CARE DIMENSIONS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CARE DIMENSIONS INC (EIN 22-2873792)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349309107
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)
Timestamp2013-11-14T20:16:37-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line19600 Brownsboro RoadAddressLine1
Address Line2Suite 400AddressLine2
CityLouisvilleCity
StateKYState
ZIP Code402411122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222873792EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF THE NORTH SHORE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone9787747566Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 SYLVAN STREET B-102AddressLine1
CityDANVERSCity
StateMAState
ZIP Code01923ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePHIL CIBELLIName
TitleCFOTitle
Date Signed2011-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRachel SpurlockName
PTINP00520729PTIN
Phone5023263996Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1DIANE STRINGERBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line175 SYLVAN STREET B-102AddressLine1
CityDANVERSCity
StateMAState
ZIP Code01923ZIPCode
FieldValueIRS element (for citing)
Gross Receipts46214880GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HNS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionHOSPICE OF THE NORTH SHORE, INC. (HNS) ENRICHES QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION AND CONSULTATION FOR THOSE AFFECTED BY LIFE LIMITING ILLNESS, DEATH AND LOSS.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees438TotalNbrEmployees
Total Nbr Volunteers420TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1981341ContributionsGrantsPriorYear
Contributions Grants Current Year1885358ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34268968ProgramServiceRevenuePriorYear
Program Service Revenue CY37242118ProgramServiceRevenueCY
Investment Income Prior Year321684InvestmentIncomePriorYear
Investment Income Current Year824738InvestmentIncomeCurrentYear
Other Revenue Prior Year-52426OtherRevenuePriorYear
Other Revenue Current Year-31504OtherRevenueCurrentYear
Total Revenue Prior Year36519567TotalRevenuePriorYear
Total Revenue Current Year39920710TotalRevenueCurrentYear
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 Year21218899SalariesEtcPriorYear
Salaries Etc Current Year21729655SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year490730TotalFundrsngExpCurrentYear
Other Expense Prior Year14627916OtherExpensePriorYear
Other Expenses Current Year15284639OtherExpensesCurrentYear
Total Expenses Prior Year35846815TotalExpensesPriorYear
Total Expenses Current Year37014294TotalExpensesCurrentYear
Revenues Less Expenses Prior Year672752RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2906416RevenuesLessExpensesCY
Total Assets BOY33936358TotalAssetsBOY
Total Assets EOY37094411TotalAssetsEOY
Total Liabilities BOY6101458TotalLiabilitiesBOY
Total Liabilities EOY5896287TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY27834900NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31198124NetAssetsOrFundBalancesEOY
Mission DescriptionHOSPICE OF THE NORTH SHORE, INC. (HNS) ENRICHES QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION AND CONSULTATION FOR THOSE AFFECTED BY LIFE LIMITING ILLNESS, DEATH AND LOSS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense30751118Expense
Revenue37242118Revenue
DescriptionFOR MORE THAN 30 YEARS, HOSPICE OF THE NORTH SHORE, INC. (HNS) HAS PROVIDED HOSPICE AND PALLIATIVE CARE FOR COUNTLESS TERMINALLY ILL PATIENTS AND FAMILIES THROUGHOUT THE NORTH SHORE AND GREATER BOSTON AREA. AS THE MOST COMPREHENSIVE NOT-FOR-PROFIT HOSPICE PROVIDER IN MASSACHUSETTS, WE'RE DEDICATED TO ENRICHING QUALITY OF LIFE BY PROVIDING EXPERT CARE, SUPPORT, EDUCATION, AND CONSULTATION FOR THOSE AFFECTED BY LIFE-LIMITING ILLNESS, DEATH, AND LOSS.Description
Total Program Service Expense30751118TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096138NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees438NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
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 Line1PHIL CIBELLIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9787747566TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line175 SYLVAN STREET B-102AddressLine1
CityDANVERSCity
StateMAState
ZIP Code01923ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHUCK BADAVAS
TREASURER1.00XX000
DIANE STRINGER
PRESIDENT/CEO40.00XX531242014867
NANCY PALMER
CLERK1.00XX000
PETER SHERWOOD
CHAIR1.00XX000
THOMAS FORD
VICE CHAIR1.00XX000
ALLEN SMITH MD
BOARD MEMBER1.00X000
CHARLES ADAMS
BOARD MEMBER1.00X000
CHRISTINA MCCANN
BOARD MEMBER1.00X000
GWEN COCHRAN HADDEN
BOARD MEMBER1.00X000
JAMES DUNNE
BOARD MEMBER1.00X000
JUDY JACOBI
BOARD MEMBER1.00X000
KEVIN SMITH
BOARD MEMBER1.00X000
LISA STERN TAYLOR
BOARD MEMBER1.00X000
PAMELA LAWRENCE
BOARD MEMBER1.00X000
REGINA VILLA
BOARD MEMBER1.00X000
SHELDON ARONSON
BOARD MEMBER1.00X000
TIMOTHY LIESCHING MD
BOARD MEMBER1.00X000
PHIL CIBELLI
