TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Robert Thresher...................................................................... Chair	2.0 ................. 3.0	X	X	0	0
(2) Donna Kimmel...................................................................... Chair (thru 1/16)	2.0 ................. 1.0	X	X	0	0
(3) Marco Arismendi...................................................................... Associate Director	2.0 ................. 1.0	X		0	0
(4) Richard Digiacomo...................................................................... Clerk	2.0 ................. 1.0	X	X	0	0
(5) Patricia Cochrane...................................................................... Director	2.0 ................. 1.0	X		0	0
(6) Frank Cook...................................................................... Director	2.0 ................. 1.0	X		0	0
(7) Dwayne Demond...................................................................... Director	2.0 ................. 1.0	X		0	0
(8) Ted Dion...................................................................... Director	2.0 ................. 1.0	X		0	0
(9) Kevin Dumas...................................................................... Director	2.0 ................. 1.0	X		0	0
(10) Laura Gignac...................................................................... Director	2.0 ................. 1.0	X		0	0
(11) Dennis Kelly...................................................................... Director	2.0 ................. 1.0	X		0	0
(12) John Korona...................................................................... Director	2.0 ................. 1.0	X		0	0
(13) Thomas Noel...................................................................... Director	2.0 ................. 1.0	X		0	0
(14) Ethel Sandbach...................................................................... Director (thru 1/16)	2.0 ................. 1.0	X		0	0
(15) Ralph Schlenker...................................................................... Director	2.0 ................. 1.0	X		0	0
(16) Catherine White...................................................................... Director	2.0 ................. 1.0	X		0	0
(17) Bruce Auerbach MD...................................................................... President & CEO	40.0 ................. 5.0		X	784,282	79,364

(A) Name and business address	(B) Description of services	(C) Compensation
Arup Laboratories Inc, 500 Chipeta Way SALT LAKE CITY,UT84108	Lab Sendouts	1,021,443
In Compass Health Inc, 318 Maxwell Road Suites 500 ALPHARETTA,GA30009	Hospitalist Services	853,880
AUS North Lockbox, PO Box 28050 NEW YORK,NY100878050	Laundry Services	768,327
Alcon Laboratories Inc, 6201 S Freeway FT WORTH,TX76134	lab services	348,998
Med Assets Supply Chain Systems LL, PO Box 742081 ATLANTA,GA303742081	Contract Labor	279,882
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 29

- 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.
right arrow

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

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Sturdy Memorial Hospital Inc

Employer identification number

04-2768252

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 described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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. See section 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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. If the organization did not check a 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

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

Name of the organization

Sturdy Memorial Hospital Inc

Employer identification number

04-2768252

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 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 function 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

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)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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)? ........

Yes

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

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

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

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

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

Yes

6,924

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

Other activities? ...................................................................................................................

Yes

112,618

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

119,542

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

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

Section 162(e) nondeductible 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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1g	Certain Employees of the Hospital meet quarterly at the hospital with local and state representatives to discuss current issues affecting the delivery of healthcare. These employees also make periodic phone calls and write letters to state and federal legislature officials as necessary. The allocation of salaries allocable to lobbying activities are approximately $6,924.
Schedule C, Part II-B, Line 1I	The Hospital pays dues to the Massachusetts Hospital Association, American Healthcare Association, and Associated Industries of Massachusetts. A portion of dues to these organizations is used to support lobbying by the associations. The portion of dues allocable to lobbying was $52,358. In addition, the Hospital made payments of $60,260 to Murphy Donoghue Partners to ensure review of regulations that could impact the Hospital.

Return Reference

Explanation

Schedule C, Part II-B, Line 1g

Certain Employees of the Hospital meet quarterly at the hospital with local and state representatives to discuss current issues affecting the delivery of healthcare. These employees also make periodic phone calls and write letters to state and federal legislature officials as necessary. The allocation of salaries allocable to lobbying activities are approximately $6,924.

Schedule C, Part II-B, Line 1I

The Hospital pays dues to the Massachusetts Hospital Association, American Healthcare Association, and Associated Industries of Massachusetts. A portion of dues to these organizations is used to support lobbying by the associations. The portion of dues allocable to lobbying was $52,358. In addition, the Hospital made payments of $60,260 to Murphy Donoghue Partners to ensure review of regulations that could impact the Hospital.

Schedule C (Form 990 or 990EZ) 2015

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Sturdy Memorial Hospital Inc

Employer identification number

04-2768252

Part I

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

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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 can 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" on 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on 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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on 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	Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

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)

Yes

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

Yes

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	1,262,721		1,262,721
b	Buildings	120,629,821	79,546,722	41,083,099
c	Leasehold improvements
d	Equipment ...	65,137,925	52,067,777	13,070,148
e	Other ...	3,800,468	3,553,226	247,242
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				55,663,210

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
PENSION LIABILITY	7,814,900
INSURANCE CLAIMS, LONG TERM	1,975,919
ACCRUED POSTRETIREMENT HEALTH BENEFITS	1,515,600
WORKERS' COMPENSATION SELF-INSURANCE RESERVES	1,005,024
ASSET RETIREMENT OBLIGATION	724,270
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	13,035,713
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	175,161,184
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	14,387,414
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-16,926,504
e	Add lines 2a through 2d .....................			2e	-2,539,090
3	Subtract line 2e from line 1..................			3	177,700,274
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	685,050
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	685,050
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	178,385,324

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	159,451,857
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 XIII.) ............	2d	835,809
e	Add lines 2a through 2d....................			2e	835,809
3	Subtract line 2e from line 1...................			3	158,616,048
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	685,050
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	685,050
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	159,301,098

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Endowment Funds	Schedule D, Part V, Line 4 Sturdy Memorial Foundation, Inc. maintains endowment funds (restricted to principal) for the benefit of Sturdy Memorial Hospital, Inc. and affiliated organizations. The investment earnings on the endowment funds are almost entirely unrestricted. As income is earned on endowment funds (unrestricted as to income), it is transferred to the unrestricted fund (within the Foundation). From time to time, the Board of Directors has authorized transfers from the unrestricted fund in the Foundation to Sturdy Memorial Hospital, Inc. and Sturdy Memorial Associates, Inc. A small portion of the endowment is held in a fund with the income restricted for "free care" for patients. The income on this fund is transferred on a semi- annual basis to Sturdy Memorial Hospital, Inc. and used as free care in accordance with the Hospital's free care policy.
ASC 740	Schedule D, Part X, Line 2 The Hospital is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code, as amended (the Code), and is generally exempt from income taxes pursuant to Section 501(a) of the Code. The Hospital is required to assess uncertain tax positions and has determined that there were no such positions that are material to the financial statements.
Reconciliation of Revenue per Audited Financial Statements	Schedule D, Part XI, Line 2d Pension and other postretirement benefit adjustment (17,045,000) Net assets released for capital purposes 115,000 Transfer from Affiliates 3,496 ------------- Total (16,926,504)
Reconciliation of Expenses per Audited Financial Statements	Schedule D, Part XII, Line 2d Transfer to affiliate 830,000 net assets released from restriction 5,809 ------------ Total 835,809

