MASS GENERAL BRIGHAM INCORPORATED: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MASS GENERAL BRIGHAM INCORPORATED (EIN 04-2104788)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201422269349304012
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T15:52:11-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020400296EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Brad Borbidge PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1197 Loudon RoadAddressLine1
CityConcordCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042104788EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VNA & Hospice of Cooley Dickinson IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVNA&NameControl
Phone4135841060Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1168 Industrial DriveAddressLine1
CityNorthamptonCity
StateMAState
ZIP Code01060ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoanne MarquseeName
TitlePresident/CEO & Assistant SecretaryTitle
Phone4135841060Phone
Date Signed2014-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDimitrios Panacopoulos CPAName
PTINP01603705PTIN
Phone6032240849Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoanne MarquseeNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1168 Industrial DriveAddressLine1
CityNorthamptonCity
StateMAState
ZIP Code01060ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12648376GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.vnaandhospice.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1950YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionThe VNA & Hospice provides high quality hospice and home health services to all those entrusted in our care.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees139TotalNbrEmployees
Total Nbr Volunteers124TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year390501ContributionsGrantsPriorYear
Contributions Grants Current Year1215721ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9990369ProgramServiceRevenuePriorYear
Program Service Revenue CY11368433ProgramServiceRevenueCY
Investment Income Prior Year41280InvestmentIncomePriorYear
Investment Income Current Year32794InvestmentIncomeCurrentYear
Other Revenue Prior Year31428OtherRevenuePriorYear
Other Revenue Current Year31428OtherRevenueCurrentYear
Total Revenue Prior Year10453578TotalRevenuePriorYear
Total Revenue Current Year12648376TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7093778SalariesEtcPriorYear
Salaries Etc Current Year8252380SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2549509OtherExpensePriorYear
Other Expenses Current Year2657277OtherExpensesCurrentYear
Total Expenses Prior Year9643287TotalExpensesPriorYear
Total Expenses Current Year10909657TotalExpensesCurrentYear
Revenues Less Expenses Prior Year810291RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1738719RevenuesLessExpensesCY
Total Assets BOY5269225TotalAssetsBOY
Total Assets EOY7035818TotalAssetsEOY
Total Liabilities BOY1330011TotalLiabilitiesBOY
Total Liabilities EOY1357885TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3939214NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5677933NetAssetsOrFundBalancesEOY
Mission DescriptionThe VNA & Hospice provides high quality hospice and home health services to all those entrusted in our care.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7173538Expense
Revenue8640292Revenue
DescriptionHome Care - Provides acute home health care services to patients that can be cared for at home.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1908496Expense
Revenue2728141Revenue
DescriptionHospice - Provide support care for terminally ill on a 24 hour basis.Description
FieldValueIRS element (for citing)
Total Program Service Expense9082034TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees139NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Laurie LamoureuxBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4135822300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line130 Locust streetAddressLine1
CityNorthamptonCity
StateMAState
ZIP Code01060ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
Sanford Belden
Vice Chair2.000.00XX000
Kevin Lake
Secretary2.000.00XX000
Craig N Melin
Assist Secretary/CEO0.0050.00XX048866736057
Matthew Pitoniak
Chair2.000.00XX000
Charles Staelin
Treasurer2.000.00XX000
Henry Rosenberg MD
Board Member1.0032.00X09069325720
Margaret Russo MD
Board Member1.0020.00X019651617695
Kathleen Scoble
Board Member1.000.00X000
Peter Siersma MD
Board Member1.0040.00X024613725421
John Todd
Board Member1.000.00X000
Margo Welch
Board Member1.000.00X000
Geoffrey Zucker MD
Board Member1.000.00X000
Peter Slavin MD
Board Member1.0050.00X01828105343359
William Stapleton
Board Member1.000.00X000
Michael Blute MD
Board Member1.0050.00X095547114089
Elizabeth Mort MD
Board Member1.0050.00X059931152817
David Brown MD
Board Member1.0050.00X058037157453
Alan Anthony James
Board Member1.0050.00X025276724225
Kenneth Bordewieck
Board Member1.000.00X000
Thomas Caine
Board Member1.000.00X000
Stephen Cavanagh
Board Member1.000.00X000
O B Clifford
Board Member1.000.00X000
James Donnelly MD
Board Member1.000.00X000
William Gorth
Board Member1.000.00X000
Mahnaz Mahdavi
Board Member1.000.00X000
John Nunnelly
Board Member1.000.00X000
Danielle Ramdath
Board Member1.000.00X000
Nancy Reeves
Board Member1.000.00X000
Edith Peter
Assist Treasurer/CFO0.0050.00X028265017367
Jeanne Ryan
Executive Director50.000.00149133011695X
FieldValueIRS element (for citing)
Total Reportable Comp From Org149133TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5520688TotalReportableCompFrmRltdOrgs
Total Other Compensation625898TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Simione Healthcare Consultants
4130 Whitney AveHamdenCT06518Consulting109901
AMN Healthcare
12400 High Bluff DriveSan DiegoCA92130Rehab Staffing106524
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants1800GovernmentGrants
All Other Contributions1213921AllOtherContributions
Total Contributions1215721TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Home Care62161086402928640292
Hospice62161027281412728141
FieldValueIRS element (for citing)
Total Program Service Revenue11368433TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column32794TotalRevenueColumn
