View data for this organization below, or select additional hospitals to create a comparison view.
Compare tax-exempt hospitals
Search tax-exempt hospitals
for comparison purposes.
Milford Regional Medical Center Inc
Milford Regional Medical Center Inc
14 Prospect StreetMilford, MA 01757
| Bed count | 121 | Medicare provider number | 220090 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
EIN: 042103602
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
11.91%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 272,941,906 Total amount spent on community benefits as % of operating expenses$ 32,494,431 11.91 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 5,824,043 2.13 %Medicaid as % of operating expenses$ 9,969,158 3.65 %Costs of other means-tested government programs as % of operating expenses$ 2,125,166 0.78 %Health professions education as % of operating expenses$ 1,318,274 0.48 %Subsidized health services as % of operating expenses$ 13,199,678 4.84 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 58,112 0.02 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 3,211,618 1.18 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 674,886 21.01 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 237142558 including grants of $ 0) (Revenue $ 273045157) Quality patient care is the hallmark of Milford Regional Medical Center. Part of that quality care involves assuring our patients that the hospital continues to meet and/or exceed healthcare standards. Accordingly, in 2022, The Joint Commission granted Milford Regional its re-accreditation. During the first two months of 2022, Milford Regional was once again focused on testing and treatment of COVID-19. The hospital's focus then widened from that singular mission to enhancing patient care in several new ways, including strengthening our surgical technology, opening a new, 10,000 square foot orthopedics & sports medicine facility, opening a newly constructed tandem dialysis suite within the hospital and upgrading the Hematology Department's laboratory. The Joint Commission, the nation's oldest and largest standards-setting and accrediting body in healthcare, visits hospitals across the country approximately every three years to assure that healthcare standards are being met or exceeded. The Joint Commission conducted an intense four-day visit and one-day follow-up visit to Milford Regional in 2022 and granted accreditation. The Joint Commission shined a light on both the level of and manner in which Milford Regional delivers care. As our community began 2022, the Omicron variant of COVID-19 caused another spike in cases. Milford Regional provided Drive--thru Testing from January 10 to February 23 to help contain the spread in the community and provide access to early treatment. The Milford Regional team performed 2,423 COVID tests for the community and the laboratory performed an additional 191 tests for Employee Health, bringing the total test volume to 2,614 during that time period. To help meet the growing demand for surgical services, Milford Regional added two more da Vinci XiTM Robotic systems in 2022. The da Vinci XiTM robotic system allows a surgeon to sit at a nearby console to view 3D images of the surgical site and maneuver the arms of the robotic instruments inside the body of the patient. The two additional systems are helping Milford Regional expand its minimally invasive surgical procedures while also providing optimal outcomes for patients. Milford Regional opened a newly constructed tandem dialysis suite within the Gannett inpatient unit. This allows Fresenius, the Medical Center's partner for dialysis care, to provide dialysis treatment to two patients at one time. This timely delivery of care helps avoid delays, benefiting a growing list of dialysis patients.In spring 2022, the Milford Regional Orthopedics & Sports Medicine Center opened. This 10,000-square-foot facility is a short distance from the main hospital campus in Milford. The highly credentialed and experienced team of nine providers offer orthopedic and sports medicine care for adults and children including evaluation and treatment for conditions of the musculoskeletal system, extremities, joints, muscles, tendons and ligaments. This center offers innovative treatment plans as well, including Platelet-Rich Plasma Injections (PRP) and consultations on Relative Energy Deficiency in Sport (RED-S). PRP uses a patient's own blood plasma to treat chronic injuries and pain, which eliminates the risk of side effects or reaction. RED-S is a condition of energy imbalance in athletes in which the body will steal fuel from other sources. Milford Regional's Laboratory placed hematology analyzers into service in 2022. The new analyzers introduce the most advanced technology and automation, enhancing the quality of care provided to patients. The entire Hematology Department is now automated, affording a more streamlined workflow for receiving and testing specimens. This improves consistency and reduces turn-around times on differential counts. The technology has also allowed for physical consolidation, which provides laboratory space for new methods and technologies in other departments.
-
Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
Schedule H, Part V, Section B, Line 5-Milford Regional Medical Center Inc "For Fiscal Year 2022, the Community Benefits Leadership Team and Advisory Committee focused primarily on the priority of Mental Health and Substance Use through the implementation of the Youth Mental Health Summit, ""Partners in Care: Clinical & Community Solutions to Address Youth Mental Health."" The event was held on Wednesday, October 12 at Milford Regional Medical Center. Four panelists agreed to speak and answer pre-approved questions, which were asked by Moderator Bert Thurlo-Walsh, Chief Quality Officer and Vice President of Milford Regional Medical Center. The panelists included Milford Regional Physician Group Pediatrician Dr. Mary Lyons, New England Chapel Youth Director Josh Porizky, SHINE Initiative Executive Director Fred Kaelin, and Clinical Supervisor and Bilingual Clinician for Wayside Youth and Family Services Nanci Coelho. Individuals from various fields were invited to attend the free event, including youth pastors, public safety officials, school representatives, and licensed therapists. The summit presented attendees with two opportunities: 1) The chance to hear and ask questions related to each panelist's experiences, successes, and struggles in helping youth suffering from mental health issues and 2) The ability to network and share resources with one another to help with this common area of focus. Two future initiatives came out of the Q&A and networking discussion, including a program to help educate parents to recognize the early signs of mental health issues. Another program that is slated for this spring will discuss the need to create additional resources in an effort to treat more youth at home due to the lack of psychiatric beds available. In addition to Mental Health and Substance Abuse, our community benefits programs for the next two years will focus on the three additional priority areas identified in the Community Health Needs Assessment: * Health Care/Health Insurance Access * Improving Health Outcomes in Worcester County * Food Insecurity and Homelessness. Milford Regional's Community Benefits Leadership Team is comprised of hospital administration and staff, and the Community Benefits Advisory Committee is a group of dedicated community representatives. The two work together to develop and implement programming that impacts residents of all ages in Milford Regional's service region."