Schedule D (Form 990) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Sturdy Memorial Hospital Inc

Employer identification number

04-2768252

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	2,539,324	1,585,014	954,310	0.600 %
b	Medicaid (from Worksheet 3, column a) . . . . .	26,235,427	20,937,954	5,297,473	3.330 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	4,633,544	4,760,691	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	33,408,295	27,283,659	6,251,783	3.930 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	604,392		604,392	0.380 %
f	Health professions education (from Worksheet 5) . . .	10,824		10,824	0.010 %
g	Subsidized health services (from Worksheet 6) . . . .	9,362,463	3,601,562	5,760,901	3.620 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	39,428		39,428	0.020 %
j	Total. Other Benefits . .	10,017,107	3,601,562	6,415,545	4.030 %
k	Total. Add lines 7d and 7j .	43,425,402	30,885,221	12,667,328	7.960 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support	1	907	907
4	Environmental improvements	1	600	600
5	Leadership development and training for community members
6	Coalition building	1	5,746	5,746
7	Community health improvement advocacy
8	Workforce development	1	4,195	4,195
9	Other
10	Total	4	11,448	11,448

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,488,127

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

666,320

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

56,602,486

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

63,529,345

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

-6,926,859

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Sturdy Memorial Hospital Inc PO Box 2963 211 Park Street Attleboro,MA02703 www.sturdymemorial.org 2100	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	Sturdy Memorial Hospital Inc
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Sturdy Memorial Hospital Inc
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SECTION C

The FAP application form was widely available on a website (list url):

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	Sturdy Memorial Hospital Inc
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Input from Persons Who Represent the Community	Schedule H, Part V, Section B, Line 5 In March of 2016, Sturdy Memorial Hospital undertook its second comprehensive community health needs assessment (CHNA) to evaluate the health needs of individuals living in the hospital service area. The aim of the assessment was to reinforce Sturdy Memorial Hospitals commitment to the health of residents and align its health prevention efforts with the communitys greatest needs. The assessment examined a variety of health indicators, including chronic health conditions, access to health care and social determinants of health. Sturdy Memorial Hospital contracted with Holleran Consulting, a research firm based in Lancaster, PA, to execute this project. The firm collected and interpreted data from secondary data sources, they also collected/analyzed and interpreted data from key informant interviews, and prepared reports. The completion of the CHNA enabled Sturdy Memorial Hospital to take an in-depth look at its community. The findings from the assessment were utilized by Sturdy Memorial Hospital to prioritize public health issues and develop a community health implementation plan focused on meeting community needs. Sturdy Memorial Hospital is committed to the people it serves and the communities where they reside. Healthy communities lead to lower health care costs, robust community partnerships, and an overall enhanced quality of life. Sturdy Memorial Hospital, in conjunction with community partners, examined the findings of the Secondary Data and Key Informant Surveys to select Key Community Health Issues. The issues that were identified include; cancer, diabetes, mental health including suicide, overweight & obesity and substance & alcohol abuse. The CHNA was comprised of both quantitative and qualitative research components. A brief synopsis of the research components is as follows; A Statistical Secondary Data Profile uses existing data from local and national sources depicting population and household statistics, education and economic measures, morbidity and mortality rates, incidence rates, and other health statistics for the primary and secondary service areas, defined as Bristol and Norfolk counties, and were compiled and compared to state and national level data, where applicable. Key Informant Surveys were conducted with a total of 58 key informants in April 2016. Key informants were defined as community stakeholders with expert knowledge, including public health and health care professionals, social service providers, non-profit leaders, business leaders, faith-based organizations, and other community leaders. Community engagement and feedback were an integral part of the CHNA process. Sturdy Memorial Hospital sought community input through key informant interviews with community leaders and partners and inclusion of community leaders in the prioritization and implementation planning process. Public health and health care professionals shared knowledge and expertise about health issues, and leaders and representatives of non-profit and community-based organizations provided insight on the community, including the medically underserved, low income, and minority populations. Key informants were also asked whether they thought there are specific populations who are not being adequately served by local health services. The respondents were practically split on this issue with less than half of key informants (46.6%) feeling there are underserved populations in the community. Of those key informants who feel there are underserved populations in the community, the majority ranked low-income/poor, homeless, and uninsured/underinsured as the top three population groups that are underserved. In addition, nearly three quarters of key informants indicated the Hospital Emergency Department as a primary place where uninsured or underinsured individuals go when they are in need of medical care. Hospital Facility's Website - CHNA Report Schedule H, Part V, Section B, Line 7a http://www.sturdymemorial.org/images/pdfs/SMH2016_CHNA_Report.pdf Hospital Facility's Website - Implementation Strategy Schedule H, Part V, Section B, Line 10a http://www.sturdymemorial.org/images/pdfs/CHNA-ImplementationPlan2016-2019 .pdf Significant Needs Schedule H, Part V, Section B, Line 11 The 2016 Community Health Needs Assessment (CHNA) identified and prioritized several significant health needs of the community. Sturdy has developed an implementation strategy to address all of the significant health needs identified. Based on feedback from community partners, including health care providers, public health experts, health and human service agencies, and other community representatives, Sturdy Memorial Hospital plans to focus community health improvement efforts on the following health priorities over the next three-year cycle witch include Cancer, Diabetes, Mental Health/Suicide, Overweight/Obesity and Substance Abuse/Alcohol Abuse. Cancer: goals include; increase the importance of decreasing cancer risk through the reduction of risk behaviors, increase awareness of the importance of screening and early detection, increase community awareness of the Hospitals Comprehensive Cancer Care Program, minimize treatment impact and improve outcomes and continue to evaluate and expand services offered as needed. The following strategies are being implemented: Offer early detection and prevention through various screenings, education and support programs Continue to assess smoking habits of inpatients and offer smoking cessation class and/or educational materials to tobacco users. Promote Comprehensive Cancer Care through educational columns, community events with oncologists and community collaboration. Provide medical navigation for patients through a continuum of care including early screening, intervention and if diagnosed, continue navigation through pre-habilitation, treatment, and post-treatment rehabilitation. In some cases, continue navigation through the palliative care process to remove barriers and provide the needed support. Increase appropriate referrals to levels of care, identify and collaborate with appropriate resources both internally and externally. Provide education on the importance of healthy lifestyle behaviors and available programs to ensure appropriate referrals. Diabetes: goals include; increase diabetes self-management education (DSME) for those living with diabetes, increase the number of people to become aware of their risk, improve education around strong glucose monitoring to keep HbA1c at a safe level, and educate public around insulin resistance as a cause of Type 2 diabetes and work to remove the stigma around the diagnosis. The following strategies are being implemented: Continue inpatient glycemic control protocol with nursing, internal medicine, hospitalist, and pharmacy staff to improve health outcomes. Continue with Diabetes Champions to increase staff awareness of diabetes and our DSME program. Continue to offer diabetes support group free of charge as a community benefit. Develop a formalized referral process to assist physicians in making appropriate referrals to Sturdys Diabetes Management Program. Develop a formal process to identify patients discharged from Sturdy Memorial Hospital who have an A1C> 6.5 percent and notify their PCP that they are a candidate for our DSME outpatient program. Work with local organizations on efforts to refer pre-diabetic patients to the Centers for Disease Control developed Diabetes Prevention Program in conjunction with the nations YMCAs. Increase screening for pre-diabetic patients and refer to appropriate resources. Continue to remove barriers to care through scholarship efforts for the Diabetes Prevention Program at the YMCA. Sturdys professional staff to serve on local area committees that address diabetes as a health crisis. Collaborate with community partners as part a leader of the Healthy Living Consortium to increase education and awareness in the community. Mental Health/Suicide and Substance Abuse: goals include; increase proper identification of mental health issues and refer to appropriate, quality mental health services, work to reduce suicide rate by ensuring high risk patients are obtaining proper mental health care, and increase patient and community education on opioid prescriptions, their addictive nature and alternative therapies. The following strategies are being implemented: Develop educational brochures for Associates Practices and waiting areas to highlight the dangers of opioid use as well as provide education on alternatives available for managing pain. Develop a comprehensive pain stewardship program to ensure proper internal controls to appropriately manage our patient populations. Provide patients with standard patient fact sheets that outline the risks associated with the use of prescription opioids as well as guidance on safe storage and proper disposal of unused prescription medications. Develop an internal process to

