2016-07-08T08:55:52-05:00 2015-12-31 010494526 BAKER NEWMAN & NOYES LLC 650 ELM STREET SUITE 302 MANCHESTER NH 03101 990 2015-01-01 043239593 YOUVILLE HOUSE INC YOUV 6174911234 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 NICOLE BRESLIN CHIEF EXECUTIVE OFFICER 6174911234 2016-06-30 E DREW CHENEY P00182972 8002447444 2016-06-30 2015 2016-09-27 15:27:22Z NICOLE BRESLIN 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 6560024 0 X YOUVILLEASSISTEDLIVING.ORG X 1997 MA WE ARE A COMMUNITY OF HOPE INSPIRED BY THE LIFE AND WORK OF SAINT MARGUERITE D'YOUVILE. IN HER SPIRIT WE COMMIT OURSELVES TO EXCELLENCE, RESPECT AND COMPASSION FOR ALL WE SERVE AND FOR ONE ANOTHER. 9 7 105 0 0 0 1404 2675 6305003 6420815 155234 136534 0 0 6461641 6560024 0 0 0 0 2980357 3091577 0 0 0 2443704 2644791 5424061 5736368 1037580 823656 26907193 27062744 12337286 12001572 14569907 15061172 WE ARE A COMMUNITY OF HOPE INSPIRED BY THE LIFE AND WORK OF SAINT MARGUERITE D'YOUVILLE. IN HER SPIRIT WE COMMIT OURSELVES TO EXCELLENCE, RESPECT AND COMPASSION FOR ALL WE SERVE FOR ONE ANOTHER. 0 0 5665340 6420815 THE ORGANIZATION PROVIDED 33,913 DAYS OF RESIDENTIAL ASSISTED LIVING SERVICES TO THE ELDERLY FROM ALL ECONOMIC, RELIGIOUS AND ETHNIC BACKGROUNDS YOUVILLE HOUSE FOLLOWS THE METHODOLOGY THAT IS RECOMMENDED BY THE CATHOLIC HEALTH ASSOCIATION FOR CALCULATING THE COST OF SUPPORT FOR THE BROADER COMMUNITY. IN THE METHODOLOGY, THE COST OF PROVIDING SERVICES IS REDUCED BY PAYMENTS RECEIVED FOR SERVICES RESULTING IN A NET COST. IT IS THE NET COST OF PROGRAMS DIRECTED TO THE NEEDY COMPARED TO THE ACTUAL REIMBURSEMENT FOR THOSE SERVICES. YOUVILLE HOUSE HAD A TOTAL COMMUNITY BENEFIT OF $312,596, OF WHICH $249,641 WERE RENTS SUBSIDIZED BY THE ORGANIZATION. THIS IS 4.35% OF OPERATING EXPENSES FOR THE YEAR OF THIS RETURN. 5665340 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 22 0 1 105 1 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X NICOLE BRESLIN CHIEF EXECUTIVE OFFICER 6174911234 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 MICHAEL MCHUGHESQ CHAIR 3.00 X X 0 0 0 H WILLIAM ADAMS TREASURER/CLERK 1.00 X X 0 0 0 THOMAS GIBSON DIRECTOR 1.00 X 0 0 0 KENNETH FERRON DIRECTOR 1.00 39.00 X 0 311160 122488 JOSEPH CONNARTON DIRECTOR 1.00 X 0 0 0 CAROL FLYNN DIRECTOR 1.00 X 0 0 0 JOANNE C PARSONS PRESIDENT/CEO THRU 12/2015 20.00 20.00 X X 197586 0 15702 LESLEY ADKISON DIRECTOR 1.00 X 0 0 0 MARY LYNNE HEDLEY DIRECTOR 1.00 X 0 0 0 NICOLE BRESLIN BEG 122015 PRESIDENT/CEO 20.00 20.00 X X 7402 0 675 JOANNE SCIANNA CHIEF OPERATING OFFICER 20.00 20.00 X 0 124291 14776 JOHN COONEY SR. DIRECTOR OF FINANCE 20.00 20.00 X 105365 0 31310 310353 435451 184951 2 0 1 0 SPAULDING HOSPITAL CAMBRIDGE 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 UTILITY SERVICES 165588 1 2675 2675 RESIDENT ROOM & BOARD 623000 6209071 6209071 OTHER RESIDENT SERVICE 623000 211744 211744 6420815 136534 136534 6560024 6420815 0 136534 175086 175086 2316164 2316164 82730 82730 319024 319024 198573 198573 65028 