Exclusion$32,794ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real31428Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real31428Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column31428TotalRevenueColumn
Exclusion$31,428ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12648376TotalRevenueColumn
Related Or Exempt Function Income11368433RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$64,222ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total160825Total
Management And General160825ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6447592Total
Program Services5537622ProgramServices
Management And General909970ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total192785Total
Program Services161843ProgramServices
Management And General30942ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total923440Total
Program Services775228ProgramServices
Management And General148212ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total527738Total
Program Services443036ProgramServices
Management And General84702ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7037Total
Management And General7037ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42000Total
Management And General42000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total789807Total
Program Services508627ProgramServices
Management And General281180ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total102003Total
Program Services85632ProgramServices
Management And General16371ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total41881Total
Program Services35159ProgramServices
Management And General6722ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total69997Total
Program Services58762ProgramServices
Management And General11235ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total299338Total
Program Services251294ProgramServices
Management And General48044ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total315162Total
Program Services305546ProgramServices
Management And General9616ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total45997Total
Program Services38614ProgramServices
Management And General7383ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total121565Total
Program Services102054ProgramServices
Management And General19511ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total25496Total
Program Services21404ProgramServices
Management And General4092ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Program Supplies549137549137
Telephone929867806214924
Printing and Publicatio704755916411311
Other Expenses44660374927168

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total39736Total
Program Services33358ProgramServices
Management And General6378ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10909657Total
Program Services9082034ProgramServices
Management And General1827623ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3204646BOY
EOY3893596EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1765269BOY
EOY1725804EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY62414BOY
EOY168426EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1703464LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1443844LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY214972BOY
EOY259620EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21924BOY
EOY988372EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5269225BOY
EOY7035818EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY699453BOY
EOY799880EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY562977BOY
EOY492747EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY67581BOY
EOY65258EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1330011BOY
EOY1357885EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3917290BOY
EOY4689561EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY21924BOY
EOY988372EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3939214BOY
EOY5677933EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5269225BOY
EOY7035818EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1738719ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years218715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years300153CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years345905CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year390501CurrentTaxYearMinus1Year
Current Tax Year1215721CurrentTaxYear
Total2470995Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8399199CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8695820CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8908624CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9990369CurrentTaxYearMinus1Year
Current Tax Year11368433CurrentTaxYear
Total47362445Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8617914CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8995973CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9254529CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10380870CurrentTaxYearMinus1Year
Current Tax Year12584154CurrentTaxYear
Total49833440Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50949833440PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47087CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46079CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70538CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41280CurrentTaxYearMinus1Year
Current Tax Year32794CurrentTaxYear
Total237778Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47087CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46079CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70538CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41280CurrentTaxYearMinus1Year
Current Tax Year32794CurrentTaxYear
Total237778Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8665001CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9042052CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9325067CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10422150CurrentTaxYearMinus1Year
Current Tax Year12616948CurrentTaxYear
Total50071218Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99530PublicSupportPercentage509
Prior Year Support Percentage0.99520PriorYearSupportPercentage
