROUGH AN ESTABLISHED HEALTHY NEIGHBORHOOD MARKET PROGRAM. FINANCIAL INFORMATION: COMMUNITY BENEFITS PROGRAMS- EXPENDITURES AMOUNT: DIRECT EXPENSES $148,849ASSOCIATED EXPENSES $57,034 DETERMINATION OF NEED EXPENDITURES $27,385 EMPLOYEE VOLUNTEERISM $0OTHER LEVERAGED RESOURCES $0 NET CHARITY CARE-EXPENDITURES AMOUNT:HSN ASSESSMENT $1,518,779HSN DENIED CLAIMS --FREE/DISCOUNT CARE $2,363,882TOTAL NET CHARITY CARE $3,882,661CORPORATE SPONSORSHIPS: $5,300TOTAL EXPENDITURES $4,121,229TOTAL REVENUES FOR 2011 $206,230,268TOTAL PATIENT CARE-RELATED EXPENSES FOR 2011 $186,188,676APPROVED PROGRAM BUDGET FOR 2012 $443,200(*EXCLUDING EXPENDITURES THAT CANNOT BE PROJECTED AT THE TIME OF THE REPORT.)OPTIONAL FINANCIAL INFORMATIONCOMMUNITY SERVICE PROGRAMSEXPENDITURES AMOUNTDIRECT EXPENSES $207,228ASSOCIATED EXPENSES $4,145DETERMINATION OF NEED EXPENDITURES $0EMPLOYEE VOLUNTEERISM $1,619,652OTHER LEVERAGED RESOURCES $0TOTAL COMMUNITY SERVICE PROGRAMS $1,831,024
REPORTS FILED WITH STATES	PART VI, LINE 7	MA

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

JORDAN HOSPITAL INC

Employer identification number

22-2667354

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) PETER HOLDEN	(i) (ii)	0 461,332	0 45,000	0 164,498	0 0	0 31,024	0 701,854	0 0
(2) JOSEPH IANNONI	(i) (ii)	0 316,524	0 21,700	0 12,172	0 0	0 26,311	0 376,707	0 0
(3) JOANNE FORD	(i) (ii)	162,614 0	2,639 0	8,967 0	0 0	22,468 0	196,688 0	0 0
(4) GAIL ROBBINS	(i) (ii)	163,683 0	4,000 0	1,986 0	0 0	24,181 0	193,850 0	0 0
(5) MARK TARLTON	(i) (ii)	142,865 0	7,000 0	1,695 0	0 0	17,177 0	168,737 0	0 0
(6) DEBORAH SULLIVAN	(i) (ii)	143,382 0	4,000 0	2,805 0	0 0	12,395 0	162,582 0	0 0
(7) CHRISTINE KLUCZNIK	(i) (ii)	143,130 0	4,000 0	2,004 0	0 0	19,089 0	168,223 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
JORDAN HOSPITAL INC

Employer identification number
22-2667354

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	MHEFA SERIES E REVENUE BONDS	04-2456011	57585K5J3	07-01-2003	49,935,000	CONSTRUCTION & CAPITAL PROJECTS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	49,935,000
2 Amount of bonds defeased . . . .	4,152,575
3 Total proceeds of issue . . . .
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	822,277
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	36,234,529
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X
15 Were the bonds issued as part of an advance refunding issue?		X
16 Has the final allocation of proceeds been made? . .	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0.690 %
6 Total of lines 4 and 5 . . .. . . . . .	0.690 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X
2 Is the bond issue a variable rate issue?		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X
6 Did the bond issue qualify for an exception to rebate? . . .		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

JORDAN HOSPITAL INC

Employer identification number

22-2667354

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) KIMBERLY MELLONI MD	PRESIDENT OF BEMA, SITS ON JHS BOARD	6,868,806	KIM MELLONI, JORDAN HOSPITAL BOARD MEMBER, IS PRESIDENT OF BAYSIDE EMERGENCY MANAGEMENT ASSOCIATES WHICH PROVIDES CONTRACTED SERVICES FOR JORDAN HOSPITAL'S EMERGENCY DEPARTMENT. DURING THE YEAR ENDED 9/30/11, JORDAN HOSPITAL WAS CONTRACTED TO PAY $6,868,806 FOR SERVICES PROVIDED BY BAYSIDE EMERGENCY MANAGEMENT ASSOCIATES.		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

