2013-07-01T14:43:26-05:00 2012-12-31 020383073 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2012-01-01 043239593 YOUVILLE HOUSE INC YOUV 6174911234 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 JOANNE C PARSONS 6174911234 2013-06-25 1 WILLIAM G STEELE JR CPA P00233103 6036228881 2012 2016-02-24 21:20:13Z JOANNE C PARSONS 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 6371670 0 X YOUVILLEHOUSE.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 COMPASISON FOR ALL WE SERVE AND FOR ONE ANOTHER. 7 5 81 0 0 0 3960 7110 5994617 6149913 308376 214647 0 0 6306953 6371670 0 0 0 0 2584285 2760139 0 0 0 2781304 2879777 5365589 5639916 941364 731754 23848837 24103382 15603851 12269390 8244986 11833992 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 5403901 6149913 THE ORGANIZATION PROVIDED 35,495 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. 5403901 1 1 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 11 0 1 81 1 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X JOANNE C PARSONS EXECUTIVE DIRECTOR 6174911234 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 SR ELLA CHRISTIAN 1.00 X 0 0 0 JOSEPH E CONNARTON 1.00 X 0 0 0 KENNETH FERRON 1.00 X 0 389749 99855 CAROL FLYNN 1.00 X 0 0 0 MICHAEL MCHUGHESQ 3.00 X X 0 0 0 H WILLIAM ADAMS 1.00 X X 0 0 0 JOANNE C PARSONS 40.00 X X 164791 0 15717 JOANNE SCIANNA 1.00 X 0 148204 15132 164791 537953 130704 1 0 1 0 STRUCTURETONE 711 ATLANTIC AVENUE BOSTON MA 02111 GENERAL CONTRACTOR SERVICE 1747196 BLUE CROSS BLUE SHIELD 401 PARK DRIVE BOSTON MA 02155 HEALTH AND DENTAL INSURANCE 370623 SPAULDING HOSPITAL CAMBRIDGE 1573 CAMBRIDGE STREET CAMBRIDGE MA 02138 UTILITY SERVICES 170861 3 7110 7110 RESIDENT ROOM & BOARD 623000 5958093 5958093 OTHER RESIDENT SERVICE 623000 191820 191820 6149913 214647 214647 6371670 6149913 0 214647 164791 164791 2068117 2068117 58213 58213 285127 285127 183891 183891 63774 63774 7450 7450 28604 28604 39237 39237 434212 434212 3688 3688 618591 618591 495557 495557 108356 108356 OPERATING SUPPLIES 481018 481018 LOSS ON REFINANCE 289227 289227 PURCHASE SERVICES 206778 206778 ALL OTHER MISCELLANEOUS 99523 99523 3762 3762 5639916 5403901 236015 0 2871782 1081032 71860 94792 93970 75519 16885126 5128422 10200352 11756704 5814625 2949689 4796248 8145646 23848837 24103382 1017805 907526 10730000 14586046 631864 15603851 12269390 X 5397847 9167624 2258453 2077682 588686 588686 8244986 11833992 23848837 24103382 X 731754 521311 2335941 X 0 1 X 1 0 X 26235 5395 3960 7110 42700 5661814 1466247 5818787 5994617 6149513 25090978 5688049 1466247 5824182 5998577 6156623 25133678 0 0 0 25133678 77373 19179 85897 308376 214647 705472 77373 19179 85897 308376 214647 705472 5765422 1485426 5910079 6306953 6371270 25839150 0.97270 0.97540 0.02730 0.02460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2847139 -180771 2666368 3034785 -187646 2847139 3023949 10836 3034785 0.22080 0.77920 0 0 13164730 4260369 8904361 3590789 868053 2722736 129607 129607 11756704 OTHER SECURITIES 2949689 C 2949689 DUE FROM AFFILIATES 663471 DEBT SERVICE SINKING FUND 12500 RESIDENT SECURITY DEPOSITS 420156 DEBT SERVICE INTEREST FUND 239549 BOND ISSUANCE COSTS 132703 BOARD DESIGNATED FUND 2878465 DONOR RESTRICTED FUNDS 3357264 ESCROW - ELEVATOR 441538 8145646 ORIGINAL BOND ISSUE DISCOUNT 99900 RESIDENT SECURITY DEPOSIT AND INTEREST 397590 DUE TO AFFILIATES 128620 DEFERRED REVENUE 5754 631864 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING "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. THE SYSTEM HAS EVALUATED THE POSITIONS TAKEN ON ITS FILED TAX RETURNS, AND HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2012." 1 X X X X X 0 0 0 0 0 0 0 0 0 KENNETH FERRON 0 248748 0 92139 0 48862 0 72605 0 27250 0 489604 0 92139 JOANNE C PARSONS 164791 0 0 0 0 0 4093 0 11624 0 180508 0 0 0 JOANNE SCIANNA 0 148204 0 0 0 0 0 3254 0 11878 0 163336 0 0 PART I, LINE 3 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS' 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. A MA HEALTH & EDUCATION AUTHORITY 042456011 57584QAA4 2012-06-27 10645000 REFUNDING PRIOR ISSUE,CAPITAL EQUIPMENT AND PROJECTS 1 0 0 A 10200000 10645000 339330 10200000 445000 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 COVENANT HEALTH SYSTEMS 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 SYSTEMS IS THE SOLE MEMBER OF THE ORGAINZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISONS AND BOARD COMPOSITION. FORM 990, PART VI, SECTION A, LINE 7B COVENANT HEALTH SYSTEMS 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 ORGANNIZATION. FORM 990, PART VI, SECTION B, LINE 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEM'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DAATA 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 ORANIZATION 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 SYSTEMS' WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE 2,335,942. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -180,771. ROUNDING -1. NET ASSETS RELEASED FROM RESTRICTION 180,771. COVENANT HEALTH SYSTEMS 100 AMES POND SUITE 102 TEWKSBURY MA 018761293 222484505 MANAGEMENT AND HEAL RESOURCE ORGANIZATION MA 501(C)3 501(A)2 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 DUE FROM AFFILIATE-COVENANT HEALTH SYSTEMS INC D 193050 ACCRUAL MEMBERSHIP FEE-COVENANT HEALTH SYSTEMS INC R 63636 ACCRUAL INTERCOMPANY TRANSFERS - COVENANT HEALTH SYSTEMS INC C 2335715 ACCRUAL