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address		Type of Facility (describe)
1	Mansfield Health Center 200 Copeland Drive Mansfield,MA02488	Licensed output clinic Physician practice
2	Radiation Therapy of Southeastern MA LLC 89 Forbes Boulevard Mansfield,MA02048	Output Radn Therapy clinic
3	Attleboro High School Clinic 100 Rathburn Willard Drive Attleboro,MA02703	Licensed School based clinic
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Community Benefits	Schedule H, Part I, Line 6a Sturdy Memorial Hospital continually fosters positive and cooperative relationships with area businesses, civic organizations, local and regional health care associations, and affiliated medical staff. Sturdy actively seeks out and facilitates strong partnerships that promote the health and wellbeing of the people in our communities. Key organizations Sturdy collaborates or partners with in FY 2016 include: AARP, American Cancer Society, American Diabetes Association, American Heart Association, American Stroke Association, Attleboro Area School to Career Partnership, Attleboro High School-Based Health Center, Attleboro Rotary Club, Attleboro YMCA, Bristol Community College, Bristol County Homeland Security Task Force, Brown University/Alpert Medical School, Centers for Disease Control and Prevention, City of Attleboro, Community VNA, Councils on Aging, EMS Education/Medical Oversight (training for municipalities), Gloria Gemma Foundation, Greater Attleboro Area Council of Churches, HealthyChoices (health education w/elementary schools), Hockomock Area YMCAs, Johnson & Wales Culinary Nutrition Co-op, Local Food Pantries, MassHealth, Massachusetts Service Alliance, Mothers Against Drunk Driving (MADD), National Multiple Sclerosis Society, CVNA; Palliative Care Education, Reach Out and Read (ROAR), Rhode Island Blood Center, Stericyle Sharps Disposal Program (w/area fire departments), Southeastern Massachusetts Homeland Security Regional Council, Town of Foxboro, Town Health Agents and Nurses, Town of Mansfield, Town of North Attleborough, Town of Norton, Town of Plainville, Town of Rehoboth, Town of Seekonk, Tri-County Regional Vocational School, Tri-Town Chamber of Commerce, United Regional Chamber of Commerce, United Way of Greater Attleboro/Taunton, Wheaton College and Youth Sports Teams. A vital component of good health care is to make sure patients are connected to a primary care physician. Sturdy dedicates human and financial resources to ensure people in our communities have access to care and regularly promotes its free physician referral service. Information is given to patients in the emergency department who do not have a regular physician, to facilitate their follow up care and encourage regular, good care vs. episodic, expensive emergency care. Inpatients have follow up physician appointments made by members of our staff before being discharged when appropriate. We continued an initiative to bolster efforts related to diabetes management which included continuation of our inpatient glycemic control protocol with nursing, internal medicine, hospitalist, and pharmacy staff to improve outcomes related to glycemic control by ensuring appropriate dosing and monitoring and better monitoring in the physicians offices. Sturdy continued to partner with the Attleboro YMCA on its annual Step Challenge among the citys middle school children, providing the pedometers. We continued to offer numerous support groups and health screenings; encouraged patients age 50+ who have not had screening colonoscopies to do so; dedicated certified financial counselors to assist in connecting people to low or no cost health insurance under Health Care Reform; and ensured our physicians who work with teens and young adults screen for and address drug and alcohol use, and depression. Understanding that the health of our community requires strong collaboration, this year the Hospital proudly accepted a leadership role in the newly formed Healthy Living Consortium, a Community Impact Consortium developed by the YMCA. The collective goal of this consortium and its members is to improve health outcomes for our community members in relation to barriers that prevent them from living a healthy lifestyle. Areas of early focus include childhood and adult obesity and addressing the opioid epidemic. The initial focus of the Consortiums efforts will be on Attleboro and Norton, with plans to extend to our other communities as initiatives are developed and successes achieved. Sturdy engaged in numerous initiatives related to its FY 2016 Community Benefits Plan. The Hospital hosted or supported 22 family and health related activities and events and two blood drives during times of the year when the need for blood is critical; offering the services of a cancer care navigator to ensure newly diagnosed cancer patients get timely, coordinated care; multi-dimensional campaigns on heart disease and stroke prevention; educational programming for town health officers; and collaboration with our area YMCAs on various health, nutrition, and wellness programming. Sturdy continued to take a leadership role to educate our staff and area municipalities regarding the importance of having a well-coordinated approach to local and regional disaster management and overall public safety. See many of Sturdys community benefits activities for FY 2016 at www.sturdymemorial.org, which contains a link to the Hospital's annual report. Four examples of initiatives undertaken: Free support groups are offered on a continuous basis that include; Prostate Cancer Support Group, Pregnancy and Infant Loss Support group, Friends and Family of Patients with Cancer Support group, Cancer Support Group, Breathing Club (Respiratory Care), Diabetes Support Group, and others. Sturdy Memorial Hospital hosts an annual Cancer Survivors Day event at no cost to its participants. The event is designed as part of the National Cancer Survivors Day initiative. Members of the community are invited to hear inspirational speakers and receive healthy information, as well as, full descriptions of programs offered at Sturdy to assist both cancer patients and survivors. Sturdy invests $28,000 into this program. Sturdys stroke awareness campaign is a multi-faceted initiative to provide the community with pertinent information relevant to the prevention, warning signs, risks and symptoms of a Stroke. The campaign focuses on the education of community members about the need to act F.A.S.T. (Face Dropping, Arm Weakness, Speech Difficulty, Time to call 911) when Stroke symptoms are suspected. Sturdy invested approximately $3,059 on the campaign. Physical activity for youth remains a top priority as demonstrated through our partnership with the Attleboro YMCA on its annual Youth Step Challenge, investing approximately $4,000. Sturdy also worked with Hockomock YMCAs and Sturdy child care physicians using a "prescription" to promote the concept of moving more and eating less. Financial Assistance and Other Community Benefits Calculation Schedule H, Part I, Line 7 Lines 7a/b/c were calculated using Worksheets 1, 2, 3 provided in the instructions. Lines 7e/f/h/I were calculated by using expenses and revenues from the general ledger. Additionally, where employee labor was included, the number of hours spent on each program was multiplied by a standard rate (direct cost) plus a benefit factor (indirect cost). Line 7g: Net losses for both the Multiple Sclerosis Center and Cardiac/Pulmonary Rehab were calculated using department specific cost to charge ratios (CCRs) from a modified (to isolate the departments on individual lines) Medicare Cost report and department specific payment percentages (PAFs). The reported net loss for each services equals the sum of the net revenue for all payers (gross department charges for each payer multiplied by the payer specific PAF) less the cost of providing the services (total gross department charges multiplied by the department specific CCR). The net loss for maternal child health service was calculated using the implied cost to charge ratio (CCR) for the obstetrics service and the newborn service from the State required Cost Report. (The state cost report better captures the obstetrics service than the Medicare cost report where obstetrics is grouped with the med/surg floors and separated from the "ancillary service" of deliveries.) The implied CCR is calculated using the total service costs divided by the total service charges. The reported net contribution equals the sum of the net revenue for all payers (gross service charges for each payer multiplied by the service and payer specific PAF) less the cost of providing the services (total gross department charges multiplied by the department specific CCR). Net contributions for obstetrics and the newborn hospital stay are calculated separately. The net loss for the diabetes education service is simply the net revenue for the diabetes education service less the salary and benefit cost of the nurses who provide the service. The net loss for the wellness management program is the net revenue for theses service less the employee salary and benefit cost of the physicians and nurses and other direct costs of the department. The net loss from the cancer care patient navigator program represents direct employee salary and benefit costs of the employees providing services. Net losses for both the Hospitalist and Laborist prog