Investment Income Percentage0.00470InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00480PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1703464OtherCostOrOtherBasis
Depreciation1443844Depreciation
Book Value259620BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings259620TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionAssets Limited As To UseDescription
Book Value988372BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets988372TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due To Third Party Payors$14,556
Due To Affiliate$50,702
FieldValueIRS element (for citing)
Total Of Amounts65258TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt12648376TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12648376RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012648376TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10909657TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10909657ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010909657TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationPart IV, Line 11f - The Agency is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Agency is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Agencys tax position and concluded that the Agency has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Craig N Melin
Assist Secretary/CEO0394419021588072660015000021057052472400
Margaret Russo MD
Board Member0185790010614011206707010988021421100
Peter Siersma MD
Board Member0242330000380706906018515027155800
Peter Slavin MD
Board Member013188320135000037427303098950334640217146400
Michael Blute MD
Board Member05255000429400057100014089096956000
Elizabeth Mort MD
Board Member0416650093033089628034501018316065212800
David Brown MD
Board Member04133650114022052984034497022956063782400
Alan Anthony James
Board Member01848090458550221030234500775027699200
Edith Peter
Assist Treasurer/CFO02386250313804088701479702570030001700
Jeanne Ryan
Executive Director141094000803907101045940160828000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4bReturnReference
ExplanationPart I, Line 4b: The organization offers a Supplemental Retirement Plan (SRP) for Senior Executives. These amounts are already included in the compensation disclosed on Schedule J, Part II. Jeanne Ryan received this benefit through VNA & Hospice of Cooley Dickinson, Inc. at $7,012. Craig Melin and Edith Peter received this benefit through Cooley Dickinson Hospital, Inc. at $41,877 and $18,343 respectively. Peter Slavin, MD, MBA participates in a Supplemental Nonqualified Retirement Plan through Partners HealthCare, the benefit amount is $295,398. Part I, Line 3: Craig N. Melin received compensation from Cooley Dickinson Hospital, Inc. in his capacity as CEO. Cooley Dickinson Hospital, Inc. made use of the procedures described on line 3 in establishing such compensation. Part II: Other reportable compensation, column B(III) may include supplemental retirement plan benefit contributions, employee deferrals to section 457 plans, taxable life or disability, and the taxable benefit of an employer provided automobile.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART 1, Line 6105 is the actual number of individuals who gave their time through our Volunteer Services between October 1, 2012 and September 31, 2013. In addition, 19 individuals served as voluntary Trustees on the organizations Board of Trustees and Board Committees.
Form 990, Part VI, Section A, line 2The same individuals serve as Officers and Trustees on the Boards of Cooley Dickinson Health Care Corporation, Cooley Dickinson Hospital, and VNA & Hospice of Cooley Dickinson. Six of the thirteen Trustees of CD Practice Associates also serve on the Boards of Cooley Dickinson Health Care Corporation, Cooley Dickinson Hospital, and VNA & Hospice of Cooley Dickinson.
Form 990, Part VI, Section A, line 6The sole member of the Corporation shall be Cooley Dickinson Health Care Corporation.
Form 990, Part VI, Section A, line 7aThe Board of Trustees of the Corporation shall elect the Elected Trustees.
Form 990, Part VI, Section A, line 7bThe membership body is the Board of Trustees.
Form 990, Part VI, Section B, line 11VNA & Hospice of Cooley Dickinson, Inc. worked with it's independent auditor, Brad Borbidge, PA to prepare the form 990. The Form was then reviewed internally by management and following that review, the Corporation's management presented the Form 990 to the Board of Trustees Audit and Compliance Committee for review and comment. The completed form 990, including all schedules, with the exception of schedule B, the schedule of contributors, was provided electronically to each member of the board of trustees prior to filing with the IRS. Schedule B was present at the July board meeting and was made available for viewing after the meeting or by scheduling an appointment with Laurie Lamoureux, Vice President of Finance.
Form 990, Part VI, Section B, line 12cAll employees of VNA & Hospice of Cooley Dickinson, Inc. are provided copies of the Organization's conflict of interest policy as well as a questionnaire upon hire. Each individual is required to sign that they have received and understand the policy. They are also asked to disclose any real or perceived conflicts of interest. The completed forms are returned to the Organization's compliance officer who is responsible for monitoring and enforcing the conflict of interest policy. Annually thereafter, employees are asked if they understand the policy and have anything to report as part of the annual performance evaluation. There is ongoing monitoring to ensure all new employees fill out the questionnaire and ongoing employees are asked as part of the review process. Trustees and senior managers have the additional requirement of completing an annual questionnaire. All completed questionnaires are reviewed by the compliance officer who consults with legal counsel and takes action as appropriate to understand the relationships and raise awareness. The compliance officer also reports annually to the board of trustees on policy enforcement.
Form 990, Part VI, Section B, line 15bThe CEO/Assistant Secretary and the CFO/Assistant Treasurer are compensated by Cooley Dickinson Hospital, Inc.
