2017-11-13T12:29:11-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2016-01-01 201897201 THE BOSTONIAN FOUNDATION INC C/O BANE CARE MANAGEMENT BOST 5089918600 107 AUDUBON ROAD STE 2 WAKEFIELD MA 01880 A JASON GEISINGER PRESIDENT 5089918600 2017-11-10 1 JUDY DALEY P01294075 6179848100 2017-11-09 67.137.57.251 2017-11-10 12:15:29 ES P 499B49BEE9E95068E93680D69C996EB6A62D8814 93D0633D7DD0F7E5534B72EAFB5186FE6392AF4A 2016 2017-02-10 21:41:12Z A JASON GEISINGER 107 AUDUBON ROAD STE 2 WAKEFIELD MA 01880 802395 0 X N/A X 2004 MA THE BOSTONIAN FOUNDATION, INC. IS A MASSACHUSETTS NOT-FOR-PROFIT CHARITABLE CORPORATION THAT PROVIDES SUPPORTING SERVICES TO A RELATED ORGANIZATION THROUGH OWNING AND LEASING A 121-BED NURSING FACILITY KNOWN AS THE BOSTONIAN NURSING AND REHABILITATION CENTER TO METRO HEALTH FOUNDATION MASSACHUSETTS, INC., A GEORGIA NOT-FOR-PROFIT CHARITABLE CORPORATION. 7 3 0 3 0 0 0 0 817377 801417 2339 978 0 0 819716 802395 0 0 0 0 0 0 0 0 0 837672 861433 837672 861433 -17956 -59038 7713087 7268344 10563134 10089794 -2850047 -2821450 X THE BOSTONIAN FOUNDATION, INC. IS A MASSACHUSETTS NOT-FOR-PROFIT CHARITABLE CORPORATION THAT PROVIDES SUPPORTING SERVICES TO A RELATED ORGANIZATION THROUGH OWNING AND LEASING A 121-BED NURSING FACILITY KNOWN AS THE BOSTONIAN NURSING AND REHABILITATION CENTER TO METRO HEALTH FOUNDATION MASSACHUSETTS, INC., A GEORGIA NOT-FOR-PROFIT CHARITABLE CORPORATION. 0 0 843299 801417 LEASING SERVICES - OWNS AND LEASES A 121-BED RELATED NON-PROFIT NURSING FACILITY KNOWN AS THE BOSTONIAN NURSING AND REHABILITATION CENTER TO METRO HEALTH FOUNDATION MASSACHUSETTS, INC. 843299 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 3 1 1 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 MA X BOB DIFRANCESCO 7819358505 107 AUDUBON ROAD STE 2 WAKEFIELD MA 01880 A JASON GEISINGER PRESIDENT 30.00 10.00 X X 0 204000 8488 JONATHAN NEAGEL TREASURER 8.00 2.00 X X 0 25000 0 SAVINO MAGALETTA SECRETARY 1.00 2.00 X X 0 28542 377 NANCY GEISINGER MEMBER 30.00 10.00 X 0 50700 5719 STEVE COHEN MEMBER 1.00 2.00 X 0 0 0 WALTER OHANIAN MEMBER 1.00 2.00 X 0 0 0 MARYANNE PEABODY MEMBER 1.00 2.00 X 0 0 0 0 308242 14584 0 0 1 0 INVACARE CONTINUING CARE 3524 SOLUTIONS CENTER CHICAGO IL 60677 FURNITURE 176024 SHUMAN ASSOC 215 EXCHANGE STREET MILLIS MA 02054 INTERIOR DESIGN 147495 ACCUTEMP ENGINEERING 108 SCHOOL STREET WATERTOWN MA 02472 HVAC 120900 RAINTECH SOUND AND COMMUNICATION INC 250 SHELDONG ROAD MANCHESTER CT 06042 NURSING CALL SYS, TVS, WANDERGUARD 116353 DAVID DUNLOP & ASSOC 105 WEBSTER STREET HANOVER MA 02339 ARCHITECT 102822 5 LEASE REVENUE NURSING HOMES 531110 801417 801417 801417 978 978 802395 801417 0 978 13893 13893 4241 4241 21060 21060 340046 340046 362858 362858 119335 119335 861433 843299 18134 0 31091 2482 81600 78230 12115738 5738392 5765624 6377346 1834772 810286 7713087 7268344 322542 161232 10240592 9928562 10563134 10089794 X -2850047 -2821450 -2850047 -2821450 7713087 7268344 X -59038 -2 87637 X 0 1 X 1 1 1 X X 1 METRO HEALTH FOUNDATION OF MASSACHUSETTS INC 582211053 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 60382 60382 10639561 4776944 5862617 1415795 961448 454347 6377346 CONSTRUCTION IN PROGRESS 234504 HUD ESCROWS 575782 810286 X 802395 0 802395 0 802395 861433 0 861433 0 861433 PART X, LINE 2: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES BECAUSE THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. 0 0 0 0 0 0 0 0 0 A JASON GEISINGER PRESIDENT 0 204000 0 0 0 0 0 0 0 8488 0 212488 0 0 PART I, LINE 3 THE PRESIDENT'S COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION, METRO HEALTH FOUNDATION OF MASSACHUSETTS, INC. THROUGH THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 A. JASON GEISINGER, PRESIDENT, AND NANCY GEISINGER, MEMBER, HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE SUPERVISION OF OFFICERS, DIRECTORS, OR KEY EMPLOYEES TO BANE CARE MANAGEMENT. DUTIES INCLUDE SUPERVISING PERSONNEL AND PLANNING AND EXECUTING FINANCIAL OPERATIONS. NO CURRENT OR FORMER OFFICERS/EMPLOYEES OF THE ORGANIZATION WORK FOR THE MANAGEMENT COMPANY. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS METRO HEALTH FOUNDATION OF MASSACHUSETTS, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF METRO HEALTH FOUNDATION OF MASSACHUSETTS, INC. SHALL AUTOMATICALLY AND SIMULTANEOUSLY SERVE AS THE BOARD OF DIRECTORS OF THE BOSTONIAN FOUNDATION, INC. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING WITH THE IRS, A COMPLETE COPY OF THE FORM 990 IS PRESENTED AND REVIEWED BY THE CFO AND MEMBERS OF THE GOVERNING BODY FOR FINAL REVIEW. UPON FINAL REVIEW AND APPROVAL BY THE MEMBERS OF THE GOVERNING BODY, THE FORM 990 IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT'S COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION, METRO HEALTH FOUNDATION OF MASSACHUSETTS, INC. THROUGH THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM OPERATOR 87,637. 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