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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Stephen Guimond President & CEO	40.0	X	X			409,444	17,783
(2) VICTOR POIRIER Chairperson	1.5	X				0	0
(3) GREG WERTHEIMER VICE CHAIRPERSON	1.5	X				0	0
(4) TERRENCE MCCARTHY SECRETARY	1.5	X				0	0
(5) RAYMOND ANSTISS JR DIRECTOR	1.5	X				0	0
(6) IRWIN BUCHWALD MD Director	1.5	X				0	0
(7) GARY CAMPBELL Director	1.5	X				0	0
(8) SISTER PAULINE LEBLANC DIRECTOR	1.5	X				0	0
(9) SISTER PRESCILLE MALO SCO DIRECTOR	1.5	X				0	0
(10) KIMBERLY OBERHAUSER DIRECTOR	1.5	X				0	0
(11) JACK D O'CONNOR DIRECTOR	1.5	X				0	0
(12) MARK O'NEIL DIRECTOR	1.5	X				0	0
(13) ROBERT COCHRANE CFO & TREASURER	42.0		X			185,291	16,299
(14) JUDY CASAGRANDE COO-ASST TREASURER	45.0		X			316,304	16,697
(15) HELENE THIBODEAU ACTING CNO	50.0			X		190,896	17,232
(16) RICHARD MA MD PHYSICIAN/HIGHEST PAID	50.0				X	423,680	15,954
(17) SIVASUBRAMANIAN RAMYA PHYSICIAN/HIGHEST PAID	50.0				X	263,796	2,020

(A) Name and business address	(B) Description of services	(C) Compensation
MASSACHUSETTS GENERAL HOSPITAL PHYS 55 FRUIT STREET BOSTON,MA02114	MEDICAL CONSULTING	4,570,138
ANESTHESIA ASSOCIATES 690 CANTON ST SUITE 325 WESTWOOD,MA02090	MEDICAL CONSULTING	2,176,265
PROPOCO INC 13028 COLLECTION DRIVE CHICAGO,IL60693	ENGINEERING	1,709,374
AFFILLIATED PROFESSIONAL SVCS STONEGATE PROF CTR 2527 CRANBERRY H WAREHAM,MA02571	BILLING & COLLECTION	589,097
MORRISON MANAGEMENT SERVICES INC 5801 PEACHTREE DUNWOODY RD ATLANTA,GA30342	FOOD SERVICE	573,181
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 5

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	24,625	24,625
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,248,632	337,593	911,039
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	54,236,402	49,607,880	4,628,522
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	0
9	Other employee benefits .......	10,751,866	9,678,412	1,073,454
10	Payroll taxes ...........	4,237,647	3,814,565	423,082
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,002,335		1,002,335
c	Accounting ...........	144,019		144,019
d	Lobbying ...........	20,365		20,365
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	19,718,409	16,939,169	2,779,240
12	Advertising and promotion ....	287,277	98,946	188,331
13	Office expenses .......	649,177	567,610	81,567
14	Information technology ......	236,383	215,478	20,905
15	Royalties ..	0
16	Occupancy ...........	7,344,432	6,312,692	1,031,740
17	Travel ............	330,520	316,457	14,063
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	2,906,135	2,620,855	285,280
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	5,822,728	5,495,106	327,622
23	Insurance ..............	1,089,380	942,882	146,498
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	PROGRAM SUPPL & MATERIALS	23,498,670	23,134,325	364,345
b	PROVISION FOR BAD DEBT	6,557,312	6,557,312
c	EQUIP LEASE AND RENTAL	1,786,083	1,393,471	392,612
d	OTHER	1,593,873	824,778	769,095
e	LAUNDRY SERVICE	506,585	500,519	6,066
f	All other expenses	1,005,887	145,284	860,603
25	Total functional expenses. Add lines 1 through 24f	144,998,742	129,527,959	15,470,783	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 ..........	0	1	0
2	Savings and temporary cash investments .......	864,690	2	928,205
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	16,971,771	4	17,690,291
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 .............	98,486	7	50,129
8	Inventories for sale or use ..............	2,779,234	8	2,355,599
9	Prepaid expenses and deferred charges ............	780,618	9	874,007
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	76,020,090
b	Less: accumulated depreciation. .....	10b	41,082,993	39,081,189	10c	34,937,097
11	Investments—publicly traded securities ..........	5,167,237	11	1,883,444
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 ...........	11,906,341	15	11,745,258
16	Total assets. Add lines 1 through 15 (must equal line 34)...	77,649,566	16	70,464,030
	17	Accounts payable and accrued expenses .	18,443,243	17	22,954,636
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	47,786,030	20	44,891,086
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 ..	3,461,807	23	2,958,882
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	22,416,883	25	22,278,393
26	Total liabilities. Add lines 17 through 25.....	92,107,963	26	93,082,997
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	-14,458,397	27	-22,656,695
28	Temporarily restricted net assets .....		28	37,728
29	Permanently restricted net assets .....		29
	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 .....	-14,458,397	33	-22,618,967
34	Total liabilities and net assets/fund balances .....	77,649,566	34	70,464,030

- TIN:

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

SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

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

SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

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 SAINTS MEMORIAL MEDICAL CENTER 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 SAINTS MEMORIAL MEDICAL CENTER 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
SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

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

SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

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? ........

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

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

Yes

20,365

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

20,365

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
PART II-B LINE 1(I), OTHER LOBBYING ACTIVITIES:		A PORTION OF MASSACHUSETTS HOSPITAL ASSOCIATION ANNUAL DUES AS LOBBYING EXPENSES.

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

SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

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	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

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 .................	1,898,413		1,898,413
b	Buildings ................	49,568,324	27,904,852	21,663,472
c	Leasehold improvements ............	45,841	27,930	17,911
d	Equipment ................	24,507,512	13,150,211	11,357,301
e	Other .................
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				34,937,097

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) CUR PORTION DEBT SERV RES FUND				3,881,692
(2) FUNDS HELD BY TRUSTEE				6,843,302
(3) UNAMORTIZED BOND ISSUE COST				495,412
(4) ADVANCES TO AFFILIATES				117,785
(5) OTHER				408,067
(6) ROUNDING				-1,000



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				11,745,258

Part X

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

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
DUE TO THIRD PARTIES		868,011
CONTINGENT LIAB. AND OBLIGATIONS		1,700,550
ACCRUED PENSION COSTS		19,709,832






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		22,278,393
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
Fin 48		There is no Fin48 footnote in the audited financial statements.

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

SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

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: .....

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?.........

Yes

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	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	4,310,792	1,973,510	2,337,282	1.690 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	12,531,408	10,540,717	1,990,691	1.440 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	16,842,200	12,514,227	4,327,973	3.130 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	732,906	324,507	408,399	0.290 %
f Health professions education (from Worksheet 5) ..	62,978	27,415	35,563	0.030 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	122,369	0	122,369	0.090 %
jTotal Other Benefits ...	918,253	351,922	566,331	0.410 %
kTotal. Add lines 7d and 7j. ..	17,760,453	12,866,149	4,894,304	3.540 %

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	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	14,308	0	14,308	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	743,974	11,192	732,782	0.510 %
9	Other
10	Total	758,282	11,192	747,090	0.520 %

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? ..........................

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

2,583,581

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).....

36,416,634

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

39,510,271

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

-3,093,637

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 %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
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	SAINTS MEDICAL CENTER INC ONE HOSPITAL DRIVE LOWELL,MA01852	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:SAINTS MEDICAL CENTER INC