Form 990, Part VI, Section C, line 19The Organization's governing documents are filed with the Massachusetts Secretary of State and the financial statements are filed with the Massachusetts Attorney General, all of which are open to public inspection. Further, the form 990, financial statements, and conflict of interest policy are available to the public upon request.
PART VII, Section A, Line 1aHenry Rosenberg MD, Margaret Russo, MD, and Peter Siersma, MD are compensated by CD Practice Associates, working an average of 32 hours, 20 hours, and 40 hours per week respectively; Craig Melin and Edith Peter are compensated by Cooley Dickinson Hospital Inc, each working an average of 50 hours per week. Michael Blute MD, David Brown MD, Alan Anthony James, Elizabeth Mort MD MPH, and Peter Slavin MD MBA are compensated by Partners HealthCare System each working an average of 50 hours per week.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (49 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
The Massachusetts General Hospital (MGH)
55 Fruit StreetBostonMA02114041564655HealthCareMA501 (c)(3)Line 7PHS1
The General Hospital Corporation
55 Fruit StreetBostonMA02114042697983HealthCareMA501 (c)(3)Line 3MGH1
Massachusetts General Physicians Org
55 Fruit StreetBostonMA02114042807148HealthCareMA501 (c)(3)Line 9MGH1
The MGH Health Services Corporation
55 Fruit StreetBostonMA02114222717383HealthCareMA501 (c)(3)Line 11aMGH1
The MGH Institute of Health Professions
36 First AvenueCharlestownMA02129042868893Med EducationMA501 (c)(3)Line 2MGH1
Mclean Healthcare Inc (MHC)
115 Mill StreetBelmontMA02478204572876Admin SupportMA501 (c)(3)Line 11aMGH1
The Mclean Hospital Corporation
115 Mill StreetBelmontMA02478042697981HealthCareMA501 (c)(3)Line 3MHC1
Martha's Vineyard Hospital Inc (MVH)
1 Linton LaneOaks BluffMA02557042104691HealthCareMA501 (c)(3)Line 3MGH1
WNR Inc
1 Linton LaneOaks BluffMA02557043419920Nursing ServicesMA501 (c)(3)Line 9MVH1
Nantucket Cottage Hospital
57 Prospect StreetNantucketMA02554042103823HealthCareMA501 (c)(3)Line 3MGH1
Nantucket Cottage Hospital Foundation
57 Prospect StreetNantucketMA02554043829745Admin SupportMA501 (c)(3)Line 11aNCH1
Brigham and Women's Health Care (BWHC)
75 Francis StreetBostonMA02115042921338Admin SupportMA501 (c)(3)Line 7PHS1
The Brigham and Women's Hospital (BWH)
75 Francis StreetBostonMA02115042312909HealthCareMA501 (c)(3)Line 3BWHC1
Biosciences Research Foundation Inc
75 Francis StreetBostonMA02115222483849Promote ResMA501 (c)(3)Line 11aBWHC1
BWH Research Inc
75 Francis StreetBostonMA02115043011445Med ResearchMA501 (c)(3)Line 11aBWHC1
Brigham Community Practices Inc
75 Francis StreetBostonMA02115222588069HealthCareMA501 (c)(3)Line 9BWHC1
Brigham and Women's Phys Org (BWPO)
75 Francis StreetBostonMA02115043466314HealthCareMA501 (c)(3)Line 9BWHC1
BWH Anesthesia Res & Educ Foundation
75 Francis StreetBostonMA02115043492603Med Res & EduMA501 (c)(3)Line 7BWPO1
Brigham Medical Res & Edu Foundation
75 Francis StreetBostonMA02115043539249Med Res & EduMA501 (c)(3)Line 11aBWPO1
Brigham & Women's OB-GYN Res & Edu
75 Francis StreetBostonMA02115043494863Med Res & EduMA501 (c)(3)Line 7BWPO1
Brigham Pathology Res & Edu Foundation
75 Francis StreetBostonMA02115043541111Med Res & EduMA501 (c)(3)Line 11aBWPO1
Brigham Radiology Res & Edu Foundation
75 Francis StreetBostonMA02115043425905Med Res & EduMA501 (c)(3)Line 11aBWPO1
Brigham and Women's Faulkner Hosp