Schedule H, Part V, Section B, Line 11-Milford Regional Medical Center Inc Our community benefits programs for the next three years will focus on four priority areas identified in the Community Health Needs Assessment: * Mental Health and Substance Use * Health Care/Health Insurance Access * Improving Health Outcomes in Worcester County * Food Insecurity and Homelessness. Our Community Benefits Leadership Team is comprised of hospital administration and staff, and the Community Benefits Advisory Committee is a group of dedicated community representatives. The two work together to not only develop but deploy the programming that impacts residents of all ages in our region.
Schedule H, Part V, Section B, Line 13h-Milford Regional Medical Center Inc Asset level is used for Medicare patients only. This follows Medicare guidelines.
Schedule H, Part V, Section B, Line 20d-Milford Regional Medical Center Inc Milford Regional Medical Center does not make presumptive determinations. The Hospital as a facility does not deny care to any patients regardless of their MAGI.
Schedule H, Part V, Section B, Line 24-Milford Regional Medical Center Inc At the Hospital, all patients are charged the gross charges for any services. Upon contract from an uninsured patient, a discussion occurs which may result in the discounting of gross charges.
-
Supplemental Information
Schedule H (Form 990) Part VI
Schedule H, Part I, Line 7 Line 7 a/b/c were calculated using worksheets 1,2,3 provided in the instructions.
Schedule H, Part I, Line 7, Column f Line 7f was determined by the cost and reimbursement information on the Medicare Cost Report. It was calculated by dividing Column E, Net Community Benefit Expense, by total of Part IX Line 25 Form 990 Core Form.
Schedule H, Part III, Section A, Line 2 The Hospital's bad debt expense was estimated as the product of the Hospital's bad debt multiplied by the Hospital's overall cost-to-charge ratio calculated on Worksheet 2 of the instructions.
Schedule H, Part III, Section A, Line 3 Bad debt expense attributable to patients eligible for financial assistance was calculated as the accounts for which patients were unemployed at the time multiplied by the Hospital's overall cost-to-charge ratio.
Schedule H, Part III, Section A, Line 4 Worksheet A in the instructions was used by taking bad debt as reported in the Hospital's audited financial statements multiplied by the cost-to-charge ratio calculated in Worksheet 2 in the instructions.
Schedule H, Part III, Section B, Line 8 The Hospital's Medicare Cost Report was used to determine the amount reported in line 6.
Schedule H, Part III, Section C, Line 9b Once it has been determined that a patient qualified for full or partial free care, all collection procedures cease for the full balance or amount that qualified under partial free care. Massachusetts hospitals are required to adopt a credit and collections policy under the Health Safety Net (HSN) regulations (114.6 CMR 13.08 (1) (c)) that outlines the specific process for determining eligibility for public assistance programs and hospital collection practices.
Schedule H, Part VI, Line 2 Milford Regional stays current with studies by other agencies, particularly the MetroWest Adolescent Health survey conducted by the MetroWest Health Foundation and state and local data. The Office of Community Benefits is actively engaged with the Community Health Network Area (CHNA) and other community collections/committees focusing on substance abuse, access to services, interpersonal violence prevention, cancer prevention and nutrition/physician activity/wellness to address emerging health needs.
Schedule H, Part VI, Line 3 Patients are informed of the availability of financial assistance by way of payment statements printed with financial assistance information. If uninsured patients are not able to meet with the on-site Financial Counselor, the patients are given or mailed a letter with contact information for our financial assistance department.
Schedule H, Part VI, Line 4 Milford Regional Medical Center services the healthcare needs of the residents of 18 communities in Central Massachusetts, spanning 3 separate counties: Worcester, Norfolk, and Middlesex. The Hospital's service area consists of Milford, Franklin, Bellingham, Northbridge, Uxbridge, Grafton, Holliston, Norfolk, Hopedale, Blackstone, Medway, Mendon, Douglas, Hopkinton, Millis, Wrentham, Upton, Millville, a population of 247,388 according to the 2020 US Census data. The population of the MRMC service area has grown almost 2.5% over the past decade. The residents of this region are primarily Caucasian, accounting for 89.4% of the population. Hispanics comprise 4.8% of the population, with Asians at 3.4% and Blacks at 2.3%. The population is nearly even in terms of gender with 50.4% females. The bulk of the adult population (73.2%) is between the ages of 20-70, slightly lower than the state percentage, which is 76.8%.