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?5
Name and address		Type of Facility (Describe)
1	SAINTS MEMORIAL MEDICAL WALK-IN CENTER 1230 BRIDGE STREET LOWELL,MA01850	WALK-IN CLINIC
2	SAINTS MEMORIAL MEDICAL WALK-IN CENTER 1230 BRIDGE STREET LOWELL,MA01850	WALK-IN CLINIC
3	SAINTS MEMORIAL MEDICAL WALK-IN CENTER 1230 BRIDGE STREET LOWELL,MA01850	WALK-IN CLINIC
4	SAINTS MEMORIAL MEDICAL WALK-IN CENTER 1230 BRIDGE STREET LOWELL,MA01850	WALK-IN CLINIC
5	SAINTS MEMORIAL MEDICAL WALK-IN CENTER 1230 BRIDGE STREET LOWELL,MA01850	WALK-IN CLINIC
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 3C		DISCOUNTED CARE IS DETERMINED BY THE FREE CARE GUIDELINES IN THE MEDICAL CENTERS CREDIT AND COLLECTION POLICY. HARRDSHIP DETERMINATIONS ARE MADE ON A CASE BY CASE BASIS BY THE PATIENT FINANCIAL ASSISTANCE OFFICE.
PART I, LINE 7: QUESTION 7		SAINTS MEDICAL CENTER DOES NOT HAVE A COST ACCOUNTING SYSTEM AND RELIES ON THE MEDICARE COST REPORT, THE STATE 403 COST REPORT AND COST TO CHARGE RATIO CALCULATIONS TO DETERMINE COST OF CUMMUNITY BENEFIT EXPENSES.
PART I, LINE 7G: 7G		THERE ARE NO SUBSIDIZED HEALTH SERVICES. 7I CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS GIRLS INC. OF GREATER LOWELL- SAINTS IS A PARTNER WITH THE LOCAL GIRLS INC. CHAPTER, PROVIDING GROWTH AND EMPOWERMENT ACTIVITIES FOR YOUNG WOMEN WHO PRIMARILY HAIL FROM LOW-INCOME, SINGLE PARENT HOUSEHOLDS IN GREATER LOWELL. GIRLS INC. PARTICIPANTS LIVE IN IDENTIFIED MEDICALLY UNDERSERVED AREAS (MUA) WITHIN LOWELL (THE ACRE, DOWNTOWN, CENTRAVILLE AND THE LOWER HIGHLANDS). GIRLS INC PROVIDES AFTERSCHOOL ENRICHMENT ACTIVITIES FOR GIRLS AT HIGH RISK OF DRUG/ALCOHOL ABUSE, SEX AT AN EARLY AGE, SMOKING, DROPPING OUT OF SCHOOL, AND OTHER HEALTH/QUALITY OF LIFE CONCERNS. ADOPT A FAMILY - SAINTS STAFF PROVIDED ASSISTANCE TO 38 FAMILIES IN THEIR 2011 ADOPT A FAMILY PROGRAM. THE MAJORITY OF FAMILIES CAME FROM THE GREENHALGE SCHOOL, WHICH IS LOCATED WITHIN MEDICALLY UNDERSERVED AREAS, WHERE 90% OF RESIDENTS ARE ETHNIC MINORITIES OR RECENTLY RESETTLED, LOW-INCOME REFUGEES. THE MAJORITY OF STUDENTS ARE FROM BURMA, BHUTAN, NEPAL, IRAQ, THE CONGO, CAMBODIA AND VIETNAM. THE PROGRAM ALSO ADOPTED FAMILIES FROM THE IMMACULATE SCHOOL AND PARISH AND ST. MARGARETS SCHOOL. CATHOLIC CHARITIES LOWELL MA - SAINTS PARTNERS WITH CATHOLIC CHARITIES OF GREATER LOWELL, PROVIDING A SUPPLY OF FOOD DONATIONS AT VARIOUS TIMES THROUGHOUT THE YEAR AS PART OF OUR COMMUNITY BENEFIT PROGRAM. CATHOLIC CHARITIES OF LOWELL FOOD PANTRY IS ABLE TO PROVIDE FOOD TO OVER 500 FAMILIES EACH MONTH AND IS OPEN FOUR DAYS A WEEK, MONDAY TO THURSDAY. MATERIALS MANAGEMENT SUPPLIES AND EQUIPMENT DONATION - IMEC IS A NON-PROFIT, VOLUNTEER-BASED, 501(C)(3) ORGANIZATION WHOSE MISSION IS TO PROVIDE DOCTORS IN DEVELOPING COUNTRIES WITH QUALITY MEDICAL EQUIPMENT TO IMPROVE HEALTH CARE FOR THE POOR. FOR THE PAST 17 YEARS, IMEC HAS WORKED WITH OVER SIXTY OTHER HUMANITARIAN ORGANIZATIONS TO REVITALIZE HUNDREDS OF EXISTING, IMPOVERISHED HOSPITALS WITH DONATED SURPLUS MEDICAL EQUIPMENT AND SUPPLIES THAT ARE ORGANIZED INTO COMPLETE MEDICAL DEPARTMENTS, DELIVERING THEM TO OVER SEVENTY COUNTRIES AROUND THE WORLD. SAINTS MEDICAL CENTER IS A REGULAR DONOR OF SUPPLIES AND EQUIPMENTS TO IMEC.
PART I: 7F HEALTH PROFESSIONS EDUCATION		NEW HEALTHCARE PROVIDER CPR/AED OUTSIDE AREAS ARE NOT AHA TRAINING CENTERS FOR HCP BUT REQUIRE HCP BCLS CERTIFICATION FOR THEIR HEALTH CARE WORKERS, SUCH AS PHYSICIAN OFFICES, SURGI-CENTERS, NURSING HOMES. SMC IS AN AHA CENTER FOR HCP BCLS TRAINING. SMC HAS AN OBLIGATION TO THE AHA TO OFFER OUTSIDE STAKEHOLDERS THE OPPORTUNITY TO BECOME HCP CPR CERTIFIED. (SOURCE: AHA) IN THE STATE OF MA IT IS REQUIRED AND REGULATED THAT NH HCP MUST HAVE BCLS TRAINING. THE AHA ASSOCIATION HAS A CERTIFICATE PROGRAM TO PROVIDE HEALTHCARE BCLS CERTIFICATION. SMC IS A RECOGNIZED TRAINING CENTER FOR THE AHA AND IS NATIONALLY RECOGNIZED AS ONE THROUGH THE AHA AND THEIR WEBSITE. THIS CERTIFICATE PROGRAM IS BASED ON THE AHAS NATIONAL RESEARCH FOR BEST EVIDENCE TO SAVE LIVES BY HEALTHCARE PROVIDERS. THE GOAL IS TO MEET ALL THE SKILLS AND DIDACTIC ELEMENTS FOR THIS AHA PROGRAM AND THE PARTICIPANT IS AWARDED WITH A HEALTH CARE PROVIDER BCLS CERTIFICATE. HEARTSAVER COMMUNITY FIRST AID TARGETED DAY CARE WORKERS, NURSING HOME WORKERS DEPENDING ON THE LEVEL OF RESIDENT AND THEIR CARE IS DETERMINED BY THE STATE OF MA, NH, DAYCARE AND DAYCARE PROVIDERS ARE REQUIRED TO HAVE LIFE SAVING CERTIFICATIONS THAT ARE DESIGNATED TO SPECIFIC POPULATIONS. SUCH AS AHA HEARTSAVER CPR/AED & FIRST AID ARE FOR DAYCARE CENTERS WHO HAVE CLIENTELE FROM AS YOUNG AS 3 MONTHS TO ADOLESCENCE, WHILE NH MAY HAVE PATIENTS RESIDING WITHIN THEIR FACILITY WHO JUST NEED BASIC CARE AND SAFETY MEASURES WITH HEART SAVER BASIC LIFE SUPPORT CPR RENEWAL. (SOURCE: AHA) IN THE STATE OF MA, THERE ARE RULES AND REGULATIONS WHEN TAKING CARE OF PEOPLE BY OTHER TYPES OF HEALTHCARE AGENCIES OR CARETAKERS, THE AHA ASSOCIATION HAS A CERTIFICATE PROGRAM TO PROVIDE HEARTSAVER BCLS CERTIFICATION. SMC IS A RECOGNIZED TRAINING CENTER FOR THE AHA AND IS NATIONALLY RECOGNIZED AS ONE THROUGH THE AHA AND THEIR WEBSITE. THIS CERTIFICATE PROGRAM IS BASED ON THE AHAS NATIONAL RESEARCH FOR BEST EVIDENCE TO SAVE LIVES BY HEARTSAVER PROVIDERS. THE GOAL IS TO MEET ALL THE SKILLS AND DIDACTIC ELEMENTS FOR THIS AHA PROGRAM AND THE PARTICIPANT IS AWARDED WITH HEARTSAVER, AED, & FIRST AID PROVIDER BCLS CERTIFICATE. HEALTHCARE PROVIDER CPR RECERTIFICATION IN ORDER TO BE A FIRST RESPONDER, NURSE, PHYSICIAN, PARAMEDIC, THE AHA ASSOCIATION HAS A CERTIFICATE PROGRAM TO PROVIDE HEALTHCARE BCLS CERTIFICATION. SMC IS A RECOGNIZED TRAINING CENTER FOR THE AHA AND IS NATIONALLY RECOGNIZED AS ONE THROUGH THE AHA AND THEIR WEBSITE. THIS CERTIFICATE PROGRAM IS BASED ON THE AHA S NATIONAL RESEARCH FOR BEST EVIDENCE TO SAVE LIVES BY HEALTHCARE PROVIDERS. THE GOAL IS TO MEET ALL THE SKILLS AND DIDACTIC ELEMENTS FOR THIS AHA PROGRAM AND THE PARTICIPANT IS AWARDED WITH A HEALTH CARE PROVIDER BCLS CERTIFICATE. (SOURCE: AHA) COURSE OFFERED TO SAINTS MEDICAL CENTER PROFESSIONALS, AS WELL AS AREA FIRST RESPONDERS (FIRE, POLICE, EMT/ALS, OTHER LOCAL HEALTHCARE PROVIDERS). DIALYSIS TECHNICIAN COURSE SMC DIALYSIS (METHUEN & LOWELL) HAS SEEN A SIGNIFICANT INCREASE IN VOLUME AMONG OUR IMMIGRANT PATIENTS. TO MEET THIS NEED, SMC OFFERED A DIALYSIS TECHNICIAN PROGRAM. (SOURCE: COMMUNITY SURVEY; COMMUNITY FOCUS GROUP.) THE GOAL FOR THIS PROGRAM WAS TO ASSIST THE PARTICIPANT IN LEARNING A COMBINATION OF DUTIES FOR BOTH THE TECHNICAL ASPECTS OF WORKING WITH MEDICAL EQUIPMENT AND THE INTERACTION WITH PATIENTS. POST EVALUATIONS FROM ALL PARTICIPANTS WERE HIGH IN NUMBERS AND FELT THEIR PROGRAM EXPERIENCE WOULD ASSIST THEM IN LOOKING FOR A JOB. WOUND CARE CERTIFICATION IN RESPONSE TO A DEMONSTRATED NEED IN THE AGING POPULATION (DIABETES, BED SORES, INCREASED ELDER CARE POPULATION ETC.), SMC BECAME A NATIONAL WOUND CARE TRAINING INSTITUTE IN FY2011. SMC PROVIDED A 5-DAY CONFERENCE IN 2011, IN PREPARATION FOR THE NAWC EXAM, WITH PARTICIPANTS SUCCESSFULLY COMPLETING THE COURSE AND GAINING CERTIFICATION. PHLEBOTOMY TECHNICIAN SMC AIMED TO PROVIDE A TECHNICAL COURSE TO MEET A LOCAL NEED FOR PHLEBOTOMY TECHNICIANS. THE 9 WEEK PROGRAM, WITH A CLINICAL ROTATION, PROVIDES BACKGROUND FOR PHLEBOTOMY TECH CERTIFICATION. PEDIATRIC EMERGENCY ASSESSMENT, RECOGNITION AND STABILIZATION (PEARS) PEARS IS A ONE DAY PREPARATION COURSE FOR ALL HEALTHCARE PROVIDERS WHO MIGHT ENCOUNTER PEDIATRIC PATIENTS AND ALSO FOR THOSE WHO INFREQUENTLY SEE CRITICALLY ILL CHILDREN. THE MAIN FOCUS OF PEARS IS PREVENTION: SPECIFICALLY THE ASSESSMENT, RECOGNITION AND STABILIZATION OF PEDIATRIC VICTIMS AT RISK OF SEVERE CARDIOPULMONARY DISTRESS. STUDENTS DEVELOP SKILLS IN RECOGNIZING CERTAIN PEDIATRIC DISTRESS SIGNS AND SYMPTOMS USING SEVERAL UNIQUE VISUAL TOOLS AND BY WORKING AT LEARNING STATIONS. THE COURSE INCLUDES VIDEO-BASED SIMULATION SO THAT YOU CAN SEE AND HEAR CRITICALLY ILL CHILDREN. PEDIATRIC ADVANCED LIFE SUPPORT RE-CERTIFICATION (PALS) THIS CLASSROOM, VIDEO-BASED, INSTRUCTOR-LED COURSE USES A SERIES OF SIMULATED PEDIATRIC EMERGENCIES TO REINFORCE THE IMPORTANT CONCEPTS OF A SYSTEMATIC APPROACH TO PEDIATRIC ASSESSMENT, BASIC LIFE SUPPORT, PALS TREATMENT ALGORITHMS, EFFECTIVE RESUSCITATION AND TEAM DYNAMICS. THE GOAL OF THE PALS COURSE IS TO IMPROVE THE QUALITY OF CARE PROVIDED TO SERIOUSLY ILL OR INJURED CHILDREN, RESULTING IN IMPROVED OUTCOMES.
PART I, LN 7 COL(F)		A COST TO CHARGE RATIO IS USED TO DETERMINE THE COST OF BAD DEBT EXPENSES OF 6,557,312.
PART II: FORM 990 SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION		3. COMMUNITY SUPPORT: HOLIDAY PROGRAMS FOR PATIENTS AND FAMILIES SUPPORT OF DONATED FOOD AND CLOTHING FROM EMPLOYEES OF THE MEDICAL CENTER TOTALED $4,420. OTHER PROGRAMS AND COMMUNITY GROUPS SUPPORTED BY THE TIME AND EFFORT OF THE MEDICAL CENTERS EMPLOYEES INCLUDE LOOK GOOD FEEL BETTER,PARENTS OF MURDERED CHILDREN, OVEREATERS ANONYMOUS, CAREGIVERS SUPPORT GROUP, BEREAVEMENT SUPPORT GROUP, LEARN TO COPE, AL ANON, ALCOHOLICS ANONYMOUS, HELPING HANDS SUPPORT GROUP TOTALING $9,888 IN TIME AND EFFORT BY STAFF. 8. WORKFORCE DEVELOPMENT: INTERNSHIPS AND MENTORING - SMC ADMINISTRATION, THE CARING WELL INSTITUTE AND HUMAN RESOURCES WORKED IN 2011 TO CREATE A "ONE-DOOR POLICY" FOR OUR ENHANCED STUDENT INTERN/MENTORSHIP PROGRAM. WE WORKED WITH 15 SCHOOLS TO PLACE MORE THAN 250 STUDENTS WITH SMC STAFF IN FY 2011, PROVIDING MENTORING AND HEALTH PROFESSION TRAINING, SPONSORED BY THE MEDICAL CENTER. SAINTS MEDICAL CENTER WORKED WITH THE FOLLOWING INSTITUTIONS IN 2011: -LOWELL GREATER TECH HS $107,328 -CAMP MED $9,835 -REGIS COLLEGE $10,320 -LINCOLN TECH INST $5,160 -LOWELL HS $15,480 -MIDDLESEX CC $5,160 -NH TECH INST $3,440 -MASS MARITIME ACADEMY $430 -NORTHERN ESSEX CC $154,800 -RIVIER COLLEGE $10,320 -SALTER SCHOOL $8,256 -UMASS LOWELL $377,024 -MA COLLEGE OF PHARMACY-NURSING & PHARMACY $15,480 -METHUES HIGH SCHOOL $344 -BISHOP FENWICK HIGH SCHOOL $4,128 -STONYBROOK UNIVERSITY 600 -ALL OTHER $15,869 PART III, LINE 4: PART III, LINE 4; THE HOSPITALS AUDITED FINANCIAL STATEMENTS DO NOT PROVIDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. THE COST METHODOLOGY USED WAS DERIVED BY APPLYING A TOTAL HOSPITAL OVERALL COST TO CHARGES FOR A RATIO OF 39.95%. THAT PERCENT WAS THEN MULTIPLIED BY THE REPORTED BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8: PART VI FOR PART III, LINE 8		SAINTS MEDICAL CENTER DOES NOT HAVE A COST ACCOUNTING SYSTEM. IT UTILIZES THE RATIO OF COST TO CHARGE CALCULATION FROM THE MEDICARE COST REPORT TO DETERMINE THE COST OF CARE RELATED TO MEDICARE PAYMENTS. THE HOSPITAL BELIEVES THAT ALL OF THE $3,093,637 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE MEDICAL CENTER IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE MEDICAL CENTER PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MASSACHUSETTS REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMAL LEVEL OF COMMUNITY BENEFIT TO OBTAIN EXEMPTION FROM STATE AND LOCAL TAXES. FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL, MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THE PATIENTS FORCING THE MEDICAL CENTER TO USE OTHER FUNDS TO COVER THE DEFICIT. PART III, LINE 9B: PART III, LINE 9(B) IT IS THE POLICY OF SAINTS MEDICAL CENTER (THE MEDICAL CENTER) THAT WITHIN THE RESOURCES OF THE MEDICAL CENTER, CARE IS PROVIDED TO ALL THAT SEEK IT. THE MEDICAL CENTER ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. TO REMAIN VIABLE AS IT FULFILLS ITS MISSION, THE MEDICAL CENTER MUST MEET ITS FIDUCIARY RESPONSIBILITY TO APPROPRIATELY BILL AND COLLECT FOR MEDICAL SERVICES PROVIDED TO PATIENTS. WE DO NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, CITIZENSHIP, ALIENAGE, RELIGION, CREED, SEX, SEXUAL PREFERENCE, AGE, OR DISABILITY, IN ITS POLICIES, OR IN ITS APPLICATION OF POLICIES, CONCERNING THE ACQUISITION AND VERIFICATION OF FINANCIAL INFORMATION, PRE-ADMISSION OR PRETREATMENT DEPOSITS, PAYMENT PLANS, DEFERRED OR REJECTED ADMISSIONS, OR LOW INCOME PATIENT STATUS AS DETERMINED BY THE MASSACHUSETTS OFFICE OF MEDICAID, DETERMINATION THAT A PATIENT IS LOW INCOME, OR IN ITS BILLING AND COLLECTION PRACTICES. THE MEDICAL CENTER DERIVES ITS REVENUE PRIMARILY FROM PATIENT CARE. IT IS NECESSARY THAT THOSE RECEIVING CARE PAY FOR IT TO THE EXTENT THAT THEIR OWN RESOURCES AND /OR THIRD PARTY COVERAGE PERMIT. IT IS THEREFORE ESSENTIAL THAT COMPLETE AND ACCURATE INFORMATION CONCERNING SUCH RESOURCES AND COVERAGE IS OBTAINED PRIOR TO ADMISSION OR TREATMENT OR, IF THIS IS NOT FEASIBLE, AS SOON AS POSSIBLE FOLLOWING ADMISSION OR TREATMENT. CREDIT AND COLLECTION PROCEDURES RELATING TO PATIENT CARE ARE PROVIDED AS THE BASIS FOR THE EXTENSION OF CREDIT, THE COLLECTION OF FUNDS, AND THE WRITE-OFF OF CERTAIN PATIENT BALANCES, AS EITHER HEALTH SAFETY NET OR AS UN-COLLECTABLE ACCOUNTS. THIS CREDIT AND COLLECTION POLICY WAS DEVELOPED TO ENSURE COMPLIANCE WITH APPLICABLE CRITERIA REQUIRED UNDER (1) THE HEALTH SAFETY NET ELIGIBILITY REGULATION (114.6 CMR 13.00), (2) THE CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE BAD DEBT REQUIREMENTS (42 CFR 413.89), AND (3) THE MEDICARE PROVIDER REIMBURSEMENT MANUAL (PART 1, CHAPTER 3). THIS CREDIT AND COLLECTION POLICY APPLIES TO THE MEDICAL CENTER AND ANY ENTITY THAT IS PART OF THE MEDICAL CENTERS LICENSE OR TAX ID NUMBER. THE MEDICAL CENTER DOES NOT PURSUE COLLECTIONS EFFORTS ON PATIENTS WHO ARE ON FINANCIAL ASSISTANCE.
PART VI, LINE 2	FORM 990 SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION	COMMUNITY BENEFIT REPORTING FOR MORE INFORMATION, PLEASE VIEW THE FULL ASSESSMENT REPORT ON OUR WEBSITE AT: WWW.SAINTSMEDICALCENTER.COM 2. NEEDS ASSESSMENT: DESCRIBES HOW THE ORGANIZATION ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVICES SAINTS MEDICAL CENTER ORIGINATED IN THE EARLY 1800S WHEN OUR PREDECESSOR HOSPITALS, ST. JOHNS AND ST. JOSEPHS, WERE ESTABLISHED TO MEET THE HEALTHCARE NEEDS OF LOWELLS MILL WORKERS AND IMMIGRANTS. TODAY, SAINTS CONTINUES TO PROVIDE HIGH QUALITY, COST-SENSITIVE HEALTHCARE AND COMMUNITY SERVICES IN KEEPING WITH THE CATHOLIC MISSION OF CARING. THE COMMUNITY BENEFITS COMMITTEE, DEVELOPED IN 1995, ASSESSES HEALTH INDICATORS WITHIN THE GREATER LOWELL COMMUNITY AND CHNA-10 TO ENSURE THAT OUR SERVICES REFLECT EVER-CHANGING NEEDS. STATE DPH HEALTH STATUS INDICATORS ARE REVIEWED CONTINUOUSLY, AS WELL AS DEMOGRAPHIC INFORMATION (YANKEE ALLIANCE), WITH INPUT FROM PATIENTS, STAFF, AND COMMUNITY HEALTHCARE ACTIVISTS. SAINTS IS COMMITTED TO IMPROVING THE HEALTH OF THE GREATER LOWELL COMMUNITY. TO THIS END, WE CONTINUE TO DEVELOP AND EVALUATE PROGRAMS AND SERVICES THAT ARE BASED ON THE NEEDS IDENTIFIED BY OUR COMMUNITY. WE PLACE STRONG EMPHASIS ON THE NEED FOR COLLABORATION WITH OTHER HEALTH AND COMMUNITY ORGANIZATIONS. OUR COMMUNITY EFFORTS ARE ONGOING, ACCOMPLISHED THROUGH A COMBINATION OF EDUCATIONAL PROGRAMS AND SERVICES THAT INCLUDE FREE HEALTH FAIRS AND SCREENINGS, COMMUNITY EDUCATION AND OUTREACH, AND INCREASED ACCESS TO BASIC HEALTHCARE FOR THE UNDERSERVED. TEAM MEMBERS INCLUDE: COMMUNITY BENEFIT CHAIRPERSON (SR. ANALYST) SENIOR MANAGEMENT DIRECTOR, CARING WELL INSTITUTE DIRECTOR, OUTREACH SERVICES DIRECTOR, CARDIOLOGY & CLINICS DIRECTOR, CANCER CENTER ADMINISTRATOR, PHYSICIAN NETWORK DIRECTOR, EMERGENCY SERVICES DIRECTOR, SECURITY PASTORAL CARE (CHAPLAIN) MARKETING ASSISTANT DIRECTOR, PHARMACY DIRECTOR, DIALYSIS OUTREACH SPECIALIST (KHMER) INTERPRETER SERVICES COORDINATOR DIRECTOR OF MARKETING THE COMMUNITY BENEFIT TEAM MEETS QUARTERLY TO REVIEW PROGRESS. THE TEAM ALSO MEETS WHENEVER A NEED ARISES WITHIN THE COMMUNITY TO DETERMINE HOW IT WILL BE MET. ALL COMMUNITY BENEFIT PLANNING IS DONE WITH THE TEAM, PRESENTED TO SENIOR MANAGEMENT, APPROVED AND THEN MADE PUBLIC VIA THE SMC WEBSITE. THROUGHOUT SAINTS MEDICAL CENTERS STRATEGIC PLANNING PROCESS, PRIMARY AND SECONDARY RESEARCH WAS CONDUCTED TO IDENTIFY HEALTH NEEDS WITHIN THE GREATER LOWELL COMMUNITY, AS WELL AS GAPS IN HEALTH SERVICES. DATA COLLECTED TO SUPPORT THE COMMUNITY BENEFIT PROGRAM/PLAN INCLUDES AN INVENTORY OF ALL PROGRAMS OFFERED BY THE HOSPITAL, AS WELL AS AN ANALYSIS OF DATA THAT PROFILED THE HEALTH STATUS AND HEALTH CARE NEEDS OF THE LOCAL POPULATION BASED ON: -HEALTHY PEOPLE 2010 REPORT -VARIOUS JOURNAL ARTICLES/CURRENT HEALTHCARE TOPICS -MASSCHIP INSTANT TOPICS/CUSTOM REPORTS -U.S. CENSUS DATA -PATIENT DIAGNOSTIC DATA (DRG, DEMOGRAPHICS) -SAINTS MEDICAL CENTER MARKET RESEARCH/TRENDING DATA -REQUESTS FOR SERVICES BY VARIOUS LOCAL ORGANIZATIONS -PATIENT AND CAREGIVER PROGRAM AND SATISFACTION SURVEYS -PHYSICIAN SURVEYS/CLINICIAN REPORTS -KAISER STUDIES -INPUT FROM LOCAL IMMIGRANT/CULTURAL ADVOCACY AGENCIES -PROGRAM SPECIFIC EVALUATIONS -COMMUNITY FOCUS GROUPS -POPULATION SPECIFIC SURVEYS AND FOCUS GROUPS -ONE ON ONE RESIDENT/PATIENT INTERVIEWS SAINTS PARTNERS WITH THE FOLLOWING AGENCIES WHEN FOCUSING ON COMMUNITY PROGRAM PLANNING: ACADEMY OF NOTRE DAME TYNGSBORO AFRICAN ASSISTANCE CENTER ALTERNATIVE HOUSE EMERGENCY WOMENS SERVICES AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION - MV AMERICAN RED CROSS (MERRIMACK VALLEY) ASIAN-AMERICAN BUSINESS ASSOCIATION BILLERICA SENIOR CENTER CAMBODIAN MUTUAL ASSISTANCE ASSOCIATION CAREER CENTER OF LOWELL CATHOLIC COLLABORATIVE OF LOWELL CHELMSFORD COUNCIL ON AGING CHNA 10 CITY MANAGERS DOMESTIC VIOLENCE TASK FORCE CITY OF LOWELL GANG TASK FORCE CITY OF LOWELL STROKE TASK FORCE CITY OF LOWELL SUBSTANCE ABUSE TASK FORCE COMMUNITY TEAMWORK INC (CTI) DEANAS EDUCATIONAL THEATRE D'YOUVILLE SENIOR CARE CENTER DEPARTMENT OF MENTAL HEALTH DEPARTMENT OF SOCIAL SERVICES ELDER SERVICES OF THE MERRIMACK VALLEY EMERGENCY NURSES ASSOCIATION EMERGENCY NURSES CARE PREVENTION PROGRAM GENESIS HCC (HERITAGE) GIRL SCOUTS GREATER LOWELL CHAMBER OF COMMERCE GREATER LOWELL CISM TEAM GREATER LOWELL HEALTH ALLIANCE GREATER LOWELL PARTNERS AGAINST SEXUAL ASSAULT GREATER LOWELL TECHNICAL HIGH SCHOOL GREATER LOWELL WIB YOUTH COUNCIL GREATER LOWELL YMCA GREENHALGE SCHOOL INTERNATIONAL CRITICAL INCIDENT STRESS FOUNDATION INTERNATIONAL INSTITUTE OF LOWELL LHI (LATINO HEALTH INSTITUTE) LIFE CARE CENTER-MERRIMACK VALLEY LOWELL BOARD OF HEALTH LOWELL CITY MANAGERS OFFICE LOWELL COMMUNITY HEALTH CENTER LOWELL COMMUNITY HEALTH PARTNERSHIP LOWELL COUNCIL ON AGING LOWELL FIREFIGHTERS LOCAL 853 LOWELL HOUSE INC LOWELL POLICE DEPARTMENT LOWELL PUBLIC SCHOOLS LOWELL SENIOR CENTER LOWELL SOUTHEAST ASIAN WATER FESTIVAL LOWELL VISITING NURSES ASSOCIATION LOWELL WOMENS WEEK LOWELL YMCA/YWCA LOWELL YOUTH SERVICES MA CHAPTER OF ANGKOR HOSPITAL FOR CHILDREN MARCH OF DIMES MASS COUNCIL OF COMM. HOSPITALS MASSACHUSETTS ASSOC. FOR PORTUGUESE SPEAKERS MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MASSACHUSETTS HOSPITAL ASSOCIATION MASS IMMIGRATION & REFUGE ADVOCACY COALITION MERRIMACK VALLEY AHEC MERRIMACK VALLEY CRITICAL CARE CONSORTIUM MERRIMACK VALLEY HEALTH SERVICES MIDDLESEX COMMUNITY COLLEGE MSPCC THE HEALTHY FAMILY INITIATIVE NEW ENGLAND ORGAN BANK NORTHEAST CENTER FOR HEALTHY COMMUNITIES NORTHEAST COALITION AGAINST TRAFFICKING NORTHEAST EMS NORTHEAST HOMELAND SECURITY COUNCIL ONELOWELL RADIUS NORTHWOOD SAINT MICHAELS SCHOOL SISTERS OF ST. FRANCIS SOUTHBAY MENTAL HEALTH ST. JEANNE DARC ELEMENTARY SCHOOL ST. LOUIS ELEMENTARY SCHOOL ST. PATRICK EDUCATION CENTER ST. PATRICK PARISH THE LOWELL PLAN THE SALVATION ARMY UNITED TEEN EQUALITY CENTER UNIVERSITY OF MASSACHUSETTS LOWELL VNA OF GREATER LOWELL WESTFORD COUNCIL ON AGING WIC WOMEN WORKING WONDERS FUND YANKEE ALLIANCE YOUNG PROFESSIONALS OF GREATER LOWELL GREATER LOWELL COMMUNITY HEALTH NEEDS ASSESSMENT 2010 EXECUTIVE SUMMARY ON BEHALF OF LOWELL GENERAL HOSPITAL (LGH), SAINTS MEDICAL CENTER (SMC) AND THE GREATER LOWELL HEALTH ALLIANCE (GLHA), A TEAM OF UMASS LOWELL RESEARCHERS AND STUDENTS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT STUDY TO DISTINGUISH THE UNMET MEDICAL AND PUBLIC HEALTH NEEDS WITHIN THE GREATER LOWELL COMMUNITY. THE GEOGRAPHIC AREA ASSESSED INCLUDED THE COMMUNITIES OF LOWELL, BILLERICA, CHELMSFORD, DRACUT, DUNSTABLE, TEWKSBURY, TYNGSBOROUGH AND WESTFORD. THE STUDY HAD TWO OBJECTIVES: 1. MEET STATE AND FEDERAL REQUIREMENTS THAT THE TWO HOSPITALS CONDUCT A COMPREHENSIVE HEALTH NEEDS ASSESSMENT EVERY THREE YEARS 2. CONDUCT A STUDY THAT WOULD PROVIDE A FOUNDATION FOR THE GLHA AND ITS PARTNERS, INCLUDING LGH AND SMC, IN WORKING TO BUILD CONSENSUS ON THE AREAS HEALTH NEEDS AND PLAN COORDINATED ACTIVITIES TO IMPROVE THE HEALTH OF THE AREAS RESIDENTS.
PART VI, LINE 3		1. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS POSTED THROUGHOUT THE HOSPITAL. 2. NOTICE OF AVAILABILITY OF FREE CARE IS INCLUDED WITH ALL PATIENT STATEMENTS THAT ARE MAILED. 3. INPATIENT INFORMATION PACKAGE PROVIDES INFORMATION ON FINANCIAL ASSISTANCE. 4. AT THE TIME OF REGISTRATION PATIENTS ARE ADVISED ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. 5. ALL PATIENTS CLASSIFIED AS SELF-PAY WHO CANNOT AFFORD TO PAY WILL BE SCREENED FOR FINANCIAL ASSISTANCE ELIGIBILITY.
PART VI, LINE 4		FORM 990 SCHEDULE H, PART VI, SUPPLEMENTAL COMMUNITY INFORMATION 4. COMMUNITY INFORMATION - SAINTS MEDICAL CENTER IS A NONPROFIT, FULL SERVICE, ACUTE CARE COMMUNITY HOSPITAL SERVING GREATER LOWELL SINCE 1839. A 157-BED LICENSED MEDICAL CENTER, SAINTS PROVIDES ADVANCED HEALTH SERVICES TO 315,000 RESIDENTS IN 25 TOWNS. IN FISCAL YEAR 2011, SAINTS DISCHARGED 8,856 INPATIENTS, WITH AN AVERAGE LENGTH OF STAY OF 3.90 DAYS. TOTAL HOSPITAL OUTPATIENT VISITS AND PROCEDURES FOR FY 2011 ARE 226,583, OF WHICH 43,437 ARE EMERGENCY DEPARTMENT ENCOUNTERS; AND SAINTS SURGEONS PERFORMED OVER 1,339 INPATIENT AND 3,007 OUTPATIENT SURGERIES. WITH NEARLY 250 PHYSICIANS AND 1,100 EMPLOYEES, SAINTS MEDICAL CENTER IS WELL KNOWN FOR OUTSTANDING MEDICAL CARE AND PATIENT-CENTERED FACILITIES INCLUDING OUR CANCER CENTER, ORTHOPEDIC CENTER AND CARDIOVASCULAR SERVICES. SAINTS OFFERS CONVENIENT COMMUNITY-BASED CARE AT SEVERAL AMBULATORY SITES AND IS DEDICATED TO PROMOTING HEALTH AND WELLNESS IN THE COMMUNITY. SINCE 2001, SAINTS HAS PROVIDED THE GREATER LOWELL COMMUNITY WITH OVER $26 MILLION DOLLARS IN FREE COMMUNITY BENEFIT AND COMMUNITY SERVICE PROGRAMS, LOCAL SPONSORSHIPS AND EMPLOYEE VOLUNTEERISM EFFORTS. THE MEDICAL CENTER HAS CLINICAL AFFILIATIONS WITH THE LEADING BOSTON ACADEMIC MEDICAL CENTERS AND IS PROUD TO BE ONE OF THE TOP-RATED HOSPITALS IN MASSACHUSETTS ACCORDING TO THE JOINT COMMISSION FOR THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. SAINTS CONTINUES TO PROVIDE COMPREHENSIVE, HOLISTIC HEALTH SERVICES TO ALL PEOPLE, ESPECIALLY THE POOR AND DISADVANTAGED, IN ACCORDANCE WITH OUR MISSION. APPROXIMATELY 35% OF LOWELLS POPULATION (105,167) IS DOCUMENTED AS BELONGING TO AN ETHNIC MINORITY. LOWELL HAS SIZABLE ASIAN (22%) AND HISPANIC (15.5%) POPULATIONS. OVER THE LAST SEVERAL YEARS, LOWELL HAS EXPERIENCED A LARGE INFLUX OF BRAZILIAN, PORTUGUESE AND AFRICAN IMMIGRANTS. MANY OF THESE POPULATIONS ARE INCLUDED IN THE UNINSURED AND UNDERINSURED GROUPS. ADDITIONALLY, 34% OF LOWELL HOUSEHOLDS SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH AT HOME. 13% OF HOUSEHOLDS HAVE AN INCOME LESS THAN $10,000; 20% HAVE AN INCOME LESS THAN $15,000. (SOURCE: MASSCHIP CHNA HEALTH STATUS INDICATORS REPORT) A RECENT STUDY SPONSORED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION FOUND: 36.2% OF SOUTHEAST ASIAN, 33.9% OF HISPANIC, AND 21.8% OF AFRICAN RESPONDENTS IN THE GREATER LOWELL AREA REPORTED BEING IN "FAIR OR POOR" HEALTH, IN CONTRAST TO ONLY 12.1% OF THE OVERALL POPULATION; 14.1% OF SOUTHEAST ASIAN RESPONDENTS, 17.5% OF AFRICAN RESPONDENTS AND 29.9% OF HISPANIC RESPONDENTS REPORTED BEING UNABLE TO SEE A DOCTOR BECAUSE OF INABILITY TO PAY, AS OPPOSED TO 6.5% IN THE OVERALL POPULATION; ONLY 37.4% OF MINORITY RESPONDENTS REPORT EVER HAVING THEIR CHOLESTEROL LEVEL CHECKED, COMPARED TO 82.4% OF THE GENERAL POPULATION. ONLY 18.8% OF MINORITY RESPONDENTS OVER 65 REPORTED EVER RECEIVING A PNEUMOCOCCAL VACCINATION, VS. 63.5% OF THE OVERALL POPULATION. IN KEEPING WITH ITS MISSION, SAINTS WORKS TO CONTINUE IDENTIFYING HEALTH NEEDS AND HEALTH RISKS SPECIFIC TO EACH COMMUNITY IN GREATER LOWELL, AS WELL AS MAINTAINS ACTIVE PARTICIPATION IN OUTREACH ACTIVITIES WITHIN GREATER LOWELL COMMUNITIES. SAINTS MEDICAL CENTER PROVIDES COMMUNITY EDUCATION THROUGH THE DISTRIBUTION OF INFORMATION ABOUT ACCESS TO CARE, PROVIDES ASSISTANCE TO ENROLL INDIVIDUALS IN APPROPRIATE PUBLIC ASSISTANCE PROGRAMS, PROVIDES REFERRALS TO PRIMARY CARE PHYSICIANS, AND PROMOTES CULTURAL AWARENESS OF BELIEFS, VALUES AND PRACTICES FOR SPECIFIC MINORITY POPULATIONS. ULTIMATELY, THE STAFF AT SAINTS AIMS TO RECOGNIZE A DECREASING TREND IN THE NUMBER OF INDIVIDUALS WITHIN THE GREATER LOWELL COMMUNITY WITHOUT A PRIMARY CARE PHYSICIAN, AS WELL AS DEVELOP AND MAINTAIN CULTURALLY-APPROPRIATE SERVICES TO FACILITATE ACCESS TO CARE, THUS INCREASING OVERALL ACCESS TO CARE, WITH THE GOAL OF IMPROVING THE HEALTH OF THE GREATER LOWELL POPULATION.
PART VI, LINE 5		EXPANDING ACCESS TO CARE ESPECIALLY TO THE UNDERSERVED IS THE HIGHEST PRIORITY AT SAINTS. OUR INITIATIVE INCLUDES SEVERAL COMPONENTS: OUTREACH EFFORTS TO IMPROVE ACCESSIBILITY AND COMMUNICATION, REFERRALS TO PRIMARY CARE PHYSICIANS, EDUCATION AND ASSISTANCE WITH OBTAINING HEALTH COVERAGE AND PROVIDING CULTURALLY APPROPRIATE EDUCATION MATERIALS, PROVIDE FOR OPEN MEDICAL STAFF, ADDRESS THE NEEDS OF THE COMMUNITY BOARD AND ABILITY TO SUPPORT PROGRAMS WITH SURPLUS FUNDS. IDENTIFIED BARRIERS TO ADEQUATE MEDICAL CARE AND SERVICES INCLUDE: CULTURAL, ETHNIC, LINGUISTIC BARRIERS, RELIGIOUS BARRIERS, FINANCIAL BARRIERS, BARRIERS TO INFORMATION ABOUT ACCESS TO CARE AND LACK OF PROGRAMS/SERVICES THAT DIRECTLY ADDRESS SPECIFIC HEALTH CARE NEEDS. SHORT TERM GOALS AND OBJECTIVES: -EDUCATE MEMBERS OF THE TARGETED MINORITY POPULATIONS TO THE BENEFITS OF PREVENTATIVE CARE. -IDENTIFY MEMBERS OF TARGET POPULATIONS WHO ARE DIAGNOSED WITH CHRONIC DISEASE AND WHO NEED ASSISTANCE IN OBTAINING HEALTH CARE SERVICES. -PROVIDE PHYSICIAN REFERRAL AND FOLLOW UP APPOINTMENTS FOR INDIVIDUALS WHO NEED ACCESS TO A PRIMARY CARE PHYSICIAN. -PROVIDE FINANCIAL AND INSURANCE INFORMATION TO INDIVIDUALS WHO NEED ASSISTANCE/LACK THE ABILITY TO PAY FOR SERVICES. -PROVIDE SERVICES IN A TRUSTING, SUPPORTIVE ENVIRONMENT WITH INTERPRETERS WHO ARE CERTIFIED TO COMMUNICATE IN THE PARTICIPANTS NATIVE LANGUAGES. -TRANSLATE INFORMATIONAL AND EDUCATIONAL MATERIALS INTO THE LANGUAGES OF THE TARGETED POPULATIONS. LONG TERM GOALS AND OUTCOMES: -CREATE A "MEDICAL HOME" MODEL FOR RESIDENTS, FOCUSING ON UNINSURED/UNDERINSURED, IMMIGRANTS AND REFUGEES -WORKING WITH LOCAL PARTNERS, DECREASE TOBACCO USE RATE WITHIN CHNA-10 -INCREASE EDUCATION OPPORTUNITIES AND COMMUNITY SUPPORT AROUND CHRONIC DISEASE (COPD, HEART DISEASE, DIABETES) -DEVELOPMENT OF A PARTICIPANT SATISFACTION TOOL TO IDENTIFY AREAS OF NEEDED IMPROVEMENT AND AREAS FOR FUTURE PROGRAMMING. -INCREASE OVERALL INPATIENT AND OUTPATIENT STATISTICS, PER ETHNIC COMMUNITY. -INCREASE HEALTHCARE LITERACY IN UNDERSERVED POPULATIONS
PART VI, LINE 6		SAINTS MEDICAL CENTER AND ITS AFFILIATES ARE COMMITTED TO IMPROVING THE HEALTH OF GREATER LOWELL AND THE MERRIMACK VALLEY BY MAKING PROGRAMS AND SERVICES AVAILABLE RIGHT IN THE COMMUNITIES WE SERVE. WE ARE PROUD OF THE RELATIONSHIPS WE HAVE BUILT WITH AREA COMMUNITY ORGANIZATIONS AS WE DEVELOP PROGRAMS TO MEET THE SPECIFIC HEALTH NEEDS OF THE POPULATIONS THEY SERVE. FROM OUR WALK-IN CENTERS AND PRIMARY CARE OFFICES TO OUR FREE WORKSHOPS, HEALTH FAIRS AND SCREENINGS, SAINTS IS DEDICATED TO PROMOTING HEALTH AND WELLNESS TO ALL IN OUR COMMUNITY.
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	MA,