VP/CHIEF FINANCIAL OFFICER40.00X131745013564
JUDITH CRANNEY
VP AND COO40.00200005026048X
STEPHANIE PATEL
MED DIRECTOR, VP AND CMO40.00285684029164X
ALYSSA LUDDY
PHYSICIAN40.0015582505001X
CARMELINA PROCACCINI
VP HUMAN RESOURCES40.00160954015684X
NANCY OTOVIC
PHYSICIAN32.0012836504434X
PHILLIP L ROBERTS
DIRECTOR OF IT40.00111496020383X
ROBERT WARREN
ASSOCIATE MEDICAL DIRECTOR40.00183975015333X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1889291TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation144478TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HARBORSIDE REHABILITATION LP
P O BOX 200528HOUSTONTX772160528STAFF CONTRACTING SERVICES342766
BROOKWOOD SYLVAN LLC
72 CHERRY HILL DRBEVERLYMA01915LESSOR323089
NEWTON WELLESLEY EXECUTIVE OFFICE PARK
75 3RD AVE FL 3WALTHAMMA02451LESSOR152145
WINDHAVEN INVESTMENT MANAGEMENT
1 INTERNATIONAL PL 33BOSTONMA02110INVESTMENT MANAGER103936
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Fundraising Events616729FundraisingEvents
All Other Contributions1268629AllOtherContributions
Total Contributions1885358TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6216103720160037201600
BEREAVEMENT REVENUE6216104051840518
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue37242118TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column313504TotalRevenueColumn
Exclusion$313,504ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6677588Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6166354Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities511234Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column511234TotalRevenueColumn
Exclusion$511,234ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events69212GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events616729CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses122016FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-52804TotalRevenueColumn
Exclusion-$52,804ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming27100GrossIncomeGaming
Gaming Direct Expenses5800GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column21300TotalRevenueColumn
Exclusion$21,300ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column39920710TotalRevenueColumn
Related Or Exempt Function Income37242118RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$793,234ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1232318Total
Program Services540900ProgramServices
Management And General691418ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16744950Total
Program Services14440616ProgramServices
Management And General1986426ManagementAndGeneral
Fundraising317908Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total546021Total
Program Services446415ProgramServices
Management And General83218ManagementAndGeneral
Fundraising16388Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1952821Total
Program Services1644372ProgramServices
Management And General273784ManagementAndGeneral
Fundraising34665Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1253545Total
Program Services1050117ProgramServices
Management And General182310ManagementAndGeneral
Fundraising21118Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total22944Total
Program Services0ProgramServices
Management And General22944ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total51000Total
Program Services0ProgramServices
Management And General51000ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total103936Total
Program Services0ProgramServices
Management And General103936ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total723229Total
Program Services492023ProgramServices
Management And General228175ManagementAndGeneral
Fundraising3031Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total96951Total
Program Services0ProgramServices
Management And General96951ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total729746Total
Program Services361919ProgramServices
Management And General356717ManagementAndGeneral
Fundraising11110Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total319748Total
Program Services33543ProgramServices
Management And General270273ManagementAndGeneral
Fundraising15932Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total926656Total
Program Services399661ProgramServices
Management And General526995ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total647909Total
Program Services616978ProgramServices
Management And General27579ManagementAndGeneral
Fundraising3352Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total87523Total
Program Services46784ProgramServices
Management And General38647ManagementAndGeneral
Fundraising2092Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total30051Total
Program Services30051ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1035514Total
Program Services355764ProgramServices
Management And General679750ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total124927Total
Program Services86291ProgramServices
