2013-11-15T09:49:30-06:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2012-01-01 042104321 SHERRILL HOUSE INC SHER 6177312400 135 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 MARC SCHULTZ 6177312400 2013-11-11 1 ROBERT DILLAN P01688008 6179848100 2013-11-11 2012 2016-03-07 17:11:31Z MARC SCHULTZ 135 SOUTH HUNTINGTON AVENUE BOSTON MA 02130 23372395 0 X N/A X 1907 MA SHERRILL HOUSE PROVIDES HIGH QUALITY MEDICAL, NURSING, AND REHABILITATION SERVICES ON AN IN-PATIENT BASIS TO MEN AND WOMEN WITHOUT DISTINCTION TO RACE, COLOR, OR NATIONAL ORIGIN. 15 15 381 50 0 0 246576 864473 19976532 20079742 2220529 203506 0 0 22443637 21147721 0 0 0 0 15361570 15454985 0 0 138560 7292110 7364776 22653680 22819761 -210043 -1672040 41657238 41759151 15272100 16219985 26385138 25539166 SHERRILL HOUSE PROVIDES HIGH QUALITY MEDICAL, NURSING, AND REHABILITATION SERVICES ON AN IN-PATIENT BASIS TO MEN AND WOMEN WITHOUT DISTINCTION TO RACE, COLOR, OR NATIONAL ORIGIN. 0 0 20909025 19617430 PROVIDE SKILLED NURSING HOME CARE TO THE ELDERLY AND DISABLED. 20909025 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 33 0 381 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 0 0 1 1 1 0 0 MA X X MARC SCHULTZ CFO 6177312400 135 SOUTH HUNTINGTON AVE BOSTON MA 02130 RICHARD W BENKA ESQ 2.00 X X 0 0 0 REV THOMAS B KENNEDY 2.00 X X 0 0 0 FREDERICA SEE 2.00 X X 0 0 0 HELEN H GATES 2.00 X X 0 0 0 BAYARD HENRY 1.00 X 0 0 0 DAVID A KIRCHNER 2.00 X X 0 0 0 SUSAN W ADAM 2.00 X X 0 0 0 ROBERT S HURLBURT JR 1.00 X 0 0 0 ALEXANDER T BOK 1.00 X 0 0 0 WILLIAM STEUL 1.00 X 0 0 0 DAVID LAFFEY 1.00 X 0 0 0 BARBARA BAUMAN 2.00 X 0 0 0 EDWARD BALDINI 1.00 X 0 0 0 MARGUERITE LLOYD 1.00 X 0 0 0 WALTER S BURRAGE JR 1.00 X 0 0 0 PATRICK STAPLETON 40.00 X 234670 0 19716 MARC SCHULTZ 40.00 X 143900 0 19469 JAMES DAME 40.00 X 109621 0 21176 DEIDRE O'SULLIVAN 40.00 X 140365 0 12991 KAHATCHIK OHANNESSIAN 40.00 X 113701 0 15650 DONALD GREGORY 40.00 X 116567 0 6916 ROBIN ERCHA 40.00 X 109953 0 21201 968777 0 117119 10 0 1 0 CLIFTONLARSONALLEN 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 AUDITING & CONSULTING 104000 1 864473 864473 PATIENT REVENUE 623000 20079742 20079742 20079742 665818 665818 1762362 2224674 -462312 -462312 -462312 21147721 19617430 0 665818 405791 405791 12848780 12175017 673763 1159016 1091863 67153 1041398 958547 82851 53472 53472 74000 74000 65754 65754 350023 325358 24665 26417 26417 298509 298509 548052 548052 36481 36481 171781 171781 1901413 1901413 216002 216002 USER FEE 1007745 1007745 FOOD 701092 701092 PHARMACY 579375 579375 THERAPY SUPPLIES 289192 289192 1045468 880690 26218 138560 22819761 20909025 1772176 138560 764122 424777 1600 1600 3131062 3262532 23083 23083 231438 211018 47884266 21395567 27904755 26488699 9078550 10089892 578386 522628 679164 41657238 41759151 2847423 3716712 12424677 12425000 0 78273 15272100 16219985 X 25240517 23855510 62045 19519 1082576 1664137 26385138 25539166 41657238 41759151 X -1672040 839361 -13296 3 X X 0 1 X 1 0 X 204103 167296 133834 246576 864473 1616282 19333074 19678841 19789749 19976532 20079743 98857939 19537177 19846137 19923583 20223108 20944216 100474221 56000 66354 135000 25000 282354 0 56000 66354 135000 25000 282354 100191867 708894 898895 827066 594033 665818 3694706 708894 898895 827066 594033 665818 3694706 1500 1500 20247571 20745032 20750649 20817141 21610034 104170427 0.96180 0.94630 0.03550 0.03610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2324 2324 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PAID MEMBERSHIP DUES TO STATE HEALTHCARE ORGANIZATION. 1144621 615033 129605 205603 1683656 1438180 68440 -9842 352157 1144621 3058467 89728 81335 1791350 1438180 0.99000 0.01000 0 0 860636 860636 16048704 5323849 10724855 24746784 11114071 13632713 5999980 4736328 1263652 228162 221319 6843 26488699 DUE TO MEDICAID 78273 78273 X 21921330 839361 2 839363 21081967 65754 65754 21147721 22754006 0 22754006 65754 1 65755 22819761 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO BE USED FOR CHAPLAINCY, VOLUNTEER, FUND FACILITY AND VARIOUS OTHER PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATION'S TAX RETURNS FROM 2008 THROUGH 2011 ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 2. PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 1. X X X X 0 0 0 0 0 0 0 0 0 PATRICK STAPLETON 234670 0 0 0 0 0 0 0 19716 0 254386 0 0 0 MARC SCHULTZ 143900 0 0 0 0 0 0 0 19469 0 163369 0 0 0 DEIDRE O'SULLIVAN 140365 0 0 0 0 0 0 0 12991 0 153356 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE CLASS OF MEMBERS ARE THE TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE TRUSTEES APPROVE DECISIONS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 CEO WILL EMAIL ALL TRUSTEES A COPY OF THE 990 TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15A A STUDY IS CONDUCTED BY AN OUTSIDE CONSULTING COMPANY, WHICH USES COMPARABILITY DATA ON SALARIES WITHIN THE INDUSTRY. USING THESE REPORTS, AS WELL AS OTHER FACTORS, THE APPROVAL OF COMPENSATION IS DISCUSSED AND VOTED ON BY THE BOARD, AND DOCUMENTED WITHIN THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ROUNDING 3. OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.