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number
04-2104885

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) UNIVERSITY OF LOWELLONE UNIVERSITY AVE LOWELL,MA01854	04-2607130	115	10,000	0			SEE PART IV
(2) GREATER LOWELL CHAMBER OF COMMERCE131 MERRIMACK STREET LOWELL,MA01852	04-3258590	501(C)(6)	7,625	0			SEE PART IV
(3) HOLY TRINITY GREEK ORTHODOX CHURCHPO BOX 8731 LOWELL,MA01853	04-2103790	501(C)(3)	7,000	0			SEE PART IV
(4) INTERNATIONAL MEDICAL EQUIPMENT COLL OF AMERICA1600 OSGOOD ST NORTH ANDOVER,MA01845	02-0489746	501(C)(3)	0	17,140	FMV	MED EQUIP	SEE PART IV

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Schedule I, Part I, Line 2		1. DOCUMENTATION OF PURPOSE WITH WRITTEN MATERIALS RECEIVED FROM GRANTEE OR RECEIVING ORGANIZATION AT INITIAL CONTACT IS FILED WITH CHECK REQUEST; 2. PERSONAL CONTACT TO THE INSTITUTION WITH ANY QUESTIONS TO CLARIFY USE OF FUNDS BY VP OF GOVERNMENT AFFAIRS AND PUBLIC RELATIONS; 3. ATTENDANCE AND/OR PARTICIPATION IN THE FUNCTION BY A MEMBER OF SENIOR MANAGEMENT OR DESIGNATED EMPLOYEE; 4. RECEIPT OF THANK YOU LETTER BY GRANTEE OR ORGANIZATION, AFTER THE EVENT, DOCUMENTING USE OF THE FUNDS.
Part II, Line 1		(H)UNIVERSITY OF LOWELL STUDENT SCHOLARSHIPS. TO PROVIDE SUPPORT FOR STUDENTS TO ENABLE THEM TO BECOME WELL PREPARED FOR TODAYS WORKFORCE. (H)SUPPORT TO GREATER LOWELL CHAMBER OF COMMERCE; THE MISSION OF THE CHAMBER IS TO PROVIDE A SIGNIFICANT UNIFIED VOICE IN SHAPING THE FUTURE GROWTH OF THE BUSINESS COMMUNITIES WHICH IT SERVES AND TO PROVIDE A VEHICLE THROUGH WHICH INDIVIDUALS CAN WORK TO IMPROVE THE AREAS BUSINESS CLIMATE AND QUALITY OF LIFE. (H)HOLY TRINITY GREEK ORTHODOX CHURCH DONATION TO SUPPORT THE CHURCHS RESTORATION FUND. (H)INTERNATIONAL MEDICAL EQUIPMENT COLLABORATIVE OF AMERICA PROVIDES DONATED EQUIPMENT, TOOLS AND SUPPLIES TO IMPOVERISHED COMMUNITIES AROUND THE WORLD THROUGH HUMANITARIAN DONATION BY ORGANIZATIONS AND INDIVIDUALS.

Schedule I (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

SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

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? ...............

Yes

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 ............

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) Stephen Guimond	(i) (ii)	409,444 0	0 0	0 0	0 0	17,783 0	427,227 0	0 0
(2) ROBERT COCHRANE	(i) (ii)	185,291 0	0 0	0 0	0 0	16,299 0	201,590 0	0 0
(3) JUDY CASAGRANDE	(i) (ii)	316,304 0	0 0	0 0	0 0	16,697 0	333,001 0	0 0
(4) HELENE THIBODEAU	(i) (ii)	190,896 0	0 0	0 0	0 0	17,232 0	208,128 0	0 0
(5) RICHARD MA MD	(i) (ii)	423,680 0	0 0	0 0	0 0	15,954 0	439,634 0	0 0
(6) SIVASUBRAMANIAN RAMYA	(i) (ii)	263,796 0	0 0	0 0	0 0	2,020 0	265,816 0	0 0
(7) GABRIELE SOUTHGATE	(i) (ii)	261,863 0	0 0	0 0	0 0	16,178 0	278,041 0	0 0
(8) SANJAY BASU	(i) (ii)	250,792 0	0 0	0 0	0 0	16,476 0	267,268 0	0 0
(9) FRANK G BASILE	(i) (ii)	239,090 0	0 0	0 0	0 0	17,803 0	256,893 0	0 0
(10) MICHAEL GULEY	(i) (ii)	592,658 0	0 0	0 0	0 0	15,163 0	607,821 0	0 0
(11) STEPHEN O'CONNOR	(i) (ii)	266,611 0	0 0	0 0	0 0	16,602 0	283,213 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
Part I, Line 4A		MICHAEL GULEY, FORMER CEO/PRESIDENT RECIEVED SEVERANCE PAYMENTS OF SALARY AND BENEFITS IN FY2011 IN THE AMOUNT OF $525,663. THE PERIOD COVERRED BY THE SEVERANCE PLAN WAS 24 MONTHS, MAY 2010 - MAY 2012. PART I, QUESTION 3. SAINTS MEDICAL CENTER IS A MEMBER OF SAINTS HEALTH SYSTEM (HEALTH SYSTEM). THE COMPENSATION OF THE CEO/PRESIDENT IS ESTABLISHED BY THE HEALTH SYSTEM, THIS IS AN EXCERPT FROM THE HEALTH SYSTEM BYLAWS: 5.4. COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) TRUSTEES, INCLUDING FOUR (4) TRUSTEES APPOINTED BY THE BOARD OF TRUSTEES (NONE OF WHOM SHALL BE A PERSON PROVIDING A MATERIAL AMOUNT OF SERVICES, OTHER THAN AS AN UNCOMPENSATED VOLUNTEER, TO OR ON BEHALF OF THE CORPORATION OR ANY OF ITS AFFILIATES), AND THE CHAIRPERSON OF THE MEMBERS. THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE INCLUDE: (1) MONITORING CURRENT NATIONAL, REGIONAL AND LOCAL TRENDS IN EXECUTIVE COMPENSATION WITHIN THE HEALTH CARE INDUSTRY; (2) RECOMMENDING TO THE BOARD OF TRUSTEES A COMPREHENSIVE CORPORATE-WIDE EXECUTIVE COMPENSATION STRATEGY, WHICH WILL SERVE AS A FRAMEWORK FOR THE CORPORATION; (3) PERIODICALLY REVIEWING THE COMPREHENSIVE CORPORATE EXECUTIVE COMPENSATION STRATEGY, INCLUDING HOW THE CORPORATION SHOULD POSITION ITSELF WITHIN THE COMPETITIVE MARKETPLACE RELATED TO EXECUTIVE COMPENSATION, AND MAKING APPROPRIATE RECOMMENDATIONS TO THE BOARD OF TRUSTEES; (4) IN RESPONSE TO THE CONCLUSIONS FROM THE CHIEF EXECUTIVE OFFICERS ANNUAL EVALUATION PROCESS, RECOMMENDING TO THE BOARD OF TRUSTEES THE CHIEF EXECUTIVE OFFICERS ANNUAL BENEFITS PACKAGE; AND (5) REVIEWING AND APPROVING THE COMPENSATION PACKAGES RECOMMENDED BY THE CHIEF EXECUTIVE OFFICER FOR THE SENIOR MANAGERS IF THEY ARE CONSISTENT WITH THE OVERALL CORPORATE STRATEGY.

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
SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number
04-2104885

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	MASSACHUSETTS HEALTH AND EDUCATION FACILITY AUTH	04-2456011		09-16-2006	3,000,000	MEDICAL EQUIPMENT FINANCING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	3,000,000
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .	3,000,000
10 Capital expenditures from proceeds . .
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2006
	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? .
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 . . . . . . . . . . . . .	0 %
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 %
6 Total of lines 4 and 5 . . .. . . . . .	0 %
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? .
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, PART I, BOND ISSUES:		(A) ISSUER NAME: MASSACHUSETTS HEALTH AND EDUCATION FACILITY AUTHORITY (F) DESCRIPTION OF PURPOSE: MEDICAL EQUIPMENT FINANCING PART VI, LINE 1, ARBITRAGE IT HAS BEEN DETERMINED THAT NO FORM 8038-T, ARBITRAGE REBATE, IS REQUIRED.