Management And General38636ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ROOM & BOARD EXPENSE5190092519009200
PROGRAM SUPPLIES3740323374032300
INPATIENT91947091947000
BAD DEBT2300342300340

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total304586Total
Program Services125765ProgramServices
Management And General113687ManagementAndGeneral
Fundraising65134Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total37014294Total
Program Services30751118ProgramServices
Management And General5772446ManagementAndGeneral
Fundraising490730Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY600BOY
EOY600EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5064286BOY
EOY5813542EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY202650BOY
EOY112935EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4133842BOY
EOY5009168EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY302896BOY
EOY660352EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16531717LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5156593LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12054803BOY
EOY11375124EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10602383BOY
EOY12750329EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY208571BOY
EOY174285EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1366327BOY
EOY1198076EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33936358BOY
EOY37094411EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4281104BOY
EOY4908493EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY332053EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1296976BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY25016BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY498362BOY
EOY655741EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6101458BOY
EOY5896287EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY27630968BOY
EOY31111447EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY203932BOY
EOY86677EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27834900BOY
EOY31198124EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33936358BOY
EOY37094411EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2906416ReconcilationRevenueExpenses
Reconciliation Unrealized Invest456808ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1584757CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2933359CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2340578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1981341CurrentTaxYearMinus1Year
Current Tax Year1864058CurrentTaxYear
Total10704093Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22599255CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22484971CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26319630CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34268968CurrentTaxYearMinus1Year
Current Tax Year37242118CurrentTaxYear
Total142914942Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24184012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25418330CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28660208CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36250309CurrentTaxYearMinus1Year
Current Tax Year39106176CurrentTaxYear
Total153619035Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55600CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31488CurrentTaxYearMinus1Year
Current Tax Year31517CurrentTaxYear
Total159605Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55600CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31488CurrentTaxYearMinus1Year
Current Tax Year31517CurrentTaxYear
Total159605Total
FieldValueIRS element (for citing)
Public Support Total509153459430PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years475933CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years260287CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years266944CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year270905CurrentTaxYearMinus1Year
Current Tax Year313504CurrentTaxYear
Total1587573Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years475933CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years260287CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years266944CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year270905CurrentTaxYearMinus1Year
Current Tax Year313504CurrentTaxYear
Total1587573Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years616180CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years529707CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years557800CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68702CurrentTaxYearMinus1Year
Current Tax Year96312CurrentTaxYear
Total1868701Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25276125CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26208324CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29484952CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36589916CurrentTaxYearMinus1Year
Current Tax Year39515992CurrentTaxYear
Total157075309Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97700PublicSupportPercentage509