JORDAN HOSPITAL INC

Employer identification number

22-2667354

Identifier	Return Reference	Explanation
	FORM 990, PART I LINE 1 AND PART III, LINE 1	JORDAN HOSPITAL SEEKS TO PROMOTE HEALTH AND WELLNESS SERVICES WITH EXCELLENCE. SERVING THE GREATER PLYMOUTH REGION, THE HOSPITAL COLLABORATES WITH COMMUNITY LEADERS, PUBLIC AND PRIVATE AGENCIES AND BUSINESSES, TO PROVIDE HEALTH PROMOTION, HEALTH PROTECTION AND PREVENTIVE SERVICES TO MEET THE BROAD RANGE OF OUR COMMUNITY'S HEALTH AND WELLNESS NEEDS AS IDENTIFIED THROUGH COMMUNITY FEEDBACK AND FORMAL COMMUNITY NEEDS ASSESSMENTS. AS PART OF ITS MISSION TO SUPPORT COMMUNITY HEALTH, JORDAN HOSPITAL IS COMMITTED TO ASSESSING ROOT CAUSES OF HEALTH DISPARITIES AND TO ASSISTING IN IMPROVING HEALTH CARE FOR THE DISADVANTAGED AND UNDERSERVED.
FORM 990, PART VI, SECTION A, LINE 2		KIM MELLONI, JORDAN HOSPITAL BOARD MEMBER, IS PRESIDENT OF BAYSIDE EMERGENCY MANAGEMENT ASSOCIATES WHICH PROVIDES CONTRACTED SERVICES FOR JORDAN HOSPITAL'S EMERGENCY DEPARTMENT. DURING THE YEAR ENDED 9/30/11, JORDAN HOSPITAL WAS CONTRACTED TO PAY $6,868,806 FOR SERVICES PROVIDED BY BAYSIDE EMERGENCY MANAGEMENT ASSOCIATES.
FORM 990, PART VI, SECTION B, LINE 11		JORDAN HOSPITAL, INC.'S FORM 990 IS INITIALLY PREPARED BY AN OUTSIDE PAID PREPARER. THE 990 IS REVIEWED BY INTERNAL MANAGEMENT AND FOLLOWING THAT REVIEW, IT IS PRESENTED BY MANAGEMENT TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS MADE AVAILABLE TO ALL MEMBER OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.
	FORM 990, PART VI, SECTION B, LINE 12C	JORDAN HEALTH SYSTEMS, INC. HAS A WRITTEN CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION AND DESTRUCTION POLICY IN PLACE WHICH APPLIES TO THE SYSTEM AND ITS RELATED ORGANIZATIONS. ALL OFFICERS AND BOARD MEMBERS ARE SUBJECT TO THE POLICIES. OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE, IN WRITING, ANNUALLY, TO DISCLOSE ANY FINANCIAL OR BUSINESS RELATIONSHIPS THAT HE, SHE, OR ANY FAMILY MEMBER MAY HAVE WITHIN THE JORDAN SYSTEM. THE QUESTIONNAIRE RESPONSES ARE REVIEWED BY THE ORGANIZATION. ALL CONFLICTS ARE RESOLVED AT THIS REVIEW IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY.
	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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -1,651,018. FUNDS UTILIZED FOR PROPERTY & EQUIPMENT 10,493. NET ASSETS RELEASED FROM RESTRICTIONS 200,461. TRANSFERS BETWEEN NET ASSET CATEGORY -3,051,109. PENSION ADJUSTMENT -2,499,914. TOTAL TO FORM 990, PART XI, LINE 5: -6,991,087.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

JORDAN HOSPITAL INC

Employer identification number

22-2667354

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) JORDAN PHYSICIAN ASSOCIATES INC 275 SANDWICH STREET PLYMOUTH,MA02360 04-3228556	HEALTHCARE	MA	501(C)(3)	9	JHSI		No
(2) JORDAN AMBULATORY HEALTH CARE INC 36 CORDAGE PARK CIRCLE PLYMOUTH,MA02360 22-2667348	HEALTHCARE	MA	501(C)(3)	3	JHSI		No
(3) JORDAN HEALTH FOUNDATION INC 275 SANDWICH STREET PLYMOUTH,MA02360 51-0432984	PHILANTHROPY	MA	501(C)(3)	11	JHSI		No
(4) JORDAN HEALTH SYSTEMS INC 275 SANDWICH STREET PLYMOUTH,MA02360 04-2103805	HEALTHCARE	MA	501(C)(3)	7	N/A		No
(5) JH REALTY CORPORATION 275 SANDWICH STREET PLYMOUTH,MA02360 22-2667673	REAL ESTATE	MA	501(C)(3)	11	JHSI		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) ATLANTIC MEDICAL MANAGEMENT 275 SANDWICH STREET PLYMOUTH,MA02360 04-3161451	SUPPORT STAFFING	MA	JHSI	C