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

SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

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) GARY CAMPBELL	BOARD MEMBER	126,608	THE MEDICAL		No
(2) MARK O'NEIL	BOARD MEMBER	91,632	PRESIDENT		No
(3) DORIS PLISKIN MD	PHYSICIAN & BOARD MEMBER	64,800	SAINTS MEDICAL		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
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS		(A) NAME OF PERSON: GARY CAMPBELL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER (C) AMOUNT OF TRANSACTION $ 126,608. (D) DESCRIPTION OF TRANSACTION: THE MEDICAL CENTER LEASES REAL ESTATE THROUGH MILK STREET ASSOCIATES. PRINCIPALS OF MILK STREET ASSOCIATES INCLUDES FAMILY OF GARY CAMPBELL, A BOARD MEMBER. (E) SHARING OF ORGANIZATION REVENUES? = NO (A) NAME OF PERSON: MARK ONEIL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER (C) AMOUNT OF TRANSACTION $ 91,632. (D) DESCRIPTION OF TRANSACTION: PRESIDENT, LOWELL PUBLISHING CO. LOWELL PUBLISHING PROVIDES ADVERTISING TO SAINTS MEDICAL CENTER. (E) SHARING OF ORGANIZATION REVENUES? = NO (A) NAME OF PERSON: DORIS PLISKIN, MD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: PHYSICIAN AND BOARD MEMBER FOR SAINTS HEALTH SERVICES, INC (C) AMOUNT OF TRANSACTION $ 64,800. (D) DESCRIPTION OF TRANSACTION: SAINTS MEDICAL CENTER LEASES MEDICAL OFFICE SPACE THROUGH AWAC REALTY TRUST. DORIS PLISKIN IS A PRINCIPAL OF AWAC REALTY TRUST. (E) SHARING OF ORGANIZATION REVENUES? = NO