Prior Year Support Percentage0.96530PriorYearSupportPercentage
Investment Income Percentage0.01010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01290PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - FUNDRAISING INCOME, COLUMN A - 616180, COLUMN B - 529707, COLUMN C - 557800, COLUMN D - 68702, COLUMN E - 96312, COLUMN F - 1868701;,GeneralExplanation

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,319OtherActivitiesAmount
Total Lobbying Expenditures IIB2319TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationIN 2012, HOSPICE OF THE NORTH SHORE PAID $27,504 TO HOSPICE ACTION NETWORK FOR MEMBERSHIP DUES. OF THIS AMOUNT 8.43% WERE USED FOR SPECIFIC LOBBYING PURPOSES DEFINED AS UNALLOWABLE EXPENSES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1705415OtherCostOrOtherBasis
Book Value1705415BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9441414OtherCostOrOtherBasis
Depreciation1375772Depreciation
Book Value8065642BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis273988OtherCostOrOtherBasis
Depreciation160112Depreciation
Book Value113876BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5110900OtherCostOrOtherBasis
Depreciation3620709Depreciation
Book Value1490191BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11375124TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
OTHER CURRENT LIABILITIES$25,867
ANNUITIES PAYABLE$11,020
DEFERRED RENT$118,854
DUE TO THIRD PARTY PAYORS$500,000
FieldValueIRS element (for citing)
Total Of Amounts655741TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationTHE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1REGATTANameOfEvent1
Gross Receipts Event1327134GrossReceiptsEvent1
Charitable Contributions Event1257922CharitableContributionsEvent1
Gross Revenue Event169212GrossRevenueEvent1
Cash Prizes Event14000CashPrizesEvent1
Non Cash Prizes Event18409NonCashPrizesEvent1
Rent Facility Costs Event14825RentFacilityCostsEvent1
Food And Beverage Event116256FoodAndBeverageEvent1
Entertainment Event118797EntertainmentEvent1
Other Direct Expenses Event116925OtherDirectExpensesEvent1
Name Of Event2WALKNameOfEvent2
Gross Receipts Event2254827GrossReceiptsEvent2
Charitable Contributions Event2254827CharitableContributionsEvent2
Gross Revenue Event20GrossRevenueEvent2
Cash Prizes Event21723CashPrizesEvent2
Rent Facility Costs Event2300RentFacilityCostsEvent2
Food And Beverage Event22819FoodAndBeverageEvent2
Other Direct Expenses Event234766OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events103980GrossReceiptsOtherEvents
Charitable Contrib Other Events103980CharitableContribOtherEvents
Gross Revenue Other Events0GrossRevenueOtherEvents
Rent Facility Costs Other Events100RentFacilityCostsOtherEvents
Food And Beverage Other Events2848FoodAndBeverageOtherEvents
Entertainment Other Events1000EntertainmentOtherEvents
Other Direct Expenses Other Events9248OtherDirectExpensesOtherEvents
Gross Receipts Total685941GrossReceiptsTotal
Charitable Contributions Total616729CharitableContributionsTotal
Gross Revenue Total Events69212GrossRevenueTotalEvents
Cash Prizes Total Events5723CashPrizesTotalEvents
Non Cash Prizes Total Events8409NonCashPrizesTotalEvents
Rent Facility Costs Total Events5225RentFacilityCostsTotalEvents
Food And Beverage Total Events21923FoodAndBeverageTotalEvents
Entertainment Total Events19797EntertainmentTotalEvents
Other Direct Expenses Total Events60939OtherDirectExpensesTotalEvents
Direct Expense Summary Events122016DirectExpenseSummaryEvents
Net Income Summary-52804NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming27100GrossRevenueOtherGaming
Cash Prizes Other Gaming4000CashPrizesOtherGaming
Other Direct Expenses Other Gaming1800OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming27100GrossRevenueTotalGaming
Cash Prizes Total Gaming4000CashPrizesTotalGaming
Non Cash Prizes Total Gaming0NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming0RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming1800OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming5800DirectExpenseSummaryGaming
Net Gaming Income Summary21300NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedMAStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmemberstrueGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility0PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1PHIL CIBELLIBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line175 SYLVN STREET B-102AddressLine1
CityDANVERSCity
StateMAState
ZIP Code01923ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev

Gaming Manager Name Business GamingManagerNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH MACOMBERBusinessNameLine1
FieldValueIRS element (for citing)
Gaming Manager Compensation0GamingManagerCompensation
Gaming Manager Services ProvidedOVERSIGHT OF RAFFLEGamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 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
DIANE STRINGER
PRESIDENT/CEO266408066250019858409800050670546109000
STEPHANIE PATEL
MED DIRECTOR, VP AND CMO24692803688701869023975051890314848000