BAD DEBT EXPENSE	Schedule H, Part III, Lines 2, 3, and 4 The Hospital's audited financial statements contain a footnote describing the allowance for doubtful accounts. The Hospital's bad debt expense (Schedule H, Part III, Section A, Line 2) was estimated as the product of the Hospital's bad debt (stated as revenue) multiplied by the Hospital's overall cost-to-charge ratio calculated on Worksheet 2 of the instructions. Estimated bad debt expense attributable to patients eligible for financial assistance (Schedule H, Part III, Section A, Line 3) was calculated as the ratio of, accounts for which patients were unemployed to the total patient accounts, multiplied by bad debt expense.
Shortfall Treated as Community Benefit	Schedule H, Part III, Line 8 The shortfall experienced by the Hospital from providing care to Medicare beneficiaries should be treated as a community benefit as it represents the Hospital's contribution to providing care to Medicare eligible citizens of the community it serves beyond the amount it receives from the Medicare program. This contribution is consistent with the Hospital's overall charitable mission to provide care to all individuals, regardless of the level of payment received for providing that care. The Hospital's Medicare Cost Report was used to determine the amount reported on line 6.
Debt Collection Policy	SSchedule H, Part III, Line 9b The Hospital's collection policy contains procedures to be followed for patients who are known to qualify for financial assistance. Once it is determined that a patient qualifies for free care, all collection procedures cease and the full balance is written off, with exception to patients where free care is secondary to their primary insurance and a copay is owed based on their primary insurance plan (deductibles/coinsurances are written off and copays are subject to normal collection practices). If the patient qualifies for partial free care, the amount that qualifies under partial free care is written off and the remaining balance (copays from their primary insurance) is subject to normal collection procedures. Massachusetts hospitals are required to adopt credit and collection policies. State regulations (114.6 CMR 13.08(1)(c)) outline the specific process for determining eligibility for public assistance programs and hospital collection practices. The Hospital provides patients with information about free care available through the hospital (a significant portion of which is coordinated through the state's Health Safety Net program) as well as financial assistance programs such as MassHealth (Medicaid) and the state's subsidized Connector Care program which are available through the Massachusetts Executive Office of Health and Human Services. The Hospital employs two full-time financial counselors that assist patients, and anyone else presenting who requires assistance, in applying for free care and state financial assistance programs through the state's uniform application. The Hospital credit and collection policy, that outlines its charity care practices, is filed with the Massachusetts Center for Health Information and Analysis and also available to patients upon request.
Community Health Needs Assessment	Schedule H, Part VI, Line 2 Each year the Hospital submits to the State of Massachusetts a Community Benefit Report. With guidance and oversight from the Hospital's Planning Committee, Sturdy's Community Benefits Report is constructed to reflect on activities from the prior year and provide recommendations for the Hospital's community benefits focus for the subsequent year. Sturdy Memorial Hospital is involved in ongoing assessment of health needs in our communities. Continually being engaged in and attuned to our communities provides us with opportunities to identify health issues of greatest concern to our care providers and community partners, and consider committing resources to those areas, if appropriate, to guide efforts to improve community health and wellness. At the core of Sturdy's community benefits activities and planning are the Hospital's Statement of Purpose, which is attached, and Community Benefits Mission, which is displayed below. Sturdy Memorial Hospital is dedicated to providing safe, high quality, cost efficient health care and the broadest range of diagnostic, inpatient, outpatient, and emergency services appropriate for a community hospital. The Hospital works to ensure that ample, high quality primary and specialty physician services are accessible to area residents. Additionally, we try to avoid costly duplication of health care services by coordinating with other area health care providers to the extent practicable. The Hospital provides leadership while working in cooperation with public and private health organizations, as well as civic and business organizations, to meet the health care needs of our communities. As described above in Supplemental Information for Part V, Section B, Line 3 Explanation, Sturdy's needs assessment involves review and analysis of various data such as patient satisfaction surveys, Hospital service utilization statistics, clinical issues, health insurer data, and other local and State health data. We also take into account the results of feedback from and conversations and interactions with a multitude of other sources, actively soliciting information and ideas from area public health professionals, members of the Hospital's Patient and Family Advisory Council (PFAC), members of the Hospital's Medical Management Committee, social services agency personnel, school nurses, as well as participating in professional forums. Findings are reviewed for trends or needs in the community. Clinical trend data and patient education needs recognized by clinicians while providing medical or follow up care are also considered. Additionally, members of the community are encouraged to, and often do, relay programming suggestions directly to the Hospital or through program evaluation tools. The Hospital has drawn from this extensive history of information to make recommendations for community benefits activities and programs.
Patient Education of Eligibility for Assistance	Schedule H, Part VI, Line 3 Patients are informed of the availability of financial assistance by way of posted notices throughout the hospital as well as printed financial assistance brochures available in common areas of the hospital. All itemized bills and patient statements are printed with financial assistance information. Upon discharge from the Emergency Care Center (ECC), uninsured patients are encouraged to meet with a Financial Counselor. If unable to see a Financial Counselor following discharge, the patient is given a financial assistance letter outlining the application process, the documents required, telephone numbers and directions to the financial counselor's office. Following an ECC visit, uninsured patients receive a phone call from a Credit Representative encouraging the patient to meet with a Financial Counselor for financial assistance. Scheduled Self Pay Surgical Day Care (SDC) & Inpatients are reviewed prior to admission to determine payment arrangement or to coordinate a meeting with a Financial Counselor. SDC & Inpatients who are unable to leave a deposit or make a payment arrangement towards a large out of pocket expense are also encouraged to meet with a Financial Counselor.
Community Information	Schedule H, Part VI, Line 4 The Hospital serves a total population base of 231,953 (based on the 2016 CHNA report) in 12 suburban communities located between Boston, MA and Providence, RI that is largely educated (completed high school), employed, and English speaking. As a community resource, the Hospital has a primary commitment to serve the residents of Attleboro, Foxboro, Mansfield, North Attleboro, Norton, Plainville, Seekonk, Rehoboth, and Wrentham. Norfolk, Sharon, and Walpole are considered part of our secondary service area. We also serve bordering towns in nearby Rhode Island. However, anyone who requires care will receive it, regardless of place of residence.
Promotion of Community Health	Schedule H, Part VI, Line 5 In addition to offering a vast array of community benefits programming and providing more than $5.1 million in free care in FY16, Sturdy furthered its exempt purpose by promoting the health of the community in numerous other ways, including having an open medical staff that is required to provide free care and accept Medicare and Medicaid patients; sharing the expertise of its leadership on various community non-profit boards including members of the community on hospital committees that influence health promotion activities, i.e. Planning Committee, Patient Family Advisory Council, etc.; and using surplus funds to appropriately expand our facilities (without borrowing) and acquire the technology our clinicians need to care for patients in our service area so that they can get their care locally. State filing of Community Benefit Report Schedule H, Part VI, Line 7 Massachusetts