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

SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

Identifier	Return Reference	Explanation
FORM 990, PART I, LINE 1		DESCRIPTION OF ORGANIZATION MISSION CONT: HEALTH SERVICES TO ALL PEOPLE, ESPECIALLY THE POOR AND DISADVANTAGED. FORM 990, PART III PROGRAM SERVICES EXECUTIVE SUMMARY SAINTS MEDICAL CENTER IS A NONPROFIT, FULL SERVICE, ACUTE CARE COMMUNITY HOSPITAL SERVING GREATER LOWELL SINCE 1839. A 157-BED LICENSED MEDICAL CENTER, SAINTS PROVIDES ADVANCED HEALTH SERVICES TO 315,000 RESIDENTS IN 25 TOWNS. IN FISCAL YEAR (FY) 2011, SAINTS DISCHARGED 6,545 INPATIENTS, WITH AN AVERAGE LENGTH OF STAY OF 3.90 DAYS. TOTAL HOSPITAL OUTPATIENT VISITS FOR FY 2011 ARE ESTIMATED AT 230,219, OF WHICH 43,437 ARE EMERGENCY DEPARTMENT ENCOUNTERS; AND SAINTS SURGEONS PERFORMED OVER 1,339 INPATIENT AND 3,007 OUTPATIENT SURGERIES. WITH NEARLY 300 PHYSICIANS AND 1,100 EMPLOYEES, SAINTS MEDICAL CENTER IS WELL KNOWN FOR OUTSTANDING MEDICAL CARE AND PATIENT-CENTERED FACILITIES INCLUDING OUR CANCER CENTER, ORTHOPEDIC CENTER AND CARDIOVASCULAR SERVICES. SAINTS OFFERS CONVENIENT COMMUNITY-BASED CARE AT SEVERAL AMBULATORY SITES AND IS DEDICATED TO PROMOTING HEALTH AND WELLNESS IN THE COMMUNITY. SINCE 2001, SAINTS HAS PROVIDED THE GREATER LOWELL COMMUNITY WITH OVER $26 MILLION DOLLARS IN FREE COMMUNITY BENEFIT AND COMMUNITY SERVICE PROGRAMS, LOCAL SPONSORSHIPS AND EMPLOYEE VOLUNTEERISM EFFORTS. THE MEDICAL CENTER HAS CLINICAL AFFILIATIONS WITH THE LEADING BOSTON ACADEMIC MEDICAL CENTERS AND IS PROUD TO BE ONE OF THE TOP-RATED HOSPITALS IN MASSACHUSETTS ACCORDING TO THE JOINT COMMISSION FOR THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. SAINTS CONTINUES TO PROVIDE COMPREHENSIVE, HOLISTIC HEALTH SERVICES TO ALL PEOPLE, ESPECIALLY THE POOR AND DISADVANTAGED, IN ACCORDANCE TO OUR MISSION. COMMUNITY BENEFITS MISSION STATEMENT IMPROVE THE OVERALL HEALTH STATUS OF UNDERSERVED GREATER LOWELL (CHNA-10) RESIDENTS THROUGH A PROACTIVE RESPONSE TO MULTIFACETED HEALTHCARE NEEDS; WITH A STRONG FOCUS ON PREVENTION, FOLLOW-UP CARE, WELLNESS, AND COMMUNITY AND PROFESSIONAL EDUCATION, SAINTS IS COMMITTED TO TREATING MEMBERS OF OUR COMMUNITY WITH DIGNITY, RESPECT AND COMPASSION. OUR PREDECESSOR HOSPITALS, ST. JOSEPH'S AND ST. JOHN'S, WERE FOUNDED TO PROVIDE HEALTH CARE TO THOSE WHO COULD NOT AFFORD TO PAY, AND IN KEEPING WITH THIS MISSION, SAINTS MEDICAL CENTER CONTINUES TO PROVIDE CARE TO THOSE IN NEED, REGARDLESS OF FINANCIAL MEANS. ACCORDING TO THE MOST RECENT RESULTS FROM THE MASSACHUSETTS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM PROVIDED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, THE LOWELL/LAWRENCE AREA REPORTED A HIGHER RATE THAN THE STATEWIDE RATE, OF INDIVIDUALS CONSIDERING THEMSELVES IN FAIR OR POOR OVERALL HEALTH, ESPECIALLY AMONG IMMIGRANT GROUPS. EXPANDING ACCESS TO CARE, ESPECIALLY TO THE UNDERSERVED, IS THE HIGHEST PRIORITY AT SAINTS. OUR INITIATIVE INCLUDES SEVERAL COMPONENTS: OUTREACH EFFORTS TO IMPROVE ACCESSIBILITY AND COMMUNICATION, REFERRALS TO PRIMARY CARE PHYSICIANS, EDUCATION AND ASSISTANCE WITH OBTAINING HEALTH COVERAGE AND PROVIDING CULTURALLY APPROPRIATE EDUCATION MATERIALS, SERVICES AND CARE. IDENTIFIED BARRIERS TO ADEQUATE MEDICAL CARE AND SERVICES INCLUDE: CULTURAL, ETHNIC, LINGUISTIC BARRIERS, RELIGIOUS BARRIERS, FINANCIAL BARRIERS, BARRIERS TO INFORMATION ABOUT ACCESS TO CARE AND LACK OF PROGRAMS/SERVICES THAT DIRECTLY ADDRESS SPECIFIC HEALTH CARE NEEDS. SHORT-TERM GOALS AND OBJECTIVES: -EDUCATE MEMBERS OF THE TARGETED MINORITY POPULATIONS TO THE BENEFITS OF PREVENTATIVE CARE. -IDENTIFY MEMBERS OF TARGET POPULATIONS WHO ARE DIAGNOSED WITH CHRONIC DISEASE AND WHO NEED ASSISTANCE IN OBTAINING HEALTH CARE SERVICES. -PROVIDE PHYSICIAN REFERRAL AND FOLLOW UP APPOINTMENTS FOR INDIVIDUALS WHO NEED ACCESS TO A PRIMARY CARE PHYSICIAN. -PROVIDE FINANCIAL AND INSURANCE INFORMATION TO INDIVIDUALS WHO NEED ASSISTANCE/LACK THE ABILITY TO PAY FOR SERVICES. -PROVIDE SERVICES IN A TRUSTING, SUPPORTIVE ENVIRONMENT WITH INTERPRETERS WHO ARE CERTIFIED TO COMMUNICATE IN THE PARTICIPANTS' NATIVE LANGUAGES. -TRANSLATE INFORMATIONAL AND EDUCATIONAL MATERIALS INTO THE LANGUAGES OF THE TARGETED POPULATIONS. LONG-TERM GOALS AND OUTCOMES: -CREATE A "MEDICAL HOME" MODEL FOR RESIDENTS, FOCUSING ON UNINSURED/UNDERINSURED, IMMIGRANTS AND REFUGEES -WORKING WITH LOCAL PARTNERS, DECREASE TOBACCO USE RATE WITHIN CHNA-10 -INCREASE EDUCATION OPPORTUNITIES AND COMMUNITY SUPPORT AROUND CHRONIC DISEASE (COPD, HEART DISEASE, DIABETES) -DEVELOPMENT OF A PARTICIPANT SATISFACTION TOOL TO IDENTIFY AREAS OF NEEDED IMPROVEMENT AND AREAS FOR FUTURE PROGRAMMING -INCREASE OVERALL INPATIENT AND OUTPATIENT STATISTICS, PER ETHNIC COMMUNITY -INCREASE HEALTHCARE LITERACY IN UNDERSERVED POPULATIONS COMMUNITY BENEFIT PROGRAM MANAGEMENT SAINTS MEDICAL CENTER ORIGINATED IN THE EARLY 1800'S WHEN OUR PREDECESSOR HOSPITALS, ST. JOHN'S AND ST. JOSEPH'S, WERE ESTABLISHED TO MEET THE HEALTH CARE NEEDS OF LOWELL'S MILL WORKERS AND IMMIGRANTS. TODAY, SAINTS CONTINUES TO PROVIDE HIGH QUALITY HEALTH CARE AND COMMUNITY SERVICE IN KEEPING WITH THE CATHOLIC MISSION OF CARING. THE COMMUNITY BENEFITS COMMITTEE, DEVELOPED IN 1995, ASSESSES HEALTH INDICATORS WITHIN THE GREATER LOWELL COMMUNITY AND CHNA-10 TO ENSURE THAT OUR SERVICES REFLECT EVER-CHANGING NEEDS. STATE DPH HEALTH STATUS INDICATORS ARE REVIEWED CONTINUOUSLY, AS WELL AS DEMOGRAPHIC INFORMATION (YANKEE ALLIANCE) WITH INPUT FROM PATIENTS, STAFF, AND COMMUNITY MEMBERS. SAINTS IS COMMITTED TO IMPROVING THE HEALTH OF THE GREATER LOWELL COMMUNITY. TO THIS END, WE CONTINUE TO DEVELOP AND EVALUATE PROGRAMS AND SERVICES THAT ARE BASED ON THE NEEDS IDENTIFIED BY OUR COMMUNITY. WE PLACE STRONG EMPHASIS ON THE NEED FOR COLLABORATION WITH OTHER HEALTH AND COMMUNITY ORGANIZATIONS. OUR COMMUNITY EFFORTS ARE ON-GOING, ACCOMPLISHED THROUGH A COMBINATION OF EDUCATIONAL PROGRAMS AND SERVICES THAT INCLUDE FREE HEALTH FAIRS AND SCREENINGS, COMMUNITY EDUCATION AND OUTREACH AND INCREASED ACCESS TO BASIC HEALTH CARE FOR THE UNDERSERVED. TEAM MEMBERS INCLUDE: COMMUNITY BENEFIT CHAIRPERSON SENIOR MANAGEMENT MANAGER, FINANCIAL PLANNING AND REIMBURSEMENT DIRECTOR, CARING WELL INSTITUTE DIRECTOR, OUTREACH SERVICES DIRECTOR, CARDIOLOGY & CLINICS DIRECTOR, CANCER CENTER ADMINISTRATOR, PHYSICIAN NETWORK DIRECTOR, EMERGENCY SERVICES DIRECTOR, SECURITY PASTORAL CARE (CHAPLAIN) MARKETING ASST DIRECTOR PHARMACY DIRECTOR, DIALYSIS OUTREACH SPECIALIST (KHMER) INTERPRETER SERVICES COORDINATOR DIRECTOR OF MARKETING
FORM 990, PART III, PROGRAM SERVICES CONTINUED...		THE COMMUNITY BENEFIT TEAM MEETS QUARTERLY TO REVIEW PROGRESS. THE TEAM MEETS WHENEVER A NEED ARISES WITHIN THE COMMUNITY TO DETERMINE HOW IT WILL BE MET. ALL COMMUNITY BENEFIT PLANNING IS DONE WITH THE TEAM, PRESENTED TO SENIOR MANAGEMENT, APPROVED AND THEN MADE PUBLIC VIA THE SMC WEBSITE. COMMUNITY BENEFIT PARTNERS ALTERNATIVE HOUSE EMERGENCY WOMEN'S SERVICES AMERICAN CANCER SOCIETY AMERICAN RED CROSS (MERRIMACK VALLEY) CAMBODIAN MUTUAL ASSISTANCE ASSOCIATION CITY OF LOWELL GANG TASK FORCE COMMUNITY TEAMWORK INC (CTI) D'YOUVILLE SENIOR CARE CENTER DEPARTMENT OF MENTAL HEALTH ELDER SERVICES OF THE MERRIMACK VALLEY EMERGENCY NURSES ASSOCIATION EMERGENCY NURSES CARE PREVENTION PROGRAM GREATER LOWELL CHAMBER OF COMMERCE GREATER LOWELL CISM TEAM GREATER LOWELL HEALTH ALLIANCE GREATER LOWELL TECHNICAL HIGH SCHOOL GREATER LOWELL YMCA GREENHALGE SCHOOL INTERNATIONAL CRITICAL INCIDENT STRESS FOUNDATION INTERNATIONAL INSTITUTE OF LOWELL LOWELL BOARD OF HEALTH LOWELL CITY MANAGER'S OFFICE LOWELL COMMUNITY HEALTH CENTER LOWELL POLICE DEPARTMENT LOWELL SENIOR CENTER LOWELL WOMEN'S WEEK MARCH OF DIMES MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MASSACHUSETTS HOSPITAL ASSOCIATION MERRIMACK VALLEY AHEC MERRIMACK VALLEY CRITICAL CARE CONSORTIUM MIDDLESEX COMMUNITY COLLEGE NORTHEAST CENTER FOR HEALTHY COMMUNITIES NORTHEAST EMS NORTHEAST HOMELAND SECURITY COUNCIL SOUTHBAY MENTAL HEALTH UNIVERSITY OF MASSACHUSETTS LOWELL VNA OF GREATER LOWELL WIC YANKEE ALLIANCE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGHOUT SAINTS MEDICAL CENTER'S STRATEGIC PLANNING PROCESS, PRIMARY AND SECONDARY RESEARCH WAS CONDUCTED TO IDENTIFY HEALTH NEEDS WITHIN THE GREATER LOWELL COMMUNITY, AS WELL AS GAPS IN HEALTH SERVICES. DATA COLLECTED TO SUPPORT THE COMMUNITY BENEFIT PROGRAM/PLAN INCLUDES AN INVENTORY OF ALL PROGRAMS OFFERED BY THE HOSPITAL, AS WELL AS AN ANALYSIS OF DATA PROFILED THE HEALTH STATUS AND HEALTH CARE NEEDS OF THE LOCAL POPULATION BASED ON: HEALTHY PEOPLE 2010/2020 REPORT MASSCHIP INSTANT TOPICS PATIENT DIAGNOSTIC DATA (DRG, DEMOGRAPHICS) SAINTS MEDICAL CENTER MARKET RESEARCH REQUESTS FOR SERVICES PATIENT AND CAREGIVER SURVEYS PHYSICIAN SURVEYS CLINICIAN REPORTS KAISER STUDIES INPUT FROM LOCAL IMMIGRANT/CULTURAL ADVOCACY AGENCIES PROGRAM SPECIFIC EVALUATIONS COMMUNITY FOCUS GROUPS POPULATION SPECIFIC SURVEYS AND FOCUS GROUPS ONE ON ONE RESIDENT/PATIENT INTERVIEWS CITY OF LOWELL OVERVIEW THE CITY OF LOWELL WAS FOUNDED IN 1820 AS A PLANNED INDUSTRIAL COMMUNITY ALONG THE BANKS OF THE MERRIMACK RIVER WHOSE ECONOMY WAS BASED ON TEXTILE MANUFACTURING. BY THE 1850S, IT HAD BECOME THE LARGEST INDUSTRIAL CENTER IN THE UNITED STATES AND THE SECOND LARGEST CITY IN NEW ENGLAND. MUCH OF THE POPULATION GROWTH IN LOWELL WAS ATTRIBUTABLE TO IMMIGRATION, WITH NEW RESIDENTS COMING FROM MANY PARTS OF EUROPE AND FRENCH-SPEAKING CANADA, CREATING AN ETHNICALLY DIVERSE COMMUNITY. DURING THIS PERIOD, LOWELL SERVED AS A REGIONAL ECONOMIC ENGINE, PROVIDING GOODS AND SERVICES TO THE SURROUNDING COMMUNITIES, WHICH RETAINED A LARGELY AGRICULTURAL ECONOMY INTO THE EARLY 1900S. BY THE 1920S, HOWEVER, LOWELL HAD GONE INTO ECONOMIC DECLINE AS THE U.S. TEXTILE INDUSTRY MOVED SOUTH, AND BY THE END OF THE 1950S ALL OF THE TEXTILE MILLS HAD CLOSED. IN THE 1970S, WANG LABORATORIES LOCATED ITS HEADQUARTERS IN THE CITY AND SPURRED A TEMPORARY ECONOMIC REVIVAL, WHICH COLLAPSED WHEN THE COMPANY FILED FOR BANKRUPTCY IN 1992. WHILE THE URBAN CORE HAS BEEN REDEVELOPED AS A RESIDENTIAL COMMUNITY, WITH FORMER TEXTILE MILLS BEING REHABILITATED AS CONDOMINIUMS AND APARTMENTS, LOWELL LACKS A STRONG INDUSTRIAL BASE. IN A LARGE MEASURE, THE EMERGENCE OF A HIGH TECHNOLOGY AND BIOMEDICAL ECONOMIC BASE IN EASTERN MASSACHUSETTS COINCIDED WITH A DECENTRALIZATION OF DEVELOPMENT AND URBAN PLANNING, WITH MANY NEW BUSINESSES LOCATING OUTSIDE CITY CENTERS, ALONG TRANSPORTATION CORRIDORS (E.G., ROUTES 128 AND 495). WHILE LOWELL STILL PROVIDES REGIONAL SERVICES NOT AVAILABLE IN THE SMALLER COMMUNITIES-HEALTHCARE, EDUCATION AND ENTERTAINMENT-MUCH OF THE AREA'S RECENT JOB GROWTH HAS COME FROM THE HIGH TECHNOLOGY SECTOR IN NEARBY TOWNS SUCH AS BILLERICA, CHELMSFORD, TEWKSBURY, AND WESTFORD. IN THE 1980S, THE CITY OF LOWELL WAS DESIGNATED AS A REFUGEE AND RESETTLEMENT AREA FOR CAMBODIANS IN THE WAKE OF THE ATROCITIES COMMITTED BY THE KHMER ROUGE REGIME. TODAY, LOWELL IS HOME TO THE SECOND LARGEST CAMBODIAN POPULATION WITHIN THE U.S. IN ADDITION, MANY OF THE AMENITIES THAT HAD SERVED PREVIOUS GENERATIONS OF LOWELL IMMIGRANTS, SUCH AS PLENTIFUL RENTAL HOUSING AND A HIGH GEOGRAPHIC DENSITY OF RETAIL BUSINESSES AND SERVICES CONTINUE TO ATTRACT IMMIGRANTS. IN THE 2000 CENSUS, MORE THAN ONE IN FIVE LOWELL RESIDENTS WAS FOREIGN BORN. CONTRASTED WITH THE PREDOMINANTLY NORTHERN AND WESTERN EUROPEAN IMMIGRATION DURING THE CITY'S MANUFACTURING HEYDAY, RECENT FIGURES SHOW THAT THE FOREIGN BORN IN LOWELL TODAY HAVE MORE DIVERSE ORIGINS. IN 2000, APPROXIMATELY HALF OF ALL LOWELL IMMIGRANTS WERE ASIAN, NEARLY A QUARTER FROM LATIN AMERICA, 16 PERCENT FROM EUROPE (WITH MANY ARRIVING FROM PORTUGAL), AND APPROXIMATELY SIX PERCENT FROM AFRICA. WITH THEIR ARRIVAL, THESE IMMIGRANTS HAVE ALSO ALTERED THE SERVICE ENVIRONMENT, WTIH SOME HEALTHCARE FACILITIES, NOTABLY THE LOWELL COMMUNITY HEALTH CENTER, ADAPTING THEIR SERVICES TO ACCOMMODATE INDIVIDUALS WITH IDIOSYNCRATIC CULTURAL AND HEALTH NEEDS, AS WELL AS PROVIDING SERVICES IN AN INCREASING NUMBER OF LANGUAGES. IMMIGRANTS ARRIVING IN LOWELL TODAY ARE GREETED WITH A STARKLY DIFFERENT ECONOMIC REALITY THAN THOSE ARRIVING DURING THE INDUSTRIAL REVOLUTION. THERE ARE ESSENTIALLY NO MANUFACTURING JOBS REMAINING IN LOWELL, AND THE MAJORITY OF JOBS IN THE NEW HIGH TECHNOLOGY SECTOR REQUIRE A COLLEGE EDUCATION. AS A RESULT, MOST JOBS AVAILABLE TO NEW IMMIGRANTS WITHOUT AN ADVANCED EDUCATION ARE SERVICE JOBS, MANY OF WHICH DO NOT PAY A LIVING WAGE. LOWELL HAS THE HIGHEST UNEMPLOYMENT RATE IN THE AREA (11.5%), AND A POVERTY RATE 16.1%) THREE TIMES THAT OF TYNGSBOROUGH (4.7%) AND TEN TIMES THAT OF WESTFORD (1.6%). THE COMMUNITIES SURROUNDING LOWELL HAVE ATTRACTED FAR FEWER IMMIGRANTS, WITH IMMIGRANTS ACCOUNTING FOR JUST THREE TO SEVEN PERCENT OF THEIR POPULATIONS. OF THE SUBURBAN COMMUNITIES IN THE GREATER LOWELL AREA, ONLY WESTFORD HAS A HIGHER PROPORTION FOREIGN BORN (12.6%), BUT THESE IMMIGRANTS ARE PREDOMINANTLY WELL EDUCATED AND DRAWN TO THE TOWN'S HIGH TECHNOLOGY JOBS.
FORM 990, PART III, PROGRAM SERVICES CONTINUED...		WHILE LOWELL IS NO LONGER THE ECONOMIC CENTER THAT IT ONCE WAS, LOWELL IS STILL A CULTURAL AND INSTITUTIONAL CENTER FOR THE REGION. IT IS HOME TO THE UNIVERSITY OF MASSACHUSETTS LOWELL, MIDDLESEX COLLEGE AND THE LOWELL NATIONAL HISTORICAL PARK, AS WELL AS TWO HOSPITALS, SUPERIOR AND DISTRICT COURTS, THE MERRIMACK REPERTORY THEATER, THE LOWELL AUDITORIUM, THE TSONGAS CENTER AND LALACHEUR STADIUM. IN 2008, THE GREATER LOWELL AREA, AS DEFINED HEREIN, HAD A POPULATION OF 264,000 RESIDENTS, INCLUDING AN ESTIMATED 97,000 PEOPLE IN THE CITY OF LOWELL ALONE. THUS, THE CITY OF LOWELL ITSELF ACCOUNTS FOR LESS THAN 40 PERCENT OF THE AREA'S POPULATION. FOUR OTHER COMMUNITIES-BILLERICA, CHELMSFORD, DRACUT AND TEWKSBURY-EACH HAVE A POPULATION OF NEARLY 30,000 OR MORE. WE ALSO SEE FROM TABLE 1 THAT THE CITY OF LOWELL DIFFERS FROM ITS SUBURBAN NEIGHBORS IN IMPORTANT RESPECTS-A GREATER PERCENTAGE NON-HISPANIC WHITE, A GREATER PERCENTAGE FOREIGN BORN AND A HIGHER POVERTY RATE. LOWELL'S CURRENT POPULATION IS MUCH THE SAME AS WHAT IT WAS IN 1900, WHEREAS THE SUBURBAN COMMUNITIES IN PROXIMITY TO LOWELL HAVE SEEN DRAMATIC POPULATION INCREASES. MANY RESIDENTS OF THE SUBURBAN COMMUNITIES HAVE DEEP ROOTS IN THE CITY OF LOWELL ITSELF. TARGETED NEEDS AREAS -ACCESS TO HEALTHCARE/MEDICALLY UNDERSERVED -CHRONIC DISEASE -CANCER CARE -CARDIAC DISEASE -DOMESTIC VIOLENCE, SEXUAL ASSAULT AND ANTI-BULLYING INTIATIVES -SUBSTANCE ABUSE -SMOKING CESSATION -HEALTH PROFESSIONAL EDUCATION/MENTORSHIPS/INTERNSHIPS COMMUNITY BUILDING ACTIVITIES AFTER SCHOOL ACTIVITIES FOR LOW-INCOME LOCAL YOUNG WOMEN AGE 7-17 SAINTS IS A PARTNER WITH THE LOCAL GIRLS INC. CHAPTER, PROVIDING GROWTH AND EMPOWERMENT ACTIVITIES FOR YOUNG WOMEN WHO PRIMARILY HAIL FROM LOW-INCOME, SINGLE PARENT HOUSEHOLDS IN GREATER LOWELL. GIRLS INC. PARTICIPANTS LIVE IN IDENTIFIED MEDICALLY UNDERSERVED AREAS (MUA) WITHIN LOWELL (THE ACRE, DOWNTOWN, CENTRAVILLE AND THE LOWER HIGHLANDS). GIRLS INC PROVIDES AFTERSCHOOL ENRICHMENT ACTIVITIES FOR GIRLS AT HIGH RISK OF DRUG/ALCOHOL ABUSE, SEX AT AN EARLY AGE, SMOKING, DROPPING OUT OF SCHOOL, AND OTHER HEALTH/QUALITY OF LIFE CONCERNS. SAINTS MEDICAL CENTER OFFERS FINANCIAL SUPPORT TO GIRLS INC. AS WELL AS PROGRAMMATIC SUPPORT. FROM JUNE 1, 2011 - AUGUST 28, 2011, 2 SAINTS STAFF MEMBERS OFFERED A WEEKLY FUN AND FIT WALKING PROGRAM FOR 15 GIRLS. EQUIPMENT DONATIONS - MATERIALS MANAGEMENT HEALTHY EATING/NUTRITION FOR LOW INCOME RESIDENTS IDENTIFIED BY CATHOLIC CHARITIES SAINTS IS AN ACTIVE PARTNER WITH CATHOLIC CHARITIES OF GREATER LOWELL, PROVIDING A SUPPLY OF FOOD DONATIONS ON A MONTHLY BASIS AS PART OF OUR COMMUNITY BENEFIT PROGRAM. CATHOLIC CHARITIES HAS A FOOD PANTRY THAT IS OPEN 4 DAYS A WEEK, MONDAY TO THURSDAY. IT SERVES, ON AVERAGE, 130 TO 200 HOUSEHOLDS/FAMILIES PER WEEK. CLIENTS CAN GO FOR FOOD ASSISTANCE ONCE EVERY 30 DAYS. ON AVERAGE THEY SERVE 200-230 FAMILIES, PER WEEK. ASSISTANCE TO LOCAL, LOW-INCOME & REFUGEE FAMILIES THE GREENHALGE AND MCAVINNUE SCHOOLS, AS WELL AS ST. PATRICK'S, ST. MARGARET'S AND IMMACULATE CONCEPTION SCHOOLS ARE LOCATED WITHIN MEDICALLY UNDERSERVED AREAS, WHERE 90% OF RESIDENTS ARE ETHNIC MINORITIES OR RECENTLY RESETTLED, AND LOW-INCOME REFUGEES. THE MAJORITY OF STUDENTS ARE FROM BURMA, BHUTAN, NEPAL, AND IRAQ, THE CONGO, CAMBODIA, VIETNAM AND VARIOUS LATIN AMERICAN COUNTRIES. SAINTS STAFF PROVIDE ASSISTANCE TO OVER 50 FAMILIES, ANNUALLY, EACH CHRISTMAS. GREATER LOWELL COMMUNITY HEALTH NEEDS ASSESSMENT 2010 EXECUTIVE SUMMARY ON BEHALF OF LOWELL GENERAL HOSPITAL (LGH), SAINTS MEDICAL CENTER (SMC) AND THE GREATER LOWELL HEALTH ALLIANCE (GLHA), A TEAM OF UMASS LOWELL RESEARCHERS AND STUDENTS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT STUDY TO DISTINGUISH THE UNMET MEDICAL AND PUBLIC HEALTH NEEDS WITHIN THE GREATER LOWELL COMMUNITY. THE GEOGRAPHIC AREA ASSESSED INCLUDED THE COMMUNITIES OF LOWELL, BILLERICA, CHELMSFORD, DRACUT, DUNSTABLE, TEWKSBURY, TYNGSBOROUGH AND WESTFORD. THE STUDY HAD TWO OBJECTIVES. ONE OBJECTIVE WAS TO MEET STATE AND FEDERAL REQUIREMENTS THAT THE TWO HOSPITALS CONDUCT A COMPREHENSIVE HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE SECOND, ULTIMATELY MORE IMPORTANT OBJECTIVE WAS TO CONDUCT A STUDY THAT WOULD PROVIDE A FOUNDATION FOR THE GLHA AND ITS PARTNERS,INCLUDING LGH AND SMC, IN WORKING TO BUILD CONSENSUS ON THE AREA'S HEALTH NEEDS AND PLAN COORDINATED ACTIVITIES TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS. INFORMATION FOR THIS REPORT WAS COLLECTED FROM MULTIPLE SOURCES, IN THREE DIFFERENT WAYS: (1) A WEB-BASED SURVEY, (2) FOCUS GROUP AND PERSONAL INTERVIEWS, AND (3) A REVIEW OF PUBLICLY COLLECTED HEALTH AND DEMOGRAPHIC STATISTICS. THE WEB-BASED SURVEY WAS AVAILABLE TO ALL ADULTS RESIDING WITHIN THE STUDY AREA. IT WAS DESIGNED TO ELICIT PUBLIC FEEDBACK ABOUT THE HEALTH SERVICES IN THE GREATER LOWELL AREA, AND INCLUDED BOTH FORCED ANSWER MULTIPLE CHOICE QUESTIONS AND OPEN-ENDED QUESTIONS ASKING PEOPLE TO STATE WHAT THEY PERCEIVED TO BE THE STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTHCARE SYSTEM. OF THE 153 COMMUNITY RESIDENTS WHO RESPONDED, THE MAJORITY WERE WHITE (88%), WOMEN (76%), AND AGED 31 TO 65 (78%). THESE INDIVIDUALS REPORTED HAVING GOOD ACCESS TO HEALTH CARE, AS 88% HAD SEEN THEIR PERSONAL PHYSICIAN IN THE PREVIOUS 12 MONTHS. MORE THAN 50 GREATER LOWELL PROFESSIONALS PARTICIPATED IN THE FOCUS GROUPS AND PERSONAL INTERVIEWS-INCLUDING SCHOOL NURSES, HOSPITAL EXECUTIVES, TOWN MANAGERS AND LOCAL HEALTH DEPARTMENT DIRECTORS, AS WELL AS INDIVIDUALS REPRESENTING THE COUNCILS ON AGING, SKILLED NURSING FACILITIES AND VARIOUS COMMUNITY-BASED ORGANIZATIONS. THESE INDIVIDUALS WERE ASKED TO SPEAK TO THE STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTH SYSTEM AND SUGGEST CHANGES TO IMPROVE IT. THE HEALTH AND DEMOGRAPHIC DATA AVAILABLE WITHIN THE GREATER LOWELL AREA WAS THOROUGHLY INVESTIGATED, FOCUSING SUBSTANTIALLY ON THE ISSUES OR PROBLEMS INDICATED FROM THE PERSONAL AND FOCUS GROUP INTERVIEWS, AS WELL AS THE WEB-BASED SURVEY. THESE DATA INDICATED THAT THE GREATER LOWELL AREA SAW A DOUBLING OF THE RATE OF MENTAL HEALTH HOSPITALIZATIONS BETWEEN 1989 AND 2006. IN ADDITION, LOWELL HAS SEEN INCREASES IN PROBLEMATIC ALCOHOL CONSUMPTION AND OPIATE-RELATED MORTALITY. THE EXPERIENCE IN THE LOWELL AREA WAS ALSO COMPARED, AS APPROPRIATE, WITH THE STATEWIDE EXPERIENCE. IN SO DOING, WE FOUND THAT THE USE OF EMERGENCY DEPARTMENT SERVICES IN LOWELL IS 39% HIGHER THAN THE STATE AVERAGE IN THE MOST RECENT DATA AVAILABLE, 2002 THROUGH 2005. WHEN RELIABLE INFORMATION WAS AVAILABLE, WE ADDITIONALLY EXAMINED THE COMPARATIVE EXPERIENCE OF DIFFERENT DEMOGRAPHIC SUBGROUPS. THE MORTALITY RATE AMONG ASIAN AMERICANS IN THE GREATER LOWELL AREA, FOR EXAMPLE, WAS NEARLY TWICE AS HIGH AS THE MASSACHUSETTS AVERAGE FOR THIS GROUP. IN ADDITION TO PROVIDING SUPPLEMENTAL INFORMATION ON HEALTHCARE CONCERNS VOICED BY VARIOUS STUDY RESPONDENTS, THE DATA ANALYSIS ALSO INDICATED OTHER IMPORTANT FINDINGS, MOST IMPORTANTLY, THAT THE PROPORTION OF INDIVIDUALS IN LOWELL WITHOUT HEALTH INSURANCE INCREASED SUBSTANTIALLY BETWEEN 2000 AND 2008. THE LARGER STUDY FOUND CONSISTENT THEMES WITH REGARD TO THE STRENGTHS AND WEAKNESSES OF THE GREATER LOWELL HEALTH SYSTEM, AND GENERATED VARIOUS SUGGESTIONS. THESE FINDINGS ARE SUMMARIZED BELOW IN THREE SECTIONS-STRENGTHS, WEAKNESSES AND SUGGESTIONS. STRENGTHS -CONVENIENT ACCESS TO HIGH QUALITY HEALTH CARE -A STRONG HEALTH CARE SYSTEM, NAMELY, SMC, LGH, THE LOWELL COMMUNITY HEALTH CENTER (LCHC), AND THE AREA HEALTH DEPARTMENTS -A MATURE HUMAN SERVICES SYSTEM/STRONG ELDERLY HEALTH SERVICES -A GROWING AWARENESS OF THE COMMUNITY'S CULTURAL DIVERSITY ALLOWING PROVIDERS, BUT ESPECIALLY LCHC, TO PROVIDE CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE -SUSTAINED IMPROVEMENTS OVER TIME IN IMPORTANT HEALTH OUTCOMES SUCH AS MORTALITY AND TEEN PREGNANCY -A SHARP DECREASE IN INFANT MORTALITY