JUDITH CRANNEY
VP AND COO1700370297000268017127089210226053000
CARMELINA PROCACCINI
VP HUMAN RESOURCES138596021450090806763089210176638000
ALYSSA LUDDY
PHYSICIAN1557710005400050010160826000
ROBERT WARREN
ASSOCIATE MEDICAL DIRECTOR18391500060000153330199308000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Tax indemnification and gross-up paymentsSchedule J, Part I, Line 1aTHE CORPORATION MAKES A PAYMENT TO DIANE T. STRINGER EQUAL TO ALL OF THE STATE AND FEDERAL INCOME AND EMPLOYMENT TAXES THAT ARE LEVIED AGAINST HER FOR THE PREMIUM PAYMENTS MADE FOR THE SUPPLEMENTAL EMPLOYEE RETIREMENT PAYMENT AND THE TAX PAYMENT ITSELF, SUCH THAT AFTER PAYMENT OF THE TAX PAYMENT, THE ANNUAL PREMIUM PAYMENTS WILL HAVE NO TAX CONSEQUENCES TO THE EMPLOYEE. THE AMOUNT THAT WAS PROVIDED TO DIANE T. STRINGER IN 2012 WAS $80,230.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bDIANE STRINGER, CEO, RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, TOTAL $195,506. THE FOLLOWING INTERESTED PERSONS PARTICIPATED IN AN UNQUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE SECTION 457(B). STEPHANIE PATEL - $14,175 JUDITH CRANNEY - $9,681 CARMELINA PROCACCINI - $3,963
Non-fixed paymentsSchedule J, Part I, Line 7THE PERFORMANCE BONUS FOR THE CEO IS BASED ON THE INDEPENDENT BOARD'S DISCRETION WITH A TARGET OF 25% OF THE BASE SALARY. AT THE BOARD'S DISCRETION A BONUS CAN BE PAID OUT HIGHER THAN THE TARGET BASED ON THE CEO'S PERFORMANCE. THE PERFORMANCE BONUS FOR THE OTHER OFFICERS (EXECUTIVES AND VICE PRESIDENTS) IS BASED ON A TARGET OF 15% OF THE BASE SALARY. THE CEO PRESENTS THE PERCENTAGE PAYOUT TO THE EXECUTIVE COMMITTEE FOR APPROVAL. THE BONUS PAYOUT CAN BE HIGHER THAN THE PERCENTAGE BASED ON THE EXECUTIVE'S PERFORMANCE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aIN ADDITION TO ANY STANDING COMMITTEES, THE BOARD MAY FROM TIME TO TIME ESTABLISH ONE OR MORE COMMITTEES, MAY DETERMINE THE PURPOSES AND AUTHORITY OF ANY SUCH COMMITTEE AND SHALL DESIGNATE A CHAIR FOR EACH COMMITTEE UNLESS OTHERWISE PROVIDED FOR IN THESE BYLAWS. THE BOARD MAY APPOINT ANY MEMBER OF ANY COMMITTEE WHOSE APPOINTMENT IS NOT OTHERWISE PROVIDED FOR IN THESE BYLAWS OR MAY DETERMINE THE MANNER IN WHICH MEMBERS OF COMMITTEES ARE TO BE APPOINTED. COMMITTEES MAY CONSIST OF INDIVIDUALS WHO HAVE NO AFFILIATION WITH THE CORPORATION AS WELL AS DIRECTORS AND MEMBERS. THE BOARD MAY DELEGATE TO ANY COMMITTEE OR COMMITTEES THAT CONSIST SOLELY OF DIRECTORS ANY OR ALL OF THE POWERS OF THE BOARD, EXCEPT THOSE WHICH BY LAW, BY THE ARTICLES OF ORGANIZATION OR BY THESE BYLAWS THEY ARE PROHIBITED FROM DELEGATING. IN NO EVENT SHALL THE FOLLOWING POWERS BE DELEGATED BY THE BOARD OF DIRECTORS TO ANY COMMITTEE ESTABLISHED BY IT: A. THE POWER TO CHANGE THE PRINCIPAL OFFICE OF THE CORPORATION. B. THE POWER TO AMEND THESE BYLAWS. C. THE POWER TO ELECT OFFICERS REQUIRED BY LAW, THE ARTICLES OF ORGANIZATION, OR THESE BYLAWS TO BE ELECTED BY THE DIRECTORS AND THE POWER TO FILL VACANCIES IN ANY SUCH OFFICES. D. THE POWER TO CHANGE THE NUMBER OF MEMBERS CONSTITUTING THE BOARD OF DIRECTORS AND THE POWER TO FILL VACANCIES IN THE BOARD OF DIRECTORS. E. THE POWER TO REMOVE OFFICERS FROM OFFICE OR DIRECTORS FROM THE BOARD OF DIRECTORS. F. THE POWER TO AUTHORIZE A MERGER OF THE CORPORATION.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bA COPY OF THE 990 IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. ADDITIONALLY, THE EXECUTIVE COMMITTEE, A SUBCOMMITTEE OF THE BOARD, REVIEWS THE 990 PRIOR TO FILING.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD OF DIRECTORS, COMMITTEE MEMBERS, OFFICERS AND KEY EMPLOYEES ARE ASKED TO SIGN A CONFLICT OF INTEREST AND RELATIONSHIP DISCLOSURE STATEMENT COVERING THE NEXT FISCAL YEAR. THIS STATEMENT CERTIFIES THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY, WILL DISCLOSE ANY CONFLICT OF INTEREST IDENTIFIED, AND REFRAIN FROM VOTING AND FROM USING PERSONAL INFLUENCE RELATED TO THE CONFLICT OF INTEREST IDENTIFIED.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS ANNUALLY TO ESTABLISH AND APPROVE THE COMPENSATION OF THE ORGANIZATION'S CEO BASED ON THE CEO'S PERFORMANCE AND COMPARATIVE DATA BENCHMARKS. COMPARATIVE DATA FROM AVAILABLE PUBLISHED SURVEYS AND IRS 990'S FOR COMPARABLE ORGANIZATIONS ARE USED AS BENCHMARKS. IN ADDITION, EVERY TWO YEARS A QUALIFIED COMPENSATION CONSULTANT IS RETAINED TO CONDUCT AN ANALYSIS AND COMPARATIVE MARKET ASSESSMENT OF EXECUTIVE COMPENSATION. THE LAST ANALYSIS IS DONE ANNUALLY. THE PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE CEO PRESENTS THE EXECUTIVE OPERATION TEAM'S PROPOSED ANNUAL MERIT INCREASES AND INCENTIVE PAYMENTS TO THE EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL. AVAILABLE SOURCES OF MARKET SURVEYS AND COMPENSATION BENCHMARKS ARE ALSO REVIEWED AND CONSIDERED AS PART OF THE PROCESS. THE LAST ANALYSIS WAS DONE MARCH OF 2012. THE PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO THE INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.

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