Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MILFORD REGIONAL MEDICAL CENTER INC
 
Employer identification number
04-2103602
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A Massachusetts Health & Education Facilities Authority
 
04-2456011 57586CXJ9 02-21-2007 70,279,953 See Supplemental Information   X   X   X
B Massachusetts Devolopment Finance Agency
 
04-3431814 57583UC48 01-29-2014 45,825,887 See Supplemental Information   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired ................. 5,140,000 0    
2 Amount of bonds legally defeased ........... 0 0    
3 Total proceeds of issue .................. 70,279,953 45,825,887    
4 Gross proceeds in reserve funds ............ 2,664,107 1,747,073    
5 Capitalized interest from proceeds ............ 1,509,967 2,743,850    
6 Proceeds in refunding escrows ............ 30,555,914 12,282,441    
7 Issuance costs from proceeds ............ 823,473 772,110    
8 Credit enhancement from proceeds ............ 0 0    
9 Working capital expenditures from proceeds ............ 0 0    
10 Capital expenditures from proceeds ............ 34,726,491 7,313,785    
11 Other spent proceeds ............ 0 0    
12 Other unspent proceeds ............ 0 21,013,222    
13 Year of substantial completion ............
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .....   X   X        
15 Were the bonds issued as part of an advance refunding issue? .... X   X          
16 Has the final allocation of proceeds been made? ............ X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ............ X   X          


Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .......   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? ........ X   X          
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
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Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............ X   X          
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X          
c Are there any research agreements that may result in private business use of bond-financed property? ..................   X   X        
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ..... SchKMediumBullet 1.8 % 0 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ..........SchKMediumBullet 0 %      
6 Total of lines 4 and 5 ............ 1.8 % 0 %    
7 Does the bond issue meet the private security or payment test? .... X   X          
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............   X   X        
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? .......
  X   X        
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? .....   X   X        
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .....   X   X        
b Exception to rebate? .....   X   X        
c No rebate due? ....... X   X          
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? ....   X   X        
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X        
b Name of provider .....  
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? .....                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2013
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Schedule K (Form 990) 2013
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Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X        
b Name of provider ........  
 
 
 
 
 
 
 
c Term of GIC ........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ......                
6 Were any gross proceeds invested beyond an available temporary period?   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? ..... X   X          
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X          
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part I, Column f-02/21/2007 70,279,953 Massachusetts Health & Education Facilities Autho The proceeds from the sale of the Series E Bonds and certain other available moneys will be used to finance and refinance the following: (i) construction, furnishing and equipping of an approximately 54,013 square foot building to be known as the Cancer Center (the "Cancer Center") and expansion of an existing parking lot, (ii) demolition of certain existing structures on the site of the Cancer Center, (iii) renovation, construction, furnishing, expansion and equipping of the Institution's cardiac catheterization lab, operating room area, cardiovascular department and its Gannett Inpatient Unit, (iv) various improvements, equipment and furnishings at the Institution's facilities in Milford Massachusetts and Whitinsville Massachusetts, (v) the advance refunding of the Authority's Milford Whitinsville Regional Hospital Issue, Series D, dated June 15, 2002 (the "Refunded Bonds"), (vi) the funding of a Debt Service Reserve Fund for the Series E Bonds, and (vii) the payment of costs of issuance associated with the Series E Bonds.
Schedule K, Part I, Column f-01/29/2014 45,825,887 Massachusetts Devolopment Finance Agency The proceeds from the sale of the Series F Bonds and certain other available moneys will be used to finance and refinance the following: (i) the construction, furnishing and equipping of, and site preparation for, a two-story addition to the Institution's main hospital building, (ii) the refunding of the Massachusetts Health and Educational Facilities Authority Revenue Bonds, Milford Whitinsville Regional Hospital Issue, Series C (the "Refunded Bonds") currently outstanding in the aggregate principal amount of $12,205,000, (iii) the funding of a Debt Service Reserve Fund for the Series F Bonds, and (iv) the payment of costs of issuance associated with the Series F Bonds (collectively, the "Project'). The Refunded Bonds are expected to be redeemed approximately thirty-five (35) days following the issuance of the Series F Bonds at a redemption price equal to 100% of the principal amount thereof.
Schedule K, Part IV, Line 2c-02/21/2007 70,279,953 Massachusetts Health & Education Facilities Autho The rebate calculation has been performed annually in July of each year
Schedule K, Part IV, Line 2c-01/29/2014 45,825,887 Massachusetts Devolopment Finance Agency Calculation is performed annually in July
Schedule K (Form 990) 2013

Additional Data


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