FORM 990, PART III, PROGRAM SERVICES CONTINUED...		WEAKNESSES -INSUFFICIENT ACCESS TO PRIMARY CARE RESOURCES, LEADING TO OVERUSE OF EMERGENCY DEPARTMENTS -WOEFULLY INADEQUATE MENTAL HEALTH RESOURCES -INSUFFICIENT RESOURCES FOR HEALTH EDUCATION AND OTHER PUBLIC HEALTH ACTIVITIES -COMPETITION, RATHER THAN COOPERATION, BETWEEN THE TWO HOSPITALS -INSUFFICIENT RESOURCES TO ADDRESS THE IDIOSYNCRATIC NEEDS OF A CULTURALLY, INCREASINGLY DIVERSE POPULATION -LOW HEALTH STATUS LEVELS FOR SOME, COMPARED TO THE REST OF THE STATE (E.G., A MUCH HIGHER AGE-ADJUSTED DEATH RATE FOR NON-HISPANIC WHITES) -RECENT DETERIORATION IN HEALTH OUTCOMES-BINGE DRINKING, INCREASED ASTHMA HOSPITALIZATION, INCREASED OPIOID DEATHS, INCREASED TEENAGE PREGNANCY -DESPITE HEALTHCARE REFORM, A DRAMATIC INCREASE IN THE PERCENTAGE OF LOWELL RESIDENTS UNINSURED SUGGESTIONS -ASKING THE TWO HOSPITALS AND OTHER LOCAL HEALTH CARE ORGANIZATIONS TO WORK TOGETHER IN PROVIDING HEALTH EDUCATION THROUGH PUBLIC ACCESS TELEVISION -DEVELOPING A COORDINATED SYSTEM FOR PROVIDING URGENT CARE AND AFTER-HOURS PRIMARY CARE SERVICES -ESTABLISHING A CLEARINGHOUSE OF PROVIDER INFORMATION. CONTINUE WORKING TO DISTINGUISH THE IDIOSYNCRATIC HEALTH NEEDS OF LOWELL'S ETHNIC, IMMIGRANT AND LOW-INCOME COMMUNITIES DESPITE EVIDENT PROGRESS IN ASSESSING THE AREA'S UNMET HEALTH CARE NEEDS, IT IS IMPORTANT TO INDICATE AN IMPORTANT CAVEAT. OUR WEB-BASED SURVEY DID NOT INCLUDE A FULLY REPRESENTATIVE SAMPLE OF PEOPLE LIVING IN THE GREATER LOWELL AREA. THOSE LESS LIKELY TO PARTICIPATE IN A WEB SURVEY, NOTABLY IMMIGRANTS, REFUGEES AND INDIVIDUALS WITH LOW LEVELS OF FORMAL EDUCATION, ARE NOT REPRESENTED IN THE DATA COLLECTED. IN ADDITION, THERE WAS COMPARATIVELY LITTLE DATA AVAILABLE WITH WHICH TO DISTINGUISH THE DIFFERENTIAL NEEDS OF IMMIGRANTS AND LOW-INCOME GROUPS. ALTHOUGH WE DID SPEAK WITH INDIVIDUALS WHO WORK WITH THESE DISADVANTAGED POPULATIONS, WE READILY ACKNOWLEDGE THAT SUCH PROXY REPORTS CANNOT FULLY REPLACE INFORMATION THAT MIGHT COME DIRECTLY FROM MEMBERS OF THESE GROUPS. FURTHER INVESTIGATION INTO THE NEEDS OF DISADVANTAGED INDIVIDUALS AND POPULATIONS IS NEEDED, AND WOULD CERTAINLY ENRICH OUR UNDERSTANDING OF THE AREA'S UNMET MEDICAL AND PUBLIC HEALTH NEEDS. WE NEVERTHELESS HOPE THAT THIS DOCUMENT CAN SERVE AS A STARTING POINT AND LEAD TO CONCRETE STEPS AND CONSTRUCTIVE DIALOG FOCUSED ON IMPROVING THE HEALTH OF ALL INDIVIDUALS WITHIN THE GREATER LOWELL AREA. ACCESS TO HEALTHCARE (MULTI-CULTURAL) LOWELL'S MEDICALLY UNDERSERVED: 17.5% AFRICAN RESIDENTS UNABLE TO SEE A DOCTOR DUE TO INABILITY TO PAY; 29.9% HISPANIC RESIDENTS UNABLE TO SEE A DOCTOR DUE TO INABILITY TO PAY; ONLY 18% OF MINORITY GROUPS OLDER THAN 65 RECEIVED FLU VACCINES (VS. 63% OF OVERALL POPULATION). APPROXIMATELY 35% OF LOWELL'S POPULATION (105,167) IS DOCUMENTED AS BELONGING TO AN ETHNIC MINORITY. LOWELL HAS SIZABLE ASIAN (22%) AND HISPANIC (15.5%) POPULATIONS. OVER THE LAST SEVERAL YEARS, LOWELL HAS EXPERIENCED A LARGE INFLUX OF BRAZILIAN, PORTUGUESE AND AFRICAN IMMIGRANTS. MANY OF THESE POPULATIONS ARE INCLUDED IN THE UNINSURED AND UNDERINSURED POPULATIONS. ADDITIONALLY, 34% OF LOWELL HOUSEHOLDS SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH AT HOME. 13% OF HOUSEHOLDS HAVE AN INCOME LESS THAN $10,000; 20% HAVE AN INCOME LESS THAN $15,000. (SOURCE: MASSCHIP CHNA HEALTH STATUS INDICATORS REPORT) THERE ARE CURRENTLY OVER 150 IRAQI CHILDREN WHO HAVE SETTLED IN LOWELL AS FEDERALLY RECOGNIZED REFUGEES. THE MAJORITY, AS REFUGEES, HAVE MASSHEALTH. IN ORDER TO RECEIVE PROPER CLEARANCE AND IMMUNIZATIONS, CHILDREN NEED A COMPREHENSIVE PHYSICAL - CHILDREN CANNOT START SCHOOL WITHOUT IMUNIZATIONS. THE WAIT FOR APPOINTMENTS AND IMMUNIZATIONS IS APPROXIMATELY 90 DAYS AT LOWELL COMMUNITY HEALTH CENTER. ALL REFUGEES NEED COMPREHENSIVE PHYSICALS AND IMMUNIZATIONS TO ASSIST IN THE GREEN CARD PROCESS. PROGAMS INSTITUTED CAMBODIAN HEALTH PROGRAM - MONTHLY TB TESTING PERFORMED BY TB CLINIC MANAGER AT CAMBODIAN DAY CARE SITE. IMMUNIZATION EXPANSION PROGRAM - EXPAND IMMUNIZATION CLINIC HOURS TO MEET IMMIGRANT/REFUGEE NEED. REFUGEE HEALTH PROGRAM - COMPLETE BUSINESS PLAN AND APPLY FOR RFR TO ENHANCE HOURS OF IMMUNIZATION CLINICS, AS WELL AS REFUGEE HEALTH INITIATIVE, BASED ON NEED OF COMMUNITY, TO BETTER SERVE IMMIGRANT AND REFUGEE FAMILIES, ESPECIALLY CHILDREN IN NEED OF TESTING/IMMUNIZATIONS TO ENTER THE SCHOOL SYSTEM. INCREASE HOURS OF IMMUNIZATION CLINIC TO PROVIDE SERVICES DAILY. IMEC - MATERIALS MANAGEMENT DEPARTMENT DONATES SURGICAL EQUIPMENT TO 3RD WORLD NATIONS EACH YEAR (EST. $30,000) PUBLIC HEALTH PRIORITIES KIDS CAN'T FLY CAMPAIGN (CHILD SAFETY) FALLS ARE THE LEADING CAUSE OF INJURY TO CHILDREN UNDER THE AGE OF 5. 4,700 CHILDREN AGES 10 AND UNDER ARE INJURED EACH YEAR DUE TO WINDOW FALLS. THESE ARE SERIOUS AND SOMETIMES FATAL INJURIES THAT CAN BE PREVENTED THROUGH PROPER EDUCATION AND AVAILABILITY OF WINDOW GUARDS/STOPPERS. DUE TO THE CURRENT STATE OF THE ECONOMY, AND THE PROHIBITIVE COST OF WINDOW GUARDS ($30+ PER WINDOW; WITH A LARGE NUMBER OF LOWELL FAMILIES FALLING AT OR BELOW THE POVERTY LINE), A MINIMAL PERCENTAGE OF GREATER LOWELL HOMES ARE EQUIPPED TO PREVENT FALLS. THE KIDS CAN'T FLY CAMPAIGN SEEKS TO PROMOTE EDUCATION AND SAFETY AWARENESS, TARGETING LOW-INCOME FAMILIES WITHIN GREATER LOWELL THROUGH HEALTH FAIRS, PUBLIC SERVICE ANNOUNCEMENTS, PRINTED MATERIALS (IN ALL MAJOR LANGUAGES), COMMUNITY SEMINARS AND THE DISTRIBUTION OF FREE WINDOW GUARDS AND WINDOW STOPPERS. WE WILL WORK WITH COMMUNITY TEAMWORK INC. (CTI), THE LOWELL HOUSING AUTHORITY AND WIC TO IDENTIFY FAMILIES IN NEED OF GUARDS. THE HOSPITALS, THE COMMUNITY HEALTH CENTER AND TRINITY AMBULANCE WILL SERVE AS COMMUNITY EDUCATORS. SAINTS APPLIED WITH THE GREATER LOWELL HEALTH ALLIANCE FOR A $250K GRANT TO IMPLEMENT THE PROGRAM IN 2011-2013. SAINTS ALSO ASSISTED IN THE CREATION OF A PRINT BROCHURE TO BE DISTRIBUTED THROUGHOUT GREATER LOWELL. CHRONIC DISEASE - HEART DISEASE CORONARY HEART DISEASE MORTALITY RATE IS 75% HIGHER THAN THE STATE RATE IN THE ASIAN COMMUNITY; MORTALITY RATE IS 75% HIGHER THAN THE STATE RATE IN THE AMERICAN INDIAN/NON-HISPANIC; OVERALL, ASIAN MORTALITY RATE (45-64 YRS) IS 190% HIGHER THAN STATE RATE. CEREBROVASCULAR MORTALITY RATE MORTALITY RATE IS 128% HIGHER THAN THE STATE RATE IN THE ASIAN COMMUNITY; MORTALITY RATE IS 88% HIGHER THAN STATE RATE IN BLACK/NON-HISPANIC COMMUNITY. PROGRAMS INITIATED FITNESS FOR STRENGTH AND FLEXIBILITY SIX, 6-WEEK SESSIONS FEATURING YOGA, PILATES, RESIST-A-BANDS AND PHYSIO-BALLS. GOAL OF PROGRAM IS TO IMPROVE CARDIOVASCULAR STAMINA AS WELL AS PHYSICAL STRENGTH AND MUSCLE TONE, LOWERING BMI. GOAL = 20 PARTICIPANTS. CHRONIC DISEASE - DIABETES MORTALITY RATE = 189% HIGHER IN BLACK, NON-HISPANIC, AND 276% HIGHER IN HISPANIC; HOSPITALIZATION RATE (DUE TO DIABETES) = 215% HIGHER IN ASIAN POPULATIONS. THE PASO A PASO CLINICAL TRIAL (CDC) STATED IN 2003 THAT 50% OF ALL HISPANIC/LATIN AMERICAN CHILDREN BORN IN THE YEAR 2000 WILL DEVELOP DIABETES IN THEIR LIFETIME.
FORM 990, PART III, PROGRAM SERVICES CONTINUED...		PROGRAMS INITIATED DIABETES SUPPORT GROUP THIS GROUP MEETS EVERY SECOND THURSDAY IN THE FIRST FLOOR CONFERENCE ROOM AT SAINTS MEDICAL CENTER FROM 6-7 PM. THE PURPOSE OF THE GROUP IS FOR MEMBERS OF THE GREATER LOWELL COMMUNITY WITH DIABETES I/II TO ESTABLISH A SUPPORT SYSTEM WITHIN THE COMMUNITY, AS WELL AS GAIN TIPS AND ADVICE ON BLOOD SUGAR MANAGEMENT, DIET AND EXERCISE. CHRONIC DISEASE - COPD/SMOKING CESSATION/LUNG CANCER SMOKING STATS SMOKING RATE IN LOWELL = 47% HIGHER THAN THE MA STATE RATE; HIGHEST RATE IN NEW ENGLAND; COPD MORTALITY RATE IN BLACK/NON-HISPANIC 65+ IS 103% HIGHER THAN STATE RATE; COPD MORTALITY RATE IN HISPANIC 65+ IS 227% HIGHER THAN STATE RATE. BRONCHUS/LUNG CANCER MORTALITY RATE IS 150% HIGHER THAN STATE RATE IN BLACK, NON-HISPANIC WOMEN; MORTALITY RATE IS 122% HIGHER THAN STATE RATE IN HISPANIC MALES. PROGRAMS INITIATED BREATHE SMOKING CESSATION PROGRAM THIS 4-WEEK COURSE CENTERED AROUND LEARNING BEHAVIOR MODIFICATION, RELAXATION, EXHALE-INHALE, ATTITUDE, TIMING IS EVERYTHING, HEART AND SOUL, ENGAGE AND TAKE CONTROL TECHNIQUES TO COMBAT SMOKING. SMOKING CESSATION FOR 5TH GRADE STUDENTS THE GOAL OF THIS PROGRAM IS TO PROVIDE OUTREACH, AS WELL AS SMOKING PREVENTION EDUCATION TO 5TH GRADE STUDENTS AT THE STOKLOSA SCHOOL IN LOWELL, MA. CHRONIC DISEASE: COPD BETTER BREATHERS PULMONARY SUPPORT GROUP OFFERS FREE, COMMUNITY- BASED EDUCATIONAL OPPORTUNITIES AND SUPPORT TO PEOPLE WITH CHRONIC PULMONARY DISEASE AND THEIR FAMILIES, FRIENDS AND SUPPORT PEOPLE. PROGRAM RUNS MONTHLY, FOR 1 HOUR. OVERSEEN BY 1 RN AND 1 RT. GOAL = 10 PARTICIPANTS, INCREASED SUPPORT AND EDUCATION FOR COPD PATIENTS AND FAMILIES. CHNA SUBCOMMITTEE MEMBERSHIP - TOBACCO THE GOAL OF THIS PROGRAM IS TO PROVIDE OUTREACH, AS WELL AS SMOKING PREVENTION EDUCATION TO LOCAL RESIDENTS. WOMEN'S HEALTH BREAST CANCER IS THE MOST COMMON CANCER AMONG AMERICAN WOMEN, EXCEPT FOR SKIN CANCERS. THE CHANCE OF DEVELOPING INVASIVE BREAST CANCER AT SOME TIME IN A WOMAN'S LIFE IS A LITTLE LESS THAN 1 IN 8 (12%). THE AMERICAN CANCER SOCIETY'S MOST RECENT ESTIMATES FOR BREAST CANCER IN THE UNITED STATES ARE FOR 2010: ABOUT 207,090 NEW CASES OF INVASIVE BREAST CANCER WILL BE DIAGNOSED IN WOMEN; ABOUT 54,010 NEW CASES OF CARCINOMA IN SITU (CIS) WILL BE DIAGNOSED (CIS IS NON-INVASIVE AND IS THE EARLIEST FORM OF BREAST CANCER). ABOUT 39,840 WOMEN WILL DIE FROM BREAST CANCER. AFTER INCREASING FOR MORE THAN 2 DECADES, FEMALE BREAST CANCER INCIDENCE RATES DECREASED BY ABOUT 2% PER YEAR FROM 1999 TO 2006. THIS DECREASE MAY BE DUE AT LEAST IN PART TO LESS USE OF HORMONE REPLACEMENT THERAPY (HRT) AFTER THE RESULTS OF THE WOMEN'S HEALTH INITIATIVE WERE PUBLISHED IN 2002. THIS STUDY LINKED HRT USE TO AN INCREASED RISK OF BREAST CANCER AND HEART DISEASES. BREAST CANCER IS THE SECOND LEADING CAUSE OF CANCER DEATH IN WOMEN, EXCEEDED ONLY BY LUNG CANCER. THE CHANCE THAT BREAST CANCER WILL BE RESPONSIBLE FOR A WOMAN'S DEATH IS ABOUT 1 IN 35 (ABOUT 3%). DEATH RATES FROM BREAST CANCER HAVE BEEN DECLINING SINCE ABOUT 1990, WITH LARGER DECREASES IN WOMEN YOUNGER THAN 50. THESE DECREASES ARE BELIEVED TO BE THE RESULT OF EARLIER DETECTION THROUGH SCREENING AND INCREASED AWARENESS, AS WELL AS IMPROVED TREATMENT. PROGRAMS INITIATED WOMEN'S CANCER SUPPORT GROUP DURING THE 90 MINUTE SESSIONS, TOPICS REGARDING TREATMENT, SIDE EFFECTS, COPING, FEAR, SELF IMAGE, SURVIVORSHIP AND OTHER CONCERNS BROUGHT UP BY MEMBERS WILL BE DISCUSSED. PARTICIPATION GOAL: 10 CANCER CARE OVERALL CANCER MORTALITY RATE FOR HISPANIC (15-24 YRS) IS 169% HIGHER THAN STATE RATE; OVERALL CANCER MORTALITY RATE FOR BLACK/NON-HISPANIC (25-44 YRS) IS 157% HIGHER THAN THE STATE RATE. PROSTATE CANCER: INCIDENCE IS 56% HIGHER IN BLACK, NON-HISPANIC MALE. COLON CANCER: MORTALITY RATE IS 192% HIGHER THAN STATE RATE IN BLACK, NON-HISPANIC; 282% IN ASIAN WOMEN. NON-HODGKIN'S LYMPHOMA: HIGHEST RATE IN BLACK NON-HISPANIC MALES (20.1 VS. 5.8), ASIAN MEN (11.9 VS. 4.1) AND HISPANIC MEN (9.8 VS. 2.5). (SOURCE: MASSCHIP; ACS) PROGRAMS INITIATED CANCER CENTER PROVIDES CHRISTMAS GIFTS TO PATIENTS/FAMILIES; PROVIDES HALLOWEEN PROGRAMS FOR PATIENTS AND FAMILIES AND THANKSGIVING BASKETS FOR LOW-INCOME PATIENT FAMILIES EACH YEAR. SPINDLE FUND THE SPINDLE FUND (FUNDS DEDICATED TO DIRECT SERVICES/RESOURCES FOR CANCER CENTER PATIENTS) EXPENDED APPROXIMATELY $186,000 IN FY11 ON THE FOLLOWING ITEMS: NUTRITIONAL SUPPLEMENTS, LYMPHEDEMA SLEEVES, ALTERNATIVE THERAPIES, WIGS, MEDICATIONS, BEREAVEMENT CARDS, THANK YOU CARDS, TRANSPORTATION, TREATMENT CHAIR, MEDICAL EQUIPMENT, TELEVISIONS FOR WAITING ROOMS, MAGAZINES FOR WAITING ROOMS, DEMOULAS GIFT CERTIFICATES, SUPPLEMENT PATIENT CO-PAYS, INSURANCE PAYMENTS, SPECIALIZED CLOTHING, AND PERSONALIZED HUMIDIFIERS. "LOOK GOOD, FEEL BETTER" PROGRAMMING PROVIDED AT SAINTS CANCER CENTER IN PARTNERSHIP WITH THE AMERICAN CANCER SOCIETY, CLASSIC HAIR DESIGNS AND NEW ENGLAND HAIR ILLUSIONS. EACH PATIENT RECEIVED A MAKE-UP KIT FROM THE ACS. THE PROGRAM HELPS WOMEN IN ACTIVE CANCER TREATMENT (CHEMOTHERAPY, RADIATION OR BIOTHERAPY) MANAGE THE APPEARANCE RELATED SIDE EFFECTS (HAIR LOSS, SKIN RASHES ETC.). THE PROGRAM AIMS TO IMPROVE SELF ESTEEM OF FEMALE CANCER PATIENTS, AS WELL AS PROVIDE OUTREACH TO THE COMMUNITY. DOMESTIC VIOLENCE/ANTI-VIOLENCE INITIATIVES POPULATION RATE WAS CALCULATED BASED ON 2007 CITY POPULATION ESTIMATES BY THE US CENSUS. (WWW.CENSUS.GOV): -CAMBRIDGE: 279 TOTAL ASSAULTS POPULATION 101,388 -LAWRENCE: 843 TOTAL ASSAULTS POPULATION 70,055 -WORCESTER: 1371 TOTAL ASSAULTS POPULATION 173,966 -LOWELL: 1402 TOTAL ASSAULTS POPULATION 103,512 OF THE 1,402 DOMESTIC ASSAULTS THAT OCCURRED IN 2008, 80% HAVE BEEN SIMPLE ASSAULTS (N = 1123) AND 20% HAVE BEEN AGGRAVATED ASSAULTS (N = 279). COMPARED WITH THE ANNUAL STATISTICS FROM 2007, OVERALL DOMESTIC ASSAULTS INCREASED 1% IN 2008. AGGRAVATED ASSAULTS HAVE INCREASED BY 17% WHEN COMPARED TO 2007, HOWEVER, SIMPLE ASSAULTS DECREASED BY TWO PERCENT. IN ACCORDANCE WITH CATHOLIC HEALTHCARE VALUES, NAMELY RESPECT FOR HUMAN DIGNITY AND SACREDNESS OF LIFE, A COMMUNITY-WIDE ANTI-VIOLENCE PROGRAM WILL BE SPONSORED BY SAINTS, AND SAINTS WILL TAKE AN ACTIVE ROLE IN LOCAL COLLABORATIONS SURROUNDING THIS TOPIC. IN 2010, THE NATION WITNESSED YOUTUBE VIDEO FOOTAGE OF LOWELL HIGH SCHOOL FEMALE STUDENTS ASSAULTING ONE ANOTHER. WE ALSO FOLLOWED THE SAD CASE OF PHOEBE PRINCE, A YOUNG MASSACHUSETTS GIRL BULLIED UNTIL SHE COMMITTED SUICIDE. BULLYING, ESPECIALLY FEMALE BULLYING IS AN EPIDEMIC THROUGHOUT THE NATION THAT MUST BE ADDRESSED BY ALL PARTNERS WITHIN THE COMMUNITY, IN ORDER FOR IT TO BE PROPERLY DEALT WITH. PROGRAMS INITIATED TAKE BACK THE NIGHT 2011 AS PART OF SEXUAL ASSAULT AWARENESS MONTH AND NATIONAL CRIME VICTIMS' RIGHTS WEEK, GREATER LOWELL'S ANNUAL TAKE BACK THE NIGHT IS ORGANIZED IN LOCAL COMMUNITIES WITH THE PURPOSE OF UNIFYING WOMEN, MEN, AND CHILDREN TO SPEAK OUT AGAINST SEXUAL & DOMESTIC VIOLENCE.
FORM 990, PART III, PROGRAM SERVICES CONTINUED...		BULLY PROOFING OUR TEENS - A PRIMER FOR FAMILIES COMMUNITY FORUM FEATURING INTERNATIONALLY KNOWN AUTHOR ROSALIND WISEMAN. SPONSORED BY SAINTS MEDICAL CENTER, THIS INFORMATIVE EVENING WILL FOCUS ON THE CRITICALLY IMPORTANT TOPICS OF BULLYING AND AGGRESSIVE BEHAVIOR. ROSALIND WISEMAN IS AN INTERNATIONALLY RECOGNIZED EXPERT ON CHILDREN, TEENS, PARENTING, BULLYING, SOCIAL JUSTICE AND ETHICAL LEADERSHIP. SHE IS THE AUTHOR OF QUEEN BEES AND WANNABES: HELPING YOUR DAUGHTER SURVIVE CLIQUES, GOSSIP, BOYFRIENDS, AND OTHER REALITIES OF ADOLESCENCE (CROWN, 2002). TWICE A NEW YORK TIMES BESTSELLER, QUEEN BEES WAS THE BASIS FOR THE 2004 MOVIE, MEAN GIRLS. WISEMAN IS A FREQUENT GUEST ON THE TODAY SHOW AND HAS BEEN PROFILED IN THE NEW YORK TIMES, PEOPLE, LOS ANGELES TIMES, CHICAGO TRIBUNE, WASHINGTON POST, USA TODAY, OPRAH, NIGHTLINE, CNN, GOOD MORNING AMERICA, AND NATIONAL PUBLIC RADIO. HEALTH EDUCATION AND MENTORING FIRST RESPONDER HEALTH FAIR/EDUCATION (SOURCE: LOWELL POLICE; LOWELL FIRE; EMS; COMMUNITY SURVEY MEDICATION SAFETY - COMMUNITY/HEALTHCARE MORE PEOPLE DIE IN A GIVEN YEAR AS A RESULT OF MEDICAL ERRORS THAN FROM MOTOR VEHICLE ACCIDENTS (43,458), BREAST CANCER (42,297), OR AIDS (16,516). MEDICATION ERRORS ALONE, OCCURRING EITHER IN OR OUT OF THE HOSPITAL, ARE ESTIMATED TO ACCOUNT FOR 7,000 DEATHS ANNUALLY. ADVERSE DRUG EVENTS CAUSE MORE THAN 770,000 INJURIES AND DEATHS EACH YEAR AND COST UP TO $5.6 MILLION PER HOSPITAL. PATIENTS WHO SUFFERED UNINTENDED DRUG EVENTS REMAINED IN THE HOSPITAL AN AVERAGE OF 8 TO 12 DAYS LONGER THAN PATIENTS WHO DID NOT EXPERIENCE SUCH MISTAKES. THESE ADDED DAYS MEAN THEIR HOSPITAL STAYS COST $16,000 TO $24,000 MORE.(SOURCE: IHI) PROGRAMS INITIATED SAINTS MEDICAL CENTER HELD ITS 3RD ANNUAL HEALTH FAIR FOR FIRST RESPONDERS IN 2010. THE GOAL OF THE PROGRAM WAS TO PROVIDE NEEDED HEALTH EDUCATION AND TESTING SERVICES TO A POPULATION AT HIGH RISK FOR DEVELOPMENT OF DISEASE (HEART DISEASE, SKIN CANCER, STROKE ETC) TO ERR IS HUMAN... MEDICATION SAFETY 101 PHARMACIST PROVIDED IN-SERVICE TO HEALTH CARE WORKERS AT D'YOUVILLE SENIOR CARE CENTER. THE PURPOSE OF THE COURSE WAS TO DISCUSS MEDICATION ERRORS AND THEIR IMPACT ON SOCIETY; REVIEW 10 SYSTEM ELEMENTS IMPLICATED IN MEDICATION ERRORS; IDENTIFY ACTUAL ERRORS AND NEAR MISSES THAT HAVE OCCURRED IN HEALTH CARE AND PROPOSE SAFE STRATEGIES TO ADDRESS THE ELEMENTS OF ERRORS. MEDICATION SAFETY PHARMACIST PROVIDED IN-SERVICE TO HEALTH CARE WORKERS AT THE ATRIA AT MARLAND PLACE (SENIOR COMMUNITY). MEDICATIONS CAN BE LIFE SAVING; THEY CURE INFECTIONS, PREVENT PROBLEMS FROM CHRONIC DISEASES AND ALLEVIATE PAIN FOR MILLIONS OF AMERICANS. BUT MEDICINES CAN ALSO CAUSE HARM. ACCORDING TO THE CDC ADVERSE DRUG EVENTS CAUSE OVER 700,000 EMERGENCY DEPARTMENT VISITS EACH YEAR. UNDERSTANDING THE BENEFITS AND RISKS OF MEDICATIONS PUTS PATIENTS IN A BETTER POSITION TO AVOID POTENTIALLY HARMFUL SITUATIONS. MEDICATION SAFETY 101 HAS BEEN DESIGNED TO HELP PATIENTS AND THEIR FAMILY MEMBERS BECOME WELL AWARE OF HOW TO AVOID SERIOUS MEDICATION ERRORS. NEW HEALTHCARE PROVIDER CPR/AED ($90) OUTSIDE AREAS ARE NOT AHA TRAINING CENTERS FOR HCP BUT REQUIRE HCP BCLS CERTIFICATION FOR THEIR HEALTH CARE WORKERS. SUCH AS MD OFFICES, SURGI CENTERS, NURSING HOMES. SMC IS AN AHA CENTER FOR HCP BCLS TRAINING. SMC HAS AN OBLIGATION TO THE AHA TO OFFER OUTSIDE STAKEHOLDERS THE OPPORTUNITY TO BECOME HCP CPR CERTIFIED. (SOURCE: AHA) IN THE STATE OF MA, THERE ARE RULES AND REGULATIONS WHEN TAKING CARE OF PEOPLE BY OTHER TYPES OF HEALTHCARE AGENCIES OR CARETAKERS, THE AHA ASSOCIATION HAS A CERTIFICATE PROGRAM TO PROVIDE HEARTSAVER BCLS CERTIFICATION. SMC IS A RECOGNIZED TRAINING CENTER FOR THE AHA AND IS NATIONALLY RECOGNIZED AS ONE THROUGH THE AHA AND THEIR WEBSITE. THIS CERTIFICATE PROGRAM IS BASED ON THE AHA'S NATIONAL RESEARCH FOR BEST EVIDENCE TO SAVE LIVES BY HEARTSAVER PROVIDERS. THE GOAL IS TO MEET ALL THE SKILLS AND DIDACTIC ELEMENTS FOR THIS AHA PROGRAM AND THE PARTICIPANT IS AWARDED WITH HEALTHLTHSAVER, AED, & FIRST AID PROVIDER BCLS CERTIFICATE. ESTIMATED COST: $700 (OFFSET BY $1,440 IN REVENUE) HEARTSAVER COMMUNITY FIRST AID ($90) TARGETED DAY CARE WORKERS, NURSING HOME WORKERS DEPENDING ON THE LEVEL OF RESIDENT AND THEIR CARE IS DETERMINED BY THE STATE OF MA, NH, DAYCARE AND DAYCARE PROVIDERS ARE REQUIRED TO HAVE LIFE SAVING CERTIFICATIONS THAT ARE DESIGNATED TO SPECIFIC POPULATIONS. SUCH AS AHA HEARTSAVER CPR/AED & FIRST AID ARE FOR DAYCARE CENTERS WHO HAVE CLIENTELE FROM AS YOUNG AS 3 MONTHS TO ADOLESCENCE, WHILE NH MAY HAVE PATIENTS RESIDING WITHIN THEIR FACILITY WHO JUST NEED BASIC CARE AND SAFETY MEASURES WITH HEART SAVER BASIC LIFE SUPPORT CPR RENEWAL. (SOURCE: AHA) IN THE STATE OF MA, THERE ARE RULES AND REGULATIONS WHEN TAKING CARE OF PEOPLE BY OTHER TYPES OF HEALTHCARE AGENCIES OR CARETAKERS. THE AHA ASSOCIATION HAS A CERTIFICATE PROGRAM TO PROVIDE HEARTSAVER BCLS CERTIFICATION. SMC IS A RECOGNIZED TRAINING CENTER FOR THE AHA AND IS NATIONALLY RECOGNIZED AS ONE THROUGH THE AHA AND THEIR WEBSITE. THIS CERTIFICATE PROGRAM IS BASED ON THE AHA'S NATIONAL RESEARCH FOR BEST EVIDENCE TO SAVE LIVES BY HEARTSAVER PROVIDERS. THE GOAL IS TO MEET ALL THE SKILLS AND DIDACTIC ELEMENTS FOR THIS AHA PROGRAM AND THE PARTICIPANT IS AWARDED WITH WITH HEALTHLTHSAVER, AED, & FIRST AID PROVIDER BCLS CERTIFICATE. HEALTHCARE PROVIDER CPR RECERTIFICATION IN ORDER TO BE A FIRST RESPONDER, NURSE, PHYSICIAN, PARAMEDIC, THE AHA ASSOCIATION HAS A CERTIFICATE PROGRAM TO PROVIDE HEALTHCARE BCLS CERTIFICATION. SMC IS A RECOGNIZED TRAINING CENTER FOR THE AHA AND IS NATIONALLY RECOGNIZED AS ONE THROUGH THE AHA AND THEIR WEBSITE. THIS CERTIFICATE PROGRAM IS BASED ON THE AHA 'S NATIONAL RESEARCH FOR BEST EVIDENCE TO SAVE LIVES BY HEALTHCARE PROVIDERS. THE GOAL IS TO MEET ALL THE SKILLS AND DIDACTIC ELEMENTS FOR THIS AHA PROGRAM AND THE PARTICIPANT IS AWARDED WITH A HEALTH CARE PROVIDER BCLS CERTIFICATE. (SOURCE: AHA) THE HEALTHCARE PROVIDER CPR RECERTIFICATION COURSE WAS OFFERED TO SAINTS MEDICAL CENTER PROFESSIONALS, AS WELL AS AREA FIRST RESPONDERS (FIRE, POLICE, EMT/ALS, OTHER LOCAL HEALTHCARE PROVIDERS). DIALYSIS TECHNICIAN COURSE ($500) SMC DIALYSIS (METHUEN & LOWELL) HAS SEEN A SIGNIFICANT INCREASE IN VOLUME AMONG OUR IMMIGRANT PATIENTS. TO MEET THIS NEED, INCREASED ALSO BY THE CLOSING OF A BILLERICA DIALYSIS UNIT (CLOSEST IS CONCORD, MA), SMC OFFERED A DIALYSIS TECHNICIAN PROGRAM. (SOURCE: COMMUNITY SURVEY; COMMUNITY FOCUS GROUP).