Schedule H (Form 990) 2015

Additional Data

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
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Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Sturdy Memorial Hospital Inc

Employer identification number
04-2768252

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC 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) Attleboro Area Council of Churches 95 Pine Street Attleboro,MA02703	04-2301039	501(c)(3)	6,000				Chaplaincy Program
(2) City of Attleboro 77 Park Street Attleboro,MA02703	04-6001378	Gov't	18,000				City Programs

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
Procedures for Monitoring Use of Grant Funds	Schedule I, Part I, Line 2 The Hospital rarely provides outright grants, but rather concentrates in coordinating care in the community and delivering substantial uncompensated care (see Schedule H). On the rare occasion when grants are made, they are either approved or discussed by or with the Board of Managers. The low volume of grants awarded enables the Hospital to monitor their use.

Schedule I (Form 990) 2015

Additional Data

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Sturdy Memorial Hospital Inc

Employer identification number

04-2768252

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 on 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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

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

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

Yes

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1Bruce Auerbach MDPresident & CEO	(i) (ii)	511,818 ------------- 0	244,019 ------------- 0	28,445 ------------- 0	57,666 ------------- 0	21,698 ------------- 0	863,646 ------------- 0	0 ------------- 0
2Joseph CaseyTreasurer & CFO	(i) (ii)	369,385 ------------- 0	94,019 ------------- 0	87,137 ------------- 0	43,724 ------------- 0	21,721 ------------- 0	615,986 ------------- 0	0 ------------- 0
3Brian Kelly MDVP/Chief of ER & Ambulatory	(i) (ii)	358,026 ------------- 0	19,019 ------------- 0	108,151 ------------- 0	39,040 ------------- 0	23,222 ------------- 0	547,458 ------------- 0	0 ------------- 0
4Cheryl BarrowsVP of Human Resources	(i) (ii)	176,280 ------------- 0	34,428 ------------- 0	14,889 ------------- 0	33,138 ------------- 0	24,219 ------------- 0	282,954 ------------- 0	0 ------------- 0
5Lisa McCluskieVP of Marketing & Planning	(i) (ii)	178,163 ------------- 0	34,614 ------------- 0	7,051 ------------- 0	55,251 ------------- 0	22,722 ------------- 0	297,801 ------------- 0	0 ------------- 0
6Marita PraterVP of Patient Services	(i) (ii)	209,761 ------------- 0	15,315 ------------- 0	8,363 ------------- 0	46,790 ------------- 0	20,948 ------------- 0	301,177 ------------- 0	0 ------------- 0
7Robin MorrisVP of Clinical Services	(i) (ii)	176,483 ------------- 0	37,221 ------------- 0	1,276 ------------- 0	30,243 ------------- 0	11,903 ------------- 0	257,126 ------------- 0	0 ------------- 0
8Peter Fischer MDPhysician	(i) (ii)	315,013 ------------- 0	11,106 ------------- 0	740 ------------- 0	29,305 ------------- 0	22,220 ------------- 0	378,384 ------------- 0	0 ------------- 0
9Brian Patel MDPhysician	(i) (ii)	365,594 ------------- 0	10,454 ------------- 0	20,851 ------------- 0	18,231 ------------- 0	20,949 ------------- 0	436,079 ------------- 0	0 ------------- 0
10Mark McGuire MDPhysician	(i) (ii)	340,551 ------------- 0	4,019 ------------- 0	1,885 ------------- 0	20,584 ------------- 0	23,499 ------------- 0	390,538 ------------- 0	0 ------------- 0
11Christopher Roloff MDPhysician	(i) (ii)	278,863 ------------- 0	4,019 ------------- 0	14,634 ------------- 0	23,755 ------------- 0	20,949 ------------- 0	342,220 ------------- 0	0 ------------- 0
12Daniel Han MDPhysician	(i) (ii)	305,966 ------------- 0	2,680 ------------- 0	262 ------------- 0	27,455 ------------- 0	0 ------------- 0	336,363 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
TAX INDEMNIFICATION AND GROSS-UP PAYMENTS	Schedule J, Part I, Line 1A When the Hospital makes payments to retirement plans that are taxable upfront, they are partially grossed up for taxes. During calender year 2015, such payments were made for some senior managers (see Schedule J, Part I, line 4 explanation for more detail). Also, the Hospital paid a flat bonus (the same amount to each employee prorated for hours worked) to all hospital employees, and announced the net amount (effectively paying the taxes). The Hospital also provides its senior managers with long-term disability insurance. The cost of this insurance is grossed up to effectively pay for the related taxes and is added to the managers' gross earnings. This benefit was provided to Bruce Auerbach, MD, Joseph Casey, Robin Morris, Marita Prater, Lisa McCluskie, Cheryl Barrows and Brian Kelly, MD during calendar year 2015.
APRROVAL FOR GROSS-UP PAYMENTS	Schedule J, Part I, Line 1b As explained in 1(a) above, there are few instances where a gross up is used. The Board of Managers approves the hospital bonus (net of taxes) and the Executive Committee approves the supplemental retirement plan.
METHODS TO ESTABLISH COMPENSATION	Schedule J, Part I, Line 3 See Schedule O - line reference: Form 990, Part VI, Section B, line 15.
SEVERANCE AGREEMENTS	Schedule J, Part I, Line 4a Bruce Auerbach, MD has a provision in his employment contract that states the termination of his employment by the board results in him receiving his base salary for one year from the date of termination, in bi-weekly payments, net of normal and customary state and federal taxes. During that period, the Hospital will continue to offer him life and health insurance, provided he continues to pay the employee contribution amount for his health insurance.
Supplemental Nonqualified Retirement Plan	Schedule J, Part I, Line 4b Supplemental retirement contributions were made through non-qualified retirement plans for qualified employees in Calendar Year 2015. The total of Non-qualified retirement contributions in 2015 were as follows: Bruce Auerbach, MD: $55,016 deferred compensation not vested. Joseph Casey: $64,954 included as taxable wage in W-2, and $41,074 deferred compensation as not vested. Brian Kelly: $85,514 included as taxable wage in W-2, and $36,390 deferred compensation as not vested. Cheryl Barrows: $31,288 deferred compensation not vested. Lisa McCluskie: $5,181 included as taxable wage in W-2, and $53,401 deferred compensation not vested. Marita Prater: $44,676 deferred compensation not vested. Robin Morris: $28,433 deferred compensation not vested. Brian Patel, MD: $2,508 included as taxable wage in W-2, and $15,581 deferred compensation not vested. Mark McGuire, MD: $17,934 deferred compensation not vested. Peter Fischer, MD: $26,655 deferred compensation not vested. Christopher Roloff, MD: $21,139 deferred compensation not vested. Daniel Han, MD: $27,455 deferred compensation not vested.
Non-Fixed Payments	Schedule J, Part I, Line 7 Compensation packages for the CEO, Senior Managers, and listed physicians include opportunities to earn incentive compensation based on a combination of meeting or exceeding pre-determined goals. All incentive compensation is subject to review and approval by the compensation committee and has been reported on Schedule J, Part II, column B (ii).

