2015-11-13T13:13:18-06:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2014-01-01 201897201 THE BOSTONIAN FOUNDATION INC C/O BANE CARE MANAGEMENT BOST 5089918600 500 UNICORN PARK DRIVE 5FL WOBURN MA 01801 A JASON GEISINGER PRESIDENT 5089918600 2015-11-06 1 JUDY DALEY P01294075 6179848100 2015-11-04 2014 2016-02-25 16:41:14Z A JASON GEISINGER 500 UNICORN PARK DRIVE 5FL WOBURN MA 01801 835532 0 X 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 0 0 0 0 0 0 0 789841 833199 2140 2333 0 0 791981 835532 0 0 0 0 0 0 0 0 0 1289864 853556 1289864 853556 -497883 -18024 7868312 7720038 10909695 10573874 -3041383 -2853836 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 842113 833199 OWNS AND LEASES A 121-BED NURSING FACILITY KNOWN AS THE BOSTONIAN NURSING AND REHABILITATION CENTER TO METRO HEALTH FOUNDATION MASSACHUSETTS, INC. 842113 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 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 0 1 1 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 MA X STUART MURPHY 7819358505 500 UNICORN PARK DRIVE WOBURN MA 01801 AJASON GEISINGER PRESIDENT 5.00 35.00 X X 0 248000 9559 JONATHAN NAGEL TREASURER 1.00 9.00 X X 0 75000 21459 NANCY GEISINGER SECRETARY 5.00 35.00 X X 0 51600 3881 SAVINO MAGALETTA MEMBER 1.00 2.00 X 0 34056 2430 STEVE COHEN MEMBER 1.00 2.00 X 0 1500 0 WALTER OHANIAN MEMBER 1.00 2.00 X 0 1500 0 MARYANNE PEABODY MEMBER 1.00 2.00 X 0 1500 0 0 413156 37329 0 0 1 0 0 LEASE REVENUE 541900 833199 833199 833199 2333 2333 835532 833199 0 2333 11000 11000 443 443 20568 20568 351039 351039 345282 345282 125224 125224 853556 842113 11443 0 53 240 39676 85651 80798 11123616 5040149 6355756 6083467 1426852 1515857 7868312 7720038 35233 112391 10675148 10461483 199314 0 10909695 10573874 X -3041383 -2853836 -3041383 -2853836 7868312 7720038 X -18024 205571 X 0 1 X 0 1 1 X X 1 METRO HEALTH FOUNDATION OF MASSACHUSETTS INC 582211053 9 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 60382 60382 9978695 4209453 5769242 1084539 830696 253843 6083467 DEFERRED FINANCING COSTS, NET 89935 FUNDED RESERVES 1389394 DUE FROM RELATED PARTIES 11375 CONSTRUCTION IN PROGRESS 25153 1515857 X 835532 0 835532 0 835532 853556 0 853556 0 853556 PART X, LINE 2: THE 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. THE ORGANIZATION'S 2011 THROUGH 2014 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. 0 0 0 0 0 0 0 0 0 AJASON GEISINGER PRESIDENT 0 248000 0 0 0 0 0 0 0 9559 0 257559 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 AND NANCY GEISINGER 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 11 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 AFFILIATE 205,571. METRO HEALTH FOUNDATION OF MASSACHUSETTS INC 500 UNICORN PARK DRIVE WOBURN MA 01801 582211053 NURSING FACILITY GA 501(C)3 LINE 9 N/A 0 THE ALDEN COURTINC 389 ALDEN ROAD FAIRHAVEN MA 02719 201897225 REALTY MA 501(C)3 LINE 11B, II METRO HEALTH FOUNDATION OF MASSACHUSETTS INC 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 METRO HEALTH FOUNDATION OF MASSACHUSETTS INC J 833199 LEASE AGREEMENT