FORM 990, PART III, PROGRAM SERVICES CONTINUED...		THE GOAL FOR THIS PROGRAM WAS TO ASSIST THE PARTICIPANT IN LEARNING A COMBINATION OF DUTIES FOR BOTH THE TECHNICAL ASPECTS OF WORKING WITH MEDICAL EQUIPMENT AND THE INTERACTION WITH PATIENTS. POST EVALUATIONS FROM ALL PARTICIPANTS WERE HIGH IN NUMBERS AND FELT THEIR PROGRAM EXPERIENCE WOULD ASSIST THEM IN LOOKING FOR A JOB. PHLEBOTOMY TECHNICIAN SMC AIMED TO PROVIDE A TECHNICAL COURSE TO MEET A LOCAL NEED FOR PHLEBOTOMY TECHNICIANS BY CREATING A 9-WEEK PROGRAM WITH A CLINICAL ROTATION THAT PROVIDES BACKGROUND FOR PHLEBOTOMY TECH CERTIFICATION. BASIC DYSRHYTHMIA AND 12-LEAD EKG SMC AIMED TO PROVIDE 2 TECHNICAL COURSES TO MEET A LOCAL NEED FOR CLINICAL SKILLS TRAINING. THE BASIC DYSRHYTHMIA COURSE OFFERED CARDIOVASCULAR ANATOMY AND PHYSIOLOGY WITH PRINCIPLES OF CIRCULATION PRELOAD, AFTER LOAD, CONTRACTILITY WITH SYMPATHETIC AND PARASYMPATHETIC NERVOUS SYSTEM RESPOND, LEAD SELECTIONS AND PLACEMENT AND EKG MONITORING PROBLEMS AND ARTIFACT, PRINCIPLES OF DEPOLARIZATION AND REPOLARIZATION WITH RECOGNITION OF PQRST INTERVALS, SEGMENT MEASUREMENT AND CALCULATION OF RATE AND RHYTHM. THE BASIC 12-LEAD EKG INTERPRETATION COURSE INCLUDES HOW THE 12-LEAD EKG HELPS DIAGNOSE PATHOLOGICAL CONDITIONS, HOW THE HEART'S ELECTRICAL AXIS RELATED TO THE 12-LEAD EKG AND HOW TO PLACE THE ELECTRODES TO RECORD THE EKG AND DIAGNOSTIC PURPOSES. THE COURSE CONSISTED OF TWO, 6-HOUR PROGRAMS WITH CLINICAL DIAGNOSTIC ELEMENT. 53 STUDENTS FROM GREATER LOWELL ATTENDED. (UMASS LOWELL) PALS/PEARS SMC AIMED TO OFFER PEDIATRIC ADVANCED LIFE SUPPORT AND PEDIATRIC EMERGENCY ASSESSMENT RECOGNITION AND STABILIZATION TRAINING TO LOCAL NURSES/CLINICAL RESPONDERS. COURSE INFORMATION: 24 LOCAL NURSES (LOWELL, DRACUT, CHELMSFORD), 16-HOUR COURSE (PALS), 8-HOUR COURSE (PEARS). TNCC THE PURPOSE OF TNCC IS TO PRESENT CORE LEVEL KNOWLEDGE, REFINE SKILLS AND BUILD A FIRM FOUNDATION IN TRAUMA NURSING. 16 HOURS, 7 NURSES (LOWELL, RHODE ISLAND, CONNECTICUT, NEW HAMPSHIRE). ENPC EMERGENCY PEDIATRIC NURSING CERTIFICATION IS A 2 DAY, 16-HOUR COURSE THAT PROVIDES CORE LEVEL PEDIATRIC KNOWLEDGE AND PSYCHOMOTOR SKILLS ASSOCIATED WITH THE DELIVERY OF PROFESSIONAL NURSING CARE TO THE PEDIATRIC PATIENT. 5 NURSES (LOWELL, RHODE ISLAND). 5 LOCAL NURSES PARTICIPATED IN THIS 16 HOUR COURSE. WESTFORD HEALTH FAIR SMC STAFF PROVIDED EDUCATION RE: ALCOHOL AWARENESS, BINGE DRINKING, ALCOHOL SAFETY AND SAFE DRIVING. COURSE INFORMATION: 200 RESIDENTS, 6 HOURS; 6 STAFF MEMBERS (CLINICAL AND EDUCATION STAFF). CHELMSFORD HEALTH FAIR SMC STAFF PROVIDED EDUCATION RE: ALCOHOL AWARENESS, BINGE DRINKING, ALCOHOL SAFETY AND SAFE DRIVING. COURSE INFORMATION: 300 RESIDENTS, 6 HOURS; 6 STAFF MEMBERS (CLINICAL AND EDUCATION STAFF). COMMUNITY SUPPORT GROUPS LEARN 2 COPE CURRENTLY THERE IS A CRISIS, AN EPIDEMIC OF OC AND HEROIN USE IN MASSACHUSETTS. MOST OF THE KIDS ARE BETWEEN 17-26 YEARS OLD, SOME START IN HIGH SCHOOL, OTHERS HAVE STARTED IN COLLEGE. THE RULES HAVE CHANGED IN SOCIETY TODAY, BECAUSE HEROIN IS NOW IN A SNORT-ABLE FORM AND 80-90% PURE. YOUNG PEOPLE DO NOT REALIZE THEY WILL BECOME ADDICTED EVEN BY JUST EXPERIMENTING AND IT NORMALLY BEGINS WITH CRUSHED UP OXYCONTIN AND A BAD CHOICE, EVEN IF THEY HAVE BEEN WARNED ALL THEIR LIVES BY THEIR PARENTS ABOUT DRUG USE. LEARN TO COPE IS A SUPPORT GROUP FOR PARENTS AND FAMILY MEMBERS DEALING WITH A LOVED ONE ADDICTED TO HEROIN, OXYCONTIN AND OTHER DRUGS. IT BEGAN IN 2004. LEARN TO COPE IS A SUPPORT GROUP BUT ALSO PLANS AND FACILITATES LOCAL FORUMS WITH REAL WORLD EXPERIENCE TO HELP EDUCATE THE PUBLIC ON THIS ISSUE. JOANNE PETERSON FOUNDER/EXECUTIVE DIRECTOR LEARN TO COPE -WWW.LEARN2COPE.ORG -BEREAVEMENT SUPPORT GROUP -PARENTS OF MURDERED CHILDREN -HELPING HANDS -AL-ANON/AA -OVEREATERS ANONYMOUS COMMUNITY BUILDING - ACTIVITIES/SPONSORSHIPS GIRLS INC. OF GREATER LOWELL GIRLS INC. OF GREATER LOWELL INSPIRES ALL GIRLS TO BE STRONG, SMART, AND BOLD. THE MAJORITIES OF GIRLS RESIDE IN MEDICALLY UNDERSERVED AREAS, AND ARE FROM LOW-INCOME, DIVERSE, ONE-PARENT HOUSEHOLDS. GIRLS INC. PROVIDES ENRICHMENT PROGRAMS, HOMEWORK HELP, TEEN PROGRAMS, EMPOWERMENT SEMINARS, HEALTH WORKSHOPS AND COLLEGE SCHOLARSHIPS TO HIGH SCHOOL SENIORS. A REPRESENTATIVE FROM SAINTS SERVES ON THE BOARD OF DIRECTORS AS WELL AS VOLUNTEERS WHEN POSSIBLE AT THE AGENCY TO ASSIST WITH PROGRAMMING, TUTORING ETC. SAINTS ALSO CONTRIBUTES TO ORGANIZATIONAL COSTS WHICH ASSIST IN BOTH PROGRAMMING AND SCHOLARSHIPS. ADOPT A FAMILY THE GREENHALGE SCHOOL AND ST. PATRICK'S ARE BOTH LOCATED WITHIN MEDICALLY UNDERSERVED AREAS/CHARACTERISTICALLY LOW-INCOME, WHERE 90% OF RESIDENTS ARE ETHNIC MINORITIES OR RECENTLY RESETTLED REFUGEES. THE MAJORITY OF STUDENTS ARE FROM BURMA, BHUTAN, NEPAL, IRAQ, THE CONGO, CAMBODIA, VIETNAM AND VARIOUS LATIN AMERICAN COUNTRIES. SAINTS HAS A HISTORY OF PROVIDING ASSISTANCE TO THESE FAMILIES DURING THE HOLIDAY SEASON BY PURCHASING GIFTS FOR CHILDREN, AS WELL AS FOOD AND HOUSEHOLD ITEMS FOR PARENTS. CATHOLIC CHARITIES LOWELL MA CATHOLIC CHARITIES HAS A FOOD PANTRY IS OPEN 4 DAYS A WEEK, MONDAY TO THURSDAY. IT SERVES, ON AVERAGE, 130 TO 200 HOUSEHOLDS/FAMILIES PER WEEK. CLIENTS CAN GO FOR FOOD ASSISTANCE ONCE EVERY 30 DAYS. ON AVERAGE THEY SERVE 200-230 FAMILIES, PER WEEK. "OUR DAILY BREAD PARTNERSHIP" SAINTS HAS AGREED THAT EACH MONTH, ONE DEPARTMENT WILL OVERSEE FOOD COLLECTION AND VOLUNTEERISM AT THE FOOD BANK. NORTHEAST HOMELAND SECURITY COUNCIL (NHSC) SAINTS MEDICAL CENTER (SMC) DIRECTOR OF SECURITY SERVES ON THE NHSC, AND ROUTINELY PROVIDES SMC AS A TRAINING SITE FOR DISASTER PREPAREDNESS DRILLS.
FORM 990, PART III, PROGRAM SERVICES CONTINUED...		COMMUNITY BUILDING - MENTORING SMC ADMINISTRATION, THE CARING WELL INSTITUTE AND HUMAN RESOURCES WORKED IN 2010 TO CREATE A "ONE-DOOR POLICY" FOR OUR ENHANCED STUDENT INTERN/MENTORSHIP PROGRAM. LOWELL TECHNICAL HIGH SCHOOL LOWELL HIGH SCHOOL MIDDLESEX COMMUNITY COLLEGE NORTHERN ESSEX COMMUNITY COLLEGE SALTER SCHOOL LINCOLN TECH UMASS LOWELL NURSING UMASS LOWELL HEALTH AND ENVIRONMENT STONEYBROOK UNIVERSITY UNIVERSITY OF CONNECTICUT MT. ALVERINE HIGH SCHOOL BISHOP FENWICK HIGH SCHOOL METHUEN HIGH SCHOOL NH TECHNICAL INSTITUTE MASS MARITIME MASS SCHOOL OF PHARMACY RIVIER COLLEGE REGIS COLLEGE VOLUNTEER SCHOLARSHIPS SAINTS MEDICAL CENTER ADMINISTRATION, THE CARING WELL INSTITUTE AND HUMAN RESOURCES WORKED IN 2010 AND 2011 TO CREATE A "ONE-DOOR POLICY" FOR OUR ENHANCED STUDENT INTERN/MENTORSHIP PROGRAM. SAINTS MEDICAL CENTER OFFERS A $500 BOOK SCHOLARSHIP TO VOLUNTEERS THAT ARE HIGH SCHOOL SENIORS, WHO HAVE COMPLETED 200 OR MORE HOURS OF VOLUNTEER WORK. TOTAL CB (PROPOSED) FUNDING PROPOSED BUDGET (ORIGINAL) FOR 2011 $1,300,000 OUTCOME MEASURES & BUDGET - TBD EFFORTS TO RESPOND TO THE NEED OF THE COMMUNITY ARE ACCOMPLISHED THROUGH A COMBINATION OF EDUCATIONAL PROGRAMS AND SERVICES SUCH AS HEALTH FAIRS, HEALTH SCREENINGS, DISTRIBUTION OF EDUCATIONAL PAMPHLETS, ETC., AS WELL AS IDENTIFICATION OF SPECIFIC FOCUS AREAS OF NEED. SHORT-TERM GOALS INCLUDE EDUCATING COMMUNITY MEMBERS AND PROVIDING FOR IMMEDIATE HEALTH NEEDS. LONG-TERM GOALS INCLUDE IMPROVING THE HEALTH OF THE COMMUNITY. THIS IS MONITORED AND EVALUATED BY EXAMINING DEMOGRAPHIC AND HEALTH DATA STATISTICS EACH YEAR. OUR COMMUNITY BENEFIT ACTIVITIES INCLUDE PROGRAMS AND SERVICES THAT ARE BOTH EXISTING AND NEW. THE COMMUNITY BENEFITS PLAN IS REVIEWED ANNUALLY; ACTIVITIES ARE CONTINUOUSLY ASSESSED AND DEVELOPED IN RESPONSE TO THE NEEDS OF THE COMMUNITY. AS A RESULT, FUNDING FOR THESE PROGRAMS AND SERVICES IS ALLOCATED FROM THE OPERATING BUDGET ON AN ON-GOING BASIS. COSTS ASSOCIATED WITH COMMUNITY BENEFIT ACTIVITIES ARE TRACKED AND REPORTED IN THE ANNUAL VOLUNTARY REPORT. ESTIMATED TOTAL EXPENDITURES FOR FY2011 -COMMUNITY BENEFITS PROGRAMS (1) DIRECT EXPENSES $ 150,000 (2) ASSOCIATED EXPENSES $ 1,130,000 (3) DON EXPENDITURES $ 0 (4) EMPLOYEE VOLUNTEERISM $ 17,200 (5) OTHER LEVERAGED RESOURCES $ 165,000 PROGRAM TOTAL $ 1,462,200 -NET CHARITY CARE (1) EXPENDITURES $ 1,210,000 (2) HSN ASSESSMENT $ 78,000 (3) HSN DENIED CLAIMS $ 5,640,000 (4) FREE/DISCOUNT CARE $ 7,630,000 NET CHARITY CARE TOTAL $14,558,000 SPONSORSHIPS $ 30,000 BAD DEBT $ 6,556,000 TOTAL $22,606,200 APPENDIX - DEFINITIONS COMMUNITY HEALTH NEEDS ASSESSMENT THE REGULAR AND SYSTEMATIC COLLECTION, ASSEMBLY, ANALYSIS AND COMMUNICATION OF "INFORMATION ON THE HEALTH OF THE COMMUNITY, INCLUDING STATISTICS ON HEALTH STATUS, COMMUNITY HEALTH NEEDS, AND EPIDEMIOLOGIC AND OTHER STUDIES OF HEALTH PROBLEMS." 2."A DYNAMIC PROCESS UNDERTAKEN TO IDENTIFY THE HEALTH PROBLEMS AND GOALS OF THE COMMUNITY, TO ENABLE THE COMMUNITY-WIDE ESTABLISHMENT OF HEALTH PRIORITIES, AND TO FACILITATE COLLABORATIVE ACTION PLANNING DIRECTED AT IMPROVING COMMUNITY HEALTH STATUS AND QUALITY OF LIFE INVOLVING MULTIPLE SECTORS OF THE COMMUNITY." COMMUNITY BENEFIT A TERM WHICH HAS RECENTLY EVOLVED OVER TIME TO DESCRIBE HOSPITALS' EFFORTS IN DEMONSTRATING COMMUNITY COMMITMENT, INVOLVEMENT, AND CONTRIBUTION. IT INCLUDES PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH IN RESPONSE TO IDENTIFIED UNMET HEALTH NEEDS OF THE COMMUNITY. BENEFIT CATEGORIES INCLUDE: CHARITY CARE, GOVERNMENT SPONSORED INDIGENT HEALTH CARE, UNPAID COST OF PUBLIC PROGRAMS, MEDICAID, SCHIP, PROGRAMS FOR THE MEDICALLY INDIGENT, PROGRAMS RELATING TO THE ORGANIZATION'S MISSION, PROGRAMS ADDRESSING UNMET COMMUNITY HEALTH NEED, MEETING A NEED THAT OTHERWISE WOULD BE PROVIDED BY A GOVERNMENT OR ANOTHER NON-PROFIT ORGANIZATION, AND TARGETING THE UNDERSERVED OR DISENFRANCHISED POPULATION. COMMUNITY BENEFITS MISSION STATEMENT "...A PUBLIC DECLARATION BY A HOSPITAL OR HRMO THAT STATES THE HOSPITAL OR HMO COMMITS TO PROVIDE SUPPORT TO ADDRESS UNMET HEALTH NEEDS AND IMPROVE THE HEALTH OF DISADVANTAGED POPULATIONS THROUGH THE DEVELOPMENT AND IMPLEMENTATION OF A COMMUNITY BENEFITS PLAN. THE MISSION STATEMENT SHOULD EXPLICITLY RECOGNIZE THE HOSPITAL'S TRADITIONAL PARTNERSHIP WITH THE COMMUNITY, THE VALUE OF PRODUCTIVE COLLABORATION, AND THE HOSPITAL'S WILLINGNESS TO ALLOCATE RESOURCES TO ADDRESS THE COMMUNITY'S UNMET HEALTH NEEDS." COMMUNITY BENEFITS PLAN A BLUEPRINT, DEVELOPED IN COLLABORATION WITH THE COMMUNITY, OF HOW THE HOSPITAL WILL PROCEED IN RESPONSE TO MEETING COMMUNITY HEALTH NEEDS. PROGRAMS AND ACTIVITIES INCLUDED IN THE PLAN SHOULD MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: -PRODUCE A LOW OR NEGATIVE MARGIN -TARGET NEEDS OF DISADVANTAGED/DISENFRANCHISED POPULATION -PROVIDE SERVICES OR PROGRAMS THAT WOULD BE DISCONTINUED OR MADE AVAILABLE ONLY THROUGH ANOTHER NON-PROFIT OR GOVERNMENT AGENCY IF, ON A FINANCIAL BASIS, SUCH SERVICES COULD NO LONGER BE OFFERED -RESPOND TO RECOGNIZED UNMET COMMUNITY HEALTH NEEDS -INCLUDES EDUCATIONAL OR RESEARCH INITIATIVES WHICH SEEK TO IMPROVE COMMUNITY HEALTH CHNA-10 ALSO KNOWN AS THE GREATER LOWELL COMMUNITY HEALTH NETWORK AREA, THIS NETWORK IS COMPRISED OF THE CITY OF LOWELL AND 7 SURROUNDING COMMUNITIES: BILLERICA, CHELMSFORD, DRACUT, DUNSTABLE, TEWKSBURY, TYNGSBORO, AND WESTFORD. COMMUNITY HEALTH NETWORKS ARE LOCAL COALITIONS OF NON-PROFIT, PUBLIC, AND PRIVATE INSTITUTIONS AND ORGANIZATIONS WORKING IN COLLABORATION TO BUILD HEALTHIER COMMUNITIES BY ESTABLISHING HEALTH PROMOTION THROUGH COMMUNITY BASED PREVENTION PROGRAMS. CHNA-10 IS ONE OF 27 COMMUNITY HEALTH NETWORKS WITHIN THE STATE OF MASSACHUSETTS.
FORM 990, PART VI, SECTION A, LINE 2:		RAYMOND ANTISS, JR. DIRECTOR, BOARD OF TRUSTEES IS A PARTNER WITH AN ACCOUNTING FIRM IN LOWELL, MASSACHUSETTS THAT PROVIDES ACCOUNTING SERVICES TO OTHER BOT MEMBERS. Form 990, Part VI, Section A, Line 6: Saints Health System, Inc EIN 04-2901852 is the sole member of Saints Medical Center, Inc. Form 990, Part VI, Section A, Line 7A: The member shall have the following powers and rights, in addition to such other powers and rights as are vested in it by law, the articles of organization or these bylaws, and the corporation shall not effect any of the following matters without the approval of the member: (C) In the case of any subsidiary of the corporation whose bylaws provide for trustees or directors to be elected or appointed by the corporation, to approve the persons proposed to be elected or appointed as trustees or directors of such subsidiary of the corporation prior to their election appointment by the board of trustees of the corporation, and to suspend or remove any trustee or director of such subsidiary of the corporation with or without cause; (D) To approve the Chairperson and Vice Chairperson of the Board of Trustees of the Corporation and the Chairperson and Vice Chairperson of the Governing Board of any subsidiary of the corporation, and to suspend or remove them with or without cause; (E) To approve the president of the corporation and the president of any subsidiary of the corporation, and to suspend or remove him with or without cause. Form 990, Part VI, Section A, Line 7B: 7B Yes, certain decisions are subject to the approval of the "member" which is Saints Health System. See section 3.3 of the bylaws below which lists the items requiring such approval: 3.3. Power and Rights. The member shall have the following powers and rights, in addition to such other powers and rights as are vested in it by law, the articles of organization or these bylaws, and the corporation shall not effect any of the following matters without the approval of the member: (A) To approve any change in the written statements of philosophy and mission of the corporation or any subsidiary of the corporation and to monitor compliance with same; (B) To amend and to repeal the articles of organization and the bylaws of the corporation, and to approve the adoption, amendment or repeal of the charter and the bylaws (or other governing instruments) of any subsidiary of the corporation; (C) In the case of any subsidiary of the corporation whose bylaws provide for trustees or directors to be elected or appointed by the corporation, to approve the persons proposed to be elected or appointed as trustees or directors of such subsidiary of the corporation prior to their election appointment by the board of trustees of the corporation, and to suspend or remove any trustee or director of such subsidiary of the corporation with or without cause; (D) To approve the chairperson and vice chairperson of the board of trustees of the corporation and the chairperson and vice chairperson of the governing board of any subsidiary of the corporation, and to suspend or remove them with or without cause; (E) To approve the president of the corporation and the president of any subsidiary of the corporation, and to suspend or remove him with or without cause; (F) To approve all plans of merger, consolidation, reorganization or dissolution of the corporation or any subsidiary of the corporation, or the sale, lease, assignment, transfer or encumbrance of all or substantially all of the assets of the corporation or any property of the corporation or subsidiary of the corporation valued in excess of $1,000,000 (or such other amount as is set by the member in writing from time to time), or the purchase or acquisition by the corporation or any subsidiary of the corporation of an interest in any corporation, partnership, joint venture or other entity, whether newly created or previously existing, which interest, in the case of a for profit entity, represents 25 percent or more of the voting power thereof or equity interest therein, or, in the case of a non profit entity, represents 25 percent or more of the voting power thereof or membership interest therein; (G) To approve all debt of the corporation or any subsidiary of the corporation in excess of $2,000,000 (or such other amount as is set by the member in writing from time to time) before such debt is incurred, and to approve all changes to the terms of any such debt; (H) To approve the acquisition, sale, lease, transfer, or encumbrance of any real estate, or the construction or destruction of any improvements thereon, by the corporation or any subsidiary of the corporation valued in excess of $1,000,000 (or such other amount as is set by the member in writing from time to time); (I) To approve the sale, assignment or transfer by the corporation or any subsidiary of the corporation of any equity interest or membership interest in any subsidiary of the corporation; to approve any reclassification or other change of any capital stock or other equity security of any subsidiary of the corporation, or any recapitalization of any subsidiary of the corporation; and to approve the issuance of, or the creation of any obligation to issue, any equity security of any subsidiary of the corporation, or any increase or decrease in the total number of shares of authorized capital stock or other equity security of any subsidiary of the corporation; (J) To enter into or terminate a formal institutional affiliation with a hospital system by the corporation or any subsidiary of the corporation; (K) To approve the bylaws of the corporation's medical staff and any amendments thereto; and (L) To exercise all powers of and authorize all actions by the corporation in its capacity as the incorporator or member of any subsidiary of the corporation, other than the power to appoint or elect trustees or directors of any subsidiary of the corporation, which power and authority shall be exercised by the board of trustees of the corporation, subject to the approval of the member under section 3.3(c) (and to the extent that the trustees of the corporation may have any such power or authority with respect thereto under law or otherwise, all such power and authority shall be deemed to be delegated exclusively to and may be exercised solely by the member). For purposes of these bylaws, the term "subsidiary" shall include any corporation, limited liability company, partnership, joint venture or other entity in which this corporation has, either directly or indirectly through one or more subsidiaries, an interest representing, in the case of a for profit entity, 25 percent or more of the voting power thereof or equity interest therein, or, in the case of a non profit entity, 25 percent or more of the voting power thereof or membership interest therein. FORM 990, PART VI, SECTION A, LINE 8A: MINUTES OF ALL MEETINGS ARE MAINTAINED IN THE CORPORATE FILES.
Form 990, Part VI, Section B, Line 11:		Form 990 is prepared by the controller and reviewed by the VP of Finance and CFO. Ernst & Young, LLP presents Form 990 to the audit committee. A disk containing a copy of returns is provided to the audit committee. Further, a disk of the final returns is provided to the Board of Trustees before the returns are filed. Form 990, Part V, Section B, Line 12c: THE CONFLICT OF INTEREST POLICY IS APPROVED BY SAINTS HEALTH SYSTEM BOARD AND ADOPTED BY ALL MEMBERS OF WHICH SAINTS MEDICAL CENTER IS A MEMBER. SAINTS ASKS ALL BOARD OF TRUSTEE MEMBERS, OFFICERS AND VICE PRESIDENTS TO ACKNOWLEDGE THOSE CONFLICTS BASED ON ISSUES DISCUSSED AT BOARD MEETINGS. MEMBERS INVOLVED WITH ANY CONFLICTS EXCUSE THEMSELVES FROM ITEMS AND VOTES ON THOSE ISSUES. ADMINISTRATION WILL TRACK AND FOLLOW-UP ON UNRETURNED CONFLICT OF INTEREST STATEMENTS. AN ANNUAL DISCLOSURE FORM IS REQUIRED OF ALL NEW MEMBERS OF THE BOARD OF TRUSTEES WITHIN TWO MONTHS OF THEIR APPOINTMENT. THE BOARD WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WITH RESPECT TO ANY PERSON WITH A COI WHO VIOLATED THIS POLICY. IF ANY MEMBER OF THE BOARD OF TRUSTEES BELIEVE A POTENTIAL CONFLICT MAY EXIST ON ANY GIVEN MATTER OR BELIEVES ANOTHER MEMBER OF THE BOARD OF TRUSTEES HAS A CONFLICT, THE MATTER SHOULD BE BROUGHT TO THE ATTENTION OF THE PRESIDENT, COO OR CFO PRIOR TO ANY CONSIDERATION OF THE MATTER INVOLVING THE POTENTIAL CONFLICT. BOARD AND THE PRESIDENT SHALL RESOLVE WHETHER A CONFLICT DOES OR DOES NOT EXIST. THE MEMBER OF THE BOARD OF TRUSTEES WITH THE POTENTIAL CONFLICT SHALL NOT BE PRESENT OR PARTICIPATE DURING THE DETERMINATION. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE INDIVIDUAL HAVING THE CONFLICT OF INTEREST IS NOT COUNTED IN DETERMINING THE EXISTANCE OF A QUORUM WITH RESPECT TO ANY VOTE ON THE MATTER. THE BOARD SHALL DETERMINE, BY A MAJORITY VOTE OF NON-INTERESTED TRUSTEES, WHETHER THE TRANSACTION IS IN THE MEDICAL CENTERS BEST INTEREST AND FOR ITS OWN BENEFIT; IS FAIR AND REASONABLE TO THE MEDICAL CENTER; AND SHALL DETERMINE, AFTER EXERCISING DUE DILIGENCE, WHETHER THE MEDICAL CENTER SHOULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES, REVIEWING COMPARABLE DATA, AS APPROPRIATE. Form 990, Part VI, Section B, Line 13: The whistleblower policy is approved by Saints Health System Board and adopted by all members. Form 990, Part VI, Section B, Line 14: THE RECORD RETENTION POLICY HAS NOT BEEN APPROVED BY THE HEALTH SYSTEM OR THIS ORGANIZATION'S BOARD. Form 990, Part VI, Section B, Line 15: The compensation committee of the Board of Trustees meets annually to review compensation of the CEO and senior management. The committee is comprised of disinterested persons who will review independent market data to set executive compensation. Physician compensation is presented to the Board of Trustees for approval along with new hires and increase in excess of inflation. Form 990, Part VI, Section C, Line 18: 990 and 990-T are made available to the public upon request. Form 990, Part VI, Section C, Line 19: Governing documents are provided to and made available on the secretary of state website and made available upon request along with conflict of interest policy and financial statements. Part VII - Officer hours worked at related organizations: All individuals, excluding Board of Trustee members, who have less than an average of 40 hours per week, have worked at least 40 - 60 hours among all related entities. FORM 990, PART XI, LINE 5, CHANGES IN NET ASSETS: TRANSFER FROM SPECIAL SERVICES $ -1,812,114. TRANSFER TO HEALTH SERVICES 4,122,200. TRANSFER FROM HEALTH SYSTEM -1,157,133. PENSION IMPAIRMENT -1,376,854. YANKEE ALLIANCE GRANT -37,728. UNREALIZED LOSS 53,585. ROUNDING 135. TOTAL TO FORM 990, PART XI, LINE 5 -207,909.