1153 Centre StreetBostonMA02130042768256HealthCareMA501 (c)(3)Line 3BWHC1
Village Manor Nursing Home Inc
1153 Centre StreetBostonMA02130042775265Nursing HomeMA501 (c)(3)Line 3BWFH1
Partners Continuing Care Inc (PCC)
Prudential Tower 800 BoylstonBostonMA02199260003495Admin SupportMA501 (c)(3)Line 11aPHS1
Spaulding Rehabilitation Hospital Corp
300 First AvenueCharlestownMA02129042551124HealthCareMA501 (c)(3)Line 3PCC1
Rehab Hospital of the Cape & Islands
311 Service RoadEast SandwichMA02537043071419HealthCareMA501 (c)(3)Line 3PCC1
Shaughnessy-Kaplan Rehabilitation Hosp
Dove AvenueSalemMA01970043067082HealthCareMA501 (c)(3)Line 3PCC1
Partners Home Care Inc(PHC)
281 Winter StreetWalthamMA02451042918280Home HealthMA501 (c)(3)Line 9PCC1
Partners Hospice Inc
48 Woerd Avenue 102WalthamMA02453042730504Home HealthMA501 (c)(3)Line 7PHC1
FRC Inc
101 Merrimac StreetBostonMA02114222632121HealthCareMA501 (c)(3)Line 3PCC1
NSMC HealthCare Inc (NSHC)
81 Highland AvenueSalemMA01970043294420Admin SupportMA501 (c)(3)Line 11aPHS1
North Shore Medical Center Inc
81 Highland AvenueSalemMA01970043399616HealthCareMA501 (c)(3)Line 3NSHC1
North Shore Physicians Group Inc
81 Highland AvenueSalemMA01970043080484HealthCareMA501 (c)(3)Line 11aNSHC1
Newton-Wellesley Healthcare System (NWHC)
2014 Washington StreetNewtonMA02462204295282Admin SupportMA501 (c)(3)Line 11aPHS1
Newton-Wellesley Hospital
2014 Washington StreetNewtonMA02462042103611HealthCareMA501 (c)(3)Line 3NWHC1
Newton-Wellesley Ambulatory Services
2014 Washington StreetNewtonMA02462222560501HealthCareMA501 (c)(3)Line 11aNWHC1
Newton-Wellesley Hosp Charitable Found
2014 Washington StreetNewtonMA02462043455952FundraisingMA501 (c)(3)Line 7NWHC1
Newton-Wellesley Children's Corner Inc
2014 Washington StreetNewtonMA02462042650246Child CareMA501 (c)(3)Line 9NWHC1
Partners Medical International Inc
100 Cambridge StreetBostonMA02114043197711Med TrainingMA501 (c)(3)Line 11aPHS1
The Friends of the Brigham & Women's Hosp
75 Francis StreetBostonMA02115042239449FundraisingMA501 (c)(3)Line 11aBWHC1
Spaulding Hospital - Cambridge Inc
1575 Cambridge StreetCambridgeMA02138270273715HospitalMA501 (c)(3)Line 3PCC1
Nantucket Physician Organization Inc
57 Prospect StreetNantucketMA02554264349357HealthCareMA501 (c)(3)Line 9MGH1
Neighborhood Health Plan Inc (NHP)
253 Summer StreetBostonMA02210042932021InsuranceMA501 (c)(4)n/aPHS1
Community Medical Alliance Inc
253 Summer StreetBostonMA02210043454185InsuranceMA501 (c)(3)Line 11aNHP1
Cooley Dickinson Hospital Inc
30 Locust StreetNorthamptonMA01060222617175HospitalMA501 (c)(3)Line 3CDHCC1
Cooley Dickinson Health Care Corp (CDHCC)
30 Locust StreetNorthamptonMA01060042103561Admin SupportMA501 (c)(3)Line 11aMGH1
CD Practice Associates Inc
PO Box 911NorthamptonMA01060043194547HealthCareMA501 (c)(3)Line 9CDHCC1
McLean Child Care Center Inc
115 Mill StreetBelmontMA02478042932850Child CareMA501 (c)(3)Line 11aMHC1

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
BSC Inc
75 Francis StreetBostonMA02115042987478CommunicationMABWHCC1
Partners Community HealthCare Inc
800 Boylston StreetBostonMA02199043236175HealthCareMAPHSC11580067251275650171.00000
Newton-Wellesley Physician Hospital Org
2014 Washington StreetNewtonMA02462043209749HealthCareMANWHCC1613419494999271.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Cooley Dickinson Hospital Inc
M121519Actual Cost
Cooley Dickinson Hospital Inc
P223417Actual Cost

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