Schedule J (Form 990) 2015

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Sturdy Memorial Hospital Inc

Employer identification number

04-2768252

Return Reference	Explanation
ORGANIZATION'S MISSION (CONTINUED)	FORM 990, PART III, LINE 1 THE HOSPITAL WORKS TO ENSURE THAT AMPLE, HIGH QUALITY PRIMARY AND SPECIALTY PHYSICIAN SERVICES ARE ACCESSIBLE TO AREA RESIDENTS. ADDITIONALLY, WE TRY TO AVOID COSTLY DUPLICATION OF HEALTH CARE SERVICES BY COORDINATING WITH OTHER AREA HEALTH CARE PROVIDERS TO THE EXTENT PRACTICABLE. THE HOSPITAL PROVIDES LEADERSHIP WHILE WORKING IN COOPERATION WITH PUBLIC AND PRIVATE HEALTH ORGANIZATIONS, AS WELL AS CIVIC AND BUSINESS ORGANIZATIONS, TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITIES. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) FORM 990, PART III, LINE 4A The Hospital provides high quality care to the sick and injured, on both an inpatient and outpatient basis, without regard to race, creed, national origin age, gender, disability, or ability to pay. In fiscal year 2016, the hospital provided 5,390 free care visits and 689 partial free care visits. The hospital treated 8,041 inpatients and observation patients, including births, of which there were 723. The hospital treated 49,729 patients in the emergency room during the year. The hospital performed surgery on 1,502 inpatients and 7,604 outpatients. The hospital provides many other services of which the following is a partial list: Oncology 7,492 visits; Mansfield Health Center - 24,298 visits; Cardiac Rehabilitation- 13,102 visits; and Wound Care - 4,416 visits; and cardiac Catheterizations - 94 procedures. In addition, the hospital provides a variety of ancillary services - a partial list includes: laboratory, radiology, mammography, computerized tomography, MRI, nuclear medicine, vascular, ultrasound, sleep study and physical therapy. The hospital provided $7,155,000 in services for those who could not pay (free care) or would not pay (bad debt) in fiscal year 2016. In addition, the hospital provided approximately $5,312,000 in un-reimbursed MassHealth (Medicaid) services during the year. Further, the hospital provides a number of programs to benefit our community either at no charge or at reduced rates. The hospital also provides leadership in the integration of health services for the communities it serves. Most recently the hospital assumed a leadership role in the newly formed Healthy Living Consortium, a Community Impact Consortium developed by the YMCA. The collective goal of this consortium and its members is to improve health outcomes for our community members in relation to barriers that prevent them from living a healthy lifestyle. EMPLOYEES REPORTED ON FORM W-3 Form 990, Part V, Line 2a Sturdy Memorial Hospital, inc. is the common paymaster for Sturdy Memorial Associates, inc. and Sturdy Memorial Foundation, Inc. The total number of employees listed on Part V, Line 2A includes only employees from the hospital of 1,613. The total number of employees on the Form W-3 is 2,080. VOTING RIGHTS OF GOVERNING BODY Form 990, Part VI, Section A, Line 1a The bylaws of Sturdy Memorial Hospital, Inc. state that "the Executive Committee shall have the power to transact all regular business of the Hospital during the interim between the meetings of the Board of Managers except for such matters as are specified in Section 55 of the [Massachusetts] General Laws, Chapter 156B." The Executive Committee consists only of members of the Board of Managers of Sturdy Memorial Hospital. BUSINESS RELATIONSHIPS WITH GOVERNING BODY Form 990, Part VI, Section A, Line 2 Joseph Casey, Dennis Kelly, Edward Dion and Patricia Cochrane have a business relationship.
Members or Stockholders	Form 990, Part VI, Section A, Line 6 Sturdy Memorial Foundation, Inc., a Massachusetts charitable corporation, acting through its Board of Directors, is the sole Member of the Sturdy Memorial Hospital inc. Members or Stockholders who may elect members of governing body Form 990, Part VI, Section A, Line 7a The Board of Managers of Sturdy Memorial Hospital, Inc. consists of those persons who serve as the Directors of Sturdy Memorial Foundation, Inc. Foundation Members are eligible to attend all meetings of the Corporation and to hold office. New Members are elected to membership by the existing Members for three year terms.
Form 990 Review Process	Form 990, Part VI, Section B, Line 11b The Form 990 is prepared by Sturdy Memorial's tax providers, Grant Thornton LLP, using information provided by management upon completion of the annual independent audit. The information provided is the responsibility of the CFO and the Sturdy Fiscal Services department. The return is reviewed by Grant Thornton LLP, the Controller and CFO, and compensation and benefit sections are specifically reviewed by the Vice President of Human Resources for Sturdy Memorial Hospital, Inc. The Form 990 is then presented to the audit committee for review and recommendation of approval. Prior to filing the Form 990 with the Internal Revenue Service, the complete form and all schedules are provided to every board member and any questions are answered.
Conflict of Interest Policy Monitoring and Enforcement	Form 990, Part VI, Section B, Line 12c Under the direction of the Integrity Officer, all Senior Leaderships, Managers and Supervisors as well as anyone with purchasing authority (including officers and key employees) must complete and sign an annual Conflict of Interest Disclosure Statement. The Statement requires disclosure of any outside interests in any business, outside activity, gifts, or entertainment that may have influenced the employee. In addition, the employee must disclose if they have shared any hospital information for their own personal advantage or if they had any knowledge of any integrity or ethical issues not previously reported. These signed statements are reviewed by the Integrity Officer and any potential conflicts are resolved. The Integrity Officer discusses disclosed conflicts with the reporter, so that reporter knows what business activities they cannot participate in (e.g. purchasing decisions, board votes, etc.). Any gifts received that create a conflict or are in violation of the Conflict of Interest Policy must be returned or paid for by the individual at fair market value. Conflicted individuals are not allowed to vote on areas related to their conflict or participate in other decisions surrounding the entity they have a conflict with. Annually a report is prepared and provided to the Board of Managers inclusive of any new conflicts. Article V, Section 12 of the Hospital by-laws requires Board members to disclose any potential conflict. Board members, officers and key employees must attest in writing each year, to any potential conflict. The conflict of interest statements are reviewed by the President and Chief Financial Officer and any potential conflicts are resolved. DOCUMENT RETENTION AND DESTRUCTION POLICY Form 990, Part VI, Section B, Line 14 During fiscal year 2016 Sturdy Memorial Hospital did not have a written document retention and destruction policy but does comply with Massachusetts law with respect to record retention requirements. For example, Massachusetts law requires that the hospital maintain its medical records for a minimum of 20 years. Where state law does not require retention limits, the hospital uses the "Business Records Retention Schedule" from the Office of the Federal Register and other relevant and reliable sources (such as attorney letters and recommendations from accounting firms). A formal policy has been drafted and is expected to be implemented in fiscal year 2017.