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

SAINTS MEMORIAL MEDICAL CENTER INC

Employer identification number

04-2104885

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) SAINTS MEMORIAL SPECIAL SERVICES INC ONE HOSPITAL DRIVE BOSTON,MA01852 04-2749428	CANCER CARE	MA	501(C)(3)	9	SAINTS MED
(2) SAINTS MEMORIAL HEALTH SERVICES INC ONE HOSPITAL DRIVE LOWELL,MA01852 04-3190747	FAMILY MED PR	MA	501(C)(3)	9	SAINT HEALTH
(3) SAINTS FOUNDATION INC ONE HOSPITAL DRIVE LOWELL,MA01852 26-2320016	SUPP + FUNDR	MA	501(C)(3)	7	SAINT HEALTH
(4) SAINTS HEALTH SYSTEM INC ONE HOSPITAL DRIVE LOWELL,MA01852 04-2901852	SUPP + FUNDR	MA	501(C)(3)	1	N/A

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)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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
(1) SAINTS MEMORIAL HEALTH SERVICES INC	Q	4,122,200
(2) SAINTS SPECIAL SERVICES INC	R	1,812,114
(3) SAINTS HEALTH SYSTEM INC	R	1,157,133
(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: SAINTS MEDICAL CENTER GENERATES PATIENT SERVICE REVENUE FROM ACUTE CARE AND GENERAL HOSPITAL SERVICES INCLUDING DIALYSIS, CANCER CENTER, AND CARDIAC CATHERIZATION. SAINTS PROVIDES COMPREHENSIVE HOLISTIC
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	11
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	1,425
6	Total number of volunteers (estimate if necessary) ....	6	136
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	1,649,445
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	303,096

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,360,006	1,186,691
9	Program service revenue (Part VIII, line 2g) .........	138,072,775	133,990,246
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	647,528	285,853
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	651,305	1,167,473
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	140,731,614	136,630,263
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	30,200	24,625
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)	67,725,496	70,474,547
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)....	74,646,890	74,499,570
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	142,402,586	144,998,742
19	Revenue less expenses. Subtract line 18 from line 12......	-1,670,972	-8,368,479
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	77,649,566	70,464,030
21	Total liabilities (Part X, line 26)............	92,107,963	93,082,997
22	Net assets or fund balances. Subtract line 21 from line 20 .....	-14,458,397	-22,618,967

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 $ 56,344,662 including grants of $ ) (Revenue $ 57,683,000 )
	ACUTE HOSPITAL INPATIENT SERVICES LICENSED BEDS = 157 INPATIENT DISCHARGES = 8,856 INPATIENT DAYS = 27,866 SEE ATTACHED COMMUNITY BENEFIT REPORT

4b	(Code: ) (Expenses $ 73,183,297 including grants of $ ) (Revenue $ 75,012,919 )
	OUTPATIENT SERVICES EMERGENCY VISITS = 43,437 TOTAL OUTPATIENT VISITS AND PROCEDURES = 226,583

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$ 129,527,959

(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) GABRIELE SOUTHGATE PHYSICIAN/HIGHEST PAID	50.0	X		261,863	0	16,178
(19) SANJAY BASU PHYSICIAN/HIGHEST PAID	50.0	X		250,792	0	16,476
(20) FRANK G BASILE PHYSICIAN/HIGHEST PAID	50.0	X		239,090	0	17,803
(21) MICHAEL GULEY Former CEO/President	0.0		X	592,658	0	15,163
(22) STEPHEN O'CONNOR FRMR CFO/TREA-NOW VP	43.5		X	266,611	0	16,602

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,400,425	0	168,207

				(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		172,393

f	All other contributions, gifts, grants, and similar amounts not included above1f		1,014,298
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,186,691
			Business Code
2a	PATIENT CARE SERVICES		621,500	132,695,339	132,695,339
b	LABORATORY SERVICES		621,500	1,294,907		1,294,907
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			133,990,246
3	Investment income (including dividends, interest
	and other similar amounts).....			73,408	73,408
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	3,758,664	60,191
b	Less: cost or other basis and sales expenses	3,606,410
c	Gain or (loss)	152,254	60,191
d	Net gain or (loss)..........			212,445			212,445
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..			0
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...			0
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..			0
Miscellaneous Revenue			Business Code
11a	OTHER OPERATING REVENUE		900,099	566,122	284,661	281,461
b	CAFETERIA SALES		722,210	528,274	528,274
c	RENTAL INCOME		531,190	73,077		73,077
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,167,473
12	Total revenue. See Instructions....			136,630,263	133,581,682	1,649,445	212,445


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			0	1	0
2	Savings and temporary cash investments .......			864,690	2	928,205
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			16,971,771	4	17,690,291
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 .............			98,486	7	50,129
8	Inventories for sale or use ..............			2,779,234	8	2,355,599
9	Prepaid expenses and deferred charges ............			780,618	9	874,007
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	76,020,090
b	Less: accumulated depreciation. .....	10b	41,082,993	39,081,189	10c	34,937,097
11	Investments—publicly traded securities ..........			5,167,237	11	1,883,444
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 ...........			11,906,341	15	11,745,258
16	Total assets. Add lines 1 through 15 (must equal line 34)...			77,649,566	16	70,464,030
17	Accounts payable and accrued expenses .			18,443,243	17	22,954,636
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			47,786,030	20	44,891,086
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 ..			3,461,807	23	2,958,882
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			22,416,883	25	22,278,393
26	Total liabilities. Add lines 17 through 25.....			92,107,963	26	93,082,997
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			-14,458,397	27	-22,656,695
28	Temporarily restricted net assets .....				28	37,728
29	Permanently restricted net assets .....				29
	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 .....			-14,458,397	33	-22,618,967
34	Total liabilities and net assets/fund balances .....			77,649,566	34	70,464,030