65028 6000 6000 43354 43354 97388 97388 330830 330830 5646 5646 428357 428357 633340 633340 57382 57382 OPERATING SUPPLIES 732451 732451 PURCHASE SERVICES 199384 199384 ALL OTHER MISCELLANEOUS 45631 45631 5736368 5665340 71028 0 X 853078 432291 20826 43110 37979 64287 18145916 7030912 11466896 11115004 2731273 3442601 11797141 11965451 26907193 27062744 753514 653101 10630000 10450203 953772 898268 12337286 12001572 X 11138286 11833215 2842935 2639271 588686 588686 14569907 15061172 26907193 27062744 X 823656 -278536 -53855 X X 0 1 X 1 0 X 3960 7110 2856 1404 2675 18005 5994617 6149513 6211707 6305003 6420815 31081655 5998577 6156623 6214563 6306407 6423490 31099660 0 0 0 31099660 308376 214647 126970 155234 136534 941761 308376 214647 126970 155234 136534 941761 6306953 6371270 6341533 6461641 6560024 32041421 0.97060 0.97160 0.02940 0.02840 X 3431621 -203634 3227957 3469700 -38080 3431621 2666368 803332 3469700 2847139 -180771 2666368 3034785 -187646 2847139 0.18240 0.81760 0 0 17274172 6377431 10896741 830569 653481 177088 41175 41175 11115004 OTHER SECURITIES 3442601 C 3442601 DUE FROM AFFILIATES 643042 DEBT SERVICE SINKING FUND 37508 RESIDENT SECURITY DEPOSITS 469577 DEBT SERVICE INTEREST FUND 222706 BOARD DESIGNATED FUND 7354482 DONOR RESTRICTED FUNDS 3227957 ESCROW - ELEVATOR 10179 11965451 ORIGINAL BOND ISSUE DISCOUNT 78892 RESIDENT SECURITY DEPOSIT AND INTEREST 469577 DUE TO AFFILIATES 105565 DEFERRED REVENUE 244234 898268 X PART V, LINE 4: FUNDS ARE USED TO ASSIST RESIDENTS WHO HAVE DEPLETED THEIR AVAILABLE RESOURCES OR ARE OTHERWISE UNABLE TO PAY FOR SUCH SERVICES. PART X, LINE 2: COVENANT AND ITS MEMBER ORGANIZATIONS ARE CONSIDERED NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT AS NOTED BELOW. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD, ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. THE SYSTEM HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE SYSTEM HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2015. UNDER INTERNAL REVENUE SERVICE REGULATIONS, THE SYSTEM'S TAX YEARS FROM 2012 THROUGH 2015 ARE OPEN AND SUBJECT TO EXAMINATION. 1 X X X X 0 0 0 0 0 0 0 1 0 KENNETH FERRON DIRECTOR 0 311160 0 0 0 0 0 90295 0 32193 0 433648 0 0 JOANNE C PARSONS PRESIDENT/CEO THRU 12/2015 152586 0 45000 0 0 0 4443 0 11259 0 213288 0 0 0 PART I, LINE 3 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003 THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THE ANALYSIS ARE TO ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTICE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. PART I, LINE 7 IN CONJUCTION WITH ITS SOLE MEMBER, COVENANT HEALTH,INC., THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PLAN FOR EXECUTIVES THAT IS ADMINISTERED BY COVENANT HEALTH'S COMPENSATION COMMITTEE. THE PLAN PROVIDES EXECUTIVES WITH THE OPPORTUNITY TO EARN REASONABLE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF THE INDIVIDUAL EXECUTIVE, AS MEASURED AGAINST GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR. A MA HEALTH & EDUCATION AUTHORITY 042456011 57584QAA4 2012-06-27 10645000 REFUNDING PRIOR ISSUE,CAPITAL EQUIPMENT AND PROJECTS 1 0 0 A 10645000 339330 96746 10200000 348254 0 1 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 A 0 PART IV, #7 & PART V: BOTH BONDS ARE CAREFULLY AND CONSISTENTLY MONITORED FOR POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS, BUT THE PROCEDURES WERE NOT WRITTEN AS OF THE END OF THE YEAR COVERED BY THIS TAX RETURN. HOWEVER, THE ORGANIZATION IS CONSIDERING ADOPTING FORMAL POLICIES THAT SET FORTH THE ORGANIZATION'S METHODOLOGY FOR ENSURING POST-ISSUANCE COMPLIANCE WITH IRS REQUIREMENTS PERTAINING TO TAX-EXEMPT DEBT AND CONTAIN SPECIFIC LANGUAGE REGARDING ORGANIZATIONAL RESPONSIBILITY, RECORD RETENTION, PRIVATE BUSINESS USE, ARBITRAGE REBATE, AND REMEDIAL ACTION. ALTHOUGH FORMAL POLICIES ARE NOT IN PLACE IN REGARDS TO THE REMEDIATION OF OUR BONDS, THE MONITORING REQUIREMENTS OF SECTION 148, AND PROCEDURES TO ENSURE THAT VIOLATIONS ARE TIMELY IDENTIFIED AND CORRECTED, THE ORGANIZATION HAS COMPLIANCE CHECKS IN PLACE THAT SUBSTANTIATE THESE REQUIREMENTS. FORM 990, PART VI, SECTION A, LINE 6 COVENANT HEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS CONCERNING CORPORATE DECISIONS AND BOARD COMPOSITION. FORM 990, PART VI, SECTION A, LINE 7A COVENANT HEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISONS AND BOARD COMPOSITION. FORM 990, PART VI, SECTION A, LINE 7B COVENANT HEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDES THE FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARY DISTRIBUTES A CONFLICT OF INTEREST STATEMENT TO BOARD MEMBERS, EMPLOYEES AND OTHER PARTIES TO DETERMINE WHETHER THESE PARTIES HAVE A FINANCIAL OR OTHER INTEREST IN FIRMS IN WHICH THE ORGANIZATION HAS A BUSINESS RELATIONSHIP. THESE FORMS MUST BE SIGNED AND RETURNED TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS OF THE SENIOR LEADERSHIP TEAM, DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 990 AND ACCESS TO GOVENING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO POSTED ON COVENANT HEALTH INC.'S WEBSITE. F990, PART X, LINE 15 & LINE 20: EFFECTIVE FOR THE YEAR ENDED DECEMBER 31, 2015, THE SYSTEM RETROACTIVELY ADOPTED THE PROVISIONS OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU) NO. 2015-03, WHICH CHANGES THE PRESENTATION OF DEBT ISSUANCE COSTS BY REQUIRING THAT DEBT ISSUANCE COSTS RELATED TO A RECOGNIZED DEBT LIABILITY BE PRESENTED IN THE BALANCE SHEET AS A DIRECT DEDUCTION FROM THE CARRYING AMOUNT OF THAT DEBT LIABILITY, CONSISTENT WITH DEBT DISCOUNTS. AS A RESULT OF THE ADOPTION, THE SYSTEM HAS CLASSIFIED THE 2015 AMOUNTS AS REQUIRED. FORM 990, PART XI, LINE 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -203,664. NET ASSETS RELEASED FROM RESTRICTION 149,809. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. COVENANT HEALTH INC 100 AMES POND SUITE 102 TEWKSBURY MA 018761293 222484505 MANAGEMENT AND HEALTH RESOURCE ORGANIZATION MA 501(C)3 9 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 D R