Process for determining compensation	Form 990, Part VI, Section B, Line 15 The CEO and senior managers, as well as all other hospital employees, are compensated on a merit system. The CEO and senior managers prepare goals at the start of each fiscal year and are evaluated for merit increases based on those goals and their accomplishments relative to the goals. The CEO's evaluation extends to his responsibilities as the Chief Executive of Sturdy Memorial Associates (an approximately sixty three physician multi-specialty group practice) as well as his responsibilities at the remaining affiliated corporations. The CEOs compensation is paid entirely by the hospital (there is no additional compensation from the related organizations). Several of the other senior managers have responsibilities that extend to the affiliated corporations and their compensation is paid entirely by the hospital as well (there is no additional compensation from related organizations). The CEO's accomplishments (relative to the established goals) are documented in an annual report which is submitted to the Chairman of the Board of Managers. The Board Chairman is provided with comparative market data, obtained through compensation surveys prepared by an independent consultant specializing in such matters. The comparative data is for similar hospitals in Massachusetts and is sent directly from the independent consultant to the Board Chairman. The data includes comprehensive salary and benefits information for CEOs and senior managers (key employees) including comparison of base pay, incentive pay, benefits and total compensation. In addition, the Chairman is provided with performance information for Massachusetts hospitals obtained through the Center for Health Information and Analysis. The Vice President of Human Resources provides the Chairman with the CEO's current actual salary and benefits. The Chairman of the Board of Managers provides the above information along with the annual report of the CEO's accomplishments (relative to established goals) and a history of the CEO's compensation to the Executive Committee, which serves as the Compensation Committee for this purpose. The Executive Committee reviews the comparative data for CEO base salary, bonus (incentive) and total compensation, along with the survey data for benefits. Based on the goals achieved and the comparative data provided, the Executive Committee votes to approve the salary, bonus, and benefits of the CEO. A summary of the discussion and the decision of the Executive Committee are reflected in the meeting minutes. The Chairman of the Board of Managers communicates the decision regarding compensation changes in a letter to the Vice President of Human Resources to execute the change. The CEO uses comparative market data, obtained from an independent consultant, for the hospital senior managers (key employees). The CEO compares the senior managers' current base salary and bonus (incentive pay) to the survey data. The senior managers' performance is evaluated based on the goals established at the start of the year. The CEO determines the base pay amount and bonus for each senior manager based on performance and the compensation survey. Base salary and bonus payments for each senior manager, including survey information, are reviewed with the Executive Committee by the CEO. The Executive Committee votes to accept the recommendations of the CEO except for the CFO, the Executive Committee votes to approve the CFO's compensation. PARTICIPATION IN JOINT VENTURE ARRANGEMENTS Form 990, Part VI, Section B, Line 16b The Hospital has a policy requiring evaluation of its participation in joint venture arrangements under applicable Federal and State Law, and Internal Revenue Service Form 990 instructions. The Hospital requires that any venture or arrangement with third parties not engage in any activities that would jeopardize the Hospital's exemption, such as political activities, substantial lobbying, private inurement or substantial nonexempt activities. The Hospital shall maintain control, prioritize its exempt purposes, enter contracts at arms-length, require transparent reporting, and ensure any venture comply with Internal Revenue Code Section 501(r). The Hospital's management shall negotiate any ventures or arrangements with the assistance of legal counsel, if necessary, and the Hospital's Board of Managers approves any venture or arrangement. The Hospital currently participates in several ventures, all related to health care operations.
How Documents are made available to the public	Form 990, Part VI, Section C, Line 19 The Hospital makes available copies of its by-laws, conflict of interest policy, and financial statements to the general public upon request.
Other Changes in Net assets	Form 990, Part XI, Line 9 Pension and other postretirement benefit adjustment (17,045,000) Net assets released for capital purposes 115,000 Transfer from Affiliates 3,496 Transfer to affiliate (830,000) Net assets released from restrictions (5,809) ------------- Total (17,762,313)

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Sturdy Memorial Hospital Inc

Employer identification number

04-2768252

Part I

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

(a) Name, address, and EIN (if applicable) 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 entity?
(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)Sturdy Memorial Associates Inc 211 Park Street PO Box 2963 Attleboro,MA02703 04-2709501	Physicians	MA	501(c)(3)	11-TYPE II	SMF		No
(2)Sturdy Memorial Foundation Inc 212 Park Street PO Box 2963 Attleboro,MA02703 04-2103631	Development	MA	501(c)(3)	11-TYPE II	NA		No
(3)Emory Street Radiology Associates Inc 213 Park Street PO Box 2963 Attleboro,MA02703 04-3137282	Radiology	MA	501(c)(3)	11-TYPE II	SMH	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

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 V-UBI 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 V-UBI 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) SHV Inc 127 Pearl Street Attleboro,MA02703 04-2855097	SALES AND RENTAL	MA	SMF	C Corp				No

Schedule R (Form 990) 2015

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

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

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

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

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

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

Yes

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

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2015

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

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

Related Tax-Exempt Organizations

Schedule R, Part II Sturdy Memorial Associates, Inc.'s primary activities: Recruit physicians to expand and improve the availability of quality medical care in the Sturdy Memorial Hospital service area. Sturdy Memorial Foundation, Inc.'s primary activities: Engaging in philanthrophic activities to support the mission and purpose of sturdy memorial hospital, inc. Emory Street Radiology Associates Inc.'s primary activities: Provided radiology service - Operations have been suspended as of June 1998.