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	14
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	1,646
6	Total number of volunteers (estimate if necessary) ....	6	350
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	1,865,438
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-323,240

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,298,779	2,283,558
9	Program service revenue (Part VIII, line 2g) .........	192,729,354	196,207,353
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	830,660	1,013,610
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	111,968	93,816
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	195,970,761	199,598,337
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	101,379,263	104,730,570
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	87,519,251	90,276,921
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	188,898,514	195,007,491
19	Revenue less expenses. Subtract line 18 from line 12......	7,072,247	4,590,846
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	169,690,534	167,588,398
21	Total liabilities (Part X, line 26)............	123,672,736	123,970,841
22	Net assets or fund balances. Subtract line 21 from line 20 .....	46,017,798	43,617,557

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 172,633,400 including grants of $ ) (Revenue $ 194,341,915 )
	SERVICES RENDERED INCLUDE INPATIENT, OUTPATIENT AND EMERGENCY CARE DELIVERED WITHIN THE INSTITUTION'S SERVICE AREA.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 172,633,400

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) PETER HOLDEN PRESIDENT/CEO	40.00	X			0	670,830	31,024
(19) JOSEPH IANNONI TREASURER/CFO	40.00	X			0	350,396	26,311
(20) JOANNE FORD REGISTERED NURSE	53.00		X		174,220	0	22,468
(21) GAIL ROBBINS ADMIN, FIN PLANNING	40.00		X		169,669	0	24,181
(22) MARK TARLTON DIRECTOR OF FACILITIES	40.00		X		151,560	0	17,177
(23) DEBORAH SULLIVAN DIR CLINICAL RELIABILITY	40.00		X		150,187	0	12,395
(24) CHRISTINE KLUCZNIK CANCER CENTER ADMIN	40.00		X		149,134	0	19,089
(25) ALAN KNIGHT FORMER PRESIDENT/CEO				X	0	0	0
(26) ELLIOT SCHWARTZ FORMER TREASURER/CFO				X	0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	858,263	1,021,226	171,751

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		485,376

f	All other contributions, gifts, grants, and similar amounts not included above1f		1,798,182
g	Noncash contributions included in lines 1a-1f:$ 23,906
h	Total. Add lines 1a-1f.......			2,283,558
			Business Code
2a	NET PATIENT REVENUE		900,099	194,341,915	194,341,915
b	NON-PATIENT LAB		621,500	1,865,438		1,865,438
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			196,207,353
3	Investment income (including dividends, interest
	and other similar amounts).....			626,182			626,182
4	Income from investment of tax-exempt bond proceeds..			5,124			5,124
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	93,816
b	Less: rental expenses
c	Rental income or (loss)	93,816
d	Net rental income or (loss).......			93,816			93,816
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	346,954	35,350
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	346,954	35,350
d	Net gain or (loss)..........			382,304			382,304
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions....			199,598,337	194,341,915	1,865,438	1,107,426


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........				1
2	Savings and temporary cash investments .......			16,509,266	2	8,461,205
3	Pledges and grants receivable, net .........			181,278	3	109,746
4	Accounts receivable, net .........			21,356,270	4	21,122,008
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			2,073,728	8	2,392,733
9	Prepaid expenses and deferred charges ............			2,613,015	9	2,376,836
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	184,605,081
b	Less: accumulated depreciation. .....	10b	97,294,630	90,509,033	10c	87,310,451
11	Investments—publicly traded securities ..........			12,166,301	11	22,735,448
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			24,281,643	15	23,079,971
16	Total assets. Add lines 1 through 15 (must equal line 34)...			169,690,534	16	167,588,398
17	Accounts payable and accrued expenses .			25,055,549	17	20,995,267
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			79,590,000	20	78,145,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			19,027,187	25	24,830,574
26	Total liabilities. Add lines 17 through 25.....			123,672,736	26	123,970,841
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			34,874,047	27	33,745,263
28	Temporarily restricted net assets .....			1,758,828	28	1,216,895
29	Permanently restricted net assets .....			9,384,923	29	8,655,399
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			46,017,798	33	43,617,557
34	Total liabilities and net assets/fund balances .....			169,690,534	34	167,588,398