Related Organization Taxable as a Corporation

Schedule R, Part IV SHV Inc., which does business under the trade name Attleboro Area Medical Equipment Co, is a for-profit corporation actively engaged in the sale and rental of medical equipment and accessories in the Greater Attleboro Area. The company extends credit to its customers and is paid directly or by private insurance.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: providing safe, high quality, cost-efficient health care, and the broadest range of diagnostic, inpatient, outpatient and emergency services for a community hospital.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	1,613
6	Total number of volunteers (estimate if necessary) .............	6	494
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	65,247
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	902

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	74,901	27,163
9	Program service revenue (Part VIII, line 2g) .........	164,434,853	169,927,549
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,074,672	8,430,612
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	171,584,426	178,385,324
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	27,000	48,500
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	101,783,068	103,307,568
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–24e)....	52,671,807	55,945,030
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	154,481,875	159,301,098
19	Revenue less expenses. Subtract line 18 from line 12.......	17,102,551	19,084,226
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	364,918,137	386,969,920
21	Total liabilities (Part X, line 26).............	31,591,532	37,933,988
22	Net assets or fund balances. Subtract line 21 from line 20.....	333,326,605	349,035,932

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 138,102,727 including grants of $ 48,500 ) (Revenue $ 169,927,549 )
	Sturdy Memorial Hospital, Inc. is a not-for-profit acute care community hospital which is dedicated to providing a broad range of health care services to the residents of Attleboro, Massachusetts and surrounding communities. The Hospital generates virtually all of its revenues in pursuit of its exempt purposes, which is to provide comprehensive diagnostic, therapeutic, and educational health care services to residents of its communities. (CONTINUED ON Schedule O)

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses138,102,727

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)				(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) Joseph Casey........................................................................ Treasurer & CFO	37.0 .......................2.0	X			550,541	0	65,445
(19) Brian Kelly MD........................................................................ VP/Chief of ER & Ambulatory	45.0 .......................2.0		X		485,196	0	62,262
(20) Cheryl Barrows........................................................................ VP of Human Resources	32.0 .......................8.0		X		225,597	0	57,357
(21) Lisa McCluskie........................................................................ VP of Marketing & Planning	35.0 .......................5.0		X		219,828	0	77,973
(22) Marita Prater........................................................................ VP of Patient Services	45.0 .......................0.0		X		233,439	0	67,738
(23) Robin Morris........................................................................ VP of Clinical Services	45.0 .......................0.0		X		214,980	0	42,146
(24) Peter Fischer MD........................................................................ Physician	40.0 .......................0.0			X	326,859	0	51,525
(25) Brian Patel MD........................................................................ Physician	40.0 .......................0.0			X	396,899	0	39,180
(26) Mark McGuire MD........................................................................ Physician	40.0 .......................0.0			X	346,455	0	44,083
(27) Christopher Roloff MD........................................................................ Physician	40.0 .......................0.0			X	297,516	0	44,704
(28) Daniel Han MD........................................................................ Physician	40.0 .......................0.0			X	308,908	0	27,455

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,390,500	0	659,232

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	27,163

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		27,163

		Business Code
2a	NET PATIENT SERVICE REVENUE	621400	167,447,861	167,447,861
b	PATIENT RELATED REVENUE, OTHER	621990	339,414	339,414
c	RADIATION THERAPY	621990	306,754	306,754
d	CAFETERIA SALES	722514	894,085	894,085
e	REBATES, REFUNDS AND DISCOUNTS	621990	507,985	507,985
f	All other program service revenue.			431,450	370,051	61,399
g Total.Add lines 2a–2f.....			169,927,549

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			5,466,570		3,848	5,462,722
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		115,027,123
b	Less: cost or other basis and sales expenses		112,063,081
c	Gain or (loss)		2,964,042
d	Net gain or (loss).....			2,964,042			2,964,042
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
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			178,385,324	169,866,150	65,247	8,426,764

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	48,500	48,500
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. 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 ....	3,530,248	1,154,297	2,375,951
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	2,126		2,126
7	Other salaries and wages	77,801,100	69,895,572	7,905,528
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,980,006	3,420,299	559,707
9	Other employee benefits .......	12,171,685	10,459,985	1,711,700
10	Payroll taxes ...........	5,822,403	5,045,725	776,678
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	233,614		233,614
c	Accounting ...........	237,350		237,350
d	Lobbying ...........	112,618	112,618
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	697,635		697,635
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	7,641,761	6,479,047	1,162,714
12	Advertising and promotion ....	303,670	238,189	65,481
13	Office expenses .......	4,546,221	3,204,887	1,341,334
14	Information technology ......	2,184,914	1,746,945	437,969
15	Royalties ..	0
16	Occupancy ...........	2,804,166	2,031,081	773,085
17	Travel ............	60,174	26,161	34,013
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	141,087	87,364	53,723
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	8,548,483	6,480,605	2,067,878
23	Insurance ...	1,262,434	1,068,317	194,117
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	24,182,990	24,182,990
b	MAINTENANCE & REPAIRS	2,385,647	2,235,559	150,088
c	ALL OTHER EXPENSES	602,266	184,586	417,680
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	159,301,098	138,102,727	21,198,371	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			383,428	1	908,633
2	Savings and temporary cash investments .........			10,661,297	2	14,121,501
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			15,479,279	4	15,277,502
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			3,279,750	8	3,608,333
9	Prepaid expenses and deferred charges ......			11,180,592	9	2,997,470
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	190,830,935
b	Less: accumulated depreciation	10b	135,167,725	55,131,260	10c	55,663,210
11	Investments—publicly traded securities .			255,291,841	11	276,791,383
12	Investments—other securities. See Part IV, line 11 .....			6,408,126	12	7,745,562
13	Investments—program-related. See Part IV, line 11 ..			972,027	13	718,728
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			6,130,537	15	9,137,598
16	Total assets. Add lines 1 through 15 (must equal line 34)...			364,918,137	16	386,969,920

17	Accounts payable and accrued expenses .....	25,428,607	17	24,875,322
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	22,953
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	6,162,925	25	13,035,713
26	Total liabilities. Add lines 17 through 25..	31,591,532	26	37,933,988

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	333,290,115	27	349,001,755
28	Temporarily restricted net assets ...........	36,490	28	34,177
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	333,326,605	33	349,035,932
34	Total liabilities and net assets/fund balances ........	364,918,137	34	386,969,920